I-pathology evamile futhi encane, i-angioma yesibindi iyithumba elibi elithinta imithambo yegazi ene-hepatic. Ezimweni eziningi, azibangeli izimpawu futhi akudingekile ukusebenza.

Incazelo

I-Angioma yesibindi, ebizwa nangokuthi i-hemangioma noma i-hepatic angioma, iyithumba eliyingozi elikhula ngokulahlekelwa kwemithambo yegazi futhi lenze inqwaba encane eyakhiwe imithambo engavamile. 

Imvamisa, i-angioma iveza isilonda esiyindilinga esingasodwa, esichazwe kahle esinobubanzi obungaphansi kuka-3 cm (ngaphansi kuka-1 cm njalo kwesinye isikhathi). I-angioma izinzile futhi ayibangeli noma yiziphi izimpawu. I-angiomas eminingi ingasakazeka kuso sonke isibindi.  

Isilonda singase futhi sibe nefomu le-atypical. Kukhona ama-angiomas amakhulu afinyelela ku-10 cm, amanye athatha uhlobo lwamaqhuqhuva amancane ane-fibrous (sclerotic angiomas), kanti amanye abalwa noma axhunywe esibindini nge-pedicle ...

Amanye ama-angioma angashintsha ngosayizi ngokuhamba kwesikhathi, kodwa angawohloki abe izimila eziyingozi.

Izimbangela

Kuyisilonda esingakhonjwanga imbangela, okungenzeka ukuthi singesokuzalwa. Amanye ama-angioma esibindi angaba ngaphansi kwethonya lamahomoni.

kwesifo

I-Angioma ivame ukutholakala ngengozi ngesikhathi se-ultrasound yesisu. Uma isibindi sinempilo futhi isimila silinganisa ngaphansi kuka-3 cm, i-nodule enamabala ibonakala ngokucacile futhi asikho isidingo sokuqhubeka nokuhlolwa.

Uma i-angioma ingavamile noma ezigulini ezinesifo sesibindi esingaphansi, njenge-cirrhosis noma umdlavuza wesibindi, kungase kube iphutha nezinye izinhlobo zezimila ku-ultrasound. Ukuxilongwa kunzima kakhulu kuma-angiomas amancane ezigulini ezinamathumba amabi.

Okunye ukuhlolwa kwezithombe ngomjovo wemikhiqizo yokuqhathanisa (i-ultrasound, i-CT scan noma i-MRI) kufanele-ke yenziwe ukuze kuqinisekiswe ukuxilongwa. I-MRI iwukuhlolwa okubucayi kakhulu futhi okuqondile, futhi kwenza kube nokwenzeka ukususa ukungabaza izikhathi ezingaphezu kweziyisishiyagalolunye kweziyishumi.

Uma ukuxilongwa kungenziwa ngokuhlolwa kwesithombe, i-biopsy ingase icatshangelwe. Udokotela uzokwenza ukubhoboza ngokufaka inaliti esikhumbeni. Ukunemba kokuxilonga kufinyelela kuma-96%.

Abantu abathintekayo

Uma zingekho izimpawu futhi kunikezwe indima yethuba ekuxilongweni, kunzima ukwazi ukuthi bangaki abantu abane-angioma yesibindi. I-EASL (Inhlangano yaseYurophu yocwaningo lwesibindi: I-European Association for the Study of the Liver) ilinganisela ukuthi cishe u-0,4% kuya ku-20% wabantu bazothinteka (cishe u-5% lapho isilinganiso senziwe ochungechungeni lokuhlolwa kwezithombe, kodwa kuze kufike ku-20% ocwaningweni oluhilela isibindi esizimele. ).

I-angioma yesibindi itholakala kubantu bayo yonke iminyaka, kuhlanganisa nezinsana, kodwa ngokuvamile ibonakala kubantu abaneminyaka engama-30 kuya kwengama-50, okugcwele abesifazane.

Izici zengozi

Ukwelashwa ngama-hormone kungase kubambe iqhaza ekwandiseni ubukhulu bezinye i-angioma yesibindi. Kodwa-ke, ucwaningo lubonisa ukuthi le ngozi incane futhi ayiyona ingozi. Ukuvimbela inzalo ngomlomo, ikakhulukazi, akuvinjelwanga kwabesifazane abanezimila ezingaqhubeki futhi kungaqhutshekwa ngaphandle kokugadwa okukhethekile.

Esikhathini esiningi, i-angioma isuke futhi izohlala ingabonakali.

Ama-angiomas amakhulu, nokho, angacindezela izicubu eziseduze futhi abangele ukuvuvukala nobuhlungu.

Izinkinga

Ezimweni ezingavamile, ezinye izinkinga zingenzeka:

• i-thrombosis (ukwakheka kwehlule),
• I-Kasabach-Merritt syndrome (SKM) ebonakala ngokusabela kokuvuvukala kanye nenkinga yokuhlangana,
• ukopha kwe-intra-tumor, noma ngisho nokuphuma kwegazi ku-peritoneum ngokugqabuka kwe-angioma (hemoperitoneum) ...

I-angioma encane, ezinzile, engenazo izimpawu ayidingi ukwelashwa - noma ngisho nokugadwa.

Kwezinye izimo, i-arterial embolization (ukuvinjelwa) ingase iphakanyiswe. Ukuphatha kungase futhi kusekelwe ekwelashweni nge-corticosteroids noma ezinye izidakamizwa. Kuyaqabukela, ukuhlinzwa kuzocatshangelwa ukususa isimila.