Pono anei kākou e hopohopo e pili ana i nā cysts kidney? E ʻike pono kākou!

Ua ʻōlelo anei kāu hōʻike scan 'kidney cyst'? A i ʻole ua ʻōlelo ke kauka he cyst kou i loko o kou puʻupaʻa ma hope o ka scan ʻana no kekahi kumu ʻē aʻe? He mea maʻamau iā mākou ke makaʻu iki a me ka hopohopo ke lohe mākou i ka huaʻōlelo "cyst". Akā inā ʻike maopopo mākou i ke ʻano o ia mea, hiki iā mākou ke hoʻopau i kēlā makaʻu pono ʻole. ʻO ka hapa nui o ka manawa, ʻaʻohe mea e makaʻu ai kēia mau mea. No laila, i kēia lā, e kamaʻilio kākou e pili ana i nā cysts, a i ʻole cysts, i hana ʻia i loko o ka puʻupaʻa.

I ka ʻōlelo maʻalahi, he aha nā cysts kidney?

ʻAe, e nānā mua kākou i kēia mau mea. ʻO nā cysts kidney he mau ʻeke liʻiliʻi, lahilahi nā paia i piha i kahi wai wai e hana ʻia i loko a i ʻole ma luna o ka puʻupaʻa. E noʻonoʻo iā lākou he pehu ma ka ʻili, akā hana ʻia lākou i loko o ka puʻupaʻa.

Loaʻa iā kākou a pau ʻelua mau puʻupaʻa i loko o ko kākou kino, e like me nā kānana ʻelua. ʻO ka hana nui o nā puʻupaʻa, ʻo ia ke kānana i nā huahana ʻōpala a me ka wai keu mai ko kākou koko a hoʻokuʻu iā lākou ma ke ʻano he mimi. No ka hana ʻana i kēia, aia he miliona o nā ʻāpana kānana liʻiliʻi i loko o nā puʻupaʻa, a mākou e kapa nei he nephrons i ka lāʻau lapaʻau. I kekahi manawa, ua ālai ʻia kahi kahawai i loko o kēia mau ʻāpana kānana liʻiliʻi a hōʻiliʻili ka wai, ʻo ia ke kumu o ka hana ʻana o kēia mau cysts.

Loaʻa kēia mau puʻupuʻu i nā nui like ʻole. ʻO ka hapa nui, ʻaʻole lākou i ʻoi aku ma mua o ʻelua ʻīniha. Hiki i kekahi ke ulu iki aʻe i ka hala ʻana o ka manawa, aʻo kekahi e mau ana ka nui like. Hiki i ke kanaka ke loaʻa i hoʻokahi a i ʻole kekahi mau puʻupaʻa. Hiki iā lākou ke ulu i loko o hoʻokahi a i ʻole nā ​​​​puʻupaʻa ʻelua.

Aia kekahi mau ʻano like ʻole o kēia mau nati?

ʻAe, ʻelua ʻano nui o kēia mau puʻupuʻu. He mea nui loa ia e ʻike iā lākou. Hoʻohana nā kauka i kahi ʻano hana kūikawā i kapa ʻia ʻo ka ʻōnaehana ʻo Bosniak e hoʻokaʻawale iā lākou. Akā e wehewehe maʻalahi wau iā ʻoe.

No laila, pono anei iaʻu e makaʻu i kēia?

Ua ʻike wau aia kēia nīnau ma kou manaʻo. ʻO ka pane maʻalahi, ʻaʻole paha . Inā he cyst maʻalahi kou, ʻaʻole paha e lilo i mea koʻikoʻi. ʻO ia ke kumu i kapa ʻia ai lākou he "maʻalahi."

Eia nō naʻe, inā ʻōlelo kāu kauka he cyst paʻakikī ia, pono ʻoe e hopohopo no ka mea he hōʻailona paha ia o ka maʻi ʻaʻai puʻupaʻa. I ia mau hihia, e kauoha kāu kauka i nā scan maʻamau e nānā i ka cyst no nā loli, a i ʻole e wehe iā ia ma ke ʻoki ʻana.

He aha nā hōʻailona e kū mai ana i ka wā e ulu ai kēia mau puʻupuʻu?

Eia ka mea kupanaha. ʻAʻohe o ka nui o ka poʻe i loaʻa i kekahi mau hōʻailona! ʻAʻole ʻike ka nui he puʻupuʻu ko lākou. Ua ʻike ʻia lākou i ka wā o ka nānā ʻana i ka ʻōpū no kekahi maʻi ʻē aʻe.

Eia nō naʻe, hiki ke ʻike ʻia kekahi mau hōʻailona inā nui loa ka puʻupuʻu, a inā pahū a kahe ke koko, lilo i maʻi, a kaomi paha i nā ʻōpū kokoke. I kēlā mau manawa, hiki iā ʻoe ke ʻike i kēia mau mea:

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

Ma muli o ka wahi o ka puʻupuʻu, i kekahi manawa hiki ke loaʻa kahi hopena liʻiliʻi i ka hana o nā puʻupaʻa. Eia kekahi, inā pale ka puʻupuʻu i ka puʻupaʻa mai ka kānana ʻana i ka wai keu mai ke koko, hiki iā ia ke hoʻoulu i ke koko kiʻekiʻe.

No ke aha i hoʻokumu ʻia ai nā pōhaku puʻupaʻa?

ʻAʻole i loaʻa maoli i nā kānaka noiʻi kahi kumu paʻa no kēia. Akā, ua ʻike mākou ʻaʻole kēia hemahema maʻalahi he mea hoʻoilina. ʻO ia hoʻi, ʻaʻole ia he mea i hoʻoilina ʻia mai kou mau mākua mai.

ʻO ke kumumanaʻo nui, ua hoʻokumu ʻia kēia mau cysts ma muli o kahi ālai ʻana a i ʻole kahi hōʻeha liʻiliʻi i nā kahawai kānana liʻiliʻi (tubules) i loko o nā puʻupaʻa aʻu i ʻōlelo ai ma mua, e hōʻiliʻili ana i ka wai.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia mau mea?

ʻOiai he paʻakikī ke kuhikuhi pololei i nā kumu no kēia, ʻike mākou aia kekahi mau mea e hoʻonui ai i ka pilikia:

• Makahiki: ʻOi aku ka nui o ka poʻe ma luna o 50 mau makahiki e loaʻa i kēia. ʻO ka ʻoiaʻiʻo, ma kahi o hoʻokahi i loko o ʻelua mau kānaka ma luna o 50 mau makahiki e loaʻa i hoʻokahi puʻupaʻa puʻupaʻa.
• Kāne: ʻOi aku ka nui o nā kāne e loaʻa i kēia ma mua o nā wahine.
• Nā kūlana olakino ʻē aʻe: Hiki ke loaʻa nā puʻupaʻa puʻupaʻa me kekahi mau kūlana olakino. Eia kekahi laʻana:
• ʻO ka maʻi puʻupaʻa Polycystic - He maʻi hoʻoilina kēia.
• Maʻi Puʻupaʻa Mau Loa (CKD)
• ʻO ka maʻi Von Hippel-Lindau
• ʻO ka Tuberous Sclerosis Complex (TSC)

He aha nā pilikia e hiki ai i kēia mau puʻupuʻu ke hana?

E like me kaʻu i ʻōlelo ai ma mua, ʻaʻole pinepine nā cysts maʻalahi e hoʻoulu i kekahi pilikia . Eia nō naʻe, i nā hihia kakaikahi, hiki ke kū mai kekahi mau pilikia.

• Maʻi: Hiki i nā germs ke komo i loko o ka cyst a hoʻoulu i ka maʻi, e hana ana i nā hōʻailona e like me ke kuni a me ka ʻeha.
• ʻŌpū pahū: Inā pahū ka ʻōpū, hiki iā ia ke hōʻeha nui a me ke kahe koko i loko o ka mimi.
• Ka ālai ʻana o ka mimi: Hiki i ka puʻupuʻu ke lilo i mea nui loa a ālai i ke kahe ʻana o ka mimi. Hiki i kēia ke hōʻino i nā puʻupaʻa.
• Ke kahe ʻana o ke koko i loko o ka cyst: Hiki ke kahe ke koko i loko o ka cyst. Hiki i kēia ke hōʻeha.

Pehea e ʻike ai ke kauka i kēia? He aha nā lāʻau lapaʻau?

Ua ʻōlelo au ʻo ka hapa nui o ka manawa ua ʻike ʻia kēia mau mea ma ka manawa kūpono. Ma hope o ka ʻike ʻana i kēlā ʻano puʻupuʻu, e paipai ke kauka i kekahi mau hoʻokolohua hou aʻe e ʻike pono ai inā he maʻalahi a he paʻakikī paha.

• ʻO ke scan ultrasound: Hoʻohana kēia i nā nalu kani alapine kiʻekiʻe e hana i nā kiʻi o nā puʻupaʻa. Hiki i kēia ke hāʻawi i kahi manaʻo maikaʻi o ke ʻano o ka puʻupuʻu.
• CT scan (Computed Tomography - CT): Hoʻohana kēia i nā kukuna X a me ka ʻenehana kamepiula e hana i nā kiʻi ʻekolu-dimensional (3D) o nā puʻupaʻa. Hiki i kēia ke hāʻawi i ka nui o ka ʻike e pili ana i ka puʻupuʻu.
• ʻO ke kiʻi MRI (Magnetic Resonance Imaging - MRI): Hoʻohana kēia i kahi kahua magnetic ikaika a me nā nalu lekiō e hana i nā kiʻi maopopo loa. Kōkua kēia i ka hoʻokaʻawale maopopo ʻana ma waena o nā ʻāpana wai a me nā ʻāpana paʻa o ka puʻupuʻu.
• Nā hoʻāʻo hana puʻupaʻa:Hiki i nā hoʻokolohua koko a me ka mimi ke haʻi i ka maikaʻi o ka hana ʻana o kou mau puʻupaʻa a inā ua hoʻopilikia ʻia lākou e ka puʻupuʻu.

Nā ʻano lapaʻau

Eia nō naʻe, inā he ʻōpū e hoʻoulu ai i ka ʻeha, e hoʻopilikia ana i ka hana o nā puʻupaʻa, a inā manaʻo ke kauka he pilikia ia e lilo i maʻi ʻaʻai, pono paha e wehe ʻia. ʻElua mau ʻano nui no kēia.

1. Ka Hoʻomoe ʻana a me ka Sclerotherapy: Pili kēia i ke komo ʻana i kahi nila lahilahi loa ma o ka ʻili, ka hou ʻana i ka cyst, a me ka omo ʻana i nā wai a pau i loko me kahi syringe. A laila, i kekahi manawa, ua hoʻokomo ʻia kahi hopena kūikawā, e like me ka waiʻona, i loko o ka ʻeke i hoʻokahe ʻia e pale i ka ulu hou ʻana o ka cyst.

2. ʻOki kino: Hana pinepine ʻia kēia mau ʻoki kino i kēia manawa ma ke ʻano laparoscopically, a i ʻole "keyhole surgery." Hana ʻia kēia ma ka hana ʻana i kekahi mau ʻoki liʻiliʻi loa i loko o ka ʻōpū a me ka hoʻokomo ʻana i kahi kāmela a me nā mea hana palupalu. Hoʻokahe ke kauka i ke kahe mai ka cyst a ʻoki a puhi paha i ka paia o ka cyst.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Ke ʻike ʻoe he puʻupuʻu kou, e haʻi aku kāu kauka iā ʻoe inā pono e nānā ʻia a i ʻole. Eia nō naʻe, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻike pono i kāu kauka.

• Inā loaʻa iā ʻoe ka ʻeha hou ma kou ʻōpū, ʻōpū, a i ʻole ke kua i lalo.
• Inā ʻike ʻoe i ke koko i loko o kou mimi.
• Inā loaʻa iā ʻoe ke kuni me ke kumu ʻole.
• Inā he loli koke i ke alapine o ka mimi ʻana, e like me ka hoʻonui ʻana a i ʻole ka emi ʻana.

ʻO nā hōʻailona e like me kēia he hōʻailona paha ua loaʻa ka maʻi i ka cyst, ua haki, a i ʻole he pilikia ʻē aʻe. No laila, he mea nui e haʻi koke aku i kāu kauka.