Kodi muli ndi chotupa chonga ichi mu impso yanu? (Angiomyolipoma) Musadandaule, tiyeni tikambirane za izi!

Kodi munayamba mwaganizapo kuti mwina muli ndi chotupa chaching'ono chomwe chikukula mkati mwa impso yanu? Nthawi zina, izi zitha kupezeka popanda zizindikiro zilizonse. Lero, tikambirana za mtundu wina wa chotupa chomwe chingapangidwe mu impso. Chimatchedwa angiomyolipoma , ena amachitchanso renal angiomyolipoma. Dzinalo limamveka lalitali pang'ono, sichoncho? Koma musadandaule, tiyeni tisunge mosavuta.

Kodi angiomyolipoma ndi chiyani kwenikweni?

Mwachidule, angiomyolipoma ndi chotupa chomwe chimachitika pamene maselo ena mkati mwa impso yanu akukula molakwika. Madokotala amachitchanso kuti chotupa kapena chotupa . Koma nkhani yabwino ndi yakuti angiomyolipoma ambiri si khansa (yoipa) . Izi zikutanthauza kuti sizingayambitse mavuto aakulu.

Mtedza uwu umapangidwa ndi zigawo zitatu zazikulu:

• Minofu ya mafuta , yomwe ili ngati mafuta.
• Minofu yosalala .
• Mitsempha ya magazi ndi machubu ang'onoang'ono omwe amanyamula magazi.

Komabe, ngati chotupachi chikukulirakulira, zizindikiro zina zingawonekere. Mwachitsanzo, kutuluka magazi , kuchepa kwa magazi m'thupi , malungo , kapena kupweteka kwa impso kungachitike.

Ndani ali ndi mwayi waukulu wokhala ndi angiomyolipoma?

Zingachitikedi kwa aliyense. Komabe, kafukufuku wapeza kuti akazi ndi omwe ali ndi mwayi waukulu wopeza vutoli, makamaka azaka zapakati pa 40 ndi 60 .

Kuphatikiza apo, anthu omwe ali ndi matenda enaake amatha kukhala ndi angiomyolipomas. Matenda awiri otere ndi awa:

• Lymphangioleiomyomatosis (LAM)
• Matenda a Tuberous Sclerosis (TSC)

Izi n'zovuta pang'ono, koma ngati muli ndi vutoli, ndikofunikira kwambiri kulankhula ndi dokotala ndikuphunzira za vutoli.

Kodi angiomyolipomas ya impso ndi yofala bwanji?

Matenda a angiomyolipoma amapezeka mwa anthu osakwana 1% mwa anthu onse. Izi sizikutanthauza kuti ndi osowa, koma sizichitikanso kwa aliyense. Komabe, ndi mtundu wofala kwambiri wa chotupa cha impso chosaopsa.

Izi zimachitika kawirikawiri pakati pa anthu omwe ali ndi vuto la tuberous sclerosis complex (TSC) lomwe latchulidwa pamwambapa. Izi zikutanthauza kuti anthu opitilira theka omwe ali ndi TSC amatha kukhala ndi angiomyolipomas.

Kodi pali mitundu yosiyanasiyana ya angiomyolipomas?

Inde, angiomyolipomas ikhoza kugawidwa m'magulu atatu akuluakulu kutengera mitundu ya maselo ndi minofu yomwe ili mu chotupa ichi:

1.Ma AML akale (a triphasic): Uwu ndi mtundu wofala kwambiri. Ali ndi mitundu yonse itatu ya maselo omwe tawatchula kale: mitsempha yamagazi, minofu yamafuta, ndi minofu yosalala .

2. Ma AML a monophasic: Mitundu iyi ya zotupa imakhala ndi mtundu umodzi wa minofu . Mwachitsanzo, ikhoza kukhala ndi minofu yosalala yokha, kapena yokhala ndi minofu yamafuta yokha.

3. Epithelioid angiomyolipomas: Izi zimapangidwa makamaka kuchokera ku maselo a epithelioid omwe ali mkati mwa mitsempha yamagazi ya impso. Mtundu uwu wa chotupa uli ndi chiopsezo chachikulu chokhala khansa kuposa ena . Chifukwa chake, chisamaliro chapadera chimaperekedwa pa izi.

Kodi angiomyolipoma ingakhale yoopsa bwanji?

Kawirikawiri, anthu ambiri omwe ali ndi angiomyolipomas sadziwa ngakhale pang'ono kuti ali ndi matendawa. Izi zili choncho chifukwa nthawi zambiri samayambitsa zizindikiro zilizonse.

Komabe, ngati chotupachi chikukulira kuposa masentimita 4 (chomwe chili pafupifupi kukula kwa mtedza womwe nthawi zambiri timadya), ndiye kuti chingayambe kutuluka magazi (kutuluka magazi) . Kutuluka magazi motere kungakhale koopsa ngati sikuchiritsidwa msanga. Ndicho chifukwa chake ndikofunikira kusamala ndi zotupazi.

Kodi angiomyolipoma imakula mofulumira bwanji?

Ma angiomyolipomas ambiri akale sakula konse . Kapena, ngati akukula, amakula pang'onopang'ono kwambiri . Pa avareji, zotupa izi zimakula pafupifupi masentimita 0.19 (pafupifupi gawo limodzi mwa magawo khumi ndi asanu ndi limodzi a inchi) pachaka.

Komabe, zotupa zimenezi zimatha kukula mofulumira panthawi ya mimba . Chifukwa chake, ngati muli ndi angiomyolipoma ndipo mukuyembekezera mwana, kungakhale kwanzeru kuchiritsidwa chotupacho musanayambe kutenga pakati . Ndi bwino kulankhula ndi dokotala wanu za izi.

Kodi ndi chiyani chomwe chimayambitsa angiomyolipoma?

Madokotala sakudziwabe chifukwa chake minofu imeneyi imasonkhana ndikupanga chotupa cha impso. Komabe, ofufuza amakhulupirira kuti kusintha kwina (kusintha kwa majini) m'majini athu kungathandize.

Kodi zizindikiro za angiomyolipoma ndi ziti?

Monga tanenera kale, anthu ambiri omwe ali ndi angiomyolipoma sapeza zizindikiro zilizonse . Komabe, pamene chotupacho chikukulirakulira, zizindikiro zina zingawonekere. Izi zikuphatikizapo:

• Kuchepa kwa magazi komwe kumachitika chifukwa cha kutuluka magazi .
• Kukhala ndi malungo .
• Kupweteka kwa m'mbali kapena kupweteka kwa impso chifukwa cha kutuluka magazi mozungulira impso.
• Kuthamanga kwa magazi (kuthamanga kwa magazi) .
• Kusanza ndi kusanza .

Ngati muli ndi chimodzi kapena zingapo mwa zizindikirozi, ndikofunikira kwambiri kupita kwa dokotala mwamsanga.

Kodi mungadziwe bwanji ngati muli ndi angiomyolipoma?

Nthawi zina, dokotala wanu angazindikire chotupacho mwangozi mukachita mayeso ojambulira , monga kusanthula, matenda ena. Kapena, ngati muli ndi zizindikiro zomwe zatchulidwa pamwambapa, dokotala wanu angakulamulireni mayesowa kuti apeze chomwe chikuyambitsa.

Ndi mayeso amtundu wanji omwe amazindikira izi?

Madokotala nthawi zambiri amalimbikitsa mayeso ojambulira zithunzi monga awa:

• Kujambula kwa CT
• MRI
• Ultrasound

Komabe, mitundu ina ya angiomyolipomas imatha kuwoneka ngati khansa ya impso pa scan iyi. Chifukwa chake, kuti mutsimikizire, dokotala wanu angakulangizeni kuti mupange biopsy ya impso, yomwe imaphatikizapo kutenga chidutswa chaching'ono cha impso ndikuchiyesa .

Ndingadziwe bwanji ngati angiomyolipoma yanga ikufunika chithandizo?

Si aliyense amene ali ndi angiomyolipoma amene angafunike chithandizo. Kaya mukufuna chithandizo zimadalira kukula kwa chotupacho , ngati muli ndi zizindikiro , komanso ngati mukukonzekera kutenga pakati posachedwa .

Nthawi zambiri mumafunika kuonana ndi dokotala wanu kamodzi pachaka kuti muwone kukula kwa chotupacho. Ngati chotupacho chili chachikulu kuposa masentimita 4 , dokotala wanu angakulangizeni chithandizo.

Kodi angiomyolipomas amachiritsidwa bwanji?

Dokotala angakulangizeni njira zochizira kukula kwa chotupacho kapena kuchichotsa. Zina mwa izi ndi izi:

• Chithandizo cha ablation: Mu chithandizochi, madokotala amagwiritsa ntchito mphamvu (monga ma radiofrequency wave ), kutentha kwambiri, kapena mpweya wozizira kwambiri kuti awononge angiomyolipoma.
• Kuchotsa mitsempha yamagazi: Mu njira iyi, kudula pang'ono kumapangidwa mkati mwa ntchafu yanu, kuyika chubu chopyapyala (catheter) , ndipo kuyika timikanda ting'onoting'ono kumayikidwa kudzera mmenemo. Timikanda timeneti timaletsa kuyenda kwa magazi kupita ku angiomyolipoma. Izi zimapangitsa kuti chotupacho chichepe, kuchepetsa kuyenda kwa magazi, komanso kuchepetsa chiopsezo cha kutuluka magazi.
• Kuchotsa impso kwathunthu: Opaleshoni iyi imachotsa impso yonse yomwe ili ndi angiomyolipoma.
• Kuchotsa impso pang'ono: Izi sizichotsa impso yonse. Gawo la impso lomwe lili ndi angiomyolipoma ndi lomwe limachotsedwa . Izi zitha kuchitika ngati opaleshoni yotsegula impso pang'ono kapena ngati opaleshoni ya robotic partial nephrectomy .

Chofunika kwambiri ndikulankhula ndi dokotala wanu kuti asankhe njira yochiritsira yomwe ili yoyenera kwa inu.

Kodi pali mavuto kapena zotsatirapo zilizonse pambuyo pa chithandizo?

Pakhoza kukhala zoopsa zina pambuyo pa opaleshoni ya impso ndi mankhwala ena a angiomyolipoma. Mwachitsanzo:

• Kutuluka magazi
• Matenda
• Zipsera

Nthawi zina, kulephera kwa impso kumatha kuchitika mutalandira chithandizo cha impso. Koma izi sizichitika kawirikawiri. Dokotala wanu adzakudziwitsani za zoopsa izi musanalandire chithandizo ndipo adzachitapo kanthu kuti achepetse. Ngati kulephera kwa impso kukuchitika, dokotala wanu adzapanga dongosolo la chithandizo kuti akuthandizeni kuthana ndi zizindikiro zanu ndikukhala ndi thanzi labwino momwe mungathere.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa chithandizo?

Ngati mwachitidwa opaleshoni ya nephrectomy yonse kapena pang'ono , muyenera kukhala m'chipatala kwa masiku angapo. Madokotala adzayang'ananso momwe impso zanu zimagwirira ntchito ndikuonetsetsa kuti mukuchira bwino.

Ngati muli ndi ablation therapy kapena arterial embolization , muyenera kukhala m'chipatala kwa maola angapo kapena usiku wonse.

Kodi angiomyolipoma ingapewedwe?

Ndipotu, palibe njira yeniyeni yopewera kukula kwa angiomyolipomas. Zotupazi nthawi zambiri zimachitika zokha, popanda chifukwa chenicheni . Izi zikutanthauza kuti n'zovuta kunena chomwe chinayambitsa AML.

Kodi pali matenda ena omwe amandiika pachiwopsezo chachikulu cha angiomyolipoma?

Inde. Ngati muli ndi tuberous sclerosis complex (TSC) kapena lymphangioleiomyotosis (LAM) , muli pachiwopsezo chachikulu chotenga angiomyolipoma. Chifukwa chake, lankhulani ndi dokotala wanu za kuyang'anira thanzi lanu ndikuchitapo kanthu kuti muchepetse chiopsezo chanu.

Ngati ndili ndi angiomyolipoma, ndiyenera kuyembekezera chiyani?

Ngati muli ndi angiomyolipoma koma simukuzindikira zizindikiro zilizonse , muyenera kupita kwa dokotala wanu kamodzi pachaka . Mungafunikenso kuyesedwa kuti muwone ngati chotupacho chikukula.

Ngati muli ndi zizindikiro , dokotala wanu angakulangizeni chithandizo kuti mupewe chiopsezo cha kutuluka magazi.

Kodi angiomyolipomas ingayambitse zotsatirapo za nthawi yayitali?

Ngati angiomyolipomas ikukula, imatha kutuluka magazi kapena kuphulika . Chifukwa chake, dokotala wanu nthawi zonse amafufuza kukula kwa chotupacho ndikukulangizani chithandizo ngati muli pachiwopsezo.

Kodi ndingathe kupeza angiomyolipoma kangapo?

Inde , angiomyolipoma imatha kumeranso pambuyo pa chithandizo.Komanso, pakhoza kukhala angiomyolipoma yoposa imodzi , ndipo ma AML amatha kufalikira mu impso zonse ziwiri .

Kodi angiomyolipoma ingakhale khansa?

Mtundu wa chotupa chomwe tidakambirana kale, chotchedwa epithelioid angiomyolipoma, nthawi zina chingasanduke khansa . Ngati zimenezo zitachitika, dokotala wanu adzakuyang'anirani mosamala ndikukambirana nanu zomwe mungachite kenako.

Ngati ndili ndi angiomyolipoma, ndiyenera kupita kwa dokotala kangati?

Gwirani ntchito ndi dokotala wanu kuti mupange dongosolo la chithandizo . Sungani nthawi zonse kuti muwone ngati chotupacho chakula.

Kodi ndiyenera kuyimbira dokotala wanga liti?

Imbani dokotala wanu nthawi yomweyo ngati mukupeza zizindikiro zatsopano izi:

• Kupweteka m'mimba
• Kupweteka kwa msana
• Malungo
• Kusanza ndi kusanza
• Hematuria - magazi mu mkodzo

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Angiomyolipoma ndi chotupa chosaopsa chomwe nthawi zambiri chimayamba mu impso. Mwina simungakhale ndi zizindikiro zilizonse. Dokotala wanu amafufuza chotupacho chaka chilichonse kuti adziwe ngati chikukula. Zotupa zazikulu kuposa masentimita 4 zingafunike chithandizo kuti zisatuluke magazi.

Chofunika kwambiri ndichakuti ngati muli ndi zizindikiro zilizonse, musachite mantha ndipo lankhulani ndi dokotala nthawi yomweyo. Adzakupatsani chithandizo chabwino kwambiri komanso malangizo omwe mukufuna.

Angiomyolipoma , ziphuphu za impso, matenda a impso, zotupa zosavulaza, kupweteka kwa impso, kuchepa kwa magazi m'thupi, chifuwa chachikulu cha chifuwa chachikulu