Wake waba neqhubu elinje esikhumbeni sakho? Ake sixoxe nge-Epidermal Inclusion Cyst!

Wake waphawula into efana neqhubu elincane noma ibhola elikhula ngaphansi kwesikhumba sakho? Ngezinye izikhathi sibiza lawa ngokuthi 'ama-cyst e-sebaceous', akunjalo? Kodwa ayini ngempela lawa, kungani akheka, futhi ingabe ayingozi? Ake sixoxe ngakho konke lokhu namuhla.

Iyini i-Epidermal Inclusion Cyst?

Kalula nje, lesi yisikhwama esincane esigcwele okuthile okufana noketshezi okwakheka ngaphansi kwengqimba ephezulu yesikhumba sakho (i-epidermis). Kubukeka njengebhola elincane elifihliwe ngaphansi kwesikhumba. Abantu abaningi babiza lokhu ngokuthi i-sebaceous cyst . Kodwa lokho kuyiphutha elincane. Ngoba la ma-cyst awaqukethe i-`(Sebum)` (into enamafutha ekhiqizwa yizindlala zamafutha esikhumbeni ukugcina isikhumba sethu simanzi). Empeleni aqukethe izinto ezifana ne -keratin (uhlobo lweprotheni etholakala esikhumbeni sethu, ezinzipho nasezinweleni) kanye nezingcezu zamaseli esikhumba afile. Esikhathini esiningi, odokotela basebenzisa igama elithi `(Sebaceous cyst)` kuphela kuma-cyst akhula ngezimo ezithile zesikhumba njenge-`(Steatocystoma Multiplex)`. Lawo ma-cyst empeleni agcwele i-`(Sebum)`. Yingakho empeleni eyi-`(Sebaceous cysts). Kodwa la ma-cyst e-sebaceous angempela awavamile kakhulu. Kodwa ama-cyst okufakwa kwe-epidermal esikhuluma ngawo avame kakhulu.

Zivame kangakanani lezi zinhlayiya zokufakwa kwe-epidermal?

Ama-cyst e-Epidermal inclusion empeleni uhlobo oluvame kakhulu lwe-skin cyst. Cishe uke waba ne-cyst eyodwa noma ezimbili.

I-cyst yokufakelwa kwe-epidermal ibukeka kanjani?

Manje ake sibone ukuthi lesi simila sibukeka kanjani. Ungase ubone izici ezinjengalezi:

• Kubukeka njengefindo eliyindilinga noma iqhubu elincane.
• Ngezinye izikhathi ungabona ichashazi elincane elimnyama (`(Punctum)`) phakathi kwesithelo.
• Zingahluka ngobukhulu kusukela ku-0.25 inches kuya ku-2 inches. Zingakhula kancane kancane.
• Umbala wesikhumba ungahluka. Ngokuvamile umbala ubomvu opinki, noma kungaba mnyama kancane kunesikhumba sakho.
• Ungase uzizwe uthambile noma ufudumele uma uwuthinta.
• Lesi sithelo singase sizwakale sengathi sihamba kalula uma usihambisa ngesandla sakho.

Yini engaphakathi kwe-cyst yokufakwa kwe-epidermal?

Njengoba ngishilo ngaphambili, la ma-cyst agcwele i-keratin namaseli esikhumba afile . Uma udokotela wesikhumba ekhipha elilodwa, uketshezi oluphumayo luba lukhulu, luphuzi, futhi lungase lube nephunga elibi kancane.

Ingabe la mantongomane ayalimaza?

Ngokuvamile, i-epidermal inclusion cyst ayibuhlungu . Kodwa-ke, ngezinye izikhathi le-cyst ingavuvukala (ukuvuvukala).. Ngemuva kwalokho kuzozwakala kubuhlungu uma kuthintwa. Njengoba i-cyst ikhula, uma iqhuma (iqhuma), ungase uzwe ukulunywa nobuhlungu. Ngezinye izikhathi ungase uzwe ukulunywa endaweni lapho i-cyst ikhona. Uma uzwa ubuhlungu endaweni lapho i-cyst ikhona, noma uma unezinye izimpawu ezingavamile, kufanele nakanjani ubone udokotela.

Kukuphi lapho kuvame khona ukuvela khona ama-cysts e-epidermal inclusion?

Lezi zimila zingakheka noma kuphi emzimbeni, kodwa zivame ukubonakala kulezi zindawo:

• Ebusweni
• Esifubeni
• Ngemuva
• Isikhumba sekhanda
• Entanyeni
• Emilenzeni
• Ezandleni
• Izitho zangasese (ezihlobene nezitho zangasese)

Yini ebangela ama-cysts okufakwa kwe-epidermal?

Lawa ma-cyst akheka lapho i-hair follicle (`(Hair follicle)`) esikhumbeni sethu – okungukuthi, imbobo lapho izinwele ziphuma khona esikhumbeni – ivaleka phezulu (`(Follicular infundibulum)`). Cabanga ngakho, amangqamuzana ethu esikhumba nawo anomjikelezo wokuphila. Lapho efa, ayakhishwa esikhumbeni. Leyo inqubo evamile. Kodwa uma isikhumba sakho silimala, njengokuklwebheka, isilonda sokuhlinzwa, noma isimo sesikhumba esifana ne-acne, noma uma isikhumba sakho sonakaliswa ukushiswa yilanga, lawa maseli esikhumba afile awakwazi ukuphunyuka kahle. Khona-ke lawa maseli nezinto ezifana ne-keratin ziqoqana ngaphansi kobuso besikhumba bese zibhajwa. Yileyo ndlela le cyst, noma i-cyst, eyakheka ngayo. Ngezinye izikhathi, ngisho nasezindaweni lapho kungekho khona ama-follicle ezinwele emzimbeni wakho, lolu hlobo lwe-cyst lungakhula ngenxa yokulimala esikhumbeni. Ngenxa yalokho kulimala, amangqamuzana angaphezulu kwesikhumba asunduzelwa phansi aye ongqimbeni olungezansi (`(Dermis)`). Lapho, futhi, i-keratin iyaqoqana futhi yakhe isimila.

Ubani osengozini enkulu yokuthola ama-cyst e-epidermal inclusion?

Nakuba lezi zimila zingakhula kunoma yimuphi ubudala, zivame kakhulu phakathi kweminyaka engama-20 nengama-60. Azivami ukukhula ngaphambi kokuthomba. Zivame kakhulu kwabesilisa kunakwabesifazane. Ezinye izimo zofuzo ezingavamile kanye nezinye izifo nazo zingabangela ukuba kukhule izimila eziningi ngesikhathi esisodwa. Isibonelo:

• I-Gardner syndrome (`(Gardner syndrome / i-familial adenomatous polyposis)`)
• I-Gorlin syndrome (`(i-Gorlin syndrome / i-basal cell nevus syndrome)`)
• I-Favre-Racouchot syndrome (`(i-Favre-Racouchot syndrome)`)
• Ukutheleleka kwe- Human papillomavirus ( HPV ).

Futhi, eminye imithi ingandisa ingozi yokuthola lezi zimila:

• Izithibi ze-BRAF
• Imiquimod (`(Imiquimod)`)
• I-Cyclosporine (`( I- Cyclosporine )`)

Ingabe la mathumba ayathelelana?

Cha, ama-cyst aqukethe i-epidermal awathelelani .

Yiziphi izinkinga ezingaba khona ngenxa ye-cyst yokufakwa kwe-epidermal?

Lezi zimila ngezinye izikhathi zingabangela izinkinga ezifana nalezi:

• I-cyst evuvukele ye-epidermal inclusion: I-cyst iyavuvukala futhi ibe buhlungu uma uyithinta.
• I-cyst efakwe esikhumbeni esithintekile: Amabhaktheriya ayingozi akhula ngaphakathi kwe-cyst, okubangela ukuvuvukala, ubuhlungu, kanye nokushintsha kombala wesikhumba njengoba umzimba ulwa nayo.
• I-cyst ehlanganisiwe ye-epidermal ephukile: I-cyst iyaqhuma, ibangele ukuvuvukala, ubuhlungu, ukushintsha kombala wesikhumba, kanye nokuphuma koketshezi oluphuzi (oluvame ukuba nephunga elibi).

Ingabe i-epidermal inclusion cyst iyisibonakaliso somdlavuza?

Ama-cyst okufakwa kwe-Epidermal ngokuvamile awayona ingozi . Kodwa-ke, abacwaningi abavamile ukuthola amacala lapho amangqamuzana omdlavuza (`(Malignancy)`) akheke khona ngaphakathi kwala ma-cyst. Ngokukhethekile:

• I-Squamous cell carcinoma (i-Squamous cell carcinoma)
• I-basal cell carcinoma (`(i-basal cell carcinoma)`)

Uma isimila sakho sinalezi zimpawu, kuyinto okufanele uyikhathalele:

• Izimpawu zokutheleleka: ubuhlungu, ukushintsha kombala wesikhumba, ukuvuvukala, kanye/noma ukuphuma kwamanzi.
• Ukukhula ngokushesha okukhulu.
• Ingaphezulu kwamasentimitha angu-5 ububanzi.

Uma ubona noma yiziphi izinguquko esimila sakho, khuluma nodokotela ngokushesha.

Ungayibona kanjani i-cyst yokufakwa kwe-epidermal?

Udokotela angakwazi ukuxilonga i-epidermal inclusion cyst ngokukuhlola, ukubheka iqhubu, nokubuza ngezimpawu zakho (uma zikhona). Nakuba ngokuvamile kungadingeki, bangase bacele ukuhlolwa okunjengalokhu ukuqinisekisa ukuxilongwa:

• Ukuhlolwa kwe-X-ray noma kwe-imaging: I-ultrasound ingasiza ekutholeni ukuthi yini engaphakathi kwesimila. Uma isimila sikhulu, i-CT scan (i-computed tomography scan) ingaqinisekisa ukuxilongwa futhi isize udokotela ukuthi anqume indlela engcono kakhulu yokusisusa.
• I-Biopsy: Udokotela uthatha ingxenye encane yezicubu ezivela esimila bese eyihlola elabhorethri.

Ingabe ngidinga ukubona uchwepheshe wesimila esinjengalesi?

Uma ubona noma yiziphi izinguquko noma amaqhubu amasha esikhumbeni sakho, bonana nodokotela kuqala. Ungabonana nodokotela womndeni wakho (uDokotela Wokunakekelwa Okuyinhloko - PCP). Angakudlulisela kudokotela wesikhumba uma kudingeka. Akubona bonke odokotela abasusa amaqhubu e-epidermal inclusion. Ngakho-ke, udokotela wakho angakudlulisela kuchwepheshe oqeqeshwe ukususa la maqhubu, isibonelo, udokotela wesikhumba, udokotela ohlinzayo ojwayelekile, noma udokotela ohlinzayo wepulasitiki.

Ama-cyst e-inclusion e-epidermal (ama-cyst e-sebaceous) aphathwa kanjani?

Ezimweni eziningi, uma ungenazo izimpawu noma izinkinga nge-cyst yakho, udokotela wakho angakutshela ukuthi uyibheke nje futhi ungayilaphi . Kodwa-ke, uma i-cyst ivuvukele futhi uzizwa ungakhululekile, ungazama i-compress efudumele ekhaya ukusiza ukunciphisa izimpawu zakho. Kodwa-ke, uma izimpawu zakho ziqhubeka noma ziba zimbi kakhulu, bona udokotela. Angase akuncome ukuthi uyisuse noma ujove i-cyst ngama-steroids ukuze unciphise ukuvuvukala okwesikhashana. Uma i-cyst inegciwane, yelashwa ngama -antibiotic .

Ukususwa kwe-Epidermal Inclusion Cyst (Sebaceous Cyst)

Udokotela wakho angasusa isimila esebenzisa lezi zindlela:

• Ukusikwa kanye nokuphuma kwamanzi: Udokotela wenza ukusikwa okuncane phezu kwe-cyst bese ekhipha uketshezi olungaphakathi. Lokhu akusiqedi ngokuphelele i-cyst, njengoba i-capsule ye-cyst ingasuswa. Kodwa-ke, kuyasiza ekuvuvukeni nasekuvuvukeni.
• Ukususwa kokuhlinzwa: Lena inqubo yokuhlinzwa esusa ngokuphelele isimila. Lokhu kwenziwa ngaphansi kwe-anesthesia yendawo . Lokhu kusho ukuthi awulaliswa futhi ngeke uzwe ubuhlungu. Isembozo sangaphandle sesimila (i-capsule) sisusiwe ngokuphelele, okuvimbela isimila ukuthi singabuyi.

Into ebaluleke kakhulu ukuthi, akufanele uzame ukuzicindezela, ukuzikhipha, noma ukuzikhipha ngokwakho la ma-cyst! Ukwenza kanjalo kungabangela ukutheleleka futhi i-cyst ingase ikhule futhi.

Ingabe ikhona imiphumela emibi yokwelashwa?

Izingozi ezihlobene nokususwa kwesimila ngokuhlinzwa azivamile, kodwa zingafaka:

• Ukutheleleka
• Ukopha
• Isilonda
• Ubuhlungu
• Ukuphinda kwethumba (`(Ukuphinda)`)

Ingabe ama-cyst okufakwa kwe-epidermal (ama-cyst e-sebaceous) angavinjelwa?

Ama-cyst okufakwa kwe-Epidermal ngokuvamile ayenzeka ngokungahleliwe. Kodwa-ke, ukugwema ukulimala esikhumbeni sakho, ukugwema umonakalo , nokuthola ukwelashwa okufanele kwezimo zesikhumba (isb., induna) kungasiza ekunciphiseni le ngozi.

Kuzokwenzekani kulezi zinselo? Uyini umbono?

Uma usuxilongiwe, ungalinda ukuthi i-cyst izihambele yodwa , noma ukhulume nodokotela wakho ngezinketho zokwelapha. Esikhathini esiningi, la ma-cyst awabangeli zimpawu. Kodwa uma i-cyst ikhula endaweni ebonakalayo, njengobuso bakho noma isikhumba sekhanda, noma uma ikubangela ubuhlungu, kungaba yinto ekhathazayo. Uma i-cyst ikukhathaza, khuluma nodokotela wakho mayelana nokuthi isuswe.

Ingabe i-epidermal inclusion cyst izophela yodwa?

Amanye amathumba azoncipha ngobukhulu, kodwa amanye angaqhubeka nokukhula uze uthole ukwelashwa. Uma engelashwanga, ungase ube nalesi simila impilo yakho yonke.

Ingabe ama-cysts okufakwa kwe-epidermal angawohloka?

Ngezinye izikhathi ama-cyst atholakala e-epidermal angahlala emancane futhi angabonakali iminyaka eminingi. Kodwa-ke, angakhula ngobukhulu futhi abangele ukungakhululeki nokulunywa. Uma i-cyst ikukhathaza, khuluma nodokotela wakho mayelana nezinketho zokwelapha.

Kufanele ngimbone nini udokotela?

Njalo bona udokotela uma ubona iqhubu noma iqhubu esikhumbeni sakho. Kungaba yi-epidermal inclusion cyst, olunye uhlobo lwesimila, noma into engathi sína kakhulu. Ungazihlolisisi . Bona udokotela ukuze uthole ukuxilongwa okucacile kanye nokwelashwa okuqondile.

Yini okufanele ngiyibuze udokotela wami?

Ungabuza udokotela imibuzo efana nale:

• Ingabe ngine-cyst yokufakwa kwe-epidermal, noma olunye uhlobo lwesimila?
• Ingabe lokhu kuzolunga ngokwakho, noma ngidinga ukwelashwa?
• Ucabanga ukuthi lesi simila sizokhula sibe sikhulu?
• Yiziphi izindlela zokwelapha ozincomayo?
• Ingabe kufanele ngibone udokotela ohlinzayo noma uchwepheshe?
• Yini okufanele ngiyenze uma isimila sibuya ngemva kokususwa?

Ingabe ama-cyst okuqoqwa kwe-epidermal (ama-cyst e-sebaceous) ayingozi?

Ama-cyst amaningi e-epidermal inclusion awayona ingozi . Ngokuvamile awabangeli izimpawu. Akuwona wonke ama-cyst athelelekayo, kodwa angatheleleka. Ukutheleleka kungaba yingozi uma kungelashwa. Nakuba kungavamile kakhulu, amanye ama-cyst angaba umdlavuza, ngakho-ke bonana nodokotela uma ubona noma yiziphi izinguquko esikhumbeni sakho. Ukubona iqhubu elisha noma ukukhula esikhumbeni sakho kungaba yinto eyesabekayo nekhathazayo. Kungaba i-cyst e-epidermal inclusion engenangozi, noma kungaba ukuxilongwa okungathi sína kakhulu. Bonana nodokotela ngokushesha nje lapho ubona noma yiziphi izinguquko esikhumbeni sakho. Angakunikeza ukuxilongwa okufanele futhi aphendule noma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Ama-cyst e-epidermal inclusion awadingi ukwelashwa njalo. Kodwa-ke, ukuwasusa ngudokotela kungakwenza uzizwe ukhululekile kakhudlwana. Ungazami ukuwakhipha noma ukuwakhipha la ma-cyst ekhaya.Kungabangela ukutheleleka. Udokotela wakho uzokhipha amanzi angcolile esikhumbeni ngokuphephile, ukuze ungakhathazeki ngakho.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okufanele sizithathe ekhaya kule ndaba?

Kulungile, nansi ezinye zezinto ezibalulekile okufanele uzikhumbule mayelana nama-cyst e-epidermal inclusion esikhulume ngawo namuhla:

• Lezi uhlobo lwe-cyst olwakheka ngaphansi kwesikhumba, olugcwele i-keratin, futhi ngokuvamile alunangozi .
• Igama elithi 'i-sebaceous cyst' lingaba yiphutha elingalungile.
• Lezi ngokuvamile azibuhlungu, kodwa zingavuvukala, zitheleleke, futhi ziqhume.
• Uma ubona iqhubu elisha noma iqhubu esikhumbeni sakho, ungazihloli, kodwa qiniseka ukuthi ubona udokotela.
• Ungalokothi uzame ukuzicindezela noma ukuzikhipha lezi zinhlayiya ngokwakho. Lokhu kungenza isimo sibe sibi kakhulu.
• Nakuba ukwelashwa kungadingeki ezimweni eziningi, uma isimila sikhathaza, kunezindlela zokusisusa ngokuphephile.
• Njengoba kungavamile ukuba nomdlavuza, qaphela izinto ezifana nokukhula okusheshayo, ukushintsha kombala, kanye nobuhlungu esimila.

Ngakho-ke, uma unesifo esifana nalesi, ungesabi. Into engcono kakhulu ongayenza ukwaziswa nokufuna iseluleko sezokwelapha uma kudingeka.