Kodi mwadzidzidzi mwatuluka chotupa m'thupi lanu? (Nodular Fasciitis) Tiyeni tikambirane izi!

Kodi munayamba mwaonapo chinthu ngati chotupa chaching'ono chikuonekera mwadzidzidzi pathupi lanu, mwina pa mkono kapena mwendo wanu? N'chovuta pang'ono, ndipo chingapweteke pang'ono mukachikhudza. Zimenezi zikachitika, ndi zachilendo kumva mantha pang'ono, eti? Aliyense amaganiza kuti, "O, kodi iyi ndi khansa?" Koma si zotupa zonse zomwe ndi khansa yoopsa . Lero tikambirana za mtundu wa chotupa ngati ichi, chomwe si khansa, koma chimakula mofulumira. Ichi ndi chomwe timachitcha kuti `Nodular Fasciitis`.

Kodi `Nodular Fasciitis` kwenikweni ndi chiyani?

Mwachidule, `Nodular Fasciitis` ndi chotupa chomwe chimakula mofulumira, koma chosakhala khansa (chosaopsa) chomwe chimapangidwa mu `fascia`, minofu yolumikizana yomwe imagwirizanitsa zinthu monga minofu yathu, mitsempha, ndi mafupa , pansi pa khungu lathu. Kwenikweni ndi 'maselo ambiri'.

Ndiloleni ndifotokoze dzina ili pang'ono:

• Mawu akuti ``nodular`` amatanthauza ``chotupa.`` Amatanthauza chotupa chaching'ono (``nodule``) chomwe chimapangidwa ndi kusonkhanitsa maselo.
• Mawu akuti 'fasciitis' amatanthauza kutupa kwa 'fascia', minofu yolumikizana yomwe imathandiza kugwira pamodzi minofu, mitsempha, mafupa, ziwalo, ndi mitsempha yamagazi m'matupi athu.

Ngakhale si khansa, nthawi zina imatha kuwoneka yofanana kwambiri ndi sarcoma, mtundu woopsa wa khansa yofewa ya minofu. Ndicho chifukwa chake nthawi zina imatchedwa pseudosarcomatous fasciitis. "Pseudo" amatanthauza "zabodza" kapena "zachinyengo." Izi zikutanthauza kuti ngakhale imawoneka ngati sarcoma, si sarcoma yeniyeni. Ndicho chifukwa chake ndikofunikira kupeza matenda olondola.

Kodi pali mayina ena a `Nodular Fasciitis`?

Inde, dokotala wanu angagwiritse ntchito mayina ena pa vutoli, monga:

• `Kufalikira kwa fasciitis`
• `Pseudosarcomatous fasciitis` - Takambirana kale za izi.
• `Cranial fasciitis` - Ili ndi dzina lotchedwa kutupa kwa chigaza (`cranial`).
• Intravascular fasciitis - imachitika pamene kutupa kumakhudza mitsempha yamagazi.
• Ischemic fasciitis
• `Ossifying fasciitis` - Nthawi zina chotupachi chingakhale cholimba pang'ono komanso chofanana ndi fupa (`ossifying`).

Kodi Nodular Fasciitis ndi yofala bwanji? Ndani amene ali ndi mwayi waukulu woti adwale matendawa?

Nodular Fasciitis kwenikweni ndi chotupa chofewa chomwe sichili khansa chomwe chimapezeka kawirikawiri . Sizichitika kwa aliyense.

• Mkhalidwe uwu ndi womwe umawoneka kwambiriPakati pa akuluakulu azaka zapakati pa 20 ndi 40.
• Komabe, sizikutanthauza kuti achinyamata sangathe kudwala matendawa. Makanda ndi ana aang'ono nawonso akhoza kukhala ndi `Nodular Fasciitis`.

Kodi n’chiyani chimayambitsa `Nodular Fasciitis`?

Tsopano mwina mukudabwa chifukwa chake chotupa choterechi chimapangika mwadzidzidzi. Chifukwa chachikulu cha izi chapezeka kuti ndi kusintha kwa majini . Kuphatikizika kwa majini kumachitika m'maselo a chotupachi, komwe magawo a majini awiri otchedwa MYH9 ndi USP6 amalumikizidwa pamodzi.

Chofunika kwambiri ndichakuti kusintha kwa majini kumeneku kumachitika m'maselo omwe chotupacho chili . Izi zikutanthauza kuti si chinthu chomwe chimakhudza thupi lonse ndipo chimapatsiridwa kuchokera ku mibadwomibadwo kupita ku mibadwomibadwo. Nthawi zina, palinso lingaliro lakuti chinthu ngati kuvulala pang'ono kwapafupi chingayambitse izi, koma chifukwa chachikulu ndi kusintha kwa majini.

Kodi zizindikiro za `Nodular Fasciitis` ndi ziti?

Chizindikiro chachikulu komanso nthawi zambiri chokha cha vutoli ndi chotupa chomwe chimamveka pansi pa khungu .

• Anthu ambiri ali ndi chotupa chimodzi chokha .
• Chipolopolochi nthawi zambiri chimakhala chochepera mainchesi 1.5 (masentimita 4) .
• Komabe, chinthu chachilendo kwambiri n'chakuti ziphuphuzi zimatha kukula mofulumira kwambiri . Nthawi zina zimatha kukula kwambiri mkati mwa milungu ingapo. Nthawi zina zimatha kukula mpaka mainchesi 12 (12 cm).
• Umu ndi momwe chotupa ichi chingamvekere mukachikhudza:
• Kalimbidwe pang'ono .
• Ikhoza kukhala ndi mawonekedwe ngati a rabara .
• Zingamveke ngati chinthu cholimba .
• Anthu ena angamve kuti chotupacho ndi chofewa kapena chopweteka kuchikhudza , koma si aliyense amene amamva kupweteka.

Kodi ziphuphu zimenezi zimapezeka kuti m'thupi?

Nodular Fasciitis imatha kuchitika m'malo osiyanasiyana a thupi, koma imapezeka kwambiri m'malo ena.

• Akuluakulu pafupifupi anayi mwa khumi amachikulitsa m'dzanja , kutanthauza kuti, kuyambira pachigongono mpaka pachikhatho.
• Mwa ana aang'ono , ziphuphuzi zimapezeka kwambiri m'dera la mutu ndi khosi .

Kupatula malo akuluakulu awa, Nodular Fasciitis imatha kuchitikanso m'malo otsatirawa:

• Kubwerera
• Chifuwa
• Miyendo ya m'munsi
• Thumba
• Dzanja lapamwamba

Kodi pali mitundu ya `Nodular Fasciitis`?

Inde, pali mitundu ingapo ya ziphuphuzi, kutengera komwe kuli nembanemba ya fascia komwe zimapangidwira:

• Deep fascial: Chotupacho chimakula mu fascia layer yokhuthala mkati mwa thupi.
• Khungu: Chotupacho chimapezeka mu dermis, gawo lapakati la khungu.
• `Minofu yapakati`: Chotupa ichi chimapanga ``pakati pa minofu``.
• M'mitsempha: Chotupacho chimapezeka mkati mwa minofu.
• Mitsempha ya m'magazi: Nthawi zambiri, chotupachi chingapangidwe m'mitsempha yamagazi, kutanthauza, mkati mwa dongosolo lathu la mtima.

Kodi chotupa ichi chingayambitse mavuto ena?

Matenda a Nodular Fasciitis nthawi zambiri samayambitsa mavuto aakulu. Komabe, nthawi zina , ngati nodule ikukula ndikukankhira mitsempha yapafupi, ingayambitse mavuto ndi dongosolo lamanjenje. Mwachitsanzo:

• Kusamva bwino kapena kutayika kwa kumverera pamalo pomwe pali chotupa.
• Kufooka kwakanthawi m'dera limenelo.
• Kumva ngati nyerere zikuthamanga, kapena ngati kumenyedwa ndi magetsi.

Ngati muli ndi zizindikiro ngati izi, ndikofunikira kupeza upangiri wa dokotala nthawi yomweyo.

Kodi `Nodular Fasciitis` imapezeka bwanji? (`Kuzindikira`)

Ngati mukuganiza kuti muli ndi chotupa chonga ichi, choyamba muyenera kuonana ndi dokotala wamkulu (GP). Iye adzakuyesani ndipo ngati pakufunika, adzakutumizani kwa dokotala wa mafupa kapena dermatologist.

Zinthu zotsatirazi zingachitike panthawi yofufuza matenda:

1. Kuwunika thupi: Dokotala adzakhudza mosamala chotupacho. Adzafufuza zinthu monga kukula kwake, kuuma kwake, komanso ngati chikupweteka.

2. Mbiri ya matenda: Mudzafunsidwa za chotupacho (chakhalapo kwa nthawi yayitali bwanji, chakula mofulumira bwanji, ngati chikupweteka, komanso ngati pali zizindikiro zina).

3. Mayeso Ojambula: Mungapemphedwe kuti mupange MRI scan kapena ultrasound scan kuti muwone momwe chotupacho chikuonekera mkati, kukula kwake, komanso ubale wake ndi minofu yozungulira.

4. Biopsy: Iyi ndi sitepe yofunika kwambiri pakupeza matenda. Biopsy yokha ndi yomwe ingatsimikizire molondola komanso motsimikiza ngati ndi Nodular Fasciitis kapena matenda a khansa monga sarcoma.

• Izi zimaphatikizapo kutenga chidutswa chaching'ono cha minofu ('chitsanzo cha minofu') kuchokera pa chotupacho ndikuchiyang'ana pansi pa maikulosikopu.
• Pali njira zingapo zotengera chitsanzo ichi. `Core needle biopsy` ndi njira yotengera chitsanzo mwa kulowetsa singano yapadera kudzera m'bowo laling'ono pakhungu. `Open/excisional biopsy` ndi njira yochotsera gawo kapena chotupa chonse kudzera mu kabowo kakang'ono ndikutumiza kuti akayesedwe.

Kuyeza magazi m'thupi ndikofunikira kwambiri! Chifukwa ndiyo njira yokhayo yodziwira 100% ngati ndi khansa, Nodular Fasciitis, kapena china chake.

Kodi pali matenda ena omwe ali ndi zizindikiro zofanana ndi `Nodular Fasciitis`?

Inde, pali matenda ena angapo omwe amawoneka kapena ali ndi zizindikiro zofanana ndi `Nodular Fasciitis`. Ndicho chifukwa chake ndikofunikira kuonana ndi katswiri, kuyesedwa kofunikira, ndikupeza matenda olondola. Kupanda kutero, kungakhale koopsa kuganiza nokha.

Nazi zina mwazochitika zofanana:

• Sarcomas: Izi ndi zotupa za khansa zomwe zimakhala ndi minofu yofewa. Ndikofunikira kuzisiyanitsa ndi Nodular Fasciitis.
• Zotupa za Desmoid ndi Angiomatoid fibrous histiocytomas: Izi ndi mitundu ina ya zotupa za minofu yofewa zomwe sizili khansa.
• Matenda a Dupuytren: Matenda omwe amapezeka m'dzanja.
• Myositis ossificans: Kupangidwa kwa minofu yolimba ngati mafupa mu minofu pambuyo pa kuvulala kapena kuvulala.
• Mtundu wa Neurofibromatosis 1 (NF1): Matenda a majini omwe amachititsa kuti zotupa zipangike mozungulira mitsempha.
• Schwannomas: Mtundu wa chotupa chomwe chimachokera ku mitsempha.

Choncho, ngati mutapeza chotupa, musaganize kuti, "Ichi chikhoza kukhala Nodular Fasciitis, palibe chodetsa nkhawa nacho," koma pitani kwa dokotala kuti akaone ngati chili bwino.

Kodi Nodular Fasciitis imachiritsidwa bwanji?

Nayi nkhani yotonthoza kwa ambiri! Milandu yambiri ya Nodular Fasciitis sifunikira chithandizo chapadera.

• Ngati chotupacho chili chaching'ono ndipo sichikupangitsa ululu kapena kusapeza bwino, dokotala nthawi zambiri angapitirize ndi njira ya "kudikira mosamala" kapena "kuyang'anira".
• Chodabwitsa n'chakuti, ziphuphu zina zazing'ono zimatha kuchepa ndi kuzimiririka zokha mkati mwa mwezi umodzi kapena iwiri, kapena ngakhale miyezi itatu yokha!
• Komabe, ngati chotupacho chikupweteka, kapena ngati chikukula mofulumira kwambiri, kapena ngati chikukankhira chinthu ngati mitsempha ndikupangitsa kuti munthu asamve bwino,Chotupacho chingachotsedwe kwathunthu ndi opaleshoni yaying'ono yopita kuchipatala. Nthawi zambiri iyi si opaleshoni yayikulu komanso yovuta.
• Chithandizo china ndi kupereka jakisoni wa steroid wa chotupa. Nthawi zina izi zingathandizenso kuti chotupacho chichepe.

Ngati muli ndi chotupa, dokotala wanu adzakulankhulani nanu ndikusankha chithandizo chomwe chili chabwino kwa inu.

Kodi Nodular Fasciitis ingapewedwe?

Mwatsoka, pakadali pano palibe njira yopewera kwathunthu kufalikira kwa matenda otchedwa ``Nodular Fasciitis.'' Chifukwa, monga tafotokozera kale, chifukwa chachikulu cha izi ndi kusintha kwa majini komanso nthawi zina kuvulala pang'ono. Izi ndi zinthu zomwe zimativuta kuzilamulira.

Kodi thanzi la munthu amene ali ndi `Nodular Fasciitis` ndi lotani? (Maganizo/Zolosera)

Iyi ndi nkhani yabwino kwambiri!

• Nodular Fasciitis ndi matenda abwino kwambiri , zomwe zikutanthauza kuti si oopsa kwa moyo.
• Chotupacho chingatha chokha pakapita nthawi, kapena chingachiritse kwathunthu atachichotsa opaleshoni.
• Chofunika kwambiri ndichakuti chotupachi sichingabwererenso pamalo omwewo kapena kwina kulikonse.
• Komanso, chotupa ichi sichidzakhala khansa , komanso sichidzawonjezera chiopsezo chanu cha khansa mtsogolo.

Choncho, ngati matendawa atsimikiziridwa kuti ndi `Nodular Fasciitis`, palibe chifukwa chochitira mantha mosayenera.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muwona chotupa chatsopano, chosadziwikiratu kulikonse pathupi lanu, makamaka ngati chikupweteka kapena chikuoneka kuti chikukulirakulira, pitani kwa dokotala mwamsanga.

Musanyalanyaze. Popeza nodular fasciitis si khansa, pali matenda ena a khansa omwe amafanana, choncho ndikofunikira kudziwa bwino lomwe kuti ndi chiyani.

Kodi ndifunse dokotala chiyani?

Mukapita kwa dokotala wanu, ndi bwino kufunsa mafunso kapena nkhawa zilizonse zomwe mungakhale nazo. Nazi mafunso ena omwe mungafunse:

• N’chifukwa chiyani ndili ndi `Nodular Fasciitis`?
• Kodi ndikufunika opaleshoni pa izi? Kodi palibe mankhwala ena?
• Ngati sindichitidwa opaleshoni, zitenga nthawi yayitali bwanji kuti chotupachi chichoke chokha?
• Kodi pali mavuto aliwonse omwe ndiyenera kuwaganizira kwambiri? Ngati ndi choncho, ndi ati?
• Kodi pali mwayi wotani kuti izi zichitikenso?

Kuwonjezera pa mafunso awa, funsani chilichonse chomwe muli nacho m'maganizo mwanu. Dokotala alipo kuti akuthandizeni.

Ndiye, ndi zinthu ziti zofunika kwambiri zomwe tiyenera kukumbukira kuchokera munkhaniyi? (Uthenga Wopita Nawo Kunyumba)

Chabwino, takambirana zambiri za Nodular Fasciitis. Pomaliza, nazi zinthu zofunika kukumbukira:

• Ngati mwaona chotupa chatsopano, chachilendo kwinakwake pathupi lanu, musachinyalanyaze. Chingakhale chinthu chaching'ono, koma ndikofunikira kudziwa ngati ndi chinthu chachikulu. Choncho pitani kwa dokotala ndipo mukachiyeze.
• Matenda a nodular fasciitis si khansa . Ngakhale amatha kukula mofulumira, ndi matenda abwino, kapena osavulaza.
• Komabe, chifukwa zingawoneke zofanana kwambiri ndi khansa monga sarcoma, ndikofunikira kuchita biopsy kuti mupeze matenda olondola.
• Nthawi zambiri, nodular fasciitis siifuna chithandizo chachikulu ndipo imatha kuchira yokha. Nthawi zina, opaleshoni yaying'ono kapena jakisoni wa steroid ingafunike.
• Pambuyo poti chotupa ichi chachotsedwa, mwayi woti chikulenso umakhala wochepa kwambiri.

Choncho, chinthu chanzeru kwambiri kuchita mukaona chotupa pathupi lanu ndikupempha upangiri kwa dokotala, kuyesedwa kofunikira, ndikupeza chidziwitso choyenera. Mukatero nanunso mudzamva bwino. Ndikukufunirani kuti muchire mwachangu!

` Nodular Fasciitis, chotupa, chotupa pakhungu, chotupa cha fascia, chosakhala khansa, minofu yofewa, kusintha kwa majini