Ingabe uneqhubu elincane entanyeni yakho? Kungaba yi-Thyroglossal Duct Cyst!

Wake waphawula iqhubu elincane, elinamaqhubu phakathi kwentamo yakho, noma lengane yakho? Ngezinye izikhathi ungalibona likhuphuka uma ugwinya. Ungakhathazeki! Lokhu kungaba yisimo esibizwa ngokuthi i-Thyroglossal Duct Cyst. Namuhla, sizoxoxa ngalokhu ngokuningiliziwe, njengokungathi sikhuluma nomngane.

Iyini i-Thyroglossal Duct Cyst?

Kalula nje, lesi yisigaxa esincane, esithambile abanye abantu abazalwa naso, esitholakala phakathi nentamo. Singazwakala futhi ngezinye izikhathi sibonakale. Esikhathini esiningi, la maqhuqhuva angaba ngu-2 cm ngobukhulu. Kodwa lokhu akuvamile kakhulu. Kuthiwa cishe u-7% wabantu emazweni afana ne-United States banalesi simo.

Ama-cyst e-thyroglossal duct angakhula kokubili ezinganeni nakubantu abadala. Kodwa-ke, avame ukubonakala ezinganeni ezingaphansi kweminyaka eyi-10. Ingxenye engcono kakhulu ukuthi ama-99% ala ma-cyst awabi nabungozi, okusho ukuthi awawona umdlavuza . Kodwa-ke, akuvamile ukuthi, angaphansi kwe-1% awo akhule abe umdlavuza. Abantu abadala banamathuba amaningi okuthola umdlavuza onjalo kunabantwana. La ma-cyst aphathwa ngokuhlinzwa. Ngemva kokususwa ngokuhlinzwa, la ma-cyst ngokuvamile awabuyi.

I-Thyroglossal Duct Cyst ingaba yingozi kangakanani?

Njengoba ngishilo ngaphambili, isikhathi esiningi lawa mantongomane awabangeli izinkinga ezinkulu zempilo. Kodwa-ke, kwezinye izimo, angabangela izinkinga. Bheka:

• Akuvamile kakhulu, futhi ngisho ukuthi akuvamile kakhulu, la mathumba angaba umdlavuza .
• Amanye amathumba angenza kube nzima ukugwinya ukudla nokuphuza . Odokotela bakubiza lokhu ngokuthi "i-dysphagia."
• La ma-cyst angangenwa yileli gciwane . Uma ekwenza lokho, angaba buhlungu.

Ingabe lesi simila sizoba ngcono ngokwaso?

Cha, lokho akwenzeki. I-cyst ye-thyroglossal duct ihlala lapho ize isuswe ngokuhlinzwa.

Yiziphi izimpawu ze-Thyroglossal Duct Cyst?

Uma wena noma ingane yakho ninalolu hlobo lwesimila, ningase niqale nibone iqhubu entanyeni yenu, ikakhulukazi uma nigwinya . Noma ningase nibone iqhubu uma nikhipha ulimi lwenu . Ngezinye izikhathi, litholakala ngengozi uma niyobona udokotela ngenxa yesinye isimo. Kunezinye izimpawu ezimbalwa:

• Lawa mantongomane kunzima ukuwafaka ngaphansi kwesikhumba sakho. Uma uwathinta, athambile, abushelelezi, futhi ayindilinga , futhi azwakala njengezingcezu ezincane zenhlama yesinkwa.
• Uma wena noma ingane yakho ninesifo sokuphefumula esingaphezulu (njengomkhuhlane noma umkhuhlane) , lesi sifo singasakazekela esikhumbeni, okubangela ukuba sivuvuke futhi sibe buhlungu.
• Ngezinye izikhathi la ma-cyst angaqhuma , futhi into efana noketshezi ingaphuma esikhumbeni.
• Akuvamile ngenxa yalezi zinambuzaneKungaba nzima ukugwinya ukudla nokuphuza .

Ziyini izimpawu zomdlavuza we-Thyroglossal Duct Cyst?

Lesi yisimo esingavamile kakhulu . Kubikwe amacala angaphansi kuka-300 alolu hlobo lomdlavuza eminyakeni eyikhulu edlule. Ngisho noma kwenzeka, kuthinta abantu abadala kakhulu kunabantwana. Abanye abantu bangaba nalo mdlavuza iminyaka eminingi ngaphandle kwezimpawu. Odokotela bavame ukukuthola lapho belapha ezinye izimo, njenge-goiter. Izimpawu ze-thyroglossal duct cyst zifaka:

• Kuzwakala sengathi kukhona isimila ngaphambili entanyeni yami, futhi kubonakala sengathi siya sikhula .
• Ngizwa iqhubu ngaphambili entanyeni yami, lizwakala linzima .
• Ama-lymph node avuvukele .
• Kunzima ukugwinya ukudla nokuphuza .

Kungani le cyst ye-thyroglossal duct yakheka?

Lezi zimila zakheka ngesikhathi sokukhulelwa , lapho umzimba wakho uqala ukwakha indlala yegilo. Indlala yegilo iyindlala emise okwebhabhathane ekhiqiza ama-hormone alawula indlela esisebenza ngayo. Kalula nje, le ndlala ilawula izinto ezifana nesivinini esiguqula ngaso ukudla esikudlayo kube amandla.

Ukuze kwakheke le ndlala yegilo, amangqamuzana egilo ahamba esuka phansi kolimi aye ethanjeni elinomumo we-U elibizwa ngokuthi ithambo le-hyoid, elisekela ulimi lwethu. Lolu hambo lwenzeka endleleni ebizwa ngokuthi i-thyroglossal tract. Ngokuvamile, uma indlala yegilo isisendaweni yayo efanele, le payipi iyavaleka futhi incibilike. Kodwa-ke, kwabanye abantu, le payipi ayivaleki kahle . Yilapho igcwala khona uketshezi kanye ne-mucus, kwakha ama-cyst e-thyroglossal. Abacwaningi abakaqiniseki ukuthi kungani le payipi ingancibiliki kwabanye abantu.

Odokotela bakuthola kanjani i-cyst ye-duct ye-thyroglossal?

Odokotela baxilonga lokhu ngokuhlola intamo yakho noma yengane yakho, bese benza i-ultrasound scan ukuze bathole ubukhulu besimila.

Odokotela bathola kanjani ukuthi lokhu kungumdlavuza?

Ngokuvamile, odokotela bathola lolu hlobo lomdlavuza ngenkathi belapha esinye isimo, isibonelo, ngesikhathi sokuhlinzwa ukuze kususwe isimila. Uma besola ukuthi isimila singase sibe umdlavuza, bangenza izivivinyo ezinjengalezi ukuqinisekisa izinsolo:

• Ukuhlolwa kwenaliti encane: Lokhu kuhilela ukusebenzisa inaliti encane nesinaphi encane ukususa isampula yamaseli, uketshezi, noma izicubu ezivela esigaxeni bese kuhlolwa ngaphansi kwe-microscope noma elabhorethri ukuze kubonakale ukuthi isigaxa sinamangqamuzana omdlavuza.
• I-CT scan (i-computed tomography - i-CT scan): Lokhu kusebenzisa uchungechunge lwe-X-ray kanye nekhompyutha ukudala izithombe zentamo yakho ezinezinhlangothi ezintathu (3D).
• I-MRI Scan (I-Magnetic Resonance Imaging - I-MRI): Lokhu kuhlolwa okungenabuhlungu okusebenzisa i-magnet enkulu, amaza omsakazo, kanye nekhompyutha ukukhiqiza izithombe ezicacile zentamo.

Ingabe i-Thyroglossal Duct Cyst idinga ukususwa?

Udokotela wakho angase akuncome ukuhlinzwa, ikakhulukazi uma i-cyst inegciwane noma uma kwenza kube nzima ngawe noma enganeni yakho ukugwinya ukudla noma isiphuzo . Ngezinye izikhathi, noma ngabe i-cyst ayibangeli zimpawu, udokotela wakho angase akuncome ukuhlinzwa.

Hlobo luni lokuhlinzwa olusetshenziswayo ukususa la mathumba?

Ukuhlinzwa okuvamile kakhulu kubizwa ngokuthi ukuhlinzwa kwe-Sistrunk . Phakathi nalokhu kuhlinzwa, odokotela benza ukusika okuncane entanyeni yakho noma yengane yakho bese besusa isimila, noma yiziphi izingxenye ezisele zendlela ye-thyroglossal, kanye nengxenye ephakathi yethambo lakho noma lengane yakho.

Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa kwe-Sistrunk?

Abantu abake bahlinzwa i-Sistrunk bangabuyela esikoleni noma emsebenzini cishe ngesonto . Kodwa-ke, odokotela bangase bakucebise ukuthi ugweme umsebenzi onzima, ikakhulukazi ukuphakamisa izinto ezisindayo, amasonto amabili kuya kwayisithupha ngemva kokuhlinzwa.

Umdlavuza we-Thyroglossal Duct Cyst welashwa kanjani?

Uma unalolu hlobo lomdlavuza, udokotela wakho uzoqala ngokuncoma inqubo ye-Sistrunk. Ngemuva kwalokho uzohlola ama-lymph node akho entanyeni engezansi kanye ne-thyroid gland. Kuye ngemiphumela yalezo zivivinyo, bangase batuse ukuhlinzwa okwengeziwe. Isibonelo:

• Ukususwa kwe-thyroid okuphelele: Kule nqubo, odokotela basusa yonke noma ingxenye ye-thyroid gland yakho.
• Ukusikwa kwentamo eseceleni: Wonke ama-lymph node entanyeni angase athintwe yi-tumor ayasuswa.
• Ukwelashwa nge-iodine enemisebe (RAI): Lokhu kwelashwa kuhilela ukuphuza iphilisi eliqukethe i-iodine enemisebe, ebhubhisa noma yimaphi amangqamuzana omdlavuza asele.

Ingabe i-Thyroglossal Duct Cyst ingavinjelwa?

Cha. Lesi simila sizalwa naso . Lokho kusho ukuthi umuntu uzalwa nalesi simila. Ngakho-ke, ayikho indlela yokusivimbela.

Yini okufanele ngiyilindele uma ingane yami ine-Thyroglossal Duct Cyst?

Ezimweni eziningi, lezi zimila azibuyi ngemva kokususwa kwazo ngokuhlinzwa kwe-Sistrunk.Lokho kusho ukuthi lesi simo cishe sesiphelile ngokuphelele. Ngakho-ke, akukho okufanele ukhathazeke ngakho.

Yini okufanele ngiyilindele uma nginomdlavuza we-Thyroglossal Duct Cyst?

Ucwaningo lubonisa ukuthi cishe ama-95% ala makhambi angelapheka ngokuhlinzwa . Abanye abantu kungadingeka futhi baphathwe nge-radioactive iodine ngemva kokuhlinzwa. Kodwa amathuba okululama aphezulu kakhulu.

Ingane yami ikhishwe i-thyroglossal duct cyst. Kufanele ngimbone nini udokotela?

Uma ingane yakho inanoma yiziphi zalezi zimpawu ngemva kokuhlinzwa, kufanele ubonane nodokotela ngokushesha:

• Uma kunomkhuhlane: Lokhu kusho ukuthi izinga lokushisa lingu-38 degrees Celsius (100.4 degrees Fahrenheit) noma ngaphezulu.
• Uma kunezimpawu zokutheleleka: njengokubomvu, ukuvuvukala, noma ubuhlungu.
• Uma kukhona uketshezi oluphuma endaweni yokuhlinzwa.
• Uma ubuhlungu bungapheli ngisho nangemva kokuthatha imithi yobuhlungu enqunywe udokotela.

Ngisuswe isimila somdlavuza. Kufanele ngimbone nini udokotela?

Odokotela bangasebenzisa izindlela ezahlukene ukwelapha i-thyroglossal duct cyst. Ngakho-ke, buza udokotela wakho nganoma yiziphi izinkinga ezithile ezingase zenzeke ngemva kokuhlinzwa. Ngokuvamile, bona udokotela wakho uma unanoma yikuphi kwalokhu okulandelayo:

• Uma unomkhuhlane: Uma izinga lokushisa lingu-38 degrees Celsius (100.4 degrees Fahrenheit) noma ngaphezulu.
• Uma ubona izimpawu zokutheleleka: njengokubomvu, ukuvuvukala, noma ubuhlungu.
• Uma kukhona uketshezi oluphuma endaweni yokuhlinzwa.
• Uzwa ubuhlungu, futhi noma uphuza imithi yobuhlungu oyinikezwe udokotela, ayipheli.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

I-Thyroglossal Duct Cyst iyisimo esingavamile, ngakho-ke ungase umangale ukuzwa ukuthi ingane yakho inayo. Noma, uma unesimila somdlavuza, ungase ube nemibuzo eminingi okufanele uyibuze udokotela wakho. Nansi eminye imibuzo okufanele uyibuze ngaleso sikhathi:

• Iyini i-Thyroglossal Duct Cyst?
• Kungani lokhu kwenzeke kimi/enganeni yami?
• Ingabe mina/ingane yami sidinga ukuhlinzwa?
• Uma ngihlinzwa, ingabe lesi simila singabuya?
• Isimila sami sinomdlavuza. Yikuphi ukwelashwa okunconywayo?
• Iyini imiphumela emibi yokwelashwa?

Kuvamile ukuzizwa ukhathazekile kancane uma ubona iqhubu elingavamile entanyeni yakho noma kwengane yakho. Kodwa-ke, uma kuyi-Thyroglossal Duct Cyst (TDC), ungaphumula kalula, njengoba la maqhubu evame ukuba yingozi futhi awabuyi ngemva kokususwa ngokuhlinzwa .

Okokugcina, izinto okufanele uzikhumbule

Cabanga nje, uma uthola iqhubu elincane noma isimila entanyeni yakho noma entanyeni yengane yakho, kuyinto evamile ukukhathazeka kancane, akunjalo? Kodwa-ke, uma kuyi-Thyroglossal Duct Cyst, kuyaduduza ukukhumbula ukuthi isikhathi esiningi akuyona ingozi. Iningi lala maqhubu awawona umdlavuza . Njengokuthi, awavamile ukubuya ngemva kokususwa 'ngokuhlinzwa kwe-Sistrunk'.

Kodwa-ke, akuvamile kakhulu, lokhu kungaba umdlavuza. Noma kunjalo, kubikwa ukuthi ngokuhlinzwa nokwelashwa okulandelayo uma kudingeka, cishe ama-95% amacala angelapheka.

Esikhathini esiningi, i-Thyroglossal Duct Cyst ayibuhlungu. Futhi, abanye abantu abazi nokuthi banayo kuze kube yilapho benenkinga yokugwinya. Ngakho-ke, uma ubona iqhubu elisha noma iqhubu entanyeni yakho noma entanyeni yengane yakho, kungcono ukubona udokotela ngaphandle kokukhathazeka kakhulu ngalo. Udokotela angase alihlole futhi ancome ukwelashwa uma kudingeka. Ungakhathazeki, kunezixazululo zakho konke!

I-Thyroglossal Duct Cyst, I-Thyroglossal Duct Cyst, I-Neck Cyst, Udokotela Wezingane, Ukuhlinzwa Kwe-Sistrunk, Umdlavuza, Izifo Zokuzalwa