Ingabe amathambo engane yakho agcwele amabhamuza amanzi? (I-Unicameral Bone Cyst) Ake sifunde ngakho.

O, ngezinye izikhathi izinto zingenzeka emizimbeni yezingane ezincane ongazicabangi ngisho nokuzicabanga, akunjalo? Ngezinye izikhathi kungaba khona okungahambi kahle ngaphakathi ngaphandle kwezimpawu. Namuhla sizokhuluma ngesimo esisodwa esinjalo, esivame ukungabonisi zimpawu, kodwa kubalulekile ukuqaphela. Lolo uhlobo lwesimila esakheka emathanjeni esibizwa ngokuthi 'i-Unicameral Bone Cyst' . Ungesabi, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Iyini le ngqamuzana yamathambo (i-Unicameral Bone Cyst)?

Kalula nje, lokhu (i-Unicameral Bone Cyst) kuyimbobo encane egcwele uketshezi eyakheka ngaphakathi kwethambo. Igama elithi "unicameral" lisho "igumbi elilodwa." Ngakho-ke, lembobo inombobo eyodwa kuphela egcwele uketshezi ngaphakathi.

Into ebalulekile ukuthi lezi azizona ezinomdlavuza (ezingenabungozi) . Okusho ukuthi, azizona ezinomdlavuza, ngakho-ke aziyona into yokukhathazeka ngayo. Lezi zimila zivame ukubonakala ezinganeni nakubantu abadala abangaphansi kweminyaka engama-20.

Nakuba lezi zimila zingakheka kunoma yiliphi ithambo, zivame ukutholakala ku:

• Ethanjeni elide engalweni engenhla, eduze kwehlombe (`humerus`)
• Engxenyeni engenhla yomlenze, eduze kwesinqe (i-femur)

Esikhathini esiningi, lawa (ama-Unicameral Bone Cysts) awabangeli ubuhlungu . Ngezinye izikhathi, atholakala ngengozi ngesikhathi se-X-ray ngesinye isizathu. Kodwa-ke, uma ithambo elizungeze i-cyst liba buthaka futhi kuvela ukuphuka , ubuhlungu nokuvuvukala kungenzeka.

Zikhona yini izinhlobo zalezi zinhlobo zamantongomane?

Yebo, kunezinhlobo ezimbili eziyinhloko zama-Unicameral Bone Cysts. Lawa akhula eduze kwezindawo lapho amathambo ezingane akhula khona, abizwa ngokuthi "ama-growth plates." Njengoba amathambo engane yakho ekhula kancane kancane, lawa ma-cysts ayasuka kuma-growth plates.

1. Ama-cyst asebenzayo: Lawa atholakala eduze kakhulu ne-growth plate. Angaba makhudlwana ngokuhamba kwesikhathi. Njengoba ekhula, ithambo elizungezile liyabuthaka futhi liba sengozini enkulu yokuphuka.

2. Ama-cyst afihlekile: Lawa atholakala kude kakhulu ne-growth plate. Awabi makhudlwana. Lapho ukukhula kwamathambo engane yakho kuyeka, okungukuthi, ngemva kokuba isikhule ngokugcwele, iningi lala ma-cyst lizogcwala ngamathambo bese linyamalala lodwa.

Cabanga ngale ndlela, njengoba nje igatsha esihlahleni likhula. Lelo 'puleti lokukhula' lifana nendawo lapho igatsha liqala khona. 'Ama-node asebenzayo' akheka khona lapho, futhi angathonya igatsha njengoba likhula. 'Ama-node angasebenzi' afana nokuthile, ngemva kokuba igatsha selikhule kancane, elisuke lapho laqala khona, futhi akusekho nkinga enkulu.

Kuvamile kangakanani? Ubani okuthola kaningi?

Lezi (ama-Unicameral Bone Cysts) zivame kakhulu.Uhlobo lwesimila samathambo. Kodwa ngenxa yokuthi abantu abaningi abanazo izimpawu futhi abakaze baxilongwe, kunzima ukwazi ukuthi bangaki abantu abanaso ngempela. Kutholakale ukuthi abafana banamathuba amaningi okuthola lesi simo kunamantombazane.

Kungani izimila zifana nalezi? Iyini imbangela?

Eqinisweni, ngisho nodokotela abakakwazi ukuthola ukuthi kungani lawa (ama-Unicameral Bone Cysts) akheka. Kucatshangwa ukuthi mhlawumbe ngenxa yephutha elithile ethanjeni, noma ngenxa yokuvaleka komthambo, uketshezi lungaqongelela futhi lwakhe ama-cyst anjalo. Kodwa imbangela eqondile ayikacaci okwamanje .

Ziyini izimpawu? Uzibona kanjani?

Izingane eziningi ezine-Unicameral Bone Cysts azibonisi zimpawu . Ngaphandle kwalokho, zingase zibonise izimpawu ezincane kakhulu, ezingabalulekile eduze nendawo lapho i-cyst ikhona khona. Izimpawu ezinjalo zifaka:

• Ubuhlungu obuncane nje.
• Ukuvuvukala okuncane.
• Ububele uma buthintwa.

Kodwa-ke, njengoba ngishilo ngaphambili, uma lesi simila senza ithambo libe buthaka futhi sibangele ukuphuka , izimpawu zingaba sobala kakhulu:

• Ukuphuka.
• Ubunzima bokuhambisa izitho.
• Ubuhlungu obukhulu.
• Ukuvuvukala.
• Ushintsho ekubukekeni kwesimo noma isikhundla sethambo. (Isibonelo, ingalo ibonakala iluliwe)

Cabanga ngengane yakho iwa ngenkathi idlala bese ihlolwa i-X-ray ngenxa yobuhlungu engalweni yayo. Yilapho udokotela angase abone khona ngengozi iqhubu elinjengaleli.

Udokotela ukuthola kanjani lokhu?

Indlela eyinhloko yokuxilonga i-Unicameral Bone Cyst ukwenza i- X-ray . I-X-ray ingabonisa ngokucacile umehluko phakathi kwethambo ne-cyst.

Nokho, ngezinye izikhathi udokotela angase ancome ezinye izivivinyo ezimbalwa:

• I-MRI (I-Magnetic Resonance Imaging): Lokhu kungaveza isithombe esicacile sendawo engaphakathi kwesimila kanye nezicubu ezizungezile. Lokhu kusiza ukubona ngokuningiliziwe ukuthi yini engaphakathi kwesimila nokuthi sikhulu kangakanani.
• `I-CT scan (i-Computed Tomography scan)`: Lokhu kuwusizo kakhulu ekubhekeni izimila ezindaweni okunzima ukuzibona nge-`X-ray`, isibonelo, emgogodleni nasesinqeni. Kuthatha izithombe zamathambo ezinqamulelayo futhi kunganquma indawo eqondile kanye nosayizi wesimila.
• I-Biopsy: Ngezinye izikhathi, kuthathwa ingxenye encane yezicubu ku-cyst bese ihlolwa ngaphansi kwe-microscope. Lokhu kwenziwa yi-pathologist . Uzohlola isampula yezicubu ukuze anqume ukuthi ngabe yi-cyst yethambo elilodwa noma ngaphezulu, olunye uhlobo lwe-cyst yethambo, njenge-cyst yethambo ene-aneurysmal, noma esinye isimo sethambo, njenge-fibrous dysplasia.

Zonke lezi zivivinyo zenziwa ukuze kutholakale ukuthi ingane yakho inasiphi isimo futhi inikeze ukwelashwa okufanele kakhulu.

Yiziphi izici ezinquma ukwelashwa?

Udokotela uzonquma ukuthi uzoyiphatha yini ingane yakho noma uzoyibheka ngokusekelwe ezicini eziningana:

• Usayizi wesimila: Ingakanani isimila?
• Amandla ethambo: Libuthakathaka kangakanani ithambo ngenxa yesimila? Iyini ingozi yokuphuka?
• Izimpawu zengane: Ingabe ingane inobuhlungu noma ukuvuvukala?
• Iminyaka yengane kanye nezinga lomsebenzi: Ineminyaka emingaki ingane? Ingabe iyingane ekhuthele egijima futhi idlale?

Uma kuyithumba elincane futhi lingenazo izimpawu, udokotela angase athi , "Ake silinde sibone." Bazoqhubeka nokuthatha ama-X-ray ukuze babone ukuthi isimila siyakhula noma kukhona yini ushintsho. Bangase futhi bakucele ukuthi unciphise imisebenzi ethile (njengokugijima noma ukugxuma okunomthelela omkhulu) ukuze unciphise ingozi yokuphuka kwethambo.

Kodwa-ke, uma isimila sikhulu, ingane ibona izimpawu, noma kunengozi enkulu yokuphuka, udokotela angase atuse ukwelashwa.

Yiziphi izindlela zokwelapha?

Ungakhathazeki, kunezindlela zokwelapha ezisebenzayo zalezi (ama-Unicameral Bone Cysts).

1. Ukwelashwa ngemijovo:

Lena indlela yokuqala nengangenisi kakhulu esetshenziswayo . Udokotela uvala indawo lapho kukhona khona i-cyst bese esebenzisa inalithi encane ukususa uketshezi olungaphakathi kwe-cyst. Ngemuva kwalokho, i-steroid ebizwa ngokuthi i-methylprednisolone ifakwa emgodini. Lo muthi usiza i-cyst ukuthi inciphe kancane kancane. Kungadingeka ukuthi ufake le mijovo izikhathi eziningana, njalo emavikini ambalwa.

2. Ukwelashwa ngokuhlinzwa (i-Curettage):

Kwezinye izimo, ikakhulukazi uma isimila sikhulu noma uma imijovo ingasizi, inqubo ebizwa ngokuthi ``curettage`` ingenziwa. Kulokhu, udokotela ohlinzayo wenza isikhala esincane ethanjeni lapho isimila sikhona, akhuhle okuqukethwe yilesi simila kanye nolwelwesi lwesimila. Ngemuva kwalokho, ikhemikhali efana ne -``ethanol`` ingafakwa emgodini ukuze ibhubhise ngokuphelele noma yimaphi amangqamuzana esimila asele.

Bese ugcwalisa lowo mgodi ongenalutho:

• `Ukufakelwa Kwamathambo`: Lokhu kusho ukusebenzisa ingxenye encane yethambo ethathwe kwenye ingxenye yomzimba wengane (isib., ithambo lesinqe), noma ithambo elinikelwe.
• Uhlobo olukhethekile lwesimende samathambo: Lokhu kungagcwalisa leso sikhala.

Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa?

Ngemva kokuhlinzwa, gcina ithambo elilashiwe lingashukumi kuze kube yilapho liphola.Kufakwa iplasta ye-Paris (cast) noma i-sling. Iningi lezingane liyakwazi ukuqhubeka nemisebenzi yalo evamile cishe ezinyangeni ezintathu kuya kweziyisithupha. Kodwa-ke, lokhu kungahluka kuye ngengane, kuye ngohlobo lwesimila.

Ngesikhathi sokululama, udokotela wakho uzokuqondisa wena nengane yakho. Ungase udinge nokwelashwa ngokomzimba noma ukwelashwa ngokomsebenzi . Lokhu kusho ukuzivocavoca okuzokusiza ukuthi ujwayele ukunyakaza nokuqinisa izitho zakho zomzimba.

Yini okufanele uyenze uma ithambo liphuka (liphuka)?

Uma ithambo liphukile ngeshwa, ukwelashwa okuvamile ukufaka i-plaster ye-Paris (cast) ethanjeni eliphukile ukuze lihlale lingashukumi . Ithambo lizophola lodwa.

Kodwa-ke, uma i-growth plate engikhulume ngayo ekuqaleni yonakele , kungadingeka ukwelashwa okwengeziwe kuye ngokuthi isimo sibucayi kangakanani. Ezimweni ezinjalo:

• Ukulungisa ithambo eliphukile nokufaka i-cast.
• Ngezinye izikhathi, ukuhlinzwa kungenziwa ukuze kulungiswe ithambo ngezikhonkwane zensimbi, izikulufo, noma amapuleti.

Cabanga ngakho, ngezinye izikhathi lapho ithambo liphukile, isimila siyaphola sodwa njengoba siphola. Akwenzeki kuwo wonke umuntu, cishe oyedwa kwabayi-4 kuphela. Uma isimila singapholi, udokotela wakho angase akuncome ukuhlinzwa ukuze kususwe isimila ukuze kuvinjelwe ukuphuka okunye.

Ingabe ingakhula futhi ngemva kokwelashwa?

Yebo, lokhu kuyinto okufanele uyicabangele. Ngemva kokwelashwa kwe-Unicameral Bone Cysts, amathuba okuphinda avele angaba ngu-50% . Lokho kusho ukuthi uma kwelashwa izingane ezimbili, eyodwa ingabuya. Ingozi yokuphinda ivele iphezulu kakhulu ezinganeni ezincane kakhulu .

Yingakho udokotela eqhubeka nokuletha ingane ukuze iyohlolwa futhi athathe ama-X-ray ukuze abone ukuthi isimila sesiphinde savela yini.

Ingabe ikhona indlela yokuvimbela lokhu ukuthi kungenzeki?

Ngeshwa, njengoba imbangela eqondile yama-Unicameral Bone Cysts ingaziwa, ayikho indlela eqondile yokuwavimbela ukuthi akheke .

Lizoba yini ikusasa uma ingane inalesi simo? (Isibikezelo)

Iningi lama-(Unicameral Bone Cysts) alibangeli zimpawu futhi liyanyamalala lodwa uma ingane isikhulile ngokugcwele . Lezo yizindaba ezinhle.

Uma ingane yakho inezimpawu, iphukile, noma isengozini yokuphuka, kunezindlela zokwelapha ezisebenzayo . Into ebaluleke kakhulu ukuqhubeka nokuqapha njalo njengoba udokotela wakho esho, ngoba lokhu kungenzeka futhi ezinganeni ezincane.

Akuvamile kakhulu ukuthi ukukhula kwamathambo kume ngenxa yokuphuka noma ngemva kokuhlinzwa. Uma lokhu kwenzeka, udokotela wakho uzokunikeza lonke usizo neseluleko esidingwa nguwe nomntwana wakho.

Kufanele ngimbone nini udokotela?

Uma ingane yakho ikhala ngobuhlungu eduze kwethambo, noma uma ubona okuthile okufana nokuvuvukala kuleyo ndawo, bheka udokotela ngokushesha . Ukutholwa kusenesikhathi kwe-Unicameral Bone Cyst kungavimbela ukuqhekeka okungenzeka kanye nokukhubazeka kwamathambo.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho, lezi yizinto ezibaluleke kakhulu okudingeka uzikhumbule:

• Ama-Unicameral Bone Cysts uhlobo lwe -non-cancer , egcwele uketshezi, olungenalo umdlavuza.
• Lokhu kuvame ukubonakala ezinganeni nakubantu abadala abasebasha .
• Isikhathi esiningi azikho izimpawu . Kutholakala ngengozi.
• Ngokuvamile iphola yodwa lapho ingane isikhule ngokugcwele.
• Uma kunezimpawu noma kukhona ingozi yokuphuka, kunezindlela zokwelapha ezisebenzayo (imijovo, ukuhlinzwa) .
• Ngisho noma ukwelashwa kungaphinde kubuye, ngakho-ke kubaluleke kakhulu ukuhlolwa njalo njengoba kuqondiswe udokotela wakho .

Khumbula, uma unokungabaza okuncane kakhulu ngempilo yengane yakho, akukaze kube sekwephuzile ukukhuluma nodokotela.

I- Unicameral Bone Cyst, i-simple bone cyst, i-solitary bone cyst, ama-bone cyst, izifo zamathambo ezingane, ukwaphuka kwamathambo, ukukhula kwamathambo, impilo yengane