Ingabe kukhona okungajwayelekile ngemithambo yakho yegazi? Ake sifunde ngalokhu (Ukukhubazeka Kwemithambo Yegazi)?

Ingabe zikhona izindawo zesikhumba sakho ezishintshe umbala, ezibukeka njengezimbotshana ezincane, futhi ngezinye izikhathi ezibuhlungu? Noma ingabe kukhona indawo engavamile emzimbeni wakho ingane yakho eyazalwa nayo, kodwa ibonakala ikhula? Lezi kungaba izinto ezilula. Kodwa-ke, ngezinye izikhathi lezi zingaba izimpawu zesimo esingavamile esibizwa ngokuthi i-Vascular Malformations , okuyizimo ezingavamile emithanjeni yegazi, noma kunalokho, imithambo yegazi. Ngakho-ke, ungakhathazeki. Ake sixoxe ngalokhu ngokuningiliziwe nanamuhla.

Kuyini ukukhubazeka kwemithambo yegazi? Kalula nje...

Ukukhubazeka kwemithambo yegazi kuyizinto ezingajwayelekile noma izinguquko emithanjeni yegazi emzimbeni wethu. Lokhu kuvame ukuzalwa nakho. Kodwa-ke, ngezinye izikhathi kubonakala ngesikhathi sobuntwana, ubusha, noma ngisho nasebudaleni.

Cabanga ngohlelo lwemithambo yegazi oluhamba emizimbeni yethu njengenethiwekhi yemigwaqo. Ngezinye izikhathi, lapho le migwaqo yakhiwe, kungase kube nokungapheleli okuncane kanye nokungaxhumani kahle. Yilokho okwenzekayo nalapha.

Lokhu kukhubazeka kwemithambo yegazi kungenzeka noma kuphi emzimbeni wakho, kusukela ekhanda lakho kuya ezinzwaneni zakho. Ngezinye izikhathi kubonakala njengenqwaba yezicubu ezithambile , ubuhlungu , ukuvuvukala , noma ukushintsha kombala wesikhumba . Ezinye zivela ebusweni, entanyeni, eduze kobuchopho, noma emgogodleni. Ezinye zibukeka njengezimpawu zokuzalwa noma amabala abomvu.

Akuvamile kakhulu, ukuthi zingaphinde zivele ngemva kokulimala noma esinye isenzakalo, noma ngisho nasebudaleni. Uma zibangela ubuhlungu, ziphazamisa umbono, ziphazamisa imisebenzi yansuku zonke, zikhipha igazi, noma zibangela ezinye izinkinga, lokhu kukhubazeka kwemithambo yegazi kudingeka kwelashwe.

Kukuphi lapho lokhu kwenzeka khona kakhulu emzimbeni?

Igama elithi "vascular" lisho ukuthi "okuhlobene nemithambo yegazi." Ngakho-ke lesi simo singathinta noma yimuphi umthambo wegazi ohlelweni lwethu lokujikeleza kwegazi. Singathinta nemithambo yegazi ye-lymphatic ohlelweni lwethu lwe-lymphatic.

Izinhlobo zemithambo yegazi ezingathinteka yilezi:

• Imithambo yegazi kanye nama-arterioles - Lena yimithambo yegazi ethwala igazi elinomoya-mpilo lisuka enhliziyweni liye kwezinye izitho zomzimba.
• Ama-Capillaries - Inethiwekhi yemithambo yegazi emincane kakhulu.
• Imithambo yegazi kanye nama-venule - Yilokhu okubuyisela igazi elisetshenzisiwe elivela ezithweni zomzimba enhliziyweni.
• Iziteshi ze-lymphatic- Lezi zithutha uketshezi lwe-lymph emzimbeni.

Yiziphi izinhlobo eziyinhloko zokukhubazeka kwemithambo yegazi?

Lezi zimo ngezinye izikhathi zingabonakala njengezimpawu zokuzalwa esikhumbeni somntwana. Noma, njengoba kushiwo ngaphambili, zingavela noma kuphi emzimbeni, okuhlanganisa ubuchopho kanye nomgogodla. Odokotela banquma uhlobo ngokusekelwe ohlotsheni lomthambo wegazi othintekile.

Lezi ezinye zezinhlobo ezivame kakhulu:

• Ukukhubazeka kwemithambo yegazi: Lolu uhlobo oluvame kakhulu. Njengoba igama lisho, lukhula emthanjeni. Imithambo yegazi iyimithambo yegazi emzimbeni wethu ethwala igazi elingenawo umoya-mpilo emuva enhliziyweni. Lokhu kungase kubukeke njengeqhubu elinombala oluhlaza okwesibhakabhaka, futhi ngezinye izikhathi kungaba buhlungu ukulithinta.
• Ukukhubazeka kwemithambo yegazi (i-AVM): Lokhu ukuhlangana okungavamile kwemithambo yegazi nemithambo yegazi. Ngokuvamile, imithambo yegazi iphela ngama-capillary, bese kuqala imithambo yegazi. Kodwa ku-AVM, igazi elivela emithanjeni yegazi ligeleza ngqo emithanjeni yegazi, nge-bundle yeziteshi ezingavamile ezibizwa ngokuthi i-nidus . Lesi simo se-AVM singathinta ubuchopho noma umgogodla.
• I-Capillary telangiectasia: Lena indawo encane yokwanda kwama-capillary ebuchosheni. Esikhathini esiningi, lokhu akuyona inkinga. Kodwa-ke, akuvamile kakhulu, ukuthi kungabangela ukuphuma kwegazi , okuwukuphuma kwegazi.
• Ukukhubazeka kwemithambo: Kulesi simo, ama-capillary ebuchosheni ahlanganiswe ndawonye, ​​akha "imigodi" emide. Igazi ligeleza kancane kakhulu kule migodi.
• Ukukhubazeka kwe-lymphatic: Kulokhu, imigudu ye-lymphatic iyakhula futhi yakhe ama-cyst agcwele uketshezi. Lokhu kuvame ukubonakala ezicutshini ezithambile njengezindawo zobuso, intamo, kanye ne-axillary.

Uyini umehluko phakathi kokukhubazeka kwemithambo yegazi kanye ne-hemangiomas?

Kokubili kubangelwa ukungalingani kwemithambo yegazi. Kokubili kungabonakala njengamabala, afana nezimpawu zokuzalwa. Kodwa kunomehluko ocacile phakathi kwalokhu okubili.

• Ama-hemangioma: Lawa ama-tumor emithambo yegazi angewona umdlavuza (angewona umdlavuza). Akheka lapho imithambo yegazi ihlangana ngaphansi kwesikhumba. Uhlobo olubizwa ngokuthi "ama-hemangioma e-strawberry" luvame ukuvela ngemva kokuzalwa komntwana. Akhula ngokushesha phakathi nezinyanga eziyisithupha zokuqala zomntwana. Kodwa-ke, la ma-tumor awavamile ukubangela izinkinga futhi avame ukuphela ngokwawo ngaphandle kokwelashwa. Uma i-hemangioma inkulu, iphazamisa imisebenzi ethile, ibangela ubuhlungu, noma ibangela ezinye izinkinga, ingalawulwa ngemithi eyenza inciphe ngokushesha. Ukuhlinzwa akuvamile.

• Ukukhubazeka Kwemithambo Yegazi:Lezi yizinto ezikhona lapho kuzalwa, kodwa zingase zingabonakali kuze kube yilapho zisencane noma sezikhulile. Zikhula kancane. Futhi, zingasakazeka zijule ezicutshini nasezinhlakeni ezizungezile futhi zibangele izinkinga. Ukukhubazeka kwemithambo yegazi kuvame ukudinga ukwelashwa.

Kalula nje: I-Hemangioma iyisimila esingengozi esivame ukuziphelela. Kodwa-ke, ukukhubazeka kwemithambo yegazi yizimo eziqhubekayo ezingakhula futhi zibangele izinkinga. Ngakho-ke kubalulekile ukuhlukanisa phakathi kwalokhu okubili.

Kuyini ukukhubazeka kwemithambo yegazi okuhamba kancane kanye nokugeleza okusheshayo?

Ukukhubazeka okuningi kwemithambo yegazi kuwela esigabeni "sokuhamba kancane" . Lokhu kusho ukuthi igazi lihamba kancane kakhulu emithanjeni yegazi ethintekile. Izibonelo zalokhu ukukhubazeka kwemithambo yegazi, i-lymphatic, noma kokubili (i-venolymphatic).

Kodwa-ke, i-AVM (i-Arteriovenous malformation) iwukukhubazeka kwemithambo yegazi "okugeleza ngokushesha" . Kulokhu, igazi ligeleza lisuka emithanjeni liye emithanjeni ngesivinini esikhulu, ngokuvamile lidlula emthanjeni wegazi ongavamile obizwa ngokuthi i-nidus . Uma igazi lihamba ngokushesha kangaka ku-AVM enkulu, inhliziyo kufanele isebenze kanzima. Lokhu kwandisa ingozi yokwehluleka kwenhliziyo .

Zivame kangakanani lezi zinto?

Ukukhubazeka kwemithambo yegazi kuyizinto ezingavamile kakhulu. Kwenzeka cishe ku-1% wabo bonke abantwana abazalwa. Kulezi, ukukhubazeka kwemithambo yegazi, uhlobo oluvame kakhulu, kuthinta cishe umuntu oyedwa kubantu abangu-5,000 kuya kwabangu-10,000.

Yini ebangela ukukhubazeka kwemithambo yegazi?

Ngokuvamile, lokhu kubangelwa ukungajwayelekile ekukhuleni kwemithambo yegazi kanye/noma iziteshi ze-lymphatic ngenkathi ingane ikhula esibelethweni sikamama (esibelethweni). Lokhu kusho ukuthi ngokuvamile zizalwa nazo .

Ngokuvamile, umonakalo emithanjeni yegazi ngesikhathi sokulimala ungase ungabonwa futhi ukhule ube ukukhubazeka kwemithambo yegazi ngokuhamba kwesikhathi. Ukukhubazeka kwemithambo yegazi kungavela okokuqala ngemva kwengozi noma ngenxa yezinguquko zamahomoni ngesikhathi sokuthomba noma sokukhulelwa .

Esimweni esingavamile kakhulu, abanye abantu bazuza njengefa izinguquko zofuzo ezandisa ingozi yokuba nokukhubazeka kwemithambo yegazi. Abacwaningi basafunda okwengeziwe ngalezi zimbangela zofuzo.

Ubani osengozini enkulu yokuthola lezi zifo?

Abanye abantu bathola izinguquko zofuzo ezingandisa ingozi yokukhubazeka kwemithambo yegazi. Ezinye zalezi zimo zifaka:

• I-blue rubber bleb nevus syndrome: Lokhu kubangela ukukhubazeka kwemithambo emathunjini akho kanye nohlelo lokugaya ukudla. Kungabangela nezilonda eziluhlaza okwesibhakabhaka, ezibomvu, noma ezimnyama esikhumbeni sakho.
• I-CLOVES syndrome (ukukhula ngokweqile kwe-lipomatous, ukukhubazeka kwemithambo yegazi, ukukhubazeka kwe-epidermal nevi kanye nomgogodla): Lokhu kubangela ukwakheka kwama-AVM emgogodleni wakho. Kungabangela futhi i-scoliosis ( ukugoba komgogodla), ukukhula kwezicubu ezinamafutha, kanye nokuqubuka okubomvu okumnyama.
• I-telangiectasia ebangelwa ukopha okubangelwa yigciwane (eyaziwa nangokuthi i-Osler-Weber-Rendu syndrome): Lokhu kubangela ukugoba okungavamile, noma ama-AVM, kuma-capillary amancane.
• I-Klippel-Trenaunay syndrome (KTS): Lokhu kubangela izimpawu zokuzalwa ezibomvu-onsomi ezibizwa ngokuthi "amabala e-port-wine", ukukhula kwamathambo noma izicubu, kanye nokukhubazeka okubandakanya imithambo noma iziteshi ze-lymphatic.
• I-Parkes Weber syndrome: Lokhu kubangela ukwakheka kwama-AVM ezingalweni noma emilenzeni yakho.

Uma unezimo zofuzo ezifana nalezi, kubalulekile ukuziqaphela.

Ziyini izimpawu zokukhubazeka kwemithambo yegazi?

Izimpawu zincike ohlotsheni lokukhubazeka. Ukukhubazeka kwemithambo yegazi okuthinta isikhumba sakho kungase kubukeke njengophawu lokuzalwa oluphakanyisiwe olubomvu, oluhlaza okwesibhakabhaka, onsomi, onsundu, noma olumnyama . La mabala angavuvukala, ophe igazi, noma abe buhlungu.

Uma une -AVM ebuchosheni bakho , ungase ungabi nazimpawu kuze kube yilapho igazi liphuma. Uma i-AVM yobuchopho iphuma igazi, ungase uzwe ikhanda elibuhlungu, ukuxhuzula, noma ukukhubazeka ohlangothini olulodwa lomzimba wakho .

Ukukhubazeka kwemithambo yegazi kungabangela ubuhlungu, ukuvuvukala, izinkinga zokujiya kwegazi, kanye nokulimala kwezitho zomzimba.

Uzibona kanjani lezi? Udokotela uthola kanjani lokhu?

Ngenxa yokuthi ukukhubazeka kwemithambo yegazi akuhlali kubangela izimpawu, odokotela ngezinye izikhathi bathola lesi simo lapho benza ukuhlolwa kwenye inkinga.

Odokotela basebenzisa izivivinyo ezikhethekile ze-imaging ukuze babheke ukugeleza kwegazi futhi bathole ukukhubazeka kwemithambo yegazi. Lezi zivivinyo zifaka:

• I-Ultrasound , ebizwa nangokuthi i-vascular ultrasound .
• I-MRI (Magnetic Resonance Imaging) , ehlanganisa nokuhlolwa okubizwa ngokuthi i-MR Angiogram (MRA) .
• I-CT scan (i-Computed Tomography scan), ehlanganisa nokuhlolwa okubizwa nge -CT angiogram .
• I-Angiogram kanye/noma i-venogram .
• Ama -X-ray ajwayelekile.

Lezi zivivinyo zingabona ngokucacile isimo semithambo yegazi endaweni, indlela igazi eligeleza ngayo, nokuthi kukhona yini ukuncipha okungavamile noma ukwandiswa.

Iyini indlela yokwelapha lokhu?

Umgomo oyinhloko wokwelapha ukukhubazeka kwemithambo yegazi ukunciphisa izimpawu nokunciphisa izinkinga ezingaba khona. Ukukhubazeka okungabangeli izinkinga kungase kungadingi ukwelashwa futhi kungabonakala nje ngokuhamba kwesikhathi.

Ukwelashwa kuncike ohlotsheni lomthambo wegazi othintekile. Ngokuvamile, lokhu kwelashwa kuhilela ukuvala noma ukususa ngokuhlinzwa umthambo wegazi othintekile. Ukukhubazeka okuningi kungelashwa kusetshenziswa amasu angangenisi kakhulu . Odokotela bangasebenzisa izindlela ezifana nalezi:

• Ukwelashwa nge-Sclerotherapy: Kulokhu, kufakwa umuthi okhethekile emthanjeni wegazi othintekile, okwenza umthambo wegazi unciphe futhi uvaleke.
• Ukufakwa kwe-catheter: Kule nqubo, ithubhu elincane (i-catheter) lidlula emthanjeni wegazi bese umthambo wegazi ongavamile uvalwa ngaphakathi.
• Ukwelashwa nge-laser: Lokhu kusetshenziselwa ezinye izinkinga zesikhumba.
• Ukwelashwa ngemisebe (ukuhlinzwa ngemisebe): Lokhu kusetshenziselwa ezinye izinkinga ezijulile nezinzima ukuzisebenzisa.

Ngezinye izikhathi, udokotela wakho angase akuncome ukuthi kwenziwe i-biopsy , ehilela ukuthatha ingxenye yezicubu ukuze ihlolwe. Lokhu kungasiza ekuqinisekiseni ukuxilongwa kanye/noma ukuthola izicubu ukuze kuhlolwe izakhi zofuzo .

Ngenxa yokuthi ukukhubazeka kwemithambo yegazi kuyizinto eziyinkimbinkimbi futhi ezingavamile, kungcono ukuzisingatha ngokusebenzisa indlela yeqembu equkethe ochwepheshe abaningi .

Ingabe lokhu kungaphinde kuvele ngemva kokwelashwa?

Yebo, ukukhubazeka kwemithambo yegazi kungaphinde kuvele ngisho nangemva kokwelashwa. Ngakho-ke, kungadingeka ukuthi uhlolwe njalo ukuze uthole noma yikuphi ukukhubazeka okuphinda kuvele kusenesikhathi.

Ingabe ikhona indlela yokuvimbela lokhu ukuthi kungakheki?

Ukukhubazeka kwemithambo yegazi kuvame ukuzalwa nakho , okusho ukuthi ayikho indlela yokukuvimbela.

Kodwa-ke, uma othile emndenini wakho enesifo sofuzo esibangela ukukhubazeka kwemithambo yegazi, kungadingeka ukuthi ubonane nomeluleki wezakhi zofuzo.Lochwepheshe angakuchazela izinketho ezitholakalayo zokunciphisa ingozi yokudlulisela lesi simo ezinganeni zakho.

Yiziphi izinkinga ezingaba khona ngenxa yalezi zinkinga zemithambo yegazi?

Amanye amaphutha awabangeli izinkinga futhi angabonakala kuphela. Kodwa-ke, ezimweni eziningi, angabangela ubuhlungu nokuvuvukala .

Okunye ukukhubazeka kungabangela ubuhlungu, noma ukubandakanyeka kwemisipha, amalunga, noma imizwa, okungaphazamisa ukuzivocavoca, ezemidlalo, emsebenzini, noma emisebenzini yansuku zonke .

Ukukhubazeka okukhulu, okugeleza kakhulu kungagcina kuholele ekuhlulekeni kwenhliziyo .

Ukukhubazeka kwemithambo yegazi ezithweni eziqinile njengesibindi, izinso, noma isibeletho kungabangela ukungasebenzi kahle kwezitho kanye nezinye izinkinga.

Ezinye izinkinga zemithambo yegazi, njenge-AVM ebuchosheni noma emgogodleni, zinganciphisa inani legazi elinomoya-mpilo elifinyelela ebuchosheni. Lokhu kungaholela ezinkingeni ezisongela ukuphila, njenge:

• Ama-Aneurysms ( ubuthakathaka bodonga lwemithambo yegazi kanye nokuvuvukala njengebhaluni)
• Ukopha kwegazi ngaphakathi kobuchopho
• Ukushaya kwenhliziyo

Liyini ikusasa labantu abanalesi simo? Lokhu kuthinta kanjani impilo yabo?

Ukukhubazeka kwemithambo yegazi, okufana nezimpawu zokuzalwa, kungathinta ukubukeka komuntu kanye nokuzethemba kwakhe. Lokhu kungaholela ezimweni zengqondo ezifana nokucindezeleka nokukhathazeka . Kodwa-ke, eziningi zalezi zinkinga zisabela kahle ekwelashweni.

Ukukhubazeka okukhulu kakhulu, njenge-AVM ebuchosheni, kungaba yingozi empilweni uma kuqala ukuphuma igazi.

Kodwa, okubaluleke kakhulu, ukukhubazeka okuningi kuyelapheka futhi kuyasabela kahle ekwelashweni. Ngakho-ke, kubalulekile ukufuna iseluleko sezokwelapha esifanele ngaphandle kokwethuka.

Yini okufanele uyibuze udokotela wakho?

Uma unokungabaza ngalesi simo, noma uma utholakale unaso, ungabuza udokotela wakho le mibuzo:

• Ngithole kanjani lokhu kukhubazeka kwemithambo yegazi? (Iyini imbangela?)
• Uhlobo luni lokukhubazeka kwemithambo yegazi enginalo?
• Yikuphi ukwelashwa okungcono kakhulu kimi?
• Yiziphi izingozi noma imiphumela emibi engaba khona yokwelashwa?
• Ingabe kufanele ngikhathazeke ngezimpawu zezinkinga? Yiziphi lezo zimpawu?

Buza le mibuzo bese uthola ukuqonda okucacile ngesimo sakho.

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ake sibheke amaphuzu ayinhloko okudingeka uwakhumbule kulokho esikhulume ngakho.

• Ukukhubazeka kwemithambo yegazi kuyizinto ezingavamile ezingavamile emithanjeni yegazi, ezivame ukuba khona lapho kuzalwa.
• Lokhu kungavela noma kuphi emzimbeni , kubonise izimpawu ezahlukahlukene, noma ngezinye izikhathi kungakhombisi zimpawu nhlobo.
• Ama-Hemangioma kanye nama-Vascular Malformations yizinto ezimbili ezihlukene. Kubalulekile ukwazi umehluko phakathi kwalokhu okubili.
• Kunezindlela ezahlukene zokwelapha lesi simo. Udokotela wakho uzonquma ukwelashwa okungcono kakhulu kwesimo sakho.
• Ezinye izinhlobo ezingathi sína, ikakhulukazi ama-AVM ebuchosheni, zingabangela izinkinga, ngakho-ke ukubhekwa okufanele kwezokwelapha kubalulekile.
• Uma wena noma ingane yakho ninezinye zalezi zimpawu, ningesabi futhi niyobona udokotela ukuze nithole iseluleko.

Khumbula, awuwedwa lapho ubhekene nalesi simo. Ngolwazi olufanele kanye nokusekelwa kwezokwelapha, lesi simo singaphathwa kahle.

Ukukhubazeka kwemithambo yegazi , ukukhubazeka kwemithambo yegazi, izimpawu zokuzalwa, ama-AVM, ukukhubazeka kwemithambo yegazi, izinkinga zemithambo yegazi, izifo zokuzalwa