Kodi munayamba mwaonapo chinthu ngati chotupa chaching'ono pansi pa khungu lanu, mwina chozama pang'ono? Nthawi zina izi sizimapweteka. Lero tikambirana za zotupa zina zamafuta izi, makamaka zomwe zimapangidwa mkati mwa minofu. Si chinthu choopa, koma ndi chofunikira kwambiri kuzidziwa.
Kodi lipoma iyi ya m'mimba ndi chiyani?
Mwachidule,
`Intramuscular Lipoma` ndi chotupa chosowa kwambiri, chosakhala khansa (kutanthauza kuti
chosaopsa) . Chimapangidwa ndi minofu yachikasu yamafuta, yomwe ili ngati mafuta. Chinthu chapadera ndichakuti chotupachi chimakula
mkati mwa minofu . Tangoganizirani chotupa chamafuta ngati ichi chikukula mkati mwa nyama zathu za nyama. Madokotala nthawi zina amachitcha
`deep-seated lipoma` . Izi zili choncho chifukwa chotupachi chimakula pansi pa wosanjikiza wotchedwa
`fascia` . `Fascia` ndi wosanjikiza woonda wa minofu womwe umagwirira minofu yathu pamodzi ndikuteteza mawonekedwe ake. Uli ngati chidendene choonda chozungulira soseji. Tsopano, tiyeni tifotokoze mawu awa pang'ono.
- Minofu: Izi zikutanthauza kuti chotupacho chimakula mkati mwa minofu. Ndi gawo la dongosolo lathu la minofu ndi mafupa , lomwe ndi dongosolo lomwe limaphatikizapo minofu, mafupa, ndi mafupa omwe amathandiza thupi kuyenda.
- `Lipomas`: ` Lipoma` amatanthauza zotupa zamafuta zomwe nthawi zambiri zimapangika pansi pa khungu lathu. Izi ndi zotupa zofala kwambiri komanso zopanda vuto. Komabe, `Intramuscular Lipoma` imapangidwanso ndi mafuta, koma imapanga mkati mwa minofu.
Chinthu china, palinso mtundu wotchedwa
`intermuscular lipomas` . Amapangidwa pakati pa minofu iwiri. Koma mtundu wa `intramuscular` womwe tikukamba lero umapanga mkati mwa minofu.
Kodi izi ndi zomwe zimachitikira anthu ambiri?
Ayi, kwenikweni `Ma Lipomas a m'mitsempha` ndi
osowa kwambiri. Amapanga ochepera 1% ya ma lipomas onse omwe amawonedwa. Amapezeka nthawi zambiri mwa
akuluakulu azaka zapakati pa 40 ndi 70. Komabe, vutoli limatha kuchitika kwa aliyense wazaka zilizonse, mosasamala kanthu za jenda. Chifukwa chake, sizingatheke kuganiza kuti izi sizichitika kutengera zaka zokha.
Kodi zotupa zamafuta zimenezi nthawi zambiri zimayambira kuti?
Ngakhale munthu angakhale ndi chotupa chamtunduwu mu minofu imodzi yokha, anthu ena (pafupifupi 15%) akhoza kukhala ndi `Intramuscular Lipomas` izi mu minofu yoposa imodzi. Nthawi zambiri zimakula mkati mwa minofu. Makamaka:
- Mu mikono ('Mikono')
- Khoma la pachifuwa
- Mutu kapena khosi
- Mapewa
- Mu ntchafu (`Mapewa`)
- Lilime - Inde, lilime lili ndi minofu, kotero limatha kukulanso pamenepo!
- Mu thunthu, ndiko kuti, dera la m'chiuno (`Trunk (dera la m'chiuno)`)
Kodi pali mitundu ya izi?
Inde, pali mitundu ingapo ya `Intramuscular Lipomas` malinga ndi mtundu wawo. 1.
`Infiltrating intramuscular lipomas`: Mitundu iyi ya zotupa imakhala ndi minofu yomwe ikukula mkati mwake . Ndiko kuti, chotupa ndi minofu zimalumikizana. Nthawi zina zimatha kufalikira ku tendon yoyandikana nayo (`tendons`) kapena nembanemba ya `fascia`. Mwachidule, asanu ndi atatu mwa khumi a `Intramuscular Lipomas` omwe amakula ndi a mtundu uwu. 2.
`Well-defined (well-circumscribed) intramuscular lipomas`: Zotupa izi zimayamba bwino mkati mwa minofu ndipo zimakhala ndi malire omveka bwino ozungulira. Mosiyana ndi mtundu womwe watchulidwa kale, minofu sizidutsa mu izi. 3.
Mixed intramuscular lipomas: Monga momwe dzinalo likusonyezera, izi zitha kukhala ndi mitundu yonse ya `infiltrating` yomwe yatchulidwa kale (chotupacho chimalowa mu minofu) komanso mtundu wa `well-defined` (malire omveka bwino).
N’chifukwa chiyani zotupa zamafuta zimakula motere?
Ndipotu, akatswiri
sakudziwabe chifukwa chake anthu ena amadwala Intramuscular Lipomas. Komabe, akuganiza kuti pali zinthu zina zomwe zingayambitse izi:
- Kukwiya kosatha: Kukhalapo kwa chinthu monga kupanikizika kapena kukwiya m'dera linalake kwa nthawi yayitali.
- Matenda a chitukuko : Mavuto ena omwe amachitika panthawi ya kukula kwa thupi.
- Matenda a Endocrine system: Kusalingana kwina kwa mahomoni m'thupi lathu (endocrine system).
- Matenda a majini (kusintha kwa majini): Nthawi zina amatha chifukwa cha matenda a majini (kusintha kwa majini) omwe amadutsa m'mibadwomibadwo.
- Matenda a Kagayidwe kachakudya : Matenda omwe amapezeka pamene zinthu monga matenda a shuga, kuthamanga kwa magazi, ndi cholesterol yambiri zimagwirizana.
- Kunenepa Kwambiri: Pamene kulemera kwa thupi kukukwera, maselo amafuta amawonjezeka, motero amathanso kukhudzidwa.
- Ngozi kapena kuvulala koopsa: Kuvulala kwakukulu kukachitika kwinakwake, chinthu chonga ichi chingachitike pamene chikuchira.
Koma kumbukirani, izi ndi zina mwa zifukwa zomwe zadziwika. Sizikutanthauza kuti muyenera kukhala ndi chimodzi mwa zifukwazi chifukwa chakuti muli ndi vuto ngati ili.
Kodi zizindikiro za izi ndi ziti?
Ma Lipomas a m'mimba ndi mtundu wa chotupa
chomwe chimatha kukula kwambiri . Ena amatha kukhala ang'onoang'ono ngati sentimita imodzi (osakwana theka la inchi), pomwe ena amatha kukhala akuluakulu ngati mainchesi 25! Taganizirani za mtunda wake.
Nthawi zambiri, zotupa zazing'ono sizimayambitsa zizindikiro zilizonse. Simungadziwe kuti muli nazo. Komabe, zizindikiro zikayamba kuonekera, mungakumane ndi zinthu monga:
- Kutupa (edema) kapena chotupa chofewa pansi pa khungu. Chotupachi chingayende mozungulira chikakanikizidwa.
- Mukakanikizira minofu yomwe ikukambidwa (mwachitsanzo, ngati ndi mkono wanu, mukapinda mkono wanu), chotupacho chingamveke cholimba pang'ono .
- Nthawi zina kupweteka kwa minofu kapena kupweteka kwa minofu kumatha kuchitika.
Chofunika kwambiri ndi kusachita mantha mukaona chotupa chonga ichi. Nthawi zambiri, izi sizivulaza.
Kodi dokotala amazindikira bwanji izi?
Kuti adziwe zotupa zofewa ngati izi, dokotala wanu nthawi zambiri amagwiritsa ntchito
ma scan ojambula zithunzi . Mungafunike kuchita chimodzi kapena zingapo mwa izi:
- X-ray: Izi nthawi zambiri zimayang'ana mafupa, koma nthawi zina zimatha kupereka lingaliro la kusintha kwa minofu yofewa.
- Ultrasound: Kuyesa komwe kumagwiritsa ntchito mafunde a phokoso kuti apange zithunzi za mkati mwa thupi. Izi zingapereke lingaliro labwino la mtundu wa chotupacho (monga ngati ndi cholimba kapena chamadzimadzi).
- Kujambula kwa CT: Izi zimagwiritsa ntchito X-rays kujambula zithunzi za thupi lonse. Zingasonyeze bwino komwe chotupacho chili, kukula kwake, komanso ubale wake ndi minofu yozungulira.
- MRI: Imagwiritsa ntchito mphamvu zamaginito ndi mafunde a wailesi kuti ipange zithunzi zomveka bwino komanso zatsatanetsatane. Izi ndizothandiza kwambiri pa zotupa za minofu yofewa.
- Kujambula kwa `Positron emission tomography (PET)`: Izi zitha kuwona momwe maselo amagwirira ntchito m'thupi. Izi zimathandiza kuzindikira maselo omwe amagawikana mwachangu, monga maselo a khansa.
Kuwonjezera pa ma scan awa, mungapemphedwenso kuti mupange
biopsy ya singano kuti muwonetsetse kuti chotupacho sichili khansa yeniyeni, monga mtundu wa khansa ya maselo amafuta monga
liposarcoma . Izi zimaphatikizapo kulowetsa singano yopyapyala mu chotupacho, kuchotsa chidutswa chaching'ono cha minofu ndikuchiyang'ana pansi pa maikulosikopu. Matendawa nthawi zambiri amapezeka ndi kuchiritsidwa ndi
dokotala wa mafupa . Uyu ndi dokotala yemwe ndi katswiri wa matenda a mafupa, mafupa, ndi minofu.
Kodi mankhwala ochizira izi ndi otani?
Nkhani yabwino ndi yakuti ngati Intramuscular Lipoma yanu
sikuyambitsa mavuto aliwonse (osapweteka kapena osasangalala) ,
simungafunike chithandizo chilichonse . Pankhaniyi, dokotala wanu amangoyang'anira chotupacho, zomwe zikutanthauza kuti adzachiwona chikukula kapena kusintha. Komabe, pazochitika izi, dokotala wanu angakulangizeni chithandizo:
- Ngati chotupacho chikuyambitsa mavuto monga kupweteka kapena kusasangalala .
- Ngati biopsy singathe kudziwa bwino ngati chotupacho ndi chosaopsa kapena cha khansa .
- Ngati mumadziona kuti ndinu ofooka chifukwa cha chotupacho chifukwa chikuwoneka.
Chithandizo chake ndi
opaleshoni yochotseratu chotupacho (`excising`) . Nayi mfundo yofunika kudziwa. Mtundu wa chotupa cha `infiltrating` chomwe tidakambirana kale uli ndi
mwayi wa 50% mpaka 80% wobwereranso pambuyo pochotsa opaleshoni. Komabe, mtundu wa chotupa cha `well-definited` subwereranso kawirikawiri.
Kodi izi zingayambitse mavuto aliwonse?
Izi nthawi zambiri zimakhala zabwino ndipo sizimayambitsa mavuto akulu. Komabe, chotupa chamtundu wa `infiltrating` chingafalikire ku minofu yapafupi, minyewa, ndi minofu. Ngati chotupacho
chikukula kwambiri ,
chingakanikizire mitsempha yapafupi, zomwe zimayambitsa `mtsempha wopindika` ndipo, chifukwa chake
, `neuropathy` .
Kodi pali njira yopewera izi kuti zisachitike?
Ma Lipoma a m'mitsempha ndi osowa kwambiri, ndipo amapezeka pazifukwa zosadziwika. Chifukwa chake,
palibe njira yeniyeni yowaletsera kuti asapangidwe .
Kodi tsogolo la munthu amene ali ndi vutoli ndi lotani?
Anthu ambiri omwe ali ndi Intramuscular Lipomas
safuna chithandizo . Ndicho chinthu chotonthoza kwambiri.
Ngati chotupacho chikuyambitsa ululu kapena mavuto ena, chingachotsedwe mwa opaleshoni. Chifukwa chake, palibe chodetsa nkhawa nacho.
Ndiyenera kupita kwa dokotala nthawi yanji?
Ngati mukukumana ndi zizindikiro izi, pitani kwa dokotala:
- Ngati pali chotupa chatsopano pansi pa khungu .
- Ngati muli ndi ululu wa minofu kapena kupweteka kwa minofu popanda chifukwa chomveka.
Zizindikiro ngati izi sizitanthauza nthawi zonse kuti ndi `Intramuscular Lipoma`. Komabe, ndi bwino kupita kwa dokotala kuti mudziwe bwino lomwe.
Kodi ndi mafunso otani ofunika kufunsa dokotala?
Mukapita kwa dokotala, mukhoza kufunsa mafunso monga awa:
- Kodi n’chiyani chinandipangitsa kuti ndikhale ndi `Intramuscular Lipoma`?
- Kodi ndikufunika chithandizo?
- Ndi mavuto ati omwe ndiyenera kusamala nawo?
- Kodi pali mwayi wotani kuti izi zichitikenso?
Kodi zotupa zamafuta izi zingakhale khansa?
Ayi. Palibe umboni wosonyeza kuti Lipoma ya m'mitsempha imakhala ndi khansa. Nthawi zonse imakhala yopanda poizoni. Kuyezetsa kumachitika kuti kutsimikizire ngati chotupacho chili ndi khansa kapena ayi komanso kutsimikizira kuti ndi lipoma.
Kotero, ngati titaphatikiza zonsezi pamodzi... (Uthenga Wopita Nawo Kunyumba)
Chabwino, tiyeni tikumbukire zinthu zingapo zomwe tidakambirana zokhudza `Intramuscular Lipoma`.
Ngati muwona chotupa kapena kutupa pansi pa khungu lanu, makamaka mkati mwa minofu, ndikofunikira kulankhula ndi dokotala za vutoli.
Nthawi zambiri, ziphuphuzi
sizikukhudza mtima . Zotupa za minofu yofewa monga `Intramuscular Lipoma`
sizimapezeka kawirikawiri . Komanso, ngati muli nazo,
zimakhala zosangalatsa kudziwa kuti chotupa chonenepa si khansa . Anthu ambiri
safuna chithandizo . Komabe, ngati chotupacho chikupangitsa kupweteka, kugwedezeka kwa minofu, kapena ngati simukusangalala ndi mawonekedwe ake,
ndizotheka kuchichotsa opaleshoni . Chifukwa chake, dziwani kusintha kulikonse m'thupi lanu. Ngati muwona china chake chachilendo, musazengereze kufunafuna upangiri wa dokotala. Ndi njira yabwino kwambiri yokhalira wathanzi!
Ziphuphu zamafuta, minofu, ziphuphu zopanda khansa, lipoma ya m'mitsempha, chotupa, kutupa, opaleshoni
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