Aimpso angiomyolipoma: Kodi n'koopsa moyo, Amachititsa, Zizindikiro ndi Chithandizo

Kodi impso angiomyolipoma, kaya ndi moyo kuopseza? chikhalidwe Izi zikutanthauza kuti ochita pathological ndondomeko interlayer mafuta, zimakhala minofu, ndi epithelium aimpso. Mu zambiri chosaopsa chotupa tichipeza mafuta.

Monga ulamuliro, angiomyolipoma ndi anagawira kwa impso. Matendawa akhoza bwanji munthu wa msinkhu uliwonse, koma anthu achikulire ndi ofala. Ndi gulu chiopsezo zikuphatikizapo anthu kwa zaka 40 mpaka 60. Tikumbukenso kuti milandu zambiri olembedwa akazi. Kodi kwambiri ndi matenda, ndipo kumatha angiomyolipoma aimpso? Kuchiza ndi mupewe ngozi ya matenda, adzakhala anafotokoza m'nkhani ino. Pamene yake anayambitsa mankhwala kudwala akhoza kwathunthu inathetsedwa.

mitundu matenda

Angiomyolipoma - mtima wabwino chotupa mu impso ndi. Matendawa ndinalandira dzina lina - "aimpso hamartoma". Neoplasm zimagawidwa monga mesenchymal pathologies zokhudza zimakhala zofewa.

Wolemekezeka mitundu iwiri ya matenda: ayi mawonekedwe a matenda pulayimale ndi chibadwa.

Mbali yoyamba, chotupacho amakhudza thupi lokha, popanda majini, choncho achiwiri, otsogolera ndi ankaimba ndi chibadwa.

Palinso matenda osiyana kwathunthu Bourneville-Pringle, kapena tuberous sclerosis. Pamene amati kuwonongeka kwa impso, koma Limanenanso kuti zizindikiro zina.

Ngati chotupa cha isanafalikire lamanzere kapena impso matenda unilateral chotupa. Ngati chosayenerera ndi matenda mu impso ziwiri, madokotala kunena za mtundu amgwirizano. mawonekedwe Unilateral akufotokozera mu 75% ya milandu.

Komanso angiomyolipoma kungakhale lililonse ndi atypical.

Mu mawonekedwe zikusonyeza mtanda mu kunadetsa lili minofu minofu, kapena mafuta m'thupi, umene yochizira matenda ndi ofala.

Pamene atypical mawonekedwe a minofu adipose si. Izi complicates chithandizo. Chifukwa mafuta minofu chikutha ndi kukhudza kochepa. Komanso fomu iyi ndi yovuta matenda. Pankhaniyi, Mwina delineation onyenga a zotupa chosaopsa ndi zotupa zilonda.

Chinthu chochititsa chidwi mu matendawa?

Childs, pamene matenda mu ndondomeko pathological nawo ndi kotekisi oziziritsa a impso ndi. Kutupa facilitates mapangidwe kapisozi, amene wokhala ndi mpanda wolimba kuchokera minofu wathanzi.

Kodi ana amakumana ndi matenda monga aimpso angiomyolipoma (kumanzere ndi impso kumanja)? Yoopsa chifukwa nthawi zina akufotokozera mu sewero wapadera. Izi zimachitika mu kufanana kwa zinthu zoipa, mwachitsanzo molakwa anasankha mankhwala kapena pamaso pa pathologies zina mu impso ndi.

Neoplasm akhoza kumera mu wosakoma vena cava, ndi lymph mfundo zili pafupi Kapena perirenal mphete. Nthawi zina, amakhudzidwa ndi magazi zotengera, zomwe mwina amaphulika ndipo imautsa yatsoka magazi.

Anthu ambiri amadabwa ndi oopsa angiomyolipoma? Kawirikawiri matenda mtima kinking. Choncho pali fractures mwauzimu zomwe zingachititse kwambiri magazi mkati, onyamula kuukira moyo wa wodwalayo. Magazi akulowa zonse m'mimba ndi chotengera izo. Mtima makoma, amene ali minofu minofu amakhala wakuda ndi kuzungulira, monga minofu minofu kwathunthu kapena pang'ono lidzasinthidwa lumikiza lapansi. Chifukwa chinali perforation, zomwe zingasokoneze aneurysm ndi mavuto ena oopsa.

Zimayambitsa matenda

Chitukuko cha matenda chifukwa cha zifukwa zosiyana kwathunthu.

Pakuti zinthu zingapo precipitating ena anganene kuti:

• Mimba. Maonekedwe a chotupa chimadalira pa milingo m'thupi. Monga tikudziwa, akazi pa gestation kumawonjezera mlingo timafunika ndi progesterone, amene angathe kutumikira monga kutsogolera kwa chitukuko cha matenda.
• Maziko chibadwa. Monga tanena chosayenerera zimenezi zingachitikire pamaso Bourneville matenda - Pringle. matenda ndi chibadwa. Asayansi apeza majini amene akhoza tinatengera.
• A zosiyanasiyana matenda njira mu impso, amene ndi zinthu zina, mwina imfayo chotupa. Therapy, mu nkhani iyi ikukhudza kuchotsa matenda onse m'munsili.
• Chiwonetsero cha neoplasms ena. Mwachitsanzo, angiofibroma akufotokozera. kudwala Izi sizachilendo. Anafotokoza matenda nkhani akuyamba kukhala imawalamulira.

symptomatology

Kodi kumaonekera aimpso angiomyolipoma? The owopsa matendawa? Ndi mankhwala yake ya matenda idzachitika kwathunthu inathetsedwa. Koma matenda kuchenjerera kwagona kuti khalidwe kuvala chobvalidwa mu oyambirira zizindikiro magawo. Mawonetseredwe kumaonekera pa kuwukira chotupa.

Kwa zizindikiro tiyenera kuziganizira:

• Kuona kulemera lamanzere kapena impso, komanso kumbuyo. Kusapeza kumachitika pamimba ndi kuchepetsa kumbuyo. Ululu akhoza kukoka, kupweteka kapena yosamveka. Iwo yodziwika ndi mwamphamvu kwambiri pa motsatana ndi magulu ena. Ichi ndi chifukwa kukha magazi m'deralo.
• Kudumpha magazi. Iwo angayambe chifukwa chosadziwika ndi zambiri zokwanira.
• The kusakanizikana kwa magazi mu mkodzo.

Ngati chotupa afika chachikulu, zikhoza kuonedwa ndi palpation.

Zotsatira za matendawa

Ngati mankhwala sanali ikuchitika yake, n'kutheka kuti zotsatira zimene zingawononge moyo wodwalayo. Woyamba kuswa ziwiya ndi kukhalapo kwa magazi kumachitika peritonitis. Ndi kukha mwazi zambiri pamimba pali asaphedwe.

Kodi ana amakumana ndi angiomyolipoma aimpso? Kaya moyo kuopseza ngati kupeza chachikulu? Pankhaniyi, chotupacho akhoza amaumiriza ziwalo pafupi, kuteteza ntchito zawo zonse. Mwachitsanzo, ndi kugonjetsedwa kwa impso lamanja wothinikizidwa zakumapeto, ndipo ngakhale chiwindi. Neoplasm mwina chophukacho, amenenso n'loopsa moyo.

Vuto lina lalikulu ndi necrosis kapena kufa. Pankhaniyi, impso chabe kusiya kugwira ntchito.

Musaiwale kuti mtima wabwino chotupa akhoza pokhala chotupa chotupa.

diagnostics

aimpso angiomyolipoma (zimayambitsa, zizindikiro, mankhwala amene anafotokoza m'nkhani ino) muyenera matenda yake. Pakuti mankhwala ayenera kuchitidwa kafukufuku woyenera.

Woyamba analimbikitsa ultrasound bwinobwino zimene zingakuthandizeni kudziwa chotupa. Nthawi zina, akuchita maginito kumveka kulingalira kuli koyenera.

Mkulu mlingo wa dzuwa mwazi ndi mkodzo mayesero ambiri. Iye akhoza kuonetsa udindo wa dongosolo mkodzo.

Komanso, njira biopsy ntchito. Kuti elucidate chikhalidwe cha chotupa impso zikutengedwa kusanthula ndi opaleshoni madzi kapena puncture. Njira imeneyi zimathandiza kuti matenda kukhalapo kwa khansara.

Kugwiritsa ntchito mankhwala

Pali umboni wa mogwira mkulu wa mankhwala ena amene zoletsa wa gululo. Pambuyo sukuluyi, chaka yopitilira, zina, chotupa mwina yafupika kukula ndi theka.

Ngati pali kukula mofulumira kwambiri angiomyolipoma, ndiye agwiritsa ntchito njira opaleshoni.

Pankhani njira wowerengeka mankhwala, kawirikawiri sapereka zotsatira.

njira ntchito

Kodi impso angiomyolipoma opareshoni, kaya ndi moyo kuopseza ngati chofunika opaleshoni? Nthawi zina, ndi kuopseza ndipo amafuna mwamsanga kuchotsa.

Yachokera pa zotsatira za njira yodziwira mwakuchita katswiri munthu dongosolo mankhwala omwe chofunika kuganizira zinthu zofunika kwambiri monga siteji imene chitukuko cha chotupa cha, kukula kwake ndi malo.

Malinga ndi za masiku ano m'munda wa Oncology, chotupa m'mimba mwake amene ali wamkulu kuposa 4 cm, likuchotsedwa ndi kuchedwa njira. njira zachokera pa polojekiti nthawi ya alili. Wodwala umaoneka atagwira ultrasound ndi x-ray matenda kamodzi pa chaka.

chotupa chachikulu kuposa masentimita 4 amafuna chithandizo mopitiriza.

Kupatula choposa kukula pakhomo, ndi umboni kwa opaleshoni:

• anasonyeza matenda chipatala kupita patsogolo zizindikiro khansara;
• mofulumira kuchuluka kwa chotupa ndi;
• pamaso pa kulephera aimpso, amene akukhala aakulu;
• chosatha hematuria.

Mu Oncology kumapeto kwa opaleshoni alowererepo ankayembekezera ntchito njira zotsatirazi:

• Resection a mbali imodzi ya impso, amene anapha mtima wabwino chotupa. Chotero opareshoni ndiwokwanitsa kusunga thupi.
• Embolization. Mu njira imeneyi, mtsempha wamagazi ndi analowa zida wapadera. Mtsempha wamagazi chakudya AML. njira imeneyi akupereka ndalama toyalana lumen. Njira imeneyi akutumikira monga gawo kukonzekera asanachite opareshoni. Nthawi zina, embolization amachita ngati njira palokha mankhwala.
• Enucleation. Pa opaleshoni, dokotala amachotsa chotupa popanda kuwononga zimakhala aimpso anthu oyandikana nawo.
• Cryoablation. Ndi njira nzeru kuthetsa zotupa ndi chisanu. Njira imeneyi mankhwala ntchito kokha chifukwa yambiri chotupa.
• Mtheradi tsankho nephrectomy. Ndi kwambiri kuchuluka kwa chotupa cha dokotalayo wasankha kuchotsa kwathunthu thupi.
• Laparoscopy. Njira imeneyi imaphatikizapo kukhazikitsa angapo punctures kuti timalowetsa chipinda ndi manipulators za thupi.

kaonedwe

Kodi angiomyolipoma oopsa? Kulosera tsogolo la matenda ndi kupulumuka mitengo ndi azimuth positive. Chotupa limabweretsa gulu la zotupa chosaopsa ili mu kapisozi a. Ikufotokoza zotsatira zabwino za mankhwala. Odwala kwambiri, pambuyo opaleshoni pali kuchira bwino.

Pomaliza

Kodi aimpso angiomyolipoma, kaya ndi moyo pachiswe, wakhala anafotokoza m'nkhani ino. Kudwala amatanthauza chiwerengero cha matenda aakulu, koma ndi atengeke mankhwala. Amene chachikulu ndi matenda ndi wozengereza mankhwala zolondola.