Amabhamuza amanzi ekhanda nasemhlane? (Ama-Arachnoid Cysts) Ake sifunde ukuthi ayini ngempela!

Cishe uke wezwa ngezinto ezifana nama-blister amanzi akheka ekhanda noma emhlane wakho? Mhlawumbe wena, othile omaziyo, noma ingane yakho uke waba nento efana nale, futhi udokotela ukutshelile. Ngakho-ke kuyinto evamile ukuzizwa wesaba kancane uma uzwa lezi zinto. Imibuzo efana nokuthi "Ingabe lokhu kuyingozi? Ingabe umdlavuza?" mhlawumbe ifika engqondweni. Yingakho, namuhla sizokhuluma ngalawa okuthiwa ama- cyst e-arachnoid . Ake sibone ukuthi ayini, kungani akheka, yiziphi izimpawu, yini okufanele uyesabe, nokuthi yiziphi izindlela zokwelapha.

Uyazi ukuthi ziyini lezi zinhlayiya ze-arachnoid?

Kalula nje, ama-cyst e-arachnoid ayizikhwanyana ezincane, ezigcwele uketshezi ezakheka ebuchosheni bakho noma emgogodleni. Okubaluleke kakhulu, akuwona umdlavuza , futhi akuwona ama-tumors obuchopho. Esikhathini esiningi, la ma-cyst awabangeli izinkinga, futhi abantu abaningi abazi nokuthi banazo.

Kodwa-ke, akuvamile kakhulu, uma lesi simila siba sikhulu kakhulu, noma uma sicindezela ingxenye ebalulekile yobuchopho noma umgogodla, khona-ke ezinye izinkinga zingavela. Isibonelo, kungase kube nokulimala kobuchopho, ubunzima bokuhamba, noma ezinye izinkinga zezinzwa .

Esikhathini esiningi, lawa (ama-Arachnoid Cysts) azalwa nawo . Okusho ukuthi, aqala ukwakheka ingane isesesibelethweni. Ngezinye izikhathi, angakhula ngemva kokulimala okukhulu ekhanda noma ukuhlinzwa kobuchopho ebuntwaneni. Abantu abaningi abanala ma-cyst abanazo izimpawu. Kodwa-ke, abanye abantu bangase babe nezimpawu ezifana nekhanda elibuhlungu, isiyezi, isicanucanu , ukuhlanza , kanye nokuquleka ngezinye izikhathi.

Ukuthi i-cyst kufanele ilashwe noma cha kuncike ekutheni i-cyst ikuphi, inkulu kangakanani, ukuthi iyakhula yini, nokuthi ibangela izimpawu. Uma udokotela wakho enquma ukuthi ukwelashwa kuyadingeka, ngokuvamile uzoyikhipha i-cyst noma enze ukuhlinzwa okuncane ukuze ayixhume ezindaweni ezizungezile ukuze uketshezi luphume.

Zivame kangakanani lezi zinhlayiya ze-arachnoid?

Ungase umangale ukuzwa lokhu! Ama-cyst e-Arachnoid empeleni uhlobo oluvame kakhulu lwe-brain cyst. Nakuba angakhula kubantu banoma yimuphi ubudala, avame ukutholakala okokuqala ezinganeni nasezinganeni ezincane. Ngaphezu kwalokho, kutholakale ukuthi abafana banamathuba aphindwe kane okuthuthukisa ama-cyst e-arachnoid kunamantombazane.

Kodwa-ke, kunzima kakhulu ukusho ngqo ukuthi bangaki abantu emhlabeni abanalezi zinhlayiya. Isizathu salokhu ukuthi, njengoba ngishilo ngaphambili, isikhathi esiningi lezi zinhlayiya azibangeli zimpawu. Ngakho-ke, odokotela bazibona ngengozi kuphela uma benza i -MRI noma i-CT scan ekhanda ngesizathu esithile. Ngakho-ke, kunzima ukunikeza inani eliqondile lokuthi bangaki abantu abaphila nalezi zinhlayiya.

Lawa ma-cyst e-arachnoid akheka kuphi emzimbeni?

Lawa (ama-Arachnoid Cysts) avame ukukhula ebuchosheni (ama-intracranial arachnoid cysts ). Akuvamile kakhulu, angakhula nasemgogodleni (ama-spinal arachnoid cysts).

Zombili izinhlobo zama-cyst zakha ulwelwesi oluthambile kakhulu noluncane olumboza futhi luvikele ubuchopho bakho kanye nomgogodla. Odokotela babiza lolu lwelwesi ngokuthi ulwelwesi lwe-arachnoid . Uyazi ukuthi kungani lubizwa kanjalo? Ngoba lubukeka njengolwelwesi lwesicabucabu! Igama elithi "arachnoid" livela egameni lesiGreki elisho isicabucabu.

Ebuchosheni, la ma-cyst angakheka ezindaweni ezahlukene.

• Ngokuvamile, lokhu kuvela endaweni ebizwa ngokuthi isifunda se-middle fossa, kuzo zombili izinhlangothi zobuchopho, phambi kwezindlebe zakho.
• Zingakheka futhi esifundeni esingaphezulu kwe-sellar , ngemuva kwamehlo, phansi kobuchopho.
• Enye indawo yi -posterior fossa , etholakala ngemuva kwekhanda, eduze kwesisekelo.

Manje bheka, kukhona uketshezi olukhethekile olubizwa ngokuthi i-Cerebrospinal Fluid (CSF) oluzungeze ubuchopho bethu kanye nomgogodla. Lolu uketshezi olucacile olufana namanzi. Lokhu (CSF) kuvikela ubuchopho bethu kanye nomgogodla ezingozini ezahlukahlukene, kubanikeza ukudla okunomsoco okudingekayo, futhi kususa nokungcola. Ngakho-ke, lawa (ama-Arachnoid Cysts) akheka lapho lolu ketshezi (CSF) luqoqana phakathi kwezingqimba ezimbili ze-arachnoid membrane, lwakha isikhwama esincane njengebhaluni lamanzi.

Ziyini izimpawu ze-Arachnoid Cysts?

Lena yinkinga enkulu kubantu abaningi. Izindaba ezinhle ukuthi isikhathi esiningi, lawa (ama-Arachnoid Cysts) awabonisi zimpawu. Lokhu kusho ukuthi noma une-cyst, ungaphila impilo evamile ngaphandle kokwazi.

Nokho, ngezinye izikhathi izimpawu zingase zivele. Uma kunjalo, lezo zimpawuKungaba phakathi kokuncane kuya kokukhulu. Konke kuncike ekutheni i-cyst ikuphi, ubukhulu bayo, nokuthi icindezela yini imizwa ebalulekile noma ezinye izakhiwo ebuchosheni noma emgogodleni. Ngokuvamile, uma kuvela izimpawu, cishe zizovela ngaphambi kweminyaka engama-20 .

Ezinye izimpawu ezivamile abantu abaningi abangase bazibone yilezi:

• Ubuhlungu bekhanda obuhlala bukhona.
• I-Hydrocephalus - Lokhu kwenzeka lapho ubuchopho bucindezeleka ngenxa yokuqongelela ngokweqile koketshezi lomgogodla (CSF) ngaphakathi kobuchopho.
• Isicanucanu nokuhlanza .
• Ukuquleka .
• I-Vertigo kanye nesiyezi .

Okubalulekile: Lezi zimpawu zingaba yizimpawu zezinye izimo eziningi zezokwelapha. Ngakho-ke, uma unesifo esifana nalesi, kungcono ukubonana nodokotela ukuze uthole ukuthi yini ngempela engalungile.

Ngaphezu kwalokho, izimpawu zingase zihluke kuye ngokuthi i-cyst ikuphi, kungaba sebuchosheni noma emgogodleni.

• I-Middle fossa cyst: Uma kuvela i-cyst kule ndawo, ingabangela izinkinga ngokubona, ukuzwa, ukunyakaza, kanye nokulinganisela. Abanye abantu bangase bazizwe bekhathele ngaso sonke isikhathi, bazizwe bebuthakathaka, noma baze babe nokukhubazeka ohlangothini olulodwa lomzimba. Ezinganeni ezincane, izimpawu ezihlobene nesimiso sezinzwa zingabonakala ngezinye izikhathi. Isibonelo, ukubambezeleka kokukhula kanye nezinguquko ezisheshayo ekuziphatheni kungase kwenzeke. Isibonelo, ingane yakho ingase iyeke ukwenza izinto eyayizenza, noma ilahlekelwe isithakazelo emsebenzini wesikole.

• Ama-cyst e-Suprasellar: Ama-cyst kule ndawo, etholakala ngemuva kwamehlo, angabangela izinkinga ezahlukahlukene zokubona. Le ndawo ixhunywe nohlelo lwe-endocrine lomzimba wethu. Ikakhulukazi, la ma-cyst angathinta ama-hormone alawula ukuthomba kanye nokukhula ngokocansi enganeni. Abanye abantu, ikakhulukazi izingane ezine-cyst ye-arachnoid esifundeni se-suprasellar noma kwi-posterior cranial fossa, banikina amakhanda abo ngokungalawuleki, njengonodoli we-bobble-head. Okusho ukuthi, bahambisa amakhanda abo kusukela kolunye uhlangothi kuya kolunye noma ngezindilinga. Nakuba lokhu kuyimpawu engavamile, ngezinye izikhathi kubonakala.

• I-cyst yomgogodla: Uma i-cyst yalolu hlobo ikhula emgogodleni, ingabangela ukungazweli ezingalweni nasemilenzeni, ukuqaqamba, ukuqaqamba kwemisipha, ubunzima bokuhamba, futhi ngezinye izikhathi ukukhubazeka. Ubuhlungu bomhlane kanye ne-scoliosis, okubangela ukuba umgogodla ugobe ngokuhamba kwesikhathiLesi simo singahlotshaniswa nalesi sifo somgogodla. Abanye abantu bangase babe nokutheleleka njalo komgudu womchamo ngenxa yesifo somgogodla.

Kungani la ma-cyst e-arachnoid akheka? Ziyini izimbangela?

Lona futhi umbuzo abantu abaningi abawubuzayo.

Ama-cyst amaningi e-arachnoid azalwa nawo (ama-cyst ayinhloko e-arachnoid). Lokhu kusho ukuthi la ma-cyst aqala ukwakheka ngesikhathi umntwana esesesibelethweni, emasontweni ambalwa okuqala okukhulelwa. Eqinisweni, odokotela abasazi kahle ukuthi kungani lokhu kwenzeka. Kuyimfihlakalo.

Ngenxa yokuthi ama-cyst e-arachnoid ngezinye izikhathi asebenza emindenini, odokotela bacabanga ukuthi izakhi zofuzo zingadlala indima. Lokhu kusho ukuthi kunethuba elincane lokuthi izingane zizozuza lesi simo kubazali bazo. Futhi, abantu abanezimo ezithile zempilo, njenge -arachnoiditis (ukuvuvukala kolwelwesi lwe-arachnoid) noma i-Marfan syndrome (isimo sofuzo esithinta izicubu ezixhumeneyo), banamathuba amancane okuthuthukisa ama-cyst e-arachnoid kunezinye.

Akuvamile ukuthi la ma-cyst akhule ngemva kokuzalwa. Lokhu kusho ukuthi angakhula ngemva kokulimala okukhulu ekhanda, njengokulimala kobuchopho, ukuhlinzwa kobuchopho, noma ukutheleleka okuthinta ubuchopho, ngesikhathi sobuntwana. Odokotela babiza ama-cyst akhula kamuva ekuphileni ngokuthi ama-cyst e-arachnoid yesibili .

Odokotela bawaxilonga kanjani ngokunembile ama-cyst e-arachnoid?

Izimpawu ze-Arachnoid Cysts, njengoba ngishilo ekuqaleni, zingafana nezimpawu zezinye izimo eziningi. Ngakho-ke, uma wena noma ingane yakho ninesinye noma ngaphezulu sezimpawu ezishiwo ngenhla, udokotela uzoqala ngokukubuza ngomlando wakho wezempilo ophelele. Ngemuva kwalokho, ngokusekelwe ezimpawini zakho, uzoncoma ezinye izivivinyo acabanga ukuthi ziyadingeka.

Kodwa, ngokumangazayo, izikhathi eziningi, odokotela bathola lezi (ama-Arachnoid Cysts) ngengozi ngenkathi bezama ukwelapha enye inkinga yezempilo. Isibonelo, lapho umuntu eba nokuxhuzula futhi ehlolwa ikhanda ukuze kutholakale imbangela, noma lapho efuna imbangela yekhanda elibuhlungu njalo, angathola ukuthi unalesi sifo.

Odokotela basebenzisa kakhulu izifundo ezikhethekile zokuthwebula izithombe, njenge -MRI scans (Magnetic Resonance Imaging - MRI scans) kanye ne-CT scans (Computed Tomography - CT scans), ukuze bathole izithombe ezicacile zala ma-cyst, ukuze babone ukuthi makhulu kangakanani, ukuthi akuphi, nokuthi ngabe acindezela yini ezindaweni ezizungezile zobuchopho. Izithombe ezivela kula ma-scans zingasiza udokotela ukuthi aqonde kangcono i-cyst.

Odokotela baphatha kanjani la ma-cyst e-arachnoid?

Akuwona wonke umuntu odinga ukwelashwa ngokushesha nje lapho ethola ukuthi une-cyst.

• Ukuqaphela: Uma i-cyst ingabangeli zimpawu futhi incane, udokotela wakho angase akuncome ukuthi ulinde uqaphile . Kodwa-ke, lokhu akusho ukuthi ulinde nje. Udokotela wakho angase akucele ukuthi wenze izivivinyo ezivamile, njenge-MRI scan, ukuze kuqashwe i-cyst ukuze kubonakale ukuthi iyakhula yini ngokuhamba kwesikhathi noma uma kuvela izimpawu ezintsha . Ukuskena kwe-MRI ne-CT kungasiza udokotela wakho ukuthi abone ukuthi i-cyst icindezela yini ezindaweni ezibalulekile njengemizwa, ubuchopho, noma umgogodla. Eqinisweni, ama-cyst amaningi awadingi ukwelashwa okwengeziwe.

• Uma kudingeka ukwelashwa: Kodwa-ke, uma i-cyst inkulu, iqhubeka nokukhula, noma ibangela izimpawu ezinzima (isibonelo, ikhanda elibuhlungu elingalawuleki, ukuxhuzula, noma ukuba ndikindiki ezithweni), khona-ke udokotela wakho angase ancome ukwelashwa. Lokhu kwelashwa kungahluka. Ezinye zazo zifaka:

• Izinqubo ze-Endoscopic: Lena inqubo entsha futhi ethuthukisiwe. Kuye ngendawo kanye nosayizi we-cyst, udokotela angase asebenzise inqubo ye-endoscopic ukukhipha uketshezi ku-cyst noma ukudala 'ifasitela' elincane (i-fenestration) odongeni lwe-cyst ukuvumela uketshezi ukuthi luphume. Kule nqubo, udokotela usebenzisa ithubhu elincane, elide. Kolunye uhlangothi lwethubhu kukhona ikhamera encane kanye nethuluzi elincane lokuhlinza. Lena inqubo engangenisi kakhulu . Lokhu kusho ukuthi ithubhu ifakwa ngokusikwa okuncane ekhanda bese kwenziwa ukuhlinzwa. Ngenxa yalokho, isikhathi sokululama sishesha kunokuhlinzwa okukhulu okuvamile, futhi ukuhlala esibhedlela kufushane.

• Ukuhlinzwa kwe-craniotomy okuvulekile: Lokhu kuwukuhlinzwa okukhulu kancane. Kulokhu kuhlinzwa, udokotela ususa okwesikhashana ingxenye encane yogebhezi lwakho, aye endaweni lapho kukhona khona i-cyst, bese enza izimbobo eziningana ezincane odongeni logebhezi. Lawa 'mafasitela' avumela uketshezi (CSF) oluse-cyst ukuthi luphume luye ezindaweni ezizungezile zobuchopho. Ngokuhamba kwesikhathi, umzimba wakho uzomunca uketshezi olwengeziwe. Ingxenye yogebhezi esusiwe udokotela ibe isibuyiselwa endaweni yayo bese ithungwa phezu kwesikhumba.

• Ukuthunga: Lena enye indlela yokwelapha. Kulokhu, udokotela ufaka i-cystoperitoneal shunt ku-cyst.Kufakwa i-shunt (ebizwa nangokuthi i-CP shunt ngamafuphi). I-shunt iyipayipi elincane kakhulu, lepulasitiki (i-catheter). Ukuphela kwayo kuxhunywe ku-cyst, kanti okunye umkhawulo kuvame ukuxhunywa emgodini wakho wesisu (i-peritoneum). Kukhona i-valve encane phakathi kwaleli payipi elawula ukuthi kukhishwe uketshezi olungakanani ku-cyst nokuthi kushesha kangakanani. Ngakho-ke, uketshezi olwengeziwe oluqongelela ku-cyst lugeleza ngale shunt luye esiswini sakho. Lapho, umzimba wakho uphinde umunce uketshezi. Le shunt ivame ukuba yinto esele emzimbeni wakho.

• Ukususwa ngokuhlinzwa: Uma kwenzeka ama-cyst e-arachnoid emgogodleni, odokotela bazozama njalo ukususa i-cyst ngokuphelele ngokuhlinzwa. Udokotela uzokwenza i-incision ngaphezu kwesikhumba lapho i-cyst ikhona khona bese esusa i-cyst ngokucophelela. Kodwa-ke, ngezinye izikhathi, kuye ngokuthi ikuphi nendawo kanye nosayizi we-cyst, kungase kungenzeki ukuyisusa ngokuphelele. Ezimweni ezinjalo, udokotela angase ancome ukukhipha uketshezi noma ukufaka i-shunt njengoba kushiwo ngaphambili.

Iyini imbono yabantu abane-Arachnoid Cysts? (Imbono)

Lokhu futhi kuyindaba ebalulekile kubantu abaningi.

Ama-cyst amaningi e-arachnoid awalokothi abangele izimpawu. Ngakho-ke, abantu abanama-cyst anjalo abanazo izinkinga.

Kodwa-ke, ezimweni ezingavamile kakhulu lapho kuvela khona izimpawu, ukwelashwa kwama-Arachnoid Cysts kuvame ukuthuthukisa kakhulu izimpawu futhi kuze kuphele.

Kodwa-ke, ngezinye izikhathi, ngemva kokwelashwa, kunethuba elincane lokuthi i-cyst izophinde ibuye noma igcwale uketshezi futhi. Uma lokhu kwenzeka, kungadingeka ukhulume nodokotela wakho futhi bese wenza olunye ukuhlinzwa ukuze kukhishwe uketshezi noma kususwe i-cyst.

Manje, ama-cyst e-arachnoid angelashwa futhi anezimpawu angaba nemiphumela emibi kakhulu. Isibonelo, ukulimala kobuchopho okungapheli, ubuhlungu obukhulu, obungalawuleki, ukuphazamiseka kokunyakaza okungenza kube nzima ukuhamba, kanye nezinye izinkinga ezinkulu zempilo kungenzeka. Akuvamile kakhulu, ama-cyst angelashwanga angabangela ukuba ugebhezi lukhule ngendlela engavamile, ikakhulukazi ezinganeni ezincane, lukhule ohlangothini olulodwa kuphela.

Izinkinga ezimbili eziyinhloko ezingavela kuma-cyst e-arachnoid yilezi:

• Ukopha igazi ku-cyst: Imithambo yegazi emincane kakhulu odongeni lwe-cyst ingaqhuma, ivumele igazi ukuthi ligeleze ku-cyst. Lokhu kungabangela ukuthi i-cyst ikhule ngokuzumayo futhi yandise izimpawu. Ngezinye izikhathi imithambo yegazi ingaqhuma, ivumele igazi ukuthi liphume ku-cyst liye ezicutshini zobuchopho. Uma lokhu kwenzeka, isimo esiyingozi esibizwa ngokuthi i-hematoma singavela.
• Uketshezi oluphuma ku-cyst:Uma i-cyst yonakaliswe yingozi noma ukulimala okukhulu ekhanda, ingaqhuma futhi uketshezi olungaphakathi (CSF) lungavuza lungene ebuchosheni obuzungezile (ukuvuza kwe-CSF). Lokhu kungabangela nezinkinga ezinkulu zempilo.

Singakuvimbela yini ukwakheka kwalezi zinhlayiya ze-arachnoid?

Ngeshwa, akukho esingakwenza ukuvimbela ukwakheka kwalezi (ama-Arachnoid Cysts). Ngoba, ezimweni eziningi, lezi zizalwa nazo, asikwazi ukuzilawula.

Kodwa-ke, uma othile emndenini wakho ene-arachnoid cysts (okungukuthi, kungase kube nokuthambekela kofuzo), noma uma unesinye isimo sezokwelapha, njenge-arachnoiditis, esanda ingozi yakho yokuthola la ma-cysts, kuwumqondo omuhle ukukhuluma nodokotela wakho ngakho. Ngemuva kwalokho, udokotela angakunikeza iseluleko esidingekayo.

Kufanele ubonane nini nodokotela mayelana nama-Arachnoid Cysts?

Lokhu futhi kuyindaba ebaluleke kakhulu.

• Uma wena noma ingane yakho ninezimpawu ocabanga ukuthi zingase zihlobane nama-Arachnoid Cysts engiwachaze ekuqaleni kwalesi sihloko, sicela ungazinaki. Bonana nodokotela ngokushesha.
• Amanye ama-cyst, ikakhulukazi uma ebangela izimpawu, adinga ukwelashwa okusheshayo ukuze kuvinjelwe izinkinga zempilo zesikhathi eside.
• Enye into ukuthi izimpawu eziningi ze-Arachnoid Cysts zingafana nezezinye izimo ezingathi sína, ezisongela ukuphila, njengesimila sobuchopho. Ngakho-ke, kubaluleke kakhulu ukuthola ukuxilongwa okufanele. Lokhu kudinga usizo lukadokotela nakanjani.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okufanele sizikhumbule kule ndaba? (Umyalezo Ofanele Uwuthathe Ekhaya)

Kulungile, ngakho-ke sifunde okuningi ngama-Arachnoid Cysts kule ndaba ende, akunjalo? Ekuphetheni, nanka amaphuzu ayisihluthulelo okufanele uwakhumbule:

• Ungakhathazeki: Ama-cyst e-Arachnoid awawona umdlavuza. Esikhathini esiningi, awabangeli monakalo noma abangele izimpawu.
• Qaphela izimpawu: Uma uhlangabezana nezimpawu ezifana nekhanda elibuhlungu, isiyezi, ukuhlanza, ukuxhuzula, ukushintsha kombono, noma ukulahlekelwa ukwazi, ziqaphele.
• Bona udokotela: Uma unemibuzo noma izimpawu, qiniseka ukuthi ubona udokotela bese ucela iseluleko. Ungazihlolisisi.
• Kunezindlela zokwelapha: Kunezindlela zokwelapha ezisebenzayo zama-cyst anezimpawu. Ezinye zazo zingelashwa ngokushesha ngokuhlinzwa okungadingi ukungenelela okukhulu.
• Ukutholwa kusenesikhathi kubalulekile: Ukutholwa kusenesikhathi kwe-cyst ye-arachnoid, ukuqapha uma kudingeka, kanye nokwelashwa ngesikhathi kungathuthukisa impilo yakho yesikhathi eside.

Ngakho-ke, ngithemba ukuthi lesi sihloko siphendule eminye yemibuzo yakho mayelana nama-Arachnoid Cysts. Hlala uphilile!

I- cyst ye-Arachnoid, i-cyst yobuchopho, i-cyst yomgogodla, ikhanda elibuhlungu, i-hydrocephalus, ukuxhuzula, izifo zemizwa, i-CSF, i-MRI, i-CT scan