Matenda wamba komanso ang'onoang'ono, angioma m'chiwindi ndi chotupa choyipa chomwe chimakhudza mitsempha yamagazi. Nthawi zambiri, sizimayambitsa zizindikiro zilizonse ndipo sikofunikira kugwira ntchito.

Tanthauzo

Angioma ya chiwindi, yomwe imatchedwanso hemangioma kapena hepatic angioma, ndi chotupa choopsa chomwe chimakula chifukwa cha mitsempha ya magazi ndikupanga kachinthu kakang'ono kopangidwa ndi mitsempha yosadziwika bwino. 

Nthawi zambiri, angioma imawoneka ngati chotupa chozungulira, chodziwika bwino chokhala ndi mainchesi osakwana 3 cm (osakwana 1 cm nthawi ina iliyonse). Angioma ndi yokhazikika ndipo sizimayambitsa zizindikiro zilizonse. Ma angioma angapo amatha kufalikira pachiwindi chonse.  

Chotupacho chingathenso kukhala ndi mawonekedwe atypical. Pali ma angioma akuluakulu mpaka 10 cm, ena amatenga mawonekedwe a tinthu tating'onoting'ono tating'onoting'ono (sclerotic angiomas), enanso amawerengeredwa kapena kulumikizidwa pachiwindi ndi pedicle ...

Ma angioma ena amatha kusintha kukula pakapita nthawi, koma osasinthika kukhala zotupa zowopsa.

Zimayambitsa

Ndi chironda chomwe sichidziwika chifukwa chake, mwina chochokera kobadwa nacho. Ma angioma ena a chiwindi amatha kukhala motengera mahomoni.

matenda

Angioma nthawi zambiri imapezeka mwangozi panthawi ya ultrasound ya m'mimba. Chiwindi chikakhala chathanzi ndipo chotupacho chikachepera 3 cm, tinthu tating'onoting'ono timadziwikiratu ndipo sipafunikanso kuunikanso.

Pamene angioma ndi atypical kapena odwala omwe ali ndi matenda a chiwindi, monga cirrhosis kapena khansa ya chiwindi, zikhoza kukhala zolakwika ndi mitundu ina ya zotupa pa ultrasound. Kuzindikira kumakhala kovuta kwambiri kwa angiomas ang'onoang'ono mwa odwala omwe ali ndi zotupa zowopsa.

Mayeso ena oyerekeza okhala ndi jekeseni wa zinthu zosiyanitsa (ultrasound, CT scan kapena MRI) ndiye ayenera kuchitidwa kuti atsimikizire za matendawa. MRI ndiyomwe imayang'ana kwambiri komanso yowunikira kwambiri, ndipo imapangitsa kuti zitheke kuchotsa kukaikira kasanu ndi kamodzi mwa khumi.

Ngati matendawa sangapangidwe poyesa kujambula, biopsy ingaganizidwe. Dokotala adzapanga puncture polowetsa singano pakhungu. Kulondola kwa matenda kumafika 96%.

Anthu okhudzidwa

Popanda zizindikiro ndikupatsidwa mwayi wodziwa matenda, zimakhala zovuta kudziwa kuti ndi anthu angati omwe ali ndi angiomas a chiwindi. EASL (European Association yophunzira za chiwindi: European Association for the Study of the Liver) ikuyerekeza kuti pafupifupi 0,4% mpaka 20% ya anthu angakhudzidwe (pafupifupi 5% pamene kuyerekezera kumapangidwa pamayesero oyerekeza, koma mpaka 20% m'maphunziro okhudza chiwindi cha autopsy. ).

Matenda a chiwindi a angioma amapezeka mwa anthu a misinkhu yonse, kuphatikizapo makanda, koma amapezeka kwambiri mwa anthu a zaka zapakati pa 30 mpaka 50, omwe ali ndi amayi ambiri.

Zowopsa

Chithandizo cha mahomoni chingathandize kukulitsa kukula kwa angioma ya chiwindi. Komabe, kafukufuku akuwonetsa kuti chiwopsezochi ndi chaching'ono komanso choyambirira chilibe vuto. Kulera m'kamwa, makamaka, si contraindicated akazi ndi zotupa sanali patsogolo ndipo akhoza kupitiriza popanda kuyang'aniridwa mwapadera.

Nthawi zambiri, angioma imakhalabe ndipo imakhalabe yosadziwika.

Ma angioma akuluakulu, komabe, amatha kupanikizira minofu yoyandikana ndikuyambitsa kutupa ndi kuwawa.

Mavuto

Nthawi zina, zovuta zina zimatha kuchitika:

• thrombosis (kupanga magazi),
• Kasabach-Merritt Syndrome (SKM) yodziwika ndi kutupa komanso vuto la coagulation,
• kukha mwazi kwapakati pa chotupa, kapenanso kukhetsa magazi mu peritoneum ndi kuphulika kwa angioma (hemoperitoneum) ...

Angioma yaing'ono, yokhazikika, yopanda zizindikiro sifunika kuthandizidwa - kapena kuyang'aniridwa.

Nthawi zina, arterial embolization (kutsekereza) ikhoza kuperekedwa. Kuwongolera kungathenso kukhazikitsidwa ndi chithandizo chamankhwala ndi corticosteroids kapena mankhwala ena. Nthawi zambiri, opaleshoni idzaganiziridwa kuchotsa chotupacho.