Ameloblastoma

Ko te ameloblastoma he pūngāwerewere onge, ehara i te mate pukupuku (he pai), e tupu ana te nuinga i te kauae tata ki ngā niho molar. Ka tīmata te ameloblastoma i ngā pūtau e hanga ana i te papanga enamel tiaki kei runga i ō niho. Ko te momo ameloblastoma tino noa he kaha, e hanga ana i te pūngāwerewere nui ka tipu ki roto i te iwi kauae. Ko te maimoatanga pea ka uru atu te pokanga me te radiation. I ētahi wā, pea ka hiahiatia te whakahoki mai kia whakahokia mai ō niho, te kauae me te ahua o te mata. He iti ake te kaha o ētahi momo ameloblastoma. Ahakoa ko te nuinga o te wā ka kitea te ameloblastoma i ngā tāngata pakeke i o rātou tau 30 ki te 60, ka taea te puta te ameloblastoma i ngā tamariki me ngā tāngata kōhungahunga.

Ko te ameloblastoma te nuinga o te wā kaore e puta he tohu, engari ko ngā tohu me ngā tohu pea ka uru ki te mamae me te pūngāwerewere, te pupū rānei i te kauae. Ki te kore e rongoā, ka taea e te mate pukupuku te tupu nui rawa, ka whakapōrearea te ahua o te mata o raro me te kauae, ka nekehia ngā niho i ō rātou tūranga. Korero ki tō tākuta niho, ki tō kaiwhakarato hauora rānei ki te pupū, ki te mamae rānei tō kauae, ki ētahi atu āwangawanga rānei mō tō hauora waha.

Korero ki to rata niho, ki to kaiwhakarato hauora ranei, ki te mea kei a koe te pupuhi o te kauae, te mamae ranei, tetahi atu awangawanga ranei mo to hauora waha.

Ka tīmata te ameloblastoma i ngā pūtau e hanga ana i te papanga o te miniti e tiaki ana i ō niho. Ko te nuinga, ka tīmata pea i roto i te kiko ngākau. Kāore i te mārama te take tino o te mate pukupuku, engari pea he maha ngā huringa ira (mutations) kei roto i te whanaketanga o te ameloblastoma. Ka pā pea ēnei huringa ki te wāhi o te mate pukupuku, te momo pūtau e pā ana, me te tere o te tipu o te mate pukupuku.

Ko te nuinga o ngā ameloblastoma ka whakarōpūhia e te momo, engari ka taea hoki te whakarōpū e te momo pūtau. Ko ngā momo matua e whā ko:

• Ameloblastoma noa. Koinei te momo tino noa, ā, ka tupu kaha, te nuinga i roto i te iwi raro, ā, tata ki te 10% ka hoki mai i muri i te maimoatanga.
• Ameloblastoma unicystic. He iti ake te kaha o tēnei momo, engari ko te nuinga ka puta i te tau iti ake. Kei te muri o te iwi raro i ngā molars te mate pukupuku. Ka taea te hoki mai i muri i te maimoatanga.
• Ameloblastoma taha. He onge tēnei momo, ā, ka pā ki ngā ngākau me ngā kiko waha i te iwi runga, i te iwi raro rānei. He iti te tūponotanga o te hoki mai o te mate pukupuku i muri i te maimoatanga.
• Ameloblastoma e horapa ana. He tino onge tēnei momo, ā, e whakamāramatia ana e ngā pūtau mate pukupuku e puta ana i tawhiti atu i te wāhi matua i te iwi.

Kaore he uauatanga

Ko te ameloblastoma, he iti rawa te wā ka puta ai te mate pukupuku (kino). He tino onge te hora o ngā pūtau ameloblastoma ki ētahi atu wāhi o te tinana (ka horapa), pēnei i ngā ngota lymph i te kaki me ngā pūkahukahu.

Ka puta mai pea te ameloblastoma i muri i te maimoatanga.

Kaore he uauatanga

Ko te tautuhi o te ameloblastoma pea ka tīmata me ngā whakamātautau pēnei i te:

• Ngā whakamātautau whakaahua. Ka āwhina ngā X-ray, ngā tātaritanga CT me ngā tātaritanga MRI i ngā tākua ki te whakatau i te whānui o te ameloblastoma. Ka taea pea te kimi i te mate pukupuku i ngā X-ray noa i te tari niho.
• Whakamātautau kōpū. Hei whakau i te tautuhi, ka tango pea ngā tākua i te tauira kōpū, i te tauira pūtau rānei, ka tukuna ki te taiwhanga hei whakamātautau.

Ko te maimoatanga o te ameloblastoma ka whakawhirinaki pea ki te rahi me te waahi o to kōpū, me te momo me te ahua o ngā pūtau e pā ana. Ka uru pea te maimoatanga ki:

• Te pokanga hei tango i te kōpū. Ko te nuinga o te wa, ko te maimoatanga ameloblastoma ka uru te pokanga hei tango i te kōpū. Ka tupu pinepine te ameloblastoma ki roto i te whenua kauae tata, na reira pea ka hiahia ngā tākuta pokanga ki te tango i te wahanga o te whenua kauae kua pā. Ka whakaitihia e te huarahi kaha ki te pokanga te tūponotanga ka hoki mai te ameloblastoma.
• Te pokanga hei whakatikatika i te kauae. Ki te whakauru te pokanga ki te tango i tetahi wāhanga o tō whenua kauae, ka taea e ngā tākuta pokanga te whakatikatika me te hanga hou i te kauae. Ka taea e tēnei te awhina i te whakapai ake i te ahua me te mahi o tō kauae i muri mai. Ka taea hoki e te pokanga te āwhina i a koe ki te kai me te kōrero.
• Te rongoā radiation. Pea ka hiahiatia te rongoā radiation mā ngā kauwhata kaha o te kaha i muri i te pokanga, ki te kore rānei he kōwhiringa te pokanga.
• Ngā taputapu whakakapi. Ka taea e ngā tohunga e kiia nei ko ngā prosthodontists te hanga i ngā whakakapi mahi mō ngā niho ngaro, ngā hanganga taiao kua pakaru rānei i roto i te waha.
• Te tiaki tautoko. Ka taea e te maha o ngā tohunga te āwhina i a koe ki te mahi i ngā raruraru kōrero, horomi me te kai i te wā me i muri i te maimoatanga. Ka uru pea ēnei tohunga ki ngā kaiwhakaako kai, ngā kaiwhakaako kōrero me te reo, me ngā kaiwhakaako tinana.

Nā te tūponotanga o te hokinga mai i muri i te maimoatanga, he mea nui ngā whakaritenga whai muri i te ora, me te noho tonu.

Kaore he uauatanga