He aha te Ameloblastoma? Ngā Tohutohu, Ngā Take, me te Maimoatanga

He pūngāwerewere onge, ehara i te mate pukupuku, te ameloblastoma, e tupu ana i roto i tō kauae, te nuinga i te kauae raro, tata ki ō niho muri. Ahakoa ka rongo pea te ingoa he wehi, ka hanga tēnei pūngāwerewere e puea ana i ngā pūtau ano e awhina ana i te hanga i te enamel niho i te wā e whānau ana.

Whakaarohia te ameloblastoma hei whakauru i ngā tohu a ō pūtau. Ki te kore e hanga i ngā hanganga niho noa, ka haere tonu enei pūtau e hanga ana i te enamel ka hanga he pūngāwerewere. Ko te rongo pai, he pai te ameloblastoma, ā, e kore e horapa ki ētahi atu wāhanga o tō tinana, pēnei i te mate pukupuku.

He aha ngā tohu o te ameloblastoma?

He tokomaha ngā tāngata e pangia ana e te ameloblastoma kaore e kite i ngā tohu i te tīmatanga, nā te mea ka tupu haere tēnei pūngāwerewere i roto i ngā marama, i ngā tau rānei. Ko te tohu tuatahi e tino kitea ana ko te pupuhi kore mamae, te kōpū rānei i roto i tō kauae e puea haere ana.

Ko ēnei ngā tohu ka pā pea ki a koe i te wā e tupu haere ana te pūngāwerewere:

• Te pupuhi kore mamae i roto i tō kauae, te nuinga i te taha kotahi
• Ngā niho ngāwari i te wāhi e pā ana
• Te mamae, te ngoikore rānei i te wā e ngau ana
• Te ngenge i tō ngutu raro, i tō kauae rānei
• Ngā huringa i te huarahi e taunga ana ō niho i te wā e ngau ana
• He pupū, he kore rite rānei o tō mata

I etahi wā onge, ka nui ake te pupū o te mata, ka uaua rānei te whakatuwhera i tō waha ki ngā pūngāwerewere nui ake. Ko te mea nui kia mahara ko te ameloblastoma kaore e tino mamae, koia te take kaore te tokomaha e rapu maimoatanga tae noa ki te kitea te pupuhi.

He aha ngā momo ameloblastoma?

Ka wehewehea e ngā tākuta te ameloblastoma ki ētahi momo, i runga i te āhua o te tirohanga i raro i te microscope me te āhua o te mahi. Ko te momo tino noa ko te ameloblastoma noa, e tupu ana i roto i te iwi kauae, ā, he āhua pērā i te honi i runga i ngā X-rays.

Ko ēnei ngā momo matua:

• Ameloblastoma noa: Ko te momo tino noa e tupu ana i roto i te iwi kauae
• Ameloblastoma unicystic: Ka hanga hei hanganga kotahi pērā i te kōpū, te nuinga ka ngāwari te maimoatanga
• Ameloblastoma taha: E tupu ana i ngā kanohi, ehara i roto i te wheua
• Ameloblastoma desmoplastic: He momo onge, he tauira pūtau rerekē

Ka whakatau tō tākuta ko tēhea momo tōu mā te whakamahi i ngā whakamātautau whakaahua me te whakamātautau pūtau. Ka āwhina tēnei wehewehenga i a rātou ki te whakarite i te huarahi maimoatanga tino tika mō tō āhuatanga motuhake.

He aha ngā take o te ameloblastoma?

Kaore i tino mōhiotia te take pono o te ameloblastoma, engari e whakapono ana ngā kairangahau ka tupu mai i ngā pūtau hanga niho e toe ana i roto i tō kauae i muri i te otinga o te whanaketanga o ō niho. Ka taea e ēnei pūtau, e kiia nei ko te epithelium odontogenic, te whakahohe anō i tetahi wā, ka tīmata te tupu koretake.

He maha ngā take ka whakaohooho i tēnei tupu koretake o ngā pūtau:

• Ngā huringa ira i roto i ngā pūtau hanga niho
• Ngā mate niho o mua, ngā whara rānei ki te kauae
• Ngā niho whakaaro kua mau, ētahi atu raruraru niho rānei
• Ngā huringa homoni, ahakoa kaore i tino mōhiotia tēnei hononga

He mea nui kia mārama kaore te ameloblastoma i puta mai i tetahi mea i mahi koe, i kore rānei e mahi. Kāore tēnei e pā ana ki te kore pai o te horoi niho, kai, i ngā whiringa noho rānei. I etahi wā ka puta noa ēnei huringa pūtau kaore he take mārama.

Nōhea koe me haere ki te tākuta mō te ameloblastoma?

Me haere koe ki tō kaitātari niho, ki tō tākuta rānei, ki te kite koe i tetahi pupuhi roa i roto i tō kauae e roa atu ana i ngā wiki torutoru. Ahakoa kaore te pupuhi e mamae, he mea tika kia tirohia, nā te mea ka nui ake te whai hua o te maimoatanga i te wā e kitea wawe ana.

Rapua te awhina hauora i te wa poto ki te pāngia koe e:

• Te pupuhi e puea haere ana i roto i tō kauae e kore e ngaro
• Ngā niho e ngāwari ana kaore he take mārama
• Te ngenge roa i tō ngutu, i tō kauae rānei
• Ngā huringa i te huarahi e taunga ana ō niho i te wā e ngau ana
• Te uaua ki te ngau, ki te whakatuwhera i tō waha rānei

Kaua e tatari kia kaha ngā tohu. Ka taea e tō kaitātari niho te kite i ngā tohu wawe o te ameloblastoma i ngā tirotiro noa, tētahi atu take pai tēnei hei pupuri i ngā haerenga niho noa.

He aha ngā take morearea mō te ameloblastoma?

Ka taea e te ameloblastoma te pā ki te tangata, engari he maha ngā take ka nui ake te tūponotanga o te whanaketanga o tēnei āhuatanga. Ko te nuinga o ngā keehi kei roto i ngā tāngata kei waenganui i te 20 me te 40 tau te pakeke, ahakoa ka taea te puta i tetahi tau.

Ko ēnei ngā take morearea e mohiotia ana:

• Te pakeke kei waenganui i te 20-40 tau
• Te mau o ngā niho whakaaro
• Ngā whara kauae o mua, ngā whara niho rānei
• Ngā mate niho roa
• Ētahi āhuatanga ira, ahakoa he onge rawa ēnei

Heoi, he mea tika te kī he tokomaha ngā tāngata e pangia ana e ēnei take morearea kaore e whanake i te ameloblastoma, ā, ko ētahi atu kaore he take morearea e kitea ana. Ka puta te āhuatanga i tetahi wā, kaore he take, ka rongo pea tenei he pouri, engari ko te āhua noa tenei o tēnei pūngāwerewere.

He aha ngā raruraru pea o te ameloblastoma?

Ki te kore e maimoatia, ka taea e te ameloblastoma te whakaeke i ngā raruraru nui, nā te mea ka haere tonu te tupu haere, ahakoa he iti. Ka taea e te pūngāwerewere te whakawai i tō iwi kauae, ka whakaeke i tetahi atu kino o te hanganga.

Ko ēnei ngā raruraru pea:

• Te kino o te āhua o te mata i te wā e tupu haere ana te pūngāwerewere
• Te ngaro o ngā niho maha nā te kino o te pakiaka
• Te whati o te iwi kauae kua ngoikore
• Te kino ki ngā uaua tata, e puta ai te ngenge roa
• Te uaua ki te kai, ki te kōrero, ki te manawa rānei i ngā keehi kino
• Te hokinga mai ki te kore e tangohia katoatia i te wā e maimoatia ana

Ko te raruraru tino awangawanga ko te hokinga mai i muri i te maimoatanga. Ka taea e te ameloblastoma te tupu anō ki te toe ētahi wāhanga iti o te pūngāwerewere, koia te take he mea nui te tango katoa i te pokanga. I etahi wā onge, ka taea e te ameloblastoma te huri hei momo kaha ake, ahakoa ka puta tenei i raro i te 1% o ngā keehi.

Me pēhea te whakatau i te ameloblastoma?

Ko te whakatau i te ameloblastoma e tīmata ana i te kite a tō kaitātari niho, i tō tākuta rānei i te pupuhi koretake i te wā e whakamātautau ana. Ka tono rātou i ngā whakamātautau whakaahua hei kite pai ake i te mea e puta ana i roto i tō iwi kauae.

Ko te tikanga o te tukanga whakatau:

1. Te whakamātautau tinana: Ka tirotirohia e tō tākuta te pupuhi, ngā niho ngāwari, me te mahi o ngā uaua
2. Ngā X-rays: Ka whakaatu i te āhua pērā i te honi, te pūpū rānei i roto i te wheua
3. Te karapa CT: Ka whakarato i ngā whakaahua taipitopito o te rāhi o te pūngāwerewere me tōna wāhi tika
4. Te karapa MRI: Ka āwhina ki te whakatau mena ka pā te pūngāwerewere ki ngā pūtau ngawari tata
5. Te biopsy: Ka whakau i te whakatau tetahi tauira pūtau iti i raro i te whakamātautau microscope

Ko te biopsy te whakamātautau tino nui, nā te mea ka tohu pono i te ameloblastoma, ka whakakore i ētahi atu āhuatanga. Ka whakarite pai tō tākuta te wāhi hei tango i te tauira pūtau hei karo i te horapa o ngā pūtau pūngāwerewere, i te kino rānei ki ngā hanganga nui i roto i tō kauae.

He aha te maimoatanga mō te ameloblastoma?

Ko te pokanga te maimoatanga matua mō te ameloblastoma, nā te mea kaore tēnei pūngāwerewere e whakautu ki ngā rongoā, ki te rongoā radiation rānei. Ko te whāinga ko te tango i te pūngāwerewere katoa me te taha o ngā pūtau hauora hei ārai i te tupu anō.

Ko ēnei ngā whiringa maimoatanga e whakawhirinaki ana ki te rāhi o te pūngāwerewere me tōna wāhi:

• Te pokanga māori: Ka tango i te pūngāwerewere me te iti o ngā pūtau taiao, e whakamahia ana mō ngā pūngāwerewere iti
• Te tango nui: Ka tango i tetahi wāhanga nui o te iwi kauae hei whakarite i te tango katoa o te pūngāwerewere
• Te pokanga whakahoki: Ka hiahiatia pea hei whakahoki i te mahi kauae me te āhua i muri i te tango i te pūngāwerewere
• Te whakaora niho: Ka whakakapi i ngā niho ngaro mā ngā whakakapi, ngā niho rānei

Ka mahi tō rōpū pokanga ki te tiaki i te nui o te hanganga kauae noa i te wā e whakarite ana i te tango katoa o te pūngāwerewere. I etahi wā, ka taea e rātou te mahi whakahoki i te wā kotahi me te tango i te pūngāwerewere, mā te whakamahi i ngā hononga wheua, ētahi atu tikanga rānei hei pupuri i te āhua me te mahi o tō kauae.

Me pēhea te whakahaere i te ora i te kāinga?

Ko te ora mai i te pokanga ameloblastoma e hiahia ana ki te manawanui me te aro nui ki tō tukanga ora. Ka hoatu e tō rōpū hauora ngā tohutohu motuhake, engari he kaupapa whānui e āwhina ana i te nuinga o ngā tāngata ki te ora pai.

Ko ēnei ngā mea e āwhina ana i te wā e ora ana:

• Whai i tō mahere rongoā mamae i rite tonu ki te tohutohu
• Kai i ngā kai ngawari, kaua e ngau i te wāhi pokanga
• Pupuri i tō waha kia ma mā te horoi wai tote ngawari
• Whakamahi i ngā putea hukapapa hei whakaiti i te pupū i ngā rā tuatahi
• Whakahaere i te nui o te okioki, kaua e mahi kaha
• Haere ki ngā huihuinga whai muri katoa hei aroturuki i te ora

Kaua e miharo ki te pupū o tō mata i te tīmatanga. He mea noa tēnei, ka pai haere i roto i ngā wiki maha. Ka taea e te nuinga o ngā tāngata te hoki ki te mahi i roto i te 1-2 wiki, ahakoa ka roa ngā marama maha te ora katoa.

Me pēhea te whakarite mō tō huihuinga tākuta?

Ko te whakarite mō tō huihuinga e āwhina ana ki te whakarite ka whiwhi koe i te whakatau me te mahere maimoatanga tino tika. Tīmata mā te tuhi i te wā i kite tuatahi ai koe i ngā tohu me te āhua o te huringa i te wā.

Kawe mai i ēnei korero ki tō huihuinga:

• He raupapa o te wā i tīmata ai ngā tohu me te āhua o te ahu whakamua
• Rārangi o ngā rongoā me ngā taapiri katoa e inu ana koe
• Tō hītori niho me te hauora, tae atu ki ngā whara kauae
• Ngā X-rays o mua, ngā rēkōta niho rānei, ki te wātea
• Ngā korero inihua me ngā pepa tohutoro, ki te hiahiatia

Whakaritehia ngā pūrongo mō ō whiringa maimoatanga, te wā ora e tumanakohia ana, me te tirohanga roa. Kaua e whakaroa ki te tono ki tō tākuta kia whakamārama i tetahi mea kaore koe e mōhio. Whakaarohia te kawe mai i te mema whānau, i te hoa rānei hei awhina i te mahara ki ngā korero nui i te wā o te haerenga.

He aha te mea nui mō te ameloblastoma?

Ko te mea nui kia mahara ko te ameloblastoma, ahakoa he kino, he āhuatanga ka taea te maimoatanga me te tohu pai i te wā e kitea wawe ana, ka maimoatia tika. Āe, e hiahia ana ki te pokanga, ā, ka roa te ora, engari ka hoki te nuinga o ngā tāngata ki ngā mahi noa, ka pai te hua roa.

Ka nui ake te angitu o te maimoatanga, ka iti ake te whānui i te wā e kitea wawe ana. Ki te kite koe i te pupuhi kauae roa, kaua e tatari ki te kite i te kaiwhakarato hauora. Mā ngā hangarau pokanga hou me ngā whiringa whakahoki, ka taea te maimoatanga pai o ngā pūngāwerewere nui, ā, ka tiakina te nui o te mahi me te āhua o tō kauae.

Kia mahara kaore te ameloblastoma e whakatau i a koe. He āhuatanga hauora tēnei ka taea te whakahaere pai, ka taea ai e koe te hoki ki tō oranga noa. Pupurihia te hononga ki tō rōpū hauora, whai i ā rātou tohutohu, kaua hoki e whakaroa ki te ui i ngā pūrongo i te wā o tō haerenga maimoatanga.

Ngā pūrongo e ui pinepinetia ana mō te ameloblastoma

He mate pukupuku te ameloblastoma?

Kāo, ehara te ameloblastoma i te mate pukupuku. He pūngāwerewere pai tēnei, ā, ko te tikanga kaore e horapa ki ētahi atu wāhanga o tō tinana, pēnei i te mate pukupuku. Heoi, ka taea te whakaeke i tetahi atu kino i te wāhi, ki te kore e maimoatia, nā te mea ka haere tonu te tupu i roto i tō iwi kauae. Ahakoa he onge rawa, he momo kaha kei reira e taea ai te mahi rite tonu ki te mate pukupuku, engari ko te ameloblastoma noa ehara i te mate pukupuku.

Ka ngaro aku niho ki te ameloblastoma?

Kāore pea, engari e whakawhirinaki ana ki te rāhi o te pūngāwerewere me tōna wāhi. Ka pā pea ngā pūngāwerewere iti ki te kotahi, ki ngā niho rua rānei, ā, ka taea e ngā pūngāwerewere nui ake te pā ki ngā niho maha i te wāhi. Ka mahi tō kaitātari ki te tiaki i ngā niho hauora i te wa e taea ana. Ki te tangohia ngā niho, ka taea e ngā whakakapi niho, ētahi atu whiringa whakakapi rānei te whakahoki i tō kaha ki te kai me te ataata noa.

E hia te tūponotanga o te hokinga mai o te ameloblastoma i muri i te pokanga?

Ko te auau o te hokinga mai e whakawhirinaki ana ki te momo pokanga i mahia. He nui ake te auau o te hokinga mai o ngā maimoatanga māori, 15-25%, ā, ko te tango pokanga whānui ake he auau o te hokinga mai i raro i te 5%. Koia te take ka tūtohu pea tō kaitātari ki te tango i ngā pūtau atu i te pūngāwerewere hei whakarite i te tango katoa, ahakoa ko te tikanga he tukanga whānui ake.

Ka taea e ngā tamariki te whanake i te ameloblastoma?

Āe, ahakoa he iti ake te noa i roto i ngā tamariki i ngā pakeke. I te wā e puta ai te ameloblastoma i roto i ngā taitamariki, ko te momo unicystic te nuinga, e tino ngoikore ana, e ngāwari ana te maimoatanga. Ka taea e ngā wheua e tupu haere ana o ngā tamariki te ora me te hanga anō i muri i te maimoatanga, engari e hiahia ana te āhuatanga ki te tikanga pokanga āta whai wāhi, ahakoa te pakeke.

E hia te roa o te ora mai i te pokanga ameloblastoma?

Ka roa te ora tuatahi i te 2-4 wiki, engari ka taea te roa o te ora katoa i te 3-6 marama, i te roa atu rānei, ina koa ki te hiahiatia te whakahoki. Ka hoki pea koe ki te mahi i roto i te 1-2 wiki, engari karohia ngā mahi kaha mo te kotahi marama. Ka aroturuki tō kaitātari i tō ahu whakamua ora, ka whakamōhio ki a koe te wā ka taea e koe te whakahoki i ngā mahi noa katoa.