Hemangioma ya chiwindi
Matendawa ndi wamba ndipo nthawi zambiri si owopsa, samadziwonetsera mwanjira iliyonse ndipo safuna chithandizo. Komabe, nthawi zina thandizo la dokotala likufunikabe. Tiyeni tiwone kuti ndi mtundu wanji wa pathology limodzi ndi katswiri

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.

Kodi zovuta za chiwindi hemangioma ndi ziti?
Chiwindi hemangioma chingayambitse kuthyoka kwa minofu, kutuluka magazi mkati, ndi kugunda kwa magazi. Pali kuthekera kuti chifukwa cha kukula kwakukulu kwa mapangidwe, ziwalo zapafupi, zotengera ndi mitsempha zimatha kupanikizidwa.
Kodi hemangioma ya chiwindi imafunika liti?
Kusankhidwa kwa njira zochizira hemangioma kumatengera kukula kwake ndi mawonekedwe ake. Zotupa zokhala ndi masentimita 4-6 (mu voliyumu) ​​sizifuna kuchitapo kanthu mwachangu. Pankhaniyi, mkhalidwe wa wodwalayo umangoyang'aniridwa, patatha miyezi itatu kuchokera pomwe akudziwika, kuwongolera kwa ultrasound kumapangidwa, kenako kumabwerezedwa miyezi 3-6 iliyonse.

Pazovuta kwambiri, katswiriyo amasankha mankhwala a mahomoni, ma radiation kapena opaleshoni.

Kodi ndizotheka kuchiza hemangioma pachiwindi ndi mankhwala owerengeka?
Folk azitsamba sangathe kuchiza hemangioma. Chithandizo cha matenda amtunduwu ndi munthu payekhapayekha. Ndikofunikira kutsatira zakudya kuti zisakhumudwitse: osapatula mowa, zakumwa za carbonated, chokoleti, zonunkhira, mkate, komanso zakudya zamafuta ndi zamchere kuchokera pazakudya.

Siyani Mumakonda