Ua noʻonoʻo paha ʻoe inā hiki iā ʻoe ke loaʻa kahi cyst liʻiliʻi e ulu ana i loko o kou umauma me ka ʻike ʻole ʻana? I kekahi manawa, hiki ke noho no nā makahiki me ka ʻole o nā hōʻailona. I kēia lā, e kamaʻilio mākou e pili ana i kahi kūlana i kapa ʻia ʻo Bronchogenic Cysts, aia i ka wā hānau akā hiki i kekahi manawa ke hana i nā pilikia ke ulu lākou.
He aha nā Cysts Bronchogenic?
I ka ʻōlelo maʻalahi, ʻo nā Bronchogenic Cysts he mau cysts piha i ka wai e hana ʻia ana ma kahi i waenakonu o kou umauma, ʻo ia ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo Mediastinum. E noʻonoʻo e pili ana i ia mea, ʻo kēia Mediastinum ka ʻāpana o kou umauma e paʻa ana i nā ʻōpū koʻikoʻi e like me kekahi o nā kīʻaha koko nui, kou esophagus, a me kāu paipu hanu nui, ʻo Trachea. ʻO ia hoʻi ka ʻāpana e hoʻokaʻawale i kou mau māmā.
ʻO ka mea nui, he maʻi hānau kēia mau "Bronchogenic Cysts". ʻO ia hoʻi, hiki iā ʻoe ke loaʻa kēia mau cysts i loko o kou kino ke hiki mai ʻoe i kēia ao. Eia naʻe, ʻo ka hapa nui o ka manawa, ʻaʻole lākou e hoʻopilikia i ka wā kamaliʻi.
Ua ʻike ka nui o ka poʻe he puʻupuʻu ko lākou e like me kēia ma ka ulia pōpilikia, i ka wā e loaʻa ai iā lākou kahi X-ray umauma a i ʻole kekahi scan ʻē aʻe no kekahi kumu ʻē aʻe. I kekahi manawa ʻaʻohe hōʻailona no 30 a 40 paha mau makahiki, a hoʻomaka wale nā pilikia e kū mai ke ulu iki ka puʻupuʻu. No laila, he mea maʻamau ke manaʻo iki i ka hopohopo ke ʻike koke ʻoe he puʻupuʻu kou i loko o kou umauma. Akā, mai hopohopo, aia kahi lāʻau no kēia.
He aha nā hōʻailona o nā cysts bronchogenic?
ʻOiai hiki i kēia mau cysts ke lilo i asymptomatic, hiki i kekahi poʻe ke hoʻomohala i nā hōʻailona, e like me:
- ʻŪhā pinepine
- Paʻakikī ke ale ʻana, e like me ke ʻano a mākou e kapa nei ʻo "Dysphagia".
- Kuni pinepine
- Ka leo haʻalulu
- ʻO ka piʻi ʻana o ka hanu ʻana a me ka hanu pāpaʻu, i kapa ʻia ʻo `(Tachypnea)`
- ʻŪhū (hūhū)
Hiki ke ʻike ʻia kēia mau hōʻailona i kēlā me kēia makahiki. Akā ʻo ka hapa nui o ka manawa e ʻike ʻia ai kēia mau hōʻailona ke nui ka cyst a hoʻomaka e kaomi ma luna o kou windpipe (trachea) a i ʻole ka paipu meaʻai (esophagus). Hiki i kēia mau cysts, i kapa ʻia ʻo bronchogenic cysts, ke ulu mai 2 a 15 kenimika (ma kahi o 1 a 5 ʻīniha). I kekahi manawa ua maʻi kēia mau cysts, hiki ke hana i nā hōʻailona.
No ke aha i hoʻokumu ʻia ai kēia mau cysts bronchogenic?
Hoʻokumu ʻia kēia mau puʻupuʻu i ka wā o ka ulu ʻana o ka fetal , ʻo ia hoʻi, ʻoiai ke pēpē i loko o ka ʻōpū. Akā, ʻaʻole maopopo i nā kauka ke kumu o ia mau mea.
He aha nā pilikia o kēia maʻi?
Hiki i kēia mau `(Bronchogenic Cysts)` ke hoʻopilikia iā ʻoe i ka hanu ʻana a me ke ale ʻana. Hiki i kēia mau cysts ke loaʻa i ka maʻi. Eia naʻe,ʻO ka pilikia weliweli loa, ʻo ia ka liʻiliʻi loa o ka manawa e lilo ai kēia mau puʻupuʻu i ka maʻi kanesa, ʻo ia ke kumu he mea nui e makaʻala i kēia.
Pehea e ʻike ai nā kauka i nā Bronchogenic Cysts?
ʻO ka hapa pinepine, ʻike ʻia kēia mau `(Bronchogenic Cysts)` ma ke ʻano ulia pōpilikia, i ka wā o kahi `(hoʻāʻo kiʻi)` i hana ʻia no kekahi kumu ʻē aʻe. Eia kekahi laʻana:
- Hiki i kahi ultrasound prenatal ke ʻike i kekahi manawa inā loaʻa i kahi pēpē kēia ʻano puʻupuʻu.
- Inā loaʻa iā ʻoe a i kāu keiki paha kahi X-ray o ka umauma ma ke ʻano he ʻāpana o ka nānā maʻamau, hiki ke ʻike ʻia kēia puʻupuʻu.
He aha ka mea e hana ai inā ʻike ʻia kahi puʻupuʻu e like me kēia me kahi hoʻāʻo kiʻi?
ʻOkoʻa ia ma muli o ke kūlana. No ka laʻana, inā hōʻike kahi scan ultrasound i ka wā hāpai he Bronchogenic Cyst kāu pēpē, e nānā kāu kauka hānau i ka cyst i ka wā o ka ulu ʻana o ka pēpē.
Inā ʻike ʻia ʻoe a i ʻole kāu keiki me kēia ʻano puʻupuʻu, hiki i kāu kauka ke kauoha i nā hoʻokolohua e like me kēia e hōʻoia hou aku:
- CT scan (Computed Tomography - CT scan): Hoʻohana kēia i nā kukuna X a me kahi kamepiula e kiʻi i nā kiʻi kikoʻī o ka mediastinum, ka ʻaoʻao waena o kāu a i ʻole ka umauma o kāu keiki.
- ʻEsophagram: Pili kēia i ka lawe ʻana i kahi moʻo o nā kiʻi X-ray o kāu a i ʻole ka esophagus o kāu keiki ma hope o ka inu ʻana i kahi wai kūikawā (wai hoʻohālikelike).
- MRI (Magnetic Resonance Imaging - MRI): Hiki i kahi MRI ke hana i nā kiʻi maopopo a kikoʻī hoʻi o ka mediastinum, ka ʻaoʻao waena o ka umauma.
Pehea e mālama ai i kahi `(Bronchogenic Cyst)`?
ʻO ka hapa nui o ka manawa, ʻōlelo nā kauka i ka wehe ʻana i kēia `(Bronchogenic Cyst)`. ʻO kēia no ka mea hiki i ka wehe ʻana i ka cyst ke hōʻemi i ka pilikia o nā pilikia a mākou i kamaʻilio ai. Eia nō naʻe, hiki ke loli ke ʻano o ka mālama ʻana ma muli o ke kūlana.
Lapaʻau i ka wā hāpai
E nānā pono kāu kauka hānau keiki i ka cyst. Inā nui loa ka cyst, hiki ke hana ʻia kahi hana liʻiliʻi ma mua o ka hānau ʻana o ka pēpē (i loko o ka ʻōpū), ʻo ia hoʻi, ʻoiai i loko o ka ʻōpū, e wehe i ke wai mai ka cyst . E kōkua kēia i ka hōʻemi ʻana i ke kaomi ma ka puʻuwai o ka pēpē i hoʻokumu ʻia e ka cyst.
He mea kākaʻikahi loa, hiki i kēia mau `(Bronchogenic Cysts)` ke ulu nui a hiki ke ālai i ke ala ea o ka pēpē. Inā hana ʻia kēia, hiki i kāu kauka ke ʻōlelo aku i kahi hana kūikawā i kapa ʻia ʻo `EXIT procedure` (Ex-utero Intrapartum Treatment) ma kahi o ka hānau maʻamau (vaginal delivery) a i ʻole `(C-section).` Ma kēia, e hāʻawi ʻia ʻoe i ka anesthesia.
Ma kēia "kaʻina hana EXIT", hana ke kauka lapaʻau i kahi ʻoki ma kou ʻōpū a wehe i ke poʻo o ka pēpē, ka ʻāʻī, a me ka umauma o luna ma o ka ʻoki. ʻOiai ke loaʻa nei ka oxygen i ka pēpē ma o kou kaula umbilical, hana ke kauka lapaʻau i kahi ʻoki ma ke kino o ka pēpē a wehe i ka puʻupuʻu. Ma hope o ka wehe ʻana i ka puʻupuʻu, ʻoki ʻia ke kaula umbilical, a wehe loa kāu kauka hānau i ka pēpē ma o ka ʻoki like i hana ʻia ma mua.
Ka lāʻau lapaʻau no nā pēpē hānau hou
ʻAʻole paha e pono koke kāu pēpē hānau hou i ka lāʻau lapaʻau. Akā, e nānā ke kauka pediatric o kāu pēpē i nā hōʻailona i hiki ke hana ʻia e kahi cyst bronchogenic. E nānā ʻia kēia i ka wā o nā kipa mālama pēpē maikaʻi a kāu pēpē.
Ka lāʻau lapaʻau no nā pēpē, nā keiki a me nā mākua
No nā kānaka o kēia hui makahiki, ʻōlelo paha ke kauka i ke ʻoki kino. ʻElua mau kaʻina hana ʻoki kino nui i hoʻohana ʻia no kēia:
- Thoracotomy: Ma kēia kaʻina hana, hana ke kauka ʻoki i kahi ʻoki ma kou ʻōpū, kua, a ma waena paha o kou mau iwi ʻaoʻao a wehe i ka puʻupuʻu ma o ia mea.
- ʻO ke ʻoki kino thoracic me ke kōkua wikiō (VATS): Ma kēia kaʻina hana, hoʻokomo ke kauka ʻoki i kahi kāmela liʻiliʻi (kahi mea i kapa ʻia he thoracoscope) i loko o ka umauma e ʻimi i ka puʻupuʻu a wehe iā ia me ka ʻole o ka hana ʻana i kahi ʻoki nui. He kaʻina hana hou a holomua kēia.
Aia kekahi mau pilikia i ka mālama ʻana?
ʻAe, hiki i ke ʻoki ʻana e wehe i kahi Bronchogenic Cyst ke hana i kekahi mau pilikia. ʻAʻole e ʻike nā kānaka a pau i kēia, akā he mea nui e makaʻala iā lākou.
- Nā ʻano ʻē o ka puʻuwai (Arrhythmia). Hiki i kēia ke hoʻopilikia hou aku i ka poʻe ʻelemakule.
- ʻOi aku ka maʻamau o nā ʻōpū koko a me nā hahau ʻana i nā poʻe ʻelemakule.
- ʻEha.
- ʻO ka Pneumothorax a i ʻole ka hiolo ʻana o nā ʻeke ea i loko o nā māmā (atelectasis).
- Ka hōʻino ʻana i nā glands a puni, nā ʻōpū, nā aʻalolo, a i ʻole nā kīʻaha koko.
- ʻO ke kahe koko ke kahe ʻana mai loko mai o ke kino.
- Hoʻemi ʻia ka nui o ka oxygen i loko o ke koko (Hypoxemia).
- ʻO ka maʻi ʻeha post-thoracotomy kahi ʻeha lōʻihi e mau ana no nā mahina ma hope o ke ʻoki ʻana.
- nā maʻi ʻōpū hanu, no ka laʻana ka maʻi pneumonia.
- Ka maʻi ʻana o ke kahua ʻoki.
Hiki ke ʻokoʻa kēia mau pilikia ma muli o ke ʻano o ke ʻoki kino āu e hana ai. E wehewehe pono kāu kauka ʻoki kino i kēia mau pilikia kūpono iā ʻoe ma mua o ke ʻoki kino.
Hiki ke pale ʻia nā Bronchogenic Cysts?
ʻAuē, ʻaʻohe ala e pale aku ai i kēia mau mea mai ka hoʻokumu ʻia ʻana. No ka mea, ua hoʻokumu ʻia kēia mau mea i ka wā o ka embryonic.
He aha kaʻu e manaʻo ai inā loaʻa iaʻu kahi Bronchogenic Cyst?
E hana pinepine kāu kauka i nā hoʻokolohua kiʻi e nānā i ke kūlana o ka puʻupuʻu. Inā lilo ka puʻupuʻu i mea nui e hoʻopilikia i ke olakino o kāu a i ʻole ke olakino o kāu keiki, hiki ke ʻōlelo ʻia ke ʻoki ʻana e wehe iā ia.
I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?
Inā loaʻa iā ʻoe a i kāu keiki paha kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka:
- He leo haʻalulu e mau ana
- Paʻakikī ke ale ʻana
- Paʻakikī ka hanu ʻana
E hana ke kauka i nā hoʻokolohua e pono ai e hoʻoholo ai inā he "Bronchogenic Cyst" ke kumu o kēia mau hōʻailona.
ʻO nā cysts bronchogenic kahi ʻano cyst e ulu ana i loko o nā māmā o ka pēpē. Hiki ke ʻike ʻia i kekahi manawa i ka wā o ka ultrasound scan i ka wā hāpai. Eia nō naʻe, hiki i kēia mau cysts ke ulu me ka ʻike ʻole ʻoe no nā makahiki a hiki i ka wā e hoʻomaka ai ʻoe a i ʻole kāu pēpē e hōʻike i nā hōʻailona. He mea maʻamau ke hopohopo i ka wā e haʻi ʻia ai iā ʻoe he cyst kou i loko o kou umauma e hiki ke hoʻoulu i nā pilikia hanu a i ʻole kahi maʻi koʻikoʻi, e like me ke kanesa. E hoʻomaopopo kāu kauka i kou mau manaʻo. Pono paha ʻoe a i ʻole kāu pēpē i ke ʻoki ʻana e wehe i ka cyst. Inā pēlā, e ʻōlelo kāu kauka i ke ʻoki ʻana i kūpono loa iā ʻoe.
Nā mea e hoʻomanaʻo ai mai kēia ʻatikala (Leka Lawe-Home)
ʻAe, i kēia manawa ua ʻoi aku kou maopopo i ka mea a mākou i kamaʻilio ai: Nā Cysts Bronchogenic. I ka ʻōlelo maʻalahi, he ʻano cyst kēia i hānau ʻia a hana ʻia ma waenakonu o ka umauma.
- ʻO ka hapa nui o ka manawa, ʻaʻohe paha he mau hōʻailona, akā inā e ʻoi aku ka ʻino, hiki iā ia ke hana i nā mea e like me ke kuni ʻana, ka paʻakikī i ke ale ʻana, a me ka paʻakikī i ka hanu ʻana.
- ʻIke pinepine ʻia ma ka hanana kūpono. Ua hōʻoia ʻia me nā hoʻokolohua e like me `(CT scan)` a me `(MRI)`.
- Hoʻokomo pinepine ka lāʻau lapaʻau i ka wehe ʻana i ka puʻupuʻu i ke ʻoki kino. Hiki i kēia ke pale i nā pilikia e hiki mai ana.
- ʻO ka mea nui loa, ʻo ia ke ʻimi i ke kōkua lapaʻau me ke kānalua ʻole inā loaʻa iā ʻoe a i ʻole kāu keiki kēia mau hōʻailona. ʻO ka wikiwiki o kou ʻike ʻana, ʻo ka maʻalahi ka mālama ʻana.
No laila, ke lana nei ko mākou manaʻo ua kōkua kēia ʻike iā ʻoe. E noho olakino!
ʻO ka cyst bronchogenic, nā puʻupuʻu umauma, nā maʻi hanu, nā maʻi hānau mua, ka cyst mediastinal, ke olakino o ke keiki, ke ʻoki kino
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo