Ngezinye izikhathi kungenzeka ukuthi uke waphawula into efana neqhubu elincane ngaphansi kwesikhumba sakho. Mhlawumbe ebusweni bakho, entanyeni, noma emhlane. Uma ulicindezela, kuzwakala sengathi kukhona okuthile ngaphakathi, futhi kufana nebhola elincane ongalihambisa ngesandla sakho, akunjalo? Abantu abaningi bayakwesaba lokhu, bezibuza ukuthi umdlavuza noma ukugula okubi. Kodwa isikhathi esiningi, lezi akuzona izinto okufanele uzesabe. Namuhla sikhuluma ngohlobo oluvame kakhulu lweqhubu. Kwezokwelapha, lokhu sikubiza ngokuthi 'i-Epidermal Inclusion Cyst'.
Iyini i-Epidermal Inclusion Cyst?
Kalula nje, kuyisikhwama esincane soketshezi esakheka ngaphansi kwengqimba ephezulu yesikhumba sakho (i-epidermis). Kufana nebhaluni elincane elifihliwe ngaphansi kwesikhumba sakho. I-mole izwakala njengeqhubu elincane ngaphansi kwesikhumba sakho.
Abantu abaningi babiza la ma-cyst ngokuthi 'ama-Sebaceous Cysts'. Kodwa empeleni lokho kuyiphutha elincane. Ngoba igama elithi 'sebaceous' libhekisela kuma-gland akhiqiza uwoyela esikhumbeni sethu. Sibiza into enamafutha ekhiqizwa yila ma-gland ngokuthi 'sebum'. Kodwa ama-cyst esikhuluma ngawo awagcwele 'i-sebum'.
Ngakho-ke yini engaphakathi kwalezi zinhlayiya?
Empeleni lezi zinhlayiya zigcwele uhlobo lweprotheni ebizwa ngokuthi 'iKeratin' , okuyimfucumfucu yamangqamuzana esikhumba afile. I-Keratin yiprotheni eyinhloko eyakha isikhumba sethu, izinzipho, nezinwele. Ngakho-ke lokho okuqukethwe yilezi zinhlayiya akuwona uwoyela, kodwa into ejiyile efana noshizi. Uma udokotela ekhipha enye yalezi zinhlayiya, okuphumayo kuba yinto ephuzi, ejiyile, futhi ngezinye izikhathi enephunga elibi kancane.
Uhlobo lwangempela olubizwa ngokuthi 'i-sebaceous cyst' aluvamile kakhulu. Yilolo olugcwele 'i-sebum'. Kodwa uhlobo esilubona nsuku zonke futhi oluvame kakhulu yi-'epidermal inclusion cyst'.
Libukeka kanjani ngempela leli thumba?
Uma unesimila esifana nalesi, ungase ubone esinye noma ngaphezulu salezi zimpawu. Ake sibheke ithebula ukuze sikuqonde kahle lokhu.
| Isici | Incazelo |
|---|---|
| Isimo | Ngokuvamile iyindilinga noma iyindilinga futhi ibonakala iphakeme ngaphezu kwesikhumba. |
| I-Punctum | Ngokuvamile, i-cyst ibukeka njengechashazi elincane elimnyama phakathi. Lona umlomo we-follicle yezinwele evalekile. |
| Usayizi | Zingaba nobukhulu obuhlukahlukene kusukela kokuncane okungaba yi-inchi eyodwa kuya kwengxenye eyodwa kwezine (0.25) kuya kokungaphezu kwama-inchi amabili. Ngokuvamile zinkulu kakhulu. |
| Umbala | Ngezinye izikhathi kungabonakala kupinki, kubomvu, noma kumnyama kunesikhumba sakho. |
| Ubuhlungu/ukushisa | Ngokuvamile ayibuhlungu, kodwa uma itheleleka, ingase ibe buhlungu futhi izwakale ifudumele uma uyithinta. |
| Ukunyakaza | Uma ithintwa, ingahamba kancane iye emuva naphambili ngaphansi kwesikhumba. |
Nakuba lezi zimila zingakhula noma kuphi emzimbeni, zivame ukubonakala ebusweni, esifubeni, emhlane, entanyeni, ekhanda, ezandleni nasezinyaweni .
Kungani izimila zifana nalezi? Iyini imbangela?
Isizathu esiyinhloko salokhu ukuvaleka kwezinwele esikhumbeni sethu. I-follicle yezinwele imane nje iyimbobo encane emzimbeni wethu lapho kuphuma khona izinwele noma uboya.
Cabanga ngakho, isikhumba sethu sihlala sizivuselela. Amangqamuzana esikhumba amadala ayafa futhi ayachitheka. Lena inqubo yemvelo. Kodwa-ke, ngesizathu esithile, isibonelo, inxeba elincane, ukuklwebheka, isibazi sokuhlinzwa, induna, noma umonakalo welanga esikhumbeni, indlela yokuba lawa maseli afile aphume ngayo iyavinjwa. Khona-ke lawa maseli, kanye ne-keratin, aqala ukuqongelela esikhwameni esincane ngaphansi kwesikhumba. Ngokuhamba kwesikhathi, lesi sikhwama siyakhula futhi sisibona njengesimila.
Cabanga ngesimo lapho iqembu lezimoto libhajwa khona ngokuzumayo emgwaqweni bese kudala ukuminyana kwezimoto. Yileyo ndlela la maseli abhajwa ngayo endaweni eyodwa.
Ubani osengozini enkulu yokuthola la mathumba?
Nakuba zingakhula kunoma yimuphi ubudala, zivame ukuvela phakathi kweminyaka engama-20 nengama-60.Kuvame kakhulu emaqenjini asebekhulile. Akuvamile kakhulu ukuthi lokhu kuvele ngaphambi kokuthomba. Kuvame kakhulu futhi emadodeni kunabesifazane.
Ngaphezu kwalokho, ezinye izimo zofuzo ezingavamile kanye nezinye izifo nazo zingabangela ukwakheka kwalezi zimila eziningi emzimbeni.
- Isifo sikaGardner
- I-Gorlin syndrome
- Isifo se-Favre-Racouchot
- Ukutheleleka kwe-Human Papillomavirus (HPV)
Le ngozi inganda kancane nakubantu abathatha imithi ethile. Isibonelo, imithi efana ne-'BRAF inhibitors', i-'Imiquimod', kanye ne-'Cyclosporine'.
Into ebaluleke kakhulu ukuthi la ma-cyst awathelelani . Okusho ukuthi, awasabalali kusuka komunye umuntu kuya komunye ngokuthinta noma nganoma iyiphi enye indlela.
Ingabe lesi simila singaba yingozi? Yiziphi izinkinga?
Esikhathini esiningi, la mathumba awabangeli monakalo, kodwa ngezinye izikhathi angabangela izinkinga ezithile.
| Inkinga | Incazelo |
|---|---|
| Ukuvuvukala kwesimila | Isigaxa sivuvukele, sibomvu, futhi sibuhlungu uma usithinta. Lokhu akulona ukutheleleka. |
| Ukutheleleka kwesimila | Igciwane, njengebhaktheriya, lingena ethumba bese lenza ubomvu. Lokhu kungabangela ubuhlungu obukhulu, ukuvuvukala, kanye nokubomvu. |
| Ukuqhuma kwesimila | Ingcindezi engaphakathi kwe-cyst iyanda futhi iqhuma ngaphansi kwesikhumba noma ebusweni besikhumba. Bese kuthi izinto eziphuzi, ezinephunga ngaphakathi zingaphuma. Lokhu futhi kubangela ubuhlungu nokuvuvukala. |
Ingabe lokhu kungaba umdlavuza?
Lokhu ukwesaba okukhulu abantu abaningi abanakho. Akuvamile kakhulu.Yile ndlela isimila esinjengalesi esiba ngayo umdlavuza. Okusho ukuthi, akekho noyedwa kubantu abayizinkulungwane abanalolu hlobo lwesimila ozoba nale ngozi. Ngakho-ke ungesabi imiphumela yokuba nalesi simila. Kodwa-ke, kwezinye izimo ezingavamile, umdlavuza wesikhumba njenge-'Squamous cell carcinoma' noma i-'Basal cell carcinoma' ungakhula ngaphakathi kwalesi simila.
Kodwa-ke, uma isimila sakho sinalezi zimpawu, kufanele nakanjani ubone udokotela ngokushesha.
- Uma kunezimpawu zokutheleleka (ubuhlungu, ukubomvu, ukuvuvukala, ubomvu).
- Uma isimila sikhula ngokushesha okukhulu .
- Uma isimila sikhulu kunobubanzi obungamasentimitha angu-5 .
Udokotela uhlonza kanjani lokhu?
Ezimweni eziningi, udokotela angahlola iqhubu lakho, akubuze ngalo, bese ethi 'liyi-epidermal inclusion cyst'.
Kodwa ngezinye izikhathi, ikakhulukazi uma isimila sikhulu noma uma kukhona ukusolakala kwenkinga enye, kungase kwenziwe ezinye izivivinyo.
- Ukuskena nge-ultrasound: Lokhu kungabona ngokucacile ukuthi hlobo luni lwezinto ezingaphakathi kwesimila.
- I-CT scan: Ezimweni zezimila ezinkulu, lokhu kusiza ukubona ukuthi isimila sisakazeke kangakanani nokuthi ngabe sizithinte yini izicubu ezizungezile.
- Ukuhlolwa Kwegazi: Uma kukhona ngisho nokusola okuncane ukuthi isimila singase sibe nomdlavuza, udokotela uzothatha ingxenye encane kakhulu yesimila asihlole.
Ilashwa kanjani? Ingabe isimila kufanele sisuswe?
Esikhathini esiningi, uma ungenazo izinkinga noma ubuhlungu obuvela kulesi simila, udokotela wakho uzokutshela ukuthi ulinde ngaphandle kokwelashwa . Amanye amathumba angahlala enobukhulu obufanayo iminyaka eminingi.
Kodwa uma i-cyst ivuvukele futhi ibuhlungu, kukhona into elula ongayenza ekhaya. Faka i-compress efudumele . Cwilisa indwangu ehlanzekile emanzini afudumele, uyikhame, bese uyibeka ku-cyst imizuzu embalwa. Ukwenza lokhu izikhathi eziningana ngosuku kungasiza ekunciphiseni ukuvuvukala nobuhlungu.
Isexwayiso: Ungalokothi ucindezele, uhlabe, noma uqhumise la ma-cysts ekhaya! Ukwenza kanjalo kungaholela ekuthelelekeni, kwenze isimo sibe sibi kakhulu, futhi kushiye isilonda.
Uma uya kudokotela, unquma ukwelashwa ngokusekelwe esimweni.
- Uma i-cyst inegciwane, kunganikezwa ama-antibiotic .
- Uma isimila sivuvukele futhi sibuhlungu, umjovo we-steroid ungafakwa esimila ngokwaso ukuze kuncishiswe ukuvuvukala ngokushesha.
Uma isimila siqhubeka nokukukhathaza, sikhulu, noma ufuna ukusisusa ngenxa yezizathu zobuhle, udokotela wakho angase akuncome ukuthi sisuswe ngokuhlinzwa. Kunezindlela ezimbili eziyinhloko zokwenza lokhu.
| Indlela yokwelapha | Kwenzekani? |
|---|---|
| Ukusikwa kanye nokuphuma kwamanzi | Kwenziwa ukusika okuncane phezu kwe-cyst bese okuqukethwe kucindezelwa. Lokhu kunciphisa ngokushesha ubuhlungu nokuvuvukala. Kodwa-ke, ngenxa yokuthi i-cyst ihlala ku-capsule yayo, kunethuba elikhulu lokuthi i-cyst izophinde ikhule. |
| Ukususwa kokuhlinzwa | Kwenziwa ukuhlinzwa okuncane ukuze kususwe ngokuphelele isimila kanye nezicubu ezizungezile. Lokhu kwenziwa ngokufaka izinzwa endaweni. Ngale ndlela, amathuba okuthi isimila sibuye aphansi kakhulu. |
Yimiphi imibuzo okufanele uyibuze udokotela?
Uma unemibuzo mayelana nesimila esinjengalesi, buza udokotela wakho ngalezi zinto uma uya kuye.
- Ingabe ngine-'epidermal inclusion cyst' noma okunye?
- Ingabe lokhu kuzolunga ngokwakho, noma kudinga ukwelashwa?
- Ucabanga ukuthi lesi simila sizokhula sibe sikhulu?
- Yikuphi ukwelashwa okungcono kakhulu kimi?
- Uma ngifuna ukususa lokhu, kufanele ngibone udokotela wesikhumba noma udokotela ohlinzayo?
- Ngenzenjani uma isimila sibuya ngemva kokususwa?
Umlayezo Wokuya Nawe Ekhaya
- Ama-cyst e-Epidermal inclusion avame kakhulu, ngokuvamile awayona ingozi, ukukhula kwesikhumba. Ungesabi ukuwabona.
- La ma-nuts aqukethe iphrotheni ebizwa ngokuthi 'i-keratin', hhayi uwoyela.
- Ungazami ukucindezela noma ukuqhumisa la ma-cyst ekhaya nganoma yisiphi isizathu. Lokhu kungabangela ukutheleleka.
- Uma ubona iqhubu elisha noma isimila esikhumbeni sakho, ungazami ukuzitholela ngokwakho, kodwa nakanjani bonisa udokotela.
- Uma isimila sikhula ngokushesha, noma uma kunezimpawu ezifana nobuhlungu, ukuvuvukala, noma ukubomvu, funa iseluleko sezokwelapha ngokushesha.
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