
ʻIke maikaʻi ʻO ka lapaʻau ʻana i ka ʻōpū o ka iwi Kina hiki ke paʻakikī nā koho. Hāʻawi kēia alakaʻi i kahi hiʻohiʻona o nā ʻano ʻokoʻa o nā ʻōpū iwi, nā ʻano lapaʻau maʻamau i loaʻa ma Kina, me ka ʻoki ʻana, ka chemotherapy, radiation therapy, a me ka lāʻau lapaʻau i manaʻo ʻia, a me nā kumuwaiwai no ka loaʻa ʻana o ka mālama olakino kūikawā. Hoʻopili pū ʻia i ke kuleana o nā lāʻau lapaʻau hou a me nā hoʻokolohua lapaʻau. Hiki iā lākou ke benign (non-cancerous) a i ʻole malignant (cancerous). He mea koʻikoʻi ka hoʻomaopopo ʻana i ke ʻano o ka maʻi koko no ka hoʻoholo ʻana i ke ʻano o ka mālama ʻana. Osteosarcoma: ʻO ke ʻano maʻamau, loaʻa pinepine i nā keiki a me nā ʻōpio ʻōpio. Hoʻoulu pinepine ia ma nā iwi lōʻihi o nā lima a me nā wāwae. Chondrosarcoma: He ʻano maʻi koko e puka mai ana mai nā pūnaewele cartilage. ʻOi aku ka maʻamau i nā pākeke a pili pinepine i ke pelvis, femur, a me ka poʻohiwi. Ewing Sarcoma: Hoʻopilikia mua i nā keiki a me nā ʻōpio, e ulu pinepine ana i nā iwi o nā wāwae, pelvis, a i ʻole ka paia o ka umauma. ʻO ka puʻupuʻu pūnaewele nunui: ʻO ka maʻamau maʻamau akā hiki ke hoʻopaʻapaʻa. Loaʻa maʻamau ma kahi kokoke i nā wēlau o nā iwi lōʻihi, ʻoi aku ma kahi o ke kuli. Chordoma: ʻO kahi maʻi maʻi kakaʻikahi e kū mai ana mai ke koena o ka notochord, e kū pinepine ana ma ke kumu o ka iwi poʻo a i ʻole ka iwi kuamoʻo. Lapaau Iwi o Kina ʻO ka mālama ʻana i nā ʻōpū o ka iwi ma muli o nā kumu he nui, ʻo ia hoʻi ke ʻano a me ka pae o ka maʻi ʻaʻai, ka makahiki o ka mea maʻi a me ke olakino holoʻokoʻa, a me ka wahi o ka ʻōpū. ʻO nā ala lapaʻau maʻamau: ʻO ka ʻoki ʻana ʻO ka wehe ʻana i ka maʻi ʻaʻa ʻo ia ka lāʻau mua loa no nā ʻōpū iwi. ʻO ka pahuhopu ka wehe ʻana i ke koko holoʻokoʻa me kahi palena o ka ʻiʻo olakino e pale ai i ka hoʻi hou ʻana. Ma muli o ka nui o ke koko, hiki ke ʻoki ʻia nā lālā. I kekahi mau hihia, pono paha ka ʻoki ʻoki. ʻO nā koho e pili ana i nā grafts iwi (hoʻohana ʻana i ka iwi mai kahi ʻāpana ʻē aʻe o ke kino a i ʻole ka mea hāʻawi aku), nā implants metala, a i ʻole nā ʻenehana hana hou olaola. ʻO ka hui ʻokiʻoki ma nā keʻena e like me Shandong Baofa Cancer Research Institute hana mua i ka ho'iho'i 'ana i ka hana a me ka maika'i o ke ola. Ho'ohana 'o Kemoterapi i nā lā'au lapa'au e pepehi ai i nā pūna'i ma'i 'a'ai. Hoʻohana pinepine ʻia i ka hui pū ʻana me ka ʻokiʻoki e mālama i ka osteosarcoma a me Ewing sarcoma. Hiki ke lawelawe 'ia ke kemo ma mua o ke oki (neoadjuvant chemotherapy) e emi ai ke koko a i 'ole ma hope o ke oki 'ana (adjuvant chemotherapy) no ka pepehi 'ana i ke koena o na ma'i ma'i 'a'ai. Hiki ke hoʻohana ʻia no ka mālama ʻana i nā maʻi ʻaʻai paʻakikī e wehe i ka ʻokiʻoki ʻana a i ʻole ke kāohi ʻana i ka ʻeha a me nā hōʻailona o ka maʻi maʻi maʻi. Hoʻohana pinepine ia no ka sarcoma Ewing a me ka chordoma, a i kekahi manawa no ka chondrosarcoma.Targeted TherapyTargeted therapy hoʻohana i nā lāʻau lapaʻau e kuhikuhi pono i nā maʻi maʻi maʻi ʻoiai e mālama ana i nā cell maʻamau. Hoʻokumu ʻia kēia mau lāʻau lapaʻau i nā hiʻohiʻona kūʻokoʻa o nā cell cancer. ʻOiai ʻaʻole i hoʻohana maʻamau ʻia ka lāʻau lapaʻau i hoʻopaʻa ʻia no nā ʻōpū iwi e like me nā maʻi maʻi maʻi ʻē aʻe, ke hoʻomau nei ka noiʻi, a hiki ke hoʻohana ʻia kekahi mau lāʻau lapaʻau i hoʻopaʻa ʻia i kekahi mau hihia. No ka laʻana, ke kuhikuhi nei kekahi mau lāʻau lapaʻau i nā hoʻololi kikoʻī i loaʻa i kekahi mau maʻi iwi iwi.Finding Specialized Lapaau Iwi o KinaHe mea koʻikoʻi ka ʻimi ʻana i ka lāʻau lapaʻau ma kahi kikowaena maʻi maʻi kūikawā me ka ʻike i ka mālama ʻana i nā ʻōpū iwi. Loaʻa i kēia mau kikowaena nā pūʻulu multidisciplinary o nā ʻoka, oncologists, radiation oncologists, pathologists, a me nā loea ʻē aʻe e hana pū ana i ka hoʻomohala ʻana i nā hoʻolālā lapaʻau pākahi. ʻike: ʻEhia ka nui o nā maʻi maʻi ʻaʻai iwi i mālama ʻia e ke kikowaena i kēlā me kēia makahiki? Hui Multidisciplinary: Loaʻa i ke kikowaena kahi hui o nā loea e hana pū ana? Nā koho lapaʻau: Hāʻawi ke kikowaena i nā koho lapaʻau holoʻokoʻa, me ka ʻoki ʻana, ka chemotherapy, radiation therapy, a me ka lāʻau lapaʻau? Nā hoʻokolohua lapaʻau: Ke komo nei ke kikowaena i nā hoʻokolohua lapaʻau o nā lāʻau lapaʻau hou no nā maʻi iwi? Hāʻawi nā hoʻokolohua lapaʻau i nā poʻe maʻi i ka manawa e loaʻa ai nā lāʻau lapaʻau ʻokiʻoki i loaʻa ʻole ma kahi ʻē aʻe. Inā makemake ʻoe e komo i kahi hoʻokolohua lapaʻau, e kamaʻilio me kāu kauka e pili ana inā kūpono ia iā ʻoe. ʻO nā keʻena e like me Shandong Baofa Cancer Research Institute ke komo ikaika nei i ka noiʻi e hoʻomaikaʻi i nā hopena no nā poʻe maʻi me nā maʻi iwi. lapaʻau ʻaʻa iwi. Hiki i ka hoʻomaʻamaʻa kino a me ka ʻoihana ke kōkua i ka poʻe maʻi e loaʻa hou ka ikaika, ka neʻe ʻana, a me ka hana. Pono paha nā mea kōkua, e like me nā pale lima a i ʻole nā mea hoʻopololei, e kōkua i nā poʻe maʻi e hoʻi i kā lākou mau hana i kēlā me kēia lā. ʻO ka noho ʻana me ka ʻōpū o ka iwi he mea paʻakikī ke ola kino a me ka naʻau. Hiki i nā hui kākoʻo a me nā ʻōlelo aʻoaʻo ke hāʻawi i nā poʻe maʻi a me ko lākou ʻohana i ke kākoʻo noʻonoʻo a me nā kumuwaiwai e hoʻokō ai i nā pilikia o ka maʻi. Hiki ke kōkua ʻia ka pilina ʻana me nā maʻi ʻē aʻe i loaʻa i ka ʻōpū o ka iwi. Ke koho ʻana i kahi Lapaʻau Ke koho ʻana i kahi hale no lapaʻau ʻaʻa iwi ma Kina, e noʻonoʻo i kēia mau mea: Accreditation and certifications ʻO ka laulā o nā koho lapaʻau i hāʻawi ʻia ʻO ka ʻike a me ka ʻike o ka hui lapaʻau Nā loiloi maʻi a me nā hōʻike Hōʻuluʻulu manaʻo o Bone Tumor Nā koho Lapaʻau Hōʻike ʻana i nā hihia hoʻohana maʻamau ʻO ka wehe ʻana i ke koko, hiki ke hana hou. ʻO ka hapa nui o nā ʻano tumo iwi; lapaʻau mua ke hiki. ʻO nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Osteosarcoma, Ewing sarcoma. Radiation Therapy Nā kukuna ikehu kiʻekiʻe e pepehi i nā maʻi maʻi maʻi. Ewing sarcoma, Chordoma, i kekahi manawa Chondrosarcoma. Nā lāʻau lapaʻau i hoʻopaʻa ʻia e kuhikuhi ana i nā hiʻohiʻona kikoʻī o ka maʻi kanesa. ʻO nā hihia kikoʻī e pili ana i ka hoʻololi ʻana o ka tumo. Hōʻole: Kuhi ʻia kēia ʻike no ka ʻike ākea a me ka ʻike ʻike wale nō, ʻaʻole ia he ʻōlelo aʻoaʻo olakino. He mea nui e kūkākūkā me kekahi kauka lapaʻau koʻikoʻi no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.