ʻO ka maʻi ʻaʻai iwi kahi ʻano maʻi ʻaʻai ʻole. Hiki iā ia ke hoʻopili i nā keiki ʻōpio, ʻōpio a me nā mākua. ʻO ka ʻeha o ka iwi a me nā haʻi haʻi e pili pinepine ʻia i nā hōʻailona maʻi.

ʻO ka maʻi ʻaʻai iwi kahi ʻano maʻi ʻaʻai ʻole. Hiki iā ia ke hoʻopili i nā keiki ʻōpio, ʻōpio a me nā mākua. ʻO ka ʻeha o ka iwi a me nā haʻi haʻi e pili pinepine ʻia i nā hōʻailona maʻi.

Hoʻokaʻawale ʻia ma waena o ka iwi ʻaʻa o ka mea nui a me nā mea nui lua. Hoʻopuka pololei ke ʻano mua i nā iwi o ke kino. ʻO ka lua ke kumu o ka hoʻolaha ʻana o kahi tumo, mai kekahi ʻāpana o ke kino.

Hoʻohui ʻia i kēia, ʻokoʻa nā ʻano o ka maʻi ʻaʻai iwi:

• ka oséosarcome : ka maʻi maʻi iwi ākea ākea loa, pili pinepine i nā keiki a me nā ʻōpio ʻōpio (ma lalo o 20 mau makahiki)
• ʻO ko Ewing sarcoma : e pili ana i ka poʻe mai 10 a 20 mau makahiki
• ka chondrosarcome, e pili ana iā ia, ka poʻe nona ka makahiki i ʻoi aku ma mua o 40 makahiki.

ʻO nā mea maʻi ʻōpio (nā keiki a me nā ʻōpio mua) i hoʻopili ʻia e kēia ʻano maʻi ʻaʻai hiki ke hōʻike i ka hoʻolaha wikiwiki ʻana o kēia maʻi, keu hoʻi i ka wā ʻōpio. I kēia ʻano, hiki i kēia nui o ka maʻi ʻaʻai ke hoʻopilikia i ka hoʻomohala ʻana o ka iwi iwi holoʻokoʻa.

Hiki i kēia ʻano ʻano like ʻole o ka maʻi ʻaʻai iwi ke hoʻopili i nā ʻāpana like ʻole o ke kino a me nā hunaola ʻokoʻa. I kēia ʻano, ʻo nā hōʻailona hōʻailona e like me nā lāʻau lapaʻau i lawe ʻia e kaukaʻi ʻia i ke ʻano o ka maʻi ʻaʻai iwi.

I ka hapa nui o nā maʻi ʻaʻai iwi, ʻaʻole ʻike ʻia ke kumu pono.

Eia nō naʻe, aia kekahi mau kumu i lilo i kumu no ka hoʻonui ʻana i ka makaʻu o ka maʻi ʻaʻai. Ma waena o kēia mau mea, hiki iā mākou ke hoʻomaopopo:

• ka hōʻike ʻana i ka radiation, ma ke ʻano he mahele o ka mālama ʻana i ka radiotherapy
• ke kū ʻana o kahi pathology iwi paʻa. Kūpono ʻia ka Nā maʻi Paget
• nā kumu kūlohelohe, e like me Li-Fraumeni syndrome, e hōʻike ana i ka loaʻa ʻole o kahi ʻāpana e ʻae ana i ke kino e kaua kūʻē i ka ulu ʻana o nā hunaola maʻi ʻaʻai.

Hiki i kekahi ke hoʻopilikia ʻia e kēlā maʻi ʻaʻai.

ʻO kekahi ʻano o ka maʻi ʻaʻai iwi e hoʻopili i ka poʻe ʻōpio i ʻoi aku (osteosarcoma a i ʻole ʻo Ewing's sarcoma) a me nā mea ʻē aʻe i nā makahiki ʻelemakule (chondrosarcoma).

Eia nō naʻe, hiki i kekahi mau palena ke hoʻoulu i ka ulu ʻana o ia ʻano maʻi ʻaʻai: radiotherapy, genetics, maʻi iwi, etc.

Hiki i ka iwi maʻi iwi ke hoʻololi i nā iwi like ʻole i nā ʻāpana like ʻole o ke kino.

I ka hihia maʻamau, hoʻopili ia i nā iwi lōʻihi o nā wāwae a me nā forearms. Eia nō naʻe, ʻaʻole hiki ke kāpae ʻia nā wahi o ke kino.

ʻO nā ʻōuli i loaʻa pinepine ʻia ma ia manawa:

• ʻeha iwi, ka mea i ʻoi aku ka nui ma mua o ka manawa a hoʻomau i ka pō
• ka pehu a me ka mumū ma kahi i pā. Hiki i kēia mau mea ke hoʻoulu i nā pilikia i ka neʻe ʻana o ke kino, keu hoʻi inā aia ka pona ma kahi o nā ligament
• ka ʻike maka ʻia o kahi nodule i ka iwi
• nāwaliwali i ka ikaika o ka iwi iwi (hoʻonui i ka maka o nā haki).

ʻO ke keiki e namunamu ana i nā ʻōuli e pono ke ʻike ʻia e ke kauka i ka wā hikiwawe loa, i mea e hōʻalo ai i nā hopena kūpono i kona ulu ʻana a me kona ulu ʻana.

Hiki i kekahi mau pilikia pilikia ke hoʻoulu, i ka nui a i ʻole ka liʻiliʻi, ka hoʻomohala ʻana o kahi ʻano maʻi ʻaʻai. I waena o kēia mau mea: ʻike ʻia i ka radiation, nā kumu genetic a i ʻole kekahi mau pathology kumu.

ʻO ka maʻamau, aia ma hope o ka haki o ka iwi a i ʻole ʻeha nui i nā iwi ka hopena o ka ʻike mua.

A laila hiki i kahi x-ray ke hiki ke hoʻokalakala i kahi ʻano maʻamau o ka maʻi ʻaʻa iwi.

Hiki ke kuhikuhi ʻia kekahi mau loiloi lāʻau ʻē aʻe ma ke ʻano he ʻāpana o ka hōʻoia a hōʻole ʻana paha i ka maʻi, akā no ka hoʻoholo ʻana i ke kiʻekiʻe o ka laha ʻana o ka maʻi ʻaʻai.

I waena o kēia mau mea:

• la ʻōwili iwi,
• ka mīkini ʻimi,
• MRI
• positron hoʻoili tomography.

Hiki i nā hōʻailona biological ke kuhikuhi i ka maʻi ʻaʻai iwi. Ana ʻia kēia mau palena ma o ke kaike koko a i ʻole nā ​​mimi. ʻO Hypercalcemia, ke kū ʻana o nā māka tumo a i ʻole nā ​​māka o ka palaho he mea nui ia no kēlā maʻi ʻaʻai.

I mea e aʻo hou ai e pili ana i ke kumu o ka maʻi ʻaʻai, hiki nō hoʻi ke hoʻohana i ka biopsy.

ʻO ka mālama ʻana a me ka mālama ʻana i kēlā ʻano maʻi ʻaʻai e pili ana i ke ʻano o ka maʻi ʻaʻai a pehea ka laha ʻana.

I ka hapanui o nā hihia, hopena nā hopena i:

• ʻoki kino, hemo ʻana i kahi ʻāpana o ka wahi i loli ʻia. I kēia pōʻaiapili, hiki nō ke hoʻololi pinepine i kēia ʻāpana akā hiki i ka amputation ke hopena hope loa.
• chemotherapy, ka lāʻau lapaʻau i hoʻohana pinepine ʻia e mālama i ka maʻi ʻaʻai
• radiation therapy, e hoʻohana ana i ka radiation e hōʻino ai i nā hunaola maʻi ʻaʻai.

I kekahi mau hihia o ka osteosarcoma, hiki ke kuhikuhi ʻia kekahi lāʻau lapaʻau lāʻau hou (mifamurtide).