Angiodysplasia yamatumbo

Angiodysplasia ya colon ndi yotupa, yosalimba mitsempha ya m'matumbo. Izi zitha kubweretsa kutayika kwa magazi kuchokera mundawo ya m'mimba (GI).

Angiodysplasia yamatumbo imakhudzana kwambiri ndi ukalamba ndi kuwonongeka kwa mitsempha. Amakonda kwambiri okalamba. Nthawi zambiri zimawoneka kumanja kwa colon.

Zowonjezera, vutoli limayamba chifukwa cha kuphulika komwe kumayambitsa mitsempha yamagazi m'deralo. Kutupa uku kukakula kwambiri, njira yaying'ono imayamba pakati pa mtsempha wamagazi ndi mtsempha. Izi zimatchedwa kusokonekera kwamkati. Kutuluka magazi kumatha kuchitika m'derali pamakoma am'matumbo.

Kawirikawiri, angiodysplasia ya m'matumbo imakhudzana ndi matenda ena amitsempha yamagazi. Chimodzi mwazomwezi ndi matenda a Osler-Weber-Rendu. Vutoli silikugwirizana ndi khansa. Ndizosiyana kwambiri ndi diverticulosis, yomwe imakonda kwambiri kutulutsa magazi m'matumbo mwa achikulire.

Zizindikiro zimasiyanasiyana.

Anthu okalamba akhoza kukhala ndi zizindikiro monga:

• Kufooka
• Kutopa
• Kupuma pang'ono chifukwa cha kuchepa kwa magazi m'thupi

Mwina sangakhale ndi magazi owonekera kuchokera kumtunda.

Anthu ena amatha kukhala ndi magazi ofatsa kapena owopsa omwe magazi ofiira kapena magazi akuda amachokera ku thumbo.

Palibe kupweteka komwe kumalumikizidwa ndi angiodysplasia.

Kuyesa komwe kungachitike kuti mupeze vutoli ndi monga:

• Angiography (imathandiza kokha ngati magazi akutuluka magazi m'matumbo)
• Kuwerengera magazi kwathunthu (CBC) kuti muwone kuchepa kwa magazi
• Zojambulajambula
• Kuyesa kopondera magazi obisika (obisika) (zotsatira zabwino zoyeserera zikuwonetsa kutuluka magazi m'matumbo)

Ndikofunikira kupeza chomwe chimayambitsa kutuluka m'matumbo komanso momwe magazi amatayika mwachangu. Mungafunike kulandilidwa ku chipatala. Zamadzimadzi amatha kuperekedwa kudzera mumitsempha, ndipo pamafunika zinthu zamagazi.

Chithandizo china chitha kufunikira pomwe gwero la magazi lipezeka. Nthawi zambiri, magazi amatuluka okha popanda chithandizo.

Ngati chithandizo chikufunika, chitha kukhala:

• Angiography yothandiza kutseka chotengera chamagazi chomwe chikutuluka magazi kapena kupereka mankhwala othandizira kupangitsa kuti mitsempha yamagazi ilimbe kuletsa magazi
• Kuwotcha (cauterizing) tsamba la magazi mwakutentha kapena laser pogwiritsa ntchito colonoscope

Nthawi zina, opaleshoni ndiyo njira yokhayo. Mungafunike mbali yonse yakumanja ya colon (hemicolectomy kumanja) itachotsedwa ngati magazi akupitilira, ngakhale atayesedwa mankhwala ena. Mankhwala (thalidomide ndi estrogens) atha kugwiritsidwa ntchito kuthandiza kuthana ndi matendawa mwa anthu ena.

Anthu omwe amataya magazi okhudzana ndi vutoli ngakhale atakhala ndi colonoscopy, angiography, kapena opareshoni atha kukhala ndi magazi ambiri mtsogolo.

Maganizo amakhalabe abwino ngati magazi akutuluka.

Zovuta zingaphatikizepo:

• Kuchepa kwa magazi m'thupi
• Imfa yotaya magazi ambiri
• Zotsatira zoyipa za mankhwala
• Kuwonongeka kwakukulu kwa magazi kuchokera pagulu la GI

Itanani yemwe akukuthandizani ngati magazi akutuluka magazi.

Palibe njira yodziwika yopewera.

Ectasia yamatumbo; Matenda osokoneza bongo; Kukha magazi - angiodysplasia; Magazi - angiodysplasia; Kutuluka m'mimba - angiodysplasia; GI kutuluka magazi - angiodysplasia

• Zakudya zam'mimba ziwalo

Brandt LJ, Aroniadis OC. Mavuto am'mimba am'mimba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 37.

Ibanez MB, Munoz-Navas M. Zamatsenga komanso magazi osadziwika am'mimba. Mu: Chandrasekhara V, Elmunzer J, Khashab MA, Muthusamy VR, eds. Matenda a m'mimba Endoscopy. Wachitatu ed. Philadelphia, PA: Elsevier; 2019: mutu 18.