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November 5, 2012

Oh! Ganglion


What is it?
  • In the hand, a ganglion is a particular type of lump which shows up next to a joint or a tendon. Inside, it is like a balloon filled with a thick liquid. It may be soft or hard, may or may not be painful, and may get bigger or smaller on its own. It may also be referred to as a mucous cyst, a mucinous cyst or a synovial cyst.
What caused it?
  • Normally, joints and tendons are lubricated by a special liquid which is sealed in a small compartment. Sometimes, because of arthritis, an injury, or just for no good reason, a leak occurs from the compartment. Now, the liquid is thick, like honey, and if the hole is small, it can be like having a pinhole in a tube of toothpaste - when you squeeze the tube, even though the hole is small and the toothpaste is thick, it will leak out - and once it is out, there is no way it can go back in on its own. It works almost like a one way valve, and fills up a little balloon next to the area of the leak. When we use our hands for normal activities, our joints squeeze and create a tremendous pressure in the lubricating compartment - this can pump up a balloon leak with so much pressure that it feels as hard as a bone.
  • The lubricating liquid has special proteins dissolved in it which make it thick and also make it hard for the body to absorb it when it has leaked out. The body tries to absorb the liquid, but may only be able to draw out the water, making it even more thick. Usually, by the time the lump is big enough to see, the liquid has gotten to be as thick as jelly.
Mucous CystFlexor tendon sheath cystDorsal wrist ganglion
Volar wrist ganglion
  • Common sites for ganglions are:
    • The wrist - on the back ("dorsal wrist ganglion"), on the front ("volar wrist ganglion"), or sometimes on the thumb side. These come from one of the wrist joints, sometimes aggravated by a wrist sprain.
    • The palm at the base of the finger ("flexor tendon sheath cyst"). These come from the tube which holds the finger tendons in place, and are often due to tendon irritation - tendinitis.
    • The back of the end joint of the finger ("mucous cyst"), next to the base of the fingernail. These can cause a groove in the fingernail, or rarely can become infected and lead to a joint infection. These are usually due to some arthritis or bone spurs in the joint.
source: http://www.eatonhand.com/hw/hw013.htm

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Makin besar..

Risau pun ada bila tengok bengkak kat tangan makin lama makin besar. tapi nak buat macam mana disebabkan takut kene operate if pergi hospital. terpaksalah buat bodoh. Tapi, bengkak nie makin besar. so? apa patut ak buat? pergi hospital dalam masa terdekat nie memang bukan keputusan ak lagi. maybe sebab ak tak rasa sakit. Lately nie ak perasan tangan kiri dah cepat lenguh if menaip di computer lama-lama sangat.
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4 cOmment{s}:

soleil m said...

pergilah check kat hospital cnoor. if makin melarat, mcm mana? :(

Hidayah Surea said...

haruslah pergi hospital cik adik. a fried of mine will undergo minor surgery next wed because of this ganglion. dekat bahagian ankle. huhu.

cnOor said...

@soleil m plan nk g hospital gak. after convo perhaps?? huhu

cnOor said...

@Hidayah Surea seriously?? huhu. tkt dgr. ye long. plan nak g hsptl gak nie. but x now.hehe :)

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