Zamkatimu
Hemangioma ya chiwindi ndi chiyani
Hemangioma (yomwe imadziwikanso kuti angioma) yachiwindi ndi chotupa chosaopsa chomwe chimakhala ndi timitsempha tating'ono ta mitsempha yodzaza ndi magazi.
Matendawa ndi 5% mwa anthu akuluakulu. Izi neoplasms zambiri akuluakulu kuposa ana: mmene zaka odwala ndi 30-50 zaka. Chiwindi hemangiomas amapezeka kwambiri mwa akazi kuposa amuna.
Ma hemangioma ambiri a chiwindi samayambitsa zizindikiro, ngakhale zotupa zazikulu zomwe zimakanikizira minofu zimatha kuyambitsa kusafuna kudya, nseru, ndi kusanza.
Monga lamulo, wodwalayo amangokhala ndi hemangioma imodzi, koma nthawi zina pangakhale zingapo. Hemangiomas sakula kukhala khansa ndipo samafalikira ku ziwalo zina za thupi.
Zomwe zimayambitsa chiwindi hemangioma mwa akuluakulu
Chifukwa chiyani mawonekedwe a hemangioma m'chiwindi sichidziwika bwino. Koma kafukufuku wosadziwika bwino akuwonetsa kuti majini ena osalongosoka angakhale omwe amayambitsa. Pali malingaliro omwe angathandize pakukula kwa chotupacho:
- chithandizo cha nthawi yayitali cha steroid kwa matenda kapena kumanga minofu;
- kugwiritsa ntchito nthawi yayitali mapiritsi oletsa kubereka;
- mimba.
Zizindikiro za chiwindi hemangioma mwa akuluakulu
Ambiri a hemangiomas a chiwindi samayambitsa zizindikiro zosasangalatsa, amapezeka pamene wodwala akuyesedwa matenda ena.
Zing'onozing'ono (mamilimita angapo mpaka 2 cm m'mimba mwake) ndi zapakati (2 mpaka 5 cm) sizichiritsa, koma ziyenera kuyang'aniridwa nthawi zonse. Kuwunika koteroko ndikofunikira chifukwa pafupifupi 10% ya hemangiomas imakula kukula pakapita nthawi pazifukwa zosadziwika.
Giant chiwindi hemangiomas (oposa 10 cm) nthawi zambiri amakhala ndi zizindikiro ndi zovuta zomwe zimafunikira chithandizo. Zizindikiro nthawi zambiri zimaphatikizapo kupweteka kumtunda kwa mimba pamene misa yaikulu ikukankhira pa minofu yozungulira ndi kapisozi wa chiwindi. Zizindikiro zina ndi izi:
- kusowa chakudya;
- chisokonezo;
- kusanza;
- kumverera mwamsanga kukhuta pamene akudya;
- kumva kutupa mutatha kudya.
Chiwindi hemangioma chikhoza kutuluka magazi kapena kupanga magazi omwe amasunga madzimadzi. Ndiye pali ululu m'mimba.
Chithandizo cha chiwindi hemangioma akuluakulu
Ma hemangioma ang'onoang'ono safuna chithandizo, koma zotupa zazikulu nthawi zina zimafuna opaleshoni.
Diagnostics
Pali mayeso angapo omwe amathandiza kusiyanitsa hemangioma ya chiwindi ndi mitundu ina ya zotupa:
- ultrasound yowonjezera-yowonjezera - mafunde amtundu wapamwamba kwambiri amadutsa minofu ya thupi, ndipo ma echoes amalembedwa ndikusinthidwa kukhala kanema kapena zithunzi;
- computed tomography (CT);
- kujambula kwa maginito (MRI);
- angiography - jekeseni wosiyanitsa amalowetsedwa muzitsulo kuti aziyang'ana pansi pa X-ray;
- scintigraphy ndi sikani ya nyukiliya yomwe imagwiritsa ntchito radioactive isotope technetium-99m kupanga chithunzi cha hemangioma.
Mankhwala amakono
Ma hemangioma ena amapezeka atabadwa kapena ali aang'ono (mpaka 5-10% ya ana a chaka chimodzi). Hemangioma imachepa pakapita nthawi ndipo nthawi zina imatha kutha. Ngati ndi yaying'ono, yokhazikika, ndipo sichimayambitsa zizindikiro zilizonse, imatha kuyang'aniridwa ndi maphunziro ojambula zithunzi miyezi 6 mpaka 12 iliyonse.
Palibe mankhwala ochizira chiwindi cha hemangioma. Opaleshoni ingafunike kuchotsa chotupacho ngati chikukula mofulumira kapena kuchititsa kusapeza bwino kapena kupweteka. Njira yotchedwa vascular embolization, yomwe imadula mitsempha yamagazi yomwe imadyetsa hemangioma, imatha kuchepetsa kapena kulepheretsa kukula kwake.
Kupewa chiwindi hemangioma akuluakulu kunyumba
Popeza chomwe chimayambitsa chiwindi cha hemangioma sichidziwika, sichingalephereke.
Mafunso ndi mayankho otchuka
Tinapempha kuti tiyankhe mafunso okhudza hemangioma ya chiwindi Opaleshoni ya X-ray endovascular Alexander Shiryaev.
Pazovuta kwambiri, katswiriyo amasankha mankhwala a mahomoni, ma radiation kapena opaleshoni.