I-hemangioma yesibindi

Iyini i-hemangioma yesibindi

I-hemangioma (eyaziwa nangokuthi i-angioma) yesibindi iyithumba elibi eliqukethe amaqoqo emigwawana emincane egcwele igazi.

Lesi sifo sitholakala ku-5% wabantu abadala. Lawa ma-neoplasms avame kakhulu kubantu abadala kunasezinganeni: ubudala obujwayelekile beziguli yiminyaka engama-30-50. I-hemangioma yesibindi ivame kakhulu kwabesifazane kunabesilisa.

Iningi lama-hemangioma esibindi awabangeli izimpawu, nakuba izilonda ezinkulu ezicindezela esicutshini zingabangela ukungakuthandi ukudla, isicanucanu, nokuhlanza.

Njengomthetho, isiguli sihlakulela i-hemangioma eyodwa kuphela, kodwa kwezinye izimo kungase kube eziningana. I-hemangiomas ayikhuli ibe umdlavuza futhi ayisakazeki kwezinye izingxenye zomzimba.

Izimbangela ze-hemangioma yesibindi kubantu abadala

Kungani i-hemangioma yakha esibindini akwaziwa ngokuqinisekile. Kodwa ucwaningo lwe-anecdotal luphakamisa ukuthi izakhi zofuzo ezithile ezinesici zingase zibe imbangela. Kuneziphakamiso ezingadlala indima ekuthuthukisweni kwesimila:

• ukwelashwa kwe-steroid isikhathi eside kwezifo noma ukwakha imisipha;
• ukusetshenziswa isikhathi eside kwamaphilisi okulawula inzalo;
• ukukhulelwa.

Izimpawu ze-hemangioma yesibindi kubantu abadala

Ama-hemangioma amaningi esibindi awabangeli noma yiziphi izimpawu ezingathandeki, atholakala lapho isiguli sihlolelwa esinye isifo.

Okuncane (amamilimitha ambalwa kuya ku-2 cm ububanzi) naphakathi (2 kuya ku-5 cm) azipholi, kodwa kufanele kuqashelwe njalo. Ukuqapha okunjalo kuyadingeka ngoba cishe i-10% ye-hemangiomas ikhula ngosayizi ngokuhamba kwesikhathi ngezizathu ezingaziwa.

I-hemangioma yesibindi enkulu (engaphezu kuka-10 cm) ngokuvamile inezimpawu kanye nezinkinga ezidinga ukwelashwa. Izimpawu ngokuvamile zihlanganisa ubuhlungu besisu esingenhla njengoba isisindo esikhulu sicindezela izicubu ezizungezile kanye ne-capsule yesibindi. Ezinye izimpawu zihlanganisa:

• ukungathandi ukudla;
• isicasuli;
• ukuhlanza;
• umuzwa osheshayo wokusutha ngenkathi udla;
• ukuzwa ukuqunjelwa ngemva kokudla.

I-hemangioma yesibindi ingase yophe noma yakhe amahlule egazi agcina uketshezi. Bese kuba nobuhlungu esiswini.

Ukwelashwa kwe-hemangioma yesibindi kubantu abadala

I-hemangioma encane ayidingi ukwelashwa, kodwa izimila ezinkulu ngezinye izikhathi zidinga ukuhlinzwa.

Diagnostics

Kunenani lokuhlola elisiza ukuhlukanisa i-hemangioma yesibindi kwezinye izinhlobo zezimila:

• i-ultrasound ethuthukisiwe ngokuphambene - amagagasi omsindo we-high-frequency adlula ezicutshini zomzimba, futhi ama-echoes aqoshwa futhi aguqulwe abe yividiyo noma izithombe;
• i-computed tomography (CT);
• imaging magnetic resonance (MRI);
• i-angiography - i-ejenti yokuqhathanisa ijova ezitsheni ukuze ibheke ngaphansi kwe-X-ray irradiation;
• I-scintigraphy i-nuclear scan esebenzisa i-radioactive isotope technetium-99m ukwakha isithombe se-hemangioma.

Ukwelashwa kwesimanje

Amanye ama-hemangioma atholakala lapho ezalwa noma esemncane (kufika ku-5-10% wezingane ezinonyaka owodwa ubudala). I-hemangioma ngokuvamile iyancipha ngokuhamba kwesikhathi futhi kwezinye izimo ingase inyamalale. Uma incane, izinzile, futhi ingabangeli zimpawu, ingaqashelwa ngezifundo zezithombe njalo ezinyangeni eziyisi-6 kuye kweziyi-12.

Azikho izidakamizwa zokwelashwa kwe-hemangioma yesibindi. Kungase kudingeke ukuhlinzwa ukuze kukhishwe isimila uma sikhula ngokushesha noma sibangela ukungakhululeki noma ubuhlungu obukhulu. Indlela ebizwa ngokuthi i-vascular embolization, enqamula imithambo yegazi ephakela i-hemangioma, ingabambezela noma ihlehlise ukukhula kwayo.

Ukuvimbela i-hemangioma yesibindi kubantu abadala ekhaya

Njengoba imbangela ye-hemangioma yesibindi ingaziwa, ayikwazi ukuvinjelwa.

Imibuzo nezimpendulo ezidumile

Sicele ukuphendula imibuzo mayelana ne-hemangioma yesibindi Udokotela ohlinzayo we-X-ray endovascular Alexander Shiryaev.