I-angiofibroma yentsha

I-juiile angiofibroma ukukhula okungeyona umdlavuza okubangela ukuphuma kwegazi emakhaleni nasezonweni. Kuvame ukubonakala kubafana nakwabesilisa abadala asebekhulile.

I-angiofibroma yentsha ayivamile kakhulu. Kuvame ukutholakala kubafana abasakhula. Isimila siqukethe imithambo yegazi eminingi futhi sisakazeka ngaphakathi kwendawo lapho siqale khona (ukuhlasela kwasendaweni). Lokhu kungadala ukulimala kwamathambo.

Izimpawu zifaka:

• Kunzima ukuphefumula ngamakhala
• Ukulinyazwa okulula
• Ukopha okuphuma kaningi noma okuphindiwe
• Ubuhlungu bekhanda
• Ukuvuvukala kwesihlathi
• Ukulahlekelwa ukuzwa
• Ukukhishwa kwamakhala, imvamisa kunegazi
• Ukopha isikhathi eside
• Impumu eminyene

Umhlinzeki wezokunakekelwa kwempilo angabona i-angiofibroma lapho ehlola umphimbo ongaphezulu.

Ukuhlolwa okungenziwa kufaka phakathi:

• I-Arteriogram ukubona ukunikezwa kwegazi ekukhuleni
• Ukuhlolwa kwe-CT kwezono
• Ukuskena kwe-MRI kwekhanda
• I-X-ray

I-Biopsy ngokuvamile ayinconywa ngenxa yengozi enkulu yokopha.

Uzodinga ukwelashwa uma i-angiofibroma ikhula ibe nkulu, ivimbe imigwaqo yomoya, noma ibangele ukuphuma kwamakhala okhipha amakhala. Kwezinye izimo, akukho ukwelashwa okudingekayo.

Kungadingeka ukuhlinzwa ukuze kususwe isimila. Isigaxa kungaba nzima ukusikhipha uma singafakwanga futhi sesinabele nakwezinye izindawo. Izindlela ezintsha zokuhlinza ezibeka ikhamera phezulu emakhaleni zenze ukuhlinzwa kokukhishwa kwesimila kungangenisi kakhulu.

Inqubo ebizwa ngokuthi i-embolization ingenziwa ukuvimbela isimila ekuphumeni kwegazi. Inqubo ingalungisa ukopha ngamakhala ngokwako, kepha kuvame ukulandela ukuhlinzwa ukuze kususwe isimila.

Yize ingenawo umdlavuza, ama-angiofibromas angaqhubeka nokukhula. Abanye banganyamalala bodwa.

Kuvamile ukuthi isimila sibuye emuva kokuhlinzwa.

Izinkinga zingafaka:

• Ukushoda kwegazi
• Ukucindezela ebuchosheni (kuyaqabukela)
• Ukusabalala kwesimila emakhaleni, ezonweni nakwezinye izakhiwo

Shayela umhlinzeki wakho uma uhlala une:

• Ukopha ngamakhala
• Ukuvaleka kwamakhala okuhlangothi olulodwa

Ayikho indlela eyaziwayo yokuvikela lesi simo.

Isimila ekhaleni; I-Angiofibroma - ingane; Isimila se-Benign nasal; I-angiofibroma yamantombazane acinene; I-JNA

• I-tuberous sclerosis, i-angiofibromas - ubuso

U-Chu WCW, u-Epelman M, u-Lee EY. I-Neoplasia. Ku: Coley BD, ed. I-Caffey's Pediatric Diagnostic Imaging. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2019: isahluko 55.

UHaddad J, uDodhia SN. Ukuphazamiseka okutholakele ekhaleni. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 405.

UNicolai P, uCastelnuovo P. Benign izimila zepheshana le-sinonasal. Ku: Flint PW, Haughey BH, Lund V, et al, ama-eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 48.

USnyderman CH, uPant H, uGardner PA. I-angiofibroma yentsha. Ku: Meyers EN, Snyderman CH, ama-eds. I-Otolaryngology Esebenzayo: Ukuhlinzwa Kwekhanda Nentamo. 3rd ed. IPhiladelphia, PA: Elsevier; 2018: isahluko 122.