Chotupa cha Baker

Baker cyst ndimapangidwe amadzimadzi olumikizana (synovial fluid) omwe amapanga chotupa kumbuyo kwa bondo.

Chotupa cha Baker chimayambitsidwa ndi kutupa kwa bondo. Kutupa kumachitika chifukwa cha kuwonjezeka kwamadzimadzi a synovial. Timadzimadzi timene timakodza bondo. Pakapanikizika, madzi amafinya kumbuyo kwa bondo.

Baker cyst nthawi zambiri imachitika ndi:

• Misozi mu khungu la meniscal bondo
• Kuvulala kwa cartilage
• Matenda a nyamakazi (okalamba)
• Matenda a nyamakazi
• Mavuto ena amabondo omwe amachititsa kutupa kwa bondo ndi synovitis

Nthawi zambiri, munthu amakhala wopanda zizindikilo. Chotupa chachikulu chimatha kusokoneza kapena kuuma. Pakhoza kukhala kutupa kopweteka kapena kopweteka kuseri kwa bondo.

Chotupacho chimamveka ngati buluni yodzaza madzi. Nthawi zina, chotupacho chimatha kutuluka (kuphulika), kumayambitsa kupweteka, kutupa, ndi kuvulaza kumbuyo kwa bondo ndi ng'ombe.

Ndikofunikira kudziwa ngati kupweteka kapena kutupa kumayambitsidwa ndi Baker cyst kapena magazi. Magazi oundana (deep venous thrombosis) amathanso kuyambitsa kupweteka, kutupa, ndi kuphwanya kumbuyo kwa bondo ndi ng'ombe. Magazi amatha kukhala owopsa ndipo amafunika kupita kuchipatala nthawi yomweyo.

Mukamayesa thupi, wothandizira zaumoyo amayang'ana chotupa chofewa kumbuyo kwa bondo. Ngati chotupacho ndi chaching'ono, kufanizira bondo lomwe lakhudzidwa ndi bondo wamba kungakhale kothandiza. Pakhoza kukhala kuchepa kwamayendedwe amtundu wambiri chifukwa cha zowawa kapena kukula kwa chotupacho. Nthawi zina, padzakhala kugwira, kutseka, kupweteka, kapena zizindikilo zina za misozi.

Kuunikira kuwala kudzera mu cyst (transillumination) kumatha kuwonetsa kuti kukula kumadzaza madzi.

Ma X-ray sadzawonetsa zotupa kapena misozi, koma ziwonetsa mavuto ena omwe angakhalepo, kuphatikiza nyamakazi.

Ma MRIs amatha kuthandiza wothandizira kuwona chotupacho ndikuyang'ana kuvulala kulikonse komwe kumayambitsa chotupacho.

Nthawi zambiri, safunika chithandizo. Woperekayo amatha kuwona cyst pakapita nthawi.

Ngati chotupacho chimapweteka, cholinga cha chithandizo ndikuthetsa vuto lomwe likuyambitsa chotupacho.

Nthawi zina, cyst imatha kutsanulidwa (aspirated), komabe, cyst nthawi zambiri imabwerera. Nthawi zambiri, imachotsedwa ndi opaleshoni ngati itakhala yayikulu kwambiri kapena imayambitsa zizindikiro. Chotupacho chimakhala ndi mwayi waukulu wobwerera ngati chomwe chikuyambitsa sichinayankhidwe. Kuchita opaleshoniyi kumathanso kuwononga mitsempha yamagazi yapafupi ndi mitsempha.

Chotupa cha Baker sichimavulaza kwanthawi yayitali, koma chimatha kukhumudwitsa komanso kupweteka. Zizindikiro za Baker cysts nthawi zambiri zimabwera ndikupita.

Kulemala kwanthawi yayitali ndikosowa. Anthu ambiri amasintha pakapita nthawi kapena pochitidwa opaleshoni.

Itanani omwe akukuthandizani ngati mwatupa kumbuyo kwa bondo lomwe limakhala lalikulu kapena lopweteka. Ululu ukhoza kukhala chizindikiro cha matenda. Komanso itanani omwe akukuthandizani mukawonjezera kutupa mu ng'ombe yanu ndi mwendo komanso kupuma pang'ono. Izi zikhoza kukhala chizindikiro cha magazi a magazi.

Ngati chotupacho chimakula msanga, kapena mukumva kuwawa usiku, kupweteka kwambiri, kapena malungo, mufunika mayeso ena kuti muwone ngati mulibe zotupa zina.

Chotupa chotulutsa; Bulge-bondo

• Knee arthroscopy - kumaliseche

• Chotupa cha Baker

Biundo JJ. Bursitis, tendinitis, ndi zovuta zina zakanthawi kochepa komanso mankhwala azamasewera. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 247.

Crenshaw AH. Njira zofewa ndi kukonza ma osteotomies okhudza bondo. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 9.

Huddleston JI, Goodman S. Hip ndi ululu wamondo. Mu: Firestein GS, Budd RC, Gabriel SE, Koretzky GA, McInnes IB, O'Dell JR, olemba. Buku la Firestein & Kelley la Rheumatology. Wolemba 12. Philadelphia, PA: Elsevier; 2021: mutu 51.

Rosenberg DC, Amadera JED. Chotupa cha Baker. Mu: Frontera, WR, Silver JK, Rizzo TD Jr, olemba. Zofunikira pa Thupi Lathupi ndi Kukonzanso. Wolemba 4. Philadelphia, PA: Elsevier; 2019: chap 64.