Wake wesaba lapho ngokuzumayo ubona iqhubu elincane ngemuva kwedolo lakho, khona kanye lapho idolo lakho ligoba khona? Ingabe uzizwa ungakhululekile noma ubuhlungu lapho uhamba noma ugoba idolo lakho? Kuvamile ukuthi noma ubani akhathazeke kancane lapho ebona into efana naleyo. Kodwa isikhathi esiningi, iqhubu elinjengaleli lingaba yisimo esingesibi kangako esibizwa ngokuthi i-Baker's Cyst. Namuhla, sizoxoxa ngalokhu kalula, ngendlela ongayiqonda.
Iyini ngempela i-Baker's Cyst?
Kalula nje, i-Baker's Cyst (abanye odokotela bayibiza nangokuthi "i-Popliteal Cyst") iyisikhwama esincane esigcwele uketshezi lwamanzi olwakheka ngemuva kwedolo lakho. Cabanga ngayo njengebhaluni elincane lamanzi.
Manje ungase ucabange, "Kuvelaphi lokhu?" Nokho, ngaphakathi kwamalunga ethu edolweni kukhona uketshezi lokuthambisa olubizwa ngokuthi uketshezi lwe-synovial. Lokhu kusiza ilunga ukuba lihambe kahle ngaphandle kokuba amathambo akhuhlane. Kodwa uma kukhona umonakalo, ukulimala, noma okunye ukugula edolweni (isibonelo, i-osteoarthritis), umzimba wethu uqala ukukhiqiza okwengeziwe kwalolu ketshezi.
Uma lolu ketshezi oluningi lungenandawo yokuya, lusunduza ngemuva kwedolo, lwakhe isikhwama esincane sezicubu eziqoqana ngaphakathi. Yilokho esikubiza ngokuthi i-Baker's Cyst.
Into ebalulekile ukuthi, lokhu akusiwo umdlavuza . Lokhu ngeke kube umdlavuza. Kodwa-ke, uma ubona iqhubu elisha noma kuphi emzimbeni wakho, kungcono ukubona udokotela ukuze uthole ukuthi liyini ngempela.
Ziyini izimpawu zalokhu?
Uphawu oluvame kakhulu yiqhubu elingemuva kwedolo. Kodwa akubona bonke abantu abanezimpawu ezifanayo. Abanye abantu bangase bangabi nazinkinga nhlobo. Ngokuvamile kutholakala ngengozi lapho udokotela ekuxilonga. Kodwa-ke, abanye abantu bangase babe nalezi zimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu bedolo | Ungase uzwe ubuhlungu ngemuva kwedolo noma ngaphakathi kwedolo. |
| Ukuqina kwamadolo | Ungase ukuthole kunzima ukugoba noma ukuqondisa amadolo akho, njengalapho uvuka ekuseni. |
| Ubunzima bokugoba idolo | Angikwazi ukugoba idolo lami ngokuphelele njengoba bengivame ukwenza. Kuzwakala sengathi linamathele ngenxa yesimila. |
| Ukuvuvukala | Idolo, ithanga, noma ithole kungase kuvuvuke. |
Kungani kwakheka isimila esinjengalesi?
Njengoba ngishilo ngaphambili, noma yini elimaza idolo ingadala lesi sifo. Kunezimbangela ezimbili eziyinhloko:
1. I-Arthritis: I-Arthritis yisimo lapho izicubu zamalunga ziguga khona ngokuhamba kwesikhathi. Lokhu kuguguleka nokudabuka kubangela ukuthi umzimba ukhiqize uketshezi oluningi lwamalunga. Lolu ketshezi oluningi luyaqoqana bese lwakha i-Baker's Cyst. Lokhu kuyimbangela evamile kubantu abadala eSri Lanka.
2. Ukulimala Kwamadolo: Uma ulimala idolo lakho ngenkathi udlala imidlalo, uwela, noma kwenye ingozi (isibonelo, i-ligament edabukile edolweni, ukulimala kwe-cartilage), ukuvuvukala okwenzekayo kungabangela ukuthi lolu ketshezi luqoqeke futhi lwakhe i-cyst.
Ubani osengozini enkulu yokuthola lesi simo?
Nakuba noma ubani engaba nalokhu, abanye abantu basengozini enkulu kancane.
- Kwabantu abadala abaneminyaka ephakathi kuka-35 no-70.
- Kwabadlali (ikakhulukazi labo abadlala imidlalo yokugijima nokugxuma).
- Kulabo abacindezela kakhulu amadolo abo emsebenzini noma njengento yokuzilibazisa.
- Kulabo abane-arthritis.
Ingabe lesi simila singadala ezinye izinkinga?
Yebo, nakuba kungavamile, ezinye izinkinga zingavela. Eyokuqala ukuqhekeka kwe-cyst.
Cabanga ukuthi bekuzokwenzekani uma ugcwalisa ibhaluni lamanzi ngamanzi ngokushesha okukhulu. Belingaqhuma, akunjalo? Ngokufanayo, uma leli bhaluni beligcwaliswe ngoketshezi ngokushesha okukhulu noma uma ingcindezi ikhuphuka, lingaqhuma.
Uma i-cyst enjalo iqhuma, ungase uzizwe izimpawu ezinjengalezi ngokuzumayo:
- Ubuhlungu obuhlabayo obubukhali edolweni noma esinqeni.
- Ukuvuvukala kweqakala kanye nomlenze ongezansi.
- Umuzwa ongavamile njengokungathi amanzi ageleza ngaphakathi komlenze.
- Akuvamile ukuthi kube nomonakalo wezinzwa noma isimo esibi esibizwa ngokuthi "i-Compartment Syndrome".
Into ebaluleke kakhulu:Ngezinye izikhathi, lapho i-Baker's Cyst iqhuma, ukuvuvukala nokushintsha kombala emlenzeni kungafana kakhulu nezimpawu zesimo esibi esibizwa ngokuthi i-blood clot emthanjeni emlenzeni (Deep Vein Thrombosis - DVT) . I-blood clot iyisimo esiphuthumayo sezokwelapha. Ngakho-ke uma ngokuzumayo uzwa ubuhlungu obukhulu emlenzeni wakho kanye nokuvuvukala, ungangabazi ukuya ekamelweni lezimo eziphuthumayo (ETU) lesibhedlela. Odokotela bazokuhlola futhi banqume ukuthi kuyini ngempela.
Udokotela ukubona kanjani lokhu?
Ezimweni eziningi, udokotela angakwazi ukuthola i-Baker's Cyst ngokwenza ukuhlolwa ngokomzimba nangokuthinta iqhubu elingemuva kwedolo lakho. Kufanele utshele udokotela wakho ngokucacile okulandelayo:
- Wasibona nini okokuqala lesi sithelo?
- Ingabe unezinye izimpawu (njengobuhlungu, ukuqina)?
- Uke waba nokulimala edolweni muva nje?
Ngezinye izikhathi, ukuze athole imbangela eqondile futhi aqiniseke ukuthi azikho ezinye izimo ezingathi sína, udokotela wakho uzokucela ukuthi wenze izivivinyo ezithile, ezifana nalezi:
- Ukuhlolwa kwe-X-ray: Lokhu kungahlola izinto ezifana nesimo samathambo edolo kanye nesifo samathambo.
- I-Ultrasound Scan: Lokhu kungasiza ekunqumeni ukuthi i-cyst igcwele yini uketshezi noma izinto eziqinile. Kubalulekile futhi ukuqinisekisa ukuthi kukhona yini ihlule legazi.
- I-MRI scan: Lokhu kusiza ukubheka ngokuningiliziwe umonakalo ezicutshini ezithambile njengemisipha kanye ne-cartilage edolweni.
Yiziphi izindlela zokwelapha lokhu?
Esikhathini esiningi, odokotela belapha imbangela eyinhloko yesimila kunokwelapha isimila ngokwaso. Uma leso sizathu seselashwa, isimila sivame ukunyamalala sodwa.
Kunezindlela eziningana zokwelapha:
- Indlela yelayisi: Lokhu kuyinto ongayenza ekhaya uma ulimele.
- R (Ukuphumula): Ukuphumula idolo.
- I (Iqhwa): Faka iphakethe leqhwa (ukunciphisa ukuvuvukala).
- C (Ukucindezela): Ukugoqa kancane ngebhandeji.
- E (Ukuphakama): Ukugcina umlenze uphakeme.
- Imithi: Udokotela wakho angakunika imithi yokunciphisa ubuhlungu (njenge-NSAID) ukunciphisa ubuhlungu nokuvuvukala. Ngezinye izikhathi, umjovo we-corticosteroid ungafakwa ngqo edolweni ukuze kuncishiswe ukuvuvukala ngokushesha.
- Ukwelashwa Komzimba: Uma lesi simo sibangelwa yi-arthritis noma ukulimala, iseluleko sochwepheshe wezokwelapha ngokomzimba sibaluleke kakhulu. Ukuzivocavoca okuqinisa imisipha ezungeze idolo kunikeza ukusekelwa okuhle kwedolo.
- Ukuhlinzwa: Ukuhlinzwa kokususa i-Baker's CystLokhu akuvamile kakhulu . Udokotela uzocabangela ukuhlinzwa kuphela uma isimila sibangela ubuhlungu obungabekezeleleki noma uma sinzima kangangokuthi awukwazi ukusebenzisa idolo lakho. Kodwa-ke, uma kukhona ukulimala okukhulu edolweni (njengomsipha odabukile), kungase kudingeke ukuhlinzwa.
Lesi sithelo sizohlala isikhathi esingakanani?
Lokhu kuncike ekutheni yini ebangele ukuvuvukala. Ezimweni eziningi, ukuvuvukala kuzophela phakathi namasonto ambalwa njengoba ukuvuvukala edolweni kuncipha futhi imbangela eyinhloko yelashwa. Umzimba uzophinde umunce uketshezi. Ngisho noma unesifo samathambo, lokhu kuvuvukala akuhlali njalo. Kungase kubuye kudlule.
Nakuba kungase kuzwakale kucasula ukuzwa ukuthi uneqhubu ngemuva kwedolo lakho, ama-Baker's Cysts amaningi awabi yingozi. Ngakho-ke ungakhathazeki. Kodwa into ebaluleke kakhulu ukubona udokotela nganoma yisiphi iqhubu elisha emzimbeni wakho, ikakhulukazi elivele ngemva kokulimala, ukuze uthole ukuthi liyini ngempela. Uzobe esekuchazela ukuthi yiluphi ukwelashwa okudingayo nokuthi yini okudingeka uyenze ukuze uphulukise idolo lakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Baker's Cyst yisikhwama esigcwele uketshezi esakheka ngemuva kwedolo. Akuyona umdlavuza.
- Lokhu kuvame ukubangelwa yi-arthritis noma ukulimala edolweni.
- Uma ubona noma yiziphi izigaxa ezintsha emzimbeni wakho, ungakuzibi bese ubona udokotela ngokushesha .
- Uma i-cyst iqhuma futhi uzwa ubuhlungu obukhulu obungazelelwe kanye nokuvuvukala emlenzeni wakho, iya emnyangweni wezimo eziphuthumayo wesibhedlela (ETU) ngokushesha, njengoba lokhu kungase kufane nezimpawu ze-blood clot.
- Uma isimo esiyisisekelo esibangela isimila selashwa, isimila sivame ukuzixazulula sodwa.
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