ʻO Thyroglossal Duct Cyst
Anter
- He aha nā hōʻailona o kahi cyst duct thyroglossal?
- Pehea e ʻike ʻia ai kēia cyst?
- He aha ke kumu o kēia ʻano cyst?
- Pehea e mālama ʻia ai kēia ʻano cyst?
- ʻOki kino Thyroglossal duct
- Aia kekahi mau pilikia e pili ana i kēia cyst?
- ʻO ka lawe lawe ʻana
He aha kahi cyst duct thyroglossal?
Hana ʻia kahi cyst duct thyroglossal ke hana ʻia kāu thyroid, kahi gland nui i kou ʻāʻī e hana i nā homone, ke waiho nei ma hope o nā keu keu ke hana nei i kāu ulu ʻana i ka ʻōpū. Hiki i kēia mau keena keu ke lilo i cist.
ʻO kēia ʻano cyst he congenital, ʻo ia hoʻi aia lākou i kou ʻāʻī mai ka wā i hānau ʻia ai ʻoe. I kekahi mau hihia, liʻiliʻi loa nā cista ʻaʻole lākou e hana i kekahi hōʻailona. ʻO nā cist nui, ma ka ʻaoʻao ʻē aʻe, hiki ke pale iā ʻoe mai ka hanu ʻana a i ʻole ke ale ʻana pono a pono paha e hemo.
He aha nā hōʻailona o kahi cyst duct thyroglossal?
ʻO ka hōʻailona ʻike ʻia loa o kahi cyst duct thyroglossal ʻo ke kū ʻana o kahi puʻupuʻu ma ka waena o ka mua o kou ʻāʻī ma waena o kāu ʻāpala a Adam a me kou auwae. Holo maʻamau ka puʻupuʻu ke moni ʻoe a kī i kou alelo i waho.
ʻAʻole paha e ʻike ʻia ka puʻupuʻu a hiki i kekahi mau makahiki a ʻoi paha ma hope o kou hānau ʻana. I kekahi mau hihia, ʻaʻole paha ʻoe e ʻike i kahi puʻupuʻu a ʻike paha i ka cyst ma laila a loaʻa iā ʻoe kahi maʻi e hiki ai ke pehu ka cyst.
ʻO nā ʻōuli maʻamau o kahi cyst duct thyroglossal pū me:
- e kamaʻilio pū ana me ka leo hauli
- pilikia i ka hanu ʻana a i ʻole ka ale ʻana
- he wehe i kou ʻāʻī kokoke i ka cyst kahi e kahe ai ka mucus
- palupalu ka manaʻo ma kahi o ka cyst
- ʻulaʻula o ka ʻili a puni kahi o ka cyst
Hiki wale ke ʻula a me ke aloha inā maʻi ka cyst.
Pehea e ʻike ʻia ai kēia cyst?
Hiki paha i kāu kauka ke haʻi inā loaʻa iā ʻoe kahi cytr duct thyroglossal ma ka nānā ʻana i kahi puʻupuʻu ma kou ʻāʻī.
Inā kuhi kāu kauka he cyst kāu, e koi paha lākou i hoʻokahi a ʻoi paha nā koko a i ʻole nā hoʻokolohua kiʻi ʻana e nānā no ka cyst i kou puʻu a hōʻoia i ka ʻike. Hiki i nā hōʻoia koko ke ana i ka nui o ka thyroid-stimulate hormone (TSH) i loko o kou koko, e hōʻike ana i ka maikaʻi o ka hana o kāu thyroid.
ʻO kekahi mau hoʻokolohua kiʻi hiki ke hoʻohana ʻia:
- Kukuna ultrasound: Hoʻohana kēia ho'āʻo i nā nalu kani e hana i nā kiʻi manawa maoli o ka cyst. Uhi kāu kauka a mea ʻenehana ultrasound paha i kou puʻu i kahi gel maikaʻi a hoʻohana i kahi mea hana i kapa ʻia transducer e nānā i ka cyst ma ka pakuhi kamepiula.
- CT scan: Hoʻohana kēia hoʻokolohua i nā kukuna X e hana i kiʻi 3-D o nā aʻa i kou puʻu. E noi kāu kauka a mea loea paha iā ʻoe e moe pā ma kahi papa. Hoʻokomo ʻia ka pākaukau i kahi scanner e like me ka donut e lawe i nā kiʻi mai kekahi mau ʻaoʻao.
- MRI: Hoʻohana kēia hoʻokolohua i nā nalu lekiō a me kahi māla uila e hoʻoulu ai i nā kiʻi o nā aʻa i kou ʻāʻī. E like me kahi CT scan, e moe pālahalaha ʻoe ma ka papa ʻaina a noho mālie. E hoʻokomo ʻia ka pākaukau i loko o kahi mīkini nui e like me ka paipu no kekahi mau minuke ke hoʻouna ʻia nā kiʻi mai ka mīkini i kahi kamepiula no ka nānā ʻana.
Hana paha kāu kauka i ka makemake o ka nila. I kēia hoʻokolohua, hoʻokomo kāu kauka i kahi kui kele i loko o ka cyst e huki ai i nā pūnaewele i hiki iā lākou ke nānā e hōʻoia i kahi hōʻailona.
He aha ke kumu o kēia ʻano cyst?
ʻO ka maʻamau, hoʻomaka kou thyroid gland e hoʻomaka i ka hoʻomohala ma lalo o kou alelo a hele i waena o ke kaila thyroglossal e noho i kou ʻāʻī, ma lalo pono o kāu larynx (ʻo ia ka pahu leo ou). A laila, nalowale ke duct thyroglossal ma mua o kou hānau ʻia ʻana.
Ke hele ʻole ke aʻa holoʻokoʻa, hiki i nā hunaola mai ke koena duct leftover ke waiho i nā puka e piha i ka pus, ka wai, a i ʻole ka ʻaila. ʻO ka hopena, hiki i kēia mau ʻeke piha piha ke lilo i cist.
Pehea e mālama ʻia ai kēia ʻano cyst?
Inā loaʻa ka maʻi koʻohune a viral paha i kāu cyst, e kauoha ana kāu kauka i nā lāʻau antibiotic e kōkua i ka mālama ʻana i ka maʻi.
ʻOki kino Thyroglossal duct
E paipai paha kāu kauka i ke ʻoki e wehe i kahi cyst, keu hoʻi inā ua maʻi ʻia a i ʻole ke hoʻopilikia nei iā ʻoe i ka hanu ʻana a me ka ale ʻana. Kapa ʻia kēia ʻano ʻoki kino ke kaʻina ʻo Sistrunk.
E hana ai i ke kaʻina ʻo Sistrunk, kāu kauka a kauō paha:
- Hāʻawi iā ʻoe i ka anesthesia ākea i hiki iā ʻoe ke hiamoe i ka wā o ke ʻoki holoʻokoʻa.
- E hana i kahi ʻoki liʻiliʻi ma mua o ka ʻāʻī e wehe i ka ʻili a me nā mākala ma luna aʻe o ka cyst.
- Wehe i kaʻiʻo cyst mai kou ʻāʻī.
- Wehe i kahi ʻāpana liʻiliʻi mai loko o kou iwi hyoid (kahi iwi ma luna o kāu ʻāpala ʻo Adam e like me ka lio lio), me nā mea i koe o ke duct thyroglossal.
- Pani i nā mākala a me nā aʻa a puni ka iwi hyoid a me nā wahi i hana ʻia me nā humuhumu.
- Pani i ka ʻoki o kou ʻili me nā humuhumu.
Lawe kēia ʻoki ʻana i kekahi mau hola. Pono ʻoe e noho i ka haukapila i ka pō ma hope. Lawe i kekahi mau lā mai ka hana a kula paha, a ʻike pono i kahi hoaaloha a ʻohana paha e lawe iā ʻoe i ka home.
ʻOiai ke ola nei ʻoe:
- E hāhai i nā ʻōkuhi a kāu kauka e hāʻawi ai iā ʻoe e mālama i ka ʻoki a me nā bandages.
- E hele i kahi koho hope e hoʻonohonoho ai kāu kauka no ʻoe.
Aia kekahi mau pilikia e pili ana i kēia cyst?
ʻO ka hapa nui o nā cista ʻaʻole pono ʻole a ʻaʻole e hoʻokumu i nā pilikia lōʻihi. E paipai paha kāu kauka i ka hemo ʻana i kahi cyst pōʻino inā ke kumu ia iā ʻoe e noʻonoʻo iā ʻoe iho e pili ana i ka hiʻohiʻona o kou ʻāʻī.
E ulu paha nā Cist ma hope o ka hemo loa ʻana, akā hiki kēia ma lalo o 3 pākēneka o nā hihia āpau. Hiki i ke kīkoki cyst ke waiho i kahi ʻili ʻike ʻia ma kou ʻāʻī.
Inā ulu a wela paha kahi cyst ma muli o kahi maʻi, ʻaʻole hiki iā ʻoe ke hanu a ale pono paha, kahi e hōʻeha loa ai. Eia kekahi, inā maʻi maʻi kahi cyst, pono paha e hemo. Hana ʻia kēia ma hope o ka mālama ʻia ʻana o ka maʻi.
I nā hihia maʻamau, hiki i kēia mau cyst ke lilo i maʻi ʻaʻai a pono paha e hemo koke e hoʻopau i nā hunaola maʻi maʻi mai ka palahalaha ʻana. Hana ʻia kēia ma lalo o 1 pākēneka o nā hihia āpau o nā cyst duct thyroglossal.
ʻO ka lawe lawe ʻana
ʻO ka hana maʻamau ʻole ʻo Thyroglossal duct cstem i mea makaʻu ʻole. He kuanaʻike maikaʻi kā ka hemo ʻana o ka cyst ʻoki kino: ma kahi o 95 pākēneka o nā cista e hoʻōla piha ʻia ma hope o ke kaha ʻana. Liʻiliʻi ka manawa o ka hoʻi ʻana mai o kahi cyst.
Inā ʻoe e ʻike i kahi puʻupuʻu i kou ʻāʻī, e ʻike koke i kāu kauka e hōʻoia i ka maʻi ʻole o ka puʻupuʻu a i loaʻa paha nā maʻi kūpono a i ʻole nā cista ulu nui ʻia a lawe ʻia paha.