Kodi munayamba mwazindikira, kapena kuuzidwa ndi dokotala, kuti muli ndi ziphuphu zazing'ono kapena zotupa mkati mwa thupi lanu, mwina m'mapapo mwanu, kapena nthawi zina pakhungu lanu? Ndicho chimene timachitcha "Granuloma" m'mawu azachipatala. Musachite mantha mukamva dzinali, chifukwa silili ngati khansa. Koma ndikofunikira kwambiri kudziwa bwino lomwe kuti ndi chiyani, chifukwa chake chimachitika, komanso choti muchitepo kanthu.
Kodi granuloma ndi chiyani? Tiyeni timvetse mosavuta!
Mwachidule, granuloma ndi malo ochepa otupa omwe amapezeka kwinakwake m'thupi lathu. Tsopano mwina mukudabwa kuti kutupa ndi chiyani. Kutupa ndi momwe chitetezo cha thupi lathu chimalimbana ndi chinthu chovulaza thupi lathu, mwachitsanzo kachilombo kapena Fremdkörper (chinthu chachilendo) ngati munga kakang'ono.
Mu granuloma, mtundu wa maselo oyera m'thupi lathu, makamaka maselo otchedwa macrophages, amazungulira chinthu chachilendo chomwe chalowa m'thupi ndikuyesera kuchiletsa kuti chisafalikire ku ziwalo zina za thupi. Zili ngati kuzungulira mdani ndi kumugwira. Maselo amenewa amasonkhana pamodzi kuti apange chotupa chaching'ono, kapena gulu.
Ma granuloma amenewa nthawi zambiri amapangika m'mapapo. Komabe, amathanso kupangika kulikonse m'thupi, monga chiwindi, impso, ndi khungu.
Kodi ma granulomas otsekeka ndi osatsekeka ndi chiyani?
Ngakhale kuti awa ndi mawu ochepa okhudza zachipatala, ndi bwino kudziwa.
- Kuika Granuloma m'maselo: Mtundu uwu wa granuloma uli ndi maselo akufa, kapena necrosis. Umatchedwa choncho chifukwa umaoneka ngati chidutswa cha tchizi (ndiye kuti mawu oti "kuika" amatanthauza tchizi) ukayang'aniridwa ndi maikulosikopu. Kupezeka kwa maselo akufawa kungathandize madokotala kudziwa chomwe chimayambitsa granuloma. Mwachitsanzo, granulomas zomwe zimayambitsidwa ndi matenda ena, monga chifuwa chachikulu, zimagwera m'gululi.
- Granuloma yopanda ziphuphu: Mtundu uwu wa granuloma ulibe maselo akufa. Nthawi zambiri umayamba chifukwa cha zinthu zosayambitsa matenda monga sarcoidosis, kapena zinthu zakunja zomwe zalowa m'thupi.
Ndani amene ali ndi mwayi waukulu wokhala ndi granulomas?
Ngakhale kuti aliyense akhoza kukhala ndi granulomas, anthu ena amakhala ndi mwayi waukulu woti adwale matendawa. Makamaka,
- Anthu omwe ali ndi matenda opatsirana kwa nthawi yayitali , monga chifuwa chachikulu ndi histoplasmosis.
- Kwa anthu omwe ali ndi matenda otupa kwa nthawi yayitali , matenda a Crohn ndi amodzi mwa matenda amenewa.
- Ma granulomas amapezekanso mwa anthu omwe ali ndi vuto lotchedwa sarcoidosis , koma chifukwa chenicheni sichinadziwikebe.
Kodi ma granulomas ndi oopsa?
Nthawi zambiri, kukhala ndi granuloma imodzi yokha sikoopsa. Kumbukirani kuti izi si khansa. Ndi chifukwa cha chitetezo cha thupi lathu. Komabe, nthawi zina granuloma izi zimatha kukhala chizindikiro cha matenda ena omwe amabwera chifukwa cha matendawa. Ndicho chifukwa chake muyenera kuda nkhawa nazo.
Kodi zizindikiro za granuloma ndi ziti?
Nthawi zambiri, ma granuloma samayambitsa zizindikiro zinazake. Komabe, ngati zizindikirozo zichitika, zimadalira komwe granuloma ili. Zingawonekerenso limodzi ndi zizindikiro za matenda omwe adayambitsa granuloma. Zizindikiro zodziwika bwino ndi izi:
- Malungo.
- Kuvuta kupuma (kupuma movutikira).
- Chifuwa.
- Kutupa kwa ma lymph nodes.
- Kutuluka thukuta usiku.
- Kufiira kwa maso kapena kupweteka.
- Mavuto a masomphenya.
- Ziphuphu zopweteka komanso zolimba pakhungu.
- Mutu.
Mwachitsanzo, ngati wina adwala granuloma m'mapapo mwake, akhoza kukhala ndi zizindikiro monga kutsokomola ndi kuvutika kupuma. Ngati ikukula pakhungu, ikhoza kuoneka ngati chotupa chaching'ono.
Kodi granuloma imawoneka bwanji?
Ma granuloma omwe amapangika pakhungu nthawi zambiri amakhala ndi ziphuphu zolimba komanso zotupa. Amatha kukhala opepuka kapena akuda kuposa khungu lozungulira, ndipo nthawi zina amakhala ndi utoto wofiirira. Ena mwa iwo amatha kupweteka akakhudza.
Mukayang'ana pogwiritsa ntchito maikulosikopu, mutha kuwona kuti maselo omwe ali mu granuloma ali ogwirizana kwambiri. Chifukwa chake nthawi zina zimakhala zovuta kudziwa komwe selo limodzi limathera ndi lina limayambira.
Kodi n’chiyani chimayambitsa granulomas?
Ma granulomas amapangika pamene maselo athu a chitetezo chamthupi, makamaka macrophages, sangathe kuwononga chinthu chomwe akuganiza kuti ndi choopsa. Chinthu choopsa ichi chingakhale matenda (monga mabakiteriya kapena bowa) kapena chinthu chomwe thupi lathu silichidziwa (monga chidutswa cha ulusi wosokera kapena munga womwe wakodwa pakhungu).
Macrophages ndi mtundu wapadera wa selo loteteza m'thupi lathu. Monga maloboti ang'onoang'ono, "amameza" ndikuwononga zinthu zomwe sizili m'thupi. Koma ngati sangathe kuwononga china chake, chimakopa maselo ena oteteza ku thupi kuderali. Pamapeto pake, maselo onsewa amasonkhana pamodzi kuti apange gulu lolimba, lotchedwa granuloma.
Nthawi zina, chitetezo chathu chamthupi chimakwiya kwambiri ndipo chimayambitsa kutupa pamene palibe cholimbana nacho. Izi zimawoneka m'matenda ena a autoimmune.
Ndi matenda ati omwe amayambitsa granulomas?
Choyambitsa chachikulu cha granulomas ndi chifuwa chachikulu . Komabe, matenda ena a bakiteriya, matenda a bowa, tizilombo toyambitsa matenda, ndi mavairasi angayambitsenso granulomas. Nazi zitsanzo zingapo:
- Aspergillosis
- Blastomycosis
- Candidiasis
- Matenda a kukwapula amphaka, matenda opatsirana ndi amphaka
- Coccidioidomycosis (Malungo a Mchenga)
- Cytomegalovirus `(Cytomegalovirus)`
- Histoplasmosis `(Histoplasmosis)`
- Khate (Khate / Matenda a Hansen)
- Chikuku
- Mycobacterium marinum (tanki ya nsomba granuloma)
Zifukwa za granulomas zomwe zimayambitsa chitetezo chamthupi komanso zosapatsirana
Sarcoidosis, monga tafotokozera pamwambapa, ndiye chifukwa chachikulu chomwe sichimayambitsa matenda a granuloma. Palinso zifukwa zina kupatula izi:
- Kutulutsa chakudya kapena zinthu zina m'mapapo
- Berylliosis (chifukwa cha kukhudzana ndi beryllium yachitsulo)
- Matenda a granulomatous osatha (CGD)
- Matenda a Crohn
- Fremdkörper (thupi lachilendo) pakhungu. Mwachitsanzo: ulusi wokhotakhota, inki yojambula zojambulajambula, zidutswa za khungu.
- Granulomatosis ndi polyangiitis
- Matenda a nyamakazi
- Matenda a nyamakazi
- Granuloma ya umuna (vuto lomwe lingakhalepo pambuyo pa vasectomy)
Kodi mungadziwe bwanji ngati muli ndi granuloma? (Kuzindikira)
Kutengera ndi komwe granuloma ili, dokotala angakuyeseni ndikuchita "mayeso akuthupi" kapena mayeso ojambulira zithunzi monga "X-ray", "ultrasound", kapena "CT scan" kuti amvetse bwino izi.
Komabe, kuti munthu atsimikize kuti iyi ndi granuloma, ayenera kutenga chitsanzo cha minofu ndikuchiyang'ana. Izi zimatchedwa biopsy. Chitsanzo cha biopsy ichi chimayesedwa pogwiritsa ntchito maikulosikopu ndi katswiri wa matenda.
Popeza ma granuloma ambiri ndi osavulaza, dokotala sangapange biopsy nthawi yomweyo. Angadikire kwakanthawi kuti aone ngati kukula kwasintha kapena ngati kutha kokha.
Kodi ma granulomas amachiritsidwa bwanji?
Kawirikawiri palibe chithandizo chenicheni cha granuloma imodzi. Popeza nthawi zambiri zimakhala chifukwa cha vuto linalake lachipatala , madokotala amayang'ana kwambiri kuchiza vuto lomwe linayambitsa granuloma.
Tangoganizirani, ngati wina ali ndi granulomas m'mapapo mwake chifukwa cha chifuwa chachikulu, chithandizo chake ndi cha chifuwa chachikulu. Kenako, matendawa akamachira, granulomas nazonso zimatha kuchepa.
Mitundu ya mankhwala omwe amagwiritsidwa ntchito pa granuloma
Kutengera chifukwa chake, mankhwala otsatirawa angagwiritsidwe ntchito pochiza granulomas:
- Kuchepetsa kutupa ndi corticosteroids .
- Ngati muli ndi granuloma chifukwa cha vuto la chitetezo chamthupi, mungapatsidwe mankhwala oletsa chitetezo chamthupi .
- Ngati chifukwa chake ndi matenda, mankhwala oyenera opha tizilombo toyambitsa matenda, opha tizilombo toyambitsa matenda, kapena opha tizilombo toyambitsa matenda adzaperekedwa.
Kodi mungatani kuti muthane ndi zizindikiro?
Ngati muli ndi granuloma yopweteka, mutha kupeza mpumulo mwa kumwa acetaminophen (monga Tylenol®) kapena ibuprofen (monga Advil®, Motrin®). Komabe, nthawi zonse ndi bwino kufunsa dokotala wanu musanamwe mankhwala aliwonse. Mufunseni za zinthu zina zomwe zingathandize kuchepetsa zizindikiro zanu.
Kodi kupangika kwa granuloma kungalepheretsedwe?
Ndipotu, palibe chomwe anthu ambiri angachite kuti alepheretse kukula kwa ma granuloma. Ndi gawo la chitetezo cha thupi lathu. Komabe, ngati muli ndi vuto linalake lachipatala, monga matenda odziteteza ku matenda kapena matenda osatha, kusamalira bwino vutoli kungachepetse chiopsezo chanu chokhala ndi ma granuloma.
Kodi chimachitika ndi chiyani ngati muli ndi granuloma? (Zomwe mungayembekezere)
Ma granuloma ambiri ndi osavulaza. Amatha kutha okha popanda chithandizo. Komabe, ma granuloma okhuthala (ma granuloma omwe ali olimba chifukwa cha calcium deposits) sangatha mosavuta. Mwina mwaona kuti malipoti anu ojambula zithunzi akhala akuwonetsa granuloma yomweyi ya calcium kwa nthawi yayitali. Ngakhale atapanda kutha, ma granuloma okhuthala omwe akhala osasinthika kwa nthawi yayitali nthawi zambiri amakhala osavulaza.
Dokotala wanu adzakuuzani zambiri za matenda aliwonse omwe angayambitse granuloma yanu. Ngati mumadwala granuloma pafupipafupi, angakuthandizeni kuthana ndi zizindikiro zanu.
Kodi ndimadzisamalira bwanji?
Chinthu chabwino kwambiri chomwe mungachite ndikuwongolera matenda aliwonse omwe angayambitse granuloma yanu. Lankhulani ndi dokotala wanu za momwe mungachiritsire matenda anu enieni.
Kodi ndiyenera kupita kwa dokotala liti?
Onetsetsani kuti mwawonana ndi dokotala pazochitika izi:
- Ngati mukukayikira kapena mukuda nkhawa ndi vuto linalake lomwe lingayambitse granuloma.
- Ngati muli ndi mafunso kapena nkhawa zokhudza granuloma yomwe dokotala waipeza pa X-ray kapena CT scan.
- Ngati zizindikiro zatsopano zikuwonekera, monga kutentha thupi ndi kuvutika kupuma, kapena ngati zizindikiro zomwe zilipo zikuipiraipira.
Ndi mafunso ati omwe ndiyenera kufunsa dokotala?
Ndi bwino kufunsa dokotala mafunso monga awa:
- Kodi vuto linalake la matenda limapangitsa kuti ndikhale ndi granulomas?
- Kodi ndiyenera kulandira chithandizo cha granuloma?
- Kodi ndingathe kuletsa mapangidwe a granulomas?
- Kodi ndingachite chiyani ndi zizindikiro za granuloma?
Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)
Ma granuloma ndi mbali ya chitetezo chachilengedwe cha thupi lathu. Anthu ambiri amawapanga ngati ziphuphu m'mapapo kapena pafupi ndi Fremdkörper (chinthu chachilendo) pakhungu. Nthawi zambiri, safuna chithandizo ndipo amatha okha.
Komabe, ngati muli ndi matenda monga sarcoidosis kapena matenda odziteteza ku matenda a autoimmune, mungakhale ndi mwayi waukulu wopeza granulomas. Ngati muli ndi nkhawa iliyonse pankhaniyi, onetsetsani kuti mwalankhula ndi dokotala wanu. Pakhoza kukhala njira zina zomwe zingakuthandizeni kuthana ndi vutoli. Khalani ndi thanzi labwino!
Granuloma , chitetezo chamthupi, matenda, ziphuphu pakhungu, mapapo, zizindikiro, chithandizo











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