Okudingeka Ukwazi Ngama-Granulomas Ahlanganisiwe

-Delile

• Kubalwa ama-granulomas angaqinisekisiwe
• Ziyini izimpawu?
• Izimbangela ezivamile
• Kutholakala kanjani
• Izinketho zokwelashwa
• Izinkinga ezingenzeka
• Uyini umbono?

Ukubuka konke

I-granuloma ebaliwe luhlobo oluthile lokuvuvukala kwezicubu okuye kwabalwa ngokuhamba kwesikhathi. Lapho into ibizwa ngokuthi "ibaliwe," kusho ukuthi iqukethe amadiphozi e-elementi calcium. I-calcium inomkhuba wokuqoqa izicubu eziphilisayo.

Ukwakhiwa kwama-granulomas kuvame ukubangelwa ukutheleleka. Ngesikhathi sokutheleleka, amaseli omzimba azungeza futhi ahlukanise izinto zangaphandle, njengamagciwane. Ama-Granulomas nawo angabangelwa amanye amasosha omzimba noma izimo zokuvuvukala. Zitholakala kakhulu emaphashini. Kepha zingatholakala nakwezinye izitho zomzimba, njengesibindi noma ubende.

Kubalwa ama-granulomas angaqinisekisiwe

Akuwona wonke ama-granulomas abalwa. Ama-Granulomas akhiwa iqoqo eliyindilinga lamaseli elizungeze izicubu ezivuthayo. Bangagcina sebebala ngokuhamba kwesikhathi. I-granuloma ebaliwe inesisindo esifanayo nethambo futhi izovela ngokugqama kakhulu kunezicubu ezizungezile ku-X-ray.

Njengoba ama-granulomas angadalulwanga engenawo ama-calcium deposits, angavela njengeqoqo lamaseli elingahlukile kangako ku-X-ray noma ku-CT scan. Ngenxa yalokhu, bavame ukutholwa ngokungaqondakali njengokukhula komdlavuza uma kubukwa ngale ndlela.

Ziyini izimpawu?

Uma une-granuloma ebaliwe, ungahle ungazi noma uhlangabezane nanoma yiziphi izimpawu. Ngokuvamile, i-granuloma izodala kuphela izimpawu uma ithinta ikhono lesitho sokusebenza kahle ngenxa yobukhulu baso noma indawo elikuyo.

Uma une-granuloma ebaliwe futhi uhlangabezana nezimpawu, kungahle kube ngenxa yesimo esingaphansi esiqhubekayo esidale ukuthi i-granuloma yakheke.

Izimbangela ezivamile

Ukwakheka kwama-granulomas abaliwe emaphashini kuvame ukubangelwa ukutheleleka. Lokhu kungavela ekuthelelekeni kwamagciwane, njengesifo sofuba (i-TB). Ama-granulomas abaliwe nawo angakha kusuka kwizifo zokukhunta ezifana ne-histoplasmosis noma i-aspergillosis. Izimbangela ezingatheleleki zama-granulomas amaphaphu zihlanganisa izimo ezifana ne-sarcoidosis ne-Wegener's granulomatosis.

Ama-granulomas abaliwe nawo angakha ezithweni ngaphandle kwamaphaphu, njengesibindi noma ubende.

Izimbangela ezivame kakhulu ezithathelwanayo zama-granulomas esibindi ukutheleleka ngegciwane le-TB kanye nokutheleleka nge-parasitic schistosomiasis. Ngokwengeziwe, i-sarcoidosis iyimbangela engathelelezi kakhulu yama-granulomas wesibindi. Imithi ethile ingadala nokuthi ama-granulomas wesibindi akhe.

Ama-granulomas abaliwe angakhiwa ebuchosheni ngenxa yokutheleleka kwebhaktheriya ye-TB noma ukutheleleka kwe-fungal histoplasmosis. I-Sarcoidosis iyimbangela engatheleleki yama-granulomas ebuchosheni.

Kutholakala kanjani

Abantu abathole ama-granulomas kungenzeka bangazi nokuthi balapho. Zivame ukutholakala lapho wenza inqubo yezithombe ezifana ne-X-ray noma i-CT scan.

Uma udokotela wakho ethola indawo yokubala, bangasebenzisa ubuchwepheshe be-imaging ukuhlola usayizi nephethini yokubala ukuthola ukuthi yi-granuloma yini. Ama-granulomas abaliwe cishe ahlala enobungozi. Kodwa-ke, okungajwayelekile, bangazungezwa isimila somdlavuza.

Udokotela wakho angenza futhi izivivinyo ezengeziwe ukuthola ukuthi yini ebangele ukuthi ama-granulomas akheke. Isibonelo, uma kutholakala ama-granulomas abaliwe esibindi sakho, udokotela wakho angabuza ngomlando wakho wezokwelapha nowokuhamba. Bangase futhi benze izivivinyo zaselebhu ukuhlola ukusebenza kwesibindi sakho. Uma kudingeka, i-biopsy nayo ingathathwa ukuqinisekisa isimo esingaphansi esidale ukwakheka kwe-granuloma.

Izinketho zokwelashwa

Njengoba ama-granulomas abaliwe cishe ngaso sonke isikhathi enobungozi, ngokuvamile awadingi ukwelashwa. Kodwa-ke, uma unesifo esisebenzayo noma isimo esibangela ukwakheka kwe-granuloma, udokotela wakho uzosebenza ukukuphatha lokho.

Uma unesifo esisebenzayo se-bacterial noma fungal, udokotela wakho uzokunikeza i-antibiotic efanele noma i-antifungal. I-antiparasitic drug praziquantel ingasetshenziswa ukwelapha ukutheleleka okuyisidlakudla ngenxa ye-schistosomiasis.

Izimbangela ezingatheleleki zama-granulomas njenge-sarcoidosis ziphathwa ngama-corticosteroids noma ezinye izidakamizwa zokuzivikela ukuze kulawulwe ukuvuvukala.

Izinkinga ezingenzeka

Kwesinye isikhathi ukwakheka kwe-granuloma kungaholela ezinkingeni. Izinkinga ezivela ekwakhiweni kwe-granuloma zivame ngenxa yesimo esingaphansi kwaso esizibangele.

Inqubo yokwakheka kwe-granuloma kwesinye isikhathi ingaphazamisa ukusebenza kwezicubu. Isibonelo, i-schistosomiasis yokutheleleka ngama-parasitic ingadala ama-granulomas akhe amaqanda ama-parasite esibindi. Inqubo yokwakheka kwe-granuloma nayo ingaholela ku-fibrosis yesibindi. Yilapho izicubu ezixhuma ngokweqile zihlangana zibe izicubu ezibomvu esibindini. Lokhu kungaphazamisa ukwakheka kwesibindi nokusebenza.

Uma unesifo esisebenzayo noma esinye isimo esiholela ekwakhiweni kwe-granuloma, kubaluleke kakhulu ukuthi welashwe ukuvimbela noma yiziphi izinkinga.

Uyini umbono?

Uma une-granulomas eyodwa noma amaningi abaliwe, kungenzeka ukuthi awazi ukuthi unawo. Uma kutholakala ukuthi une-granuloma ebaliwe, i-granuloma ngokwayo kungenzeka ingadingi ukwelashwa.

Uma unesimo esingaphansi noma ukutheleleka okuholela ekwakhekeni kwe-granuloma, udokotela wakho uzosebenzela ukukulapha. Umbono womuntu ngamunye uncike esimweni esiphethwe. Udokotela wakho uzosebenzisana nawe ukusungula uhlelo lokwelashwa nokubhekana nanoma yikuphi ukukhathazeka.