Maʻi maʻi pilonidal

ʻO ka maʻi sinus pilonidal kahi maʻi hōʻeha e pili ana i nā follicle o ka lauoho i hiki ke hana ma nā wahi āpau ma waena o ka puʻu, e kahe ana mai ka iwi ma lalo o ka iwi kuamoʻo (Sacum) a i ka anus. He maʻi maikaʻi ka maʻi a ʻaʻohe ona pilina me ka maʻi ʻaʻai.

E ʻike ʻia ka dimple pilonidal e like me:

• ʻO kahi abscess pilonidal, kahi e maʻi ai ka follicle o ka lauoho a hōʻiliʻili ka pus i ka momona momona
• ʻO kahi cyst pilonidal, kahi e loaʻa ai kahi cyst a puka paha inā lōʻihi kahi abscess no ka manawa lōʻihi
• ʻO kahi sinus pilonidal, kahi e ulu ai kahi ʻāpana ma lalo o ka ʻili a i ʻole hohonu mai ka follicle lauoho
• He lua liʻiliʻi a pore paha i loko o ka ʻili i loaʻa nā kiko ʻeleʻele a i ʻole ka lauoho

Pākuʻi ʻia paha nā ʻōuli:

• Hoʻopau kaomi i kahi lua liʻiliʻi i ka ʻili
• Ka palupalu ma luna o ka wahi ma hope o kāu hana a noho paha no kekahi manawa
• Mahana, palupalu, wahi pehu kokoke i ka huelo
• Fever (pohihihi)

ʻAʻohe paha he hōʻailona ʻē aʻe ma mua o kahi niho liʻiliʻi (lua) i loko o ka ʻili i ka ʻūlū ma waena o nā pū.

ʻAʻole maopopo ke kumu o ka maʻi pilonidal. Manaʻo ʻia ma muli o ka ulu ʻana o ka lauoho i loko o ka ʻili i ka lipolipo ma waena o ka ʻūpā.

E loaʻa paha kēia pilikia i ka poʻe:

• Ua momona
• ʻIke i ka trauma a i ʻole ka huhū ma ia wahi
• Loaʻa ka lauoho o ke kino, ka lauoho lauoho, a me ka lauoho

E holoi maʻamau a hoʻomaloʻo maloʻo. E hoʻohana i kahi palaki palaki palepale e pale i ka lauoho mai ka lilo ʻana i loko o ka ulu. E mālama i nā lauoho i kēia wahi pōkole (kahi kahi, ʻumiʻumi, laser, depilatory) i hiki ke hoʻēmi i ka makaʻu o ka hoʻā ʻana a me ka hoʻi hou ʻana.

Kāhea i kāu mea mālama ola inā ʻike ʻoe i kekahi o kēia mau mea a puni ka pilonidal cyst:

• Kahe o ka pā
• ʻUlaʻula
• ʻŌhū
• Malimali

E noi ʻia ʻoe no kāu moʻolelo olakino a hāʻawi ʻia i kahi nānā kino. I kekahi manawa e noi ʻia ʻoe no kēia ʻikepili:

• Ua loli paha i ka hiʻona o ka maʻi sinus pilonidal?
• Ua loaʻa paha kekahi kahe mai kēlā wahi?
• Loaʻa iā ʻoe nā hōʻailona ʻē aʻe?

ʻAʻole pono e mālama ʻia ka maʻi pilonidal i kumu ʻole i nā ʻōuli.

E wehe ʻia kahi abscess pilonidal, hoʻokahe ʻia, a ʻūlū ʻia me ka ʻeke. Hiki ke hoʻohana ʻia nā lāʻau antibiotic inā aia kekahi maʻi e hohola ana i ka ʻili a i ʻole he maʻi ʻino hou aʻe kāu.

ʻO nā ʻoki ʻana ʻē aʻe e pono ai e komo pū me:

• Ka lawe ʻana (excision) o ka wahi maʻi
• Nā ʻili paʻa ʻili
• Pāleʻa ka hana ma hope o ka excision
• Hana ʻoki e wehe i kahi abscess e hoʻi

Abscess Pilonidal; Sinon pilonidal; Pākuʻi pilonidal; Maʻi Pilonidal

• Nā palena ʻāina Anatomical - kua
• Dimple Pilonidal

ʻO Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Nā kūlana ʻoki lāʻau o ka anus a me ka pololei. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 371.

E kūʻai aku iā NM, Francone TD. Ka mālama ʻana i ka maʻi pilonidal. I: Cameron AM, Cameron JL, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 335-341.

Surrell JA. Pilonidal cyst a me abscess: ka mālama ʻana i kēia manawa. I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 31.