I-cyst ye-Baker

Uma uke wabhekana nokungakhululeki noma isigaxa ngemuva kwedolo lakho, kungenzeka uhlangabezane ne-cyst Baker. Ukuqonda lesi simo, okuhlanganisa nezimpawu zaso kanye nezinketho zokwelapha ezihlukahlukene ezitholakalayo, kubalulekile ekulawuleni ukungakhululeki nokuvimbela izinkinga ezingase zibe khona. Nakuba kuvame ukulawuleka, kungathinta kakhulu imisebenzi yakho yansuku zonke kanye nekhwalithi yokuphila iyonke. Ukubona izimpawu zesimila sika-Baker kanye nezimpawu kusenesikhathi kungaholela ekulawulweni okuphumelelayo kwesimo.

Yini i-Baker's Cyst?

I-Baker's cyst, ebizwa nangokuthi i-popliteal cyst, iyisikhwama esigcwele uketshezi esikhula ngemuva kwelunga ledolo. Kungenye yezinkinga ezivame kakhulu ezithinta idolo. Lawa ma-cysts enza iqhubu ngemuva kwedolo, ngokuvamile abangela ukuqina nokungakhululeki.

Lesi sifo siqanjwe ngodokotela ohlinzayo wangekhulu le-19 uDkt. William Morrant Baker, owasichaza okokuqala. I-cyst ka-Baker ekuhlanganyeleni kwamadolo ngokuvamile iphumela enkingeni eyisisekelo ngaphakathi kokujoyina. Ezinye zalezi zimo kungaba i-osteoarthritis noma ukudabuka kwe-meniscus, okungabangela ukuba ilunga likhiqize uketshezi oluningi futhi ekugcineni liholele ekwakhekeni kwesimila.

Izimpawu ze-Baker Cyst

Izimpawu ezivame kakhulu ezihlobene ne-cyst Baker zihlanganisa:

• Uphawu oluyinhloko ukuvuvukala okuphawulekayo noma isigaxa ngemuva kwelunga lakho ledolo. 
• Ungase uzwe ubuhlungu nokuqina edolweni elithintekile, ikakhulukazi lapho ugoba noma uqondisa ilunga. 
• Kwezinye izimo, i-cyst ye-Baker ingabangela ukukhiya ngezikhathi ezithile noma ukuchofoza imizwa lapho uhambisa ukujoyina.
• Uma i-cyst ye-Baker iqhuma noma iqhuma, uketshezi lungavuzela phansi endaweni yenkonyane, kubangele ubuhlungu obubukhali kungazelelwe, ukuvuvukala, kanye nokubabomvu. 

Izimbangela zama-Baker Cysts

Ama-cysts ka-Baker angakhula ngenxa yezimo ezingaphansi noma ukulimala okuthinta ukujoyina kwamadolo. Izimbangela eziyinhloko zihlanganisa:

• I-arthritis: Izinhlobo ezahlukene ze-arthritis zingabangela ukwakheka kwe-cyst Baker. Amafomu avame kakhulu yilawa:
  • I-osteoarthritis
  • rheumatoid arthritis
  • sifo
• Ukulimala Kwamadolo: Ukulimala kwamadolo okuvamile okungaholela ekwakhiweni kwe-cyst kuhlanganisa:
  • Ukulimala okuphindaphindiwe kokucindezeleka (ukulimala ngokweqile)
  • Izinyembezi ze-meniscus
  • Hyperextensions
  • I-Sprains
  • Ukususwa
  • I-Bone ihlukana
• Ukulimala Kwemisipha: Ukulimala okulimaza imigqa yamadolo nakho kungabangela ukwakheka kwama-cysts ka-Baker, afana nalokhu:
  • I-ACL (Anterior Cruciate Ligament) izinyembezi
  • Izinyembezi ze-MCL (Medial Collateral Ligament).
  • I-LCL (Lateral Collateral Ligament) izinyembezi
  • I-PCL (i-Posterior Cruciate Ligament) izinyembezi

Sifo

Ukuxilongwa kwe-cyst baker ngokuvamile kuhilela izinyathelo ezilandelayo:

• Umlando Wezokwelapha: Udokotela uzobuza ngezimpawu ezifana nobuhlungu bedolo, ukuqina, nokuvuvukala, kanye nanoma yimuphi umlando wokulimala kwamadolo noma izimo ezifana sokuqaqamba kwamalunga.
• Ukuhlola Umzimba: Udokotela uzobheka ukuvuvukala kwesici noma isigaxa ngemuva kwelunga lakho ledolo. Bangase futhi bahlole uhla lwedolo lakho lokunyakaza futhi bahlole noma yibuphi ubuhlungu obuhlobene noma ukungakhululeki.
• Ukuhlolwa Kwezithombe:
  • I-Ultrasound: Lokhu kuvame ukusetshenziselwa ukuqinisekisa ubukhona be-cyst Baker.
  • I-MRI (I-Magnetic Resonance Imaging): I-MRI inikeza izithombe ezinemininingwane yelunga ledolo futhi ingasiza ekukhipheni izimo ezifana namahlule egazi, ama-aneurysms, noma amathumba.
• I-X-ray: Nakuba ama-X-ray engakwazi ukubona ama-cysts ngokuqondile, angakwazi ukubona izimo ezifana nesifo samathambo ezingase zibe nomthelela ekwakhekeni kwawo.
• Ukuphefumula: Ngezinye izikhathi, udokotela angase asebenzise inaliti ukuze akhiphe uketshezi ku-cyst ukuze ahlaziye ukuze akhiphe ezinye izimo.

I-Baker's Cyst Treatment 

Indlela yokwelapha i-cyst ka-Baker incike ebucayini bezimpawu nezimpawu zesimila sika-Baker kanye nembangela ewumsuka. 

• Ukwelashwa Okungekona Ukuhlinzwa:
  • Ama-over-the-counter anciphisa ubuhlungu angasiza ekunciphiseni ubuhlungu nokuvuvukala. 
  • Ukuphumula idolo elithintekile nokugwema imisebenzi engokwenyama eyenza izimpawu zibe zimbi kungasiza ekudambiseni ukungakhululeki futhi kuvimbele ukucasuka okwengeziwe.
  • Iphakethe elibandayo noma isikhwama sama-cubes eqhwa ongakwazi ukugoqa ithawula emadolweni athintekile imizuzu engu-10-20 kungasiza ekunciphiseni ukuvuvukala nobuhlungu.
  • Ukugqoka ukusekela kwamadolo noma umkhono wokucindezela nokugcina umlenze othintekile uphakeme kungasiza ukunciphisa ukuvuvukala nokungakhululeki.
  • Gentle umzimba kanye nokwelula okunqunywe umelaphi womzimba kungathuthukisa ububanzi bokunyakaza, kuqinise imisipha ezungeze idolo, futhi kukhuthaze ukuphulukiswa.
• Ukwelashwa Ngokuhlinzwa: Nakuba ama-cysts amaningi ka-Baker azixazulula ngokwawo, ukuhlinzwa kungase kucatshangelwe ezimweni ezithile:
  • Ama-cysts aqhubekayo noma aphindaphindiwe: Uma i-cyst iqhubeka nokubangela ubuhlungu noma ukungakhululeki naphezu kokwelashwa okungahlinzeki.
  • Ama-cysts amakhulu: Uma i-cyst inkulu kakhulu futhi ibangela ukucindezela okukhulu noma ukungakhululeki.
  • Ama-cysts aphukile: Uma i-cyst iqhume futhi ibangela ukuvuvukala noma ukopha.
  • Izimo Ezihlangene Ezihlangene: Uma i-cyst ihlotshaniswa nezinkinga ezihlangene ezingaphansi, njenge-arthritis noma i-meniscus izinyembezi.
  • I-Neurovascular Compromise: Ezimweni ezingavamile, i-cyst enkulu ingacindezela izinzwa eziseduze noma imithambo yegazi, edinga ukungenelela kokuhlinzwa.
• Izinketho zokuhlinzwa zihlanganisa:
  • Isifiso: Kule nqubo, udokotela uzokhipha uketshezi ku-cyst baker esebenzisa inaliti ngaphansi kokuqondiswa kwe-ultrasound. 
  • I-Arthroscopic Surgery: Uma i-cyst ka-Baker ibangelwa inkinga ehlangene yamadolo, njenge-meniscus izinyembezi noma umonakalo we-cartilage, odokotela bangase benze ukuhlinzwa kwe-arthroscopic ukulungisa inkinga. 
  • Ukususwa Kwe-Cyst: Ezimweni ezingavamile, lapho ezinye izinketho zokwelashwa zihlulekile, futhi i-cyst iqhubeka ibangela ukungakhululeki okukhulu noma ukukhubazeka kokuhamba, ukususwa kokuhlinzwa kwe-cyst kungase kunconywe.

Izingozi Zezingozi

Nakuba noma ubani engakwazi ukuthuthukisa i-cyst ye-Baker, izici ezithile zandisa ithuba lakho lokuyithuthukisa. Izinto eziyinhloko eziyingozi zihlanganisa:

• Ubudala: Ama-cysts ka-Baker avame ukwenzeka kakhulu kubantu abadala abaneminyaka engama-35 kuya kwengama-70. 
• Izifo Ezihlangene: Usengozini enkulu yokuthuthukisa i-cyst ye-Baker uma unesifo samalunga esivuvukalayo, njenge-rheumatoid arthritis kanye ne-osteoarthritis.
• Ukulimala Kwamadolo: Ukulimala kwamadolo okuvamile okungaholela ekwakhekeni kwama-cyst kufaka phakathi:
• Izinyembezi ze-cartilage noma i-meniscus
• Ukusebenzisa ngokweqile ukulimala noma ukucindezeleka okuphindaphindiwe
• I-sprains, i-dislocation, noma i-bone fractures

Izinkinga

Nakuba ama-cysts ka-Baker ngokuvamile engenangozi, ngezinye izikhathi angaholela ezinkingeni uma engelashwa. Izinkinga ezingenzeka ze-cyst Baker zihlanganisa:

• I-Cyst Rapture: Enye yezinkinga ezivame kakhulu ukuphuka kwe-cyst, okwenzeka lapho isaka eligcwele uketshezi liqhuma. Lokhu kungadala:
  • Ubuhlungu obubukhali, obuzumayo edolweni nasendaweni yethole
  • Ukuvuvukala nokubomvu okuphawulekayo enkonyaneni 
  • Ukuqina nokuhamba okulinganiselwe emlenzeni othintekile
• Ukunyakaza Kwedolo Okukhawulelwe: Uma i-cyst ye-Baker ikhula ibe nkulu ngokwanele, ingakhawulela ukunyakaza kwelunga ledolo lomuntu othintekile, okuholela ekutheni:
  • Ubunzima bokugoba noma ukuqondisa idolo
  • Ukuqina kwamadolo nokungakhululeki
  • Ukungazinzi okungenzeka noma ukuvala idolo elihlangene
• Ukucindezelwa Kwezinzwa: Kwezinye izimo, i-cyst ye-Baker ingacindezela izinzwa ezigijima ngemuva kwamadolo, okuholela ku:
  • Ukuba ndikindiki noma ukuluma etholeni noma onyaweni
  • Ubuthakathaka noma ukulahlekelwa ukulawulwa kwemisipha emlenzeni onenkinga
  • Izinhlungu zokudubula phansi emlenzeni
• Ukwakhiwa Kwehlule Legazi: Nakuba kungavamile, i-cyst Baker ingaholela ekwakhekeni kwehlule legazi (i-deep vein thrombosis noma i-DVT) emlenzeni othintekile. 

Kufanele ngimbone nini udokotela?

Uma uneqhubu ngemuva kwedolo elidala izinkinga futhi lingahambi ngokwalo, kufanele ubone udokotela wakho. 

Prevention

Kunezinyathelo ezimbalwa ongazithatha ukuze wehlise ubungozi bokuthuthukisa eyodwa noma uvimbele ukuphindeka kwayo. Amanye amathiphu wokuzinakekela yilawa:

• Vimbela Ukulimala Kwamadolo: Ukugwema ukulimala kwamadolo kuyindlela engcono kakhulu yokuvimbela ukwakheka kwama-cysts ka-Baker. Ukuze unciphise ingozi yokulimala kwamadolo, cabangela lokhu okulandelayo:
  • Gqoka izicathulo ezisekelayo, ezilingana kahle phakathi nemisebenzi yomzimba.
  • Zifudumeze kahle ngaphambi kokuzivocavoca noma kwezemidlalo bese upholisa ngemuva kwalokho.
  • Gwema ukuzivocavoca noma ukubeka idolo ngokweqile edolweni eselithambile noma elibuhlungu.
• Lawula Izimo Eziyisisekelo: Uma unesimo sesistimu esicashile, esifana nesifo samathambo noma i-gout, esikhulisa ubungozi bakho bokuthuthukisa i-cyst ye-Baker, kubalulekile ukusilawula ngempumelelo. 
• Gcina Isisindo Esinempilo: Isisindo somzimba eseqile singabeka ingcindezi eyengeziwe emadolweni akho, kwandise ubungozi bokulimala kwamalunga kanye nokwenza ama-cysts ka-Baker. 
• Qinisa Imisipha Yamadolo: Ukuzivivinya okuqinisa imisipha ezungeze amadolo akho kunganikeza ukwesekwa okungcono kanye nokuzinza kwelunga, okungase kunciphise amathuba okwakheka kwesimila se-Baker. 

Isiphetho

Umthelela wama-cysts ka-Baker udlulela ngalé kokungaphatheki kahle nje, okungase kube nomthelela emisebenzini yethu yansuku zonke kanye nempilo yonke. Lokhu kugcizelela isidingo esibalulekile sokwanda kokuqwashisa kanye nemfundo ezungeze lesi simo. Ngokuqonda izici zobungozi kanye nezinyathelo zokuvimbela, sizinika amandla okulawula impilo yethu ehlanganyelwe. Yiya njalo kuma-aphoyintimenti okulandelela ukuze uqaphe ukuqhubeka kwe-cyst. Lokhu kuqinisekisa ukungenelela okufika ngesikhathi uma i-cyst ikhula, ibangela ubuhlungu obuningi, noma ithinta ukuhamba kwakho.

FAQ sika

1. I-cyst ye-Baker ihlala isikhathi esingakanani?

Iningi lama-cysts ka-Baker liyaphela emasontweni ambalwa njengoba ukuvuvukala kuncipha futhi nedolo lakho liqala ukuphola. Kodwa-ke, uma isimo esiyisisekelo esifana nesifo samathambo sibangela i-cyst, singase siqhubeke kuze kuxazululwe inkinga yempande.

2. Kwenzekani uma ushiya i-Baker cyst ingelashiwe?

Ukushiya i-cyst ye-Baker's ingalashwa kungaholela ezinkingeni ezifana nokuqhekeka kwe-cyst, ukunyakaza kwamadolo okukhawulelwe, ukucindezelwa kwemizwa, noma ihluli ukwakheka. 

3. Ingabe ama-cysts ka-Baker adinga ukususwa?

Ukususwa ngokuhlinzwa kwe-cyst Baker akuvamile ukuba nesidingo. Odokotela bangase batuse ukuhlinzwa uma i-cyst ibangela ubuhlungu obukhulu noma inciphisa kakhulu ikhono lakho lokuhamba noma ukwenza ezinye izinto kanye nezinye izindlela zokwelapha ezingasebenzanga. 

4. Ungakwazi yini ukususa i-cyst ye-Baker ngokwemvelo?

Kwesinye isikhathi, isimila se-Baker singazixazulula ngokwaso; amakhambi amaningana asekhaya angasiza ekulawuleni izimpawu. Ukuphumula, iqhwa, ukucindezela, nokuphakama (RICE) kunganciphisa ukuvuvukala. Ukuzivocavoca kwamadolo okumnene nokudla okulwa nokuvuvukala noma izithasiselo kungase kunciphise ukungakhululeki. Kodwa-ke, thintana nodokotela ngezimo eziqhubekayo noma ezinzima.

5. Ingabe ukuhamba kuhle ku-cyst Baker?

Ukuhamba ngezinyawo kungaba yinzuzo ku-cyst ka-Baker, kodwa kuya ngobunzima besimo sakho. Uma i-cyst inesibopho sobuhlungu obukhulu noma ukunciphisa ukuhamba kwakho, kungase kudingeke unciphise okwesikhashana umsebenzi womzimba ukuze uvumele idolo ukuba liphumule futhi lilulame. Kodwa-ke, uma izimpawu ezibucayi seziphelile, ukuhamba kancane kungasiza ukubuyisela amandla futhi kuthuthukise ububanzi bokunyakaza endaweni ehlangene yamadolo. 

UDkt. Unmesh Takalkar

MS, MEDS FUICC, FAIS, FIAGES, FACG, FASGE, MSSAT
Izibhedlela Ezihlangene ze-CIIGMA (Iyunithi Yezibhedlela ze-CARE), Chh. Sambhajinagar

Ukuze Ubhukhe Isikhathi, shayela:

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