ʻO ka nodule ate: he aha ia a i ka manawa e hōʻike ai i ka maʻi ʻaʻai

Anter

• He aha ka puʻupuʻu i ke ake
• 1. ʻO nā cyst a me nā abscesses
• 2. Hoʻopaʻa nodular hyperplasia
• 3. Hepatic hemangioma
• 4. Hepatic adenoma
• I ka maʻi ʻaʻai paha ka pūpū
• Āhea hiki ia he hepatocellular carcinoma
• Āhea hiki ke metastasis
• He aha kāu e hana ai inā kānalua ʻoe i ka maʻi ʻaʻai

I ka hapanui o nā hihia, he benign ka puʻupuʻu ma ke akepaʻa a no laila ʻaʻole makaʻu, keu hoʻi ke ʻike ʻia i ka poʻe me ka ʻole o ka maʻi akepau e ʻike ʻia, e like me cirrhosis a i ʻole hepatitis, a loaʻa hewa ʻole ʻia i nā hoʻokolohua maʻamau. I kēia hihia, he cyst wale paha ka nodule, kahi ʻano sachet me ka ʻike wai e hiki ke kumu ʻia e nā parasites, kahi abscess a i ʻole hoʻokumu ʻia e nā bacteria. I ke kumu o nā cista i hoʻokumu ʻia e nā parasite a i ʻole nā ​​abscesses, pono lākou i ka mālama kūpono.

ʻO ka mea maʻamau, ʻaʻole nā ​​nodule benign e hoʻokumu i nā ʻōuli a, no laila, pono e loiloi pinepine ʻia me nā hoʻokolohua e like me ka tomography a me ke kiʻi paʻi resonance, e ʻike ai ke ulu nei lākou i ka nui. Inā kū kēia, a hoʻonui ka puʻupuʻu i ka nui, hiki iā ia ke kumu i nā ʻōuli e like me ka ʻeha o ka ʻōpū a me nā loli digestive, a ma ia hihia pono lākou e hemo e ke ʻoki. Ke manaʻo ʻia ka nodule, pono paha e hana i kahi biopsy e hana i ka ʻike definitive.

I ke kumu o kahi nodule malignant, he metastasis paha ia a loaʻa i nā poʻe me ka maʻi ʻaʻai ma nā wahi ʻē aʻe, a i ʻole he maʻi ʻaʻai ia o ke ake ponoʻī, i kapa ʻia he hepatocellular carcinoma, ka mea maʻamau e ʻike ʻia i ka poʻe me nā maʻi ate. No kēia kumu, i kēlā me kēia manawa ke hōʻike ʻia kahi nodule ate i ke kanaka me ka cirrhosis, nui nā manawa o ka maʻi ʻaʻai a, no laila, pono e hele kekahi i ka hepatologist e hōʻoia i ka hōʻoia a hoʻomaka i ka lāʻau. E aʻo hou aʻe e pili ana i ka tumora ate a pehea e mālama ai.

He aha ka puʻupuʻu i ke ake

Hiki ke loaʻa i nā hiʻohiʻona o kahi puʻupuʻu i ke ake he mau kumu. ʻO ka mea maʻamau e hoʻopili ʻia:

1. ʻO nā cyst a me nā abscesses

ʻO nā hihia he nui o ka puʻupuʻu i ke akepaʻa he cyst wale nō. Maʻalahi ka poʻe cist, maikaʻi a kumu ʻole nā ​​ʻōuli a no laila ʻaʻole pono ka lāʻau. Ke hoʻokumu ʻia e nā parasites, hiki iā lākou ke kumu i nā ʻōuli a pono e hemo e ke ʻoki a i ʻole ke kahe o kā lākou mea. ʻOi aku ka liʻiliʻi, aia nā cist e pili ana i nā maʻi genetical, ʻo ia hoʻi, i hānau ʻia me ke kanaka, a ʻo ka mea maʻamau i nā helu nui. I kēia hihia, ʻo ke transplantation ka lāʻau i hōʻike nui ʻia. I nā manawa ʻē aʻe, nui aʻe nā kānana i manaʻo ʻia he hōʻino, pono e mālama koke ʻia.

He abscess paha ka nodule, kahi e pono ai ka lāʻau antibiotic a i ʻole e hoʻopau ʻia a i ʻole makemake ʻia me kahi nila.

I ke kumu o nā cista ʻelua a me nā abscesses, lawa ka tomography, kiʻi resonance ʻumeʻume a me ultrasound e hana ai i ke kuhi a pēlā e ʻae ai i ka hepatologist e koho i ka lāʻau kūpono kūpono. E aʻo hou aʻe e pili ana i ka cyst ate a me ka abscess o ke ake.

2. Hoʻopaʻa nodular hyperplasia

ʻO kēia ka nodule ate maʻamau maʻamau, ʻo ka mea maʻamau i nā wahine ma waena o 20 a 50 mau makahiki. ʻO ka hapa nui o ka manawa ʻaʻole ia he kumu o nā ʻōuli, ke loaʻa i nā hōʻike maʻamau. ʻAʻole hiki iki i kēia hyperplasia ke lilo i mea hōʻino, no laila pono e ukali ʻia me nā hoʻokolohua e like me ultrasound, tomography a i ʻole resonance ʻume mākenēki. Hiki i ka hoʻohana ʻana o ka pila ke hāpai i kona ulu ʻana, ʻoiai ʻaʻole ia ke kumu o ka puʻupuʻu, no laila ʻo nā wahine e lawe i ka pila he mea maʻamau ka mālama ʻana i kēlā me kēia 6 a 12 paha mau mahina.

Paipai ʻia ka mālama ʻana me ke ʻokiʻoki ke loaʻa nā ʻōuli, kānalua i ka hōʻailona me ka nānā ʻia o nā hōʻike, a i ʻole ke kānalua ʻia he adenoma ia, ʻoi aku ka nui o ka makaʻi a i ʻole nā ​​pilikia. Hoʻomaopopo maikaʻi i ke kikowaena o ka hyperplasia nodular.

3. Hepatic hemangioma

ʻO Hemangioma kahi kīnā o ke kīʻaha koko, ʻo ia hoʻi, ua hānau ʻia me ke kanaka aʻo ia ka nodule ate benign maʻamau maʻamau. ʻIke pinepine ʻia ia i nā hōʻike maʻamau, ʻoiai ʻaʻole hāʻawi ka hapanui i nā ʻōuli.

Hana pinepine ʻia ka hōʻailona me ka ultrasound, tomography a i ʻole MRI, a inā aia a hiki i 5 cm, ʻaʻohe pono a mālama ʻole paha e pono. Eia naʻe, inā e pau ka ulu ma mua o 5 cm, pono e hana i ka mālama ʻana i kēlā me kēia 6 mau mahina a 1 makahiki. I kekahi manawa hiki ke ulu wikiwiki a kaomi i ka capsule o ke ake a i ʻole nā ​​hanana ʻē aʻe, e hōʻeha i ka ʻeha a me nā ʻōuli ʻē aʻe, a i ʻole hiki ke hōʻike i nā hōʻailona o ka hōʻino, a pono e hemo me ke ʻoki.

ʻO nā pahu pahu, nā mea pāʻani pōpeku a me nā wahine e manaʻo e hāpai, a me nā hemangiomas nui, ʻoiai me ka ʻole o nā ʻōuli, e makaʻu paha i ke kahe ʻana a i ʻole ka haki ʻana o ka hemangioma, ʻoi aku nā kūlana koʻikoʻi a no laila, pono lākou e ʻoki kino e hemo. Ke loaʻa ka hemangioma nui o kekahi kanaka a manaʻo ʻino, ʻehaʻeha a me ke kulu o ke koko, pono lākou e ʻimi koke i nā ʻōlelo aʻoaʻo e loiloi, no ka mea ʻo kēia paha kekahi o kēia mau hihia.

E heluhelu hou aʻe e pili ana i ke ʻano o hemangioma, pehea e hōʻoia ai a me nā ʻano o ka mālama ʻana.

4. Hepatic adenoma

ʻO Adenoma kahi tumo momona o ke akepaʻa, ʻano laha ʻole ia, akā ʻoi aku ka maʻamau o nā wahine ma waena o 20 a 40 mau makahiki, mai ka hoʻohana ʻana o ka pila i hoʻonui i nā manawa o ka hoʻomohala ʻana iā ia. Ma waho aʻe o ka pila, ʻo ka hoʻohana ʻana o nā steroid anaboliko a me kekahi mau maʻi kūlohelohe o ka hōʻiliʻili glycogen hiki ke hoʻonui pū i nā manawa o ka hoʻomohala ʻana iā ia.

ʻIke pinepine ʻia ka adenoma i ka wā o nā hoʻokolohua ma muli o nā hoʻopiʻi o ka ʻeha o ka ʻōpū a i ʻole, ma ke ʻano he loaʻa maʻamau ʻole i nā hoʻokolohua maʻamau. Hiki ke hana i ka hōʻailona me ultrasound, tomography a i ʻole resonance, e ʻae ai e hoʻokaʻawale i ka adenoma mai ka hyperplasia nodular focal mai ke kanesa maʻi ate, no ka laʻana.

E like me ka hapa nui o ka adenoma ma lalo o 5 cm a no laila he haʻahaʻa haʻahaʻa o ka maʻi ʻaʻai a me nā pilikia e like me ke kahe ʻana o ke kahe a i ʻole haki, ʻaʻole pono ia i ka lāʻau lapaʻau a hiki ke ukali wale ʻia me nā loiloi maʻamau, i ka manawa o ka menopause e pono ai. hana ʻia i kēlā me kēia makahiki. ʻO Adenomas ʻoi aku ka nui ma mua o 5 cm, ma ka ʻaoʻao ʻē aʻe, nui aʻe ka nui o nā pilikia a i ʻole e lilo i maʻi ʻaʻai, a pono paha e hemo me ka ʻoki kino. Hoʻomaopopo maikaʻi e pili ana i ka adenoma ate a me nā pilikia.

I ka maʻi ʻaʻai paha ka pūpū

Ke loaʻa ʻole i ke kanaka ka mōʻaukala o ka maʻi akepaa, maʻa mau ka nodule a ʻaʻole hōʻike i ka maʻi ʻaʻai. Eia nō naʻe, ke loaʻa nā maʻi akepaʻa, e like me cirrhosis a i ʻole hepatitis, ʻoi aku ka nui o ka manawa e lilo ka nodule i maʻi ʻaʻai, i kapa ʻia he hepatocellular carcinoma.

Hoʻohui ʻia, ʻike ʻia paha ka nodule ma muli o ke kū ʻana o ka maʻi ʻaʻai ma kahi ʻē aʻe, e hōʻike ana i kēia hihia i kahi metastasis o kēlā maʻi maʻi ʻē aʻe.

Āhea hiki ia he hepatocellular carcinoma

ʻO ka cirrhosis Alcoholic a me ka hepatitis nā maʻi nui o ke ake e alakaʻi i ka hiʻona o ka maʻi heposis. No laila, he mea nui e hoʻokō pono ʻia ka ukali pololei me ka hepatologist, ke hiki i ka hopena o kēia mau maʻi, i mea e hōʻemi ai i ka maʻi ʻaʻai.

No laila, inā loaʻa i ke kanaka:

• Mōʻaukala o ke kahe o ke koko;
• Nā peʻa
• Hoʻokomo i ka hoʻohana lāʻau;
• ʻAlekohola inu;
• ʻO ka mōʻaukala ʻohana o nā maʻi ate mau e like me cirrhosis.

Hiki paha iā ʻoe ke makaʻu i ka hoʻomohala ʻana i nā maʻi ate a me / a i ʻole ke kanesa, a ua paipai ʻia e ʻike i ka hepatologist e loiloi i nā manawa o ka loaʻa ʻana o ka maʻi ate a hoʻomaka i ka lapaʻau kūpono, inā pono.

Āhea hiki ke metastasis

ʻO ke akepaʻa kahi wahi maʻamau e ʻike ʻia ai nā metastases, keu hoʻi ke loaʻa kekahi ʻano o ka maʻi ʻaʻai i loko o ka ʻōnaehana digestive, e like me ka ʻōpū, pancreas a me kolona, ​​akā ʻo ka umauma a ʻo ka maʻi ʻaʻai paha.

ʻO ka manawa pinepine ʻaʻole i loaʻa i kekahi kanaka kekahi mau ʻōuli ke ʻike lākou i ka maʻi ʻaʻai ua metastasized, i kekahi mau manawa ʻaʻole nā ​​kikoʻī kikoʻī e like me ka ʻeha o ka ʻōpū, malaise, nāwaliwali a me ka pohō kaumaha no ke kumu kūpono ʻole ʻo ia wale nō ka hōʻailona o ka maʻi ʻaʻai.

E ʻike i nā ʻano maʻi ʻaʻai e hiki ke hana i nā metastases o ke ake.

He aha kāu e hana ai inā kānalua ʻoe i ka maʻi ʻaʻai

Ke loaʻa nā ʻōuli o ke kanaka e like me ka ʻōpū o ka ʻōpū, kahe ʻana o ka ʻōpū, hoʻololi i ke kūlana noʻonoʻo, nā maka melemele a me ka ʻili a i ʻole ka pohō kaumaha no ke kumu ʻole, aia nō paha kekahi maʻi ate a ʻo ka maʻi ʻaʻai paha. I kekahi manawa ʻaʻole emi ke kikoʻī o nā ʻōuli, e like me ka nāwaliwali a me ka pohō kaumaha no ke kumu ʻole, akā ʻo lākou wale nō ka hōʻailona o ka maʻi ʻaʻai.

No laila, ke loaʻa i ke kanaka kēia ʻano o nā hoʻopiʻi, pono lākou e hele i ka hepatologist a i ʻole ka mea hana maʻamau, nāna e hana i kahi loiloi kūpono, me kekahi mau hoʻāʻo e hoʻāʻo e hoʻomaopopo i ke kumu o ka maʻi ʻaʻai a, mai laila mai, e hōʻike i ka lapaʻau kūpono loa. .

Kaukaʻi e kaukaʻi ʻia inā ka maʻi ʻaʻai mai ka ake a i ʻole he metastatic paha. Inā he metastasis, e like ia me ke ʻano o ka maʻi ʻaʻai i hoʻokumu ʻia. I ke kumu o ka maʻi ʻaʻai ate, hiki ke mālama ʻia ka mālama ʻana, ke liʻiliʻi a hiki ke hoʻoneʻe ʻia, a i ʻole inā hiki iā ʻoe ke hana i kahi neʻe o ke ake, akā i nā manawa ʻē aʻe, ke ʻoi aku ka holomua o ka maʻi ʻaʻaʻi a ʻaʻole hiki ke hoʻōla, hiki i ka lāʻau lapaʻau e hoʻolohi wale i ka ulu ʻana o ka maʻi ʻaʻai a no laila hoʻolōʻihi i ke ola o ke kanaka no ka manawa lōʻihi.