Kumvetsetsa Benin Liver Tumors
Hepatic hemangiomas (HH) ndi mtundu wochuluka kwambiri wa zotupa (noncancerous) zotupa kapena pachiwindi . Chotupacho chimakhala ndi magulu a mitsempha ya mitsempha, maselo omwe amayendetsa mitsempha ya magazi (maselo otsirizira), ndi mitsempha yapamwamba, imene imakhala ngati mafuta oyambirira a misa. Mayina ena a chotupachi ndi a cavernous kapena capillary hepatic hemangioma.
Kawirikawiri, anthu omwe ali ndi vutoli amakhala opanda zizindikiro, ndipo amangozindikira mwadzidzidzi pamene wodwala akudwala, kuyesedwa, kapena ndondomeko ya matenda osiyanasiyana.
Ziŵerengero zomwe nyuzipepala ya National Center ya Biotechnology Information (NBCI) imanena zimasonyeza kuti hemangiomas amadziwika kwambiri ngati chotupa chimodzi, ngakhale kuti anthu ambiri amatha kuchitika. Mimba yamtunduwu imakhala yaikulu kuchokera pa masentimita awiri kufika pa masentimita 10. Masses osachepera 2 centimita amaonedwa kuti "ang'ono," ndipo akuluakulu khumi ndi amodzi amaikidwa ngati "chimphona".
Zowopsa
Makamaka, hemangiomas yodabwitsa imapezeka kuti ali pakati pa zaka 30 ndi 50. Kuwonjezera apo, zivomezi za chiwindi ndizokwanira kawiri kuti zichitike mwa akazi kusiyana ndi amuna. Palibe amene amadziwa chifukwa chake minofuyi imakhalapo, koma ochita kafukufuku amakhulupirira kuti pangakhale chibadwa chokhala ndi chibadwa, kapena mwina chibadwa.
Komanso, ena amaganiza kuti kukula kwa chiwindi cha hemangiomas chikhoza kugwirizana ndi maselo a estrogen mu thupi, makamaka pa nthawi ya mimba. Komanso, akatswiri ena amakhulupirira kuti amayi omwe amagwiritsa ntchito njira zowonetsera kapena njira zina zothandizira kuchepetsa kusamba kwa thupi zimatha kukhala ndi chiwindi-ngakhale kuli kofunika kudziwa kuti sizithunzithunzi zonse zokhudzana ndi estrogen, ndipo zotupa zingathe kukula ngakhale pakakhala palibe hormone iyi.
Pamene lingaliro la kukhala ndi chifuwa cha chiwindi mu thupi lanu lingamveke chowopsya, anthu ambiri adzakhalabe osakanikirana ndipo sakufuna thandizo lililonse lachipatala.
Zizindikiro ndi Zizindikiro
Nthawi zambiri, palibe zizindikilo kapena zizindikiro zofanana ndi hemangiomas yoopsa; kawirikawiri, amapezeka pamene kujambula kumachitika pazifukwa zina. Koma pamene zizindikiro zikuchitika, zikhoza kuphatikizapo zotsatirazi:
Malingaliro osafunika a m'magazi, omwe amatha kutsanzira matenda ena
Kupweteka kumanja, chapamwamba quadrant ya mimba (kumene chiwindi chilipo)
Kuchepetsa chilakolako
Nausea
Kumverera kukhuta kwathunthu ngakhale kudya chakudya chochepa chabe
Kuthamanga
Kuphika pambuyo pa chakudya
Zina zomwe zimapweteka m'mimba
Hepangiom hemangiomas sizimamveka ngati dokotala akulumikiza kapena kuyesa pamimba. Malingana ndi kukula ndi malo a chotupacho, zizindikiro zowopsa, zizindikiro, ndi zovuta zikuphatikizapo:
Fever
Chiwindi chofutukuka
Anemia
Nthawi zambiri, chotupacho chimatha kupweteka ndikupweteka kwambiri komanso kumataya m'mimba.
Kudziwa
Monga momwe ndalembedwera mu Journal ya Hepatology yadziko lonse , zotsatirazi ndi njira zomwe hemangioma yapamwamba imapezeka:
CT scan
MRI
ultrasound
Malingana ndi zizindikiro zanu ndi kukula kwa chiwindi, kuchulukanso kwa magazi kumayesedwa.
Chithandizo
Monga tanenera poyamba, ngati chotupacho chiri chaching'ono ndipo sichikupatsani mavuto aliwonse, chithandizo sichiri chofunikira. Koma ngati mukumva ululu kapena zizindikiro zina, mungafunike kuchipatala kuti muwone bwino.
Nthawi zina opaleshoni amafunika kuchotsa chotupacho. Ngati hemangioma ya hepatic ndi yosavuta kufika, dokotala akhoza kusankha kuti achotse misa pofuna kuyesa kuchepetsa kuwonongeka kwa matenda a chiwindi. Nthawi zina, dokotala angafunike kuchotsa gawo la chiwindi chanu-lotchedwa resection-kuphatikizapo chotupacho.
Kuonjezera apo, dokotala akhoza kuyesa kuletsa magazi ku chifuwacho kudzera mu njira yopaleshoni yotchedwa hepatic artery ligation kapena kudzera mu jekeseni wotchedwa yokhazikika.
Nthawi zambiri, kuika chiwindi kungakhale kofunika ngati kukula kwake ndi kukula kwake kwa hemangioma sangathe kukonzedwanso ndi njira zina. Potsirizira pake, mankhwalawa ndi njira yothandizira kuchepetsa kukula kwa misa, koma sagwiritsidwa ntchito kawirikawiri chifukwa cha kuthekera kwake kuwonetsa mavuto ena.
Kuthamangitsani
Anthu ambiri akhoza kukhala ndi moyo wathanzi, wathanzi ndi hepatic hemangioma. Koma chotupa chingakhale chovuta ngati chimakula kukula kapena mumakhala ndi zizindikiro zomwe zimakuvutitsani tsiku ndi tsiku. Ngati chotupacho chikupezeka ngati mbali ya matenda ena, dokotala wanu angasankhe kukulozerani kuti muziyang'anitsitsa kwa gastroenterologist -dokotala yemwe amadziŵa bwino matenda ndi matenda a chiwindi.
Ngati mukufuna kupititsa opaleshoni, mwinamwake kuti chotupacho chidzabwererenso (ngakhale, pali zochepa zolembedwa zomwe zikuchitika). Komabe, kufotokoza kwa nthawi yaitali kwa hemangiomas mwachangu kumaonedwa kuti ndibwino kwambiri.
Kupewa
Ngakhale kuti palibe njira yodziwika bwino yolepheretsa kukula kwa hemangiomas, dokotala wanu angakulimbikitseni moyo wanu zosintha monga kuchita masewera olimbitsa thupi, kusiya kusuta, kukhala ndi thanzi labwino, kuchepetsa kumwa mowa, ndi kudya zakudya zopatsa thanzi monga njira zothandizira zonse zaumoyo.
Mawu Ochokera
Ngakhale kuti mungadere nkhaŵa za matenda a hemangioma wodabwitsa, mtundu umenewu umakhala wabwino. Ngati mukumva kuti nkhaŵa ndi nkhawa zikukulepheretsani kukhala ndi moyo wathunthu, musawone kukambirana ndi dokotala wanu. Mungapeze kuti katswiri wathanzi la maganizo kapena gulu lothandizira lingakuthandizeni kuthana ndi vutoli, kukonzekera opaleshoni, ndi kukuthandizani mutatha njira.
> Zotsatira:
> Bajenaru N, Balaban V, Săvulescu F, Campeanu I, Patrascu T. Hepatic hemangioma-ndemanga-. Journal of Medicine and Life. 2015; 8 (Nkhani Yeniyeni): 4-11.
> Evans J, Sabih DE. Hemangioma, Cavernous Chiwindi. NCBI StatPeals Publishing webusaiti. https://www.ncbi.nlm.nih.gov/books/NBK470283/
> Maruyama M, Isokawa O, Hoshiyama K, Hoshiyama A, Hoshiyama M, Hoshiyama Y. Kuzindikira ndi Kusamalira Mankhwala Odzidzimutsa a Hemangioma: Kugwiritsa Ntchito Kusiyanitsa-Kulimbitsa Ultrasonography. International Journal of Hepatology . 2013. doi: 10.1155 / 2013/802180