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ʻO ka lipoma he puʻupuʻu palupalu, momona e ulu ana ma lalo o kou ʻili. ʻO kēia mau ulu ʻaʻole ʻino (ʻaʻole kanesa) i hana ʻia mai nā cell momona a manaʻo ʻia e like me kahi puʻupuʻu palupalu, hiki ke neʻe ʻia ke pā aku ʻoe.
He mea maʻamau loa nā lipomas a pili i nā miliona o nā kānaka ma ka honua holoʻokoʻa. ʻO ka maʻamau, ulu mālie lākou i nā mahina a i ʻole nā makahiki a maʻamau ʻaʻole lākou e hoʻoulu i nā pilikia nui. ʻO ka hapa nui o nā kānaka e ʻike iā lākou ma ka pōʻino i ka wā e ʻauʻau ai a i ʻole e kāhiko ai.
ʻO ka hōʻailona nui o ka lipoma he puʻupuʻu palupalu, poepoe ma lalo o kou ʻili e neʻe ana ke kaomi ʻoe. ʻO ka maʻamau, manaʻo ʻia kēia mau puʻupuʻu he palupalu a i ʻole he ʻili a hiki ke nui mai ka nui o ka pea a i nā ʻīniha he nui.
Eia nā ʻano nui āu e ʻike ai:
ʻAʻole ʻeha loa ka hapa nui o nā lipomas. Eia naʻe, inā e kaomi ka lipoma i kahi nerve a ulu i kahi wahi paʻa, hiki iā ʻoe ke manaʻo i kahi ʻoluʻolu a i ʻole ka ʻeha ma kēlā wahi.
ʻO ka hapa nui o nā lipomas he mau puʻupuʻu momona maʻalahi, akā ʻike nā kauka i kekahi mau ʻano like ʻole ma muli o ko lākou wahi a me nā ʻano. Hiki i ka hoʻomaopopo ʻana i kēia mau ʻano like ʻole ke kōkua iā ʻoe e ʻike i ka mea e manaʻo ai.
ʻO nā ʻano maʻamau loa e komo pū ana:
Loaʻa kekahi mau ʻano maʻamau ʻole i nā pūnaewele hohonu. ulu nā lipomas intramuscular i loko o nā pūnaewele muscle a hiki ke manaʻo ʻia ʻaʻole i neʻe nui. Hiki i nā lipomas hohonu ke ulu kokoke i nā kino a i ʻole i loko o ka pahu umauma, ʻoiai he mea maʻamau ʻole kēia.
ʻO ka hapa nui o nā lipomas āu e ʻike ai, ʻo ia ke ʻano maʻamau. Hiki i kāu kauka ke ʻike maʻamau i ke ʻano āu i loaʻa ai ma o ka nānā ʻana a me ke kiʻi ʻana inā pono.
ʻAʻole maopopo loa ke kumu o nā lipomas, akā ulu lākou i ka wā e ulu a hui pū ai nā cell momona ma lalo o kou ʻili. E noʻonoʻo iā ia e like me kou kino e hana ana i kahi ʻeke liʻiliʻi o nā pūnaewele momona keu ma kahi hoʻokahi.
Hiki i kekahi mau mea ke hoʻopili i ka hoʻomohala ʻana o ka lipoma:
I nā hihia maʻamau ʻole, hiki ke ulu nā lipomas he nui ma muli o nā kūlana genetic. Hoʻoulu ka familial multiple lipomatosis i nā lipomas he nui e ʻike ʻia ma ke kino holoʻokoʻa. ʻO ka maʻi Dercum, ʻoiai he mea maʻamau ʻole loa, hoʻoulu i nā lipomas ʻeha me nā hōʻailona ʻē aʻe.
No ka hapa nui o nā kānaka, hiki mai nā lipomas me ke kumu maopopo ʻole. He mea maʻamau wale nō ia o ke ʻano o kou kino e mālama ai a hoʻonohonoho i ka momona.
Pono ʻoe e ʻike i ke kauka inā ʻike ʻoe i kekahi ʻāpana hou ma lalo o kou ʻili, ʻoiai inā manaʻo ʻia he palupalu a neʻe. ʻOiai ʻo ka hapa nui o nā ʻāpana he mau lipomas ʻino ʻole, he mea nui ia e loaʻa ka hōʻoia kūpono e kāpae i nā kūlana ʻē aʻe.
Hoʻonohonoho i kahi manawa inā loaʻa iā ʻoe:
E ʻimi koke i ka mālama lapaʻau inā ulu wikiwiki kahi ʻāpana i loko o nā lā a i ʻole nā pule, lilo i mea ʻeha loa, a i ʻole inā loaʻa iā ʻoe ka maʻi wela me ka ʻāpana. Hiki i kēia mau hōʻailona ke hōʻike i kahi mea koʻikoʻi loa e pono ai ka loiloi koke.
E hoʻomanaʻo, ua ʻike kāu kauka i nā lipomas he nui a hiki iā ia ke hoʻoholo koke inā he mea maʻamau ka mea āu e manaʻo nei. ʻAʻohe pono e hopohopo e pili ana i ka hoʻopilikia ʻana iā lākou me kāu mau hopohopo.
Hiki i kekahi mau mea ke hoʻonui i kou manawa e loaʻa ai nā lipomas, ʻoiai ʻaʻole loaʻa i nā kānaka he nui me kēia mau mea pilikia. Hiki i ka hoʻomaopopo ʻana i kēia mau mea ke kōkua iā ʻoe e ʻike i ka mea e nānā ai.
ʻO nā mea pilikia maʻamau e komo pū ana:
Aia kekahi mau kūlana genetic maʻamau ʻole e hoʻonui nui ai ka pilikia o ka lipoma. Hoʻokumu ka multiple familial lipomatosis i nā lipomas he nui e ulu ana ma ke kino holoʻokoʻa. Ke alakaʻi nei ka Adiposis dolorosa (maʻi Dercum) i nā lipomas ʻeha, ʻoiai he mea maʻamau loa kēia kūlana.
He mea hoihoi, ʻaʻole like ka kaumaha o kou kino i ka hoʻomohala ʻana o ka lipoma. Hoʻomohala nā kānaka lahilahi a me nā kānaka kaumaha iā lākou ma nā kiʻekiʻe like, e hōʻike ana ʻaʻole pili wale lākou i ka nui o ka momona o ke kino.
ʻAʻole pilikia nā lipomas a maʻamau ʻole ka loaʻa ʻana o nā pilikia nui. Noho ka hapa nui o nā kānaka me lākou me ka ʻole o nā pilikia, a he mea maʻamau loa nā pilikia.
ʻO nā pilikia e hiki ke loaʻa:
He mea maʻamau loa ka hoʻololi ʻana o ka lipoma i ka kanesa (liposarcoma), e hana ana ma lalo o ka 1% o nā hihia. Eia naʻe, inā ulu wikiwiki koke kāu lipoma, lilo i paʻakikī, a i ʻole e hoʻokumu i ka ʻeha nui, pono e loiloi ʻia kēia mau loli e ke kauka.
He mea liʻiliʻi a maʻalahi ke hoʻokele ʻia ka hapa nui o nā pilikia. Hiki ke wehe ʻia nā lipomas nui me nā kaʻina hana maʻalahi inā hoʻokumu lākou i nā pilikia a i ʻole ka ʻoluʻolu ʻole.
ʻAʻole maopopo kahi ala e pale aku ai i ka ulu ʻana o nā lipomas. ʻOiai ua hoʻopili nui ʻia lākou e nā genetics a me nā kumu ʻike ʻole ʻia, ʻaʻole i hoʻokumu maikaʻi ʻia nā hana pale.
Eia naʻe, hiki i ka mālama ʻana i ke olakino holoʻokoʻa ke kōkua:
Ke noʻonoʻo nei kekahi poʻe inā pale ka lilo ʻana o ke kaumaha i nā lipomas, akā ʻaʻole kākoʻo ka noiʻi i kēia pilina. Hiki i nā lipomas ke ulu i nā poʻe o nā ʻano kino a pau a me nā kaumaha.
ʻO ke ala maikaʻi loa ka nānā ʻana i ka olakino holoʻokoʻa a me ka ʻike ʻana i nā puʻupuʻu hou a i ʻole nā hoʻololi i kou kino. ʻO ka ʻike mua ʻana a me ka loiloi kūpono nā mea hana waiwai loa.
Hoʻomaka pinepine ka hōʻoia ʻana i ka lipoma me ka nānā kino kahi e ʻike ai kāu kauka i ka puʻupuʻu a nīnau e pili ana i kona mōʻaukala. Loaʻa i ka hapa nui o nā lipomas nā hiʻohiʻona hiʻohiʻona e hiki ai i nā kauka ke ʻike ma o ka pā ʻana wale nō.
E loiloi kāu kauka i kekahi mau hiʻohiʻona nui:
Inā ʻaʻole maopopo ka hōʻoia ʻana mai ka nānā wale nō, hiki i kāu kauka ke kauoha i nā hoʻokolohua kiʻi. Hiki i ka ultrasound ke hōʻike i ka hoʻonohonoho kūloko a hōʻoia i hana ʻia ia mai ka momona. Hāʻawi ka MRI i nā kiʻi kikoʻī a kōkua i ka hoʻokaʻawale ʻana i nā lipomas mai nā mea ʻē aʻe o nā ʻiʻo palupalu.
I nā hihia kakaikahi kahi i loaʻa ai ka maopopo ʻole, hiki i kāu kauka ke ʻōlelo aku i ka biopsy. Hoʻopili kēia i ka lawe ʻana i kahi laʻana liʻiliʻi o ka ʻiʻo no ka nānā microscopic. Eia naʻe, he mea pono kēia inā he mau hiʻohiʻona maʻamau ʻole ka puʻupuʻu a ʻaʻole hana e like me ka lipoma maʻamau.
ʻAʻole pono nā hoʻokolohua koko no ka hōʻoia ʻana i nā lipomas maʻalahi, akā hiki ke kauoha ʻia inā manaʻo kāu kauka i kahi kūlana kumu e hana ai i nā lipomas he nui.
ʻAʻole pono ka nui o nā lipomas i kahi lāʻau a hiki ke waiho maluhia ʻia. Ma muli o ko lākou ʻano maikaʻi ʻole a he mea maʻamau ʻole ka pilikia, nui nā kauka e ʻōlelo aku i kahi ala ʻo "nānā a kali" no nā lipomas liʻiliʻi a ʻeha ʻole.
ʻO nā koho lapaʻau ke pono pū me:
ʻO ka wehe ʻana ma ke ʻoki he mea pololei maʻamau ia a hana ʻia ma ke ʻano he kaʻina hana ma waho. Hana kāu kauka i kahi ʻoki liʻiliʻi, wehe i ka lipoma holoʻokoʻa me kāna pūpū, a laila pani i ka ʻeha me nā humuhumu. ʻO ka maʻamau o ka hana he 20-30 mau minuke.
No nā lipomas hohonu, kūikawā ʻole, a i ʻole nā mea i nā wahi paʻakikī, pono paha nā ala ʻoki kūikawā hou aku. Hoʻopili pinepine kēia mau hihia i ka hoʻouna ʻana i kahi loea a hiki ke komo pū me ka anesthesia maʻamau.
Pale ka wehe ʻana piha i ka hoʻi hou ʻana ma ia wahi pololei, ʻoiai hiki ke ulu hou nā lipomas ma nā wahi ʻē aʻe inā pili ʻoe iā lākou.
ʻO ka mālama home no nā lipomas e kau nui ana i ka nānā ʻana a me ka hōʻoluʻolu ma mua o ka lāʻau lapaʻau, ʻoiai ʻaʻole pono kēia mau puʻupuʻu i kahi hana ikaika. ʻO kāu hana nui ka mālama ʻana i nā loli a mālama i ke olakino o ka ʻili a puni.
Eia pehea ʻoe e mālama ai i nā lipomas ma ka home:
Ke ho'āʻo nei kekahi poʻe i nā lāʻau lapaʻau kūlohelohe e like me ka turmeric a i ʻole nā mea hoʻohui mea kanu, akā ʻaʻohe hōʻike ʻepekema e hōʻemi ana kēia mau lāʻau i nā lipomas. ʻOiai he palekana maʻamau, ʻoi aku ka maikaʻi ke kūkākūkā mua me kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe.
Hiki ke hoʻokele ʻia ka hōʻoluʻolu ʻeha me nā lāʻau lapaʻau ma luna o ka counter e like me ka ibuprofen a i ʻole acetaminophen inā hōʻeha kāu lipoma. Eia naʻe, pono e hoʻoikaika i ka hele ʻana i ke kauka inā nui a hoʻonui paha ka ʻeha.
E hoʻomanaʻo, ʻaʻole pono ʻoe e lomilomi a hoʻopā i ka lipoma. ʻAʻole e hoʻopau ka lawelawe nui ʻana a hiki ke hoʻonāukiuki i ka ʻili a puni.
Ke hoʻomākaukau nei ʻoe no kāu hālāwai e kōkua iā ʻoe e loaʻa ka mea nui loa mai kāu kipa a hōʻoia i loaʻa i kāu kauka nā ʻike āpau e pono ai no ka loiloi kūpono. He ala lōʻihi ka hoʻomākaukau iki i nā kamaʻilio mālama ola maikaʻi.
Ma mua o kāu kipa, e hōʻiliʻili i kēia ʻike:
E kākau i kāu mau nīnau ma mua, i ʻole e poina i nā manaʻo nui i ka wā o ka hālāwai. ʻO nā nīnau maʻamau e pili ana i ka nīnau ʻana e pili ana i nā koho wehe ʻana, ka pilikia o ka hoʻi hou ʻana, a inā paha e hoʻopilikia ka lipoma i nā hana o kēlā me kēia lā.
E komo i nā lole e maʻalahi ai ke komo i ka wahi lipoma. Kūleʻa kēia i kāu kauka e nānā pono i ka puʻu me ka ʻole o ka wehe ʻana piha.
E noʻonoʻo e lawe mai i kahi hoaaloha a i ʻole ʻohana hilinaʻi inā hopohopo ʻoe e pili ana i ka hālāwai. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui a hāʻawi i ke kākoʻo manaʻo.
ʻO nā lipomas he mau puʻu maʻamau, maikaʻi ʻole i hana ʻia mai ka momona e ulu ana ma lalo o kou ʻili. He palupalu, neʻe, a ʻeha ʻole lākou, e hoʻopilikia ana i nā miliona o nā kānaka me ka ʻole o ka hoʻoulu ʻana i nā pilikia olakino nui.
ʻO nā mea nui loa e hoʻomanaʻo ai, ʻo ia ka ulu mālie ʻana o nā lipomas, ʻaʻole pinepine e lilo i kanesa, a ʻaʻole pono e mālama ʻia ke kumu ʻole o ka ʻoluʻolu ʻole a i ʻole nā pilikia hoʻonaninani. Nui nā kānaka e ola ana i ko lākou ola holoʻokoʻa me nā lipomas me ka ʻole o nā pilikia.
Eia naʻe, pono ke loiloi lapaʻau i kēlā me kēia puʻu hou e hōʻoia i ka ʻike a kāpae i nā kūlana ʻē aʻe. Hiki i kāu kauka ke hoʻoholo koke inā he lipoma maʻamau ka mea āu e manaʻo nei a kūkākūkā i nā koho inā makemake ʻia ka mālama ʻana.
E hilinaʻi i kou mau manaʻo e pili ana i nā loli o kou kino. ʻOiai he palekana maʻamau nā lipomas, ʻo ka ulu koke ʻana, ka ʻeha, a i ʻole nā loli o ka ʻano e pono ai ka hele ʻana i ke kauka no ka loiloi kūpono a me ka maluhia o ka naʻau.
ʻAʻole maʻamau ka nalowale ʻana o nā lipomas me ka ʻole o ka mālama ʻana. Ke hana ʻia, maʻamau lākou e noho paʻa a i ʻole e ulu mālie loa i ka manawa. ʻOiai ke hōʻike nei kekahi poʻe i ka emi ʻana o nā lipomas, he mea maʻamau ʻole kēia a ʻaʻole pono e manaʻo ʻia he ala maʻamau.
ʻAʻole, ʻaʻole i hana ka ʻai ʻana i ka momona i ka hoʻomohala ʻana o nā lipomas. ʻAʻole pili kēia mau puʻupuʻu i kāu meaʻai a i ʻole ke kaumaha o ke kino holoʻokoʻa. Hiki i nā kānaka o nā nui a me nā ʻano ʻai a pau ke loaʻa nā lipomas, e hōʻike ana he pili nui lākou i nā genetics ma mua o nā kumu nohona.
ʻAʻole hoʻopilikia ʻia nā lipomas a ʻaʻole hiki ke pālahalaha mai ke kanaka a i ke kanaka ma o ka hoʻopili ʻana. Hoʻomohala lākou ma muli o nā kumu genetic a me nā mea hoʻonāukiuki i ʻike ʻole ʻia i loko o kou kino ponoʻī, ʻaʻole mai ka hōʻike ʻana i nā poʻe ʻē aʻe i loaʻa iā lākou.
Noho liʻiliʻi nā lipomas, mai 1-3 iniha ka laulā. Eia naʻe, hiki i kekahi ke ulu nui loa, i kekahi manawa e hiki i 6 iniha a ʻoi aku paha ka nui. ʻO nā lipomas nui, ʻoiai he mea maʻamau ʻole, ua hōʻike ʻia e kaupaona i kekahi mau paona i nā hihia koʻikoʻi.
Pili ka uhi ʻinikua i ka pono olakino ma mua o nā makemake hoʻonaninani. Inā hana ka lipoma i ka ʻeha, kaupalena i ka neʻe ʻana, a i ʻole ke komo ʻana i nā hana o kēlā me kēia lā, ua uhi pinepine ka ʻinikua i ka wehe ʻana. Hiki i ka wehe ʻana i ka hoʻonaninani wale nō ke koi aku i ka uku mai ka ʻeke, no laila e nīnau i kāu mea hoʻolako ʻinikua e pili ana i nā kulekele uhi kūikawā.