Idolo liyilunga elingalimala kalula uma singaqaphile noma singazivocavoci ngokwanele. Enye eyaziwa kakhulu yi-cyst ka-Baker noma ama-popliteal cysts. Lezi zakha ngemuva kwedolo futhi zingabangela ubuhlungu, ukungakhululeki, noma kungabikho izimpawu.
Ukuze ufunde kabanzi ngalesi simo, sizokutshela ngezimbangela, izimpawu, nakho konke okuhlobene ne-cyst. Nakuba kungase kubonakale kubi kakhulu, ezimweni eziningi ukungenelela kokuhlinzwa akudingekile. Nokho, kubalulekile ukubonana nodokotela ukuze ahlole ubucayi bendaba.
Iyini i-cyst popliteal?
Naphezu kokuba ngokuvamile yaziwa ngokuthi i-cyst Baker, ibizwa nangokuthi i-popliteal noma i-synovial cyst. Igama layo lidalwe kudokotela owalithola kuqala, uWilliam Morrante Baker. Lokhu akuyona into engaphezu kweqhubu elithambile, eligcwele uketshezi elakheka ngemuva kwedolo. Udokotela waphetha ngokuthi la ma-popliteal cysts angumphumela woketshezi olujikelezayo endaweni ehlangene yamadolo eyonakele. Lapho izakhiwo ezingaphakathi noma ezizungeze isihlanganisi zilimala, idolo likhiqiza uketshezi olwengeziwe engageleza ohlangothini olulodwa kuphela, ngakho yakha i-cyst ngemuva.
Kuwukuvuvukala okugcwele uketshezi okubangela ukuqubuka ngemuva kwedolo, futhi lokhu kungaholela ekuqineni nasekunyakazeni okukhawulelwe. I-cyst ingaba buhlungu lapho igoba noma inweba idolo, kodwa lesi simo ngokuvamile sibangelwa inkinga ethinta idolo elihlangene, njenge-arthritis noma ukulimala kwe-cartilage.
Kungcono ukwelapha imbangela eyinhloko ukuze kuthuthukiswe ubuhlungu futhi kudambise inkinga. Nakuba i-popliteal cyst ingabangi noma yimuphi umonakalo wesikhathi eside, ingase ingakhululeki kakhulu futhi ayivamile ukuphuka. Kodwa-ke, uketshezi lungakhuphula ithole futhi kubangele "umhuzuko" eqakaleni.
Izimbangela ezithanda i-cyst ka-Baker
I-Synovial fluid iwuketshezi olucacile olujikeleza emigodini yamadolo. Kwesinye isikhathi ilunga lenza lolu ketshezi oluningi kakhulu. Ukucindezela kuyiphushela ngemuva kwedolo nge-valve yendlela eyodwa, lapho idala khona iqhubu. Lokho kuvuvukala okukhulu kubangela ukwakheka kwe-popliteal cyst.
Izici ezivame kakhulu ezibangela i-cyst synovial ukulimala kwe-knee cartilage (meniscus), i-arthritis, ukuvuvukala, i-gout, nezinye izimo zamadolo ezibangela ukuvuvukala.
Njengoba idolo liyilunga eliyinkimbinkimbi, kulula ukuthi lilimale. Eqinisweni, kungesinye sezizathu ezivame kakhulu zokuthi kungani abantu beyobona udokotela wamathambo. Noma yiziphi izilonda ezishiwo ngenhla zingabangela ukuvuvukala okuholela ku-cyst popliteal.
Nokho, ihlule legazi lingase futhi libangele imihuzuko nokuvuvukala ngemva kwedolo nangemuva kwethole. Kubalulekile ukuthi ukuvuvukala kuhlolwe ngudokotela ukuze kutholakale ukuthi imbangela iyisimila noma ihlule. Ngakho-ke gwema ukuzihlola okungaholela ephutheni.
Izimpawu zokubukeka kwayo
Njengoba sishilo ngaphambili, ngezinye izikhathi i-cyst ayibangeli zimpawu, iqhubu nje endaweni. Noma kunjalo, cishe unobuhlungu obuhlangene emonakalweni obangelwa yilokhu kuqhuma koketshezi, hhayi ukunqwabelana ngokwako.
Esinye sezibonakaliso eziphawulekayo nezivamile ukuvuvukala kanye nesigaxa edolweni. Ungayenza ikhule kakhulu ngosayizi, uze uyishiye inganyakazi isikhashana.
Ezinye izimpawu ze-cyst Baker yilezi:
- Isigaxa esigcwele uketshezi ngemuva kwedolo
- dolor
- Idolo eliqinile
- Ibanga elilinganiselwe lokunyakaza namandla okugoba idolo
- Ukuvuvukala kwedolo kanye/noma umlenze
Ngezinye izikhathi i-popliteal cyst ingabangela ukuvuvukala nokubomvu emlenzeni ophansi, okungase kwenziwe iphutha njengezimpawu zehlule legazi. Uma kunjalo, hamba uye esibhedlela esimweni esiphuthumayo. Kubalulekile ukuthi uxhumane nodokotela uma unokukhathazeka. Ochwepheshe yibo abazohlola izimpawu zakho futhi banqume ukuthi i-cyst noma ihlule.
Itholakala kanjani i-cyst ka-Baker?
Uma uya ekamelweni lezimo eziphuthumayo noma kudokotela onguchwepheshe, ukuxilongwa kuzokwenziwa ngezindlela ezahlukene. Into yokuqala udokotela azoyenza ukuhlola idolo ukuze athole ukuthi ukuvuvukala kunjani. Uma i-cyst incane, izoqhathanisa ububanzi bokunyakaza ngelinye idolo. Kujwayelekile ukuthi akubuze imibuzo mayelana nokulimala kwangaphambilini kanye nezifo ezingase zibe khona.
Ngakolunye uhlangothi, kuvamile ukuthi uchwepheshe enze ukuhlola kwezithombe okungahlaseli uma i-cyst ikhula ngokushesha ngosayizi noma ibangela ubuhlungu obukhulu noma imfiva. Lezi zivivinyo zingaba I-MRI noma i-ultrasound. I-MRI izovumela udokotela ukuthi abone i-cyst ngokucacile futhi anqume ukuthi awunawo yini umonakalo woqwanga.
Nakuba i-cyst ingeke ibonakale ku-X-ray, udokotela wakho angasebenzisa eyodwa ukuhlola ezinye izinkinga, njengokuvuvukala noma isifo samathambo.
Ungenza futhi a ukuhlolwa kwe-ultrasound, elula futhi engenabuhlungu. Akuyona into engaphezu kwe-ultrasound esebenzisa amaza omsindo ukuze inqume ukuthi isigaxa siqinile noma siwuketshezi.
ukwelashwa kwezinhlungu
I-cyst Baker ngokuvamile idinga ukuthi izinketho zokuhlinzwa zingasetshenziswa njengendlela yokwelapha. Kuze kube manje, enye yezindlela zokwelapha ezisetshenziswa kakhulu emkhakheni wokuvuselela ezemidlalo yindlela ye-RICE. Lena inyunyana yesiNgisi yamagama athi rest, ice, compression and elevation.
Ngezansi sizokutshela mayelana nokwelashwa ngaphandle kokuhlinzwa nokuthi kwenziwa kanjani ukuhlinzwa ukuze kuthuthukiswe i-popliteal cyst.
ukwelashwa okungezona ukuhlinzwa
Udokotela onguchwepheshe uzophakamisa ukuthi uqale ukwelashwa okungahlinzeki kwesimila sika-Baker. Ngokuvamile, lawa amakhambi angenziwa ekhaya futhi uwedwa ukuze uthuthukise izimpawu.
Izinketho zokwelapha ezingahlinzeki zingabandakanya Indlela ye-RICE:
- Phumula umlenze noma nini lapho kungenzeka.
- Faka iqhwa emadolweni.
- Gqoka amabhandeshi okucindezela edolweni ukuze unciphise ukuvuvukala kwamalunga.
- Phakamisa idolo ngenkathi uphumule.
Ezinye izinketho ezingezona zokuhlinzwa ze-synovial cyst zingabandakanya:
- Thatha imithi elwa nokuvuvukala, njenge-ibuprofen.
- Ukugcina isisindo somzimba esinempilo, esingasiza ekubekeni ingcindezi encane emalungeni akho.
- Gwema imisebenzi ebeka ukucindezeleka emadolweni, njengemidlalo enomthelela omkhulu (ukugxuma, ukugijima).
- Ukusebenzisa induku noma induku lapho uhamba.
Kunezikhathi lapho udokotela onguchwepheshe angakudlulisela ku-physiotherapist ukuze enze ukwelashwa okuthuthukisa ukuhamba futhi kuqinise ukujoyina. Ingakunika ngisho i umjovo we-steroid. Lokhu kuhilela umjovo we-cortisone ejoyintini ledolo ukunciphisa ukuvuvukala (ukuvuvukala) nobuhlungu.
Ukuhlinzwa kwesimila sika-Baker
Nakuba ukwelashwa okuhlinzayo kungavamile ukusetshenziselwa ukwelapha i-cyst ka-Baker, kunezinye izimo lapho ukuhlinzwa kungase kunconywe. Lokhu kungenelela kungasebenza ukulungisa umthombo womonakalo edolweni lakho. Ngokuvamile, kunconywa uma ubuhlungu bedolo bukhulu noma awukwazi ukubuhambisa ngendlela efanele.
Ezimweni eziningi, udokotela wakho uzophatha imbangela yesimo ukuze alungise i-cyst ye-Baker. Lokhu kungase kuhlanganise ukuhlinzwa ngenxa yokulimala edolweni noma ukulungisa umonakalo edolweni. Kodwa-ke, ngezinye izikhathi, uchwepheshe angagxila ku-cyst ngokwayo. Izinketho zokuhlinzwa zama-popliteal cysts zingaba:
- Ukukhipha i-cyst: Udokotela wakho angakhipha uketshezi oluphuma esihlahleni ngenaliti.
- Ukuhlinzwa kwamadolo kwe-arthroscopic: Le nqubo ingasetshenziswa kokubili ukuxilonga nokulungisa ukulimala kwamalunga. Udokotela wakho ohlinzayo uzokwenza ukusikeka okuncane edolweni bese efaka idivayisi ebizwa ngokuthi i-arthroscope (ithuluzi eliguquguqukayo elinekhamera ekugcineni).
- i-osteotomy: Kule nqubo, udokotela ohlinzayo usika ingxenye yethambo ukuze alungise umonakalo edolweni lakho. Lokhu kuhlinzwa kungase kube inketho kubantu abanobuhlungu be-arthritic knee.