Isimila sesibindi: siyini, izimpawu nokuthi ukwelashwa kwenziwa kanjani

-Delile

• Yini engaba isimila esibindini
• Izimpawu nezimpawu zesimila sesibindi
• Yelashwa kanjani
• Ukuhlinzwa kwesimila sesibindi
• Ingabe iyelapheka isimila sesibindi?

Isimila sesibindi sibonakala ngokuba khona kwesisindo kulesi sitho, kepha lokhu akusona isibonakaliso somdlavuza ngaso sonke isikhathi. Ubuningi besibindi buvame kakhulu kwabesilisa nabesifazane futhi kungasho i-hemangioma noma i-hepatocellular adenoma, okuyizicubu ezinobungozi. Kodwa-ke, yize bengewona umdlavuza kungadala ukwandiswa kwesibindi noma ukuphuma kwegazi.

Ukwelashwa kuya ngezimpawu ezethulwe ngumuntu nobukhulu besimila, futhi kungakhonjiswa ngudokotela kuphela ngokubheka ukuvela kwesimila nezimpawu noma ukuhlinzwa ukuze kususwe isimila noma ingxenye yesibindi. Isimila sesibindi siyelapheka uma sikhonjwe kusenesikhathi futhi selashwa ngokuya ngezeluleko zokwelashwa.

Yini engaba isimila esibindini

Izimila esibindini zingaba nobungozi noma zibe yingozi. AmaBenigns awasabalali afinyelele kwesinye isifunda somzimba, angabi yingozi empilweni futhi angaba:

• IHemangioma: yisona isimila sesibindi esivame ukwedlula sonke futhi sifana nesicubu esincane esakhiwa uthotho lwemithambo yegazi engabangeli zimpawu. Yazi ukuthi yini i-hemangioma nokuthi ingaba nzima nini.
• I-hyperplasia ye-nodular ejwayelekile: imbangela yalesi sifo esinobungozi ayiqondakali kahle, noma kunjalo kungenzeka ukuthi ihlobene nezinguquko ekugelezeni kwegazi.
• I-hepatic adenoma: kuvame kakhulu kwabesifazane abaphakathi kweminyaka engama-20 nengama-50 futhi kuvame ukubangelwa ukusetshenziswa isikhathi eside kwezindlela zokuvimbela inzalo zomlomo. Bona ukuthi ukuxilongwa kwesibindi i-adenoma nezinkinga ezikhona kungenzeka kanjani.

Izicubu ezinobungozi zidala izimpawu futhi imvamisa ziwumphumela wemetastasis evela kumdlavuza wamathumbu, ngokwesibonelo. Izicubu eziyingozi zesibindi yilezi:

• I-hepatocellular carcinoma noma i-hepatocarcinoma: luhlobo oluvame kakhulu lomdlavuza wesibindi oyinhloko, lunolaka kakhulu futhi luvela kumaseli akha isibindi, ama-hepatocyte;
• I-angiosarcoma yesibindi: yisimila samaseli esigudla udonga lwemithambo yegazi esesibindi futhi kwenzeka ngenxa yokuchayeka ezintweni ezinobuthi, njenge-vinyl chloride;
• I-Cholangiocarcinoma: wuhlobo lwesimila oluvela emigudwini yenyongo futhi luvame ukuvela kubantu abaphakathi kweminyaka engama-60 nengama-70 ubudala;
• I-hepatoblastoma: uhlobo olungajwayelekile lwesimila esibindini, luvame ukwenzeka ezinganeni ezineminyaka engaphansi kwemi-3 ubudala futhi lukhuthaze ukukhiqizwa kwehomoni (hCG), esheshisa inqubo yokuthomba, eheha ukuthomba kwasekuqaleni.

Abantu abanamafutha esibindi sabo, abane-cirrhosis yesibindi noma abasebenzisa i-anabolic steroids basengozini yokuthola isimila esibi esibindini sabo. Yazi ukuthi ungazibona kanjani izimpawu zomdlavuza wesibindi.

Izimpawu nezimpawu zesimila sesibindi

Izicubu zesibindi seBenign ngokuvamile azibangeli zimpawu futhi zivame ukutholakala ekuhlolweni okujwayelekile. Ngakolunye uhlangothi, abalimazayo banezimpawu ezithile ezinjengalezi:

• Ubukhona besisindo esiswini;
• Ubuhlungu besisu noma ukungahambi kahle;
• Ukopha esibindini;
• Ukwehla kwesisindo;
• Isisu esivuvukile;
• Malaise;
• Isikhumba esiphuzi namehlo.

Lapho nje izimpawu sezitholakele, udokotela ojwayelekile noma udokotela wesifo se-hepatologist angacela ukusebenza kwezinye izivivinyo zokucabanga zokuxilonga, njenge-ultrasound, i-computed tomography noma i-magnetic resonance imaging ukuqinisekisa ukuxilongwa. Kwezinye izimo, kungadingeka ukwenza i-biopsy ukwenza ukuxilongwa.

Endabeni yezicubu ezinobungozi, lezi zivivinyo zivame ukucelwa ukuthi ziphenye noma yisiphi esinye isimo esingahlobene nesibindi. Ukuhlolwa kwegazi ezimweni eziningi akubonisi ukuvela kwalezi zinhlobo zamathumba, ngoba imisebenzi yesibindi ejwayelekile ihlala ijwayelekile noma iphakeme kancane.

Yelashwa kanjani

Ukwelashwa kwesimila sesibindi kuncike ezintweni eziningi, kepha kungafaka ukuvezwa ngemisebe futhi kwesinye isikhathi ukuhlinzwa kungadingeka ukukhipha isimila noma ingxenye ebucayi yesibindi. Ukusetshenziswa kwezidumba zezimila zesibindi akuvamisile ukukhonjiswa, njengoba ingxenye yenqubo yokwenziwa kwemithi yenziwa esibindini futhi lapho lesi sitho sonakele kungahle kungabi khona ukugcwala kwesidakamizwa okulungile noma kungadala ukulimala komzimba. Kubalulekile ukufuna ukuqondiswa kudokotela ojwayelekile noma i-hepatologist ukuthola ukuholwa okuqonde ngokwengeziwe maqondana nokwelashwa.

Ukuhlinzwa kwesimila sesibindi

Ukuhlinzwa kwesimila sesibindi kudinga i-anesthesia ejwayelekile futhi lowo muntu kumele ahlale esibhedlela izinsuku ezimbalwa noma amasonto. Ngokuya ngohlobo lwesimila nobukhulu baso, udokotela angakhetha ukungakuhlinzeki.

Kwezinye izimo, udokotela angakhetha ukungasigudluli isimila noma isibindi, kodwa ukubona ukuvela kwesimila bese ethatha isinqumo sokungenelela kokuhlinzwa lapho isimila singaphazamisa ukusebenza kwesitho. Ngakho-ke, udokotela angakhetha ukususa isimila noma ingxenye yesibindi ukuxazulula isimo somtholampilo sesiguli.

Ingabe iyelapheka isimila sesibindi?

Isimila sesibindi siyelapheka lapho isifo sitholakale kusenesikhathi futhi silashwa kahle. Inkomba ye-radiotherapy, i-chemotherapy noma yokuhlinzwa izoncika esimweni sesimila, noma ngabe sithuthukile noma cha futhi nasempilweni yomuntu jikelele.