Kunzwisisa Benin Liver Tumors
Hepatic hemangiomas (HH) ndiyo yakanyanya kunyanya kurwara (tisingaoneki) mumarara kana pachiropa . Dumbu racho rinoumbwa nesimbi yemitsipa yeropa, masero anotevera iyo mutezo yeropa (endothelial cells), uye arter hepatic, iyo inoshanda seyoyo inotakura mafuta akawanda. Mamwe mazita echirwere ichi anosanganisira cavernous kana capillary hepatic hemangioma.
Kazhinji, vanhu vane rudzi urwu rwemarara vanogara zviratidzo-pasina, uye zvinongowanikwa zviitiko apo murwere ari kurapwa, kuongororwa, kana nzira yehutano hwakasiyana.
Nhamba dzakaverengwa neThe National Center yeByotechnology Information (NBCI) inoratidza kuti hemangiomas inonyanya kuwanikwa sechinhu chimwe chete, asi vanhu vazhinji vanogona kuitika. Chimiro chemasvosheni akaenzana kubva ku 2 masentimita kusvika 10 masentimita. Masasa pasi pe2 masentimita anoonekwa se "maduku," uye makuru kupfuura gumi anotsanangurwa se "guru".
Risk Factors
Kunyanya, hepatic hemangiomas inoonekwa kuti iri pakati pemakore makumi matatu nemakumi mashanu emakore. Uyezve, zvipembenene izvi zvechiropa zvinowanzoita zvishanu pane zvevakadzi pane varume. Hapana anoziva chikonzero nei masasa aya ezvisikwa achikura, asi vatsvakurudzi vanodavira kuti panogona kunge kune chimiro chekuberekwa, kana kuti ingangodaro kubatana.
Uyewo, vamwe vanofunga kuti kukura kwechiropa hemangiomas kunogona kuwirirana nemazinga eesrogen mumuviri, kunyanya panguva yekudzivirira. Uyezve, dzimwe nyanzvi dzinofunga kuti vakadzi vanoshandisa kuberekwa kana kuti mamwe maitiro ehomoni kunotsigira zviratidzo zvekuenda kumwedzi zvinogona kunge zvakanyanya kuwedzera chiropa chechiropa-zvisinei kuti zvakakosha kucherechedza kuti hazvisi zvose zvinokonzera maronda zvakabatana nestrogen, uye matumire kukura kunyange kana pane kusavapo kwei hormone.
Kunyange zvazvo pfungwa yekuve nechirwere cheropa mukati memuviri wako inogona kutinhira inotyisa, vanhu vakawanda vacharamba vasina kumira uye vasingatsvaki rubatsiro rwezvechiremba zvachose.
Zviratidzo nezviratidzo
Kazhinji nguva, hapana zviratidzo kana zviratidzo zvine chokuita nehepatic hemangiomas; kazhinji, inowanikwa apo imaging iri kuitwa zvimwe zvikonzero. Asi kana zviratidzo zvikaitika, zvinogona kusanganisira zvinotevera:
Kunyunyuta kusingaoneki kweropa rekudya, rinogona kutevedzera dzimwe zvirwere
Nhamo iri kurudyi, yepamusoro quadrant yemudumbu (uko chiropa chiripo pamwe chete)
Kupera kwechido
Nausea
Kunzwa pfungwa yekuzadzwa pasinei nokudya zvishoma chikamu chezvokudya
Kudzora
Kubvisa mushure mekudya
Mamwe manzwiro ekusawirirana mukati mamuviri
Hepatic hemangiomas hawanzwisisiki apo chiremba anobata kana kuongorora mimba. Zvichienderana nehukuru uye nzvimbo yechipfuva, zviratidzo zvakanyanya, zviratidzo, uye zvinetso zvinosanganisira:
Fever
Chiropa chakawedzerwa
Anemia
Mune zvisingawanzoitika, chirwere chinogona kuparara uye chinokonzera kurwadziwa kukuru uye kubuda mukati memimba.
Kuziva
Sezvakanyorwa mubhuku reNternational Journal of Hepatology , zvinotevera inzira iyo hematic hematic inowanikwa nayo:
CT scan
MRI
ultrasound
Zvichienderana nezviratidzo zvako uye ukuru hwechiropa chechiropa, kuwedzerwa kweropa kushanda kana kuongororwa kunogona kudiwa.
Kurapa
Sezvambotaurwa kare, kana chironda chacho chiri chiduku uye hachikupei nechinetso chipi zvacho, kurapwa hakubviri. Asi kana uchinzwa kurwadziwa kana zvimwe zviratidzo, kupindira kwezvechiremba kunogona kudiwa kuti uvandudze mamiriro ako.
Dzimwe nguva kuvhiyiwa kunodiwa kubvisa tumarara. Kana hepatic hemangioma iri nyore kusvika, chiremba angasarudza kubvisa uwandu mukuedza kugadzirisa kukanganisa kumasumbu eropa. Mune zvimwe zviitiko, chiremba angave achida kubvisa chikamu chechiropa chako-inozivikanwa se resection-kuwedzera kune tumarara.
Uyezve, chiremba angaedza kuvhara ropa rinopa tumarara kuburikidza nekuvhiya kunozivikanwa sehepatic artery ligation kana kuburikidza nejisi inonzi arterial embolization.
Muzviitiko zvisingawanzoitiki, kuwedzerwa kwechiropa kunogona kudiwa kana ukama uye huwandu hwe hepatic hemangioma haigoni kugadziriswa nedzimwe nzira. Pakupedzisira, therapy inonzi radiation ndiyo nzira yekurapa kukanganisa uswa hwehukuru, asi hahuwanzoshandiswa nekuda kwekugona kwayo kutungamirira kune mamwe matambudziko.
Prognosis
Vanhu vazhinji vanogona kurarama hupenyu, hutano hupenyu ne hepatic hemangioma. Asi bundu rinogona kuva dambudziko kana richikura muhukuru kana iwe unova nezviratidzo zvinoita kuti hupenyu hwezuva nezuva huve hwakaoma kwauri. Kana chirwere chacho chikawanikwa sechikamu cheimwe mamiriro ezvehutano, chiremba wako angasarudza kukutumira iwe kuongorora nguva nenguva kune gastroenterologist -chiremba anonyanya kugadziriswa uye kurapwa kwepachiviri chepachiviri uye zvirwere zveropa.
Kana iwe uchida kupinda muuropia, mukana wekuti chirwere ichi chidzoke zvakare (kunyange, pane zvishoma zvinyorwa zvakanyorwa zvazviri kuitika). Kunyange zvakadaro, kubvuma kwenguva refu kwehepatic hemangiomas inofungidzirwa zvakanaka.
Kudzivirira
Kunyange zvazvo pasina nzira yakajeka-yekudzivirira kukura kwehepatic hemangiomas, chiremba wako angakurudzira mararamiro anoita mararamiro akaita sekudzidzira, kurega kusvuta, kuchengetedza utano hwakanaka, kuderedza kunwa kwako kunwa doro, uye kudya kudya kunovaka muviri semagadziro ekutsigira kwako hutano hutano.
Shoko Rinobva
Kunyangwe iwe unganzwa uchinetseka pamusoro pekuonekwa kwehepatic hemangioma, rudzi urwu rwekunzwa rwakajairika. Kana iwe ukaona kuti kuzvidya mwoyo nekuzvidya mwoyo zviri kukudzikisa kukwanisa kwako kurarama hupenyu hwakakwana, usatya kutya kutaura nechiremba wako pamusoro pemamiriro ako. Unogona kuwana kuti unyanzvi hwehutano hwepfungwa kana boka rekubatsira rinogona kukubatsira kuti utsungirire mamiriro acho ezvinhu, kugadzirira kuvhiyiwa, uye kukutsigira pashure pekuita.
> Sources:
> Bajenaru N, Balaban V, SÄvulescu F, Campeanu I, Patrascu T. Hepatic hemangioma -review-. Nyaya yeMishonga uye Upenyu. 2015; 8 (Spec Issue): 4-11.
> Evans J, Sabih DE. Hemangioma, Cavernous Liver. NCBI StatPeals Publishing website. https://www.ncbi.nlm.nih.gov/books/NBK470283/
> Maruyama M, Isokawa O, Hoshiyama K, Hoshiyama A, Hoshiyama M, Hoshiyama Y. Diagnosis uye Kutungamira kweGiant Hepatic Hemangioma: Kubatsira Kwekusiyanisa-Kunowedzera Ultrasonography. International Journal of Hepatology . 2013. ini: 10.1155 / 2013/802180