Kodi renal angiomyolipoma, zizindikiritso ziti ndi momwe mungachiritsire

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira
• Zomwe zingayambitse

Renal angiomyolipoma ndi chotupa chosowa komanso chosaopsa chomwe chimakhudza impso ndipo chimapangidwa ndi mafuta, mitsempha yamagazi ndi minofu. Zomwe zimayambitsa sizinafotokozedwe kwenikweni, koma mawonekedwe a matendawa amatha kulumikizidwa ndi kusintha kwa majini ndi matenda ena a impso. Ngakhale angiomyolipoma imapezeka kwambiri mu impso, zimatha kuchitika m'ziwalo zina za thupi.

Nthawi zambiri, aimpso angiomyolipoma siyimayambitsa zizindikiro, koma ngati yayikula kuposa masentimita 4 imatha kuyambitsa magazi mu impso ndipo munthawi imeneyi kupweteka kwakumbuyo, mseru, kuthamanga kwa magazi ndi magazi mumkodzo zitha kuwoneka.

Matendawa amangochitika mwangozi, atatha kuyesa zojambula kuti afufuze matenda ena, ndipo chithandizocho chimafotokozedwa ndi nephrologist atatsimikizira kukula kwa angiomyolipoma mu impso.

Zizindikiro zazikulu

Nthawi zambiri, angiomyolipoma siyimayambitsa zizindikiro zilizonse. Komabe, angiomyolipoma imawerengedwa kuti ndi yayikulu, ndiye kuti, yoposa masentimita 4, imatha kupanga zizindikiro monga:

• Ululu m'chigawo cham'mimba;
• Mkodzo wamagazi;
• Pafupipafupi kwamikodzo matenda;
• Kuchuluka kwa magazi.

Kuphatikiza apo, zizindikilo zimachulukirachulukira ngati chotupachi chimayambitsa kukha magazi mu impso. Zikatero, zizindikilo zimatha kuphatikizira kuthamanga kwa magazi, kupweteka m'mimba, kumva kukomoka komanso khungu lotumbululuka.

Momwe mungatsimikizire matendawa

Kuti atsimikizire kupezeka kwa angiomyolipoma aimpso, nephrologist atha kuyitanitsa mayeso ena ojambula monga angiography, ultrasound, computed tomography ndi maginito amvekedwe.

Zotupa za angiomyolipoma aimpso ndizosavuta kuzizindikira zikakhala ndi mafuta, ndipo ngati kuli mafuta ochepa kapena kukha magazi zomwe zimapangitsa kuti zikhale zovuta kuwona pamayeso ojambula, nephrologist atha kupempha kuti awonongeke. Pezani zambiri za zomwe zili komanso momwe biopsy imachitikira.

Momwe mankhwalawa amachitikira

Pambuyo pochita mayeso, nephrologist adzafotokozera chithandizo malinga ndi mawonekedwe a zotupa za impso. Pamene chotupa cha angiomyolipoma chotupa chimakhala chochepa kuposa masentimita 4, kuwunika kwakukula nthawi zambiri kumachitika ndi mayeso azithunzi chaka chilichonse.

Mankhwala omwe akuwonetsedwa kwambiri pochiza angiomyolipoma aimpso ndi ma immunosuppressants everolimus ndi sirolimus omwe, mwa zomwe amachita, amathandizira kuchepetsa kukula kwa chotupacho.

Komabe, ngati impso angiomyolipoma ndi yayikulu kuposa masentimita 4 kapena ngati imayambitsa zizindikilo zowopsa, kuwonetsedwa nthawi zambiri kumawonetsedwa, yomwe ndi njira yochepetsera kuthamanga kwa magazi ndikuthandizira kuchepetsa chotupacho. Kuphatikiza apo, opareshoni yochotsa chotupacho ndi gawo lomwe lakhudzidwa ndi impso zitha kuwonetsedwa kuti tipewe chotupacho kuti chisaphulike ndikupangitsa magazi.

Aimpso angiomyolipoma imatulutsa zizindikilo zotuluka magazi monga kutsika kwa magazi, khungu loyera ndikumva kukomoka, muyenera kupita kuchipatala nthawi yomweyo kuti mukatsimikizire matendawa, ndipo ngati kuli koyenera, mukachite opaleshoni mwadzidzidzi kuti muchepetse magazi a impso.

Zomwe zingayambitse

Zomwe zimayambitsa aimpso angiomyolipoma sizikudziwika bwino, koma kuyambika nthawi zambiri kumalumikizidwa ndi matenda ena, monga tuberous sclerosis. Mvetsetsani kuti tuberous sclerosis ndi chiyani komanso zizindikilo zake.

Mwambiri, aimpso angiomyolipoma amatha kukhala mwa aliyense, koma azimayi amatha kukhala ndi zotupa zazikulu chifukwa cha kusintha kwa mahomoni achikazi kapena kutulutsa kwa mahomoni panthawi yapakati.