ʻO Osteosarcoma kekahi o nā maʻi maʻi iwi mua nui loa. Hoʻololi pinepine ia i nā keiki, ʻōpio a me nā ʻōpio makua. ʻOi aku ka hakakā, koi ʻo osteosarcoma i ka chemotherapy a me ke ʻoki ʻana.

Ka wehewehe o ka osteosarcoma

ʻO Osteosarcoma ka maʻi ʻaʻai o ka iwi iwi. ʻIke ʻia ia he ʻano hakakā, me ka makaʻu o nā metastases. ʻO kēia nā maʻi maʻi ʻelua: neʻe nā hunaola o ka tumo mua i nā ʻāpana ʻē aʻe o ke kino. Ke ʻike ʻia ka osteosarcoma, ʻike ʻia nā metastases ma 10-20% o nā hihia.

Hiki i nā Osteosarcomas ke ulu i nā ʻāpana like ʻole o ka iwi. Eia naʻe, ʻoi aku ka maʻamau ke ʻike iā lākou ma nā wēlau o nā iwi kokoke i nā hono. Hōʻike pinepine ʻia ʻo Osteosarcomas ma ke kuli ma ka piko o lalo o ka femur a i luna paha o ka tibia. Ua ʻike ʻia lākou i nā pūhaka, nā poʻohiwi, pelvis, vertebrae, iwi poʻo a me ka iwi ā.

Hoʻokaʻaʻike o osteosarcomas

Hiki ke hoʻokaʻawale ʻia nā ʻōpala e like me nā palena he nui, a ma ke ʻano e like me ka nui. 'Lelo mākou no ke kūʻana i ka ʻōlelo olakino. Loiloi ʻia ka nui o ka maʻi ʻaʻai iwi i ʻehā mau pae. ʻO ke kiʻekiʻe o ke kahua, ʻo ka nui o ka maʻi ʻaʻai i hohola i loko o ke kino. Kūlike nā paukū 1 a 3 i nā palapala kūloko. Hoʻomaopopo ka pae 4 i nā metastatic: ua neʻe nā hunaola maʻi maʻi i nā mea ʻē aʻe i ke kino.

Hoʻomaopopo: ʻaʻole pili ka hana ʻana o ka maʻi ʻaʻai iwi i nā tumors i ka iwi kuamoo a me nā pelvis.

Nā kumu o ka osteosarcoma

E like me nā ʻano maʻi ʻaʻai ʻē aʻe, loaʻa kahi osteosarcomas i kahi kumu i hoʻomaopopo ʻole ʻia.

I kēia lā, ua ʻike ʻia e pili ana a i ʻole makemake ʻia ka hoʻomohala ʻana o ka osteosarcoma e:

• bilin retinoblastoma, kahi ʻano maʻi ʻaʻai maka;
• Maʻi ʻo Paget, he maʻi iwi maikaʻi;
• ʻO Li-Fraumeni syndrome, kahi kūlana maʻamau i predisposing i nā ʻano tumors.

ʻIke o ka osteosarcoma

Hiki ke kānalua ʻia kēia ʻano maʻi ʻaʻai i nā hihia i ʻōlelo ʻia ma luna, a i ʻole i ke alo o kekahi mau hōʻailona maʻi. Hiki ke hōʻoia a hoʻonui ʻia ka ʻike ʻana o ka osteosarcoma e:

• nā hoʻokolohua kiʻi lapaʻau e like me x-ray, CT scans, magnetic resonance imaging (MRI) a me ka iwi scintigraphy;
• kahi biopsy e komo ana i ka lawe ʻana i kahi ʻāpana o ke kiko no ke kālailai ʻana, keu hoʻi inā kānalua ʻia ka maʻi ʻaʻai.

Hiki ke hoʻohana ʻia kēia mau hoʻāʻo e hōʻoia i ka ʻike o ka osteosarcoma, e ana i kona nui a nānā i ka loaʻa a me ka ʻole o nā metastases.

Nā kānaka e loli ʻia e ka osteosarcoma

ʻO Osteosarcoma kekahi o nā maʻi maʻi iwi mua nui loa. He maʻi maʻamau ia e hoʻopili i ka awelika o 3 mau hihia i miliona i kēlā me kēia makahiki.

Ma Farani, 100 a 150 mau hihia i ʻike ʻia i kēlā me kēia makahiki. ʻO ka hapanui ka poʻe ʻōpio a me nā ʻōpio ʻōpio.

ʻIke pinepine ʻia ʻo Osteosarcomas ma waena o nā makahiki he 10 a me 25, a ʻo ka hapanui o nā keikikāne. Hiki i kēia ʻano maʻi ʻaʻai iwi ke hana ʻia i nā makahiki ʻē aʻe, keu hoʻi i ka poʻe ma waena o nā makahiki 60 a me 70.

Paena kaona

ʻO ka ʻeha iwi ka hōʻailona mua o ka maʻi ʻaʻai iwi. Hiki ke hoʻomau a kuewa paha ka ʻeha, ʻoi aku a ʻoi ʻole o ka ikaika, localized a diffuse paha.

Huʻi kūloko

Hiki i ka hoʻomohala ʻana o ka osteosarcoma ke alakaʻi i ke ʻano o kahi puʻupuʻu a i ʻole palpable nuipa i loko o ka mea i hoʻopili ʻia.

Haki pathological

Nawaliwali ka iwi i ka hanana osteosarcoma. I kekahi mau hihia, hiki i nā haʻihaʻi pathologic ke hana kūlohelohe a i ʻole ka ukali ʻana i kahi trauma ʻuʻuku.

ʻO ka chemotherapy mua

Hoʻohana ʻia kēia lapaʻau e mālama i nā ʻano maʻi ʻaʻai. Hoʻokumu ʻia ia i nā kemika hiki ke kūʻē i ka ulu ʻana o nā hunaola maʻi ʻaʻai. I ke kumu o ka osteosarcoma, hiki i ka chemotherapy ke hōʻemi a kaohi i ka foci tumo ma mua o ke kahakaha ʻana.

Hoʻolā hewa

Ma hope o ka chemotherapy mua, hana pinepine ʻia ke ʻoki e wehe i nā tumo a pau.

ʻO ka chemotherapy ma hope o ka hana

ʻO kēia ka lua o ka mālama ʻana me ka chemotherapy e hiki ai ke kaohi i ka makaʻu o ka hoʻi hou ʻana.

immunotherapy

He ala hou kēia no ka mālama ʻana i ka maʻi ʻaʻai. He mea kōkua paha a i ʻole he koho ʻē aʻe i nā hana i ʻōlelo ʻia ma luna. Ke hoʻomau nei ka noiʻi. ʻO ka pahuhopu o ka immunotherapy e hoʻonāukiuki i nā pale pale pale o ke kino e hakakā i ka ulu ʻana o nā hunaola maʻi ʻaʻai.

Hoʻomaopopo iki ʻia ke kumu o ka osteosarcomas. ʻO ka ʻōlelo maʻamau, hoʻokumu ʻia ka pale ʻana i ka maʻi ʻaʻai i kēia manawa ma ka mālama ʻana i kahi ola olakino.

Paipai ʻia hoʻi e ʻimi i nā ʻōlelo aʻoaʻo olakino i kahi kānalua iki. Paipai ka hōʻike mua i ka hoʻomaʻamaʻa kūleʻa a palena i ka makaʻu o nā pilikia.