Ngaba wakha wazibuza ukuba ingaba unokuba ne-cyst encinci ekhula esifubeni sakho ngaphandle kokuqaphela? Ngamanye amaxesha, inokubakho iminyaka emininzi ngaphandle kwempawu. Namhlanje, siza kuthetha ngemeko ebizwa ngokuba yiBronchogenic Cysts, ebakho xa izalwa kodwa ngamanye amaxesha inokubangela iingxaki xa ikhula.
Zithini iiBronchogenic Cysts?
Ngamafutshane, iiBronchogenic Cysts ziicysts ezizaliswe lulwelo ezithi zibe kwindawo ephakathi kwesifuba sakho, nto leyo esiyibiza ngokuba yiMediastinum ngokwezonyango. Cinga ngayo, le Mediastinum yinxalenye yesifuba sakho ephethe amalungu abalulekileyo njengeminye yemithambo yegazi emikhulu, umqala wakho, kunye nombhobho wakho wokuphefumla oyintloko, iTrachea. Ikwayiyo inxalenye eyahlula imiphunga yakho.
Into ebalulekileyo kukuba ezi "Bronchogenic Cysts" zizinto ezenzeka emzimbeni wakho xa ufika kweli hlabathi. Nangona kunjalo, uninzi lwexesha, azibangeli ngxaki ebuntwaneni.
Abantu abaninzi bafumanisa ukuba baneqhuma elinje ngengozi, xa besenziwa i-X-ray yesifuba okanye esinye iskeni ngesizathu esithile. Ngamanye amaxesha akukho zimpawu zibonakala kangangeminyaka engama-30 okanye engama-40, kwaye iingxaki ziqala ukuvela xa iqhuma likhula kancinci. Ngoko ke, kuqhelekile ukuziva uxhalabile xa ngequbuliso ufumanisa ukuba uneqhuma esifubeni sakho. Kodwa ungakhathazeki, kukho unyango loku.
Ziziphi iimpawu zeBronchogenic Cysts?
Nangona ezi cysts zihlala zikhona ngaphandle kweempawu, abanye abantu banokuba neempawu, ezinje ngezi:
- Ukukhwehlela rhoqo
- Ubunzima bokuginya, njengemeko esiyibiza ngokuba yi-"Dysphagia"
- Umkhuhlane oqhelekileyo
- Ukurhawuzela kwelizwi
- Ukwanda kwesantya sokuphefumla kunye nokuphefumla okungenzulu, okubizwa ngokuba yi-`(Tachypnea)`
- Ukuphefumla (ukubetha umlozi)
Ezi mpawu zinokuvela nakweyiphi na iminyaka. Kodwa rhoqo ezi mpawu zivela xa i-cyst iba nkulu ize iqale ukucinezela umbhobho wakho womoya (trachea) okanye umbhobho wokutya (umphimbo). Ezi cysts, ezibizwa ngokuba yi-bronchogenic cysts, zinokukhula ukusuka kwiisentimitha ezi-2 ukuya kwezili-15 (malunga ne-intshi ezi-1 ukuya kwezi-5). Ngamanye amaxesha ezi cysts ziyasuleleka, nto leyo enokubangela iimpawu.
Kutheni le nto ezi cysts ze-bronchogenic zenzeka?
Ezi thumba zenzeka ngexesha lokukhula komntwana ongekazalwa , oko kukuthi, ngelixa umntwana esesesibelekweni. Kodwa oogqirha abakaqondi kakuhle ukuba zibangelwa yintoni kanye kanye.
Zithini iingxaki zale meko?
Ezi `(Bronchogenic Cysts)` zinokubangela ubunzima bokuphefumla nokuginya. Ezi cysts nazo zinokosuleleka. Nangona kunjalo,Eyona ngxaki iyingozi kukuba kukho ithuba elincinci kakhulu lokuba la mathumba aza kuba ngumhlaza, yiyo loo nto kubalulekile ukuba ulumke ngale nto.
Oogqirha bazifumanisa njani iiBronchogenic Cysts?
Amaxesha amaninzi, ezi `(Bronchogenic Cysts)` zifunyanwa ngengozi, ngexesha `(uvavanyo lomfanekiso)` olwenziwe ngesinye isizathu. Umzekelo:
- I-ultrasound yangaphambi kokukhulelwa ngamanye amaxesha inokufumanisa ukuba umntwana unalo olu hlobo lwethumba.
- Ukuba wena okanye umntwana wakho nithatha i-X-ray yesifuba njengenxalenye yokuhlolwa rhoqo, eli qhuma linokubonakala.
Kuza kwenzeka ntoni ukuba ithumba elinje lifunyenwe ngovavanyo lomfanekiso?
Iyahluka ngokuxhomekeke kwimeko. Umzekelo, ukuba i-ultrasound scan ngexesha lokukhulelwa ibonisa ukuba umntwana wakho uneBronchogenic Cyst, ugqirha wakho wokukhulelwa uza kujonga i-cyst kulo lonke ixesha lokukhula komntwana.
Ukuba wena okanye umntwana wakho nifunyaniswa ukuba ninolu hlobo lwethumba, ugqirha wakho unokuyalela iimvavanyo ezifana nezi ukuqinisekisa okungakumbi:
- I-CT scan (i-Computed Tomography - i-CT scan): Oku kusebenzisa ii-X-ray kunye nekhompyutha ukuthatha imifanekiso eneenkcukacha ze-mediastinum, inxalenye ephakathi yesifuba sakho okanye somntwana wakho.
- I-Esophagram: Oku kuquka ukuthatha uthotho lwemifanekiso ye-X-reyi yomqala wakho okanye womntwana wakho emva kokusela ulwelo olukhethekileyo (ulwelo oluchaseneyo).
- I-MRI (Magnetic Resonance Imaging - MRI): I-MRI inokuvelisa imifanekiso ecacileyo neneenkcukacha ezithe vetshe ye-mediastinum, inxalenye ephakathi yesifuba.
Indlela yokunyanga i-`(Bronchogenic Cyst)`?
Amaxesha amaninzi, oogqirha bacebisa ukususwa kwesi sifo ngotyando (Bronchogenic Cyst)`. Oku kungenxa yokuba ukususa i-cyst kunokunciphisa umngcipheko weengxaki esithethe ngazo. Nangona kunjalo, indlela yonyango inokutshintsha ngokuxhomekeke kwimeko.
Unyango ngexesha lokukhulelwa
Ugqirha wakho wezifo zabesifazane uza kuyijonga ngokusondeleyo i-cyst. Ukuba i-cyst inkulu kakhulu, inkqubo encinci ngamanye amaxesha inokwenziwa ngaphambi kokuba umntwana azalwe (esibelekweni), oko kukuthi, ngelixa esesesibelekweni, ukususa ulwelo kwi-cyst . Oku kuya kunceda ukunciphisa uxinzelelo entliziyweni yomntwana olubangelwa yi-cyst.
Kunqabile kakhulu, ezi `(Bronchogenic Cysts)` zinokukhula ngokwaneleyo ukuvala indlela yomoya yomntwana. Ukuba oku kuyenzeka, ugqirha wakho unokucebisa inkqubo ekhethekileyo ebizwa ngokuba yi`EXIT procedure` (Ex-utero Intrapartum Treatment) endaweni yokubeleka okuqhelekileyo (ukuhanjiswa kwesini) okanye `(C-section).` Kule meko, uya kunikwa i-anesthesia.
Kule nkqubo "YOKUPHUMA" (EXIT procedure), ugqirha wenza utyando kwisibeleko sakho aze asuse intloko yomntwana, intamo, kunye nesifuba esingaphezulu ngotyando. Ngelixa umntwana esafumana ioksijini ngentambo yakho yomntwana, ugqirha wenza utyando emzimbeni womntwana aze asuse ithumba. Emva kokususa ithumba, intambo yomntwana iyasikwa, kwaye ugqirha wakho wokuzala uyamsusa umntwana ngokupheleleyo ngotyando olufanayo nolwenziwe ngaphambili.
Unyango lweentsana ezisandul' ukuzalwa
Usana lwakho olusandul’ ukuzalwa lusenokungadingi unyango olukhawulezileyo. Endaweni yoko, ugqirha wezingane wosana lwakho uza kujonga iimpawu ezinokubangelwa yi-bronchogenic cyst. Oku kuya kuhlolwa ngexesha lokutyelela kosana lwakho rhoqo ukuze lunyamekele umntwana.
Unyango lweentsana, abantwana kunye nabantu abadala
Kubantu abakule minyaka yobudala, ugqirha angacebisa utyando. Kukho iinkqubo ezimbini eziphambili zotyando ezisetyenziselwa oku:
- I-Thoracotomy: Kule nkqubo, ugqirha wenza i-incision esiswini sakho, emqolo, okanye phakathi kweembambo zakho aze asuse ithumba kuyo.
- Utyando lwesifuba oluncediswa yividiyo (VATS): Kule nkqubo, ugqirha ufaka ikhamera encinci (isixhobo esibizwa ngokuba yi-thoracoscope) esifubeni ukuze afumane ithumba aze alisuse ngaphandle kokwenza umngxuma omkhulu. Le yinkqubo entsha nephucukileyo.
Ngaba kukho naziphi na iingxaki kunyango?
Ewe, utyando lokususa iBronchogenic Cyst lunokubangela iingxaki ezithile. Asinguye wonke umntu oza kuhlangabezana nazo ezi, kodwa kubalulekile ukuba uzazi.
- Ukungalingani kwesantya sentliziyo (i-Arrhythmia). Oku kunokuchaphazela ngakumbi abantu abadala.
- Ukuqhekeka kwegazi kunye nokubetha kwesisu kuxhaphake kakhulu kubantu abadala.
- Ukugruzuka.
- I-Pneumothorax okanye ukudilika kweengxowa zomoya emiphungeni (i-atelectasis).
- Ukonakala kwamadlala angqongileyo, amalungu omzimba, imithambo-luvo, okanye imithambo yegazi.
- Ukopha igazi kuthetha ukopha ngaphakathi emzimbeni.
- Ukwehla kwamanqanaba eoksijini egazini (iHypoxemia).
- I-Post-thoracotomy pain syndrome yintlungu ehlala ixesha elide emva kotyando.
- Izifo zomchamo, umzekelo i-pneumonia.
- Usulelo kwindawo yotyando.
Ezi ngxaki zinokwahluka ngokuxhomekeke kuhlobo lotyando olwenzayo. Ugqirha wakho uza kukuchazela kakuhle ezi ngxaki zinokwenzeka ngaphambi kotyando.
Ngaba iiBronchogenic Cysts zinokuthintelwa?
Hayi bo, akukho ndlela yokuthintela ukwakheka kwezi zilwanyana. Kuba ezi zilwanyana zenzeka ngexesha lokukhulelwa.
Yintoni endimele ndiyilindele ukuba ndineBronchogenic Cyst?
Ugqirha wakho uya kwenza uvavanyo lwemifanekiso rhoqo ukuze ajonge imeko yethumba. Ukuba ithumba liba likhulu ngokwaneleyo ukuba lichaphazele impilo yakho okanye yomntwana wakho, kunokucetyiswa ukuba lisuswe ngotyando.
Ndifanele ndibonane nogqirha nini?
Ukuba wena okanye umntwana wakho nifumana naziphi na kwezi mpawu, bonana nogqirha ngokukhawuleza:
- Ilizwi elitsho ngelizwi elingasoze liphele
- Ubunzima bokuginya
- Ubunzima bokuphefumla
Ugqirha uza kwenza uvavanyo olufunekayo ukuze afumanise ukuba ingaba imbangela yezi mpawu yi-"Bronchogenic Cyst".
Ii-cysts ze-Bronchogenic luhlobo lwe-cyst ekhula emiphungeni yomntwana. Ngamanye amaxesha zinokufunyanwa ngexesha le-ultrasound scan ngexesha lokukhulelwa. Nangona kunjalo, ezi cysts zinokukhula ngaphandle kokuba uqaphele iminyaka de wena okanye umntwana wakho niqale ukubonisa iimpawu. Kuqhelekile ukuba uzive uxhalabile xa uxelelwa ukuba une-cyst esifubeni sakho enokubangela iingxaki zokuphefumla okanye imeko enzulu ngakumbi, njengomhlaza. Ugqirha wakho uya kuziqonda iimvakalelo zakho. Wena okanye umntwana wakho unokufuna utyando lokususa i-cyst. Ukuba kunjalo, ugqirha wakho uya kucebisa utyando olulungele wena.
Izinto ekufuneka uzikhumbule kweli nqaku (Umyalezo Wokuya Ekhaya)
Kulungile, ngoku uyaqonda ngcono into ebesithetha ngayo: IiBronchogenic Cysts. Ngamafutshane, ezi luhlobo lwecyst oluzalwa luvela kwaye luvela embindini wesifuba.
- Uninzi lwexesha, kusenokungabikho zimpawu, kodwa ukuba ziya zisiba mandundu, zinokubangela izinto ezifana nokukhohlela, ubunzima bokuginya, kunye nobunzima bokuphefumla.
- Ihlala ibonwa ngengozi. Iqinisekiswa ngovavanyo olufana ne-`(CT scan)` kunye ne-`(MRI)`.
- Unyango ludla ngokubandakanya ukususwa kwesi sifo ngotyando. Oku kunokuthintela iingxaki ezizayo.
- Eyona nto ibalulekileyo kukufuna iingcebiso zonyango ngaphandle kokuthandabuza ukuba wena okanye umntwana wakho ninezi mpawu. Okukhona uzibona ngokukhawuleza, kokukhona kulula ukuzinyanga.
Ngoko ke, sinethemba lokuba olu lwazi lube luncedo kuwe. Hlala usempilweni!
I- Bronchogenic cyst, iithumba zesifuba, izifo zokuphefumla, izifo zokuzalwa, i-mediastinal cyst, impilo yomntwana, utyando
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