Ingabe kukhona into efana nebhamuza lamanzi eduze kwenhliziyo yakho? Ake sifunde ngalokhu (Pericardial Cyst)!

Ngezinye izikhathi, izinto ezincane zingakhula ngaphakathi emizimbeni yethu ngaphandle kokuthi siqaphele, akunjalo? Yilokho okushiwo yileli `(Pericardial Cyst)`. Uma uzwa leli gama, kungase kubonakale sengathi yinto enkulu, kodwa ungakhathazeki , isikhathi esiningi akuyona ingozi kangako. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Kuyini lokhu `(Pericardial Cyst)`?

Kalula nje, i-Pericardial Cyst iyi -cyst egcwele uketshezi eyakheka kulwelwesi olufana nesikhwama oluzungeze inhliziyo yakho, i-pericardium. Ibukeka njengebhamuza lamanzi. Esikhathini esiningi, kuyisimo sokuzalwa. Lawa ma-cyst ngokuvamile angaba ngamasentimitha angu-3 kuya kwangu-5 ngobukhulu, okungaba yi-intshi eyodwa nesigamu kuya kwamabili. Kodwa amanye angaba makhulu. Angaba yindilinga noma abe yinde kancane ngesimo. Aqukethe uketshezi olucacile. Yingakho esikhathini esidlule, ngawo-1940, odokotela babewabiza nangokuthi "ama-cyst amanzi asentwasahlobo." Avame ukutholakala ohlangothini lwesokudla lwenhliziyo. Into ebaluleke kakhulu ukuthi lawa ma-Pericardial Cysts awawona umdlavuza. Abantu abaningi ababonisi zimpawu. Kodwa cabanga, uma lesi simila sikhula kancane futhi sicindezela inhliziyo noma amaphaphu aseduze, khona-ke kungenzeka ukuthi ezinye izimpawu noma izinkinga zingase zenzeke.

I-`(Pericardial Cyst)` ingaba yingozi kangakanani?

Ngokuvamile, i-`(Pericardial Cyst)` ayibangeli inkinga enkulu. Abantu abaningi baphila bengazi nokuthi banayo. Kodwa-ke, akuvamile kakhulu, futhi lokho kusho ukuthi akuvamile kakhulu , izinkinga ezinjengalezi zingavela:

• Ukushaya kwenhliziyo okungajwayelekile ( i-Arrhythmia ): Ukushaya kwenhliziyo okungajwayelekile.
• I-tamponade yenhliziyo : Lokhu kungaba yisimo esiphuthumayo.
• I-Constrictive pericarditis: Inhliziyo ayikwazi ukusebenza kahle.
• Ukwehluleka kwenhliziyo .
• Ukuquleka / i-syncope .
• Inyumoniya .
• Ukuvaleka kokugeleza kwegazi kusuka ku-ventricle yesokudla yenhliziyo`(Ukuvinjelwa komgudu wokuphuma kwe-ventricle yesokudla)`.
• Ukufa kwenhliziyo okungazelelwe: Lokhu akuvamile kakhulu.
• I-Superior vena cava syndrome (SVCS) yisimo esibangelwa ukucindezelwa kwe-superior vena cava (umthambo wegazi) .

La magama angase abonakale esabisa, kodwa khumbula ukuthi lezi ziyizinto ezingavamile kakhulu .

Ubani othinteka kakhulu yilesi simo?

Lesi simo esibizwa ngokuthi `(Pericardial Cyst)` singakhula kunoma ubani wanoma yimuphi ubudala. Cabanga nje, ngisho nomuntu oneminyaka engu-102 ubudala useke watholakala enaso. Ngezinye izikhathi, ngisho nengane encane esibelethweni sikanina ingatholakala inaso ngokusebenzisa `(ukuhlolwa kwangaphambi kokubeletha)` ngesikhathi sokukhulelwa. Kodwa-ke, sivame ukutholakala kubantu abadala abasebasha, okungukuthi, kubantu abaneminyaka ephakathi kuka-20 no-40. Kuthiwa futhi abesifazane banamathuba amancane okuthola lesi simo kunabesilisa. Uma sikhuluma ngokuthi sivame kangakanani, `(Pericardial Cyst)` yisimo esingavamile. Sithinta cishe umuntu oyedwa kubantu abayikhulu lezinkulungwane.

Ziyini izimpawu ze-`(Pericardial Cyst)`?

Izindaba ezinhle ukuthi akubona bonke abanalesi simo abanezimpawu. Eqinisweni, cishe abantu abathathu kwabane abanazo nhlobo izimpawu. Kodwa-ke, njengoba kushiwo ngaphambili, uma lesi simila siba sikhulu ngokwanele ukuba sicindezele inhliziyo noma amaphaphu akho, ungase ube nezimpawu ezifana nalezi:

• Ubuhlungu besifuba: Lobuhlungu bungasakazekela nasezingxenyeni ezingaphezulu zomzimba, njengentamo, amahlombe, kanye nezingalo.
• Ukukhwehlela: Ungase ube nokukhwehlela okungapheli.
• Izifo zokuphefumula ezivame ukwenzeka: Isibonelo, izifo zamaphaphu .
• Ubunzima bokuphefumula (ukuphelelwa umoya): Ungase uzizwe sengathi uphefumula kanzima ngisho noma wenza umsebenzi omncane.

Lokhu `(Pericardial Cyst)` kwakheka kanjani?

Esikhathini esiningi, okungukuthi, ngaphezu kwama-90% wamacala, le `(Pericardial Cyst)` yinto ekhona lapho kuzalwa `(congenital)`. Okusho ukuthi, le cyst yakhiwa ngenxa yobuthakathaka obuncane ekwakhekeni kwe-membrane evikelayo `(pericardium)` ezungeze inhliziyo ngesikhathi sokuphila kombungu, ngesikhathi esesibelethweni sikamama. Kunezinye izimbangela ezingavamile kakhulu zalokhu. Lezi yilezi:

• Ukuvuvukala kwesikhumba senhliziyo, isimo esibizwa ngokuthi "i-pericarditis".
• Ngenxa yokulimala okukhulu esifubeni (ukuhlukumezeka).

Wazi kanjani ukuthi une-`(Pericardial Cyst)`?

Lena yinto emangalisa kakhulu. Esikhathini esiningi, odokotela bathola ukuthi lokhu (i-Pericardial Cyst) ngengozi!Lokhu kusho ukuthi ungalithola leli qhubu kuphela uma uthwetshulwa i-X-ray yesifuba noma esinye isikeni ngesizathu esithile. Yingakho odokotela bebiza lokhu okutholakele ngokuthi "okutholakele okungahleliwe." Uma kutholakala iqhubu kanje, udokotela uzokwenza ezinye izivivinyo eziningana ukuqinisekisa ukuthi kuyi-cyst ye-pericardial. Bafuna futhi ukuqinisekisa ukuthi akuyona enye inkinga enkulu. Isibonelo:

• I-aneurysm ukuqubuka komthambo wegazi ekamelweni elingezansi lenhliziyo.
• I-hernia ku-diaphragm (umsipha ohlukanisa isifuba nesisu) (i-Morgagni hernia).
• Ezinye izinhlobo zama-cyst noma amathumba.

Hlobo luni lokuhlolwa oluqinisekisa lokhu?

Odokotela basebenzisa izivivinyo ezinjengalezi ukuze baxilonge futhi baqaphe ngokunembile lesi simo se-"Pericardial Cyst":

• I-CT scan yenhliziyo : Lokhu kungathatha isithombe esicacile sesimila, kanye nesimo se-pericardium.
• I-cardiac MRI scan : Lokhu kungasetshenziswa ukubona ukuthi isimila sicindezela inhliziyo, amaphaphu, noma ezinye izitho ezibalulekile eziseduze.
• I-Echocardiography : Lokhu kufana nokuskena kwenhliziyo nge-ultrasound. Kusetshenziselwa ukubona ukuthi usayizi wesimila uyashintsha yini ngokuhamba kwesikhathi kanye nokuqondisa ukumuncwa koketshezi oluvela esimila uma kudingeka.

Yiziphi izindlela zokwelapha `(Pericardial Cyst)`?

Izindaba ezinhle ukuthi ezimweni eziningi, i-Pericardial Cyst ayidingi ukwelashwa okukhulu. Odokotela bakubiza lokhu ngokuthi 'ukuphathwa kokulondoloza'. Lokho kusho ukuthi, ungesabi, vele ubheke.

• Ukuqapha: Uma ungenazo izimpawu futhi isimila singakhuli, udokotela wakho uzoqapha isimila nge-transthoracic echocardiogram (TTE) njalo eminyakeni embalwa. Akukho okunye ukwelashwa okudingekayo.
• Uma kudingeka ukwelashwa: Kodwa-ke, uma uqala ukuzwa izimpawu, noma uma ukuhlolwa kukhombisa ukuthi isimila siyakhula, khona-ke ukwelashwa kuzodingeka.

Kunezindlela ezimbili eziyinhloko zokwelapha: 1. Ukususwa koketshezi ngezinqubo ezingangenisi kakhulu:

• I-Ethanol sclerosis : Kulokhu, into ebizwa ngokuthi i-ethanol ifakwa esigaxeni, bese kususwa uketshezi olusesigaxeni. Lokhu kunciphisa ingozi yokuthi isigaxa siphinde sikhule.
• Ukufuthwa nge-percutaneous : Inaliti ifakwa ngembobo encane esikhumbeni bese kususwa lonke uketshezi olusesiqwini.

2. Ukususwa kwesimila ngokuhlinzwa:

• Ukuhlinzwa kwe-Laparoscopic : Lokhu kuhilela ukwenza izimbobo eziningana ezincane kakhulu esifubeni nokusebenzisa ikhamera namathuluzi abucayi ukususa isimila. Lokhu kubizwa nangokuthi "ukuhlinzwa kwe-keyhole."
• I-Median Sternotomy : Ukuhlinzwa okuhilela ukwenza i-incision maphakathi nesifuba, phansi kwethambo lesifuba. Lokhu kuwukuhlinzwa okukhulu.
• I-Thoracotomy : Inqubo yokuhlinzwa ehilela ukwenza ukusika phakathi kwezimbambo ezimbili.
• Ukuhlinzwa kwesifuba okusizwa yividiyo (VATS): Lokhu kufana nokuhlinzwa kwe-laparoscopic, ngoba kwenziwa kusetshenziswa ikhamera ngokusebenzisa ukusikwa okuncane okwenziwe phakathi kwezimbambo.

Udokotela wakho uzobuyekeza isimo sakho, axoxe nawe ngazo zonke lezi zindlela zokwelapha, bese enquma ukuthi yikuphi okungcono kakhulu kuwe nokuphephile . Umgomo oyinhloko walezi zindlela zokwelapha ukuvimbela izinkinga ezinkulu ezingase zenzeke uma isimila sicindezela inhliziyo noma amaphaphu.

Ingabe lokhu kungavinjelwa ukuthi kwenzeke?

Njengoba ama-cyst e-pericardial avame ukuzalwa nawo , akukho lutho esingakwenza ukuze siwavimbele ukuthi angakheki. Kodwa-ke, uma uke waba ne-pericarditis, ukuvuvukala kolwelwesi lwenhliziyo, ungase ube sengozini encane yokuthola i-cyst ye-pericardial. Kungumqondo omuhle ukukhuluma nodokotela wakho ngalokhu.

Ingabe i-Pericardial Cyst iyingozi?

Futhi, iningi lama-cyst e-pericardial aliyona ingozi. Angaba yingozi kuphela uma ebeka ingcindezi enhliziyweni, emaphashini, noma kwezinye izitho ezibalulekile eziseduze. Uma une-cyst ye-pericardial, udokotela wakho uzoyiqapha futhi ayiphathe uma kudingeka. Ngakho-ke ungesabi ngokungadingekile.

Kuzokwenzekani uma nginalesi simo? Kuzokwenzeka kanjani esikhathini esizayo?

Iningi labantu abane-cyst ye-pericardial lingalulama kahle futhi liphile impilo evamile . Kodwa-ke, uma unezimpawu noma i-cyst yakho ikhula, ungadinga ukwelashwa ukuze uvimbele izinkinga ezibalwe ngenhla. Khuluma ngokukhululekile nodokotela wakho ngesimo sakho, isibikezelo, kanye nengozi yakho yezinkinga.

Kufanele ngimbone nini udokotela? Yini okufanele ngikhathazeke ngayo?

Qiniseka ukuthi uyahlolwa minyaka yonke . Futhi, yiba khona ezifundweni zokulandelela njengoba kuqondiswe udokotela wakho. Khumbula, abantu abaningi abazi ukuthi bane-Pericardial Cyst, ngoba ivame ukutholakala ngengozi. Ngakho-ke, kubalulekile ukuya kuzo zonke izikhathi zokubonana nodokotela wakho kanye nokuhlolwa. Ngemuva kwalokho, cishe uzothola i-Pericardial Cyst ngaphambi kokuba ibe yinkinga.

Khumbula ikakhulukazi, uma udokotela ekhiphe uketshezi oluvela ku-`(Pericardial Cyst)` yakho, kunethuba elingama-30% lokuthi i-cyst izobuya. Ngakho-ke, ukuhlolwa okulandelayo kubalulekile. Udokotela kuzodingeka akuqaphe ukuze abone ukuthi i-cyst iyabuya yini.

Okuphuthumayo! Uma unalezi zimpawu, kungaba uphawu lwe-cardiac tamponade.Shayela u-911 noma umnyango wezimo eziphuthumayo wendawo yakho ngokushesha, noma uye esibhedlela ngokushesha:

• Ushintsho oluzumayo esimweni sengqondo (ukuzizwa udidekile, ukhathazekile, ukulahlekelwa ukwazi).
• Ukuzizwa unesizungu noma uqulekile/uphelelwa amandla.
• Ubuhlungu obuhlabayo esifubeni. Lobuhlungu bungasakazekela esiswini, emhlane, entanyeni, engalweni, noma ehlombe.
• Isivinini sokuphefumula esikhulayo.
• Ukushaya kwenhliziyo okusheshayo ngokweqile.
• Ukushintsha kombala wesikhumba (okukhanyayo, okumpunga, noma okuluhlaza okwesibhakabhaka).
• Ubunzima obukhulu bokuphefumula.

Ngakho-ke, yiziphi izinto okudingeka sizikhumbule? (Umyalezo Wokuya Ekhaya)

Nakuba lesi simo esibizwa ngokuthi `(Pericardial Cyst)` singase sizwakale sesabeka, isikhathi esiningi asibonisi zimpawu, futhi asivamile ukubangela izinkinga ezinkulu. Kodwa uma unezimpawu, noma uma i-cyst ikhula, ungakhathazeki. Imithi yesimanje inezindlela eziningana zokwelapha ezinhle zalokhu. Khuluma nodokotela wakho ngokucophelela ngokuthi yikuphi ukwelashwa okungcono kuwe nokuthi kuzothatha isikhathi esingakanani ukululama. Into ebaluleke kakhulu ukulandela ukuhlolwa kwakho kwezokwelapha kanye neseluleko sezokwelapha. Khona-ke, noma ngabe unesifo esinjengalesi, ungasibona kusenesikhathi, wenze okudingekayo, futhi uhlale uphilile. I-Pericardial cyst, i-heart cyst, i-pericardial cyst, ubuhlungu besifuba, ubunzima bokuphefumula, isifo senhliziyo, i-pericardial