Chiwindi cha chiwindi: chomwe chingakhale komanso nthawi yomwe ingawonetse khansa

Zamkati

• Kodi chingakhale chotupa pachiwindi
• 1. Zotupa ndi zotupa
• 2. Zowonongeka nodular hyperplasia
• 3. Hepatic hemangioma
• 4. Hepatic adenoma
• Pomwe mtanda ungakhale khansa
• Kodi hepatocellular carcinoma imatha liti
• Kodi ndi metastasis iti
• Zomwe mungachite ngati mukukayikira khansa

Nthawi zambiri, chotupa m'chiwindi chimakhala chosaopsa ndiye sichikhala chowopsa, makamaka ngati chimapezeka mwa anthu omwe alibe matenda a chiwindi, monga matenda a chiwindi kapena matenda a chiwindi, ndipo amapezeka mwangozi pakuwunika kozolowereka. Poterepa, nodule ikhoza kukhala chotupa chabe, chomwe ndi mtundu wa chikwama chokhala ndi zinthu zamadzimadzi zomwe zimatha kuyambitsidwa ndi tiziromboti, chotupa kapena choyambitsa ndi bakiteriya, mwachitsanzo. Pankhani ya zotupa zoyambitsidwa ndi tiziromboti kapena zotupa, nthawi zambiri zimafunikira chithandizo choyenera.

Nthawi zambiri, ma nodule oyipa samayambitsa zizindikilo, chifukwa chake, amafunika kuyesedwa pafupipafupi ndi mayeso monga tomography ndi kujambula kwa maginito, kuti adziwe ngati akukula. Izi zikachitika, ndipo chotupacho chikuwonjezeka kukula, chimatha kuyambitsa zizindikilo monga kupweteka kwa m'mimba ndikusintha kwam'mimba, momwemo ziyenera kuchotsedwa mwa opaleshoni. Pamene nodule akukayikira, kungakhale kofunikira kuti apange chidziwitso kuti adziwe bwinobwino.

Pankhani ya nodule yoyipa, nthawi zambiri imakhala metastasis ndipo imapezeka mwa anthu omwe ali ndi khansa kwina kulikonse, kapena ndi khansa ya chiwindi yomwe, yotchedwa hepatocellular carcinoma, yomwe imakonda kupezeka mwa anthu omwe ali ndi matenda a chiwindi. Pachifukwa ichi, nthawi iliyonse yomwe nodule ya chiwindi imawonekera mwa munthu wodwala matenda enaake, pamakhala mwayi wambiri wokhala khansa ndipo, chifukwa chake, munthu ayenera kupita kwa a hepatologist kuti akatsimikizire kuti ali ndi matendawa ndikuyamba chithandizo. Dziwani zambiri za chotupa cha chiwindi komanso momwe mungachiritse.

Kodi chingakhale chotupa pachiwindi

Maonekedwe a chotupa m'chiwindi amatha kukhala ndi zifukwa zingapo. Chofala kwambiri ndi ichi:

1. Zotupa ndi zotupa

Nthawi zambiri chotupa m'chiwindi chimangokhala chotupa. Ziphuphu nthawi zambiri zimakhala zosavuta, zosaopsa ndipo sizimayambitsa zizindikiro motero sizimafunikira chithandizo. Ngati zimayambitsidwa ndi majeremusi, zimatha kuyambitsa zizindikilo ndipo zimafunikira kuchotsedwa ndi maopareshoni kapena ngalande zomwe zili mkatimo. Kawirikawiri, pali zotupa zomwe zimakhudzana ndi matenda amtunduwu, ndiye kuti, omwe amabadwa ndi munthuyo, ndipo nthawi zambiri amakhala ochulukirapo. Pachifukwa ichi, kuziika ndi mankhwala omwe akuwonetsedwa kwambiri. Nthawi zina, pamakhala zodandaula zambiri zam'mimba, zomwe zimayenera kuthandizidwa mwachangu.

Noduloyo amathanso kukhala chotupa, chomwe chimafunikira chithandizo cha maantibayotiki kapena pamapeto pake chimakhetsedwa kapena kukonzedwa ndi singano.

Pankhani ya zotupa ndi zotupa, tomography, maginito ojambula zithunzi ndi ultrasound nthawi zambiri amakhala okwanira kuti apeze matendawa motero amalola kuti azimayi asankhe mankhwala oyenera kwambiri. Dziwani zambiri za chotupa cha chiwindi ndi chotupa cha chiwindi.

2. Zowonongeka nodular hyperplasia

Uwu ndi mutu wachiwiri wofala kwambiri wa chiwindi, womwe umakonda kwambiri azimayi azaka zapakati pa 20 ndi 50. Nthawi zambiri sizimayambitsa zizindikiro, kupezeka pamayeso wamba. Hyperplasia iyi ilibe mwayi wambiri wakupha, chifukwa imangofunika kutsatiridwa ndi mayeso ngati ultrasound, tomography kapena magnetic resonance. Kugwiritsa ntchito mapiritsi kumatha kulimbikitsa kukula kwake, ngakhale sizomwe zimayambitsa chotupacho, chifukwa chake amayi omwe amamwa mapiritsi nthawi zambiri amatsata miyezi isanu ndi umodzi kapena khumi ndi iwiri.

Chithandizo cha opareshoni chimalimbikitsidwa pakakhala zizindikilo, kukayikira pazidziwitso ngakhale mayeso, kapena ngati pali kukayikira kuti ndi adenoma, yomwe imatha kukhala ndi chiopsezo chachikulu kapena zovuta. Mvetsetsani bwino chomwe chimayang'ana nodular hyperplasia.

3. Hepatic hemangioma

Hemangioma ndimatenda obadwa nawo am'mitsempha yamagazi, ndiye kuti, amabadwa ndi munthuyo ndipo ndiye chotupa chofala kwambiri cha chiwindi. Nthawi zambiri amapezeka mwangozi pamayeso wamba, popeza ambiri samapereka zisonyezo.

Matendawa nthawi zambiri amapangidwa ndi ultrasound, tomography kapena MRI, ndipo ngati mpaka 5 cm, palibe chithandizo kapena kutsatira ndikofunikira. Komabe, ikatha kukula kupitirira masentimita asanu, kutsata kumayenera kuchitika miyezi isanu ndi umodzi iliyonse mpaka chaka chimodzi. Nthawi zina zimatha kukula msanga ndikupondereza kapisozi wa chiwindi kapena zina, zimayambitsa kupweteka ndi zizindikilo zina, kapena zimatha kuwonetsa zilonda, ndipo ziyenera kuchotsedwa ndi opareshoni.

Osewera nkhonya, osewera mpira komanso azimayi omwe akufuna kukhala ndi pakati, komanso omwe ali ndi ma hemangiomas akulu, ngakhale alibe zisonyezo, ali pachiwopsezo chotuluka magazi kapena kutuluka kwa hemangioma, zomwe ndizovuta kwambiri, chifukwa chake, ayenera kuchitidwa opaleshoni kuti achotse. Munthu akakhala ndi hemangioma yayikulu ndikumva kuwawa, kupweteka mwadzidzidzi komanso kutsika kwa magazi, ayenera kupita kuchipatala kuti akamuwunike, chifukwa iyi ndiimodzi mwazomwezi.

Werengani zambiri za hemangioma, momwe mungatsimikizire ndi njira zamankhwala.

4. Hepatic adenoma

Adenoma ndi chotupa chosaopsa cha chiwindi, chomwe chimakhala chosowa kwambiri, koma chimafala kwambiri kwa azimayi azaka zapakati pa 20 ndi 40, popeza kugwiritsa ntchito mapiritsi kumawonjezera mwayi wopanga nawo. Kuphatikiza pa mapiritsi, kugwiritsa ntchito anabolic steroids ndi matenda ena amtundu wa glycogen kudzikundikira kumathandizanso kukulitsa mwayi wakukula.

Adenoma nthawi zambiri imapezeka pamayeso chifukwa chodandaula zam'mimba kapena, ngati mwangozi mumayesa mayeso. Matendawa amatha kupangidwa ndi ultrasound, tomography kapena resonance, yomwe imalola kusiyanitsa adenoma ndi focal nodular hyperplasia kuchokera ku khansa ya chiwindi, mwachitsanzo.

Monga momwe zimakhalira nthawi zambiri adenoma imakhala yosakwana masentimita 5 ndipo imakhala ndi chiopsezo chochepa cha khansa ndi zovuta monga kutuluka magazi kapena kuphulika, safuna chithandizo ndipo imangotsatiridwa ndikumayesedwa pafupipafupi, komwe kumafunika kusamba zimachitika pachaka. Adenomas opitilira 5 cm, komano, ali pachiwopsezo chachikulu chazovuta kapena kukhala khansa, ndipo amayenera kuchotsedwa ndi opaleshoni. Mvetsetsani bwino za chiwindi adenoma ndi zovuta zake.

Pomwe mtanda ungakhale khansa

Pamene munthuyo alibe mbiri ya matenda a chiwindi, nodule nthawi zambiri amakhala owopsa ndipo samayimira khansa. Komabe, ngati pali kale matenda a chiwindi, monga chiwindi kapena matenda a chiwindi, pamakhala mwayi wambiri kuti nthendayi itha kukhala khansa, yotchedwa hepatocellular carcinoma.

Kuphatikiza apo, noduleyo imawonekeranso chifukwa chakupezeka kwa khansa pamalo ena, kuyimira metastasis ya khansa inayo.

Kodi hepatocellular carcinoma imatha liti

Cirrhosis yoledzeretsa ndi matenda a chiwindi ndi matenda akulu a chiwindi omwe amatsogolera ku hepatocellular carcinoma. Chifukwa chake, ndikofunikira kwambiri kuti kutsatira koyenera kwa hepatologist kuchitidwe, pakakhala chiopsezo chotenga matendawa, kuti muchepetse mwayi wa khansa.

Chifukwa chake, ngati munthu ali ndi:

• Mbiri ya kuthiridwa magazi;
• Mphini;
• Kubayira jakisoni mankhwala;
• Kumwa mowa;
• Mbiri ya banja yamatenda aakulu a chiwindi monga cirrhosis.

Mutha kukhala pachiwopsezo chodwala matenda a chiwindi komanso / kapena khansa, ndipo tikulimbikitsidwa kuti mukawone katswiri wa chiwindi kuti awone mwayi wokhala ndi matenda a chiwindi ndikuyamba chithandizo choyenera, ngati kuli kofunikira.

Kodi ndi metastasis iti

Chiwindi ndi malo wamba omwe ma metastases amawonekera, makamaka ngati pali khansa ina yam'mimba, monga m'mimba, kapamba ndi kholingo, komanso khansa ya m'mawere kapena m'mapapo.

Nthawi zambiri munthuyo samakhala ndi zizindikilo zilizonse akazindikira kuti khansara yayamba kale kufalikira, nthawi zina zisonyezo zosadziwika monga kupweteka m'mimba, malaise, kufooka komanso kuwonda popanda chifukwa chingakhale chisonyezero chokha cha khansa.

Onani mitundu iti ya khansa yomwe imatha kuyambitsa metastases ya chiwindi.

Zomwe mungachite ngati mukukayikira khansa

Munthuyo akakhala ndi zizindikiro monga kutupa m'mimba, kutuluka magazi m'mimba, kusintha kwamaganizidwe, maso achikaso ndi khungu kapena kuwonda popanda chifukwa, zikuwoneka kuti pali matenda ena a chiwindi kapena khansa ya chiwindi. Nthawi zina zizindikirazo sizimadziwika kwenikweni, monga kufooka komanso kuwonda popanda chifukwa, koma zitha kukhala chizindikiro chokhacho cha khansa.

Chifukwa chake, munthuyo akakhala ndi madandaulo amtunduwu, ayenera kupita kwa a hepatologist kapena asing'anga, omwe akapange mayeso oyenera, ndi mayeso ena kuti amvetsetse komwe khansayo idachokera ndipo, kuchokera pamenepo, akawonetsa chithandizo choyenera kwambiri .

Chithandizocho chimadalira ngati khansara ikuchokera pachiwindi kapena ngati imayambitsa matenda. Ngati ndi metastasis, zidzakhala molingana ndi mtundu wa khansa yomwe idayambira. Pankhani ya khansa ya chiwindi, mankhwala amatha kuchiritsa, akakhala ochepa ndipo atha kuchotsedwa, kapena ngati mungayike chiwindi, koma nthawi zina, khansara itakula kwambiri ndipo mankhwalawo sangatheke, zimangochepetsa kukula kwa khansa motero kupititsa patsogolo moyo wa munthuyo kwanthawi yayitali.