Ngaba kukho into engaqhelekanga ngemithambo yakho yegazi? Masifunde ngezi (iingxaki zemithambo yegazi)?

Ngaba kukho iindawo eluswini lwakho ezitshintshileyo umbala, ezibonakala ngathi ziingqumba ezincinci, kwaye ngamanye amaxesha ziyabuhlungu? Okanye ngaba kukho indawo engaqhelekanga emzimbeni wakho umntwana wakho azalwa nayo, kodwa ibonakala ngathi iyanda? Ezi zizinto ezilula. Nangona kunjalo, ngamanye amaxesha ezi zinokuba ziimpawu zemeko engaqhelekanga ebizwa ngokuba yiVascular Malformations , eziziingxaki kwimithambo yegazi, okanye endaweni yoko, imithambo yegazi. Ngoko ke, ungakhathazeki. Makhe sithethe ngale nto ngokweenkcukacha nangokulula namhlanje.

Zithini iingxaki zemithambo yegazi? Ngamafutshane...

Ukukhubazeka kwemithambo yegazi kukungaqheleki okanye utshintsho kwimithambo yegazi emzimbeni wethu. Oku kudla ngokuba yinto yokuzalwa. Nangona kunjalo, ngamanye amaxesha kubonakala ngexesha lobuntwana, ukufikisa, okanye kwanaxa umntu emdala.

Cinga ngenkqubo yemithambo yegazi ehamba emizimbeni yethu njengenethiwekhi yeendlela. Ngamanye amaxesha, xa ezi ndlela zakhiwe, iimpazamo ezincinci kunye nokungahambi kakuhle kuyenzeka. Yiloo nto eyenzekayo nalapha.

Ezi ngxaki zemithambo yegazi zinokwenzeka naphi na emzimbeni wakho, ukusuka entloko ukuya ezinzwaneni zakho. Ngamanye amaxesha zibonakala njengezicubu ezithambileyo , iintlungu , ukudumba , okanye ukutshintsha kombala wolusu . Ezinye zibonakala ebusweni, entanyeni, kufutshane nobuchopho, okanye emgogodleni. Ezinye zibonakala njengeempawu zokuzalwa okanye amabala abomvu.

Amaxesha amaninzi, zinokuphinda zibuye emva kokwenzakala okanye esinye isiganeko, okanye kwanaxa sele zikhulile. Ukuba zibangela iintlungu, ziphazamisana nokubona, ziphazamisana nemisebenzi yemihla ngemihla, zopha igazi, okanye zibangela ezinye iingxaki, ezi ngxaki zemithambo yegazi kufuneka zinyangwe.

Ziphi apho ezi zinto zenzeka khona emzimbeni?

Igama elithi "vascular" lithetha "ukuhambelana nemithambo yegazi." Ngoko ke le meko inokuchaphazela nawuphi na umthambo wegazi kwinkqubo yethu yokujikeleza kwegazi. Inokuchaphazela nemithambo yegazi ekwinkqubo yethu ye-lymphatic.

Iindidi zemithambo yegazi ezinokuchaphazeleka zezi:

• Imithambo yegazi kunye nee-arterioles - Le yimithambo yegazi ethwala igazi elineoksijini ukusuka entliziyweni ukuya kwezinye izitho zomzimba.
• IiCapillaries - Inethiwekhi yemithambo yegazi emincinci kakhulu.
• Imithambo kunye nee-venule - Ezi zezona zinto zibuyisela igazi elisetyenzisiweyo elivela kwizitho entliziyweni.
• Iitshaneli zeLymphatic- Ezi zithutha ulwelo lwe-lymph emzimbeni.

Ziziphi iintlobo eziphambili zeengxaki zemithambo yegazi?

Ezi meko ngamanye amaxesha zinokubonakala njengeempawu zokuzalwa eluswini lomntwana. Okanye, njengoko bekutshiwo ngaphambili, zinokuvela naphi na emzimbeni, kuquka ingqondo kunye nomqolo. Oogqirha bamisela uhlobo ngokusekwe kuhlobo lomthambo wegazi ochaphazelekayo.

Nazi ezinye zezona ntlobo zixhaphakileyo:

• Ukukhubazeka kwemithambo yegazi: Olu lolona hlobo luqhelekileyo. Njengoko igama lisitsho, lukhula emthanjeni. Imithambo yegazi yimithambo yegazi emzimbeni wethu ethwala igazi elingenaoksijini elibuyela entliziyweni. Le mithambo isenokubonakala njengeqhubu elinombala oluhlaza okwesibhakabhaka, kwaye ngamanye amaxesha kunokuba buhlungu ukuyichukumisa.
• Ukukhubazeka kwemithambo yegazi (AVM): Oku kukudibana okungaqhelekanga kwemithambo yegazi kunye nemithambo yegazi. Ngokwesiqhelo, imithambo yegazi iphela kwii-capillaries, ize emva koko imithambo yegazi iqale. Kodwa kwi-AVM, igazi elivela kwimithambo yegazi lihamba ngqo liye emithanjeni, nge-bundle yemijelo engaqhelekanga ebizwa ngokuba yi-nidus . Le meko ye-AVM inokuchaphazela ingqondo okanye intambo yomqolo.
• I-Capillary telangiectasia: Le yindawo encinci yokwanda kwee-capillaries engqondweni. Uninzi lwexesha, ezi aziyongxaki. Nangona kunjalo, azifane zibangele ukopha , okukukopha.
• Ukukhubazeka kwemithambo: Kule meko, ii-capillaries ebuchotsheni zixinene, zenze "imigca emide." Igazi lihamba kancinci kakhulu kule migca.
• Ukukhubazeka kwe-lymphatic: Kule nto, imibhobho ye-lymphatic iyakhula ize yenze ama-cysts azaliswe lulwelo. La ma-cysts abonakala kakhulu kwizicubu ezithambileyo ezifana nobuso, intamo, kunye nemimandla ye-axillary.

Yintoni umahluko phakathi kokukhubazeka kwemithambo yegazi kunye ne-hemangiomas?

Zombini zibangelwa kukungaqheleki kwemithambo yegazi. Zombini zinokubonakala njengamabala, afana neempawu zokuzalwa. Kodwa kukho umahluko ocacileyo phakathi kwezi zimbini.

• IiHemangiomas: Ezi zii-tumor zemithambo yegazi ezingezizo umhlaza (ezingenobungozi). Zenzeka xa imithambo yegazi ihlangana phantsi kolusu. Uhlobo olubizwa ngokuba yi-"strawberry hemangiomas" ludla ngokuvela emva kokuba umntwana ezelwe. Zikhula ngokukhawuleza kwiinyanga ezintandathu zokuqala zomntwana. Nangona kunjalo, ezi tumor azifane zibangele iingxaki kwaye zihlala ziphela zodwa ngaphandle konyango. Ukuba i-hemangioma inkulu, iphazamisana nemisebenzi ethile, ibangela iintlungu, okanye ibangela ezinye iingxaki, inokulawulwa ngamayeza ayenza inciphe ngokukhawuleza. Utyando alufuneki rhoqo.

• Ukungasebenzi kakuhle kwemithambo yegazi:Ezi zizinto ezikhoyo ekuzalweni, kodwa zisenokungabonakali de kube sebuntwaneni okanye ebudaleni. Zikhula kancinci. Kwakhona, zinokusasazeka nzulu kwizicwili nakwizakhiwo ezingqongileyo kwaye zibangele iingxaki. Ukukhubazeka kwemithambo-luvo kudla ngokufuna unyango.

Ngamafutshane: I-Hemangioma sisimila esingenobungozi esihlala siziphelela. Nangona kunjalo, ukukhubazeka kwemithambo yegazi ziimeko eziqhubekayo ezinokukhula zize zibangele iingxaki. Ngoko ke kubalulekile ukwahlula phakathi kwezi zimbini.

Zithini iingxaki zemithambo yegazi ezihamba kancinci kunye nezihamba ngokukhawuleza?

Iingxaki ezininzi zemithambo yegazi ziwela kudidi "lokuhamba kancinci" . Oku kuthetha ukuba igazi lihamba kancinci kakhulu kwimithambo yegazi echaphazelekayo. Imizekelo yoku yingxaki yemithambo yegazi, i-lymphatic, okanye zombini (i-venolymphatic).

Nangona kunjalo, i-AVM (i-Arteriovenous malformation) yingxaki yemithambo yegazi "ehamba ngokukhawuleza" . Kule meko, igazi lihamba ukusuka kwimithambo yegazi ukuya kwimithambo yegazi ngesantya esiphezulu, ngesiqhelo ngemithambo yegazi engaqhelekanga ebizwa ngokuba yi-nidus . Xa igazi lihamba ngokukhawuleza kangaka kwi-AVM enkulu, intliziyo kufuneka isebenze nzima. Oku kwandisa umngcipheko wokungaphumeleli kwentliziyo .

Zixhaphake kangakanani ezi zinto?

Ukukhubazeka kwemithambo yegazi zizinto ezingaqhelekanga kakhulu. Ziyenzeka kwi-1% yazo zonke iintsapho ezizalwayo. Kwezi, ukukhubazeka kwemithambo yegazi, uhlobo oluqhelekileyo, luchaphazela umntu omnye kubantu abayi-5,000 ukuya kwi-10,000.

Yintoni ebangela ukungasebenzi kakuhle kwemithambo yegazi?

Amaxesha amaninzi, ezi zinto zibangelwa kukungaqheleki kophuhliso lwemithambo yegazi kunye/okanye imijelo ye-lymphatic ngelixa umntwana ongekazalwa ekhula esibelekweni sikanina (esibelekweni). Oku kuthetha ukuba zihlala zizalwa .

Ukonakala kwemithambo yegazi ngexesha lokwenzakala kusenokungabonwa kwaye kukhule kube yingxaki yemithambo yegazi ngokuhamba kwexesha. Ukukhubazeka kwemithambo yegazi kunokuvela okokuqala emva kwengozi okanye ngenxa yotshintsho lweehomoni ngexesha lokufikisa okanye ukukhulelwa .

Kwimeko engaqhelekanga kakhulu, abanye abantu bazuza iinguqu zemfuza ezibangela ukuba kubekho ukungasebenzi kakuhle kwemithambo yegazi. Abaphandi basafunda okungakumbi ngezi zizathu zemfuza.

Ngubani osengozini enkulu yokuphuhlisa ezi zinto?

Abanye abantu bazuza utshintsho kwizakhi zofuzo olunokunyusa umngcipheko wokukhubazeka kwemithambo yegazi. Ezinye zezi meko ziquka:

• I-blue rubber bleb nevus syndrome: Oku kubangela ukungasebenzi kakuhle kwemithambo emathunjini akho nakwinkqubo yokugaya ukutya. Kunokubangela nezilonda eziluhlaza okwesibhakabhaka, ezibomvu, okanye ezimnyama eluswini lwakho.
• I-CLOVES syndrome (ukukhula okugqithisileyo kwe-lipomatous, ukungasebenzi kakuhle kwemithambo yegazi, i-epidermal nevi kunye nokukhubazeka komqolo): Oku kubangela ukuba ii-AVM zakheke kumqolo wakho. Inokubangela i-scoliosis ( ukugoba komqolo), ukukhula kwezicubu ezinamafutha, kunye nokurhawuzelelwa okubomvu okumnyama.
• I-telangiectasia ye-Hereditary hemorrhagic (ekwaziwa ngokuba yi-Osler-Weber-Rendu syndrome): Oku kubangela ukuxinana okungaqhelekanga, okanye ii-AVM, kwii-capillaries ezincinci.
• Isifo seKlippel-Trenaunay (KTS): Oku kubangela iimpawu zokuzalwa ezibomvu-mfusa ezibizwa ngokuba yi-"port-wine stains", ukukhula kwamathambo okanye izicubu, kunye nokukhubazeka okubandakanya imithambo okanye imijelo ye-lymphatic.
• I-Parkes Weber syndrome: Oku kubangela ukuba ii-AVM zakheke ezingalweni okanye emilenzeni yakho.

Ukuba unezifo zemfuza ezifana nezi, kubalulekile ukuba uzazi.

Zithini iimpawu zokungasebenzi kakuhle kwemithambo yegazi?

Iimpawu zixhomekeke kuhlobo lokukhubazeka. Ukukhubazeka kwemithambo yegazi okuchaphazela ulusu lwakho kunokubonakala ngathi luphawu olubomvu, oluhlaza okwesibhakabhaka, olumfusa, olumdaka, okanye olumnyama . La mabala anokudumba, ophe igazi, okanye abe buhlungu.

Ukuba une -AVM engqondweni yakho , usenokungabi nazimpawu de yophe. Ukuba i-AVM yobuchopho iyopha, unokuba neentloko ezibuhlungu, ukuxhuzula, okanye ukukhubazeka kwelinye icala lomzimba wakho .

Ukukhubazeka kwemithambo yegazi kunokubangela iintlungu, ukudumba, iingxaki zokujiya kwegazi, kunye nomonakalo wezitho zomzimba.

Uzibona njani ezi zinto? Ugqirha uzifumana njani ezi zinto?

Ngenxa yokuba ukungasebenzi kakuhle kwemithambo yegazi akusoloko kubangela iimpawu, oogqirha ngamanye amaxesha bayayifumanisa le meko xa besenza uvavanyo lwenye ingxaki.

Oogqirha basebenzisa uvavanyo olukhethekileyo lwemifanekiso ukujonga ukuhamba kwegazi kunye nokufumanisa ukungasebenzi kakuhle kwemithambo yegazi. Olu vavanyo luquka:

• I-Ultrasound , ekwabizwa ngokuba yi -vascular ultrasound .
• I-MRI (Magnetic Resonance Imaging) , ekwabandakanya uvavanyo olubizwa ngokuba yi -MR Angiogram (MRA) .
• I-CT scan (i-Computed Tomography scan), ekwabandakanya uvavanyo olubizwa ngokuba yi-CT angiogram .
• I-Angiogram kunye/okanye i-venogram .
• Ii-X-reyi eziqhelekileyo.

Olu vavanyo lunokubona ngokucacileyo imeko yemithambo yegazi kwindawo leyo, indlela igazi elihamba ngayo, kunye nokuba kukho na ukuncitshiswa okanye ukwandiswa okungaqhelekanga.

Luluphi unyango lwale nto?

Eyona njongo iphambili yonyango lweengxaki zemithambo kukunciphisa iimpawu nokunciphisa iingxaki ezinokubakho. Iingxaki ezingabangeli ngxaki zisenokungadingi unyango kwaye zinokubonwa nje ngokuhamba kwexesha.

Unyango luxhomekeke kuhlobo lomthambo wegazi ochaphazelekileyo. Rhoqo, olu nyango lubandakanya ukuvala okanye ukususa umthambo wegazi ochaphazelekileyo ngotyando. Iingxaki ezininzi zinokunyangwa kusetyenziswa iindlela ezingaphantsi kakhulu . Oogqirha banokusebenzisa iindlela ezifana nezi:

• Unyango lweSclerotherapy: Kule meko, kufakwa iyeza elikhethekileyo kumthambo wegazi ochaphazelekayo, nto leyo ebangela ukuba umthambo wegazi unciphe kwaye uvaleke.
• Ukufakwa kwe-catheter: Kule nkqubo, ityhubhu encinci (i-catheter) idluliselwa kwimithambo yegazi kwaye umthambo wegazi ongaqhelekanga uvalwa ngaphakathi.
• Unyango lweLaser: Oku kusetyenziswa kwezinye iingxaki zesikhumba.
• Unyango ngemisebe (utyando lwemisebe): Olu lusetyenziselwa ezinye iingxaki ezinzulu nezinzima ukuzisebenzisa.

Ngamanye amaxesha, ugqirha wakho unokucebisa ukuba kwenziwe i-biopsy , equka ukuthatha isiqwenga sethishu ukuze sihlolwe. Oku kunokunceda ukuqinisekisa ukuxilongwa kunye/okanye ukufumana isicwili sovavanyo lwemfuza .

Ngenxa yokuba iingxaki zemithambo yegazi zinzima kwaye zinqabile, kungcono ukuzilawula ngokusebenzisana neqela eliquka iingcali ezininzi .

Ngaba ezi zinto zingaphinda zivele emva konyango?

Ewe, ukukhubazeka kwemithambo yegazi kunokuphinda kwenzeke nasemva konyango. Ke ngoko, unokufuna ukutyelelwa rhoqo kunye novavanyo ukuze ufumane naziphi na iingxaki eziphinda zenzeke kwangethuba.

Ngaba ikho indlela yokuthintela ukuba ezi zinto zingabikho?

Ukukhubazeka kwemithambo yegazi kudla ngokuba yinto yokuzalwa , oko kuthetha ukuba akukho ndlela yokukuthintela.

Nangona kunjalo, ukuba umntu kusapho lwakho unesifo semfuza esibangela ukungasebenzi kakuhle kwemithambo yegazi, unokufuna ukubona umcebisi wemfuza.Le ngcali ingakuchazela iindlela ezikhoyo zokunciphisa umngcipheko wokudlulisela esi sifo kubantwana bakho.

Ziziphi iingxaki ezinokubakho ngenxa yezi ngxaki zemithambo yegazi?

Ezinye iingxaki azibangeli ngxaki kwaye zinokubonwa kuphela. Nangona kunjalo, kwiimeko ezininzi, zinokubangela intlungu kunye nokudumba .

Ezinye iingxaki zingabangela intlungu, okanye ukubandakanyeka kwezihlunu, amalungu, okanye imithambo-luvo, nto leyo enokuphazamisana nokuzilolonga, imidlalo, umsebenzi, okanye imisebenzi yemihla ngemihla .

Iingxaki ezinkulu, ezihamba ngokukhawuleza zinokubangela ukungasebenzi kakuhle kwentliziyo .

Ukungasebenzi kakuhle kwemithambo yegazi kwizitho eziqinileyo ezifana nesibindi, izintso, okanye isibeleko kunokubangela ukungasebenzi kakuhle kwezitho kunye nezinye iingxaki.

Ezinye iingxaki zemithambo yegazi, ezifana nee-AVM engqondweni okanye emgogodleni, zinokunciphisa inani legazi elineoksijini elifikelela engqondweni. Oku kunokukhokelela kwiingxaki ezisongela ubomi, ezifana nezi:

• Ii-Aneurysms ( ukubuthathaka kodonga lwemithambo yegazi kunye nokudumba njengebhaluni)
• Ukopha kwegazi ngaphakathi kwentloko
• Izibetho

Liyintoni ikamva labantu abanale meko? Oku kuyichaphazela njani ubomi babo?

Ukukhubazeka kwemithambo yegazi, okufana neempawu zokuzalwa, kunokuchaphazela inkangeleko yomntu kunye nokuzithemba kwakhe. Oku kunokukhokelela kwiimeko zengqondo ezifana nokudakumba kunye nokuxhalaba . Nangona kunjalo, uninzi lwale ngxaki lusabela kakuhle kunyango.

Iingxaki ezinzulu ngakumbi, ezifana nee-AVM engqondweni, zinokuba yingozi ebomini ukuba ziqala ukopha.

Kodwa, okona kubaluleke kakhulu, uninzi lweengxaki zomzimba ziyanyangeka kwaye ziyasabela kakuhle kunyango. Ngoko ke, kubalulekile ukufuna iingcebiso zonyango ezifanelekileyo ngaphandle kokukhathazeka.

Yintoni omele uyibuze ugqirha wakho?

Ukuba unamathandabuzo malunga nale meko, okanye ukuba ufunyenwe unaso, ungabuza ugqirha wakho le mibuzo:

• Ndiyifumene njani le ngxaki yemithambo yegazi? (Yintoni unobangela?)
• Luhlobo luni lwe-vascular malformation endinayo?
• Yeyiphi indlela engcono yonyango kum?
• Ziziphi iingozi okanye iziphumo ebezingalindelekanga zonyango?
• Ngaba kufuneka ndikhathazeke ngeempawu zeengxaki? Ziziphi ezo mpawu?

Buza le mibuzo uze ufumane ukuqonda okucacileyo ngemeko yakho.

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, masijonge nje iingongoma eziphambili ekufuneka uzikhumbule kwinto esithethe ngayo.

• Ukukhubazeka kwemithambo yegazi kukungaqheleki okungaqhelekanga kwimithambo yegazi, okuhlala kubakho xa umntwana ezalwa.
• Ezi zinokwenzeka naphi na emzimbeni , zibonise iimpawu ezahlukeneyo, okanye ngamanye amaxesha zingabonisi zimpawu kwaphela.
• IiHemangiomas kunye neeVascular Malformations zizinto ezimbini ezahlukeneyo. Kubalulekile ukwazi umahluko phakathi kwezi zimbini.
• Kukho iindlela ezahlukeneyo zonyango zesi sifo. Ugqirha wakho uya kugqiba ukuba loluphi unyango olufanelekileyo kwimeko yakho.
• Ezinye iintlobo ezinobungozi, ingakumbi ii-AVM engqondweni, zinokubangela iingxaki, ngoko ke ukubekwa kweliso elifanelekileyo kwezonyango kubalulekile.
• Ukuba wena okanye umntwana wakho unezinye zezi mpawu, musani ukoyika niye kubona ugqirha ukuze nifumane icebiso.

Khumbula, awuwedwa xa ujongene nale meko. Ngolwazi olufanelekileyo kunye nenkxaso yezonyango, le meko ingalawulwa kakuhle.

Ukungasebenzi kakuhle kwemithambo yegazi , ukungaqheleki kwemithambo yegazi, iimpawu zokuzalwa, ii-AVM, ukungasebenzi kakuhle kwemithambo yegazi, iingxaki zemithambo yegazi, izifo zokuzalwa