Kodi mudayamba mwakhala ndi chotupa chonga ichi pakhungu lanu? Tiyeni tikambirane za Epidermal Inclusion Cyst!

Kodi munayamba mwaonapo chinthu ngati chotupa kapena mpira wokulira pansi pa khungu lanu? Nthawi zina timatcha izi 'ma cysts a sebaceous', sichoncho? Koma kodi izi ndi chiyani kwenikweni, chifukwa chiyani zimapangidwa, ndipo kodi ndizoopsa? Tiyeni tikambirane zonsezi lero.

Kodi Epidermal Inclusion Cyst ndi chiyani?

Mwachidule, ichi ndi thumba laling'ono lodzaza ndi madzi ngati madzi omwe amapangidwa pansi pa khungu lanu (khungu). Limawoneka ngati mpira wawung'ono wobisika pansi pa khungu. Anthu ambiri amatchanso kuti sebaceous cyst . Koma zimenezo ndi malingaliro olakwika pang'ono. Chifukwa ma cyst awa alibe `(Sebum)` (mankhwala amafuta opangidwa ndi glands zamafuta pakhungu kuti khungu lathu likhale lonyowa). Kwenikweni ali ndi zinthu monga keratin (mtundu wa mapuloteni omwe amapezeka pakhungu lathu, misomali, ndi tsitsi) ndi zidutswa za maselo a khungu lakufa. Nthawi zambiri, madokotala amagwiritsa ntchito dzina lakuti `(Sebaceous cyst)` pa ma cyst omwe amakula ndi matenda enaake a pakhungu monga `(Steatocystoma Multiplex)`. Ma cyst amenewo amadzazidwa ndi `(Sebum)`. Ichi ndichifukwa chake ndi `(Sebaceous cysts). Koma ma cyst enieni awa si ofala kwambiri. Koma ma cyst omwe tikunenawa ndi ofala kwambiri.

Kodi ma cysts opangidwa ndi epidermal awa ndi ofala bwanji?

Ma cysts a epidermal inclusion kwenikweni ndi mtundu wofala kwambiri wa cyst ya pakhungu. Mwina munakhalapo ndi chimodzi kapena ziwiri.

Kodi chilonda cha epidermal chimawoneka bwanji?

Tsopano tiyeni tiwone momwe chotupachi chikuonekera. Mutha kuwona zinthu ngati izi:

• Chimawoneka ngati fundo yozungulira kapena chotupa chaching'ono.
• Nthawi zina mumatha kuona kadontho kakang'ono kakuda (`(Punctum)`) pakati pa chipatsocho.
• Zitha kukula kuyambira pafupifupi theka la mainchesi (0.25) mpaka kupitirira mainchesi awiri (2). Zitha kukula pang'onopang'ono.
• Mtundu wa khungu ungasiyane. Nthawi zambiri umakhala wofiira ngati pinki, kapena ukhoza kukhala wakuda pang'ono kuposa mtundu wa khungu lanu.
• Mungamve kutentha pang'ono kapena kuluma mukakhudza.
• Chipatso ichi chingamveke ngati chikuyenda mosavuta mukachisuntha ndi dzanja lanu.

Kodi pali chiyani mkati mwa epidermal inclusion cyst?

Monga ndanenera kale, ma cysts awa amakhala ndi keratin ndi maselo a khungu akufa . Dokotala wa khungu akatulutsa madzi, madzi omwe amatuluka amakhala okhuthala, achikasu, ndipo amatha kukhala ndi fungo loipa pang'ono.

Kodi mtedza uwu umapweteka?

Kawirikawiri, chotupa cha epidermal inclusion si chopweteka . Komabe, nthawi zina chotupachi chimatha kutupa.Kenako imamva kupweteka ikakhudzidwa. Pamene chotupa chikukula, ngati chikaphulika (kuphulika), mutha kumva kuyabwa ndi kupweteka. Nthawi zina mungamvenso kuyabwa m'dera lomwe chotupa chili. Ngati muli ndi ululu m'dera lomwe chotupa chili, kapena ngati muli ndi zizindikiro zina zachilendo, muyenera kuonana ndi dokotala.

Kodi ma cysts a epidermal inclusion amapezeka kuti nthawi zambiri?

Zotupa zimenezi zimatha kupangika kulikonse pa thupi, koma zimapezeka kwambiri m'malo awa:

• Pankhope
• Mu chifuwa
• Kumbuyo
• Chikopa cha mutu
• Pakhosi
• M'miyendo
• M'manja
• Ziwalo zoberekera (zokhudzana ndi ziwalo zoberekera)

Nchifukwa chiyani ma cysts a epidermal amapangidwa?

Ma cysts amenewa amapangika pamene follicle ya tsitsi (`(Tsitsi)`) pakhungu lathu - kutanthauza dzenje lomwe tsitsi limatuluka pakhungu - limatsekeka pamwamba pake (`(Follicular infundibulum)`). Taganizirani izi, maselo athu a khungu nawonso amakhala ndi moyo. Akafa, amatuluka pakhungu. Imeneyo ndi njira yachibadwa. Koma ngati khungu lanu lavulala, monga kukwawa, bala la opaleshoni, kapena vuto la khungu monga ziphuphu, kapena ngati khungu lanu lawonongeka ndi kutentha kwa dzuwa, maselo a khungu akufawa sangatuluke bwino. Kenako maselo awa ndi zinthu monga keratin zimasonkhana pansi pa khungu ndipo zimamatira. Umu ndi momwe cyst iyi, kapena cyst, imapangikira. Nthawi zina, ngakhale m'malo omwe mulibe ma follicle a tsitsi m'thupi lanu, mtundu uwu wa cyst ukhoza kukula chifukwa cha kuvulala kwa khungu. Chifukwa cha kuvulala kumeneko, maselo omwe ali pamwamba pa khungu amakankhidwira pansi pa gawo lotsika (`(Dermis)`). Kumenekonso, keratin imasonkhana ndikupanga chotupa.

Ndani ali pachiwopsezo chachikulu chotenga matenda a epidermal inclusion cysts?

Ngakhale kuti zotupazi zimatha kukula pa msinkhu uliwonse, zimapezeka kwambiri pakati pa zaka 20 ndi 60. Sizikula kawirikawiri munthu asanakwanitse msinkhu. Zimapezekanso kwambiri mwa amuna kuposa akazi. Matenda ena osowa a majini ndi matenda ena angayambitsenso zotupa zingapo nthawi imodzi. Mwachitsanzo:

• Matenda a Gardner (`(Gardner syndrome / familial adenomatous polyposis)`)
• Gorlin syndrome (`(Gorlin syndrome / basal cell nevus syndrome)`)
• Matenda a Favre-Racouchot (`(matenda a Favre-Racouchot)`)
• Matenda a papillomavirus ya anthu ( HPV ).

Komanso, mankhwala ena amatha kuwonjezera chiopsezo cha matenda a chotupa ichi:

• Zoletsa za BRAF
• Imiquimod (`(Imiquimod)`)
• Cyclosporine (`( Cyclosporine )`)

Kodi zotupa izi zimapatsirana?

Ayi, ma cysts a epidermal inclusion si opatsirana .

Kodi ndi zovuta ziti zomwe zingachitike chifukwa cha kupangika kwa cyst ya epidermal?

Matendawa nthawi zina angayambitse mavuto monga:

• Chotupa cha epidermal chotupa: Chotupacho chimatupa ndipo chimapweteka chikakhudza.
• Chotupa cha epidermal choyambitsa matenda: Mabakiteriya oopsa amakula mkati mwa chotupacho, zomwe zimapangitsa kutupa, kupweteka, komanso kusintha mtundu wa khungu pamene thupi likulimbana nacho.
• Chiphuphu chopangidwa ndi epidermal: Chiphuphucho chimaphulika, zomwe zimapangitsa kutupa, kupweteka, kusintha mtundu wa khungu, komanso kutuluka madzi achikasu (nthawi zambiri onunkhira moyipa).

Kodi chilonda cha epidermal chotchedwa inclusion cyst ndi chizindikiro cha khansa?

Ma cysts a epidermal inclusion nthawi zambiri samakhala oopsa . Komabe, kawirikawiri, ofufuza apeza kuti maselo a khansa (`(Malignancy)`) apanga mkati mwa ma cysts awa. Makamaka:

• Khansa ya maselo a squamous (khansa ya maselo a squamous)
• Khansa ya maselo a basal (`(khansa ya maselo a basal)`)

Ngati chotupa chanu chili ndi zizindikiro izi, ndi chinthu choyenera kuganizira:

• Zizindikiro za matenda: kupweteka, kusintha kwa mtundu wa khungu, kutupa, ndi/kapena kutuluka kwa madzi m'thupi.
• Kukula mofulumira kwambiri.
• Kutalika kuposa masentimita 5 m'mimba mwake.

Ngati muwona kusintha kulikonse mu chotupa chanu, lankhulani ndi dokotala nthawi yomweyo.

Kodi mungadziwe bwanji cyst ya epidermal inclusion?

Dokotala akhoza kuzindikira chotupa cha epidermal mwa kukuyang'anani, kuyang'ana chotupacho, ndikufunsa za zizindikiro zanu (ngati zilipo). Ngakhale kuti nthawi zambiri sizimafunikira, angafunenso mayeso ngati awa kuti atsimikizire matendawa:

• Mayeso a X-ray kapena kujambula: Kujambula ndi ultrasound kungathandize kudziwa zomwe zili mkati mwa chotupacho. Ngati chotupacho ndi chachikulu, CT scan (computed tomography scan) ikhoza kutsimikizira matendawa ndikuthandizira dokotala kusankha njira yabwino yochichotsera.
• Kufufuza za khansa: Dokotala amatenga kachidutswa kakang'ono ka minofu kuchokera ku chotupacho ndikukayesa mu labotale.

Kodi ndiyenera kuonana ndi katswiri wa chotupa ngati ichi?

Ngati muwona kusintha kulikonse kapena zotupa zatsopano pakhungu lanu, pitani kwa dokotala kaye. Mutha kuwonana ndi dokotala wa banja lanu (Primary Care Physician - PCP). Iye akhoza kukutumizani kwa dokotala wa khungu ngati pakufunika kutero. Si madokotala onse omwe amachotsa ma cysts a epidermal inclusion. Chifukwa chake, dokotala wanu angakutumizireni kwa katswiri yemwe waphunzitsidwa kuchotsa ma cysts awa, mwachitsanzo, dokotala wa khungu, dokotala wamkulu, kapena dokotala wa opaleshoni ya pulasitiki.

Kodi ma cysts a sebaceous (epidermal inclusion cysts) amachiritsidwa bwanji?

Nthawi zambiri, ngati mulibe zizindikiro kapena mavuto ndi cyst yanu, dokotala wanu angakuuzeni kuti mungoyang'anitsitsa osachiza . Komabe, ngati cyst yatupa ndipo simukumva bwino, mutha kuyesa compress yotentha kunyumba kuti ikuthandizeni kuchepetsa zizindikiro zanu. Komabe, ngati zizindikiro zanu zikupitirira kapena zikuipiraipira, onani dokotala. Iye angakulangizeni kuti muchotse kapena kubaya cyst ndi mankhwala a steroid kuti muchepetse kutupa kwakanthawi. Ngati cyst ili ndi kachilombo, imachiritsidwa ndi maantibayotiki .

Kuchotsa Epidermal Inclusion Cyst (Sebaceous Cyst)

Dokotala wanu akhoza kuchotsa chotupa pogwiritsa ntchito njira izi:

• Kudula ndi kutulutsa madzi: Dokotala amadula pang'ono pa chotupacho ndikutulutsa madzi omwe ali mkati. Izi sizimachiritsa chotupacho kwathunthu, chifukwa kapisozi ya chotupacho siichotsedwa. Komabe, zimathandiza kuchepetsa kutupa ndi kutupa.
• Kuchotsa chotupa pa opaleshoni: Iyi ndi njira yochitira opaleshoni yomwe imachotsa chotupa chonse . Izi zimachitika pansi pa mankhwala oletsa ululu . Izi zikutanthauza kuti simugonedwa ndipo simudzamva kupweteka kulikonse. Chophimba chakunja cha chotupa (kapisozi) chimachotsedwa kwathunthu, zomwe zimalepheretsa chotupacho kubwerera.

Chofunika kwambiri ndichakuti, musayese kufinya, kupukuta, kapena kupukuta ma cysts awa nokha! Kuchita izi kungayambitse matenda ndipo cyst ikhoza kubwereranso.

Kodi pali zotsatirapo zilizonse za mankhwalawa?

Zoopsa zokhudzana ndi kuchotsa chotupa opaleshoni ndizosowa kwambiri, koma zingaphatikizepo:

• Matenda
• Kutuluka magazi
• Chilonda
• Ululu
• Kubwerezabwereza kwa chotupa (`(Kubwerezabwereza)`)

Kodi ma cysts a sebaceous (ma cysts a epidermal) angapewedwe?

Ma cysts a epidermal inclusion nthawi zambiri amapezeka mwachisawawa. Komabe, kupewa kuvulala pakhungu lanu, kupewa kuwonongeka , komanso kupeza chithandizo choyenera cha matenda a khungu (monga ziphuphu) kungathandize kuchepetsa chiopsezochi.

Kodi chidzachitike ndi chiyani kwa amisala awa? Kodi chiyembekezo chili bwanji?

Mukapezeka ndi matendawa, mutha kudikira kuti chotupacho chizimiririke chokha , kapena kulankhula ndi dokotala wanu za njira zina zochiritsira. Nthawi zambiri, chotupachi sichimayambitsa zizindikiro zilizonse. Koma ngati chotupacho chikayamba pamalo owoneka bwino, monga nkhope yanu kapena khungu lanu, kapena ngati chikukupangitsani kupweteka, zingakhale zodetsa nkhawa pang'ono. Ngati chotupacho chikukuvutitsani, lankhulani ndi dokotala wanu kuti akuchotseni.

Kodi chilonda cha epidermal inclusion chidzatha chokha?

Ziphuphu zina zimachepa kukula, koma zina zimatha kupitiriza kukula mpaka mutalandira chithandizo. Ngati simunalandire chithandizo, mutha kukhala ndi chophuphucho kwa moyo wanu wonse.

Kodi ma cysts a epidermal omwe amapangidwa ndi khungu amatha kufalikira?

Nthawi zina ma cyst omwe amapezeka m'maselo a khungu amatha kukhala ang'onoang'ono komanso osawonetsa zizindikiro kwa zaka zambiri. Komabe, amatha kukula kukula ndikupangitsa kuti musamve bwino komanso kuyabwa. Ngati cyst ikuvutitsani, lankhulani ndi dokotala wanu za njira zina zochiritsira.

Kodi ndiyenera kupita kwa dokotala liti?

Nthawi zonse pitani kwa dokotala ngati mwawona chotupa kapena chotupa pakhungu lanu. Chikhoza kukhala chotupa cha epidermal, mtundu wina wa chotupa, kapena china chake choopsa. Musadziyese nokha . Pitani kwa dokotala kuti akupatseni chithandizo chomveka bwino komanso kuti akupatseni chithandizo chapadera.

Kodi ndifunse dokotala wanga chiyani?

Mungathe kufunsa dokotala mafunso monga:

• Kodi ndili ndi chotupa cha epidermal inclusion cyst, kapena mtundu wina wa chotupa?
• Kodi izi zitha kukhala bwino zokha, kapena ndikufunika chithandizo?
• Kodi mukuganiza kuti chotupa ichi chidzakula?
• Kodi ndi njira ziti zochiritsira zomwe mumalimbikitsa?
• Kodi ndiyenera kupita kwa katswiri kapena dokotala wa opaleshoni?
• Kodi ndiyenera kuchita chiyani ngati chotupacho chabwerera pambuyo pochichotsa?

Kodi ma cyst opangidwa ndi epidermal (ma cyst opangidwa ndi sebaceous) ndi owopsa?

Ma cysts ambiri a epidermal inclusion si owopsa . Nthawi zambiri samayambitsa zizindikiro. Si ma cysts onse omwe amadwala, koma amatha kutenga kachilomboka. Matenda amatha kukhala owopsa ngati sanachiritsidwe. Ngakhale kuti ndi osowa kwambiri, ma cysts ena amatha kukhala khansa, choncho pitani kwa dokotala ngati muwona kusintha kulikonse pakhungu lanu. Kuwona chotupa chatsopano kapena kukula pakhungu lanu kungakhale koopsa komanso kodetsa nkhawa. Kungakhale cyst yopanda vuto ya epidermal inclusion, kapena kungakhale matenda oopsa kwambiri. Pitani kwa dokotala mukangowona kusintha kulikonse pakhungu lanu. Iye angakupatseni matenda oyenera ndikuyankha mafunso kapena nkhawa zomwe mungakhale nazo. Ma cysts a epidermal inclusion si nthawi zonse amafuna chithandizo. Komabe, kuwachotsa ndi dokotala kungakupangitseni kumva bwino. Musayese kutulutsa kapena kutulutsa ma cysts awa kunyumba.Zingayambitse matenda. Dokotala wanu adzatulutsa madzi ochulukirapo m'chiwindi mwabwinobwino, kuti musadandaule nazo.

Ndiye, ndi zinthu ziti zofunika kwambiri zomwe tiyenera kutenga kuchokera m'nkhaniyi?

Chabwino, nazi zina mwa zinthu zofunika kukumbukira zokhudza ma cysts a epidermal omwe takambirana lero:

• Izi ndi mtundu wa chotupa chomwe chimapangika pansi pa khungu, chodzaza ndi keratin, ndipo nthawi zambiri sichivulaza .
• Dzina lakuti 'sebaceous cyst' lingakhale lingaliro lolakwika.
• Izi nthawi zambiri sizimapweteka, koma zimatha kutupa, kutenga matenda, ndikuphulika.
• Ngati mwaona chotupa kapena chotupa chatsopano pakhungu lanu, musadziyese nokha, koma pitani kwa dokotala.
• Musayese kufinya kapena kupukuta ma cysts awa nokha. Izi zingapangitse kuti vutoli liwonjezeke.
• Ngakhale kuti chithandizo sichifunika nthawi zambiri, ngati chotupacho chikuvutitsa, pali njira zochichotsera mosamala.
• Popeza nthawi zambiri sichingakhale khansa, dziwani zinthu monga kukula mofulumira, kusintha kwa mtundu, ndi kupweteka kwa chotupacho.

Choncho, ngati muli ndi vuto lotere, musachite mantha. Chinthu chabwino kwambiri kuchita ndi kudziwa zambiri ndikupempha upangiri kwa dokotala ngati pakufunika kutero.