Uyini i-Liver Hemangioma? Izimpawu, Izimbangela, Nokwelashwa

I-liver hemangioma iyisigxobo esingalimi (esingeyona i-cancer) esenziwe ngemithambo yegazi e-liver yakho. Lezi zikhulu zivame kakhulu futhi ngokuvamile azilimazi, noma ngabe ukuthola okunye kungase kuzwakale kukukhathaza ekuqaleni.

Iningi le-liver hemangiomas lincinyane futhi alibangeli zimpawu. Abantu abaningi baphila impilo yabo yonke bengakwazi ukuthi banayo. Zitholakala ngengozi ngesikhathi sezivivinyo ze-imaging ezenziwe ngezizathu ezingezona, njenge-ultrasound noma i-CT scan.

Ziyini izimpawu ze-liver hemangioma?

Iningi le-liver hemangiomas alibangeli zimpawu nhlobo. Iningi labantu abanezi-tumors ezingalimi bazizwa beqondile futhi abazi ukuthi zikhona kuze kube yilapho i-scan ejwayelekile izibonakalisa.

Uma izimpawu zivele, ngokuvamile zibuthakathaka futhi zenzeka kuphela nge-hemangiomas enkulu (ngokuvamile ngaphezulu kwama-intshi angu-4). Nanka ongawavela uma i-hemangioma yakho ibangele izimpawu:

• Ukuzizwa ukugcwele noma ukungakhululeki ngasemgceleni wakho wasekunene wesisu
• Ubuhlungu besisu obuthambile obuza futhi buyaphela
• Ukuphefumula noma ukulahlekelwa ukunxanela ukudla
• Ukuzizwa ukugcwele ngokushesha uma udle

Lezi zimpawu zenzeka ngoba i-hemangioma enkulu ingacindezela ezinye izitho noma ilokhe isivalo sangaphandle se-liver. Izindaba ezinhle ukuthi ngisho noma izimpawu zikhona, azivamile ukuba nzima noma ezingathí sina.

Ziyini izinhlobo ze-liver hemangioma?

I-Liver hemangiomas ngokuvamile ihlelwa ngobukhulu bayo kanye nezici zayo. Ukuqonda le miqondo kungakusiza uqonde kangcono lokho udokotela wakho angase akubhalele khona.

I-hemangiomas encane (ngaphansi kwama-intshi angu-2) uhlobo oluvamile kakhulu. Lezi zinhlaka ezincane zemithambo yegazi azibangeli izinkinga futhi ngokuvamile azidingi ukwelashwa noma ukulandelelwa.

I-hemangiomas enkulu (ama-intshi angu-4 noma ngaphezulu) ayiyingxenye encane kakhulu kodwa kungenzeka kakhulu ukuba ibangele izimpawu. I-hemangiomas enkulu, engaphezulu kwama-intshi angu-6, iyinhlangano encane kakhulu kodwa ingadinga ukulandelelwa eduze.

Iningi le-hemangiomas yilokho odokotela abakubiza ngokuthi "i-hemangiomas evamile," enezici ezibonakalayo ekuhlaleni kwe-imaging scans. Ngesinye isikhathi, i-hemangioma "engeyona evamile" ingase ibukeke ehlukile ekuhlaleni kwe-scans futhi idinge ukuhlolwa okwengeziwe ukuqinisekisa ukuxilongwa.

Yini ebangela i-liver hemangioma?

Imbangela eqondile ye-liver hemangiomas ayiqondakali ngokuphelele, kodwa kubonakala sengathi ikhona kusukela ekuzalweni njengokuguquguquka kokuthuthukiswa. Cabanga ngazo njengento engavamile endleleni imithambo yegazi yakho eyenziwe ngayo ngesikhathi ukhula esizalweni.

Lezi azibangelwa yilutho owalwenza noma awungenzanga. Azixhunyaniswanga nokusetshenziswa kotshwala, ukudla, imithi, noma izinqumo zokuphila. Zimelela nje umehluko omuhle endleleni imithambo yegazi ethile eyenziwe ngayo e-liver yakho.

Ama-hormones, ikakhulukazi i-estrogen, angase athinte ukukhula kwe-hemangioma. Kungakho zitholakala kakhulu kwabesifazane futhi zingase zikhule kancane ngesikhathi sokukhulelwa noma ngokwelashwa kwe-hormone. Noma kunjalo, lokhu kukhula ngokuvamile kuncane futhi akubi.

Nini okufanele ubona udokotela nge-liver hemangioma?

Uma ubonwe ukuthi une-liver hemangioma, awudingi ukukhathazeka noma ukuphuthuma egumbini lokuphuthuma. Lezi yizikhulu ezingalimi ezingavamile ukubangela izinkinga ezinkulu.

Kufanele uxhumane nodokotela wakho uma uhlushwa ubuhlungu besisu obuqhubekayo, ikakhulukazi ngakwesokunene phezulu. Nakuba lobu buhlungu bungavamile ukubangelwa yi-hemangioma ngokwayo, kufanele uhlolwe ukuze kuqale izimbangela ezinye.

Funani usizo lwezokwelapha ngokushesha uma unebuhlungu besisu obukhulu, obuzumayo obuhambisana nokuphefumula, ukugabha, noma ukuzizwa ubuthakathaka. Nakuba kuncane kakhulu, i-hemangiomas enkulu kakhulu ingase iphuke ngezinye izikhathi, nakuba lokhu kwenzeka kuphansi kuka-1% yezimangalo.

Imihlangano yokulandelela njalo ngokuvamile iceliwe kuphela nge-hemangiomas enkulu. Udokotela wakho uzokwazisa uma futhi nini udinga ukuphinda uthole i-imaging ukuze ulandelele noma yikuphi ukuguquka.

Ziyini izici ezingozi ze-liver hemangioma?

I-Liver hemangiomas ivame kakhulu emaqenjini athile, nakuba ukuba nalezi zici ezingozi akusho ukuthi uzokuthola ngokuqinisekile. Ukuqonda lezi zici kungakusiza ubeke ukuxilongwa kwakho ngendlela efanele.

Ukuba owesifazane yiyona nto enkulu kakhulu engozi. Abesifazane banethuba elingaphezulu kwama-3 kuya ku-5 lokuthola i-liver hemangiomas kunamadoda, mhlawumbe ngenxa yethonya lama-hormones, ikakhulukazi i-estrogen.

Ubudala buphinde bube nomthelela, nge-hemangiomas eningi etholakala kubantu abaneminyaka engama-30 kuya ku-50 ubudala. Noma kunjalo, zingatholakala kunoma yimuphi ubudala, kufaka phakathi abantwana nabantu abadala.

Nazi izici eziyinhloko ezingozi odokotela abazitholile:

• Ukuba owesifazane, ikakhulukazi ngesikhathi seminyaka yokuzala
• Ukukhulelwa (i-hemangiomas ekhona ingase ikhule kancane)
• Ukusetshenziswa kwe-hormone replacement therapy noma amaphilisi okuvimbela ukukhulelwa
• Ukuba nokukhulelwa okuningi

Kubalulekile ukukhumbula ukuthi lezi ziyizici kuphela ezihlangene. Abantu abaningi abanezi zici ezingozi abazitholi i-hemangiomas, kanti abanye abantu abangenazo izici ezingozi bayazithola.

Ziyini izinhlanganisela ezingase zenzeke ze-liver hemangioma?

Iningi le-liver hemangiomas alibangeli lutho. Iningi lihlala lizinze ngobukhulu bayo kulo lonke impilo yakho futhi liqhubeka lingalimi.

Uma izinhlanganisela zenzeka, cishe zihlangene ne-hemangiomas enkulu kakhulu (ngaphezulu kwama-intshi angu-4). Ngisho nalapho, izinhlanganisela ezinkulu zimbalwa kakhulu futhi zithinta abantu abangaphansi kuka-1% abane-hemangiomas.

Nazi izinhlanganisela ezingase zenzeke, ezibhalwe kusukela kwalezi ezivame kakhulu kuya kwalezi ezingavamile:

• Ukuncipha kwezinye izitho, kubangela ukungakhululeki noma ukugcwele ngokushesha uma udle
• Ukuphuza igazi e-hemangioma ngokwayo (ngokuvamile kubangela ubuhlungu obuthambile)
• Ukuhlanganiswa kwegazi e-hemangioma (ngokuvamile akubi)
• Ukuphuka ngokuphuza igazi (kuncane kakhulu, ngaphansi kuka-1% yezimangalo)

Udokotela wakho uzoxoxa nawe uma i-hemangioma yakho ethile ibeka ingozi yazo zonke izinhlanganisela. Kubantu abaningi, impendulo ilula, futhi azikho izindlela ezikhethekile ezidingekayo.

I-liver hemangioma ixilongwa kanjani?

Iningi le-liver hemangiomas litholakala ngengozi ngesikhathi sezivivinyo ze-imaging ezenziwe ngezizathu ezingezona. Ukutholakala ngokuvamile kuza njengomangalo ngesikhathi se-ultrasound ejwayelekile, i-CT scan, noma i-MRI yesisu sakho.

Udokotela wakho ngokuvamile uzoqala ngomlando wakho wezokwelapha kanye nokuhlolwa komzimba. Uzobuza nganoma yiziphi izimpawu ongazihlushwa yizo futhi azizwe kancane isisu sakho, nakuba i-hemangiomas encane ngokuvamile ayikwazi ukuzwakala ngesikhumba.

Izivivinyo ezivamile zokuxilonga zihlanganisa:

1. I-Ultrasound - Ngokuvamile ukuhlolwa kokuqala okuthola i-hemangioma
2. I-CT scan ene-contrast - Kusisiza ukuqinisekisa ukuxilongwa nokuqapha ubukhulu
3. I-MRI - Inikeza izithombe ezicacile kakhulu futhi ingaqinisekisa ukubona iningi le-hemangiomas
4. Izivivinyo zegazi - Ngokuvamile zivamile kodwa zisiza ukuqeda ezinye izimo ze-liver

Ezimweni eziningi, ukubonakala kwalezi scans kuyindlela efanayo kangangokuthi akukho ukuhlolwa okwengeziwe okudingekayo. Ngesinye isikhathi, uma ukuxilongwa kungacaci ekuhlaleni kwe-imaging kuphela, udokotela wakho angase acele ukuhlolwa okwengeziwe okukhethekile noma ngokungavamile i-biopsy.

Yini ukwelashwa kwe-liver hemangioma?

Izindaba ezinhle ukuthi iningi le-liver hemangiomas alidingi ukwelashwa nhlobo. Uma i-hemangioma yakho incinyane futhi ayibangeli zimpawu, indlela engcono kakhulu iwukuyishiya nje.

Udokotela wakho ngokuvamile uzocebisa indlela "yokubuka nokulinda" ye-hemangiomas encane, engabangeli zimpawu. Lokhu kusho ukuthi i-imaging njalo (ngokuvamile njalo ngenyanga eziyi-6 kuya kweziyi-12 ekuqaleni, bese kuba kancane kancane) ukuqinisekisa ukuthi ayikhulumi kakhulu.

Ukwelashwa kucabangelwa kuphela nge-hemangiomas ebangela izimpawu noma enkulu kakhulu. Uma ukwelashwa kudingeka, izinketho zihlanganisa:

• Ukususa ngokusebenza (i-hepatectomy) - Nge-hemangiomas enkulu, ebangela izimpawu
• I-Arterial embolization - Ukuvimba ukugeleza kwegazi ukuze kunciphise i-hemangioma
• Ukwelashwa ngomgogodla - Akusetshenziswa njalo, kuphela ngezimo ezikhethekile
• Ukuhlinzwa kwe-liver - Kuncane kakhulu, kuphela nge-hemangiomas enkulu eminingi

Ukuhlinzwa ngokuvamile kucebiswa kuphela uma i-hemangioma inkulu kune-intshi eziyi-4 futhi ibingela izimpawu ezinkulu ezithinta ikhwalithi yakho yokuphila. Isinqumo sokwelashwa njalo senziwa ngokucophelela, silinganisa izingozi nezinzuzo ezikhethekile esimweni sakho.

Indlela yokuphatha i-liver hemangioma ekhaya?

Ukuphila ne-liver hemangioma akudingi ukuguqulwa okukhulu kokuphila kwabantu abaningi. Njengoba lezi zikhulu ezingalimi ezingavamile ukubangela izinkinga, ngokuvamile ungaqhubeka nemisebenzi yakho nezinqubo zakho ezijwayelekile.

Awudingi ukulandela ukudla okukhethekile noma ugweme ukudla okuthile. I-liver hemangioma yakho ngeke ithintwe yilokho okudlayo noma okuphuzayo, kufaka phakathi ukusetshenziswa kotshwala okuthambile (ngaphandle uma unezinye izimo ze-liver).

Nazi ezinye izindlela ezisebenzayo zokuphatha ukuphila nge-liver hemangioma:

• Qhubeka nokuzivocavoca okujwayelekile nemisebenzi yomzimba njengoba ubekezelela
• Qaphela noma yiziphi izimpawu ezintsha noma ezibi kakhulu zesisu
• Gcina irekhodi lemiphumela yakho ye-imaging futhi uyilethe emihlanganweni yezokwelapha
• Ungagwemi izinqubo zezokwelapha ezidingekayo ngenxa ye-hemangioma yakho
• Xoxa nganoma iyiphi imithi entsha noma ama-hormones nodokotela wakho

Uma ukhulelwe noma ucabanga ngokukhulelwa, xoxa nodokotela wakho ngokulandelela. Nakuba ukukhulelwa kungabangela ukukhula kancane kwe-hemangiomas ngenxa yokuguquka kwama-hormones, lokhu ngokuvamile akubangeli izinkinga futhi akufanele kukuvimbe ekutheni ube nabantwana.

Kufanele ulungiselele kanjani umhlangano wakho nodokotela?

Ukulungiselela umhlangano wakho kungakusiza uthole okuningi ngesikhathi sakho nodokotela wakho futhi kuqinisekise ukuthi zonke izinkinga zakho ziqondwe. Ukuba ne-liver hemangioma kungaphakamisa imibuzo eminingi, futhi kuyinto evamile ukuzizwa ukukhathazeka ngayo.

Ngaphambi komhlangano wakho, butha wonke amarekhodi akho ezokwelapha ahlobene nokutholakala kwe-hemangioma. Lokhu kuhlanganisa amakhophi emiphumela ye-imaging, noma yimiphi imiphumela yokuhlolwa kwegazi, kanye nezinqolobane ezivela ekuvakasheni kwangaphambili kwesikhathi kwesimo.

Bhala imibuzo yakho ngaphambi kwesikhathi ukuze ungayikhohlwa ngesikhathi somhlangano. Imibuzo evamile ihlanganisa:

• I-hemangioma yami inkulu kangakanani ngempela?
• Ndingadinga ukulandelelwa njalo, kangakanani?
• Ingabe kukhona imisebenzi engingayigwema?
• Ingabe lokhu kungathinta ukukhulelwa kwesikhathi esizayo noma izinqubo zezokwelapha?
• Ziyiphi izimpawu ezifanele zingenze ngikubize?

Futhi, lungiselela uhlu lwayo yonke imithi, izongezelelo, namavithamini owathathayo. Nakuba iningi lingaxhunyanisiwe ne-hemangiomas, udokotela wakho udinga isithombe esiphelele sesimo sakho sempilo.

Iyini into ebalulekile nge-liver hemangioma?

Into ebaluleke kakhulu okumele uyiqonde nge-liver hemangiomas ukuthi zilungile, zivame kakhulu, futhi azibangeli izinkinga zempilo. Ukuba nayo akusho ukuthi une-liver disease noma ukhona engozini ye-cancer.

Abantu abaningi abane-liver hemangiomas baphila impilo evamile ngaphandle kwanoma yiziphi izimpawu noma izinhlanganisela. Ukutholakala kwe-hemangioma ngokuvamile kubangela ukukhathazeka okukhulu kunesimo ngokwalo.

Nakuba kuyinto evamile ukuzizwa ukukhathazeka uma ufunda okokuqala nge-hemangioma yakho, khumbula ukuthi lezi ziyizinto ezingalimi kakhulu ezingabonakala ekuhlaleni kwe-liver imaging. Udokotela wakho uzokusiza uqonde isimo sakho esithile futhi unqume uma kukhona ukulandelelwa noma ukwelashwa okudingekayo.

Gxila ekuqondeni impilo yakho jikelele ngokunakekelwa kwezokwelapha okujwayelekile, indlela yokuphila ebenguqondakaliyo, kanye nokuxhumana okuvulekile neqembu lakho lezokwelapha. I-liver hemangioma yakho iyinhlangothi encane nje yesithombe sempilo yakho, futhi kubantu abaningi, ayiyona ingxenye edinga ukunakekelwa okuningi.

Imibuzo evamile ebuzwa nge-liver hemangioma

Ingabe i-liver hemangiomas ingaguquka ibe yi-cancer?

Cha, i-liver hemangiomas ayikwazi ukuguquka ibe yi-cancer. Ziyizikhulu ezingalimi (ezingeyona i-cancer) ezenziwe ngemithambo yegazi futhi zihlala zilungile kulo lonke impilo yakho. Akukho ingozi yokuthi i-hemangioma iguquke ibe yi-liver cancer noma noma iyiphi enye inhlobo ye-cancer. Lena enye yezinto ezibusisayo kakhulu ngalezi zikhulu.

Ingabe i-liver hemangioma yami izoqhubeka ikhula?

Iningi le-liver hemangiomas lihlala lizinze ngobukhulu bayo kulo lonke impilo yakho. Ezinye zingase zikhule kancane kakhulu eminyakeni eminingi, kodwa ukukhula okukhulu akukho njalo. Ukuguquka kwama-hormones njengokukhulelwa noma ukwelashwa kwe-hormone kungase kubangele ukukhula kancane, kodwa lokhu ngokuvamile kuncane. Udokotela wakho uzolandelela noma yikuphi ukuguquka nge-imaging njalo uma kudingeka.

Ngingazivocavoca ngokujwayelekile nge-liver hemangioma?

Yebo, ngokuvamile ungazivocavoca ngokujwayelekile nge-liver hemangioma. Akukho sidingo sokuqeda umsebenzi womzimba, imidlalo, noma izinhlelo zokuzivocavoca. Ngisho nemisebenzi yokuxhumana ngokuvamile iphephile kubantu abane-hemangiomas encane kuya emaphakathi. Udokotela wakho uzokwazisa uma isimo sakho esithile sidinga noma yikuphi ukuguqulwa kwemisebenzi, okungavamile.

Ndingagwema yini utshwala uma ngine-liver hemangioma?

Ukuba ne-liver hemangioma akudingi ukugwema utshwala ngokuphelele. Ukusetshenziswa kotshwala okuthambile akubangeli i-hemangiomas noma kuyenza ibe mbi. Noma kunjalo, kuhlale kuqondile ukuphuza ngokulinganisela ngenxa yempilo yakho ye-liver. Uma unezinye izimo ze-liver ngaphezu kwe-hemangioma, udokotela wakho angase akunikeze isiqondiso esithile mayelana notshwala.

Kufanele ngikhathazeke yini uma i-hemangioma yami itholakele ngesikhathi sokukhulelwa?

Ukuthola i-hemangioma ngesikhathi sokukhulelwa akuyona into yokukhathazeka. Nakuba ama-hormones okukhulelwa angabangela ukukhula kancane kwe-hemangiomas ekhona, lokhu ngokuvamile akubangeli izinhlanganisela. Abesifazane abakhulelwe abaningi abane-hemangiomas banokukhulelwa okuqondile kanye nokubeletha. Udokotela wakho uzolandelela wena kanye nomntanakho ngokufanele, futhi i-hemangioma ngokuvamile ayithinti ukunakekelwa kwakho kokukhulelwa.