Kodi lipoti lanu la scan linati 'kidney cyst'? Kapena dokotala anati muli ndi cyst mu impso yanu mutachita scan pazifukwa zina? Ndizachilendo kuti timve mantha pang'ono komanso nkhawa tikamva mawu akuti "cyst". Koma ngati tikudziwa bwino lomwe kuti ndi chiyani, tikhoza kuchotsa mantha osafunikira amenewo. Nthawi zambiri, awa si mantha. Chifukwa chake lero, tiyeni tikambirane za cysts, kapena cysts, zomwe zimapangidwa mu impso.

Mwachidule, kodi ma cysts a impso ndi chiyani?

Chabwino, choyamba tiyeni tiwone zomwe izi zili. Ziphuphu za impso ndi matumba ang'onoang'ono, okhala ndi makoma owonda odzazidwa ndi madzi omwe amapanga mkati kapena pamwamba pa impso. Taganizirani ngati matuza pakhungu, koma amapangika mu impso.

Tonsefe tili ndi impso ziwiri m'thupi lathu, monga zosefera ziwiri. Ntchito yaikulu ya impso ndikusefa zinyalala ndi madzi ochulukirapo m'magazi athu ndikuzitulutsa ngati mkodzo. Kuti tichite izi, pali mamiliyoni a tinthu tosefera mkati mwa impso, zomwe timazitcha ma nephrons mu mankhwala. Nthawi zina, njira m'tinthu tating'onoting'ono tosefera timatsekedwa ndipo madzi amasonkhana, zomwe zimapangitsa kuti ma cysts awa apangidwe.

Zotupa zimenezi zimabwera m'makulidwe onse. Nthawi zambiri sizimakula kuposa mainchesi awiri. Zina zimatha kukula pang'ono pakapita nthawi, pomwe zina zimakhalabe ndi kukula komweko. Munthu akhoza kukhala ndi chotupa chimodzi kapena zingapo. Zingathenso kukula mu impso imodzi kapena zonse ziwiri.

Kodi pali mitundu ina iliyonse ya mtedza uwu?

Inde, pali mitundu iwiri ya zotupa izi. Ndikofunikira kwambiri kuti tizizindikire. Madokotala amagwiritsa ntchito njira yapadera yotchedwa `Bosniak system` kuti azigawa m'magulu. Koma ndikufotokozerani mwachidule.

Ndiye kodi ndiyenera kuopa izi?

Ndikudziwa kuti funso ili lili m'maganizo mwanu. Yankho losavuta ndilakuti, mwina ayi . Ngati muli ndi chotupa chosavuta, sizingakhale zovuta kwambiri. Ndicho chifukwa chake amatchedwa "chosavuta."

Komabe, ngati dokotala wanu akunena kuti ndi chotupa chovuta, muyenera kuda nkhawa chifukwa chikhoza kukhala chizindikiro cha khansa ya impso. Zikatero, dokotala wanu adzalamula kuti ayesedwe nthawi zonse kuti awone ngati chotupacho chasintha, kapena adzachichotsa opaleshoni.

Ndi zizindikiro ziti zomwe zimachitika pamene zotupazi zimayamba?

Chinthu chodabwitsa n'chakuti anthu ambiri alibe zizindikiro zilizonse! Ambiri sadziwa ngakhale pang'ono kuti ali ndi chotupa cha impso. Amapezeka mwangozi panthawi yowunikira m'mimba kuti awone ngati ali ndi vuto lina.

Komabe, zizindikiro zina zingachitike pokhapokha ngati chotupacho chakula kwambiri, kapena ngati chaphulika ndi kutuluka magazi, chatenga kachilombo, kapena ngati chakankhira ziwalo zina zapafupi. Nthawi zina, mungakumane ndi izi:

• Ululu kapena kupweteka m'mbali (thumba) pakati pa nthiti ndi chiuno, m'mimba, kapena kumbuyo.
• Malungo.
• Kufunika kukodza pafupipafupi.
• Magazi mu mkodzo kapena mkodzo wakuda.

Kutengera ndi komwe chotupacho chili, nthawi zina chingakhale ndi vuto laling'ono pa ntchito ya impso. Komanso, ngati chotupacho chiletsa impso kusefa madzi ochulukirapo m'magazi, chingayambitse kuthamanga kwa magazi.

N’chifukwa chiyani miyala ya impso imapanga?

Ofufuza sanapeze chifukwa chenicheni cha izi. Koma tikudziwa kuti cholakwika chosavuta ichi si chobadwa nacho. Izi zikutanthauza kuti, si chinthu chochokera kwa makolo anu.

Chiphunzitso chachikulu ndi chakuti ma cysts amenewa amapangidwa chifukwa cha kutsekeka kapena kuvulala pang'ono kwa njira zazing'ono zosefera (matubule) mu impso zomwe ndatchula kale, zomwe zimapangitsa kuti madzi azisonkhana.

Ndani ali pachiwopsezo chachikulu chotenga izi?

Ngakhale kuti n'zovuta kudziwa chifukwa chenicheni cha izi, tikudziwa kuti zinthu zina zimawonjezera chiopsezo:

• Zaka: Anthu azaka zopitilira 50 ali ndi mwayi waukulu wopeza matendawa. Ndipotu, pafupifupi munthu m'modzi mwa awiri aliwonse azaka zopitilira 50 amakhala ndi chotupa chimodzi cha impso.
• Jenda: Amuna ndi omwe ali ndi mwayi waukulu wopeza matendawa kuposa akazi.
• Matenda ena: Matenda a impso amatha kuchitika ndi matenda ena. Mwachitsanzo:
• Matenda a Impso a Polycystic - Iyi ndi matenda obadwa nawo.
• Matenda a Impso Osatha (CKD)
• Matenda a Von Hippel-Lindau
• Matenda a Tuberous Sclerosis (TSC)

Kodi ndi mavuto otani omwe angabwere chifukwa cha zotupa izi?

Monga ndanenera kale, ma cysts osavuta nthawi zambiri samayambitsa mavuto aliwonse . Komabe, nthawi zina, mavuto ena amatha kuchitika.

• Matenda: Majeremusi amatha kulowa mu chotupacho n’kuyambitsa matenda, zomwe zimayambitsa zizindikiro monga malungo ndi ululu.
• Chiphuphu chophulika: Ngati chiphuphucho chaphulika, chingayambitse kupweteka kwambiri komanso kutuluka magazi m'mkodzo.
• Kutsekeka kwa mkodzo: Chotupacho chikhoza kukula kwambiri ndikuletsa kutuluka kwa mkodzo. Izi zitha kuwononganso impso.
• Kutuluka magazi mu cyst: Kutuluka magazi mu cyst kungachitike. Izi zingayambitsenso ululu.

Kodi dokotala amazindikira bwanji izi? Kodi mankhwala ake ndi otani?

Ndanena kuti nthawi zambiri izi zimapezeka mwangozi. Dokotala akawona chotupa chotere, amalangiza kuti apimidwenso kuti adziwe ngati ndi chosavuta kapena chovuta.

• Kujambula kwa Ultrasound: Izi zimagwiritsa ntchito mafunde amphamvu kwambiri kuti apange zithunzi za impso. Izi zingapereke chithunzi chabwino cha mtundu wa chotupacho.
• Kujambula kwa CT (Computed Tomography - CT): Izi zimagwiritsa ntchito X-ray ndi ukadaulo wa makompyuta kuti apange zithunzi za impso zamitundu itatu (3D). Izi zingapereke chidziwitso chochuluka chokhudza chotupacho.
• Kujambula kwa MRI (Magnetic Resonance Imaging - MRI): Mphamvu yamphamvu ya maginito ndi mafunde a wailesi zimagwiritsidwa ntchito popanga zithunzi zomveka bwino. Izi zimathandiza kusiyanitsa bwino pakati pa madzi ndi magawo olimba a chotupacho.
• Mayeso a ntchito ya impso:Kuyezetsa magazi ndi mkodzo kungathandize kudziwa momwe impso zanu zikugwira ntchito komanso ngati zakhudzidwa ndi chotupacho.

Njira zochizira

Komabe, ngati chotupa chikuyambitsa ululu, chikusokoneza ntchito ya impso, kapena ngati dokotala akuganiza kuti chili pachiwopsezo chokhala khansa, chingafunike kuchotsedwa. Pali njira ziwiri zazikulu zochitira izi.

1. Kutulutsa mpweya ndi Sclerotherapy: Izi zimaphatikizapo kulowetsa singano yopyapyala kwambiri pakhungu, kuboola chotupacho, ndikutulutsa madzi onse mkati ndi sirinji. Kenako, nthawi zina yankho lapadera, monga mowa, limalowetsedwa mu thumba lotayidwa kuti chotupacho chisamerenso.

2. Opaleshoni: Opaleshoni imeneyi nthawi zambiri imachitidwa ndi laparoscopically, kapena "keyhole surgery." Izi zimachitika mwa kudula pang'ono m'mimba ndikuyika kamera ndi zida zofewa. Dokotalayo amachotsa madzi kuchokera mu cyst ndikudula kapena kuwotcha khoma la cyst.

Ndiyenera kupita kwa dokotala nthawi yanji?

Mukadziwa kuti muli ndi chotupa cha impso, dokotala wanu adzakuuzani ngati chiyenera kuyang'aniridwa kapena ayi. Komabe, ngati mukukumana ndi zizindikiro zotsatirazi, onetsetsani kuti mwaonana ndi dokotala wanu.

• Ngati mukumva kupweteka kwatsopano m'mimba, m'mimba, kapena pansi pa msana.
• Ngati muwona magazi mu mkodzo wanu.
• Ngati mukumva malungo popanda chifukwa.
• Ngati pali kusintha kwadzidzidzi kwa kuchuluka kwa kukodza, monga kuwonjezeka kapena kuchepa.

Zizindikiro ngati izi zitha kukhala chizindikiro chakuti chotupacho chafalikira, chaphulika, kapena chili ndi vuto lina. Chifukwa chake, ndikofunikira kuuza dokotala wanu nthawi yomweyo.