Kanaka nunui aeeaʻeho: lapaau a me ka prognosis

Pilikua aeeaʻeho - he pono oncological maʻi, i ka loa pinepine ua hoano e ia e kanaka elemakule 15 i ka 40 o kona mau makahiki. I ka maʻi ua wehewehe aku ma ka benign papa, a me kaʻeho ua hanaʻia i loko o ka iwi'aʻaʻa.

Ma ka kekahi lima, ma lalo o ka aoao o kekahi kumumea o hiki malignant loli, i mea fraught me ka pilikia hopena. No laila, i ka mea kūpono i ka maʻi a me ka hoailona au e hoʻolohe i ka?

He aha ka osteoblastoklastoma? mall hiʻona

Pilikua aeeaʻeho mea he loa ai kekahi 'ole, i ka mea i hanaʻia i loko o ka iwi. Ua ua ike ia osteoblastoklastoma he a mau ke ano o na keena: liʻiliʻi mononuclear (aeee a me ka'ololaha a me ke ao alohilohi i kāna mau 'ōlelo a me ka uuku nui o ka chromatin) a me ka nunui multinucleated (20-30 iloko nuclei, a e hoohalike ai i ka maʻamau osteoclasts, ka mea, e uniformly māhele aku i loko o ka mānoanoa, a neoplasms e noho kaʻawale mai kekahi i kekahi).

Ma ka pōʻaiapili mea hiki ke ike i loko o ka pahee'aʻaʻaʻeho mea eleele ano me ko läkou 'uuku o ka hemorrhage (kahe ana ke koko) a me ka necrosis.

Mea Maluna o ka hikoko

Ma ke kālā no lapaau, ua neoplasms i hoʻolaha ke kaumaha ma muli o ka 'ole, ke kinona a me nā' ano. Inā mākou e kamailio e pili ana i nā hiʻona o ka 'ole, ke kanaka nunui halepaahaoʻeho hiki e:

• hei (haku o nā keena uuku, i hoʻokaʻawaleʻia i pohā kāpili iwi);
• cystic (ua he iwi lua, ka mea, ua pihaʻeho me ka wai, no laila, kohu cyst);
• lytic (i kēiaʻano o ka'ōleloʻano pākīkēʻeho ka ulu ana ua pu ma ka kokololio ka make ana o ka iwi; iwi kekahi kumu hiki ole ke hooponoponoia ia mea,).

I ka manawa o kaʻike,, a hoʻolohe i ka henua neoplasms. Kaʻeho paha e ka Central (hua mai la i ka iwi pūhaka) aʻike ākea (ka heluna i kaʻilikai 'ole, a me ka iwi periosteum).

Kahi o 50% o ka hihia i kaʻeho ua aia i loko o nā nā'aʻaʻa o ka iwi a puni ke kuli ami. kaʻeho pinepine i loaʻa i loko o ka distal kahahńnai. Aka osteoblastoklastoma hiki pili kokoke kekahi iwi, a me ka vertebrae, sacrum, tibia, femur a me humerus, me ka iwi ā lalo. I kekahi manawa, i ka pathological kaʻina kŰlń ao i na tendons a me ka pahee'aʻaʻa.

I ka papa kuhikuhiE kumu o ka maʻi

Eia naʻe, i ka lā, i nā kumu no ka muli a me ka ulu ana o kaʻeho mea IKE OLE IA. Ua Ua manaoio ia he mea he hereditary ololi, loa ina ke kahua a kūpono 'ana o ke keiki ka iwi nakeke, mai ke kumu mai i puka pono.

Kekahi poe akamai i aku nei au i ka pahiki o ka hooulu ana o ka nunui aeeaʻeho, piʻi pū ina ke hoʻomanawanui i ka hoʻoʻino mai ka heluna o ka iwi, a me ka periosteum. 'Ākena Makaʻu nō hoʻi nā pinepine fractures a me nā nā palapū o ke kākoʻo i hoʻomākaukauʻia.

He aha symptoms E hoʻolohe i?

Ma nā kahua o ka hoʻonaʻauao loiloi mua o? Acaeoey o kanaka nunui aeeaʻeho kākaʻikahi lilo ia iho, ikeia. he naggingʻeha hiki e wahi i ke kakahiaka nui nā hōʻailona e ala mai mai ka manawa i ka manawa. More loa symptoms i hoʻomaka ai i ka hopena o ka pili ulu o ka neoplasm.

Iwi'aʻaʻa hoʻomaka e uhai ia. Aia i noho'na makaainana i ulu fractures ma ke kahua o ka hikoko IIeEeAIEUAA. E like me ka ulu ana o kaʻeho ma lalo o kaʻili i Konakele. Pehu, i kekahi manawa, me kaʻoiʻoi outlines. Ma ka integument i loko o ka lesion ua unuhi moku hei.

Inā kaʻeho ua aia kokoke i ke ami, aole paha e ka helehelena a piha lilo ana o kona ka hoʻoneʻe. Soreness ua no hoi e lilo aku nō i - discomfort bothers ahonui i hoʻokō ', a ma ka maha.

Malignant kaʻina a me kona symptoms

Pilikua aeeaʻeho o ka iwi ua manaoia e e kŘpa a palekana. Aka hoi, he mea mau i ka pilikia o malignant hou 'o ka hikoko. I ka lā, ka mea kiko'ī kumu i kāhea i ke kaʻina i IKE OLE IA. Kekahi kānakaʻepekema i manaoio i ka hewa no ka mea a pau - hormonal loli a me ka pinepine nā palapū. Aia nā kauka i olelo ia rebirth o ka hopena o ka mua radiotherapy.

Ma kekahi hihia ia mea e pono ke ike i ka maʻi 'aʻai mea pilikia loa. Ma ke ala, i ke kaʻina ua pu ma ka helu o nā symptoms i pono ka uku hoolohe ia. Aia i Ua kokololio ulu o ka hoʻonaʻauao 'ana. Pinepine pathological kaʻina kŰlń ao ma kēlāʻaoʻao o ka iwi - i loko o ia mau hihia ua hana kanaka nunui aeeaʻeho oʻaeʻae'aʻaʻa a tendon.

Iloko o ka hōʻike, e hiki ke kiʻi ma mua o ka loli ma ka 'ole o ka hikoko - ia lilo he lytic, iwi ka uwapo ma waena o na keena nalo, na contours o ka cysticʻeho i blurred. Mahuahua i ke anawaena o ka lesion - maʻi pu ia e mālama nui loa ia'na o ka iwi'aʻaʻa.

PalekanaEND_LINK kaʻina hana

Ke alo o ka poʻe a 'ē aʻe symptoms e hoopa mai i ke kauka manao o ka maʻi' aʻai. O ka holo ana, ke kanaka nunui aeeaʻeho pono akaheleʻike. Ma hope o anamnesis hoomanawanui ua kuhikuhi:

• Biochemical Ka Ikepili o ke koko, i hiki ole e kaha wale i ke kino a pau, akā, no hoi, e huai ae i ka hōʻailona e hoike ana i ka make ana o ka iwi'aʻaʻa.
• He OAXA m-Ray. Ma nā kiʻi i ke kauka ke ike i kaʻeho, Loiloi i kona nui, nana i ka noho ana o na iwi. Ua loaʻa lako a pan no kaʻike, ma ka aneane na haukapila, a me ka waiwai e lilo aku o ka mea i loaʻa kūlana kanaka.
• Ka loa informative iaoiaeii meaʻume mākenēki resonance kiʻi (hiki ke loaa like pololei hualoaʻa ka hoʻohana Me tomography). Ke kauka i ka manawa, e hooholo i ka nui a me ka 'ole o kaʻeho, Loiloi i ka ano o ka iwi'aʻaʻa, e ike na metastases. Eia naʻe, ia mea he pipiʻi noiʻi.
• Ma ka loaʻaʻana o kaʻeho biopsy ua paipai. Iloko o ke kaʻina hana, ke kauka hanaʻia'aʻaʻa mea hōʻikeʻikeʻuʻuku mai neoplasms - Eia kekahi laʻana i laila, hoʻouna akula i ke keʻena hoʻokolohua. Ka Ikepili o ka biopsy kōkua, e nānā paha ka malignantʻeho keena.

Ma muli o kēia mau 'ikepili o ka kauka ke hooholo ina he mea pepehiʻeho, a laila, koho i ka loa ka hoʻokō lapaau.

Kanaka nunui aeeaʻeho: lapaʻau

Koke ia mea ke kumukuai i ka i ana i ka Inc hilinaʻi nui ma luna o ka nui o ka hikoko, i ke alo o malignant kaʻina, wahi a metastases, a no laila, ma luna o. D.

Removal o kanaka nunui aeeaʻeho mea pono. Maʻoki kino, resection ua hana ole wale hikoko, akā, i ke kahua o ka iwi iʻa. Wehe i kekahi hapa o ke kākoʻo nakeke UAIAaIN ma ka prosthesis. I ka li nui a maʻiʻaʻai o kaʻeho ke kauka ke hooholo i ka amputation o ka lala holoʻokoʻa. Inā metastases (e laʻa me, akemāmā ole ake) i 'akomi i loko o ke ahonui o ka kino, alaila, hapa ana ua lawe maikaʻiʻole ia ma nā'aʻaʻa.

Muli o kona kulana pinepine, i loko o ka huakai kaapuni ua hō'ā radiotherapy. Oia lapaʻau mea pono i loko o ka hanana i kaʻeho hiki ole ke wehe (e laʻa me, ka mea, ua hanaʻia i loko o ka femur, vertebra a me ka sacrum). Irradiation ua lawe mai i loko o ke alo o ka malignant kaʻina hana, a hiki ina ma ka manawa o keʻoki kino ua hiki i ka pakele ana i nā mea a pau pathological me ka ho okumu. Ma kekahi mau hihia, e hoomanawanui i consciously hoole i ka iwi resection.

Ke koho ana o ka lapaʻau mea pono e hilinai i ke kauka. No ka iapaau ana o ka osteoblastoklastomy noi kākou gamma-Inc, radiotherapy orthovoltage, ke peleki pāʻana a me ka huina'ine pāhawewe.

Kanaka nunui aeeaʻeho: ka prognosis o nā mea maʻi, a hiki complications

Ma ka hapanui o na hihia, ka maikaʻi Outlook no nā mea maʻi. O ka holo ana, e pono e wehe i kaʻeho, pinepine pu me kekahi hapa o ka hoʻohuli ai i nā iwi. Akā, relapses i kakauia infrequently.

Akā, malignant pilikua aeeaʻeho ka mea, no ka mea, ka mea maʻi ua pu ma ke kahua o ka metastases, i hiki ke hoonohonoho i aneane kekahi hui,. Ke surgeon mea i manawa e hiki ke lawe mai i ka resection o nā mea a pau hikoko.