A i-cyst yezinso iyisikhwama esincane soketshezi. Sikhona ngaphakathi kwezinso. Izinso ezimise okwebhontshisi, ezaziwa nangokuthi izitho zokukhipha ukungcola, zihlukanisa imikhiqizo engcolile emzimbeni ngesimo somchamo. Ama-cyst ezinso avame ukungabonakali futhi awawona umdlavuza. Nokho, ama-cyst amakhulu angaba buhlungu futhi angakhululeki. Ngenkathi abanye abantu bene-cyst eyodwa kuphela, abanye bangase babe nama-cyst amaningi. I-cyst eyodwa noma ngaphezulu ingathinta isitho esisodwa sokukhipha ukungcola noma zombili izinso. Lapho iziguli sezazi ngama-cyst ezinso, into efika engqondweni yazo ukuthi ubukhulu be-cyst yezinso buyingozi? Kule bhulogi, sizohlaziya ubukhulu be-cyst zezinso obuyingozi futhi sibheke izindlela zokubuvimbela.
Ngokusho kwe-Indian Council of Medical Research, ama-cyst ezinso alula kakhulu awadingi ukwelashwa. Ngokuvamile, ama-cyst ezinso awayona imbangela yokukhathazeka futhi awathinti kangako ukusebenza kwezinso zakho. Akuvamile ukuthola i-cyst enkulu engaba buhlungu. Konke udokotela wakho angase afune ukukwenza ukuliqapha bese ulibhala emlandweni wakho wezokwelapha. Uma kusolwa ukuthi i-cyst yezinso inesifo, udokotela wakho angase ayisuse noma aphakamise ukuhlolwa okwengeziwe.
Izinhlobo zama-Kidney Cysts
Ama-cyst alula futhi ayinkimbinkimbi yizinhlobo ezi-2 zama-cysts ezinso. Ama-cyst alula avame kakhulu.
- Okulula: Njengoba abantu bekhula, lokhu kuvamile, futhi asebekhulile bathambekele kakhulu kukho.
- Inkimbinkimbi: Ama-cyst ayinkimbinkimbi angadinga ukuhlolwa okwengeziwe noma ukwelashwa ngokuhlinzwa ngoba amanye anengozi ephezulu yomdlavuza.
Kunini lapho usayizi we-Kidney Cyst uthathwa njengengozi?
Ngokuvamile, ubukhulu be-cyst buyasiza odokotela ekunqumeni ukuthi i-cyst idinga ukwelashwa noma ukulandelwa. Ama-cyst amakhulu angase adinge ukunakwa. Ikakhulukazi uma lawa ecindezela izitho ezizungezile, evimbela ukugeleza komchamo noma ngisho nokuqhekeka. Kodwa-ke, i-cyst elula engu-6 cm ingase ingakhathazeki kangako kune-cyst encane enezici eziyinkimbinkimbi noma ezisolisayo zokuthatha izithombe.
Ama-cyst amakhulu kuno-5 cm (cishe amasentimitha amabili) angase abangele izimpawu noma izinkinga nakuba kungekho mkhawulo oqinile. Lapho i-cyst iba nkulu noma inkulu kangaka odokotela abaningi be-urologist baqala ukuqaphela kakhulu ikakhulukazi uma kunezimpawu. Ngisho nama-cyst angu-3-4 cm nokho, angadinga ukubhekwa ikakhulukazi uma ebonakala eyinkimbinkimbi noma ekhula.
Ishadi Lokuhlukaniswa KwamaBosnia
| Isigaba | Incazelo | Izinga Leengozi | Indlela Yokwelapha |
| IsiBosnia I | I-cyst elula enezindonga ezincane kanye noketshezi olucacile | UBenign | Akukho ukwelashwa okudingekayo |
| I-Bosniak II | Ama-septa amancane noma ama-calcification amancane | Ingozi ephansi | Akukho ukwelashwa okudingekayo |
| I-Bosniak IIF | I-septa eyengeziwe, ukuqina okuncane | Ingozi emaphakathi | Ukuqapha okuvamile (ukuskena okulandelayo) |
| I-Bosniak III | Izindonga ezijiyile noma isakhiwo esingajwayelekile | Isolisa | Kungadingeka ukuhlinzwa noma i-biopsy |
| I-Bosniak IV | Izingxenye eziqinile, ingozi ephezulu yomdlavuza | Ingozi enkulu | Kunconywa ukususwa ngokuhlinzwa |
Qaphela: Ngokusho kwe-All India Institute of Medical Sciences, odokotela basebenzisa uhlelo lokuhlukanisa iBosniak, hhayi nje usayizi, ukuze banqume ukuthi i-cyst yezinso iyingozi noma idinga ukwelashwa. Ngakho-ke, thintana nodokotela we-urologist onolwazi ukuze uthole imiphumela engcono.
Izinkinga ze-Renal Cysts
Nakuba ososayensi bengaqiniseki ngembangela yangempela, bayazi ukuthi abazali bemvelo abawadlulisi ama-cyst alula. Futhi izifo ezibangelwa izifo zofuzo azibangeli ama-cysts alula. Bacabanga ukuthi ama-cysts alula angakhula ngenxa yokulimala noma ukuvaleka okuncane kwamashubhu ezinso. Iminyaka yobudala kanye nezigaba ezithuthukile zesimo sezinso kunendima enkulu ekwakheni ama-cysts. Ngezansi ezinye izimbangela ezinkulu:
- Ubudala: Isikhwama esincane esigcwele uketshezi, ikakhulukazi kubantu asebekhulile, siyabonakala. Amathuba okuthuthukisa la masaka agcwele uketshezi akhuphuka ngokuya ngeminyaka.
- Isifo Sezinso Ezingamahlalakhona (CKD): Ukuthuthukiswa kwesimila sezinso kungase kube amathuba amaningi kubantu abanesifo sezinso esingamahlalakhona (CKD) kanye nezinye izinkinga zezinso.
- Ukulimala noma Ukuhlukumezeka: Ama-cyst ezinso angavela ngezikhathi ezithile ngemva kokulimala noma ukuhlukumezeka ezinso.
Izimpawu ze-Kidney Cyst Enkulu noma Eyingozi
Ama-cysts alula ngokuvamile awabangeli izinkinga. Kuphela uma lezi zandisiwe zingaholela kulokhu:
- Ukungakhululeki noma Ubuhlungu: Ama-cysts amakhulu angabangela ukungakhululeki noma ukucasuka ngemuva noma ohlangothini lwezinso.
- I-Hematuria: Ama-cyst angabangela ukopha lapho uchama. Lokhu kugula kungaveza umchamo obomvana, obomvu, noma onsundu.
- Ukucindezela Kwegazi Eliphezulu: Ama-cysts ezinso, ikakhulukazi amakhulu, angabangela ukwanda komfutho wegazi okungase kubangele umfutho wegazi ophakeme. Ukulawula umfutho wegazi kuba semqoka ekugwemeni izinkinga.
- Ukuphuthuma Komchamo Ngokuvamile: Ama-cyst angakhuphula ingcindezi esinyeni futhi angabangela ukuchama njalo.
- Ubuhlungu obubukhali: Ubuhlungu obungalindelekile, obubukhali be-flank, kungase kube ngenxa yokuphuka kwe-cyst, ikakhulukazi ngemva kokuhlukumezeka.
Ukuxilongwa: Ikalwa Kanjani Ama-cysts?
Ngokuvamile, ochwepheshe bezokunakekelwa kwempilo basebenzisa uphenyo lwe-imaging ukuze bahlole ama-cysts ezinso ahlanganisa:
- ultrasound
- I-Computed Tomography (CT) Scan
- Magnetic resonance imaging (MRI)
Izinketho Zokwelashwa Kwama-Kidney Cyst
Ukwelashwa kuncike ngobukhulu be-cyst, izimpawu, kanye nokutholwa kwezithombe. Udokotela angase aqaphe ama-cyst ezinso amancane isikhathi esithile ngokuxilongwa okuvamile. Kodwa-ke, uma kuvela izimpawu ezinkulu, umuntu angadinga ama-antibiotic noma ama-painkiller atholakala ngaphandle kwe-counter. Izimpawu zingase zivele uma i-cyst ivimbela ukuhamba komchamo noma igazi ezinso. Ukuze kukhishwe i-cyst, udokotela angase asikisele:
- Ukuhlinzwa
- Amanzi
- I-Sclerotherapy
I-Sclerotherapy isebenzisa i-ultrasound ukuqondisa inaliti ku-cyst, ukuyikhipha, nokujova isisombululo sotshwala ukusiza ukuyivimbela ukuthi ingaphindeki. Uchwepheshe wezokunakekelwa kwempilo angase acele ukususwa uma kwenzeka kuba nesimila esikhulu. Lokhu ngokuvamile kwenziwa esibhedlela esine-anesthesia jikelele. Udokotela ohlinzayo angase asuse i-cyst ngegajethi encane ehlanganisa ukukhanya nekhamera ngakolunye uhlangothi. Lokhu kubasiza ukuthi bagcine ukusika kunesizotha kakhulu.
Amathiphu Okuvimbela I-Renal Cyst
Ukuvimbela ngokuphelele ama-cyst ezinso alula kungenzeka kungenzeki. Ungagwema ingozi ngokuthi:
- Ukuphuza amanzi amaningi ngangokunokwenzeka.
- Ukuvimbela amazinga akho kashukela nosawoti ekudleni.
- Ukulawula izimo zempilo ezingapheli ezifana nesifo sikashukela kanye nomfutho wegazi ophezulu.
- Ukuyohlolwa njalo, ikakhulukazi uma isimo se-cystic kidney disease siqhubeka emndenini.
Isiphetho
Ama-cysts amakhulu kunamasentimitha amane kuya kwamahlanu, ikakhulukazi lawo abangela izimpawu noma abonisa izici zesithombe eziyinkimbinkimbi, adinga ukuqapha okuseduze. Kodwa ubude bubodwa abuvezi ukuthi ingakanani i-cyst ye-renal esongelayo. Okubalulekile ukuthi i-cyst ibonakala kanjani, uma ikhula, nokuthi ingabe idala izimpawu noma ithinta ukusebenza kwezinso.
Uma odokotela bakuhlonze ukuthi une-cyst yezinso, ungethuki. Iningi lala ma-cyst alinangozi futhi alidingi okungaphezu kokuqashwa ngezikhathi ezithile. Hlala unolwazi, buza imibuzo, futhi uthintane nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole inkambo engcono kakhulu yokwenza.
Disclaimer: Lokhu okuqukethwe kungokwezinjongo zolwazi kuphela futhi akufanele kubhekwe njengeseluleko sezokwelapha. Sicela uxhumane nochwepheshe wezempilo ofanelekayo ukuze uthole ukuxilongwa nokwelashwa.
