Chotupa cha chiwindi: chimene chiri, zizindikiro ndi momwe mankhwala amachitikira

Zamkati

• Kodi chingakhale chotupa pachiwindi
• Zizindikiro za chotupa cha chiwindi
• Momwe mankhwalawa amachitikira
• Opaleshoni ya chotupa cha chiwindi
• Kodi chotupa cha chiwindi chimachiritsidwa?

Chotupa cha chiwindi chimadziwika ndi kukhalapo kwa misa m'chiwalo ichi, koma sizimakhala chizindikiro cha khansa nthawi zonse. Matenda a chiwindi amapezeka kwambiri mwa abambo ndi amai ndipo amatha kutanthauza hemangioma kapena hepatocellular adenoma, omwe ndi zotupa zoyipa. Komabe, ngakhale si khansa amatha kuyambitsa kukulitsa chiwindi kapena kutuluka magazi.

Chithandizo chimadalira zizindikilo za munthuyo komanso kukula kwa chotupacho, ndipo atha kuwonetsedwa ndi dokotala pokhapokha atawona kusintha kwa chotupacho ndi zizindikilo zake kapena opaleshoni yochotsa chotupacho kapena gawo la chiwindi. Chotupa cha chiwindi chimatha kuchiritsidwa ngati chimadziwika msanga ndikuchiritsidwa malinga ndi upangiri wa zamankhwala.

Kodi chingakhale chotupa pachiwindi

Zotupa m'chiwindi zimatha kukhala zoyipa kapena zoyipa. Benigns samafalikira kudera lina la thupi, sangakhale pachiwopsezo chaumoyo ndipo akhoza kukhala:

• Hemangioma: Ndi chotupa chofala kwambiri cha chiwindi ndipo chimafanana ndi tinthu tating'onoting'ono tomwe timapangidwa ndimitsempha yamagazi yomwe imayambitsa matenda. Dziwani kuti hemangioma ndi chiyani ndipo ndi nthawi iti yomwe ingakhale yovuta.
• Zowonjezera nodular hyperplasia: chifukwa cha chotupa chosaopsa ichi sichimveka bwino, komabe mwina chingakhale chokhudzana ndi kusintha kwa magazi.
• Hepatic adenoma: ndiofala kwambiri mwa azimayi azaka zapakati pa 20 ndi 50 ndipo nthawi zambiri amayamba chifukwa chogwiritsa ntchito njira zolera kwa nthawi yayitali. Onani momwe matenda a chiwindi adenoma ndi zovuta zomwe zimachitika zimapangidwa.

Zotupa zoyipa zimayambitsa zizindikilo ndipo nthawi zambiri zimakhala chifukwa cha metastasis kuchokera ku khansa yamatumbo, mwachitsanzo. Zotupa zazikulu zoyipa m'chiwindi ndi izi:

• Hepatocellular carcinoma kapena hepatocarcinoma: ndiwo mtundu wofala kwambiri wa khansa ya chiwindi, umakhala wankhanza kwambiri ndipo umachokera m'maselo omwe amapanga chiwindi, ma hepatocyte;
• Angiosarcoma ya chiwindi: Ndi chotupa chamaselo chomwe chimayala khoma lamitsempha yamagazi lomwe lili m'chiwindi ndipo zimachitika chifukwa chokhudzana ndi zinthu zowopsa, monga vinyl chloride;
• Cholangiocarcinoma: ndi mtundu wa chotupa chomwe chimayambira m'mimbulu ya bile ndipo nthawi zambiri chimapezeka mwa anthu azaka zapakati pa 60 mpaka 70;
• Hepatoblastoma: ndi chotupa chosowa m'chiwindi, chomwe chimapezeka mwa ana ochepera zaka zitatu ndipo chimapangitsa kuti mahomoni azipanga (hCG), omwe amachepetsa msinkhu, kutha msinkhu.

Anthu omwe ali ndi mafuta m'chiwindi chawo, ali ndi chiwindi cha chiwindi kapena amagwiritsa ntchito anabolic steroids ali pachiwopsezo chotenga chotupa chowopsa m'chiwindi chawo. Dziwani momwe mungadziwire zizindikiro za khansa ya chiwindi.

Zizindikiro za chotupa cha chiwindi

Zotupa za chiwindi cha Benign nthawi zambiri sizimayambitsa zizindikiro ndipo nthawi zambiri zimangopezeka pakuwunika. Zoipa, komano, zimakhala ndi zizindikiro monga:

• Kukhalapo kwa m'mimba;
• Kupweteka m'mimba kapena kusapeza;
• Magazi pachiwindi;
• Kuwonda;
• Mimba yotupa;
• Malaise;
• Khungu lachikaso ndi maso.

Zizindikiro zikangodziwika, dokotala kapena hepatologist atha kupempha kuti agwiritse ntchito mayeso ena azidziwitso, monga ultrasound, computed tomography kapena kujambula kwa maginito kutsimikizira kuti ali ndi matendawa. Nthawi zina, pangafunike kupanga biopsy kuti adziwe matendawa.

Pankhani ya zotupa zabwino, mayeserowa nthawi zambiri amafunsidwa kuti akafufuze zina zilizonse zosagwirizana ndi chiwindi. Kuyesedwa kwa magazi nthawi zambiri sikuwonetsa kupezeka kwa zotupa izi, chifukwa magwiridwe antchito a chiwindi amakhalabe abwinobwino kapena okwera pang'ono.

Momwe mankhwalawa amachitikira

Chithandizo cha chotupa cha chiwindi chimadalira pazinthu zambiri, koma chitha kuphatikizira kuwonekera kwa radiation ndipo nthawi zina kuchitidwa opaleshoni kumafunika kuchotsa chotupacho kapena gawo lomwe lawonongeka pachiwindi. Kugwiritsa ntchito mankhwala kwa zotupa za chiwindi nthawi zambiri sikukuwonetsedwa, chifukwa gawo la mankhwalawa limagwiritsidwa ntchito m'chiwindi ndipo chiwalochi chikasokonekera sipangakhale kusakanikirana koyenera kwa mankhwalawo kapena kungawononge chiwalo. Ndikofunikira kufunafuna chitsogozo kuchokera kwa dokotala kapena hepatologist kuti akuwongolereni bwino za chithandizo chamankhwala.

Opaleshoni ya chotupa cha chiwindi

Opaleshoni ya chotupa pachiwindi imafunikira mankhwala ochititsa dzanzi ndipo munthuyo ayenera kukhala mchipatala masiku kapena milungu ingapo. Kutengera mtundu wa chotupa ndi kuuma kwake, adokotala angasankhe kuti asamachite opaleshoniyo.

Nthawi zina, adotolo angasankhe kuti asasunthitse chotupacho kapena chiwindi, koma kuti awone momwe chotupacho chasinthira ndikusankha kuchita opaleshoni pomwe chotupacho chitha kusokoneza kugwira ntchito kwa chiwalocho. Chifukwa chake, adotolo angasankhe kuchotsa chotupacho kapena gawo la chiwindi kuti athetse vuto la wodwalayo.

Kodi chotupa cha chiwindi chimachiritsidwa?

Chotupa cha chiwindi chimatha kuchiritsidwa matendawa akapezeka msanga ndikuthandizidwa moyenera. Chizindikiro cha radiotherapy, chemotherapy kapena opaleshoni chimadalira momwe chotupacho chimakhalira, kaya chapita patsogolo kapena ayi komanso thanzi la munthu.