Ukuqonda i-Benign Liver Tumors
I-Hepatic hemangiomas (HH) yiyona ndlela ejwayelekile kakhulu yezifo ezibi kakhulu (ezingenakunqanda) ngaphakathi noma esibindi . I-tumor iqukethe inethiwekhi yemithwalo yegazi, amangqamuzana ahlanganisa leyo mithini yegazi (amangqamuzana e-endothelial), kanye nomthambo we-hepatic, osebenza njengophethiloli oyinhloko we-mass. Amanye amagama walesi sifo ahlanganisa i-hemangioma ye-cavernous noma i-capillary hepatic hepatic.
Ngokuvamile, abantu abanalolu hlobo lwe-tumor baphila izimpawu ezingekho, futhi kutholakala kuphela lapho kwenzeka isiguli, ukuhlolwa, noma inqubo yokwelashwa okuhlukile.
Izibalo ezibikwe i-National Center ye-Biotechnology Information (NBCI) zibonisa ukuthi i-hemangiomas ye-hepatic ivame ukutholakala njengesifo esisodwa, nakuba izixuku eziningi zingenzeka. Amapulangwe ajwayelekile esayizi kusuka kumamitha amabili kuya kwangu-10 amasentimitha. Amasses angaphansi kuka-2 amentimitha abizwa ngokuthi "amancane," futhi angaphezu kuka-10 ahlukaniswa ngokuthi "ama-giant."
Izingozi Zezingozi
Ngokuyinhloko, ama-hemangiomas hepatic atholakala phakathi kweminyaka engama-30 no-50 ubudala. Ukwengeza, lezi zinambuzane zesibindi ziphindwe kasikhombisa ukuthi zenzeke kwabesifazane kunamadoda. Akekho owaziyo ukuthi kungani lezi zixuku ze-vascular zikhula, kodwa abacwaningi bakholelwa ukuthi kungenzeka ukuthi kunezici zofuzo, noma kungaba isimo sokuzalwa.
Futhi, abanye bacabanga ukuthi ukukhula kwesibindi se-hemangiomas kungahle kuhambisane namazinga e-estrogen emzimbeni, ikakhulukazi ngesikhathi sokukhulelwa. Ngaphezu kwalokho, abanye ochwepheshe bakholelwa ukuthi abesifazane abasebenzisa ukulawulwa kokubeletha noma ezinye izinhlobo zokwelapha esikhundleni se- hormone ukunciphisa izimpawu zokunqamuka kwesikhashana kungase kube lula ukukhulisa isibindi sesibindi-nakuba kubalulekile ukuqaphela ukuthi akuzona zonke izicubu ezihlobene ne-estrogen, kanti izicubu sikhule ngisho nalapho kungekho khona i-hormone.
Ngenkathi umcabango wokuba nesifo sofuba emzimbeni wakho ungase uzwakale esabekayo, iningi labantu lizohlala lingabonakali futhi lingadingeki noma yikuphi ukungenelela kwezokwelapha nhlobo.
Izimpawu Nezibonakaliso
Esikhathini esiningi, azikho izimpawu noma izimpawu ezihlobene ne-hematic hematic; ngokuvamile, zitholakala lapho izithombe zenzelwa ezinye izizathu. Kodwa uma kwenzeka izimpawu, zingabandakanya lokhu okulandelayo:
Izikhalazo ezingenasiphakamiso zendlela yokugaya ukudla, okungafani nezinye izifo
Ubuhlungu ngakwesokudla, i-quadrant engenhla yesisu (lapho isibindi sisekhona khona)
Ukunciphisa ukudla
I-nausea
Ukuzwa umuzwa wokugcwala naphezu kokudla ingxenye encane yokudla
Ukuvota
Ukuvimbela emva kokudla
Ezinye izinzwa zokungahambi kahle esiswini
I-hematic hemangiomas ayivamile ukuzwa lapho udokotela ehlunga noma ehlola isisu. Ngokuya ngobukhulu kanye nendawo yesikhumba, izimpawu ezikhudlwana, izimpawu, nezinkinga zihlanganisa:
Fever
Isibindi esandisiwe
I-anemia
Ezimweni ezingavamile, i-tumor ingaqhekeka futhi ibangele ubuhlungu obukhulu futhi ichithe ngaphakathi kwesisu.
Ukuxilongwa
Njengoba kubhalwe ku-I- Journal of Hepatology engapheliyo , lezi zilandelayo zindlela i-hematic hepatic etholakala ngayo:
CT scan
I-MRI
i-ultrasound
Kuye ngezibonakaliso zakho nobukhulu besibindi sebindi, umsebenzi wegazi owedlule noma ukuhlolwa kungadingeka.
Ukwelapha
Njengoba kushiwo ngaphambili, uma lesi sifo sincane futhi singakunikeli ngezinkinga, ukwelashwa akudingekile. Kodwa uma uzwa ubuhlungu noma ezinye izimpawu, ukungenelela kwezokwelapha kungadingeka ukuze uthuthukise isimo sakho.
Ngezinye izikhathi ukuhlinzwa kuyadingeka ukususa isisu. Uma i-hematic hepatic kulula ukuyifinyelela, udokotela angakhetha ukukhipha isisindo ngomzamo wokunciphisa ukulimala kwezicubu zesibindi. Kwezinye izimo, udokotela angadingeka ukuthi asuse ingxenye yesibindi sakho-eyaziwa ngokuthi umthengisi-ngaphezu kwesifo.
Ukwengeza, udokotela angase azame ukuvimbela igazi le-tumor ngokusebenzisa inqubo yokuhlinzwa eyaziwa ngokuthi i-hepatic artery ligation noma ngokusebenzisa umjovo obizwa ngokuthi i-artifial embolization.
Ezimweni ezingavamile, ukufakelwa kwesibindi kungadingeka uma usayizi nobubanzi be-hepatic hematic angeke kulungiswe ezinye izinqubo. Okokugcina, ukwelapha imishanguzo kuyindlela yokwelashwa yokwehlisa ubukhulu besisindo, kodwa akuvamile ukusetshenziswa ngenxa yokukwazi ukuholela kwezinye izinkinga.
Isibikezelo
Iningi labantu lingaphila impilo evamile, impilo enempilo ne hepatic hemangioma. Kodwa i-tumor ingaba yinkinga uma ikhula ngobukhulu noma uthuthukisa izimpawu ezenza kube nzima kuwe ukuphila kwansuku zonke. Uma i-tumor itholakele njengengxenye yesinye isimo sezokwelapha, udokotela wakho anganquma ukukuthumela ngokuqapha kwesikhashana ku- gastroenterologist -udokotela ogxile ekuxilongweni nokwelashwa kwezifo zamathumbu kanye nezifo zesibindi.
Uma udinga ukungenelela okuhlinzekwa ngokuhlinzwa, kungenzeka ukuthi lesi sifo sizobuyela emuva (nakuba, kunamacala ambalwa aqoshiwe okwenzekayo). Kodwa-ke, ukubikezelwa kwesikhathi eside kwe-hemangiomas hepatic kubhekwa kahle.
Ukuvimbela
Nakuba kungekho ndlela ecacile yokuvimbela ukukhula kwe-hematic hepatic, udokotela wakho angase ancoma indlela yokuphila yokuguqulwa efana nokuzivocavoca, ukuyeka ukubhema, ukulondoloza isisindo esinempilo, ukunciphisa ukuphuza utshwala nokudla okunomsoco njengamacebo okusekela wakho impilo jikelele.
Izwi elivela
Nakuba ungase uzizwe ukhathazeke ngokuthola ukuthi u-hematicoma hepatic, lolu hlobo lokuzizwa luvamile. Uma uthola ukuthi ukukhathazeka nokukhathazeka kukuvimbela ikhono lakho lokuphila ngokugcwele, ungesabi ukukhuluma nodokotela wakho ngesimo sakho. Ungathola ukuthi uchwepheshe wezempilo yengqondo noma iqembu lokusekela lingakusiza ukuba ubhekane nesimo, ulungiselele ukuhlinzwa, futhi ikusekele ngemva kwenqubo.
> Imithombo:
> Bajenaru N, Balaban V, SÄvulescu F, Campeanu I, Patrascu T. Hepatic hemangioma-ukubukeza-. Journal of Medicine and Life. 2015; 8 (Spec Issue): 4-11.
> Evans J, Sabih DE. Hemangioma, Cavernous Liver. Iwebhusayithi ye-NCBI StatPeals Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470283/
> Maruyama M, Isokawa O, Hoshiyama K, Hoshiyama A, Hoshiyama M, Hoshiyama Y. Ukuxilongwa nokuphathwa kweHemangioma enkulu ye-Hepatic Hepatic: Ukusetshenziswa kwe-ultrasonography ehlukile. I-International Journal ye-Hepatology . 2013. ini: 10.1155 / 2013/802180