Ua ʻōlelo anei ʻoe he cyst kou? Mai hopohopo, e kamaʻilio kākou e pili ana!

Ua ʻike paha ʻoe i kahi memo ma ka hōʻike e ʻōlelo ana "Kidney cyst" a i ʻole "Renal cyst" ke loaʻa iā ʻoe kahi scan no kekahi maʻi ʻē aʻe. He mea maʻamau iā mākou ke makaʻu iki a hopohopo ke lohe mākou i ka huaʻōlelo "tumor." Manaʻo paha ʻoe, "Auē kuʻu Akua, he maʻi kanesa anei kēia?" Akā, mai hopohopo. ʻO ka ʻoiaʻiʻo, ʻaʻole weliweli ka hapa nui o kēia mau cysts kidney. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia me ka maopopo, ma ka ʻōlelo āu e hiki ai ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha nā cysts kidney?

E noʻonoʻo i kahi pōpō liʻiliʻi o ka wai. ʻO ia ke ʻano o ka cyst kidney. ʻO kēia mau ʻeke poepoe, lahilahi ka paia i piha i ka wai. I ko kākou ʻelemakule ʻana, hiki i kēia mau cyst ke hana ma luna o ka ʻili o nā puʻupaʻa a i ʻole ma nā ʻano liʻiliʻi i kapa ʻia ʻo nephrons i loko o nā puʻupaʻa.

I kēia manawa, ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia mau `(nephrons)`. Ua like nā puʻupaʻa ʻelua i loko o ko kākou kino me kahi ʻōnaehana kānana nui. ʻO ka hana nui o nā puʻupaʻa, ʻo ia ke kānana a hoʻokaʻawale i nā ʻōpala a me ka wai pono ʻole i loko o ke kino a hoʻokuʻu iā ia ma ke ʻano he mimi. Kāhea mākou i nā miliona o nā ʻāpana maikaʻi loa e hana ana i kēia hana kānana `(nephrons)`.

ʻOkoʻa ka nui o kēia mau pōhaku puʻupaʻa. He liʻiliʻi loa kekahi, akā hiki i kekahi ke ulu a hiki i ʻelua ʻīniha. I kekahi manawa e nui aʻe lākou i ka hala ʻana o ka manawa, a i ʻole e mau ana ka nui like. Hiki i ke kanaka ke loaʻa i hoʻokahi pōhaku a i ʻole kekahi mau pōhaku. Hiki nō hoʻi iā lākou ke ulu i loko o hoʻokahi puʻupaʻa a i ʻole ma nā puʻupaʻa ʻelua.

Ua like anei kēia mau hua a pau? Aia kekahi mau ʻano like ʻole?

ʻAe, aia ʻelua ʻano nui o nā puʻupaʻa. He mea nui loa ka ʻike ʻana i kēia mau ʻano ʻelua, no ka mea, ʻo ia ka mea e hoʻoholo ai inā pono ka lāʻau lapaʻau a i ʻole. Hoʻohana nā kauka i kahi ʻano hana kūikawā i kapa ʻia ʻo "Bosniak classification" e hoʻokaʻawale i kēia mau mea. E nānā maʻalahi kākou iā ia.

I ka ʻōlelo maʻalahi, inā ʻōlelo kāu hōʻike "Simple renal cyst," ʻaʻohe mea e hopohopo ai inā pololei. Akā inā ʻōlelo ʻia "Complex renal cyst," he mea nui e loaʻa nā hoʻokolohua e pono ai a me ka hahai ʻana e like me ke kuhikuhi a kāu kauka.

Ke hoʻokumu nei kēia mau puʻupuʻu i nā hōʻailona?

ʻO ka nūhou maikaʻi, ʻo ka hapa nui o ka manawa, ʻaʻole kēia mau cysts maʻalahi e hōʻike i kekahi mau hōʻailona . ʻO ka ʻoiaʻiʻo, he miliona o ka poʻe e ola nei me ka ʻike ʻole he cyst kidney ko lākou.

Eia nō naʻe, i kekahi manawa hiki i kēia puʻupuʻu ke hoʻopilikia inā pahū a hoʻomaka ke kahe koko, lilo i maʻi, a ulu nui paha a kaomi i nā ʻāpana ʻē aʻe o ka ʻōpū. Inā hana ʻia kēia, hiki ke ʻike ʻia nā hōʻailona penei:

• ʻEha a ʻūmiʻi paha ma ka ʻaoʻao, ka ʻōpū, a i ʻole ke kua ma waena o nā iwi ʻaoʻao a me ka ʻūhā.
• Kuni.
• Pono e mimi pinepine.
• Koko i loko o ka mimi a i ʻole ka mimi ʻeleʻele.

Ma muli o kahi o ka puʻupuʻu, hiki i kekahi manawa ke hoʻopilikia i ka hana o nā puʻupaʻa. Eia kekahi, inā pale ka puʻupuʻu i nā puʻupaʻa mai ka kānana ʻana i ka wai keu mai ke koko, hiki ke piʻi ke koko kiʻekiʻe.

No ke aha i hoʻokumu ʻia ai kēia mau puʻupaʻa?

ʻAʻole maopopo i nā kānaka noiʻi ke kumu o kēia. Ua manaʻoʻiʻo ʻia e hana ʻia kēia mau cysts i ka wā e nāwaliwali ai ka ʻili o kahi paipu i hoʻopili ʻia i nā ʻāpana kānana o ka puʻupaʻa (nephrons), pehu, a piha i ka wai.

ʻO ka mea nui, ʻaʻole kēia mau cysts maʻalahi he mau maʻi hoʻoilina . ʻO ia hoʻi, ʻaʻole lākou i hoʻoilina ʻia mai nā mākua mai. Ua manaʻoʻiʻo ʻia i kekahi manawa hiki i kahi ʻeha liʻiliʻi i ka puʻupaʻa a i ʻole kahi ālai maalea loa i loko o kēia mau kahawai ke hana i kēia.

Eia nō naʻe, hiki ke ulu aʻe nā cysts kidney ma muli o kekahi mau kūlana olakino. He ʻokoʻa lākou mai nā cysts maʻamau a maʻalahi.

• ʻO ka maʻi puʻupaʻa Polycystic - He maʻi hoʻoilina kēia.
• Maʻi puʻupaʻa mau loa (CKD)
• ʻO ka maʻi Von Hippel-Lindau
• ʻO ka paʻakikī sclerosis tuberous (TSC)

No ka mea he mau kūlana kūikawā kēia, e hoʻomaopopo kāu kauka iā ʻoe e pili ana iā lākou.

Pehea e ʻike ʻia ai kēia mau puʻupuʻu? He aha nā lāʻau lapaʻau?

ʻO ka hapa pinepine, ʻike ʻia kahi puʻupuʻu puʻupaʻa ma kahi hanana. ʻIke ʻia ia i ka wā o kahi scan i hana ʻia no kekahi kumu ʻē aʻe. Inā loaʻa kēlā ʻano puʻupuʻu, hiki i kāu kauka ke paipai i kekahi mau hoʻokolohua hou aʻe e hoʻoholo ai inā he maʻalahi a paʻakikī paha.

Nā hoʻokolohua ʻike

• ʻO ke Kiʻi Ultrasound: Hoʻohana kēia i nā nalu kani alapine kiʻekiʻe e hana i kahi kiʻi maopopo o nā puʻupaʻa. He hoʻāʻo palekana loa ia ʻaʻole ia e pili ana i ka ʻeha a i ʻole ka radiation.
• CT Scan (Computed Tomography Scan): Hoʻohana kēia i nā kukuna X a me ka ʻenehana kamepiula e hana i nā kiʻi ʻokiʻoki ʻekolu-dimensional (3D) o nā puʻupaʻa. Kōkua kēia i ke aʻo ʻana i ke ʻano o ka puʻupuʻu me nā kikoʻī hou aku.
• MRI (Magnetic Resonance Imaging Scan): Hoʻohana ʻia kahi kahua magnetic ikaika a me nā nalu lekiō e hana i nā kiʻi maopopo loa a kikoʻī. He mea nui loa ka MRI no ka hoʻokaʻawale ʻana ma waena o kahi cyst piha i ka wai a me kahi puʻu paʻa.
• Nā hoʻāʻo hana puʻupaʻa: Hiki ke hoʻāʻo ʻia nā hāpana koko a me ka mimi e ʻike i ke ʻano o ka hana ʻana o kāu mau puʻupaʻa a inā ua hoʻopilikia ʻia lākou e ka puʻupuʻu.

Nā ʻano lapaʻau

I ka hapanui o nā hihia, ʻaʻole pono kahi maʻi puʻupaʻa maʻalahi i kekahi lāʻau lapaʻau . E haʻi wale aku kāu kauka iā ʻoe e makaʻala iā ia. Malia paha e hana ʻia kahi scan i kēlā me kēia makahiki a ʻelua paha.

Eia nō naʻe, inā he ʻōpū ke kumu o ka ʻeha, inā nui loa ia e kaomi i kekahi ʻāpana ʻē aʻe, a inā paha e hoʻopilikia ana i ka hana o nā puʻupaʻa, pono paha e wehe ʻia. Eia kekahi, inā paʻakikī ka ʻōpū a manaʻo ke kauka he pilikia ia e lilo i maʻi ʻaʻai, hiki iā ia ke hoʻoholo e wehe.

ʻElua mau ʻano nui i hoʻohana ʻia e like me ka mālama ʻana:

1. Ka hanu ʻana a me ka Sclerotherapy: Maanei, ma lalo o ke alakaʻi ʻana a kahi scanner, ua hoʻokomo ʻia kahi nila lahilahi loa ma o ka ʻili i loko o ka cyst, a ua hoʻokahe loa ʻia ke wai. I kekahi manawa, ua hoʻokomo ʻia kahi hopena kūikawā, e like me ka waiʻona, i loko o ka cyst e pale aku ai i ka hoʻopiha hou ʻana me ka wai.

2. ʻOki kino:Hoʻohana pinepine ʻia ke ʻoki laparoscopic no kēia kumu. ʻO ke ʻano kēia, ua hoʻokomo ʻia kahi kāmela a me nā mea hana palupalu ma o kekahi mau lua liʻiliʻi loa i loko o ka ʻōpū, ma mua o ka hana ʻana i kahi ʻoki nui. Maanei, wehe ke kauka i ke kahe mai ka cyst a ʻoki a puhi paha i ka paia o waho o ka cyst.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ma hope o kou ʻike ʻana he puʻupuʻu kou, e ʻike koke i kāu kauka. He mau hōʻailona paha kēia o ka maʻi, ka haki ʻana, a i ʻole nā ​​​​pilikia ʻē aʻe.