Aimpso angiomyolipoma - zimayambitsa, zizindikiro, chithandizo.

Aimpso angiomyolipoma - mmodzi wa ambiri zotupa chosaopsa a impso ndi. Izi chotupa akufotokozera mtundu mesenchymal minofu, ndipo wapangidwa Mitsempha minofu yosalala ndi minofu adipose, chifukwa cha kapangidwe kake ndi matenda umatchedwa - impso angiomyolipoma. Yosalala minofu khungu zotupa ndi mtima wabwino ndi amachitika zigawo za mitolo ndi mitsempha ya magazi ndi mokwanira wandiweyani minofu khoma, koma ofooka mbale zotanuka. Komanso, ziwiya chotupa akhoza mwangozi chinang'ambika - chifukwa chakuti ulusi minofu kukula ndi kukhala zambiri mofulumira ziwiya amene ali physiologically akhoza kukula pa mlingo chomwecho ndi nthawi iwo.

Aimpso angiomyolipoma akhoza pamodzi ndi mitundu ina ya zotupa impso , kapena kukhala pa maziko a matenda limba. Ngakhale angiomyolipoma impso ndi amatanthauza matenda mtima wabwino milandu kwapadera, pali zochitika komwe chotupa umakhala mfundo pafupi lymph kapena mu mtsempha aimpso. Koma m'malo kupatulapo lamulo, njira kotero adaletsa mankhwala opaleshoni ntchito matenda wolungama.

Angiomyolipoma a impso zambiri zimakhudza wazaka zapakati achikulire. Akazi amadwala matenda ndi zina 4 zambiri kuposa abambo. Komanso, pali njira ziwiri za matenda - woyamba (80% milandu onse), ayi, ndipo chachiwiri (20%) kobadwa nako kugwirizana ndi sclerosis tuberous.

zizindikiro angiomipolipomy

• Ululu m'dera lumbar ndi pamimba

ululu ngati izi zimachitika chifukwa magazi kuchokera chotupa, amene zimachitika chifukwa cha chotupa Mitsempha. Komanso, magazi ochuluka zina angachititse mtima gemmoratichesky peritonitis ndi mantha.

• palpable chotupa
• hematuria
• Kuthamanga magazi

matenda a matenda

• kafukufuku

Pa ultrasonography wodwalayo amene amadwala ngati matenda monga aimpso angiomyolipoma ndi bwino ndithu kuonekera homogeneous anamaliza neoplasm ndi kuchuluka echogenicity.

• phunziro CT

CT kuphunzira komanso amasonyeza neoplasm anamaliza.

• phunziro Urograficheskoe

Mwina pa maphunziro X-ray ntchito Urografin.

Aimpso angiomyolipoma - mankhwala

Odwala kakang'ono chotupa musati amafuna chithandizo opaleshoni. Mwachitsanzo, wodwala ndi matenda a "Angiomyolipoma impso bwino", kukula 4 masentimita awiri aipereke katswiri anaziika ndi kugwira ultrasound kapena CT mayeso pa chaka. Ngati chotupa si patsogolo, iyo siyingakhoze kuchotsedwa.

Opaleshoni chithandizo m'pofunika pafupifupi aliyense Wopirira, chotupa wokulirapo kuposa masentimita 5 awiri, ndi amene amatha bwinobwino wathanzi impso chachiwiri. mfundo ndi yakuti ndi izi kukula chotupa ndi zotheka chiopsezo mavuto hemorrhagic, ie, magazi mkati, zomwe osati ululu mu mtima, koma chakupha, chifukwa pakutchulidwa wa sepsis thupi.

Opaleshoni kuchotsa chotupa ndi zotheka m'njira ziwiri - woyamba ndi losavuta nephrectomy, umene chotupa atachotsedwa pamodzi ndi mbali ya impso, ndipo wachiwiri enucleation a zotupa. Enucleation - ndondomeko za kuchotsa zotupa, mmene minofu limba pafupifupi osati anakhudzidwa, kupatulapo mbali za malowedwe kuti chotupa cha. Pamene enucleation (kapena husking chotupa) minofu padziko mapangidwe magawo, pokhalabe ndi kapisozi a neoplasm lapansi. Yachiwiri njira ntchito yokhayo zotupa chosaopsa.