Ua manaʻo paha ʻoe i kahi puʻupuʻu liʻiliʻi ma hope o kou kuli a makaʻu iki? Ke manaʻo nei ʻoe i ka ʻeha a i ʻole ka paʻa i kou kūlou ʻana a i ʻole ka hoʻopololei ʻana i kou kuli? Malia paha he paʻakikī iā ʻoe ke hele wāwae. He mea maʻamau ka makaʻu ke ʻike ʻoe i kahi mea e like me kēia. Akā i ka hapa nui o ka manawa, ʻaʻohe mea e makaʻu ai kēia. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi kūlana i kapa ʻia ʻo Baker's Cyst, ʻo ia ke kumu maʻamau o kēia mau puʻupuʻu ma hope o ke kuli. Ua kapa pū nā kauka i kēia he Popliteal Cyst .
I ka pōkole, he aha ka Baker's Cyst?
E noʻonoʻo i kou hui kuli e like me kahi mīkini i ʻaila maikaʻi ʻia. I loko o kēia hui, kahi e hui ai nā iwi kuli, aia kahi wai kūikawā (wai synovial) e kōkua i ka neʻe mālie ʻana o ke hui. Ua like ia me ka ʻaila i loko o kahi mīkini.
I kēia manawa, inā ua hōʻino ʻia kou hui kuli no kekahi kumu, no ka laʻana, ma muli o ka maʻi ʻaʻai, a i ʻole kahi ʻeha mai ka hāʻule ʻana, hoʻāʻo ko mākou kino e hoʻoponopono i ka pōʻino. Ma kēia kaʻina hana, i kekahi manawa ua hana ʻia ka wai i loko o ke kuli ma nā nui he nui ma mua o ka maʻamau.
Ke ʻole kahi e hele ai kēia wai keu, e puka ana ia i waho ma ka ʻāpana nāwaliwali loa o ke kuli, ʻo ia hoʻi ke kua. Ke puka i waho, hana ia i ʻeke liʻiliʻi ma lalo o ka ʻili ma hope o ke kuli, a hōʻiliʻili kēia wai i loko. ʻO ia ka mea a mākou e kapa nei he Baker's Cyst .
ʻO ka mea nui loa, ʻaʻole kēia he maʻi kanesa (benign) . ʻO ia hoʻi, ʻaʻole ia he puʻupuʻu kanesa a i ʻole he hōʻailona o ke kanesa. Eia nō naʻe, inā ʻike ʻoe i kahi puʻupuʻu hou ma kou kino, he mea nui e hōʻike iā ia i ke kauka e ʻike pono i ke ʻano o ia mea.
He aha nā hōʻailona o kēia?
ʻO ka hōʻailona nui no nā kānaka he nui, ʻo ia ka puʻupuʻu ma hope o ke kuli. Akā, ʻaʻole like nā hōʻailona o kēlā me kēia kanaka. Hiki i kekahi poʻe ke loaʻa kēia puʻupuʻu me ka ʻole o nā hōʻailona. Hiki ke ʻike ʻia ke nānā ke kauka iā ʻoe no kekahi mea ʻē aʻe.
Eia nō naʻe, aia kekahi mau hōʻailona maʻamau. E nānā kākou i ke ʻano o ia mau mea.
| Hōʻailona | Wehewehena |
|---|---|
| He puʻu ma hope o ke kuli | ʻO kēia ka hōʻailona maopopo loa. I kekahi manawa ʻike wale ʻia ke kīkoʻo piha ʻia ke kuli. |
| ʻEha kuli | Hiki mai paha ka ʻeha mai loko mai o ke kuli a i ʻole kahi i loaʻa ai ka puʻupuʻu. |
| ʻOʻoleʻa o ke kuli | He mea paʻakikī paha ke kūlou a hoʻopololei paha i kou mau kuli, i kou ala mua ʻana i ke kakahiaka a i ʻole ma hope o ke kū ʻana ma hope o ka noho ʻana no ka manawa lōʻihi. |
| Ka paʻakikī i ke kulou ʻana i ke kuli | I ka ulu ʻana o ka puʻupuʻu, ʻaʻole hiki ke kulou piha ke kuli. Me he mea lā ua paʻa kekahi mea. |
| Pehu ʻana | Hiki ke pehu ke kuli, ka ʻūhā, a i ʻole ka ʻāpana ʻūhā. |
No ke aha e hana ʻia ai kekahi mea e like me kēia? ʻElua kumu nui!
E like me kaʻu i ʻōlelo ai ma mua, ʻaʻole e hana wale ʻia kahi Baker's Cyst. Pono mua ia he ʻano pilikia i loko o ke kuli. ʻElua mau kumu nui.
1. ʻO ka ʻāʻī: He maʻi maʻamau kēia i waena o nā pākeke he nui ma ko mākou ʻāina. Hoʻopau ʻia ke cartilage ma ka hui kuli i ka hala ʻana o ka manawa. ʻO kēia ʻaʻahu a me ka haehae ke kumu o ka pehu ʻana i loko o ke hui, a ʻoi aku ka nui o ka wai aʻu i ʻōlelo ai. ʻO kēia ke kumu nui o ka hoʻokumu ʻia ʻana o ka Baker's Cyst.
2. Nā ʻeha kuli: Hiki ke loaʻa kēia ʻano inā loaʻa i kahi kanaka kahi ʻeha kuli i ka wā e pāʻani ana i nā haʻuki a i ʻole i kahi ulia. Eia kekahi laʻana:
- Ka haehae ʻana o ke ligament kuli.
- Ka hōʻino ʻana i ke cartilage.
- Ka haki ʻana o ka iwi ma ke kuli.
Ke hana ʻia kahi ʻeha e like me kēia, hiki ke pehu a puni ka ʻeha a hōʻiliʻili ka wai, e hana ana i kahi Baker's Cyst.
ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?
ʻOiai hiki i kekahi ke loaʻa i kēia, aia kekahi poʻe i kahi pilikia kiʻekiʻe iki aʻe.
- Nā mākua ma waena o 35 a me 70 mau makahiki.
- Nā mea pāʻani haʻuki (ʻoi aku ka poʻe e pāʻani ana i nā haʻuki e kau ana i ka nui o ke kaomi ma nā kuli).
- ʻO ka poʻe e hana me ke kaumaha nui ma ko lākou mau kuli.
- ʻO ka poʻe i loaʻa mua ka ʻeha o nā hono.
He aha nā pilikia e hiki ke kū mai ma muli o kēia puʻupuʻu?
I ka hapanui o ka manawa, ʻaʻole nui ka pōʻino o ka Baker's Cyst. Eia nō naʻe, i kekahi manawa hiki ke loaʻa nā pilikia.
E noʻonoʻo i ka mea e hana ʻia inā ʻoe e hoʻopiha koke i kahi pōpō wai me ka wai. E pahū ana ia, ʻeā? Pēlā nō, inā piha koke kēia pōpō, a inā paha e piʻi aʻe ke kaomi, hiki i kēia pōpō ke haki .
Inā pēlā, hiki iā ʻoe ke ʻike i nā hōʻailona e like me kēia:
- Ka ʻeha ʻoi koke ma ke kuli a i ʻole ka ʻāpana ʻūhā.
- Ka pehu ʻana o ka ʻāpana poʻo.
- He manaʻo ʻē me he mea lā e kahe ana ka wai i lalo o ka wāwae.
- I nā hihia kakaikahi, hiki ke kū mai nā kūlana koʻikoʻi e like me ka hōʻino ʻana o ke aʻalolo a i ʻole ka compartment syndrome .
He mea nui loa: ʻO ka pehu a me ka ʻeha ma ka wāwae haʻahaʻa e kū mai ana i ka wā e pahū ai kahi puʻupuʻu hiki ke like loa me nā hōʻailona o kahi ʻōpū koko i loko o kahi aʻa koko ma ka wāwae (Deep Vein Thrombosis - DVT), hiki ke lilo i mea weliweli loa i kekahi manawa. He pilikia olakino ka DVT. No laila, inā loaʻa koke iā ʻoe ka ʻeha nui ma ka wāwae haʻahaʻa me ka pehu ʻana, mai kānalua e ʻike i ke kauka a i ʻole e hele i ka keʻena pilikia haukapila kokoke loa (ETU).
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe i nā nīnau. Nā mea e like me ka lōʻihi o kou loaʻa ʻana o kēia puʻupuʻu, he aha nā hōʻailona o ia mea, a inā paha ua loaʻa iā ʻoe kahi ʻeha i kou kuli. A laila e nānā ʻo ia i kou kuli.
I ka hapa nui o ka manawa, hiki i kahi hoʻokolohua kino ke ʻike i kahi Baker's Cyst. Eia nō naʻe, i kekahi manawa hiki ke hana ʻia nā hoʻokolohua e like me kēia e hoʻoholo ai i ke kumu pololei a e hōʻoia ʻaʻohe maʻi koʻikoʻi ʻē aʻe.
- X-ray: Kōkua kēia i ka nānā ʻana i ka hōʻino ʻia o nā iwi o ke kuli, e like me ka ʻeha o nā hono.
- ʻO ke kiʻi ʻana o ka ultrasound: Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā ua piha ka puʻupuʻu i ka wai (cyst) a i ʻole ka paʻa (tumor). He mea nui hoʻi e nānā i kahi clot koko (DVT).
- MRI scan: Hiki i kēia ke ʻike maopopo i ka hōʻino ʻana i nā ʻiʻo palupalu e like me nā ligaments a me ke cartilage i ke kuli.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka mea nui e hoʻomaopopo ai ma ʻaneʻi, ʻo ia ka mālama pinepine ʻana o nā kauka i ke kumu o ka pehu ʻana, ʻaʻole ka pehu ponoʻī. Ke mālama ʻia ka pilikia kuli, e pau ka hōʻiliʻili ʻana o ka wai keu, a e emi pinepine ka pehu ma kāna iho.
ʻOkoʻa nā ʻano lapaʻau ma muli o ke kumu.
| ʻAno lapaʻau | Wehewehena |
|---|---|
| Ke ʻano hana RICE | He mea kēia hiki iā ʻoe ke hana ma ka home ke loaʻa iā ʻoe kahi ʻeha. R-Hoʻomaha, I-Ice, C-Compression, E-Elevation. |
| Nā lāʻau lapaʻau | No ka hōʻemi ʻana i ka ʻeha a me ka pehu ʻana, hiki i kāu kauka ke kuhikuhi i nā lāʻau ʻeha (NSAID). I kekahi manawa, inā nui loa ka pehu ʻana, hiki ke hāʻawi ʻia iā ʻoe kahi inikini cortisone i loko o kou kuli. Pono e hoʻohana ʻia kēia mau mea ma lalo o ke aʻo ʻana a ke kauka . |
| Hoʻōla kino | ʻO nā hoʻomaʻamaʻa e hoʻoikaika ai i nā ʻiʻo a puni ke kuli e hāʻawi i ke kākoʻo maikaʻi no ke kuli. He mea nui loa kēia no ka poʻe me ka ʻeha o nā hono a me ka poʻe e ho'ōla ana mai nā ʻeha. |
| ʻoki kino | ʻAʻole pono pinepine ke ʻoki kino e wehe i ka Baker's Cyst. Hana wale ʻia inā ʻeha nui ka cyst a ʻeha paha ke kuli. Eia nō naʻe, inā he ʻeha nui, e like me ka haehae ʻia o ka ligament ma ke kuli, pono paha ke ʻoki kino. |
Pehea ka lōʻihi e mau ai kēia hua?
Aia wale nō ia i ke kumu o ka pehu ʻana. I ka emi ʻana o ka pehu ʻana o kou kuli a hoʻōla, e nalo aku ka pehu i loko o kekahi mau pule. ʻOiai inā loaʻa iā ʻoe ka ʻeha o nā hono, ʻaʻole mau loa kēia pehu. I ka ho'ōla ʻana o kou kuli, e omo hou kou kino i ke wai.
Hiki ke hoʻonāukiuki ke manaʻo he pōpō wai kou ma hope o kou kuli. Akā e hoʻomanaʻo, ʻaʻole koʻikoʻi ka hapa nui o nā Baker's Cysts. I kekahi manawa nalo wale lākou. ʻO ka mea nui loa, ʻo ia ke ʻike i ke kauka e pili ana i kekahi puʻupuʻu hou, ʻoiai hoʻi ka mea i ʻike ʻia ma hope o kahi ʻeha. Ma kēlā ala, hiki iā ʻoe ke maopopo ʻaʻole ʻoe e makaʻu a hiki ke loaʻa ka lāʻau kūpono inā pono.
Leka Lawe-Home
- ʻO ka puʻupuʻu ma hope o ke kuli he Baker's Cyst pinepine ia. Hoʻokumu ʻia kēia e kekahi pilikia ʻē aʻe ma ke kuli (ka mumū a i ʻole ka ʻeha o nā hono).
- ʻAʻole kēia he mau puʻupuʻu kanesa. Mai hopohopo no ia mea.
- Inā ʻike ʻoe i kahi puʻupuʻu hou ma kou kino, mai hopohopo no ke aha ia mea, akā e hōʻike pono i ke kauka.
- Inā loaʻa koke iā ʻoe ka ʻeha nui a me ka pehu ʻana i kou kuli a kuʻekuʻe wāwae paha, he aneurysm paha ia i haki a i ʻole he ʻūpā koko weliweli (DVT). E ʻimi koke i ke kōkua lapaʻau.
- Kuhi ʻia ka lāʻau lapaʻau i ke kumu o ka puʻupuʻu ma mua o ka puʻupuʻu ponoʻī. Ke ho'ōla ʻia kēlā kumu, e nalowale ana ka puʻupuʻu ma ona iho.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo