Digital Myxoid Cysts: Zoyambitsa ndi Chithandizo

Zamkati

• Chidule
• Zomwe zimayambitsa myxoid cysts
• Zizindikiro za myxoid cysts
• Chithandizo cha myxoid cysts
• Opanda chithandizo
• Opaleshoni
• Njira zapakhomo
• Maganizo ake

Chidule

Myxoid cyst ndi chotupa chaching'ono, chosaopsa chomwe chimapezeka pa zala kapena zala, pafupi ndi msomali. Amatchedwanso digito mucous cyst kapena mucous pseudocyst. Myxoid cysts nthawi zambiri samakhala ndi zisonyezo.

Zomwe zimayambitsa myxoid cysts sizitsimikizika. Nthawi zambiri amagwirizanitsidwa ndi nyamakazi. Akuti pafupifupi 64 peresenti mpaka 93 peresenti ya anthu omwe ali ndi nyamakazi ali ndi zotupa za myxoid.

Mitundu yambiri ya myxoid imapezeka mwa anthu azaka zapakati pa 40 ndi 70, koma imatha kupezeka m'mibadwo yonse. Amayi owirikiza kawiri amakhudzidwa ndi amuna.

Myxoid amatanthauza ntchofu-yofanana. Zimachokera ku mawu achi Greek akuti ntchofu (myxo) ndi kufanana (eidos). Cyst imachokera ku liwu lachi Greek loti chikhodzodzo kapena thumba (alireza).

Zomwe zimayambitsa myxoid cysts

Zomwe zimayambitsa myxoid cysts sizidziwika, koma zilipo.

• Chotupacho chimapangidwa pamene minofu ya synovial yomwe ili mozungulira chala kapena kulumikizana kwa chala zimachepa. Izi zimalumikizidwa ndi osteoarthritis ndi matenda ena ophatikizika olumikizana. Nthawi zina kukula pang'ono kwamfupa komwe kumapangidwa chifukwa chakuchepa kwa mafupa olumikizana mafupa (osteophyte) kumatha kukhala nawo.
• Chotupacho chimapangidwa m'maselo a fibroblast a minofu yolumikizana amatulutsa mucin wochuluka kwambiri (chopangira ntchofu). Mtundu uwu wa cyst sumaphatikizira kuwonongeka kwamalumikizidwe.

Nthawi zina, makamaka ndi anthu ochepera zaka 30, kupsinjika kwa chala kapena chala kumatha kutenga nawo gawo poyambitsa chotupa. Anthu ochepa amatha kukhala ndi zotupa za myxoid chifukwa chobwereza chala.

Zizindikiro za myxoid cysts

Myxoid cysts ndi awa:

• mabampu ang'onoang'ono ozungulira kapena chowulungika
• mpaka 1 sentimita (cm) kukula (0.39 inchi)
• yosalala
• olimba kapena odzaza madzi
• sichimapweteka kawirikawiri, koma cholumikizira chapafupi chimakhala ndi ululu wamatenda
• wachikopa, kapena wonyezimira wokhala ndi ubweya wofiira kapena wabuluu ndipo nthawi zambiri amawoneka ngati "ngale"
• ikukula pang'onopang'ono

Myxoid chotupa pacholozera chala. Chithunzi Pazithunzi: Wikipedia

Myxoid cysts amakonda kupanga pa dzanja lanu lalikulu pakati kapena cholozera, pafupi ndi msomali. Ziphuphu pamapazi sizachilendo.

Chotupa chikamera gawo lina la msomali chimatha kuyambitsa poyambira msomali kapena chitha kugawaniza msomali. Nthawi zina zimatha kuyambitsa misomali.

Myxoid cysts zomwe zimakula pansi pa msomali ndizochepa. Izi zitha kukhala zopweteka, kutengera momwe chotupacho chimasinthira msomali.

Mukapweteka myxoid cyst, imatha kutulutsa madzimadzi omata. Muyenera kukawona dokotala wanu ngati chotupa chikuwonetsa zizindikiro za matenda.

Chithandizo cha myxoid cysts

Mitundu yambiri ya myxoid siopweteka. Pokhapokha mutakhala wosasangalala ndi momwe cyst yanu imawonekera kapena ikukuyendetsani, palibe chithandizo chofunikira. Mutha kungoyang'ana pa chotupacho. Koma dziwani kuti cyst myxoid nthawi zambiri sichitha ndikudziyimira pawokha.

Mankhwala ambiri amatha kupezeka a myxoid cysts, ndipo zabwino zake ndi zoyipa zake zafufuzidwa bwino.

Nthaŵi zambiri chotupacho chimakula pambuyo pa chithandizo. Kuchulukanso kwamankhwala osiyanasiyana kwawerengedwa. Komanso, njira zina zamankhwala zitha:

• kusiya zipsera
• kuphatikizapo ululu kapena kutupa
• amachepetsa mayendedwe osiyanasiyana

Ngati mukufuna kuchotsa chotupa chanu, kambiranani ndi dokotala wanu kapena katswiri kuti ndi chithandizo chiti chomwe chingakhale chabwino kwa inu. Nazi njira zothandizira:

Opanda chithandizo

• Kugunda kwapakati.Njirayi imagwiritsa ntchito kutentha kutentha kwa cyst. Kuunikanso kwa 2014 mu mabukuwa kunawonetsa kuchuluka kwa njira yobwererera ndi 14% mpaka 22%.
• Cryotherapy.Chotupacho chimatsanulidwa kenako nayitrogeni wamadzi amagwiritsidwa ntchito kuzizira ndi kusungunula chotupacho. Cholinga ndikuletsa madzi amtundu wina kuti asafike pachimake. Kuchulukanso kwa njirayi ndi 14% mpaka 44%. Cryotherapy ikhoza kukhala yopweteka nthawi zina.
• Mpweya woipa wa laser.Laser imagwiritsidwa ntchito kuwotcha (ablate) maziko a cyst atatsanulidwa. Pali 33% yobwereza mobwerezabwereza ndi njirayi.
• Chithandizo cha intralesional photodynamic.Mankhwalawa amatulutsa chotupacho ndipo amalowetsa chinthu mu chotupacho chomwe chimapangitsa kuti chisamveke bwino. Kenako kuwala kwa laser kumagwiritsidwa ntchito kuwotcha maziko a cyst. Kafukufuku wocheperako wa 2017 (anthu 10) adachita bwino ndi 100% ndi njirayi. Panalibe zotupa zobwereza pambuyo pa miyezi 18.
• Kusowa kosowa.Njirayi imagwiritsa ntchito singano yopanda kanthu kapena tsamba la mpeni kuti ipyoze ndi kukhetsa chotupa cha myxoid. Zitha kuyenera kuchitidwa kawiri kapena kasanu. Kuchulukanso kwa cyst ndi 28% mpaka 50%.
• Jekeseni wa steroid kapena mankhwala omwe amachepetsa madzimadzi (sclerosing agent).Mankhwala osiyanasiyana atha kugwiritsidwa ntchito, monga ayodini, mowa, kapena polidocanol. Njirayi imakhala yobwerezabwereza kwambiri: 30 mpaka 70 peresenti.

Opaleshoni

Mankhwala opangira opaleshoni amapambana kwambiri, kuyambira 88% mpaka 100%. Pachifukwa ichi, adotolo angavomereze kuchitidwa opaleshoni ngati mankhwala oyamba.

Opaleshoni imadula chotupacho ndikuphimba malowo ndi chikopa cha khungu chomwe chimatsekedwa ndikachira. Chotupacho chimatsimikizika ndi kukula kwa chotupacho. Ophatikizira omwe amaphatikizidwa nthawi zina amapukutidwa ndipo ma osteophytes (mafupa amfupa ochokera ku cartilage) amachotsedwa.

Nthawi zina, dokotalayo amatha kulowetsa utoto olumikizana nawo kuti apeze (ndikusindikiza) komwe madzi amayambira. Nthawi zina, chiphuphu chimatha kusokedwa, ndipo mutha kupatsidwa chidutswa chovala pambuyo pa opaleshoni.

Pochita opareshoni komanso njira zosagwirira ntchito, mabala omwe amachepetsa kulumikizana kwa malo am'mapapo ndi cholumikizira kumalepheretsa madzimadzi kuti asatulukire chotupa. Kutengera ndi momwe amathandizira anthu 53 omwe ali ndi zotupa za myxoid, wanena kuti zipserazo zitha kuchitika popanda kufunika kochotsa chotupa ndi khungu.

Njira zapakhomo

Mutha kuyesa kuchiritsa chotupa chanu kunyumba pogwiritsa ntchito kupanikizika tsiku lililonse kwa milungu ingapo.

Osabowola kapena kuyesa kukhetsa chotupa kunyumba chifukwa cha chiopsezo cha matenda.

Pali umboni wosatsutsika kuti kuviika, kusisita, ndikugwiritsa ntchito ma topical steroids ku myxoid cysts kungathandize.

Maganizo ake

Myxoid cysts si khansa. Sangopatsirana, ndipo nthawi zambiri alibe zisonyezo. Nthawi zambiri amagwirizanitsidwa ndi nyamakazi m'minwe kapena zala.

Mankhwala ambiri alipo, onse osachita opaleshoni komanso opaleshoni. Ziwerengero zaposachedwa ndizokwera. Kuchotsa maopareshoni kumakhala ndi zotsatira zabwino kwambiri, osabwerezedwanso pang'ono.

Ngati cyst yanu ili yopweteka kapena yosawoneka bwino, kambiranani ndi dokotala za mankhwala omwe angakhalepo ndi zotsatira zake. Onani dokotala wanu nthawi yomweyo ngati myxoid cyst yanu ili ndi zizindikiro za matenda.