Nā ʻano / iwi / hoʻomanawanui / osteosarcoma-lapaʻau-pdq

ʻO Osteosarcoma a me Malignant Fibrous Histiocytoma o ka mālama ʻana o ka iwi (®) –Papaent Version

ʻO ka ʻike ākea e pili ana iā Osteosarcoma a me Malignant Fibrous Histiocytoma o Bone

NA MANA KUNI

• ʻO ka Osteosarcoma a me ka malignant fibrous histiocytoma (MFH) o ka iwi he mau maʻi ia e kū ai nā pūnana malignant (cancer) i ka iwi.

• ʻO ka loaʻa ʻana o ka lāʻau i hala me ka radiation hiki ke hoʻonui i ka makaʻi o ka osteosarcoma.

• ʻO nā hōʻailona a me nā ʻōuli o ka osteosarcoma a me ka MFH me ka pehu ʻana ma luna o ka iwi a i ʻole ka ʻāpana iwi o ke kino a me ka ʻeha pū.

• Hoʻohana ʻia nā hoʻokolohua kiʻi e ʻike (loaʻa) osteosarcoma a me MFH.

• Hana ʻia kahi biopsy e hōʻoia i ka osteosarcoma.

• Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.

ʻO ka Osteosarcoma a me ka malignant fibrous histiocytoma (MFH) o ka iwi he mau maʻi ia e kū ai nā pūnana malignant (cancer) i ka iwi.

Hoʻomaka pinepine ka Osteosarcoma i ka osteoblast, kahi ʻano o ka iwi iwi e lilo i iwi iwi hou. ʻO ka ʻosteosarcoma ka mea maʻamau i nā ʻōpio. Hana ʻia ia i nā wēlau o nā iwi lōʻihi o ke kino, e hoʻopili ana me nā iwi o nā lima a me nā wāwae. I nā keiki a me nā ʻōpio, hana pinepine ia i nā iwi lōʻihi, kokoke i ke kuli. Kākaʻikahi, loaʻa ka osteosarcoma i nā mea palupalu a i ʻole nā ​​mea i loko o ka umauma a i ʻole ka ʻōpū.

ʻO Osteosarcoma ka ʻano maʻamau o ka maʻi ʻaʻai iwi. ʻO ka malignant fibrous histiocytoma (MFH) o ka iwi kahi tumo laha ʻole o ka iwi. Mālama ʻia e like me ka osteosarcoma.

ʻO ka Ewing sarcoma kekahi ʻano ʻano maʻi ʻaʻai iwi, akā ʻaʻole ia i uhi ʻia i kēia hōʻuluʻulu manaʻo. E ʻike i ka hōʻuluʻulu e pili ana iā Ewing Sarcoma Hana no ka ʻike hou aku.

ʻO ka loaʻa ʻana o ka lāʻau i hala me ka radiation hiki ke hoʻonui i ka makaʻi o ka osteosarcoma.

ʻO nā mea āpau e hoʻonui i kou makaʻu i ka loaʻa ʻana i kahi maʻi i kapa ʻia he kumu weliweli. ʻO ka loaʻa ʻana o kahi mea pilikia ʻaʻole ia he kumu e loaʻa ʻoe i ka maʻi ʻaʻai. ʻaʻohe o nā kumu pilikia ʻaʻole ia he kumu ʻaʻole ʻoe e loaʻa i ka maʻi ʻaʻai. E kamaʻilio me kāu kauka inā makemake ʻoe e pilikia paha kāu keiki. ʻO nā kumu pilikia no ka osteosarcoma me kēia mau mea:

• Ka hana i hala me ka radiation radiation.

• ʻO ka hana i hala me nā lāʻau anticancer i kapa ʻia nā ʻākela alkylating.

• Loaʻa i kahi loli i ka gen RB1.

• Loaʻa i kekahi mau ʻano, e like me kēia:

• Bloom syndrome.

• Anemia Diamond-Blackfan.

• Li-Fraumeni maʻi.

• Maʻi Paget.

• Retinoblastoma hoʻoilina.

• ʻO Rothmund-Thomson Syndrome.

• Werner maʻi maʻi.

ʻO nā hōʻailona a me nā ʻōuli o ka osteosarcoma a me ka MFH me ka pehu ʻana ma luna o ka iwi a i ʻole ka ʻāpana iwi o ke kino a me ka ʻeha pū.

ʻO osteosarcoma a i ʻole MFH a i ʻole nā ​​kumu ʻē aʻe nā kumu a me nā ʻōuli ʻē aʻe. E hōʻoia me ke kauka inā loaʻa i kāu keiki kekahi o kēia mau mea:

• ʻO ka pehu ma luna o kahi iwi a iwi paha o ke kino.

• ʻEha ma ka iwi a hui paha.

• He iwi e haki no ke kumu ʻole.

Hoʻohana ʻia nā hoʻokolohua kiʻi e ʻike (loaʻa) osteosarcoma a me MFH.

Hana ʻia nā hoʻokolohua kiʻi ma mua o kahi biopsy. Hiki ke hoʻohana ʻia nā hoʻāʻo a me nā kaʻina hana aʻe:

• ʻO ka hoʻāʻo kino a me ka mōʻaukala: kahi hōʻike o ke kino e nānā i nā hōʻailona laulā o ke olakino, e like me ka nānā ʻana i nā hōʻailona o ka maʻi, e like me nā puʻupuʻu a i ʻole nā ​​mea ʻē aʻe e ʻano ʻē. E lawe ʻia kahi moʻolelo o nā ʻano olakino o ka mea maʻi a me nā maʻi i hala a me nā mālama ʻana.

• X-ray: Kākā x o nā mea a me nā iwi i loko o ke kino. ʻO ka x-ray kahi ʻano kukuna ikehu e hiki ke hele ma waena o ke kino a ma ke kiʻi ʻoniʻoni, e hana ana i kiʻi o nā wahi i loko o ke kino.

• CT scan (CAT scan): Kahi hana e hana ai i ka moʻo o nā kiʻi kikoʻī o nā wahi i loko o ke kino, i lawe ʻia mai nā ʻaoʻao ʻokoʻa. Hana ʻia nā kiʻi e kahi kamepiula i hoʻopili ʻia i kahi mīkini x-ray. Hoʻokomo ʻia paha ke kala i loko o ke aa a i ʻole ale ʻia e kōkua i nā ʻōpū a i ʻole nā ​​kino i hōʻike hou aku me ka maopopo. Kāhea ʻia kēia kaʻina hana he tomography i helu ʻia, kamepiula tomography, a i ʻole he tomography axial computerized.

• MRI (kiʻi resonance ʻume mākenēki): kahi hana e hoʻohana ai i ka magnet, nā nalu lekiō, a me kahi kamepiula e hana i kahi moʻo o nā kiʻi kikoʻī o nā wahi i loko o ke kino. Kāhea ʻia kēia kaʻina hana he kiʻi nukelea kiʻi resonance (NMRI).

Hana ʻia kahi biopsy e hōʻoia i ka osteosarcoma.

Lawe ʻia nā keena a me nā aʻa i ka wā o kahi biopsy i hiki ai iā lākou ke ʻike ma lalo o kahi microscope e kahi pathologist e nānā i nā hōʻailona o ka maʻi ʻaʻai. He mea nui e hana ʻia ke biopsy e kahi mea lapaʻau nāna i loea i ka mālama ʻana i ka maʻi ʻaʻai o ka iwi. ʻOi aku ka maikaʻi inā ʻo ia kauka ʻo ia nō ka mea e wehe i ka tumo. Hoʻolālā like ʻia ka biopsy a me ke ʻoki e wehe i ka tumo. Hoʻopili ke ala o ka biopsy i ke ʻano o ke ʻoki hiki ke hana ma hope.

ʻO ke ʻano o ka biopsy e hana ʻia e kau ʻia i ka nui o ka tumo a kahi i loko o ke kino. ʻElua ʻano biopsy i hiki ke hoʻohana ʻia:

• ʻO Biopsy Core: Ka hemo ʻana o nā pūnaewele me ka nila ākea.

• ʻO Biopsy Incisional: Ka hemo ʻana o kahi ʻāpana o kahi puʻupuʻu a i ʻole kahi laʻana o nāʻaʻaʻa i nānā ʻole maʻamau.

Hiki ke hana i kēia hōʻike aʻe ma nā kiko i lawe ʻia.

• ʻO ka microscopy electron: kahi hōʻike keʻena hoʻokolohua kahi e ʻike ʻia ai nā pūnaewele i lalo o nā microscope mana a me ka mana kiʻekiʻe e nānā ai i kekahi mau hoʻololi i nā hunaola.

Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.

Hoʻopili ʻia ka wānana (kahi manawa o ke ola hou) e kekahi mau mea ma mua a ma hope o ka mālama ʻana.

ʻO ka wānana o ka osteosarcoma a me MFH i mālama ʻole ʻia e pili ana i kēia mau mea:

• Ma hea ka tumo i loko o ke kino a inā nā tumors i hana ʻia ma mua o hoʻokahi iwi.

• Ka nui o ka tumo.

• Inā ua pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino a ma kahi i pāhola ʻia.

• Ke ʻano o ka tumo (ma muli o ka nānā ʻana o nā hunaola maʻi ʻino ma lalo o kahi microscope).

• ʻO ka makahiki a me ke kaumaha o ka mea hoʻomanawanui i ka manawa o ke kuhi.

• Inā ua mālama ka mea maʻi no kekahi maʻi ʻaʻai ʻokoʻa.

• Inā ua haki ka tumo i ka iwi.

• Inā loaʻa i ka mea maʻi kekahi mau maʻi kūlohelohe.

Ma hope o ka mālama ʻia ʻana o ka osteosarcoma a i ʻole ka MFH, pili ka wānana i kēia mau mea:

• Pehea ka nui o nā maʻi ʻaʻai i make ʻia e chemotherapy.

• Ehia mau tumo i lawe ʻia e ke ʻoki.

• Inā ua hoʻi hou ka maʻi ʻaʻa (hoʻi mai) i loko o 2 mau makahiki o ka ʻike.

ʻO nā koho lapaʻau no ka osteosarcoma a me ka MFH kaukaʻi ʻia i ka mea aʻe:

• Ma hea ke tumo i loko o ke kino.

• Ka nui o ka tumo.

• Ke kahua a me ka papa o ka maʻi ʻaʻai.

• Ke ulu nei nō paha nā iwi.

• ʻO ka makahiki o ka mea hoʻomanawanui a me ke olakino laulā.

• ʻO ka makemake o ka mea maʻi a me ka ʻohana no ka mea maʻi e hiki ke komo i nā hana e like me nā haʻuki a i ʻole e nānā i kekahi ala.

• Inā ua hōʻoia hou ʻia ka maʻi ʻaʻai a i ʻole ua hoʻi hou ma hope o ka lapaʻau.

Nā pae o Osteosarcoma a me Malignant Fibrous Histiocytoma o Bone

NA MANA KUNI

• Ma hope o ka ʻike ʻia ʻana o ka osteosarcoma a i ʻole malignant fibrous histiocytoma (MFH), hana ʻia nā hoʻokolohua e ʻike inā ua hoʻolaha ʻia nā hunaola maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino.

• ʻEkolu ala e hoʻolaha ai ka maʻi ʻaʻai i loko o ke kino.

• E laha paha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i nā ʻāpana ʻē aʻe o ke kino.

• Hōʻike ʻia ʻo Osteosarcoma a me MFH ma ke ʻano he wahi a metastatic paha.

Ma hope o ka ʻike ʻia ʻana o ka osteosarcoma a i ʻole malignant fibrous histiocytoma (MFH), hana ʻia nā hoʻokolohua e ʻike inā ua hoʻolaha ʻia nā hunaola maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino.

ʻO ke kaʻina hana e ʻike inā ua pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino i kapa ʻia he staging. No ka osteosarcoma a me ka malignant fibrous histiocytoma (MFH), hoʻohui ʻia ka hapa nui o nā mea maʻi e like me ka loaʻa ʻana o ka maʻi ʻaʻai i hoʻokahi wale nō ʻāpana o ke kino (localized) a i ʻole ua hoʻolaha ʻia (metastatic).

Hiki ke hoʻohana ʻia nā hoʻāʻo a me nā kaʻina hana aʻe:

• X-ray: ʻO kahi lā x o nā meaola, e like me ka umauma, a me nā iwi i loko o ke kino. ʻO ka x-ray kahi ʻano kukuna ikehu e hiki ke hele ma waena o ke kino a ma ke kiʻi ʻoniʻoni, e hana ana i kiʻi o nā wahi i loko o ke kino. E lawe ʻia nā kukuna X o ka umauma a me kahi e hana ai ka tumo.

• CT scan (CAT scan): Kahi hana e hana ai i ka moʻo o nā kiʻi kikoʻī o nā wahi i loko o ke kino, e like me ka pahu, i lawe ʻia mai nā ʻaoʻao ʻokoʻa. Hana ʻia nā kiʻi e kahi kamepiula i hoʻopili ʻia i kahi mīkini x-ray. Hoʻokomo ʻia paha ke kala i loko o ke aa a i ʻole ale ʻia e kōkua i nā ʻōpū a i ʻole nā ​​kino i hōʻike hou aku me ka maopopo. Kāhea ʻia kēia kaʻina hana he tomography i helu ʻia, kamepiula tomography, a i ʻole he tomography axial computerized. E kiʻi ʻia nā kiʻi o ka umauma a me kahi e hana ai ka tumo.

• Nānā PET-CT: kahi hana e hoʻohui i nā kiʻi mai kahi scan tomography emission positron (PET) a me kahi scan tomography i helu ʻia (CT). Hana ʻia nā paʻi PET a me CT ma ka manawa like ma ka mīkini like. Hoʻohui ʻia nā kiʻi mai nā kiʻi ʻelua e hana i kahi kiʻi kikoʻī ma mua o nā hōʻike ʻelua e hana ʻia e ia iho. ʻO kahi PET scan kahi hana e loaʻa ai nā kinikini tumo malignant i loko o ke kino. Hoʻokomo ʻia kahi liʻiliʻi o ka glucose radioactive (kō) i loko o kahi aa koko. Hoʻopili ka scanner PET a puni ke kino a hana i kahi kiʻi o kahi e hoʻohana ʻia ai ka glucose i ke kino. ʻOi aku ka mālamalama o nā hunaola tumo ma ke kiʻi no ka mea ʻoi aku ka hana a lawe i ka glucose ma mua o ka hana ʻana o nā hunaola maʻamau.

• MRI (kiʻi resonance ʻume mākenēki): kahi hana e hoʻohana ai i ka magnet, nā nalu lekiō, a me kahi kamepiula e hana i kahi moʻo o nā kiʻi kikoʻī o nā wahi i loko o ke kino. Kāhea ʻia kēia kaʻina hana he kiʻi nukelea kiʻi resonance (NMRI).

• ʻImi iwi: kahi hana e nānā ai inā aia he wikiwiki e hoʻokaʻawale i nā hunaola, e like me nā hunaola maʻi ʻaʻai, i ka iwi. Hoʻokomo ʻia kahi mea liʻiliʻi loa o nā mea radioactive i loko o ke aa a hele i waena o ke kahe o ke koko. Hōʻiliʻili ka mea lekiō i nā iwi me ka maʻi ʻaʻai a ʻike ʻia e kahi scanner.

ʻEkolu ala e hoʻolaha ai ka maʻi ʻaʻai i loko o ke kino.

Hiki ke pālahalaha ʻia ka maʻi ʻaʻai ma o nā meaola, ka ʻōnaehana lymph, a me ke koko.

• Kāpena. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ka ulu ʻana i nā wahi kokoke.

• ʻŌnaehana Lymph. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ke komo ʻana i ka ʻōnaehana lymph. Hele ka maʻi ʻaʻai ma o nā kīʻaha lymph i nā ʻāpana ʻē aʻe o ke kino.

• Koko. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ke komo ʻana i ke koko. Hele ka maʻi ʻaʻai ma o nā kīʻaha koko i nā ʻāpana ʻē aʻe o ke kino.

E laha paha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i nā ʻāpana ʻē aʻe o ke kino.

Ke pālahalaha ʻia ka maʻi ʻaʻai i kekahi ʻāpana o ke kino, ua kapa ʻia ia ʻo metastasis. E haki nā hunaola maʻi 'aʻai mai kahi a lākou i hoʻomaka ai (ka tumo mua) a hele i loko o ka ʻōnaehana lymph a i ʻole ke koko.

• ʻŌnaehana Lymph. Komo ka maʻi ʻaʻai i loko o ka ʻōnaehana lymph, hele ma waena o nā kīʻaha lymph, a hana i kahi tumo (tumo metastatic) i kekahi ʻāpana o ke kino.

• Koko. Komo ke kanesa i loko o ke koko, hele ma waena o nā kīʻaha koko, a hana i kahi tumo (tumo metastatic) i kekahi ʻāpana o ke kino.

ʻO ka tumo metastatic ka ʻano like o ke kanesa me ka tumo mua. ʻO kahi laʻana, inā pālahalaha ʻia ka osteosarcoma i ka akemāmā, ʻo nā hunaola maʻi ʻaʻai i loko o ka māmā he mau osteosarcoma kikoʻī. ʻO ka maʻi ʻo ostosarcoma metastatic, ʻaʻole ka maʻi ʻaʻa maʻi.

Hōʻike ʻia ʻo Osteosarcoma a me MFH ma ke ʻano he wahi a metastatic paha.

• ʻAʻole i pālahalaha ʻia ka osteosarcoma a i ʻole MFH mai ka iwi kahi i hoʻomaka ai ka maʻi ʻaʻai. Aia paha hoʻokahi a ʻoi paha mau wahi o ka maʻi ʻaʻai i loko o ka iwi i hiki ke hemo i ka wā o ke ʻoki.

• Ua pālahalaha ʻia ka ostosarcoma Metastatic a i ʻole MFH mai ka iwi kahi i hoʻomaka ai ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino. Hoʻolahalaha pinepine ka maʻi ʻaʻai i nā māmā. Pāhola paha i nā iwi ʻē aʻe.

ʻO Osteosarcoma hou a me Malignant Fibrous Histiocytoma o Bone

ʻO ka osteosarcoma recurrent a me ka malignant fibrous histiocytoma (MFH) o ka iwi he maʻi ʻaʻai i hoʻi hou (hoʻi hou) ma hope o ka mālama ʻia ʻana. E hoʻi paha ka maʻi ʻaʻai i loko o ka iwi a i ʻole i nā ʻāpana ʻē aʻe o ke kino. ʻO ka Osteosarcoma a me MFH pinepine pinepine i ka lung, iwi, a i ʻole ʻelua. Ke piʻi hou ka osteosarcoma, aia ma waena o 18 mau mahina ma hope o ka pau ʻana o ka lāʻau.

Laulā Manaʻo Option Oponopono

NA MANA KUNI

• Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me ka osteosarcoma a i ʻole ka malignant fibrous histiocytoma (MFH) o ka iwi.

• Pono nā keiki me ka osteosarcoma a i ʻole MFH e hoʻolālā i kā lākou lapaʻau ʻana e kahi hui o nā lawelawe mālama ola i loea i ka mālama ʻana i ka maʻi ʻaʻai i nā keiki.

• ʻO ka mālama ʻana no ka osteosarcoma a i ʻole malignant fibrous histiocytoma ke kumu o nā hopena.

• Hoʻohana ʻia nā ʻano ʻelima o ka mālama maʻamau.

• ʻOki kino

• ʻO Chemotherapy

• Lapaʻau hoʻomākala

• ʻO Samarium

• Pahuhopu kau ʻia

• Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.

• Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana.

• Hiki i nā mea maʻi ke komo i nā hoʻokolohua hoʻokolohua ma mua, i ka wā, a ma hope paha o ka hoʻomaka ʻana i kā lākou mālama maʻi ʻaʻai.

• Pono paha nā hoʻokolohua ukali.

Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me ka osteosarcoma a i ʻole ka malignant fibrous histiocytoma (MFH) o ka iwi.

Loaʻa nā ʻano lapaʻau like ʻole no nā keiki me ka osteosarcoma a i ʻole malignant fibrous histiocytoma (MFH) o ka iwi. Kūlana maʻamau kekahi mau hōʻailona (ʻo ka lāʻau i hoʻohana ʻia i kēia manawa), a ʻo kekahi e hoʻāʻo ʻia nei i nā hoʻokolohua hoʻokolohua. ʻO kahi hoʻokolohua hoʻokolohua lapaʻau kahi noiʻi noiʻi i manaʻo ʻia e kōkua i ka hoʻomaikaʻi ʻana i nā mālama ʻana i kēia manawa a i ʻole loaʻa ka ʻike e pili ana i nā mālama hou no nā maʻi me ka maʻi ʻaʻai. Ke hōʻike nā hoʻokolohua hoʻokolohua ʻoi aku ka maikaʻi o kahi lapaʻau hou ma mua o ka maʻamau maʻamau, lilo paha ka lāʻau hou i ka lapaʻau maʻamau.

Ma muli o ka loaʻa ʻole o ka maʻi ʻaʻai i nā keiki, pono e noʻonoʻo ʻia i ka hoʻokolokolo ʻana. ʻO kekahi mau hoʻokolohua hoʻokolohua e hāmama wale i nā mea maʻi i hoʻomaka ʻole i ka lāʻau.

Pono nā keiki me ka osteosarcoma a i ʻole MFH e hoʻolālā i kā lākou lapaʻau ʻana e kahi hui o nā lawelawe mālama ola i loea i ka mālama ʻana i ka maʻi ʻaʻai i nā keiki.

E mālama ʻia ka lapaʻau ʻana e kahi oncologist pediatric, he kauka i loea i ka mālama ʻana i nā keiki me ka maʻi ʻaʻai. Hana ka oncologist pediatric me nā mea lawelawe olakino pediatric ʻē aʻe i loea i ka mālama ʻana i ka osteosarcoma a me MFH a ka poʻe loea i kekahi mau wahi lāʻau. Pākuʻi ʻia kēia mau mea i lalo:

• Kahuna Pediatrician.

• ʻO ke kauka lāʻau Orthopedic i ʻike i ka mālama ʻana i nā tumors iwi.

• Oncologist uila.

• Lapaʻau hoʻōla.

• ʻO ka loea kahu maʻi Pediatric.

• Limahana limahana.

• Loea loea-ola keiki.

• ʻOlogistlapa psychologist.

ʻO ka mālama ʻana no ka osteosarcoma a i ʻole malignant fibrous histiocytoma ke kumu o nā hopena.

No ka ʻike e pili ana i nā hopena i hoʻomaka i ka wā o ka mālama ʻana no ka maʻi ʻaʻai, ʻike i kā mākou ʻaoʻao ʻaoʻao ʻaoʻao.

ʻO nā hopena ʻē aʻe mai ka mālama ʻana i ka maʻi ʻaʻai e hoʻomaka ma hope o ka mālama ʻana a hoʻomau no nā mahina a i ʻole mau makahiki e kapa ʻia nā hopena hopena. Hiki i nā hopena hope loa o ka mālama ʻana i ka maʻi ʻaʻai ke hoʻopili i kēia mau mea:

• Nā pilikia o ke kino.

• Nā loli i ke ʻano, nā manaʻo, ka noʻonoʻo, ke aʻo ʻana, a me ka hoʻomanaʻo paha.

• Nā maʻi ʻelua (nā ʻano maʻi ʻaʻai hou).

E mālama a kāohi ʻia paha kekahi mau hopena hopena. He mea nui e kamaʻilio pū me nā kauka o kāu keiki e pili ana i nā hopena o ka mālama ʻana i ka maʻi ʻaʻai i kāu keiki. (E ʻike i ka hōʻuluʻulu e pili ana i nā hopena hope o ka mālama ʻana no ka maʻi ʻaʻa kamaliʻi no ka ʻike hou aku).

Hoʻohana ʻia nā ʻano ʻelima o ka mālama maʻamau.

ʻOki kino

ʻO ke ʻoki e wehe i ka tumo holoʻokoʻa e hana ʻia ke hiki. Hāʻawi ʻia ʻo Chemotherapy ma mua o ke kaha ʻana e hōʻemi i ka tumo. Kapa ʻia kēia ʻo neoadjuvant chemotherapy. Hāʻawi ʻia ʻo Chemotherapy e hoʻoneʻe ʻia nā iwi iwi liʻiliʻi a aia kekahi mau pilikia ma hope o ke kahakaha ʻana.

E hana ʻia kēia ʻano ʻoki aʻe:

• ʻO ka excision kūloko ākea: ʻoki e wehe i ka maʻi ʻaʻai a me kekahi mea olakino a puni ia.

• ʻOki kino-laring: Ke hemo ʻana o ka tumo i kahi lālā (lima a ʻūhā paha) me ka ʻole o ka ʻoki ʻana, no laila ke hoʻōla ʻia ka hoʻohana a me ka hiʻona o ka lālā ʻO ka hapa nui o nā mea maʻi me ka osteosarcoma i kahi lālā e hiki ke mālama ʻia me ka ʻoki ʻana i nā lālā. Lawe ʻia ka tumo e ka laulā kūloko. Hiki ke pani ʻia ka mū a me ka iwi i hemo ʻia me kahi graft e hoʻohana ana i ka iʻa a me ka iwi i lawe ʻia mai kekahi ʻāpana o ke kino o ka mea maʻi, a i ʻole me ka implant e like me ka iwi artific. Inā loaʻa kahi haki i ka manawa o ke kuhi a i ʻole i ka chemotherapy ma mua o ke kahakaha ʻana, hiki paha ke ʻoki lālā-sparing i kekahi mau hihia. Inā hiki ʻole i ke kaukipō ke wehe i nā tumo āpau a lawa nā kino olakino a puni ia, hiki ke hoʻopau ʻia kahi ʻokiʻoki.

• Hoʻololi: hana ʻoki e wehe i kahi ʻāpana a i ʻole ʻāpana o ka lima a me ka wāwae. Hiki ke hana i kēia inā ʻaʻole hiki ke hemo i nā tumo āpau i ka ʻoki kino ʻana o ka lālā. Hoʻokomo ʻia paha ka mea hoʻomanawanui me kahi prostesis (limb artificial) ma hope o ka ʻoki ʻana.

• Rotationplasty: ʻoki kino e hoʻoneʻe i ka tumer a me ke kuli hui. ʻO ka ʻāpana o ka wāwae i koe ma lalo o ke kuli a laila hoʻopili ʻia i ka ʻāpana o ka wāwae i koe ma luna o ke kuli, me ka wāwae e kū ana i hope a me ka kuʻekuʻe wāwae e hana ana ma ke kuli. Hoʻopili ʻia kahi prostesis i ka wāwae.

Ua hōʻike ʻia nā noiʻi e like ka mea e ola ai inā ke ʻoki mua i hana ʻia he ʻoki hōʻoki lālā a i ʻole ka ʻokiʻoki.

Ma hope o ka hoʻoneʻe ʻana o ke kauka i nā maʻi ʻaʻai āpau i hiki ke ʻike ʻia i ka manawa o ke ʻoki ʻana, hāʻawi ʻia nā mea maʻi i ka chemotherapy e pepehi i nā hunaola maʻi ʻea e waiho ʻia ma kahi i hemo ʻia ai ka tumo a ua pāhola paha i nā ʻāpana ʻē aʻe o ke kino. ʻO ka lāʻau i hāʻawi ʻia ma hope o ke kaha ʻana, e hoʻohaʻahaʻa i ka makaʻu e hoʻi mai ka maʻi ʻaʻai, i kapa ʻia ʻo adjuvant therapy.

ʻO Chemotherapy

ʻO Chemotherapy kahi lāʻau lapaʻau maʻi maʻi e hoʻohana i nā lāʻau e hōʻoki i ka ulu ʻana o nā hunaola maʻi ʻaʻai, ma ka luku ʻana i nā hunaola a i ʻole ke kāpae ʻana iā lākou mai ka hoʻokaʻawale. Ke lawe ʻia ka chemotherapy e ka waha a i ʻole injected i loko o kahi aa koko a i ʻole nā ​​mākala, komo nā lāʻau i ke kahe o ke koko a hiki ke kiʻi i nā hunaola maʻi ʻōpio i loko o ke kino (chemotherapy ʻōnaehana). Ke waiho pololei ʻia ka chemotherapy i loko o ka wai cerebrospinal, kahi hui, a i ʻole ke kino o ke kino e like me ka ʻōpū, ʻo nā lāʻau lapaʻau ka mea nui e hoʻopili i nā hunaola maʻi ʻaʻai i kēlā mau wahi (chemotherapy āpau).

Hoʻohui ʻia ʻo chemotherapy ka hoʻohana ʻana o nā lāʻau anticancer ʻoi aku ma mua o hoʻokahi.

Hoʻohana ʻia ka chemotherapy ʻōnaehana e mālama i ka osteosarcoma a me ka MFH o ka iwi. Hāʻawi pinepine ʻia ʻo Chemotherapy ma mua a ma hope o ke kaha ʻana e wehe i ka tumo mua.

E ʻike i nā lāʻau i ʻāpono ʻia no ka maʻi ʻaʻai Bone no ka ʻike hou aku.

Lapaʻau hoʻomākala

ʻO ka radiation radiation kahi lāʻau maʻi maʻi maʻi e hoʻohana i nā kukuna x nui ikaika a i ʻole nā ​​ʻano radiation e hoʻomake i nā hunaola maʻi ʻaʻai a mālama ʻole paha i ka ulu ʻana. ʻElua ʻano o radiation radiation:

• Hoʻohana ka radiation radiation kūwaho i kahi mīkini ma waho o ke kino e hoʻouna i ka radiation i ka maʻi ʻaʻai.

• Hoʻohana ka radiation radiation i loko i kahi lāʻau radioactive i hoʻopaʻa ʻia i nā nila, nā hua, nā uea, a i ʻole nā ​​catheters i kau pololei ʻia i loko a kokoke paha i ka maʻi ʻaʻai.

Hoʻohana ʻia ka radiation radiation kūwaho e mālama ai i ka osteosarcoma a me ka MFH o ka iwi.

ʻAʻole pepehi maʻalahi ʻia nā hunaʻi ʻo Osteosarcoma a me MFH e ka radiation radiation kūwaho. Hiki ke hoʻohana ʻia ke waiho ʻia kahi wahi liʻiliʻi o ka maʻi ʻaʻai ma hope o ke kahakaha ʻana a i ʻole hoʻohana ʻia me nā ʻano lāʻau ʻē aʻe.

ʻO Samarium

He lāʻau radioactive ʻo Samarium e kuhikuhi ana i nā wahi kahi e ulu nei nā iwi iwi, e like me nā hunaola tumora i ka iwi. Mālama ia i ka ʻeha ma muli o ka maʻi ʻaʻai i loko o ka iwi a make pū kekahi i nā huna koko i ka iwi o ka iwi. Hoʻohana ʻia ia e mālama i ka osteosarcoma i hoʻi mai ma hope o ka mālama ʻana i kahi iwi ʻokoʻa.

Hoʻohui ʻia me ka samarium e ukali ʻia e ka trans cell cell. Ma mua o ka mālama ʻana me ka samarium, hoʻoneʻe ʻia nā pūnaewele kū (nā aʻa koko ʻole ʻole) mai ke koko a i ʻole ka iwi iwi o ka mea maʻi a paʻa a mālama ʻia. Ma hope o ka pau ʻana o ka mālama ʻana me ka samarium, hoʻoheheʻe ʻia nā pūnaewele i mālama ʻia a hoʻihoʻi ʻia i ka mea maʻi ma o ka hoʻopili ʻana. E ulu kēia mau hunaola i (a hoʻihoʻi) i nā huna koko o ke kino.

Pahuhopu kau ʻia

ʻO ka Target therapy kahi lapaʻau e hoʻohana i nā lāʻau a i ʻole nā ​​mea ʻē aʻe e loaʻa a hoʻouka i nā hunaola maʻi ʻaʻai me ka ʻole e hōʻeha i nā hunaola maʻamau. Ke hoʻohana ʻia nei nā ʻano like ʻole o ka hoʻomōhala hoʻomōhala e mālama ai i ka osteosarcoma a i hoʻopaʻa ʻia paha i nā hoʻokolohua hoʻokolohua.

• Pale ʻo Kinase inhibitor therapy i kahi protein i pono no nā hunaola maʻi ʻoki e māhele. ʻO Sorafenib kahi ʻano kinase inhibitor therapy e hoʻohana ai e mālama i ka osteosarcoma hou.

• ʻO ka pahuhopu mammalian o ka rapamycin (mTOR) mea pale i ka palaka i kahi protein i kapa ʻia mTOR, kahi e mālama ai i nā hunaola maʻi maʻi mai ka ulu ʻana a pale i ka ulu ʻana o nā kīʻaha koko e pono ai nā tumors e ulu. ʻO Everolimus kahi mea kāohi mTOR i hoʻohana ʻia e mālama ai i ka osteosarcoma hou.

• ʻO ka Monoclonal antibody therapy kahi lapaʻau o ka maʻi maʻi e hoʻohana ai i nā mea pale i hana ʻia i loko o ke keʻena hoʻokolohua, mai kahi ʻano hoʻokahi o ke kikowaena pale pale. Hiki i kēia mau lāʻau ʻino ke hoʻomaopopo i nā mea ma nā hunaola maʻi ʻaʻai a i ʻole nā ​​mea maʻamau e kōkua ai i nā hunaola maʻi ʻaʻai. Hoʻopili nā mea ʻino i nā mea a pepehi i nā hunaola maʻi ʻaʻai, ālai i ko lākou ulu ʻana, a i ʻole mālama iā lākou mai ka hoʻolaha ʻana. Hāʻawi ʻia nā antibodies Monoclonal e ka hoʻokomo. Hoʻohana wale ʻia lākou a i ʻole lawe i nā lāʻau, toxins, a i ʻole radioactive pono i nā hunaola maʻi ʻaʻai. ʻO Denosumab a me dinutuximab he mau mea pale monoclonal i hoʻopaʻa ʻia no ka mālama ʻana i ka osteosarcoma hou.

Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.

Loaʻa nā ʻike e pili ana i nā hoʻokolohua hoʻokolohua mau mai ka pūnaewele NCI.

Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana.

No kekahi mau mea maʻi, ke komo nei i ka hoʻokolohua hoʻokolohua ke koho lapaʻau maikaʻi loa paha. ʻO nā hoʻokolohua hoʻokolohua kahi ʻāpana o ka noiʻi ʻana o ka maʻi ʻaʻai. Hana ʻia nā hoʻokolohua hoʻokolohua e ʻike inā palekana a maikaʻi a maikaʻi paha nā hoʻomaʻamaʻa maʻi ʻaʻai ma mua o ka maʻamau maʻamau.

ʻO ka hapa nui o nā hana maʻamau no ka maʻi ʻaʻai i kau ʻia ma nā hoʻokolohua hoʻokolohua mua. ʻO nā mea maʻi i komo i ka hoʻokolokolo hoʻokolohua hiki ke loaʻa i ka lāʻau maʻamau a i ʻole i waena o nā mea mua i loaʻa kahi lāʻau hou.

ʻO nā mea maʻi i komo i nā hoʻokolohua hoʻokolohua kōkua pū kekahi i ka hoʻomaikaʻi ʻana i ke ʻano o ka mālama ʻana i ka maʻi ʻaʻai i ka wā e hiki mai ana. ʻOiai ʻaʻole nā ​​alakaʻi hoʻokolohua e alakaʻi i nā hoʻoponopono hou maikaʻi, pane pinepine lākou i nā nīnau nui a kōkua i ka neʻe i mua o ka noiʻi.

Hiki i nā mea maʻi ke komo i nā hoʻokolohua hoʻokolohua ma mua, i ka wā, a ma hope paha o ka hoʻomaka ʻana i kā lākou mālama maʻi ʻaʻai.

Hoʻopili wale kekahi mau hoʻokolohua hoʻokolohua i nā mea maʻi i loaʻa ʻole ka lapaʻau. ʻO nā hoʻokolohua ʻē aʻe e hōʻoia i nā mālama ʻana no ka poʻe maʻi i loaʻa ʻole ka maikaʻi o ka maʻi ʻaʻai. Aia kekahi mau hoʻokolohua hoʻokolohua e hoʻāʻo i nā ala hou e hōʻoki i ka maʻi ʻaʻai mai ka hoʻi hou ʻana (hoʻi ʻana) a hōʻemi paha i nā hopena o ka mālama ʻana i ka maʻi ʻaʻai.

Ke mālama ʻia nei nā hoʻokolohua hoʻokolohua ma nā wahi he nui o ka ʻāina. Hiki ke ʻike ʻia ka ʻike e pili ana i nā hoʻokolohua hoʻokolohua e kākoʻo ʻia e NCI ma ka pūnaewele ʻimi noiʻi hoʻokolohua a NCI. Hiki ke loaʻa nā hoʻokolohua hoʻokolohua i kākoʻo ʻia e nā hui ʻē aʻe ma ka pūnaewele ClinicalTrials.gov.

Pono paha nā hoʻokolohua ukali.

ʻO kekahi o nā hoʻokolohua i hana ʻia e hōʻoia i ka maʻi ʻaʻai a i ʻole e ʻike i ke kahua o ka maʻi ʻaʻaʻa e hana hou ʻia paha. E hana hou ʻia kekahi mau hōʻike i mea e ʻike ai i ka maikaʻi o ka mālama ʻana. Hoʻoholo ʻia nā hoʻoholo e pili ana inā e hoʻomau, hoʻololi, a kū paha i ka lāʻau ʻana ma nā hopena o kēia mau hoʻāʻo.

E hoʻomau ʻia kekahi o nā hoʻokolohua mai kēlā me kēia manawa ma hope o ka pau ʻana o ka lāʻau. Hiki i nā hopena o kēia mau hoʻāʻo ke hōʻike inā ua loli ke ʻano o kāu keiki a i ʻole ua hoʻi hou ke kanesa. Kapa ʻia kēia mau hoʻāʻo i kekahi manawa nā hoʻokolohua ukali a i ʻole nā ​​loiloi.

Nā koho lapaʻau no Osteosarcoma a me Malignant Fibrous Histiocytoma o ka iwi

Ma keia Pauku

• ʻO Osteosarcoma kūloko a me Malignant Fibrous Histiocytoma o Bone

• ʻO Metastatic Osteosarcoma a me Malignant Fibrous Histiocytoma o Bone

• ʻO Osteosarcoma hou a me Malignant Fibrous Histiocytoma o Bone

No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.

ʻO Osteosarcoma kūloko a me Malignant Fibrous Histiocytoma o Bone

Hoʻomaopopo ʻia ka hana penei:

• ʻO ke ʻoki kino e hemo ai i ka tumo mua.

• Hāʻawi ʻia ʻo Chemotherapy ma mua a ma hope paha o ke kaha ʻana e wehe i ka tumo mua.

• ʻO ka radiation radiation inā ʻaʻole hiki ke hana i ke ʻoki a inā ʻaʻole i hoʻopau loa ʻia ka tumo e ke ʻoki.

E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.

ʻO Metastatic Osteosarcoma a me Malignant Fibrous Histiocytoma o Bone

Metastasis Lung

Ke pālahalaha ʻia ka osteosarcoma a i ʻole malignant fibrous histiocytoma (MFH), pālahalaha mau ia i ka akemāmā. Hoʻomaʻamaʻa ʻia ka osteosarcoma a me MFH me ka metastasis māmā e like me kēia:

• Ua ukali ʻia ʻo Chemotherapy e ke ʻoki e wehe i ka maʻi ʻaʻai mua a me ke kanesa i hele a hā i ka akemāmā.

Iwi Metastasis a i ʻole Iwi me Lung Metastasis

Hiki ke pāhola ʻia ka Osteosarcoma a me ka histocytoma fibrous malignant i kahi iwi mamao a me / a i ʻole ka akemāmā. Hoʻomaopopo ʻia ka hana penei:

• Ua ukali ʻia ʻo Chemotherapy e ke ʻoki e wehe i ka tumo mua a me ke kanesa i hele i nā wahi ʻē aʻe o ke kino. Hāʻawi ʻia ka chemotherapy hou aʻe ma hope o ke kaha ʻana.

• ʻO ke ʻoki kino e hemo ai i ka tumo mua, ukali ʻia e ka chemotherapy a me ke ʻoki ʻana e lawe aku i ka maʻi ʻaʻai i pāhola ʻia i nā ʻāpana ʻē aʻe o ke kino.

E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.

ʻO Osteosarcoma hou a me Malignant Fibrous Histiocytoma o Bone

ʻO ka mālama ʻana i ka osteosarcoma hou a me ka histiocytoma fibrous malignant o ka iwi e hiki ke hoʻopili ʻia i kēia mau mea:

• ʻO ke keʻena hana e wehe i ka maʻi ʻaʻai i hoʻolaha ʻia i nā ʻāpana ʻē aʻe o ke kino.

• ʻO Chemotherapy.

• No nā tumors i hoʻi hou i ka iwi wale nō, samarium me a i ʻole me ka lawe ʻole ʻana o ka cell cells me ka hoʻohana ʻana i nā cell stem ponoʻī o ka mea maʻi, e like me ka hoʻomaʻamaʻa palliative e hōʻoluʻolu i ka ʻeha a hoʻomaikaʻi i ka maikaʻi o ke ola.

• Hoʻolālā pahuhopu (sorafenib a everolimus).

• ʻO ka radiation radiation e like me ka hoʻomaʻamaʻa palliative e hōʻoluʻolu i nā hōʻailona a hoʻomaikaʻi i ka maikaʻi o ke ola.

• ʻO kahi hoʻokolohua hoʻokolohua e nānā i kahi laʻana o ka tumo o ka mea maʻi no kekahi ʻano loli. ʻO ke ʻano o ka hoʻomālama ʻia e hāʻawi ʻia i ka mea maʻi e pili ana i ka ʻano o ka loli.

• ʻO kahi hoʻokolohua hoʻokolohua o nā ʻano lapaʻau hou no nā maʻi i hiki ʻole ke lawe ʻia i ka maʻi ʻaʻai e ke ʻoki. Pākuʻi ʻia paha kēia mau mea e like me ka monoclonal antibody therapy.

E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.

E aʻo hou aʻe e pili ana iā Osteosarcoma a me Malignant Fibrous Histiocytoma o Bone

No ka ʻike hou aku mai ka National Cancer Institute e pili ana i ka osteosarcoma a me ka malignant fibrous histiocytoma o ka iwi, e nānā i ka mea aʻe:

• ʻAoʻao Home Kanu iwi

• Computers Tomography (CT) Scans a me ka maʻi ʻaʻai

• ʻApono ʻia nā lāʻau no ka maʻi ʻaʻai iwi

• ʻO nā Therapy Cancer i kau ʻia

• Kanesa iwi

No ka ʻike hou aku i ka maʻi ʻaʻai kamaliʻi a me nā kumuwaiwai maʻi ʻaʻai ʻē aʻe, e ʻike i ka mea aʻe:

• E pili ana i ka maʻi ʻaʻai

• Nā maʻi ʻōpio

• Huli ʻo Cure no ka hōʻole ʻana i nā maʻi ʻaʻai keiki

• Nā hopena hope loa o ka mālama ʻana no ka maʻi ʻaʻai kamaliʻi

• ʻO nā ʻōpio a me nā ʻōpio me ka maʻi ʻaʻai

• Nā keiki me ka maʻi ʻaʻai: He alakaʻi no nā mākua

• Ka maʻi ʻaʻai ma nā keiki a me nā ʻōpio

• Ke hoʻokū nei

• Ke kāohi nei i ka maʻi ʻaʻai

• Nā nīnau e nīnau ai i kāu kauka e pili ana i ka maʻi ʻaʻai

• No nā mea ola a me nā mea mālama