Ko te lipoma he pūngāwerewere ngawari, ngako e tupu ana i raro i tō kiri. Ko ēnei tipu kore mate pukupuku (kore-mate pukupuku) ka hangaia mai i ngā pūtau ngako, ā, ka rite ki te pūngāwerewere ngawari, neke atu ka pa atu koe ki a rātou.
He tino noa ngā lipomas, ā, e pā ana ki te miriona o te tangata puta noa te ao. Ko te tikanga ka tupu haere māmā i roto i ngā marama, i ngā tau rānei, ā, kāore e tino pāngia. Ko te nuinga o te iwi ka kite i a rātou mā te tūpono i te wā e kaukau ana, i te wā e kakahuria ana rānei.
He aha ngā tohu o te lipoma?
Ko te tohu matua o te lipoma he pūngāwerewere ngawari, porowhita i raro i tō kiri e neke ana ka pēhi koe ki a ia. Ko te nuinga o ēnei pūngāwerewere ka ngawari, ka rite ki te rapa ki te pa atu, ā, ka taea te whānuitanga mai i te rahi o te pīti ki ngā inihi maha.
Ko ēnei ngā āhuatanga matua ka kite pea koe:
- Te kakano ngawari, ngawari e rerekē ana i te kiko e karapotia ana
- Ka neke ka pēhi koe ki a ia māmā
- Kaore e mamae te nuinga, ahakoa ka pāngia etahi e te kore ngāwari
- Te tupu māmā i roto i ngā marama, i ngā tau rānei
- Ko te nuinga ka kitea i ngā ringa, pakihiwi, tua, i ngā huha rānei
- Ka noho noa te tae o te kiri i runga i te pūngāwerewere
Ko te nuinga o ngā lipomas kāore rawa e mamae. Heoi, ki te pēhi te lipoma ki te uaua, ki te tupu rānei i roto i te wāhi pīpī, ka rongo pea koe i te ngawari, i te mamae rānei i taua wāhi.
He aha ngā momo lipoma?
Ko te nuinga o ngā lipomas he pūngāwerewere ngako noa iho, engari e mohio ana ngā tākuta ki ngā momo rerekē maha i runga i tō rātou wāhi me ngā āhuatanga. Ko te mārama ki ēnei rerekētanga ka āhei te awhina i a koe ki te mohio ki te aha e tatari ana koe.
Ko ēnei ngā momo tino noa:
- Ngā lipomas noa: Ko te momo paerewa i hangaia mai i ngā pūtau ngako pakeke
- Ngā fibrolipomas: Kei roto ngā kiko ngako me ngā kiko muka, ka mārama ake te āhua
- Ngā angiolipomas: Kei roto ngā oko toto, ā, ka tino ngawari pea
- Ngā lipomas pūtau pōro: Kei roto ngā pūtau pōro-āhua, he tino noa i roto i ngā tāne pakeke
- Ngā lipomas pleomorphic: Kei roto ngā āhua pūtau rerekē, ko te tikanga ka kitea i te kaki, i te tua rānei
Ka puta etahi momo onge i roto i ngā kiko hohonu. Ka tupu ngā lipomas intramuscular i roto i te kiko uaua, ā, ka iti ake pea te nekehanga. Ka taea te whanake o ngā lipomas hohonu i te taha o ngā whekau, i roto rānei i te kohanga uma, ahakoa he onge ēnei.
Ko te nuinga o ngā lipomas ka tūtaki koe ko te momo noa. Ka taea e tō tākuta te kōrero i te momo kei a koe mā te tirotiro me te whakaahua mena e hiahiatia ana.
He aha te take o te lipoma?
Kāore i tino mārama te take tika o ngā lipomas, engari ka whanake mai i te wā e tupu ana ngā pūtau ngako ka huihui tahi i raro i tō kiri. Whakaarohia ko tō tinana e hanga ana i te putea iti o te kiko ngako taapiri i tētahi wāhi.
Ka taea e ētahi take te whakauru ki te whanaketanga o te lipoma:
- Ngā ira: Ko te tikanga ka rere i roto i ngā whānau, e whakaatu ana i te waahanga whakatūpato
- Te tau: Ko te nuinga ka whanake i waenga i ngā tau 40-60, ahakoa ka puta i tetahi tau
- Te ira tangata: Ka whanake ngā tāne me ngā wāhine i te rite
- Te whara o mua: Ka taea e ētahi lipomas te hanga i muri i te whara ki tētahi wāhi
- Ētahi āhuatanga hauora: Pēnei i te mate Gardner, i te mate Madelung rānei
I roto i ngā take onge, ka taea te whanake o ngā lipomas maha na te āhuatanga ira. Ko te lipomatosis maha whānau e whakaatu ana i te maha o ngā lipomas puta noa i te tinana. Ko te mate Dercum, ahakoa he tino onge, ka whakaatu i ngā lipomas mamae me ētahi atu tohu.
Mō te nuinga o te iwi, ka puta ngā lipomas kaore he whakaohooho mārama. He mea noa iho tēnei mō te huarahi e penapena ai, e whakarite ai rānei tō tinana i te kiko ngako.
Nōhea te haere ki te tākuta mō te lipoma?
Me haere koe ki te tākuta ki te kite koe i tetahi pūngāwerewere hou i raro i tō kiri, ahakoa he ngawari, he neke atu rānei. Ahakoa ko te nuinga o ngā pūngāwerewere ka puta he lipomas kore kino, he mea nui kia whiwhi i te tautuhi tika hei whakakore i ētahi atu āhuatanga.
Whakarite he whakatau wā ki te pāngia koe e:
- Tetahi pūngāwerewere hou, te pūngāwerewere rānei i raro i tō kiri
- He lipoma e tupu tere ana
- Te mamae, te ngawari, te kore ngāwari rānei i taua wāhi
- Ngā huringa i te kakano, i te ahua rānei o te pūngāwerewere
- He pūngāwerewere e pakeke ana, kāore rānei e neke ka pēhia
- Ngā huringa kiri i runga i te pūngāwerewere, pēnei i te whero, te wera rānei
Rapua te tiaki hauora tonu ki te tupu tere te pūngāwerewere i roto i ngā rā, i ngā wiki rānei, ka tino mamae, ka whanake rānei koe i te kirika me te pūngāwerewere. Ka taea e ēnei tohu te tohu i tetahi mea nui ake e hiahia ana ki te aromatawai tere.
Kia mahara, kua kite tō tākuta i te maha o ngā lipomas, ā, ka taea te whakatau tere mena he mea noa te mea e rongo ana koe. Kāore he take ki te manukanuka ki te "whakapawera" i a rātou ki ō whakaaro.
He aha ngā take morearea mō te lipoma?
Ka taea e ētahi take te whakapiki i tō tūponotanga ki te whanake i ngā lipomas, ahakoa he tokomaha ngā tāngata kei a rātou ēnei take morearea kāore e whanake. Ko te mārama ki ēnei take ka āhei te awhina i a koe ki te mohio ki te aha e titiro ana koe.
Ko ēnei ngā take morearea noa:
- Te hītori whānau: Ko te whai whānau kei a rātou ngā lipomas e whakapiki nui ana i tō morearea
- Te tau: Ko te nuinga i roto i ngā pakeke o te tau waenga (40-60 tau)
- Ngā lipomas o mua: Ko te whai kotahi e whakapiki ana i ngā tūponotanga ki te whanake i ētahi atu
- Ētahi āhuatanga ira: Pēnei i te mate Gardner, i te mate Cowden rānei
- Te ira tangata: He tino noa i roto i ngā tāne mō ētahi momo
Ka whakapiki nui etahi āhuatanga ira onge i te morearea lipoma. Ko te lipomatosis maha whānau e whakaatu ana i te maha o ngā lipomas e whanake ana puta noa i te tinana. Ko te adiposis mamae (mate Dercum) e arahina ana ki ngā lipomas mamae, ahakoa he tino onge tēnei āhuatanga.
He mea whakamīharo, kāore to taumaha whānui e pā ana ki te whanaketanga o te lipoma. Ka whanake ngā tāngata angiangi me ngā tāngata taumaha i te rite, e whakaatu ana kāore rātou i te hono noa ki te whai ngako tinana nui ake.
He aha ngā raruraru pea me te lipoma?
He kore kino te nuinga o ngā lipomas, ā, kāore e tino pāngia e ngā raruraru nui. Ko te nuinga o te iwi e noho ana me rātou kaore he raruraru, ā, he tino onge ngā raruraru.
Ko ēnei ngā take pea ka puta:
- Te pēhinga uaua: Ka taea e ngā lipomas nui te pēhi ki ngā uaua e tata ana, e whakaatu ana i te ngenge, i te wiri rānei
- Te whakawhāiti i te nekehanga: Ka taea e ngā lipomas e tata ana ki ngā hononga te whakawhāiti i te whānuitanga o te nekehanga
- Ngā take ataahua: Ka taea e ngā pūngāwerewere e kitea ana te pānga ki tō whakawhirinaki, ki tō māramatanga rānei
- Te mate: He onge, engari he mea pea ki te whara te kiri i runga i te lipoma
- Te huringa kino: He tino onge te huri ki te liposarcoma (mate pukupuku)
He tino onge te huringa o te lipoma ki te mate pukupuku (liposarcoma), e puta ana i raro i te 1% o ngā take. Heoi, ki te tupu tere te lipoma, ka pakeke, ka mamae nui rānei, ka tika ēnei huringa ki te aromatawai hauora.
Ko te nuinga o ngā raruraru he iti, he ngāwari te whakahaere. Āe, ka taea te tango i ngā lipomas nui mā ngā tukanga ngāwari mena ka pāngia rātou e ngā raruraru, e te kore ngāwari rānei.
Me pēhea te aukati i te lipoma?
Aroha mai, kāore he huarahi kua whakamāramahia hei aukati i te whanaketanga o ngā lipomas. Mai i te mea he nui te pānga o ngā ira me ngā take kaore i te mohiotia, kāore i te tino whakaritea ngā rautaki aukati.
Heoi, ka taea te awhina i te pupuri i te hauora whānui:
- Te kai i te kai tōtika, kai hauora
- Te noho mahi tinana me te pupuri i te taumaha hauora
- Te karo i te inu waipiro nui
- Te whakahaere i te ahotea mā ngā rautaki whakautu hauora
- Te whiwhi i ngā tirotiro auau me tō kaiwhakarato hauora
Ka whakaaro etahi i te ngaro o te taumaha e aukati ana i ngā lipomas, engari kāore te rangahau e tautoko i tēnei hononga. Ka taea te whanake o ngā lipomas i roto i ngā tāngata o ngā momo tinana me ngā taumaha katoa.
Ko te huarahi pai ko te aro ki te oranga pai whānui me te mōhio ki tetahi pūngāwerewere hou, ki tetahi huringa rānei i roto i tō tinana. Ko te kite wawe me te aromatawai tika tonu ngā taputapu tino nui mōu.
Me pēhea te tautuhi i te lipoma?
Ko te tautuhi i te lipoma e tīmata ana mā te tirotiro tinana i te wā e pa ana tō tākuta ki te pūngāwerewere ka uiui mō tōna hītori. Ko te nuinga o ngā lipomas he āhuatanga tohu penei ka taea e ngā tākuta te tautuhi i a rātou mā te pa noa iho.
Ka aromatawaihia e tō tākuta ētahi āhuatanga matua:
- Te rahi, te āhua, me te kakano o te pūngāwerewere
- Te ngāwari o te nekehanga i raro i te kiri
- Mena ka pāngia e te mamae, e te ngawari rānei
- Te roa o tō kitenga me ētahi atu huringa
- Tō hītori whānau o ngā pūngāwerewere rite
Ki te kore te tautuhi e mārama mai i te tirotiro anake, ka tono pea tō tākuta i ngā whakamātautau whakaahua. Ka taea e te ultrasound te whakaatu i te hanganga o roto ka whakau ko te mea i hangaia mai i te kiko ngako. Ka whakarato te MRI i ngā whakaahua taipitopito ka āhei te whakamārama i ngā lipomas mai i ētahi atu pūtau ngawari.
I roto i ngā take onge kei reira te kore mōhio, ka tono pea tō tākuta i te biopsy. Koinei te tango i te tauira iti o te kiko hei tirotiro iti. Heoi, koinei te tikanga e hiahiatia ana mena he āhuatanga onge te pūngāwerewere, kāore rānei e rite ki te lipoma noa.
Kāore e hiahiatia ngā whakamātautau toto mō te tautuhi i ngā lipomas noa, engari ka tono pea mena ka whakaaro tō tākuta he āhuatanga hauora kei raro e whakaatu ana i ngā lipomas maha.
He aha te maimoatanga mō te lipoma?
Ko te nuinga o ngā lipomas kāore e hiahia ki tetahi maimoatanga, ā, ka taea te waiho noa. Mai i te mea he kore kino rātou, kāore e tino pāngia e ngā raruraru, ko te nuinga o ngā tākuta e tūtohutia ana he "matakitaki me te tatari" mō ngā lipomas iti, kore mamae.
Ko ēnei ngā kōwhiringa maimoatanga ina hiahiatia:
- Te tango pokanga: Ko te maimoatanga tino noa, ka mahia i raro i te anesthetic ā-rohe
- Liposuction: Ka tangohia te ngako mā te wahi iti
- Ngā whakaurunga steroid: Ka taea te whakaiti i te lipoma, ahakoa he rerekē ngā hua
- Te tikanga tango iti: Te tikanga wahi iti mō ētahi lipomas
Ko te tango pokanga he mea ngāwari te tikanga, ka mahia hei tukanga ā-waho. Ka hanga e tō tākuta te wahi iti, ka tango i te lipoma katoa tae atu ki tōna kapu, ka kati i te whara mā ngā kopiko. Ko te tikanga ka roa te tukanga i te 20-30 meneti.
Mō ngā lipomas hohonu onge, ngā lipomas rānei kei ngā wāhi uaua, ka hiahiatia pea ngā huarahi pokanga motuhake ake. Ko ēnei take e hiahia ana ki te tohutoro ki te tohunga, ā, ka uru pea ki te anesthetic whānui.
Ko te tango katoa e aukati ana i te hokinga mai i taua wāhi tonu, ahakoa ka taea te whanake o ngā lipomas hou i ētahi atu wāhi mena kei te pāngia koe e rātou.
Me pēhea te whakahaere i te lipoma i te kāinga?
Ko te tiaki kāinga mō ngā lipomas e aro ana ki te tirotiro me te ngāwari atu i te maimoatanga, mai i te mea kāore ēnei pūngāwerewere e hiahia ana ki te whakauru mahi. Ko tō mahi matua ko te tiaki i ngā huringa me te pupuri i te hauora o te kiri e karapotia ana.
Koinei te huarahi ka taea te whakahaere i ngā lipomas i te kāinga:
- Te tirotiro mō ngā huringa: Tirohia te rahi, te kakano, me ētahi atu tohu hou ia marama
- Pupuri i te wāhi kia ma: Ko te horoi māmā e aukati ana i te mamae o te kiri
- Karo i te whara: Tīakina te wāhi mai i te whara, i te pehanga nui rānei
- Kakahu kakahu ngāwari: Karohia ngā kakahu pīpī e wiri ana ki te lipoma
- Whakamahia ngā kāpeka wera: Ka āhei te awhina mena ka ngawari te wāhi
Ka ngana etahi ki ngā rongoā pūtaiao pēnei i te turmeric, i ngā taapiringa otaota rānei, engari kāore he mōhio putaiao e whakaiti ana ēnei maimoatanga i ngā lipomas. Ahakoa he kore kino te nuinga, he pai ki te kōrero ki tō tākuta mō ētahi atu maimoatanga i mua.
Ka taea te whakahaere i te whakaora mamae mā ngā rongoā kore-tūtohu pēnei i te ibuprofen, i te acetaminophen rānei mena ka pāngia tō lipoma e te kore ngāwari. Heoi, ko te mamae nui, te mamae rānei e whakapiki haere ana me tono he haerenga ki te tākuta.
Kia mahara, kāore koe e hiahia ki te mirimiri, ki te whakahaere rānei i te lipoma. Ko te whakahaere nui kāore e meinga kia ngaro, ā, ka pāngia pea te mamae o te kiko e karapotia ana.
Me pēhea te whakarite mō tō whakatau wā ki te tākuta?
Ko te whakarite mō tō whakatau wā e āhei ana te awhina i a koe ki te whiwhi i te nuinga mai i tō haerenga, ā, e whakarite ana kei a tō tākuta ngā mōhio katoa e hiahiatia ana mō te aromatawai tika. He iti te whakarite e haere ana ki te kōrero hauora hua.
I mua i tō haerenga, kohikohia ēnei mōhiohio:
- Te raupapa wā: I te wā i kite tuatahi ai koe i te pūngāwerewere me ētahi atu huringa mai i taua wā
- Ngā tohu: Te mamae, te ngawari, tetahi atu āhuatanga rānei i kitea e koe
- Te hītori whānau: Tetahi whānau kei a rātou ngā pūngāwerewere rite, ngā āhuatanga ira rānei
- Ngā whakaahua: Ngā whakaahua e whakaatu ana i ngā huringa rahi i runga i te wā, mena kei a koe
- Ngā rongoā o nāianei: Tae atu ki ngā taapiringa me ngā rongoā kore-tūtohu
- Te hītori hauora o mua: Tetahi āhuatanga hauora, ngā pokanga rānei e tika ana
Tuhia ō patai i mua kia kaua e wareware i ngā take nui i te wā o te whakatau wā. Ko ngā patai noa ko te uiui mō ngā kōwhiringa tango, te morearea hokinga mai, me te mea pea ka pā te lipoma ki ngā mahi o ia rā.
Kakahu kakahu e āhei ana te uru ngāwari ki te wāhi lipoma. Ka āhei tenei te awhina i tō tākuta ki te tirotiro i te pūngāwerewere katoa kaore koe e hiahia ki te wetewete katoa.
Whakaarohia te kawe mai i tētahi hoa, i tētahi mema whānau rānei e whakawhirinaki ana ki a koe mena kei te manukanuka koe mō te whakatau wā. Ka taea e rātou te awhina i a koe ki te mahara ki ngā mōhiohio nui me te whakarato i te tautoko ngākau.
He aha te mea nui mō te lipoma?
Ko ngā lipomas he pūngāwerewere noa, kore kino i hangaia mai i te kiko ngako e whanake ana i raro i tō kiri. He ngawari, he neke, he kore mamae te nuinga, e pā ana ki te miriona o te iwi kaore e pāngia e ngā raruraru hauora nui.
Ko ngā mea nui hei mahara ko te tupu māmā o ngā lipomas, kāore e tino riro hei mate pukupuku, kāore hoki e hiahia ki te maimoatanga, ki te kore e pāngia e te kore ngāwari, e ngā take ataahua rānei. He tokomaha ngā tāngata e noho ana i tō rātou oranga katoa me ngā lipomas kaore he raruraru.
Heoi, ko tetahi pūngāwerewere hou e tika ana ki te aromatawai hauora hei whakau i te tautuhi me te whakakore i ētahi atu āhuatanga. Ka taea e tō tākuta te whakatau tere mena he mea noa te mea e rongo ana koe, ā, ka kōrero mō ngā kōwhiringa mena e hiahiatia ana te maimoatanga.
Whakawhirinaki ki ō whakaaro mō ngā huringa i roto i tō tinana. Ahakoa he kore kino te nuinga o ngā lipomas, ko te tupu tere, te mamae, te huringa kakano rānei e tika ana ki te haere ki te tākuta mō te aromatawai tika me te rangimarie o te ngākau.
Ngā patai noa e ui ana mō te lipoma
Ka ngaro noa iho ngā lipomas?
Ko te tikanga kāore ngā lipomas e ngaro kaore he maimoatanga. Kia kotahi te hanga, ko te tikanga ka noho pumau, ka tupu māmā rānei i runga i te wā. Ahakoa ka pūrongo etahi i te whakaiti o ngā lipomas, he onge tēnei, kāore hoki e tatarihia hei huarahi noa.
Ka taea te whiwhi lipomas mai i te kai nui o te ngako?
Kāo, kāore te kai ngako e whakaatu ana i te whanaketanga o ngā lipomas. Kāore ēnei pūngāwerewere e hono ana ki tō kai, ki tō taumaha tinana whānui rānei. Ka taea e ngā tāngata o ngā rahi me ngā tikanga kai katoa te whanake i ngā lipomas, e whakaatu ana he nui ake te hononga ki ngā ira atu i ngā take oranga.
He mate pukupuku ngā lipomas?
Kāore ngā lipomas e mate pukupuku, kāore hoki e horapa mai i te tangata ki te tangata mā te hononga. Ka whanake mai rātou na ngā take ira me ngā whakaohooho kaore i te mohiotia i roto i tō tinana ake, kāore i te whakaatu mai i te whakaatu ki ētahi atu kei a rātou.
E hira te rahi o ngā lipomas?
Ko te nuinga o ngā lipomas e noho iti ana, e whānuitanga ana mai i te 1-3 inihi. Heoi, ka taea e etahi te tupu nui ake, ka tae pea ki te 6 inihi, ki te nui atu rānei i te diameter. Ko ngā lipomas nui, ahakoa he onge, kua pūrongohia kia taumaha maha pauna i roto i ngā take nui.
Ka utaina te tango lipoma e te inihua?
Ko te utaina inihua e whakawhirinaki ana ki te hiahia hauora atu i ngā manakohanga ataahua. Ki te pāngia te lipoma e te mamae, e whakawhāiti ana i te nekehanga, e whakawhāiti ana rānei i ngā mahi o ia rā, ko te tikanga ka utaina te tango e te inihua. Ko te tango ataahua noa pea e hiahia ana ki te utu mai i tō putea ake, na tirohia atu ki tō kaiwhakarato inihua mō ngā kaupapa utaina motuhake.
