Amadyungudyungu amanzi entloko nasemqolo? (Ii-Arachnoid Cysts) Masifunde ukuba ziintoni kanye kanye!

Mhlawumbi ukhe weva ngezinto ezifana namaqhuqhuva amanzi azenzeka entlokweni okanye emqolo? Mhlawumbi wena, umntu omaziyo, okanye umntwana wakho ukhe waba nento efana nale, kwaye ugqirha ukuxelele. Ngoko ke kuqhelekile ukuziva usoyika kancinci xa usiva ezi zinto. Imibuzo efana nokuthi "Ingaba oku kuyingozi? Ingaba ngumhlaza?" mhlawumbi ifika engqondweni. Yiyo loo nto, namhlanje siza kuthetha ngezi cysts zibizwa ngokuba yi-arachnoid . Masibone ukuba ziyintoni, kutheni zenzeka, zithini iimpawu, yintoni omele uyoyike, kwaye zithini iindlela zonyango.

Ngaba uyazi ukuba zeziphi ezi cysts ze-arachnoid?

Ngamafutshane, ii-cysts ze-arachnoid ziingxowa ezincinci, ezizaliswe lulwelo ezithi zakheke engqondweni okanye emgogodleni wakho. Okubaluleke kakhulu, azingomhlaza , kwaye azizo iithumba zobuchopho. Uninzi lwexesha, ezi cysts azibangeli ngxaki, kwaye abantu abaninzi abazi nokuba banazo.

Nangona kunjalo, kunqabile kakhulu, ukuba le cyst iba nkulu kakhulu, okanye ukuba icinezela inxalenye ebalulekileyo yengqondo okanye umqolo, ezinye iingxaki zinokubakho. Umzekelo, kunokubakho umonakalo othile engqondweni, ubunzima bokuhamba, okanye ezinye iingxaki zemithambo-luvo .

Uninzi lwexesha, ezi (Arachnoid Cysts) zizalwa nazo . Oko kukuthi, ziqala ukwakheka ngelixa usana lusesesibelekweni. Ngamanye amaxesha, zinokukhula emva kokwenzakala okukhulu entloko okanye utyando lobuchopho ebuntwaneni. Abantu abaninzi abanezi cysts abanazo iimpawu. Nangona kunjalo, abanye abantu banokufumana iimpawu ezifana neentloko ezibuhlungu, isiyezi, isicaphucaphu , ukuhlanza , kwaye ngamanye amaxesha ukuxhuzula .

Ukuba i-cyst inyangwa okanye ayinyangwa, kuxhomekeke ekubeni i-cyst iphi, inkulu kangakanani, ingaba iyanda na, kwaye ingaba ibangela naziphi na iimpawu. Ukuba ugqirha wakho ugqiba kwelokuba unyango luyimfuneko, badla ngokuyikhupha i-cyst okanye benze utyando oluncinci ukuze bayidibanise neendawo ezingqongileyo ukuze kuvunyelwe ulwelo ukuba luphume.

Zixhaphake kangakanani ezi cysts ze-arachnoid?

Usenokumangaliswa kukuva oku! Ii-cysts ze-arachnoid ngokwenene lolona hlobo luqhelekileyo lwe-brain cyst. Nangona zinokukhula kubantu bayo nayiphi na iminyaka, zihlala zifunyanwa okokuqala kwiintsana nakubantwana abancinci. Ngaphezu koko, kufunyenwe ukuba abafana banamathuba aphindwe kane okufumana ii-cysts ze-arachnoid kunamantombazana.

Nangona kunjalo, kunzima kakhulu ukutsho ngqo ukuba bangaphi abantu emhlabeni abanale cysts. Isizathu soku kukuba, njengoko benditshilo ngaphambili, uninzi lwexesha lale cysts ayibangeli zimpawu. Ngoko ke, oogqirha bazibona ngengozi kuphela xa besenza i -MRI okanye i-CT scan yentloko ngesizathu esithile. Ke ngoko, kunzima ukunika inani elichanekileyo lenani labantu abaphila nale cysts.

Ezi cysts ze-arachnoid zakheka phi emzimbeni?

Ezi (ii-Arachnoid Cysts) zihlala zikhula engqondweni (ii-intracranial arachnoid cysts ). Azifane zikhulele nakumqolo (ii-spinal arachnoid cysts).

Zombini ezi ntlobo ze-cysts zakheka kwi-membrane ethambileyo nebhityileyo egubungela kwaye ikhusele ingqondo yakho kunye nomqolo. Oogqirha babiza le membrane ngokuthi yi-arachnoid membrane . Uyazi ukuba kutheni ibizwa ngolo hlobo? Kuba ifana newebhu yesigcawu! Igama elithi "arachnoid" livela kwigama lesiGrike elithetha isigcawu.

Ebuchotsheni, ezi cysts zinokwakheka kwiindawo ezahlukeneyo.

• Ngokwesiqhelo, ezi zikhula kwindawo ebizwa ngokuba yi-middle fossa region, kumacala omabini obuchopho, phambi kweendlebe zakho.
• Zingakheka nakwindawo ephezulu , ngasemva kwamehlo, ezantsi kwengqondo.
• Enye indawo yi -posterior fossa , ekwi-back of the skull, kufutshane nesiseko.

Ngoku khangela, kukho ulwelo olukhethekileyo olubizwa ngokuba yiCerebrospinal Fluid (CSF) olujikeleze ubuchopho bethu kunye nomqolo. Olu lulwelo olucacileyo olufana namanzi. Olu (CSF) lukhusela ubuchopho bethu kunye nomqolo kwiingozi ezahlukeneyo, lubanika izondlo ezifunekayo, kwaye lususa nenkunkuma. Ngoko ke, ezi (Arachnoid Cysts) zenziwa xa olu lwelo (CSF) luqokelelana phakathi kweengqimba ezimbini ze-arachnoid membrane, lwenza ibhegi encinci efana nebhaluni yamanzi.

Zithini iimpawu zeArachnoid Cysts?

Le yeyona ngxaki inkulu kubantu abaninzi. Iindaba ezimnandi zezokuba uninzi lwexesha, ezi (Arachnoid Cysts) azibonisi zimpawu. Oku kuthetha ukuba nokuba une-cyst, ungaphila ubomi obuqhelekileyo ngaphandle kokwazi.

Nangona kunjalo, ngamanye amaxesha iimpawu zinokuvela. Ukuba kunjalo, ezo mpawuIngahluka ukusuka kwencinci ukuya kwenzima. Konke kuxhomekeke ekubeni iphi i-cyst, ubungakanani bayo, nokuba icinezela imithambo-luvo ebalulekileyo okanye ezinye izakhiwo ebuchotsheni okanye emgogodleni. Ngokwesiqhelo, ukuba iimpawu ziyenzeka, zinokwenzeka ukuba zivele ngaphambi kokuba zibe neminyaka engama-20 ubudala .

Ezinye zeempawu eziqhelekileyo abantu abaninzi abanokuba nazo zezi:

• Intloko ebuhlungu rhoqo.
• I-Hydrocephalus - Oku kuxa ingqondo ifumana uxinzelelo ngenxa yokuqokelelwa kakhulu kolwelo lwe-cerebrospinal (CSF) ngaphakathi kwengqondo.
• Isicaphucaphu nokuhlanza .
• Ukuxhuzula .
• I-Vertigo kunye nesiyezi .

Kubalulekile: Ezi mpawu zinokuba ziimpawu zezinye iimeko ezininzi zempilo. Ke ngoko, ukuba unento efana nale, kungcono ukuba ubonane nogqirha ukuze ufumane ukuba yintoni kanye kanye ingxaki.

Ukongeza, iimpawu zinokwahluka ngokuxhomekeke kwindawo echanekileyo ye-cyst, nokuba kusebuchotsheni okanye emgogodleni.

• I-Middle fossa cyst: Ukuba i-cyst ikhula kule ndawo, inokubangela iingxaki zokubona, ukuva, ukuhamba, kunye nokulinganisela. Abanye abantu banokuziva bediniwe ngamaxesha onke, bazive bebuthathaka, okanye bade babe nokukhubazeka kwelinye icala lomzimba. Kubantwana abancinci, iimpawu ezinxulumene nenkqubo yemithambo-luvo zinokubonakala ngamanye amaxesha. Umzekelo, ukulibaziseka kokukhula kunye notshintsho olukhawulezileyo kwindlela yokuziphatha lunokwenzeka. Umzekelo, umntwana wakho unokuyekisa ngequbuliso ukwenza izinto awayezenza ngaphambili, okanye aphelelwe ngumdla kumsebenzi wesikolo.

• Iicysts zeSuprasellar: Iicysts kule ndawo, ekwindawo engasemva kwamehlo, zinokubangela iingxaki ezahlukeneyo zokubona. Le ndawo ikwadibene nenkqubo ye-endocrine yomzimba wethu. Ngokukodwa, ezi cysts zinokuchaphazela iihomoni ezilawula ukufikisa kunye nophuhliso lwesondo emntwaneni. Abanye abantu, ingakumbi abantwana abane-cysts ze-arachnoid kummandla we-suprasellar okanye kwi-posterior cranial fossa, banikina iintloko zabo ngokungalawulekiyo, njengonodoli we-bobble-head. Oko kukuthi, bahambisa iintloko zabo ukusuka kwelinye icala ukuya kwelinye okanye bejikeleza. Nangona olu luphawu olungaqhelekanga, ngamanye amaxesha luyabonakala.

• I-cyst yomqolo: Ukuba i-cyst yolu hlobo ikhula kwi-spinal cord, inokubangela ukungazivakali kwiingalo nasemilenzeni, ukurhawuzelelwa, ukuqaqamba kwemisipha, ubunzima bokuhamba, kwaye ngamanye amaxesha ukukhubazeka. Intlungu yomqolo kunye ne -scoliosis, ebangela ukuba umqolo ugobe ngokuhamba kwexeshaLe meko inokunxulunyaniswa nale spinal cyst. Abanye abantu banokufumana usulelo oluhlala lusenzeka kwindlela yomchamo ngenxa ye spinal cyst.

Kutheni ezi cysts ze-arachnoid zenzeka? Zithini izizathu?

Lo ngumbuzo obuzwa ngabantu abaninzi.

Uninzi lwee-cysts ze-arachnoid zizalwa nazo (ii-cysts ze-arachnoid eziphambili). Oku kuthetha ukuba ezi cysts ziqala ukwakheka ngelixa usana lusesesibelekweni, kwiiveki zokuqala zokukhulelwa. Enyanisweni, oogqirha abasazi ukuba kutheni oku kusenzeka. Yimfihlakalo.

Ngenxa yokuba ii-cysts ze-arachnoid ngamanye amaxesha zisebenza kwiintsapho, oogqirha bacinga ukuba i-genetics inokudlala indima. Oku kuthetha ukuba kukho ithuba elincinci lokuba abantwana baza kuzuza esi sifo kubazali babo. Kwakhona, abantu abaneengxaki ezithile zempilo, ezifana ne -arachnoiditis (ukudumba kwe-arachnoid membrane) okanye i-Marfan syndrome (imeko ye-genetic echaphazela izicubu ezinxibeleleneyo), banamathuba amancinci okufumana ii-cysts ze-arachnoid kunezinye.

Amaxesha amaninzi, ezi cysts zinokukhula emva kokuzalwa. Oku kuthetha ukuba zinokukhula emva kokwenzakala okukhulu entloko, njengokwenzakala kwengqondo, utyando lobuchopho, okanye usulelo oluchaphazela ingqondo, ngexesha lobuntwana. Oogqirha babiza iicysts ezikhula kamva ebomini njengeecysts ze-arachnoid zesibini .

Oogqirha bafumanisa njani ngokuchanekileyo ii-cysts ze-arachnoid?

Iimpawu zeArachnoid Cysts, njengoko benditshilo ngaphambili, zinokufana neempawu zezinye iimeko ezininzi. Ngoko ke, ukuba wena okanye umntwana wakho unempawu enye okanye ezingaphezulu kwezi zikhankanyiweyo apha ngasentla, ugqirha uza kuqala akubuze ngembali yakho epheleleyo yempilo. Emva koko, ngokusekelwe kwiimpawu zakho, uza kucebisa ezinye iimvavanyo acinga ukuba ziyimfuneko.

Kodwa, ngokumangalisayo, amaxesha amaninzi, oogqirha bafumanisa ezi (Arachnoid Cysts) ngengozi ngelixa bezama ukunyanga enye ingxaki yempilo. Umzekelo, xa umntu exhuzula aze ahlolwe intloko ukuze kufunyanwe unobangela, okanye xa ekhangela unobangela wentloko ebuhlungu rhoqo, unokufumanisa ukuba unale cyst.

Oogqirha basebenzisa kakhulu izifundo ezikhethekileyo zokuthatha imifanekiso, ezifana ne -MRI scans (Magnetic Resonance Imaging - MRI scans) kunye ne-CT scans (Computed Tomography - CT scans), ukuze bafumane imifanekiso ecacileyo yezi cysts, ukuze babone ukuba zikhulu kangakanani, ziphi, kwaye nokuba zityhalela kwiindawo ezingqongileyo zobuchopho. Imifanekiso evela kwezi scans inokunceda ugqirha ukuba aqonde ngcono i-cyst.

Oogqirha baziphatha njani ezi cysts ze-arachnoid?

Akuyena wonke umntu ofuna unyango kwangoko emva kokufumanisa ukuba une-cyst.

• Ukuqwalaselwa: Ukuba i-cyst ayibangeli zimpawu kwaye incinci, ugqirha wakho unokucebisa ukuba ulinde ubukele . Nangona kunjalo, oku akuthethi ukuba ulinde nje. Ugqirha wakho unokucela ukuba wenze uvavanyo rhoqo, olufana ne-MRI scan, ukuze ujonge i-cyst ukuze ubone ukuba iyakhula na ngokuhamba kwexesha okanye ukuba kuvela iimpawu ezintsha . I-MRI kunye ne-CT scans zinokunceda ugqirha wakho abone ukuba i-cyst icinezela kwiindawo ezibalulekileyo ezifana nemithambo-luvo, ingqondo, okanye umqolo. Enyanisweni, uninzi lwe-cysts aludingi naluphi na unyango olongezelelweyo.

• Xa kufuneka unyango: Nangona kunjalo, ukuba i-cyst inkulu, iyaqhubeka nokukhula, okanye ibangela iimpawu eziqatha (umzekelo, iintloko ezibuhlungu ezingalawulekiyo, ukuxhuzula, okanye ukungaziva mnandi emalungeni), ugqirha wakho unokucebisa unyango. Olu nyango lunokwahluka. Ezinye zazo ziquka:

• Iinkqubo ze-Endoscopic: Le yinkqubo entsha nephucukileyo. Ngokuxhomekeke kwindawo kunye nobukhulu be-cyst, ugqirha angasebenzisa inkqubo ye-endoscopic ukukhupha ulwelo kwi-cyst okanye ukwenza 'ifestile' encinci (i-fenestration) eludongeni lwe-cyst ukuvumela ulwelo ukuba luphume. Kule nkqubo, ugqirha usebenzisa ityhubhu ebhityileyo, ende. Kwelinye icala letyhubhu kukho ikhamera encinci kunye nesixhobo sotyando esincinci. Le yinkqubo engaphantsi kakhulu . Oku kuthetha ukuba ityhubhu ifakwa nge-incision encinci entloko kwaye utyando lwenziwa. Ngenxa yoko, ixesha lokuchacha likhawuleza kunotyando olukhulu oluqhelekileyo, kwaye ukuhlala esibhedlele kufutshane.

• Utyando lwe-craniotomy oluvulekileyo: Olu lutyando olukhulu kancinci. Kolu tyando, ugqirha ususa okwethutyana inxalenye encinci yekhakayi yakho, aye kwindawo apho kukho i-cyst, aze enze imingxunya emininzi emincinci eludongeni lwekhakayi. Ezi 'festile' zivumela ulwelo (CSF) olukwi-cyst ukuba luphume luye kwiindawo ezingqongileyo zobuchopho. Ekuhambeni kwexesha, umzimba wakho uya kufunxa ulwelo olongezelelweyo. Inxalenye yekhakayi ayisusileyo ugqirha iyabuyiselwa endaweni yayo kwaye ithungwe phezu kolusu.

• Ukuvala: Olu lolunye ukhetho lonyango. Kule meko, ugqirha ufaka i-cystoperitoneal shunt kwi-cyst.I-shunt (ekwabizwa ngokuba yi-CP shunt ngamafutshane) ifakwa. I-shunt yityhubhu yeplastiki encinci kakhulu (i-catheter). Isiphelo sayo esinye siqhagamshelwe kwi-cyst, kwaye esinye isiphelo siqhagamshelwe kwisisu sakho (i-peritoneum). Kukho ivalvu encinci embindini wale tyhubhu elawula ukuba ingakanani i-fluid ekhutshwa kwi-cyst kunye nokuba ikhawuleza kangakanani. Ngoko ke, i-fluid eyongezelelweyo eqokeleleka kwi-cyst idlula kule shunt iye esiswini sakho. Apho, umzimba wakho uphinda uyifunxe i-fluid. Le shunt idla ngokuba yinto eshiyekileyo emzimbeni wakho.

• Ukususwa ngotyando: Kwimeko yee-cysts ze-arachnoid emgogodleni, oogqirha baya kusoloko bezama ukususa i-cyst ngokupheleleyo ngotyando. Ugqirha uya kwenza i-incision ngaphezulu kolusu apho i-cyst ikhoyo aze ayisuse ngononophelo i-cyst. Nangona kunjalo, ngamanye amaxesha, ngokuxhomekeke kwindawo kunye nobukhulu be-cyst, kusenokungabi lula ukuyisusa ngokupheleleyo. Kwimeko ezinjalo, ugqirha unokucebisa ukuba kukhutshwe ulwelo okanye kufakwe i-shunt njengoko bekutshiwo ngaphambili.

Injani imbono yabantu abane-Arachnoid Cysts? (Imbono)

Le yingxaki ebalulekileyo nakubantu abaninzi.

Uninzi lwee-cysts ze-arachnoid azibangeli zimpawu. Ngenxa yoko, abantu abanee-cysts ezinjalo abanazo iingxaki.

Nangona kunjalo, kwiimeko ezingaqhelekanga apho iimpawu zibonakala khona, unyango lwe-Arachnoid Cysts ludla ngokuphucula kakhulu iimpawu kwaye lude luphele.

Nangona kunjalo, ngamanye amaxesha, emva konyango, kukho ithuba elincinci lokuba i-cyst iya kuphinda ivele okanye igcwale lulwelo kwakhona. Ukuba oku kuyenzeka, unokufuna ukuthetha nogqirha wakho kwakhona uze wenze olunye utyando lokukhupha ulwelo okanye ukususa i-cyst.

Ngoku, ii-cysts ze-arachnoid ezinganyangwanga nezineempawu zinokuba nemiphumo emibi kakhulu. Umzekelo, umonakalo osisigxina engqondweni, iintlungu ezinzima nezingenakulawuleka, iingxaki zokuhamba ezinokubangela ukuba kube nzima ukuhamba, kunye nezinye iingxaki zempilo ezinzima zinokwenzeka. Amaxesha amaninzi, ii-cysts ezinganyangwanga zinokubangela ukuba ukhakhayi lukhule ngendlela engaqhelekanga, ingakumbi kubantwana abancinci, lukhulele kwicala elinye kuphela.

Iingxaki ezimbini eziphambili ezinokubakho kwi-arachnoid cysts zezi:

• Ukopha kwi-cyst: Imithambo yegazi emincinci kakhulu eludongeni lwe-cyst ingaqhuma, ivumele igazi ukuba lingene kwi-cyst. Oku kunokubangela ukuba i-cyst ikhule ngequbuliso kwaye yonyuse iimpawu. Ngamanye amaxesha imithambo yegazi ingaqhuma, ivumele igazi ukuba liphume kwi-cyst liye kwizicubu zobuchopho. Ukuba oku kuyenzeka, imeko eyingozi ebizwa ngokuba yi-hematoma inokukhula.
• Ulwelo oluphuma kwi-cyst:Ukuba i-cyst yonakaliswe yingozi okanye ukwenzakala okukhulu entloko, ingaqhuma kwaye ulwelo olungaphakathi (CSF) lunokuvuza lungene ebuchotsheni obujikelezileyo (CSF leak). Oku kunokubangela iingxaki ezinkulu zempilo.

Ngaba singakuthintela ukwakheka kwezi cysts ze-arachnoid?

Ngelishwa, akukho nto sinokuyenza ukuthintela ukwakheka kwezi (Arachnoid Cysts). Kuba, kwiimeko ezininzi, ezi zizalwa nazo, asinakuzilawula.

Nangona kunjalo, ukuba kukho umntu kusapho lwakho one-arachnoid cysts (oko kukuthi, kusenokuba kukho utyekelo lwemfuza), okanye ukuba unenye imeko yezonyango, efana ne-arachnoiditis, eyonyusa umngcipheko wakho wokufumana ezi cysts, kungcono ukuthetha nogqirha wakho ngayo. Emva koko, ugqirha angakunika icebiso elifunekayo.

Ufanele uye nini kugqirha malunga neArachnoid Cysts?

Lo ngumcimbi obaluleke kakhulu.

• Ukuba wena okanye umntwana wakho nineempawu enicinga ukuba zinokunxulunyaniswa neArachnoid Cysts endizichazile ngaphambili kweli nqaku, nceda ungazityesheli. Yiya kugqirha ngokukhawuleza.
• Ezinye ii-cysts, ingakumbi ukuba zibangela iimpawu, zifuna unyango olukhawulezileyo ukuthintela iingxaki zempilo zexesha elide.
• Enye into kukuba uninzi lweempawu zeArachnoid Cysts zinokufana nezezinye izifo ezinobungozi, ezifana nomhlaza wobuchopho. Ke ngoko, kubaluleke kakhulu ukufumana uxilongo olufanelekileyo. Oku ngokuqinisekileyo kufuna uncedo kugqirha.

Ngoko ke, zeziphi izinto ezibalulekileyo esifanele sizikhumbule kweli bali? (Umyalezo Wokubuyela Ekhaya)

Kulungile, ngoko ke sifunde okuninzi malunga neArachnoid Cysts kweli bali lide, akunjalo? Ukuqukumbela, nazi iingongoma ezibalulekileyo ekufuneka uzikhumbule:

• Musa ukukhathazeka: Ii-cysts ze-Arachnoid azingomhlaza. Uninzi lwexesha, azibangeli monakalo okanye zibangele naziphi na iimpawu.
• Lumka ngeempawu: Ukuba ufumana iimpawu ezifana nentloko ebuhlungu, isiyezi, ukuhlanza, ukuxhuzula, utshintsho ekuboneni, okanye ukulahlekelwa zingqondo, ziqaphele.
• Bona ugqirha: Ukuba unamathandabuzo okanye iimpawu, qiniseka ukuba ubona ugqirha kwaye ucele ingcebiso. Musa ukuzixilonga.
• Kukho unyango: Kukho unyango olusebenzayo lwe-cysts ezineempawu. Ezinye zazo zinokunyangwa ngokukhawuleza ngotyando olungenakungenelela kakhulu.
• Ukufunyanwa kwangoko kubalulekile: Ukufunyanwa kwangoko kwe-arachnoid cyst, ukujonga ukuba kuyimfuneko, kunye nonyango olukhawulezileyo kunokuphucula impilo yakho yexesha elide.

Ngoko ke, ndiyathemba ukuba eli nqaku liphendule eminye yemibuzo yakho malunga neArachnoid Cysts. Hlala usempilweni!

I- Arachnoid cyst, i-brain cyst, i-spinal cyst, intloko ebuhlungu, i-hydrocephalus, ukuxhuzula, izifo ze-neurological, i-CSF, i-MRI, i-CT scan