A impso chotupa Ndi kathumba kakang'ono ka madzi. Kamapezeka mkati mwa impso. Impso zooneka ngati nyemba, zomwe zimadziwikanso kuti ziwalo zotulutsa madzi, zimalekanitsa zinyalala kuchokera m'thupi mwanjira ya mkodzo. Ziphuphu za impso nthawi zambiri zimakhala zopanda zizindikiro ndipo sizimayambitsa khansa. Komabe, ziphuphu zazikulu zimatha kukhala zopweteka komanso zosasangalatsa. Ngakhale anthu ena ali ndi chiphuphu chimodzi chokha, ena akhoza kukhala ndi ziphuphu zingapo. Chiphuphu chimodzi kapena zingapo zimatha kukhudza chiwalo chimodzi chotulutsa madzi kapena impso zonse ziwiri. Odwala akadziwa za ziphuphu za impso, chinthu chomwe chimabwera m'maganizo mwawo ndi kukula kwa chiphuphu cha impso chomwe chili choopsa? Mu blog iyi, tifufuza kukula kwa ziphuphu za impso zomwe zili zoopsa ndikuyang'ana njira zopewera.
Malinga ndi bungwe la Indian Council of Medical Research, ma cysts ambiri a impso ndi abwino ndipo safuna chithandizo. Nthawi zambiri, ma cysts a impso si chifukwa chodera nkhawa ndipo sakhudza ntchito ya impso zanu. Sizachilendo kupeza cyst yayikulu yomwe ingakhale yopweteka. Dokotala wanu akufuna kungoyang'anira ndikulemba m'mbiri yanu yazachipatala. Ngati mukukayikira kuti cyst ya impso, dokotala wanu angachotse kapena kupereka malangizo ena oti muyesedwe.
Mitundu ya Impso Cysts
Zosavuta komanso zovuta cysts ndi 2 mitundu ya impso cysts. Ma cysts osavuta amakhala ofala kwambiri.
- Zambiri: Anthu akamakula, izi zimachitika kawirikawiri, ndipo okalamba amakhala ndi vutoli mosavuta.
- Zovuta: Ma cysts ovuta angafunike kuunikiridwa kwina kapena chithandizo cha opaleshoni chifukwa ena ali ndi chiopsezo chachikulu cha khansa.
Kodi Kukula kwa Impso Kumaonedwa Kuti Ndikoopsa Liti?
Kawirikawiri, kukula kwa cyst kumathandiza madokotala kusankha ngati cyst ikufunika chithandizo kapena kutsatiridwa. Cyst zazikulu zingafunike chisamaliro. Makamaka ngati izi zikukankhira ziwalo zozungulira, kuletsa mkodzo kutuluka kapena kuphulika. Komabe, cyst yosavuta ya 6 cm ingakhale yosadetsa nkhawa kuposa cyst yaying'ono yokhala ndi zithunzi zovuta kapena zokayikitsa.
Ma cysts akuluakulu kuposa 5 cm (pafupifupi mainchesi awiri) amatha kuyambitsa zizindikiro kapena zovuta ngakhale palibe malire olimba. Pamene cyst ikukula kapena kukulirapo, madokotala ambiri amayamba kuzindikira bwino makamaka ngati pali zizindikiro. Komabe, ngakhale ma cysts a 3-4 cm angafunike kuyang'aniridwa makamaka ngati akuwoneka ovuta kapena akukulirakulira.
Tchati cha Magulu a Bosniak
| Category | Kufotokozera | Mulingo Wangozi | Njira Yochizira |
| Chibosnia I | Chiphuphu chosavuta chokhala ndi makoma opyapyala komanso madzi oyera | Zabwino | Palibe chithandizo chofunikira |
| Bosniak II | Ma septa ochepa kapena ma calcifications ang'onoang'ono | Ngozi yaing'ono | Palibe chithandizo chofunikira |
| Bosniak IIF | Septa yambiri, kukhuthala kochepa | Kuopsa kwapakatikati | Kuwunika nthawi zonse (kusanthula kotsatira) |
| Bosniak III | Makoma olimba kapena kapangidwe kosakhazikika | Akudandaula | Opaleshoni kapena biopsy ingafunike |
| Bosniak IV | Zigawo zolimba, chiopsezo chachikulu cha khansa | Chiopsezo chachikulu | Kuchotsa opaleshoni kumalimbikitsidwa |
Dziwani: Malinga ndi All India Institute of Medical Sciences, madokotala amagwiritsa ntchito njira ya Bosniak yogawa, osati kukula kokha, kuti adziwe ngati chotupa cha impso chili choopsa kapena chikufunika chithandizo. Chifukwa chake, funsani dokotala wodziwa bwino za urologist kuti mupeze zotsatira zabwino.
Zomwe Zimayambitsa Renal Cysts
Ngakhale kuti asayansi sakudziŵa chomwe chimayambitsa, amadziŵa kuti makolo obadwa nawo samapatsirana ma cysts. Ndipo matenda ochokera ku matenda obadwa nawo samabweretsa ma cysts osavuta. Amaganiza kuti zotupa za impso zosavuta zimatha kuchitika chifukwa cha kuwonongeka kapena kutsekeka kwapang'onopang'ono m'machubu aimpso. Zaka ndi kupita patsogolo kwa matenda a impso zimakhala ndi gawo lalikulu pakupanga zotupa za impso. M'munsimu muli zifukwa zazikulu:
- Age: Kathumba kakang'ono kodzaza madzimadzi, makamaka mwa anthu okalamba, amawonekera. Mwayi wokhala ndi matumba odzaza madziwa umakwera ndi zaka.
- Matenda a Impso (CKD): Kukula kwa chotupa cha impso kungakhale kowonjezereka mwa anthu omwe ali ndi matenda a impso (CKD) ndi matenda ena a impso.
- Kuvulala kapena Kuvulala: Impso cysts nthawi zina imatha kuwoneka pambuyo povulala kapena kuvulala kwa impso.
Zizindikiro za Chiphuphu Chachikulu Kapena Choopsa cha Impso
Ma cysts osavuta a impso nthawi zambiri samayambitsa vuto lililonse. Pokhapokha izi zikakulitsidwa zimatha kubweretsa ku:
- Kusapeza bwino kapena Ululu: Ziphuphu za impso zomwe zimakhala zazikulu zimatha kuyambitsa kusapeza bwino kapena kukwiya kumbuyo kapena mbali ya impso.
- Hematuria: Ma cysts amatha kutulutsa magazi mukakodza. Matendawa amatha kutulutsa mkodzo wa pinki, wofiira, kapena wabulauni.
- Kuthamanga kwa Magazi: Ziphuphu za impso, makamaka zazikulu, zimatha kuyambitsa kuthamanga kwa magazi komwe kungayambitse matenda oopsa. Kuwongolera kuthamanga kwa magazi kumakhala kofunika kwambiri kuti tipewe mavuto.
- Kufunika Kogwiritsa Ntchito Mkodzo Nthawi Zambiri: Ma cysts amatha kuwonjezera kuthamanga kwa chikhodzodzo ndipo kungayambitse kukodza pafupipafupi.
- Kupweteka Kwambiri: Kupweteka kosayembekezereka, lakuthwa m'mphepete, kungakhale chifukwa cha kusweka kwa chotupa, makamaka pambuyo povulala.
Kuzindikira: Kodi Ma cysts Amayezedwa Bwanji?
Nthawi zambiri, akatswiri azachipatala amagwiritsa ntchito kafukufuku woyerekeza kuti awone zotupa za aimpso zomwe zimaphatikizapo:
- ultrasound
- Computed Tomography (CT) Scan
- Kujambula kwa Magnetic Resonance (MRI)
Njira Zochizira Matenda a Impso
Chithandizo chimadalira kukula kwa chotupa, zizindikiro, ndi zomwe zapezeka mu chithunzi. Dokotala akhoza kuyang'anira chotupa cha impso chomwe ndi chaching'ono kwa nthawi inayake ndikupeza matenda nthawi zonse. Komabe, ngati zizindikiro zazikulu ziyamba, munthu angafunike mankhwala opha maantibayotiki kapena mankhwala ochepetsa ululu omwe amaperekedwa ndi dokotala. Zizindikiro zimatha kuchitika ngati chotupacho chikuletsa kuyenda kwa mkodzo kapena magazi kudzera mu impso. Kuti atulutse chotupacho, dokotala anganene kuti:
- Opaleshoni
- ngalande
- Sclerotherapy
Sclerotherapy imagwiritsa ntchito ultrasound kutsogolera singano mu chotupa, kuchotsa, ndi kubaya njira ya mowa kuti zisabwerenso. Katswiri wazachipatala atha kuyitanitsa kuti achotsedwe ngati chotupa chachikulu chachitika. Izi nthawi zambiri zimachitidwa m'chipatala chokhala ndi anesthesia. Dokotala amatha kuchotsa chotupacho ndi chida chaching'ono chomwe chimakhala ndi kuwala ndi kamera kumbali imodzi. Izi zimawathandiza kuti asamakhale ochepetsetsa kwambiri.
Kupewa Malangizo kwa aimpso Cyst
Kupewa matenda a impso kungakhale kovuta. Mukhoza kupewa ngozi mwa:
- Kumwa madzi ochuluka momwe ndingathere.
- Kuletsa kuchuluka kwa shuga ndi mchere muzakudya.
- Kusamalira matenda osatha monga matenda a shuga ndi matenda oopsa.
- Kupita kukayezetsa pafupipafupi, makamaka ngati matenda a impso akupitilirabe m'banjamo.
Kutsiliza
Ma cysts akulu kuposa ma centimita anayi mpaka asanu, makamaka omwe amayambitsa zizindikiro kapena kuwonetsa zovuta zojambulira, amafunikira kuyang'anitsitsa. Koma kutalika kokha sikuwulula kukula kwa chotupa cha aimpso chomwe chikuwopseza. Chofunikira ndi momwe cyst imawonekera, ngati ikukula, komanso ngati imayambitsa zizindikiro kapena imakhudza ntchito ya impso.
Ngati madokotala akupezani kuti muli ndi chotupa cha impso, musachite mantha. Ambiri mwa ma cystswa alibe vuto lililonse ndipo amafunikiranso kuyang'aniridwa mwa apo ndi apo. Ingodziwani, funsani mafunso, ndipo funsani wothandizira zaumoyo wanu kuti mudziwe njira yabwino yochitira.
Chodzikanira: Izi ndi zongofuna kudziwa zambiri zokha ndipo siziyenera kuonedwa ngati upangiri wa zachipatala. Chonde funsani katswiri wazachipatala wodziwa bwino ntchito yanu kuti akuthandizeni kuzindikira ndi kulandira chithandizo.
