Tej zaum koj yuav tau pom ib daim ntawv sau tseg hauv daim ntawv qhia uas hais tias "Kidney cyst" lossis "Renal cyst" thaum koj muaj kev kuaj mob lwm yam. Nws yog ib qho ib txwm rau peb kom ntshai thiab ntxhov siab me ntsis thaum peb hnov lo lus "qog." Tej zaum koj yuav xav tias, "Au kuv tus Vajtswv, qhov no puas yog mob qog noj ntshav?" Tab sis tsis txhob txhawj. Qhov tseeb, feem ntau ntawm cov qog no tsis txaus ntshai. Yog li hnub no, cia peb tham txog qhov no kom meej meej, hauv hom lus uas koj nkag siab tau.
Hais yooj yim xwb, cov cysts hauv lub raum yog dab tsi?
Xav txog ib lub pob me me uas muaj kua dej. Qhov ntawd yog lub raum cyst. Cov no feem ntau yog cov hnab puag ncig, nyias nyias uas muaj kua dej. Thaum peb laus zuj zus, cov cyst no tuaj yeem tsim rau ntawm qhov chaw ntawm lub raum lossis hauv cov qauv me me hu ua nephrons hauv lub raum.
Tam sim no tej zaum koj yuav xav paub tias cov 'nephrons' no yog dab tsi. Ob lub raum hauv peb lub cev zoo li lub tshuab lim dej zoo heev. Lub luag haujlwm tseem ceeb ntawm lub raum yog lim thiab cais cov khib nyiab thiab cov dej tsis tsim nyog hauv lub cev thiab tso tawm ua zis. Peb hu cov lab ntawm cov chav me me uas ua lub luag haujlwm lim dej no '(nephrons)'.
Cov pob zeb hauv lub raum no muaj qhov loj sib txawv. Qee qhov me heev, tab sis lwm tus tuaj yeem loj txog li ob ntiv tes. Qee zaum lawv loj dua raws sijhawm, lossis lawv tseem loj li qub. Ib tug neeg tuaj yeem muaj ib lub pob zeb lossis ntau lub pob zeb. Lawv kuj tuaj yeem tshwm sim hauv ib lub raum lossis hauv ob lub raum.
Qhov tseem ceeb yog tias feem ntau ntawm cov qog nqaij hlav no tsis cuam tshuam rau kev ua haujlwm ntawm lub raum li cas los xij, yog li tsis muaj dab tsi yuav txhawj txog.
Cov txiv hmab txiv ntoo no puas zoo ib yam? Puas muaj ntau hom?
Yog, muaj ob hom qog nqaij hlav loj. Nws yog ib qho tseem ceeb heev uas yuav tsum txheeb xyuas ob hom no, vim nws txiav txim siab seb puas xav tau kev kho mob lossis tsis xav tau. Cov kws kho mob siv ib txoj kev tshwj xeeb hu ua "Bosniak classification" los faib cov no. Cia peb saib nws yooj yim.
| Hom mob qog | Kev piav qhia |
|---|---|
| Cov pob khaus yooj yim | Feem ntau ntawm cov qog nqaij hlavNov yog hom. Cov no zoo li cov pob xab npum uas muaj dej puv. Lawv puag ncig, nyias nyias, thiab muaj kua dej ntshiab puv. Lawv tsis yog mob qog noj ntshav (zoo). Yog li ntawd, feem ntau lawv tsis tas yuav kho lossis mus kuaj mob tas li. |
| Cov cysts nyuaj | Cov no txawv ntawm cov cysts yooj yim. Lawv yuav muaj phab ntsa tuab dua, tsis zoo li qub, thiab tej zaum yuav muaj cov khoom khov es tsis yog kua. Qee cov cysts nyuaj no muaj kev pheej hmoo me ntsis ntawm kev ua mob qog noj ntshav lossis ua mob qog noj ntshav . Yog li ntawd, yog tias koj tus kws kho mob pom ib lub cyst zoo li no, nws yuav txiav txim siab saib xyuas nws lossis tshem nws tawm. |
Yog hais yooj yim xwb, yog koj daim ntawv qhia hais tias "Simple renal cyst," ces tsis muaj dab tsi yuav tsum txhawj txog yog tias nws yog qhov tseeb. Tab sis yog tias nws hais tias "Complex renal cyst," ces nws yog ib qho tseem ceeb uas yuav tsum tau kuaj mob thiab saib xyuas raws li koj tus kws kho mob hais.
Cov qog no puas ua rau muaj tsos mob?
Qhov xov xwm zoo yog tias feem ntau, cov cysts yooj yim no tsis ua rau muaj tsos mob . Qhov tseeb, muaj ntau lab tus tib neeg uas nyob yam tsis paub tias lawv muaj lub raum cyst.
Txawm li cas los xij, qee zaum cov qog no tuaj yeem ua teeb meem yog tias nws tawg thiab pib los ntshav, kis kab mob, lossis loj dhau thiab nias rau lwm cov kabmob hauv plab. Yog tias qhov no tshwm sim, cov tsos mob hauv qab no yuav tshwm sim:
- Mob los yog mob ntswj rau sab, plab, lossis nraub qaum ntawm cov tav thiab lub duav.
- Ua npaws.
- Yuav tsum tau tso zis ntau zaus.
- Ntshav hauv cov zis los yog cov zis tsaus nti.
Nyob ntawm seb qhov mob qog nyob qhov twg, qee zaum nws tuaj yeem cuam tshuam rau kev ua haujlwm ntawm lub raum. Tsis tas li ntawd, yog tias qhov mob qog tiv thaiv lub raum kom tsis txhob lim cov kua dej ntau dhau ntawm cov ntshav, ntshav siab tuaj yeem tshwm sim.
Vim li cas cov qog nqaij hlav no thiaj tsim?
Cov kws tshawb nrhiav tseem tsis tau paub meej tias yog dab tsi ua rau qhov no. Lawv ntseeg tias cov cysts no tshwm sim thaum lub raj uas txuas nrog lub raum lub lim dej (nephrons) tsis muaj zog, o, thiab puv nrog kua dej.
Qhov tseem ceeb yog tias cov cysts yooj yim no tsis yog los ntawm noob caj noob ces . Uas yog, lawv tsis yog los ntawm niam txiv. Nws ntseeg tias qee zaum kev raug mob me me rau lub raum lossis kev txhaws me me hauv cov channel no tuaj yeem ua rau qhov no.
Txawm li cas los xij, cov cysts raum kuj tuaj yeem tshwm sim vim muaj qee yam mob. Lawv txawv ntawm cov cysts ib txwm muaj.
- Kab mob raum polycystic - Qhov no yog ib qho kab mob uas tau txais los ntawm noob caj noob ces.
- Kab mob raum ntev (CKD)
- Kab mob Von Hippel-Lindau
- Kab mob tuberous sclerosis complex (TSC)
Vim tias cov no yog cov xwm txheej tshwj xeeb, koj tus kws kho mob yuav qhia koj txog lawv.
Yuav kuaj pom cov qog no li cas? Yuav kho li cas?
Feem ntau, mob qog nqaij hlav hauv lub raum raug tshawb pom los ntawm txoj hmoo. Nws raug tshawb pom thaum lub sijhawm luam theej duab ua rau lwm qhov laj thawj. Yog tias pom muaj mob qog nqaij hlav zoo li no, koj tus kws kho mob yuav pom zoo kom kuaj ntau ntxiv kom paub seb nws puas yooj yim lossis nyuaj.
Kev ntsuam xyuas tus kheej
- Kev Ntsuas Ultrasound: Qhov no siv cov suab nrov siab los tsim cov duab meej ntawm lub raum. Nws yog ib qho kev kuaj mob uas muaj kev nyab xeeb heev uas tsis muaj kev mob lossis kev siv hluav taws xob.
- CT Scan (Computed Tomography Scan): Qhov no siv cov duab X-rays thiab thev naus laus zis computer los tsim cov duab peb-seem (3D) ntawm cov raum. Qhov no pab kawm txog qhov xwm txheej ntawm cov qog nqaij hlav kom ntxaws ntxiv.
- MRI (Magnetic Resonance Imaging Scan): Siv lub zog magnetic thiab cov xov tooj cua los tsim cov duab meej thiab ntxaws. MRI yog qhov tseem ceeb heev rau kev paub qhov txawv ntawm lub cyst uas muaj kua thiab lub pob khov.
- Kev kuaj mob raum ua haujlwm: Cov ntshav thiab zis tuaj yeem kuaj xyuas kom pom tias koj lub raum ua haujlwm zoo npaum li cas thiab seb lawv puas tau raug cuam tshuam los ntawm qog.
Cov kev kho mob
Feem ntau, mob qog nqaij hlav hauv lub raum tsis tas yuav kho . Koj tus kws kho mob tsuas yog yuav qhia koj kom saib xyuas nws xwb. Tej zaum yuav tsum tau kuaj mob txhua xyoo lossis ob xyoos.
Txawm li cas los xij, yog tias ib qho qog ua rau mob, yog tias nws loj dhau uas tsis tuaj yeem nias rau lwm lub cev, lossis yog tias nws cuam tshuam rau kev ua haujlwm ntawm lub raum, nws yuav tsum tau muab tshem tawm. Tsis tas li ntawd, yog tias qhov qog muaj ntau yam thiab tus kws kho mob xav tias nws muaj feem yuav ua mob qog noj ntshav, nws yuav txiav txim siab tshem nws tawm.
Ob txoj kev tseem ceeb yog siv los kho:
1. Kev nqus thiab kev kho mob sclerotherapy: Hauv qhov no, nyob rau hauv kev coj ntawm lub tshuab scanner, ib rab koob nyias heev raug ntxig los ntawm daim tawv nqaij mus rau hauv lub cyst, thiab cov kua dej raug ntws tawm tag. Qee zaum, ib qho tshuaj tshwj xeeb, xws li cawv, raug txhaj rau hauv lub cyst kom tiv thaiv nws kom tsis txhob puv nrog cov kua dej dua.
2. Kev phais:Kev phais mob Laparoscopic tam sim no feem ntau siv rau lub hom phiaj no. Qhov no txhais tau tias lub koob yees duab thiab cov cuab yeej siv tau yooj yim raug ntxig los ntawm ntau lub qhov me me hauv plab, es tsis txhob ua qhov phais loj. Ntawm no, tus kws kho mob tshem cov kua dej ntawm lub cyst thiab txiav lossis hlawv phab ntsa sab nraud ntawm lub cyst.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no tom qab koj pom tias koj muaj qog nqaij hlav hauv lub raum, mus ntsib koj tus kws kho mob tam sim ntawd. Cov no yuav yog cov cim qhia txog kev kis kab mob, tawg, lossis lwm yam teeb meem.
Tsis txhob ntshai, tab sis nws yog ib qho tseem ceeb heev uas yuav tsum tau ua tib zoo saib xyuas cov tsos mob no.
| Cov tsos mob | Yuav tsum tau them sai sai rau dab tsi |
|---|---|
| Mob nraub qaum, mob sab, lossis mob plab | Mob sai sai los yog mob hnyav zuj zus. |
| Ua npaws | Kub taub hau, mob khaub thuas thiab tshee hnyo tsis muaj laj thawj tshwj xeeb. |
| Kev hloov pauv ntawm cov zis | Ntshav nyob rau hauv cov zis, cov zis liab/xim av tsaus, lossis tso zis nyuaj. |
| Kev hloov pauv ntawm kev tso zis | Tso zis ntau zaus dua li niaj zaus lossis txo cov zis uas koj tso tawm. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov cysts hauv lub raum feem ntau tshwm sim, tshwj xeeb tshaj yog rau cov neeg hnub nyoog tshaj 50 xyoo.
- Feem ntau ntawm cov no yog "cov cysts yooj yim" , uas tsis muaj teeb meem dab tsi thiab tsis ua mob qog noj ntshav.
- Feem ntau cov qog no tsis ua rau muaj tsos mob. Lawv raug kuaj pom thaum lub sijhawm luam theej duab ua rau lwm qhov laj thawj.
- Yog koj daim ntawv qhia txog kev kuaj mob hais tias "Kidney Cyst", tsis txhob ntshai thiab nrog koj tus kws kho mob tham txog qhov ntawd. Nws yuav piav qhia txog qhov xwm txheej ntawm lub cyst thiab yuav ua li cas tom ntej.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li tus kws kho mob cov lus qhia thiab ua kev soj ntsuam tom qab raws sijhawm.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus