lapaʻau ʻaʻai ʻiʻo iwi Halemai

Nā Halemaʻi Hoʻomaʻamaʻa Iwi: He alakaʻi piha

Ke ʻimi nei i ka haukapila kūpono no lapaʻau ʻaʻa iwi hiki ke kaumaha. Hāʻawi kēia alakaʻi i ka ʻike koʻikoʻi e kōkua iā ʻoe e hoʻokele i ke kaʻina hana, hoʻomaopopo i nā koho lapaʻau, a hoʻoholo i ka ʻike e pili ana i kāu mālama. E uhi mākou i nā ʻano ʻokoʻa o ka iwi, nā ʻano diagnostic, nā ala lapaʻau, a me nā mea e noʻonoʻo ai i ke koho ʻana i kahi haukapila.

Ka hoomaopopo ana i na puu iwi

Nā ʻano o nā ʻōpū iwi

Hiki ke ma'i (non-cancerous) ai'ole malignant (cancerous) ka iwi koko. Kakaʻikahi ka laha ʻana o nā maʻi maʻi maʻi, ʻoiai hiki i nā maʻi maʻi maʻi ke hele i nā wahi ʻē aʻe o ke kino. ʻO nā ʻano maʻamau ka osteosarcoma, Ewing sarcoma, chondrosarcoma, a me ka maʻi maʻi nui. ʻO ke ʻano kikoʻī e pili nui i ka mālama ʻana.

ʻO ka ʻike ʻana o nā ʻōpū o ka iwi

ʻO ka hoʻomaʻamaʻa ʻana i ka ʻōpū o ka iwi maʻamau e pili ana i ka hui pū ʻana o nā hoʻokolohua kiʻi (X-ray, CT scans, MRI scans), hoʻāʻo koko, a me kahi biopsy. ʻO kahi biopsy, kahi e wehe ʻia ai kahi ʻāpana liʻiliʻi o ka iwi iwi a nānā ʻia ma lalo o kahi microscope, he mea koʻikoʻi ia no ka hoʻoholo ʻana i ke ʻano a me ka pae o ka ʻōpū.

Koho Lapaau Iwi Tumor

ʻO ka ʻoki ʻana

ʻO ka ʻoki ʻana he lāʻau lapaʻau mua no lapaʻau ʻaʻa iwi, e manao ana e wehe loa i ke koko. ʻO ka nui o ke kaʻina hana e pili ana i ka nui o ka tumor, kahi a me ke ʻano. Hiki i nā ʻenehana ke hoʻokomo i ka curettage (ka ʻoki ʻana i ka ʻōpū), ka wehe ʻana (ka wehe ʻana i ka ʻōpū a me kekahi iwi a puni), a i ʻole ka ʻoki ʻana (i nā hihia koʻikoʻi).

Kemoterapi

Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hoʻohana pinepine ʻia ia ma mua o ka ʻoki ʻana (neoadjuvant chemotherapy) e hōʻemi i ka ʻōpū a i ʻole ma hope o ke ʻoki ʻana (adjuvant chemotherapy) e hōʻemi i ka pilikia o ka hoʻi hou ʻana. ʻO ka regimen chemotherapy kūikawā e pili ana i ke ʻano a me ke ʻano o ka ʻōpū.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi kanesa. Hiki ke hoʻohana wale ʻia a i hui pū ʻia me ke ʻoki a i ʻole ka chemotherapy. Hiki iā ia ke hōʻemi i nā ʻōpū, hoʻomaha i ka ʻeha, a hoʻomaikaʻi i ka maikaʻi o ke ola.

ʻO ka Lapaʻau Kūlohelohe

Hoʻohana ʻia ka lāʻau lapaʻau i hoʻopaʻa ʻia i nā maʻi maʻi maʻi me ka ʻole o ka hōʻino ʻana i nā cell olakino. Ke ulu nui nei kēia ʻano hana ma lapaʻau ʻaʻa iwi, hāʻawi i nā lāʻau lapaʻau pololei a maikaʻi me ka liʻiliʻi o nā hopena ʻaoʻao. ʻOkoʻa ka loaʻa ʻana o nā lāʻau lapaʻau ma muli o ke ʻano kikoʻī o ka ʻōpū o ka iwi.

Ke koho ʻana i kahi Halemaʻi no ka mālama ʻana i ka ʻiʻo o ka iwi

Ke koho ʻana i ka haukapila kūpono no kāu lapaʻau ʻaʻa iwi he hoʻoholo koʻikoʻi. E noʻonoʻo i kēia mau kumu:

• Ka ʻike a me ka ʻike: E ʻimi i nā halemai me nā poʻe loea i ʻike i ka mālama ʻana i nā ʻōpū iwi.
• ʻIke Hou: ʻO nā halemai me ka loaʻa ʻana o nā kiʻi kiʻi hou a me nā ʻenehana lapaʻau e makemake ʻia.
• Multidisciplinary Approach: Loaʻa i nā halemai maikaʻi loa nā hui o nā loea (orthopedic surgeons, oncologists, radioologists, pathologists) e hana like ana.
• Nā lawelawe kākoʻo maʻi: ʻO nā halemai e hāʻawi ana i nā lawelawe kākoʻo piha, me ka ʻōlelo aʻo, hoʻoponopono hou, a me ke kōkua kālā.
• Nā Manaʻo a me nā Loko o nā maʻi: E noiʻi i nā loiloi pūnaewele a me nā loiloi e loaʻa ai nā ʻike i nā ʻike maʻi.

Nā Manaʻo Nui

E hoʻomanaʻo e kūkākūkā i nā koho lapaʻau āpau me kāu kauka e hana i kahi hoʻolālā lapaʻau pilikino. He mea koʻikoʻi ka ʻike mua a me ka mālama ʻana no ka hoʻomaikaʻi ʻana i nā hopena. Mai kānalua e nīnau i nā nīnau a e ʻimi i nā manaʻo ʻelua inā pono. Aia kāu hui mālama ola e kākoʻo iā ʻoe i kēia huakaʻi.

Nā kumuwaiwai

ʻO ka National Cancer Institute (https://www.cancer.gov/) a me nā hui kaulana ʻē aʻe e hāʻawi i ka ʻike waiwai e pili ana i nā ʻōpū iwi a me nā koho lapaʻau. E hoʻomanaʻo e kamaʻilio mau me kāu mea mālama ola no ka ʻōlelo aʻo pilikino.

No ka mālama piha a me ka mālama kūikawā, e noʻonoʻo Shandong Baofa Cancer Research Institute. ʻO kā lākou ʻike i ka oncology a me ka hoʻokō ʻana i ka mālama ʻana i ka mea maʻi e lilo lākou i koho nui no lapaʻau ʻaʻa iwi.