Ingabe i-cyst eyakheka emthanjeni emlenzeni wakho ivimba ukugeleza kwegazi? Ake sifunde nge-Adventitial Cystic Disease!

Ngisho noma ungumuntu ophilile futhi okhuthele, wake wazizwa ubuhlungu noma ukuqina emlenzeni wakho ongezansi, ikakhulukazi endaweni yesisu, ngenkathi uzivocavoca noma uhamba? Buyaphela ngemva kwesikhashana, bese bubuya uma wenza okunye. Ungase ucabange ukuthi lokhu akuyona into enkulu. Kodwa-ke, lokhu kungaba uphawu lwesifo esingavamile esibizwa ngokuthi i-Adventitial Cystic Disease . Ngakho-ke, ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla.

Ake sibheke nje ukuthi iyini i-Adventitial Cystic Disease.

Kalula nje, i-Adventitial Cystic Disease yisimo lapho isikhwama esigcwele uketshezi, esibizwa ngokuthi i-cyst , sakheka khona emthanjeni wegazi, njengomthambo noma umthambo. Lokhu kwenzeka ngqo ku -adventitia, ungqimba olungaphandle lomthambo wegazi. Cabanga ngeqhubu elincane ngaphandle komthambo wegazi, njengepayipi lamanzi, elivimba ukugeleza kwegazi. Yilokho okwenzekayo lapha.

Lesi simila sivimbela ukugeleza kwegazi emithanjeni yegazi. Lokhu kuvinjelwa kunganda, ikakhulukazi lapho sinyakaza noma sivivinya umzimba. Ngokuvamile, lesi simo sithinta umthambo we-popliteal , okuwumthambo omkhulu ohlinzeka ngegazi emadolweni ethu nasemisipheni yemilenze engezansi. Kodwa-ke, akuvamile kakhulu, cishe ezimweni eziyi-15%, ama-cyst angakhula emithanjeni yegazi ngaphandle komthambo we-popliteal.

Ubani othinteka kakhulu yilesi simo?

Isifo i-Adventitial Cystic Disease sivame ukubonakala kwabesilisa abaneminyaka ephakathi kuka-40 no-50. Eqinisweni, kuthiwa amadoda anamathuba aphindwe kahlanu okuthola lesi sifo kunabesifazane.

Iqiniso elilodwa elimangalisayo ukuthi lesi sifo sivame ukuthinta abantu abaphilile nabasebenzayo abangenazo ezinye izifo ezinkulu. Ngokuvamile siyazi ukuthi ukukhuluphala ngokweqile noma i-cholesterol ephezulu kungaholela kwezinye izifo zemithambo yegazi. Kodwa-ke, izici ezinjalo eziyingozi azitholakalanga ukuthi zithinta i-Adventitial Cystic Disease.

Kuvamile kangakanani ngempela lesi simo?

Kungenzeka ukuthi awukaze uzwe ngalesi sifo ngaphambili. Isizathu salokhu ukuthi kuyisimo esingavamile kakhulu . Uma ucabanga ngazo zonke izifo zemithambo yegazi, lesi sifo sithinta iphesenti elincane kakhulu, cishe u-0.1%. Lokhu kusho ukuthi bambalwa kakhulu abantu abasitholayo.

Ziyini izimpawu zalesi sifo? Ingabe nawe unazo lezi?

Uphawu oluyinhloko noluvame kakhulu lwalesi sifo yi- intermittent claudication.Isimo esibizwa ngokuthi. Kalula nje, lokhu kuwumuzwa wobuthakathaka noma ubuhlungu emisipheni ngenxa yokuncipha kwegazi. Lokhu kuvame ukwenzeka uma unyakaza noma uvivinya umzimba. Lobu buhlungu buyaphela ngemva kokuphumula kancane.

Kwabaningi, lobu buhlungu buvela emisipheni endaweni yethole (ubuhlungu bemisipha yethole) . Cabanga ukuthi uma uhamba ibanga elincane, ugijima, noma ukhuphuka izitebhisi ezimbalwa, kungazelelwe ubuhlungu obungavamile nokuqina kuvela ngaphakathi kwethole lomlenze. Buyaphela uma ume isikhashana, bese buqala futhi uma uhamba. Yilokho kuphela. Esikhathini esiningi, lokhu kuthinta umlenze owodwa kuphela. Kodwa-ke, akuvamile kakhulu, kungathinta imilenze yomibili ngale ndlela.

Uma ngesizathu esithile lesi simila sakheka emthanjeni (okuyinto engavamile kakhulu), khona-ke umlenze ungase uvuvuke.

Kungani kwenzeka i-Adventitial Cystic Disease? Ziyini izimbangela?

Ochwepheshe abakakazi kahle ukuthi yini ebangela lesi sifo, kodwa kunezinto ezimbalwa abacabanga ukuthi zingaba nomthelela kuso:

• Amaseli ngesikhathi sokuthuthukiswa kombungu: Kungenzeka ukuthi, ngesikhathi sokuthuthukiswa kombungu esibelethweni, amaseli angakha la ma-cyst angena emithanjeni yegazi.
• Izinkinga zezicubu ezixhumene: Ezinye izinkinga zezicubu ezixhumene zingandisa ingozi yokuba nama-cyst anjengalawa emithanjeni yegazi.
• Okuhlobene namajoyinti: Abanye abantu bangase bathambekele kakhulu ekukhuleni kwama-cysts afana nalawa eduze kwamalunga abo.
• Ukucindezeleka okubuhlungu noma okuphindaphindiwe: Kungaba ngenxa yokulimala kwemithambo yegazi noma ngenxa yokucindezeleka okuqhubekayo (ukucindezeleka), izingxenye zemithambo yegazi zingalimala, okuholela ekwakhekeni kwama-cyst.

Kodwa into eyodwa icacile. Ubufakazi bamanje busikisela ukuthi i-Adventitial Cystic Disease ayibangelwa yisifo senhliziyo.

Lesi sifo sihlolwa kanjani ngokunembile? (Ukuxilongwa)

Lesi sifo singaba nzima ukusibona. Ngoba, njengoba kushiwo ngaphambili, sivame ukwenzeka kubantu abaphilile abangenazo izici eziyingozi zezinye izifo zemithambo yegazi. Ngakho-ke uma uzwa ubuhlungu ngemuva kwedolo noma endaweni yesinqe lapho uzivocavoca, qiniseka ukuthi ubona udokotela futhi umtshele ngakho.

Izimpawu zalesi simo zingafana nezezinye izifo zemithambo yegazi, njenge -Popliteal Artery Entrapment Syndrome (PAES) noma i-Chronic Exertional Compartment Syndrome . Ngakho-ke, udokotela wakho uzokhipha ezinye izimo ngaphambi kokuxilonga lesi simo.

Uma ekuxilonga, udokotela wakho angase ezwe ukushaya kwenhliziyo onyaweni lwakho nangemuva kwedolo lakho, umthambo we-popliteal. Uma ukushaya kwenhliziyo kungezwakali, ikakhulukazi uma ugoba idolo lakho, kungase kubonise ukuvaleka kwegazi.

Ngaphezu kwalokho, udokotela angase acele ezinye izivivinyo eziningana ukuqinisekisa lesi sifo:

• I-Ankle-Brachial Index (ABI): Lokhu kulinganisa umfutho wegazi emilenzeni yakho engezansi.
• I-CT Angiogram: Lokhu kungasetshenziswa ukubona ukuthi igazi ligeleza kanjani nokuthi kukhona yini ukuvinjelwa emithanjeni yegazi. Kufana nokuthatha isithombe semithambo yegazi.
• I-Duplex Ultrasound: Lokhu kukuvumela ukuthi ubone isithombe esinyakazayo segazi eligeleza emilenzeni yakho.
• I-MRI: Lokhu kungabona ngokucacile ama-cyst emithanjeni yegazi noma eduze kwayo.

Kungemva kwalokhu kuhlolwa kuphela lapho udokotela angakutshela khona ngokuqinisekile ukuthi unesifo se-Adventitial Cystic Disease noma cha.

Yiziphi izindlela zokwelapha lokhu?

Ngezinye izikhathi, la ma-cyst angena emzimbeni angaphela ngokwawo. Kodwa-ke, ezimweni eziningi, ukwelashwa okuphumelelayo kakhulu ukususa i-cyst ngokuhlinzwa .

Kwezinye izimo, udokotela wakho angase ancome ukufutha i-cyst usebenzisa inaliti. Nakuba lokhu kuyindlela engadingi ukungenelela okuningi njengokuhlinzwa, kwandisa ingozi yokuthi ama-cyst aphinde avele.

Uma uhlinzwa, udokotela wakho ohlinzayo uzosusa i-cyst kanye nengxenye eyonakele yomthambo wegazi. Uma isimo sakho sibi kakhulu, okusho ukuthi umthambo wegazi uvalekile ngokuphelele, kungase kudingeke enye inqubo. Kuleso simo, udokotela wakho ohlinzayo angasebenzisa i-vein graft evela kwenye ingxenye yomzimba wakho noma i-patch yokwenziwa ukulungisa umthambo wegazi nokubuyisela ukugeleza kwegazi okuvamile. Noma, ungenza ukuhlinzwa kwe-bypass, okudala umzila omusha wegazi ukuze ligeleze emthambo wegazi ovalekile.

Singakuvimbela yini lokhu ukuthi kungenzeki?

Empeleni, ayikho indlela eqondile yokuvimbela i-Adventitial Cystic Disease. Ngenxa yokuthi imbangela eqondile ayaziwa, kunzima ukusho ukuthi ingavinjelwa kanjani.

Kodwa-ke, into engcono kakhulu ongayenza ukufuna iseluleko sezokwelapha ngokushesha nje lapho uzwa noma yiziphi izimpawu, njengobuhlungu, ingcindezi, ukungazweli, noma ukuvuvukala emlenzeni wakho. Ngale ndlela, ungasibona ngokushesha isimo bese uqala ukwelashwa.

Kwenzekani ngemva kokwelashwa? Uyini umbono? (Umbono)

Kungakhathaliseki ukuthi yiluphi uhlobo lokwelashwa olusetshenziswayo lwe-Adventitial Cystic Disease,Kukhona ithuba lokuthi i-cyst izophinde ivele. Ngakho-ke, ngisho nangemva kokwelashwa, ngokuvamile kuyadingeka ukuhlala ngaphansi kokuqondisa kukadokotela isikhathi eside futhi uhlolwe ngezithombe.

Kodwa-ke, abantu abaningi bathole impumuzo ebuhlungwini nasekukhubazekeni ngemva kokuhlinzwa kokususwa kwe-cyst. Ucwaningo oluthile oluncane luthole ukuthi ukususa i-cyst kusetshenziswa i-vein graft kunciphisa ingozi yokuphinda ivele.

Into ebaluleke kakhulu ukuthi uma unalezi zimpawu, ungesabi ukubona udokotela ukhulume ngakho. Uma usheshe uqaphela lesi sifo, kulapho ungaqala khona ukwelashwa ngokushesha futhi ululame.

Imibuzo ebalulekile okufanele uyibuze udokotela wakho

Uma kutholakale ukuthi unesifo se-Adventitial Cystic Disease, ungase ufune ukubuza udokotela wakho imibuzo efana nale:

• Ingabe kukhona engingakwenza ukuze nginciphise ubuhlungu emilenzeni lapho ngizivocavoca?
• Ngingayinciphisa kanjani ingozi yokuthi lesi simila siphinde sivele ngemva kokwelashwa?
• Ingabe ikhona ingozi yokuba nehlule legazi?
• Ingabe ngidinga ukuhlinzwa ukuze ngisuse lesi simila?
• Ingabe lesi simila sizoziphelela ngaphandle kokwelashwa?

Ngaphezu kwale mibuzo, buza udokotela noma yini onayo noma ukungabaza ongase ube nakho.

Ngamafuphi, khumbula la maphuzu (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho ake sikukhumbuze kafushane ngamaphuzu abalulekile kulokho esikhulume ngakho:

• Isifo se-Adventitial Cystic yisimo esingavamile lapho i-cyst yakheka khona emthanjeni wegazi, ikakhulukazi umthambo we-popliteal, ovimba ukuhamba kwegazi.
• Lokhu kuthinta kakhulu amadoda anempilo futhi asebenzayo aphakathi kweminyaka engama-40-50 .
• Uphawu oluyinhloko ubuhlungu noma ukukhubazeka emlenzeni ongezansi, ikakhulukazi endaweni ye-groin, ngesikhathi sokuzivocavoca (i-intermittent claudication) . Lokhu kuncipha ngokuphumula.
• Imbangela ethile ayikatholakali okwamanje.
• Ukuhlolwa okuhlukahlukene (i-ABI, i-CT Angiogram, i-Duplex Ultrasound, i-MRI) kusetshenziswa ekuxilongweni.
• Ukususwa kwe-cyst ngokuhlinzwa ngokuvamile kuyindlela yokwelapha ephumelela kakhulu .
• Nakuba kungekho ndlela eqondile yokuvimbela lokhu, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha nje lapho kuvela izimpawu.
• Ngisho nangemva kokwelashwa, ukubhekwa kwezokwelapha isikhathi eside kuyadingeka njengoba lesi sifo singaphinde sibuye.

Ngakho-ke, uma unalezi zimpawu, kungcono ukubona udokotela bese ucela iseluleko ngaphandle kokukuthatha kalula. Ngoba, njenganoma yikuphi ukugula, lapho kuqashelwa ngokushesha, amathuba okwelashwa nokululama ayanda.

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