He puʻupuʻu kou ma kou ʻāʻī? He (Branchial Cleft Cyst) paha ia? E kamaʻilio kākou e pili ana i kēia!

Ua ʻike anei ʻoe, a i ʻole ua loaʻa paha iā ʻoe, kahi puʻupuʻu liʻiliʻi e kū mai ana ma lalo o ka ʻili ma kekahi a i ʻole nā ​​ʻaoʻao ʻelua o kou ʻāʻī? I kekahi manawa loaʻa ia ma waena o ka iwi ʻāʻī a me ka iwi ʻāʻī. He mea maʻamau ke manaʻo iki i ka makaʻu ke ʻike ʻoe i kahi puʻupuʻu e like me kēia. Akā, ʻaʻole nā ​​puʻupuʻu a pau he mea weliweli. I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano puʻupuʻu e like me kēia hiki ke hānau ʻia, ʻaʻole ia he mea weliweli i ka hapa nui o nā hihia, akā he mea nui loa ia e makaʻala . Kāhea nā kauka i kēia he Branchial Cleft Cyst. I kekahi manawa ua kapa ʻia hoʻi he Pharyngeal Cleft Cyst.

He aha ka Branchial Cleft Cyst? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo kēia cyst branchial cleft he ʻeke liʻiliʻi e hana ʻia ma lalo o ko mākou ʻili, ma ka ʻāʻī, a ua piha i ka wai. E noʻonoʻo e like me kahi pōpō liʻiliʻi, i piha i ka wai. Pēlā kēia. ʻO ka mea nui loa, ʻo ia kēia mau kūlana "(Congenital)". ʻO ia hoʻi, aia lākou i loko o ko mākou kino mai ka manawa i hānau ʻia ai mākou. ʻAʻole ʻike kekahi poʻe he ʻano cyst ko lākou a hiki i nā makahiki ma hope. Puka mai ia, i kekahi manawa ma hope o ka loaʻa ʻana o ka maʻi.

ʻO ka hapa nui o ka manawa, ʻaʻole kēia mau cysts branchial cleft he maʻi kanesa (benign). ʻO ia hoʻi, ʻaʻole lākou e hōʻeha nui. Eia naʻe, he kakaikahi loa, ʻo ia hoʻi, he kakaikahi loa, aia kahi hiki ke lilo kēlā mau cysts i maʻi kanesa (cancerous). No laila, ʻoiai inā ʻaʻohe pilikia me ia cyst, i kekahi manawa ke ʻōlelo nei nā kauka i ke ʻoki ʻana e wehe iā ia. Hiki i kēia ke pale aku i nā maʻi mai ka hiki ʻana mai ma hope.

Aia kekahi mau ʻano like ʻole o ka Branchial Cleft Cyst?

ʻAe, ua hoʻokaʻawale nā ​​kauka i kēia mau puʻupuʻu i kekahi mau ʻano ma muli o kahi e hana ai lākou ma ka ʻāʻī. E nānā kākou i ke ʻano o lākou:

• ʻO nā Cysts Branchial Cleft Mua: Aia kēia mau mea ma waena o kou pepeiao a ma lalo pono o kou ʻāwae. He 5% a me 25% wale nō o nā cysts branchial cleft āpau.
• ʻO nā Cysts Māwae Branchial ʻElua: ʻO kēia ke ʻano maʻamau. Kū aʻe lākou ma lalo o ka ʻili i loko o nā ʻiʻo ma nā ʻaoʻao ʻelua o ka ʻāʻī. He 40% a me 95% o nā cysts āpau lākou.
• ʻO ke kolu o nā ʻōpala branchial: Hoʻokumu pinepine ʻia kēia ma ka ʻaoʻao hema o ka ʻāʻī, kahi i loaʻa ai ko mākou kelepa thyroid. ʻAʻole lākou i maʻamau ma mua o nā ʻano ʻelua ʻē aʻe.
• ʻO nā Cysts Māwae Branchial ʻEhā: Aia kēia mau mea ma ka ʻaoʻao hema haʻahaʻa o ka ʻāʻī. He mea kākaʻikahi loa kēia.

Pehea ka maʻamau o kēia ʻano?

He aha ka cyst māwae branchial?ʻO ia kekahi o nā puʻupuʻu maʻamau ma ka ʻāʻī, ʻoi aku hoʻi i nā keiki ʻōpio. Eia nō naʻe, no ka mea, ʻaʻole lākou e hōʻike mau i nā hōʻailona, ​​​​he paʻakikī ke ʻōlelo pololei i ka nui o ka poʻe i loaʻa i kēia maʻi. Loaʻa paha iā ʻoe, akā ʻaʻole paha ʻoe i ʻike.

He aha nā hōʻailona o kahi cyst cleft branchial?

I kekahi manawa, e like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole kēia mau puʻupuʻu e hōʻike i kekahi mau hōʻailona. ʻAʻole paha e ʻike kekahi kanaka ua loaʻa iā lākou.

Eia nō naʻe, inā loaʻa nā hōʻailona, ​​​​hiki iā lākou ke komo pū me:

• He puʻu ma ka ʻāʻī: Hiki ke nui aʻe kēia i ka hala ʻana o ka manawa.
• ʻO ka pehu ʻana o ka ʻāʻī: Hiki ke hoʻonui ʻia kēia pehu ʻana, ʻoiai ke loaʻa nā maʻi hanu kiʻekiʻe, e like me ke anu a me ka ʻāʻī ʻeha.
• ʻEha i ka moni ʻana: He mea paʻakikī paha ke ale i ka meaʻai a me ka mea inu.
• Nā lua liʻiliʻi a i ʻole nā ​​​​lua ma ka ʻāʻī: I kekahi manawa e puka mai ana kekahi mea e like me ka wai mai loko mai o kēia mau mea, i kekahi manawa ʻaʻole.
• Stridor: He leo ʻē i ka wā e hanu ana.

Mea nui: Inā loaʻa ka maʻi i kou branchial cleft cyst, e ʻoi aku ka koʻikoʻi o nā hōʻailona.

Hiki i kahi cyst i loaʻa i ka maʻi ke hōʻike i kēia mau hōʻailona:

• Paʻakikī ke ale ʻana: ʻOi aku ka paʻakikī o ke ale ʻana ma mua.
• ʻUlaʻula ka ʻili, ka ʻeha, a i ʻole ka mumū: Hiki ke loli kēia mau loli ma ka ʻili a puni ka puʻupuʻu.
• ʻEha ʻāʻī: Hiki paha iā ʻoe ke manaʻo i kahi ʻeha nui ma kahi o ka puʻupuʻu.

No ke aha i hoʻokumu ʻia ai kēia cyst māwae branchial?

ʻO kēia ma muli o kekahi mau loli i manaʻo ʻole ʻia e hana ʻia ana i ka wā e ulu ana ke pēpē i loko o ka ʻōpū o ka makuahine (i ke kahua fetal). ʻOi aku ka pololei, i ka wā ʻaʻole e ulu pono nā ʻiʻo i loko o ka ʻāʻī a me ka ʻāpana crotch o ke pēpē, e hana ʻia nā hakahaka e like me kēia ma laila. I ka hala ʻana o ka manawa, piha kēia mau hakahaka i ka wai a hana i nā cysts. ʻAʻole hewa kēia o kekahi.

He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?

Inā ʻaʻole mālama ʻia kahi cyst cleft branchial, hiki ke loaʻa kekahi mau pilikia. Eia kekahi laʻana:

• ʻAscesses: ʻO ke ʻano kēia ua piha ka ʻaoʻao o loko o ka abscess i ka pus.
• Nā pilikia hanu: Hiki ke hana kēia inā ulu nui ka puʻupuʻu a kaomi ma ke alaloa.
• Paʻakikī i ka moni ʻana: Hiki paha kēia ma muli o ke kaomi ʻana o ka puʻupuʻu ma ka paipu meaʻai.
• Ke koko kiʻekiʻe lua: Hiki ke hana i kēia ʻano inā hoʻopili ka puʻupuʻu i nā kīʻaha koko.
• Nā maʻi hou: Inā hoʻomau ka cyst, pono paha ʻoe e hoʻoponopono i nā maʻi pinepine.

Pehea e ʻike pololei ai nā kauka i kēia?

Ke ʻike ʻoe i ke kauka me kēia pilikia, e nānā pono mua ʻo ia i kou ʻāʻī. A laila e nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona. Hiki iā ʻoe ke nīnau i nā nīnau e like me, "Pehea ka lōʻihi o kēia hana?", "He ʻeha kou?", "He pilikia ʻē aʻe kou?"

Eia kekahi, hiki ke hana ʻia kekahi mau hoʻokolohua e hōʻoia i ke kūlana pololei:

• Nā scan CT (Computed Tomography scans): Lawe kēia i nā kiʻi ʻokiʻoki o loko o kou ʻāʻī.
• MRI Scan (MRI - Magnetic Resonance Imaging): Ua like kēia me ka CT scan, akā ua lawe ʻia nā kiʻi me ka hoʻohana ʻana i kahi kahua magnetic a me nā nalu lekiō.
• X-ray o ka umauma: I kekahi manawa he mea pono paha kēia.
• ʻO ke kiʻi ʻana o ka ultrasound: Hoʻohana kēia i nā nalu kani e nānā i ke ʻano o ka puʻupuʻu. ʻO ia ka hoʻāʻo mua i hana ʻia.

Inā loaʻa iā ʻoe kahi cyst branchial cleft type 1, ʻo ia hoʻi ka mea e ulu kokoke ana i ka pepeiao, hiki i kāu kauka ke hana i kahi hoʻāʻo hoʻolohe . Ma muli o ka ulu ʻana o nā cysts kokoke i ka pepeiao, pono lākou e ʻike inā ke hoʻopilikia nei lākou i nā mea a puni lākou.

He aha nā lāʻau lapaʻau no kēia Branchial Cleft Cyst?

ʻO ke ʻano o ka mālama ʻana no kēia mea e pili ana i ke ʻano o ka cyst āu, kona wahi, a inā ua loaʻa ka maʻi. ʻO nā lāʻau lapaʻau nui:

• Nā lāʻau lapaʻau antibiotics: Inā loaʻa ka maʻi i ka cyst, e kuhikuhi nā kauka i kēia lāʻau lapaʻau e kāohi i ka maʻi.
• Ke wehe ʻana i ka puʻupuʻu ma ke ʻoki kino: I nā hihia he nui, ʻoiai inā he pilikia ka puʻupuʻu a hoʻi hou mai paha, ʻo ka lāʻau maikaʻi loa ka hana ʻana i ke ʻoki kino e wehe loa i ka puʻupuʻu.
• ʻO ka Thyroidectomy hapa: Ma muli o ka ulu ʻana o nā ʻōhū ʻano 3 a me 4 kokoke i ka ʻōhū thyroid, i kekahi manawa pono e wehe ʻia kahi ʻāpana liʻiliʻi o ka ʻōhū thyroid me ka ʻōhū.

He aha nā pilikia e hiki ke loaʻa mai ke ʻoki kino?

E like me nā ʻoki kino āpau, aia kekahi mau pilikia liʻiliʻi e pili ana i ka wehe ʻana i kahi cyst branchial cleft. Eia naʻe, ʻaʻole ʻike pinepine ʻia kēia mau mea.

Ma waena o nā pilikia e hiki ke hana ʻia:

• Ke kahe koko nui ʻana.
• Ka pōʻino o nā aʻalolo: Aia paha he pōʻino iki i nā aʻalolo kokoke i ka wahi ʻoki.
• Nā hopena i ka anesthesia: ʻO ke ʻano kēia hiki i kekahi poʻe ke loaʻa nā hopena maʻi i nā lāʻau anesthesia.
• ʻŌpala: He mea maʻamau ke waiho ʻia ʻana o kahi ʻōpala liʻiliʻi ma hope o ke ʻoki ʻana.
• Hoʻi hou: He mea kākaʻikahi loa, inā ʻaʻole i wehe loa ʻia ka puʻupuʻu, hiki iā ia ke hoʻi hou mai.

E wehewehe kāu kauka i nā pono a me nā pōʻino o kēia ʻoki kino iā ʻoe. Inā he mau nīnau kāu, mai makaʻu e nīnau iā lākou.

Hiki ke pale ʻia ke kūkulu ʻia ʻana o kēia cyst māwae branchial?

ʻO ka mea pōʻino, ʻaʻohe ala e pale aku ai i ka hoʻokumu ʻia ʻana o kēia mau puʻupuʻu. No ka mea, ua hoʻokumu ʻia lākou i ka wā o ka embryonic, ʻo ia hoʻi, ʻoiai ke pēpē i loko o ka ʻōpū o ka makuahine. No laila, inā hānau ʻia kāu pēpē me kekahi o kēia mau puʻupuʻu, ʻaʻole ia ma muli o kahi mea āu i hana ai a i ʻole i hana ʻole ai. He mea wale nō ia e hana ʻia. Mai hopohopo no ia mea.

He aha ka mea e hana ʻia inā loaʻa iaʻu kahi puʻupuʻu e like me kēia? He aha kaʻu e manaʻo ai?

Loaʻa iā ʻoe kahi cyst branchial cleft, akā inā ʻaʻole ia e hoʻoulu i kekahi ʻeha, ʻeha, a pehu paha, ʻaʻole pono ʻoe e hana i kekahi mea. Eia nō naʻe, inā loaʻa ka maʻi, pono ʻoe e lawe i nā antibiotics. Inā hoʻomau ka maʻi, e ʻōlelo paha kāu kauka i ke ʻoki ʻana e wehe iā ia. ʻAʻole pinepine kēia mau cysts e hoʻi mai ma hope o ke ʻoki ʻana. No laila, ʻaʻohe mea e hopohopo ai.

No laila, he mea weliweli anei kēia? E ho'ōla anei ia?

Maikaʻi ka nānā ʻana no kēia maʻi. Hiki ke ho'ōla nui ʻia. Hoʻōla maikaʻi ka hapa nui o ka poʻe ma hope o ke ʻoki ʻana me ka ʻole o nā pilikia. No laila, inā ʻoe a i ʻole kekahi āu i ʻike ai he maʻi kēia, mai hopohopo pono ʻole.

Āhea wau e ʻike ai i ke kauka ma hope o ke ʻoki ʻana?

Inā ua hana ʻia ʻoe i ke ʻoki ʻana e wehe i kahi cyst cleft branchial, e hoʻomaopopo koke i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• He kuni ma luna o 101 degere Fahrenheit (38.3 degere Celsius).
• ʻEha e nalowale ʻole ana me ka lāʻau lapaʻau.
• ʻOi aku ka wai a i ʻole ka pehu ʻana mai ka ʻeha ma mua o ka mea i manaʻo ʻia.

Inā loaʻa kēia mau mea, ʻoi aku ka maikaʻi o ka ʻimi koke ʻana i ke kōkua lapaʻau.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke ʻike ʻoe he cyst cleft branchial kou a i ʻole kāu keiki, hiki iā ʻoe ke nīnau i kāu kauka e like me kēia:

• No ke aha i hāʻawi mai ai ke kauka iaʻu/kaʻu keiki i kēia puʻupuʻu?
• He maʻi kanesa anei kēia puʻupuʻu?
• He hiki paha i kēia puʻupuʻu ke lilo i kanesa?
• E nalo aku anei kēia puʻupuʻu ma ona iho?
• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai nei?
• He aha nā hopena ʻaoʻao maʻamau o ka lāʻau lapaʻau?

Ma ka nīnau ʻana i kēia mau nīnau, hiki iā ʻoe ke hoʻomaopopo maikaʻi aʻe i ke kūlana.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He mea maʻamau ke hopohopo iki i ka wā e ʻike ai ʻoe i kahi puʻupuʻu ma kou ʻāʻī, ʻoiai inā ʻaʻole ia he ʻeha. Akā e hoʻomanaʻo, he nui o kēia mau puʻupuʻu pohihihi ʻaʻole ia he maʻi kanesa, e like me ka cyst branchial cleft. Inā pilikia kāu puʻupuʻu, hiki i nā kauka ke wehe iā ia me ke ʻoki ʻana.ʻO ka mea nui loa, inā ʻike ʻoe i kekahi mea ʻē a ʻokoʻa paha i loko o kou kino, mai hoʻowahāwahā iā ia a hōʻike iā ia i ke kauka. A laila hiki iā ia ke ʻike i ke kumu a, inā pono, e paipai i ka lāʻau kūpono loa. Mai makaʻu, e hoʻomaopopo!

ʻO ka Cyst Māwae Branchial, Cyst ʻĀʻī, Cyst Hānau, Pehu ʻĀʻī, Pediatrics, ENT, ʻoki kino