Wake wezwa iqhubu ngaphansi kwesikhumba sakho endaweni ethile emzimbeni wakho? Ingabe yinto ehamba kancane uma uyithinta, izwakala njengebhola lerabha, kodwa ingalimazi kakhulu? Khona-ke ungase ube nento abantu abaningi abanayo, kodwa abantu abaningi bayayesaba. Lokhu sikubiza ngokuthi 'i-lipoma'. Kalula nje, iqhubu elinamafutha. Kodwa ungesabi uma sithi 'iqhubu'. Ake sixoxe ngalokhu ngokucacile nangokunembile.
Iyini ngempela i-lipoma?
I-lipoma yiqhubu elakhiwe yiqoqo lamangqamuzana amafutha akha ngaphansi kwesikhumba sethu. Ngokuvamile libonakala ngesimo esiyindilinga noma esiyisiyingi. Into ebaluleke kakhulu ukuthi lawa awawona umdlavuza . Kwezokwelapha, siwabiza ngokuthi 'amathumba ezicubu ezithambile angengozi'. Lokho kusho ukuthi aluhlobo lweqhubu olungenangozi olungalimazi umzimba.
Lezi zimila zikhula kancane kakhulu. Zingasuswa kalula uma zithintwa. Esikhathini esiningi, azibuhlungu. Nakuba ama-lipoma angavela noma kuphi emzimbeni, avame ukutholakala emhlane, emahlombe, entanyeni, ezingalweni nasesiqwini.
Ama-lipoma amaningi awadingi ukwelashwa. Kodwa-ke, ngezinye izikhathi uma iqhubu libangela ukungakhululeki, likhula, noma ufuna ukulisusa ngenxa yezizathu zobuhle, udokotela wakho angalisusa ngokuhlinzwa okuncane.
Zivame kangakanani lezi zimila ezinamafutha?
Zivame kakhulu kunalokho ongakucabanga. Ngokwezibalo, cishe umuntu oyedwa kwabayi-1,000 angaba ne-lipoma.
Lezi zivame ukubonwa kubantu abaneminyaka ephakathi kuka-40 no-60. Kodwa lokho akusho ukuthi abantu abasebasha abakwazi ukuzithola. Zingavela kunoma yimuphi ubudala. Ngezinye izikhathi zikhona ngisho nasekuqaleni kokuzalwa. Nakuba zenzeka ngaphandle kokuhlukanisa phakathi kwabesilisa nabesifazane, zivame kakhulu kwabesifazane.
Yiziphi izimpawu eziyinhloko ze-lipoma?
Iningi labantu abane-lipoma alibi nazo izimpawu. Kodwa-ke, uma isimila sikhula eduze komthambo bese siwucindezela, noma uma sikhula eduze kwamalunga, ungase uzwe ukungakhululeki noma ubuhlungu. Ake sibheke izimpawu ezivamile ze-lipoma.
| Isici | Kalula nje... (Incazelo Elula) |
|---|---|
| Ayisabalali nxazonke (Ifakwe ngaphakathi) | Lesi simila asisabalali siye ezicutshini ezizungezile. Sihlala kuleyo ndawo kuphela. |
| Ngokuvamile akubuhlungu | Nakuba ngokuvamile kungabi buhlungu, ubuhlungu noma ukungakhululeki kungase kwenzeke kuye ngokuthi indawo, ubukhulu, nokuthi isimila sinemithambo yegazi yini. |
| Isiyingi noma esimise okweqanda | Lezi zigaxa ezinamafutha ngokuvamile zifana nerabha futhi zinomumo olinganayo. |
| Okungathuthwa | Ngenxa yokuthi lezi zitholakala ngaphansi kwesikhumba, zihamba kalula uma zicindezelwa ngomunwe. |
| Usayizi | Ngokuvamile incane kune-intshi ezimbili, kodwa ayivamile ukuba nkulu kune-intshi eziyisithupha. |
Kungani sithola ama-lipomas?
Odokotela abakayitholi imbangela eqondile yama-lipoma. Kodwa-ke, isizathu esiyinhloko salokhu sibhekwa njengethonya lezakhi zofuzo, okusho ukuthi uma othile emndenini wakho ene-lipoma, kungenzeka ukuthi nawe uzowathola.
Ngaphezu kwalokho, kunezimo eziningana zezokwelapha ezingavamile ezingabangela ukwakheka kwama-lipomas amaningi emzimbeni.
- Isifo sikaDercum: Lesi yisimo esingavamile kakhulu esibangela ama-lipoma abuhlungu, ikakhulukazi ezingalweni, emilenzeni nasesiqwini.
- I-Gardner syndrome: Lesi esinye isimo lapho ama-lipomas angahambisana nezinye izinkinga eziningi zempilo.
- I-Hereditary multiple lipomatosis: Njengoba igama lisho, lesi yisimo esidluliselwa esizukulwaneni kuya kwesinye.
- Isifo sikaMadelung: Lesi simo sivame ukubonakala kwabesilisa abaphuza kakhulu. Sibangela ukwakheka kwama-lipomas entanyeni nasemahlombe.
Udokotela angaqinisekisa kanjani ukuthi lokhu kuyi-lipoma?
Udokotela ngokuvamile angabona ukuthi kuyi-lipoma ngokukuhlola nje (ukuhlolwa ngokomzimba). Udokotela uzozwa iqhubu bese ekubuza ukuthi liyanyakaza noma liyabuhlungu.
Into ebaluleke kakhulu ukuqinisekisa ukuthi lesi simila asisona umdlavuza.
Ngakho-ke, ngezinye izikhathi udokotela angase ancome ukuhlolwa kwe-'biopsy'. Ungesabi, lokhu kuhilela ukuthatha ingxenye encane kakhulu yezicubu ezivela esimila bese uyithumela elabhorethri ukuze ihlole amangqamuzana.
Ngezinye izikhathi lokhu kungadidaniswa ne-cyst, iqhubu eligcwele uketshezi. Ukuze asize ukuhlukanisa phakathi kwalokhu okubili futhi athole isithombe esicacile seqhubu, udokotela wakho angase acele ukuhlolwa kwezithombe, okufana nalokhu okulandelayo:
- Ukuskena nge-ultrasound
- Ukuskena kwe-MRI (Ukuskena kwe-Magnetic Resonance Imaging)
- I-CT scan (i-Computed Tomography scan)
Lezi ziskeni zingabonisa ngqo ukuthi isimila sitholakala kuphi, ukuthi sijule kangakanani, ukuthi sinemithambo yegazi yini, nokuthi sicindezela yini imizwa noma ezinye izicubu.
Zikhona yini izinhlobo ze-lipomas?
Yebo, wonke ama-lipoma akhiwe ngamafutha, kodwa kunomehluko omncane kuye ngokuthi yiziphi izinhlobo zezicubu eziqukethwe kuwo. Ake sibheke ezinye zezinhlobo eziyinhloko.
| Uhlobo lwe-Lipoma | Isici Esikhethekile |
|---|---|
| I-Angiolipoma | Lokhu kuqukethe kokubili amafutha kanye nemithambo yegazi. Lolu hlobo lungaba buhlungu kaningi. |
| Okuvamile | Lolu uhlobo oluvame kakhulu. Lwakhiwe ngamaseli amafutha amhlophe agcina amandla. |
| I-Fibrolipoma | Lezi ziqukethe izicubu ezinamafutha nezintambo. |
| I-Hibernoma | Lawa aqukethe amafutha ansundu. Amaseli amafutha ansundu asiza ekulawuleni izinga lokushisa lomzimba. |
| I-Myelolipoma | Lezi ziqukethe izicubu ezikhiqiza amafutha namaseli egazi. |
Yiziphi izindlela zokwelapha ama-lipomas?
Okokuqala, ama-lipoma amaningi awadingi ukwelashwa. Uma engakulimazi noma engakubangeli ukungakhululeki, asikho isidingo sokukhathazeka ngawo.
Kodwa-ke, uma i-lipoma ikubangela ubuhlungu, ukungakhululeki, noma ungajabuli ngendawo ekuyo, udokotela angayisusa ngokuhlinzwa. Ukuhlinzwa kokususa i-lipoma kuphephile kakhulu futhi kuyaphumelela. Ngokuvamile kwenziwa ngaphandle kwesiguli. Lokhu kusho ukuthi ungaya ekhaya ngalolo suku ngemuva kokuhlinzwa.
Njengendlela ehlukile yokuhlinzwa, inqubo ebizwa ngokuthi 'i-liposuction' ingase inconywe ngezinye izikhathi. Lokhu kuhilela ukususa izicubu ezinamafutha esigaxeni kusetshenziswa inaliti encane.
Kufanele ngimbone nini udokotela?
Lona umbuzo obaluleke kakhulu. Uma ubona iqhubu elisha emzimbeni wakho, qiniseka ukuthi ubona udokotela. Kubalulekile ukuthola ukuthi kuyinto engathi sína noma into engenangozi njenge-lipoma. Ngoba izimpawu zohlobo lomdlavuza olubizwa ngokuthi i-'liposarcoma' ngezinye izikhathi zingafana ne-lipoma.
Uma usuvele une-lipoma, yazisa udokotela wakho ngokushesha uma ubona noma yiluphi ushintsho olulandelayo:
- Uma uzwa ubuhlungu ngokuzumayo.
- Uma ikhula ngokushesha phakathi namasonto ambalwa.
- Uma kuzwakala kunzima njengedwala uma ulithinta.
- Uma ingasakwazi ukuhambahamba kalula njengoba yayinjalo ngaphambili.
Uma lezi zimpawu zikhona, udokotela uzophinde azihlole.
Umlayezo Wokuya Nawe Ekhaya
- Ama-Lipoma ayisifo esivamile esinamafutha esingesona umdlavuza esakheka ngaphansi kwesikhumba.
- Ngokuvamile lezi yizigaxa ezingenabuhlungu ezingashukunyiswa uma zithintwa.
- Ama-lipoma amaningi awadingi ukwelashwa futhi awabangeli monakalo emzimbeni.
- Uma kuvela iqhubu elisha emzimbeni wakho noma uma i-lipoma ekhona ikhula ngokushesha, ibuhlungu, noma iqine , qiniseka ukuthi ufuna iseluleko sezokwelapha.
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