He aha te Osteosarcoma? Tohutohu, Take, me te Maimoatanga

Ko te osteosarcoma tētahi momo mate pukupuku wheua e pā ana te nuinga ki ngā tamariki me ngā taitamariki, ahakoa ka puta i tetahi tau.

Ahakoa ka raru pea te whakarongo ki te “mate pukupuku wheua”, he mea nui kia mōhio koe e taea te whakaora i te osteosarcoma, ina koa ki te hopukina wawe. Kua pai ake ngā hua o ngā maimoatanga hou, ā, he tokomaha ngā tāngata e ora tonu ana i ngā oranga katoa, i muri i te maimoatanga.

He aha te Osteosarcoma?

Ko te osteosarcoma te momo mate pukupuku wheua matua tino noa, arā, ka tīmata i roto i te wheua ake, kāore i te horapa mai i tētahi atu wāhanga o te tinana. Ka tupu te nuinga ki ngā wheua roa o ō ringa me ō waewae, inā te rohe turi.

Ka puta tēnei mate pukupuku ina tīmata ngā pūtau hanga wheua ki te tupu kore-mana. Whakaarohia ko te tukanga hanga wheua o tō tinana e haere kino ana. Kāore i te hanga i te kiko wheua hauora, whakaritea, engari ka tere te whakaputa o ēnei pūtau, ka hanga he mate pukupuku.

Ko te mate e pā ana ki ngā tāngata kōhungahunga i ngā wā o te tere o te tipu wheua, te nuinga i waenga i ngā tau 10 me te 25. Heoi, ka puta hoki i ngā pakeke, te nuinga i ngā wheua kua ngoikoretia e ētahi atu mate.

He aha ngā Tohutohu o te Osteosarcoma?

Ka taea e ngā tohu o mua o te osteosarcoma te ngāwari, ā, ka whakaarohia he mamae tipu, he whara hākinakina rānei. Ko te mohiotanga wawe ki ēnei tohu ka taea te whakarereke nui ki ngā hua o te maimoatanga.

Ko ēnei ngā tohu tino noa ka kite koe:

• Te mamae wheua e kino ake ana i te wā: Ka tīmata pea tēnei mamae hei mamae e haere mai ana, e haere atu ana rānei, engari ka riro hei mea pumau, kaha ake, inā te pō.
• Te pupuhi, te pūngāwerewere rānei e kitea ana: Ka kite pea koe i te pupuhi i te taha o te wheua e pā ana, ka mahana pea ki te pa.
• Te neke iti: Ka pakaru pea te hononga tata ki te mate pukupuku, ka uaua rānei te neke.
• Te kopikopiko: Ki te mea kei tō waewae te mate pukupuku, ka kopikopiko pea koe.
• Ngā whati wheua kaore i te whakamaarama: Ka whati pea ngā wheua kua ngoikoretia e te mate pukupuku atu i te noa, i etahi wā me te iti o te whara.

Ko ētahi atu tohu kaore i te noa ko te ngenge, te ngaro taimaha kaore i te whakamaarama, te kirika rānei. Ka puta pea ēnei tohu ina nui ake te mate pukupuku, kua horapa rānei ki ētahi atu wāhanga o te tinana.

Kia mahara, he maha atu ngā take o ēnei tohu, ko te nuinga kāore he mate pukupuku. Heoi, ki te pāngia koe e te mamae wheua pumau kaore e pai ake me te okioki, ka kino ake rānei i te wā, he mea tika te kōrero ki tō tākuta.

He aha ngā Momo o te Osteosarcoma?

He maha ngā momo o te osteosarcoma, ia momo he āhuatanga ake, me te huarahi maimoatanga. Ko te mārama ki ēnei momo ka āwhina i ngā tākuta ki te hanga i te mahere maimoatanga tino pai mō ia tangata.

Ko ēnei ngā momo matua:

• Te osteosarcoma teitei: Koinei te momo tino noa, kaha hoki, e 80% o ngā take katoa. Ka tere te tupu, te horapa, engari ka āwangawanga ki te maimoatanga.
• Te osteosarcoma iti: Ka tere te tupu o tēnei momo, ā, ka iti te horapa, engari kaore e āwangawanga ki te chemotherapy.
• Te osteosarcoma parosteal: Ko tēnei momo onge e tupu ana i te mata o te wheua, ā, ka tere te tupu.
• Te osteosarcoma periosteal: He mate pukupuku mata atu tēnei e noho ana i waenga i ngā momo teitei me ngā momo iti.

Ka whakatau tō rōpū hauora i te momo motuhake mā te whakamātautau taipitopito, ka āwhina i a rātou ki te whiriwhiri i te huarahi maimoatanga pai mō tō āhuatanga. He āhuatanga rerekē ia momo, engari e taea ana te whakaora i ngā momo katoa o te osteosarcoma me te tiaki tika.

He aha ngā Take o te Osteosarcoma?

Kāore i te tino mārama te take tika o te osteosarcoma, engari kua kitea e ngā kairangahau etahi take ka āwhina pea ki tōna whanaketanga. I te nuinga o ngā take, kāore he take kotahi e taea te whakatau.

Ko ēnei ngā take matua ka piki pea te tūponotanga o te whanaketanga o te osteosarcoma:

• Te tere o te tipu wheua: Ka puta te mate pukupuku te nuinga i ngā wā tipu o ngā taitamariki ina tere te tipu o ngā wheua.
• Te maimoatanga radiation o mua: Ka piki te tūponotanga o te maimoatanga radiation nui mō ētahi atu mate pukupuku i muri i ngā tau.
• Ētahi āhuatanga ira: Ka piki te tūponotanga o ngā āhuatanga ira e tukuna ana penei i te Li-Fraumeni syndrome, te hereditary retinoblastoma rānei.
• Te mate o Paget: Ka taea e tēnei mate wheua i ngā pakeke te arahi ki te osteosarcoma.
• Ngā infarcts wheua o mua: Ko ngā wāhi kua mate te kiko wheua nā te iti o te toto ka piki pea te tūponotanga.

He mea nui te mārama ko te nuinga o ngā tāngata e whai ana i ēnei take tūponotanga kaore e whānau mai te osteosarcoma. Ko te whai i te take tūponotanga kāore e tikanga ka whiwhi koe i te mate pukupuku. Pēnei, he tokomaha ngā tāngata e whānau mai ana te osteosarcoma kāore he take tūponotanga e mohiotia ana.

Kāore i te puta te mate pukupuku nā ngā whara, kai, ngā whiringa oranga rānei. Kāore e pā, kāore hoki e taea te tuku atu i te tangata ki te tangata mā tetahi momo hononga.

Nōhea te Tiro ki te Tākuta mō te Osteosarcoma?

Me whakapiri atu koe ki tō tākuta ki te pāngia koe e te mamae wheua pumau kaore e pai ake me te okioki, te rongoā mamae rānei i runga i te kaupapa. He mea nui tēnei ina koa ki te kino ake te mamae i te wā, ka āwangawanga rānei i tō moe.

Rapua te tiaki hauora wawe ki te kite koe:

• Te mamae wheua e roa atu ana i ngā wiki torutoru.
• Te mamae e kino ake ana i te pō, kāore rānei e āwangawanga ki ngā kaiwhakaora mamae noa.
• Te pupuhi, te pūngāwerewere rānei tata ki te wheua.
• Te kopikopiko kaore i te whakamaarama, te uaua rānei ki te neke i te hononga.
• Te wheua e whati ana me te iti o te whara.

Kaua e tatari ki te mau tonu ēnei tohu, ki te kino ake rānei. Ahakoa ko te nuinga o ngā take ko ngā āhuatanga noa penei i te mamae tipu, ngā whara hākinakina rānei, ko te aromatawai wawe te huarahi haumaru tonu.

Ka taea e tō tākuta te mahi i ngā whakamātautau tika hei whakatau i te take, ka hoatu te rangimarie o te ngākau, ka tīmata rānei i te maimoatanga ki te hiahiatia.

He aha ngā Take Tūponotanga mō te Osteosarcoma?

He maha ngā take ka piki ai ō tūponotanga ki te whanaketanga o te osteosarcoma, ahakoa ko te whai i ēnei take tūponotanga kāore e whakamana ka whānau mai koe i te mate. Ko te mārama ki ēnei take ka āwhina i a koe ki te noho mōhio ki ngā tohu pea.

Ko ēnei ngā take tūponotanga tino nui:

• Te Tau: Ko te nuinga o ngā take e puta ana i waenga i ngā tau 10-25, i ngā wā o te tere o te tipu wheua.
• Te Teitei: He iti te piki o te tūponotanga o ngā tamariki me ngā taitamariki teitei, pea nā te tere o te tipu wheua.
• Te Ira Tangata: He iti te tūponotanga o ngā tane ki te whānau mai te osteosarcoma atu i ngā wāhine.
• Te maimoatanga mate pukupuku o mua: Ka piki te tūponotanga o te maimoatanga radiation, te rongoā chemotherapy rānei i muri i ngā tau.
• Ngā āhuatanga ira: Ngā mate ira e tukuna ana penei i te Li-Fraumeni syndrome, te hereditary retinoblastoma rānei.
• Ngā mate wheua: Ka piki te tūponotanga o te mate o Paget, te fibrous dysplasia rānei i ngā pakeke.

Ko ētahi atu take tūponotanga onge ko ngā whakawhiti wheua, ngā whakauru rino rānei o mua, ahakoa he iti rawa te tūponotanga. Ko te nuinga o ngā tāngata e whai ana i te osteosarcoma kāore he take tūponotanga e taea te whakatau atu i tō rātou tau.

Ko te whai i tetahi take tūponotanga, neke atu rānei, kāore e tikanga ka whānau mai koe i te osteosarcoma. He tokomaha ngā tāngata e whai ana i ngā take tūponotanga kaore e whiwhi i te mate, i te wā e whiwhi ana ētahi atu kāore he take tūponotanga e mohiotia ana.

He aha ngā Raru pea o te Osteosarcoma?

Ko te mārama ki ngā raruraru pea ka āwhina i a koe ki te matawai mō te aha, ka whakatenatena i te nui o te maimoatanga wawe. Ka taea te aukati, te whakahaere rānei i te nuinga o ngā raruraru me te tiaki hauora tika.

Ko ēnei ngā raruraru matua ka whānau mai:

• Te horapa: Ka taea e te mate pukupuku te horapa ki ētahi atu wāhanga o te tinana, te nuinga ki ngā pūkahukahu, ngā wheua rānei.
• Ngā whati pathological: Ka taea e te mate pukupuku te whakaiti i te wheua, ka whati pea.
• Te tupu rohe: Ka taea e ngā mate pukupuku nui te pēhi i ngā kiko tata, ka āwangawanga i te neke, te mahi rānei.
• Ngā raruraru e pā ana ki te maimoatanga: Ngā pānga o te chemotherapy, te pokanga rānei.
• Ngā raruraru mahi waewae: I runga i te maimoatanga, pea he whakarerekētanga ki te mahi o tō ringa, tō waewae rānei.

Ko ētahi atu raruraru onge ko te mate i ngā wāhi pokanga, ngā raruraru me ngā whakawhiti wheua, ngā whakauru rānei, ngā pānga roa rānei mai i te maimoatanga. Ko ngā mate pukupuku tuarua, ahakoa kaore i te noa, ka whānau mai pea i muri i ngā tau i te maimoatanga.

Ka mahi kaha tō rōpū hauora ki te aukati i ngā raruraru, ka tirotiro tata atu i a koe i te wā o te maimoatanga. Ko te kite wawe, te maimoatanga rānei ka whakaiti i te tūponotanga o ngā raruraru nui.

Ka taea te aukati i te Osteosarcoma?

I tēnei wā, kāore he huarahi e mohiotia ana ki te aukati i te osteosarcoma, nā te mea ko te nuinga o ngā take e puta ana kaore he take e taea te whakatau.

Nā te mea e tupu ana te mate pukupuku i ngā wā tipu wheua noa i ngā tāngata kōhungahunga hauora, kāore ngā rautaki aukati e mahi ana mō ētahi atu mate e whai hua ana i konei. Heoi, ka taea e koe te mahi i ētahi mahi hei tautoko i tō hauora wheua whānui.

Ahakoa kāore ēnei e aukati i te osteosarcoma, ko te pupuri i te hauora wheua pai ko te whiwhi i te nui o te kārati me te hua D, te whakauru ki te whakakori tinana, te karo i te wāhine, te nui o te waipiro rānei.

Ko te mea nui rawa atu ka taea e koe ko te noho mōhio ki tō tinana, te rapu tiaki hauora rānei mō te mamae wheua pumau, ētahi atu tohu rānei e awangawanga ana. Ko te kite wawe, ahakoa kāore he aukati, ka arahi ki ngā hua maimoatanga pai rawa atu.

Me pēhea te Whakatau i te Osteosarcoma?

Ko te whakatau i te osteosarcoma he maha ngā mahi hei whakamana i te mate pukupuku, hei whakatau rānei i tōna whānuitanga. Ka whakamahi tō tākuta i te whakamātautau tinana, ngā whakamātautau whakaahua, te tātaritanga kiko rānei hei hanga i te whakatau tika.

Ko te tukanga whakatau e whakauru ana ki:

1. Te whakamātautau tinana: Ka tirotirohia e tō tākuta te rohe e pā ana, ka tirotirohia te pupuhi, te mamae, te whānuitanga o te nekehanga rānei.
2. Ngā X-rays: Ka taea e ēnei whakaahua tuatahi te whakaatu i ngā whakarerekētanga wheua e whakaatu ana pea i te osteosarcoma.
3. Ngā whakaahua MRI, CT rānei: Ka āwhina ēnei whakaahua taipitopito ki te whakatau i te rahi o te mate pukupuku, te wāhi tika rānei.
4. Te whakamātautau wheua: Ka whakaatu tēnei whakamātautau mehemea kua horapa te mate pukupuku ki ētahi atu wheua i roto i tō tinana.
5. Te Biopsy: Ka tangohia, ka tirotirohia te tauira iti o te mate pukupuku i raro i te microscope hei whakamana i te whakatau.
6. Te CT uma: Nā te mea ka taea e te osteosarcoma te horapa ki ngā pūkahukahu, ka tirotirohia e ngā tākuta tēnei rohe.

Ka taea hoki te mahi i ngā whakamātautau toto hei tirotiro i tō hauora whānui, hei rapu rānei i ngā tohu motuhake. Ko te biopsy te whakamātautau tino nui, nā te mea koinei anake te huarahi hei whakamana i te osteosarcoma, hei whakatau rānei i tōna momo motuhake.

Ka raru pea tēnei tukanga, engari ka hoatu e ia whakamātautau ngā korero nui e āwhina ana i tō rōpū hauora ki te hanga i te mahere maimoatanga tino pai mō tō āhuatanga motuhake.

He aha te Maimoatanga mō te Osteosarcoma?

Ko te maimoatanga osteosarcoma e whakauru ana ki te pokanga me te chemotherapy, i hangaia hei whakakore i te mate pukupuku, hei pupuri i te nui o te mahi.

Ko ēnei ngā huarahi maimoatanga matua:

• Chemotherapy: Ngā rongoā kaha e whakamate ana i ngā pūtau mate pukupuku, te nuinga e hoatu ana i mua, i muri rānei i te pokanga.
• Te Pokanga: Te tango i te mate pukupuku me ngā kiko e karapoti ana, me te hanga hou ki te taea.
• Te pokanga whakaora waewae: Ki te taea, ka tangohia e ngā tākuta te mate pukupuku, ka pupuri i te mahi o tō ringa, tō waewae rānei.
• Te tapahi: Ka hiahiatia i etahi wā ina nui rawa te mate pukupuku, kei te wāhi rānei kaore e taea te whakaora waewae.
• Te maimoatanga radiation: Ngā kaupapa kaha e whakangaro ana i ngā pūtau mate pukupuku, e whakamahia ana i ētahi āhuatanga motuhake.

Ko te chemotherapy i mua i te pokanga, e kiia nei ko te neoadjuvant therapy, te nuinga e hoatu ana tuatahi hei whakaiti i te mate pukupuku, hei whakapai ake i te pokanga. I muri i te pokanga, ka āwhina te chemotherapy atu ki te whakakore i ngā pūtau mate pukupuku e toe ana.

Ko ngā hangarau pokanga hou e taea ai e ngā tākuta te whakaora i ngā waewae, i te whakakore katoa i te mate pukupuku. Ina hiahiatia te tapahi, ka taea e ngā prosthetic hou te whakahoki mai i te nui o tō nekehanga, tō mahi rānei.

Ka whakauru tō rōpū maimoatanga ki ngā oncologists, ngā tākuta wheua, ētahi atu tohunga rānei e mahi tahi ana hei whakarato i te tiaki whānui i te wā o tō haerenga maimoatanga.

Me pēhea te tango i te maimoatanga kāinga i te wā o te Osteosarcoma?

Ko te whakahaere i tō tiaki i te kāinga he wāhanga nui o tō mahere maimoatanga whānui. Ahakoa ko tō rōpū hauora e whakahaere ana i te maimoatanga matua, he maha ngā mea ka taea e koe hei tautoko i tō whakaora, hei pai ake te ahua i te wā o te maimoatanga.

Ko ēnei ngā wāhi matua hei arotahi:

• Te whakahaere mamae: Tangohia ngā rongoā mamae kua tohua kia rite ki te tohutohu, whakamahia te hukapapa, te wera rānei kia rite ki te tohutohu a tō tākuta.
• Te tautoko kai: Kai i te kai rite, me te nui o te pūmua hei āwhina i tō tinana ki te ora, ki te pupuri i te kaha rānei.
• Te whakahaere mahi: Whai i te aratohu a tō tākuta mō ngā taumata mahi, ngā whakakori rongoā tinana rānei.
• Te aukati mate: Pupuri i ngā wāhi pokanga kia ma, kia matawai rānei mō ngā tohu mate penei i te whero nui ake, te rere rānei.
• Te tautoko hinengaro: Hononga atu ki ngā kaiāwhina, ngā rōpū tautoko, ngā hoa, ngā whānau rānei e whakawhirinaki ana.

Noho makuku, whiwhi okioki tika, kaua hoki e whakaroa ki te whakapiri atu ki tō rōpū hauora me ngā pātai, ngā awangawanga rānei. Pupuri i te puka tohu hei whai i te ahua o tō ahua, ngā pānga rānei mai i te maimoatanga.

Kia mahara ko te whakaora he tukanga, he mea noa te whai i ngā rā pai, ngā rā wero rānei. Arotahi ki ngā whāinga iti, e taea ana te whakatutuki, kia whakanui i te whakahaere i te huarahi.

Me pēhea te Whakarite mō tō Hui Tākuta?

Ko te whakarite mō tō hui tākuta ka āwhina i a koe ki te whiwhi i te hua pai rawa atu i tō haerenga, ki te whakautu rānei i ō pātai katoa. Ko te whakarite pai ka āwhina hoki i tō tākuta ki te whakarato i te tiaki pai rawa atu.

I mua i tō hui, kohikohia ēnei korero nui:

• Ngā kōrero tohu: Tuhia te wā i tīmata ai ngā tohu, me pēhea te whakarerekē, me te aha e pai ake ai, e kino ake rānei.
• Te hītori hauora: Maua he rārangi o ngā rongoā o nāianei, ngā pokanga o mua, tetahi hītori whānau o te mate pukupuku rānei.
• Te whai i te mamae: Tuhia te wā e puta ai te mamae, tōna kaha i runga i te pānga 1-10, me ngā mahi e whakaohooho ana i a ia.
• Te rārangi pātai: Tuhia ō awangawanga me ō pātai kia kaua e wareware i te wā o te hui.
• Te tangata tautoko: Whakaarohia te kawe mai i te mema whānau, te hoa rānei hei āwhina i te mahara ki ngā korero, hei whakarato rānei i te tautoko.

Kawe mai i ngā X-rays o mua, ngā whakaahua, ngā rēkōta hauora rānei mai i ētahi atu tākuta. Ki te tuku atu koe e tētahi atu tākuta, kia mōhio koe ki te take, ki te aha rānei e awangawanga ana rātou.

Kaua e manukanuka ki te maha o ngā pātai. E hiahia ana tō rōpū hauora kia mārama koe ki tō āhuatanga, kia pai te ahua ki tō mahere tiaki.

He aha te Tākutake Matua mō te Osteosarcoma?

Ko te osteosarcoma he momo mate pukupuku wheua nui, engari e taea ana te whakaora, e pā ana ki ngā tāngata kōhungahunga i ngā wā o te tere o te tipu wheua. Ahakoa ka raru pea te whakatau, kua pai ake ngā hua o ngā maimoatanga hou mō te nuinga o ngā turoro.

Ko ngā mea nui hei mahara ko te kite wawe ka whakarerekē nui i te angitu o te maimoatanga, ko te maimoatanga whānui e whakauru ana ki te pokanga me te chemotherapy te huarahi pai rawa atu ki te whakaora. He tokomaha ngā tāngata e whai ana i te osteosarcoma e ora tonu ana i ngā oranga katoa, i muri i te maimoatanga.

Ko tō rōpū hauora tō hoa kaha i tēnei haerenga. He wheako whānui tō rātou ki te whakaora i te osteosarcoma, ka arahi i a koe i ia mahi o te tukanga. Kaua e whakaroa ki te ui pātai, ki te whakaatu awangawanga, ki te rapu tautoko atu rānei ina hiahia koe.

Kia mahara ko te whai i te osteosarcoma kāore e whakatau i a koe, kāore rānei e whakaiti i ō tūponotanga o muri. Me te maimoatanga tika, te tautoko rānei, ka taea e koe te wikitoria i tēnei wero, te whai tonu rānei i ō whāinga me ō moemoea.

Ngā Pātai Nui e Uihia ana mō te Osteosarcoma

He mate mate tonu te osteosarcoma?

Kāore, ehara te osteosarcoma i te mate mate tonu. Me te maimoatanga hou, tata ki te 70-80% o ngā tāngata e whai ana i te osteosarcoma rohe kua ora. Ahakoa kua horapa te mate pukupuku, he tokomaha ngā tāngata ka taea tonu te whakaora.

E hohoro ana te horapa o te osteosarcoma?

Ka taea e te osteosarcoma teitei te tupu, te horapa hoki, koia te take he mea nui te whakatau, te maimoatanga rānei wawe. Heoi, ka rerekē te tere mai i te tangata ki te tangata. Ka tere te tupu o ngā osteosarcomas iti.

Ka taea tonu te takaro hākinakina i muri i te maimoatanga osteosarcoma?

He tokomaha ngā tāngata e hoki ana ki ngā hākinakina, ngā mahi tinana rānei i muri i te maimoatanga osteosarcoma, ahakoa kei runga i tō maimoatanga motuhake, te whakaora rānei. Me te pokanga whakaora waewae, he tokomaha ngā turoro e ora ake ana te mahi. Ahakoa i muri i te tapahi, ka taea e ngā prosthetic hou te whakauru ki ngā hākinakina.

Ka ngaro rānei toku makawe i te chemotherapy?

Ko te ngaro makawe he pānga noa o ngā rongoā chemotherapy e whakamahia ana hei whakaora i te osteosarcoma, engari he mea tūturu. Ka tīmata pea te tipu o tō makawe i muri i ngā marama i te mutunga o te maimoatanga.

E hohoro ana te maimoatanga osteosarcoma?

Ko te maimoatanga katoa mō te osteosarcoma e 6-12 marama pea, e whakauru ana ki te chemotherapy i mua i te pokanga, te pokanga, te wā whakaora, te chemotherapy i muri i te pokanga rānei. Ka rerekē te raupapa tika i runga i tō mahere maimoatanga motuhake, me pēhea te āwangawanga ki te maimoatanga, ngā raruraru rānei e puta mai ana.