Wake wahlolwa ngesinye isizathu wabona "i-liver cyst" embikweni? Kumelwe ukuthi wesaba kancane lapho ubona lokho. Kungenzeka ukuthi wacabanga, "O, ingabe lo mdlavuza?" Kodwa ingabe lokhu kuyinto okufanele uyesabe ngempela? Ake sixoxe ngalezi zi-liver cyst ngendlela elula necacile.
Ayini ngempela ama-cyst esibindi?
Kalula nje, ama-cyst esibindi ayizikhwama ezincane, ezigcwele uketshezi ezakheka esibindini sakho noma ngaphakathi kwaso. Cabanga ngawo njengama-blister amancane amanzi. Iningi lalawa, cishe amaphesenti angamashumi ayisishiyagalolunye nesishiyagalolunye, ayi-cyst engenangozi, engenamdlavuza (engenobungozi). Esikhathini esiningi, awakhuli ngokwanele ukubangela izimpawu. Kodwa-ke, akuvamile kakhulu, amanye ama-cyst angabangelwa yizifo zofuzo. Kulezo zimo, ukwelashwa kungadingeka.
Zivame kangakanani lezi zimila? Ubani ozithola kaningi?
Lawa ma-cyst alula angenangozi empeleni avame kakhulu kunalokho ongakucabanga. Emhlabeni wonke, abantu abaphakathi kwabayi-5 nabayi-10 kwabayi-100 bangase babe nama-cyst esibindi.
Lokhu kuvame ukubonakala kubantu abaneminyaka ephakathi kuka-30 no-70. Kodwa into ebalulekile ukuthi inani elincane kakhulu labantu, cishe u-10% kuya ku-15%, liba nezimpawu. Lokhu kusho ukuthi abantu abaningi abazi nokuthi banesimila esibindini sabo.
Umbuzo wonke umuntu awusabayo: Ingabe lezi zimila zingaba umdlavuza?
Lokhu ukwesaba okukhulu kakhulu ezingqondweni zabantu abaningi. Kodwa iqiniso liwukuthi, amathuba okuba i-cyst evamile ikhule esibindini ibe umdlavuza aphansi kakhulu.
- Cishe isimila esisodwa kuya kweziyi-5 kweziyi-100 ezinjalo sikhula sibe yisimo "esingaphambi komdlavuza" esingaba umdlavuza.
- Kulabo, cishe ama-30% kuphela aphenduka umdlavuza.
Lokho kusho ukuthi sekukonke, ingozi iphansi kakhulu. Kodwa-ke, kunezinhlobo ezimbili ezithile zamehlo anamanzi okudingeka siziqaphele. Lezi zingadinga ukwelashwa.
| Isimo | Ake sithole kalula. |
|---|---|
| Isifo se-Hydatid | Kubangelwa yi-parasite. Ngokuvamile idluliselwa kubantu ivela ezinjeni nasezimvini, ikakhulukazi ngamanzi angcolile. Uma lesi silwanyana singena emzimbeni, sibangela ukuvuvukala ezithweni ezifana nesibindi. Uma singelashwa, singabangela izimo ezifana nomkhuhlane kanye ne-jaundice. Odokotela basebenzisa imithi kanye nokuhlinzwa ukwelapha lesi silwanyana. |
| Isifo Sesibindi Esingama-Polycystic (PLD) | Lesi yisimo esingavamile kakhulu, esizuzwe njengefa. Lokhu kubangela ukuthi kwakheke amaqoqo ama-cyst kulo lonke isibindi, afana neqoqo lamagilebhisi. Abantu abaningi ababi nazimpawu. Kodwa-ke, ngokuhamba kwesikhathi, isibindi singakhula, okubangela ukuvuvukala kwesisu nokungakhululeki. Lokhu kudinga nemithi noma ukuhlinzwa, njengoba kucebiswe udokotela wakho. |
Into ebaluleke kakhulu ukuthi uma umbiko wakho we-scan ukhuluma nge-cyst, udokotela wakho uzonquma ukuthi uhlobo luni ngempela. Ngakho-ke ungesabi futhi ulandele imiyalelo kadokotela wakho.
Yini ebangela ukuthi la mathumba akheke?
Lezi zimila zesibindi ezivamile zivame ukuzalwa nazo. Lokhu kusho ukuthi zingase zibe khona esibindini lapho sizalwa. Kodwa odokotela abasazi kahle ukuthi kungani zenzeka.
Ziyini izimpawu zalokhu?
Njengoba kushiwo ngaphambili, abantu abaningi ababi nazo izimpawu. Isimila sitholakala ngesikhathi sokuskena ngesinye isizathu. Kodwa-ke, uma isimila sikhulu ngaphezu kwamasentimitha angu-4 noma sitholakala endaweni ebucayi, kungase kube nezimpawu ezithile.
- Ubuhlungu obungazwakali ohlangothini oluphezulu kwesokudla lwesisu, njengokungathi kukhona okubambekile.
- Ukuqunjelwa.
- Isicanucanu nokuhlanza.
- Ukuzizwa usuthi ngisho nangemva kokudla kancane kuyi-anorexia.
- Ukuzizwa uphelelwa umoya.
- Umuzwa wokubanjwa esandleni njengesimila esikhulu esiswini.
- I-jaundice - Lokhu kuwukuba phuzi kwamehlo nesikhumba. Lokhu kwenzeka lapho imisele yenyongo ivalwe ngamatshe enyongo.
- Uma isimila siqhuma, kuba nomkhuhlane osheshayo kanye nobuhlungu obukhulu besisu.
Uma unezimpawu ezinjengalezi, kufanele nakanjani ubonane nodokotela wakho.
Odokotela bazithola kanjani lezi?
Esikhathini esiningi, lokhu kutholakala ngengozi. Uma unokungabaza, udokotela wakho angayala ukuhlolwa okuhlukahlukene ukuze athole uhlobo oluqondile lwesimila.
| Ukuhlolwa | Kalula nje... |
|---|---|
| Ukuskena kwe-Ultrasound | Isebenzisa amaza omsindo avame kakhulu ukukhiqiza izithombe ezibukhoma zezitho zangaphakathi zomzimba. Lolu uhlobo lokuhlola olulula kakhulu ongalwenza kuqala. |
| I-CT Scan (I-Computed Tomography Scan) | Kusetshenziswa uchungechunge lwe-X-ray kanye nekhompyutha ukudala izithombe ze-three-dimensional (3D) zangaphakathi lomzimba wakho. Lokhu kusiza ukuthola isithombe esicacile sesimila. |
| Ukuskena kwe-MRI (Umfanekiso Wokuqabulana Kwamagnetic) | Kusetshenziswa i-magnet enkulu, amaza omsakazo, kanye nekhompyutha ukukhiqiza izithombe ezicacile zezitho zomzimba. Lokhu kuvumela ucwaningo olujulile ngesimo sesimila. |
Ngaphezu kwalezi ziskeni, udokotela angase ahlole nomzimba wakho, akubuze wena nomndeni wakho ngomlando wakho wezokwelapha, futhi ngezinye izikhathi angenza ngisho nokuhlolwa kwegazi (izivivinyo ze-serodiagnostic).
Yiziphi izindlela zokwelapha lokhu?
Into yokuqala okufanele uyikhumbule ukuthi ama-cyst amaningi avamile awadingi ukwelashwa. Udokotela angase athi, "Ake sibheke lokhu." Lokho kusho ukwenza iskeni njalo ukuze ubone ukuthi i-cyst iyashintsha yini usayizi.
Kodwa-ke, uma isimila sikhulu kunamasentimitha angu-4, sibangela ubuhlungu noma ezinye izimpawu, noma kusolwa ukuthi sinomdlavuza, sithunyelwa ukuze sithole ukwelashwa.
- Ukufuthwa kwe-Percutaneous: Ngosizo lwe-scanner, inaliti ifakwa endaweni efanele bese uketshezi olungaphakathi kwe-cyst lususwa.
- Ukwakheka kwe-cyst: Udonga lwe-cyst lususwa ngokuhlinzwa.
- Ukususwa kwesibindi: Ingxenye yesibindi enesimila isuswa ngokuphelele ngokuhlinzwa.
- Ukuhlinzwa:Izindlela ezinjengokuhlinzwa okuvulekile noma i-laparoscopy zisetshenziselwa ukususa izimila ezivamile noma ezinomdlavuza.
- Ukufakelwa kwesibindi: Lokhu kwenziwa kuphela ezimweni zomonakalo omkhulu wesibindi ongenakulawuleka ngemithi, njenge-PLD.
Imibuzo ebalulekile okufanele uyibuze udokotela wakho
Uma umbiko wakho uthi unesimila sesibindi, buza udokotela wakho le mibuzo ukuze asuse noma yikuphi ukungabaza ongase ube nakho.
- "Dokotela, ngingazi kanjani ukuthi lesi yisisu esivamile noma isimila esinomdlavuza?"
- "Yiziphi izivivinyo ezengeziwe okudingeka ngizenze?"
- "Ingabe kuzodingeka i-biopsy ukuze kuthathwe ingxenye encane yesibindi?"
- "Uma lokhu kungibangela ukungakhululeki noma ubuhlungu, kungasuswa yini?"
- "Ufuna ukuqhubeka nokuskena ukuze ubone ubukhulu balesi simila?"
- "Njengoba nginamathumba esibindini sami, ingabe kudingeka ngihlole amathumba kwezinye izingxenye zomzimba wami?"
Ungesabi ukubuza le mibuzo. Kubaluleke kakhulu ukucaca ngesimo sakho.
Umlayezo Wokuya Nawe Ekhaya
- Ama-cyst esibindi ayisifo esivame kakhulu. Ungakhathazeki ngalokho okubonayo embikweni weskeni.
- Iningi lalezi zimila ezingenangozi, ezingezona umdlavuza ezivame ukungabi nazimpawu.
- Amathuba okuba kube nomdlavuza aphansi kakhulu.
- Uma unezimpawu ezifana nobuhlungu engxenyeni ephezulu kwesokudla yesisu sakho kanye nokuqunjelwa, bona udokotela ngokushesha.
- Ama-cyst amaningi awadingi ukwelashwa, futhi udokotela uzowaqapha kuphela. Ukwelashwa kuyadingeka kuphela uma i-cyst inkulu, ibangela izimpawu, noma isolisayo.
- Njalo, udokotela wakho wenza isinqumo esingcono kakhulu ngesimo sakho. Landela iseluleko sakhe.
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