Ingabe unama-cysts esibindini sakho? Ake sixoxe ngama-cysts esibindi!

Ngezinye izikhathi, izinto zingenzeka emzimbeni wakho ngaphandle kokuthi uqaphele. Ama-cyst esibindi angenye yezinto ezinjalo. Esikhathini esiningi, lokhu akuyingozi, kodwa ngezinye izikhathi kunezikhathi lapho udinga ukunaka khona kancane. Ngakho-ke, namuhla, sizokhuluma ngalezi cyst zesibindi ngokuningiliziwe nangokulula?

Ayini ama-Liver Cysts?

Kalula nje, ama-cyst esibindi ayizikhwama ezincane, ezigcwele uketshezi ezakheka esibindini sakho. Cabanga ngazo njengemibhobho emincane yamanzi. Iningi lalezi yizimo ezingengozi. Lokho kusho ukuthi azinawo umdlavuza. Kodwa-ke, akuvamile kakhulu, amanye ama-cyst angakhula futhi abangele izimpawu. Angabangelwa futhi yizimo ezithile zofuzo, lapho kungase kudingeke khona ukwelashwa.

Zivame kangakanani lezi zimila zesibindi? Ubani ozithola kaningi?

Zivame kangakanani lezi zimila zesibindi ezingenawo umdlavuza (ezingemnandi)? Odokotela bathi phakathi kuka-15% no-18% wabantu base-United States bangase babe nazo. Emhlabeni wonke, lesi sibalo siphakathi kuka-5% no-10%. Lokho kusho ukuthi zivame kakhulu kunalokho ongakucabanga.

Ubani onamathuba amaningi okuba nalezi zimila? Ngokuvamile zithinta abantu abaneminyaka ephakathi kuka-30 no-70. Kodwa-ke, iphesenti elincane kuphela, eliphakathi kuka-10% no-15%, liba nezimpawu. Abesifazane banamathuba amaningi okuzalwa nalezi zimila kunabesilisa. Kodwa-ke, amadoda angazithola kamuva ekuphileni kunabesifazane.

Ingabe izimila zesibindi zivame ukuba umdlavuza?

Manje ungase uzibuze, ingabe lezi zimila zesibindi zingaba umdlavuza? Ungakhathazeki, lezi zimila azivamile ukuba umdlavuza noma zibe ngaphambi komdlavuza. Odokotela bavame ukwenza ukuhlinzwa ukuze basuse lezi zimila, kungakhathaliseki ukuthi zinezimpawu noma zinomdlavuza. Phakathi kuka-1% no-5% wazo zonke izimila zesibindi zingaphambi komdlavuza. Cishe u-30% wezimila ezinjalo zingaba umdlavuza. Uma lokho kwenzeka, odokotela bazozisusa ngokuhlinzwa.

Kukuziphi izimo lapho izimila zesibindi zingaba yingozi khona?

Ngakho-ke, zikhona yini izimo lapho lezi zimila zesibindi zingaba yingozi? Yebo, yize izimila eziningi zingewona umdlavuza (ezingenabungozi) futhi zinganele ukubangela izimpawu, iphesenti elincane kakhulu lingaba umdlavuza. Kodwa-ke, kunezinhlobo ezimbili zezimila zesibindi okungenzeka kakhulu ukuthi zidinge ukuhlinzwa noma olunye ukwelashwa:

Isifo se-Hydatid

Lokhu kubizwa nangokuthi ama-Echinococcal cysts noma ama-hydatid cysts . Lesi sifo sibangelwa yi-parasite.Lesi silwanyana sidluliselwa kubantu sisuka ezinjeni nasezimvini, ngokuvamile ngezinhlelo zamanzi angcolile. Isibonelo, singasithola uma singazi siphuza amanzi angcolile noma uma sisebenzisana eduze nezilwane ezinalesi silwanyana futhi izandla zethu zingahlanzwa kahle. Lezi zinambuzane zikhula ngesimo sama-cysts esibindini nakwezinye izingxenye zomzimba. Uma zingelashwa kahle, zingabangela umkhuhlane, i-jaundice, noma i-eosinophilia (ukwanda okungavamile kohlobo lweseli elimhlophe legazi). Odokotela balapha lokhu ngokunikeza imithi yokubulala isilwane (ngezinye izikhathi ngisho ne-chemotherapy) nangokususa ama-cysts ngokuhlinzwa.

Isifo sesibindi se-Polycystic (PLD)

Lesi yisifo esingavamile kakhulu, esizuzwa njengefa. Sithinta cishe umuntu oyedwa kuya kwabayishumi kwabayikhulu lezinkulungwane. Abantu abane-`(PLD)` bakha amaqoqo ama-cyst angewona umdlavuza (angenabungozi) noma ama-cyst alula (ama-cyst alula) ngaphandle kwesibindi sabo. La ma-cyst angabukeka njengeqembu elikhulu lamagilebhisi . Abantu abangama-20% kuphela abanalesi sifo ababonisa izimpawu, kodwa bangase bangakhombisi izimpawu kuze kube yilapho sebekhulile. Ngokuhamba kwesikhathi, njengoba isibindi sabo sikhula, isisu sabo singase sivuvuke, sikhule, futhi singakhululeki. Odokotela belapha lesi simo se-`(PLD)` ngemithi nokuhlinzwa.

Ingabe izimila zesibindi ziyaphela zodwa? Zingaba nkulu kangakanani?

Ezinye izifundo zezokwelapha zikhombisile ukuthi izimila zesibindi ezingangcolisi zingaphela zodwa ngaphandle kokwelashwa . Kodwa-ke, kubalulekile ukukhumbula ukuthi izimila zesibindi eziningi azingcolisi futhi azikhuli ngokwanele ukubangela izimpawu. Kodwa-ke, uma zinkulu, odokotela bangazisusa ngokuhlinzwa.

La mathumba esibindi angaba makhulu kangakanani? Eqinisweni, angaba mancane njengesihloko sebhalbhu elincane le-fennel, noma abe makhulu njengo-1.5 amasentimitha. Lokho kusho ukuthi ayahlukahluka ngobukhulu.

Yini ebangela izimila zesibindi?

Iningi lala mathumba esibindi azalwa nawo. Lokhu kusho ukuthi akhona lapho ezalwa. Eqinisweni, odokotela abakakwazi ukuthola imbangela eqondile yala mathumba esibindi azalwa nawo.

Ziyini izimpawu zezimila zesibindi?

Iningi labantu abanezimila zesibindi ezingengozini noma ezinomdlavuza abanazo izimpawu. Kodwa-ke, labo abanazo izimpawu bangase babe nalokhu okulandelayo:

• Ukuzwa okuthile okufana nobuhlungu obubukhali ohlangothini oluphezulu kwesokudla lwesisu sakho .
• Ukuzizwa uvuvukele futhi uvuvukele.
• Isicanucanu nokuhlanza.
• Ukulahlekelwa yisifiso sokudla, noma ukuzizwa usuthi ngisho nangemva kokudla kancane.
• Ukuzizwa sengathi kunzima ukuphefumula.
• Kuzwakala sengathi kuneqhubu elikhulu esiswini sakho.
• I-jaundice. Lokhu kungenzeka uma imigudu yakho ye-bile ivinjiwe yisimila sesibindi.
• Umkhuhlane kanye nobuhlungu obukhulu besisu. Lokhu kungenzeka uma leso simila siqhuma.

Odokotela bahlonza kanjani izimila zesibindi?

Ngokuvamile, odokotela bathola izimila zesibindi lapho benza izivivinyo zesithombe sesinye isimo. Izimila zesibindi zingatholakala ngokuhlolwa okufana nalokhu:

• I-Ultrasound. Lokhu kuhilela ukusebenzisa amaza omsindo avame kakhulu ukuthatha izithombe namavidiyo abukhoma ezitho zomzimba wakho. Cishe usuzibonile izikena ezitholwa omama abakhulelwe, yilokho kanye okufana nakho.
• I-CT scan (i-computed tomography scan) Lokhu kuhlola kusebenzisa uchungechunge lwe-X-ray kanye nekhompyutha ukudala izithombe zezicubu namathambo akho athambile ezinobukhulu obuthathu.
• Ukuhlolwa kwe-MRI (Magnetic resonance imaging). Lokhu ukuhlolwa okungenabuhlungu okusebenzisa i-magnet enkulu, amaza omsakazo, kanye nekhompyutha ukwenza izithombe ezicacile zezitho zomzimba nezakhiwo zawo.

Uma odokotela bebona izimila zesibindi ngalezi zivivinyo, bangenza okulandelayo ukuze banqume ukuthi isimila singaphambi komdlavuza, sinomdlavuza, noma sinesifo sesibindi se-polycystic esikhulume ngaso, noma ukuthi isimila sibangelwa yi-parasite:

• Ukuhlolwa komzimba.
• Umlando wezokwelapha. Ungabuzwa imibuzo efana nokuthi unesifo sesibindi sesikhathi eside yini, ukuthi ukhona yini emndenini wakho oke waba nalezi zifo, nokuthi usanda kuhamba uye ezindaweni ezikude.
• Ukuhlolwa kwe-Serodiagnostic. Lokhu kwenziwa ukuthola ama-antibodies athile kumasampula egazi.
• I-ultrasound ethuthukisiwe ngokuqhathanisa. Lokhu kusebenzisa namaza omsindo avame kakhulu, kodwa izithombe zithathwa ngodayi okhethekile. Lokhu kuvumela imininingwane ecacile.

Ziphathwa kanjani izimila zesibindi?

Iningi lezimila zesibindi ezingengozi (ezilula) alidingi ukwelashwa. Kodwa-ke, izimila ezingengozi ezingaphezu kwamasentimitha angu-4 zingadinga ukususwa odokotela.

Kunezindlela eziningana kanye nokuhlinzwa kokususa izimila ezinkulu ezingenabungozi, izimila ezibangelwa isifo sesibindi se-polycystic, kanye nezimila zesibindi ezingakabi nomdlavuza noma ezinomdlavuza:

• Ukufuthwa nge-percutaneous. Kule nqubo, odokotela basebenzisa i-ultrasound noma i-CT scans ukufaka izinaliti noma ama-catheter kuma-cyst esibindi bese besusa uketshezi olungaphakathi kwama-cyst.
• Ukufakelwa kwe-cyst. Lena inqubo yokuhlinzwa esusa udonga lwe-cyst ukuze kwelashwe ama-cyst amakhulu.
• Ukususwa kwesibindi.Lokhu kuhlinzwa kuhilela ukususa izingxenye zesibindi ezithintekile yizimila.
• Ukufakwa kwe-Transarterial (TACE). Lokhu kwelashwa kufana nokwakha idamu ukuze kumiswe umfula. Odokotela bafaka imithi yokulwa nomdlavuza emthanjeni ohlinzeka ngegazi esibindini sakho. Bese befaka into ethile ukuze ivimbe leyo mithambo. Le nto isebenza njengedamu, igcina imithi yokulwa nomdlavuza izungeze isimila futhi ivimbele ukuba iphume.
• Ukuhlinzwa. Susa izimila ezingenabungozi noma ezinomdlavuza.
• Ukufakelwa isibindi. Lokhu kuhlinzwa kwenziwa njengokwelashwa kwesifo sesibindi se-polycystic esingaphenduli emithini kanye/noma ekuhlinzeni ukususa izimila zesibindi.

Ingabe izimila zesibindi zingavinjelwa?

Njengoba iningi lama-cyst esibindi lizalwa nalo, okusho ukuthi likhona lapho lizalwa, ayikho indlela eqondile yokulivimbela. Kodwa-ke, ungazivikela ezifweni ezibangelwa amagciwane njengesifo se-hydatid ngokuhlala uhlanzekile, isibonelo ngokugeza izandla zakho kahle ngemva kokuthinta izilwane ezifuywayo, nangokuphuza amanzi ahlanzekile.

Uma nginesimila sesibindi, yini engingayilindela?

Uma unesimila sesibindi, ongakulindela (isibikezelo) kuncike ohlotsheni lwesimila onaso:

• Ezinye izimila zesibindi ezingenawo umdlavuza (ezingenabungozi) azilokothi zibangele izimpawu. Uma kunjalo, udokotela wakho angase ancome ukuhlolwa, njenge-ultrasound, njalo ezinyangeni ezintathu unyaka wonke ukuze ahlole ukuthi isimila siyakhula noma siyashintsha.
• Abanye abantu bahlinzwa ukuze kususwe izimila ezinkulu ezingenabungozi noma ezinomdlavuza. Izifundo zibonisa ukuthi izimila zesibindi ezisuswa ngokuhlinzwa azivamile . Kuye ngesimo sakho, udokotela wakho angase acele ukuhlolwa okwengeziwe.

Ngingazinakekela kanjani uma ngithola ukuthi nginesimila sesibindi?

Abanye abantu badinga ukuhlinzwa noma ukwelashwa okunye kwezimila zesibindi. Uma kunjalo, buza udokotela wakho ukuthi ungayiphatha kanjani imiphumela emibi yokwelashwa . Kubalulekile futhi ukulandela imiyalelo kadokotela wakho ngqo.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ngokuvamile, abantu baqala ukuzwa ukuthi banesimila sesibindi uma behlolwa ngesinye isizathu. Akuyona into umuntu athanda ukuyizwa ngokuzumayo. Kodwa uma ubhekene nokuxilongwa okungalindelekile okufana nalokhu, nansi eminye imibuzo ongayibuza udokotela wakho ukuze akusize uthole ukuthi yini okufanele uyenze ngokulandelayo:

• "Ngingazi kanjani ukuthi isimila sami asiyona ingozi noma sinomdlavuza?"
• "Hlobo luni lokuhlolwa engizolwenza?"
• "Ingabe kuzodingeka ngihlolwe isibindi?"
• "Uma lesi simila singibangela ukungakhululeki noma ubuhlungu, singasuswa yini?"
• "Ingabe ubulokhu ubheka ubukhulu nendawo yalesi simila isikhathi esithile?"
• "Uma nginamathumba esibindi, ingabe kudingeka ngenze ezinye izivivinyo ukuze kubonakale ukuthi nginamathumba kwenye indawo emzimbeni wami?"

Izinto okudingeka sizikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ake sikhumbule amanye amaphuzu abaluleke kakhulu kulokho esikhulume ngakho.

Abantu abaningi bathola okokuqala ukuthi banama-cyst esibindini uma behlolwa ngesinye isizathu. Nakuba kungekho muntu othanda ukuzwa ngenkinga yempilo engalindelekile, ungase ukhululeke ukwazi ukuthi ama-cyst amaningi esibindi awawona umdlavuza (angabi yingozi) futhi awavamile ukubangela izimpawu ezithinta ikhwalithi yempilo yakho.

Ngokuvamile, odokotela banquma ukubheka la mathumba kunokuba benze ukuhlinzwa ukuze bawasuse. Uma unenkinga mayelana namathumba esibindi, ungesabi ukubuza udokotela wakho ngesimo sakho. Ngaleyo ndlela, ungathola umbono ocacile wokuthi yini ongayilindela. Khumbula, kungcono ukuqaphela kunokwesaba okungaziwa.

Ama - Cysts Esibindi, Isibindi, Ama-Cysts, Umdlavuza, Okungekuhle, Okunomdlavuza, Isifo se-Hydatid, Isifo sesibindi se-Polycystic, Izimpawu zesibindi, Ukwelashwa kwama-Cysts Esibindi