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

Kodi munayamba mwaganizapo kuti zotupa zosiyanasiyana zimatha kumera mkati mwa impso zathu? Nthawi zina zotupazi zimapezeka mwangozi panthawi yoyezetsa chinthu china popanda zizindikiro zilizonse. Mwachitsanzo, mtundu wa chotupa chomwe chimayamba mu impso, koma nthawi zambiri sichimayambitsa khansa (monga chosaopsa), chimatchedwa `(Renal Angiomyolipoma)` kapena `(AML)`. Ngakhale dzinalo lingamveke lovuta pang'ono, tiyeni tikambirane mwachidule, mwanjira yomwe mungamvetse.

Kodi `(Angiomyolipoma ya impso)` kapena `(AML)` iyi ndi chiyani?

Mwachidule, Renal Angiomyolipoma ndi chotupa chomwe chimayamba mu impso yanu. Chabwino kwambiri ndichakuti zotupa zambirizi si khansa (zosaopsa) . Izi zikutanthauza kuti sizingayambitse mavuto akulu. Komabe, nthawi zina, zotupazi zimatha kuphulika ndikuyambitsa kutuluka magazi , zomwe zingakhale zoopsa kwambiri, ndipo nthawi zina zimatha kupha.

Tsopano mwina mukudabwa kuti, "Kodi kukulitsa chotupa kumatanthauza chiyani?" Thupi lathu lili ndi maselo omwe amagawikana ndikukula bwino kuti asunge thupi lathu. Komabe, nthawi zina maselo amenewa amayamba kukula mosalamulirika komanso mopitirira muyeso . Pamenepo ndi pamene chotupa chimayamba. Chotupa ichi chotchedwa `(Renal Angiomyolipoma)` chimapangidwa ndi zigawo zitatu zazikulu:

• Mitsempha ya magazi
• Maselo a minofu
• ndi maselo amafuta (mafuta)

Zonsezi zitatu zimagwirizana kuti zipange chipatso chapaderachi.

Kodi vutoli limatchedwa `(AML)` lofala bwanji?

Ndipotu, uwu ndi mtundu wofala kwambiri wa chotupa cha impso chosaopsa (chosakhala khansa). Malinga ndi ziwerengero, vutoli limakhudza anthu awiri kapena asanu ndi mmodzi mwa anthu 1,000 aliwonse . Limafala kwambiri mwa akazi azaka zopitirira 50. Chifukwa chake, ngati ndinu mkazi wazaka izi, ndi bwino kudziwa izi.

Kodi izi zikugwirizana ndi matenda ena?

Inde, nthawi zina vuto la `(AML)` limeneli limatha kuwoneka limodzi ndi mavuto ena azaumoyo. Izi zikutanthauza kuti, pali chizolowezi chakuti zotupa za `(AML)` izi zichitike pakati pa anthu omwe ali ndi matendawa. Zina mwa matenda amenewa ndi awa:

• Lymphangioleiomyomatosis (LAM) - Iyi ndi matenda osowa omwe amakhudza kwambiri mapapo.
• Mtundu woyamba wa Neurofibromatosis - Ichi ndi matenda a majini omwe amayambitsa zotupa mu dongosolo la mitsempha.
• Tuberous Sclerosis Complex (TSC) - Iyi ndi matenda omwe amabwera chifukwa cha majini. Matenda osapweteka amakula m'malo osiyanasiyana a thupi, monga ubongo, impso, mtima, mapapo, ndi khungu. Matenda a AML amapezekanso ndi matendawa.
• `(von Hippel-Lindau disease)` - Iyi ndi matenda a majini, omwe angayambitse zotupa ndi ma cysts odzaza ndi madzi m'ziwalo zosiyanasiyana.

Kotero, ngati muli ndi vutoli, madokotala adzafufuzanso `(AML)`.

N’chifukwa chiyani `(Angiomyolipoma ya impso)` imayamba? Kodi chifukwa chake n’chiyani?

Chifukwa chachikulu cha izi ndi chathuKusintha kwa jini kumatchedwa kusintha kwa majini. Kunena zoona, kusinthaku kumachitika m'majini awiri otchedwa `(TSC1)` kapena `(TSC2)`. Majini amenewa amatchedwa "majini oletsa chotupa" . Ndiko kuti, ntchito ya majini amenewa ndikuwongolera kukula kosafunikira kwa maselo athu.

Jini iyi ya `(TSC)` imapanga puloteni yotchedwa tuberin . Puloteni iyi imathandiza kulamulira kukula ndi kukula kwa maselo. Ndiye, taganizirani, chimachitika ndi chiyani ngati pakhala kusintha kapena kusintha kwa jini iyi ya `(TSC)`? Kenako kupanga puloteni ya tuberin kumasokonekera. Kenako chizindikiro choti "ayimitse" maselo sichikuyenda bwino. Zotsatira zake, maselo amayamba kukula mosalamulirika , ndipo pamapeto pake chotupa ngati `(AML)` chimapanga. Kodi mukumvetsa?

Kodi zizindikiro za `(Angiomyolipoma ya impso)` ndi ziti?

Anthu ambiri sadziwa ngakhale kuti ali ndi matenda a impso (Renal AML)! Izi zili choncho chifukwa nthawi zambiri palibe zizindikiro . Amapezeka mwangozi pokhapokha ngati mayeso a impso (monga ultrasound scan) achitika pazifukwa zina.

Komabe, nthawi zambiri, chotupa cha `(AML)` ichi chingayambitse zizindikiro. Nthawi zina chotupacho chimapezeka chifukwa cha vuto lotchedwa `(retroperitoneal hemorrhage)` . Izi ndi zowopsa pang'ono. Mwachidule, gawo lina la chotupacho limaphulika ndikuyamba kutuluka magazi m'malo omwe ali kumbuyo kwa m'mimba. Izi ndi zadzidzidzi ndipo zitha kukhala zoopsa pamoyo.

Kuonjezera apo, pali zizindikiro zina zingapo zomwe sizimawoneka kawirikawiri:

• Kuchepa kwa magazi m'thupi - Izi zikutanthauza kuti thupi lilibe maselo ofiira athanzi okwanira.
• Kumva kupweteka kapena kusasangalala m'mimba, msana, ndi m'chiuno .
• Kupezeka kwa magazi kapena maselo a magazi mu mkodzo (Hematuria) .
• Kuthamanga kwa magazi (BP) .
• Kulephera kwa impso - Izi zimachitika kawirikawiri.
• Kumva chotupa chomwe chikuwoneka ngati chikugwidwa m'dzanja .
• Matenda a mkodzo .

Ngati muli ndi chimodzi kapena zingapo mwa zizindikirozi, ndi bwino kufunafuna upangiri wa dokotala.

Kodi matenda amenewa `(Angiomyolipoma ya impso)` amawapeza bwanji?

Monga tanenera kale, nthawi zambiri, zotupa za "AML" izi zimapezeka mwangozi. Zimapezeka panthawi yowunika m'mimba pazifukwa zina, kapena panthawi yowunika anthu omwe ali ndi matenda ena ofanana nawo, monga "Tuberous Sclerosis" yomwe tidakambirana kale.

Dokotala angadziwe ngati muli ndi AML ya impso mwa kuchita mayeso angapo ojambulira zithunzi za mkati mwa mimba yanu :

• (CT scan) (Computer Tomography scan)
• (MRI) (Kujambula kwa Magnetic Resonance)
• `(Kujambula kwa Ultrasound)` (Kujambula kwa Ultrasound)

Nthawi zambiri, chimodzi mwa mayeso ojambulira zithunzi ndi chokwanira kupeza matenda. Popeza kuti Angiomyolipomas ya impso ili ndi mafuta, nthawi zambiri amaoneka achikasu chagolide pa ma scan. Zotupazi zimatha kukula kuyambira 1 cm mpaka 20 cm . Kukula kofala kwambiri komwe kumawonedwa ndi pafupifupi 9 cm.

Koma, bwanji ngati nthawi zina gulu lachipatala silingathe kudziwa bwinobwino ngati chotupa chili chabwino kapena cha khansa? Zikatero, angalimbikitse kuti apimidwe impso . Izi zimaphatikizapo kuchotsa kachidutswa kakang'ono ka chotupacho ndi kuchiyang'ana pansi pa maikulosikopu. Izi zithandiza kudziwa ngati maselowo ali ndi khansa kapena ayi.

Kodi mankhwala a `(Angiomyolipoma ya impso)` ndi ati?

Chithandizo cha `(Angiomyolipoma ya impso)` chingasiyane kwambiri. Zimatengera zinthu zambiri, monga kukula kwa chotupacho, ngati pali zizindikiro, komanso thanzi lanu lonse. Pali njira zingapo zazikulu zochizira:

1. Kuyang'anira mwachangu:

Izi zimatchedwanso "yang'anirani ndi kudikira." Ngati Angiomyolipoma ya impso ndi yaying'ono (nthawi zambiri yochepera masentimita 4) ndipo ilibe zizindikiro , dokotala wanu angakulangizeni njira iyi. Simudzapatsidwa chithandizo chilichonse. Komabe, mudzayang'aniridwa kuti muwone ngati pali kusintha kulikonse mu chotupacho pogwiritsa ntchito ma scan nthawi ndi nthawi .

2. Mankhwala:

Zilonda zina za AML zimayankha mankhwala amtundu wotchedwa mTOR inhibitors . Izi ndi mankhwala omwe cholinga chake ndi kusintha kwa majini. Mankhwalawa amatha kuletsa kukula kwa chotupacho kapena kuchichepetsa.

3. Opaleshoni:

Dokotala angakulangizeni opaleshoni pazochitika zotsatirazi:

• Ngati `(AML)` imayambitsa zizindikiro (monga kupweteka, kutuluka magazi).
• Ngati chotupacho chili ndi masentimita 4 kapena kuposerapo (chifukwa zotupa zazikulu zimatha kuphulika ndi kutuluka magazi).
• Ngati pali kukayikira kuti chotupacho chikhoza kukhala cha khansa .
• Ngati ndinu mkazi wa msinkhu wobereka (kusintha kwa mahomoni panthawi ya mimba kungachepetse chiopsezo cha kukula ndi kuphulika kwa chotupacho).
• Mumakhala m'dera lomwe n'kovuta kupeza chithandizo chadzidzidzi kapena chithandizo chotsatira (chifukwa, pakagwa mwadzidzidzi, monga kutuluka magazi, chithandizo chachangu chimafunika).

Pali njira zingapo zochizira opaleshoni:

• Kuchotsa magazi m'thupi: Izi zimaphatikizapo kutseka mitsempha yamagazi yomwe imapereka magazi ku chotupacho. Iyi ndi njira yothandiza kwambiri pakakhala kutuluka magazi chifukwa cha AML ya impso.
• `(Kuchotsa Mitsempha ya Mafupa)` (Kuchotsa Mitsempha ya Mafupa):Mu izi, gawo kapena impso zonse zomwe zakhudzidwa zimachotsedwa.
• Kuchotsa chotupa cha impso pang'ono kapena opaleshoni yochepetsa kutupa kwa impso: Izi zimaphatikizapo kuchotsa chotupa chokha, ndikusiya gawo lathanzi la impso lisanawonongeke. Madokotala amayesetsa kugwiritsa ntchito njira imeneyi nthawi iliyonse yomwe angathe.
• Kuchotsa ma radiofrequency: Izi zimagwiritsa ntchito kutentha kwambiri kuti ziwononge minofu yosazolowereka (chotupa).

Kodi ndingachepetse chiopsezo changa chokhala ndi AML ya impso?

Kunena zoona, palibe chomwe tingachite kuti tipewe kusintha kwa majini komwe kumabweretsa kukula kwa `(Angiomyolipoma ya impso)`. Ndi zinthu zomwe zimachitika zomwe sitingathe kuzilamulira.

Komabe, ngati muli ndi vuto lililonse lomwe takambirana kale (monga Tuberous Sclerosis Complex, Lymphangioleiomyomatosis, Neurofibromatosis type 1, von Hippel-Lindau disease) , ndikofunikira kwambiri kuchita mayeso owunikira nthawi zonse . Kenako, ngati AML yayamba, imatha kuzindikirika msanga . Mwanjira imeneyi, chithandizo chofunikira chingayambitsidwe msanga ndipo chiopsezo cha zovuta chingachepe.

Ngati ndili ndi vutoli, ndiyenera kuyembekezera chiyani?

Nkhani yabwino ndi yakuti angiomyolipomas ambiri a impso ndi ang'onoang'ono ndipo nthawi zambiri samayambitsa mavuto aakulu . Komabe, pang'ono chabe imatha kukhala yoopsa kapena kutuluka magazi kwambiri. Chifukwa chake, ndikofunikira kuwayang'anira mosamala ngati muli ndi AML ya impso. Dokotala wanu adzakuuzani kangati komwe muyenera kuwunika zithunzi.

Kumbukirani kuti AML ikhoza kubwereranso ngakhale mutalandira chithandizo. Chifukwa chake, ndikofunikira kwambiri kulumikizana ndi gulu lanu lachipatala ndikupita kukayezetsa nthawi zonse monga momwe akulangizira.

Kodi ndiyenera kupeza upangiri wa dokotala liti?

Ngati mwapezeka ndi AML ya impso, kapena ngati muli ndi vuto lomwe limagwirizana ndi AML, ndikofunikira kudziwa zizindikiro za kutuluka magazi m'mimba . Ngati mukukumana ndi zizindikiro izi, pitani kuchipatala nthawi yomweyo :

• Ngati muli magazi mu mkodzo wanu.
• Ngati muli ndi ululu wosatha komanso wosalekeza m'mimba mwanu kapena m'chiuno.
• Ngati muwona zizindikiro za kugwedezeka:
• Chisokonezo
• Kugunda kwa mtima mwachangu
• Chizungulire
• Kupuma pang'ono
• Khungu lotumbululuka

Ngati mukuona chinthu chonga ichi, musazengereze.

Pomaliza, zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, kotero `(Angiomyolipoma ya impso)` kapena `(AML)` yomwe tinkakamba ndi chotupa chomwe chimapangika mu impso, ndipo nthawi zambiri sichimakhala ndi khansa (yoyipa).Kawirikawiri, izi zimapezeka mwangozi, panthawi yoyezetsa kwina. Ngati mwapezeka ndi mtundu uwu wa `(AML ya impso)`, musachite mantha . Lankhulani ndi dokotala wanu kuti mudziwe njira yabwino yochizira kapena kuyang'anira.

Chofunika kwambiri ndikuyang'anira zotupa izi nthawi zonse . Mwa kuchita izi, mutha kupewa matenda oopsa monga kutuluka magazi. Chifukwa ngati chinthu chonga ichi chichitika, chingakhale choopsa pa moyo. Chifukwa chake, tsatirani malangizo a dokotala wanu ndipo kayezetseni nthawi yake. Thanzi lanu lili m'manja mwanu!

Angiomyolipoma ya impso , AML, Ziphuphu za impso, Matenda a impso, Tuberous Sclerosis, Kutuluka magazi mu impso, Kusintha kwa majini