Iphumula ngemuva kwesandla
I-cyst ye-ganglion yesihenqo ukuvuvukala okuvame ukuvela eduze kwesandla noma isibindi. I-cyst ye-ganglion i-capsule egcwele amanzi; azizona umdlavuza, ngeke zisakazeke, futhi ngenkathi zingakhula ngosayizi, azikwazi ukusabalalisa kwezinye izingxenye zomzimba wakho. I-ganglion cysts ingenzeka ngemuva kwesandla noma eceleni kwesandla sesandla. Uma kwenzeka ngemuva kwesandla, kuthiwa yi-cyst dorsal ganglion.
Uma kwenzeka enhlangothini yesundu yesibindi babizwa nge-volar ganglion cysts.
I-ganglion cysts empeleni ayisho ngisho "ama-cysts eqiniso," kodwa kunalokho kuphakama njengezikhumba ezinamanzi ezivela ezingxenyeni ezincane zesikhumba, noma ezivela emanzini angaphansi komgogodla ozungeza izintambo zesikhumba . Uma umkhuhlane, obizwa ngokuthi i- synovial fluid , uphuphuma kulezi zindawo, ungakha isakhiwo samasaka esibizwa ngokuthi i-cyst ganglion. I-fluid ngaphakathi kwe-cyst ye-ganglion ifana nomswakama ojwayelekile otholakala ngaphakathi kokuhlangana noma ngaphakathi kwesigqoko se-tendon. I-fluid i-gelatinous, futhi ibukeka futhi izwa njenge-jelly.
Ukuphumula nokuqhuma kwesandla nesandla
Kubalulekile ukuba nalolu hlobo lwesikhumba oluhlolwe udokotela wakho ukuqinisekisa ukuthi nje i-cyst ye-ganglion. Ngenkathi iningi lezinyosi kanye nezibhamu zesandla nesandla kukhona ama-cysts e-ganglion (okuvame kakhulu), kunezinye izimo ezinezokwelapha ezihlukile. Olunye uhlobo lwezinambuzane ezifana ne-lipoma noma i-giant cell tumor, ukutheleleka, i- carpal bossing ( bone spur ), nezinye izimo zingabangela izimbungqungquthela nxazonke.
Ama-cysts e-Ganglion angase abe nesisa, kepha kaningi kubonakala sengathi i-cyst ehlupha iziguli. I-cyst akufanele ihambisane nesikhumba, futhi isikhumba kufanele sibe nombala ojwayelekile. Isivivinyo esisodwa sokuthola i-cyst ye-ganglion ukugcina umthombo wokukhanya, njengokukhanya kwe-flashlight encane, ngokumelene ne-cyst. I-cyst ye-gangstre evamile iyodlulisa ukukhanyisa, okusho ukuthi ukukhanya kuzodlula ku-cyst ebonisa ukuthi akuyona inqwaba eqinile.
Ukwelashwa kwe-Ganglion Cyst
Ngezinye izikhathi, ama-cysts ekhanda lamakhanda ahamba angenawo ukwelashwa, noma angase avame ukukhula noma akhule nakakhulu. Ama-cysts ajwayele ukwakha i-valve eyodwa-way efana ne-fluid engena ku-cyst kalula, kodwa ayikwazi ukuphunyuka. Lapho i-cyst ye-ganglion iba enkulu ngokwanele, izoqala ukubeka izingcindezi ezakhiweni ezungezile. Le ngcindezi ingabangela izimpawu ezibuhlungu , futhi ngokuvamile yisizathu sokuthi lezi zinselo ze-ganglion zisuswe.
Kunezindlela eziningana zokwelapha nge-cyst yesihenqo se-gangstri. Ukubeka inaliti ku-cyst ye-ganglion nokufisa uketshezi kungase kusebenze. Kodwa-ke, i-gelatinous fluid ngaphakathi kwe-cyst ayifuni ngaso sonke isikhathi ngokusebenzisa inaliti kahle kakhulu. Ngaphezu kwalokho, le nqubo ishiya i-cyst lining ngemuva, futhi i-cyst ganglion izobuya cishe ngo-50% wesikhathi. Inzuzo yokukhipha i-cyst yukuthi kuyinkqubo elula yokwenza, futhi kungenzeka ukuthi kwenzeka inkinga encane kakhulu. Ukukhathazeka ukuthi ithuba lokuphindaphinda liphakeme kakhulu.
Okunye okunye, ukuthi abanye babiza ukuthi bendabuko, abanye babiza okuthiwa yi-barbaric, ukuphoqa i-cyst ye-ganglion yesigqoko ngento enzima njengencwadi. Lokhu kuphuza i-cyst, futhi ihlukanisa ubhedu besikhwama. Ngenkathi abantu abaningi bejwayele le nqubo yokwelashwa, akubhekwa njengokwamukeleka ngoba kukhona okunye okumele kube khona omunye umonakalo ngenxa yokuhlukunyezwa kokwelashwa.
Eqinisweni, kunemibiko engavamile yokuphulwa kwamathambo azungeze isihenqo esihlotshaniswa nemizamo eqinile yokuqeda i-cyst.
Ukwelashwa okwedlulele kunayo yonke i-cyst ye-gangst ephikisanayo noma ebuhlungu ukuyisusa ngenqubo yokuhlinzwa. Ngesikhathi sokuhlinzwa, i-ganglion yesibindi iyadliwa ngokuphelele, kufaka phakathi isikhwama esasizungeze umkhuhlane. Ngaphezu kwalokho, ukuxhumeka emgodleni ohlangene noma we- tendon owanikeze uketshezi kungenziwa. Nakuba lokhu kuvame ukusebenza kahle, iphesenti elincane le-ganglion yesibindi esisusiwe lizobuya. Ukwelashwa okuhlinzekwayo kwachazwa kahle kokubili njengendlela yokuhlinzwa evulekile (ngokusebenzisa ukufakwa komzimba) futhi njengenqubo ye-arthroscopic.
Odokotela abahlinzayo abahlukahlukene banokuthandwa ngendlela yabo ethandekayo.
Okokugcina, ochwepheshe abaningi besandla nesandla samandla asiphakamise ukwelashwa kwama-cysts nhlobo. Ngenkathi abanye abantu bengathandi ukubukeka kwe-cyst ye-ganglion, kanti abanye abantu abahlukumezekile, ama-cysts ngokuvamile awayingozi, futhi iziguli eziningi zizwa kangcono kakhulu uma ziqinisekiswa ukuthi i-cyst ngeke ibangele noma iyiphi inkinga yesikhathi eside. Ikakhulukazi nge-cysts ye-volar ganglion, ukwelashwa kungaba yinkinga, futhi izinkinga ezibandakanya ukutheleleka, ukulimala kwamathambo, nokuphindaphinda kwe-cyst kungenzeka konke kwenzeke. Uma i-cyst ingakwazi ukubekezelela, isazi esiningi sineluleka ukuthi bashiye bodwa.
> Imithombo:
> Inhloko L, u-Gencarelli JR, u-Allen M, u-Boyd KU. Ukwelashwa kwama-ganglion wristli: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta "J Hand Surg Am. 2015 Mar; 40 (3): 546-53.e8.