Ingabe kukhona iqhubu esifubeni sakho? Ingabe kungaba yi-(Bronchogenic Cyst)? Ake sixoxe ngalokhu!

Wake wazibuza ukuthi kungenzeka yini ukuthi ube ne-cyst encane ekhula esifubeni sakho ngaphandle kokuqaphela? Ngezinye izikhathi, ingaba khona iminyaka eminingi ngaphandle kwezimpawu. Namuhla, sizokhuluma ngesimo esibizwa ngokuthi ama-Bronchogenic Cysts, akhona lapho ezalwa kodwa ngezinye izikhathi angabangela izinkinga lapho ekhula.

Ziyini i-Bronchogenic Cysts?

Kalula nje, ama-Bronchogenic Cysts ama-cyst agcwele uketshezi akha esikhaleni esiphakathi kwesifuba sakho, okuyilokho esikubiza ngokwezokwelapha ngokuthi i-Mediastinum. Cabanga ngakho, le Mediastinum yingxenye yesifuba sakho ephethe izitho ezibalulekile njengeminye yemithambo yegazi emikhulu, umphimbo wakho, kanye nepayipi lakho lokuphefumula eliyinhloko, i-Trachea. Futhi yingxenye ehlukanisa amaphaphu akho.

Into ebalulekile ukuthi lawa ma-"Bronchogenic Cysts" ayisimo sokuzalwa . Lokhu kusho ukuthi ungaba nalawa ma-cysts emzimbeni wakho uma ufika kuleli zwe. Kodwa-ke, isikhathi esiningi, awabangeli izinkinga ebuntwaneni.

Abantu abaningi bathola ukuthi baneqhubu elinjengaleli ngengozi, uma bethathwa i-X-ray yesifuba noma esinye isikeni ngesizathu esithile. Ngezinye izikhathi azikho izimpawu iminyaka engama-30 noma engama-40, futhi izinkinga ziqala ukuvela lapho iqhubu likhula kancane. Ngakho-ke, kuvamile ukuzizwa ukhathazekile kancane uma ngokuzumayo uthola ukuthi uneqhubu esifubeni sakho. Kodwa ungakhathazeki, kukhona ukwelashwa kwalokhu.

Ziyini izimpawu ze-Bronchogenic Cysts?

Nakuba la ma-cyst evame ukuba khona ngaphandle kwezimpawu, abanye abantu bangase babe nezimpawu, njenge:

• Ukukhwehlela okuvamile
• Ubunzima bokugwinya, njengesimo esisibiza ngokuthi "i-Dysphagia"
• Umkhuhlane ovamile
• Ukuhosha kwezwi
• Ukwanda kwesilinganiso sokuphefumula kanye nokuphefumula okungajulile, okubizwa ngokuthi `(Tachypnea)`
• Ukushaya umoya (ukushaya ikhwela)

Lezi zimpawu zingavela kunoma yimuphi ubudala. Kodwa ngokuvamile lezi zimpawu zivela lapho i-cyst iba nkulu futhi iqala ukucindezela i-windpipe yakho (trachea) noma ipayipi lokudla (umphimbo). Lawa ma-cyst, abizwa ngokuthi ama-bronchogenic cysts, angakhula kusukela kumasentimitha angu-2 kuya kwangu-15 (cishe amasentimitha angu-1 kuya kwangu-5). Ngezinye izikhathi lawa ma-cyst atheleleka, okungase kubangele nezimpawu.

Kungani la ma-cyst e-bronchogenic akheka?

Lezi zimila zakheka ngesikhathi sokukhula kombungu , okungukuthi, ngesikhathi umntwana esesesibelethweni. Kodwa odokotela abakaqondi kahle ukuthi zibangelwa yini ngempela.

Yiziphi izinkinga zalesi simo?

Lawa ma-`(Bronchogenic Cysts)` angabangela ubunzima bokuphefumula nokugwinya. Lawa ma-cyst nawo angangenwa yileli gciwane. Kodwa-ke,Inkinga eyingozi kakhulu ukuthi kunethuba elincane kakhulu lokuthi lezi zimila zizophenduka umdlavuza, yingakho kubalulekile ukuqaphela lokhu.

Odokotela bahlonza kanjani ama-Bronchogenic Cysts?

Ngokuvamile, lawa ma-`(Bronchogenic Cysts)` atholakala ngengozi, ngesikhathi sokuhlolwa kwe-`(imaging test)` okwenziwa ngesinye isizathu. Isibonelo:

• Ngezinye izikhathi, i-ultrasound yokukhulelwa ingabona ukuthi umntwana unalolu hlobo lwesimila yini.
• Uma wena noma ingane yakho nihlolwa i-X-ray yesifuba njengengxenye yokuhlolwa okuvamile, leli qhubu lingabonakala.

Kwenzekani uma kutholakala isimila esinjengalesi ngokuhlolwa kwesithombe?

Kuyahlukahluka kuye ngesimo. Isibonelo, uma ukuhlolwa kwe-ultrasound ngesikhathi sokukhulelwa kwembula ukuthi ingane yakho ine-Bronchogenic Cyst, udokotela wakho wokubeletha uzoqapha i-cyst kulo lonke ukukhula komntwana.

Uma wena noma ingane yakho nitholakala ninalolu hlobo lwesimila, udokotela wakho angase acele ukuhlolwa okufana nalokhu ukuze kuqinisekiswe okwengeziwe:

• I-CT scan (i-Computed Tomography - i-CT scan): Lokhu kusebenzisa i-X-ray kanye nekhompyutha ukuthatha izithombe ezinemininingwane ze-mediastinum, ingxenye ephakathi yesifuba sakho noma sengane yakho.
• I-Esophagram: Lokhu kuhilela ukuthatha uchungechunge lwezithombe ze-X-ray zomhubhe wakho noma wengane yakho ngemva kokuphuza uketshezi olukhethekile (uketshezi oluphambene).
• I-MRI (I-Magnetic Resonance Imaging - I-MRI): I-MRI ingaveza izithombe ezicacile nezinemininingwane eminingi ze-mediastinum, ingxenye ephakathi yesifuba.

Indlela yokwelapha `(Bronchogenic Cyst)`?

Esikhathini esiningi, odokotela batusa ukususwa ngokuhlinzwa kwale `(Bronchogenic Cyst)`. Lokhu kungenxa yokuthi ukususa i-cyst kunganciphisa ingozi yezinkinga esikhulume ngazo. Kodwa-ke, indlela yokwelapha ingashintsha kuye ngesimo.

Ukwelashwa ngesikhathi sokukhulelwa

Udokotela wakho wezifo zabesifazane uzoqapha ngokucophelela i-cyst. Uma i-cyst inkulu kakhulu, inqubo encane ingenziwa ngezinye izikhathi ngaphambi kokuba umntwana azalwe (esibelethweni), okungukuthi, esesesibelethweni, ukuze kukhishwe uketshezi ku-cyst . Lokhu kuzosiza ekunciphiseni ingcindezi enhliziyweni yengane ebangelwa yi-cyst.

Akuvamile kakhulu, lawa ma-`(Bronchogenic Cysts)` angakhula ngokwanele ukuvimba umgudu womoya womntwana. Uma lokhu kwenzeka, udokotela wakho angase ancome inqubo ekhethekile ebizwa ngokuthi `inqubo ye-EXIT` (Ex-utero Intrapartum Treatment) esikhundleni sokubeletha okuvamile (ukubeletha ngesitho sangasese sowesifazane) noma `(C-section).` Kulokhu, uzonikezwa i-anesthesia.

Kule nqubo ethi "EXIT procedure", udokotela ohlinzayo wenza i-incision esibelethweni sakho futhi asuse ikhanda lomntwana, intamo, kanye nesifuba esingaphezulu ngomsikelo. Ngesikhathi umntwana esathola umoya-mpilo nge-umbilical cord yakho, udokotela ohlinzayo wenza i-incision emzimbeni womntwana futhi asuse i-tumor. Ngemva kokususa i-tumor, i-umbilical cord iyasikwa, bese udokotela wakho wokubeletha esusa ingane ngokuphelele ngomsikelo ofanayo nowenziwe ngaphambilini.

Ukwelashwa kwezinsana ezisanda kuzalwa

Usana lwakho olusanda kuzalwa lungase lungadingi ukwelashwa ngokushesha. Kunalokho, udokotela wezingane wengane yakho uzobheka izimpawu ezingase zibangelwe yi-bronchogenic cyst. Lokhu kuzohlolwa ngesikhathi sokuvakasha kokunakekelwa kwengane yakho njalo.

Ukwelashwa kwezinsana, izingane kanye nabantu abadala

Kubantu abakuleli qembu leminyaka, udokotela cishe uzoncoma ukuhlinzwa. Kunezinqubo ezimbili eziyinhloko zokuhlinzwa ezisetshenziswa kulokhu:

• I-Thoracotomy: Kule nqubo, udokotela ohlinzayo wenza i-incision esiswini sakho, emhlane, noma phakathi kwezimbambo zakho bese esusa isimila ngaso.
• Ukuhlinzwa kwesifuba okusizwa yividiyo (VATS): Kule nqubo, udokotela ohlinzayo ufaka ikhamera encane (idivayisi ebizwa ngokuthi i-thoracoscope) esifubeni ukuze athole isimila futhi asisuse ngaphandle kokwenza ukusika okukhulu. Lena inqubo entsha futhi ethuthukisiwe.

Ingabe kukhona izinkinga ekwelashweni?

Yebo, ukuhlinzwa ukuze kususwe i-Bronchogenic Cyst kungabangela ezinye izinkinga. Akuwona wonke umuntu ozobhekana nalezi zinkinga, kodwa kubalulekile ukuzazi.

• Ukungalingani kwesigqi senhliziyo (i-Arrhythmia). Lokhu kungabathinta kakhulu abantu abadala.
• Amahlule egazi kanye nokushaya kwenhliziyo kuvame kakhulu kubantu abadala.
• Ukuphuka.
• I-Pneumothorax noma ukuwohloka kwezikhwama zomoya emaphashini (i-atelectasis).
• Ukulimala kwezindlala ezizungezile, izitho zomzimba, imizwa, noma imithambo yegazi.
• Ukopha igazi kusho ukuphuma kwegazi emzimbeni.
• Ukwehla kwamazinga omoya-mpilo egazini (i-Hypoxemia).
• I-Post-thoracotomy pain syndrome ubuhlungu obuhlala isikhathi eside izinyanga ngemva kokuhlinzwa.
• Izifo zokuphefumula, isibonelo i-pneumonia.
• Ukutheleleka endaweni yokuhlinzwa.

Lezi zinkinga zingahluka kuye ngohlobo lokuhlinzwa olwenzayo. Udokotela wakho ohlinzayo uzokuchazela kahle lezi zinkinga ezingaba khona ngaphambi kokuhlinzwa.

Ingabe ama-Bronchogenic Cysts angavinjelwa?

Cha, ayikho indlela yokuvimbela lokhu ukuthi kungenzeki. Ngoba lokhu kwakheka ngesikhathi sokukhulelwa.

Yini okufanele ngiyilindele uma ngine-Bronchogenic Cyst?

Udokotela wakho uzokwenza izivivinyo zezithombe ngezikhathi ezithile ukuze aqaphe isimo sesimila. Uma isimila siba sikhulu ngokwanele ukuthi sithinte impilo yakho noma yengane yakho, kungase kunconywe ukuthi kuhlinzwe ukuze kususwe lesi sifo.

Ngingayibona nini udokotela?

Uma wena noma ingane yakho nithola noma yiziphi zalezi zimpawu, bona udokotela ngokushesha:

• Ukuhosha ezwini okungeke kuphele
• Ubunzima bokugwinya
• Ubunzima bokuphefumula

Udokotela uzokwenza izivivinyo ezidingekayo ukuze anqume ukuthi imbangela yalezi zimpawu "yi-Bronchogenic Cyst".

Ama-cyst e-Bronchogenic uhlobo lwe-cyst olukhula emaphashini engane. Ngezinye izikhathi angatholakala ngesikhathi sokuhlolwa kwe-ultrasound ngesikhathi sokukhulelwa. Kodwa-ke, la ma-cyst angakhula ngaphandle kokuqaphela iminyaka eminingi kuze kube yilapho wena noma ingane yakho niqala ukubonisa izimpawu. Kuvamile ukuzizwa ukhathazekile lapho utshelwa ukuthi une-cyst esifubeni sakho engabangela izinkinga zokuphefumula noma isimo esibi kakhulu, njengomdlavuza. Udokotela wakho uzoqonda imizwa yakho. Wena noma ingane yakho ningadinga ukuhlinzwa ukuze kususwe i-cyst. Uma kunjalo, udokotela wakho uzoncoma ukuhlinzwa okungcono kakhulu kuwe.

Izinto okufanele uzikhumbule kulesi sihloko (Umyalezo Wokuya Ekhaya)

Kulungile, manje usuqonda kangcono lokho ebesikhuluma ngakho: Ama-Bronchogenic Cysts. Kalula nje, lawa uhlobo lwe-cyst oluzalwa nalo futhi olwakheka phakathi kwesifuba.

• Esikhathini esiningi, kungase kungabi nazimpawu, kodwa uma kuba kubi kakhulu, kungabangela izinto ezifana nokukhwehlela, ubunzima bokugwinya, kanye nobunzima bokuphefumula.
• Ngokuvamile kutholakala ngengozi. Kuqinisekiswa ngokuhlolwa okufana `(CT scan)` kanye `(MRI)`.
• Ukwelashwa kuvame ukuhilela ukususwa kwesimila ngokuhlinzwa. Lokhu kungavimbela izinkinga zesikhathi esizayo.
• Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngaphandle kokungabaza uma wena noma ingane yakho ninalezi zimpawu. Uma usheshe uzibone, kuba lula ukuzelapha.

Ngakho-ke, sithemba ukuthi lolu lwazi lube wusizo kuwe. Hlala uphilile!

I- Bronchogenic cyst, izimila zesifuba, izifo zokuphefumula, izifo zokuzalwa, i-mediastinal cyst, impilo yengane, ukuhlinzwa