Usenokuba ukhe wabona inqaku kwingxelo elithi "Kidney cyst" okanye "Renal cyst" xa uskeniwe esinye isifo. Kuqhelekile ukuba sizive sisoyika kwaye sixhalabile xa sisiva igama elithi "tumor." Usenokucinga, "Owu Thixo wam, ingaba ngumhlaza lo?" Kodwa ungakhathazeki. Enyanisweni, uninzi lwezi kidney cysts azinabungozi. Ke namhlanje, masithethe ngale nto ngokucacileyo, ngolwimi onokuluqonda.
Ngamafutshane, zithini ii-kidney cysts?
Cinga ngebhola encinci yolwelo. Yiyo loo nto i-kidney cyst. Ezi zihlala ziyimixobo engqukuva, eneendonga ezincinci ezizaliswe lulwelo. Njengoko sikhula, ezi cysts zinokwakheka phezu komphezulu wezintso okanye kwizakhiwo ezincinci ezibizwa ngokuba zii-nephrons ngaphakathi kwezintso.
Ngoku usenokuba uzibuza ukuba zeziphi ezi `(nephrons)`. Izintso ezimbini emzimbeni wethu zifana nenkqubo yokucoca ephezulu. Umsebenzi ophambili wezintso kukucoca nokwahlula inkunkuma kunye namanzi angafunekiyo emzimbeni kwaye siwakhuphe njengomchamo. Sibiza izigidi zeeyunithi ezintle kakhulu ezenza lo msebenzi wokucoca `(nephrons)`.
La matye ezintso ayahluka ngobukhulu. Amanye mancinci kakhulu, kodwa amanye anokukhula abe ziisentimitha ezimbini. Ngamanye amaxesha ayakhula ngokuhamba kwexesha, okanye ahlale enobukhulu obufanayo. Umntu unokuba nelitye elinye okanye amatye amaninzi. Anokuvela nakwintso enye okanye kuzo zombini izintso.
Into ebalulekileyo kukuba uninzi lwezi thumba zezintso azichaphazeli ukusebenza kwezintso nangayiphi na indlela, ngoko ke akukho nto inokubangela ixhala.
Ngaba zonke ezi ziqhamo ziyafana? Ngaba kukho iintlobo ngeentlobo?
Ewe, kukho iintlobo ezimbini eziphambili zeethumba zezintso. Kubaluleke kakhulu ukuchonga ezi ntlobo zimbini, kuba kugqiba ukuba unyango luyadingeka okanye alufuneki. Oogqirha basebenzisa indlela ekhethekileyo ebizwa ngokuba yi-"Bosniak classification" ukuze bahlele ezi ntlobo. Makhe sijonge nje ngokulula.
| Uhlobo lweCyst | Inkcazo |
|---|---|
| IiCysts ezilula | Uninzi lwee-tumor zezintsoOlu luhlobo. Ezi zifana neebhola zesepha ezizaliswe ngamanzi. Ziyingqukuva, zinodonga oluncinci, kwaye zizaliswe lulwelo olucacileyo. Azinazo umhlaza (ezingenabungozi). Ke ngoko, zihlala zingadingi naluphi na unyango okanye uhlolo oluqhelekileyo. |
| IiCysts ezintsonkothileyo | Ezi zahlukile kwii-cysts ezilula. Zinokuba nodonga olutyebileyo, zingabi nasimo singaqhelekanga, kwaye zinokuba nezinto eziqinileyo endaweni yolwelo. Ezinye zezi cysts zintsonkothileyo zinomngcipheko omncinci wokuba ngumhlaza okanye zibe ngumhlaza . Ngoko ke ukuba ugqirha wakho ubona i-cyst efana nale, unokugqiba ekubeni ayijonge okanye ayisuse. |
Ngamafutshane, ukuba ingxelo yakho ithi "Simple renal cyst," akukho nto ibalulekileyo yokukhathazeka ngayo ukuba ichanekile na. Kodwa ukuba ithi "Complex renal cyst," kubalulekile ukuba kwenziwe uvavanyo olufunekayo kunye nokulandelela njengoko ugqirha wakho eyalele.
Ngaba ezi thumba zibangela iimpawu?
Iindaba ezimnandi zezokuba uninzi lwexesha, ezi cysts zilula azibangeli zimpawu . Enyanisweni, kukho izigidi zabantu abaphila bengazi ukuba bane cyst yezintso.
Nangona kunjalo, ngamanye amaxesha eli thumba linokubangela iingxaki ukuba liyaqhuma lize liqale ukopha, lisuleleke, okanye likhule kakhulu kwaye licinezele amanye amalungu esiswini. Ukuba oku kuyenzeka, ezi mpawu zilandelayo zinokuvela:
- Intlungu okanye ukurhawuzelelwa ecaleni, esiswini, okanye emqolo phakathi kweembambo kunye nesinqe.
- Ifiva.
- Ukufuna ukuchama rhoqo.
- Igazi kumchamo okanye umchamo omnyama.
Ngokuxhomekeke ekubeni ithumba likuphi, ngamanye amaxesha linokuchaphazela ukusebenza kwezintso. Kwakhona, ukuba ithumba lithintela izintso ekuhluzeni ulwelo olugqithisileyo egazini, uxinzelelo lwegazi oluphezulu lunokubakho.
Kutheni le nto ezi thumba zezintso zenzeka?
Abaphandi abakayazi kakuhle into ebangela oku. Kukholelwa ukuba la maqhuqhuva akheka xa umphezulu wombhobho odibene neeyunithi zokucoca izintso (ii-nephrons) uba buthathaka, udumbe, kwaye uzaliswe lulwelo.
Into ebalulekileyo kukuba ezi cysts zilula azizuzisi ilifa . Oko kukuthi, azizuzisi kubazali. Kukholelwa ukuba ngamanye amaxesha ukwenzakala okuncinci kwizintso okanye ukuvaleka okuncinci kwezi ndlela kunokubangela oku.
Nangona kunjalo, ii-kidney cysts nazo zinokuvela ngenxa yeemeko ezithile zonyango. Zahlukile kwii-cysts eziqhelekileyo nezilula.
- Isifo sezintso esinePolycystic - Esi sisifo esizuzwa njengelifa.
- Isifo sezintso esingapheliyo (CKD)
- Isifo sikaVon Hippel-Lindau
- I-Tuberous sclerosis complex (TSC)
Ngenxa yokuba ezi ziimeko ezikhethekileyo, ugqirha wakho uza kukwazisa ngazo.
Zichongwa njani ezi thumba? Zithini iindlela zonyango?
Amaxesha amaninzi, ithumba lezintso lifunyanwa ngengozi. Lifunyanwa ngexesha lokuhlolwa ngesinye isizathu. Ukuba ithumba elinjalo lifunyenwe, ugqirha wakho unokucebisa ezinye iimvavanyo ukuze abone ukuba lilula okanye liyinkimbinkimbi.
Uvavanyo lokuchongwa
- I-Ultrasound Scan: Oku kusebenzisa amaza esandi asebenza rhoqo ukwenza umfanekiso ocacileyo wezintso. Luvavanyo olukhuselekileyo kakhulu olungabandakanyi ntlungu okanye imisebe.
- I-CT Scan (i-Computed Tomography Scan): Le nkqubo isebenzisa i-X-ray kunye netekhnoloji yekhompyutha ukwenza imifanekiso yezintso enamacala amathathu (3D). Oku kunceda ukufunda uhlobo lwethumba ngokweenkcukacha ezithe vetshe.
- I-MRI (iMagnetic Resonance Imaging Scan): I-magnetic field enamandla kunye namaza erediyo asetyenziselwa ukuvelisa imifanekiso ecacileyo neneenkcukacha. I-MRI ibaluleke kakhulu ekuhlukaniseni phakathi kwe-cyst egcwele ulwelo kunye ne-solid mass.
- Uvavanyo lokusebenza kwezintso: Iisampuli zegazi nomchamo zinokuvavanywa ukuze kubonwe ukuba izintso zakho zisebenza kakuhle kangakanani na nokuba zichaphazeleke na yithumba.
Iindlela zonyango
Kwiimeko ezininzi, ithumba elilula lezintso alidingi nyango . Ugqirha wakho uza kukuxelela ukuba ulijonge. Mhlawumbi kufuneka uhlolwe rhoqo emva kweminyaka emibini.
Nangona kunjalo, ukuba ithumba libangela iintlungu, ukuba likhulu kakhulu ukuba lingacinezelwa kwelinye ilungu, okanye ukuba liphazamisana nokusebenza kwezintso, kunokufuneka lisuswe. Kwakhona, ukuba ithumba liyinkimbinkimbi kwaye ugqirha ukrokrela ukuba lisemngciphekweni wokuba ngumhlaza, unokugqiba ekubeni alisuse.
Iindlela ezimbini eziphambili zisetyenziswa njengonyango:
1. Ukuphefumla kunye neSclerotherapy: Apha, phantsi kwesikhokelo seskena, kufakwa inaliti encinci kakhulu eluswini kwi-cyst, kwaye ulwelo luphuma luphele. Ngamanye amaxesha, isisombululo esikhethekileyo, esifana notywala, sifakwa kwi-cyst ukuthintela ukuba ingazali kwakhona ngolwelo.
2. Utyando:Utyando lwe-laparoscopic ngoku lusetyenziswa kakhulu kule njongo. Oku kuthetha ukuba ikhamera kunye nezixhobo ezithambileyo zifakwa ngemingxunya emininzi emincinci esiswini, endaweni yokwenza umngxuma omkhulu. Apha, ugqirha ususa ulwelo kwi-cyst aze asike okanye atshise udonga lwangaphandle lwe-cyst.
Ufanele uye nini kugqirha?
Ukuba ufumana naziphi na iimpawu ezilandelayo emva kokuba ufumanise ukuba unethumba lezintso, bona ugqirha wakho ngoko nangoko. Ezi zinokuba ziimpawu zosulelo, ukuqhekeka, okanye ezinye iingxaki.
Musa ukoyika, kodwa kubaluleke kakhulu ukuqaphela ezi mpawu.
| Uphawu | Yintoni ekufuneka uyiqwalasele |
|---|---|
| Intlungu yomqolo, ecaleni, okanye esiswini | Intlungu ebuhlungu ngequbuliso okanye eyandayo. |
| Ifiva | Umkhuhlane, ukubanda nokungcangcazela ngaphandle kwesizathu esithile. |
| Utshintsho kumchamo | Igazi kumchamo, umchamo obomvu/omdaka obumnyama, okanye ubunzima bokuchama. |
| Utshintsho kwimikhwa yokuchama | Ukuchama rhoqo kunesiqhelo okanye ukunciphisa umchamo owukhuphayo. |
Umyalezo Wokuya Ekhaya
- Ii-kidney cysts zixhaphake kakhulu, ingakumbi kubantu abaneminyaka engaphezu kwama-50 ubudala.
- Uninzi lwazo "zii-simple cysts" , ezingenabungozi kwaphela kwaye azibi ngumhlaza.
- Amaxesha amaninzi la mathumba awabangeli zimpawu. Afunyanwa ngexesha lokuhlolwa ngesinye isizathu.
- Ukuba ingxelo yakho yeskeni ithi "Kidney Cyst", musa ukoyika uze uthethe nogqirha wakho ngayo. Uza kuchaza uhlobo lwecyst kunye nento omawuyenze emva koko.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha kwaye wenze ii-scan zokulandelela ngexesha.
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