Ke kumu nei kēia ʻano laha ʻole i ka ʻeha o ka wāwae i ka wā e hoʻoikaika kino ai? (Maʻi Cystic Adventitial)

Ke ʻike nei ʻoe i kahi ʻeha ʻoi a ʻoi i nā ʻiʻo o kou wāwae ke hele ʻoe, holo, a hoʻomaʻamaʻa paha ma ka hale hoʻoikaika kino? Akā, he mea kupanaha, ua nalowale loa ka ʻeha ma hope o ka hoʻomaha pōkole? Manaʻo ka poʻe he mea maʻamau kēia, he ʻeha paha nā ʻiʻo, akā, ʻaʻole ia ka hihia mau. I kekahi manawa, ʻo ke kumu nui paha he ʻano ʻokoʻa a ʻike ʻole ʻia. I kēia lā, ke kamaʻilio nei mākou e pili ana i kekahi ʻano maʻi kakaikahi e pono ke makaʻala.

I ka ʻōlelo maʻalahi, he aha ka maʻi Cystic Adventitial?

He mea paʻakikī paha kēia, akā he mea maʻalahi loa ke hoʻomaopopo. ʻO ka maʻi Cystic Adventitial kahi kūlana kahi e hana ai kahi ʻeke piha wai, e like me ka pehu (cyst) i loko o ka paia o kahi kīʻaha koko (artery a vein paha) i loko o ko mākou kino.

E noʻonoʻo he paipu wai. Pehu kahi pōpō liʻiliʻi i loko o ka paia o kēlā paipu. He aha ka mea e hana ʻia? Hoʻemi ʻia ka hakahaka no ka wai e kahe ma o ka paipu, a ua ālai ʻia ke kahe ʻana o ka wai. ʻO ia ka mea e hana ʻia ma kēia maʻi. Hana ʻia nā paia o ko mākou mau kīʻaha koko i kekahi mau papa. Maanei, hana ʻia kēia puʻupuʻu wai ma ka papa waho loa o ke kīʻaha koko, i kapa ʻia ʻo adventitia . I ka ulu ʻana o kēia puʻupuʻu, hoʻohaiki ia i ke ala no ke koko e kahe ma o ke kīʻaha koko. ʻOi loa i ka wā e hele ai a holo paha, i ka wā e pono ai ke koko i ko mākou mau wāwae, pale kēia haʻahaʻa i ke koko lawa mai ka hele ʻana i nā ʻiʻo. ʻO ia ke kumu nui o ka ʻeha.

ʻO ka hapa pinepine, hoʻopilikia kēia ʻano i ke aʻa popliteal, ke aʻa nui e holo ana ma hope o ko mākou mau kuli . Hoʻolako kēia aʻa i ke koko i ko mākou mau kuli a me nā ʻiʻo ma ko mākou mau wāwae haʻahaʻa. Eia nō naʻe, he mea kakaikahi loa, ma kahi o 15% o nā hihia, hiki i kēia mau cysts piha i ka wai ke hana ʻia i loko o nā kīʻaha koko ʻē aʻe o ke kino.

ʻO wai ka mea kūpono loa e loaʻa i kēia maʻi?

ʻO kēia ka mea kupanaha loa e pili ana i kēia maʻi. ʻO ka maʻamau, loaʻa nā maʻi o ke aʻa koko i nā poʻe me ke kolamu kiʻekiʻe, ka momona, a me ka maʻi diabetes. Akā, ʻaʻole like kēia maʻi me ia.

• ʻIke pinepine ʻia ia i nā kāne ma waena o 40 a me 50 mau makahiki .
• ʻElima manawa ka nui o ka loaʻa ʻana o kēia maʻi i nā kāne ma mua o nā wahine.
• ʻO ka mea kupaianaha, hiki kēia i nā poʻe i loaʻa ʻole nā ​​​​maʻi ʻē aʻe a ke ola nei i nā ola olakino a hana .

ʻO ke ʻano kēia, ʻoiai inā he kanaka olakino ʻoe a hoʻoikaika kino maikaʻi, hiki nō iā ʻoe ke hoʻomohala i kēia maʻi. ʻAʻohe hōʻike e pili ana i nā kumu pilikia ʻē aʻe no nā maʻi vascular, e like me ke cholesterol kiʻekiʻe a me ka momona, i kēia. He maʻi laha ʻole kēia. He helu liʻiliʻi loa ia no nā hihia, ma kahi o 0.1%, o nā maʻi vascular āpau.

He aha nā hōʻailona nui o kēia maʻi?

ʻO ka hōʻailona nui a maʻamau o kēia maʻi he ʻano i kapa ʻia ʻo intermittent claudication . I ka ʻōlelo maʻalahi, ʻo ia hoʻi "ka ʻeha ʻiʻo e kū mai ana i ka wā hoʻoikaika kino a nalowale ke hoʻomaha ʻoe."

No ke aha lā kēia e hana ai?

ʻAʻole hiki i nā kauka ke ʻōlelo me ka maopopo 100% i ke kumu o kēia, akā aia kekahi mau manaʻo e hiki ke lilo i kumu.

• He pilikia e kū mai ana i ka wā o ka ulu ʻana o ka embryo: Manaʻo kekahi poʻe, malia paha, i ka wā e ulu ana kahi pēpē i loko o ka ʻōpū, hiki i kahi ʻano cell e hiki ke hana i kēia mau cysts piha i ka wai ke komo i loko o nā kīʻaha koko.
• Nā maʻi pili: ʻO kekahi mau kūlana e hoʻopilikia ai i nā ʻiʻo pili o ke kino e hiki ke hana i kēia ʻano tumors i loko o nā kīʻaha koko.
• Ka hanana ʻana i nā hono: Hiki i kekahi poʻe ke maʻalahi i ka hoʻomohala ʻana i kēia ʻano ʻōpū i loko o nā hono.
• Nā ulia a i ʻole ke kaumaha lōʻihi:ʻO ka ʻeha i kahi kīʻaha koko a i ʻole ke kaumaha pinepine ʻia mai ka hana pinepine ʻana i ke ʻano neʻe like hiki ke hōʻino i nā ʻāpana o ke kīʻaha koko a hoʻoulu i ka hoʻokumu ʻana o nā puʻupuʻu ma kēlā mau wahi.

Pehea e ʻike pono ai i ka maʻi?

Hiki ke paʻakikī iki ka ʻike ʻana i kēia maʻi. No ka mea, loaʻa ia i nā poʻe olakino, ʻaʻole noʻonoʻo nā kauka i kēlā ʻano maʻi laha ʻole i ka wā mua. No laila, inā ʻike pū ʻoe i ka ʻeha ma hope o ke kuli a i ʻole ma ka ʻāpana groin i ka wā e hoʻoikaika kino ai, e ʻike pono i kāu kauka a haʻi iā ia e pili ana .

Hiki ke hoʻokumu ʻia kāu mau hōʻailona e nā kūlana ʻē aʻe e like me kēia, e like me ka Popliteal Artery Entrapment Syndrome (PAES) a i ʻole Chronic Exertional Compartment Syndrome . No laila, e kāpae kāu kauka i kēia mau kūlana āpau ma mua o ka hana ʻana i kahi hōʻailona pololei.

Nā hoʻokolohua i hana ʻia e ke kauka

ʻO ka mea mua, e nānā kino ke kauka iā ʻoe a nānā i ka pulse ma kou wāwae a ma hope o kou kuli (popliteal artery). Inā nāwaliwali a ʻaʻohe paha ka pulse, ʻoiai ke kūlou ʻoe i kou kuli, hiki i kēia ke hōʻike i kahi ālai ʻana i ke kahe koko.

Eia kekahi, hiki ke hana ʻia nā hoʻokolohua ma lalo nei e hōʻoia i ka maʻi.

Pehea e mālama ʻia ai?

I kekahi manawa, hiki i kēia mau cysts ke hele wale aku me ka ʻole o ka lāʻau lapaʻau. Akā, he mea kākaʻikahi kēlā. ʻO ka pinepine, ʻo ka lāʻau lapaʻau holomua loa ka wehe ʻana i ka cyst ma o ke ʻoki ʻana.

I kekahi mau hihia, hoʻohana paha ke kauka i kahi nila e wehe i ke kahe i loko o ka cyst (cyst aspiration) me ke ʻoki ʻole ʻana. He mea maʻalahi kēia ma mua o ke ʻoki ʻana, akā hoʻonui ia i ka pilikia o ka hoʻi hou ʻana mai o ka cyst. Ua like ia me ka hoʻāʻo ʻana e hoʻokahe i kahi pōpō wai me kahi nila, akā hiki ke hoʻopiha hou ʻia.

I ka wā o ke ʻoki ʻana, wehe ke kauka ʻoki i ke wai a me ka ʻāpana i hōʻino ʻia o ke kīʻaha koko. Inā koʻikoʻi ke kūlana, ʻo ia hoʻi ua paʻa loa ke kīʻaha koko, hiki ke hoʻohana ʻia nā ʻano hana ʻē aʻe. Eia kekahi laʻana:

• Hoʻopili ʻia ke aʻa koko: Hoʻohana ʻia kahi ʻāpana o ke aʻa koko olakino i lawe ʻia mai kahi ʻāpana ʻē aʻe o ke kino e hoʻoponopono i ka ʻāpana i hōʻino ʻia o ke kīʻaha koko.
• Pāpili Hana ʻia: Hoʻoponopono ʻia ke kīʻaha koko me ka hoʻohana ʻana i kahi pāpili hana ʻia.
• ʻO ke ʻoki ʻoki: Hana ʻia kahi ala hou no ke kahe ʻana o ke koko, e pale ana i ka mea i ālai ʻia.

He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?

Ma hope o kekahi lāʻau lapaʻau, aia kahi manawa e hoʻi hou mai ai kēia cyst. No laila, ʻoiai ma hope o ka lāʻau lapaʻau, pono ka nānā ʻana i ka wā lōʻihi, e like me nā scans.

Eia nō naʻe, ma hope o ka wehe ʻana i ka puʻupuʻu ma ke ʻoki ʻana, nui ka poʻe e ʻike i ka hōʻoluʻolu piha mai ka ʻeha a me ka ʻūmiʻi. Ua ʻike ʻia kekahi noiʻi ʻo ka hoʻoponopono ʻoki ʻana i ke kīʻaha koko me kahi vein graft ka mea haʻahaʻa loa o ka pilikia o ka hoʻi hou ʻana.

Hiki ke pale ʻia kēia?

ʻAʻole. ʻAʻohe ala e pale aku ai i kēia maʻi i kēia manawa. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike koke i kāu kauka ke ʻike ʻoe i kekahi mau hōʻailona, ​​​​e like me ka ʻeha o ka wāwae, ke kaomi, ka ʻūlū, a i ʻole ka pehu ʻana .