Ingaba unethumba elinje kwizintso zakho? (Angiomyolipoma) Ungakhathazeki, masithethe ngale nto!

Ngaba wakha wacinga ukuba unokuba nethumba elincinci elikhula ngaphakathi kwintso yakho? Ngamanye amaxesha, eli thumba linokubakho ngaphandle kweempawu. Namhlanje, siza kuthetha ngohlobo oluthile lwethumba elinokwakheka kwintso. Libizwa ngokuba yi-angiomyolipoma , abanye abantu balibiza ngokuba yi-renal angiomyolipoma. Eli gama livakala lide kancinci, akunjalo? Kodwa ungakhathazeki, masiligcine lilula.

Yintoni kanye kanye i-Angiomyolipoma?

Ngamafutshane, i-angiomyolipoma kukukhula okwenzeka xa ezinye zeeseli ezingaphakathi kwizintso zakho zikhula ngendlela engaqhelekanga. Oogqirha babiza oku ngokuba yi- tumor okanye i-neoplasm . Kodwa iindaba ezimnandi zezokuba uninzi lwee-angiomyolipoma azinawo umhlaza (ezingenabungozi) . Oku kuthetha ukuba akunakwenzeka ukuba zibangele naziphi na iingxaki ezinkulu.

Ezi nati zenziwe ngamalungu amathathu aphambili:

• Izicubu zamafutha , ezifana nomaleko weoyile.
• Izihlunu ezithambileyo .
• Imithambo yegazi yimibhobho emincinci ethwala igazi.

Nangona kunjalo, ukuba eli thumba likhula libe likhulu, ezinye iimpawu zinokuvela. Umzekelo, ukopha , i-anemia , umkhuhlane , okanye intlungu kwindawo yezintso inokubakho.

Ngubani onokuthi abe ne-angiomyolipoma?

Inokwenzeka nakubani na. Nangona kunjalo, uphando lufumanise ukuba abafazi banamathuba amaninzi okufumana le meko, ingakumbi abo baphakathi kweminyaka engama-40 ukuya kwengama-60 ubudala .

Ukongeza, abantu abaneengxaki ezithile zempilo banamathuba amaninzi okufumana ii-angiomyolipomas. Ezimbini zezi meko:

• I-Lymphangioleiomyomatosis (i-LAM)
• I-Tuberous Sclerosis Complex (TSC)

Oku kunzima kancinci, kodwa ukuba unale meko, kubaluleke kakhulu ukuthetha nogqirha uze ufunde ngayo.

Zixhaphake kangakanani ii-angiomyolipomas zezintso?

Ii-Angiomyolipomas zenzeka ngaphantsi kwe-1% yabantu ngokubanzi. Oko akuthethi ukuba azixhaphakanga, kodwa azenzeki nakubani na. Nangona kunjalo, zezona ntlobo zixhaphakileyo zethumba lezintso elingenabungozi.

Oku kuqheleke kakhulu kubantu abane -tuberous sclerosis complex (TSC) ekhankanyiweyo ngaphambili. Oku kuthetha ukuba ngaphezulu kwesiqingatha sabantu abane-TSC banokuba ne-angiomyolipomas.

Ngaba kukho iintlobo ezahlukeneyo ze-angiomyolipomas?

Ewe, ii-angiomyolipomas zinokwahlulwa zibe ziintlobo ezintathu eziphambili ngokusekwe kwiintlobo zeeseli kunye nezicubu ezikuyo le tumor:

1.Ii-AML zakudala (ezine-triphasic): Olu lolona hlobo luqhelekileyo. Ziqulathe zonke iintlobo ezintathu zeeseli ezikhankanyiweyo ngaphambili: imithambo yegazi, izicubu ezinamafutha, kunye nemisipha egudileyo .

2. Ii-AML ze-Monophasic: Ezi ntlobo zeethumba ziqulathe uhlobo olunye lwezicubu . Umzekelo, zinokuba nezihlunu ezigudileyo kuphela, okanye zibe nezihlunu zamafutha kuphela.

3. Ii-epithelioid angiomyolipomas: Ezi zenziwe ikakhulu ngeeseli ze-epithelioid ezijikeleze imithambo yegazi yezintso. Olu hlobo lwethumba lunomngcipheko ophezulu wokuba nomhlaza kunezinye . Ke ngoko, kujongwa ngokukodwa oku.

Ingaba i-angiomyolipoma ingaba yingozi kangakanani?

Amaxesha amaninzi, abantu abaninzi abane-angiomyolipomas abazi nokuba banayo. Oku kungenxa yokuba azisoloko zibangela naziphi na iimpawu.

Nangona kunjalo, ukuba eli thumba likhula libe ngaphezu kweesentimitha ezi-4 (elilingana nobukhulu be-walnut esidla ngokuyitya), lingaqala ukopha (ukuvuza igazi) . Ukopha ngolu hlobo kunokuba yingozi ebomini ukuba akunyangwa ngexesha. Yiyo loo nto kubalulekile ukuba ulumke ngala mathumba.

Ikhula ngokukhawuleza kangakanani i-angiomyolipoma?

Uninzi lwee-angiomyolipomas zakudala azikhuli konke konke . Okanye, ukuba ziyakhula, zikhula kancinci kakhulu . Ngokwesiqhelo, ezi thumba zikhula malunga ne-0.19 centimeters (malunga ne-16 inch) ngonyaka.

Nangona kunjalo, ezi thumba zinokukhula ngokukhawuleza ngexesha lokukhulelwa . Ke ngoko, ukuba une-angiomyolipoma kwaye ulindele umntwana, kunokuba bubulumko ukuba unyangwe le thumba ngaphambi kokuba ukhulelwe . Kungcono ukuthetha nogqirha wakho ngale nto.

Yintoni ebangela i-angiomyolipoma?

Oogqirha abakayazi kakuhle ukuba kutheni le tissue iqokelelana ize yenze ithumba lezintso. Nangona kunjalo, abaphandi bakholelwa ukuba utshintsho oluthile (utshintsho) kwiijini zethu lunokudlala indima.

Ziziphi iimpawu ze-angiomyolipoma?

Njengoko besitshilo ngaphambili, uninzi lwabantu abane-angiomyolipoma abanazo naziphi na iimpawu . Nangona kunjalo, njengoko ithumba likhula, ezinye iimpawu zinokuvela. Ezi ziquka:

• I-anemia ebangelwa kukopha .
• Ifiva .
• Intlungu emqolo okanye intlungu yezintso ngenxa yokopha kwegazi ejikeleze izintso.
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu) .
• Isicaphucaphu nokuhlanza .

Ukuba unenye okanye ngaphezulu kwezi mpawu, kubaluleke kakhulu ukubona ugqirha ngokukhawuleza.

Ufumanisa njani ukuba une-angiomyolipoma?

Ngamanye amaxesha, ugqirha wakho angayifumana ngengozi ithumba xa wenza iimvavanyo zokujonga , ezifana neeskeni, zesinye isifo. Okanye, ukuba uneempawu ezikhankanyiweyo apha ngasentla, ugqirha wakho angayalela ezi mvavanyo ukuze afumane unobangela.

Loluphi uhlobo lovavanyo olubona oku?

Oogqirha badla ngokucebisa uvavanyo lokufota olufana nolu:

• Iskeni ye-CT
• I-MRI
• I-ultrasound

Nangona kunjalo, ezinye iintlobo ze-angiomyolipomas zinokubonakala ngathi ngumhlaza wezintso kwezi scan. Ngoko ke, ukuze uqiniseke, ugqirha wakho unokucebisa ukuba kwenziwe i- kidney biopsy, equka ukuthatha iqhekeza elincinci lezintso uze ulivavanye .

Ndingazi njani ukuba i-angiomyolipoma yam ifuna unyango?

Ayingabo bonke abantu abane-angiomyolipoma abaya kufuna unyango. Ukuba ufuna unyango kuxhomekeke kubukhulu bethumba , nokuba uneempawu na , nokuba uceba ukukhulelwa kungekudala .

Ngokwesiqhelo kuya kufuneka ubone ugqirha wakho malunga kanye ngonyaka ukuze ujonge ukukhula kwethumba. Ukuba ithumba likhulu kuneesentimitha ezi-4 , ugqirha wakho unokucebisa unyango.

Ziphathwa njani ii-angiomyolipomas?

Ugqirha angacebisa unyango lokuthintela ukukhula kwethumba okanye ukulisusa. Ezinye zezi ziquka:

• Unyango lwe-Ablation: Kolu nyango, oogqirha basebenzisa amandla (umzekelo , amaza e-radiofrequency ), ubushushu obugqithisileyo, okanye umoya obandayo kakhulu ukutshabalalisa i-angiomyolipoma.
• Ukufakwa kwemithambo yegazi: Kule nkqubo, kwenziwa umngxuma omncinci ngaphakathi kwethanga lakho, kufakwa ityhubhu encinci (i-catheter) , kwaye kufakwa amaconsi amancinci kuyo. La maconsi amisa ukuhamba kwegazi ukuya kwi-angiomyolipoma. Oku kubangela ukuba ithumba linciphe, kunciphisa ukuhamba kwegazi, kwaye kunciphisa umngcipheko wokopha.
• Utyando olupheleleyo lwe-nephrectomy: Olu tyando lususa yonke intso equlethe i-angiomyolipoma.
• Ukususwa kwe-nephrectomy engaphelelanga: Oku akususi yonke intso. Kususwa kuphela inxalenye yentso equlethe i-angiomyolipoma . Oku kungenziwa njenge -open partial nephrectomy okanye njenge -robotic partial nephrectomy .

Eyona nto ibalulekileyo kukuthetha nogqirha wakho ukuze ukhethe indlela yonyango efanelekileyo kuwe.

Ngaba kukho naziphi na iingxaki okanye iziphumo ebezingalindelekanga emva konyango?

Kunokubakho iingozi ezithile emva kotyando lwezintso kunye nolunye unyango lwe-angiomyolipoma. Umzekelo:

• Ukopha
• Usulelo
• Amanxeba

Ngamanye amaxesha, ukungasebenzi kakuhle kwezintso kunokwenzeka emva konyango lwezintso. Kodwa oku kunqabile kakhulu. Ugqirha wakho uza kuthetha nawe ngale mingcipheko ngaphambi konyango kwaye uza kuthatha amanyathelo okuyinciphisa. Ukuba ukungasebenzi kakuhle kwezintso kwenzeka, ugqirha wakho uza kwenza isicwangciso sonyango ukukunceda ulawule iimpawu zakho kwaye uhlale usempilweni kangangoko.

Kuthatha ixesha elingakanani ukuchacha emva konyango?

Ukuba ukhe wakhutshwa i -nephrectomy epheleleyo okanye inxalenye yayo , kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Oogqirha baya kujonga nokusebenza kwezintso zakho baze baqinisekise ukuba uphilile.

Ukuba une -ablation therapy okanye i-arterial embolization , kuya kufuneka uhlale esibhedlele iiyure ezimbalwa okanye ubusuku bonke.

Ngaba i-angiomyolipoma ingathintelwa?

Enyanisweni, akukho ndlela ithile yokuthintela uphuhliso lwee-angiomyolipomas. Ezi thumba zihlala zenzeka ngokuzenzekelayo, ngaphandle kwesizathu esithile . Oku kuthetha ukuba kunzima ukutsho ukuba yintoni kanye kanye ebangele i-AML.

Ngaba kukho ezinye iimeko ezindibeka emngciphekweni omkhulu wokuba ne-angiomyolipoma?

Ewe. Ukuba une -tuberous sclerosis complex (TSC) okanye i-lymphangioleiomyotosis (LAM) , usemngciphekweni omkhulu wokuba ne-angiomyolipoma. Ngoko ke, thetha nogqirha wakho malunga nokujonga impilo yakho kunye nokuthatha amanyathelo okunciphisa umngcipheko wakho.

Ukuba ndine-angiomyolipoma, ndimele ndilindele ntoni?

Ukuba une-angiomyolipoma kodwa awunazo naziphi na iimpawu , kuya kufuneka ubone ugqirha wakho malunga kanye ngonyaka . Kusenokufuneka wenze uvavanyo lwemifanekiso ukuze ubone ukuba ithumba liyakhula na.

Ukuba uneempawu , ugqirha wakho unokucebisa unyango lokuthintela umngcipheko wokopha.

Ngaba ii-angiomyolipomas zinokubangela iziphumo zexesha elide?

Ukuba ii-angiomyolipomas zikhula zibe nkulu, zinokopha okanye ziqhekeke . Ke ngoko, ugqirha wakho uya kujonga ubungakanani bethumba rhoqo aze akucebise ngonyango ukuba usemngciphekweni.

Ndingafumana i-angiomyolipoma ngaphezu kwesihlandlo esinye?

Ewe , i-angiomyolipoma inokukhula kwakhona emva konyango.Kwakhona, kunokubakho ii-angiomyolipoma ezingaphezulu kwesinye , kwaye ii-AML zinokukhula kuzo zombini izintso .

Ngaba i-angiomyolipoma ingaba ngumhlaza?

Olu hlobo lwethumba esithethe ngalo ngaphambili, olubizwa ngokuba yi-epithelioid angiomyolipoma, ngamanye amaxesha lunokuguquka lube ngumhlaza . Ukuba oko kuyenzeka, ugqirha wakho uza kukubeka esweni ngokusondeleyo aze athethe nawe ngento omawuyenze ngokulandelayo.

Ukuba ndine-angiomyolipoma, kufuneka ndidibane nogqirha kangaphi?

Sebenzisana nogqirha wakho ukuze uyile isicwangciso sonyango . Gcina onke amadinga okulandela umkhondo ukuze ujonge ukuba kukho na ukukhula kwesi sifo.

Ndifanele ndibize ugqirha wam nini?

Fowunela ugqirha wakho ngoko nangoko ukuba ufumana naziphi na kwezi mpawu zintsha :

• Intlungu zesisu
• Umqolo obuhlungu
• Ifiva
• Isicaphucaphu nokuhlanza
• I-Hematuria - igazi kumchamo

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Angiomyolipoma sisimila esingenobungozi esidla ngokukhula kwizintso. Usenokungabi nazimpawu. Ugqirha wakho uza kuyijonga le thumba minyaka le ukuze abone ukuba iyakhula na. Iithumba ezinkulu kuneesentimitha ezi-4 zinokufuna unyango lokuthintela ukopha.

Eyona nto ibalulekileyo kukuba ukuba uneempawu, ungoyiki kwaye uthethe nogqirha wakho ngoko nangoko. Baza kukunika unyango olungcono kunye nesikhokelo osifunayo.

I- Angiomyolipoma, ii-kidney cysts, isifo sezintso, iithumba ezingengobungozi, iintlungu zezintso, i-anemia, i-tuberous sclerosis