Mukati
Chii chinonzi chiropa hemangioma
Hemangioma (inozivikanwawo seangioma) yechiropa ibundu risingafadze iro rine masumbu madiki etsinga akazadzwa neropa.
Ichi chirwere che5% chevanhu vakuru. Aya ma neoplasms akajairika kune vanhu vakuru kupfuura muvana: zera revarwere makore 30-50. Chiropa hemangiomas inowanzoonekwa muvakadzi kupfuura varume.
Mazhinji echiropa hemangiomas haakonzeri zviratidzo, kunyangwe zvironda zvakakura zvinodzvanya pamatishu zvinogona kukonzera kusada kudya, kusvotwa, uye kurutsa.
Sezvo mutemo, murwere anowedzera hemangioma imwe chete, asi pane dzimwe nguva inogona kuva yakawanda. Hemangioma haina kukura kuita gomarara uye haiparadziri kune dzimwe nhengo dzemuviri.
Zvikonzero zvechiropa hemangioma kune vanhu vakuru
Nei hemangioma mafomu muchiropa haazivikanwe chokwadi. Asi zvidzidzo zveanecdotal zvinoratidza kuti mamwe majini akaremara anogona kunge ari chikonzero. Pane mazano anogona kutamba mukukura kwebundu:
- kwenguva refu steroid kurapwa kwezvirwere kana yekuvaka tsandanyama;
- kushandiswa kwenguva refu kwemapiritsi ekudzivirira pamuviri;
- nhumbu.
Zviratidzo zvechiropa hemangioma kune vanhu vakuru
Mazhinji hemangiomas echiropa haakonzeri chero zviratidzo zvisingafadzi, anowanikwa apo murwere anoongororwa chimwe chirwere.
Diki (mamirimita mashoma kusvika 2 cm mudhayamita) uye yepakati (2 kusvika 5 cm) haipore, asi inofanira kuongororwa nguva dzose. Kuongorora kwakadaro kwakakosha nekuti inenge 10% yehemangiomas inowedzera kukura nekufamba kwenguva nekuda kwezvikonzero zvisingazivikanwe.
Giant liver hemangiomas (inodarika masendimita gumi) inowanzova nezviratidzo uye matambudziko anoda kurapwa. Zviratidzo zvinowanzobatanidza marwadzo mudumbu repamusoro sehombe huru inotsikirira pane yakakomberedza tishu uye chiropa capsule. Zvimwe zviratidzo zvinosanganisira:
- kusadya zvakanaka;
- nausea;
- kurutsa;
- kukurumidza kunzwa kwekuguta paunenge uchidya;
- kunzwa kuzvimba mushure mekudya.
Chiropa hemangioma inogona kubuda ropa kana kuumba magwamba eropa anochengeta mvura. Ipapo pane kurwadziwa mudumbu.
Kurapa kwechiropa hemangioma kune vanhu vakuru
Diki hemangiomas haidi kurapwa, asi mapundu akakura pane dzimwe nguva anoda kuvhiyiwa.
Diagnostics
Kune akati wandei bvunzo dzinobatsira kusiyanisa chiropa hemangioma kubva kune mamwe marudzi emamota:
- kusiyanisa-enhanced ultrasound - mafungu e-high-frequency inzwi anopfuura nepakati pezviviri zvemuviri, uye echoes inorekodhwa uye inoshandurwa kuva vhidhiyo kana mapikicha;
- computed tomography (CT);
- magnetic resonance imaging (MRI);
- angiography - mumiririri wekusiyanisa anopinzwa mumidziyo kuti atarise pasi peX-ray irradiation;
- scintigraphy inuclear scan inoshandisa radioactive isotope technetium-99m kugadzira mufananidzo wehemangioma.
Mishonga yemazuva ano
Dzimwe hemangiomas dzinoonekwa pakuzvarwa kana muhuduku hwekutanga (kusvika ku5-10% yevana vane gore rimwe chete). Iyo hemangioma kazhinji inoderera nekufamba kwenguva uye mune dzimwe nguva inogona kupera. Kana iri diki, yakagadzikana, uye isingakonzerese chero zviratidzo, inogona kutariswa nezvidzidzo zvekufungidzira mwedzi mitanhatu kusvika gumi nemiviri.
Iko hakuna mishonga yekurapa chiropa hemangioma. Kuvhiya kunogona kudikanwa kubvisa bundu kana richikura nekukurumidza kana kukonzera kusagadzikana kwakanyanya kana kurwadziwa. Nzira inonzi vascular embolization, iyo inocheka tsinga dzeropa dzinodyisa hemangioma, inogona kunonoka kana kudzorera kukura kwayo.
Kudzivirirwa kwechiropa hemangioma muvakuru kumba
Sezvo chikonzero chechiropa hemangiomas chisingazivikanwi, hachigoni kudzivirirwa.
Mibvunzo nemhinduro dzakakurumbira
Takakumbira kupindura mibvunzo nezve hemangioma yechiropa X-ray endovascular chiremba Alexander Shiryaev.
Mumamiriro ezvinhu akaoma, nyanzvi ichasarudza hormonal therapy, radiation therapy kana kuvhiyiwa.