Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi ma kou pulima a i ʻole kou manamana lima? E aʻo kākou e pili ana i kēia ganglion cyst!

Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi ma lalo o ka ʻili ma kou pulima, manamana lima, a kuʻekuʻe wāwae paha? He ʻeha iki paha ke kaomi ʻia, a ʻaʻole paha he ʻeha iki. He mea maʻamau ke manaʻo iki i ka makaʻu ke ʻike ʻoe i kēlā mau puʻupuʻu. No laila, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o ka ganglion cyst.

He aha maoli ka ganglion cyst?

I ka ʻōlelo maʻalahi, he ʻeke liʻiliʻi ka pōhaku gall i piha i ka wai e hana ʻia ma lalo o kou ʻili, kokoke pinepine i kahi hono a i ʻole tendon. E noʻonoʻo iā ia e like me kahi pōpō wai liʻiliʻi. ʻO kēia wai he ʻano jelly a mānoanoa iki.

ʻO ke kikoʻī, pehea i hoʻokumu ʻia ai kēia mau mea, ʻoiai ke loaʻa kahi haehae liʻiliʻi a nāwaliwali paha i loko o ke kino e uhi ana a puni ke ami, e kahe mālie ana ka wai synovial i loko o ke ami a hōʻiliʻili, e hana ana i kēia cyst. Ua kapa pū kekahi poʻe i kēia he 'Bible Cyst'. ʻO ke kumu o kēia, ʻoiai i ka wā ma mua, ua hoʻāʻo kekahi poʻe e hoʻopālahalaha i kēlā ʻano cyst ma ke kau ʻana i kahi puke kaumaha (e like me ka Baibala) ma luna. Eia naʻe , ʻaʻole kēia he mea a mākou e paipai nei i kēia mau lā, no ka mea hiki iā ia ke hōʻeha.

ʻO ka mea nui , ʻaʻole kēia mau pōhaku ʻōpū he maʻi kanesa. ʻO ke ʻano kēia, ʻaʻole lākou i hoʻokumu ʻia e kahi maʻi weliweli, a i ka hapanui o nā hihia, ʻaʻohe mea ʻino.

Ma hea kahi e ʻike pinepine ʻia ai kēia mau cysts ganglion?

ʻO nā wahi hiki iā ʻoe ke ʻike pinepine i kēia mau nati:

• Pūlima: ʻIke pinepine ʻia ma ka ʻaoʻao o luna (kua) o ka pūlima. I kekahi manawa hiki ke loaʻa ma ka ʻaoʻao pāma (mua).
• Manamana lima: Kokoke i kahi hono i kekahi manamana lima a manamana wāwae paha. ʻO ka hapa pinepine, hiki iā lākou ke hana ma ke kumu o ka manamana lima, kokoke i ka pāma, a kokoke paha i ka hono hope loa kokoke i ke kui (i kapa ʻia hoʻi he 'mucous cyst').
• Ma ka wāwae: Hiki ke ʻike ʻia ma kahi kokoke i ka kuʻekuʻe wāwae, ma luna o ka wāwae, a kokoke paha i nā manamana wāwae.

I kekahi manawa, ke hoʻoneʻe ʻia a hoʻohana nui ʻia paha ke ami me kēia cyst, manaʻo paha ka cyst e ulu nui ana, a e hoʻonui ʻia paha ka ʻeha.

He aha nā hōʻailona o kēia puʻupuʻu?

ʻO ka hōʻailona nui he puʻupuʻu e like me ka puʻupuʻu ma lalo o ka ʻili. Hiki ke ʻokoʻa kona nui mai ka piko o ka peni a i ka nui o ka pōpō kolepa. Hiki ke poepoe a ʻōval paha ke ʻano. Hiki ke nui aʻe i ka hala ʻana o ka manawa, i kekahi manawa e liʻiliʻi a laila e nui hou aʻe.

ʻAʻole paha e ʻike kekahi poʻe i kekahi ʻeha a ʻoluʻolu ʻole paha mai kēia puʻupuʻu. Eia nō naʻe, inā loaʻa nā hōʻailona, ​​​​hiki iā lākou ke ʻike i nā mea e like me:

• ʻEha: I ka ulu ʻana o ka puʻupuʻu, hiki iā ia ke hōʻeha inā e kaomi ia i kahi aʻalolo kokoke. Hiki ke loaʻa kēia ʻeha ʻoiai ke kū nei ka puʻupuʻu, a i ʻole hiki ke hoʻonui ʻia ma ka hoʻoneʻe ʻana i ka hui i hoʻopilikia ʻia.
• Ke kani ʻana a i ʻole ka nāwaliwali: Hiki i kahi aʻalolo i ʻoki ʻia ke hana i kahi ʻano kani a i ʻole kahi nāwaliwali iki ma ka lima a i ʻole ka wāwae.
• Ka paʻakikī e hoʻoneʻe i ka hui: Inā nui ka puʻupuʻu, he mea paʻakikī paha ke kulou piha a hoʻolōʻihi paha i ka hui i hoʻopili ʻia.
• ʻAno ʻoluʻolu ʻole: Manaʻo paha kekahi poʻe he ʻoluʻolu ʻole ke ʻano o ka puʻupuʻu.

Ua kapa ʻia kēia he 'mass effect'. ʻO ia hoʻi, no ka mea aia ka puʻupuʻu ma laila, ua ʻomi ʻia nā aʻalolo a i ʻole nā ​​​​ʻiʻo e hoʻopuni ana, a hiki ke loaʻa ka mumū.

I ka hapanui o ka manawa, paʻa iki kēia mau pōhaku ʻaʻa i ka pā ʻana. Eia nō naʻe, hiki i kekahi ke palupalu iki. Hiki iā lākou ke neʻe iki ma lalo o ka ʻili. I kekahi manawa, ke nānā ʻia mai kahi kihi, hiki ke ʻike ʻia ka cyst he translucent.

E noʻonoʻo, he liʻiliʻi loa kekahi mau puʻupuʻu a ʻaʻole paha he puʻupuʻu nui e ʻike ʻia, akā he ʻeha wale nō paha. Ua kapa ʻia kēia mau mea ʻo 'occult ganglions' . I ia mau hihia, hiki i ke kauka ke hana i kahi scan 'MRI' a i ʻole kahi scan 'Ultrasound' e ʻike inā he puʻupuʻu huna.

No ke aha i hoʻokumu ʻia ai kēia mau cysts ganglion?

ʻOiaʻiʻo, ʻaʻohe mea i ʻike pono i ke kumu o kēia mau puʻupuʻu. Eia nō naʻe, aia kekahi mau mea a nā kauka e manaʻo nei he hiki ke hana:

• ʻEha i kahi hui a i ʻole tendon: I kekahi manawa, ke loaʻa i kahi hui a i ʻole tendon kahi ulia liʻiliʻi, ʻeha, a hoʻohana nui ʻia paha, e nāwaliwali paha ke kino ma laila a hoʻomaka paha kēia puʻupuʻu e hana.
• Ka nāwaliwali o nā ʻiʻo: I kekahi manawa, me ke kumu ʻole, hiki i nā ʻiʻo e uhi ana i ke hono ke hoʻonāwaliwali a hoʻokahe i ka wai.

ʻO wai ka mea e ʻoi aku ka paʻakikī o ka loaʻa ʻana o nā Ganglion Cysts?

Hiki i kekahi ke loaʻa i kēia. Eia nō naʻe, ua ʻike ʻia kekahi poʻe e ʻoi aku ka nui o ka loaʻa ʻana o kēia mau mea:

• Kāne: ʻOi aku ka nui o nā wāhine i kēia ma mua o nā kāne ma mua o nā kāne ma kahi o ʻekolu manawa.
• Makahiki: ʻOi aku ka maʻamau i nā poʻe ma waena o 20 a me 50 mau makahiki. ʻO ia hoʻi, mai ka ʻōpio a i ka waena. ʻAʻole i maʻamau i nā keiki, akā ʻaʻole hiki ʻole.
• Nā ʻeha a i ʻole nā ​​​​kūlana hui ma mua: Inā ua hōʻeha mua ʻoe i kahi hui, a inā paha ua loaʻa iā ʻoe kahi ʻano e like me ka tendonitis ma muli o ka hoʻohana pinepine ʻana i kahi hui e like me ka pulima, ʻoi aku ka nui o kou loaʻa ʻana o kahi gallstone i ka wā e hiki mai ana.
• ʻO ke kuni ʻōpū:ʻOi aku ka nui o ka poʻe me ka maʻi ʻaʻai (ʻoi aku ka osteoarthritis) ma nā manamana lima e loaʻa i nā cysts mucous kokoke i nā wēlau o nā manamana lima (nā hono kokoke loa i nā kui). Eia nō naʻe, he mea nui e hoʻomaopopo ʻia ʻo ka loaʻa ʻana o kahi cyst mucous ma ka manamana lima ʻaʻole ia he manaʻo he maʻi ʻaʻai kou a e loaʻa paha iā ʻoe.

Pehea e ʻike pololei ai ke kauka i kahi cyst ganglion?

ʻO ka hapa nui o ka manawa, ʻike nā kauka i kēia mau pōhaku gallstones ma ka nānā ʻana iā ʻoe (hoʻokolohua kino) .

• ʻAno a me kahi o ka puʻupuʻu: Hiki i ke kauka ke kānalua ke ʻike lākou i kahi puʻupuʻu e like me ka puʻupuʻu maʻamau ma nā wahi i hana pinepine ʻia ai nā pōhaku gallstone, e like me ka pulima lima, nā manamana lima, a i ʻole nā ​​​​wāwae.
• Hoʻokolokolo: E nānā ke kauka i ka puʻupuʻu e ʻike inā ʻeha, he paʻakikī, he pehu, a i ʻole e neʻe ana.
• Transillumination: Ma kēia, hoʻomālamalama ke kauka i kahi kukui liʻiliʻi (e like me ke kukui) ma luna o ka puʻupuʻu. Inā he pōhaku ʻāʻī ia, e hele ke kukui ma loko a e ʻike ʻia ka puʻupuʻu me he mea lā he ʻike ʻia ma loko no ka mea he wai i loko. ʻAʻole kēia e hana me kahi puʻupuʻu paʻa.
• X-ray: E noi ʻia paha ʻoe e lawe i kahi X-ray e ʻike inā he pilikia ʻē aʻe, e like me ka arthritis, ma ke hono kokoke i ka puʻupuʻu, a inā he pilikia me ka iwi. ʻAʻole paha e ʻike ʻia kahi gallstone ma kahi X-ray, akā hiki iā ia ke kōkua i ka ʻike ʻana i nā pilikia ʻē aʻe.
• ʻO ke kiʻi ʻana o ka ultrasound a i ʻole MRI: I kekahi manawa, hiki ke ʻōlelo ʻia kahi kiʻi ʻana o ka ultrasound a i ʻole MRI e hōʻoia i kahi kikoʻī o ka puʻupuʻu, a i ʻole e nānā i nā ganglions 'occult' liʻiliʻi loa a ʻike ʻole ʻia. Hiki i kēia mau mea ke ʻike maopopo inā he wai a paʻa paha ka puʻupuʻu, a inā paha e hoʻopilikia ana i nā ʻiʻo a puni.
• Biopsy: Kākaʻikahi loa, a inā he kānalua wale nō e pili ana i ka puʻupuʻu, hiki i ke kauka ke lawe i kahi hāpana liʻiliʻi (i kapa ʻia he biopsy) mai loko mai o ka puʻupuʻu a hoʻouna aku i kahi lab no ka hoʻāʻo ʻana. ʻO ka maʻamau, loaʻa i nā pōhaku gall kahi wai e like me ka jelly, ʻaʻole nā ​​​​​​pūnaewele paʻa.

He aha kaʻu e hana ai e hoʻopau i koʻu cyst ganglion?

I ka hapa nui o ka manawa, inā ʻaʻole e hōʻeha a ʻoluʻolu ʻole paha ka pōhaku ʻōpū iā ʻoe, ʻaʻole pono ia e mālama ʻia. Hiki i kāu kauka ke ʻōlelo e kali iki a ʻike inā e nalowale ia ma kāna iho. Eia nō naʻe, inā ʻo ka puʻupuʻu ke hōʻeha nei iā ʻoe, e paʻakikī ai ka hana ʻana, a i ʻole e hoʻohilahila iā ʻoe, aia nā lāʻau lapaʻau i loaʻa:

1. Nānā: E like me ka mea i ʻōlelo ʻia ma mua, inā ʻaʻohe pilikia, e haʻi wale ke kauka iā ʻoe e kali. E nalo wale kekahi mau puʻupuʻu.

2. Nā ʻūpā a i ʻole nā ​​pale lima:ʻO ka hōʻemi ʻana i ka neʻe ʻana o ke ami ʻeha e hiki ke hōʻemi i ke kaomi ma luna o ka puʻupuʻu, hiki ke kōkua i ka hōʻemi ʻana i ka ʻeha a me ka pehu. Hiki i kāu kauka ke ʻōlelo aku iā ʻoe e kau i kahi splint a i ʻole brace no ke ami i hoʻopilikia ʻia.

3. Nā lāʻau hoʻopau ʻeha a me nā lāʻau anti-inflammatory: ʻO nā lāʻau hoʻopau ʻeha maʻamau e like me ka paracetamol, a i ʻole nā ​​​​lāʻau NSAID e like me ka ibuprofen i kauoha ʻia e ke kauka, hiki ke kōkua i ka hoʻēmi ʻana i ka ʻeha a me ka pehu.

4. Ka ʻume ʻana : Ma kēia kaʻina hana, hoʻohana ke kauka i kahi lāʻau hoʻomāʻū liʻiliʻi a me kahi nila e wehe ai i ke kahe mai ka cyst. Hana pinepine ʻia kēia ma ke keʻena o ke kauka. Hiki iā ʻoe ke manaʻo koke i kahi hōʻoluʻolu, a e emi ka cyst. Akā e hoʻomanaʻo, ʻo kēia wale nō ka wehe ʻana i ke kahe, ʻaʻole ke aʻa o ka cyst. No laila, ʻoi aku ka nui o ka poʻe e loaʻa hou ka cyst ma hope o kēia ʻano ʻume ʻana. I kekahi manawa, hiki i ke kauka ke hoʻokomo i kahi steroid i loko o ka cyst ma hope o ka wehe ʻia ʻana o ka wai e hōʻemi i ka pilikia o kona hoʻi hou ʻana mai.

I ka manawa hea e pono ai ke ʻoki ʻana no ka gallstone?

Inā ʻaʻole hāʻawi nā lāʻau ʻē aʻe (lāʻau lapaʻau, splints, aspiration ) i ka hōʻoluʻolu, inā he ʻeha nui ma muli o ka puʻupuʻu, inā he mau hōʻailona e like me ka maneʻo a me ka nāwaliwali ma muli o ke kaomi ʻana o ke aʻalolo, a inā hoʻi mau ka puʻupuʻu, e noʻonoʻo paha kāu kauka i ke ʻoki kino.

I ka wā o ke ʻoki kino , wehe ʻia ka puʻupuʻu holoʻokoʻa, me kona kumu a i ʻole ke aʻa. ʻO kēia aʻa ka mea e hoʻopili ai i ke ami a i ʻole ka iwi i ke olonā. Inā ʻaʻole wehe pono ʻia kēia, e hoʻāʻo ka puʻupuʻu e ulu hou.

Hiki i ke kauka lapaʻau ke hana i kēia ʻoki ma o kahi ʻoki liʻiliʻi (ʻoki hāmama) a i ʻole ma o kahi arthroscopy , kahi e pili ana i ke komo ʻana i kahi kāmela a me nā mea hana palupalu ma o nā ʻoki liʻiliʻi loa. Waiho ka Arthroscopy i nā ʻeha liʻiliʻi a ʻaʻole e lōʻihi ka manawa e ho'ōla ai.

ʻO ke ʻoki ʻana e wehe i kēia mau cysts ganglion ua kapa ʻia he ganglionectomy . He hana outpatient pinepine kēia. ʻO ke ʻano kēia e hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me ke ʻoki ʻana. Hiki ke hala i ʻelua a ʻeono pule e hoʻōla piha ai. I loko o kēia manawa, pono paha ʻoe e hoʻomaha i kou lima a i ʻole kou wāwae, a pono paha ʻoe e komo i kahi splint. Ua hoʻomaʻamaʻa ʻia nā kauka ʻoki orthopedic e hana i kēia ʻano ʻoki.

Hiki i ke ʻoki kino ke hōʻemi nui i kāu mau hōʻailona. Eia kekahi, ʻoi aku ka haʻahaʻa o ka pilikia o ka hoʻi hou ʻana mai o kahi puʻupuʻu ma hope o ke ʻoki kino ma mua o ka hoʻohana ʻana i ka ʻōpū. Eia nō naʻe, ua hōʻike ʻia ma waena o 5% a me 15% o nā puʻupuʻu e hiki ke hoʻi hou mai ma hope o ke ʻoki kino.

He aha ka mea e hana inā ʻaʻole mālama ʻia kahi cyst ganglion?

E like me ka mea i ʻōlelo ʻia ma mua, inā ʻaʻohe ou pilikia me kou mau pōhaku gall, ʻaʻole paha ʻoe e pono i kekahi lāʻau lapaʻau. I kekahi manawa, e nalowale kēia mau pōhaku gall iā lākou iho i loko o kekahi mau mahina a i ʻole hoʻokahi a ʻelua paha makahiki.

Eia nō naʻe, hiki i ke kauka ke ʻōlelo i ka lāʻau lapaʻau i nā hihia aʻe:

• Inā he ʻeha ma muli o ka puʻupuʻu: Hiki ke loaʻa ka ʻeha ke kaomi ka puʻupuʻu i kahi aʻalolo a i ʻole nā ​​​​​​ʻiʻo hono.
• Inā pilikia ʻoe i ka hana ʻana i kekahi mau hana o kēlā me kēia lā, e like me ka hele wāwae, ke kākau ʻana, a i ʻole ka hāpai ʻana i nā mea kaumaha.
• Inā he ʻeha, ʻūlū, a nāwaliwali paha nā ʻiʻo ma muli o ke kaomi ʻana o ke aʻalolo i hana ʻia e ka puʻupuʻu.
• Inā ʻoe e hilahila iā ʻoe iho e pili ana i kou helehelena ma muli o ka puʻupuʻu.

He mea weliweli anei nā Ganglion Cysts?

ʻAʻole. ʻAʻole weliweli nā pōhaku ʻaʻa. He mau puʻupuʻu ʻaʻole ia he maʻi kanesa (benign). ʻO ke ʻano kēia, ʻaʻole lākou e laha i nā ʻāpana ʻē aʻe o ke kino. ʻAʻole lākou he maʻi kanesa. No laila, ʻaʻohe mea e hopohopo ai.

He aha ka manaʻo no kekahi me Ganglion Cysts? (Prognosis)

ʻOiai hiki i kekahi mau pōhaku ʻōpū ke ʻeha, ʻaʻole lākou he hoʻoweliweli nui a lōʻihi i kou olakino. Me ka mālama ʻole ʻia a i ʻole me ka ʻole o ka lāʻau lapaʻau, ola ka hapa nui o ka poʻe i nā ola maʻamau.

Hiki ke pale ʻia ke kūkulu ʻia ʻana o nā cysts ganglion?

ʻO ka mea pōʻino, ʻaʻohe ala maopopo e pale aku ai i ke kūkulu ʻia ʻana o nā pōhaku gall, ʻoiai ʻaʻole maopopo i nā loea lapaʻau ke kumu o ko lākou kūkulu ʻia ʻana. ʻOiai ʻo ka mālama ʻana i kou mau hono a me ka hōʻemi ʻana i ka hoʻohana nui ʻana i kahi hono hiki ke kōkua, ʻaʻohe mea hōʻoia.

He aha kaʻu e nīnau aku ai i kaʻu kauka?

Inā he pōhaku gallstone kou, he mea maikaʻi ke nīnau i kāu kauka e pili ana i kēia mau mea:

• Pono anei au i ka lāʻau lapaʻau no kēia koke? A i ʻole hiki iaʻu ke kali iki?
• He aha nā koho lapaʻau āu e paipai ai e hoʻāʻo mua? No ke aha mai?
• Pehea ka holomua o kēia mau lāʻau lapaʻau? Aia kekahi mau hopena ʻaoʻao?
• He aha ka manawa kūpono e hoʻi hou mai ai ka puʻupuʻu ma hope o ka mālama ʻia?
• Ma lalo o nā kūlana hea ʻoe e noʻonoʻo ai i ke ʻoki ʻana no kēia mau ʻōpū?
• He aha nā pilikia a me nā pono o ke ʻoki ʻana i ka ganglionectomy? Pehea ka lōʻihi e hoʻōla ai?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

No laila, inā he puʻupuʻu piha wai kou ma lalo o kou ʻili, i kapa ʻia he ganglion cyst, mai hopohopo. ʻAʻole paha ʻoe e pono i ka lāʻau no ia mea i kēia manawa. Inā ʻaʻole e hoʻopilikia ka puʻupuʻu iā ʻoe, e nānā wale paha kāu kauka iā ia no kekahi manawa e ʻike inā e loli.

He mau ulu ʻaʻole maʻi kanesa (benign) nā pōhaku ʻōpū. ʻO ke ʻano kēia, ʻaʻole lākou he maʻi kanesa. ʻAʻole lākou e hoʻoweliweli i kou olakino no ka wā lōʻihi.

E nalowale ana ka hapa nui o nā pōhaku gall iā lākou iho. Eia nō naʻe, inā e hoʻopilikia ana lākou i kou ola ma kekahi ʻano, e like me ke kumu ʻeha, ka paʻakikī i ka hana ʻana i nā hana o kēlā me kēia lā, a i ʻole ka mae ʻana o ka hanu, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka lāʻau lapaʻau. Hiki paha iā ʻoe ke loaʻa ka hōʻoluʻolu me nā pale pale, nā mea ʻeha, ka aspiration, a i ʻole ke ʻoki ʻana. E haʻi aku kāu kauka iā ʻoe i ka mea maikaʻi loa iā ʻoe.

ʻO ke Kino Ganglion, ʻO ke Kino Lima, ʻO ke Kino Hui, ʻO ke Kino Baibala, ʻO ke Kino Pūlima, ʻO ke Kino Manamana Lima