ʻO ka maʻi maʻi iwi he a keʻano o ka maʻi kanesa hiki ke hana ma kekahi iwi o ke kino. Eia nō naʻe, pili pinepine ia i nā iwi lōʻihi e like me nā lima, nā wāwae, a me nā iwi pelvic. Iwi Ka maʻi 'aʻai hoʻomaka e kūkulu pono i loko o nā iwi a pālahalaha pinepine ma nā wahi ʻē aʻe o ke kino. Hoʻomaka ia e ulu i ka wā e hoʻomaka ai nā cell abnormal e hoʻonui i ka ʻiʻo iwi. Hiki i kēia ulu kaulike ʻole o nā cell ke hoʻonāwaliwali i ka iwi a hoʻoulu i ka ʻeha, pehu, haki, luhi etc. A, e ho'ēmi i ka hana kino. ʻIke ʻia ke ʻano ma o ka ʻeha hiki ʻole ke hoʻomanawanui, nā puʻupuʻu a hoʻololi pinepine i ke ʻano maʻamau o ka iwi. Eia nō naʻe, pono ka ʻike mua ʻana a me ka mālama ʻana i ka maʻi maʻi iwi i mea e mālama pono ai i ke ʻano.

Pehea ka maʻamau o ka maʻi maʻi iwi a me kona ʻano?

ʻO ka maʻi ʻaʻai iwi kahi maʻi kakaʻikahi i loaʻa ma lalo o 1% o nā maʻi kanesa. Hiki ke ulu i kēlā me kēia makahiki a ʻoi aku ka maʻamau i nā keiki a me nā pākeke. Hoʻokaʻawale ʻia nā maʻi maʻi iwi i nā ʻano like ʻole e pili ana i kahi i loaʻa ai me kahi ʻāpana o ke kino e ulu ai:

Osteosarcoma: Hiki ke ʻano o kēia ʻano maʻi kanesa ma nā wāwae, nā lima, a me nā keens. Loaʻa ka hapa nui i nā keiki a me nā mākua. ʻO ka lāʻau lapaʻau i loaʻa no kēia ʻano maʻi maʻi maʻi ʻo ka ʻoki ʻana a me ka chemotherapy.
Ewing Sarcoma: ʻO Ewing kekahi ʻano o ka maʻi maʻi iwi e pili ana i nā keiki a me nā ʻōpio. Hoʻomaka ia e kūkulu i loko o nā pūnaewele o ka iwi a loaʻa pinepine i ke pelvis, nā wāwae a me nā iwi lima. No ka ho'ēmiʻana i kēia maʻi kanesa, koho nā kauka lapaʻau i ka radiation therapy, chemotherapy a me nā ʻoki.
Chondrosarcoma: Hoʻopilikia kēia ʻano maʻi ʻaʻai iwi i nā pūnaewele cartilage, nona ke kuleana no ka maʻalahi o ka iwi. Hoʻopilikia nui ia i nā ʻōpio ma ko lākou mau wāwae a me nā poʻohiwi. Hiki ke hoʻolohi pinepine i ka ulu ʻana o ka iwi. ʻO ka lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana i kēia maʻi kanesa ʻo ke ʻokiʻoki.
Chordoma Cancer: Loaʻa kēia ʻano maʻi maʻi ʻaʻai iwi ʻokoʻa ma ka iwi kuamoʻo a i ʻole ka lalo o ka iwi poʻo. Hana ʻia ia i ka manawa like a hoʻoulu i ka ʻeha hiki ʻole ke hoʻomanawanui. Hoʻopili ka hoʻomaʻamaʻa ʻana i nā ʻokiʻoki a me nā lāʻau lapaʻau.
Fibrosarcoma: Hoʻomaka ia e ulu i loko o nā ʻiʻo fibrous o ka iwi a hiki ke pili i nā keiki a me nā pākeke. ʻO ka lāʻau lapaʻau no kēia maʻi kanesa ʻo ka chemotherapy, ʻokiʻoki, a me nā lāʻau lapaʻau.

Nā kumu o ka maʻi maʻi iwi i loko o kēlā me kēia kanaka

ʻAʻole ʻike maopopo ʻia nā kumu o ka hoʻomohala ʻana i ka maʻi ʻaʻai iwi, akā ʻo ka nui o nā kumu moʻokūʻauhau a me nā mea kaiapuni e pili ana i ka hiki ʻana mai o nā maʻi maʻi iwi. ʻO kekahi mau mea e pili ana i ka piʻi ʻana o ka pilikia e komo pū kekahi:

ʻO ka ʻike ʻana i nā kiʻekiʻe kiʻekiʻe o ka Radiation: Hiki ke hoʻonui nui i ka pilikia o ka maʻi maʻi iwi, me ka maʻi leukemia a me ka osteosarcoma i ka loaʻa ʻana i ka nui o ka radiation.
Hoʻoilina Genetic Syndrome: ʻO kekahi mau ʻano genetic maʻamau e like me ka Neurofibromatosis type 1 hiki ke hoʻonui i ka manawa o ka hiki ʻana mai o ka maʻi maʻi iwi.
ʻO ka maʻi o Paget: ʻO kekahi maʻi kakaʻikahi i kapa ʻia ʻo Paget e pili pū ana me ka iwi a ʻo ia kekahi o nā kumu o ka hoʻomohala ʻana i ka maʻi maʻi iwi.
ʻEha Nui i hala aku nei: ʻO ka manawa pinepine, ʻo nā ʻeha iwi ma mua ke kumu o ka maʻi maʻi iwi, i ka manawa like ke hana ʻia i loko o ke kino inā ʻaʻole mālama pono ʻia ka ʻeha.
Age: He liʻiliʻi nā maʻi maʻi maʻi iwi, e like me ka osteosarcoma e pili ana i ka makahiki i loaʻa maʻamau i nā keiki a me nā ʻōpio.

Nā hōʻailona o ka maʻi maʻi iwi

Eia kekahi mau hōʻailona a i ʻole hōʻailona hōʻailona o ka maʻi maʻi iwi:

Haʻi pinepine: ʻO ke kū mau ʻana i nā pilikia pili i ka iwi a me nā haʻihaʻi, ʻo ia nā hōʻailona weliweli e hiki ke hoʻoulu i ka maʻi kanesa. Inā ua ʻike ʻoe i nā haʻihaʻi he nui i kekahi manawa, ʻo ia paha kekahi o nā hōʻailona o ka maʻi maʻi iwi.
ʻEha ma ka iwi kikoʻī o ke kino: ʻO ka loaʻa ʻana o ka ʻeha hiki ʻole ke hoʻomanawanui i ka wā hoʻoikaika kino a i ka pō paha he hōʻailona ia o ka maʻi maʻi iwi, i ka wā mua hiki ke maʻalahi a ʻoi aku ka ʻino i ka manawa.
Ka pehu ma ka wahi i hoʻopilikia ʻia: He hōʻailona ka pehu ʻana ma ka ʻāpana o ka iwi. Hiki paha iā ʻoe ke ʻike i ka puʻupuʻu a i ʻole ka hū ʻana i ka iwi, a ʻeha paha ke pā ʻoe.
Pohō kaumaha koke: ʻO ka hōʻemi ʻana i ke kaumaha me ka loaʻa ʻole o nā lāʻau hoʻemi kaumaha a me ka hoʻoikaika kino ʻana he hōʻailona kumu ia o ka maʻi maʻi iwi.
Kalohi: Inā ʻoluʻolu kekahi no ka manawa lōʻihi me ka ʻole o ke kau a maule pinepine a laila he hōʻailona kēia o ka maʻi maʻi iwi.

Lapaʻau a me ke kaʻina hana maʻi maʻi iwi

ʻO ka mālama ʻana i ka maʻi maʻi iwi he hana laulima a nā loea lapaʻau e like me nā oncologists orthopedic, radiologists, pathologists, a me nā loea lapaʻau ʻē aʻe. Hāʻawi kēlā me kēia kauka lapaʻau e lanakila i ke kūlana, me nā lāʻau lapaʻau a me nā kaʻina hana. Hoʻomaʻamaʻa maikaʻi kēia hui hui i nā ʻano maʻi maʻi like ʻole ka mālama 'ana o ka lolo or ka hanaʻana i ka maʻi kanulau maʻi. Ma kēia kaʻina hana lapaʻau, hoʻemi mua nā kauka lapaʻau i ka cell tumor, hoʻemi i nā hōʻailona a mālama i ka hoʻi hou ʻana.

ʻO nā koho i loaʻa no ka mālama ʻana i ka maʻi maʻi iwi e pili ana i ka mālama ʻana i ka radiation e hōʻemi i nā ʻōpū a hoʻomaha i ka ʻeha. ʻO nā ʻokiʻoki no ka holoi ʻana i nā cell tumor i kuleana no ke ʻano. ʻO ka hope, nā lāʻau lapaʻau i hoʻopaʻa ʻia e pepehi i nā cell abnormal. Hiki ke hoʻohana ʻia ka mālama ʻana i ka maʻi ʻaʻai iwi ma nā kūlana kikoʻī ma hope o ka nānā ʻana i ke kūlana o ka mea maʻi a me ka pae o ka maʻi maʻi iwi āna e hele nei a nānā pū i ka hoʻomanawanui a me ka maikaʻi o ka mea maʻi.

Ke kaʻina hana o ka mālama ʻana i ka maʻi maʻi iwi

Pono ka mālama ʻana i ka maʻi ʻaʻai iwi i ka ʻoki ʻana, ka chemotherapy, a me nā lāʻau lapaʻau e hoʻoneʻe i nā maʻi maʻi mai ke kino. Eia nō naʻe, pili kēia ʻano i ka pae maʻi maʻi o ka mea maʻi e hoʻemi pono i nā cell i manaʻo ʻia. Pono ka lāʻau lapaʻau i kahi hōʻailona hou e ʻike ai i ka pae o ka maʻi kanesa a me ke ʻano maʻi kanesa.

ʻike,: Ma o ka maʻi maʻi e loaʻa ai ka manaʻo i ka lāʻau e pono ai lākou e hoʻohana i ka mea maʻi e like me ke ʻano. No kēia mea, hana lākou i nā X-ray, MRI, CT scans a me ka iwi iwi e ʻike ai i nā ʻiʻo pili o ka iwi.
ʻO ka ʻoki ʻana: Hoʻohana ʻia kēia kaʻina hana no ka wehe ʻana i nā ʻiʻo iwi ʻino a pono paha i kekahi mau hihia i mea e ʻike ai i kahi o ka ʻōpū.
Hana hou: ʻO ke kūkulu hou ʻana he ʻāpana koʻikoʻi o ka mālama ʻana no ka hoʻihoʻi ʻana i ka hana a me ke ʻano ma hope o ke ʻoki ʻana.
Kemoterapi: Chemotherapy hoʻohana ʻia no ka hoʻopau ʻana i nā maʻi maʻi maʻi a no ka hoʻohaʻahaʻa ʻana i nā ʻōpū.
Lapaʻau Radiation: Hoʻohana ʻia kēia lāʻau lapaʻau i kēlā mau hihia inā ʻaʻole he koho ke ʻoki ʻana, a hoʻohana pū ʻia hoʻi e wehe i nā maʻi kanesa mai ke kino.
ʻO ka lāʻau lapaʻau i koho ʻia: Hoʻohana ʻia ka lāʻau lapaʻau no ka wehe pono ʻana i kēlā mau cell nona ke kuleana no ka hiki ʻana mai o ka maʻi maʻi iwi.
Hoʻoponopono: Pono kēia ʻāpana o ka mālama ʻana i mea e nānā ai a hoʻihoʻi i ka ikaika, ka neʻe ʻana, nā hopena ʻaoʻao, nā manawa hou a me ka loiloi ʻana i ka maikaʻi o ka mea maʻi.