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ʻO nā cyst o ka puʻupaʻa he mau ʻeke wai e ulu ana ma luna a i loko paha o kou mau puʻupaʻa. ʻO ka hapa nui o nā cyst o ka puʻupaʻa he mau ʻeke maʻalahi, ʻaʻohe pilikia, ʻaʻole hoʻi e hoʻoulu i kekahi pilikia a loaʻa pinepine ʻia ma ka pōʻino i ka wā o nā hoʻokolohua kiʻi maʻamau.
E noʻonoʻo iā lākou e like me nā pōpō wai liʻiliʻi i hoʻopili ʻia i kou puʻupaʻa. He mea maʻamau loa ia, ʻoi aku ka nui ke ʻelemakule ʻoe. ʻOiaʻiʻo, ma kahi o ka hapalua o nā kānaka ma luna o 50 mau makahiki he hoʻokahi cyst o ka puʻupaʻa ma ka liʻiliʻi, a ʻaʻole nui ka poʻe i ʻike i kona noho ʻana.
ʻO nā cyst o ka puʻupaʻa he mau ʻeke poepoe a oval paha i piha i ka wai maopopo. Hana ʻia lākou i ka wā e pani ʻia ai nā paipu liʻiliʻi i loko o kou mau puʻupaʻa a pehu me ka wai, e like me ke ʻano o ka hose māla e hiki ke pehu inā paʻa ka wai ma kahi hoʻokahi.
Aia ʻelua ʻano nui āu e ʻike ai. ʻO nā cyst maʻalahi ka mea maʻamau loa a he benign loa, ʻo ia hoʻi ʻaʻole lākou e hōʻeha iā ʻoe. ʻOi aku ka liʻiliʻi o nā cyst paʻakikī a pono paha e nānā pono ʻia no ka mea hiki iā lākou ke hōʻike i nā kūlana ʻē aʻe.
ʻO ka hapa nui o nā cyst maʻalahi o ka puʻupaʻa he liʻiliʻi, mai ka nui o ka pea a i ka nui o ka pōpō ping pong. Maʻamau lākou e noho ana ma ka ʻili o waho o kou puʻupaʻa a i lalo paha o kona ʻili, me ka hana ʻole ʻana i kekahi mea.
ʻO ka hapa nui o nā cyst o ka puʻupaʻa ʻaʻole loa e hoʻoulu i nā hōʻailona. Hiki iā ʻoe ke loaʻa i kekahi mau cyst i kēia manawa a me ka manaʻo maʻamau, ʻo ia ka mea e hana ai i ka hapa nui o nā kānaka.
Eia naʻe, ʻo nā cyst nui a i ʻole nā mea i kekahi mau wahi paha e hiki ai ke hoʻoulu i ka ʻeha. Eia nā mea āu e ʻike ai inā ulu nā hōʻailona:
He mea kūpono ke hoʻomaopopo ʻaʻole pinepine kēia mau hōʻailona me nā cysts maʻalahi. Inā ʻoe e ʻike ana i ka ʻeha kua a i ʻole ʻōpū mau, ʻoi aku ka nui o ka mea ma muli o nā kumu maʻamau ʻē aʻe e like me ka ʻeha o nā ʻiʻo a i ʻole nā pōhaku kidney.
Hāʻule nā cysts kidney i ʻelua māhele nui e kōkua ai i nā kauka e hoʻomaopopo pehea e mālama ai iā lākou. ʻO nā cysts maʻalahi ka ʻano aloha e liʻiliʻi loa ka pilikia, ʻoiai nā cysts paʻakikī e pono ai ka nānā hou aku.
ʻO nā cysts maʻalahi he poepoe loa, he pā lahilahi, a loaʻa wale nō ka wai maopopo. He like lākou me nā pōpō wai ʻino ʻole o ke kūlohelohe a hana i kahi 95% o nā cysts kidney a pau. ʻAʻole ulu kēia mau cysts i ka maʻi kanesa a he mea maʻamau ʻole ka mālama ʻana.
He mau pā mānoanoa nā cysts paʻakikī, nā ʻano ʻano ʻole, a i ʻole paha he mea paʻa pū me ka wai. Hoʻohana nā kauka i kahi ʻōnaehana hoʻokāʻina i kapa ʻia ʻo nā māhele Bosniak e loiloi i nā cysts paʻakikī mai I a IV, me nā helu kiʻekiʻe e hōʻike ana i ka pono nui no ka nānā ʻana a i ʻole ka mālama ʻana.
Aia kekahi kūlana genetic i kapa ʻia ʻo ka maʻi kidney polycystic kahi e ulu ai nā cysts he nui ma nā puʻupaʻa ʻelua. He mea ʻokoʻa loa kēia mai ka loaʻa ʻana o kekahi mau cysts maʻalahi a pono ai ka mālama lapaʻau kūikawā.
ʻAʻole maopopo loa ke kumu kikoʻī o ka hoʻokumu ʻana o nā cysts kidney, akā manaʻo nā kauka e ulu lākou i ka wā e pani ʻia ai nā paipu liʻiliʻi i loko o kou mau puʻupaʻa. E noʻonoʻo e like me kahi pilikia liʻiliʻi i loko o ka ʻōnaehana plumbing o kou puʻupaʻa.
ʻO ka makahiki ka mea nui loa e hoʻoulu ai i ka ulu ʻana o nā cyst. I kou wā e ulu ai, hiki i ka hana maʻamau a me ka ʻeha o kou mau puʻupaʻa ke hana maʻalahi i kēia mau mea pale. ʻO ia ke kumu e lilo ai nā cyst o ka puʻupaʻa i mea maʻamau ma hope o 40 mau makahiki.
Eia nā mea nui e hiki ke hoʻopili i ka hoʻokumu ʻana i nā cyst:
I ka hapa nui o nā hihia, ulu nā cyst o ka puʻupaʻa me ka ʻole o kekahi mea hoʻoulu kūikawā. He mea wale nō ia o nā mea e hiki ke hana ma ke ʻano he ʻāpana o ka ulu ʻana maʻamau, e like me ka loaʻa ʻana o ka lauoho hina a i ʻole ka pono ʻana i nā aniani heluhelu.
Pono ʻoe e hoʻokaʻaʻike i kāu kauka inā loaʻa iā ʻoe ka ʻeha mau loa i kou kua, ʻaoʻao, a i ʻole ka ʻōpū e hele ʻole me ka hoʻomaha. ʻOiai ʻaʻole paha kēia ʻeha mai nā cyst o ka puʻupaʻa, he mea pono ia e nānā e kāpae i nā kūlana ʻē aʻe.
E ʻimi koke i ka mālama lapaʻau inā ʻike ʻoe i ke koko i loko o kou mimi, loaʻa iā ʻoe ka maʻi wela me ka ʻeha kua, a i ʻole loaʻa iā ʻoe ka ʻeha koke a nui hoʻi i ka ʻōpū a i ʻole ka kua. Hiki i kēia mau hōʻailona ke hōʻike i kahi pilikia o ka cyst a i ʻole kahi pilikia ʻē aʻe o ka puʻupaʻa e pono ai ka mālama koke.
Inā ua ʻike mua ʻia ʻoe me nā cyst o ka puʻupaʻa, e haʻi aku i kāu kauka inā loli a ʻoi aku ka ʻino o kāu mau hōʻailona. Kūpono nā kipa hahai maʻamau e hōʻoia i ka paʻa o kāu mau cyst a ʻaʻole e hoʻoulu i nā pilikia hou.
Mai hopohopo inā ʻike kahi scan maʻamau i nā cyst o ka puʻupaʻa ʻaʻole ʻoe i ʻike. Hana pinepine kēia, a e wehewehe kāu kauka inā pono kekahi nānā a i ʻole ka mālama ʻana ma muli o ke ʻano a me ka nui o nā cyst i loaʻa.
Ke kōkua mai ka hoʻomaopopo ʻana i kāu mau kumu pilikia i ka wehewehe ʻana i ke kumu o ka ulu ʻana o nā cysts o ka puʻupaʻa, ʻoiai ʻaʻole ʻo ka loaʻa ʻana o nā kumu pilikia he manaʻo ia e loaʻa nō ʻoe i nā cysts. ʻO ka makahiki ka mea nui loa āu e pono ai ke ʻike.
Eia nā kumu pilikia nui e hoʻonui ai i kou manawa e loaʻa ai nā cysts o ka puʻupaʻa:
ʻO ka ʻoiaʻiʻo maikaʻi, ʻaʻole pono ʻoe e hopohopo inā loaʻa iā ʻoe kēia mau kumu pilikia. He mea maʻamau loa nā cysts puʻupaʻa maʻalahi a maʻamau loa he mea ʻino ʻole, no laila ua manaʻo ʻia he ʻāpana maʻamau o ka ʻelemakule no nā kānaka he nui.
He mea maʻamau loa nā pilikia mai nā cysts puʻupaʻa maʻalahi, akā he mea kōkua ke ʻike i nā hōʻailona e nānā ai. ʻAʻole loa e ʻike ka hapa nui o nā kānaka me nā cysts puʻupaʻa i kekahi pilikia.
Ke loaʻa nā pilikia, pili pinepine lākou i nā cysts nui a i ʻole nā mea i nā wahi hū. Eia ka mea hiki ke hana i nā kūlana maʻamau ʻole:
Ke kani nei kēia mau pilikia, akā he mea maʻamau ʻole maoli nō ia me nā cysts maʻalahi. Hiki i kāu kauka ke kōkua i ka loiloi ʻana i kāu pilikia pilikino ma muli o ka nui, kahi, a me ka nui o nā cysts āu e loaʻa nei.
ʻOi aku ka nui o ka pilikia o nā cysts paʻakikī, ʻo ia ke kumu e nānā pono ai nā kauka iā lākou. ʻOiai pēlā, ʻo ka hapa nui o nā cysts paʻakikī e mau a ʻaʻole e hoʻoulu i nā pilikia.
Minamina, ʻaʻohe ala i hōʻoia ʻia e pale aku ai i nā cysts maʻalahi o ka puʻupaʻa, ʻoiai ʻo ka hapa nui o ia mau mea e pili ana i nā kaʻina hana o ka ʻelemakule kūlohelohe. Eia naʻe, hiki i ka mālama ʻana i ke olakino maikaʻi o ka puʻupaʻa ke kākoʻo i kāu hana puʻupaʻa holoʻokoʻa.
E kau i ka manaʻo ma nā hana e mālama ai i kou olakino puʻupaʻa holoʻokoʻa. ʻO ka noho wai nui, ka mālama ʻana i ke koko kiʻekiʻe, a me ka pale ʻana i ka hoʻohana nui ʻana i nā lāʻau ʻeha maʻamau hiki ke kākoʻo i ke olakino puʻupaʻa, ʻoiai ʻaʻole lākou e pale aku i nā cysts.
Inā loaʻa iā ʻoe ka mōʻaukala ʻohana o ka maʻi puʻupaʻa polycystic, hiki ke kōkua ka ʻōlelo aʻo genetic no nā hoʻoholo hoʻolālā ʻohana. Eia naʻe, ʻokoʻa loa kēia kūlana hoʻoilina mai nā cysts maʻalahi maʻamau a ka hapa nui o nā kānaka e loaʻa ai.
Hiki i nā nānā olakino maʻamau ke kōkua i ka ʻike mua ʻana i nā cysts puʻupaʻa inā ulu lākou, e ʻae ana i ka nānā pono a me ka mālama ʻana i ka wā e pono ai.
ʻIke pinepine ʻia nā cysts puʻupaʻa ma ka pōʻino i nā hoʻokolohua kiʻi i hana ʻia no nā kumu ʻē aʻe. Hiki paha kēia i ka wā o ka ultrasound, CT scan, a i ʻole MRI i hana ʻia e noiʻi i nā hōʻailona pili ʻole a i ʻole ma ke ʻano he ʻāpana o ka nānā maʻamau.
E hoʻomaka paha kāu kauka me ka ultrasound inā manaʻo ʻia nā cysts puʻupaʻa. Hoʻohana kēia hoʻokolohua ʻeha ʻole i nā hawewe leo e hana i nā kiʻi o kāu puʻupaʻa a hiki ke ʻike maʻalahi i nā cysts a hoʻoholo i ko lākou nui a me nā ʻano.
Inā hōʻike ka ultrasound i nā hiʻohiʻona paʻakikī a i ʻole inā pono i kāu kauka ka ʻike kikoʻī hou aku, hiki ke ʻōlelo ʻia ka kiʻi hou aku. Hiki i ka CT scan a i ʻole MRI ke hāʻawi i nā kiʻi maopopo a kōkua i ka hoʻokaʻawale ʻana ma waena o nā cysts maʻalahi a me nā cysts paʻakikī.
Hiki ke hana ʻia nā hoʻokolohua koko a me ka mimi e nānā i ka hana o kou mau puʻupaʻa, akā ʻaʻole kēia mau hoʻokolohua e ʻike pololei i nā cysts. Kūkulu kēia i kāu kauka e hoʻomaopopo i ka maikaʻi o ka hana ʻana o kou mau puʻupaʻa.
ʻAʻole pono ka nui o nā cysts puʻupaʻa maʻalahi i ka lāʻau lapaʻau. Inā ʻaʻole e hoʻoulu ana kāu mau cysts i nā hōʻailona a ua ʻike ʻia he maikaʻi ma ka imaging, e ʻōlelo paha kāu kauka i kahi ala
Nānā pono i kāu mau hōʻailona a mālama pono i nā loli āpau. Inā ʻike ʻoe i ka ʻeha hou, koko i loko o ka mimi, a i ʻole ka maʻi wela, e kelepona koke aku i kāu kauka ma mua o ka hoʻāʻo ʻana e mālama i kēia mau hōʻailona ma ka home.
Ma mua o kāu hālāwai, e kākau i lalo i nā hōʻailona āpau āu i ʻike ai, me ka manawa i hoʻomaka ai a me nā mea e hoʻomaikaʻi ai a ʻoi aku ka ʻino paha. He mea kūpono ke haʻi aku i nā hōʻailona māmā.
E lawe mai i ka papa inoa o nā lāʻau lapaʻau a pau a me nā mea hoʻohui āu e lawe nei, a me nā hōʻike kiʻi hou inā loaʻa iā ʻoe. Makemake kāu kauka e ʻike e pili ana i ka mōʻaukala ʻohana o ka maʻi puʻupaʻa a i ʻole nā cysts.
E hoʻomākaukau i nā nīnau e pili ana i kou kūlana kūikawā. Malia paha ʻoe e nīnau e pili ana i nā papa hana kiaʻi, nā palena hana, a i ʻole nā hōʻailona e pono ai ka nānā koke ʻana o ke kauka.
Mai kānalua e noi i ka wehewehe ʻana i nā mea āu i ʻike ʻole ai. Makemake kāu kauka e hōʻoia i kou ʻoluʻolu a me ka ʻike e pili ana i kāu mau cysts puʻupaʻa.
ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ia ka mea maʻamau loa nā cysts puʻupaʻa maʻalahi a kokoke loa i ka ʻino ʻole. Inā ua haʻi ʻia ʻoe he mau cysts puʻupaʻa kāu, ʻaʻole kēia manaʻo he maʻi puʻupaʻa kāu a i ʻole he pilikia kou olakino.
ʻAʻole pono ka hapa nui o nā kānaka me nā cysts puʻupaʻa i ka mālama ʻana a hiki ke ola i ke ola maʻamau a olakino. ʻO ka nānā mau, ke kuhikuhi ʻia, e kōkua i ka hōʻoia ʻana e mau ana kāu mau cysts a ʻaʻole e hoʻopilikia.
E nānā i ka mālama ʻana i ke olakino maikaʻi ma mua o ka hopohopo ʻana i kāu mau cysts. E inu wai nui, e mālama i ke koko, a e hahai i kāu kauka e like me ka ʻōlelo ʻia. ʻO kāu mau cysts puʻupaʻa he mau mea ʻino ʻole wale nō i loko o kāu mau puʻupaʻa olakino.
ʻAʻole hiki i nā cysts maʻalahi o ka puʻupaʻa ke lilo i kanesa. He maikaʻi loa lākou a ʻaʻole loa e lilo i mea ʻino. Eia naʻe, pono paha ka nānā pono ʻana i nā cysts paʻakikī me nā hiʻohiʻona maʻamau ʻole e kāpae i nā kūlana ʻē aʻe. Hiki i kāu kauka ke hoʻoholo i ke ʻano o nā cysts āu e loaʻa ai ma muli o nā hopena kiʻi.
ʻAʻole pinepine nā cysts maʻalahi o ka puʻupaʻa i ka hana o ka puʻupaʻa, ʻoiai inā he nui kāu. Loaʻa i kāu mau puʻupaʻa kahi mana mālama kupaianaha, no laila ʻaʻole e hoʻopilikia kekahi mau cysts i ka hana maikaʻi ʻana o lākou. I nā hihia kakaikahi loa me nā cysts nui he nui wale nō paha e hoʻopilikia ʻia ka hana o ka puʻupaʻa.
Ke ulu mālie nei kekahi mau cysts o ka puʻupaʻa i nā makahiki, ʻoiai ke mau nei kekahi i ka nui like ʻole. ʻO ka hapa nui o ka ulu ʻana he mālie a ʻaʻole ia e hoʻokumu i nā pilikia. E nānā kāu kauka i nā loli nui i ka wā o ka nānā ʻana ma hope a e haʻi aku iā ʻoe inā lilo ka ulu ʻana i mea hopohopo.
ʻAe, hiki iā ʻoe ke hoʻomaʻamaʻa maʻamau me nā cysts o ka puʻupaʻa. ʻAʻole pono nā cysts maʻalahi i nā palena hana no ka hapa nui o nā kānaka. Eia naʻe, inā loaʻa iā ʻoe nā cysts nui a i ʻole ʻeha i ka wā o kekahi mau hana, e kūkākūkā me kāu kauka e pili ana i nā hoʻololi kūpono i ka hoʻomaʻamaʻa.
ʻAʻole pinepine nā cysts maʻalahi e pono ai nā scan nānā ma hope o ka ʻike ʻia ʻana he maikaʻi. Pono paha nā cysts paʻakikī i ka nānā ʻana i kēlā me kēia 6-12 mahina i ka hoʻomaka, a laila emi pinepine inā mau lākou i ka paʻa. E hana kāu kauka i kahi papa hana nānā pilikino ma muli o kou kūlana kūikawā.