I-hepatic adenoma: kuyini, ukuxilongwa nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ukuxilongwa kwenziwa kanjani
• Yelashwa kanjani
• Izinkinga ezingenzeka

I-hepatic adenoma, eyaziwa nangokuthi i-hepatocellular adenoma, uhlobo olungajwayelekile lwesimila esiyingozi sesibindi esikhiqizwa ngamazinga e-hormone ashintshiwe ngakho-ke kuvame kakhulu ukuvela kubantu besifazane abaphakathi kweminyaka engama-20 nengama-50, ngemuva kokukhulelwa noma ukusetshenziswa isikhathi eside kwezindlela zokuvimbela inzalo ngomlomo, isibonelo.

Imvamisa, i-adenoma yesibindi ayizivezi izimpawu, ngakho-ke cishe njalo kutholakala ngengozi ngesikhathi se-CT scan noma i-ultrasound ukuzama ukuthola enye inkinga.

Njengoba ingathí sina futhi ithathwa njengesimila esibi, i-adenoma ngokuvamile ayidingi uhlobo oluthile lokwelashwa, kunconywa kuphela ukuthi uhlale uqaphile ngezivivinyo ezijwayelekile, ngoba, yize iphansi kakhulu, kunengozi yokuba yimbi noma ukuqhuma, okubangela ukopha ngaphakathi.

Izimpawu eziyinhloko

Ezimweni eziningi, i-hepatic adenoma ayibangeli zimpawu, noma kunjalo, abanye abantu bangabika ukutholakala kobuhlungu obumnene nokuhlala njalo endaweni ephezulu yesisu.

Yize kuyivelakancane, i-adenoma ingaqhuma futhi yophele emgodini wesisu. Ezimweni ezinjalo, kujwayelekile ukuzwa ubuhlungu besisu obuqine kakhulu futhi obungazelelwe, obungathuthuki futhi obuhambisana nezinye izimpawu zokushaqeka kokopha njengokunyuka kwenhliziyo, ukuzwa ukuquleka noma ukujuluka okweqile. Uma i-adenoma kusolwa ukuthi iqhume, kungakuhle ukuthi uye esibhedlela ngokushesha ukumisa ukopha.

Yazi ezinye izimpawu ezingakhombisa ukushaqeka kokopha.

Ukuxilongwa kwenziwa kanjani

I-hepatocellular adenoma ivame ukukhonjwa ngesikhathi sokuhlolwa ukuze kutholakale enye inkinga futhi, ngakho-ke, uma lokhu kwenzeka, kunconywa ukuthi uthintane nodokotela we-hepatologist ukwenza ukuhlolwa okuthe xaxa futhi uqinisekise ubukhona be-adenoma. Izivivinyo ezisetshenziswa kakhulu zifaka i-ultrasound, i-magnetic resonance noma i-computed tomography.

Phakathi nalezi zivivinyo, udokotela uyakwazi futhi ukubona uhlobo lwe-adenoma yesibindi ukuze aqondise kangcono ukwelashwa:

• Ukuvuvukala: yiyona evame kakhulu futhi inezinga eliphakeme lokuphuka;
• Ukuguqulwa kwe-HNF1α: luhlobo lwesibili oluvame kakhulu, kune-adenoma engaphezu kweyodwa evela esibindini;
• Ukuguqulwa kwe-Ss-catenin: akuvamile futhi kuvela ikakhulukazi emadodeni asebenzisa ama-anabolic steroids;
• Akuhlukanisekil: Luhlobo lwesimila olungafakwa kunoma yiluphi olunye uhlobo.

Imvamisa udokotela uncoma kuphela ukuqapha ubukhulu besimila, noma kunjalo, esimweni sokuvuvukala, ngokwesibonelo, uma kungaphezu kuka-5 cm, udokotela angakhetha ukuhlinzwa ukuze asisuse ngokuphelele.

Yelashwa kanjani

Njengoba i-hepatic adenoma icishe ibe nobungozi, indlela eyinhloko yokwelashwa wukuqapha ubukhulu bayo njalo, kusetshenziswa izivivinyo ezifana ne-computed tomography, imaging resonance imaging noma i-ultrasound nje. Kodwa-ke, uma i-adenoma ivela kowesifazane osebenzisa izinto zokuvimbela inzalo, udokotela angaluleka ukuthi ayeke ukusetshenziswa kwakhe futhi akhethe enye indlela yokuvimbela inzalo, ngoba ukusetshenziswa kwepilisi kungenzeka kube nomthelela ekukhuleni kwesimila. Kuyafana nakubantu abasebenzisa uhlobo oluthile lwe-anabolic, ngokwesibonelo.

Uma isimila sikhula ngokuhamba kwesikhathi noma uma singaphezu kuka-5 cm, kunengozi enkulu yokwazi ukuqhuma noma ukuthuthukisa umdlavuza ngakho-ke, kujwayelekile ukuthi udokotela ancoma ukuhlinzwa ukuze kususwe isilonda futhi kusivimbele ukuba sivele izinkinga. Lokhu kuhlinzwa kuvame ukuba lula futhi kunengozi encane, kwenziwa ngaphansi kwe-anesthesia ejwayelekile esibhedlela. Ukuhlinzwa kungabuye kwelulekwe nabesifazane abacabanga ukukhulelwa, njengoba kunengozi enkulu ye-adenoma ebangela izinkinga ngesikhathi sokukhulelwa.

Uma i-adenoma idabukile, ukwelashwa okusetshenzisiwe nakho kungukuhlinzwa, ukunqanda ukopha nokususa isilonda. Kulezi zimo, ukwelashwa kufanele kuqalwe ngokushesha okukhulu ukuvimbela ukulahleka kwegazi okukhulu, okungasongela impilo.

Izinkinga ezingenzeka

Kunezinkinga ezimbili eziyinhloko ze-adenoma ye-hepatic:

• Ukuphazamiseka: kwenzeka lapho kuqhuma izindonga ngenxa yesayizi eyeqile noma ukuhlukumezeka okuqondile esibindini, isibonelo. Uma lokhu kwenzeka, isimila sopha emgodini wesisu, okuholela ekopheni kwangaphakathi, okubeka impilo engcupheni. Kulezi zimo, kujwayelekile ukuzwa ubuhlungu obukhulu kakhulu nokuzuma esiswini. Uma lokhu kwenzeka, kubaluleke kakhulu ukuya esibhedlela ngokushesha ukuqala ukwelashwa.
• Ukuthuthukiswa komdlavuza: kuyinkinga eyivelakancane, kepha kungenzeka lapho isimila siqhubeka nokukhula, sikwazi ukuguquka sibe isimila esibi, esaziwa njenge-hepatocellular carcinoma. Kulezi zimo, kubalulekile ukwenza ukuxilongwa kusenesikhathi ukwandisa amathuba okuphulukiswa. Funda kabanzi ngalolu hlobo lwesimila nokuthi liphathwa kanjani.

Lezi zinkinga zivame kakhulu kumathumba amakhulu kune-5 cm, ngakho-ke, ukwelashwa cishe kwenziwa njalo ngokuhlinzwa ukuze kususwe isilonda, kepha-ke, kungenzeka futhi kwizicubu ezincane, ngakho-ke kubaluleke kakhulu ukugcina ukubukwa okujwayelekile ku-hepatologist .