Ðe ƒunukpeƒetetedɔ sia tɔgbe le wò ŋutigbalẽ ŋu kpɔa? Mina míaƒo nu tso Epidermal Inclusion Cyst ŋu!

Ède dzesi nane abe ƒuƒu alo bɔl sue aɖe ene le tsitsim le wò ŋutigbalẽ te kpɔa? Ɣeaɖewoɣi la, míeyɔa esiawo be ‘sebaceous cysts’, alo? Gake nuka tututue nye esiawo, nukatae wodzɔna, eye ɖe afɔku le wo mea? Mina míaƒo nu tso nusiawo katã ŋu egbea.

Nukae nye Epidermal Inclusion Cyst?

Kpuie ko la, esia nye kotoku sue aɖe si me nane si le abe tsi ene yɔ fũu si dzɔna le wò ŋutigbalẽ ƒe akpa si le etame (si ƒe lãkusi) te. Edze abe bɔl sue aɖe si woɣla ɖe ŋutigbalẽa te ene. Ame geɖe hã yɔa esia be ami ƒe ʋuʋudedi . Gake ema nye nukpɔsusu totro vie. Elabena `(Sebum)` (si nye ami si ami ƒe lãkusi siwo le ŋutigbalẽa me wɔna be míaƒe ŋutigbalẽ natsi dzodzodzoe) mele cyst siawo me o. Le nyateƒe me la, nuwo abe keratin (protein ƒomevi aɖe si le míaƒe ŋutigbalẽ, ɖa, kple ɖa me) kple ŋutigbalẽ me lãmenugbagbevi kuku kakɛwo ene le wo me. Zi geɖe la, ŋkɔ `(Sebaceous cyst)` koe ɖɔktawo zãna na cysts siwo dona kple ŋutigbalẽ ƒe nɔnɔme tɔxɛwo abe `(Steatocystoma Multiplex)` ene. Le nyateƒe me la, `(Sebum)` yɔa cyst mawo me fũ. Esia tae wole `(Sebaceous cysts) ŋutɔŋutɔ ɖo. Gake ami ƒe ʋuʋudedi vavã siawo mebɔ boo o. Gake epidermal inclusion cysts siwo ŋu míele nu ƒom tsoe la bɔ ŋutɔ.

Aleke gbegbee lãkusi siawo siwo wotsɔ dea lãkusi me la bɔe?

Le nyateƒe me la, epidermal inclusion cysts ye nye ŋutigbalẽ me cyst ƒomevi si bɔ wu . Anɔ eme be ɖeka alo eve nɔ asiwò kpɔ.

Aleke epidermal inclusion cyst le?

Azɔ mina míakpɔ alesi dɔdzẽ sia le ɖa. Àte ŋu akpɔ nɔnɔme siwo le abe esiawo ene:

• Edzena abe ƒoƒoe goglo alo ƒunukpeƒe sue aɖe ene.
• Ɣeaɖewoɣi la, àte ŋu akpɔ teƒe yibɔ sue aɖe (`(Punctum)`) le atikutsetsea titina.
• Woƒe lolome ate ŋu atso sentimeta afã (0.25) va ɖo sentimeta eve (2) kple edzivɔ. Woate ŋu atsi vivivi.
• Ŋutilã ƒe amadede ate ŋu ato vovo. Zi geɖe la, enyea amadede pink-dzẽ, alo ate ŋu anye amadede si do viviti vie wu wò ŋutigbalẽ ƒe amadede.
• Àte ŋu ase veve alo dzoxɔxɔ vi aɖe ne èka asi eŋu.
• Atikutsetse sia ate ŋu ase le eɖokui me be eʋuʋuna bɔbɔe ne ètsɔ asi tsɔe le tsatsam.

Nukae le epidermal inclusion cyst me?

Abe alesi megblɔe va yi ene la, keratin kple ŋutigbalẽmenugbagbevi kukuwo yɔa ʋuʋudedi siawo me fũ . Ne ŋutigbalẽŋutinunyala ɖe tsi le ɖeka me la, tsi si dona le eme la ƒoa ke, ɣie, eye ate ŋu aʋẽ vie .

Ðe nuku siawo vea amea?

Zi geɖe la, epidermal inclusion cyst mevea ame o . Gake ɣeaɖewoɣi la, ƒunukpeƒetetedɔ sia ate ŋu axɔ abi (avuvu).. Ekema ase veve ne woka asi eŋu. Ne ƒunukpeƒea le tsitsim la, ne egbã (egbã) la, àte ŋu ase veve kple vevesese. Ɣeaɖewoɣi la, àte ŋu ase ʋuʋudedi le teƒe si ʋuʋudedia le hã. Ne èle veve sem le teƒe si ƒunukpeƒea le, alo ne dzesi bubu aɖe si mebɔ o le ŋuwò la, ele be nàyi ɖɔkta gbɔ godoo.

Afikae lãkusi me lãkusiwo ƒe ʋuʋudediwo dzɔna le wu?

Le nyateƒe me la, dɔdzẽ siawo ate ŋu adzɔ le ŋutilãa ƒe akpa ɖesiaɖe, gake wokpɔa wo zi geɖe le teƒe siawo:

• Le mo dzi
• Le akɔta
• Le megbe
• Tagbɔ ƒe ta
• Le kɔ dzi
• Le afɔwo me
• Le asiwo me
• Vidzinuwo (siwo do ƒome kple vidzinuwo) .

Nukae hea epidermal inclusion cysts vɛ?

Taɖa siawo dzɔna ne taɖa ƒe ƒuƒoƒo (`(Hair follicle)`) si le míaƒe ŋutigbalẽ me – si nye do si me taɖa dona tso ŋutigbalẽa me – va xe le eƒe tame (`(Follicular infundibulum)`). Bu eŋu kpɔ, míaƒe ŋutigbalẽ ƒe lãmenugbagbeviwo hã ƒe agbenɔƒe le. Ne woku la, woɖea wo ɖa le ŋutigbalẽa me. Ema nye nusi sɔ. Gake ne wò ŋutigbalẽ xɔ abi, abe ƒoƒoe, amekoko ƒe abi, alo ŋutigbalẽ ƒe nɔnɔme abe aklã ene, alo ne ɣe ƒe dzoxɔxɔ gblẽ nu le wò ŋutigbalẽ ŋu la, ŋutigbalẽmenugbagbevi kuku siawo mate ŋu akɔ nyuie o. Emegbe lãmenugbagbevi siawo kple nusiwo le abe keratin ene ƒoa ƒu ɖe ŋutigbalẽa te eye wotsia anyi. Aleae cyst, alo cyst, sia dzɔnae. Ɣeaɖewoɣi la, le teƒe siwo ɖa ƒe ƒuƒoƒo aɖeke mele wò ŋutilã ŋu o gɔ̃ hã la, ʋuʋudedi sia ƒomevi ate ŋu ado mo ɖa le abi si wòxɔ le ŋutigbalẽa ŋu ta. Le abi ma ta la, wotua lãmenugbagbevi siwo le ŋutigbalẽa ƒe akpa si le etame la ɖe anyi va ɖoa akpa si le ete (`(Dermis)`). Afima hã la, keratin ƒoa ƒu eye wòwɔa dɔdzẽ.

Amekae le afɔku gã me be wòaxɔ ƒunukpeƒetetedɔ (epidermal inclusion cysts)?

Togbɔ be dɔdzẽ siawo ate ŋu adze le ƒe ɖesiaɖe me hã la, wobɔ wu le ƒe 20 va ɖo ƒe 60. Ƒã hafi wodzena hafi ɖoa sɔhɛme. Wobɔ ɖe ŋutsuwo hã me wu nyɔnuwo. Domenyiŋusẽfianu ƒe nɔnɔme aɖewo siwo mebɔ o kple dɔléle bubuwo hã ate ŋu ana dɔdzẽ geɖe nado le ɣeyiɣi ɖeka me. Le kpɔɖeŋu me:

• Gardner ƒe dɔléle (`(Gardner ƒe dɔléle / ƒome ƒe adenomatous polyposis)`)
• Gorlin ƒe dɔléle (`(Gorlin ƒe dɔléle / basal cell nevus ƒe dɔléle)`)
• Favre-Racouchot ƒe dɔléle (`(Favre-Racouchot ƒe dɔléle)`)
• Amegbetɔ ƒe Papillomavirus ( HPV ) dɔlékui .

Azɔ hã, atike aɖewo ate ŋu ana afɔku si le dɔdzẽ siawo xɔxɔ me nadzi ɖe edzi:

• BRAF ƒe mɔxenuwo
• Imiquimod (`(Nu ɖeka tɔgbe)`) .
• Cyclosporine (`( Cyclosporine )`) ƒe lãgbalẽ.

Ðe dɔdzẽ siawo xɔa ame mea?

Ao, epidermal inclusion cysts mexɔa ame o .

Nukawoe nye kuxi siwo ate ŋu ado tso epidermal inclusion cyst me?

Dɔdzẽ siawo ate ŋu ahe kuxiwo abe:

• Inflamed epidermal inclusion cyst: Aɖuɖɔtoea vuvu eye wòsea veve ne woka asi eŋu.
• Infected epidermal inclusion cyst: Dɔlékui siwo gblẽa nu le ame ŋu tsina le cyst la me, si wɔnɛ be ŋutigbalẽa vuvu, sea veve, eye ŋutigbalẽ ƒe amadede trɔna ne ŋutilãa le avu wɔm kplii.
• Ruptured epidermal inclusion cyst: Cyst la gbãna, si wɔnɛ be wòvuvu, vevesese, ŋutigbalẽ ƒe amadede trɔna, eye tsi ɣi aɖe (si ʋẽna lilili zi geɖe) dona.

Ðe epidermal inclusion cyst nye kansa ƒe dzesia?

Zi geɖe la , epidermal inclusion cysts megblẽa nu le ame ŋu o . Ke hã, ƒã ŋutɔ be numekulawo ke ɖe nɔnɔme siwo me kansa lãmenugbagbeviwo (`(Malignancy)`) do le ƒunukpeƒe siawo me ŋu. Etɔxɛe:

• Squamous cell carcinoma (Squamous cell carcinoma) .
• Basal cell carcinoma (`(Basal lãmenugbagbeviwo ƒe dɔdzẽ)`) .

Ne nɔnɔme siawo le wò dɔdzẽa ŋu la, ke enye nusi ŋu wòle be nàtsi dzi ɖo:

• Dɔlékui aɖe ƒe dzesiwo: vevesese, ŋutigbalẽ ƒe amadede ƒe tɔtrɔ, vuvu, kple/alo tsi si le dodom.
• Tsitsi kabakaba ŋutɔ.
• Eƒe didime wu sentimeta 5 .

Ne ède dzesi tɔtrɔ aɖewo le wò dɔdzẽ ŋu la, ƒo nu kple ɖɔkta enumake.

Aleke nèwɔna dea dzesi epidermal inclusion cyst?

Ðɔkta ate ŋu akpɔe be epidermal inclusion cyst le ŋuwò ne edo wò kpɔ, lé ŋku ɖe ƒunukpeƒea ŋu, eye wòbia wò dzesiwo (ne woli). Togbɔ be zi geɖe la, mehiã o hã la, woate ŋu adɔ dodokpɔwo abe esiawo ene hã atsɔ aɖo kpe dɔlélea dzi:

• Radiology alo nɔnɔmetatawo dodokpɔ: Ultrasound ate ŋu akpe ɖe ŋuwò nànya nusi le dɔdzẽa me. Ne dɔdzẽa lolo la, CT- dɔdamɔnu (computed tomography scan) ate ŋu aɖo kpe dɔlélea dzi eye wòakpe ɖe ɖɔktaa ŋu wòatso nya me le mɔ nyuitɔ si dzi wòato aɖee ɖa ŋu.
• Biopsy: Ðɔktaa ɖea lãkusi sue aɖe tso dɔdzẽa me hedonɛ kpɔna le nudokpɔƒe.

Ðe wòhiã be makpɔ atikewɔla bibi aɖe le dɔdzẽ si le abe esia ene ŋua?

Ne ède dzesi tɔtrɔ alo ƒunukpeƒe yeye aɖewo le wò ŋutigbalẽ ŋu la, yi ɖɔkta gbɔ gbã. Àte ŋu akpɔ wò ƒomea ƒe ɖɔkta (Primary Care Physician - PCP). Ate ŋu aɖo wò ɖe ŋutigbalẽŋutinunyala gbɔ ne ehiã. Menye ɖɔktawo katãe ɖea lãkusi siwo wotsɔ dea lãkusi me o. Eyata wò ɖɔkta ate ŋu aɖo wò ɖe eŋutinunyala bibi aɖe si wona hehee be wòaɖe ƒunukpeƒetetedɔ siawo ɖa, le kpɔɖeŋu me, ŋutigbalẽŋutinunyala, amekola na amewo katã, alo amekola si naa amekola.

Aleke wowɔa atike na epidermal inclusion cysts (sebaceous cysts)?

Zi geɖe la, ne dzesi alo kuxi aɖeke mele wò ʋuka me o la, wò ɖɔkta ate ŋu agblɔ na wò be nàlé ŋku ɖe eŋu ko eye mègadae o . Gake ne ƒunukpeƒea vuvu eye nèse le ɖokuiwò me be yemele dedie o la, àte ŋu ate atike si me dzoxɔxɔ le kpɔ le aƒeme be wòakpe ɖe ŋuwò nàɖe wò dzesiwo dzi akpɔtɔ. Ke hã, ne wò dzesiawo gakpɔtɔ li alo wova le sesẽm ɖe edzi la, yi ɖɔkta gbɔ. Ate ŋu aɖo aɖaŋu be woaɖee ɖa alo woado steroid ɖe ʋukaa me be wòaɖe abi la dzi akpɔtɔ hena ɣeyiɣi aɖe. Ne dɔlékui le ʋukaa me la, wotsɔa dɔlékuiwutikewo daae .

Epidermal Inclusion Cyst (Ami ƒe Ʋuʋudedi) ɖeɖeɖa

Wò ɖɔkta ate ŋu aɖe dɔdzẽa ɖa to mɔnu siawo zazã me:

• Lãɖeɖe kple tsi si dona le eme: Ðɔkta la tsoa ʋuʋudedi sue aɖe ɖe ʋukaa dzi eye wòɖea tsi si le eme la ɖa. Esia medaa dɔlékuiwutikea keŋkeŋ o, elabena womeɖea ƒunukpeƒetetedɔa ƒe atikekui la ɖa o. Gake enaa gbɔdzɔe tso abi kple abi me.
• Amekoko ƒe lãɖeɖe: Esia nye amekoko si ɖea dɔdzẽa ɖa keŋkeŋ . Wowɔa esia le atike si wua alɔ̃dɔdɔ le teƒea me . Esia fia be wometsɔ wò mlɔ alɔ̃ o eye màse veve aɖeke o. Woɖea gotagome nutsyɔnu si le dɔdzẽa (capsule) la ɖa keŋkeŋ, si wɔnɛ be dɔdzẽa megatrɔna o.

Nu vevitɔe nye be, mele be wò ŋutɔ nàdze agbagba gbeɖe be yeaƒo ƒunukpeƒetetedɔ siawo, aƒo wo, alo aƒo wo o! Esia wɔwɔ ate ŋu ana dɔlékuiwo nadze ame dzi eye ƒunukpeƒea ate ŋu agatsi ake gɔ̃ hã.

Ðe atikewɔwɔa ƒe nugbegblẽ aɖewo lia?

Afɔku siwo do ƒome kple amekoko be woaɖe dɔdzẽ ɖa la mebɔ kura o, gake woate ŋu anye:

• Dɔlékui aɖe
• Ʋu si le dodom
• Abi aɖe
• Vevesese aɖe
• Dɔdzẽa ƒe gbugbɔgadzɔ (`(Gbugbɔgadzɔ)`) .

Ðe woate ŋu axe mɔ ɖe epidermal inclusion cysts (sebaceous cysts) nua?

Zi geɖe la, ƒunukpeƒetetedɔ siwo wotsɔ dea lãkusi me nyea nusi dzɔna le vome. Gake ne èƒo asa na nuveviwɔame le wò ŋutigbalẽ ŋu, ƒo asa na nusiwo gblẽ , kple ŋutigbalẽ ƒe nɔnɔmewo (e.g., aklãdɔ) ƒe atike nyuitɔ xɔxɔ ate ŋu akpe ɖe ŋuwò nàɖe afɔku sia dzi akpɔtɔ.

Nukae adzɔ ɖe nuku siawo dzi? Nukae nye mɔkpɔkpɔa?

Ne wonya kpɔ dɔlélea le ŋuwò ko la, àte ŋu alala be ƒunukpeƒea nadzo le eɖokui si , alo aƒo nu kple wò ɖɔkta tso atikewɔmɔnu siwo nàte ŋu azã ŋu. Zi geɖe la, ʋuʋudedi siawo mehea dzesi aɖeke vɛ o. Gake ne ƒunukpeƒetetedɔ aɖe do mo ɖa le teƒe si woate ŋu akpɔ, abe wò mo alo taɖa ene, alo ne ele veve sem na wò la, ate ŋu atsi dzimaɖi vie. Ne ƒunukpeƒea le fu ɖem na wò la, ƒo nu kple wò ɖɔkta tso eŋu be woaɖee ɖa.

Ðe epidermal inclusion cyst aɖe nu ayi le eɖokui sia?

Dɔdzẽ aɖewo ƒe lolome aɖiɖi, gake bubuwo ate ŋu ayi edzi anɔ tsitsim vaseɖe esime woawɔ atike na wò. Ne womewɔ atike nɛ o la, ɖewohĩ dɔdzẽa anɔ ŋuwò le wò agbemeŋkekewo katã me.

Ðe ƒunukpeƒetetedɔ siwo wotsɔ dea lãkusi me ate ŋu agblẽ ɖe edzia?

Ɣeaɖewoɣi la, epidermal inclusion cysts ate ŋu anɔ sue eye dzesi aɖeke manɔ wo ŋu o ƒe geɖe. Gake woate ŋu adzi ɖe edzi le woƒe lolome nu eye woana ame nase veve eye wòaƒoe. Ne ƒunukpeƒetetedɔa le fu ɖem na wò la, ƒo nu kple wò ɖɔkta tso atikewɔmɔnu siwo nàte ŋu azã ŋu.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Yi ɖɔkta gbɔ ɣesiaɣi ne ède dzesii be ƒu alo ƒoƒoe aɖe le wò ŋutigbalẽ ŋu. Ate ŋu anye epidermal inclusion cyst, dɔdzẽ ƒomevi bubu, alo nane si nu sẽ wu. Mègakpɔ dɔlélea le ɖokuiwò si o . Kpɔ ɖɔkta hena dɔlélea didi nyuie kple atikewɔwɔ tɔxɛ aɖe.

Nukae wòle be mabia nye ɖɔkta?

Àte ŋu abia ɖɔktaa nyawo abe:

• Ðe epidermal inclusion cyst, alo dɔdzẽ ƒomevi bubu aɖe le ŋunyea?
• Ðe esia anyo le eɖokui sia, alo ɖe mahiã atikewɔwɔa?
• Èsusu be dɔdzẽ sia alolo ɖe edzia?
• Atikewɔwɔmɔnu kawoe nèkafu?
• Ðe wòle be makpɔ eŋutinunyala bibi aɖe alo amekola aɖea?
• Nukae wòle be mawɔ ne dɔdzẽa gatrɔ va le eɖeɖe vɔ megbe?

Ðe epidermal inclusion cysts (sebaceous cysts) nye afɔkua?

Epidermal inclusion cysts akpa gãtɔ menye afɔku o . Zi geɖe la, womehea dzesiwo vɛ o. Menye ƒunukpeƒewo katãe xɔa dɔlékuiwo o, gake woate ŋu axɔ dɔlékuiwo. Dɔlékuiwo ate ŋu anye afɔku ne womeda wo o. Togbɔ be ƒã ŋutɔ hã la, ƒunukpeƒetetedɔ aɖewo ate ŋu azu kansa, eyata yi ɖɔkta gbɔ ne ède dzesi tɔtrɔ aɖewo le wò ŋutigbalẽ ŋu. Ne èkpɔ ƒunukpeƒe yeye alo tsi si le tsitsim le wò ŋutigbalẽ ŋu la, ate ŋu ado vɔvɔ̃ na ame eye wòatsi dzimaɖi. Ate ŋu anye ƒunukpeƒetetedɔ si me afɔku mele o, alo ate ŋu anye dɔléle si wokpɔna si nu sẽ wu. Kpɔ ɖɔkta ne ènya de dzesi tɔtrɔ aɖewo le wò ŋutigbalẽ ŋu ko. Ate ŋu ana nàkpɔ dɔlélea nyuie eye wòaɖo nyabiase alo nu siwo ŋu nètsi dzi ɖo ɖesiaɖe ŋu. Menye ɣesiaɣie wòhiã be woawɔ atike na lãkusi siwo wotsɔ dea lãkusi me o. Ke hã, ne ɖɔkta ɖe wo ɖa la, ate ŋu ana nàse le ɖokuiwò me be yeƒe dzi dze eme. Mègadze agbagba be yeaɖe ƒunukpeƒetetedɔ siawo alo aƒoe le aƒeme o.Ate ŋu ahe dɔlékui aɖe vɛ. Wò ɖɔkta aɖe tsi si le ʋukaa me la ɖa dedie, eyata mehiã be nàtsi dzi ɖe eŋu o.

Eyata nu vevi kawoe wòle be míatsɔ ayi aƒemee tso ŋutinya sia me?

Enyo, eyata nu vevi aɖewo siwo dzi wòle be míaɖo ŋkui le epidermal inclusion cysts siwo ŋu míeƒo nu tsoe egbea ŋue nye esi:

• Esiawo nye ƒunukpeƒetetedɔ ƒomevi aɖe si dzɔna le ŋutigbalẽa te, eye keratin yɔa eme fũ, eye zi geɖe la, womegblẽa nu le ame ŋu o .
• Ŋkɔ ‘sebaceous cyst’ ate ŋu anye nukpɔsusu totro.
• Zi geɖe la, amesiawo mevea ame o, gake woate ŋu avuvu, axɔ dɔlékuiwo, eye woagbã.
• Ne ède dzesii be ƒuƒu alo ƒoƒo yeye aɖe le wò ŋutigbalẽ ŋu la, mègakpɔe le ɖokuiwò si o, gake yi ɖɔkta gbɔ godoo.
• Mègadze agbagba gbeɖe be ye ŋutɔ yeamimi ƒunukpeƒe siawo alo aƒo wo o. Esia ate ŋu ana nɔnɔmea nagagblẽ ɖe edzi.
• Togbɔ be atikewɔwɔ mehiã le go geɖe me o hã la, ne dɔdzẽa ɖea fu na ame la, mɔ aɖewo li siwo dzi woato aɖee ɖa dedie.
• Esi wònye be ƒã ŋutɔ be ate ŋu anye kansa ta la, nya nu tso nuwo abe tsitsi kabakaba, amadede ƒe tɔtrɔ, kple vevesese le dɔdzẽa me ŋu.

Eya ta, ne nane si le abe esia ene le asiwò la, mègatsi dzodzodzoe o. Nu nyuitɔ si nàwɔe nye be woana nyanya wò eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne ehiã.