Ingabe uthola namaqhubu amancane (ama-granuloma) emzimbeni wakho? Ake sixoxe ngalokhu ngokuningiliziwe!

Wake waqaphela, noma watshelwa udokotela, ukuthi unezigaxa ezincane noma amaqhubu emzimbeni wakho, mhlawumbe emaphashini akho, noma ngezinye izikhathi esikhumbeni sakho? Yilokho esikubiza ngokuthi "i-Granuloma" ngokwezokwelapha. Ungesabi uma uzwa leli gama, ngoba alifani nomdlavuza. Kodwa kubaluleke kakhulu ukwazi kahle ukuthi liyini, kungani lenzeka, nokuthi yini okufanele uyenze ngalo.

Iyini i-granuloma? Masiyiqonde kalula!

Kalula nje, i-granuloma yindawo encane yokuvuvukala eyenzeka ndawana-thile emzimbeni wethu. Manje ungase uzibuze ukuthi ukuvuvukala kuyini. Ukuvuvukala yindlela uhlelo lokuzivikela lomzimba wethu olulwa ngayo nento eyingozi emzimbeni wethu, isibonelo igciwane noma i-Fremdkörper (into yangaphandle) njengeva elincane.

Ku-granuloma, uhlobo lweseli elimhlophe legazi emzimbeni wethu, ikakhulukazi amaseli abizwa ngokuthi ama-macrophage, azungeza into yangaphandle engene emzimbeni futhi azame ukuyivimba ukuthi ingasabalali iye kwezinye izingxenye zomzimba. Kufana nokuzungeza isitha bese usibamba. Lawa maseli ayahlangana ukuze akhe iqhubu elincane, noma iqoqo.

Lawa ma-granuloma avame ukwakheka emaphashini. Kodwa-ke, angakheka noma kuphi emzimbeni, njengesibindi, izinso kanye nesikhumba.

Ziyini i-granulomas ezithwala izicubu kanye nezingenayo izicubu ezithwala izicubu?

Ngisho noma lawa ngamagama ambalwa ezokwelapha, kuhle ukwazi.

• I-Caseating Granuloma: Lolu hlobo lwe-granuloma luqukethe amangqamuzana afile, noma i-necrosis. Luqanjwe kanjalo ngoba lubukeka njengocezu lukashizi (yingakho igama elithi "caseating" lisho ushizi) uma libhekwa ngaphansi kwe-microscope. Ukuba khona kwala maseli afile kungasiza odokotela ukuthola imbangela ye-granuloma. Isibonelo, ama-granuloma abangelwa izifo ezithile, njengesifo sofuba, awela kulesi sigaba.
• I-granuloma engangenisi izicubu: Lolu hlobo lwe-granuloma alunawo amangqamuzana afile. Ngokuvamile lubangelwa izimbangela ezingathelelani, njenge-sarcoidosis, noma izidumbu zangaphandle ezingene emzimbeni.

Ubani onamathuba amaningi okuthuthukisa ama-granuloma?

Nakuba noma ubani angaba nama-granuloma, abanye abantu banamathuba amaningi okuba nawo. Ikakhulukazi,

• Abantu abanezifo ezithathelwanayo isikhathi eside , njengesifo sofuba kanye ne-histoplasmosis.
• Kubantu abanezimo zokuvuvukala zesikhathi eside , isifo sikaCrohn singenye yezimo ezinjalo.
• Ama-granuloma akhula nakubantu abanesimo esibizwa ngokuthi i-sarcoidosis , kodwa imbangela eqondile ayaziwa okwamanje.

Ingabe ama-granuloma ayingozi?

Esikhathini esiningi, ukuba ne-granuloma eyodwa nje akuyona ingozi. Khumbula, lokhu akulona umdlavuza. Kumane kuyimpendulo evela ohlelweni lokuzivikela lomzimba wethu. Kodwa-ke, ngezinye izikhathi la ma-granuloma angaba uphawu lwesinye isimo sezokwelapha esiyisisekelo. Yingakho kufanele ukhathazeke ngawo.

Ziyini izimpawu ze-granuloma?

Esikhathini esiningi, ama-granuloma awabangeli zimpawu ezithile. Kodwa-ke, uma kuvela izimpawu, zincike ekutheni i-granuloma ikuphi. Zingase zivele kanye nezimpawu zokutheleleka okubangele i-granuloma. Izimpawu ezivamile zifaka:

• Imfiva.
• Ubunzima bokuphefumula (ukuphelelwa umoya).
• Ukukhwehlela.
• Ama-lymph node avuvukele.
• Ukujuluka ebusuku.
• Ukubomvu kwamehlo noma ubuhlungu.
• Izinkinga zokubona.
• Amaqhubu abuhlungu, aqinile esikhumbeni.
• Ikhanda elibuhlungu.

Isibonelo, uma umuntu eba ne-granuloma emaphashini akhe, angase abe nezimpawu ezifana nokukhwehlela nobunzima bokuphefumula. Uma kuvela esikhumbeni, kungase kubonakale njengeqhubu elincane.

Ibukeka kanjani i-granuloma?

Ama-granuloma akheka esikhumbeni ngokuvamile angamaqhubu aqinile, anamaqhubu. Angaba nombala okhanyayo noma omnyama kunesikhumba esizungezile, futhi ngezinye izikhathi anombala opinki-onsomi. Amanye awo angase abe buhlungu uma uwathinta.

Uma uyibheka ngaphansi kwe-microscope, ungabona ukuthi amaseli aku-granuloma ahlanganiswe ndawonye kakhulu. Ngakho-ke ngezinye izikhathi kunzima ukubona ukuthi iseli elilodwa liphela kuphi nokuthi elinye liqala kuphi.

Yini ebangela ama-granuloma?

Ama-granuloma akheka lapho amangqamuzana ethu omzimba, ikakhulukazi ama-macrophage, engakwazi ukubhubhisa into acabanga ukuthi iyingozi. Le nto eyingozi ingaba ukutheleleka (njengamagciwane noma isikhunta) noma into umzimba wethu ongayiboni (njengentambo yokuthunga noma iva elinamathele esikhumbeni).

Ama-Macrophage awuhlobo olukhethekile lweseli lokuzivikela emizimbeni yethu. Njengamarobhothi amancane, "agwinya" futhi abhubhise izinto ezingezona ezasemzimbeni. Kodwa uma engakwazi ukubhubhisa okuthile, adonsela amanye amangqamuzana omzimba endaweni. Ekugcineni, wonke lawa maseli ayahlangana ukuze akhe iqembu eliqinile, elibizwa ngokuthi i-granuloma.

Ngezinye izikhathi, amasosha omzimba wethu asabela ngokweqile futhi abangele ukuvuvukala uma kungekho lutho lokulwa nalo. Lokhu kubonakala kwezinye izifo zokuzivikela komzimba.

Yiziphi izifo ezibangela ama-granuloma?

Imbangela eyinhloko ye-granulomas ethelelanayo yisifo sofuba . Kodwa-ke, ezinye izifo ezibangelwa amagciwane, izifo ezibangelwa yisikhunta, amagciwane, kanye namagciwane nazo zingadala ama-granulomas. Nazi izibonelo ezimbalwa:

• I-Aspergillosis
• I-Blastomycosis
• I-Candidiasis
• Isifo sokuklwebheka kwamakati, isifo esidluliselwa ngamakati
• I-Coccidioidomycosis (Umkhuhlane Wesihlabathi)
• I-Cytomegalovirus `(i-Cytomegalovirus)`
• I-Histoplasmosis `(I-Histoplasmosis)`
• Uchoko (Uchoko / Isifo sikaHansen)
• Isimungumungwane
• I-Mycobacterium marinum (i-fish tank granuloma)

Izimbangela ze-granulomas ezizenzakalelayo nezingezona ezithathelwanayo

I-Sarcoidosis, njengoba kushiwo ngenhla, iyimbangela eyinhloko yokwakheka kwe-granuloma engathelelani. Kunezinye izimbangela ngaphandle kwalokho:

• Ukuphefumulela ukudla noma ezinye izinto emaphashini
• I-Berylliosis (ngenxa yokuchayeka ku-beryllium yensimbi)
• Isifo se-granulomatous esingamahlalakhona (CGD)
• Isifo sikaCrohn
• I-Fremdkörper (umzimba wangaphandle) esikhumbeni. Isibonelo: intambo yokuthungwa, uyinki we-tattoo, izingcezu zesikhumba.
• I-granulomatosis ene-polyangiitis
• Umkhuhlane we-rheumatic
• Isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis
• I-granuloma yesidoda (inkinga engaba khona ngemva kokuhlinzwa kwe-vasectomy)

Wazi kanjani ukuthi une-granuloma? (Ukuxilongwa)

Kuye ngokuthi i-granuloma ikuphi, udokotela angase akuhlole futhi enze "ukuhlolwa ngokomzimba" noma ukuhlolwa kwesithombe okufana "ne-X-ray", "i-ultrasound", noma "i-CT scan" ukuze athole umbono walokhu.

Kodwa-ke, ukuze kuqinisekiswe ukuthi lokhu kuyi-granuloma, kudingeka kuthathwe isampula yezicubu futhi ihlolwe. Lokhu kubizwa ngokuthi i-biopsy. Le sampula ye-biopsy ihlolwa ngaphansi kwe-microscope ngudokotela wezifo.

Ngenxa yokuthi ama-granuloma amaningi awayona ingozi, udokotela angase angenzi i-biopsy ngokushesha. Angase alinde isikhashana ukuze abone ukuthi usayizi uyashintsha noma ukuthi uyaphela wodwa.

Iphathwa kanjani i-granuloma?

Ngokuvamile akukho ukwelashwa okuqondile kwe-granuloma eyodwa. Ngenxa yokuthi imvamisa iwumphumela wesimo sezokwelapha esingaphansi , odokotela bagxila ekwelapheni isimo esingaphansi esibangele ukwakheka kwe-granuloma.

Cabanga nje, uma umuntu ene-granuloma emaphashini akhe ngenxa yesifo sofuba, ukwelashwa kungokwesifo sofuba. Khona-ke, njengoba lesi sifo selapheka, ama-granuloma nawo angase anciphe.

Izinhlobo zemithi esetshenziselwa i-granuloma

Kuye ngembangela, imithi elandelayo ingasetshenziswa ukwelapha ama-granuloma:

• Nciphisa ukuvuvukala nge-corticosteroids .
• Uma uhlakulela ama-granuloma ngenxa yesimo sokuzivikela komzimba, ungase unikezwe ama-immunosuppressants .
• Uma imbangela kuyisifo, kuzonikezwa imithi efanele yokulwa namagciwane, imithi yokulwa namagciwane, noma imithi yokulwa namagciwane.

Ungazilawula kanjani izimpawu?

Uma une-granuloma ebuhlungu, ungathola impumuzo ngokuthatha i-acetaminophen (isb., i-Tylenol®) noma i-ibuprofen (isb., i-Advil®, i-Motrin®). Kodwa-ke, kungcono njalo ukubuza udokotela wakho ngaphambi kokuthatha noma yimuphi umuthi. Mbuze ngezinye izinto ezingasiza ekunciphiseni izimpawu zakho.

Ingabe ukwakheka kwe-granuloma kungavinjelwa?

Eqinisweni, akukho lutho abantu abaningi abangakwenza ukuvimbela ama-granuloma ukuthi angakhuli. Ayingxenye yesimiso sethu sokuzivikela somzimba. Kodwa-ke, uma unesifo esithile esiyimfihlo, njengesifo sokuzivikela komzimba noma ukutheleleka okungapheli, ukuphatha leso simo kahle kunganciphisa ingozi yakho yokuthola ama-granuloma.

Kwenzekani uma une-granuloma? (Ongakulindela)

Ama-granuloma amaningi awayona ingozi. Angase aphele ngokwawo ngaphandle kokwelashwa. Kodwa-ke, ama-granuloma ane-calcified (ama-granuloma aqine ngenxa ye-calcium deposits) angase angapheli kalula. Kungenzeka ukuthi uqaphele ukuthi imibiko yakho yezithombe ibilokhu ibonisa i-calcium granuloma efanayo isikhathi eside. Ngisho noma ingapheli, ama-calcium granuloma ahlala engashintshi isikhathi eside ngokuvamile awayona ingozi.

Udokotela wakho uzokutshela kabanzi nganoma yiziphi izimo zezokwelapha eziyisisekelo ezingase zibangele ama-granuloma akho. Uma uba nama-granuloma njalo, angakusiza ukuthi uphathe izimpawu zakho.

Ngizinakekela kanjani?

Into engcono kakhulu ongayenza ukuphatha noma yiziphi izimo zezokwelapha eziyisisekelo ezingase zibangele i-granuloma yakho. Khuluma nodokotela wakho mayelana nendlela yokwelapha isimo sakho esithile.

Kufanele ngimbone nini udokotela?

Qiniseka ukuthi ubona udokotela kulezi zimo:

• Uma usola noma ukhathazekile ngesimo sezokwelapha esingabonakali esingase sibangele ukwakheka kwe-granuloma.
• Uma unemibuzo noma ukukhathazeka nge-granuloma udokotela ayitholile ku-X-ray noma ku-CT scan.
• Uma kuvela izimpawu ezintsha, njengomkhuhlane nobunzima bokuphefumula, noma uma izimpawu ezikhona ziba zimbi kakhulu.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Kungumqondo omuhle ukubuza udokotela wakho imibuzo efana nale:

• Ingabe isimo sezempilo esingaphansi singenza ngibe nama-granuloma?
• Ingabe kufanele ngithole ukwelashwa kwe-granuloma?
• Ngingakwazi yini ukuvimbela ukwakheka kwama-granuloma?
• Yini engingayenza ngezimpawu ze-granuloma?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ama-granuloma ayingxenye yesimiso sokuzivikela semvelo somzimba wethu. Abantu abaningi bawakha njengamaqhubu emaphashini noma eduze kwe-Fremdkörper (into yangaphandle) esikhumbeni. Esikhathini esiningi, awadingi ukwelashwa futhi ayanyamalala ngokwawo.

Kodwa-ke, uma unesifo sezokwelapha esifana ne-sarcoidosis noma isifo sokuzivikela komzimba, ungase ube namathuba amaningi okuthola ama-granuloma. Uma unenkinga ngalokhu, qiniseka ukuthi ukhuluma nodokotela wakho. Kungase kube nezinye izinketho ezingakusiza ukuphatha isimo sakho. Hlala uphilile!

I- Granuloma, amasosha omzimba, izifo, amaqhubu esikhumba, amaphaphu, izimpawu, ukwelashwa