Ukubaluleka kwesifo se-cystic yezinso kunqunywa yizici ezilandelayo:
• I-cysts yezinso ivame kakhulu futhi ngezinye izikhathi ibonisa umsebenzi ohloswe wokuxilonga odokotela-abahlinzeki, odokotela abahlinzayo, ama-radiologists kanye ne-pathologists.
• Ezinye izinhlobo, ezifana nesifo sezinso ze-polycystic kubantu abadala, yisisusa esiyinhloko sokufaka isiguli ohlelweni lwe-hemodialysis.
• Ama-cyst angagcina aphenduka izicubu ezinzima okulula ukuzibona.
Ama-cysts alula
Ama-cysts alula angama-single noma ama-cystic amaningi ahlukahlukene ngobukhulu obuhlukahlukene, kusuka ku-1 kuya ku-10 cm ububanzi. Ama-cyst ngokuvamile avotelwe igobolondo elibandayo elibomvu futhi ligcwele uketshezi olucacile. Ezinso, ama-cysts ngokuvamile ahlala endaweni ye-peripheral (endaweni ye-cortex), nakuba ngezikhathi ezithile zingase zibe khona engxenyeni eyinhloko (ku-medulla). Ama-cysts ezintsheni, njengombuso, angabangeli noma yimaphi izimpawu futhi avamile kakhulu kubantu abadala kuneminyaka engama-50. Njengoba ubukhulu be-cysts, ubuhlungu esifundeni se-lumbar kungenzeka, kodwa ama-cysts anjalo atholakala ngengozi lapho ehlola izinso zenye i-pathology. Kuhlathululelwa amacala okugaya igazi emagqumeni, okuyinto isiguli esicabanga ukuthi ubuhlungu obuphuthumayo esifundeni esisehlangothini nasesiswini. Ukuhlwitha kungaba ngummemezeli wezinga elibi lokushisa kwegobolondo le-cyst. Ngesifo sezinyosi ezinamazinyane, umntwana uzalwa enezinyosi eziphuthumayo ezingenayo ukusebenza, okuyizinto eziguquguqukayo zibe yiningi yama-cysts. Njengoba kunomonakalo wezinyosi zombili, i-fetus i-utero ayikwazi ukukhiqiza umchamo, okubangelwa amaminerali amancane kakhulu. Lokhu kuholela ekuqotheni kwe-fetus ngenxa yengcindezi eyengeziwe yesikhumba. Ubuso bezithelo ezinjalo buhlanjululwa, iphunga lihlehlisiwe, izindlebe zitholakala phansi, nezinhlanzi ezijulile ngaphansi kwamehlo.
Ukususwa kwezinso
Iziguli ezinezinso ezinama-multiticytic is recommended nephrectomy - ukususwa kokuhlinzwa kwezinso. Ukusebenza kwenziwa uma kwenzeka ukwanda noma ukutheleleka kwama-cysts, kanye nokucindezelwa kwegazi esigulini.
I-Polycystic isimo sesimo sofuzo. Kunezinhlobo eziningana zalesi sifo:
• Ukubeletha ingane - ingane izalwa nezinso ezinkulu futhi ifa ngokushesha nje kokuzalwa;
• abangabantwana abashadile - baxilongwa ngenyanga yokuqala yokuphila;
• Izingane - ezinganeni ezineminyaka engama-3 kuya kweyishumi nambili, kukhona igebe lokuthuthukisa nokuhluleka kwezinso. Ezinye izimpawu zihlanganisa ukucindezela kwegazi eliphezulu, ukwandiswa kwesibindi nesipere;
• izingane - isifo sitholakalayo phakathi neminyaka yokuqala yokuphila;
• Umuntu omdala - le nkinga iqala kubantu abathwala abantu abadala. Lokhu kusho ukuthi umuntu ogulayo uzuze ifa lesifo sofuzo komunye wabazali.
Isifo esijwayelekile kunazo zonke zezakhi zofuzo ezinsheni ze-polycystic kubantu abadala ziguqula i-chromosome yesi-16, eyabangela ukukhiqizwa kweprotheyini ye-polycystin. Lezi zinsuku zidlala indima ebalulekile ekusebenzisaneni kwe-intercellular. Izimpawu zezinso ze-polycystic zifaka ukuqhuma, ubuhlungu esifundeni se-lumbar, i-hematuria (igazi emcimbini) kanye nomfutho wegazi ophezulu. Ukulimala kwezinso kungatholakala ngengozi noma ngenxa yokuhlolwa kwezihlobo zesiguli.
Ukuhlonza
Eziguli eziningi, lesi sifo sitholakale eneminyaka engama-30 kuya ku-50. Ukuncipha okuqhubekayo ekusebenzeni kwenkunzi kuphawulwa cishe kwesiguli sesithathu futhi kuholela esidingweni se-dialysis, futhi kamuva - ukufakelwa kwezinso zezinso.
Izimpawu ezihambisanayo
I-Polycystic ingahambisana nezinye izimpawu zamathambo, okufaka phakathi, ikakhulukazi:
• umfutho wegazi ophezulu (umfutho wegazi ophezulu);
• Ukwelashwa kwama-cysts;
• ama-aneurysms (ubukhulu bodonga) obuchopho kanye nezinye izifo zomzimba;
• I-Hernias ne-diverticula yamathumbu.
Ukwelapha
Iziguli ezithinta ukwelashwa kwe-dialysis noma emva kokufakelwa kwesitshalo zingadinga ukususa izinso ezikhulayo ukuze zivimbele ukuphuma, ukutheleleka nobuhlungu.
Ezinye izifo ze-cystic zezinso zifaka:
• I-Fanconi syndrome yisimo esingavamile, esizuzwa njenge-X-linked traction. Eyaziwa yi-anemia, ukwehluleka kwezinso kanye ne-sodium ephansi egazini.
• Izinso ze-spongy - ukwanda okubukhali kokuqoqa amashubhu. Ingxenye encane, izinso noma zombili izinso zingathinteka. Lesi simo esitholile noma esitholakale sivame ukuhlanganiswa nesisu seWilms (isifo esibi sezinso ezinganeni), i-aniridia (ukungabi khona kwe-eye) kanye ne-hemyhypertrophy (hypertrophy of the muscles of half half body). Lesi sifo sivame ukuhambisana nokutheleleka okuphindaphindiwe kwe-urinary, ukwakheka kwamatshe nokuhluleka kwezinso.
• Isifo se-Hippel-Lindau yisifo esiwumndeni esibi kakhulu ekuthuthukiseni izicubu ezinobungozi ze-cerebellum, i-retina, umgogodla, ngezinye izikhathi ama-pancreas kanye ne-adrenal gland esimweni sokulimala kwezinso ze-cystic, okuholela ekubulaweni kwezinso.
• Ama-cysts amancane ezinso ezibangelwa ukubhujiswa kwengxenyana ephakathi komdlavuza womdlavuza nokwakhiwa kwe-cyst noma, ngokuphambene, ukulimala kwe-cyst benign.