Kodi pali chinthu chonga thovu la madzi pafupi ndi mtima wanu? Tiyeni tiphunzire za (Pericardial Cyst) iyi!

Nthawi zina, zinthu zazing'ono zimatha kukula m'thupi mwathu popanda ife kuzindikira, eti? Ndicho chimene `(Pericardial Cyst)` iyi ili. Mukamva dzina ili, lingawoneke ngati nkhani yaikulu, koma musadandaule , nthawi zambiri siloopsa kwenikweni. Lero, tikambirana za izi mosavuta, mwanjira yomwe mungamvetse.

Kodi `(Pericardial Cyst)` iyi ndi chiyani?

Mwachidule, Pericardial Cyst ndi cyst yodzaza ndi madzi yomwe imapangidwa mu nembanemba yopyapyala ngati thumba yomwe imazungulira mtima wanu, pericardium. Imaoneka ngati thovu la madzi. Nthawi zambiri, ndi vuto lobadwa nalo. Ma cysts awa nthawi zambiri amakhala ndi kukula kwa masentimita 3 mpaka 5, komwe kumakhala pafupifupi inchi imodzi ndi theka mpaka mainchesi awiri. Koma ena amatha kukhala akuluakulu. Amatha kukhala ozungulira kapena ozungulira pang'ono. Ali ndi madzi owoneka bwino. Ichi ndichifukwa chake kale, m'ma 1940, madokotala ankawatchanso "ma cysts amadzi a masika." Nthawi zambiri amapezeka mbali yakumanja ya mtima. Chofunika kwambiri ndichakuti ma cysts a Pericardial Cysts awa si khansa. Anthu ambiri sasonyeza zizindikiro zilizonse. Koma tangoganizirani, ngati chotupachi chikukulira pang'ono ndikukankhira pamtima kapena mapapo apafupi, ndiye kuti pali kuthekera kuti zizindikiro zina kapena zovuta zitha kuchitika.

Kodi `(Pericardial Cyst)` ingakhale yoopsa bwanji?

Kawirikawiri, `(Pericardial Cyst)` siimayambitsa mavuto ambiri. Anthu ambiri amakhala osadziwa kuti ali nayo. Komabe, nthawi zambiri, ndipo izi zikutanthauza kuti nthawi zambiri, mavuto ngati awa amatha kuchitika:

• Kusakhazikika kwa kugunda kwa mtima ( Arrhythmia ): Kusakhazikika kwa kugunda kwa mtima .
• Kuthamanga kwa mtima : Izi zitha kukhala zadzidzidzi.
• Kutsekeka kwa mtima: Mtima sungagwire bwino ntchito.
• Kulephera kwa mtima .
• Kukomoka / syncope .
• Chibayo .
• Kutsekeka kwa magazi kuchokera ku ventricle yakumanja ya mtima`(Kutsekeka kwa njira yotulutsira madzi m'mitsempha yakumanja)`.
• Imfa yadzidzidzi ya mtima : Izi zimachitika kawirikawiri.
• Matenda a Superior vena cava (SVCS) ndi matenda omwe amayamba chifukwa cha kupsinjika kwa superior vena cava (mtsempha wamagazi) .

Mayina awa angawoneke ngati owopsa, koma kumbukirani kuti awa ndi osowa kwambiri .

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Matendawa otchedwa `(Pericardial Cyst)` amatha kufalikira mwa munthu aliyense wa msinkhu uliwonse. Tangoganizirani, ngakhale munthu wazaka 102 wapezeka ndi matendawa. Nthawi zina, ngakhale mwana wamng'ono m'mimba mwa mayi angadziwike kuti ali nawo kudzera mu `(kuyezetsa mimba)` panthawi ya mimba. Komabe, nthawi zambiri amapezeka mwa achinyamata, kutanthauza kuti, mwa anthu azaka zapakati pa 20 ndi 40. Amanenedwanso kuti akazi ali ndi mwayi wochuluka wopeza matendawa kuposa amuna. Tikanena za momwe zimakhalira zofala, `(Pericardial Cyst)` ndi matenda osowa kwambiri. Amakhudza pafupifupi munthu m'modzi pa anthu 100,000.

Kodi zizindikiro za `(Pericardial Cyst)` ndi ziti?

Nkhani yabwino ndi yakuti si aliyense amene ali ndi vutoli amene ali ndi zizindikiro. Ndipotu, pafupifupi anthu atatu mwa anayi saona zizindikiro zilizonse. Komabe, monga tanenera kale, ngati chotupachi chikukulirakulira moti chingakanikizire mtima kapena mapapo anu, mutha kukumana ndi zizindikiro monga:

• Kupweteka pachifuwa: Kupweteka kumeneku kungafalikirenso kumadera akumtunda kwa thupi, monga khosi, mapewa, ndi manja.
• Chifuwa: Mungakhale ndi chifuwa chosatha.
• Matenda opatsirana pafupipafupi m'mapapo: Mwachitsanzo, matenda opatsirana m'mapapo .
• Kuvuta kupuma (kupuma movutikira): Mungamve ngati mukupuma movutikira ngakhale mutachita zinthu zochepa.

Kodi `(Pericardial Cyst)` iyi imapangidwa bwanji?

Nthawi zambiri, ndiko kuti, oposa 90% ya milandu, `(Pericardial Cyst)` iyi ndi chinthu chomwe chimapezeka pobadwa `(congenital)`. Izi zikutanthauza kuti, cyst iyi imapangidwa chifukwa cha kufooka pang'ono pakupanga nembanemba yoteteza `(pericardium)` yozungulira mtima panthawi ya moyo wa mwana wosabadwayo, ali m'mimba mwa mayi. Pali zifukwa zina zomwe sizimachitika kawirikawiri zomwe zimayambitsa izi. Izi ndi:

• Kutupa kwa nembanemba ya mtima, matenda otchedwa ``pericarditis''.
• Chifukwa cha kuvulala kwambiri pachifuwa (kuvulala).

Kodi mungadziwe bwanji ngati muli ndi `(Pericardial Cyst)`?

Ichi ndi chinthu chodabwitsa kwambiri. Nthawi zambiri, madokotala amapeza kuti `(Pericardial Cyst)` iyi mwangozi!Izi zikutanthauza kuti mutha kupeza chotupa ichi pokhapokha mutapimidwa X-ray pachifuwa kapena kujambulidwa kwina pazifukwa zina. Ichi ndichifukwa chake madokotala amatcha zomwe zapezekazi kuti "zopezeka mwadzidzidzi." Chotupa chikapezeka motere, dokotalayo adzachita mayeso ena angapo kuti atsimikizire kuti ndi chotupa cha pericardial. Amafunanso kutsimikiza kuti si vuto lina lalikulu. Mwachitsanzo:

• Aneurysm ndi kutupa kwa mtsempha wamagazi m'chipinda chapansi cha mtima.
• Hernia mu diaphragm (minofu yomwe imalekanitsa chifuwa ndi mimba) (Morgagni hernia).
• Mitundu ina ya ma cysts kapena zotupa.

Ndi mayeso amtundu wanji omwe amatsimikizira izi?

Madokotala amagwiritsa ntchito mayeso ngati awa kuti azindikire molondola ndikuyang'anira vuto la "Pericardial Cyst":

• Kujambula kwa CT ya mtima : Izi zingathandize kuona bwino chotupacho, komanso momwe pericardium ilili.
• Kujambula kwa MRI ya Mtima : Izi zingagwiritsidwe ntchito kuona ngati chotupacho chikukankhira pamtima, mapapo, kapena ziwalo zina zofunika kwambiri zapafupi.
• Echocardiography : Izi zili ngati ultrasound scan ya mtima. Imagwiritsidwa ntchito kuona ngati kukula kwa chotupacho kukusintha pakapita nthawi ndikuwongolera kutulutsa madzi kuchokera ku chotupacho ngati pakufunika kutero.

Kodi mankhwala a `(Pericardial Cyst)` ndi ati?

Nkhani yabwino ndi yakuti nthawi zambiri, Pericardial Cyst sifunikira chithandizo chachikulu. Madokotala amatcha izi 'kasamalidwe ka zinthu zosungira'. Izi zikutanthauza kuti, musachite mantha, ingoyang'anirani.

• Kuwunika: Ngati mulibe zizindikiro ndipo chotupacho sichikukula, dokotala wanu adzawunika chotupacho ndi transthoracic echocardiogram (TTE) zaka zingapo zilizonse. Palibe chithandizo china chofunikira.
• Pamene chithandizo chikufunika: Komabe, ngati muyamba kuona zizindikiro, kapena ngati ma scan akusonyeza kuti chotupacho chikukulirakulira, ndiye kuti chithandizo chidzakhala chofunikira.

Pali njira ziwiri zazikulu zochizira: 1. Kuchotsa madzi kudzera mu njira zosalowa kwambiri m'thupi:

• Ethanol sclerosis : Mu izi, chinthu chotchedwa ethanol chimalowetsedwa mu chotupacho, kenako madzi omwe ali mu chotupacho amachotsedwa. Izi zimachepetsa chiopsezo cha chotupacho kukulanso.
• Kutulutsa madzi m'thupi : Singano imalowetsedwa kudzera m'bowo laling'ono pakhungu ndipo madzi onse omwe ali mu cyst amachotsedwa.

2. Kuchotsa chotupa pa opaleshoni:

• Opaleshoni ya Laparoscopic : Izi zimaphatikizapo kudula pang'ono pachifuwa ndikugwiritsa ntchito kamera ndi zida zofewa kuchotsa chotupacho. Izi zimatchedwanso "keyhole surgery."
• Kuduladula kwapakati : Opaleshoni yomwe imaphatikizapo kudula pakati pa chifuwa, pansi pa fupa la pachifuwa. Iyi ndi opaleshoni yaikulu.
• Thoracotomy : Njira yochitira opaleshoni yomwe imaphatikizapo kudula pakati pa nthiti ziwiri.
• Opaleshoni ya pachifuwa yothandizidwa ndi kanema (VATS): Izi zikufanana ndi opaleshoni ya laparoscopic, chifukwa imachitika pogwiritsa ntchito kamera kudzera mu kudula pang'ono pakati pa nthiti.

Dokotala wanu adzawunikanso vuto lanu, adzakambirana nanu njira zonse zothandizira, ndikusankha chomwe chili chabwino kwa inu komanso chotetezeka . Cholinga chachikulu cha chithandizochi ndikupewa mavuto akuluakulu omwe angachitike ngati chotupacho chikukankhira pamtima kapena m'mapapo.

Kodi izi zingalepheretsedwe kuchitika?

Popeza ma cysts a pericardial nthawi zambiri amakhala obadwa nawo , palibe chomwe tingachite kuti tiwalepheretse kupanga. Komabe, ngati mudadwalapo kale pericarditis, kutupa kwa mkati mwa mtima, mutha kukhala pachiwopsezo chochepa chotenga pericardial cyst. Ndibwino kulankhula ndi dokotala wanu za izi.

Kodi Pericardial Cyst ndi yoopsa?

Apanso, ma cysts ambiri a pericardial si owopsa. Angakhale owopsa pokhapokha ngati aika mphamvu pa mtima, mapapo, kapena ziwalo zina zofunika kwambiri zapafupi. Ngati muli ndi cyst ya pericardial, dokotala wanu adzayang'anira ndikuchiza ngati pakufunika kutero. Choncho musamachite mantha mosayenera.

Kodi chimachitika ndi chiyani ndikakhala ndi vutoli? Zidzakhala bwanji mtsogolo?

Anthu ambiri omwe ali ndi vuto la pericardial cyst amatha kuchira bwino ndikukhala moyo wabwinobwino . Komabe, ngati muli ndi zizindikiro kapena vuto lanu la cyst likukulirakulira, mungafunike chithandizo kuti mupewe mavuto omwe atchulidwa pamwambapa. Lankhulani momasuka ndi dokotala wanu za matenda anu, zomwe zingachitike, komanso chiopsezo chanu cha mavuto.

Kodi ndiyenera kupita kwa dokotala liti? Ndiyenera kuda nkhawa ndi chiyani?

Onetsetsani kuti mwapita kukayezetsa matenda anu pachaka . Komanso, pitani kukaonana ndi dokotala wanu ngati mwalangizidwa. Kumbukirani kuti anthu ambiri sadziwa kuti ali ndi Pericardial Cyst, chifukwa nthawi zambiri imapezeka mwangozi. Chifukwa chake, ndikofunikira kupita kukaonana ndi dokotala wanu nthawi zonse komanso mayeso. Kenako, mumakhala ndi mwayi wopeza Pericardial Cyst isanakhale vuto.

Makamaka kumbukirani, ngati dokotala watulutsa madzi ochokera ku `(Pericardial Cyst)` yanu, pali mwayi wa 30% kuti cyst ibwererenso. Chifukwa chake, mayeso otsatira ndi ofunikira. Dokotala adzafunika kukuyang'anirani kuti awone ngati cyst yabwerera.

Zadzidzidzi! Ngati muli ndi zizindikiro izi, zikhoza kukhala chizindikiro cha kugunda kwa mtima.Imbani 911 kapena dipatimenti yadzidzidzi yapafupi nanu nthawi yomweyo, kapena pitani kuchipatala nthawi yomweyo:

• Kusintha kwadzidzidzi kwa mkhalidwe wamaganizo (kumva kusokonezeka, kukwiya, kutaya chidziwitso).
• Kumva chizungulire kapena kukomoka/kukomoka.
• Ululu wakuthwa komanso wobaya pachifuwa. Ululuwu ukhoza kufalikira mpaka m'mimba, msana, khosi, mkono, kapena phewa.
• Kuchuluka kwa mpweya wopuma.
• Kugunda kwa mtima mofulumira kwambiri.
• Kusintha kwa mtundu wa khungu (lotumbululuka, lotuwa, kapena labuluu).
• Kuvuta kwambiri kupuma.

Ndiye, ndi zinthu ziti zomwe tiyenera kukumbukira? (Uthenga Wopita Nawo Kunyumba)

Ngakhale kuti vutoli lotchedwa `(Pericardial Cyst)` lingamveke ngati loopsa, nthawi zambiri silisonyeza zizindikiro zilizonse, ndipo nthawi zambiri limayambitsa mavuto aakulu. Koma ngati muli ndi zizindikiro, kapena ngati cyst ikukulirakulira, musadandaule. Mankhwala amakono ali ndi njira zingapo zabwino zochizira izi. Lankhulani ndi dokotala wanu mosamala za chithandizo chomwe chili chabwino kwa inu komanso nthawi yomwe ingatenge kuti muchire. Chofunika kwambiri ndikutsatira mayeso anu azachipatala ndi upangiri wachipatala. Kenako, ngakhale mutakhala ndi vuto ngati ili, mutha kulizindikira msanga, kuchita zomwe mukufuna, ndikukhalabe wathanzi. Pericardial cyst, cyst yamtima, cyst yamtima, kupweteka pachifuwa, kupuma movutikira, matenda amtima, pericardial