He mau cysts kou i loko o kou akepaʻa? E kamaʻilio kākou e pili ana i nā cysts akepaʻa!

I kekahi manawa, hiki i nā mea ke hana i loko o kou kino me ka ʻike ʻole ʻoe. ʻO nā cysts akepaʻa kekahi o ia mau mea. ʻO ka hapa nui o ka manawa, ʻaʻole weliweli kēia mau mea, akā i kekahi manawa aia nā manawa e pono ai ʻoe e makaʻala iki. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia mau cysts akepaʻa me nā kikoʻī a me ka maʻalahi?

He aha nā Cysts o ke Ake?

I ka ʻōlelo maʻalahi, he mau ʻeke liʻiliʻi piha i ka wai nā cysts akepaʻa e hana ʻia ma kou akepaʻa. E noʻonoʻo iā lākou he mau pehu wai liʻiliʻi. ʻO ka hapa nui o kēia mau mea he mau maʻi maikaʻi ʻole. ʻO ia hoʻi, ʻaʻole lākou he maʻi kanesa. Eia naʻe, he mea kakaikahi loa, hiki i kekahi mau cysts ke ulu a hoʻoulu i nā hōʻailona. Hiki nō hoʻi ke hana ʻia e kekahi mau maʻi hoʻoilina, a i kēlā hihia e pono ai ka mālama ʻana.

Pehea ka maʻamau o kēia mau puʻupuʻu akepaʻa? ʻO wai ka mea e loaʻa pinepine ai iā lākou?

Pehea ka maʻamau o kēia mau puʻupuʻu akepaʻa ʻaʻole maʻi kanesa (benign)? Wahi a nā kauka ma waena o 15% a me 18% o ka heluna kanaka ma ʻAmelika Hui Pū ʻIa e loaʻa paha iā lākou. Ma ka honua holoʻokoʻa, aia ka helu ma waena o 5% a me 10%. ʻO ia hoʻi , ʻoi aku ka maʻamau ma mua o kou manaʻo.

ʻO wai ka mea i ʻoi aku ka nui o ka loaʻa ʻana o ia mau maʻi? Hoʻopilikia pinepine lākou i nā kānaka ma waena o 30 a me 70 mau makahiki. Eia nō naʻe, he hapa liʻiliʻi wale nō, ma waena o 10% a me 15%, e loaʻa ai nā hōʻailona. ʻOi aku ka nui o ka hānau ʻia ʻana o nā wāhine me kēia mau puʻupuʻu ma mua o nā kāne. Eia nō naʻe, hiki i nā kāne ke loaʻa iā lākou ma hope o ke ola ma mua o nā wāhine.

He maʻi kanesa anei nā puʻupuʻu akepaʻa?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, hiki i kēia mau puʻupuʻu akepaʻa ke lilo i maʻi kanesa? Mai hopohopo, ʻaʻole pinepine kēia mau puʻupuʻu e lilo i maʻi kanesa a i ʻole precancerous. Hana pinepine nā kauka i ke ʻoki kino e wehe i kēia mau puʻupuʻu, inā he hōʻailona a maʻi kanesa paha. Ma waena o 1% a me 5% o nā puʻupuʻu akepaʻa āpau he precancerous. Ma kahi o 30% o ia mau puʻupuʻu hiki ke lilo i maʻi kanesa. Inā hana ʻia kēlā, e wehe nā kauka iā lākou ma ke ʻoki kino.

I nā hihia hea e hiki ai i nā puʻupuʻu akepaʻa ke hoʻoweliweli?

No laila, aia kekahi mau hihia kahi e hiki ai i kēia mau puʻupuʻu akepaʻa ke hoʻoweliweli? ʻAe, ʻoiai ʻaʻole ka hapa nui o nā puʻupuʻu he maʻi kanesa (benign) a ʻaʻole lawa ka nui e hoʻoulu ai i nā hōʻailona, ​​​​hiki i kahi pakeneka liʻiliʻi loa ke lilo i maʻi kanesa. Eia nō naʻe, aia ʻelua ʻano o nā puʻupuʻu akepaʻa e pono ai ke ʻoki ʻana a i ʻole kekahi lāʻau ʻē aʻe:

Maʻi Hydatid

Ua kapa ʻia hoʻi he echinococcal cysts a i ʻole hydatid cysts , ua hoʻokumu ʻia kēia maʻi e kahi parasite.Hoʻoili ʻia kēia parasite i nā kānaka mai nā ʻīlio a me nā hipa, pinepine ma o nā ʻōnaehana wai haumia. No ka laʻana, hiki iā mākou ke loaʻa iā ia inā inu mākou i ka wai haumia me ka ʻike ʻole a i ʻole inā hana pū mākou me nā holoholona i loaʻa kēia parasite a ʻaʻole i hoʻomaʻemaʻe pono ʻia ko mākou mau lima. Ulu kēia mau parasites ma ke ʻano o nā cysts i loko o ke akepaʻa a me nā ʻāpana ʻē aʻe o ke kino. Inā ʻaʻole mālama pono ʻia, hiki iā lākou ke hoʻoulu i ke kuni, ka jaundice, a i ʻole eosinophilia (kahi piʻi ʻana o kahi ʻano o ke koko keʻokeʻo). Mālama nā kauka i kēia ma ka hāʻawi ʻana i nā lāʻau lapaʻau e pepehi i ka parasite (i kekahi manawa chemotherapy) a ma ka wehe ʻana i nā cysts me ke ʻoki ʻana.

ʻO ka maʻi akepaʻa Polycystic (PLD)

He maʻi hoʻoilina laha ʻole kēia. Hoʻopilikia ia ma kahi o hoʻokahi a ʻumi mau kānaka i loko o hoʻokahi haneli tausani. Hoʻomohala ka poʻe me ka `(PLD)` i nā hui o nā cysts ʻaʻole kanesa (benign) a i ʻole nā ​​cysts maʻalahi (symptom cysts) ma waho o ko lākou mau ake. Hiki i kēia mau cysts ke like me nā hui nui o nā hua waina . He 20% wale nō o ka poʻe me kēia maʻi e hōʻike i nā hōʻailona, ​​​​akā ʻaʻole paha lākou e hōʻike i nā hōʻailona a hiki i ka wā makua. I ka hala ʻana o ka manawa, i ka wā e hoʻonui ai ko lākou mau ake, hiki i ko lākou ʻōpū ke pehu, hoʻonui ʻia, a ʻoluʻolu ʻole. Hoʻōla nā kauka i kēia kūlana `(PLD)` me ka lāʻau lapaʻau a me ke ʻoki ʻana.

E nalo wale anei nā puʻupuʻu akepaʻa? Pehea ka nui e hiki ai iā lākou ke piʻi?

Ua hōʻike kekahi mau noiʻi lapaʻau e hiki i nā puʻupuʻu akepaʻa maikaʻi ke hele wale aku me ka ʻole o ka lāʻau lapaʻau . Eia nō naʻe, he mea nui e hoʻomanaʻo he maikaʻi ʻole ka hapa nui o nā puʻupuʻu akepaʻa a ʻaʻole ulu nui e hōʻike i nā hōʻailona. Eia nō naʻe, inā nui lākou, hiki i nā kauka ke wehe iā lākou ma ke ʻoki ʻana.

Pehea ka nui o kēia mau puʻupuʻu akepaʻa? ʻO kaʻoiaʻiʻo, hiki iā lākou ke liʻiliʻi e like me ka wēlau o kahi ʻōpuʻu fennel liʻiliʻi, a i ʻole ka nui e like me 4 ʻīniha. ʻO ia hoʻi, ʻokoʻa ko lākou nui.

He aha ke kumu o nā puʻupuʻu akepaʻa?

ʻO ka hapa nui o kēia mau puʻupuʻu akepaʻa he hānau ʻia mai. ʻO ke ʻano kēia, aia lākou i ka wā hānau. ʻO ka ʻoiaʻiʻo, ʻaʻole hiki i nā kauka ke kuhikuhi pono i ke kumu pololei o kēia mau puʻupuʻu akepaʻa hānau ʻia mai.

He aha nā hōʻailona o nā puʻupuʻu akepaʻa?

ʻAʻohe hōʻailona o ka hapa nui o ka poʻe me nā puʻupuʻu akepaʻa maikaʻi ʻole a maʻi ʻaʻai paha. Eia nō naʻe, hiki i ka poʻe i loaʻa nā hōʻailona ke ʻike i:

• Ke manaʻo nei i kahi mea e like me ka ʻeha nui ma ka ʻaoʻao ʻākau o luna o kou ʻōpū .
• Manaʻo pehu a pehu.
• Ka luaʻi a me ka luaʻi.
• Ka nalowale ʻana o ka makemake e ʻai, a i ʻole ka māʻona ʻoiai ma hope o ka ʻai iki ʻana.
• Manaʻo e like me ka paʻakikī e hanu.
• Me he puʻu nui lā i loko o kou ʻōpū.
• Jaundice. Hiki ke hana kēia inā ua ālai ʻia kāu mau ʻauwai bile e kahi puʻupuʻu ake.
• Kuni a me ka ʻeha nui o ka ʻōpū. Hiki ke hana kēia inā pahū kēlā puʻupuʻu.

Pehea e ʻike ai nā kauka i nā puʻupuʻu akepaʻa?

ʻO ka hapa pinepine, ʻike nā kauka i nā puʻupuʻu akepaʻa ke hana lākou i nā hoʻokolohua kiʻi no kekahi maʻi ʻē aʻe. Hiki ke ʻike ʻia nā puʻupuʻu akepaʻa me nā hoʻokolohua e like me kēia:

• Ultrasound. Pili kēia i ka hoʻohana ʻana i nā nalu kani alapine kiʻekiʻe e lawe i nā kiʻi ola a me nā wikiō o nā ʻōpū i loko o kou kino. Ua ʻike paha ʻoe i nā scan a nā makuahine hāpai e loaʻa ai, ʻo ia ke ʻano.
• CT scan (Computed tomography scan) Hoʻohana kēia hoʻāʻo i kahi moʻo o nā kukuna X a me kahi kamepiula e hana i nā kiʻi ʻekolu-dimensional (3D) o kou mau ʻiʻo palupalu a me nā iwi.
• Hoʻāʻo MRI (Magnetic resonance imaging). He hoʻāʻo ʻeha ʻole kēia e hoʻohana ana i kahi magnet nui, nā nalu lekiō, a me ke kamepiula e hana i nā kiʻi maopopo loa o nā ʻōkana a me nā ʻano o ke kino.

Inā ʻike nā kauka i nā puʻupuʻu akepaʻa ma o kēia mau hoʻokolohua, hiki iā lākou ke hana i kēia mau mea e hoʻoholo ai inā he precancerous ka puʻupuʻu, cancerous, a i ʻole ka maʻi polycystic ate ​​a mākou i kamaʻilio ai, a inā paha ua hoʻokumu ʻia ka puʻupuʻu e kahi parasite:

• Hoʻokolokolo kino.
• Mōʻaukala lapaʻau. Hiki ke nīnau ʻia ʻoe e like me inā he maʻi akepaʻa lōʻihi kou, inā paha ua loaʻa i kekahi o kou ʻohana kēlā mau maʻi, a inā paha ua huakaʻi ʻoe i nā wahi mamao aku nei.
• Nā hoʻokolohua serodiagnostic. Hana ʻia kēia mau mea e ʻike i nā antibodies kikoʻī i loko o nā hāpana koko.
• ʻO ka ultrasound i hoʻonui ʻia i ka hoʻohālikelike. Hoʻohana pū kēia i nā nalu kani alapine kiʻekiʻe, akā ua lawe ʻia nā kiʻi me kahi kala kūikawā. ʻAe kēia i nā kikoʻī maopopo.

Pehea e mālama ʻia ai nā puʻupuʻu akepaʻa?

ʻAʻole pono ka hapa nui o nā puʻupuʻu akepaʻa maikaʻi (maʻalahi) i kekahi lāʻau lapaʻau. Eia nō naʻe, ʻo nā puʻupuʻu maikaʻi ʻoi aku ma mua o 4 kenimika e pono ai ke wehe ʻia e nā kauka.

Aia kekahi mau ʻano hana a me nā ʻoki kino e wehe ai i nā ʻōpū nui benign, nā ʻōpū i hoʻokumu ʻia e ka maʻi ake polycystic, a me nā ʻōpū ake precancerous a cancerous paha:

• ʻO ka huki ʻana o ka ʻili. Ma kēia kaʻina hana, hoʻohana nā kauka i ka ultrasound a i ʻole CT scans e hoʻokomo i nā nila a i ʻole nā ​​catheters i loko o nā cysts akepaʻa a wehe i ke kahe i loko o nā cysts.
• ʻO ka hoʻoheheʻe ʻana o ka cyst. He hana ʻoki kino kēia. No ka mālama ʻana i nā cysts nui, ua wehe ʻia ka paia o ka cyst.
• ʻOki ʻana i ka ʻāʻī.ʻO kēia ʻoki kino e pili ana i ka wehe ʻana i nā ʻāpana o ke akepaʻa i hoʻopilikia ʻia e nā puʻupuʻu.
• ʻO ka embolization Transarterial (TACE). Ua like kēia lāʻau lapaʻau me ke kūkulu ʻana i kahi pā e pani ai i kahi muliwai. Hoʻokomo nā kauka i nā lāʻau anticancer i loko o kahi aʻa e hoʻolako ana i ke koko i kou ake. A laila, hoʻokomo lākou i kahi mea e ālai ai i kēlā aʻa. Hana kēia mea e like me kahi pā, e mālama ana i nā lāʻau anticancer a puni ka puʻupuʻu a pale iā lākou mai ka pakele ʻana.
• ʻOki kino. Wehe i nā puʻupuʻu maikaʻi ʻole a i ʻole nā ​​​​​​maʻi ʻaʻai.
• Hoʻoili ʻana i ke akepaʻa. Hana ʻia kēia ʻoki kino ma ke ʻano he lāʻau lapaʻau no ka maʻi akepaʻa polycystic i pane ʻole i nā lāʻau lapaʻau a/a i ʻole ke ʻoki kino e wehe i nā puʻupuʻu akepaʻa.

Hiki ke pale ʻia nā puʻupuʻu akepaʻa?

ʻOiai ʻo ka hapa nui o nā cysts akepaʻa he congenital, ʻo ia hoʻi ke loaʻa nei i ka wā hānau, ʻaʻohe ala kikoʻī e pale aku ai iā lākou. Eia nō naʻe, hiki iā ʻoe ke pale iā ʻoe iho mai nā maʻi parasitic e like me ka maʻi hydatid ma ka noho maʻemaʻe, no ka laʻana ma ka holoi pono ʻana i kou mau lima ma hope o ka hoʻopā ʻana i nā holoholona, ​​a ma ka inu ʻana i ka wai maʻemaʻe.

Inā loaʻa iaʻu kahi puʻupuʻu akepaʻa, he aha kaʻu e manaʻo ai?

Inā loaʻa iā ʻoe kahi puʻupuʻu akepaʻa, ʻo ka mea hiki iā ʻoe ke manaʻo (prognosis) e pili ana i ke ʻano o ka puʻupuʻu āu i loaʻa ai:

• ʻAʻole loa e hōʻike kekahi mau puʻupuʻu akepaʻa ʻaʻole maʻi kanesa (benign). I kēlā hihia, hiki i kāu kauka ke ʻōlelo i nā hoʻokolohua, e like me ka ultrasound, i kēlā me kēia ʻekolu mahina no hoʻokahi makahiki e nānā inā e nui ana ka puʻupuʻu a i ʻole e loli ana.
• Hana ʻia kekahi poʻe i ke ʻoki kino e wehe i nā puʻupuʻu nui benign a cancerous paha. Hōʻike nā haʻawina he mea kakaikahi loa nā puʻupuʻu akepaʻa i wehe ʻia ma ke ʻoki kino . Ma muli o kou kūlana, hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aʻe.

Pehea e mālama ai iaʻu iho inā ua ʻike ʻia he puʻupuʻu akepaʻa koʻu?

Pono kekahi poʻe i ke ʻoki kino a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe no nā puʻupuʻu akepaʻa. Inā pēlā, e nīnau i kāu kauka e pili ana i ka pehea e mālama ai i nā hopena ʻaoʻao o ka lāʻau lapaʻau . He mea nui hoʻi e hahai pololei i nā ʻōlelo a kāu kauka.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

I ka manawa pinepine, ʻike mua ka poʻe he puʻupuʻu ake ko lākou ke hana ʻia kahi hoʻāʻo no kekahi kumu ʻē aʻe. ʻAʻole ia he mea makemake kekahi e lohe koke. Akā i ka wā e hana ai me kahi hōʻailona i manaʻo ʻole ʻia e like me kēia, eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka e kōkua iā ʻoe e noʻonoʻo i ka mea e hana ai ma hope:

• "Pehea lā wau e ʻike ai inā he maʻi ʻole a maʻi ʻaʻai paha koʻu puʻupuʻu?"
• "He aha ke ʻano o nā hoʻokolohua e pono ai iaʻu e hana?"
• "Pono anei iaʻu e hana i kahi biopsy akepaʻa?"
• "Inā ke kumu nei kēia puʻupuʻu i koʻu ʻoluʻolu ʻole a ʻeha paha, hiki ke wehe ʻia?"
• "Ua nānā anei ʻoe i ka nui a me kahi o kēia puʻupuʻu no kekahi manawa?"
• "Inā he mau puʻupuʻu akepaʻa koʻu, pono anei iaʻu e hana i nā hoʻokolohua ʻē aʻe e ʻike ai inā he mau puʻupuʻu koʻu ma kahi ʻē aʻe o koʻu kino?"

Nā mea e pono ai mākou e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, e hoʻomanaʻo kākou i kekahi o nā mea nui loa mai nā mea a kākou i kamaʻilio ai.

ʻIke mua ka hapa nui o ka poʻe he mau cysts akepaʻa ko lākou ke hoʻāʻo ʻia lākou no kekahi kumu ʻē aʻe. ʻOiai ʻaʻohe mea makemake e lohe e pili ana i kahi pilikia olakino i manaʻo ʻole ʻia, hiki iā ʻoe ke hōʻoluʻolu i ka ʻike ʻana ʻo ka hapa nui o nā cysts akepaʻa he noncancerous (benign) a ʻaʻole pinepine lākou e hana i nā hōʻailona e hoʻopilikia i kou ʻano ola.

I ka manawa pinepine, hoʻoholo nā kauka e nānā i kēia mau puʻupuʻu ma mua o ka hana ʻana i ke ʻoki e wehe iā lākou. Inā he mau hopohopo kou e pili ana i nā puʻupuʻu akepaʻa, mai makaʻu e nīnau i kāu kauka e pili ana i kou kūlana. Ma kēlā ala, hiki iā ʻoe ke loaʻa kahi manaʻo maopopo o ka mea e manaʻo ai. E hoʻomanaʻo, ʻoi aku ka maikaʻi o ka makaʻala ma mua o ka makaʻu i ka mea ʻike ʻole ʻia.

Nā Cysts o ke Ake, Ake, Nā Cysts, Kanesa, Maikaʻi ʻole, Kanesa, Maʻi Hydatid, Maʻi ake polycystic, Nā hōʻailona o ke ake, Lapaʻau ʻana i ka cyst o ke ake