Ngaba une-cysts esibindini sakho? Masithethe nge-cysts yesibindi!

Ngamanye amaxesha, izinto zinokwenzeka emzimbeni wakho ungaqondanga. Ii-cysts zesibindi ziyinto enjalo. Uninzi lwexesha, ezi azinabungozi, kodwa ngamanye amaxesha kukho amaxesha apho kufuneka unikele ingqalelo encinci. Ngoko ke, namhlanje, masithethe ngezi cysts zesibindi ngokweenkcukacha nangokulula?

Zithini iiCysts zeLiver?

Ngamafutshane, ii-cysts zesibindi ziingxowa ezincinci, ezizaliswe lulwelo ezithi zakheke esibindini sakho. Zicinge njengeempukane ezincinci zamanzi. Uninzi lwazo ziimeko ezingengozi. Oko kuthetha ukuba azingomhlaza. Nangona kunjalo, kunqabile kakhulu, ezinye ii-cysts zinokukhula zize zibangele iimpawu. Zinokubangelwa ziimeko ezithile zofuzo, apho unyango lunokufuneka khona.

Zixhaphake kangakanani ezi thumba zesibindi? Ngubani ozifumana rhoqo?

Zixhaphake kangakanani ezi thumba zesibindi ezingenamhlaza (ezingenobungozi)? Oogqirha bathi phakathi kwe-15% kunye ne-18% yabemi baseMelika banokuba nazo. Ehlabathini lonke, eli nani liphakathi kwe-5% kunye ne-10%. Oko kuthetha ukuba zixhaphake kakhulu kunokuba unokucinga.

Ngubani onokuba nazo ngakumbi? Zidla ngokuchaphazela abantu abaphakathi kweminyaka engama-30 ukuya kwengama-70. Nangona kunjalo, yipesenti encinci kuphela, ephakathi kwe-10% kunye ne-15%, eba neempawu. Abafazi banamathuba amaninzi okuzalwa benezi thumba kunamadoda. Nangona kunjalo, amadoda anokuba nazo kamva ebomini kunabafazi.

Ngaba iithumba zesibindi zihlala zingumhlaza?

Ngoku usenokuba uzibuza ukuba, ngaba ezi thumba zesibindi zinokuba ngumhlaza? Ungakhathazeki, ezi thumba azifane zibe ngumhlaza okanye zibe ngaphambi komhlaza. Oogqirha badla ngokwenza utyando lokususa ezi thumba, nokuba zinophawu okanye zinomhlaza. Phakathi kwe-1% kunye ne-5% yazo zonke iithumba zesibindi zingaphambi komhlaza. Malunga ne-30% yezi thumba zinokuba ngumhlaza. Ukuba oko kuyenzeka, oogqirha baya kuzisusa ngotyando.

Kukweziphi iimeko apho iithumba zesibindi zingaba yingozi khona?

Ngoko ke, ngaba kukho iimeko apho la mathumba esibindi anokuba yingozi? Ewe, nangona uninzi lwamathumba lungengomhlaza (olungenabungozi) kwaye lunganeli ukubangela iimpawu, ipesenti encinci kakhulu inokuba ngumhlaza. Nangona kunjalo, kukho iintlobo ezimbini zamathumba esibindi ekunokwenzeka ukuba afune utyando okanye olunye unyango:

Isifo seHydatid

Esi sifo sikwabizwa ngokuba yi-echinococcal cysts okanye i-hydatid cysts , sibangelwa yiparasite.Esi sigulo sidluliselwa ebantwini sisuka ezinjeni nakwiigusha, ngokufuthi ngokusebenzisa iinkqubo zamanzi angcolileyo. Umzekelo, singasifumana ukuba singazi sisela amanzi angcolileyo okanye ukuba sisebenzisana ngokusondeleyo nezilwanyana ezinesi sigulo kwaye izandla zethu azicocwanga kakuhle. Ezi zigulo zikhula ngendlela yee-cysts esibindini nakwezinye iindawo zomzimba. Ukuba azinyangwa kakuhle, zinokubangela umkhuhlane, i-jaundice, okanye i-eosinophilia (ukwanda okungaqhelekanga kohlobo lweseli emhlophe yegazi). Oogqirha banyanga oku ngokunika amayeza okubulala esi sigulo (ngamanye amaxesha kwane-chemotherapy) nangokususa ii-cysts ngotyando.

Isifo sesibindi sePolycystic (PLD)

Esi sisifo esingaqhelekanga kakhulu, esizuzwa njengelifa. Sichaphazela malunga nomntu omnye ukuya kwabalishumi kwikhulu lamawaka. Abantu abane-`(PLD)` bakhula amaqela e-non-cancer (benign) okanye i-simple cysts (simple cysts) ngaphandle kwesibindi sabo. La ma-cysts anokubonakala njengeqela elikhulu leediliya . Yi-20% kuphela yabantu abanesi sifo ababonisa iimpawu, kodwa basenokungabonakalisi zimpawu de babe badala. Ekuhambeni kwexesha, njengoko isibindi sabo sikhula, isisu sabo sinokudumba, sikhule, kwaye singakhululeki. Oogqirha banyanga le meko ye-`(PLD)` ngamayeza nangotyando.

Ngaba iithumba zesibindi ziyaphela zodwa? Zinokuba nkulu kangakanani?

Ezinye izifundo zonyango zibonise ukuba iithumba zesibindi ezingengozini zinokuphela zodwa ngaphandle konyango . Nangona kunjalo, kubalulekile ukukhumbula ukuba uninzi lweethumba zesibindi azizizo kwaye azikhuli ngokwaneleyo ukuba zibangele iimpawu. Nangona kunjalo, ukuba zikhulu, oogqirha banokuzisusa ngotyando.

Zingaba nkulu kangakanani ezi thumba zesibindi? Enyanisweni, zinokuba ncinci njengencam yebhalbhu encinci yefennel, okanye zibe nkulu njengee-intshi ezi-4. Oko kuthetha ukuba ziyahluka ngobukhulu.

Yintoni ebangela iithumba zesibindi?

Uninzi lwezi thumba zesibindi zizalwa nazo. Oku kuthetha ukuba zikhona xa zizalwa. Enyanisweni, oogqirha abakakwazi ukubona unobangela ochanekileyo wezi thumba zesibindi.

Zithini iimpawu zeethumba zesibindi?

Uninzi lwabantu abanezimila zesibindi ezingengobungozi okanye ezinomhlaza abanazo iimpawu. Nangona kunjalo, abo baneempawu banokufumana oku kulandelayo:

• Ukuziva into efana nentlungu ebukhali kwicala eliphezulu lasekunene lesisu sakho .
• Ukuziva udumbile kwaye udumbile.
• Isicaphucaphu nokuhlanza.
• Ukuphelelwa ngumdla wokutya, okanye ukuziva ugcwele kwanasemva kokutya kancinci.
• Ndivakalelwa ngathi kunzima ukuphefumla.
• Kuvakala ngathi sisigaxa esikhulu esiswini sakho.
• I-Jaundice. Oku kunokwenzeka ukuba imibhobho yenyongo yakho ivalwe sisimila sesibindi.
• Umkhuhlane kunye nentlungu eqatha yesisu. Oku kunokwenzeka ukuba loo thumba liyaqhuma.

Oogqirha baxilonga njani iithumba zesibindi?

Amaxesha amaninzi, oogqirha bafumana amathumba esibindi xa besenza uvavanyo lwesifo esinye. Amathumba esibindi anokuchongwa ngovavanyo olufana nolu:

• I-Ultrasound. Oku kuquka ukusebenzisa amaza esandi asebenza rhoqo ukufota imifanekiso ephilayo kunye neevidiyo zamalungu omzimba angaphakathi emzimbeni wakho. Mhlawumbi sele uzibonile iiskeni ezifunyanwa ngoomama abakhulelweyo, yiloo nto kanye eyenzekayo.
• I-CT scan (i-computed tomography scan) Olu vavanyo lusebenzisa uthotho lwee-X-ray kunye nekhompyutha ukwenza imifanekiso ye-three-dimensional (3D) yezicubu zakho ezithambileyo kunye namathambo.
• Uvavanyo lwe-MRI (Magnetic resonance imaging). Olu luvavanyo olungenabuhlungu olusebenzisa imagnethi enkulu, amaza erediyo, kunye nekhompyutha ukwenza imifanekiso ecacileyo yamalungu omzimba kunye nezakhiwo zawo.

Ukuba oogqirha babona iithumba zesibindi ngokusebenzisa ezi mvavanyo, banokwenza oku kulandelayo ukuze bafumanise ukuba ingaba ithumba lingaphambi komhlaza, linesifo somhlaza, okanye lisifo sesibindi esine-polycystic esithethe ngaso, okanye ingaba ithumba libangelwa yiparasite:

• Uvavanyo lomzimba.
• Imbali yezonyango. Ungabuzwa imibuzo efana nokuba unesifo sesibindi esihlala ixesha elide na, ukuba kukho umntu kusapho lwakho okhe waba naso na eso sifo, nokuba ngaba kutshanje uye kwiindawo ezikude.
• Uvavanyo lwe-Serodiagnostic. Olu lwenziwa ukuze kufunyanwe ii-antibodies ezithile kwiisampuli zegazi.
• I-ultrasound ephuculiweyo. Oku kusebenzisa amaza esandi asebenzisa isandi esiphezulu, kodwa imifanekiso ithathwa ngedayi ekhethekileyo. Oku kuvumela iinkcukacha ezicacileyo.

Zinyangwa njani iithumba zesibindi?

Uninzi lweethumba zesibindi ezingengozi (ezilula) azidingi naluphi na unyango. Nangona kunjalo, iithumba ezingengozi ezinkulu kuneesentimitha ezi-4 zinokufuna ukuba zisuswe ngoogqirha.

Kukho iindlela ezahlukeneyo kunye notyando lokususa iithumba ezinkulu ezingengobungozi, iithumba ezibangelwa sisifo sesibindi esine-polycystic, kunye neethumba zesibindi ezingaphambi komhlaza okanye ezinomhlaza:

• Ukufunxa nge -percutaneous. Kule nkqubo, oogqirha basebenzisa i-ultrasound okanye i-CT scans ukufaka iinaliti okanye ii-catheters kwi-cysts yesibindi kunye nokususa ulwelo olungaphakathi kwi-cysts.
• Ukufakelwa kwe-cyst. Le yinkqubo yotyando. Ukunyanga ama-cyst amakhulu, udonga lwe-cyst luyasuswa.
• Ukususwa kwesibindi.Olu tyando lubandakanya ukususa iindawo zesibindi ezichaphazelekileyo ziithumba.
• Ukufakelwa kwemithambo yegazi (i-TACE). Olu nyango lufana nokwakha idama lokumisa umlambo. Oogqirha bafaka amayeza okulwa nomhlaza kumthambo ohambisa igazi esibindini sakho. Emva koko, bafaka into ethile ukuvala loo mthambo. Le nto isebenza njengedama, igcina amayeza okulwa nomhlaza ejikeleze ithumba kwaye iwathintele ukuba angaphumi.
• Utyando. Susa izimila ezingenobungozi okanye ezinomhlaza.
• Ukufakelwa kwesibindi. Olu tyando lwenziwa njengonyango lwesifo sesibindi esine-polycystic esingaphenduliyo kumayeza kunye/okanye utyando lokususa iithumba zesibindi.

Ngaba iithumba zesibindi zingathintelwa?

Ekubeni uninzi lwee-cysts zesibindi zizalwa nazo, oko kuthetha ukuba zikhona xa zizalwa, akukho ndlela ithile yokuzithintela. Nangona kunjalo, ungazikhusela kwizifo ezibangelwa zizinambuzane ezifana nesifo se-hydatid ngokuhlala ucocekile, umzekelo ngokuhlamba izandla zakho kakuhle emva kokuchukumisa izilwanyana zasekhaya, nangokusela amanzi acocekileyo.

Ukuba ndinethumba lesibindi, ndingalindela ntoni?

Ukuba unethumba lesibindi, into onokuyilindela (ukuxela kwangaphambili) ixhomekeke kuhlobo lwethumba onalo:

• Ezinye iithumba zesibindi ezingezizo umhlaza (ezingenobungozi) azibangeli zimpawu. Kwimeko enjalo, ugqirha wakho unokucebisa uvavanyo, olufana ne-ultrasound, rhoqo emva kweenyanga ezintathu unyaka wonke ukujonga ukuba ithumba liyakhula okanye liyatshintsha.
• Abanye abantu baye batyandwe ukususa iithumba ezinkulu ezingenobungozi okanye ezinomhlaza. Izifundo zibonisa ukuba iithumba zesibindi ezisuswa ngotyando azixhaphakanga . Ngokuxhomekeke kwimeko yakho, ugqirha wakho unokuyalela uvavanyo olongezelelweyo.

Ndingazinyamekela njani xa ndifunyaniswa ukuba ndinethumba lesibindi?

Abanye abantu badinga utyando okanye unyango oluthile lwezimila zesibindi. Ukuba kunjalo, buza ugqirha wakho malunga nendlela yokulawula iziphumo ebezingalindelekanga zonyango . Kubalulekile nokulandela imiyalelo kagqirha wakho ngokuchanekileyo.

Ndingayibuza yiphi imibuzo ugqirha wam?

Amaxesha amaninzi, abantu baqala ukuqonda ukuba banethumba lesibindi xa bevavanywa ngesinye isizathu. Asinto umntu athanda ukuyiva ngequbuliso. Kodwa xa ujongene nokuxilongwa okungalindelekanga okunje, nantsi imibuzo onokuyibuza ugqirha wakho ukuze akuncede ufumane into omawuyenze ngokulandelayo:

• "Ndingazi njani ukuba ithumba lam alinabungozi okanye linomhlaza?"
• "Luhlobo luni lovavanyo endiza kulwenza?"
• "Ngaba kuya kufuneka ndihlolwe isibindi?"
• "Ukuba le thumba indibangela ukungakhululeki okanye iintlungu, ingaba ingasuswa?"
• "Ngaba ubusoloko ujonga ubungakanani kunye nendawo elikuyo eli thumba ixesha elide?"
• "Ukuba ndinezimila zesibindi, ngaba kufuneka ndenze olunye uvavanyo ukuze ndibone ukuba ndineemila kwenye indawo emzimbeni wam?"

Izinto ekufuneka sizikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, masikhumbule ezinye zezona ngongoma zibalulekileyo koko sithethe ngako.

Uninzi lwabantu luqala ukufumanisa ukuba lunee-cysts zesibindi xa luvavanywa ngesinye isizathu. Nangona kungekho mntu uthanda ukuva ngengxaki yempilo engalindelekanga, ungakhululeka kukwazi ukuba uninzi lwee-cysts zesibindi azinamhlaza (azinabungozi) kwaye azifane zibangele iimpawu ezichaphazela umgangatho wobomi bakho.

Amaxesha amaninzi, oogqirha bagqiba ekubeni bajonge ezi thumba kunokuba benze utyando lokususa. Ukuba unenkxalabo malunga nezi thumba zesibindi, ungoyiki ukubuza ugqirha wakho ngemeko yakho. Ngale ndlela, unokufumana umbono ocacileyo wento omawuyilindele. Khumbula, kungcono ukuba nolwazi kunokoyika into ongayaziyo.

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