Hepatic hemangioma

Hepatic hemangioma ndi chiwindi cha chiwindi chopangidwa ndimitsempha yamagazi yotambalala. Si khansa.

Hepatic hemangioma ndi mtundu wofala kwambiri wa chiwindi womwe samayambitsidwa ndi khansa. Kungakhale vuto lobadwa nalo.

Hepatic hemangiomas imatha kuchitika nthawi iliyonse. Amakonda kwambiri anthu azaka za m'ma 30 mpaka 50. Amayi amatenga misa izi nthawi zambiri kuposa amuna. Misa nthawi zambiri imakhala yayikulu kukula.

Ana amatha kukhala ndi mtundu wa hepatic hemangioma wotchedwa benign infantile hemangioendothelioma. Izi zimatchedwanso multinodular hepatic hemangiomatosis. Ichi ndi chotupa chosowa, chosagwidwa khansa chomwe chalumikizidwa ndi kuchuluka kwa mtima kulephera komanso kufa kwa makanda. Makanda amapezeka kawirikawiri akafika miyezi 6.

Ma hemangiomas ena amatha kuyambitsa magazi kapena kusokoneza ziwalo. Ambiri samatulutsa zizindikiro. Nthawi zambiri, hemangioma imatha kuphulika.

Nthawi zambiri, vutoli silipezeka mpaka zithunzi za chiwindi zitatengedwa pazifukwa zina. Ngati hemangioma iphulika, chizindikiro chokhacho chimatha kukhala chiwindi chokulitsidwa.

Ana omwe ali ndi vuto lodana ndi hemangioendothelioma atha kukhala ndi:

• Kukula m'mimba
• Kuchepa kwa magazi m'thupi
• Zizindikiro za kulephera kwa mtima

Mayesero otsatirawa akhoza kuchitidwa:

• Kuyesa magazi
• Kuunika kwa CT pachiwindi
• Angiogram ya hepatic
• MRI
• Kutulutsa kwa single-photon computed tomography (SPECT)
• Ultrasound pamimba

Ambiri mwa zotupazi amathandizidwa pokhapokha ngati pali ululu wopitilira.

Chithandizo cha khanda la hemangioendothelioma chimadalira kukula ndi kukula kwa mwanayo. Mankhwalawa angafunike:

• Kuyika zinthu mumtsuko wamagazi wa chiwindi kuti muzimitse (embolization)
• Kumanga (ligation) mtsempha wamagazi
• Mankhwala osalimba mtima
• Opaleshoni kuchotsa chotupacho

Kuchita opareshoni kumatha kuchiritsa chotupa mwa khanda ngati kuli kope limodzi la chiwindi. Izi zitha kuchitika ngakhale mwana ali ndi vuto la mtima.

Mimba komanso mankhwala opangira estrogen amatha kupangitsa kuti zotupazi zikule.

Chotupacho chimatha kuphulika nthawi zina.

Chiwindi hemangioma; Hemangioma a chiwindi; Cavernous hepatic hemangioma; Khanda hemangioendothelioma; Multinodular hepatic hemangiomatosis

• Hemangioma - angiogram
• Hemangioma - CT scan
• Zakudya zam'mimba ziwalo

Di Bisceglie AM, Befeler AS. Zotupa zamatenda ndi zotupa. 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 96.

Mendes BC, Tollefson MM, Bower TC. Zotupa zamatenda a ana. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: mutu 188.

Soares KC, Pawlik TM. Kuwongolera kwa chiwindi hemangioma. Mu: Cameron JL, Cameron AM, olemba, eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 12. Philadelphia, PA: Elsevier; 2017: 349-354.