Ua loaʻa anei iā ʻoe kahi puʻupuʻu ma kou pulima? E kamaʻilio kākou e pili ana i kēia ganglion cyst!

Ua ʻike koke anei ʻoe i kahi puʻupuʻu liʻiliʻi a puʻupuʻu paha ma kou pulima, kokoke i kahi manamana lima, a i kekahi manawa ma kou kuʻekuʻe wāwae? Ke nānā ʻoe iā ia, he paʻakikī iki paha ia, a i ʻole e like me ka huʻa. ʻAʻole paha e ʻeha. He mea maʻamau ka manaʻo makaʻu a hopohopo iki ke ʻike ʻoe i kēia. Ke noʻonoʻo nei paha ʻoe, "He aha kēia? He maʻi ʻaʻai anei?" Akā, mai hopohopo. ʻO ka hapa nui o ka manawa, ʻo kēia mau puʻupuʻu ka mea a mākou e kamaʻilio nei i kēia lā, he "Ganglion Cyst." ʻAʻole kēia he mau mea weliweli. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī .

I ka ʻōlelo maʻalahi, he aha ka ganglion cyst?

He ʻeke liʻiliʻi piha i ka wai ka ganglion cyst e hana kokoke ana i kahi hono a i ʻole tendon (ka ʻiʻo e hoʻopili ai i nā ʻiʻo i nā iwi). Aia i loko o kēia ʻeke kahi mea mānoanoa, pipili, a ʻaʻohe kala e like me ka jelly. Ua like ia me ka momona. Ma muli o ka nui o ka cyst, hiki ke ʻokoʻa ke ʻano. He paʻakikī kekahi e like me ka pōhaku, aʻo kekahi he palupalu iki. Loaʻa pinepine lākou ma ka ʻaoʻao o luna o ka pulima . Akā hiki nō hoʻi iā lākou ke hana ma ka ʻaoʻao pāma o ka pulima. Hiki nō hoʻi iā lākou ke hana ma nā manamana lima, ʻoi aku hoʻi ma kahi kokoke i ke kui, ma ke kuʻekuʻe wāwae, a ma luna o ka wāwae.

He aha nā hōʻailona o kēia?

ʻO ka hapa nui o ka manawa, ʻo ka hōʻailona nui o kahi cyst ganglion ka puʻupuʻu i ʻike ʻia, e like me kaʻu i ʻōlelo ai. Akā ma waho aʻe o kēlā, aia paha kekahi mau hōʻailona ʻē aʻe. E nānā kākou i ke ʻano o lākou.

No ke aha i hana ʻia ai kēia mau cysts ganglion? ʻO wai ka mea i ʻoi aku ka pilikia?

ʻO kaʻoiaʻiʻo, ʻaʻole i loaʻa i nā kauka kahi kumu kikoʻī no kēia mau cysts ganglion. Akā aia kekahi mau mea a lākou e manaʻo nei e hoʻopilikia paha i kēia. E noʻonoʻo, loaʻa iā ʻoe kahi ʻeha liʻiliʻi a i ʻole kahi ulia paha i kekahi o kou mau hono a i ʻole nā ​​​​tendon. A laila nāwaliwali ka ʻiʻo a puni kēlā hono (capsule hono), a hiki iā ia ke puʻupuʻu e like me ka pōpō liʻiliʻi, a hiki i ke wai i loko o nā hono ke hoʻopiha iā ia. Eia kekahi, hiki iā lākou ke ulu ma muli o ka ʻaʻahu liʻiliʻi a me ka haehae e hana ʻia ke hoʻohana mau ʻia ka hono ma ke ʻano like (no ka laʻana, kekahi e paʻi ana ma ke kamepiula no ka manawa lōʻihi, kekahi e hana ana i ka gymnastics).

ʻO wai ka mea kūpono loa e hoʻomohala i kēia mau mea?

• No nā poʻe i piha i nā makahiki 15-40 .
• ʻEkolu manawa ʻoi aku ka nui o ka pilikia o nā wāhine ma mua o nā kāne.
• No ka poʻe i loaʻa ka ʻeha ma ko lākou pulima a i ʻole nā ​​​​manamana lima.
• No ka poʻe e hana ana i nā hana e pono ai ka hoʻohana pinepine ʻana i ko lākou mau lima a i ʻole nā ​​pulima lima.
• No nā poʻe me nā maʻi hono e like me ka arthritis .

Pehea ʻoe e ʻike pono ai inā he cyst ganglion kēia?

Inā he puʻupuʻu kou, inā ʻeha a ʻaʻole paha, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka . ʻO ka maʻamau, hiki i ke kauka ke ʻike inā he ganglion cyst ia ma ka nānā ʻana iā ia, ʻo ia hoʻi ke hoʻopā ʻana me ko lākou lima a paʻa i kahi kukui (ua moakaka ka ganglion cyst i ka mālamalama). Akā i kekahi manawa, no ka hōʻoia ʻana a i ʻole e kāpae i kahi mea ʻē aʻe, hiki i kāu kauka ke kauoha i nā hoʻokolohua e like me kēia:

• Ka hanu ʻana i ka nila: Hoʻokomo ke kauka i kahi nila liʻiliʻi i loko o ka puʻupuʻu.Hoʻokomo lākou a lawe i waho i kekahi o ka wai e like me ka jelly. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he cyst piha i ka wai a i ʻole he cyst paʻa.
• ʻO ke Kiʻi Ultrasound : Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he cystic a paʻa paha ka puʻupuʻu. Hiki iā ia ke hoʻoholo inā ua hana ʻia ka puʻupuʻu e kahi kīʻaha koko nui kokoke.
• MRI scan (Magnetic Resonance Imaging): Hiki i kēia ke hāʻawi i kahi kiʻi maopopo loa o ka puʻupuʻu. Hiki iā ia ke hoʻoholo inā he puʻupuʻu ia, ʻano puʻupuʻu ʻē aʻe, a inā he hōʻino i nā ligaments a puni.
• X-ray : ʻAʻole hiki ke ʻike ʻia kēia mau puʻupuʻu ma kahi X-ray. Eia nō naʻe, hiki ke kauoha ʻia kahi X-ray e hoʻoholo inā he pilikia iwi ʻē aʻe kēia, e like me ka arthritis.

He aha nā lāʻau lapaʻau no kēia? Aia kekahi mea hiki iaʻu ke hana ma ka home?

ʻO ka mea mua, ʻaʻole he pilikia ka ganglion cyst. Eia nō naʻe, inā ua hana ʻia e kahi ulia nui, hiki ke kuhikuhi ʻia ʻoe i ka Emergency Department (ETU) . ʻAe, he aha ke ʻano o ka lāʻau lapaʻau a ke kauka e hāʻawi ai?

1. Ke nānā wale nei (Nānā)

Inā ʻaʻole kāu puʻupuʻu e hōʻeha nei iā ʻoe i kekahi ʻeha, ʻoluʻolu ʻole, a ʻoluʻolu ʻole paha, e ʻōlelo paha kāu kauka, "E kali wale kākou a ʻike." ʻO kēia no ka mea ʻo ka hapa nui o nā puʻupuʻu ganglion e nalowale ana iā lākou iho i ka hala ʻana o ka manawa me ka ʻole o ka lāʻau lapaʻau .

2. Ka wehe ʻana i ka wai (Aspiration)

Ma kēia, hoʻohana ke kauka i kahi nila e wehe i nā wai like me ka jelly i loko o ka cyst. A laila, i kekahi manawa hāʻawi ʻia kahi injection steroid e hōʻemi i ka pehu. Hiki ke hoʻohana ʻia kahi splint e pale i ka neʻe ʻana o ka lima. ʻOiai he lāʻau maʻalahi kēia, ʻaʻole i wehe ʻia ka "stalk" i hoʻokumu ai i ka cyst, no laila ʻoi aku ka nui o ka cyst e hoʻi hou mai .

3. Wehe ʻoki kino (ʻoki kino)

Inā hoʻomau ka ʻōpū i ka hōʻeha ʻana iā ʻoe, e paʻakikī ai ka hana ʻana i nā hana o kēlā me kēia lā (ʻoi aku hoʻi ma ka lima āu e hoʻohana nui ai), a i ʻole he ʻano ʻeha, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino. Ua kapa ʻia kēia he ganglionectomy. Pili kēia i ka hana ʻana i kahi ʻoki liʻiliʻi, me ka hoʻohana ʻana paha i kahi kāmela (ʻoki kino arthroscopic), a me ka wehe ʻana i ka ʻōpū holoʻokoʻa a me ke aʻalolo e hoʻopili ai iā ia i ka hui. He hana maʻamau kēia ma waho o ka haukapila kahi e hiki ai iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. He 2-6 mau pule e hoʻōla ai. Haʻahaʻa loa ka manawa e hoʻi hou mai ai ka ʻōpū ma hope o ke ʻoki kino (ʻaʻole i emi iho ma mua o 15%). Ma hope o ka mālama ʻana, he mea nui e hoʻohana i kou lima e like me ka ʻōlelo a kāu kauka, a e hana i ka physiotherapy inā pono, no ka hoʻōla wikiwiki ʻana. ʻO ke Kino Ganglion, ʻO ke Kino Ganglion, ʻO ke Kino Lima, ʻO ke Kino Pūlima, ʻO ke Kino Hui, ʻEha Lima, Lapaʻau Lapaʻau