Ingabe unesimila esinjengalesi ezinso zakho? (Angiomyolipoma) Ungakhathazeki, ake sixoxe ngalokhu!

Wake wacabanga ukuthi ungaba nesimila esincane esikhula ngaphakathi kwezinso zakho? Ngezinye izikhathi, lokhu kungaba khona ngaphandle kwezimpawu. Namuhla, sizokhuluma ngohlobo oluthile lwesimila esingakheka ezinso. Sibizwa ngokuthi i-angiomyolipoma , abanye abantu basibiza nangokuthi i-renal angiomyolipoma. Igama lizwakala lide kancane, akunjalo? Kodwa ungakhathazeki, masikwenze kube lula.

Iyini ngempela i-Angiomyolipoma?

Kalula nje, i-angiomyolipoma ukukhula okwenzeka lapho amanye amangqamuzana angaphakathi kwezinso zakho ekhula ngendlela engajwayelekile. Odokotela bakubiza nangokuthi isimila noma i-neoplasm . Kodwa izindaba ezinhle ukuthi ama-angiomyolipoma amaningi awawona umdlavuza (angabi yingozi) . Lokhu kusho ukuthi cishe ngeke abangele noma yiziphi izinkinga ezinkulu.

La ma-nut akhiwe izingxenye ezintathu eziyinhloko:

• Izicubu zamafutha , ezifana nongqimba lwamafutha.
• Imisipha ebushelelezi .
• Imithambo yegazi iyimibhobho emincane ethwala igazi.

Kodwa-ke, uma lesi simila sikhula sibe sikhulu, kungase kuvele izimpawu ezithile. Isibonelo, ukuphuma kwegazi , ukuntuleka kwegazi emzimbeni , umkhuhlane , noma ubuhlungu endaweni yezinso kungase kwenzeke.

Ubani onamathuba amaningi okuthuthukisa i-angiomyolipoma?

Kungenzeka kunoma ubani. Kodwa-ke, ucwaningo luthole ukuthi abesifazane banamathuba amaningi okuthola lesi simo, ikakhulukazi labo abaneminyaka ephakathi kuka-40 no-60 .

Ngaphezu kwalokho, abantu abanezimo ezithile zempilo banamathuba amaningi okuthola ama-angiomyolipomas. Izimo ezimbili ezinjalo yilezi:

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

Lokhu kuyinkimbinkimbi kancane, kodwa uma unalesi simo, kubaluleke kakhulu ukukhuluma nodokotela futhi ufunde ngaso.

Zivame kangakanani i-angiomyolipomas yezinso?

Ama-angiomyolipomas atholakala ngaphansi kwe-1% yabantu bonke. Lokho akusho ukuthi awavamile, kodwa awenzeki kuwo wonke umuntu. Kodwa-ke, ayilona uhlobo oluvame kakhulu lwesimila sezinso esingenabungozi.

Lokhu kuvame kakhulu kubantu abane -tuberous sclerosis complex (TSC) eshiwo ngenhla. Lokhu kusho ukuthi abantu abangaphezu kwengxenye abane-TSC bangahlakulela ama-angiomyolipomas.

Ingabe kunezinhlobo ezahlukene ze-angiomyolipomas?

Yebo, ama-angiomyolipomas angahlukaniswa ngezinhlobo ezintathu eziyinhloko ngokusekelwe ezinhlotsheni zamaseli nezicubu eziqukethwe kulesi simila:

1.Ama-AML ajwayelekile (amathathu): Lolu uhlobo oluvame kakhulu. Aqukethe zonke izinhlobo ezintathu zamaseli okukhulunywe ngawo ngaphambili: imithambo yegazi, izicubu ezinamafutha, kanye nemisipha ebushelelezi .

2. Ama-AML e-Monophasic: Lezi zinhlobo zamathumba ziqukethe uhlobo olulodwa lwezicubu . Isibonelo, zingase zibe nemisipha ebushelelezi kuphela, noma zibe nezicubu zamafutha kuphela.

3. Ama-angiomyolipomas e-Epithelioid: Lawa akhiwa kakhulu ngamaseli e-epithelioid angaphakathi kwemithambo yegazi yezinso. Lolu hlobo lwesimila lunengozi ephezulu kancane yokuba nomdlavuza kunezinye . Ngakho-ke, kugxilwa kakhulu kulokhu.

I-angiomyolipoma ingaba yingozi kangakanani?

Ngokuvamile, abantu abaningi abane-angiomyolipomas abazi nokuthi banayo. Lokho kungenxa yokuthi ngokuvamile azibangeli zimpawu.

Kodwa-ke, uma lesi simila sikhula sibe ngaphezu kwamasentimitha angu-4 (okungaba usayizi we-walnut esivame ukuyidla), singaqala ukuphuma igazi (ukopha kwegazi) . Ukopha okunjalo kungaba yingozi empilweni uma kungelashwa ngesikhathi. Yingakho kubalulekile ukuqaphela lezi zimila.

Ikhula ngokushesha kangakanani i-angiomyolipoma?

Ama-angiomyolipomas amaningi ajwayelekile awakhuli nhlobo . Noma, uma ekhula, akhula kancane kakhulu . Ngokwesilinganiso, lawa mathumba akhula cishe ngamasentimitha angu-0.19 (cishe ingxenye eyodwa kweziyishumi nesithupha ye-intshi) ngonyaka.

Kodwa-ke, lezi zimila zingakhula ngokushesha ngesikhathi sokukhulelwa . Ngakho-ke, uma une-angiomyolipoma futhi ulindele umntwana, kungaba ukuhlakanipha ukuthi lesi simila selashwe ngaphambi kokuba ukhulelwe . Kungcono ukukhuluma nodokotela wakho ngalokhu.

Yini ebangela i-angiomyolipoma?

Odokotela abakakazi kahle ukuthi kungani lesi zicubu siqoqana futhi sakhe isimila sezinso. Kodwa-ke, abacwaningi bakholelwa ukuthi izinguquko ezithile (ukuguqulwa kwezakhi zofuzo) ezizakhini zethu zofuzo zingadlala indima.

Ziyini izimpawu ze-angiomyolipoma?

Njengoba sishilo ekuqaleni, iningi labantu abane-angiomyolipoma alibi nazo izimpawu . Kodwa-ke, njengoba isimila sikhula, ezinye izimpawu zingase zivele. Lezi zimpawu zifaka:

• I-anemia ebangelwa ukopha .
• Ukuba nomkhuhlane .
• Ubuhlungu besifuba noma ubuhlungu bezinso obubangelwa ukopha okuzungeze izinso.
• Umfutho wegazi ophezulu (umfutho wegazi ophakeme) .
• Isicanucanu nokuhlanza .

Uma unesinye noma ngaphezulu salezi zimpawu, kubaluleke kakhulu ukubona udokotela ngokushesha okukhulu.

Uthola kanjani ukuthi une-angiomyolipoma?

Ngezinye izikhathi, udokotela wakho angase athole lesi simila ngengozi uma wenza izivivinyo ze-imaging , njengezikeni, zesinye isimo sempilo. Noma, uma unezimpawu ezishiwo ngenhla, udokotela wakho angase akuyalele lezi zivivinyo ukuze athole imbangela.

Hlobo luni lokuhlolwa oluthola lokhu?

Odokotela bavame ukuncoma ukuhlolwa kwezithombe okufana nalokhu:

• Ukuskena kwe-CT
• I-MRI
• I-Ultrasound

Kodwa-ke, ezinye izinhlobo ze-angiomyolipomas zingabonakala njengomdlavuza wezinso kulezi ziskeni. Ngakho-ke, ukuze uqiniseke, udokotela wakho angase akuncome ukuthi kwenziwe i-biopsy yezinso, okuhilela ukuthatha ingxenye encane yezinso bese uyihlola .

Ngingazi kanjani ukuthi i-angiomyolipoma yami idinga ukwelashwa?

Akuwona wonke umuntu one-angiomyolipoma ozodinga ukwelashwa. Ukuthi udinga ukwelashwa kuncike kubukhulu besimila , ukuthi unezimpawu yini , nokuthi uhlela ukukhulelwa maduze nje .

Ngokuvamile kuzodingeka ubonane nodokotela wakho cishe kanye ngonyaka ukuze ahlole ukukhula kwesimila. Uma isimila sikhulu kuno-4 cm , udokotela wakho angase akuncomele ukwelashwa.

Iphathwa kanjani i-angiomyolipomas?

Udokotela angase ancome ukwelashwa kokuvimba ukukhula kwesimila noma ukusisusa. Ezinye zalezi zindlela zifaka:

• Ukwelashwa kwe-Ablation: Kulokhu kwelashwa, odokotela basebenzisa amandla (isibonelo , amaza e-radiofrequency ), ukushisa okukhulu, noma umoya obandayo kakhulu ukubhubhisa i-angiomyolipoma.
• Ukufakwa kwemithambo yegazi: Kule nqubo, kwenziwa ukusika okuncane ngaphakathi kwethanga lakho, kufakwa ipayipi elincane (i-catheter) , bese kufakwa ubuhlalu obuncane ngalo. Labu buhlalu buvimba ukugeleza kwegazi ku-angiomyolipoma. Lokhu kubangela ukuthi isimila sinciphe, kunciphisa ukugeleza kwegazi, futhi kunciphisa ingozi yokopha.
• Ukususwa okuphelele kwe-nephrectomy: Lokhu kuhlinzwa kususa yonke inso equkethe i-angiomyolipoma.
• Ukususwa kwe-nephrectomy okuyingxenye: Lokhu akususi yonke inso. Kususwa ingxenye yenso equkethe i-angiomyolipoma kuphela . Lokhu kungenziwa njengokususwa kwe-nephrectomy okuyingxenye noma njengokususwa kwe-robotic okuyingxenye .

Into ebaluleke kakhulu ukukhuluma nodokotela wakho ukuze akhethe indlela yokwelapha engcono kakhulu kuwe.

Ingabe zikhona izinkinga noma imiphumela emibi ngemva kokwelashwa?

Kungase kube nezingozi ezithile ngemva kokuhlinzwa kwezinso kanye nezinye izindlela zokwelapha i-angiomyolipoma. Isibonelo:

• Ukopha
• Ukutheleleka
• Izibazi

Ngezinye izikhathi, ukwehluleka kwezinso kungenzeka ngemva kokwelashwa kwezinso. Kodwa lokhu akuvamile. Udokotela wakho uzokhuluma nawe ngalezi zingozi ngaphambi kokwelashwa futhi uzothatha izinyathelo zokunciphisa. Uma kwenzeka ukwehluleka kwezinso, udokotela wakho uzokwakha uhlelo lokwelashwa ukuze akusize ulawule izimpawu zakho futhi uhlale uphilile ngangokunokwenzeka.

Kuthatha isikhathi esingakanani ukululama ngemva kokwelashwa?

Uma uke wahlinzwa ngokuphelele noma ngokwengxenye , kuzodingeka uhlale esibhedlela izinsuku ezimbalwa. Odokotela bazohlola nokusebenza kwezinso zakho futhi baqinisekise ukuthi ululama kahle.

Uma une -ablation therapy noma i-arterial embolization , kuzodingeka uhlale esibhedlela amahora ambalwa noma ubusuku bonke.

Ingabe i-angiomyolipoma ingavinjelwa?

Eqinisweni, ayikho indlela eqondile yokuvimbela ukuthuthukiswa kwama-angiomyolipomas. Lawa mathumba avame ukwenzeka ngokuzenzekelayo, ngaphandle kwesizathu esithile . Lokhu kusho ukuthi kunzima ukusho ukuthi yini ebangele i-AML ngqo.

Ingabe zikhona ezinye izimo ezingibeka engcupheni enkulu yokuthola i-angiomyolipoma?

Yebo. Uma une -tuberous sclerosis complex (TSC) noma i-lymphangioleiomyotosis (LAM) , usengozini enkulu yokuthola i-angiomyolipoma. Ngakho-ke, khuluma nodokotela wakho mayelana nokuqapha impilo yakho nokuthatha izinyathelo zokunciphisa ingozi yakho.

Uma ngine-angiomyolipoma, yini okufanele ngiyilindele?

Uma une-angiomyolipoma kodwa ungenazo izimpawu , kuzodingeka ubone udokotela wakho cishe kanye ngonyaka . Kungase kudingeke futhi ukuthi wenze izivivinyo ze-imaging ukuze ubone ukuthi isimila siyakhula yini.

Uma unezimpawu , udokotela wakho angase akuncomele ukwelashwa ukuze kuvinjelwe ingozi yokopha.

Ingabe ama-angiomyolipomas angabangela imiphumela yesikhathi eside?

Uma ama-angiomyolipomas ekhula abe makhulu, angaphuma igazi noma aqhume . Ngakho-ke, udokotela wakho uzohlola njalo ubukhulu besimila futhi ancome ukwelashwa uma usengozini.

Ngingathola i-angiomyolipoma izikhathi ezingaphezu kwesisodwa?

Yebo , i-angiomyolipoma ingakhula futhi ngemva kokwelashwa.Futhi, kungaba ne-angiomyolipoma engaphezu kweyodwa , futhi ama-AML angakhula kuzo zombili izinso .

Ingabe i-angiomyolipoma ingaba umdlavuza?

Lolo hlobo lwesimila esikhulume ngalo ngaphambili, olubizwa ngokuthi i-epithelioid angiomyolipoma, ngezinye izikhathi lungaphenduka umdlavuza . Uma lokho kwenzeka, udokotela wakho uzokuqapha eduze futhi akhulume nawe ngalokho okufanele ukwenze ngokulandelayo.

Uma ngine-angiomyolipoma, kufanele ngibone udokotela kangaki?

Sebenzisana nodokotela wakho ukuze wakhe uhlelo lokwelashwa . Gcina wonke ama-aphoyintimenti okulandelela ukuze uhlole noma yikuphi ukukhula kwesimila.

Kufanele ngishayele nini udokotela wami ucingo?

Shayela udokotela wakho ngokushesha uma uthola noma yiziphi zalezi zimpawu ezintsha :

• Ubuhlungu besisu
• Ukuhlungu obusemhlane
• Imfiva
• Isicanucanu nokuhlanza
• I-Hematuria - igazi emchameni

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Angiomyolipoma iyisimila esingenabungozi esivame ukuvela ezinso. Ungase ungabi nazimpawu. Udokotela wakho uzohlola isimila minyaka yonke ukuze abone ukuthi siyakhula yini. Amathumba amakhulu kuno-4 cm angadinga ukwelashwa ukuze kuvinjelwe ukuphuma kwegazi.

Into ebaluleke kakhulu ukuthi uma unezimpawu, ungesabi futhi ukhulume nodokotela wakho ngokushesha. Bazokunikeza ukwelashwa okungcono kakhulu kanye nesiqondiso osidingayo.

I- Angiomyolipoma, ama-cyst ezinso, isifo sezinso, izimila ezingengozini, ubuhlungu bezinso, i-anemia, i-tuberous sclerosis