Aia kekahi cyst ma hope o ke kuli? E kamaʻilio kākou e pili ana i ka Baker's Cyst (Popliteal Cyst)

Ua makaʻu paha ʻoe i kou ʻike koke ʻana i kahi puʻupuʻu liʻiliʻi ma hope o kou kuli, ma kahi pono āu e kūlou ai i kou kuli? Ke manaʻo nei ʻoe i ka ʻoluʻolu ʻole a i ʻole ka ʻeha i kou hele ʻana a i ʻole ke kūlou ʻana i kou kuli? He mea maʻamau i kekahi ke hopohopo iki i ka wā e ʻike ai lākou i kahi mea e like me ia. Akā i ka hapa nui o ka manawa, hiki i kahi puʻupuʻu e like me kēia ke lilo i ʻano maʻi ʻoi aku ka koʻikoʻi i kapa ʻia ʻo Baker's Cyst. I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha maoli ka Baker's Cyst?

I ka ʻōlelo maʻalahi, ʻo ka Baker's Cyst (ua kapa ʻia e kekahi mau kauka he "Popliteal Cyst") he ʻeke liʻiliʻi i piha i kahi wai wai e hana ʻia ma hope o kou kuli. E noʻonoʻo iā ia e like me kahi pōpō wai liʻiliʻi.

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Mai hea mai kēia?" ʻĀ, i loko o ko kākou mau hui kuli aia kahi wai lubricating i kapa ʻia ʻo synovial fluid. Kōkua kēia i ka neʻe mālie ʻana o ke ami me ka ʻole o nā iwi e hamo ana kekahi i kekahi. Akā i ka wā e loaʻa ai ka pōʻino, ka ʻeha, a i ʻole nā ​​maʻi ʻē aʻe i ke kuli (no ka laʻana, osteoarthritis), hoʻomaka ko kākou kino e hana hou aku i kēia wai.

Ke ʻole kahi e hele ai kēia wai keu, e paʻi ia i ke kua o ke kuli, e hana ana i kahi ʻeke liʻiliʻi o nā ʻiʻo e hōʻiliʻili ana i loko. ʻO ia ka mea a mākou e kapa nei he Baker's Cyst.

He aha nā hōʻailona o kēia?

ʻO ka hōʻailona maʻamau ka puʻupuʻu ma hope o ke kuli. Akā, ʻaʻole like nā hōʻailona o kēlā me kēia kanaka. ʻAʻohe pilikia iki o kekahi poʻe. ʻIke pinepine ʻia ia ma ka hanana ke nānā ke kauka iā ʻoe. Eia nō naʻe, loaʻa paha i kekahi poʻe kēia mau hōʻailona.

No ke aha e makemake ai kahi puʻupuʻu i kēia ʻano?

E like me kaʻu i ʻōlelo ai ma mua, ʻo kekahi mea e hōʻino ana i ka hui kuli hiki ke hana i kēia puʻupuʻu. ʻElua mau kumu nui:

1. ʻO ka ʻāʻī: ʻO ka ʻāʻī kahi maʻi e pau ai nā ʻiʻo o nā hono i ka hala ʻana o ka manawa. ʻO kēia ʻāʻī a me ka haehae ke kumu o ke kino e hana i nā wai hono hou aʻe. Hōʻiliʻili kēia wai keu a hana i kahi Baker's Cyst. He kumu maʻamau kēia i waena o nā pākeke ma Sri Lanka.

2. Nā ʻeha kuli: Inā ʻoe e hōʻeha i kou kuli i ka wā e pāʻani ana i nā haʻuki, hāʻule, a i ʻole i loko o kahi ulia ʻē aʻe (no ka laʻana, kahi ligament haehae i ke kuli, hōʻino i ke cartilage), hiki i ka pehu e kū mai ana ke kumu e hōʻiliʻili ai kēia wai a hana i kahi 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.

• No nā mākua ma waena o 35 a me 70 mau makahiki.
• No nā mea pāʻani (ʻoi aku ka poʻe e pāʻani ana i nā haʻuki holo a me ka lele).
• No ka poʻe e kau ana i ke kaomi nui ma ko lākou mau kuli ma ka hana a i ʻole ma ke ʻano he hana leʻaleʻa.
• No ka poʻe me ka rumatika.

Hiki i kēia puʻupuʻu ke hana i nā pilikia ʻē aʻe?

ʻAe, ʻoiai he mea kakaikahi, hiki ke loaʻa kekahi mau pilikia. ʻO ka mea nui ka haki ʻana o ka cyst.

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 e hoʻopiha koke ʻia kēia pōpō me ka wai a inā paha e piʻi aʻe ke kaomi, hiki iā ia ke pahū.

Inā pahū kēlā ʻano cyst, hiki iā ʻoe ke ʻike koke i nā hōʻailona e like me kēia:

• He ʻeha ʻoi a hou i ke kuli a i ʻole ka ʻūhā.
• Ka pehu ʻana o ke kuʻekuʻe wāwae a me ka wāwae lalo.
• He manaʻo ʻē me he mea lā e kahe ana ka wai i lalo o ka wāwae.
• I kekahi manawa pinepine ʻole, hiki ke hōʻeha ʻia nā aʻalolo a i ʻole kahi maʻi koʻikoʻi i kapa ʻia ʻo "Compartment Syndrome".

Pehea e ʻike ai ke kauka i kēia?

I ka hapanui o nā hihia, hiki i ke kauka ke ʻike i ka Baker's Cyst ma ka hana ʻana i kahi hoʻokolokolo kino a me ka pā ʻana i ka puʻupuʻu ma hope o kou kuli. Pono ʻoe e haʻi maopopo i kāu kauka i kēia mau mea:

• I ka manawa hea ʻoe i ʻike mua ai i kēia hua?
• Loaʻa iā ʻoe nā hōʻailona ʻē aʻe (e like me ka ʻeha, ka ʻoʻoleʻa)?
• Ua loaʻa anei iā ʻoe kekahi mau ʻeha kuli i hala koke aku nei?

I kekahi manawa, no ka ʻike ʻana i ke kumu pololei a me ka hōʻoia ʻaʻohe pilikia koʻikoʻi ʻē aʻe, e kauoha kāu kauka i kekahi mau hoʻokolohua, e like me:

• Hoʻokolohua X-ray: Hiki i kēia ke nānā i nā mea e like me ke kūlana o nā iwi kuli a me ka rumatika.
• ʻO ke Kiʻi Ultrasound: Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā ua piha ka cyst i ka wai a i ʻole nā ​​mea paʻa. He mea nui hoʻi e hōʻoia inā he ʻūpā koko.
• MRI scan: Kōkua kēia i ka nānā pono ʻana i ka hōʻino ʻia ʻana o nā ʻiʻo palupalu e like me nā ligaments a me ke cartilage i ke kuli.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka hapa nui o ka manawa, mālama nā kauka i ke kumu kumu o ka puʻupuʻu ma mua o ka mālama ʻana i ka puʻupuʻu ponoʻī. Ke mālama ʻia kēlā kumu, nalowale pinepine ka puʻupuʻu iā ia iho.

Aia kekahi mau ʻano lapaʻau:

• Ke ʻAno RICE: He mea kēia hiki iā ʻoe ke hana ma ka home ke ʻeha ʻoe.
• R (Hoʻomaha): Hoʻomaha i ke kuli.
• ʻI (Hau): E kau i kahi ʻeke hau (e hōʻemi i ka pehu).
• C (Compression): Ke kāʻei iki ʻana me kahi bandage.
• E (Kiʻekiʻe): E hoʻokiʻekiʻe i ka wāwae.
• Nā lāʻau lapaʻau: Hiki i kāu kauka ke hāʻawi iā ʻoe i nā lāʻau ʻeha (e like me NSAID) e hōʻemi i ka ʻeha a me ka pehu. I kekahi manawa, hiki ke hāʻawi pololei ʻia kahi inikini corticosteroid i loko o ka hui kuli e hōʻemi koke i ka pehu.
• Hoʻōla Kino: Inā loaʻa ke kūlana i ka maʻi ʻāʻī a i ʻole kahi ʻeha, he mea nui loa ka ʻōlelo aʻoaʻo 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.
• ʻOki kino: ʻOki kino e wehe i ka Baker's CystHe mea kākaʻikahi loa kēia. E noʻonoʻo wale ke kauka i ke ʻoki kino inā ʻo ka puʻupuʻu ke kumu o ka ʻeha hiki ʻole ke hoʻomanawanui a inā he koʻikoʻi loa ia ʻaʻole hiki iā ʻoe ke hoʻohana i kou kuli. Eia nō naʻe, inā he ʻeha nui i ke kuli (e like me ka ligament i haehae ʻia), pono paha ke ʻoki kino.

Pehea ka lōʻihi e mau ai kēia hua?

Aia kēia i ke kumu o ka pehu ʻana. I ka hapanui o nā hihia, e nalo ka pehu i loko o kekahi mau pule i ka wā e emi ana ka pehu ma ke kuli a mālama ʻia ke kumu kumu. E hoʻopili hou ke kino i ke wai. ʻOiai inā loaʻa iā ʻoe ka maʻi ʻāʻī, ʻaʻole mau loa kēia pehu. Hiki ke hele mai a hele aku.

ʻOiai paha he mea hoʻonāukiuki ke lohe ʻana he puʻupuʻu kou ma hope o kou kuli, ʻaʻole koʻikoʻi ka hapa nui o nā Baker's Cysts. No laila, mai hopohopo. Akā ʻo ka mea nui loa, ʻo ia ke ʻike i ke kauka e pili ana i kekahi puʻupuʻu hou ma kou kino, ʻoiai hoʻi ka mea i ʻike ʻia ma hope o kahi ʻeha, e ʻike pono i ke ʻano o ia mea. A laila e wehewehe ʻo ia iā ʻoe i ka lāʻau lapaʻau āu e pono ai a me ka mea āu e pono ai e hana e ho'ōla i kou kuli.