Giriş
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.
Signs & symptoms
Pain, redness, tenderness and swelling at the bottom of the spine
Pus or blood draining out of it with bad smell
Ateş
Nedenler
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.
Patofizyoloji
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.
Teşhis
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.
Treatments
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.
Prognoz
A complete cure is possible in most of surgically removed pilonidal cysts, but chance of recurrence is high.
Komplikasyonlar
Abscess formation.
Recurrence of the pilonidal cyst.
Systemic infection (infection that spreads throughout the body)
Rarely, squamous cell carcinoma, a form of skin cancer
Disease & Ayurveda
Naadeevrana(sallyaja)
Nidana
Asaadhuvrtha – inadequate drainage of sopha(swelling) or pooya(pus)
Purvaaroopa
Belirtilmemiş
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.
Bölümler
Vatika
Paittika
Kaphaja
Thridoshaja
Sallyaja/aaganthu (due to the presence of a foreign body)
Prognoz
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
Yaygın olarak kullanılan ilaçlar
Dusparsakadi Kashayam
Dasamulakaduthryam Kashayam
Kankayana Vati
Guggulupanchapalachoornam
Kanchanaraguggulu
Nalpamaradi kashayam
Mevcut markalar
AVS Kottakal
AVP Coimbatore
SNA oushadhasala
Vaidyaratnam oushadhasala
Ev ilaçları
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
Diyet
- Kaçınılması gerekenler
Heavy meals and difficult to digest foods – cause indigestion.
Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine
Carbonated drinks – makes the stomach more acidic and disturbed digestion
Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)
Milk and milk products – increase kapha, cause obstruction in channels and obesity
Curd – causes vidaaha and thereby many other diseases
- Eklenecek
Hafif yemekler ve kolay sindirilebilir gıdalar
Green gram, soups, honey
Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc
Protect yourself from hot climate.
Aşırı güneş ışığı, rüzgar, yağmur veya toza maruz kalmaktan kaçınmak daha iyidir.
Maintain a regular food and sleep schedule.
İdrar, dışkı, öksürük, hapşırık vb. dürtüleri tutmaktan veya zorlamaktan kaçının.
Avoid sedentary lifestyle. Be active.
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.
Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.
Yoga, vücut içinde ve çevredeki sistemle uyumu koruyabilir.
Pavanamuktasana
Nadisudhi pranayama
Bhujangasana
Simple exercises for lungs and heart health
Tüm egzersizler ve fiziksel eforlar sadece bir tıp uzmanının gözetimi altında kararlaştırılmalı ve yapılmalıdır.
Araştırma makaleleri
https://pubmed.ncbi.nlm.nih.gov/10950015/
Bu beyanlar Amerika Birleşik Devletleri Gıda ve İlaç İdaresi tarafından değerlendirilmemiştir. Bu ürün herhangi bir hastalığı teşhis etmek, tedavi etmek, iyileştirmek veya önlemek için tasarlanmamıştır. Lütfen almadan önce doktorunuza danışın.
Yazar:
Ayurvedaforall.Com'un kurucu ortağı ve baş danışmanı olan Dr. Rajesh Nair, Hindistan'ın Kerala eyaletindeki prestijli Vaidyaratnam Ayurveda Koleji'nden (Calicut Üniversitesi'ne bağlı) mezun olmuştur. Ayrıca, Annamalai Üniversitesi'nden Yoga Terapisi alanında Lisansüstü Diplomasına sahiptir.
Dr. Nair, otantik ayurvedik tedavi ve hekimleriyle dünya çapında ünlü güney eyaleti Kerala'nın Haripad, Alleppey kenti ve çevresindeki iki yoğun klinikte danışmanlık hizmeti vermektedir. Dr. Nair, ayurvedik tedavilerin tüm yönleri hakkında danışmanlık sunarken Panchkarma, Yoga ve Masaj konularına özel bir ilgi duymaktadır.
Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India.
Dr. Nair, Ayurveda ile ilgili konferanslarda düzenli olarak konuşmacıdır ve Ayurveda'yı yaymak için Almanya'yı ziyaret etmiştir. Kendisine doğrudan yazabilirsiniz-
rajesh@ayurvedaforall.com
Whatsapp - +91 9446918019, +91 8075810816
URL'ler: https://www.ayurvedaforall.com/
https://www.ayurvedaforall.co.uk/
To give you a quick idea about Ayurvedaforall, we are a group of ayurvedic practitioners committed to propagating Ayurveda in its best tradition around the world. Our online store sells authentic ayurvedic formulations backed by professional advice. Now into the seventeenth year of operation, the site has helped us build a dedicated clientele which regularly uses our products and services as well as refers others to us. Needless to say, this has been achieved through our adherence to the highest standards of customer service and professional ethics.
Türkçe 
English 
Русский 
Deutsch 
Français 
Italiano 
Español