ʻOki kino no ka cyst pilonidal

ʻO kahi cyst pilonidal kahi ʻeke e hana a puni kahi lauoho lauoho i ka lipolipo ma waena o nā ʻūlū. E nānā paha kahi e like me kahi lua liʻiliʻi a pore paha i ka ʻili i loaʻa kahi kiko ʻeleʻele a lauoho paha. I kekahi manawa hiki i ka cyst ke hele a maʻi, a kapa ʻia kēia he abscess pilonidal.

ʻO kahi cyst pilonidal a i ʻole abscess e pono ai ke kahe ʻana o ka lāʻau. ʻAʻole ia e hoʻōla me nā lāʻau antibiotic. Inā hoʻomau ʻoe i nā maʻi, hiki ke lawe ʻia ka cyst pilonidal e ke ʻoki.

Nui a hewahewa nā ʻano o ke kaha ʻana.

ʻO ka incision a me ke kahawai - ʻO kēia ka lāʻau maʻamau no ka cyst maʻi. He hana maʻalahi ia i hana ʻia ma ke keʻena o ke kauka.

• Hoʻohana ʻia ka anesthesia kūloko e hoʻopōpō i ka ʻili.
• Hana ʻia kahi ʻoki i ka cyst e hoʻokahe i ka wai a me ka pā. Hoʻopiha ʻia ka lua me ka ʻeke a waiho hāmama.
• Ma hope, hiki i 4 mau pule no ka hoʻomaʻemaʻe ʻana o ka cyst. Pono e hoʻololi pinepine i ka ʻilana i kēia manawa.

ʻO Cystectomy Pilonidal - Inā hoʻomau ʻoe i nā pilikia me kahi cyst pilonidal, hiki ke hoʻoneʻe ʻia me ke kaʻe. Hana ʻia kēia hana ma ke ʻano he hana ma waho, no laila ʻaʻole pono ʻoe e noho i ka pō i ka haukapila.

• Hāʻawi ʻia ʻoe i ka lāʻau (anesthesia laulā) e hiamoe ai ʻaʻohe ʻeha. A i ʻole, hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau (anesthesia āpana) e numbs iā ʻoe mai ka pūhaka i lalo. I nā hihia maʻamau, hāʻawi ʻia ʻoe i ka lāʻau numbing kūloko.
• Hana ʻia kahi ʻoki e wehe i ka ʻili me nā pores a me nā mea i lalo me nā follicle o ka lauoho.
• Kaukaʻi ʻia i ka nui o ka lawe ʻana o ka iʻa, ʻaʻole paha piha ʻia ka wahi me ka ʻulana. I kekahi manawa kau ʻia kahi paipu e hoʻokahe i ka wai e hōʻiliʻili ma hope o ke kahakaha ʻana. Wehe ʻia ka paipu i kahi manawa hope ke kū ka wai i ka hoʻokahe.

He paʻakikī paha e hemo i ka cyst holoʻokoʻa, no laila aia kahi manawa e hoʻi ai ia.

Pono ke kīʻaha e hoʻokahe a hemo i kahi cyst pilonidal ʻaʻole ola.

• Hiki i kāu kauka ke koi aku i kēia kaʻina hana inā loaʻa ʻoe i ka maʻi pilonidal e hōʻeha i ka ʻeha a i ʻole ka maʻi.
• ʻAʻole pono ka cyst pilonidal i nā ʻōuli e pono i ka lāʻau.

Hiki ke hoʻohana ʻia i kahi lāʻau lapaʻau ʻole inā ʻaʻole maʻi ʻia kēia wahi.

• ʻO ka hemi ʻana a i ʻole ka hemo ʻana o ka lauoho a puni ka cyst
• Ka pahu kui o ke kāpili ʻoki kino i ka cyst

ʻOi aku ka palekana o ka hoʻomaʻemaʻe ʻana o ka cyst pilonidal. E nīnau i kāu kauka e pili ana i kēia mau pilikia:

• Kahena
• Maʻi kīnā
• Lōʻihi ka lōʻihi no ka wahi e hoʻōla ai
• E hoʻi ka cyst pilonidal

E launa me kāu kauka e hōʻoia i nā pilikia olakino, e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me nā pilikia o ka puʻuwai a i ʻole nā ​​māmā i ka mālama maikaʻi.

E haʻi i kāu mea mālama ola:

• He aha nā lāʻau, nā wikamina, a me nā mea hoʻopili ʻē aʻe āu e lawe nei, ʻo nā mea āu i kūʻai ai me ka ʻole o ka lāʻau.
• Inā ʻoe a hāpai paha.
• Inā inu nui ʻoe i ka waiʻona, ʻoi aku ma mua o 1 a 2 paha inu i ka lā.
• Inā ʻoe he puhipaka, e hoʻōki i ka puhipaka ʻana i mau mau pule ma mua o ke kaha ʻana. Hiki i kāu mea hāʻawi ke kōkua.
• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā mea lahilahi o ke koko, e like me aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), wikamina E, clopidogrel (Plavix), warfarin (Coumadin), a me nā lāʻau ʻē aʻe e like me kēia.
• E noi i kāu kauka i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.

I ka lā o ke kaha:

• E hāhai i nā ʻōkuhi inā pono ʻoe e haʻalele i ka ʻai ʻana a i ʻole ka inu ʻana ma mua o ke kaha ʻana.
• E lawe i nā lāʻau a kāu kauka i haʻi aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E hāhai i nā ʻōkuhi i ka hiki ʻana i ka haukapila. E hōʻea pono i ka manawa.

Ma hope o ke kaʻina hana:

• Hiki iā ʻoe ke hoʻi i ka home ma hope o ke kaʻina hana.
• E uhi ʻia ka ʻeha me kahi kaula.
• E loaʻa iā ʻoe nā lāʻau ʻeha.
• He mea nui ia e mālama i ka wahi a puni ka ʻeha.
• E hōʻike ana kāu mea hāʻawi iā ʻoe pehea e mālama ai i kou ʻeha.
• Ma hope o ka hoʻōla ʻana, ka ʻumi ʻana i ka lauoho i kahi o ka ʻeha e kōkua paha i ka pale ʻana i ka maʻi pilonidal mai ka hoʻi ʻana.

Hoʻi mai nā cist Pilonidal ma kahi o ka hapalua o ka poʻe i ʻoki poepoe i ka manawa mua. ʻOiai ma hope o ke kaha ʻelua, hoʻi paha ia.

Abscess Pilonidal; Dimple Pilonidal; Maʻi Pilonidal; Pākuʻi pilonidal; Sinon pilonidal

Johnson EK, Vogel JD, Cowan ML, et al. ʻO ka American American Association of Colon and Rectal Surgeons 'alakaʻi hana loea no ka mālama ʻana i ka maʻi pilonidal. ʻO Dis Colon Rectum. 2019; 62 (2): 146-157. PMID: 30640830 www.ncbi.nlm.nih.gov/pubmed/30640830.

Merchea A, Larson DW. Anus. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 52.

ʻO Wells K, Pendola M. ʻO ka maʻi Pilonidal a me ka hidradenitis perianal. I: Yeo CJ, hoʻoponopono. ʻO Shackelford's Surgery o ke Alimentary Tract. 8th ed. Piladelapia, PA: Elsevier Saunders; 2019: chap 153.