Ukuthi yini iLipoma? Izimpawu, Izimbangela, Nokwelashwa

ILipoma yisigaxa esithambile, esinobukhulu, esikhula ngaphansi kwesikhumba sakho. Lezi zikhulu ezingezona ezomdlavuza (ezingezona ezinobuhlungu) zenziwe ngamaseli amafutha futhi zizizwa njengobumba oluthambile, oluhambayo uma uzithinta.

I-Lipomas ivame kakhulu futhi ithinta izigidi zabantu emhlabeni jikelele. Ngokuvamile zikhula kancane ezinyangeni noma eminyakeni futhi azibangeli izinkinga ezinzima. Abantu abaningi bayazithola ngengozi ngesikhathi begeza noma begqoka.

Ziyini izimpawu zelipoma?

Uphawu olukhulu lwelipoma yisigaxa esithambile, esijikelezile ngaphansi kwesikhumba sakho esihamba uma ucindezela. Lezi zigaxa ngokuvamile zizwa zithambile noma zifana nerabha uma uzithinta futhi zingaba ubukhulu be-pea kuya kuma-intshi amaningana ububanzi.

Nawa ama-characteristics ayinhloko ongawaqaphela:

• Ukuthambile, ukuthambile okuzizwa kuhlukile kunalokho okungaphansi kwesikhumba
• Kuhamba uma ucindezela kancane
• Ngokuvamile akubuhlungu, nakuba amanye angase abangele ukungakhululeki okuncane
• Ukuthuthuka kancane ezinyangeni noma eminyakeni
• Ngokuvamile kutholakala ezingalweni, emagxeni, emuva, noma emilenzeni
• Umbala wesikhumba uhlala uqondile phezu kwesigaxa

I-Lipomas eziningi azilimazi nhlobo. Noma kunjalo, uma i-lipoma icindezela inzwa noma ikhula endaweni encane, ungase uzwe ubuhlungu noma ubuhlungu kuleyo ndawo.

Ziyini izinhlobo zelipoma?

I-Lipomas eziningi ziyizigaxa ezilula, zamafutha ansuku zonke, kodwa odokotela bayazi izinhlobo eziningi ezahlukene ngokusekelwe endaweni yazo kanye nezimpawu zazo. Ukuqonda lezi zinguquko kungakusiza ukwazi ukuthi yini okulindelekile.

Izinhlobo ezivamile kakhulu zihlanganisa:

• I-Lipomas evamile: Uhlobo oluvamile oluenziwe ngamaseli amafutha avuthiwe
• I-Fibrolipomas: Inawo amafutha namafutha, izizwa ziqinile kancane
• I-Angiolipomas: Inawo imithambo yegazi futhi ingase ibe buhlungu kakhulu
• I-Spindle cell lipomas: Inawo amaseli afana ne-spindle, avame kakhulu kubantu abadala
• I-Pleomorphic lipomas: Inawo amaseli ahlukene, ngokuvamile atholakala entanyeni noma emuva

Ezinye izinhlobo ezingavamile zenzeka ezicutshini ezijulile. I-Intramuscular lipomas ikhula ngaphakathi kwezicubu zemisipha futhi ingase izizwe ingahambi kalula. I-Lipomas ejulile ingase ikhule eduze kwamalungu noma e-chest cavity, nakuba lokhu kungavamile.

Iningi le-lipomas ozohlangana nayo yilohlobo oluvamile. Udokotela wakho ngokuvamile angakwazi ukutshela ukuthi yiluphi uhlobo olukhona ngokuhlola nokwenza izithombe uma kudingeka.

Yini ebangela i-lipoma?

Imbangela eqondile ye-lipomas ayiqondakali ngokuphelele, kodwa zikhula lapho amaseli amafutha ekhula futhi eqoqana ndawonye ngaphansi kwesikhumba sakho. Cabanga ngakho njengomzimba wakho owenza ipokotho encane yethishu yamafutha engeziwe endaweni eyodwa.

Izici eziningi zingase zifake isandla ekukhuleni kwelipoma:

• I-Genetics: Ngokuvamile zidluliselwa emindenini, okusikisela izingxenye ezifana nezofuzo
• Ubudala: Iningi liqala phakathi kweminyaka engama-40-60, nakuba lingase libonakale kunoma yimiphi iminyaka
• Ubulili: Amadoda nabesifazane bayathuthuka ngokulinganayo
• Ukulimala kwangaphambili: Ezinye i-lipomas zingase zenzeke ngemuva kokulimalala kwendawo
• Izimo zezokwelapha ezithile: Njenge-Gardner syndrome noma i-Madelung disease

Kwezinye izimo ezingavamile, i-lipomas eminingi ingase ikhule ngenxa yezimo zezofuzo. I-Familial multiple lipomatosis ibangela ukuthi i-lipomas eminingi ibonakale emzimbeni wonke. I-Dercum disease, nakuba ingavamile kakhulu, ibangela i-lipomas ebuhlungu kanye nezinye izimpawu.

Kubantu abaningi, i-lipomas ivela ngaphandle kwanoma yisiphi isizathu esicacile. Ziyisici esilula sendlela umzimba wakho ogcina futhi uhlele ngayo ithishu yamafutha.

Nini okufanele ubona udokotela nge-lipoma?

Kufanele ubona udokotela uma uqaphela noma yisiphi isigaxa esisha ngaphansi kwesikhumba sakho, ngisho noma sizizwa sithambile futhi sihamba. Nakuba izigaxa eziningi zivele zingenangozi, kubalulekile ukuthola ukuxilongwa okufanele ukuze kuvinjwe ezinye izimo.

Hlela i-appointment uma uhlangabezana nalokhu okulandelayo:

• Noma yisiphi isigaxa esisha noma ubumba ngaphansi kwesikhumba sakho
• ILipoma ekhula ngokushesha
• Ubuhlungu, ukungakhululeki, noma ukungakhululeki kuleyo ndawo
• Ukushintsha kokuthambile noma ukubonakala kwesigaxa
• Ubumbo oluzizwa luqinile noma olungahambi uma ucindezela
• Ukushintsha kwesikhumba phezu kwesigaxa, njengokubomvu noma ukushisa

Funani ukunakekelwa kwezokwelapha ngokushesha uma isigaxa sikhuphuka ngokushesha ezinsukwini noma emakhulwini, sibe buhlungu kakhulu, noma uma uthola ubushushu kanye nesigaxa. Lezi zimpawu zingase zibonise into ebucayi kakhulu edinga ukuhlolwa ngokushesha.

Khumbula, udokotela wakho ubone i-lipomas ezingenakubalwa futhi angakwazi ukunquma ngokushesha uma lokho okukuzwayo kuyinto evamile. Akukho sidingo sokuzikhathaza ngokubaphatha ngezinkinga zakho.

Ziyini izici ezingase zikhulise ingozi yelipoma?

Izici eziningi zingase zikhulise amathuba akho okuthuthukisa i-lipomas, nakuba abantu abaningi abanezi zici ezingase zikhulise ingozi abazithuthukisi. Ukuqonda lezi zici kungakusiza ukwazi ukuthi yini okufanele uyilinde.

Izici ezingase zikhulise ingozi zihlanganisa:

• Umlando womndeni: Ukuba nohlobo olufana nelipoma kukhuphula kakhulu ingozi yakho
• Ubudala: Ngokuvamile kutholakala kubantu abadala abaphakathi (40-60 iminyaka)
• I-Lipomas yangaphambili: Ukuba naye kukhuphula amathuba okuthuthukisa abanye
• Izimo ezithile zezofuzo: Njenge-Gardner syndrome noma i-Cowden syndrome
• Ubulili: Ngokuvamile kutholakala kumadoda ngezinhlobo ezithile

Ezinye izimo zezofuzo ezingavamile zikhuphula kakhulu ingozi yelipoma. I-Multiple familial lipomatosis ibangela ukuthi i-lipomas eminingi ikhule emzimbeni wonke. I-Adiposis dolorosa (Dercum disease) ibangela i-lipomas ebuhlungu, nakuba le simo singavamile kakhulu.

Ngokuthakazelisayo, isisindo sakho esiphelele sibonakala singathinti ukukhula kwelipoma. Abantu abancane nabakhulu bayathuthukisa ngesilinganiso esifanayo, okusikisela ukuthi azixhunyanisiwe nje kuphela nokuthola amafutha omzimba amaningi.

Ziyini izinhlanganisela ezingase zenzeke nge-lipoma?

I-Lipomas ngokuvamile ayinangozi futhi ayibangeli izinhlanganisela ezinzima. Abantu abaningi bahlala nabo ngaphandle kwezinkinga, futhi izinhlanganisela azivamile kakhulu.

Izinkinga ezingase zenzeke zihlanganisa:

• Ukucindezela kwezinzwa: I-Lipomas enkulu ingase icindezela izinzwa eziseduze, ibangela ukungathuthuki noma ukukhahlela
• Ukunciphisa ukunyakaza: I-Lipomas eduze kwamajoini ingase ibeka umkhawulo ekunyakazeni
• Ukukhathazeka ngokubonakala: Izigaxa ezibonakalayo zingase zithinte ukuzethemba kwakho noma ukunethezeka
• Ukutheleleka: Akukuvamile, kodwa kungenzeka uma isikhumba phezu kwelipoma silimale
• Ukuguqulwa okubi: Ukuguqulwa okungavamile kakhulu kuya ku-liposarcoma (umdlavuza)

Ukuguqulwa kwelipoma kube yimdlavuza (liposarcoma) kuyinto engavamile kakhulu, kwenzeka ngaphansi kuka-1% yezimo. Noma kunjalo, uma i-lipoma yakho ikhula ngokushesha ngokuzumayo, ibe luqinile, noma ibangela ubuhlungu obukhulu, lezi zinguquko zidinga ukuhlolwa kwezokwelapha.

Iningi lezinhlanganisela liyincani futhi lilawulwa kalula. Ngisho ne-lipomas enkulu ngokuvamile ingasuswa ngezinqubo ezilula uma ibangela izinkinga noma ukungakhululeki.

Ungayivimbela kanjani i-lipoma?

Ngeshwa, ayikho indlela ebonakalayo yokuvimbela i-lipomas ekukhuleni. Njengoba zithonywe kakhulu ngezofuzo nezici ezingaziwa, amasu okuvimbela awasungulwanga kahle.

Noma kunjalo, ukugcina impilo enhle kungasiza:

• Ukudla ukudla okulinganiselayo, okunomsoco
• Ukuhlala usebenza ngokomzimba futhi ugcine isisindo esinempilo
• Ukugwema ukusebenzisa utshwala ngokweqile
• Ukulawula ukucindezeleka ngamathuluzi okulawula ukucindezeleka
• Ukuthola ukuhlolwa okuvamile nodokotela wakho

Abanye abantu bayazibuza ukuthi ukulahlekelwa isisindo kuvimbela i-lipomas, kodwa ucwaningo alusekeli lobu buhlobo. I-Lipomas ingase ikhule kubantu bazo zonke izinhlobo zomzimba nesisindo.

Indlela engcono kakhulu iwukugxila empilweni enhle futhi uqaphele noma yiziphi izigaxa ezintsha noma ukushintsha emzimbeni wakho. Ukutholakala kwangaphambi kwesikhathi nokuxilongwa okufanele kuhlala kuyizixhobo zakho ezibaluleke kakhulu.

ILipoma ixilongwa kanjani?

Ukuxilongwa kwelipoma ngokuvamile kuqala ngokuhlolwa komzimba lapho udokotela wakho ezwa khona isigaxa futhi ebuza ngomlando walo. I-Lipomas eziningi zinazo izici ezichazwe kahle ukuze odokotela bakwazi ukuzithola ngokuthinta kuphela.

Udokotela wakho uzohlola izici ezibalulekile eziningi:

• Ubukhulu, isisindo, nokuthambile kwesigaxa
• Ukulula kokunyakaza ngaphansi kwesikhumba
• Uma kubangela ubuhlungu noma ukungakhululeki
• Isikhathi eside usuqaphele futhi noma yiziphi izinguquko
• Umlando womndeni wezigaxa ezifanayo

Uma ukuxilongwa kungacaci ngokuhlola kuphela, udokotela wakho angase ayalele ukuhlolwa kwezithombe. I-Ultrasound ingabonisa isimo sangaphakathi futhi iqinisekise ukuthi yenziwe ngethishu yamafutha. I-MRI inikeza izithombe eziningiliziwe futhi ikusiza ukwahlukanisa i-lipomas kwezinye izicubu ezithambile.

Kwezinye izimo ezingavamile lapho kungenakucaca, udokotela wakho angase akukhuthaze ukwenza i-biopsy. Lokhu kuhilela ukuthatha isampula encane yethishu ukuze kuhlolwe nge-microscope. Noma kunjalo, lokhu ngokuvamile kudingeka kuphela uma isigaxa sinazo izici ezingavamile noma singenzi njengelipoma evamile.

Izivivinyo zegazi azidingeki ekuxilongweni kwe-lipomas elula, kodwa zingase ziyalelwe uma udokotela wakho engabaza isimo esingaphansi esibangela i-lipomas eminingi.

Iyini ukwelashwa kwelipoma?

I-Lipomas eziningi azidingi noma yiluphi ukwelashwa futhi zingashiywa zodwa. Njengoba zingenangozi futhi azibangeli izinkinga, odokotela abaningi bancoma indlela "yokulinda nokulinda" ye-lipomas encane, engenabuhlungu.

Amathuba okwelashwa uma kudingeka ahlanganisa:

• Ukususwa ngokusebenza: Ukwelashwa okuvamile kakhulu, kwenziwa ngaphansi kokwelashwa kwendawo
• I-Liposuction: Amafutha akhishwa ngokusebenzisa isiqu esincane
• Ukugxilwa kwe-steroid: Kungase kunciphise i-lipoma, nakuba imiphumela ihlukahlukene
• Indlela encane yokusika: Indlela encane yokusika ye-lipomas ethile

Ukususwa ngokusebenza ngokuvamile kulula futhi kwenziwa njengesiqu sokuphuma. Udokotela wakho wenza isiqu esincane, susa i-lipoma ephelele kufaka phakathi i-capsule yayo, bese uvala isifo ngezintambo. Inqubo ngokuvamile ithatha imizuzu engama-20-30.

Nge-lipomas ejulile, ezingavamile noma ezindawo eziyinkimbinkimbi, izindlela zokusebenza ezikhethekile zingase zidingeke. Lezi zimo ngokuvamile zidinga ukudluliselwa kuchwepheshe futhi zingase zihilele ukwelashwa okujwayelekile.

Ukususwa okuphelele kuvimbela ukubuyela kuleyo ndawo, nakuba i-lipomas entsha ingase ikhule kwenye indawo uma ukhonjwe yiyo.

Indlela yokuphatha i-lipoma ekhaya?

Ukukhathalela ekhaya kwe-lipomas kugxile ekulindeni nasekunethezekeni kunokwelashwa, njengoba lezi zigaxa ngokuvamile azidingi ukungenelela okuqondile. Umsebenzi wakho oyinhloko ukulinda noma yiziphi izinguquko futhi ugcine impilo yesikhumba esizungezile.

Nawa amaqhinga ongawaqaphela ekhaya:

• Landelela izinguquko: Hlola ubukhulu, ukuthambile, nanoma yiziphi izimpawu ezintsha njalo ngenyanga
• Gcina indawo ihlanzekile: Ukugeza okuthambile kuvimbela ukucasuka kwesikhumba
• Gwema ukulimala: Vikela indawo ekwenzeni noma ekucindezeleni okweqile
• Gqoka izingubo ezanelisayo: Gwema izingubo eziqinile ezisusa i-lipoma
• Faka izikhwama ezishisayo: Kungasiza uma indawo izizwa ibuhlungu

Abanye abantu bazama ukwelashwa kwemvelo njenge-turmeric noma izithasiselo zezitshalo, kodwa ayikho ubufakazi besayensi bokuthi lezi zindlela zinciphisa i-lipomas. Nakuba ngokuvamile zingenangozi, kungcono ukuxoxa nanoma yiluphi ukwelashwa okunye nodokotela wakho kuqala.

Ukuqeda ubuhlungu kungaphathwa ngemithi yokuthengwa ngaphandle njenge-ibuprofen noma i-acetaminophen uma i-lipoma yakho ibangela ukungakhululeki. Noma kunjalo, ubuhlungu obukhulu noma obukhula kufanele bukhuthaze ukuvakashela udokotela.

Khumbula, awudingi ukumunca noma ukuphatha i-lipoma. Ukuphatha okweqile ngeke kwenze ihambe futhi kungase kubangele ukucasuka okungadingekile kwezicubu ezizungezile.

Kufanele ulungiselele kanjani i-appointment yakho nodokotela?

Ukulungiselela i-appointment yakho kukusiza ukuthola okuningi ekuhambeni kwakho futhi kuqinisekisa ukuthi udokotela wakho uneyonke imininingwane edingekayo yokuhlola okufanele. Ukulungiselela okuncane kuhamba ibanga elide ekuqondisaneni okusebenzayo kwezokunakekelwa kwezempilo.

Ngaphambi kokuya kwakho, buza le mininingwane:

• Isikhathi: Lapho uqale ukubona khona isigaxa nanoma yiziphi izinguquko kusukela ngaleso sikhathi
• Izimpawu: Ubuhlungu, ukungakhululeki, noma ezinye izizwe ozizwile
• Umlando womndeni: Noma yimiphi izihlobo ezinezigaxa ezifanayo noma izimo zezofuzo
• Izithombe: Izithombe ezibonisa ukushintsha ngobukhulu ngokuhamba kwesikhathi, uma unazo
• Imithi yamanje: Kufaka phakathi izithasiselo nemithi yokuthengwa ngaphandle
• Umlando wezokwelapha wangaphambili: Noma yiziphi izimo zezempilo noma ukuhlinzwa okufanele

Bhala phansi imibuzo yakho ngaphambi kwesikhathi ukuze ungakhohlwa izinkinga ezibalulekile ngesikhathi se-appointment. Imibuzo evamile ihlanganisa ukubuza ngamathuba okususwa, ingozi yokubuyela, nokuthi i-lipoma ingase ithinte imisebenzi yansuku zonke.

Gqoka izingubo ezivumela ukufinyelela okulula endaweni yelipoma. Lokhu kusiza udokotela wakho ukuhlola isigaxa ngokuphelele ngaphandle kokuba ukhululeke ngokuphelele.

Cabanga ukuletha umngani othembekile noma ilungu lomndeni uma ukhathazekile nge-appointment. Bangakusiza ukukhumbula imininingwane ebalulekile futhi banikeze ukwesekwa ngokomzwelo.

Yini okufanele uyikhumbule nge-lipoma?

I-Lipomas yizigaxa ezivamile, ezingezona ezinobuhlungu ezenziwe ngethishu yamafutha ezikhula ngaphansi kwesikhumba sakho. Ngokuvamile zithambile, zihamba, futhi azina buhlungu, zithinta izigidi zabantu ngaphandle kokubangela izinkinga zezempilo ezinzima.

Izinto ezibaluleke kakhulu okumele uzikhumbule ukuthi i-lipomas ikhula kancane, ayivami ukuba yimdlavuza, futhi ngokuvamile ayidingi ukwelashwa ngaphandle uma ibangela ukungakhululeki noma ukukhathazeka ngokubonakala. Abantu abaningi bahlala impilo yabo yonke belipomas ngaphandle kwezinkinga.

Noma kunjalo, noma yisiphi isigaxa esisha sidinga ukuxilongwa kwezokwelapha ukuqinisekisa ukuxilongwa nokuvimbela ezinye izimo. Udokotela wakho angakwazi ukunquma ngokushesha uma lokho okukuzwayo kuyi-lipoma evamile futhi axoxe ngamathuba uma ukwelashwa kufunwa.

Themba izinzwa zakho mayelana nokushintsha emzimbeni wakho. Nakuba i-lipomas ngokuvamile ingenangozi, ukukhula ngokushesha, ubuhlungu, noma ukushintsha kokuthambile kudinga ukuvakashela udokotela ukuze kuhlolwe kahle futhi uthole ukuzola kwengqondo.

Imibuzo evamile mayelana nelipoma

Ingabe i-lipomas iyahamba yodwa?

I-Lipomas ngokuvamile ayihambi ngaphandle kokwelashwa. Uma isungulwe, ngokuvamile ihlala iqinile noma ikhula kancane ngokuhamba kwesikhathi. Nakuba abanye abantu bebika ukuthi i-lipomas incintisa, lokhu akukuvamile futhi akufanele kulindeleke njengendlela evamile.

Ingabe ungathola i-lipomas ngokudla amafutha amaningi?

Cha, ukudla amafutha akubangeli ukukhula kwe-lipomas. Lezi zigaxa azixhunyanisiwe nokudla kwakho noma isisindo sakho somzimba. Abantu bazo zonke izindinganiso nokudla bangathuthukisa i-lipomas, okusikisela ukuthi zihlanganiswe kakhulu nezofuzo kunamasiko okuphila.

Ingabe i-lipomas iyadluliseleka?

I-Lipomas ayidluliseleki futhi ayikwazi ukusabalala kubantu ngokuthinta. Zikhula ngenxa yezici zezofuzo kanye nezici ezingaziwa ngaphakathi komzimba wakho, hhayi ngokubekwa kwabanye abanawo.

I-Lipomas ingaba khulu kangakanani?

I-Lipomas eziningi ihlala incane, kusukela ku-1-3 intshi ububanzi. Noma kunjalo, ezinye zingase zikhule zikhulu kakhulu, ngezinye izikhathi zifinyelela ku-6 intshi noma ngaphezulu ububanzi. I-Lipomas enkulu, nakuba ingavamile, kubikwe ukuthi isisindo sayo singamakhilogremu amaningana ezimweni ezingavamile.

Ingabe insimbi izokhokhela ukususwa kwelipoma?

Ukumbozwa kwemali yokuhlengikazi kuncike ekutheni kuyadingeka ngokwelapha kunokuthanda ukubonakala. Uma i-lipoma ibangela ubuhlungu, ibeka umkhawulo ekunyakazeni, noma iphazamise imisebenzi yansuku zonke, insimbi ngokuvamile ikhokhela ukususwa. Ukususwa okuyinto yokubonakala kuphela kungase kudinge ukukhokha ngemali yakho, ngakho-ke hlola nodokotela wakho mayelana nezinqubomgomo ezithile zokumbozwa.