Hemangioma ya chiwindi

Zizindikiro: Hemangioma yachiwindi nthawi zambiri imakhala yopanda zizindikiro ndipo imangopezeka mwangozi pakafukufuku wojambula matenda ena. Ngati zizindikiro zikuwonekera, zingaphatikizepo kusapeza bwino m'mimba, kudwala, ndi kupweteka m'mimba.

Zimayambitsa: Chiwindi hemangiomas ali ndi chifukwa chenichenicho. Amaganiziridwa kuti ndi obadwa nawo, kutanthauza kuti amakhalapo kuyambira kubadwa, ndipo amatha kulumikizidwa ndi zovuta pakupanga mitsempha yamagazi m'mimba.

Mitundu ya Hemangioma ya Chiwindi:

Hemangioma yachiwindi ndi zotupa zachiwindi (zopanda khansa) zomwe zimachitika chifukwa cha kupindika kwa mitsempha yachiwindi. Hemangioma ya chiwindi imatha kukhala yamitundu yosiyanasiyana: 

1. Cavernous hemangiomas ndi mtundu wofala kwambiri wa chiwindi cha hemangioma, chopangidwa ndi malo akuluakulu, odzaza magazi. Zilondazi nthawi zambiri sizimayambitsa zizindikiro zilizonse ndipo nthawi zambiri zimapezeka mwangozi pojambula zovuta zina.   
2. Capillary hemangiomas Matendawa ndi ochepa kwambiri kuposa cavernous hemangiomas. Amakhala ndi timitsempha tating'ono tating'ono ta magazi. Zizindikiro za capillary hemangiomas ndizowonjezereka, kuphatikizapo kupweteka kwa m'mimba kapena kumva kukhuta.  
3. Atypical hemangiomas ndi zotupa zopanda khansa zomwe zingatsanzire kwambiri zotupa zaukali. Zimakhala zovuta kuzizindikira chifukwa zimatha kudziwonetsa ngati zotupa zomwe zimachitika chifukwa cha metastasis.
4.  Sclerosing hemangioma ndi chotupa chosowa choyipa cha chiwindi ndi mapapo chomwe chimayamba chifukwa cha kuchepa kwa cavernous hemangiomas.

Nthawi zambiri, hemangiomas ya chiwindi imatha kukula kapena kuyambitsa zovuta monga magazi kapena kupanga thrombus. Pankhaniyi, chithandizo ndi njira yofunikira.

Kuzindikira kwa Hemangioma ya Chiwindi:

Chiwindi hemangiomas nthawi zambiri amapezeka pamene kuyesa kujambula kuchitidwa pazifukwa zina. Mayesero omwe angathandize kutsimikizira kuti ali ndi matenda a chiwindi ngati hemangioma akukayikira ndi awa: 

• Ultrasound: Kuyesa kojambulaku kumagwiritsa ntchito mafunde amawu kuti apange zithunzi zachiwindi. Chiwindi hemangiomas nthawi zambiri amawonetsa mawonekedwe a ultrasound omwe angathandize kuwasiyanitsa ndi zotupa zina zachiwindi.  
• CT scan: Mayeso oyerekezawa amagwiritsa ntchito ma X-ray kuti apeze zithunzi zatsatanetsatane zachiwindi. Chiwindi hemangiomas amathanso kuwonetsa mawonekedwe pa CT scan.  
• MRI: Pogwiritsa ntchito maginito ndi mafunde a wailesi, kuyesaku kumapanga zithunzi zatsatanetsatane zachiwindi. MRI ikhoza kutsimikizira matenda a chiwindi cha hemangioma ndikuthandizira kuyesa kukula kwake ndi malo ake.  
• Chisokonezo: Nthawi zina, biopsy ingafunike kutsimikizira matenda a chiwindi hemangioma. Biopsy ndi njira yomwe kachidutswa kakang'ono kachiwindi kamachotsedwa ndikuwunikiridwa mwachisawawa.   
• Scintigraphy: Kujambula kwa nyukiliya komwe kumagwiritsa ntchito chowunikira chowunikira kuti apeze zithunzi zachiwindi.  
• Mayeso a magazi: Zitha kuchitika kuti muwunikire momwe chiwindi chimagwirira ntchito ndikuchotsa zinthu zina zomwe zingayambitse vuto la chiwindi.

Chithandizo cha Hemangioma ya Chiwindi:

Ma hemangioma ambiri a chiwindi ndi ang'onoang'ono komanso osawoneka bwino, choncho safuna chithandizo. Kumbukirani kuti ngati hemangioma ya chiwindi ndi yayikulu kapena chizindikiro, chithandizo chingakhale choyenera. Njira zochizira matenda a hemangiomas ndi awa:   

Opaleshoni: Opaleshoni ndiye chithandizo chachikulu cha chiwindi cha hemangiomas. Opaleshoni ikufuna kuchotsa hemangioma ndikusamala kuti isawononge minofu yachiwindi yolumikizana. Nthawi zina, zingakhale zofunikira kuchotsa mbali ya chiwindi pamodzi ndi hemangioma.  

Njira zoletsa kutuluka kwa magazi kupita ku hemangioma: Izi zimatchedwa hepatic artery embolization ndi hepatic arterial ligation ndipo zimaphatikizapo kutsekeka kwa magazi kupita ku hemangioma. Izi zitha kuthandiza hemangioma kufota kapena kusiya kukula.   

Kuika chiwindi: Ma hemangiomas aakulu kwambiri kapena ovuta kwambiri omwe sangathe kuchiritsidwa pogwiritsa ntchito njira zina ndizomwe zimawonetsa kuti chiwindi chizipanga. Kuika kumeneku kumatha kuchotsa chiwindi kapena mbali ina ya chiwindi kuti kuchiza hemangioma ya chiwindi.

Radiotherapy: Thandizo la radiation limayimira njira ina yosowa pochiza hemangiomas m'chiwindi, pogwiritsa ntchito matabwa amphamvu kwambiri kuti awononge maselo a hemangioma, ndipo nthawi zambiri amasungidwa pamilandu yokhala ndi zizindikiro zazikulu komanso chithandizo chosagwira ntchito cha anthu ambiriwa. 

Mankhwala: Nthawi zambiri mankhwala angagwiritsidwe ntchito kuchepetsa zizindikiro monga kupweteka kapena kuchepetsa kukula kwa hemangioma.   

Malingana ndi kukula, malo, thanzi la wodwala, ndi zizindikiro zake, chiwindi cha hemangioma chikhoza kuyankha chithandizo chimodzi kuposa china.

Zowopsa ndi Zovuta za Chiwindi Hemangioma

Chiwindi hemangiomas, zotupa zodziwika bwino zomwe zimapangidwa ndi mitsempha yamagazi, zimatha kupezeka zazing'ono ndipo nthawi zambiri sizikhala ndi zizindikiro. Nthawi zambiri zimakhala zopanda vuto; komabe, ngati zotupazi zili ndi kukula kwakukulu kapena zovuta zina zimayamba, ndiye kuti zitha kubweretsanso zoopsa. 

Zowopsa:

Mfundo zotsatirazi zitha kuthandizira kapena kukulitsa mwayi wopanga chiwindi cha hemangioma:

• Gender: Azimayi amawoneka kuti akuvutika kwambiri ndi chiwindi cha hemangioma kusiyana ndi amuna.   
• Age: Chiwindi hemangiomas amapezeka mwa anthu azaka zapakati pa 30 ndi 50. 
• Mimba: Azimayi omwe ali ndi pakati kapena omwe ali ndi hemangiomas amatha kukhala ndi mwayi wowonjezereka wa kukula kwa chiwindi cha hemangiomas. Zimaganiziridwa kuti izi zikhoza kukhala zokhudzana ndi zotsatira za hormone ya estrogen pa kukula kwa chiwindi cha hemangioma.   
• Chithandizo cha mahomoni: Azimayi omwe amamwa mankhwala obwezeretsanso mahomoni polimbana ndi zizindikiro zosiya kusamba alinso ndi vuto la chiwindi cha hemangioma.   

Mavuto

Zambiri za hemangiomas za chiwindi sizibweretsa zovuta zilizonse. Komabe, zovuta zomwe sizikudziwika zitha kuwoneka, monga:   

• Kukula: Nthawi zina, chiwindi cha hemangiomas chikhoza kukula ndikuwonetsa zizindikiro monga kupweteka m'mimba, nseru, kusanza, kapena kudzaza.   
• Kupuma: Chiwindi cha hemangiomas chikhoza kuphulika nthawi zina, zomwe zimayambitsa kupanga hematoma mkati mwa mimba. Izi ndizovuta kwambiri ndipo zimafuna chithandizo chamankhwala mwamsanga.   
• Kuponderezana: Akuluakulu a hemangiomas a chiwindi amatha kupanikizira zida zapafupi, monga mitsempha yamagazi ndi ma ducts a bile, zomwe zimapangitsa kuti pakhale zovuta monga jaundice kapena kuundana kwa magazi.   
• Kasabach-Merritt syndrome: Matenda osowa amatha kuchitika mwa makanda omwe ali ndi hemangiomas yayikulu yachiwindi yodziwika ndi kuchuluka kwa mapulateleti otsika, zomwe zimayambitsa vuto la magazi.

Matenda ndi Kuunika: Kuti atsimikizire kukhalapo kwa hepatic hemangioma ndikuwunika kukula kwake, malo ake, ndi mawonekedwe ake, wodwalayo ali ndi mayesero ojambula zithunzi monga MRI, CT scan, kapena ultrasound.

Kuyang'anira ndi Kuyang'anira: Ngati hepatic hemangioma ndi yaing'ono, yopanda zizindikiro, komanso yosabala vuto lililonse, kuyezetsa kojambula kungapangidwe pa wodwalayo pafupipafupi kuti awone kusintha kulikonse kwa kukula kapena mawonekedwe a chotupacho.

Symptomatic Management: Mankhwala monga opha ululu kapena nonsteroidal anti-inflammatory drugs (NSAIDs) angagwiritsidwe ntchito kuchepetsa zizindikiro monga kupweteka kapena kusamva bwino ngati hepatic hemangioma ndi yomwe imayambitsa.

Embolization: Izi zitha kuganiziridwa ndi ma hepatic hemangiomas akuluakulu kapena omwe amabweretsa zizindikiro zazikulu kapena zotulukapo zake. Pofuna kuchepetsa kapena kukhazikika kwa hemangioma, mankhwala amalowetsedwa m'mitsempha yamagazi yomwe imapereka chotupacho kuti athetse magazi ake.

Kuchotsa Opaleshoni: Muzochitika zochepa, opaleshoni yochotsa chotupacho ikhoza kulangizidwa ngati hemangioma ya chiwindi ndi yaikulu, yomwe imayambitsa zizindikiro zazikulu, kapena pangozi yophulika kapena kutuluka magazi. Chiwindi chomwe chili ndi hemangioma chimachotsedwa panthawi yamankhwala.

Kuika Chiwindi: Kuika chiwindi ndi njira yosowa yochizira yomwe ingaganizidwe ngati chiwindi cha hemangioma chili chachikulu, chomwe chimayambitsa zizindikiro zazikulu kapena zotsatira zake, kapena ngati pali nkhawa chifukwa cha matenda.

Chisamaliro Chotsatira: Wodwalayo amayenera kukonza nthawi zotsatiridwa ndi akatswiri azachipatala potsatira njira iliyonse kapena kulowererapo kwa chiwindi cha hemangioma kuti athe kuyang'anira kuchira kwawo, kuyesa mphamvu ya chithandizo chawo, ndi kuzindikira zovuta zilizonse kapena kubwereza.