Baker cyst

ʻO Baker cyst kahi kūkulu o ka wai hui (synovial fluid) e hana i kahi cyst ma hope o ke kuli.

Hoʻokumu ʻia kahi cyst Baker e ka puhaka ma ke kuli. Kū ka ʻōhū ma muli o ka hoʻonui ʻia o ka wai synovial. Hulu kēia wai i ka hui kuli. Ke kūkulu kaomi, ʻomi ka wai i ka hope o ke kuli.

Kū pinepine ʻo Baker cyst me:

• He waimaka i ka cartilage meniscal o ke kuli
• Nā hōʻeha cartilage
• ʻO ke kuʻi kuli (i nā mākua makua)
• Rheumatoid arthritis
• ʻO nā pilikia kuli ʻē aʻe e hoʻonā i ka kuli a me ka synovitis

I ka hapanui o nā hihia, ʻaʻohe hōʻailona o ke kanaka. Hiki i kahi cyst nui ke hoʻonāukiuki i kekahi a i ʻole ʻoʻoleʻa. Hiki paha i kahi ʻeha ʻole a ʻeha hoʻi ma hope o ke kuli.

E like paha ke cyst me he baluna piha piha i ka wai. I kekahi manawa, wehe paha ka cyst (rupture), e ʻeha ana, pehu, a me ka ʻeha ma ke kua o ke kuli a me ka bipi keiki.

He mea nui ia e ʻike inā ma muli o ka ʻūlū Baker a i ʻole ke kōkō o ke kō. Hiki i ke kīʻaha koko (thrombosis venous hohonu) ke hana i ka ʻeha, ka pehu ʻana, a me ka ʻeha ma ke kua o ke kuli a me ka bipi keiki. He weliweli paha ke kōkō ʻana o ke koko a koi koke ʻia i ka lāʻau.

I ka wā o kahi hoʻokolohua kino, e nānā ka mea mālama ola i kahi puʻupuʻu palupalu ma ka hope o ke kuli. Inā liʻiliʻi ka cyst, hiki ke kōkua i ka hoʻohālikelike ʻana i ke kuli i hoʻopili ʻia i ke kuli maʻamau. Hiki paha i kahi hōʻemi o ke ʻano o ka neʻe i hoʻokumu ʻia e ka ʻeha a i ʻole i ka nui o ke cyst. I kekahi mau hihia, e hopu ana, laka, ʻeha, a i ʻole nā ​​hōʻailona ʻē aʻe a me nā ʻōuli o kahi waimaka meniscal.

Ke hoʻomālamalama nei i kahi kukui ma o ka cyst (transillumination) hiki ke hōʻike i ka ulu a piha ka wai.

ʻAʻole hōʻike nā X-ray i ka cyst a i ʻole ka waimaka meniscal, akā e hōʻike lākou i nā pilikia ʻē aʻe e hiki mai ana, e like me ka maʻi rumati.

Hiki i nā MRI ke kōkua i ka mea hāʻawi e ʻike i ka cyst a e nānā no nā hōʻeha meniscal i kumu i ka cyst.

ʻO ka pinepine, ʻaʻohe pono e pono ai. Hiki i ka mea hāʻawi ke kiaʻi i ka cyst ma kahi o ka manawa.

Inā ʻeha ka cyst, ʻo ka pahuhopu o ka mālama ʻana e hoʻoponopono i ka pilikia e hoʻomaka nei i ka cyst.

I kekahi manawa, hiki ke hoʻopau ʻia kahi cyst (makemake ʻia), akā hoʻi, hoʻi pinepine ka cyst. I nā hihia maʻamau, hemo ia me ke kahakaha inā lilo ia i nui loa a i ʻole ke kumu o nā hōʻailona. Loaʻa i ka cyst kahi manawa kūpono e hoʻi ai inā ʻaʻole e kamaʻilio ʻia ke kumu kumu. Hiki i ke kīʻaha ke hōʻino pū i nā kīʻaha koko kokoke a me nā aʻalolo.

ʻAʻole hiki i kahi cyst Baker ke hōʻeha i kahi wā lōʻihi, akā hiki ke hoʻonāukiuki a ʻeha hoʻi. Hele a hele aku nā ʻōuli o Baker cista.

Kākaʻikahi ke kīnā o ka wā lōʻihi. Hoʻonui ka hapa nui o ka poʻe me ka manawa a me ke ʻoki.

Kāhea i kāu mea hāʻawi inā loaʻa ʻoe i ka pehu ma hope o ke kuli e lilo i nui a ʻeha paha. ʻO ka ʻeha ka hōʻailona o ka maʻi. Kāhea pū i kāu mea hoʻolako ke hoʻonui ʻoe i ka pehu i kāu bipi keiki a me kou wāwae a me ka liʻiliʻi o ka hanu. Hiki i kēia ke lilo i hōʻailona o ke kahe koko.

Inā ulu koke ka puʻupuʻu, a i ʻole ʻeha ʻoe i ka pō, ʻehaʻeha loa, a i ʻole ke kuni, pono ʻoe i nā hoʻokolohua hou aku e hōʻoia ʻaʻole āu ʻano tumors ʻē aʻe.

Popliteal cyst; Kuli kūkae

• Hoʻopili ke kuli - hoʻokuʻu

• Baker cyst

ʻO Biundo JJ. ʻO Bursitis, tendinitis, a me nā maʻi periarticular a me nā lāʻau haʻuki. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 247.

Crenshaw AH. Nā kaʻina hana palupalu a me nā osteotomies hoʻoponopono e pili ana i ke kuli. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 9.

ʻO Huddleston JI, Goodman S. Hip a me ka ʻeha o ke kuli. I: Firestein GS, Budd RC, Gabriel SE, Koretzky GA, McInnes IB, O'Dell JR, hua. ʻO Firestein & Kelley's Textbook of Rheumatology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 51.

Rosenberg DC, Amadera JED. Baker cyst. I: Frontera, WR, kālā JK, Rizzo TD Jr, eds. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 64.