Einführung
There’s a type of cyst that develops at the bottom of coccyx or tailbone. It’s called a pilonidal cyst. It can become infected and filled with pus. Once infected, the technical term is “pilonidal abscess,” and it can be painful. It looks like a big pimple at the bottom of the tailbone. It is more common in men than in women. It usually happens more often in younger people. During World War II, more than 80,000 soldiers got pilonidal cysts that put them in the hospital. People thought they were because of irritation from riding in bumpy Jeeps. For a while, the condition was called “Jeep disease.”
People who sit a lot, such as truck drivers, have a higher chance of getting one. They can be treated successfully in most cases. If it is inflamed & painful, it can be drained or taken out surgically.
Anzeichen und Symptome
Pain, redness, tenderness and swelling at the bottom of the spine
Pus or blood draining out of it with bad smell
Fieber
Verursacht
The exact cause of pilonidal cysts is not clearly known. But most pilonidal cysts appear to be caused by loose hairs that penetrate the skin. Friction and pressure — skin rubbing against skin, tight clothing, bicycling, long periods of sitting or similar factors — force the hair down into skin.
Pilonidal means “nest of hair,” and hair follicles are found inside the cyst while removing it surgically. Experts say ingrown hairs are the most common cause of pilonidal cyst.
Another theory is that pilonidal cysts appear after a trauma to that region of your body.
A small dimple in the skin between buttocks at birth can be a risk factor for developing pilonidal cyst later in life.
Other risk factors include obesity, long & thick hair, sedentary lifestyle, prolonged sitting, and excessive sweating.
Pathophysiologie
It has been postulated that hair penetrates into the subcutaneous tissues through dilated hair follicles, which is thought to occur particularly in late adolescence, though follicles are not found in the walls of cysts. Upon sitting or bending, hair follicles can break and open a pit. Debris may collect in this pit, followed by development of a sinus with a short tract, with a not clearly understood suction mechanism involving local anatomy, eventually leading to further penetration of the hair into the subcutaneous tissue. This sinus tends to extend cephalad, likely owing to mechanical forces involved in sitting or bending. A foreign body-type reaction may then lead to formation of an abscess. If given the opportunity to drain spontaneously, this may act as a portal of further invasion and eventually formation of a foreign body granuloma. Infection may result in abscess formation.
Microscopically, the sinus where the hair enters is lined with stratified squamous epithelium with slight cornification. Additional sinuses are frequent. Cyst cavities are lined with chronic granulation tissue and may contain hair, epithelial debris, and young granulation tissue. Cutaneous appendages are not seen in the wall of cysts, meaning the cysts lack epithelial lining, unlike the sinus. Cellular infiltration consists of lymphocytes, and plasma cells in varying proportions. Foreign body giant cells in association with dead hairs are a frequent finding.
Diagnose
In most of the cases, physical examination with detailed history can confirm the diagnosis
In rare cases, imaging techniques like USG, MRI etc. will be required.
Behandlungen
Antibiotics do not heal a pilonidal cyst. But there are therapeutic procedures including:
Incision and drainage: This is the preferred method for a first pilonidal cyst. Making a cut into the cyst and draining it. Then any hair follicles are removed and leaves the wound open, packing the space with gauze.
Marsupialization: In this procedure, A cut is made and pus is drained. After removing pus and any hair that are inside, the doctor will sew the edges of the cut to the wound edges to make a pouch.
Incision, drainage, closing of wound: In this technique, the cyst is drained, but it’s not left open.
It is important to obey all instructions by doctor, after a surgery.
Try to keep the area clean. Check for any signs of a new infection, such as redness, pus, or pain.
Continue regular follow ups to ensure the healing of the cyst.
Prognose
A complete cure is possible in most of surgically removed pilonidal cysts, but chance of recurrence is high.
Komplikationen
Abscess formation.
Recurrence of the pilonidal cyst.
Systemic infection (infection that spreads throughout the body)
Rarely, squamous cell carcinoma, a form of skin cancer
Krankheit & Ayurveda
Naadeevrana(sallyaja)
Nidana
Asaadhuvrtha – inadequate drainage of sopha(swelling) or pooya(pus)
Purvaaroopa
Nicht erwähnt
Samprapti
When the foreign body causes inflammation & swelling a cyst like sopha forms. In cases where this sopha is not incised& drained properly, the inflammation spreads into deeper tissues in the form of a tunnel and develops the naadeevrana.
Lakshana
One open wound on the skin outside the body
Pain & swelling, pain will be continuous & severe
Reddish,blackish discolouration may be present
Continuous and sero-sanguineous pus discharge from the open side
Fever and other systemic signs of inflammation will be present in acute infections.
Abteilungen
Vatika
Paittika
Kaphaja
Thridoshaja
Sallyaja/aaganthu (due to the presence of a foreign body)
Prognose
Kricchrasadhya
Chikithsa
When nadeevrana is formed due to a foreign body, it should be extracted surgically. Once the foreign body is completely removed and the pus is drained out completely, the treatment for wound healing should be done. Symptomatic management for pain relief should be done along with main treatment.
Samana
Upanaaha – bandage to prepare the area for extraction of sallya inside
Poorana – filling up the naadee with herbs
Bandhana – bandage of the clear wound after the surgery
Kshaalana – washing the area with wound healing medicines
Sodhana
Paatanam/Chedanam/Vidaaranam – surgical removal of foreign body
Sallyanirharanam – extraction of sallya
Margapravisodhanam – drainage pus and residual tissue
Then treatment of wound should be done
Häufig verwendete Arzneimittel
Dusparsakadi Kashayam
Dasamulakaduthryam Kashayam
Kankayana Vati
Guggulupanchapalachoornam
Kanchanaraguggulu
Nalpamaradi kashayam
Verfügbare Marken
AVS Kottakal
AVP Coimbatore
SNA oushadhasala
Vaidyaratnam oushadhasala
Hausmittel
Sit bath or soak the area in a tub of warm water
Take OTC pain relievers
Keep the cyst and area around it clean and dry
Diät
- Zu vermeiden sind
Schwere Mahlzeiten und schwer verdauliche Lebensmittel - verursachen Verdauungsstörungen.
Junk Food - stört die Verdauung und verringert die Bioverfügbarkeit des Medikaments
Kohlensäurehaltige Getränke - erhöhen den Säuregehalt des Magens und stören die Verdauung
Gekühlte und gefrorene Lebensmittel - verursachen eine schwache und träge Verdauung durch Schwächung von Agni (Verdauungsfeuer)
Milch und Milchprodukte - erhöhen Kapha, verursachen Verstopfung in den Kanälen und Fettleibigkeit
Quark - verursacht Vidaaha und damit viele andere Krankheiten
- Noch zu ergänzen
Leichte Mahlzeiten und leicht verdauliche Lebensmittel
Green gram, soups, honey
Frisch gekochte und warme Speisen, verarbeitet mit Kreuzkümmel, Ingwer, schwarzem Pfeffer, Ajwain usw.
Protect yourself from hot climate.
Vermeiden Sie übermäßige Sonneneinstrahlung, Wind, Regen oder Staub.
Halten Sie einen regelmäßigen Essens- und Schlafplan ein.
Vermeiden Sie es, Triebe wie Urin, Stuhlgang, Husten, Niesen usw. zurückzuhalten oder zu erzwingen.
Vermeiden Sie eine sitzende Lebensweise. Seien Sie aktiv.
Avoid continuous sitting and squatting.
Avoid constipation.
Yoga
Exercises are completely restricted in cases of a severe infection. In mild cases or after surgery & follow up, regular stretching and mild cardio exercises are advised. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.
Regelmäßige Bewegung trägt dazu bei, die Bioverfügbarkeit der eingenommenen Medikamente und Nahrungsmittel zu verbessern, und führt zu einer positiven Gesundheit.
Yoga kann die Harmonie im Körper und mit dem umgebenden System aufrechterhalten.
Pavanamuktasana
Nadisudhi Pranayama
Bhujangasana
Einfache Übungen für die Gesundheit von Lunge und Herz
Alle Übungen und körperlichen Anstrengungen dürfen nur unter der Aufsicht eines medizinischen Experten durchgeführt werden.
Forschungsartikel
https://pubmed.ncbi.nlm.nih.gov/10950015/
Diese Aussagen wurden nicht von der Food and Drug Administration der Vereinigten Staaten bewertet. Dieses Produkt ist nicht dazu bestimmt, Krankheiten zu diagnostizieren, zu behandeln, zu heilen oder zu verhindern. Bitte konsultieren Sie Ihren Hausarzt vor der Einnahme.
Autorin:
Dr. Rajesh Nair, der Mitbegründer und Hauptberater von Ayurvedaforall.Com, ist Absolvent des renommierten Vaidyaratnam Ayurveda College (angegliedert an die Universität von Calicut) in Kerala, Indien. Außerdem hat er ein Postgraduierten-Diplom in Yogatherapie von der Annamalai University.
Dr. Nair bietet Beratungen in zwei vielbeschäftigten Kliniken in und um Haripad, Alleppey, Kerala, dem südlichen Staat, der weltweit für authentische ayurvedische Behandlungen und Ärzte bekannt ist. Neben der Beratung zu allen Aspekten ayurvedischer Behandlungen hat Dr. Nair ein besonderes Interesse an Panchkarma, Yoga und Massage.
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Dr. Nair ist ein regelmäßiger Redner auf Ayurveda-bezogenen Konferenzen und hat Deutschland besucht, um Ayurveda zu propagieren. Sie können direkt an ihn schreiben.
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