Ese ufite ikibyimba nk'iki mu mpyiko zawe? (Angiomyolipoma) Ntugahangayike, reka tubiganireho!

Ese wigeze utekereza ko ushobora kugira ikibyimba gito kiri mu mpyiko zawe? Hari igihe ibi bishobora kubaho nta bimenyetso. Uyu munsi, tugiye kuvuga ku bwoko runaka bw'ikibyimba gishobora kuvuka mu mpyiko. Yitwa angiomyolipoma , bamwe banayita angiomyolipoma y'impyiko. Izina risa n'aho ari rirerure, si byo se? Ariko ntugahangayike, reka tubikomeze byoroshye.

Angiomyolipoma ni iki mu by'ukuri?

Mu magambo make, angiomyolipoma ni ikura ribaho iyo uturemangingo tumwe na tumwe two mu mpyiko zawe dukura mu buryo budasanzwe. Abaganga banabyita ikibyimba cyangwa ikibyimba . Ariko inkuru nziza ni uko angiomyolipoma nyinshi atari kanseri (ifite ingaruka mbi) . Ibi bivuze ko zidakunze guteza ibibazo bikomeye.

Izi mbuto zigizwe n'ibice bitatu by'ingenzi:

• Igihimba cy'amavuta , kimeze nk'urutonde rw'amavuta.
• Imitsi yoroshye .
• Imiyoboro y'amaraso ni imiyoboro mito itwara amaraso.

Ariko, iyo iki kibyimba kibaye kinini, ibimenyetso bimwe na bimwe bishobora kugaragara. Urugero, kuva amaraso , kubura amaraso , umuriro , cyangwa kubabara mu gice cy'impyiko bishobora kubaho.

Ni nde ufite amahirwe menshi yo kurwara angiomyolipoma?

Mu by’ukuri bishobora kuba kuri buri wese. Ariko, ubushakashatsi bwagaragaje ko abagore bafite amahirwe menshi yo kurwara iyi ndwara, cyane cyane abari hagati y’imyaka 40 na 60 .

Byongeye kandi, abantu bafite indwara zimwe na zimwe bashobora kurwara angiomyolipomas. Indwara ebyiri nk'izo ni izi:

• Lymphangioleiomyomatosis (LAM)
• Ikibuga cy’indwara ya Tuberous Sclerosis (TSC)

Ibi biragoye gato, ariko niba ufite iyi ndwara, ni ngombwa cyane kuvugana na muganga ukamenya ibyayo.

Ni mu rugero rungana iki indwara za angiomyolipoma z'impyiko?

Angiomyolipoma igaragara munsi ya 1% by'abaturage muri rusange. Ibyo ntibivuze ko ikunze kugaragara, ariko si ko bibaho kuri buri wese. Ariko, ni bwo bwoko bukunze kugaragara bwa kanseri y'impyiko idakabije.

Ibi bikunze kugaragara cyane mu bantu bafite ikibazo cyavuzwe haruguru cyo kurwara indwara ya tuberous sclerosis (TSC) . Ibi bivuze ko abantu barenga kimwe cya kabiri bafite TSC bashobora kurwara angiomyolipomas.

Ese hari ubwoko butandukanye bwa angiomyolipoma?

Yego, angiomyolipomas zishobora kugabanywamo ubwoko butatu bw'ingenzi hashingiwe ku bwoko bw'uturemangingo n'uturemangingo turi muri iki kibyimba:

1.AML za kera (triphasic): Ubu ni bwo bwoko bukunze kugaragara cyane. Zirimo ubwoko butatu bwose bw'uturemangingo twavuzwe haruguru: imiyoboro y'amaraso, ibinure, n'imitsi yoroshye .

2. AMLs zo mu bwoko bumwe: Ubu bwoko bwa kanseri bugizwe ahanini n'ubwoko bumwe bw'ingingo . Urugero, zishobora kuba zirimo imitsi yoroshye gusa, cyangwa zirimo ibinure gusa.

3. Epithelioid angiomyolipomas: Izi zikomoka ahanini ku turemangingo tw’impyiko tuba mu mitsi y’amaraso y’impyiko. Ubu bwoko bwa kanseri bufite ibyago byinshi byo kurwara kanseri kurusha izindi . Kubwibyo, hitabwa cyane kuri ibi.

Ni gute angiomyolipoma ishobora kuba ikomeye?

Akenshi, abantu benshi barwaye angiomyolipomas ntibaba bazi ko bayifite. Ibyo biterwa nuko akenshi nta bimenyetso bitera.

Ariko, iyo iki kibyimba kirengeje santimetero 4 (kingana n'ingano y'igiti cy'inzabibu dusanzwe turya), gishobora gutangira kuva amaraso (kuva amaraso menshi) . Kuva amaraso nk'aya bishobora gushyira ubuzima mu kaga iyo bitavuwe ku gihe. Niyo mpamvu ari ngombwa kwitondera ibi bibyimba.

Angiomyolipoma ikura vuba gute?

Angiomyolipoma nyinshi za kera ntizikura na gato . Cyangwa, iyo zikura buhoro cyane . Ugereranyije, izi tumori zikura zigera kuri santimetero 0.19 (hafi kimwe cya cumi na gatandatu cya santimetero) ku mwaka.

Ariko, ibi bibyimba bishobora gukura vuba mu gihe utwite . Kubwibyo, niba ufite angiomyolipoma kandi utwite umwana, byaba byiza ubanje kuvurwa iki kibyimba mbere yuko utwita . Nibyiza kuganira na muganga wawe kuri ibi.

Ni iki gitera angiomyolipoma?

Abaganga ntibaramenya neza impamvu iyi ngingo yirundanya igatera ikibyimba cy’impyiko. Ariko, abashakashatsi bizera ko impinduka zimwe na zimwe (mutations) mu turemangingo twacu zishobora kugira uruhare.

Ni ibihe bimenyetso bya angiomyolipoma?

Nkuko twabivuze mbere, abantu benshi barwaye angiomyolipoma ntibagira ibimenyetso na bimwe . Ariko, uko ikibyimba kigenda gikura, hari ibimenyetso bimwe na bimwe bishobora kugaragara. Muri byo harimo:

• Kubura amaraso mu mubiri biterwa no kuva amaraso .
• Umuriro .
• Kubabara mu gituza cyangwa kubabara mu mpyiko bitewe no kuva amaraso hafi y'impyiko.
• Umuvuduko ukabije w'amaraso (hypertension) .
• Isesemi no kuruka .

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni ngombwa cyane kujya kwa muganga vuba bishoboka.

Wamenya ute ko ufite angiomyolipoma?

Hari igihe, muganga wawe ashobora kubona ikibyimba ku bw'amahirwe iyo ukoze ibizamini byo gufata amashusho , nko gupima, kugira ngo arebe indi ndwara. Cyangwa, niba ufite ibimenyetso byavuzwe haruguru, muganga wawe ashobora gutegeka ibi bizamini kugira ngo amenye icyabiteye.

Ni ubuhe bwoko bw'ibizamini bugaragaza ibi?

Ubusanzwe abaganga basaba abantu gupima amashusho nk'ibi bikurikira:

• gupima CT (CT scan)
• MRI
• Ultrasound

Ariko, hari ubwoko bumwe bwa angiomyolipomas bushobora kumera nka kanseri y'impyiko kuri izi scan. Rero, kugira ngo umenye neza, muganga wawe ashobora kukugira inama yo gukora biopsy y'impyiko, ikaba irimo gufata agace gato k'impyiko no kugapima .

Namenya nte ko angiomyolipoma yanjye ikeneye kuvurwa?

Si abantu bose bafite angiomyolipoma bazakenera kuvurwa. Niba ukeneye kuvurwa biterwa n'ingano y'ikibyimba , niba ufite ibimenyetso , ndetse niba uteganya gutwita mu gihe cya vuba .

Ubusanzwe uzakenera kujya kwa muganga wawe rimwe mu mwaka kugira ngo arebe uko ikibyimba gikura. Niba ikibyimba kirenze santimetero 4 , muganga wawe ashobora kukugira inama yo kugifata.

Ni gute angiomyolipoma zivurwa?

Muganga ashobora gutanga inama yo kuvura kugira ngo ikibyimba kihagarare cyangwa kigikureho. Bimwe muri ibyo birimo:

• Uburyo bwo kuvura indwara yo mu nda: Muri ubu buryo bwo kuvura, abaganga bakoresha ingufu (urugero , imiraba ya radiofrequency ), ubushyuhe bukabije, cyangwa umwuka ukonje cyane kugira ngo basenye angiomyolipoma.
• Guca imitsi y'amaraso: Muri ubu buryo, hakorwa icyuho gito imbere mu itako ryawe, hagashyirwamo umuyoboro muto (catheter) , hanyuma hagashyirwamo udusaro duto. Utwo dusaro duhagarika amaraso ajya muri angiomyolipoma. Ibi bituma ikibyimba kigabanuka, kikagabanya amaraso atembera, kandi kikagabanya ibyago byo kuva amaraso.
• Kubaga burundu nephrectomy: Uku kubaga gukuraho impyiko zose zirimo angiomyolipoma.
• Kubaga igice cy'impyiko: Ibi ntibikuraho impyiko yose. Igice cy'impyiko kirimo angiomyolipoma ni cyo cyonyine gikurwaho . Ibi bishobora gukorwa nk'impyiko ifunguye cyangwa nk'impyiko ikora roboti .

Icy'ingenzi ni ukuganira na muganga wawe kugira ngo ahitemo uburyo bwo kuvura bukubereye.

Ese hari ingorane cyangwa ingaruka mbi nyuma yo kuvurwa?

Hashobora kubaho ingaruka zimwe na zimwe nyuma yo kubagwa impyiko no ku bundi buryo bwo kuvura angiomyolipoma. Urugero:

• Kuva amaraso
• Kwandura
• Inkovu

Hari igihe impyiko zishobora kunanirwa nyuma yo kuvurwa impyiko. Ariko ibi ni gake cyane. Muganga wawe azakubwira ibyo byago mbere yo kuvurwa kandi azafata ingamba zo kubigabanya. Iyo impyiko zinaniwe, muganga wawe azashyiraho gahunda yo kugufasha gucunga ibimenyetso byawe no kugira ubuzima bwiza uko bishoboka kose.

Bifata igihe kingana iki kugira ngo umuntu akire nyuma yo kuvurwa?

Niba warakorewe nephrectomy yuzuye cyangwa igice cyayo , uzakenera kumara iminsi mike mu bitaro. Abaganga bazasuzuma imikorere y'impyiko zawe kandi barebe neza ko ukize neza.

Niba ufite uburyo bwo kuvura indwara yo mu mitsi cyangwa gutemba kw'imitsi , uzakenera kumara amasaha make mu bitaro cyangwa ijoro ryose.

Ese angiomyolipoma ishobora kwirindwa?

Mu by’ukuri, nta buryo bwihariye bwo gukumira ikwirakwira rya angiomyolipomas. Izi kanseri zikunze kubaho mu buryo butunguranye, nta mpamvu yihariye . Ibi bivuze ko bigoye kumenya icyateye AML.

Ese hari izindi ndwara zishobora gutuma ngira ibyago byinshi byo kurwara angiomyolipoma?

Yego. Niba ufite ikibazo cyo kurwara indwara ya tuberous sclerosis (TSC) cyangwa lymphangioleiomyotosis (LAM) , uba ufite ibyago byinshi byo kurwara angiomyolipoma. Kubwibyo, ganira na muganga wawe ku bijyanye no gukurikirana ubuzima bwawe no gufata ingamba zo kugabanya ibyago byawe.

Niba mfite angiomyolipoma, ni iki nkwiye kwitega?

Niba ufite angiomyolipoma ariko nta bimenyetso ugaragaza , uzakenera kujya kwa muganga wawe rimwe mu mwaka . Ushobora kandi gukenera gupimwa kugira ngo urebe niba ikibyimba kirimo gukura.

Niba ufite ibimenyetso , muganga wawe ashobora kukugira inama yo kuvura kugira ngo wirinde ibyago byo kuva amaraso.

Ese angiomyolipoma ishobora gutera ingaruka z'igihe kirekire?

Iyo angiomyolipomas ikuze, ishobora kuva amaraso cyangwa gucika . Kubwibyo, muganga wawe azasuzuma buri gihe ingano y'ikibyimba kandi aguhe inama yo kuvura niba uri mu kaga.

Ese nshobora kwandura angiomyolipoma inshuro zirenze imwe?

Yego , angiomyolipoma ishobora kongera gukura nyuma yo kuvurwa.Nanone, hashobora kubaho angiomyolipoma zirenze imwe , kandi AML zishobora kugaragara mu mpyiko zombi .

Ese angiomyolipoma ishobora kuba kanseri?

Ubwo bwoko bwa kanseri twavugaga mbere, bwitwa epithelioid angiomyolipoma, rimwe na rimwe bushobora guhinduka kanseri . Iyo bibaye, muganga wawe azagukurikiranira hafi akakubwira icyo wakora nyuma yaho.

Niba mfite angiomyolipoma, nkwiye kujya kwa muganga kangahe?

Korana na muganga wawe kugira ngo utegure gahunda yo kuvura . Kora gahunda zose zo gukurikirana kugira ngo urebe niba hari ikibyimba cyakuze.

Ni ryari ngomba guhamagara muganga wanjye?

Hamagara muganga wawe vuba niba ugaragaje kimwe muri ibi bimenyetso bishya :

• Ububabare bwo mu nda
• Kubabara umugongo
• Umuriro
• Isesemi no kuruka
• Hematuria - amaraso mu nkari

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Angiomyolipoma ni ikibyimba kitagaragara gikunze kugaragara mu mpyiko. Ushobora kuba udafite ibimenyetso. Muganga wawe azajya asuzuma iki kibyimba buri mwaka kugira ngo arebe niba kirimo gukura. Ibibyimba birengeje santimetero 4 bishobora gukenera kuvurwa kugira ngo hirindwe kuva amaraso.

Igikuru ni uko niba ufite ibimenyetso, ntugatinye kandi uhite uganira na muganga wawe. Azaguha ubuvuzi bwiza n'ubuyobozi ukeneye.

Angiomyolipoma , impyiko zifata imitsi, indwara y'impyiko, ibibyimba bidakomeye, ububabare bw'impyiko, kubura amaraso, sclerosis y'ibibyimba