He puʻupuʻu liʻiliʻi kou ma kou ʻāʻī? He Thyroglossal Duct Cyst paha ia!

Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi a puʻupuʻu ma waenakonu o kou ʻāʻī, a i ʻole ko kāu keiki? I kekahi manawa hiki iā ʻoe ke ʻike iā ia e neʻe i luna ke moni ʻoe. Mai hopohopo! He ʻano maʻi paha kēia i kapa ʻia he Thyroglossal Duct Cyst. I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī, me he mea lā e kamaʻilio ana mākou me kahi hoaaloha.

He aha ka maʻi ʻōpū Thyroglossal Duct Cyst?

I ka ʻōlelo maʻalahi, he puʻupuʻu liʻiliʻi a palupalu kēia i hānau ʻia me kekahi poʻe, aia ma waenakonu o ka ʻāʻī. Hiki ke hoʻopā ʻia a i kekahi manawa ʻike ʻia. ʻO ka hapa nui o ka manawa, he 2 kenimika ka nui o kēia mau puʻupuʻu. Akā, ʻaʻole kēia he mea maʻamau loa. Ua ʻōlelo ʻia he 7% o ka heluna kanaka ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa i loaʻa i kēia maʻi.

Hiki i nā cysts thyroglossal duct ke ulu i loko o nā keiki a me nā pākeke. Eia nō naʻe, ʻike pinepine ʻia lākou i nā keiki ma lalo o 10 mau makahiki. ʻO ka mea maikaʻi loa, he 99% o kēia mau cysts he benign, ʻo ia hoʻi, ʻaʻole lākou he maʻi kanesa . Eia naʻe, kakaikahi, ʻaʻole hiki i ka 1% o lākou ke ulu i loko o ke kanesa. ʻOi aku ka nui o ka poʻe pākeke e loaʻa i kēlā ʻano maʻi kanesa ma mua o nā keiki. Hoʻōla ʻia kēia mau cysts me ke ʻoki ʻana. Ma hope o ka wehe ʻia ʻana ma ke ʻoki ʻana, ʻaʻole hoʻi hou mai kēia mau cysts.

Pehea ke koʻikoʻi o ka Thyroglossal Duct Cyst?

E like me kaʻu i ʻōlelo ai ma mua, ʻo ka hapa nui o ka manawa ʻaʻole kēia mau nati e hoʻoulu i nā pilikia olakino nui. Eia nō naʻe, i kekahi mau hihia, hiki iā lākou ke hoʻoulu i nā pilikia. E nānā:

• He mea kākaʻikahi loa, a ʻo ia hoʻi, he mea kākaʻikahi loa, hiki i kēia mau puʻupuʻu ke lilo i maʻi ʻaʻai .
• Hiki i kekahi mau puʻupuʻu ke hoʻolilo i mea paʻakikī ke ale i ka meaʻai a me ka mea inu . Ua kapa nā kauka i kēia he "dysphagia."
• Hiki i kēia mau cysts ke lilo i maʻi . Inā hana lākou, hiki iā lākou ke lilo i mea ʻeha.

E hoʻōla anei kēia puʻupuʻu iā ia iho?

ʻAʻole, ʻaʻole ia e hana. Noho kahi cyst thyroglossal duct ma laila a hiki i ka wā e wehe ʻia ai ma ke ʻoki ʻana.

He aha nā hōʻailona o ka cyst thyroglossal duct?

Inā loaʻa iā ʻoe a i ʻole kāu keiki kēia ʻano puʻupuʻu, e ʻike mua paha ʻoe i kahi puʻupuʻu ma kou ʻāʻī, ʻoiai ke ale ʻoe . A i ʻole e ʻike paha ʻoe i ka puʻupuʻu ke hoʻopuka ʻoe i kou alelo . I kekahi manawa, ʻike ʻia ia ma ka manawa kūpono ke hele ʻoe e ʻike i ke kauka no kekahi maʻi ʻē aʻe. Aia kekahi mau hōʻailona ʻē aʻe:

• He paʻakikī ke komo i kēia mau nati ma lalo o kou ʻili. Inā ʻoe e hoʻopā iā lākou, he palupalu lākou, he laumania, a he poepoe , a ua like lākou me nā ʻāpana liʻiliʻi o ka palaoa berena.
• Inā loaʻa iā ʻoe a i ʻole kāu keiki kahi maʻi hanu o luna (e like me ke anu a i ʻole ka maʻi palū) , hiki i ka maʻi ke laha i ka cyst, e pehu ai a lilo i ʻeha.
• I kekahi manawa hiki ke pahū kēia mau cysts, a hiki ke puka mai kahi mea like me ka wai ma o ka ʻili.
• Kākaʻikahi ma muli o kēia mau natiHe mea paʻakikī paha ke ale i ka meaʻai a me ka mea inu .

He aha nā hōʻailona o ke kanesa o ka thyroglossal duct cyst?

He maʻi laha loa kēia. ʻAʻole i hōʻike ʻia ma mua o 300 mau hihia o kēia ʻano maʻi kanesa i nā makahiki 100 i hala. ʻOiai inā loaʻa ia, ʻoi aku ka hopena o ia i nā pākeke ma mua o nā keiki. Hiki i kekahi poʻe ke loaʻa i kēia maʻi kanesa no nā makahiki me ka ʻole o nā hōʻailona. ʻIke pinepine nā kauka iā ia i ka wā e mālama ai i nā maʻi ʻē aʻe, e like me ka goiter. ʻO nā hōʻailona o ka cyst thyroglossal duct:

• Me he mea lā he puʻupuʻu ma ke alo o koʻu ʻāʻī, a me he mea lā e ulu nui ana .
• Ua hiki iaʻu ke ʻike i kahi puʻu ma mua o kuʻu ʻāʻī, paʻakikī ke ʻano .
• Ua pehu nā ʻāpana lymph .
• He mea paʻakikī ke ale i ka meaʻai a me ka mea inu .

No ke aha i hoʻokumu ʻia ai kēia cyst thyroglossal duct?

Hoʻokumu ʻia kēia mau puʻupuʻu i ka wā hāpai , i ka wā e hoʻomaka ai kou kino e ulu i ka ʻōpū thyroid. ʻO ka thyroid kahi ʻōpū ʻano pepeke e hana ana i nā hormones e kāohi i kā mākou metabolism. I ka ʻōlelo maʻalahi, hoʻomalu kēia ʻōpū i nā mea e like me ka wikiwiki o kā mākou hoʻololi ʻana i ka meaʻai a mākou e ʻai ai i ka ikehu.

No ka hoʻokumu ʻana i kēia kelepa thyroid, hele nā ​​​​​​pūnaewele thyroid mai ke kumu o ke alelo a i ka iwi ʻano U i kapa ʻia ʻo ka iwi hyoid, ka mea e kākoʻo ana i ko kākou alelo. Hana ʻia kēia huakaʻi ma ke ala i kapa ʻia ʻo ke ala thyroglossal. ʻO ka maʻamau, ke kau ka kelepa thyroid i kona wahi kūpono, pani ʻia kēia duct a hoʻoheheʻe ʻia. Eia naʻe, i kekahi poʻe, ʻaʻole pani pono kēia duct . ʻO ia ka manawa e piha ai me nā wai a me ka mucus, e hana ana i nā cysts thyroglossal. ʻAʻole maopopo i nā mea noiʻi ke kumu e hoʻoheheʻe ʻole ai kēia duct i kekahi poʻe.

Pehea e ʻike ai nā kauka i kahi cyst thyroglossal duct?

Hoʻoponopono nā kauka i kēia ma ka nānā ʻana i kāu ʻāʻī a i ʻole ka ʻāʻī o kāu keiki, a laila e hana ana i kahi scan ultrasound e hoʻoholo ai i ka nui o ka puʻupuʻu.

Pehea e ʻike ai nā kauka inā he maʻi ʻaʻai kēia?

ʻO ka hapa pinepine, ʻike nā kauka i kēia ʻano maʻi kanesa i ka wā e mālama ana i kahi maʻi ʻē aʻe, no ka laʻana, i ka wā o ke ʻoki ʻana e wehe i kahi puʻupuʻu. Inā manaʻo lākou he maʻi kanesa paha kahi puʻupuʻu, hiki iā lākou ke hana i nā hoʻokolohua e like me kēia e hōʻoia i ke kānalua:

• ʻO ka biopsy nila maikaʻi: Pili kēia i ka hoʻohana ʻana i kahi nila lahilahi, hakahaka a me ka syringe e wehe i kahi hāpana o nā pūnaewele, wai, a i ʻole nā ​​​​ʻiʻo mai ka puʻupuʻu a nānā iā ia ma lalo o kahi microscope a i ʻole ma kahi keʻena hoʻokolohua e ʻike ai inā loaʻa i ka puʻupuʻu nā pūnaewele kanesa.
• CT scan (Computed tomography - CT scan): Hoʻohana kēia i kahi moʻo o nā kukuna X a me kahi kamepiula e hana i nā kiʻi ʻekolu-dimensional (3D) o kou ʻāʻī.
• MRI Scan (Magnetic Resonance Imaging - MRI): He hoʻāʻo ʻeha ʻole kēia e hoʻohana ana i kahi magnet nui, nā nalu lekiō, a me kahi kamepiula e hana i nā kiʻi maopopo loa o ka ʻāʻī.

Pono e wehe ʻia kahi cyst thyroglossal duct?

Hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino, ʻoiai inā ua loaʻa ka maʻi i ka cyst a inā paha e paʻakikī ana iā ʻoe a i ʻole kāu keiki ke ale i ka meaʻai a mea inu paha . I kekahi manawa, ʻoiai inā ʻaʻole ke kumu o ka cyst i kekahi mau hōʻailona, ​​​​hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino.

He aha ke ʻano o ke ʻoki kino e hoʻohana ʻia e wehe i kēia mau puʻupuʻu?

ʻO ke ʻoki maʻamau i kapa ʻia ʻo ke ʻoki Sistrunk . I loko o kēia ʻoki, hana nā kauka i kahi ʻoki liʻiliʻi ma ka ʻāʻī o kāu a i ʻole kāu keiki a wehe i ka puʻupuʻu, nā ʻāpana i koe o ke ala thyroglossal, a me ka ʻāpana waena o ka iwi hyoid o kāu a i ʻole kāu keiki.

ʻEhia ka lōʻihi e hoʻōla ai ma hope o ke ʻoki ʻana iā Sistrunk?

Hiki i ka poʻe i hana ʻia i ke ʻoki Sistrunk ke hoʻi i ke kula a i ʻole ka hana ma kahi o hoʻokahi pule . Eia nō naʻe, hiki i nā kauka ke aʻo aku iā ʻoe e pale i ka hana ikaika, ʻoiai ka hāpai ʻana, no ʻelua a ʻeono pule ma hope o ke ʻoki ʻana.

Pehea e mālama ʻia ai ke kanesa o ka thyroglossal duct cyst?

Inā loaʻa iā ʻoe kēia ʻano maʻi kanesa, e ʻōlelo mua kāu kauka i kahi hana Sistrunk. A laila e nānā lākou i kou mau lymph node ʻāʻī ʻaoʻao a me ke kelepa thyroid. Ma muli o nā hopena o kēlā mau hoʻokolohua, hiki iā lākou ke ʻōlelo hou aku i ke ʻoki kino. Eia kekahi laʻana:

• ʻO ka thyroidectomy holoʻokoʻa: Ma kēia kaʻina hana, wehe nā kauka i nā ʻāpana a pau o kou kelepa thyroid.
• ʻO ka ʻoki ʻana o ka ʻāʻī ʻaoʻao: Hoʻopau ʻia nā lymph node āpau i ka ʻāʻī i hoʻopilikia ʻia e ka ʻōpū.
• Lapaʻau iodine radioactive (RAI): ʻO kēia lapaʻau e pili ana i ka lawe ʻana i kahi pila i loaʻa ka iodine radioactive, ka mea e luku ai i nā hunaola kanesa i koe.

Hiki ke pale ʻia ka thyroglossal duct cyst?

ʻAʻole. He ʻōpū hānau kēia. ʻO ia hoʻi, ua hānau ʻia ke kanaka me kēia ʻōpū. No laila, ʻaʻohe ala e pale aku ai.

He aha kaʻu e manaʻo ai inā loaʻa i kaʻu keiki kahi cyst thyroglossal duct?

I ka hapanui o nā hihia, ʻaʻole hoʻi mai kēia mau puʻupuʻu ma hope o ka wehe ʻia ʻana me ke ʻoki ʻana ʻo Sistrunk.ʻO ia hoʻi, ua aneane ho'ōla loa ʻia ke ʻano. No laila, ʻaʻohe mea e hopohopo ai.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka maʻi ʻaʻai Thyroglossal Duct Cyst?

Ua hōʻike ʻia ma kahi o 95% o kēia mau maʻi kanesa e hiki ke ho'ōla ʻia me ke ʻoki kino . Pono paha kekahi poʻe e hana i ka lāʻau iodine radioactive ma hope o ke ʻoki kino. Akā, ʻoi aku ka kiʻekiʻe o ka manawa e ho'ōla ai.

Ua wehe ʻia ka Thyroglossal Duct Cyst a kaʻu keiki. Āhea wau e ʻike ai i ke kauka?

Inā loaʻa i kāu keiki kekahi o kēia mau hōʻailona ma hope o ke ʻoki ʻana, pono ʻoe e ʻike koke i ke kauka:

• Inā he kuni: ʻO ke ʻano kēia he 38 degere Celsius (100.4 degere Fahrenheit) a ʻoi aku paha ka mahana.
• Inā he mau hōʻailona o ka maʻi: e like me ka ʻulaʻula, ka pehu ʻana, a i ʻole ka ʻeha.
• Inā he wai e kahe ana mai ka wahi i ʻoki ʻia.
• Inā ʻaʻole e emi ka ʻeha ma hope o ka lawe ʻana i nā lāʻau hoʻomaha ʻeha i kauoha ʻia e ke kauka.

Ua wehe ʻia koʻu puʻupuʻu maʻi kanesa. Āhea wau e ʻike ai i ke kauka?

Hiki i nā kauka ke hoʻohana i nā ʻano hana like ʻole e mālama ai i kahi cyst thyroglossal duct. No laila, e nīnau i kāu kauka e pili ana i kekahi mau pilikia kikoʻī e hiki mai ana ma hope o ke ʻoki ʻana. Ma ke ʻano laulā, e ʻike i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Inā loaʻa iā ʻoe ke kuni: Inā he 38 degere Celsius (100.4 degere Fahrenheit) a ʻoi aku paha ka mahana.
• Inā ʻike ʻoe i nā hōʻailona o ka maʻi: e like me ka ʻulaʻula, ka pehu, a i ʻole ka ʻeha.
• Inā he wai e kahe ana mai ka wahi i ʻoki ʻia.
• Loaʻa iā ʻoe ka ʻeha, a inā paha ʻoe e lawe i nā lāʻau ʻeha i kuhikuhi ʻia e ke kauka, ʻaʻole ia e nalowale.

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

He maʻi laha ʻole ka Thyroglossal Duct Cyst, no laila e kahaha paha ʻoe i ka ʻike ʻana ua loaʻa i kāu keiki kekahi. A i ʻole, inā he puʻupuʻu kanesa kou, he nui paha kāu mau nīnau e nīnau ai i kāu kauka. Eia kekahi mau nīnau e nīnau ai i ia manawa:

• He aha ka maʻi ʻōpū Thyroglossal Duct Cyst?
• No ke aha i hiki mai ai kēia iaʻu/kaʻu keiki?
• Pono anei au/kaʻu keiki i ke ʻoki kino?
• Inā hana ʻia ke ʻoki kino iaʻu, hiki anei i kēia puʻupuʻu ke hoʻi hou mai?
• He maʻi kanesa koʻu puʻupuʻu. He aha ka lāʻau lapaʻau āu e ʻōlelo ai?
• He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau?

He mea maʻamau ke hopohopo iki inā ʻike ʻoe i kahi puʻupuʻu ʻē ma kou ʻāʻī a i ʻole ko kāu keiki. Eia nō naʻe, inā he Thyroglossal Duct Cyst (TDC), hiki iā ʻoe ke hoʻomaha mālie, no ka mea , he maʻi pinepine kēia mau puʻupuʻu a ʻaʻole e hoʻi hou mai ma hope o ka wehe ʻia ʻana ma ke ʻoki ʻana .

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

E noʻonoʻo, inā ʻike ʻoe i kahi puʻupuʻu liʻiliʻi a i ʻole ka puʻupuʻu ma kou ʻāʻī a i ʻole ka ʻāʻī o kāu keiki, he mea maʻamau ke hopohopo iki, ʻeā? Eia nō naʻe, inā he Thyroglossal Duct Cyst ia, he mea hōʻoluʻolu ke hoʻomanaʻo ʻaʻole ia he mea weliweli i ka hapa nui o ka manawa. ʻAʻole ka hapa nui o kēia mau puʻupuʻu he maʻi kanesa . E like me, ʻaʻole lākou e hoʻi hou mai ma hope o ka wehe ʻia ʻana me kahi 'ʻoki ʻana o Sistrunk'.

Eia nō naʻe, he mea kākaʻikahi loa, hiki i kēia mau mea ke lilo i maʻi kanesa. Eia nō naʻe, ua hōʻike ʻia me ke ʻoki ʻana a me ka mālama ʻana ma hope inā pono, hiki ke ho'ōla ʻia ma kahi o 95% o nā hihia.

ʻO ka hapa nui o ka manawa, ʻaʻohe ʻeha o ka Thyroglossal Duct Cyst. Eia kekahi, ʻaʻole ʻike kekahi poʻe ua loaʻa iā lākou a hiki i ka paʻakikī o ka moni ʻana. No laila, inā ʻike ʻoe i kahi puʻupuʻu hou a puʻupuʻu paha ma kou ʻāʻī a i ʻole ma ka ʻāʻī o kāu keiki, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka me ka hopohopo ʻole e pili ana iā ia. A laila hiki i ke kauka ke ʻike iā ia a paipai i ka lāʻau lapaʻau inā pono. Mai hopohopo, aia nā hopena i nā mea āpau!

ʻO ka Cyst Thyroglossal Duct, Thyroglossal Duct Cyst, ʻĀʻī Cyst, Pediatrics, ʻoki kino Sistrunk, Kanesa, Nā Maʻi Hānau