Ke hana nei kahi cyst i loko o kahi aa koko i kou wāwae a ke ālai nei i ke kahe ʻana o ke koko? E aʻo kākou e pili ana i ka maʻi Cystic Adventitial!

ʻOiai inā he kanaka olakino ʻoe a ʻeleu hoʻi, ua ʻike anei ʻoe i ka ʻeha a i ʻole ka ʻūmiʻi ma kou wāwae haʻahaʻa, ʻoiai ma ka ʻāpana ʻūhā, i ka wā e hoʻoikaika kino ana a i ʻole e hele wāwae ana? Nalo ia ma hope o kekahi manawa, a laila hoʻi mai ke hana ʻoe i kahi mea ʻē aʻe. Manaʻo paha ʻoe ʻaʻole kēia he mea nui. Eia nō naʻe, he hōʻailona paha kēia o kahi maʻi laha ʻole i kapa ʻia ʻo Adventitial Cystic Disease . No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā.

E nānā maʻalahi kākou i ke ʻano o ka maʻi Adventitial Cystic.

I ka ʻōlelo maʻalahi, ʻo ka maʻi Cystic Adventitial kahi kūlana kahi e hoʻokumu ʻia ai kahi ʻeke piha i ka wai, i kapa ʻia he cyst , i loko o kahi kīʻaha koko, e like me ke aʻa a i ʻole ka vein. Hana ʻia kēia ma ka adventitia, ka papa waho loa o ke kīʻaha koko. E noʻonoʻo i kahi puʻupuʻu liʻiliʻi ma waho o kahi kīʻaha koko, e like me ka paipu wai, e ālai ana i ke kahe o ke koko. ʻO ia ka mea e hana nei ma ʻaneʻi.

Hoʻopilikia kēia cyst i ke kahe o ke koko ma o ke kīʻaha koko. Hiki ke hoʻonui ʻia kēia mea e ālai ʻia ai, ʻoiai ke neʻe a hoʻoikaika kino paha mākou. ʻO ka hapa pinepine, hoʻopilikia kēia ʻano i ke aʻa popliteal , ʻo ia kahi aʻa nui e hoʻolako i ke koko i ko mākou mau kuli a me nā ʻiʻo wāwae haʻahaʻa. Eia naʻe, he mea kakaikahi loa, ma kahi o 15% o nā hihia, hiki i nā cysts ke ulu i loko o nā kīʻaha koko ʻē aʻe ma mua o ke aʻa popliteal.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

ʻIke pinepine ʻia ka maʻi Cystic Adventitial i nā kāne ma waena o 40 a me 50 mau makahiki. ʻO ka ʻoiaʻiʻo, ua ʻōlelo ʻia he ʻelima manawa ka nui o ka loaʻa ʻana o kēia maʻi i nā kāne ma mua o nā wahine.

ʻO kahi mea kupanaha, ʻo ia ka hopena pinepine ʻana o kēia maʻi i nā poʻe olakino a ikaika hoʻi ʻaʻohe o lākou maʻi koʻikoʻi ʻē aʻe. Ua ʻike mākou he hiki i ka momona a i ʻole ke cholesterol kiʻekiʻe ke alakaʻi i nā maʻi vascular ʻē aʻe. Eia nō naʻe, ʻaʻole i ʻike ʻia kēlā mau mea pilikia e hoʻopilikia i ka maʻi Adventitial Cystic.

Pehea ka maʻamau o kēia ʻano?

ʻAʻole paha ʻoe i lohe i kēia maʻi ma mua. ʻO ke kumu o kēia, he maʻi laha ʻole loa ia. Ke noʻonoʻo ʻoe i nā maʻi vascular āpau, hoʻopilikia wale kēia maʻi i kahi pakeneka liʻiliʻi loa, ma kahi o 0.1%. ʻO ia hoʻi, he kakaikahi wale nō ka poʻe e loaʻa iā ia.

He aha nā hōʻailona o kēia maʻi? Loaʻa iā ʻoe kēia mau mea pū kekahi?

ʻO ka hōʻailona nui a maʻamau o kēia maʻi ka claudication intermittent.He kūlana i kapa ʻia. I ka ʻōlelo maʻalahi, he manaʻo nāwaliwali a ʻeha paha kēia i nā ʻiʻo ma muli o ka emi ʻana o ke kahe koko. Hana pinepine kēia i ka wā e neʻe ai ʻoe a hoʻoikaika kino paha. Nalo kēia ʻeha ma hope o ka hoʻomaha iki ʻana.

No nā kānaka he nui, hele mai kēia ʻeha mai nā ʻiʻo ma ka ʻāpana bipi keiki (ʻeha ʻiʻo bipi keiki) . E noʻonoʻo i kou hele ʻana i kahi mamao iki, holo, a piʻi paha i kekahi mau alapiʻi, puka koke mai kahi ʻeha ʻē a me ka ʻoʻoleʻa mai loko mai o ke keiki bipi o ka wāwae. Hoʻomaha ia ke kū ʻoe no kekahi manawa, a laila hoʻomaka hou ke hele ʻoe. ʻO ia wale nō. ʻO ka hapa nui o ka manawa, hoʻokahi wale nō wāwae e pili ana i kēia. Eia naʻe, he mea kākaʻikahi loa, hiki ke pili i nā wāwae ʻelua ma kēia ʻano.

Inā no kekahi kumu e hana ʻia ai kēia cyst i loko o kahi aʻa (he mea kakaikahi loa hoʻi), a laila e pehu paha ka wāwae.

No ke aha e kū mai ai ka maʻi Cystic Adventitial? He aha nā kumu?

ʻAʻole maopopo i nā loea ke kumu o kēia maʻi, akā aia kekahi mau mea a lākou e manaʻo nei e kōkua paha i ia:

• Nā pūnaewele i ka wā o ka ulu ʻana o kahi fetus i loko o ka ʻōpū: He mea hiki paha, i ka wā o ka ulu ʻana o kahi fetus i loko o ka ʻōpū, komo nā pūnaewele e hiki ke hana i kēia mau cysts i loko o nā kīʻaha koko.
• Nā maʻi pili pili: Hiki i kekahi mau maʻi pili pili ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i nā cysts e like me kēia i loko o nā kīʻaha koko.
• Pili i nā hui: Hiki i kekahi poʻe ke maʻalahi i ka hoʻomohala ʻana i nā cysts e like me kēia kokoke i ko lākou mau hui.
• ʻO ka trauma a i ʻole ke kaumaha hou: Ma muli paha o ka hōʻeha ʻana i nā kīʻaha koko a i ʻole ma muli o ke kaomi mau (stress), hiki ke hōʻino ʻia nā ʻāpana o nā kīʻaha koko, e hopena ai i ka hoʻokumu ʻia ʻana o nā cysts.

Akā hoʻokahi mea i maopopo. Hōʻike nā hōʻike o kēia manawa ʻaʻole i hoʻokumu ʻia ka maʻi Cystic Adventitial e ka maʻi cardiovascular.

Pehea e ʻike pololei ʻia ai kēia maʻi? (Diagnosis)

Hiki ke paʻakikī iki ka ʻike ʻana i kēia maʻi. No ka mea, e like me ka mea i ʻōlelo ʻia ma mua, loaʻa pinepine ia i nā poʻe olakino ʻaʻohe kumu pilikia no nā maʻi kīʻaha koko ʻē aʻe. 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 ke kauka a haʻi iā ia e pili ana i ia mea.

Hiki ke like nā hōʻailona o kēia ʻano me nā maʻi ʻē aʻe o ke kīʻaha koko, e like me ka Popliteal Artery Entrapment Syndrome (PAES) a i ʻole Chronic Exertional Compartment Syndrome . No laila, e kāpae kāu kauka i nā kūlana ʻē aʻe ma mua o ka nānā ʻana i kēia ʻano.

I kou nānā ʻana iā ʻoe, e ʻike paha kāu kauka i ka pulse ma kou wāwae a ma hope o kou kuli, ʻo ia hoʻi ke aʻa popliteal. Inā ʻaʻole ʻike ʻia ka pulse, ʻoiai ke kūlou ʻoe i kou kuli, he hōʻailona paha ia o kahi ālai ʻana i ke kahe koko.

Eia kekahi, hiki i ke kauka ke kauoha i kekahi mau hoʻokolohua ʻē aʻe e hōʻoia i kēia maʻi:

• ʻŌlelo Kuhikuhi Kuʻekuʻe-Brachial (ABI): Ke ana kēia i ke koko ma kou mau wāwae haʻahaʻa.
• CT Angiogram: Hiki ke hoʻohana ʻia kēia e ʻike i ke kahe ʻana o ke koko a inā he mau mea e ālai ana i nā kīʻaha koko. Ua like ia me ke kiʻi ʻana i nā kīʻaha koko.
• ʻO Duplex Ultrasound: Hiki iā ʻoe ke ʻike i kahi kiʻi neʻe o ke koko e kahe ana ma kou mau wāwae.
• MRI: Hiki i kēia ke ʻike maopopo i nā cysts i loko a puni paha o nā kīʻaha koko.

Ma hope wale nō o kēia mau hoʻokolohua hiki i ke kauka ke haʻi pololei iā ʻoe inā he maʻi Adventitial Cystic kou a i ʻole.

He aha nā lāʻau lapaʻau no kēia?

I kekahi manawa, hiki i kēia mau cysts adventitial ke hele wale aku. Eia nō naʻe, i ka hapanui o nā hihia, ʻo ka lāʻau lapaʻau holomua loa ka wehe ʻana i ka cyst ma ke ʻoki kino .

I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku e omo i ka cyst me ka hoʻohana ʻana i kahi nila. ʻOiai he hana invasive ʻole kēia ma mua o ke ʻoki ʻana, hoʻonui ia i ka pilikia o ka hoʻi hou ʻana o nā cysts.

Inā hana ʻoe i ke ʻoki kino, e wehe kāu kauka ʻoki i ka cyst a me ka ʻāpana i hōʻino ʻia o ke kīʻaha koko. Inā ʻoi aku ka koʻikoʻi o kou kūlana, ʻo ia hoʻi ua paʻa loa ke kīʻaha koko, pono paha kekahi hana ʻē aʻe. I kēlā hihia, hiki i kāu kauka ʻoki ke hoʻohana i kahi graft vein mai kahi ʻāpana ʻē aʻe o kou kino a i ʻole kahi patch synthetic e hoʻoponopono i ke kīʻaha koko a hoʻihoʻi i ke kahe koko maʻamau. A i ʻole, hiki iā ʻoe ke hana i ke ʻoki bypass, kahi e hana ai i kahi ala hou no ke koko e kahe a puni ke kīʻaha koko i paʻa.

Hiki iā kākou ke pale aku i kēia mai ka hana ʻana?

ʻOiaʻiʻo, ʻaʻohe ala kikoʻī e pale aku ai i ka maʻi Adventitial Cystic. No ka mea, ʻaʻole ʻike ʻia ke kumu pololei, he paʻakikī ke ʻōlelo pehea e pale aku ai.

Eia nō naʻe, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke ʻimi i ke kōkua lapaʻau i ka wā e ʻike ai ʻoe i kekahi mau hōʻailona, ​​e like me ka ʻeha, ke kaomi, ka mae ʻana, a i ʻole ka pehu ʻana i kou wāwae. Ma kēia ʻano, hiki iā ʻoe ke ʻike koke i ke kūlana a hoʻomaka i ka mālama ʻana.

He aha ka mea e hana ʻia ma hope o ka mālama ʻana? He aha ka nānā ʻana? (Outlook)

ʻAʻohe mea he aha ka lāʻau lapaʻau i hoʻohana ʻia no ka maʻi Cystic Adventitial,Aia kahi manawa e hoʻi hou mai ai ka cyst. No laila, ʻoiai ma hope o ka mālama ʻana, pono mau e noho ma lalo o ka nānā ʻana a ke kauka no ka manawa lōʻihi a hana i nā hoʻokolohua kiʻi.

Eia nō naʻe, ua loaʻa i ka nui o ka poʻe ka hōʻoluʻolu mai ka ʻeha a me ka ʻōʻopa ma hope o ke ʻoki ʻana i ka cyst. Ua ʻike ʻia kekahi noiʻi liʻiliʻi e hōʻemi ana ka wehe ʻana i kahi cyst me ka hoʻohana ʻana i kahi vein graft i ka pilikia o ka hoʻi hou ʻana.

ʻO ka mea nui loa, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​mai makaʻu e ʻike i ke kauka a kamaʻilio e pili ana i ia mea. ʻO ka wikiwiki o kou ʻike ʻana i ka maʻi, ʻo ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau a hoʻōla.

ʻEkahi mau nīnau koʻikoʻi e nīnau aku i kāu kauka

Inā ua ʻike ʻia ʻoe me ka maʻi Adventitial Cystic, makemake paha ʻoe e nīnau i kāu kauka i nā nīnau e like me:

• Aia kekahi mau mea hiki iaʻu ke hana e hōʻemi i ka ʻeha o nā wāwae i ka wā e hoʻoikaika kino ai?
• Pehea e hiki ai iaʻu ke hōʻemi i ka pilikia o ka hoʻokumu hou ʻana o kēia cyst ma hope o ka mālama ʻana?
• Aia kekahi pilikia o ka hoʻomohala ʻana i kahi ʻūpā koko?
• Pono anei au i ke ʻoki kino e wehe ai i kēia cyst?
• E nalo wale aku anei kēia cyst me ka ʻole o ka lāʻau lapaʻau?

Ma waho aʻe o kēia mau nīnau, e nīnau i kāu kauka e pili ana i kekahi mea a i ʻole kekahi kānalua āu e loaʻa ai.

I ka hōʻuluʻulu manaʻo, e hoʻomanaʻo i kēia mau mea (Leka Lawe-Home)

ʻAe, no laila e hoʻomanaʻo iki aku mākou iā ʻoe i kekahi mau mea nui mai nā mea a mākou i kamaʻilio ai:

• He ʻano laha ʻole ka maʻi Cystic Adventitial kahi e kū ai kahi cyst i loko o kahi kīʻaha koko, ʻoi aku hoʻi ke aʻa popliteal, e ālai ana i ke kahe koko.
• Hoʻopilikia nui kēia i nā kāne olakino a ikaika ma waena o 40-50 mau makahiki .
• ʻO ka hōʻailona nui ka ʻeha a i ʻole ka ʻōʻō ma ka wāwae haʻahaʻa, ʻoi aku hoʻi ma ka ʻāpana groin, i ka wā hoʻoikaika kino (intermittent claudication) . E emi ana kēia me ka hoʻomaha.
• ʻAʻole i loaʻa kahi kumu kikoʻī.
• Hoʻohana ʻia nā hoʻokolohua like ʻole (ABI, CT Angiogram, Duplex Ultrasound, MRI) no ka hōʻoia ʻana.
• ʻO ka wehe ʻana i ka cyst i ke ʻoki kino ka lāʻau lapaʻau holomua loa .
• ʻOiai ʻaʻohe ala kikoʻī e pale aku ai i kēia, he mea nui e ʻimi i ke kōkua lapaʻau i ka wā e ʻike ʻia ai nā hōʻailona.
• ʻOiai ma hope o ka lāʻau lapaʻau, pono ka nānā ʻana o ke kauka no ka manawa lōʻihi no ka mea hiki i ka maʻi ke hoʻi hou mai.

No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka a ʻimi i ka ʻōlelo aʻo me ka lawe ʻole ʻana i ka māmā. No ka mea, e like me nā maʻi āpau, ʻo ka wikiwiki o ka ʻike ʻia ʻana, ʻoi aku ka maikaʻi o ka loaʻa ʻana o ka lāʻau a me ka hoʻōla ʻana.

`maʻi cystic adventitial, popliteal artery, intermittent claudication, ʻeha wāwae, maʻi vascular, cyst, poloka kīʻaha koko, ʻeha wāwae, poloka kīʻaha koko, cyst, popliteal artery