Kodi pali chinthu chachilendo pa mitsempha yanu yamagazi? Tiyeni tiphunzire za izi (Mitsempha yamagazi)?

Kodi pali malo ena pakhungu lanu omwe asintha mtundu, omwe amawoneka ngati matuza ang'onoang'ono, ndipo nthawi zina amapweteka? Kapena pali malo achilendo pathupi lanu omwe mwana wanu anabadwa nawo, koma akuwoneka kuti akukulirakulira? Izi zitha kukhala zinthu zosavuta. Komabe, nthawi zina izi zitha kukhala zizindikiro za vuto losazolowereka lotchedwa Vascular Malformations , lomwe ndi zolakwika m'mitsempha yamagazi, kapena m'malo mwake, mitsempha yamagazi. Chifukwa chake, musadandaule. Tiyeni tikambirane izi mwatsatanetsatane komanso lero.

Kodi matenda a mitsempha yamagazi ndi chiyani? Mwachidule...

Kusokonekera kwa mitsempha yamagazi ndi zinthu zosazolowereka kapena kusintha kwa mitsempha yamagazi m'thupi lathu. Izi nthawi zambiri zimakhala zobadwa nazo. Komabe, nthawi zina zimaonekera paubwana, unyamata, kapena ngakhale uchikulire.

Taganizirani za njira ya mitsempha yamagazi yomwe imayenda m'thupi lathu lonse ngati netiweki ya misewu. Nthawi zina, misewu iyi ikamangidwa, zolakwika zazing'ono ndi zolakwika zimatha kuchitika. Ndicho chimene chimachitikanso pano.

Matenda a mitsempha yamagazi amenewa amatha kuchitika kulikonse m'thupi lanu, kuyambira mutu mpaka kumapazi. Nthawi zina amawoneka ngati minofu yofewa , kupweteka , kutupa , kapena kusintha mtundu wa khungu . Ena amawoneka pankhope, pakhosi, pafupi ndi ubongo, kapena pamsana. Ena amawoneka ngati zizindikiro zoberekera kapena mawanga ofiira.

Kawirikawiri, zimatha kubwereranso pambuyo pa ngozi kapena chochitika china, kapena ngakhale atakula. Ngati zimayambitsa ululu, kusokoneza masomphenya, kusokoneza zochita za tsiku ndi tsiku, kutuluka magazi, kapena kuyambitsa mavuto ena, zolakwika za mitsempha yamagazi izi ziyenera kuchiritsidwa.

Kodi izi zimachitika pati mthupi nthawi zambiri?

Mawu oti "mitsempha yamagazi" amatanthauza "zokhudzana ndi mitsempha yamagazi." Chifukwa chake vutoli lingakhudze mitsempha iliyonse yamagazi mu dongosolo lathu lozungulira magazi. Lingakhudzenso mitsempha yamagazi mu dongosolo lathu la lymphatic.

Mitundu ya mitsempha yamagazi yomwe ingakhudzidwe ndi iyi:

• Mitsempha yamagazi ndi ma arterioles - Izi ndi mitsempha yamagazi yomwe imanyamula magazi okhala ndi mpweya kuchokera mumtima kupita ku ziwalo zina.
• Ma capillaries - Netiweki ya mitsempha yamagazi yopyapyala kwambiri.
• Mitsempha ndi ma venule - Izi ndi zomwe zimabweza magazi ogwiritsidwa ntchito kuchokera ku ziwalo kupita kumtima.
• Njira za Lymphatic- Izi zimanyamula madzi a lymph m'thupi.

Kodi mitundu ikuluikulu ya matenda a mitsempha yamagazi ndi iti?

Matendawa nthawi zina amatha kuoneka ngati zizindikiro zoberekera pakhungu la mwana. Kapena, monga tanenera kale, amatha kufalikira kulikonse m'thupi, kuphatikizapo ubongo ndi msana. Madokotala amasankha mtundu kutengera mtundu wa mtsempha wamagazi womwe wakhudzidwa.

Izi ndi zina mwa mitundu yodziwika kwambiri:

• Kusokonekera kwa mitsempha yamagazi: Uwu ndiye mtundu wofala kwambiri. Monga momwe dzinalo likusonyezera, umakula mumtsempha. Mitsempha ndi mitsempha yamagazi m'thupi lathu yomwe imanyamula magazi opanda mpweya kubwerera kumtima. Izi zitha kuwoneka ngati chotupa chabuluu, ndipo nthawi zina zimakhala zopweteka kuzikhudza.
• Kusokonekera kwa mitsempha ya m'mitsempha (AVM): Uku ndi kusakanikirana kosazolowereka kwa mitsempha ndi mitsempha. Nthawi zambiri, mitsempha imathera m'mitsempha yamagazi, kenako mitsempha imayamba. Koma mu AVM, magazi ochokera m'mitsempha amalowa mwachindunji m'mitsempha, kudzera mu mtolo wa njira zosazolowereka wotchedwa nidus . Matenda a AVM amenewa angakhudze ubongo kapena msana.
• Capillary telangiectasia: Ili ndi gawo laling'ono la kukula kwa mitsempha yamagazi muubongo. Nthawi zambiri, izi sizovuta. Komabe, nthawi zambiri, zingayambitse kutuluka magazi , komwe ndi kutuluka magazi.
• Kusokonekera kwa mitsempha ya m'mimba: Pa vutoli, mitsempha yamagazi muubongo imalumikizana mwamphamvu, ndikupanga "mapanga" aatali. Magazi amayenda pang'onopang'ono m'mapanga awa.
• Matenda a mitsempha ya m'magazi: Pachifukwa ichi, mitsempha ya m'magazi imakula ndikupanga ma cysts odzaza ndi madzi. Izi nthawi zambiri zimawoneka m'maselo ofewa monga nkhope, khosi, ndi m'mbali mwa msana.

Kodi pali kusiyana kotani pakati pa hemangiomas ndi malformations a mitsempha yamagazi?

Zonsezi zimachitika chifukwa cha matenda a mitsempha yamagazi. Zonsezi zimatha kuoneka ngati mawanga, ofanana ndi zizindikiro zoberekera. Koma pali kusiyana koonekeratu pakati pa ziwirizi.

• Ma Hemangioma: Awa ndi matenda otupa a mitsempha yamagazi omwe si khansa (osaopsa). Amapangidwa pamene mitsempha yamagazi imasonkhana pansi pa khungu. Mtundu wotchedwa "strawberry hemangiomas" nthawi zambiri umawonekera mwana akangobadwa. Amakula mofulumira m'miyezi isanu ndi umodzi yoyambirira ya mwana. Komabe, matendawa nthawi zambiri samayambitsa mavuto ndipo nthawi zambiri amatha okha popanda chithandizo. Ngati hemangioma ndi yayikulu, imasokoneza zochita zina, imayambitsa ululu, kapena imayambitsa mavuto ena, imatha kuthetsedwa ndi mankhwala omwe amachititsa kuti ichepe msanga. Opaleshoni siifunikira kawirikawiri.

• Kusokonekera kwa Mitsempha ya M'magazi:Izi ndi zinthu zomwe zimapezeka pobadwa, koma sizingawonekere mpaka mwana kapena munthu wamkulu. Zimakula pang'onopang'ono. Komanso, zimatha kufalikira kwambiri m'thupi ndi m'mapangidwe ozungulira ndikuyambitsa mavuto. Matenda a mitsempha yamagazi nthawi zambiri amafunika chithandizo.

Mwachidule: Hemangioma ndi chotupa chosaopsa chomwe nthawi zambiri chimatha chokha. Komabe, zolakwika m'mitsempha yamagazi ndi matenda osatha omwe amatha kukula ndikuyambitsa mavuto. Chifukwa chake ndikofunikira kusiyanitsa pakati pa ziwirizi.

Kodi matenda a mitsempha yamagazi omwe amatuluka pang'onopang'ono komanso omwe amatuluka mofulumira ndi otani?

Matenda ambiri a mitsempha yamagazi amagwera m'gulu la "kuyenda pang'onopang'ono" . Izi zikutanthauza kuti magazi amayenda pang'onopang'ono kwambiri kudzera m'mitsempha yamagazi yomwe yakhudzidwa. Zitsanzo za izi ndi matenda a mitsempha yamagazi, a lymphatic, kapena onse awiri (venolymphatic).

Komabe, AVM (Arteriovenous malformation) ndi vuto la "kuyenda mofulumira" kwa mitsempha yamagazi. Pankhaniyi, magazi amatuluka kuchokera m'mitsempha kupita ku mitsempha mwachangu kwambiri, nthawi zambiri kudzera mu mtsempha wamagazi wosadziwika bwino wotchedwa nidus . Magazi akamayenda mofulumira chonchi mu AVM yayikulu, mtima umayenera kugwira ntchito molimbika. Izi zimawonjezera chiopsezo cha kulephera kwa mtima .

Kodi izi ndi zofala bwanji?

Matenda a mitsempha yamagazi ndi matenda osowa kwambiri. Amapezeka pafupifupi 1% ya ana onse obadwa. Mwa matenda amenewa, matenda a mitsempha yamagazi, omwe ndi ofala kwambiri, amakhudza pafupifupi munthu mmodzi pa anthu 5,000 mpaka 10,000 aliwonse.

Kodi n’chiyani chimayambitsa matenda a mitsempha ya magazi?

Kawirikawiri, izi zimachitika chifukwa cha kusakhazikika kwa mitsempha yamagazi ndi/kapena njira za lymphatic pamene mwana wosabadwayo akukula m'mimba mwa mayi (m'mimba). Izi zikutanthauza kuti nthawi zambiri amakhala obadwa nawo .

Kawirikawiri, kuwonongeka kwa mitsempha yamagazi panthawi yovulala sikungadziwike ndipo kumatha kukhala vuto la mitsempha pakapita nthawi. Mavuto a mitsempha amathanso kuonekera koyamba pambuyo pa ngozi kapena chifukwa cha kusintha kwa mahomoni panthawi ya kutha msinkhu kapena mimba .

Nthawi zina, anthu ena amatengera kusintha kwa majini komwe kumawonjezera chiopsezo chokhala ndi zolakwika m'mitsempha yamagazi. Ofufuza akuphunzirabe zambiri za zomwe zimayambitsa majini.

Ndani ali pachiwopsezo chachikulu chotenga izi?

Anthu ena amalandira kusintha kwa majini komwe kungapangitse kuti mitsempha yamagazi ikhale ndi vuto lalikulu. Zina mwa matenda amenewa ndi monga:

• Matenda a Blue Rubber Bleb Nevus Syndrome: Izi zimayambitsa matenda a mitsempha m'matumbo ndi m'mimba. Zingayambitsenso zilonda zakuda zabuluu, zofiira, kapena zakuda pakhungu lanu.
• Matenda a CLOPES (kukula kwambiri kwa lipomatous, zolakwika za mitsempha yamagazi, kufooka kwa epidermal nevi ndi msana): Izi zimapangitsa kuti ma AVM apangidwe mu msana wanu. Zingayambitsenso kupindika kwa msana ( kupindika kwa msana), kukula kwa minofu yamafuta, ndi ziphuphu zofiira zakuda.
• Matenda a hemorrhagic telangiectasia (omwe amadziwikanso kuti Osler-Weber-Rendu syndrome): Izi zimayambitsa kusokonezeka kwachilendo, kapena ma AVM, m'mitsempha yaying'ono yamagazi.
• Matenda a Klippel-Trenaunay (KTS): Izi zimayambitsa zizindikiro zofiira-zofiirira zobadwa nazo zotchedwa "port-wine stains", kukula kwa mafupa kapena minofu, ndi zolakwika zokhudzana ndi mitsempha kapena njira za lymphatic.
• Matenda a Parkes Weber: Izi zimapangitsa kuti ma AVM apangidwe m'manja kapena m'miyendo mwanu.

Ngati muli ndi matenda ngati amenewa m'majini, ndikofunikira kuwadziwa.

Kodi zizindikiro za matenda a mitsempha yamagazi ndi ziti?

Zizindikiro zimadalira mtundu wa vuto. Vuto la mitsempha yamagazi lomwe limakhudza khungu lanu likhoza kuoneka ngati chizindikiro chofiira, chabuluu, chofiirira, chabulauni, kapena chakuda . Madontho amenewa akhoza kutupa, kutuluka magazi, kapena kupweteka.

Ngati muli ndi AVM muubongo wanu , simungakhale ndi zizindikiro zilizonse mpaka mutatuluka magazi. Ngati AVM muubongo wanu ituluka magazi, mutha kumva mutu, khunyu, kapena ziwalo zina za thupi lanu .

Kusakhazikika kwa mitsempha yamagazi kungayambitse kupweteka, kutupa, mavuto a magazi kuundana, komanso kuwonongeka kwa ziwalo.

Kodi mumazizindikira bwanji izi? Kodi dokotala amapeza bwanji izi?

Popeza kuti matenda a mitsempha yamagazi si nthawi zonse amayambitsa zizindikiro, madokotala nthawi zina amapeza vutoli akamayesa vuto lina.

Madokotala amagwiritsa ntchito mayeso apadera ojambulira kuti aone momwe magazi akuyendera komanso kuzindikira zolakwika m'mitsempha yamagazi. Mayesowa akuphatikizapo:

• Ultrasound , yomwe imatchedwanso vascular ultrasound .
• MRI (Magnetic Resonance Imaging) , yomwe imaphatikizaponso mayeso otchedwa MR Angiogram (MRA) .
• Kujambula kwa CT (Computed Tomography scan), komwe kumaphatikizaponso mayeso otchedwa CT angiogram .
• Angiogram ndi/kapena venogram .
• Ma X-ray okhazikika.

Mayesowa amatha kuona bwino momwe mitsempha yamagazi ilili m'derali, momwe magazi amayendera, komanso ngati pali kuchepa kulikonse kwachilendo kapena kukulirakulira.

Kodi chithandizo cha izi ndi chiyani?

Cholinga chachikulu cha chithandizo cha matenda a mitsempha yamagazi ndikuchepetsa zizindikiro ndikuchepetsa mavuto omwe angakhalepo. Matenda omwe samayambitsa mavuto sangafunike chithandizo ndipo amatha kuwonedwa pakapita nthawi.

Chithandizo chimadalira mtundu wa mtsempha wamagazi womwe wakhudzidwa. Nthawi zambiri, chithandizochi chimaphatikizapo kutseka kapena kuchotsa mtsempha wamagazi womwe wakhudzidwa ndi opaleshoni. Zolakwika zambiri zimatha kuchiritsidwa pogwiritsa ntchito njira zosavulaza kwambiri . Madokotala angagwiritse ntchito njira monga:

• Sclerotherapy: Mu izi, mankhwala apadera amalowetsedwa mu mtsempha wamagazi womwe wakhudzidwa, zomwe zimapangitsa kuti mtsempha wamagazi uchepe ndikutseka.
• Kutulutsa magazi m'thupi pogwiritsa ntchito catheter: Mu njira imeneyi, chubu chaching'ono (catheter) chimadutsa m'mitsempha yamagazi ndipo mtsempha wamagazi wosazolowereka umatsekedwa kuchokera mkati.
• Mankhwala a laser: Izi zimagwiritsidwa ntchito pa zolakwika zina pakhungu.
• Chithandizo cha radiation (radiosurgery): Ichi chimagwiritsidwa ntchito pa zolakwika zina zazikulu komanso zovuta kuchita.

Nthawi zina, dokotala wanu angakulangizeni kuti mutenge minofu kuti mukaione. Izi zingathandize kutsimikizira kuti mwapezeka ndi matendawa komanso/kapena kupeza minofu yoti muyeze majini .

Popeza matenda a mitsempha yamagazi ndi ovuta komanso osowa, ndi bwino kuwathetsa ndi gulu lokhala ndi akatswiri angapo .

Kodi izi zingayambirenso pambuyo pa chithandizo?

Inde, zolakwika za mitsempha yamagazi zimatha kubwereranso ngakhale mutalandira chithandizo. Chifukwa chake, mungafunike kupita kuchipatala nthawi zonse kuti mupeze zolakwika zilizonse zomwe zikubwereranso msanga.

Kodi pali njira yopewera izi kuti zisapangidwe?

Matenda a mitsempha yamagazi nthawi zambiri amakhala obadwa nawo , zomwe zikutanthauza kuti palibe njira yowapewera.

Komabe, ngati wina m'banja mwanu ali ndi vuto la majini lomwe limayambitsa matenda a mitsempha yamagazi, mungafunike kuonana ndi mlangizi wa majini.Katswiriyu angakufotokozereni njira zomwe zingakuthandizeni kuchepetsa chiopsezo chopatsira matendawa kwa ana anu.

Kodi ndi mavuto otani omwe angachitike chifukwa cha zolakwika za mitsempha yamagazi?

Ma malformation ena sayambitsa mavuto ndipo amangowoneka okha. Komabe, nthawi zambiri, angayambitse ululu ndi kutupa .

Zolakwika zina zingayambitse kupweteka, kapena kusokonezeka kwa minofu, mafupa, kapena mitsempha, zomwe zingasokoneze masewera olimbitsa thupi, masewera, ntchito, kapena zochita za tsiku ndi tsiku .

Matenda akuluakulu komanso othamanga kwambiri amatha kupangitsa kuti mtima usagwire bwino ntchito .

Kusokonekera kwa mitsempha yamagazi m'ziwalo zolimba monga chiwindi, impso, kapena chiberekero kungayambitse kusagwira bwino ntchito kwa ziwalo ndi mavuto ena.

Matenda ena a mitsempha yamagazi, monga ma AVM muubongo kapena msana, amatha kuchepetsa kuchuluka kwa magazi okhala ndi mpweya womwe umafika muubongo. Izi zingayambitse mavuto oopsa, monga:

• Ma Aneurysms ( kufooka kwa khoma la mitsempha yamagazi ndikutupa ngati baluni)
• Kutuluka magazi m'mutu
• Kukwapula

Kodi tsogolo la anthu omwe ali ndi vutoli ndi lotani? Kodi izi zimakhudza bwanji miyoyo yawo?

Kusokonekera kwa mitsempha yamagazi, komwe kumawoneka ngati zizindikiro zobadwa nazo, kungakhudze mawonekedwe a munthu komanso kudzidalira kwake. Izi zingayambitse matenda amisala monga kupsinjika maganizo ndi nkhawa . Komabe, zambiri mwa izi zimayankha bwino chithandizo.

Matenda ena aakulu, monga ma AVM muubongo, akhoza kukhala pachiwopsezo chachikulu ngati ayamba kutuluka magazi.

Koma chofunika kwambiri n’chakuti, matenda ambiri amatha kuchiritsidwa ndipo amachira bwino akalandira chithandizo. Chifukwa chake, ndikofunikira kufunafuna upangiri woyenera wa dokotala popanda kuchita mantha.

Kodi muyenera kufunsa dokotala wanu chiyani?

Ngati muli ndi kukayikira kulikonse za vutoli, kapena ngati mwapezeka ndi matendawa, mutha kufunsa dokotala wanu mafunso awa:

• Kodi ndinapeza bwanji vuto la mitsempha yamagazi? (Chifukwa chake ndi chiyani?)
• Kodi ndi mtundu wanji wa vuto la mitsempha yamagazi lomwe ndili nalo?
• Kodi chithandizo chabwino kwambiri kwa ine ndi chiti?
• Kodi zoopsa kapena zotsatirapo zake zingakhale zotani chifukwa cha chithandizochi?
• Kodi ndiyenera kuda nkhawa ndi zizindikiro za mavuto? Kodi zizindikirozo ndi ziti?

Funsani mafunso awa kuti mumvetse bwino momwe zinthu zilili.

Pomaliza, zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tione mfundo zazikulu zomwe muyenera kukumbukira kuchokera pa zomwe takambirana.

• Kusokonekera kwa mitsempha yamagazi ndi matenda osowa kwambiri m'mitsempha yamagazi, omwe nthawi zambiri amapezeka pobadwa.
• Izi zitha kuchitika kulikonse pathupi , kusonyeza zizindikiro zosiyanasiyana, kapena nthawi zina kusawonetsa zizindikiro konse.
• Ma Hemangioma ndi Ma Vascular Malformations ndi zinthu ziwiri zosiyana. Ndikofunikira kudziwa kusiyana pakati pa ziwirizi.
• Pali njira zosiyanasiyana zochizira vutoli. Dokotala wanu ndiye adzakukonzerani chithandizo chabwino kwambiri cha vuto lanu.
• Mitundu ina yoopsa, makamaka ma AVM muubongo, ingayambitse mavuto, kotero kuyang'aniridwa bwino ndi dokotala ndikofunikira.
• Ngati inu kapena mwana wanu muli ndi zizindikiro izi, musachite mantha ndipo pitani kwa dokotala kuti akupatseni upangiri.

Kumbukirani kuti simuli nokha pamene mukuvutika ndi vutoli. Ndi chidziwitso choyenera komanso chithandizo chamankhwala, vutoli lingathe kuthetsedwa bwino.

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