I-Dermoid cyst

I-cyst dermoid ingokwesigaba sama-cysts eqiniso. Kuvela ngokumelene nokwasemuva kokungalungi. Igama lalo linikezwe kulolu hlelo ngenxa yesakhiwo esithile sezindonga ze-cyst. Izindonga zalokhu kukhula zihlanganiswe ne-epidermis enezingxenye ze-epidermal appendages yesikhumba, emele amakhanda wezinwele, ukujuluka nokugcoba.

I-cyst dermoid iyinkinga yokuzalwa, ngakho-ke ivela kusukela esemncane kakhulu, kepha ingenzeka nakubantu abadala. Le neoplasm ingabonakala kokubili kwabesifazane nasemadodeni.

I-cyst de dermoid yesikhumba inokubonakala kwehla okukhulu. Kuyinto yokwakheka kwe-tumor-like, enesakhiwo esinesigidi esingu-4 cm nesikhulu. Uma i-palpation, i-soreness itholakele. Lokhu kuhlanganiswa okuncane kungadluliswa ngokuphathelene namathisi angomakhelwane. Lesi sifo sendawo esendaweni yokuvalwa kwama-embryonic fissures, kuhlanganise nezinhlanzi ze-nasolabial, indawo ye-periorbital, izindawo ze-scalp nezikhathi zendawo.

I-histology ye-pathological: le cyst ihlanganiswe ne-epidermis ne-appendages yesikhumba, okuyinto, ngokuvamile evame ukubukeka okuvuthiwe. Emgodini we-cystic, ukutholakala kwama-horny mass, ukuqoqwa kwe-lipids, izinwele ziphawulwe. Kwezinye izimo, kutholakala izicubu zamathambo nama-cartilage kuzo. Ukuhlukanisa lesi sifo ne-papillary hydradenoma, i-trichoepithelioma, i-ecrina spiradenoma, i-epidermal nezinwele ze-cysts. Ukuxilongwa kusungulwa ngokusekelwe kwesithombeni sesifo sesifo kanye nemiphumela yezifundo zakhe. I-cyst dermoid ivame ukuvutha. Indlela yokwelashwa kwayo ukukhipha ukuhlinzwa.

Esinye isici esingathí sina lesi sifo yi- ovarian dermoid cyst, okunye okubizwa ngokuthi i-teratoma evuthiwe. Kuyinto isisu se-ovary, esinomlingiswa onobuningi. I-cyst inezinhlobonhlobo zezicubu zomzimba. Kungaba isikhumba, ithambo, inqwaba yezinwele, izicubu ze-neural noma izicubu ezinamafutha. Zifakwe ku-liquid jelly-like futhi zizungezwe i-capsule enamandla. Zonke izizathu zalokho okwenzekayo aziqondi kahle. Kuthiwa ukuthi lezi zinkinga zokuthuthuka zenzeka ngisho nangesikhathi se-intrauterine.

Lokhu kukhula okusha kukhula kancane, kodwa kancane kancane. Ngokuvamile, isifo esinjalo sitholakala esemncane. Ngokwamazinga okwenzeka kwalesi sifo, ihlala kude nendawo yokugcina phakathi kwezinye izinhlobo zama-cysts ama-ovari. Ngakho-ke, amacala okwenzekayo enza kube ngu-20% kwezinye izinhlobo ze-neoplasms.

Izimpawu zalesi cyst zibonakaliswa lapho lesi sifo sifinyelela esilinganisweni esingaphezu kuka-5 cm. Ngalesi sikhathi, siqala ukucindezela ezithombeni eziseduze, kubangela ukuzwa okubuhlungu kakhulu, kugxile esikhweni nasesisu.

Ukuze uhlolisise lesi sifo usebenzisa izindlela ezinjalo:

• Ukuhlolwa kwe-gynecological;
• I-tomography ehlanganisiwe;
• Ukuqhuba i-ultrasound;
• Ukuhlolwa kwegazi;
• Ukutadisha isizinda se-hormonal sowesifazane.

Lesi sifo kaningi sinemiphumela emibi, efana nokususwa, ukuhlushwa kwemilenze ye-cyst. Njengoba kunenkinga enjalo, owesifazane uphazamiseka yizinhlungu ezibukhali, izinga lokushisa likhuphuka kakhulu. Ezimweni ezinjalo, kufanele uthintane nodokotela ngokushesha.

Kuphela kwezingu-1% zamacala azo zonke izinguquko ezingase zenzeke kuleli fomu lemfundo zibe yisisu esinonya. I-cyst i-dermoid ovarian, ephathwa nge-laparoscopic, isuswa ngamathuluzi akhethekile kanye nekhamera ngokusebenzisa umgodi odongeni lwesisu. Le nqubo ihamba kancane, ilula futhi iphumelela kakhulu.

Le cyst ye-ovari ivame ukutholakala ngesikhathi sokukhulelwa. Ngalesi sikhathi isiguli sidinga ukunakekelwa okuvamile kumzimba wezifo zokwelapha. Uma i-cyst encane futhi ingenzi ukukhathazeka kwezitho ezingomakhelwane, ayithinti. Akuthinti ukuthuthukiswa kwe-fetus nganoma iyiphi indlela, ngakho kaningi ukwelashwa kwalesi sifo kwenziwa emva kokuzalwa.