Kuyini i-angiomyolipoma yezinso, yiziphi izimpawu nokuthi ungaphatha kanjani

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani
• Izimbangela ezingaba khona

I-renal angiomyolipoma iyisigaxa esingajwayelekile futhi esibi esithinta izinso futhi sakhiwa ngamafutha, imithambo yegazi nemisipha. Izimbangela azichazwa kahle, kepha ukuvela kwalesi sifo kungaxhunyaniswa nezinguquko zofuzo nezinye izifo ezinso. Yize i-angiomyolipoma ivame kakhulu ezinso, kungenzeka nakwezinye izitho zomzimba.

Isikhathi esiningi, i-renal angiomyolipoma ayizibangeli izimpawu, kepha uma inkulu kuno-4 cm ingadala ukopha ezinso futhi kulezi zimo kubuhlungu emuva, isicanucanu, umfutho wegazi okhuphukile negazi emchameni kungavela.

Ukuxilongwa kuvame ukwenzeka ngengozi, ngemuva kokwenza ukuhlolwa kwe-imaging ukuphenya esinye isifo, kanti ukwelashwa kuchazwa yi-nephrologist ngemuva kokuqinisekisa ubukhulu be-angiomyolipoma ezinso.

Izimpawu eziyinhloko

Ezimweni eziningi, i-angiomyolipoma ayibangeli zimpawu. Kodwa-ke, lapho i-angiomyolipoma ibhekwa njengenkulu, okungukuthi, enkulu kune-4 cm, ingaveza izimpawu ezifana nokuthi:

• Ubuhlungu esifundeni se-lateral sesisu;
• Umchamo onegazi;
• Ukutheleleka njalo komchamo;
• Ukwanda komfutho wegazi.

Ngaphezu kwalokho, izimpawu zivame kakhulu lapho lolu hlobo lwesimila lubangela ukopha ezinso. Ezimweni ezinjalo, izimpawu zingabandakanya ukwehla okungazelelwe kwengcindezi yegazi, ubuhlungu besisu obukhulu kakhulu, ukuzwa ukuquleka nesikhumba esiphaphathekile.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuqinisekisa ukutholakala kwe-angiomyolipoma yezinso, i-nephrologist inga-oda ezinye izivivinyo zemifanekiso efana ne-angiography, i-ultrasound, i-computed tomography kanye ne-resonance kazibuthe.

Izimila ze-angiomyolipoma ye-renal kulula ukuyixilonga uma iqukethe amafutha, futhi ezimweni lapho kunokuqukethwe okunamafutha aphansi noma ukopha okwenza kube nzima ukubona ezivivinyweni ze-imaging, i-nephrologist ingacela i-biopsy. Thola okuningi mayelana nokuthi kuyini nokuthi kwenziwa kanjani i-biopsy.

Yelashwa kanjani

Ngemuva kokwenza izivivinyo, i-nephrologist izocacisa ukwelashwa ngokuya ngezici zezilonda zezinso. Lapho isimila se-angiomyolipoma renal sincane kuno-4 cm, ukuqapha ukukhula kuvame ukwenziwa ngezivivinyo ze-imaging minyaka yonke.

Izidakamizwa ezikhonjiswe kakhulu ekwelapheni i-angiomyolipoma yezinso yi-immunosuppressants everolimus ne-sirolimus okuthi, ngesenzo sabo, kusize ukunciphisa usayizi wesimila.

Kodwa-ke, uma i-angiomyolipoma yezinso inkulu kuno-4 cm noma uma ibangela izimpawu ezinzima kakhulu, kuvame ukukhonjiswa, okuyinqubo yokwehlisa ukugeleza kwegazi nokusiza ukunciphisa isimila. Ngaphezu kwalokho, kungahlinzekwa ukuhlinzwa okususa isimila nengxenye ethintekile yezinso ukuze kuvinjelwe lesi simila ukuthi siphume futhi sidale ukopha.

Lapho i-renal angiomyolipoma idala izimpawu zokopha njengokuwa komfutho wegazi, isikhumba esiphaphathekile nokuzizwa uphela amandla, kufanele uye esibhedlela ngokushesha ukuze uqinisekise ukuxilongwa futhi, uma kunesidingo, uhlinzwe oluphuthumayo ukumisa ukopha ezinso.

Izimbangela ezingaba khona

Izimbangela ze-angiomyolipoma yezinso azichazwanga kahle, kepha ukuqala kuvame ukuhlotshaniswa nesinye isifo, njenge-tuberous sclerosis. Qonda ukuthi iyini i-tuberous sclerosis nezimpawu zayo.

Ngokuvamile, i-angiomyolipoma yezinso ingakhula kunoma ngubani, kepha abesifazane bangakhula izicubu ezinkulu ngenxa yokushintshwa kwehomoni yabesifazane noma ukukhishwa kwehomoni ngesikhathi sokukhulelwa.