Hepatatic adenoma: menene menene, ganewar asali da magani

Wadatacce

• Babban bayyanar cututtuka
• Yadda ake ganewar asali
• Yadda ake yin maganin
• Matsaloli da ka iya faruwa

Ciwon hanta na hanta, wanda aka fi sani da adonoma hepatocellular, wani nau'ine ne mai saurin ciwo na hanta wanda ke faruwa ta matakan canzawa na homonin kuma saboda haka ya fi bayyana ga mata tsakanin shekaru 20 da 50, bayan ciki ko saboda dadewar amfani da magungunan hana daukar ciki, misali.

A yadda aka saba, adenoma na hanta baya samar da alamomi, don haka kusan koyaushe ana gano shi ne kwatsam yayin binciken CT ko duban dan tayi don kokarin gano wata matsalar.

Tun da ba shi da mahimmanci kuma ana ɗaukarsa mai ciwon mara, adenoma gabaɗaya baya buƙatar takamaiman nau'in magani, ana ba da shawarar kawai a ci gaba da yin taka tsantsan tare da gwaje-gwaje na yau da kullun, tunda, kodayake yana da ƙasa ƙwarai, akwai haɗarin zama mummunan ko fashewa, yana haifar da zubar jini na ciki.

Babban bayyanar cututtuka

A mafi yawan lokuta, adenoma na hanta baya haifar da wata alama, duk da haka, wasu mutane na iya yin rahoton kasancewar rauni mai ɗorewa da ci gaba a cikin yankin dama na ciki.

Kodayake ba safai ba, adenoma na iya fashewa da zubar jini a cikin ramin ciki. A irin waɗannan halaye, abu ne na yau da kullun don fuskantar tsananin ƙarfi da ciwon ciki na kwatsam, wanda ba ya inganta kuma wanda ke tare da wasu alamun alamun girgizar jini kamar ƙarar zuciya, jin kasala ko gumi mai yawa. Idan ana tsammanin adenoma ya fashe, yana da kyau a garzaya asibiti da sauri don tsayar da zubar jini.

San wasu alamomin da zasu iya nuna alamar zubar jini.

Yadda ake ganewar asali

Adenoma na hepatocellular kusan kusan koyaushe ana gano shi yayin gwaji don gano wata matsala kuma, sabili da haka, idan wannan ya faru, ana ba da shawarar a tuntuɓi likitan hanta don yin takamaiman gwaji da tabbatar da kasancewar adenoma. Gwajin da aka yi amfani da shi sosai sun haɗa da duban dan tayi, ƙarfin maganaɗisu ko ƙididdigar hoto.

A yayin waɗannan gwaje-gwajen, likita kuma yana iya gano nau'in adenoma na hanta don kyakkyawan jagorar maganin:

• Mai kumburi: shi ne mafi yawan kowa kuma yana da mafi girman lalacewa;
• HNF1α maye gurbi: shine nau'i na biyu mafi yawan lokuta, tare da adenoma fiye da ɗaya suna bayyana a cikin hanta;
• Ss-catenin maye gurbi.
• Ba masu rarrabuwa banel: wani nau'i ne na ƙari wanda ba za a iya haɗa shi da kowane nau'i ba.

Yawancin lokaci likita yana bayar da shawarar kawai a lura da girman kumburin, amma, a game da kumburi, misali, idan ya fi 5 cm, likita na iya zaɓar a yi masa tiyata don cire shi gaba ɗaya.

Yadda ake yin maganin

Tunda adenoma mai ciwon hanta ya kusan zama mara kyau, babban nau'in magani shine saka idanu kan girman sa koyaushe, ta yin amfani da gwaje-gwaje kamar su hoton da aka ƙididdige, hoton hoton magnetic ko kuma duban dan tayi. Duk da haka, idan adenoma ya tashi a cikin mace wanda ke amfani da maganin hana haihuwa, likita na iya ba da shawara a daina amfani da shi kuma a zabi wata hanyar hana daukar ciki, tunda amfani da kwaya na iya taimakawa ga ci gaban kumburin. Hakanan gaskiya ne a cikin mutanen da suke amfani da wasu nau'ikan anabolic, misali.

Idan ƙari ya girma a tsawon lokaci ko kuma idan ya wuce 5 cm, akwai haɗarin haɗari na iya fashewa ko haɓaka kansar kuma, sabili da haka, abu ne gama gari ga likita ya ba da shawarar tiyata don cire rauni da hana shi tasowa rikitarwa. Wannan tiyatar galibi tana da sauƙi kuma ba ta da haɗari sosai, ana yin ta a cikin rigakafin rigakafi a asibiti. Hakanan ana iya ba da shawarar yin aikin tiyata ga matan da suke tunanin yin ciki, saboda akwai babbar haɗarin adenoma da ke haifar da rikice-rikice yayin daukar ciki.

Idan adenoma ya fashe, maganin da aka yi amfani da shi shima tiyata ne, don dakatar da zubar jini da cire raunin. A cikin waɗannan lamuran, ya kamata a fara magani da wuri-wuri don hana babbar asarar jini, wanda ka iya zama barazanar rai.

Matsaloli da ka iya faruwa

Akwai manyan matsaloli guda biyu na adenoma na hanta:

• Rushewa: yana faruwa lokacin da ganuwar kumburin katsewa saboda girman girma ko rauni kai tsaye zuwa hanta, misali. Lokacin da wannan ya faru, ƙari yana zub da jini a cikin ramin ciki, wanda ke haifar da zub da jini na ciki, yana saka rayuwa cikin haɗari. A cikin waɗannan yanayin, abu ne na yau da kullun don jin tsananin zafi da zafi kwatsam a cikin ciki. Idan hakan ta faru, yana da matukar muhimmanci a garzaya asibiti domin fara jinya.
• Ciwon daji: shine mafi rikitarwa, amma yana iya faruwa lokacin da ƙari ya ci gaba da girma, yana iya samun canji zuwa mummunan ƙwayar cuta, wanda aka sani da carcinoma hepatocellular. A waɗannan yanayin, yana da mahimmanci a yi saurin ganewar asali don haɓaka damar warkarwa. Ara koyo game da irin wannan kumburi da yadda ake magance shi.

Wadannan rikice-rikicen sun fi yawa a cikin ciwan da suka fi girma fiye da 5 cm kuma, sabili da haka, ana yin magani kusan koyaushe tare da tiyata don cire rauni, duk da haka, suna iya faruwa a ƙananan ƙwayoyin cuta, don haka yana da matukar mahimmanci a ci gaba da kulawa a kai a kai a likitan hanta .