Momwe Mungachotsere Cyst: Njira Zabwino Kwambiri ndi Zomwe Simuyenera Kuchita
Zamkati
- Njira zamankhwala zochotsera chotupa
- Ngalande
- Kukhumba kwabwino kwa singano
- Opaleshoni
- Laparoscopy
- Kuchiza kunyumba pambuyo pa chisamaliro
- Zowopsa zoyesera kuchotsa chotupa kunyumba
- Zithandizo zapakhomo
- Mitundu ya zotupa ndi malangizo opewera
- Zithunzi za zotupa
- Tengera kwina
Ziphuphu ndi matumba omwe amapangidwa pakhungu kapena paliponse mthupi. Amadzazidwa ndimadzimadzi, mpweya, kapena zinthu zina.
Pali mitundu yambiri yama cyst. Zoyambitsa zimaphatikizapo:
- zotchinga m'mimbamo
- zotupa za tsitsi zotupa
- matenda
Ziphuphu nthawi zambiri zimakhala zopanda vuto ndipo sizimafunikira chithandizo nthawi zonse. Ayeneranso kupezeka ndi dokotala.
Pitirizani kuwerenga kuti mudziwe nthawi yomwe chotupa chiyenera kuchotsedwa, momwe amachotsedwera, komanso chifukwa chake muyenera kukhala ndi dokotala kuti achite izi.
Njira zamankhwala zochotsera chotupa
Kungakhale kovuta kuzindikira chotupa motsutsana ndi chithupsa, chotupa cha khungu, kapena china chilichonse chomwe chingafune chithandizo. Ndicho chifukwa chake kuli kofunika kukaonana ndi dokotala kuti adziwe.
N'zotheka kuti cyst yanu mwina sichiyenera kuchotsedwa. Dokotala wanu angakulimbikitseni chithandizo china kutengera mtundu ndi malo a chotupacho.
Ngati chotupa chiyenera kuchotsedwa, nazi njira zina zomwe dokotala angagwiritse ntchito:
Ngalande
Pansi pa anesthesia yakomweko, dokotala amapanga tinthu tating'onoting'ono tomwe chotupa chimatha kuthira. Dokotala wanu amatha kunyamula gauze mu bala, lomwe limatha kuchotsedwa patatha tsiku limodzi kapena awiri. Kuti muchiritse kapena kupewa matenda, mungafunike kumwa maantibayotiki. Bala lanu liyenera kuchira pasanathe sabata kapena awiri.
Ngalande sizikulimbikitsidwa ndi ma epidermoid kapena pilar cysts pakhungu. Njirayi imasiya zotupazi pakhungu, zomwe pamapeto pake zimawapangitsa kuti abwererenso.
Ngalande zingathenso kuyambitsa khungu m'maso ndi pansi pa khungu. Izi zitha kupangitsa kuti ziphuphu zikhale zovuta kuzichotsa mtsogolo.
Kukhumba kwabwino kwa singano
Pochita izi, dokotala amaika singano yopyapyala mu chotupa kuti atulutse madziwo. Izi ziyenera kupangitsa kuti chotupacho chisadziwike kwambiri.
Njirayi itha kugwiritsidwa ntchito ngati ma cysts, omwe nthawi zina amatha kubwereranso. Kukhumba kwabwino kwa singano kumagwiritsidwanso ntchito pochita ma biopsy kuti mudziwe ngati chotupa cha m'mawere chili ndi maselo a khansa.
Opaleshoni
Opaleshoni ndi njira yamitundu ina yama cyst, monga ganglion, Baker's, ndi dermoid cysts. Mankhwala oletsa ululu am'deralo atha kugwiritsidwa ntchito kuti achepetse malowo. Mukadula pang'ono, dokotalayo amatulutsa chotupacho.
Kuchotsa opaleshoni ya cyst kumabweretsa chilonda. Kukula kwa chilondacho kumadalira pazinthu zingapo, kuphatikiza kukula kwa chotupacho.
Ziphuphu za Ganglion ndi Baker's cysts nthawi zina zimabweranso pambuyo pochitidwa opaleshoni.
Laparoscopy
Ma cysts ena, monga omwe amakula m'mimba mwake, amatha kuchotsedwa laparoscopically. Pochita izi, dokotalayo amagwiritsa ntchito scalpel kuti apange pang'ono pang'ono. Kenako amaika kamera yocheperako yotchedwa laparoscope mchimodzi mwa njira zowathandizira kuwona ndikuchotsa chotupacho.
Njirayi imabweretsa zipsera zochepa chabe chifukwa chakuchepa kochekera.
Kuchiza kunyumba pambuyo pa chisamaliro
Dokotala wanu adzakupatsani malangizo atatha kusamalidwa. Izi zingaphatikizepo malingaliro otsatirawa:
- Pewani chilondacho ndi bandeji youma. Pakhoza kukhala ngalande kwa masiku angapo, chifukwa chake sinthani bandeji monga mwalangizidwa.
- Ngati gauze adayikidwa pachilondacho, mungafunikire kubwerera ku ofesi ya dokotala kuti mukachotse kapena mungauzidwe momwe mungachichotsere nokha.
- Ngati adamwa mankhwala opatsirana m'kamwa, amwereni mpaka muwamalize onse, ngakhale bala lanu litawoneka bwino.
- Gwiritsani ntchito mafuta opha tizilombo monga mafuta.
- Tengani mankhwala owonjezera owerengera (OTC) kapena mankhwala opweteka monga mwalamulidwa.
Nthawi yochiritsa imadalira mtundu wa chotupa ndi m'mene chidachotsedwera.
Zowopsa zoyesera kuchotsa chotupa kunyumba
Kungakhale kovuta kudziwa motsimikiza ngati muli ndi chotupa kapena china chilichonse. Kuyesera kuti muchotse nokha kungakhale kwangozi pazifukwa zambiri:
- Ngati si cyst, mungakhale mukukulitsa vutoli.
- Kuphulika, kufinya, kapena kuphulitsa chotupa ndi chinthu chakuthwa kumatha kubweretsa matenda komanso kuwonongeka kwamuyaya.
- Ngati chotupacho chili ndi kachilombo kale, mumatha kuchifalitsa.
- Mutha kuvulaza minofu yoyandikana nayo.
- Ngati simumachotsa chotupa chonse, chimatha kutenga kachilomboka kapena pamapeto pake kumakula.
Pazifukwa izi, simuyenera kuyesa kuchotsa cyst nokha.
Zithandizo zapakhomo
Ma cysts ambiri pakhungu ndiwosavulaza ndipo amatha okha. Koma ma cysts ena amatha kukhala chizindikiro cha matenda akulu kwambiri. Musanayese mankhwala azinyumba, pitani kuchipatala kuti akuthandizeni kuti mupeze matenda.
Ngati dokotala akuvomereza, nazi njira zothandizira kunyumba zomwe mungayesere:
- Gwiritsani ntchito mankhwala osokoneza bongo (NSAIDs) osagwiritsidwa ntchito mopitirira muyeso kuti muchepetse ululu.
- Ikani compress yotentha kwa mphindi 10 mpaka 15, katatu kapena kasanu patsiku. Izi zitha kuthandiza kuchepetsa kutupa ndikulimbikitsa ngalande.
- Pazotupa zamaso, gwiritsani ntchito zopukutira chikope cha OTC kutsuka ngalande iliyonse.
- Kwa zotupa za m'mawere, valani bulasi yothandizira yokwanira bwino. Muthanso kuyesa compress yozizira.
Zitha kutenga kulikonse kuyambira masabata angapo mpaka miyezi ingapo kuti chotupa chidziwike. Ngati sichoncho, lankhulani ndi dokotala wanu za njira zowonjezera kapena kuchotsedwa kwa cyst.
Mitundu ya zotupa ndi malangizo opewera
Mitundu yambiri yama cyst siyingalephereke, koma mutha kuchepetsa chiopsezo chanu kwa ena.
Mtundu wa chotupa | Kufotokozera | Malangizo popewa |
Chotupa cha Epidermoid | Ziphuphu za Epidermoid zimatha kumera kulikonse pakhungu, makamaka nkhope, khosi, ndi thunthu. Amakula pang'onopang'ono ndipo nthawi zambiri samva kuwawa. | |
Chotupa cha m'mawere | Matumbo a m'mawere amadzaza ndimadzimadzi ndipo nthawi zambiri samakhala ndi khansa. Zimakhala zosalala, zosunthika mosavuta ndi mbali zosiyana, ndipo zimatha kukhala zachifundo mpaka kukhudza. | Palibe chopewera chomveka, koma kusintha kwa njira zakulera za mahomoni kapena mankhwala a mahomoni zitha kuthandiza kupewa mapangidwe atsopano. |
Chotupa cha Ganglion | Ziphuphu za Ganglion zimakula pamanja kapena m'manja koma zimatha kuchitika pamapazi kapena akakolo. Amatha kukhala ozungulira kapena owulungika ndipo amadzazidwa ndi madzimadzi onga odzola. Nthawi zambiri samva zowawa pokhapokha atakanikiza mitsempha. | |
Chotupa cha Pilonidal | Mapilidalidal cysts atha kukhala ndi tsitsi komanso khungu lakufa. Amakonda kuchitika pafupi ndi mchira ndipo amatha kutenga kachilomboka ndikupweteka. | Amatha kupezeka pakubadwa kapena kukula atavulala. Mutha kuchepetsa chiopsezo chamatenda amtsogolo posunga malowo kukhala oyera komanso kupewa zovala zothina. |
Chotupa chamchiberekero | Ziphuphu zamchiberekero zimadzaza ndi madzi.Nthawi zambiri zimakhala zopanda vuto ndipo sizimayambitsa zizindikiro. | Simungaletse zotupa zotulutsa mazira, koma mutha kuzigwira koyambirira ngati muli ndi mayeso azachipatala nthawi zonse. |
Chalazion | Chalazion ndi chotupa chomwe chimakula pang'onopang'ono, chopanda ululu mu chikope chomwe chimayamba pomwe tiziwalo timene timatulutsa mafuta timatseka. | Sambani m'manja musanakhudze maso anu, tengani mankhwala ndikuchotsani magalasi olumikizirana monga mwalamulidwa, chotsani zodzoladzola musanagone, ndipo siyani zodzoladzola zakale. |
Chotupa cha Baker (popliteal) | Chotupa cha Baker chimapanga kuseri kwa bondo chifukwa chovulala kapena matenda omwe amachititsa kuti madzi amange. Zitha kupweteketsa, kuuma, ndi kutupa. | |
Ziphuphu zakumaso | Pakakhala ziphuphu zazikulu, ma cyst odzaza mafinya amatha kukula. Zitha kukhala zopweteka ndipo zingayambitse mabala. | |
Pilar chotupa | Ziphuphu zomwe zimamera pafupi ndi ma follicles atsitsi ndi ma pilar cysts ndipo nthawi zambiri amapezeka pamutu. Amakonda kuthamanga m'mabanja. | |
Mucous chotupa | Mphuno yam'mimba ndi yomwe imayamba pamene ntchentche imatsekereza. Amapezeka pakamwa kapena mozungulira pakamwa kapena m'manja ndi zala. | Nthawi zina, mungapewe zotupa zamtsogolo zamtsogolo pochotsa kuboola mkamwa. |
Chotupa cha Branchial | Ziphuphu zakuthwa ndizo kubadwa nako zolakwika zomwe zimapezeka pafupi ndi nsagwada ndi khosi. | |
Ziphuphu zam'madzi | Ma cymo a Dermoid ndimatumba otsekedwa omwe amapangidwa pakhungu kapena pafupi ndi khungu paliponse pathupi. ali obadwa ndipo amatha kupitiliza kukula. |
Zithunzi za zotupa
Tengera kwina
Ngakhale zingakhale zokopa, simuyenera kuyesa kuchotsa kansalu nokha. Ma cysts ambiri pakhungu ndi osavulaza ndipo amatha popanda mankhwala.
Ngakhale pali zithandizo zochepa zapakhomo, ma cysts ena amafunikira chithandizo chamankhwala. Ndibwino kuti muwonane ndi dokotala kuti mupeze mayankho a matenda ndi mankhwala.