Wake wesaba kancane lapho uthola iqhubu elincane noma isimila emzimbeni wakho, ikakhulukazi ethanjeni engalweni noma emlenzeni wakho? Noma wake wezwa umthwalo omkhulu enhliziyweni yakho lapho ubona into efana naleyo emzimbeni wengane yakho? Kujwayelekile kakhulu ukuba nokwesaba kokuthi "Ingabe lo ngumdlavuza?" Kodwa ngiyajabula ukukutshela, akuzona zonke izimila ezakha emathanjeni eziwumdlavuza. Eqinisweni, isikhathi esiningi, lezi ziyizimila ezingenamdlavuza , ezingenangozi . Ngakho-ke namuhla, ake sixoxe ngalezi zimila zamathambo ezingenamdlavuza, okungukuthi, `(Ama-Benign Bone Tumors)`.
Kalula nje, ziyini lezi zimila zamathambo ezingenabungozi?
Njengoba igama lisho, into ebaluleke kakhulu ukuthi “ayinawo umdlavuza.” Lawa ngamaseli aqala ethanjeni. Kodwa awanamandla njengamaseli omdlavuza . Isici esiyinhloko somdlavuza ukuthi usakazeka kusukela lapho waqala khona uye kwezinye izingxenye zomzimba ( njengamaphaphu , isibindi ). Kodwa lawa mathumba '(angenabungozi)' awasakazeki kanjalo. Okusho ukuthi, ahlala ethanjeni elifanayo lapho aqala khona. Afana nophawu lokuzalwa olujwayelekile esikhumbeni. Akhona, angase abe makhudlwana, kodwa awasakazeki kwenye indawo.
Lolu hlobo lwesimila lungakhula kunoma yiliphi ithambo emzimbeni wethu, kodwa luvame kakhulu emathanjeni amakhulu emzimbeni wethu. Isibonelo:
Ezinye izinhlobo zezimila zinezindawo ezithile lapho zingakheka khona. Isibonelo, zingakheka ezindaweni lapho amathambo akhula khona (ama-growth plate) azungeze amalunga njenge-hip, idolo, noma ihlombe.
Zivame kangakanani lezi zimila? Ubani ozithola kakhulu?
Leli iqiniso elibalulekile okudingeka ulazi. Lawa mathumba ethambo angewona umdlavuza avame kakhulu kubantu abangaphansi kweminyaka engama-30. Avame kakhulu ezinsaneni nasezinganeni ezincane amathambo azo asakhula.
Cabanga ngakho, kukhona isikhathi lapho amathambo ethu eyeka ukukhula. Sikubiza ngokuthi `(Ukuvuthwa Kwamathambo)` ngokwezokwelapha. Kalula nje, “isikhathi lapho ukukhula kwamathambo sekuphelile”. Ngokuvamile, amantombazane ayayeka ukukhula lapho eneminyaka eyi-14-16 ubudala, kanye nabafana abaneminyaka ephakathi kweyi-16-19. Into emangalisayo ukuthi izimila eziningi `(ezingenabungozi)`, ngokushesha nje lapho lokhu kukhula kwamathambo kuyeka, izimila nazo ziyeka ukukhula . Ezinye zazo zingancipha zodwa.
Lokho kusho ukuthi, uma udokotela ekutshela ukuthi ingane yakho ineqhubu elinjengaleli, ungakhathazeki ngokungadingekile. Ezimweni eziningi, kuyinkinga ezoxazululeka njengoba ingane ikhula.
Yiziphi izinhlobo ezivame kakhulu zezimila zamathambo ezingezona ezomdlavuza?
Kunezinhlobo ezahlukene zalezi zinhlayiya. Ungakhathazeki uma amagama ezwakala sengathi angokwesayensi. Ngizokuchaza kalula. Kuzoba lula kakhulu kuwe ukubheka lolu lwazi etafuleni.
| Uhlobo Lwesimila | Incazelo elula |
|---|---|
| I-Enchondroma | Lezi zakhiwe nge-cartilage. Zitholakala ngaphakathi kwethambo, endaweni lapho kukhona khona umongo wamathambo. |
| I-Osteochondroma | Lezi zakhiwe nge-cartilage kanye nethambo. Zingakhula zibe zinkulu njengoba ithambo likhula. Zikhula zisuka ethanjeni. |
| I-fibroma engakhiqizi izicubu | Lolu uhlobo oluvame kakhulu olubonakala ezinganeni. Esikhathini esiningi, lezi ziyaziphelela zodwa. Zitholakala ngengozi uma kuthathwa i-X-ray ukuze kutholakale enye ingozi. |
| I-Chondroblastoma | Lezi zivame ukususwa ngokuhlinzwa ngoba zithinta amalunga aseduze. Lezi zingabangela ubuhlungu obukhulu ezinganeni. |
| I-osteoma ye-osteoid | Lokhu kuvame ukuvela emathanjeni amade ezitho futhi kuvame kakhulu kubafana. Uphawu oluyinhloko ubuhlungu obukhulu, ikakhulukazi ebusuku . Ama-painkiller (ama-NSAID) angasiza ekunciphiseni ubuhlungu. |
| Isimila seseli esikhulu | Lezi azivamile. Kodwa zingakhula ngokushesha. Abesifazane banamathuba amaningi okuzihlakulela. Esikhathini esiningi, kudingeka ukuhlinzwa. |
| I-Aneurysmal bone cyst (i-Aneurysmal bone cyst – ABC) | Lezi zingakhula zibe zinkulu kakhulu futhi zingadinga ukuhlinzwa noma i-sclerotherapy ukuze kuncishiswe isimila. |
| I-Unicameral bone cyst (UBC) | Lokhu kwakheka eduze kwama-growth plate. Lesi simila singawenza buthaka ithambo futhi sibangele ukuthi liqhekeke . Yilapho sivame ukutholakala khona. |
Kungani izimila zifana nalolu hlobo?
Eqinisweni, isikhathi esiningi, asikho isizathu esicacile salokhu. Kucatshangwa ukuthi isimila siyakheka lapho amangqamuzana emathanjeni ethu eqala ukuhlukana futhi akhule ngokungalawuleki ngesizathu esithile. Kodwa abacwaningi basazama ukuthola ukuthi kungani.
Ziyini izimpawu zalesi simila?
Into emangazayo lapha ukuthi iningi lezimila zamathambo "ezingembi" alibonisi zimpawu .
Cabanga nje, ingane yakho iyawa ngenkathi idlala futhi ilimele ingalo yayo. Ngakho-ke uyisa ingane yakho kudokotela bese uthola i-X-ray. Yilapho udokotela ebona khona ukuthi kunethambo elincane engalweni. Kuze kube yileso sikhathi, wena noma ingane yakho anikwazi. Esikhathini esiningi, lezi zinto zitholakala ngengozi kanje.
Nokho, ngezinye izikhathi izimpawu zingavela. Ezimweni ezinjalo, ungase ubone okulandelayo:
- Ukuvuvukala okubonakalayo noma iqhubu: Indawo lapho kutholakala khona isimila ingase ibonakale ivuvukele futhi ibonakale ngaphezu kwesikhumba.
- Ubuhlungu: Ngezinye izikhathi kungaba nobuhlungu obukhulu. Lobuhlungu bungakhula usuku nosuku. Ngezinye izikhathi ubuhlungu bungazwakala ngisho noma ungenzi lutho futhi uphumule.
- Ukuphuka: Njengoba isimila sikhula, senza ithambo libe buthaka. Lokhu kwenza kube lula ukuthi ithambo liphuke ngisho noma liwile kancane okungavamile ukuliphula.
Udokotela ukuthola kanjani lokhu?
Uma usola ukuthi uneqhubu noma ukuvuvukala ethanjeni, into yokuqala okufanele uyenze ukubonana nodokotela wakho ngokushesha . Udokotela uzokuhlola ngokucophelela kuqala. Ngemuva kwalokho, bangase bacele ukuhlolwa okuningana ukuqinisekisa ukuxilongwa:
- Ukuhlolwa Kwezithombe:
- I-X-ray: Lolu ukuhlolwa kokuqala, okulula kakhulu, nokubaluleke kakhulu. I-X-ray ivame ukunikeza umbono omuhle ngohlobo lwesimila.
- I-CT scan (i-Computed Tomography scan): Ingakhiqiza izithombe ezinemininingwane eminingi kune-X-ray.
- Ukuskena kwe-MRI (Ukuskena kwe-Magnetic Resonance Imaging): Lokhu kusiza ukuthola isithombe esicacile sezicubu ezithambile (imisipha, imizwa) ezizungeze ithambo.
- Ukuskena Kwamathambo: Lokhu kuhlolwa kwenziwa ukuthola izindawo zomsebenzi wamaseli owandisiwe emathanjeni omzimba.
Esikhathini esiningi, ukuhlolwa kwegazi noma komchamo akudingeki ukuze kutholakale isimila esingenabungozi njengalesi. I-X-ray yenziwa kuqala, futhi uma kudingeka, kwenziwa ezinye izikena.
Yiziphi izindlela zokwelapha lokhu?
Akukho ukwelashwa okukodwa kwesifo samathambo "esingesihle". Ukwelashwa kuncike ohlotsheni lwesimila onaso, ubukhulu baso, ukuthi sitholakala kuphi, nokuthi silithinte kangakanani ithambo lakho.
1. Ukuqaphela: Ezimweni eziningi, isinqumo esingcono kakhulu udokotela angasenza “ukulinda ubone.” Ikakhulukazi ezimila ezincane ezingenazimpawu, ezitholakale ngengozi, ngeke zelashwe futhi zizoqashwa nge-X-ray evamile ukuze kubonakale ukuthi isimila siyakhula yini.
2. Ukususwa Ngokuhlinzwa: Uma isimila sibangela ubuhlungu, sikhula ngokushesha, noma sisengozini yokuphuka ithambo, udokotela angase anqume ukwenza ukuhlinzwa.
- Ukuhlinzwa kuhilela ukususa isimila ngokuphelele.
- Ngezinye izikhathi ukufakelwa kwamathambo kwenziwa ukuze kugcwaliswe isikhala esishiywe ukususwa kwesimila. Lokhu kusho ukuthi ingxenye encane yethambo noma izinto zokwenziwa ezithathwe kwenye ingxenye yomzimba zisetshenziselwa ukugcwalisa isikhala.
- Ochwepheshe abenza lokhu kuhlinzwa baqikelela kakhulu ukuthi basusa isimila kuphela ngenkathi benciphisa umonakalo ezicutshini eziphilile ezizungezile. Yingakho imiphumela iphumelela kakhulu.
3. Ezinye izindlela zokwelapha:
- Kwamanye amathumba, njenge-osteoid osteoma, ukwelashwa okubizwa ngokuthi i-radiofrequency ablation kungenziwa ngaphandle kokuhlinzwa, kusetshenziswa idivayisi efana nenaliti efakwe esikhumbeni bese kubhujiswa isimila ngamaza omsakazo.
- Izimila ezifana ne-"Aneurysmal bone cysts (ABCs)" zingelashwa ngaphandle kokuhlinzwa ngokufaka isimila ngomuthi osenza sinciphe izikhathi eziningana.
Ingabe zikhona izingozi ekuhlinzweni?
Lokhu kuvame ukuba ukuhlinzwa okulula, futhi izinkinga ezinkulu azivamile. Kodwa-ke, njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezingavela kaningi.
- Ukulimala kwemizwa
- Izifo
- Ukopha
- Ukuqina kwamalunga
Kodwa amathuba okuba lokhu kwenzeke mancane kakhulu, ngakho ungesabi ngokungadingekile.
Iyini inhloso yalesi simo? (Isibikezelo)
Lezi yizindaba ezinhle kakhulu oyoke uzizwe. Ithemba lomuntu onezimila zamathambo ezingewona umdlavuza lihle kakhulu .
Kunezindlela zokwelapha ezisebenzayo zalezi. Ngemva kokwelashwa, ubuhlungu buyanyamalala ngokuphelele. Lesi simo cishe asisongeli impilo. Futhi, amathuba okuthi lesi simila "esingenabungozi" esizophenduka umdlavuza kamuva aphansi kakhulu (ngaphansi kakhulu kwe-1%).
Ngakho-ke, asikho isizathu sokwesaba noma ukucindezeleka ngokungadingekile ngalokhu.
Umlayezo Wokuya Nawe Ekhaya
- Ungesabi ukucabanga ukuthi umdlavuza uma ubona iqhubu ethanjeni lakho. Iningi lamaqhubu akheka emathanjeni alinawo umdlavuza (alinabungozi) futhi alinangozi.
- Lesi simo sivame kakhulu, ikakhulukazi phakathi kwezingane kanye nabantu abasha .
- Esikhathini esiningi, la mathumba awanazo izimpawu futhi atholakala ngengozi uma kuthathwa i-X-ray ngesinye isizathu.
- Uma uvuvukile, uqhubu, noma ubuhlungu obandayo usuku nosuku futhi obungapheli ngisho noma uphumule, bona udokotela ngokushesha .
- Kunezindlela zokwelapha ezisebenzayo zalesi simo. Imiphumela kanye nombono ngemva kokwelashwa kuhle kakhulu .
Amathumba Amathambo Angewona Awesifo Somdlavuza, amathumba amathambo angewona umdlavuza, amathumba amathambo, amathumba amathambo, ukuvuvukala kwamathambo ngesiSinhala, i-osteochondroma Sinhala, i-enchondroma Sinhala
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