A kiʻo kīkī He ʻeke wai liʻiliʻi ia. Aia ia i loko o ka puʻupaʻa. ʻO nā puʻupaʻa ʻano pīni, i ʻike ʻia hoʻi he mau ʻāpana excretory, hoʻokaʻawale i nā huahana ʻōpala mai ke kino ma ke ʻano o ka mimi. ʻAʻohe hōʻailona pinepine nā cysts puʻupaʻa a ʻaʻole maʻi kanesa. Eia naʻe, hiki i nā cysts nui ke ʻeha a ʻoluʻolu ʻole. ʻOiai hoʻokahi wale nō cyst o kekahi poʻe, hiki i kekahi ke loaʻa nā cysts he nui. Hoʻokahi a ʻoi aku paha nā cysts e hoʻopilikia i hoʻokahi ʻāpana excretory a i ʻole nā puʻupaʻa ʻelua. Ke ʻike nā maʻi e pili ana i nā cysts puʻupaʻa, ʻo ka mea e hiki mai ana i ko lākou manaʻo, ʻo ia ka nui o ka cyst puʻupaʻa he mea weliweli? Ma kēia blog, e kālailai mākou i ka nui o nā cysts puʻupaʻa he mea weliweli a nānā i nā ala e pale aku ai iā lākou.
Wahi a ka ʻAha Kūkākūkā Noiʻi Lapaʻau ʻInia, ʻo ka hapa nui o nā cysts kidney maʻalahi he benign a ʻaʻole pono ka mālama ʻana. ʻO ka maʻamau, ʻaʻole ia he kumu hopohopo no nā cysts kidney a ʻaʻohe hopena i ka hana o kou mau puʻupaʻa. He mea kākaʻikahi ka loaʻa ʻana o kahi cyst nui e hiki ke ʻeha. ʻO ka mea wale nō a kāu kauka e makemake ai e hana, ʻo ia ke nānā pono iā ia a hoʻopaʻa iā ia i kāu mōʻaukala lapaʻau. Ke kānalua ʻia kahi cyst kidney, hiki i kāu kauka ke wehe iā ia a i ʻole e paipai i nā hoʻāʻo hou aku.
Nā ʻano o ka maʻi maʻi ʻaʻai
ʻO nā cysts maʻalahi a paʻakikī nā ʻano ʻelua o nā cysts kidney. ʻOi aku ka maʻamau o nā cysts maʻalahi.
- Pālahi: I ka wā e ʻelemakule ai ke kanaka, he mea maʻamau kēia mau mea, a ʻoi aku ka maʻalahi o ka poʻe ʻelemakule i kēia mau mea.
- Paʻakikī: Pono paha nā cysts paʻakikī i ka loiloi hou a i ʻole ke ʻoki ʻana no ka mea ʻoi aku ka nui o ka pilikia o ka maʻi ʻino i kekahi.
I ka manawa hea i manaʻo ʻia ai ka nui o ka maʻi maʻi maʻi maʻi?
ʻO ka maʻamau, kōkua ka nui o ka cyst i nā kauka i ka hoʻoholo ʻana inā pono ka mālama ʻana a i ʻole ka hahai ʻana i kahi cyst. Hiki i nā cysts nui ke koi aku i ka nānā. ʻOi loa aku i ka wā e kaomi ai kēia mau mea i nā ʻōpū a puni, e ālai ana i ke kahe o ka mimi a i ʻole ka haki ʻana. Eia nō naʻe, ʻo kahi cyst maʻalahi 6 cm paha e emi iki ka hopohopo ma mua o kahi cyst liʻiliʻi me nā hiʻohiʻona kiʻi paʻakikī a kānalua paha.
ʻOi aku ka nui o nā cysts ma mua o 5 cm (ma kahi o 2 ʻīniha) e hoʻoulu i nā hōʻailona a i ʻole nā pilikia ʻoiai ʻaʻohe palena paʻa. Ke nui a nui paha kahi cyst, hoʻomaka ka nui o nā urologists e nānā hou aku, ʻoiai inā he mau hōʻailona. Eia nō naʻe, ʻoiai nā cysts 3-4 cm, pono paha e nānā ʻia ʻoiai inā he ʻano paʻakikī a i ʻole e ulu ana.
Pakuhi Hoʻokaʻawale Bosniak
| Māhele | Description | Papa Kūpono | ʻO ke ala lapaʻau |
| Bosniak I | ʻO ka cyst maʻalahi me nā paia lahilahi a me ka wai maopopo | Maoli | ʻAʻohe pono o ka lāʻau lapaʻau |
| Bosniak II | He mau septa lahilahi a i ʻole nā calcifications liʻiliʻi | ʻO ka pilikia loa | ʻAʻohe lāʻau lapaʻau e pono ai |
| Bosniak IIF | ʻOi aku ka nui o nā septa, ʻoi aku ka mānoanoa iki | Pilikia haʻahaʻa | Nānā mau ʻia (nā scan hahai) |
| Bosniak III | Nā paia mānoanoa a i ʻole ke ʻano kūlike ʻole | Hoʻohuoi | Pono paha ke ʻoki kino a i ʻole ka biopsy |
| Bosniak IV | Nā ʻāpana paʻa, kiʻekiʻe ka pilikia o ka maʻi ʻino | ʻO ke kūlana kiʻekiʻe | Manaʻo ʻia ka wehe ʻana i ke ʻoki kino |
Nānā: E like me ka All India Institute of Medical Sciences, hoʻohana nā kauka i ka ʻōnaehana hoʻokaʻawale Bosniak, ʻaʻole wale ka nui, e hoʻoholo ai inā he mea weliweli kahi cyst kidney a pono paha ka mālama ʻana. No laila, e kūkākūkā me kahi urologist akamai no nā hopena maikaʻi aʻe.
Nā kumu o ka maʻi maʻi maʻi
ʻOiai ʻaʻole maopopo ka poʻe ʻepekema i ke kumu kūpono, ʻike lākou ʻaʻole e hele nā mākua ola i nā cysts maʻalahi. A ʻo nā maʻi mai nā maʻi hoʻoilina ʻaʻole i hopena i nā cysts maʻalahi. Manaʻo lākou e hiki ke ulu nā ʻōpū maʻalahi ma muli o ka pōʻino a i ʻole nā microscopic blockages i loko o nā paipu renal. ʻO ka makahiki a me nā pae kiʻekiʻe o ka maʻi kīkī he kuleana nui i ka hoʻomohala ʻana i nā cysts kidney. Aia ma lalo kekahi mau kumu nui:
- Age: ʻIke ʻia kahi ʻeke liʻiliʻi i piha i ka wai, ʻoi aku hoʻi i ka poʻe ʻelemakule. Ke piʻi aʻe nei ka manawa o ka hoʻomohala ʻana i kēia mau ʻeke piha wai i ka makahiki.
- ʻO ka maʻi maʻi maʻi maʻi (CKD): ʻOi aku paha ka ulu ʻana o ka kidney cyst i ka poʻe me ka maʻi maʻi kīkī mau (CKD) a me nā maʻi ʻē aʻe.
- ʻeha a ʻeha paha: Hiki ke ʻike ʻia nā cysts kidney i kekahi manawa ma hope o ka ʻeha a i ʻole ka ʻeha i nā puʻupaʻa.
Nā Hōʻailona o kahi Cyst Kidney Nui a Pōʻino paha
ʻAʻole pilikia nā ʻōpū maʻalahi. Ke hoʻonui wale ʻia kēia mau mea hiki ke alakaʻi i:
- ʻO ka ʻeha a i ʻole ka ʻeha: Hiki i nā ʻōpū puʻupaʻa nui ke hōʻeha i ke kua a i ʻole ʻaoʻao o nā puʻupaʻa.
- Hematuria: Hiki i ka cysts ke hoʻoulu i ke koko ke mimi ʻoe. Hiki i kēia maʻi maʻi ke hana i ka mimi ʻulaʻula, ʻulaʻula, a ʻeleʻele paha.
- ʻO ke koko kiʻekiʻe: Hiki i nā kidney cysts, ʻoi aku ka nui, hiki ke hoʻonui i ke kahe koko e alakaʻi ai i ka hypertension. He mea koʻikoʻi ka mālama ʻana i ke koko no ka pale ʻana i nā pilikia.
- He mea e pono ai ke mimi pinepine: Hiki ke hoʻonui ʻia ke kaomi ʻana i ka ʻōpū a hiki i ka hopena i ka mimi pinepine.
- ʻEha ʻoi: ʻO ka ʻeha o ka ʻaoʻao i ʻike ʻole ʻia, ma muli paha o ka haki ʻana o ka ʻōpū, ʻoi loa ma hope o ka ʻeha.
ʻIkepili: Pehea e ana ʻia ai nā Cysts?
ʻO ka maʻamau, hoʻohana nā loea mālama ola i nā noiʻi kiʻi e loiloi i nā cyst renal e komo pū ana:
- 'Ohanahana
- Hoʻopili ʻia nā kiʻi kiʻi kiʻi (CT).
- ʻume Mākenēki Resonance Imaging (MRI)
Nā Koho Lapaʻau no nā Kidney Cyst
Aia ka lāʻau lapaʻau i ka nui o ka cyst, nā hōʻailona, a me nā ʻike kiʻi. Hiki i ke kauka ke nānā i nā cysts puʻupaʻa liʻiliʻi no kekahi manawa me ka ʻike maʻamau. Eia nō naʻe, inā ulu nā hōʻailona koʻikoʻi, pono paha i ke kanaka nā antibiotics a i ʻole nā mea hoʻomaha ʻeha ma luna o ke kauka. Hiki ke loaʻa nā hōʻailona inā pale kahi cyst i ka neʻe ʻana o ka mimi a i ʻole ke koko ma o nā puʻupaʻa. No ka hoʻokahe ʻana i ka cyst, hiki i ke kauka ke hāpai i kēia mau mea:
- Ho'āla
- ʻO ka hoʻokele
- Sclerotherapy
Hoʻohana ʻo Sclerotherapy i ka ultrasound e alakaʻi i ka nila i loko o ka ʻōpū, hoʻokaʻawale iā ia, a me ka hoʻoinu ʻana i ka wai ʻona e pale ai i ka hoʻi hou ʻana. Hiki i ke kauka lapaʻau ke kāhea aku i ka wehe ʻana inā loaʻa kahi ʻōpū nui. Hana ʻia kēia ma kahi haukapila me ka maʻi maʻi maʻi. Hiki i ke kauka lapaʻau ke wehe i ka cyst me kahi hāmeʻa liʻiliʻi e loaʻa ana ke kukui a me ka pahupaʻikiʻi ma kekahi ʻaoʻao. Kōkua kēia iā lākou e mālama i ka ʻoki ma kahi haʻahaʻa loa.
Nā ʻōlelo aʻoaʻo e pale ai no ka maʻi ʻaʻai ʻana
ʻAʻole paha e hiki ke pale loa i nā cysts puʻupaʻa maʻalahi. Hiki iā ʻoe ke pale aku i ka pilikia ma o:
- E inu i ka wai e like me ka hiki.
- Kaohi ʻana i kāu kiʻekiʻe o ke kō a me ka paʻakai i ka ʻai.
- Ka mālama ʻana i nā kūlana olakino e like me ka maʻi diabetes a me ka hypertension.
- Ke hele nei no ka nānā maʻamau, ʻoi aku ka nui inā mau ke ʻano o ka maʻi kīkī kīkī i loko o ka ʻohana.
Panina
ʻO nā cysts ʻoi aku ka nui ma mua o ʻehā a ʻelima mau kenimika, ʻoi aku ka nui o nā mea e hōʻike ai i nā hōʻailona a hōʻike i nā hiʻohiʻona kiʻi paʻakikī, pono e nānā pono. Akā ʻaʻole ʻike ʻia ka lōʻihi i ka nui o ka cyst renal e hoʻoweliweli nei. ʻO ka mea nui ke ʻano o ka ʻike ʻia ʻana o ka cyst, inā e ulu ana, a inā paha ia e hōʻailona ai a pili paha i ka hana ʻana.
Inā ua ʻike nā kauka iā ʻoe me ka cyst kidney, mai hopohopo. ʻAʻole ʻino ka hapa nui o kēia mau cysts a ʻaʻole pono e ʻoi aku ma mua o ka nānā ʻana i kekahi manawa. E noho wale i ka ʻike, e nīnau i nā nīnau, a e kamaʻilio pū me kāu mea mālama olakino e hoʻoholo ai i ka hana maikaʻi loa.
Akahana: No ka ʻike wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo lapaʻau. E ʻoluʻolu e kūkākūkā me kahi loea mālama ola kino kūpono no ka ʻike a me ka mālama ʻana.
