
ʻO nā ʻōpū o ka iwi ka ulu ʻino ʻole o nā pūnaewele i loko o ka iwi. Hiki iā lākou ke benign (non-cancerous) a i ʻole malignant (cancerous). Ke ʻimi nei kēia alakaʻi piha i nā ʻano like ʻole o lapaʻau ʻaʻa iwi, mai ka hōʻoia ʻana i nā koho lapaʻau a me ka mālama ma hope o ka mālama ʻana. He mea koʻikoʻi ka hoʻomaopopo ʻana i nā kikoʻī o kou kūlana, a e kūkākūkā pū me nā limahana lapaʻau e like me nā mea ma Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) ka hana mua i ka hooponopono pono.
Kakaʻikahi ka laha ʻana o nā ʻōpū o ka iwi ma nā wahi ʻē aʻe o ke kino. ʻO nā laʻana e pili ana i nā osteochondromas, nā maʻi maʻi nui, a me nā enchondromas. Hoʻohana pinepine ʻia ka mālama ʻana i ka nānā ʻana i ka ulu ʻana o ka ʻōpū a i ʻole ka wehe ʻana i ka ʻokiʻoki inā he ʻeha a i ʻole nā hōʻailona ʻē aʻe. ʻO ka hoʻoholo no ka wehe ʻana i kahi maʻi maʻi maʻi maʻamau e hana ʻia e kāu kauka lapaʻau i kēlā me kēia hihia.
ʻO nā ʻōpū iwi ʻino, e like me ka osteosarcoma a me Ewing sarcoma, he maʻi ʻaʻai a hiki ke laha i nā wahi ʻē aʻe o ke kino (metastasis). Pono kēia mau mea i ka hakakā lapaʻau ʻaʻa iwi ʻaʻai nā hoʻolālā. ʻO ka ʻike mua ke kī no ka hoʻomaikaʻi ʻana i ka wānana. ʻO ka kikoʻī lapaʻau ʻaʻa iwi ʻaʻai e pili ana ka papahana i kekahi mau kumu, e like me ke ʻano tumo, ka nui, ka wahi, a me ke olakino holoʻokoʻa o ka mea maʻi.
ʻO ka hoʻomaʻamaʻa ʻana i ka ʻōpū o ka iwi maʻamau e pili ana i ka hui pū ʻana o nā hoʻokolohua kiʻi a me nā biopsies. Hiki i nā X-ray, CT scans, a me MRI ke ʻike i ka ʻōpū a nānā i kona nui a me kona wahi. Pono ka biopsy no ka hoʻoholo ʻana inā he palupalu a ʻino paha ka ʻōpū a e ʻike i ke ʻano kikoʻī o ka ʻōpū.
Lapaʻau lapaʻau ʻaʻa iwi ʻokoʻa nui nā koho ma muli o ke ʻano a me ka pae o ka ʻōpū, a me ke olakino holoʻokoʻa o ka mea maʻi. Loaʻa nā ala maʻamau:
He mea maʻamau ka ʻoki ʻana lapaʻau ʻaʻa iwi ʻaʻai no na ma'i ma'i iwi ma'i a ma'i. Hiki ke ʻano o ka ʻoki ʻana mai ka curettage (ka wehe ʻana i ka ʻōpū) a hiki i ka ʻoki ʻana i nā lālā (ka wehe ʻana i ka ʻōpū a hoʻololi i ka iwi i hoʻopilikia ʻia) a i ʻole ka ʻoki ʻana (ka wehe ʻana i ka lālā) i nā hihia koʻikoʻi. ʻO ka pahuhopu ka wehe loa ʻana i ke koko me ka hōʻemi ʻana i ka pōʻino i nā ʻiʻo a puni.
Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Hoʻohana pinepine ʻia me ka ʻoki ʻana no nā ʻōpū iwi ʻino e hōʻemi i ka nui o ka ʻōpū ma mua o ke ʻoki ʻana, e pepehi i nā keʻena maʻi maʻi i koe ma hope o ke ʻoki ʻana, a i ʻole e mālama i ka maʻi metastatic. ʻO ke ʻano o ke ʻano o ka maʻi maʻi iwi.
Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. Hiki ke hoʻohana ʻia ma mua o ka ʻoki ʻana no ka emi ʻana o ka maʻi koko, ma hope o ke ʻoki ʻana e pepehi i nā keʻena maʻi kanesa i koe, a i ʻole e mālama i ka maʻi metastatic hiki ʻole ke wehe ʻia. E like me ka chemotherapy, ua hoʻohālikelike ʻia nā kikoʻī i ka mea maʻi a me ke ʻano tumor.
Hoʻohana ʻia ka lāʻau lapaʻau i hoʻopaʻa ʻia i nā molekele kikoʻī e pili ana i ka ulu ʻana o ka maʻi kanesa. Hōʻike kēia mau lāʻau lapaʻau i ka ʻōlelo hoʻohiki a hoʻohana ʻia i nā kūlana kikoʻī. Ke hoʻomau nei ka hoʻomohala ʻana i nā lāʻau lapaʻau i manaʻo ʻia, e hāʻawi ana i ka manaolana no nā lāʻau lapaʻau ʻoi aku ka maikaʻi a me ka liʻiliʻi.
Ke hahai nei lapaʻau ʻaʻa iwi ʻaʻai, he mea nui ka nānā 'ana a me ka mālama 'ana. ʻO ka nānā mau ʻana, nā noiʻi kiʻi kiʻi, a me nā hoʻāʻo koko e kōkua i ka ʻike ʻana i ka hoʻi hou ʻana a i ʻole nā pilikia. Pono paha ka hoʻomaʻamaʻa kino a me ka hoʻoponopono ʻana e kōkua i ka hoʻihoʻi ʻana i ka hana a me ka neʻe.
He mea nui e hoʻomanaʻo he kū hoʻokahi ke kūlana o kēlā me kēia kanaka. ʻO ka ʻike i hāʻawi ʻia ma ʻaneʻi no ka ʻike ākea a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kahi oncologist akamai no ka hōʻoia pololei a pilikino lapaʻau ʻaʻa iwi ʻaʻai hoʻolālā. ʻO ka Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) hāʻawi i ka mālama piha ʻana no nā ʻano maʻi maʻi like ʻole, me nā ʻōpū iwi.
| ʻAno Lapaʻau | Nā pōmaikaʻi | Hiki i nā hopena ʻaoʻao |
|---|---|---|
| ʻO ka ʻoki ʻana | Hoʻopau piha i ka maʻi tumora, hiki ke hoʻōla | ʻO ka ʻeha, ka maʻi, ka ʻili, nā palena o ka hana |
| Kemoterapi | Pepehi i nā maʻi maʻi maʻi ʻaʻai, hōʻemi i nā ʻōpū | Nausea, luaʻi, lauoho lauoho, luhi, immunosuppression |
| Lapaʻau Radiation | Pepehi i nā maʻi maʻi maʻi ʻaʻai, hōʻemi i nā ʻōpū | ʻO ka huhū o ka ʻili, ka luhi, ka nausea, nā hopena lōʻihi |
Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me ka mālama ʻana i kekahi maʻi olakino.