So wowɔ akisikuru bi wɔ wo kɔn mu? So ebetumi ayɛ (Branchial Cleft Cyst)? Momma yɛnka eyi ho asɛm!

So woahu, anaasɛ woanya pɛn, akisikuru ketewaa bi a epue wɔ wo honam ani wɔ wo kɔn no fã biako anaa abien no nyinaa? Ɛtɔ da bi a, wohu wɔ kɔn mu dompe ne kɔn mu dompe ntam. Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a wuhu akuru a ɛte sɛɛ no. Nanso ɛnyɛ akuru nyinaa na asiane wom. Ɛnnɛ yɛbɛka akuru bi te sɛ eyi a ebetumi ayɛ awosu, ɛnyɛ asiane wɔ nsɛm dodow no ara mu, nanso ɛho hia yiye sɛ yɛhwɛ yiye ho asɛm . Nnuruyɛfo frɛ eyi Branchial Cleft Cyst. Ɛtɔ da bi a wɔsan frɛ no Pharyngeal Cleft Cyst.

Dɛn ne Branchial Cleft Cyst? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, saa branchial cleft cyst yi yɛ kotoku ketewaa bi a ɛba yɛn honam ani, wɔ kɔn no fã, na nsu ahyɛ mu ma. Fa no sɛ ɛte sɛ balloon ketewaa bi a nsu ahyɛ mu ma. Saa na eyi te. Adeɛ a ɛho hia paa ne sɛ yeinom yɛ ``(Congenital)`` tebea. Ɛno kyerɛ sɛ wɔwɔ yɛn nipadua mu fi bere a wɔwoo yɛn no. Nnipa binom mpo nnim sɛ wɔwɔ saa akisikuru yi kosi mfe bi akyi. Epue, ɛtɔ mmere bi a bere a wɔanya ɔyare no akyi.

Mpɛn pii no, saa branchial cleft cysts yi nyɛ kokoram (benign). Ɛno kyerɛ sɛ wɔmfa ɔhaw pii mma. Nanso, ɛntaa mma koraa, kyerɛ sɛ, ɛntaa nsi koraa sɛ ebetumi aba sɛ ntini a ɛte saa no betumi abɛyɛ kokoram (kokoram). Enti, sɛ ɔhaw biara nni akisikuru a ɛte saa ho mpo a, ɛtɔ mmere bi a nnuruyɛfo kamfo kyerɛ sɛ wɔnyɛ oprehyɛn na wɔayi afi hɔ. Eyi nso betumi asiw ɔyare mmoawa a ɛbɛba akyiri yi no ano.

So Branchial Cleft Cyst ahorow ahorow wɔ hɔ?

Yiw, nnuruyɛfo kyekyɛ saa akisikuru yi mu ahorow pii a egyina baabi a ɛba wɔ kɔn no so. Ma yɛnhwɛ nea wɔyɛ:

• First Branchial Cleft Cysts: Eyinom taa wɔ w’aso ntam ne w’anom ase pɛɛ. Wɔn na wɔyɛ branchial cleft cysts nyinaa mu 5% kosi 25% pɛ.
• Branchial Cleft Cysts a Ɛto so Abien: Eyinom ne nea abu so sen biara. Wɔsɔre wɔ honam ani wɔ ntini a ɛwɔ kɔn no afã abien no nyinaa mu. Wɔn na wɔyɛ cysts nyinaa mu 40% kosi 95%.
• Third Branchial Cleft Cysts: Eyinom taa ba wɔ kɔn no benkum so, baabi a yɛn thyroid ntini no wɔ no. Wɔntaa nnɔɔso kakra sen ahorow abien a aka no.
• Fourth Branchial Cleft Cysts: Eyinom wɔ kɔn no benkum fam ase. Eyinom ho yɛ na koraa.

Saa tebea yi abu so dɛn?

Dɛn ne branchial cleft cyst?Ɛyɛ akuru a ɛtaa ba kɔn mu no mu biako, titiriw wɔ mmofra nkumaa mu. Nanso, esiane sɛ ɛnyɛ bere nyinaa na wɔde yare no ho sɛnkyerɛnne ba nti, ɛyɛ den sɛ yɛbɛka nnipa dodow pɔtee a wɔwɔ saa tebea yi. Ebia wowɔ bi, nanso ebia wunnim.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya branchial cleft cyst?

Ɛtɔ mmere bi a, sɛnea yɛadi kan aka no, saa akisikuru yi mfa sɛnkyerɛnne biara mma. Ebia obi renhu mpo sɛ ɔwɔ bi.

Nanso, sɛ yare no ho sɛnkyerɛnne ahorow ba ampa a, nea ɛka ho ne:

• Akuru bi a ɛwɔ kɔn mu: Eyi betumi ayɛ kɛse nkakrankakra bere a bere kɔ so no.
• Kɔn mu ahonhon: Saa ahonhon yi betumi ayɛ kɛse, titiriw bere a ɔhome a ɛwɔ soro no mu nyarewa te sɛ atiridii ne menewa a ɛyɛ yaw ba no.
• Ɛyaw bere a woremene: Ebia ɛbɛyɛ den sɛ wobɛmene aduan ne anonne.
• Ntokuru nketewa anaa amena a ɛwɔ kɔn mu: Ɛtɔ da bi a biribi te sɛ nsu betumi afi eyinom mu aba, ɛtɔ da bi nso a ɛnte saa.
• Stridor: Nnyigyei a ɛnteɛ bere a worehome.

Nea ɛho hia: Sɛ wo branchial cleft cyst no nya ɔyare mmoawa a, ebia sɛnkyerɛnne no mu bɛyɛ den kɛse.

Cyst a ɔyare no nso betumi ada saa sɛnkyerɛnne ahorow yi adi:

• Ɛyɛ den sɛ wobɛmene: Ebia ɛbɛyɛ den sɛ wobɛmene ade asen kan no.
• Wora a ɛyɛ kɔkɔɔ, ɛyɛ wo yaw, anaa ɛyɛ hyew: Nsakrae yi betumi aba honam ani a atwa akisikuru no ho ahyia no so.
• Kɔn mu yaw: Ebia wobɛte ɛyaw a ano yɛ den nka wɔ baabi a akisikuru no wɔ.

Dɛn nti na saa branchial cleft cyst yi ba?

Eyi te saa esiane nsakrae bi a wɔnhwɛ kwan a ɛba bere a akokoaa no renyin wɔ ɛna no awotwaa mu (wɔ awotwaa no fã mu) nti. Ne titiriw no, sɛ ntini a ɛwɔ akokoaa no kɔn ne ne kɔn mu no nnyin yiye a, mmeae te sɛ eyinom ba hɔ. Bere kɔ so no, nsu hyɛ mmeae yi ma na ɛyɛ akisikuru. Eyi nyɛ obiara mfomso.

Sɛ wɔansa a, nsɛnnennen bɛn na ebetumi aba?

Sɛ wɔannya branchial cleft cyst a wɔansa a, nsɛnnennen bi betumi aba. Nhwɛsoɔ:

• Akisikuru: Eyi kyerɛ sɛ akisikuru no mu ayɛ ma.
• Ɔhome mu haw: Sɛ akisikuru no nyin kɛse na ɛpia mframa kwan no a, eyi betumi aba.
• Ɛyɛ den sɛ wobɛmene: Ebia eyi fi akisikuru no a ɛrepiapia aduan paipu no.
• Nhyɛso a Ɛto so Abien: Sɛ akisikuru no mia mogya ntini no mu a, saa tebea yi betumi aba.
• Nyarewa a ɛsan ba bio: Sɛ akisikuru no kɔ so a, ebia ɛsɛ sɛ wudi nyarewa a ɛtaa ba no ho dwuma.

Ɔkwan bɛn so na nnuruyɛfo hu eyi pɛpɛɛpɛ?

Sɛ wokɔ oduruyɛfo a ɔwɔ ɔhaw yi nkyɛn a, obedi kan ahwɛ wo kɔn mu yiye. Afei obebisa wo wo yare no ho sɛnkyerɛnne ahorow ho asɛm. Wubetumi abisa nsɛm te sɛ, "Bere tenten ahe na eyi akɔ so?", "So wowɔ ɛyaw bi?", "So wowɔ ɔhaw foforo bi?"

Nea ɛka ho no, wobetumi ayɛ nhwehwɛmu ahorow pii de asi tebea no pɔtee so dua:

• CT scans (Computed Tomography scans): Eyinom twa wo kɔn mu mfonini a wɔatwa no tiaa.
• MRI Scan (MRI - Magnetic Resonance Imaging): Eyi te sɛ CT scan, nanso wɔde magnetic field ne radio asorɔkye na ɛtwa mfonini ahorow no.
• Chest X-ray: Ɛtɔ mmere bi a eyi nso betumi ayɛ nea ɛho hia.
• Ultrasound scan: Eyi de nnyigyei asorɔkye di dwuma de hwɛ sɛnea akisikuru no te. Ɛtaa yɛ sɔhwɛ a edi kan a wɔyɛ.

Sɛ wowɔ branchial cleft cyst a ɛyɛ type 1, a ɛyɛ nea ɛba bɛn aso no a, wo duruyɛfo no betumi ayɛ aso mu nhwehwɛmu nso . Esiane sɛ akisikuru no nyin bɛn aso no nti, ɛsɛ sɛ wɔhwɛ sɛ ebia ɛrenya nneɛma a atwa wɔn ho ahyia no so nkɛntɛnso anaa.

Dɛn ne ayaresa ahorow a wɔde sa Branchial Cleft Cyst yi?

Eyi ho ayaresa gyina akisikuru ko a wowɔ, beae a ɛwɔ, ne sɛ ebia ɛwɔ ɔyare no so. Ayaresa atitiriw no bi ne:

• Nnuru a ekum ɔyare mmoawa: Sɛ ɔyare no wɔ akisikuru no mu a, nnuruyɛfo bɛkyerɛw saa aduru yi de asiw ɔyare no ano.
• Oprehyɛn a wɔde yi akisikuru no: Wɔ nsɛm pii mu no, titiriw sɛ akisikuru no haw anaasɛ ɛsan ba bio a, ayaresa a eye sen biara ne sɛ wɔbɛyɛ oprehyɛn de ayi akisikuru no afi hɔ koraa.
• Thyroidectomy Fa bi: Esiane sɛ akisikuru a ɛto so 3 ne 4 nyin bɛn thyroid ntini no nti, ɛtɔ mmere bi a ebia ɛho behia sɛ woyi thyroid ntini no fã ketewaa bi ka akisikuru no ho.

Dɛn ne nsɛnnennen a ebetumi afi oprehyɛn mu aba?

Sɛnea ɛte wɔ oprehyɛn biara ho no, asiane nketenkete bi wɔ branchial cleft cyst a wobeyi mu. Nanso, wɔntaa nhu eyinom.

Nsɛnnennen a ebetumi aba no bi ne:

• Mogya a ɛtɔ dodo.
• Ntini a ɛsɛe: Ebia ntini a ɛbɛn baabi a wɔyɛ oprehyɛn no bɛsɛe kakra.
• Sɛnea wɔyɛ wɔn ade wɔ nnuru a wɔde kum nipadua no mu: Eyi kyerɛ sɛ nnipa binom betumi anya nnuru a wɔde kum nipadua no ho adwene.
• Akuru: Ɛyɛ ade a ɛfata sɛ akuru ketewaa bi bɛkɔ so atra hɔ wɔ oprehyɛn akyi.
• Ɛsan ba bio: Ɛntaa mma koraa, sɛ wɔannyi akisikuru no koraa a, ebetumi asan aba.

Wo duruyɛfo bɛkyerɛkyerɛ mfaso ne ɔhaw ahorow a ɛwɔ oprehyɛn yi mu akyerɛ wo. Sɛ wowɔ nsɛmmisa bi a, nsuro sɛ wubebisa.

So wobetumi asiw branchial cleft cyst yi a ɛbɛba no ano?

Nea ɛyɛ awerɛhow no, ɔkwan biara nni hɔ a wɔbɛfa so asiw saa akisikuru yi ano. Efisɛ wɔhyehyɛ wɔ awotwaa no fã, kyerɛ sɛ, bere a akokoaa no da so ara wɔ ɛna no awotwaa mu no. Enti, sɛ wɔde saa akisikuru yi biako awo wo ba no a, ɛnyɛ biribi a woyɛe anaa woannyɛ nti. Ɛyɛ biribi a ɛba ara kwa. Mma ɛnhaw wo wɔ ho.

Sɛ mewɔ akisikuru te sɛ eyi a, dɛn na ɛba? Dɛn na ɛsɛ sɛ mehwɛ kwan?

Wowɔ branchial cleft cyst, nanso sɛ ɛnyɛ nea ɛde ɔhaw, ɛyaw, anaa ɔfe biara mma a, ebia ɛho nhia sɛ woyɛ biribiara. Nanso, sɛ ɛka no a, akyinnye biara nni ho sɛ ebehia sɛ wonom nnuru a ekum ɔyare mmoawa. Sɛ ɔyare no kɔ so a, ɛda adi sɛ wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ no oprehyɛn nyi mfi hɔ. Saa akisikuru yi ntaa nsan mma bio wɔ oprehyɛn akyi. Enti biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho.

Enti, so eyi yɛ nea asiane wom? So ɛbɛsa yare?

Adwene a ɛwɔ tebea yi ho no ye. Ɛyɛ nea wotumi sa no kɛse. Nnipa dodow no ara ho tɔ wɔn yiye wɔ oprehyɛn akyi a ɔhaw biara nni ho. Enti, sɛ wo anaa obi a wunim no wɔ saa tebea yi a, mma wo ho nnyɛ wo hu a ɛho nhia.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn bere a wɔayɛ me oprehyɛn awie no?

Sɛ wɔayɛ wo oprehyɛn de ayi branchial cleft cyst bi a, sɛ wunya sɛnkyerɛnne ahorow yi bi a, bɔ wo duruyɛfo amanneɛ ntɛm ara:

• Atiridiinini a ɛboro digrii Fahrenheit 101 (digrii Celsius 38.3).
• Ɛyaw a ɛnsɛe wɔ nnuru mpo mu.
• Nsu anaa ɔfe a efi kuru no mu pii sen sɛnea na wɔhwɛ kwan.

Sɛ saa nneɛma yi si a, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛfo afotu ntɛm ara.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wuhu sɛ wo anaa wo ba no wɔ branchial cleft cyst a, wubetumi abisa wo duruyɛfo nsɛm te sɛ eyinom:

• Adɛn nti na oduruyɛfo no maa me/me ba no saa akisikuru yi?
• So saa akisikuru yi yɛ kokoram?
• So ebetumi aba sɛ saa akisikuru yi betumi ayɛ kokoram?
• So saa akisikuru yi ankasa befi hɔ?
• Ayaresa bɛn na wokamfo kyerɛ?
• Dɛn ne nneɛma bɔne a ɛtaa fi ayaresa mu ba?

Sɛ wubisa nsɛm yi a, wubetumi anya tebea no ho ntease pa.

Awiei koraa no, nea ɛsɛ sɛ wokae (Take-Home Message) .

Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a wuhu akuru bi wɔ wo kɔn mu, sɛ ɛnyɛ yaw mpo a. Nanso kae sɛ ahintasɛm mu akuru yi pii nyɛ kokoram, te sɛ branchial cleft cyst. Sɛ wo kurukuruwa no de ɔhaw ahorow reba a, nnuruyɛfo betumi de oprehyɛn ayi afi hɔ.Nea ɛho hia paa ne sɛ, sɛ wuhu biribi a ɛyɛ soronko anaa ɛsono wɔ wo nipadua mu a, mmu w’ani ngu so na fa kyerɛ oduruyɛfo. Afei obetumi ahu nea ɛde ba, na sɛ ɛho hia a, ɔkamfo ayaresa a ɛfata sen biara akyerɛ. Nsuro, ma wohu!

` Branchial Cleft Cyst, Neck Cyst, Congenital Cyst, Kɔn a Ɛhonhon, Mmofra, ENT, Oprehyɛn