Kodi pali chotupa pachifuwa panu? Kodi chingakhale (Bronchogenic Cyst)? Tiyeni tikambirane za izi!

Kodi munayamba mwadzifunsapo ngati pali chotupa chaching'ono chomwe chimamera m'chifuwa mwanu osadziwa? Nthawi zina, chingakhalepo kwa zaka zambiri popanda zizindikiro zilizonse. Lero, tikambirana za matenda otchedwa Bronchogenic Cysts, omwe amapezeka pobadwa koma nthawi zina angayambitse mavuto akamakula.

Kodi ma cyst a bronchogenic ndi chiyani?

Mwachidule, Bronchogenic Cysts ndi ma cysts odzaza ndi madzi omwe amapangika pakati pa chifuwa chanu, chomwe timachitcha kuti Mediastinum. Taganizirani izi, Mediastinum iyi ndi gawo la pachifuwa chanu lomwe limasunga ziwalo zofunika monga mitsempha yayikulu yamagazi, mmero wanu, ndi chubu chanu chachikulu chopumira, Trachea. Ndi gawo lomwe limalekanitsa mapapo anu.

Chofunika kwambiri ndichakuti "Bronchogenic Cysts" izi ndi matenda obadwa nawo . Izi zikutanthauza kuti mutha kukhala ndi ma cysts awa m'thupi lanu mukadzabwera padziko lapansi. Komabe, nthawi zambiri, samayambitsa mavuto aliwonse ali mwana.

Anthu ambiri amapeza kuti ali ndi chotupa chonga ichi mwangozi, akachitidwa X-ray pachifuwa kapena scan ina pazifukwa zina. Nthawi zina palibe zizindikiro kwa zaka 30 kapena 40, ndipo mavuto amayamba kubwera chotupacho chikakula pang'ono. Chifukwa chake, sizachilendo kumva mantha pang'ono mukazindikira mwadzidzidzi kuti muli ndi chotupa pachifuwa chanu. Koma musadandaule, pali mankhwala a izi.

Kodi zizindikiro za matenda a bronchogenic cysts ndi ziti?

Ngakhale kuti ma cysts amenewa nthawi zambiri amapezeka popanda zizindikiro zilizonse, anthu ena amatha kukhala ndi zizindikiro monga:

• Chifuwa chobwerezabwereza
• Kuvuta kumeza, monga matenda omwe timatcha kuti "Dysphagia"
• Malungo obwerezabwereza
• Mawu osamveka bwino
• Kuthamanga kwa mpweya woipa komanso kupuma pang'ono, komwe kumatchedwa `(Tachypnea)`
• Kupuma movutikira (kuimba mluzu)

Zizindikirozi zimatha kuwoneka pa msinkhu uliwonse. Koma nthawi zambiri zizindikirozi zimawonekera pamene chotupacho chikukula ndikuyamba kukankhira pa mphuno yanu (trachea) kapena paipi ya chakudya (esophagus). Chotupachi, chotchedwa bronchogenic cysts, chimatha kukula kuyambira masentimita 2 mpaka 15 (pafupifupi mainchesi 1 mpaka 5). Nthawi zina chotupachi chimadwala, zomwe zingayambitsenso zizindikiro.

Nchifukwa chiyani ma cyst a bronchogenic awa amapangidwa?

Zotupa zimenezi zimapangika mwana akadali m'mimba , kutanthauza kuti, mwana akadali m'mimba. Koma madokotala sakudziwa bwino chomwe chimayambitsa matendawa.

Kodi mavuto a vutoli ndi otani?

Ma `(Bronchogenic Cysts)` awa angakupangitseni kuti muvutike kupuma ndi kumeza. Ma cysts awa amathanso kutenga kachilomboka. Komabe,Vuto loopsa kwambiri ndilakuti pali mwayi wochepa kwambiri woti zotupazi zisanduke khansa, ndichifukwa chake ndikofunikira kusamala ndi izi.

Kodi madokotala amazindikira bwanji matenda a bronchogenic cysts?

Kawirikawiri, ma `(Bronchogenic Cysts)` amenewa amapezeka mwangozi, panthawi ya `(imaging test)` yochitidwa pazifukwa zina. Mwachitsanzo:

• Kujambula kwa ultrasound nthawi zina kungathe kuzindikira ngati mwana ali ndi chotupa chamtunduwu.
• Ngati inu kapena mwana wanu mutenga X-ray pachifuwa monga gawo la kafukufuku wa nthawi zonse, chotupachi chingawonekerenso.

Kodi chimachitika ndi chiyani ngati chotupa chonga ichi chapezeka pogwiritsa ntchito chithunzi cha thupi?

Zimasiyana malinga ndi momwe zinthu zilili. Mwachitsanzo, ngati ultrasound scan panthawi ya mimba yasonyeza kuti mwana wanu ali ndi Bronchogenic Cyst, dokotala wanu wa za mimba adzayang'anira cyst panthawi yonse ya kukula kwa mwana.

Ngati inu kapena mwana wanu mwapezeka ndi chotupa chamtunduwu, dokotala wanu angakupatseni mayeso ngati awa kuti atsimikizire zina:

• Kujambula kwa CT (Computed Tomography - CT scan): Izi zimagwiritsa ntchito X-ray ndi kompyuta kuti zijambule zithunzi za mediastinum, yomwe ndi gawo lapakati pa chifuwa chanu kapena cha mwana wanu.
• Esophagram: Izi zimaphatikizapo kujambula zithunzi zingapo za X-ray za mmero wanu kapena wa mwana wanu mutamwa madzi apadera (madzi osiyanitsa).
• MRI (Magnetic Resonance Imaging - MRI): MRI imatha kupanga zithunzi zomveka bwino komanso zatsatanetsatane za mediastinum, gawo lapakati la chifuwa.

Kodi mungachiritse bwanji `(Bronchogenic Cyst)`?

Nthawi zambiri, madokotala amalimbikitsa kuchotsa `(Bronchogenic Cyst)` iyi opaleshoni. Izi zili choncho chifukwa kuchotsa `cyst` kungachepetse chiopsezo cha mavuto omwe takambirana. Komabe, njira yochiritsira ingasinthenso kutengera momwe zinthu zilili.

Chithandizo panthawi ya mimba

Dokotala wanu wa za mimba ndi dokotala wa matenda a akazi adzayang'anira bwino chotupacho. Ngati chotupacho ndi chachikulu kwambiri, nthawi zina njira yaying'ono ingachitike mwana asanabadwe (ali m'mimba), kutanthauza kuti, ali m'mimba, kuti achotse madzi kuchokera ku chotupacho . Izi zithandiza kuchepetsa kupanikizika kwa mtima wa mwana komwe kumachitika chifukwa cha chotupacho.

Kawirikawiri, `(Bronchogenic Cysts)` izi zimatha kukula mokwanira kutseka njira yopumira ya mwana. Ngati izi zitachitika, dokotala wanu angakulangizeni njira yapadera yotchedwa `EXIT procedure` (Ex-utero Intrapartum Treatment) m'malo mobereka mwachizolowezi (kubereka mwachikazi) kapena `(C-section).` Mu izi, mudzapatsidwa mankhwala oletsa ululu.

Mu njira iyi ya "EXIT" dokotala wa opaleshoni amadula chiberekero chanu ndikuchotsa mutu wa mwana, khosi, ndi chifuwa chapamwamba kudzera mu kudulako. Pamene mwana akupezabe mpweya kudzera mu umbilical cord yanu, dokotala wa opaleshoni amadulako thupi la mwana ndikuchotsa chotupacho. Pambuyo pochotsa chotupacho, umbilical cord imadulidwa, ndipo dokotala wanu wa opaleshoni amachotsa mwana kwathunthu kudzera mu kudulako komweko komwe kunapangidwa kale.

Chithandizo cha makanda obadwa kumene

Mwana wanu wakhanda sangafunike chithandizo mwamsanga. M'malo mwake, dokotala wa ana a mwana wanu adzayang'ana zizindikiro zomwe zingayambitsidwe ndi bronchogenic cyst. Izi zidzawunikidwa nthawi zonse pamene mwana wanu akupita kukasamalira mwana wake.

Chithandizo cha makanda, ana ndi akuluakulu

Kwa anthu a msinkhu uwu, dokotala angalimbikitse opaleshoni. Pali njira ziwiri zazikulu zochitira opaleshoni iyi:

• Thoracotomy: Mu njira imeneyi, dokotala wa opaleshoni amadula m'mimba mwanu, msana, kapena pakati pa nthiti zanu ndikuchotsa chotupacho kudzera mmenemo.
• Opaleshoni ya pachifuwa yothandizidwa ndi kanema (VATS): Mu njira imeneyi, dokotalayo amaika kamera kakang'ono (chipangizo chotchedwa thoracoscope) pachifuwa kuti apeze chotupacho ndikuchichotsa popanda kudula kwambiri. Iyi ndi njira yatsopano komanso yapamwamba.

Kodi pali zovuta zilizonse pa chithandizochi?

Inde, opaleshoni yochotsa Bronchogenic Cyst ingayambitse mavuto ena. Si aliyense amene angakumane ndi mavuto amenewa, koma ndikofunikira kuwadziwa.

• Kusakhazikika kwa kayendedwe ka mtima (Arrhythmia). Izi zingakhudze kwambiri okalamba.
• Magazi oundana ndi sitiroko nawonso amapezeka kwambiri kwa okalamba.
• Kutupa.
• Pneumothorax kapena kugwa kwa matumba a mpweya m'mapapo (atelectasis).
• Kuwonongeka kwa tiziwalo tozungulira, ziwalo, mitsempha, kapena mitsempha yamagazi.
• Kutuluka magazi kumatanthauza kutuluka magazi m'thupi.
• Kuchepa kwa mpweya m'magazi (Hypoxemia).
• Matenda a ululu pambuyo pa thoracotomy ndi ululu wa nthawi yayitali womwe umakhalapo kwa miyezi ingapo mutachita opaleshoni.
• Matenda opatsirana m'mapapo, monga chibayo.
• Matenda opatsirana pamalo ochitidwa opaleshoni.

Mavuto amenewa angasiyane malinga ndi mtundu wa opaleshoni yomwe mwachita. Dokotala wanu adzakufotokozerani bwino mavuto amenewa musanachite opaleshoni.

Kodi matenda a bronchogenic cysts angapewedwe?

Ayi, palibe njira yoletsera izi kuti zisapangidwe. Chifukwa izi zimapangidwa panthawi ya kukula kwa mwana wosabadwayo.

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi Bronchogenic Cyst?

Dokotala wanu nthawi ndi nthawi adzachita mayeso ojambulira kuti aone momwe chotupacho chilili. Ngati chotupacho chikukula mokwanira kuti chikhudze thanzi lanu kapena la mwana wanu, opaleshoni yochichotsa ikhoza kulangizidwa.

Ndiyenera kupita kwa dokotala nthawi yanji?

Ngati inu kapena mwana wanu mukupeza zizindikiro izi, pitani kwa dokotala nthawi yomweyo:

• Mawu okweza omwe satha
• Kuvuta kumeza
• Kuvuta kupuma

Dokotala adzachita mayeso ofunikira kuti adziwe ngati chomwe chimayambitsa zizindikirozi ndi ``Bronchogenic Cyst''.

Ma cysts a bronchogenic ndi mtundu wa cyst yomwe imayamba m'mapapo a mwana. Nthawi zina imatha kupezeka panthawi ya ultrasound scan panthawi ya mimba. Komabe, ma cysts awa amatha kukula popanda inu kuzindikira kwa zaka zambiri mpaka inu kapena mwana wanu mutayamba kuwonetsa zizindikiro. Ndizachilendo kukhala ndi nkhawa mukauzidwa kuti muli ndi cyst pachifuwa chanu yomwe ingayambitse mavuto opuma kapena matenda ena oopsa, monga khansa. Dokotala wanu adzamvetsa momwe mukumvera. Inu kapena mwana wanu mungafunike opaleshoni kuti muchotse cyst. Ngati ndi choncho, dokotala wanu adzakulangizani opaleshoni yomwe ili yoyenera kwa inu.

Zinthu zoti muzikumbukire kuchokera munkhaniyi (Uthenga Wopita Nawo Kunyumba)

Chabwino, tsopano mwamvetsa bwino zomwe takhala tikulankhula: Bronchogenic Cysts. Mwachidule, awa ndi mtundu wa cyst womwe umapezeka pakati pa chifuwa.

• Nthawi zambiri, sipangakhale zizindikiro zilizonse, koma ngati zikuipiraipira, zingayambitse zinthu monga kutsokomola, kuvutika kumeza, komanso kupuma movutikira.
• Kawirikawiri zimazindikirika mwangozi. Zimatsimikiziridwa ndi mayeso monga `(CT scan)` ndi `(MRI)`.
• Chithandizo nthawi zambiri chimaphatikizapo kuchotsa chotupacho opaleshoni. Izi zingalepheretse mavuto ena mtsogolo.
• Chofunika kwambiri ndikupempha upangiri wa dokotala mosazengereza ngati inu kapena mwana wanu muli ndi zizindikirozi. Mukazindikira msanga, zimakhala zosavuta kuchiza.

Kotero, tikukhulupirira kuti izi zakuthandizani. Khalani ndi thanzi labwino!

Chiphuphu cha m'mapapo , zotupa pachifuwa, matenda opumira, matenda obadwa nawo, chiphuphu cha m'mimba, thanzi la mwana, opaleshoni