Aia kekahi mea e like me ka pehu wai kokoke i kou puʻuwai? E aʻo kākou e pili ana i kēia (Pericardial Cyst)!

I kekahi manawa, hiki i nā mea liʻiliʻi ke ulu i loko o ko kākou kino me ka ʻike ʻole ʻia, ʻeā? ʻO ia ke ʻano o kēia `(Pericardial Cyst)`. Ke lohe ʻoe i kēia inoa, me he mea lā he mea nui ia, akā mai hopohopo , ʻo ka hapa nui o ka manawa ʻaʻole ia he mea weliweli loa. I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha kēia (Pericardial Cyst)?

I ka ʻōlelo maʻalahi, ʻo ka Pericardial Cyst kahi cyst piha i ka wai e hana ʻia ana i loko o ka membrane lahilahi e like me ka ʻeke e hoʻopuni ana i kou puʻuwai, ʻo ia ka pericardium. Ua like ia me ka pehu wai. ʻO ka hapa nui o ka manawa, he maʻi hānau ia. ʻO ka nui o kēia mau cysts ma kahi o 3 a 5 kenimika, ʻo ia hoʻi ma kahi o hoʻokahi ʻīniha a me ka hapa a ʻelua ʻīniha. Akā hiki i kekahi ke ʻoi aku ka nui. Hiki iā lākou ke poepoe a ʻōniʻoniʻo iki paha ke ʻano. Loaʻa iā lākou kahi wai maopopo. ʻO ia ke kumu i ka wā ma mua, i nā makahiki 1940, ua kapa pū nā kauka iā lākou he "spring water cysts." Loaʻa pinepine lākou ma ka ʻaoʻao ʻākau o ka puʻuwai. ʻO ka mea nui loa, ʻaʻole maʻi kanesa kēia mau Pericardial Cysts. ʻAʻole hōʻike ka hapa nui o ka poʻe i kekahi mau hōʻailona. Akā e noʻonoʻo, inā ulu iki kēia puʻupuʻu a kaomi i ka puʻuwai a i ʻole nā ​​​​māmā kokoke, a laila aia kahi hiki ke loaʻa kekahi mau hōʻailona a i ʻole nā ​​​​pilikia.

Pehea ke koʻikoʻi o ka `(Pericardial Cyst)`?

ʻO ka maʻamau, ʻaʻole nui ka pilikia o ka `(Pericardial Cyst)`. Noho ka nui o ka poʻe me ka ʻike ʻole he loaʻa iā lākou. Eia naʻe, he mea kakaikahi loa, a ʻo ia hoʻi he mea kakaikahi loa , hiki ke loaʻa nā pilikia e like me kēia:

• Ka puʻuwai kūpono ʻole ( Arrhythmia ): He puʻuwai kūpono ʻole.
• ʻO ka tamponade puʻuwai : Hiki i kēia ke lilo i pilikia.
• ʻO ka pericarditis constrictive: ʻAʻole hiki i ka puʻuwai ke hana pono.
• Ka hāʻule ʻana o ka puʻuwai .
• Nāwaliwali / syncope .
• Pneumonia .
• Ka ālai ʻana i ke kahe koko mai ka ventricle ʻākau o ka puʻuwai`(Ka ālai ʻia ʻana o ke kahe ʻana o ka ventricle ʻākau)`.
• Make koke ʻana o ka puʻuwai : He mea kākaʻikahi loa kēia.
• ʻO ka Superior vena cava syndrome (SVCS) kahi kūlana i hoʻokumu ʻia e ke kaomi ʻana o ka superior vena cava (kahi kīʻaha koko) .

He mea weliweli paha kēia mau inoa, akā e hoʻomanaʻo he mea kakaikahi loa kēia mau mea.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

Hiki i kēia maʻi i kapa ʻia ʻo `(Pericardial Cyst)` ke ulu maoli i loko o kekahi kanaka o kēlā me kēia makahiki. E noʻonoʻo, ʻoiai ke kanaka he 102 makahiki i ʻike ʻia me ia. I kekahi manawa, hiki ke ʻike ʻia kahi keiki liʻiliʻi i loko o ka ʻōpū o ka makuahine me ia ma o `(prenatal testing)` i ka wā hāpai. Eia naʻe, ʻike pinepine ʻia i nā pākeke ʻōpio, ʻo ia hoʻi, i nā poʻe ma waena o 20 a me 40 mau makahiki. Ua ʻōlelo ʻia hoʻi he ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā wahine ma mua o nā kāne. Inā mākou e kamaʻilio e pili ana i kona maʻamau, he maʻi kakaikahi ka `(Pericardial Cyst)`. Hoʻopilikia ia i hoʻokahi i loko o hoʻokahi haneli tausani kānaka.

He aha nā hōʻailona o ka `(Pericardial Cyst)`?

ʻO ka nūhou maikaʻi, ʻaʻole i loaʻa i nā kānaka a pau me kēia maʻi nā hōʻailona. ʻO ka ʻoiaʻiʻo, ʻekolu o ka ʻehā o ka poʻe ʻaʻole i ʻike i kekahi mau hōʻailona. Eia naʻe, e like me ka mea i ʻōlelo ʻia ma mua, inā nui kēia puʻupuʻu e kaomi i kou puʻuwai a i ʻole kou mau māmā, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• ʻEha umauma: Hiki ke pālahalaha kēia ʻeha i nā ʻāpana o luna o ke kino, e like me ka ʻāʻī, nā poʻohiwi, a me nā lima.
• Kuke: Loaʻa paha iā ʻoe ka kuke mau.
• Nā maʻi hanu pinepine: No ka laʻana, nā maʻi māmā .
• Paʻakikī ka hanu ʻana (dyspnea): Manaʻo paha ʻoe e like me ʻoe e hanu ana no ka hanu ʻoiai me kahi hana liʻiliʻi.

Pehea e hana ʻia ai kēia ʻano `(Pericardial Cyst)`?

ʻO ka hapa nui o ka manawa, ʻo ia hoʻi, ʻoi aku ma mua o 90% o nā hihia, ʻo kēia `(Pericardial Cyst)` he mea ia e kū nei i ka wā hānau `(congenital)`. ʻO ia hoʻi, ua hoʻokumu ʻia kēia cyst ma muli o ka nāwaliwali iki i ka hoʻokumu ʻia ʻana o ka membrane pale `(pericardium)` a puni ka puʻuwai i ka wā o ke ola fetal, ʻoiai i loko o ka ʻōpū o ka makuahine. Aia kekahi mau kumu kakaikahi loa no kēia. ʻO lākou:

• ʻO ka mumū o ka membrane puʻuwai, kahi kūlana i kapa ʻia ʻo "pericarditis".
• Ma muli o kahi ʻeha nui i ka umauma (trauma).

Pehea ʻoe e ʻike ai inā he `(Pericardial Cyst)` kou?

ʻO kēia ka mea kupaianaha loa. I ka hapa nui o ka manawa, ʻike nā kauka i kēia `(Pericardial Cyst)` ma ka ulia pōpilikia!ʻO ke ʻano kēia, hiki iā ʻoe ke loaʻa i kēia puʻupuʻu ke loaʻa iā ʻoe kahi X-ray umauma a i ʻole kekahi scan ʻē aʻe no kekahi kumu ʻē aʻe. ʻO ia ke kumu e kapa ai nā kauka i kēia mau ʻike he "nā ʻike ulia pōpilikia." Ke loaʻa kahi puʻupuʻu e like me kēia, e hana ke kauka i kekahi mau hoʻokolohua hou aʻe e hōʻoia he cyst pericardial ia. Makemake pū lākou e hōʻoia ʻaʻole ia he maʻi koʻikoʻi ʻē aʻe. Eia kekahi laʻana:

• ʻO kahi aneurysm kahi puʻupuʻu i loko o kahi kīʻaha koko ma ke keʻena haʻahaʻa o ka puʻuwai.
• ʻO kahi hernia ma ka diaphragm (ke ʻiʻo e hoʻokaʻawale i ka umauma a me ka ʻōpū) (Morgagni hernia).
• Nā ʻano cysts a i ʻole nā ​​​​tumors ʻē aʻe.

He aha ke ʻano o nā hoʻokolohua e hōʻoia i kēia?

Hoʻohana nā kauka i nā hoʻokolohua e like me kēia e ʻike pololei a nānā i kēia kūlana "Pericardial Cyst":

• ʻO ke scan CT Cardiac : Hiki i kēia ke kiʻi i kahi kiʻi maopopo o ka puʻupuʻu, a me ke kūlana o ka pericardium.
• ʻO ke scan MRI Cardiac : Hiki ke hoʻohana ʻia kēia e ʻike inā e kaomi ana ka puʻuwai i ka puʻuwai, nā māmā, a i ʻole nā ​​​​​​mea ola koʻikoʻi kokoke.
• Echocardiography : Ua like kēia me ka ultrasound scan o ka puʻuwai. Hoʻohana ʻia ia e ʻike inā e loli ana ka nui o ka puʻupuʻu i ka hala ʻana o ka manawa a e alakaʻi i ka huki ʻana o ka wai mai ka puʻupuʻu inā pono.

He aha nā lāʻau lapaʻau no ka `(Pericardial Cyst)`?

ʻO ka nūhou maikaʻi, i ka hapanui o nā hihia, ʻaʻole pono ka Pericardial Cyst i ka lāʻau nui. Kāhea nā kauka i kēia ʻo 'conservative management'. ʻO ia hoʻi, mai hopohopo, e nānā wale.

• Nānā ʻana: Inā ʻaʻohe ou hōʻailona a ʻaʻole e nui ana ka puʻupuʻu, e nānā kāu kauka i ka puʻupuʻu me kahi transthoracic echocardiogram (TTE) i kēlā me kēia mau makahiki. ʻAʻohe lāʻau ʻē aʻe e pono ai.
• I ka wā e pono ai ka lāʻau lapaʻau: Eia nō naʻe, inā hoʻomaka ʻoe e ʻike i nā hōʻailona, ​​​​a inā hōʻike nā scans e ulu nui ana ka puʻupuʻu, a laila pono ka lāʻau lapaʻau.

ʻElua mau ʻano nui o ka mālama ʻana: 1. Ka wehe ʻana i ke kahe ma o nā kaʻina hana minimally invasive:

• ʻEthanol sclerosis : Ma kēia, ua hoʻokomo ʻia kahi mea i kapa ʻia ʻo ethanol i loko o ka puʻupuʻu, a laila ua wehe ʻia ke wai i loko o ka puʻupuʻu. Hoʻemi kēia i ka pilikia o ka ulu hou ʻana o ka puʻupuʻu.
• ʻO ka huki ʻana o ka ʻili : Hoʻokomo ʻia kahi nila ma o kahi puka liʻiliʻi i loko o ka ʻili a lawe ʻia nā wai āpau i loko o ka cyst.

2. Wehe ʻoki kino i ka puʻupuʻu:

• ʻO ke ʻoki Laparoscopic : Pili kēia i ka hana ʻana i kekahi mau ʻoki liʻiliʻi loa ma ka umauma a me ka hoʻohana ʻana i kahi kāmela a me nā mea hana palupalu e wehe i ka puʻupuʻu. Ua kapa ʻia hoʻi kēia ʻo "keyhole surgery."
• ʻO Median Sternotomy : He ʻoki kino e pili ana i ka hana ʻana i kahi ʻoki ma waenakonu o ka umauma, i lalo o ka iwi umauma. He ʻoki kino nui kēia.
• ʻO ka Thoracotomy : He hana ʻoki e pili ana i ka hana ʻana i kahi ʻoki ma waena o nā iwi ʻaoʻao ʻelua.
• ʻO ke ʻoki kino thoracic i kōkua ʻia e ke wikiō (VATS): Ua like kēia me ke ʻoki laparoscopic, ma ke ʻano he hana ia me ka hoʻohana ʻana i kahi kāmela ma o kahi ʻoki liʻiliʻi i hana ʻia ma waena o nā iwi ʻaoʻao.

E nānā hou kāu kauka i kou kūlana, e kūkākūkā i kēia mau koho lapaʻau āpau me ʻoe, a e hoʻoholo i ka mea maikaʻi loa iā ʻoe a me ka palekana loa . ʻO ka pahuhopu nui o kēia mau lāʻau lapaʻau, ʻo ia ka pale ʻana i nā pilikia koʻikoʻi e hiki ke hana inā e kaomi ka puʻuwai i ka puʻuwai a i ʻole nā ​​māmā.

Hiki ke pale ʻia kēia mau mea mai ka hana ʻana?

ʻOiai he hānau ʻia nā cysts pericardial, ʻaʻohe mea hiki iā mākou ke hana e pale aku ai i ko lākou hoʻokumu ʻia ʻana. Eia nō naʻe, inā ua loaʻa iā ʻoe ka pericarditis ma mua, kahi mumū o ka uhi o ka puʻuwai, aia paha ʻoe i kahi pilikia iki o ka hoʻomohala ʻana i kahi cyst pericardial. He manaʻo maikaʻi e kamaʻilio me kāu kauka e pili ana i kēia.

He mea weliweli anei ka Pericardial Cyst?

ʻAʻole weliweli ka hapa nui o nā cyst pericardial. Hiki iā lākou ke weliweli wale nō inā e kau lākou i ke kaomi ma ka puʻuwai, nā māmā, a i ʻole nā ​​​​​​mea ola koʻikoʻi kokoke. Inā loaʻa iā ʻoe kahi cyst pericardial, e nānā kāu kauka iā ia a mālama iā ia inā a i ka wā e pono ai. No laila, mai makaʻu pono ʻole.

He aha ka mea e hana inā loaʻa iaʻu kēia maʻi? Pehea lā e hiki mai ana?

Hiki i ka hapa nui o ka poʻe me ka cyst pericardial ke ho'ōla maikaʻi a ola i kahi ola maʻamau . Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona a i ʻole e nui ana kāu cyst, pono paha ʻoe i ka lāʻau lapaʻau e pale aku i nā pilikia i ʻōlelo ʻia ma luna. E kamaʻilio ākea me kāu kauka e pili ana i kou kūlana, ka prognosis, a me kou pilikia o nā pilikia.

Āhea wau e ʻike ai i ke kauka? He aha kaʻu mea e hopohopo ai?

E hōʻoia e loaʻa i kāu mau hoʻokolohua makahiki . Eia kekahi, e hele i nā hoʻokolohua hahai e like me ke kuhikuhi a kāu kauka. E hoʻomanaʻo, ʻaʻole ʻike ka nui o ka poʻe he Pericardial Cyst ko lākou, no ka mea, ʻike pinepine ʻia ia ma ka hanana. No laila, he mea nui e hele i nā manawa a pau a kāu kauka a me nā hoʻokolohua. A laila, ʻoi aku ka nui o kou ʻike ʻana i kahi Pericardial Cyst ma mua o ka lilo ʻana i pilikia.

E hoʻomanaʻo pono, inā ua omo ke kauka i ka wai mai kāu `(Pericardial Cyst)`, aia ma kahi o 30% ka manawa e hoʻi hou mai ai ka cyst. No laila, he mea nui nā hoʻokolohua hahai. Pono ke kauka e nānā iā ʻoe e ʻike inā e hoʻi mai ka cyst.

Pilikia! Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​he hōʻailona paha ia o ka tamponade puʻuwai.E kelepona koke i ka 911 a i ʻole kāu keʻena pilikia kūloko, a i ʻole e hele koke i ka haukapila:

• Ka loli koke ʻana o ke kūlana noʻonoʻo (manaʻo huikau, hopohopo, nalowale o ka ʻike).
• Manaʻo puni a i ʻole e maule ana/nāwaliwali ana.
• He ʻeha ʻoi a hou i ka umauma. Hiki ke laha kēia ʻeha i ka ʻōpū, ke kua, ka ʻāʻī, ka lima, a i ʻole ka poʻohiwi.
• Hoʻonui ʻia ka hanu ʻana.
• Ka pulse wikiwiki loa.
• Ka loli ʻana o ka ʻili (kelekele, hina, a polū paha).
• Paʻakikī nui ka hanu ʻana.

No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo? (Leka Lawe-Home)

ʻOiai paha e kani weliweli kēia ʻano i kapa ʻia ʻo `(Pericardial Cyst)`, ʻo ka hapa nui o ka manawa ʻaʻole ia e hōʻike i kekahi mau hōʻailona, ​​a ʻaʻole ia e hoʻoulu i nā pilikia koʻikoʻi. Akā inā loaʻa iā ʻoe nā hōʻailona, ​​a inā e nui ana ka cyst, mai hopohopo. Loaʻa i ka lāʻau lapaʻau hou kekahi mau lāʻau lapaʻau maikaʻi no kēia. E kamaʻilio pono me kāu kauka e pili ana i ka lāʻau lapaʻau maikaʻi loa iā ʻoe a me ka lōʻihi o ka manawa e hoʻōla ai. ʻO ka mea nui loa, ʻo ia ka hahai ʻana i kāu mau hoʻokolohua lapaʻau a me nā ʻōlelo aʻoaʻo lapaʻau. A laila, inā loaʻa iā ʻoe kahi ʻano e like me kēia, hiki iā ʻoe ke ʻike mua, hana i ka mea e pono ai, a noho olakino. Pericardial cyst, heart cyst, pericardial cyst, ʻeha umauma, paʻakikī ka hanu ʻana, maʻi puʻuwai, pericardial