Emeliano metastases.

Kekahi o ka mea nui pilikia o nā maʻi 'aʻai - ka inevitable hoouka kaua o ka hope ke kahua - i ke kahua o ka metastasis. Metastasis foci mea malignant neoplasms i ke kahe o ke lymph a me ke koko e kākau i loko o ke kaawale ana o nā loko a me nā'aʻaʻa, kahi i hoʻomaka e hoʻomōhala neoplastic kaʻina.

Cancer oʻaneʻane a pau nā loko a me nā'aʻaʻa i metastasize i ka iwi. Oia lesions hiki ke loaʻa ma ka aneane kekahi iwi kanu'ōiwi. Ka loa pinepine - metastases i loko o ka spine, ma ka liʻiliʻi loa i loko o ka pelvis, iwi aoao a me ka lala.

He aha hikoko metastasize i ka iwi?

Loa pinepine, i kēia kaʻina ia lŘlŘ ka wā o ka thyroid gland Ka maʻi 'aʻai, prostate a me ka mammary glands.

Aia i mau walaʻauʻana ano o pathological kaʻina hana i loko o ka iwi - osteoblastic a me ka osteolytic metatstazirovanie. No ka mea mua palapala Sila mea typical o ka iwi'aʻaʻa, i maikai kona mea pōhaku ke keʻena. Ka lua o ka palapala kōkua "holoi mai" o nā minelala hao, a inevitably entails thinning a me fractures.

Ke pathogenesis o keia maʻi ka mea i stimulatesʻeho keena. Inā ka metastasis o ka maʻi 'aʻai komo ai osteoblasts ma ke kaʻina - ulu osteoblastic palapala. I ka ka mea muaʻeho i loko o kā lākou mau alanui me ka iwi resorbing aeee (osteoclasts) - o ke kahua o metastases osteolysis.

Ma ka hapanui o na hihia, i ka helehelena o metastases i loko o ka iwi ke kumu eha hope. Pain maʻi pale ua kena ae la ma ka poho i nā aʻalolo a hāʻule pahū waleʻeho ka ulu o ke, ka'aloʻahiʻa mea ulu i loko o ka iwi, a me ka hoʻopiʻi e ae hookaawale a hāʻule pahū wale o nā aʻalolo olona, anao? Aou metastasis waiwai. Eia hou, o ka eha ia lŘlŘ ka wā iwi fractures kena ae la ma ka thinning o ka hope (ano o osteolytic pepa). E hana osteoblastic ano i hoike hypercalcemia (kiʻekiʻe koko kalipuna).

Ka pilikia o fractures o ka kiʻekiʻe pahiki o complications - pulmonary embolism, hohonu aa koko thromboembolism (ultimately, ua hiki aku i ka hookaheia'na o ooieoeiiaeuiiai hoʻouka hui, a me ka lala a me ka viability).

Iwi metastases i diagnosed hoʻohana X-Ray. No keia mea, hoʻohana papu radiography ma ka multiplicity o metastatic lesions, e like me osteolytic palapala. Ma ka hihia o ka osteoblastic lawe radionuclide scan NineManga.com. Kekahi o na ki ina hana like o ka 'ike, ma ka mea hiki ke ike ole wale iwi metastases, akā, i loko o nā nā loko a me nā'aʻaʻa - Ka Hānai Ā Huhu 18P-deoxyglucose.

ʻoki lāʻau lapaʻau lapaʻau o ka iwi metastases ua hoike mai ia ma ka hope e hiki fracture. Orthopedic surgeon hanaʻoki kino, e hooikaika i ka iwi ma ka hoʻokomo 'ana i makia, a hoʻopiha i ka mea ole me ka iwi lepo pipili noʻeho.

Ka pāhawewe ke Inc ma ka mahele lāʻau o he umikumamalima - iwakalua-kumamalima Gy (attributable i na mahele eha), ka hapalua o ka hoʻomanawanui iki mai o ka nalowaleʻana o ka eha. Ka mahele lāʻau o kanakolu - he kanaha-kumamalima Gy ke kumu i ka nui hana i loko o ke ano o ka hoomanawanui, ma ka maikai o ia hana hou hoʻomohala ma luna o ka mea e hiki mai ana waiū no elua - ekolu pule.

Ka lua o ka hana ma hope o ka pāhawewe Inc, o ka pono o radioactive strontium. Ua ua manawa hoʻomano hoʻohana bisphosphonate lapaau. Ua kūikawā nāʻakika i inhibit i ka ha awina o osteoclasts. Eia hou kekahi, mau ai 'hoonawaliwali i ka oolea o ka eha i loko o fractures o ka iwi, e like me ma ka hooulu ana o ka hikoko.

Pela, ke prognosis no ka metastasis i ka iwi paha e okoa, ke kaumaha ma muli o ka IIeEeAIEUAA o osteblastnoy a osteolytic ano a me kāu kiʻina hana o ka lapaau.