I-Thyroglossal Duct Cyst

-Delile

• Yiziphi izimpawu zethystra ye-thyroglossal duct cyst?
• Itholakala kanjani le cyst?
• Yini ebangela lolu hlobo lwe-cyst?
• Lungelashwa kanjani lolu hlobo lwe-cyst?
• Ukuhlinzwa komgudu we-Thyroglossal
• Ngabe zikhona izinkinga ezihambisana nale cyst?
• Ukuthatha

Yini i-cyst ye-thyroglossal duct cyst?

I-cyst ye-thyroglossal duct cyst yenzeka lapho i-thyroid yakho, indlala enkulu entanyeni yakho ekhiqiza ama-hormone, ishiya ngemuva kwamaseli angeziwe ngenkathi yakha ngesikhathi sokukhula kwakho esibelethweni. Lawa maseli angeziwe angaba ama-cysts.

Lolu hlobo lwe-cyst luzalwe kabusha, okusho ukuthi bakhona entanyeni yakho kusukela ngesikhathi ozalwa ngaso. Kwezinye izimo, ama-cysts mancane kakhulu kangangokuba awabangeli zimpawu. Ama-cysts amakhulu, ngakolunye uhlangothi, angakuvimbela ekuphefumuleni noma ekugwinyeni kahle futhi kungadingeka ukuthi ususwe.

Yiziphi izimpawu zethystra ye-thyroglossal duct cyst?

Uphawu olubonakala kakhulu lwe-cyst ye-thyroglossal duct cyst ubukhona besigaxa maphakathi nengaphambili lentamo yakho phakathi kwe-apula lika-Adam nesilevu sakho. Isigaxa ngokuvamile sihamba lapho ugwinya noma ukhipha ulimi lwakho.

Isigaxa kungenzeka singabonakali kuze kube seminyakeni embalwa noma ngaphezulu ngemuva kokuzalwa kwakho. Kwezinye izimo, ungahle ungaboni nesigaxa noma wazi ukuthi i-cyst ikhona uze ube nokutheleleka okubangela ukuthi i-cyst ivuvukale.

Ezinye izimpawu ezivamile ze-cyst ye-thyroglossal duct cyst zifaka:

• ekhuluma ngezwi elihoshozelayo
• unenkinga yokuphefumula noma ukugwinya
• imbobo entanyeni yakho eduze ne-cyst lapho kuphuma khona amafinyila
• uzizwe uthambile eduze kwendawo ye-cyst
• ububomvu besikhumba esizungeze indawo ye-cyst

Ububomvu nesisa kungenzeka kuphela uma i-cyst itheleleka.

Itholakala kanjani le cyst?

Udokotela wakho angakwazi ukutshela uma une-cyst ye-thyroglossal duct ngokumane uhlole isigaxa entanyeni yakho.

Uma udokotela wakho esola ukuthi une-cyst, bangancoma ukuhlolwa kwegazi elilodwa noma ngaphezulu noma ukuhlolwa kwe-imaging ukubheka i-cyst emphinjeni wakho bese uqinisekisa ukuxilongwa. Ukuhlolwa kwegazi kungalinganisa inani le-hormone evuselela i-thyroid (TSH) egazini lakho, okukhombisa ukuthi i-thyroid yakho isebenza kahle kangakanani.

Ezinye izivivinyo zokucabanga ezingasetshenziswa zifaka:

• I-Ultrasound: Lokhu kuhlolwa kusebenzisa amaza omsindo ukukhiqiza izithombe zesikhathi sangempela se-cyst. Udokotela wakho noma uchwepheshe we-ultrasound umboza umphimbo wakho ngejeli epholile futhi usebenzisa ithuluzi elibizwa ngokuthi i-transducer ukubuka i-cyst esikrinini sekhompyutha.
• Iskena se-CT: Lokhu kuhlolwa kusebenzisa i-X-rays ukwakha isithombe esine-3-D sezicubu ezisemphinjeni wakho. Udokotela wakho noma uchwepheshe uzokucela ukuthi ulale phansi etafuleni. Itafula bese lifakwa kuskena esime okwe-donut esithatha izithombe kusuka ezinkomba eziningi.
• I-MRI: Lokhu kuhlolwa kusebenzisa amagagasi omsakazo namandla kazibuthe ukukhiqiza izithombe zezicubu zomqala wakho. Njenge-CT scan, uzolala phansi etafuleni uhlale unganyakazi. Itafula lizofakwa ngaphakathi komshini omkhulu, omise okwethubhu okwemizuzu embalwa kuyilapho izithombe ezivela emshinini zithunyelwa kukhompyutha ukuze zibukwe.

Udokotela wakho angenza nesifiso esihle senaliti. Kulesi sivivinyo, udokotela wakho ufaka inaliti ku-cyst ukukhipha amaseli abangawahlola ukuqinisekisa ukuxilongwa.

Yini ebangela lolu hlobo lwe-cyst?

Imvamisa, indlala yakho yegilo iqala ukukhula ezansi kolimi lwakho futhi ihambe ngomgudu we-thyroglossal ukuze uthathe indawo yayo entanyeni yakho, ngaphansi kwe-larynx yakho (eyaziwa nangokuthi ibhokisi lakho lezwi). Ngemuva kwalokho, umgudu we-thyroglossal uyanyamalala ungakazalwa.

Lapho umgudu ungasuki ngokuphelele, amaseli wezicubu zomsele osele angashiya ukuvuleka okugcwala ubomvu, uketshezi, noma igesi. Ekugcineni, la mapokhethi agcwele izindaba angaba ama-cysts.

Lungelashwa kanjani lolu hlobo lwe-cyst?

Uma i-cyst yakho ine-bacterial noma i-virus, udokotela wakho uzokunikeza ama-antibiotics ukusiza ukwelapha ukutheleleka.

Ukuhlinzwa komgudu we-Thyroglossal

Udokotela wakho kungenzeka ancoma ukuhlinzwa ukuze kususwe i-cyst, ikakhulukazi uma ithelelekile noma ikwenza ube nenkinga yokuphefumula noma ukugwinya. Lolu hlobo lokuhlinzwa lubizwa ngokuthi inqubo yeSistrunk.

Ukwenza inqubo yeSistrunk, udokotela wakho noma udokotela ohlinzayo:

1. Ukunikeze i-anesthesia ejwayelekile ukuze ukwazi ukulala phakathi nakho konke ukuhlinzwa.
2. Sika kancane ngaphambili kwentamo ukuvula isikhumba nemisipha ngaphezu kwe-cyst.
3. Susa izicubu ze-cyst entanyeni yakho.
4. Susa ucezu oluncane ngaphakathi kwethambo lakho le-hyoid (ithambo elingaphezulu kwe-apula lika-Adam elifakwe njengehhashi), kanye nanoma yiziphi izicubu ezisele zomsele we-thyroglossal.
5. Vala imisipha nezicubu ezungeze ithambo le-hyoid nezindawo ebezihlinzwa ngemithungo.
6. Vala ukusika esikhunjeni sakho ngemithungo.

Lokhu kuhlinzwa kuthatha amahora ambalwa. Ungadinga ukuhlala esibhedlela ubusuku ngemuva kwalokho. Thatha izinsuku ezimbalwa emsebenzini noma esikoleni, futhi uqiniseke ukuthi umngane noma ilungu lomndeni liyatholakala ukukuyisa ekhaya.

Ngenkathi usalulama:

• Landela noma imiphi imiyalelo udokotela wakho akunikeza yona ukuze unakekele ukusika namabhandeshi.
• Iya kusivumelwano sokulandelela udokotela wakho akuhlelela sona.

Ngabe zikhona izinkinga ezihambisana nale cyst?

Ama-cysts amaningi awanabungozi futhi ngeke adale izinkinga zesikhathi eside. Udokotela wakho usengancoma ukukhipha i-cyst engenabungozi uma ikwenza uzizwe uzenyeza ngokubukeka kwentamo yakho.

Ama-cysts angakhula abuye emuva kokuthi esesuswe ngokuphelele, kepha lokhu kwenzeka ngaphansi kwamaphesenti ama-3 kuwo wonke amacala. Ukuhlinzwa kwe-cyst nakho kungashiya isibazi esibonakalayo entanyeni yakho.

Uma i-cyst ikhula noma ivutha ngenxa yokutheleleka, ungahle ungakwazi ukuphefumula noma ukugwinya kahle, okungaba yingozi. Futhi, uma i-cyst itheleleka, kungadingeka ukuthi isuswe. Lokhu kuvame ukwenzeka ngemuva kokuba ukwelashwa sekuselashwe.

Ezimweni ezingavamile, lawa ma-cysts angaba nomdlavuza futhi angadinga ukususwa ngokushesha ukuze amise amaseli anomdlavuza ekusakazekeni. Lokhu kwenzeka ngaphansi kwamaphesenti angu-1 wawo wonke amacala ama-cysts e-thyroglossal duct.

Ukuthatha

Ama-cysts e-Thyroglossal duct ngokuvamile ayinabungozi. Ukususwa kwe-cyst okuhlinzekwayo kunombono omuhle: amaphesenti angaphezu kwama-95 ama-cysts alashwa ngokuphelele ngemuva kokuhlinzwa. Ithuba lokubuyela kwe-cyst lincane.

Uma ubona isigaxa entanyeni yakho, bheka udokotela wakho khona manjalo ukuze uqiniseke ukuthi leso sigaxa asinawo umdlavuza futhi ube nokungenwa yimikhuhlane noma ama-cysts akhule ngokweqile aphathwe noma asuswe.