Ngaba ufumana namaqhuma amancinci (iigranulomas) emzimbeni wakho? Makhe sithethe ngale nto ngokweenkcukacha!

Ngaba wakha waqaphela, okanye waxelelwa ngugqirha, ukuba unamaqhuqhuva amancinci emzimbeni wakho, mhlawumbi emiphungeni yakho, okanye ngamanye amaxesha eluswini lwakho? Yiloo nto siyibiza ngokuba yi-"Granuloma" ngokwezonyango. Musa ukoyika xa usiva eli gama, kuba alifani nomhlaza. Kodwa kubaluleke kakhulu ukwazi ukuba yintoni kanye kanye, kutheni isenzeka, kwaye yintoni omawuyenze ngayo.

Yintoni i-granuloma? Masiyiqonde ngokulula!

Ngamafutshane, i-granuloma yindawo encinci yokudumba eyenzeka ndaweni ithile emzimbeni wethu. Ngoku usenokuba uzibuza ukuba yintoni ukudumba. Ukudumba yindlela inkqubo yokuzikhusela yomzimba wethu elwa ngayo nento eyingozi emzimbeni wethu, umzekelo intsholongwane okanye i-Fremdkörper (into yangaphandle) efana neliva elincinci.

Kwi-granuloma, uhlobo lweseli emhlophe yegazi emzimbeni wethu, ngakumbi iiseli ezibizwa ngokuba zii-macrophages, zijikeleza into yangaphandle engene emzimbeni kwaye zizama ukuyithintela ukuba ingasasazeki kwezinye iindawo zomzimba. Kufana nokujikeleza utshaba nokulubamba. Ezi seli ziyadibana ukuze zenze iqhekeza elincinci, okanye iqela.

Ezi granulomas zihlala zenzeka emiphungeni. Nangona kunjalo, zinokuvela naphi na emzimbeni, njengesibindi, izintso kunye nolusu.

Zithini ii-granulomas ezithwala iiseli ezithwala iiseli kunye nezingenayo iseli ezithwala ii ...

Nangona la ngamagama ambalwa ezonyango, kulungile ukwazi.

• I-Caseating Granuloma: Olu hlobo lwe-granuloma luneeseli ezifileyo, okanye i-necrosis. Ibizwa njalo kuba ifana neqhekeza lesonka samasi (yiyo loo nto igama elithi "caseating" lithetha itshizi) xa lijongwa nge-microscope. Ubukho bezi seli ezifileyo bunokunceda oogqirha ukuba bafumanise unobangela we-granuloma. Umzekelo, ii-granulomas ezibangelwa zizifo ezithile, ezifana nesifo sephepha, ziwela kolu didi.
• I-granuloma engangenisi sikhumba: Olu hlobo lwe-granuloma alunazo iiseli ezifileyo. Idla ngokubangelwa zizizathu ezingezizo ezosulelayo, ezifana ne-sarcoidosis, okanye imizimba yangaphandle engene emzimbeni.

Ngubani onokuba namathuba amaninzi okufumana ii-granulomas?

Nangona nabani na enokuba neegranulomas, abanye abantu banamathuba amaninzi okuba nazo. Ingakumbi,

• Abantu abanezifo ezihlala ixesha elide , ezifana nesifo sephepha kunye ne-histoplasmosis.
• Kubantu abaneengxaki zokudumba ezihlala ixesha elide , isifo sikaCrohn sesinye sezi ngxaki.
• Iigranulomas zikhula nakubantu abanesimo esibizwa ngokuba yi-sarcoidosis , kodwa isizathu esichanekileyo asikaziwa okwangoku.

Ngaba ii-granulomas ziyingozi?

Amaxesha amaninzi, ukuba ne-granuloma enye akuyongozi. Khumbula, ezi azingomhlaza. Ziyindlela nje yokusabela kwinkqubo yethu yokuzikhusela yomzimba. Nangona kunjalo, ngamanye amaxesha ezi granuloma zinokuba luphawu lwesinye isifo esingabonakaliyo. Yiyo loo nto kufuneka ukhathazeke ngazo.

Zithini iimpawu ze-granuloma?

Amaxesha amaninzi, ii-granuloma azibangeli zimpawu zithile. Nangona kunjalo, ukuba iimpawu ziyenzeka, zixhomekeke ekubeni i-granuloma ikuphi. Zisenokuvela kunye neempawu zosulelo olubangele i-granuloma. Iimpawu eziqhelekileyo ziquka:

• Ifiva.
• Ubunzima bokuphefumla (ukuphelelwa ngamandla).
• Ukukhwehlela.
• Ii-lymph nodes ezivuvukileyo.
• Ukubila ebusuku.
• Ukubomvu kwamehlo okanye intlungu.
• Iingxaki zokubona.
• Amaqhuma abuhlungu naqinileyo eluswini.
• Intloko ebuhlungu.

Umzekelo, ukuba umntu unesifo se-granuloma emiphungeni yakhe, unokufumana iimpawu ezifana nokukhohlela kunye nobunzima bokuphefumla. Ukuba sikhula eluswini, sinokubonakala njengeqhubu elincinci.

Ibonakala njani i-granuloma?

Iigranulomas ezikhula eluswini zihlala ziqinile, zinamaqhuqhuva. Zinokuba nombala okhanyayo okanye omnyama kunesikhumba esijikelezileyo, kwaye ngamanye amaxesha zinombala opinki-mfusa. Ezinye zazo zinokuba buhlungu xa uzichukumisa.

Ukuba uyijonga nge-microscope, ungabona ukuba iiseli ezikwi-granuloma zixinene kakhulu. Ngoko ke ngamanye amaxesha kunzima ukubona apho iseli enye iphela khona kwaye enye iqala khona.

Yintoni ebangela iigranulomas?

Iigranulomas zenzeka xa iiseli zethu zomzimba, ingakumbi ii-macrophages, zingakwazi ukutshabalalisa into ezicinga ukuba iyingozi. Le nto iyingozi inokuba lusulelo (njengebhaktheriya okanye ifungus) okanye into umzimba wethu ongayiqondiyo (njengesiqwenga somsonto wokuthunga okanye iva elinamathele eluswini).

IiMacrophage luhlobo olukhethekileyo lweeseli zokuzikhusela emizimbeni yethu. Njengeerobhothi ezincinci, "ziginya" kwaye zitshabalalise izinto ezingezizo zomzimba. Kodwa ukuba azinakutshabalalisa into ethile, zitsala ezinye iiseli zokuzikhusela kuloo ndawo. Ekugqibeleni, zonke ezi seli ziyadibana ukuze zenze iqela eliqinileyo, elibizwa ngokuba yigranuloma.

Ngamanye amaxesha, inkqubo yethu yokuzikhusela komzimba isabela ngokugqithisileyo kwaye ibangele ukudumba xa kungekho nto yokulwa nayo. Oku kubonakala kwezinye izifo zokuzikhusela komzimba.

Zeziphi izifo ezibangela iigranulomas?

Eyona nto ibangela usulelo lwe-granulomas sisifo sephepha . Nangona kunjalo, ezinye izifo zebhaktiriya, izifo zefungus, iiparasites, kunye neentsholongwane nazo zinokubangela ii-granulomas. Nazi imizekelo embalwa:

• I-Aspergillosis
• I-Blastomycosis
• I-Candidiasis
• Isifo sokukrwela iikati, isifo esidluliselwa ziikati
• I-Coccidioidomycosis (Umkhuhlane Wesanti)
• I-Cytomegalovirus `(i-Cytomegalovirus)`
• I-Histoplasmosis `(I-Histoplasmosis)`
• Iqhenqa (Iqhenqa / Isifo sikaHansen)
• I-Mascus
• I-Mycobacterium marinum (itanki yentlanzi granuloma)

Izizathu ze-granulomas ezibangelwa kukuzikhusela komzimba kunye nezo zingasuleliyo

I-Sarcoidosis, njengoko kukhankanyiwe ngasentla, yeyona nto iphambili ebangela ukwakheka kwe-granuloma ngaphandle koko, kodwa kukho nezinye izizathu ngaphandle koko:

• Ukufutha ukutya okanye ezinye izinto emiphungeni
• I-Berylliosis (ngenxa yokuchatshazelwa yi-beryllium yesinyithi)
• Isifo se-granulomatous esingapheliyo (CGD)
• Isifo sikaCrohn
• I-Fremdkörper (umzimba wangaphandle) eluswini. Umzekelo: intambo yomthungo, i-inki yetattoo, ii-slinters.
• I-Granulomatosis ene-polyangiitis
• Umkhuhlane werheumatic
• Irheumatoid arthritis
• I-granuloma yesidoda (ingxaki enokwenzeka emva kwe-vasectomy)

Uyazi njani ukuba une-granuloma? (Ukuxilongwa)

Ngokuxhomekeke kwindawo ekuyo i-granuloma, ugqirha unokukuhlola aze enze "uvavanyo lomzimba" okanye uvavanyo lomfanekiso olufana "ne-X-ray", "i-ultrasound", okanye "i-CT scan" ukuze afumane umbono woku.

Nangona kunjalo, ukuze kuqinisekiswe ukuba le yi-granuloma, kufuneka kuthathwe isampuli yethishu ize ihlolwe. Oku kubizwa ngokuba yi-biopsy. Le sampuli ye-biopsy ihlolwa phantsi kwe-microscope yingcali yezifo.

Ngenxa yokuba uninzi lwee-granulomas azinabungozi, ugqirha usenokungayenzi i-biopsy ngoko nangoko. Basenokulinda ixesha elithile ukuze babone ukuba ubungakanani buyatshintsha na okanye buziphelela.

Zinyangwa njani iigranulomas?

Akusoloko kukho unyango oluthile lwe-granuloma enye. Ngenxa yokuba zihlala zibangelwa yimeko yezonyango engaphantsi , oogqirha bagxila ekunyangeni imeko engaphantsi ebangele ukuba i-granuloma ivele.

Khawucinge nje, ukuba umntu une-granulomas emiphungeni yakhe ngenxa yesifo sephepha, unyango lolwesifo sephepha. Emva koko, njengoko isifo sinyangeka, ii-granulomas nazo zinokuncipha.

Iintlobo zamayeza asetyenziselwa i-granuloma

Ngokuxhomekeke kwisizathu, la mayeza alandelayo angasetyenziswa ukunyanga ii-granulomas:

• Nciphisa ukudumba nge-corticosteroids .
• Ukuba unesifo se-granuloma ngenxa yemeko yokuzikhusela komzimba, unganikwa amayeza okunciphisa ii-immunosuppressants .
• Ukuba unobangela lusulelo, kuya kunikwa amayeza afanelekileyo okubulala iintsholongwane, amayeza okubola, okanye amayeza okulwa neentsholongwane.

Ungazilawula njani iimpawu?

Ukuba une-granuloma ebuhlungu, ungafumana isiqabu ngokuthatha i-acetaminophen (umz., iTylenol®) okanye i-ibuprofen (umz., i-Advil®, i-Motrin®). Nangona kunjalo, kungcono rhoqo ukujonga ugqirha wakho ngaphambi kokuba uthathe naliphi na iyeza. Mbuze ngezinye izinto ezinokukunceda unciphise iimpawu zakho.

Ngaba ukwakheka kwe-granuloma kungathintelwa?

Enyanisweni, akukho nto ininzi abantu abanokuyenza ukuthintela ukwakheka kwee-granulomas. Ziyinxalenye yenkqubo yethu yokuzikhusela yomzimba. Nangona kunjalo, ukuba unesifo esingabonakaliyo, esifana nesifo sokuzikhusela komzimba okanye usulelo olungapheliyo, ukulawula loo meko kakuhle kunokunciphisa umngcipheko wakho wokuba nee-granulomas.

Kwenzeka ntoni ukuba une-granuloma? (Yintoni omawuyilindele)

Uninzi lwee-granuloma azinabungozi. Zinokuphela zodwa ngaphandle konyango. Nangona kunjalo, ii-granulomas eziqinileyo (ii-granulomas eziqinileyo ngenxa ye-calcium deposits) zisenokungapheli lula. Usenokuba uqaphele ukuba iingxelo zakho zemifanekiso bezibonisa i-granuloma efanayo ye-calcium ixesha elide. Nokuba azipheli, ii-granulomas ezihlala zingatshintshanga ixesha elide zihlala zingenabungozi.

Ugqirha wakho uza kukuxelela okungakumbi ngazo naziphi na iimeko zempilo ezinokubangela ii-granulomas zakho. Ukuba uba nee-granulomas rhoqo, zinokukunceda ukulawula iimpawu zakho.

Ndingazinyamekela njani?

Eyona nto ingcono onokuyenza kukulawula naziphi na iimeko zempilo ezinokubangela i-granuloma yakho. Thetha nogqirha wakho malunga nendlela yokunyanga imeko yakho.

Ndifanele ndimbone nini ugqirha?

Qiniseka ukuba ubona ugqirha kwezi meko:

• Ukuba ukrokrela okanye ukhathazekile ngemeko yempilo engabonakaliyo enokubangela ukuba i-granuloma ivele.
• Ukuba unemibuzo okanye iinkxalabo malunga ne-granuloma efunyenwe ngugqirha kwi-X-ray okanye kwi-CT scan.
• Ukuba kuvela iimpawu ezintsha, ezinje ngomkhuhlane kunye nobunzima bokuphefumla, okanye ukuba iimpawu ezikhoyo ziya zisiba mandundu.

Ndingayibuza yiphi imibuzo ugqirha?

Kungcono ukubuza ugqirha wakho imibuzo efana nale:

• Ngaba imeko ethile yempilo engaphantsi indenza ndibe neegranulomas?
• Ngaba kufuneka ndifumane unyango lwe-granuloma?
• Ndingakwazi na ukuthintela ukwakheka kwee-granulomas?
• Ndingenza ntoni ngeempawu ze-granuloma?

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Iigranuloma ziyinxalenye yenkqubo yokuzikhusela yendalo yomzimba wethu. Abantu abaninzi bakhula njengeziqwenga emiphungeni okanye ezijikeleze iFremdkörper (into yangaphandle) eluswini. Uninzi lwexesha, azidingi nyango kwaye ziyaphela zodwa.

Nangona kunjalo, ukuba unesifo esifana ne-sarcoidosis okanye isifo sokuzikhusela komzimba, usenokuba namathuba amaninzi okufumana ii-granulomas. Ukuba uneenkxalabo malunga noku, qiniseka ukuba uthetha nogqirha wakho. Kusenokubakho ezinye iindlela ezinokukunceda ulawule imeko yakho. Hlala usempilweni!

I- Granuloma, ukhuseleko lomzimba, usulelo, amaqhuma esikhumba, imiphunga, iimpawu, unyango