He aha ka angiomyolipoma renal, he aha nā ʻōuli a pehea e mālama ai

Anter

• Nā hōʻailona nui
• Pehea e hōʻoia ai i ke kuhi
• Pehea e hana ai i ka lāʻau
• Nā kumu kūpono

ʻO ka angiomyolipoma renal kahi maʻi liʻiliʻi a maikaʻi ʻole e hoʻopili i nā puʻupaʻa a haku ʻia i ka momona, nā kīʻaha koko a me nā mākala. ʻAʻole i wehewehe pono ʻia nā kumu, akā hiki ke hoʻopili ʻia ke ʻano o kēia maʻi i nā loli a me nā maʻi ʻē aʻe i nā puʻupaʻa. ʻOiai ʻoi aku ka maʻamau angiomyolipoma i nā puʻupaʻa, hiki ke hana ʻia i nā mea ʻē aʻe o ke kino.

ʻO ka hapa nui o ka manawa, ʻaʻohe kumu angiomyolipoma o ka puʻupaʻa, akā inā ʻoi aku ka nui ma mua o 4 cm hiki ke hana i ke kahe ʻana i nā puʻupaʻa a i kēia mau hihia hoʻi e hōʻeha ka ʻeha o ke kua, kahe, hoʻonui ʻia ke koko a me ke koko i ka mimi.

Kuhi ʻia ka hōʻailona ma ka manawa maʻamau, ma hope o ka hana ʻana i nā hoʻokolohua kiʻi e noiʻi i kahi maʻi ʻē aʻe, a wehewehe ʻia ka lapaʻau e ka nephrologist ma hope o ka hōʻoia ʻana i ka nui o ka angiomyolipoma i nā puʻupaʻa.

Nā hōʻailona nui

I ka hapanui o nā hihia, ʻaʻohe o angiomyolipoma i hōʻailona. Eia nō naʻe, ke manaʻo ʻia ka angiomyolipoma nui, ʻo ia hoʻi, ʻoi aku ma mua o 4 cm, hiki iā ia ke hana i nā ʻōuli e like me:

• ʻEha ma ka ʻaoʻao ʻaoʻao o ka ʻōpū;
• Mimi koko;
• ʻO ka maʻi urinary pinepine;
• Hoʻonui i ke kahe o ke koko.

Eia kekahi, ʻoi aku ka pinepine o nā hōʻailona ke hana kēia ʻano tumo i ke kahe ʻana o ke kōkō. I nā ʻano hihia, hiki i nā ʻōuli ke kulu koke i ke kahe o ke koko, ʻeha nui loa i ka ʻōpū, maʻule a ʻili loa hoʻi i ka ʻili.

Pehea e hōʻoia ai i ke kuhi

E hōʻoia i ke kuhi o ka angiomyolipoma renal, e kauoha paha ka nephrologist i kekahi mau hōʻike kiʻi e like me angiography, ultrasound, tomography i helu ʻia a me ka resonance ʻume mākenēki.

ʻOi aku ka maʻalahi o ka ʻike ʻana i nā tumors o ka angiomyolipoma renal i ka wā e haku ʻia ai ka momona, a i nā manawa kahi momona momona a hemorrhage paha e paʻakikī e ʻike ma nā hōʻike kiʻi, noi paha ka nephrologist i kahi biopsy. E ʻike hou aʻe e pili ana i nā mea a pehea e hana ai ka biopsy.

Pehea e hana ai i ka lāʻau

Ma hope o ka hana ʻana i nā hoʻokolohua, e wehewehe ka nephrologist i ka lāʻau e like me nā ʻano o nā leona ʻiʻo. Ke liʻiliʻi ka tumo angiomyolipoma tumo ma mua o 4 cm, hana pinepine ʻia ka mālama ʻana me nā hōʻike kiʻi ʻana i kēlā me kēia makahiki.

ʻO nā lāʻau i hōʻike nui ʻia no ka mālama ʻana i ka angiomyolipoma renal ʻo ia nā immunosuppressants everolimus a me sirolimus, ma o kā lākou hana, kōkua e hōʻemi i ka nui o ka tumo.

Eia nō naʻe, inā ʻoi aku ka nui o ka angiomyolipoma o ka hakuʻala ma mua o 4 cm a i ʻole ke kumu o nā ʻōuli ʻoi loa, hōʻike pinepine ʻia ka embolization, kahi hana e hōʻemi ai i ke kahe o ke koko a kōkua i ka hōʻemi i ka tumo. Hoʻohui ʻia, ʻoki ʻia ke kīʻoki e hemo i ka tumo a me ka ʻāpana i hoʻopili ʻia o ka puʻupaʻa i mea e pale aku ai i kēia tumo mai ka wāwahi ʻana a me ke kahe ʻana o ke kahe.

Ke hana ka angiomyolipoma renal i nā hōʻailona koko e like me ke kahe o ke kahe o ke koko, ka ʻili keʻokeʻo a me ka nāwaliwali, pono ʻoe e hele koke i ka haukapila e hōʻoia i ka hōʻailona a, inā pono, e hana i kahi ʻoki kūpilikiʻi e hōʻoki i ke kahe o ke kōkō.

Nā kumu kūpono

ʻAʻole i wehewehe pono ʻia nā kumu o ka angiomyolipoma renal, akā pili pinepine ka hoʻomaka me kekahi maʻi ʻē aʻe, e like me ka sclerosis tuberous. Hoʻomaopopo he aha ka maʻi maʻi tuberous a me kāna mau ʻōuli.

Ma ka laulaha, hiki i ka angiomyolipoma renal ke ulu i kēlā me kēia, akā hiki i nā wahine ke hoʻomohala i nā tumors nui aʻe ma muli o ka hoʻololi ʻana o ka hormone wahine a i ʻole ka hoʻokuʻu ʻana o ka hormone i ka wā hāpai.