Hemangioma Ye-Liver
Uhlolojikelele
I-hemangioma yesibindi (he-man-jee-O-muh) iwumfucumfucu ongenaso isikhutha (ongalimi) esibindini, oqanjwe yizicubu zezinsimbi zegazi. Ebizwa nangokuthi yi-hemangiomas yesibindi noma i-cavernous hemangiomas, le mifucumfucu yesibindi ivamile futhi kulinganiselwa ukuthi ivela kuze kube yi-20% yabantu.
Izimpawu
Emasimini amaningi, i-hemangioma ye-liver ayibangeli buphi na ubuhlungu noma izimpawu.
Isikhathi sokubona udokotela
Yenza i-aphoyintimenti nodokotela wakho uma ubhekene naziphi izimpawu eziqhubekayo ezikukhathazayo.
Izimbangela
Akuqondakali ukuthi yini ebangela ukwakheka kwe-hemangioma yesibindi. Odokotela bakholelwa ukuthi i-hemangiomas yesibindi ikhona ngesikhathi sokuzalwa (esemvelo).
I-hemangioma yesibindi ivame ukwenzeka njengokuqoqana okungavamile kwezithelo zegazi okulinganiselwa ku-1.5 inches (cishe ama-sentimitha angu-4) ububanzi. Ngesinye isikhathi i-hemangiomas yesibindi ingaba mikhulu noma ibe ngeziningi. I-hemangiomas emikhulu ingaba khona kubantwana abancane, kodwa lokhu kuyinto engavamile.
Kubantu abaningi, i-hemangioma yesibindi ngeke ikhule futhi ingabangeli zikhomba nezimpawu. Kodwa kubantu abambalwa, i-hemangioma yesibindi izokhula ibe yimbangela yezimpawu futhi idinge ukwelashwa. Akuqondakali ukuthi kungani lokhu kwenzeka.
Izici eziyingozi
Izici ezingandisa ingozi yokuthi i-hemangioma ye-liver ihlonishwe zihlanganisa:
- Ubudala bakho. I-hemangioma ye-liver ingabonakala kunoma yiliphi iminyaka, kodwa ivame kakhulu kubantu abaneminyaka engama-30 kuya kwengu-50.
- Ubulili bakho. Abesifazane banesibopho esikhulu sokuthola i-hemangioma ye-liver kunabesilisa.
- Ukukhulelwa. Abesifazane abakhulelwe banesibopho esikhulu sokuthola i-hemangioma ye-liver kunabesifazane abangakaze bakhulelwe. Kukholelwa ukuthi i-hormone i-estrogen, eqandana ngesikhathi sokukhulelwa, ingase ibe nomthelela ekukhuleni kwe-hemangioma ye-liver.
- Ukwelashwa kwe-hormone replacement. Abesifazane abasebenzisa ukwelashwa kwe-hormone replacement ngezimpawu ze-menopause bangase babe nesibopho esikhulu sokuthola i-hemangioma ye-liver kunabesifazane abangayisebenzisi.
Izingqinamba
Abesifazane abaxilongwe nge-liver hemangiomas baphathwa yingozi yezingxaki uma bekhulelwe. I-estrogen, i-hormone yabesifazane, ekhuphuka ngesikhathi sokukhulelwa, kukholelwa ukuthi ibangela ukukhula kwezinye i-liver hemangiomas. Kwezinye izikhathi, i-hemangioma ekhulayo ingabangela izimpawu nezibonakaliso ezidinga ukwelashwa, okuhlanganisa nobuhlungu ngakwesokudla phezulu kwesisu, ukukhuluphala kwesisu noma isicanucanu. Ukuba ne-liver hemangioma akusho ukuthi awukwazi ukukhulelwa. Noma kunjalo, ukuxoxa ngezingxaki ezingase zenzeke nodokotela wakho kungakusiza wenze isinqumo esilwemi. Imithi ethonya amazinga e-hormone emzimbeni wakho, njengezithasombili zokulawula ukubeletha, ingabangela ukwanda kokukhula nezingxaki uma uxilongwe nge-liver hemangioma. Kodwa lokhu kuphikiswana. Uma ucabanga ngalolu hlobo lwemi, xoxa ngezinzuzo nezingozi nodokotela wakho.
Ukuxilongwa
Izivivinyo ezisetshenziswa ukuthola i-hemangiomas yethumbu zifaka:
Ezinye izivivinyo zingasetshenziswa kuye ngesimo sakho.
- I-Ultrasound, indlela yokwenza izithombe esebenzisa amaza omsindo aphezulu ukuze iveze izithombe zethumbu
- Ukuhlolwa kwe-Computerized tomography (CT), okuhlanganisa uchungechunge lwezithombe ze-X-ray ezithathwe emakhoneni ahlukene emzimbeni wakho futhi usebenzisa ukucubungula kwekhompyutha ukudala izithombe zesigaba (izlice) zethumbu
- Ukuhlolwa kwe-Magnetic resonance imaging (MRI), ubuchwepheshe obasebenzisa insimu yamagnethi namaza omsakazo ukudala izithombe eziningiliziwe zethumbu
- I-Scintigraphy, uhlobo lokwenza izithombe zenuzi olusebenzisa into yokulandelela enomsebenzi wokukhanya ukuze iveze izithombe zethumbu
Ukwelashwa
Uma i-hemangioma yakho ye-liver incinyane futhi ayibangeli buphi na ubunzima noma izimpawu, ngeke udinga ukwelashwa. Ezimweni eziningi i-hemangioma ye-liver ngeke ikhule futhi ngeke ibe yinkinga. Udokotela wakho angahleka ahlele ukuhlolwa okulandelayo ukuhlola i-hemangioma yakho ye-liver njalo ukuthi ikhula yini uma i-hemangioma inkulu.
Ukuphathwa kwe-hemangioma ye-liver kuncike endaweni nobukhulu be-hemangioma, ukuthi une-hemangioma engaphezu kwesisodwa, impilo yakho yonke, kanye nezifiso zakho.
Izindlela zokwelapha zingafaka:
- Ukuhlinzwa kokususa i-hemangioma ye-liver. Uma i-hemangioma ingasuswa kalula e-liver, udokotela wakho angase akukhuthaze ukuhlinzwa ukuze ususe isihlakala.
- Ukuhlinzwa kokususa ingxenye ye-liver, kuhlanganise ne-hemangioma. Kwezinye izimo, ochwepheshe bokuhlinzwa bangase badingeke basuse ingxenye ye-liver yakho kanye ne-hemangioma.
- Izindlela zokumisa ukugcwala kwegazi ku-hemangioma. Ngaphandle kokunikezwa kwegazi, i-hemangioma ingase iyeke ukukhula noma inciphe. Izindlela ezimbili zokumisa ukugcwala kwegazi ukuvala umthambo omkhulu (hepatic artery ligation) noma ukufaka imithi emthambeni ukuze uyivimbe (arterial embolization). Ithishu ye-liver enempilo ayilimazi ngoba ingathatha igazi ezinye izitsha eziseduze.
- Ukuhlinzwa kokutshalwa kwe-liver. Kungenzeka okungenakwenzeka ukuthi une-hemangioma enkulu noma i-hemangiomas eminingi engaphathwa ngezinye izindlela, udokotela wakho angase akukhuthaze ukuhlinzwa kokususa i-liver yakho nokuyifaka indawo nge-liver evela kumnikelo.
- Ukwelashwa ngomgogodla. Ukwelashwa ngomgogodla kusebenzisa imisebe yamandla enamandla, njenge-X-rays, ukulimaza amangqamuzana e-hemangioma. Lokhu kwelashwa kusetshenziswa kancane ngenxa yokutholakala kokwelashwa okuphephile futhi okuphumelelayo.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.