Ngaba kukho into efana neqamza lamanzi kufutshane nentliziyo yakho? Masifunde ngale (Pericardial Cyst)!

Ngamanye amaxesha, izinto ezincinci zinokukhula ngaphakathi emizimbeni yethu singazi nokuba zithini, akunjalo? Yiyo loo nto le `(Pericardial Cyst)` iyiyo. Xa usiva eli gama, lisenokubonakala ngathi yinto enkulu, kodwa ungakhathazeki , uninzi lwexesha alinabungozi kangako. Namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.

Yintoni le `(Pericardial Cyst)`?

Ngamafutshane, iPericardial Cyst yicyst egcwele ulwelo eyakha kwi-membrane encinci efana nengxowa ejikeleze intliziyo yakho, i-pericardium. Ijongeka njengeqamza lamanzi. Uninzi lwexesha, yimeko yokuzalwa. Ezi cysts zihlala zimalunga ne-3 ukuya kwi-5 centimeters ngobukhulu, obumalunga ne-intshi enesiqingatha ukuya kwi-intshi ezimbini. Kodwa ezinye zinokuba nkulu. Zinokuba zingqukuva okanye zibe ngqindilili kancinci. Ziqulethe ulwelo olucacileyo. Yiyo loo nto ngaphambili, ngeminyaka yoo-1940, oogqirha babezibiza ngokuba "zii-spring water cysts." Zihlala zifumaneka kwicala lasekunene lentliziyo. Eyona nto ibalulekileyo kukuba ezi Pericardial Cysts azinawo umhlaza. Uninzi lwabantu alubonisi zimpawu. Kodwa khawucinge, ukuba le tumor ikhula kancinci kwaye icinezele intliziyo okanye imiphunga ekufutshane, ngoko kukho ithuba lokuba ezinye iimpawu okanye iingxaki zinokwenzeka.

Ingaba `(Pericardial Cyst)` inokuba yingozi kangakanani?

Ngokwesiqhelo, i-`(Pericardial Cyst)` ayibangeli ngxaki ingako. Abantu abaninzi baphila bengazi nokuba banayo. Nangona kunjalo, kunqabile kakhulu, kwaye oko kuthetha ukuba kunqabile kakhulu , iingxaki ezinje ngezi zinokwenzeka:

• Ukuphazamiseka kwentliziyo ( i-Arrhythmia ): Ukubetha kwentliziyo okungahambelaniyo.
• I-tamponade yentliziyo : Oku kungaba yingxamiseko.
• I-Constrictive pericarditis: Intliziyo ayikwazi ukusebenza kakuhle.
• Ukumelwa yintliziyo .
• Ukuquleka/ ukuqhawuka kwentliziyo .
• Ukukrala kwemiphunga .
• Ukuvaleka kokuhamba kwegazi kwi-ventricle yasekunene yentliziyo`(Ukuvaleka kwendlela yokuphuma kwe-ventricular yasekunene)`.
• Ukufa ngesiquphe kwentliziyo : Oku kunqabile kakhulu.
• I-Superior vena cava syndrome (SVCS) yimeko ebangelwa kukucinezelwa kwe-superior vena cava (umthambo wegazi) .

La magama asenokubonakala esoyikisa, kodwa khumbula ukuba la magama anqabile kakhulu .

Ngubani ochaphazeleka kakhulu yile meko?

Le meko ibizwa ngokuba yi-`(Pericardial Cyst)` inokukhula nakubani na wanoma yimuphi ubudala. Khawuthelekelele, nomntu oneminyaka eli-102 ubudala ufunyenwe enayo. Ngamanye amaxesha, nomntwana omncinci esibelekweni sikanina unokufunyanwa enayo ngokusebenzisa `(uvavanyo lwangaphambi kokuzalwa)` ngexesha lokukhulelwa. Nangona kunjalo, idla ngokufunyaniswa kubantu abadala abancinci, oko kukuthi, kubantu abaphakathi kweminyaka engama-20 ukuya kwengama-40. Kuthiwa abafazi banamathuba amancinci okufumana le meko kunamadoda. Ukuba sithetha ngendlela exhaphake ngayo, `(Pericardial Cyst)` yimeko engaqhelekanga. Ichaphazela malunga nomntu omnye kwikhulu lamawaka.

Zithini iimpawu ze-`(Pericardial Cyst)`?

Iindaba ezimnandi zezokuba ayinguye wonke umntu onesi sifo oneempawu. Enyanisweni, malunga nabantu abathathu kwabane abanazo iimpawu kwaphela. Nangona kunjalo, njengoko bekutshiwo ngaphambili, ukuba eli thumba liba likhulu ngokwaneleyo ukuba licinezele intliziyo okanye imiphunga yakho, unokufumana iimpawu ezifana nezi:

• Intlungu yesifuba: Le ntlungu ingasasazeka nakwiindawo eziphezulu zomzimba, njengentamo, amahlombe, neengalo.
• Ukukhwehlela: Usenokuba nokukhwehlela okungapheliyo.
• Izifo zokuphefumla ezixhaphakileyo: Umzekelo, izifo zemiphunga .
• Ubunzima bokuphefumla (ukuphelelwa ngamandla): Usenokuziva ngathi uphefumla nzima nokuba unomsebenzi omncinci.

Le `(Pericardial Cyst)` yakheka njani?

Uninzi lwexesha, oko kukuthi, ngaphezulu kwama-90% amatyala, le `(Pericardial Cyst)` yinto ekhoyo xa kuzalwa `(congenital)`. Oko kukuthi, le cyst yenziwa ngenxa yobuthathaka obuncinci ekwakhiweni kwe-membrane ekhuselayo `(pericardium)` ejikeleze intliziyo ngexesha lobomi bomntwana ongekazalwa, ngelixa esesibelekweni sikamama. Kukho ezinye izizathu ezingaqhelekanga zoku. Nazi:

• Ukudumba kwenwebu yentliziyo, imeko ebizwa ngokuba yi-"pericarditis".
• Ngenxa yokwenzakala okukhulu esifubeni (ukwenzakala).

Uyazi njani ukuba une-`(Pericardial Cyst)`?

Le yeyona nto imangalisayo. Uninzi lwexesha, oogqirha bafumana le `(Pericardial Cyst)` ngengozi!Oku kuthetha ukuba ungayifumana le qhuma kuphela xa uthatha i-X-ray yesifuba okanye esinye isizathu. Yiyo loo nto oogqirha bebiza ezi ziphumo ngokuthi "ziziphumo ezingalindelekanga." Xa iqhuma lifunyenwe ngolu hlobo, ugqirha uya kwenza ezinye iimvavanyo ezininzi ukuqinisekisa ukuba yi-pericardial cyst. Bafuna nokuqinisekisa ukuba ayilolunye uhlobo lwesifo esinzima. Umzekelo:

• I-aneurysm kukudumba komthambo wegazi kwigumbi elisezantsi lentliziyo.
• I-hernia kwi-diaphragm (umsipha owahlula isifuba nesisu) (i-Morgagni hernia).
• Ezinye iintlobo ze-cysts okanye ii-tumor.

Luhlobo luni lovavanyo oluqinisekisa oku?

Oogqirha basebenzisa iimvavanyo ezifana nezi ukuze baxilonge ngokuchanekileyo baze bajonge le meko ye-"Pericardial Cyst":

• I-Cardiac CT scan : Oku kungathatha umfanekiso ocacileyo wethumba, kunye nemeko ye-pericardium.
• I-Cardiac MRI scan : Oku kungasetyenziselwa ukubona ukuba ithumba licinezela intliziyo, imiphunga, okanye ezinye izitho ezibalulekileyo ezikufutshane.
• I-Echocardiography : Oku kufana ne-ultrasound scan yentliziyo. Isetyenziselwa ukubona ukuba ubungakanani bethumba buyatshintsha na ngokuhamba kwexesha kwaye ikhokela ukufunxwa kolwelo oluvela kwithumba ukuba kuyimfuneko.

Ziziphi iindlela zonyango ze-`(Pericardial Cyst)`?

Iindaba ezimnandi zezokuba kwiimeko ezininzi, iPericardial Cyst ayifuni unyango olukhulu. Oogqirha bathi oku 'lulawulo olugcina izinto zinjalo'. Oko kuthetha ukuba, musa ukoyika, jonga nje.

• Ukubeka esweni: Ukuba awunazo iimpawu kwaye ithumba alikhuli, ugqirha wakho uza kulibeka esweni ithumba nge-transthoracic echocardiogram (TTE) rhoqo emva kweminyaka embalwa. Akukho nyango lufunekayo.
• Xa kufuneka unyango: Nangona kunjalo, ukuba uqala ukuba neempawu, okanye ukuba iiskeni zibonisa ukuba ithumba liya likhula, kuya kufuneka unyango.

Kukho iindlela ezimbini eziphambili zonyango: 1. Ukususwa kolwelo ngeenkqubo ezingangenisi kakhulu:

• I-Ethanol sclerosis : Kule nto, into ebizwa ngokuba yi-ethanol ifakwa kwi-tumor, ize emva koko ulwelo olukwi-tumor lususwe. Oku kunciphisa umngcipheko wokuba i-tumor ibuye ikhule.
• Ukufuthwa nge -Percutaneous : Inaliti ifakwa ngomngxuma omncinci eluswini kwaye lonke ulwelo olukwi-cyst luyasuswa.

2. Ukususwa kwesi sifo ngotyando:

• Utyando lweLaparoscopic : Oku kuquka ukwenza imingxunya emincinci esifubeni nokusebenzisa ikhamera kunye nezixhobo ezithambileyo ukususa ithumba. Oku kukwabizwa ngokuba "lutyando lwe-keyhole."
• I-Median Sternotomy : Utyando olubandakanya ukwenza utyando phakathi kwesifuba, ukuya ezantsi kwethambo lesifuba. Olu lutyando olukhulu.
• I-Thoracotomy : Inkqubo yotyando equka ukwenza ukusika phakathi kweembambo ezimbini.
• Utyando lwesifuba oluncediswa yividiyo (VATS): Olu tyando lufana notyando lwe-laparoscopic, kuba lwenziwa kusetyenziswa ikhamera ngokusebenzisa umngxuma omncinci owenziwe phakathi kweembambo.

Ugqirha wakho uza kujonga imeko yakho, axoxe nawe ngazo zonke ezi ndlela zonyango, aze agqibe kwelokuba loluphi olukulungeleyo nolukhuselekileyo kuwe . Injongo ephambili yale mithi kukuthintela iingxaki ezinkulu ezinokwenzeka ukuba ithumba licinezela intliziyo okanye imiphunga.

Ngaba ezi zinto zinokuthintelwa ukuba zingenzeki?

Ekubeni ii-cysts ze-pericardial zihlala zizalwa , akukho nto sinokuyenza ukuthintela ukwakheka kwazo. Nangona kunjalo, ukuba sele une-pericarditis, ukudumba kwengaphakathi lentliziyo, usenokuba sengozini encinci yokuba ne-pericardial cyst. Kungcono ukuthetha nogqirha wakho ngale nto.

Ngaba i-Pericardial Cyst iyingozi?

Kwakhona, uninzi lwee-cysts ze-pericardial azinabungozi. Zinokuba yingozi kuphela xa zibeka uxinzelelo entliziyweni, emiphungeni, okanye kwezinye izitho ezibalulekileyo ezikufutshane. Ukuba une-cyst ye-pericardial, ugqirha wakho uya kuyijonga aze ayinyange xa ​​kuyimfuneko. Ngoko ke ungoyiki ngokungeyomfuneko.

Kuza kwenzeka ntoni ukuba ndinayo le meko? Kuza kwenzeka njani kwixesha elizayo?

Uninzi lwabantu abane-cyst ye-pericardial banokuphila kakuhle baze baphile ubomi obuqhelekileyo . Nangona kunjalo, ukuba uneempawu okanye i-cyst yakho iyakhula, unokufuna unyango lokuthintela iingxaki ezichazwe apha ngasentla. Thetha ngokukhululekileyo nogqirha wakho malunga nemeko yakho, i-prognosis, kunye nomngcipheko wakho weengxaki.

Ndifanele ndimbone nini ugqirha? Yintoni endifanele ndiyixhalabele?

Qiniseka ukuba uyahlolwa rhoqo ngonyaka . Kwakhona, yiya kuvavanyo lwakho njengoko ugqirha wakho eyalele. Khumbula, abantu abaninzi abazi ukuba banePericardial Cyst, kuba idla ngokufunyanwa ngengozi. Ke ngoko, kubalulekile ukuya kuzo zonke iindibano kunye novavanyo lukagqirha wakho. Emva koko, kunokwenzeka ukuba ufumane iPericardial Cyst ngaphambi kokuba ibe yingxaki.

Ingakumbi khumbula, ukuba ugqirha ukhuphe ulwelo oluvela kwi-`(Pericardial Cyst)` yakho, kukho amathuba angama-30% okuba i-cyst ibuye. Ke ngoko, uvavanyo olulandelayo lubalulekile. Ugqirha kuya kufuneka akujonge ukuze abone ukuba i-cyst iyabuya na.

Ingxamiseko! Ukuba unale mpawu, isenokuba luphawu lwe-cardiac tamponade.Fowunela i-911 okanye isebe lezonyango elikufutshane nawe ngoko nangoko, okanye uye esibhedlele ngoko nangoko:

• Utshintsho olukhawulezileyo kwimeko yengqondo (ukuziva udidekile, uphazamisekile, ulahlekelwe zingqondo).
• Ukuziva unesizungu okanye uphelelwa ngamandla/uphelelwa ngamandla.
• Intlungu ebukhali nehlabayo esifubeni. Le ntlungu inokusasazeka iye esiswini, emqolo, entanyeni, engalweni, okanye egxalabeni.
• Ukwanda kwesantya sokuphefumla.
• Ukubetha kwentliziyo okukhawulezayo kakhulu.
• Ukutshintsha kombala wolusu (olukhanyayo, olungwevu, okanye oluhlaza okwesibhakabhaka).
• Ubunzima obukhulu bokuphefumla.

Ngoko ke, zeziphi izinto ekufuneka sizikhumbule? (Umyalezo Wokubuyela Ekhaya)

Nangona le meko ibizwa ngokuba yi-`(Pericardial Cyst)` isenokuvakala isoyikisa, uninzi lwexesha ayibonisi zimpawu, kwaye ayibangeli iingxaki ezinkulu. Kodwa ukuba uneempawu, okanye ukuba i-cyst iyakhula, ungakhathazeki. Amayeza anamhlanje aneendlela ezininzi ezilungileyo zokunyanga oku. Thetha nogqirha wakho ngononophelo malunga nonyango olulungele wena kunye nokuba kuza kuthatha ixesha elingakanani ukuze uphile. Eyona nto ibalulekileyo kukulandela iimvavanyo zakho zonyango kunye neengcebiso zonyango. Emva koko, nokuba unemeko efana nale, ungayiqaphela kwangethuba, wenze oko kuyimfuneko, kwaye uhlale usempilweni. I-Pericardial cyst, i-heart cyst, i-pericardial cyst, iintlungu zesifuba, ubunzima bokuphefumla, isifo sentliziyo, i-pericardial