کیست بیکر Baker cyst یک برآمدگی است که بر اثر برجسته شدن و تجمع مایع مفصلی در پشت زانو ایجاد میشود. به ناحیه پشت زانو ناحیه پوپلیتئال Popliteal area هم میگویند و به همین خاطر نام دیگر این کیست، کیست پوپلیته یا پوپلیتئال است. ویلیام بیکر اولین کسی بود که این بیماری را توضیح داد.
تقریبا هر عاملی که موجب تورم زانو و افزایش مقدار مایع مفصلی زانو شود میتواند ایجاد کیست بیکر کند. استئوآرتریت یا آرتروز زانو و روماتیسم مفصلی زانو هر دو میتوانند این کیست را ایجاد کنند. وقتی که به هر علتی مقدار مایع مفصل زانو زیاد میشود فشار داخل مفصل افزایش یافته و میتواند این مایع را به پشت کپسول مفصلی رانده و کپسول مفصل زانو را در ناحیه پشت برجسته کند.
علائم کیست بیکر چیست
مهمترین علامت کیست بیکر دیدن و یا لمس یک برجستگی در پشت زانو است. این برجستگی وقتی که فرد زانویش را کاملا صاف و مستقیم نگه میدارد بیشتر به چشم میخورد. کیست بیکر در غالب اوقات بدون درد است ولی در مواردی ممکن است با قدری درد همراه باشد. گاهی اوقات این کیست پاره شده و محتویات مایع آن به فواصل بین عضلات پشت ساق میریزد. این واقعه موجب تورم و دردناک شدن عضلات پشت ساق میشود. تشخیص کیست بیکر معمولا با معاینه داده میشود ولی میتوان آنرا با اولتراسونوگرافی و یا ام آر آی تائید کرد.
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)
درمان کیست بیکر
کیست بیکر در غالب قریب به اتفاق اوقات نیاز به درمان ندارد. وجود این کیست بیش از اینکه یک بیماری باشد نشانه و علامتی از یک بیماری دیگر است و با درمان بیماری اولیه (مانند استئوآرتریت یا روماتیسم مفصلی) در اکثر اوقات کیست بیکر هم ناپدید میشود.
در صورتیکه کیست موجب احساس ناراحتی و درد برای بیمار شود بالا نگه داشتن پا، استفاده از زانوبند، استفاده از سرمای موضعی و مصرف داروهای ضد التهابی میتواند مشکل بیمار را مرتفع کند. در صورت نیاز ممکن است پزشک معالج مبادرت به کشیدن مایع کیست و تزریق کورتیکوستروئید در آن کند.
در موارد بسیار نادری ممکن است کیست نیاز به عمل جراحی و خروج داشته باشد. در صورت پاره شدن کیست بیکر درمان بصورت استراحت و بالا نگه داشتن ساق و تزریق کورتیکوستروئید در درون مفصل زانو است.