Ingabe umbiko wakho weskeni wawuthi 'i-kidney cyst'? Noma ingabe udokotela uthe une-cyst ezinso zakho ngemva kokuskena okwenziwe ngesinye isizathu? Kuvamile ukuthi sizizwe sesaba futhi sikhathazekile kancane lapho sizwa igama elithi "i-cyst". Kodwa uma sazi kahle ukuthi iyini, singakuqeda lokho kwesaba okungadingekile. Esikhathini esiningi, lokhu akusikho okufanele sikwesabe. Ngakho-ke namuhla, ake sixoxe ngakho konke ngama-cyst, noma ama-cyst, akheka ezinso.
Kalula nje, ayini ama-cyst ezinso?
Kulungile, ake siqale sibheke ukuthi ziyini lezi. Ama-kidney cyst ayizikhwama ezincane, ezinezindonga ezincane ezigcwele uketshezi lwamanzi olwakha ngaphakathi noma phezu kwezinso. Cabanga ngazo njenge-blister esikhumbeni, kodwa zakheka ezinso.
Sonke sinezinso ezimbili emizimbeni yethu, njengezihlungi ezimbili. Umsebenzi oyinhloko wezinso ukuhlunga imfucuza namanzi angaphezulu egazini lethu bese siwakhipha njengomchamo. Ukuze senze lokhu, kunezigidi zamayunithi amancane okuhlunga ngaphakathi kwezinso, esiwabiza ngokuthi ama-nephron kwezokwelapha. Ngezinye izikhathi, umzila kulezi zingxenye ezincane zokuhlunga uyavaleka bese uketshezi luqoqana, okubangela ukuba kwakheke la ma-cyst.
Lezi zimila ziza ngobukhulu obuhlukahlukene. Ngokuvamile, azidluli amasentimitha amabili. Ezinye zingakhula zibe zinkulu kancane ngokuhamba kwesikhathi, kanti ezinye zihlala zilingana. Umuntu angase abe nesimila esisodwa noma eziningana. Zingakhula futhi enso eyodwa noma zombili.
Into ebalulekile ukuthi iningi lalezi zithelo zamanzi alithinti ukusebenza kwezinso nganoma iyiphi indlela , ngakho-ke akukho okufanele ukhathazeke ngakho.
Zikhona yini izinhlobo zala mantongomane?
Yebo, kunezinhlobo ezimbili zalezi zimila. Kubaluleke kakhulu ukuthi sizibone. Odokotela basebenzisa indlela ekhethekile ebizwa ngokuthi 'uhlelo lweBosniak' ukuze bazihlukanise. Kodwa ngizokuchazela kalula.
| Uhlobo lwenati | Incazelo |
|---|---|
| Ama-Cysts Alula | Iningi lamathumba atholakala ezinso alolu hlobo.Lezi yizimo ezingezona umdlavuza/ezingemnandi. Zinezindonga ezincane kakhulu, ziyindilinga, futhi zigcwele uketshezi olucacile. Ngokuvamile azibangeli zimpawu. Ezimweni eziningi, azidingi ukwelashwa noma ukubhekwa okwengeziwe. |
| Ama-Cysts Ayinkimbinkimbi | Lezi zinhlobo zama-cyst ziyinto okufanele ukhathazeke ngayo. Zinengozi encane noma ephezulu yokuba nomdlavuza noma umdlavuza . Azibukeki njengezi-cyst ezilula ekuhlolweni. Zingase zibe nezindonga ezijiyile, izimo ezingajwayelekile, futhi zingase zibe nezinto eziqinile esikhundleni soketshezi. Uma une-cyst efana nale, udokotela wakho uzoqhubeka nokuyiqapha noma anqume ukuyisusa. |
Ngakho-ke kufanele ngikwesabe lokhu?
Ngiyazi ukuthi lo mbuzo usemqondweni wakho. Impendulo elula ithi, mhlawumbe cha . Uma une-cyst elula, cishe akunakwenzeka ukuthi ibe yimbi kakhulu. Yingakho ibizwa ngokuthi "elula."
Kodwa-ke, uma udokotela wakho ethi kuyi-cyst eyinkimbinkimbi, kufanele ukhathazeke ngoba kungaba uphawu lomdlavuza wezinso. Ezimweni ezinjalo, udokotela wakho uzoyala ukuhlolwa okuvamile ukuze ahlole izinguquko ze-cyst, noma uzoyisusa ngokuhlinzwa.
Yiziphi izimpawu eziba khona lapho kuvela lezi zimila?
Nansi into emangazayo. Abantu abaningi abanazo izimpawu! Abaningi abazi nokuthi banesimila sezinso. Batholakala ngengozi ngesikhathi sokuhlolwa kwesisu ukuze bathole esinye isimo.
Kodwa-ke, ezinye izimpawu zingavela kuphela uma isimila siba sikhulu kakhulu, noma uma siqhuma futhi siphuma igazi, sitheleleka, noma sicindezela ezinye izitho eziseduze. Ngezikhathi ezinjalo, ungase ubhekane nalokhu okulandelayo:
- Ubuhlungu noma ukuqina ohlangothini (sacral) phakathi kwezimbambo kanye nesinqe, esiswini, noma emhlane.
- Imfiva.
- Ukudinga ukuchama njalo.
- Igazi emchameni noma emchameni omnyama.
Kuye ngokuthi isimila sitholakala kuphi, ngezinye izikhathi singaba nomthelela omncane ekusebenzeni kwezinso. Futhi, uma isimila sivimbela izinso ekuhlungeni uketshezi oluningi egazini, singadala umfutho wegazi ophakeme.
Kungani kwakheka amatshe ezinso?
Abacwaningi abakayitholi imbangela eqondile yalokhu okwamanje. Kodwa siyazi ukuthi leli phutha elilula alilona ifa. Okusho ukuthi, akuyona into ezuzwe njengefa kubazali bakho.
Inkolelo-mbono eyinhloko ukuthi la ma-cyst akhiwa ngenxa yokuvaleka noma ukulimala okuncane kweziteshi ezincane zokuhlunga (ama-tubules) ezinso engikhulume ngazo ekuqaleni, okubangela uketshezi ukuthi luqongelele.
Ubani osengozini enkulu yokuthola lezi zifo?
Nakuba kunzima ukukhomba izizathu eziqondile zalokhu, siyazi ukuthi izici ezithile zandisa ingozi:
- Ubudala: Abantu abangaphezu kweminyaka engu-50 banamathuba amaningi okuba nalezi zimo. Eqinisweni, cishe oyedwa kwababili abantu abangaphezu kweminyaka engu-50 bazoba nomdlavuza wezinso okungenani owodwa.
- Ubulili: Amadoda anamathuba amaningi okuba nalezi zinkinga kunabesifazane.
- Ezinye izimo zezokwelapha: Izimila zezinso zingavela ezimweni ezithile zezokwelapha. Isibonelo:
- Isifo Sezinso Esibizwa Nge-Polycystic - Lesi yisifo esidluliselwa ngofuzo.
- Isifo Sezinso Esingapheli (CKD)
- Isifo sikaVon Hippel-Lindau
- I-Tuberous Sclerosis Complex (TSC)
Yiziphi izinkinga ezingabangelwa yilezi zimila?
Njengoba ngishilo ngaphambili, ama-cyst alula avame ukubangela izinkinga . Kodwa-ke, ezimweni ezingavamile, kungavela ezinye izinkinga.
- Ukutheleleka: Amagciwane angangena ku-cyst futhi abangele ukutheleleka. Lokhu kungabangela izimpawu ezifana nomkhuhlane nobuhlungu.
- I-Brst cyst: Uma i-cyst iqhuma, ingabangela ubuhlungu obukhulu kanye nokopha emchameni.
- Ukuvaleka komchamo: Isimila singaba sikhulu kakhulu futhi sivimbele ukugeleza komchamo. Lokhu kungalimaza nezinso.
- Ukopha ngaphakathi kwe-cyst: Ukopha ngaphakathi kwe-cyst kungenzeka. Lokhu kungabangela nobuhlungu.
Udokotela ukuxilonga kanjani lokhu? Yiziphi izindlela zokwelapha?
Ngithe isikhathi esiningi lezi zitholakala ngengozi. Ngemva kokubona isimila esinjalo, udokotela uzoncoma ukuhlolwa okumbalwa ukuze athole ukuthi silula noma siyinkimbinkimbi.
- Ukuskena nge-ultrasound: Lokhu kusebenzisa amaza omsindo avame kakhulu ukudala izithombe zezinso. Lokhu kunganikeza umbono omuhle ngesimo sesimila.
- I-CT scan (i-Computed Tomography - i-CT): Lokhu kusebenzisa ama-X-ray kanye nobuchwepheshe bekhompyutha ukudala izithombe zezinso ezinezinhlangothi ezintathu (3D). Lokhu kunganikeza ulwazi oluningi mayelana nesimila.
- Ukuskena kwe-MRI (I-Magnetic Resonance Imaging - i-MRI): Lokhu kusebenzisa insimu enamandla yamagnetic kanye namagagasi omsakazo ukukhiqiza izithombe ezicacile kakhulu. Lokhu kusiza ukuhlukanisa ngokucacile phakathi kwezingxenye zoketshezi neziqinile zesimila.
- Ukuhlolwa kokusebenza kwezinso:Ukuhlolwa kwegazi nomchamo kungabonisa ukuthi izinso zakho zisebenza kahle kangakanani nokuthi ngabe zithintekile yini yilesi simila.
Izindlela zokwelapha
Khumbula, iningi lama-cyst alula alidingi ukwelashwa!
Kodwa-ke, uma isimila sibangela ubuhlungu, siphazamisa ukusebenza kwezinso, noma uma udokotela ecabanga ukuthi sisengozini yokuba nomdlavuza, kungase kudingeke sisuswe. Kunezindlela ezimbili eziyinhloko zokwenza lokhu.
1. Ukuphefumula kanye ne-Sclerotherapy: Lokhu kuhilela ukufaka inalithi encane kakhulu esikhumbeni, ukubhoboza i-cyst, nokumunca lonke uketshezi olungaphakathi ngesirinji. Ngemuva kwalokho, ngezinye izikhathi ikhambi elikhethekile, njengotshwala, lifakwa esikhwameni esingenalutho ukuze kuvinjwe i-cyst ukuthi ingakhuli futhi.
2. Ukuhlinzwa: Lokhu kuhlinzwa manje kuvame ukwenziwa nge-laparoscopically, noma "ukuhlinzwa kwe-keyhole." Lokhu kwenziwa ngokwenza izimbobo ezimbalwa ezincane kakhulu esiswini bese kufakwa ikhamera namathuluzi abucayi. Udokotela ohlinzayo ukhipha uketshezi oluvela ku-cyst futhi asike noma ashise udonga lwe-cyst.
Ngingayibona nini udokotela?
Uma usuwazi ukuthi unesimila sezinso, udokotela wakho uzokutshela ukuthi sidinga ukubhekwa noma cha. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, qiniseka ukuthi ubona udokotela wakho.
- Uma uzwa ubuhlungu obusha esiswini sakho, esiswini, noma emhlane ongezansi.
- Uma ubona igazi emchameni wakho.
- Uma uthola umkhuhlane ngaphandle kwesizathu.
- Uma kukhona ushintsho olungazelelwe ezikhathini zokuchama, njengokwanda noma ukwehla.
Izimpawu ezinjengalezi zingaba uphawu lokuthi i-cyst inegciwane, iqhumile, noma inenkinga enye. Ngakho-ke, kubalulekile ukutshela udokotela wakho ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ama-cyst ezinso ayisifo esivame kakhulu, ikakhulukazi njengoba sikhula.
- Iningi lalawa "ama-cyst alula" futhi awayona ingozi . Awalimazi izinso noma aphenduke umdlavuza.
- Abantu abaningi ababi nazo izimpawu. Zitholakala ngengozi ngesikhathi sokuhlolwa ngesinye isizathu.
- Uma unesimila esilula, cishe ngeke udinge ukwelashwa.
- Kuphela uma une-cyst eyinkimbinkimbi, kungadinga uphenyo olwengeziwe kanye nokwelashwa.
- Uma ubona izimpawu ezifana nobuhlungu, umkhuhlane, noma igazi emchameni wakho, bona udokotela wakho ngokushesha.
- Ungesabi ukuzihlolela umbiko weskeni. Umuntu ongcono kakhulu ongamchazela wona udokotela wakho.
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