Osteosarcoma

ʻO ka osteosarcoma kahi ʻano o ka maʻi kanesa iwi. Hoʻomaka pinepine loa ia ma nā iwi lōʻihi o nā wāwae a i ʻole nā ​​lima. Akā hiki ke hana ma kekahi iwi.

ʻO ka osteosarcoma kahi ʻano o ka maʻi kanesa e hoʻomaka ana i nā sela e hana i nā iwi. Hoʻomaka pinepine ka osteosarcoma i nā ʻōpio a me nā ʻōpio. Akā hiki nō hoʻi ke hana i nā keiki ʻōpio a me nā mākua.

Hiki i ka osteosarcoma ke hoʻomaka i kekahi iwi. Loaʻa pinepine loa ia ma nā iwi lōʻihi o nā wāwae, a i kekahi manawa nā lima. He mea maʻamau loa ia, e hana ana i nā ʻiʻo palupalu ma waho o ka iwi.

Ua holomua nā holomua i ka mālama ʻana i ka osteosarcoma i ka manaʻo no kēia maʻi kanesa. Ma hope o ka mālama ʻana i ka osteosarcoma, e kūʻē ana kekahi poʻe i nā hopena ma hope mai o nā mālama ikaika i hoʻohana ʻia e kaohi i ka maʻi kanesa. Manaʻo pinepine nā limahana olakino i ka nānā mau ʻana i nā hopena ma hope o ka mālama ʻana.

Nā hōʻailona a me nā hōʻailona o ka osteosarcoma e hoʻomaka pinepine ana i loko o ka iwi. ʻO ka maʻi kanesa pinepine loa e pilikia ana i nā iwi lōʻihi o nā wāwae, a i kekahi manawa i nā lima. ʻO nā hōʻailona maʻamau loa e komo pū ana: ʻEha iwi a i ʻole hui. Hiki ke hele mai a hele aku ka ʻeha i ka hoʻomaka. Hiki ke kuhi he ʻeha ulu. ʻEha e pili ana i kahi iwi i haki me ke kumu maopopo ʻole. ʻEha kokoke i kahi iwi. E hana i kahi kūkā me kahi limahana mālama ola inā loaʻa iā ʻoe a i ʻole kāu keiki nā hōʻailona mau e hopohopo nei iā ʻoe. Hoʻohālikelike nā hōʻailona Osteosarcoma me nā kūlana maʻamau ʻē aʻe, e like me nā hōʻeha haʻuki. Hiki i ka limahana ola ke nānā mua i kēlā mau kumu.

E hoʻokaʻaʻike i ke kauka lapaʻau inā loaʻa iā ʻoe a i ʻole kāu keiki nā hōʻailona mau e hopohopo nei ʻoe. Ua like nā hōʻailona o ka osteosarcoma me nā hōʻailona o nā maʻi maʻamau ʻē aʻe, e like me nā hōʻeha haʻuki. E nānā mua paha ke kauka lapaʻau i kēlā mau kumu. E kau inoa manuahi a loaʻa iā ʻoe kahi alakaʻi kikoʻī e pili ana i ke kūpaʻa ʻana i ka maʻi kanesa, a me nā ʻike kōkua e pili ana i ke ʻano o ka loaʻa ʻana o ka manaʻo lua. Hiki iā ʻoe ke wehe i kāu inoa i kēlā me kēia manawa. E loaʻa koke ana kāu alakaʻi kikoʻī e pili ana i ke kūpaʻa ʻana i ka maʻi kanesa i loko o kāu pahu leka. Eia kekahi

ʻAʻole maopopo ka mea e hoʻoulu ai i ka osteosarcoma.

Hana ʻia ka osteosarcoma i ka wā e loli ai nā cell iwi i kā lākou DNA. Loaʻa i ka DNA o kahi cell nā ʻōlelo aʻo, i kapa ʻia he mau gene, e haʻi ana i kahi cell i ka mea e hana ai. I loko o nā cell olakino, hāʻawi ka DNA i nā ʻōlelo aʻo e ulu a hoʻonui i kahi wikiwiki i hoʻonohonoho ʻia. Hāʻawi nā ʻōlelo aʻo i nā cell e make i kahi manawa i hoʻonohonoho ʻia.

I loko o nā cell kanesa, hāʻawi nā loli DNA i nā ʻōlelo aʻo ʻē aʻe. Hāʻawi nā loli i nā cell kanesa e hana i nā cell he nui loa me ka wikiwiki. Hiki i nā cell kanesa ke ola mau i ka wā e make ai nā cell olakino. Hana kēia i nā cell he nui loa.

Hiki i nā cell kanesa ke hana i kahi puʻu i kapa ʻia he tumor. Hiki i ka tumor ke ulu e komo a hoʻopau i nā pūnaewele kino olakino. I ka manawa, hiki i nā cell kanesa ke haki a pālahalaha i nā ʻāpana ʻē aʻe o ke kino. I ka wā e pālahalaha ai ka kanesa, kapa ʻia ʻo ia he kanesa metastatic.

ʻO ka hapa nui o nā kānaka me ka osteosarcoma ʻaʻohe o lākou mau kumu pilikia i ʻike ʻia no ke kanesa. Akā hiki i kēia mau mea ke hoʻonui i ka pilikia o ka osteosarcoma:

• Nā kūlana kūikawā e holo ana i loko o nā ʻohana. ʻO kēia mau mea e komo pū ana i ka retinoblastoma hoʻoilina, ka maʻi Bloom, ka maʻi Li-Fraumeni, ka maʻi Rothmund-Thomson a me ka maʻi Werner.
• Nā kūlana iwi ʻē aʻe. ʻO kēia mau mea e komo pū ana i ka maʻi Paget o ka iwi a me ka fibrous dysplasia.
• Ka mālama mua ʻana me ka radiation therapy a i ʻole chemotherapy.

ʻAʻohe ala e pale aku ai i ka osteosarcoma.

ʻO nā pilikia o ka osteosarcoma a me kāna mālamaʻana e komo pū ana i kēia mau mea ma lalo nei.

Hiki i ka osteosarcoma ke pālahalaha mai kahi i hoʻomaka ai i nā wahi ʻē aʻe. ʻO kēia ka mea e ʻoi aku ai ka paʻakikī o ka mālamaʻana a me ka hoʻōlaʻana. ʻO ka hapa nui o ka osteosarcoma e pālahalaha i nā māmā, i ka iwi hoʻokahi a i ʻole iwi ʻē aʻe.

ʻO ka pahuhopu o nā kauka ʻoki e wehe i ka maʻi kanesa a mālama i ka lima a i ʻole ka wāwae ke hiki iā lākou. Akā, i kekahi manawa, pono nā kauka ʻoki e wehe i kahi hapa o ka lālā i pilikia e wehe i ka maʻi kanesa a pau. ʻO ke aʻo ʻana e hoʻohana i kahi lālā hana, i kapa ʻia he prosthesis, e pono ai ka manawa, ka hoʻomaʻamaʻa a me ke ahonui. Hiki i nā loea ke kōkua.

ʻO nā mālama ikaika e pono ai e kaohi i ka osteosarcoma hiki ke hoʻokumu i nā hopena ʻaoʻao nui, i ka manawa pōkole a me ka lōʻihi. Hiki i kāu hui olakino ke kōkua iā ʻoe a i kāu keiki paha e hoʻokele i nā hopena ʻaoʻao e kū mai ana i ka wā o ka mālamaʻana. Hiki i ka hui ke hāʻawi iā ʻoe i kahi papa inoa o nā hopena ʻaoʻao e nānā ai i nā makahiki ma hope o ka mālamaʻana.

Hiki ke hoʻomaka ka ʻike ʻana o ka osteosarcoma me kahi hōʻike kino. Ma muli o nā mea i loaʻa mai ka hōʻike, aia paha nā hoʻokolohua a me nā kaʻina hana ʻē aʻe. Nā hoʻokolohua kiʻi Hana nā hoʻokolohua kiʻi i nā kiʻi o ke kino. Hiki iā lākou ke hōʻike i kahi a me ka nui o ka osteosarcoma. Loaʻa paha nā hoʻokolohua: X-ray. MRI. CT. Bone scan. Positron emission tomography scan, i kapa ʻia hoʻi he PET scan. Ke wehe ʻana i kahi laʻana o nā sela no ka hoʻokolohua, i kapa ʻia he biopsy He kaʻina hana ka biopsy e wehe ai i kahi laʻana o ka pūnaewele no ka hoʻokolohua ma kahi hale hana. Hiki ke wehe ʻia ka pūnaewele me kahi nila i hoʻokomo ʻia ma o ka ʻili a i loko o ka maʻi ʻaʻai. I kekahi manawa, pono ka ʻoki kino e kiʻi i ka laʻana o ka pūnaewele. Hoʻokolohua ʻia ka laʻana ma kahi hale hana e ʻike inā he maʻi ʻaʻai. Hāʻawi nā hoʻokolohua kūikawā ʻē aʻe i nā kikoʻī hou aku e pili ana i nā sela maʻi ʻaʻai. Hoʻohana ka hui olakino o kāu i kēia ʻike e hana i kahi hoʻolālā lapaʻau. ʻO ka hoʻoholo ʻana i ke ʻano o ka biopsy e pono ai a pehea e hana ai e pono ai ka hoʻolālā akahele e ka hui lapaʻau. Pono e hana ʻia ka biopsy i ʻole e komo i ke ala o ka ʻoki kino e hiki mai ana e wehe i ka maʻi ʻaʻai. Ma mua o ka loaʻa ʻana o ka biopsy, e noi i kāu limahana olakino e kuhikuhi iā ʻoe i kahi hui o nā loea i loaʻa iā lākou ka ʻike i ka mālama ʻana i ka osteosarcoma. Mālama ma Mayo Clinic Hiki i kā mākou hui mālama o nā loea Mayo Clinic ke kōkua iā ʻoe me kāu mau pilikia olakino e pili ana i ka osteosarcoma Hoʻomaka Maanei

ʻO ka hoʻoponopono ʻana i ka osteosarcoma pinepine loa ka hana ʻoki a me ka chemotherapy. I nā manawa kakaikahi, hiki nō hoʻi ke lilo ka radiation therapy i koho inā ʻaʻole hiki ke hoʻoponopono ʻia ka maʻi ʻaʻai me ka hana ʻoki. ʻO ka pahuhopu o ka hana ʻoki ʻana ka wehe ʻana i nā cell maʻi ʻaʻai a pau. I ka hoʻolālā ʻana i ka hana ʻoki, e noʻonoʻo ka hui olakino i ka hopena o ka hana ʻoki ʻana i kou ola i kēlā me kēia lā a i ʻole ke ola o kāu keiki. ʻO ka nui o ka hana ʻoki ʻana no ka osteosarcoma e hilinaʻi ana i nā mea he nui, e like me ka nui o ka maʻi ʻaʻai a me kona wahi. ʻO nā hana i hoʻohana ʻia e hoʻoponopono ai i ka osteosarcoma:

• Ka hana ʻoki ʻana e wehe wale i ka maʻi ʻaʻai, i kapa ʻia hoʻi he limb-sparing surgery. Hiki ke hana ʻia ka hapa nui o nā hana osteosarcoma ma ke ʻano e wehe ai i ka maʻi ʻaʻai a pau a mālama i ka lima a i ʻole ka wāwae. ʻO ka mea inā he koho kēia ʻano hana ʻoki ʻana e hilinaʻi ana, ma kahi ʻāpana, i ka nui o ka maʻi ʻaʻai a me ka nui o nā ʻiʻo a me nā pūnaewele e pono ai ke wehe. Inā wehe ʻia kahi ʻāpana o ka iwi, e hana hou ka kauka i ka iwi. ʻO ke ʻano o ka hana hou ʻana i ka iwi e hilinaʻi ana i ke kūlana. ʻO nā koho e komo pū ana i nā mea kanu metala a i ʻole nā grafts iwi.
• Ka hana ʻoki ʻana e wehe i ka lima a i ʻole ka wāwae i pilikia, i kapa ʻia hoʻi he amputation. I nā manawa kakaikahi, hiki i ka kauka ke wehe i ka wāwae a i ʻole ka lima i pilikia e kiʻi i ka maʻi ʻaʻai a pau. Ma hope o ka hana ʻoki ʻana, hiki ke hoʻohana ʻia ka lima a i ʻole ka wāwae hana. ʻO kēia ka mea i kapa ʻia he prosthesis.
• Ka hana ʻoki ʻana e wehe i ka ʻāpana lalo o ka wāwae, i kapa ʻia hoʻi he rotationplasty. Hiki i ka rotationplasty ke lilo i koho no ka osteosarcoma ma a puni ka hui kuli. I kēia hana ʻoki ʻana, e wehe ka kauka i ka maʻi ʻaʻai a me ka wahi a puni, me ka hui kuli. A laila, e hoʻohuli ʻia ka wāwae a me ka kuʻekuʻe a waiho ʻia ma hope o ka ʻāpana o ka wāwae e koe ma luna o ke kuli. A laila, e hana ka kuʻekuʻe e like me ke kuli. Hoʻohana ʻia ka prosthesis no ka ʻāpana lalo o ka wāwae a me ka wāwae. I kekahi manawa, he koho maikaʻi kēia hana ʻoki ʻana no nā keiki e ulu ana. Hāʻawi ia iā lākou e komo i nā haʻuki a me nā hana kino. Ka hana ʻoki ʻana e wehe wale i ka maʻi ʻaʻai, i kapa ʻia hoʻi he limb-sparing surgery. Hiki ke hana ʻia ka hapa nui o nā hana osteosarcoma ma ke ʻano e wehe ai i ka maʻi ʻaʻai a pau a mālama i ka lima a i ʻole ka wāwae. ʻO ka mea inā he koho kēia ʻano hana ʻoki ʻana e hilinaʻi ana, ma kahi ʻāpana, i ka nui o ka maʻi ʻaʻai a me ka nui o nā ʻiʻo a me nā pūnaewele e pono ai ke wehe. Inā wehe ʻia kahi ʻāpana o ka iwi, e hana hou ka kauka i ka iwi. ʻO ke ʻano o ka hana hou ʻana i ka iwi e hilinaʻi ana i ke kūlana. ʻO nā koho e komo pū ana i nā mea kanu metala a i ʻole nā grafts iwi. Ka hana ʻoki ʻana e wehe i ka ʻāpana lalo o ka wāwae, i kapa ʻia hoʻi he rotationplasty. Hiki i ka rotationplasty ke lilo i koho no ka osteosarcoma ma a puni ka hui kuli. I kēia hana ʻoki ʻana, e wehe ka kauka i ka maʻi ʻaʻai a me ka wahi a puni, me ka hui kuli. A laila, e hoʻohuli ʻia ka wāwae a me ka kuʻekuʻe a waiho ʻia ma hope o ka ʻāpana o ka wāwae e koe ma luna o ke kuli. A laila, e hana ka kuʻekuʻe e like me ke kuli. Hoʻohana ʻia ka prosthesis no ka ʻāpana lalo o ka wāwae a me ka wāwae. I kekahi manawa, he koho maikaʻi kēia hana ʻoki ʻana no nā keiki e ulu ana. Hāʻawi ia iā lākou e komo i nā haʻuki a me nā hana kino. Hoʻoponopono ka chemotherapy i ka maʻi ʻaʻai me nā lāʻau ikaika. No ka osteosarcoma, hoʻohana pinepine ʻia ka chemotherapy ma mua o ka hana ʻoki ʻana. Hiki iā ia ke hoʻemi i ka maʻi ʻaʻai a hoʻomaʻalahi i ka wehe ʻana. Ma hope o ka hana ʻoki ʻana, hiki ke hoʻohana ʻia nā lāʻau chemotherapy e pepehi i nā cell maʻi ʻaʻai e koe. No ka osteosarcoma e hoʻi mai ma hope o ka hana ʻoki ʻana a i ʻole e pālahalaha i nā wahi ʻē aʻe o ke kino, hiki i ka chemotherapy ke kōkua i ka hoʻoemi ʻana i ka ʻeha a hoʻolohi i ka ulu ʻana o ka maʻi ʻaʻai. Hoʻoponopono ka radiation therapy i ka maʻi ʻaʻai me nā kukuna ikehu ikaika. Hiki i ka ikehu ke hele mai mai nā X-rays, protons a i ʻole nā kumu ʻē aʻe. I ka wā o ka radiation therapy, e moe ʻoe ma ka papa ʻaina ʻoiai ke neʻe nei ka mīkini a puni kou kino. E kuhikuhi ka mīkini i ka radiation i nā wahi kūpono ma kou kino. ʻAʻole pinepine ka hoʻohana ʻia ʻana o ka radiation e hoʻoponopono ai i ka osteosarcoma. Hiki ke manaʻo ʻia ka radiation therapy ma kahi o ka hana ʻoki ʻana inā ʻaʻole hiki i ka hana ʻoki ʻana ke wehe i ka maʻi ʻaʻai a pau. ʻO nā hoʻokolohua klinika nā haʻawina o nā lāʻau hou. Hāʻawi kēia mau haʻawina i ka manawa e hoʻāʻo ai i nā lāʻau hou loa. ʻAʻole paha i ʻike ʻia ka pilikia o nā hopena ʻaoʻao. E nīnau i kāu hui olakino inā hiki iā ʻoe a i kāu keiki ke komo i kahi hoʻokolohua klinika. E kau inoa no ka manuahi a loaʻa iā ʻoe kahi alakaʻi hohonu e pili ana i ka hoʻoponopono ʻana me ka maʻi ʻaʻai, me nā ʻike kōkua pehea e loaʻa ai kahi manaʻo ʻelua. Hiki iā ʻoe ke wehe i kāu inoa ma ka loulou wehe inoa ma ka leka uila. E loaʻa koke kāu alakaʻi hohonu e pili ana i ka hoʻoponopono ʻana i ka maʻi ʻaʻai i kāu pahu leka. E loaʻa nō hoʻi iā ʻoe Hiki ke manaʻo ʻia ka ʻike ʻana i ka osteosarcoma he mea kaumaha. Me ka manawa, e ʻike ʻoe i nā ala e hoʻoponopono ai i ka pilikia a me ka maopopo ʻole o ka maʻi ʻaʻai. A hiki i kēlā manawa, hiki iā ʻoe ke ʻike i kēia mau mea kōkua: E nīnau i kāu kauka lapaʻau a i ʻole ke kauka lapaʻau o kāu keiki e pili ana i ka osteosarcoma, me nā koho hoʻoponopono. I kou aʻo ʻana i nā mea hou aku, hiki iā ʻoe ke manaʻo maikaʻi e pili ana i ka hana ʻana i nā koho e pili ana i nā koho hoʻoponopono. Inā loaʻa i kāu keiki ka maʻi ʻaʻai, e noi i ka hui olakino e alakaʻi iā ʻoe i ka kamaʻilio ʻana i kāu keiki e pili ana i ka maʻi ʻaʻai ma ke ʻano aloha e hoʻomaopopo ai kāu keiki. ʻO ka mālama ʻana i kou pilina pili loa e kōkua iā ʻoe e hoʻoponopono i ka osteosarcoma. Hiki i nā hoaaloha a me nā ʻohana ke kōkua i nā hana o kēlā me kēia lā, e like me ke kōkua ʻana i ka mālama ʻana i kou home inā aia kāu keiki ma ka haukapila. A hiki iā lākou ke lawelawe ma ke ʻano he kākoʻo manaʻo ke manaʻo ʻoe e pilikia ana ʻoe ma mua o kāu hiki ke hoʻoponopono. ʻO ka kamaʻilio ʻana me kahi kākāʻōlelo, limahana pilikanaka lapaʻau, psychologist a i ʻole kahi loea olakino noʻonoʻo ʻē aʻe e kōkua pū kekahi. E noi i kāu hui olakino no nā koho no ke kākoʻo olakino noʻonoʻo no ʻoe a me kāu keiki. Hiki iā ʻoe ke nānā pū ma ka pūnaewele no kahi hui maʻi ʻaʻai, e like me ka American Cancer Society, e papa inoa ana i nā lawelawe kākoʻo.

Hiki i kahi ʻike o ka osteosarcoma ke manaʻo nui loa. Ma ka hala ʻana o ka manawa, e ʻike ʻoe i nā ala e hoʻokele ai i ka pilikia a me ka maopopo ʻole o ka maʻi kanesa. A hiki i kēlā manawa, e ʻike paha ʻoe i kēia mau mea kōkua: E aʻo lawa e pili ana i ka osteosarcoma e hoʻoholo ai i ka mālama E nīnau i kāu kauka lapaʻau a i ʻole ke kauka lapaʻau o kāu keiki e pili ana i ka osteosarcoma, me nā koho mālama. I kou aʻo ʻana i nā mea hou aku, e ʻike paha ʻoe i ka maikaʻi o ka hana ʻana i nā koho e pili ana i nā koho mālama. Inā loaʻa i kāu keiki ka maʻi kanesa, e noi i ka hui olakino e alakaʻi iā ʻoe i ke kamaʻilio ʻana i kāu keiki e pili ana i ka maʻi kanesa ma ke ʻano aloha e hoʻomaopopo ai kāu keiki. E mālama i nā hoaaloha a me ka ʻohana kokoke E kōkua ana ka mālama ʻana i kou pilina pili loa e hoʻokele ai i ka osteosarcoma. Hiki i nā hoaaloha a me ka ʻohana ke kōkua i nā hana o kēlā me kēia lā, e like me ke kōkua ʻana i ka mālama ʻana i kou home inā aia kāu keiki ma ka haukapila. A hiki iā lākou ke lawelawe ma ke ʻano he kākoʻo manaʻo i kou manaʻo e like me ka nui o kāu hana. E nīnau e pili ana i ke kākoʻo olakino noʻonoʻo ʻO ke kamaʻilio ʻana i kahi kākāʻōlelo, limahana pilikanaka lapaʻau, psychologist a i ʻole kekahi ʻoihana olakino noʻonoʻo e kōkua pū kekahi. E noi i kāu hui olakino no nā koho no ke kākoʻo olakino noʻonoʻo noʻonoʻo no ʻoe a me kāu keiki. Hiki iā ʻoe ke nānā pū ma ka pūnaewele no kahi hui kanesa, e like me ka American Cancer Society, e papa inoa ana i nā lawelawe kākoʻo.