He aha ka Chondrosarcoma? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka chondrosarcoma kahi ʻano o ka maʻi ʻaʻai iwi e ulu ana i loko o nā cell cartilage. ʻO ia ka lua o ka maʻi ʻaʻai iwi nui loa, ʻoiai he mea maʻamau loa ia. Hoʻomaka pinepine kēia maʻi ʻaʻai e ulu mālie a hoʻopili pinepine i nā mākua ma waena o 40 a me 70 mau makahiki, ʻoiai hiki ke loaʻa i kēlā me kēia makahiki.

ʻAʻole like me kekahi mau maʻi ʻaʻai ʻē aʻe, noho pinepine ka chondrosarcoma ma kahi hoʻokahi no ka manawa lōʻihi ma mua o ka pālahalaha ʻana. Hāʻawi kēia i nā kauka a me nā mea maʻi i ka manawa hou aku e hoʻolālā i ka lapaʻau a alakaʻi pinepine i nā hopena maikaʻi loa ke hopu ʻia i ka wā mua.

He aha nā hōʻailona o ka chondrosarcoma?

ʻO ka hōʻailona mua maʻamau ka ʻeha mau loa i ka iwi i hoʻopilikia ʻia a i ʻole ka hui. Hoʻomaka pinepine kēia ʻeha ma ke ʻano he ʻeha palupalu e hele mai ana a hele aku ana, a laila lilo mālie i mea mau a ʻoi aku ka nui ma luna o nā pule a i ʻole nā ​​mahina.

Hiki iā ʻoe ke ʻike i kekahi mau hōʻailona i ka ulu ʻana o ka tumor:

• ʻEha mau loa o ka iwi a i ʻole ka hui e ʻoi aku ka ʻino i ka pō
• ʻO ka pehu a i ʻole kahi ʻāpana i ʻike ʻia kokoke i ka wahi i hoʻopilikia ʻia
• ʻO ka paʻakikī a i ʻole ka emi ʻana o ka neʻe ʻana i nā hui kokoke
• Nā haki wehe ʻole ʻia i ka iwi i hoʻopilikia ʻia
• ʻO ka numbness a i ʻole ka tingling inā e kaomi ka tumor i nā nerves

E ulu mālie kēia mau hōʻailona, ​​no laila hiki i ka chondrosarcoma ke hele ʻike ʻole ʻia no nā mahina. ʻAʻole pane maikaʻi ka ʻeha i nā lāʻau ʻeha ma luna o ka counter, kahi e hoʻoikaika pinepine ai i nā kānaka e ʻimi i ka mālama lapaʻau.

He aha nā ʻano o ka chondrosarcoma?

Hoʻokaʻawale nā ​​kauka i ka chondrosarcoma i nā ʻano like ʻole ma muli o kahi e ulu ai a pehea ka nānā o nā cell ma lalo o ka microscope. Kūkulu nā ʻano nui i ke ala lapaʻau maikaʻi loa.

ʻO ka chondrosarcoma mua e ulu pololei mai nā cell cartilage maʻamau. ʻO kēia ka ʻano maʻamau loa, e helu ana i kahi 90% o nā hihia. Hoʻopili pinepine ia i ka pelvis, nā iwi ʻaoʻao, ka poʻohiwi, a i ʻole nā ​​iwi lōʻihi o nā lima a me nā wāwae.

ʻO ka chondrosarcoma lua e ulu mai nā tumor iwi benign i kapa ʻia ʻo enchondromas a i ʻole osteochondromas. ʻOiai he mea maʻamau kēia mau tumor benign a ʻaʻohe mea pōʻino, hoʻololi iki lākou i ka maʻi ʻaʻai ma hope o ka manawa.

Aia nō hoʻi nā ʻano liʻiliʻi e like me ka chondrosarcoma cell maopopo a me ka chondrosarcoma mesenchymal. He ʻano ʻokoʻa ko lākou hana mai ka chondrosarcoma maʻamau a pono paha i nā ala lapaʻau kūikawā.

He aha ka mea e hoʻokumu ai i ka chondrosarcoma?

Ke noho nei ka kumu pololei o ka chondrosarcoma nui loa. Eia naʻe, ua ʻike nā mea noiʻi i kekahi mau mea e hiki ke hoʻokomo i kona ulu ʻana.

Me he mea lā he kuleana ko nā loli genetic i loko o nā cell cartilage. Hiki i kēia mau loli ke hana ma ka manawa a i ʻole paha ke hoʻoilina ʻia mai nā mākua, ʻoiai he mea maʻamau ʻole nā ​​hihia hoʻoilina.

Hiki i ka radiation therapy ma mua i ka wahi i hoʻopilikia ʻia ke hoʻonui i ka pilikia, ʻoiai e hana pinepine kēia i nā makahiki a i ʻole nā ​​decades ma hope o ka mālama ʻana. Loaʻa i kekahi poʻe me kekahi mau kūlana genetic, e like me nā exostoses hoʻoilina he nui a i ʻole ka maʻi Ollier, kahi manawa kiʻekiʻe o ka ulu ʻana o ka chondrosarcoma.

I nā hihia liʻiliʻi, e ulu ana ka chondrosarcoma mai nā tumor cartilage benign i loaʻa no nā makahiki. E hana mālie a hiki ʻole ke wānana ʻia kēia hoʻololi, no laila nānā pinepine nā kauka i kēia mau tumor benign ma hope o ka manawa.

I ka wā e ʻike ai i ke kauka no ka chondrosarcoma?

Pono ʻoe e kelepona i kāu kauka inā loaʻa iā ʻoe ka ʻeha mau loa o ka iwi a i ʻole ka hui e lōʻihi ma mua o kekahi mau pule. He mea nui loa kēia inā ʻoi aku ka ʻino o ka ʻeha i ka pō a i ʻole ʻaʻole ia e hoʻomaikaʻi me ka hoʻomaha a me nā lāʻau ʻeha ma luna o ka counter.

E ʻimi i ka mālama lapaʻau koke inā ʻike ʻoe i kahi ʻāpana ulu a i ʻole ka pehu kokoke i ka iwi a i ʻole ka hui. ʻOiai ʻaʻole he maʻi ʻaʻai ka nui o nā ʻāpana, he mea nui ia e loiloi ʻia e kahi loea olakino.

Mai kali inā loaʻa iā ʻoe nā haki wehe ʻole ʻia a i ʻole ka ʻeha nui koke i ka iwi. Hiki i kēia ke hōʻike i ka hoʻonāwaliwali ʻana o ka tumor i ka iwi a pono i ka nānā koke.

He aha nā mea pilikia no ka chondrosarcoma?

He nui nā mea e hiki ke hoʻonui i kou pilikia o ka ulu ʻana o ka chondrosarcoma, ʻoiai ʻo ka loaʻa ʻana o kēia mau mea ʻaʻole ia he manaʻo e loaʻa nō ʻoe i ka maʻi.

He kuleana nui ka makahiki, me ka nui o nā hihia e loaʻa ana i nā kānaka ma luna o 40. Ke hoʻomau nei ka pilikia e hoʻonui me ka makahiki, e kiʻekiʻe ana i nā 60 a me 70 mau makahiki.

Eia nā mea pilikia nui i ʻike ʻia e nā kauka:

• Radiation therapy ma mua i nā iwi a i ʻole nā ​​hui
• Kekahi mau kūlana genetic e like me ka maʻi Ollier a i ʻole ka maʻi Maffucci
• Loaʻa nā exostoses hoʻoilina he nui (nā tumor iwi benign)
• Nā tumor cartilage benign ma mua (enchondromas)
• Ka maʻi Paget o ka iwi

ʻAʻohe o kēia mau mea pilikia i ka hapa nui o nā kānaka me ka chondrosarcoma. Hoʻomaka pinepine ka maʻi me ka ʻole o kekahi kumu maopopo a i ʻole ka mōʻaukala ʻohana.

He aha nā pilikia hiki ke loaʻa i ka chondrosarcoma?

ʻOiai e ulu mālie ana ka chondrosarcoma, hiki iā ia ke hoʻokumu i kekahi mau pilikia inā waiho ʻia me ka mālama ʻole ʻia a i ʻole inā hoʻokaʻulua ʻia ka mālama ʻana.

Hiki i ka tumor ke hoʻonāwaliwali nui i nā iwi, e alakaʻi ana i nā haki me ka hōʻeha iki. E hana kēia no ka mea e hoʻopau ana ka maʻi ʻaʻai i ka iwi maʻamau a pani iā ia me nā cell maʻamau ʻole.

ʻO nā pilikia hiki ke loaʻa:

• Nā haki iwi ma ka wahi tumor
• ʻO ka pōʻino o ka nerve inā e kaomi ka tumor i nā nerves a puni
• Ka hana ʻole o ka hui a me ka paʻakikī mau
• Pālahalaha i nā māmā a i ʻole nā ​​mea ʻē aʻe (ʻoiai he mea maʻamau ʻole kēia)
• Ka maʻi ma hope o ka ʻoki a i ʻole ka mālama ʻana

ʻO ka ʻoiaʻiʻo maikaʻi, ʻaʻole pinepine ka chondrosarcoma e pālahalaha i nā ʻāpana ʻē aʻe o ke kino, ʻoi aku hoʻi ke hopu ʻia i ka wā mua. Hiki ke pale ʻia a i ʻole ke hoʻokele pono ʻia ka hapa nui o nā pilikia me ka mālama kūpono.

Pehea e ʻike ʻia ai ka chondrosarcoma?

Pono ka ʻike ʻana i ka chondrosarcoma i kekahi mau ʻanuʻu e hōʻoia i ka loaʻa ʻana o ka maʻi ʻaʻai a hoʻoholo i kona nui. E hoʻomaka kāu kauka me kahi moʻolelo lapaʻau kikoʻī a me ka nānā kino.

Hāʻawi nā hoʻokolohua kiʻi i ke kiʻi mua maopopo o ka mea e hana nei i loko o kou kino. Hōʻike pinepine nā X-rays i nā loli maʻamau i ka iwi, ʻoiai nā CT scans a me nā MRIs e hāʻawi i ka ʻike kikoʻī hou aku e pili ana i ka nui a me ka wahi o ka tumor.

ʻO ka biopsy wale nō ke ala e ʻike pono ai i ka chondrosarcoma. E wehe kāu kauka i kahi ʻāpana liʻiliʻi o ka ʻiʻo tumor a e nānā iā ia ma lalo o ka microscope. Hana pinepine ʻia kēia kaʻina hana me ka anesthesia kūloko a hana i ka ʻoluʻolu iki.

Hiki i nā hoʻokolohua hou ke komo pū me nā bone scans a i ʻole nā ​​PET scans e nānā inā ua pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o kou kino. Hiki i nā hoʻokolohua koko ke kōkua i ka loiloi ʻana i kou olakino holoʻokoʻa ma mua o ka hoʻomaka ʻana o ka mālama ʻana.

He aha ka mālama ʻana no ka chondrosarcoma?

ʻO ka ʻoki kino ka mālama nui no ka chondrosarcoma no ka mea ʻaʻole pane maikaʻi kēia ʻano maʻi ʻaʻai i ka chemotherapy a i ʻole ka radiation therapy. ʻO ka pahuhopu ke wehe i ka tumor holoʻokoʻa ʻoiai e mālama ana i ka nui o ka hana maʻamau.

Aia kāu mau koho ʻoki kino ma ka wahi, ka nui, a me ka papa o ka tumor. Wehe ka ʻoki kino limb-sparing i ka tumor ʻoiai e mālama ana i ka lima a i ʻole ka wāwae. I kekahi mau hihia, pani ʻia ka iwi i wehe ʻia me kahi implant metala a i ʻole ka bone graft.

Hiki i nā ala lapaʻau ke komo pū me:

• Wide local excision e wehe i ka tumor me ka ʻiʻo olakino a puni ia
• ʻOki kino limb-sparing me ka hana hou
• Amputation i nā hihia liʻiliʻi kahi hiki ʻole ke limb-sparing
• Radiation therapy no nā tumor hiki ʻole ke wehe piha ʻia
• Chemotherapy no kekahi mau ʻano liʻiliʻi, aggressive

Loaʻa i ka hapa nui o nā kānaka me ka chondrosarcoma haʻahaʻa ka hopena maikaʻi ma hope o ka ʻoki kino. E hana pū kāu hui lapaʻau me ʻoe e koho i ka papahana mālama maikaʻi loa ma muli o kou kūlana kūikawā.

Pehea e hoʻokele ai i ka hoʻōla i ka wā o ka mālama ʻana o ka chondrosarcoma?

ʻO ka hoʻōla ʻana mai ka mālama ʻana o ka chondrosarcoma he kaʻina hana mālie e pono ai ke ahonui a me ke kākoʻo. E hilinaʻi kāu manawa hoʻōla ma ke ʻano o ka ʻoki kino āu i loaʻa ai a me kou olakino holoʻokoʻa.

Hoʻomaka pinepine ka physical therapy ma hope koke o ka ʻoki kino e kōkua i ka hoʻihoʻi ʻana i ka ikaika a me ka neʻe ʻana. E alakaʻi kāu therapist iā ʻoe ma nā hana i hoʻolālā ʻia e hoʻomaikaʻi i ka hana ʻoiai e palekana ana i ka wahi ʻoki.

He ʻāpana nui o ka hoʻōla ka hoʻokele ʻeha. E kuhikuhi kāu kauka i nā lāʻau kūpono a hiki paha ke manaʻo i nā ʻenehana hou aku e like me ka hau, ka wela, a i ʻole ka neʻe mālie e kōkua me ka ʻoluʻolu ʻole.

Hoʻokomo ka mālama hoʻomau i nā nānā maʻamau me nā hoʻokolohua kiʻi e nānā i nā hōʻailona o ka hoʻi hou ʻana o ka maʻi ʻaʻai. He mea nui kēia mau hālāwai e hopu i nā pilikia i ka wā mua a e hōʻoia i kou hoʻōla mau.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Hiki i ka hoʻomākaukau ʻana no kāu hālāwai ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mea nui loa mai kāu manawa me kāu kauka. E kākau i kāu mau hōʻailona a pau, me ka manawa i hoʻomaka ai lākou a pehea lākou i loli ai ma hope o ka manawa.

E lawe mai i kahi papa inoa o nā lāʻau āu e lawe nei, me nā lāʻau ma luna o ka counter a me nā mea hoʻohui. E ʻohi pū i nā moʻolelo lapaʻau ma mua a i ʻole nā ​​hoʻokolohua kiʻi e pili ana i kāu mau hōʻailona i kēia manawa.

E noʻonoʻo e lawe mai i kahi hoa aloha a i ʻole kahi ʻohana hilinaʻi e kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui a hāʻawi i ke kākoʻo manaʻo. E hoʻomākaukau i kahi papa inoa o nā nīnau āu e makemake ai e nīnau e pili ana i kāu ʻike, nā koho mālama, a me nā manaʻo hoʻōla.

Mai kānalua e noi i ka wehewehe inā ʻaʻole ʻoe i maopopo i kahi mea i wehewehe ʻia e kāu kauka. ʻO kāu olakino kēia, a pono ʻoe e pane maopopo ʻia kāu mau nīnau a pau.

He aha ka mea nui e pili ana i ka chondrosarcoma?

ʻO ka chondrosarcoma kahi ʻano koʻikoʻi akā hiki ke mālama ʻia o ka maʻi ʻaʻai iwi e ulu mālie pinepine a pane maikaʻi i ka mālama ʻoki kino. Alakaʻi pinepine ka ʻike mua a me ka mālama kūpono i nā hopena maikaʻi loa.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻaʻole pono e nānā ʻole ʻia ka ʻeha mau loa o ka iwi. ʻOiai ʻaʻole i hana ʻia ka hapa nui o ka ʻeha iwi e ka maʻi ʻaʻai, he mea kūpono mau ia e loiloi ʻia nā hōʻailona maʻamau a mau paha e kahi loea olakino.

Me nā holomua i nā ʻenehana ʻoki kino a me ka mālama kākoʻo, hiki i ka hapa nui o nā kānaka me ka chondrosarcoma ke manaʻo e mālama i ka maikaʻi o ke ola ma hope o ka mālama ʻana. E hana pū kāu hui lapaʻau me ʻoe e hoʻomohala i kahi papahana mālama e hoʻoponopono i kāu mau pono a me nā hopohopo kūikawā.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka chondrosarcoma

Q: He mea make mau anei ka chondrosarcoma?

ʻAʻole, ʻaʻole make mau ka chondrosarcoma. ʻO ka ʻoiaʻiʻo, he maikaʻi loa ka manaʻo no ka hapa nui o nā kānaka me kēia maʻi ʻaʻai, ʻoi aku hoʻi ke hopu ʻia i ka wā mua. Loaʻa i nā chondrosarcomas haʻahaʻa nā helu ola maikaʻi loa, me kahi 90% o nā kānaka e ola ana i ʻelima mau makahiki a ʻoi aku paha ma hope o ka ʻike ʻana. Hiki ke paʻakikī ke mālama i nā tumor kiʻekiʻe, akā loaʻa i nā kānaka he nui ka ola lōʻihi me ka mālama kūpono.

Q: Pehea ka wikiwiki o ka ulu ʻana o ka chondrosarcoma?

ʻO ka chondrosarcoma e ulu mālie pinepine ana i ka hoʻohālikelike ʻana i nā maʻi ʻaʻai ʻē aʻe. ʻO ka hapa nui o nā hihia he mau tumor haʻahaʻa e hiki ke ulu ma luna o nā mahina a i ʻole nā ​​makahiki ma mua o ka hoʻokumu ʻana i nā hōʻailona i ʻike ʻia. He mea pono kēia ʻano ulu mālie no ka mea hāʻawi ia i nā kauka a me nā mea maʻi i ka manawa hou aku e hoʻolālā i ka mālama maikaʻi. Eia naʻe, hiki i kekahi mau ʻano kiʻekiʻe ke ulu wikiwiki a pono i ka mālama koke.

Q: Hiki ke pale ʻia ka chondrosarcoma?

ʻAʻohe ala maopopo e pale aku ai i ka chondrosarcoma no ka mea hana pinepine ka hapa nui o nā hihia me ka ʻole o kekahi kumu maopopo. Eia naʻe, pono nā kānaka me nā mea pilikia i ʻike ʻia e like me nā kūlana genetic a i ʻole ka radiation exposure ma mua e nānā mau me kā lākou mau kauka. Inā loaʻa iā ʻoe nā tumor cartilage benign, hiki i ka hahai ʻana i nā manaʻo nānā a kāu kauka ke kōkua i ka hopu ʻana i nā loli i ka wā mua.

Q: E hiki iaʻu ke hoʻi i nā hana maʻamau ma hope o ka mālama ʻana?

Hiki i ka hapa nui o nā kānaka ke hoʻi i nā hana maʻamau he nui ma hope o ka hoʻōla ʻana mai ka mālama ʻana o ka chondrosarcoma. E hilinaʻi ka nui o kāu hoʻōla ma nā mea e like me ka wahi o ka tumor, ke ʻano o ka ʻoki kino i hana ʻia, a me kāu hoʻoikaika ʻana i ka hoʻōla hou. ʻOiai pono paha ke hoʻololi i kekahi mau hana, nui nā kānaka e alakaʻi i nā ola ikaika a piha ma hope o ka mālama ʻana. E hana pū kāu hui lapaʻau me ʻoe e hoʻonohonoho i nā manaʻo a me nā pahuhopu kūpono.

Q: Pehea ka pinepine e pono ai iaʻu nā hālāwai hoʻomau ma hope o ka mālama ʻana?

He mea nui ka mālama hoʻomau no ka nānā ʻana i kāu hoʻōla a me ka nānā ʻana i nā hōʻailona o ka hoʻi hou ʻana o ka maʻi ʻaʻai. Maʻamau, e loaʻa iā ʻoe nā hālāwai i kēlā me kēia 3-6 mau mahina no nā makahiki mua, a laila emi pinepine i ka manawa. Hoʻokomo pinepine kēia mau kipa i nā nānā kino a me nā hoʻokolohua kiʻi e like me nā X-rays a i ʻole nā ​​CT scans. E hana kāu kauka i kahi papa manawa hoʻomau pilikino ma muli o kāu kūlana kūikawā a me nā mea pilikia.