ʻO kahi maʻi maʻamau a me ka liʻiliʻi, ʻo ka angioma o ke ake he maʻi maʻi maʻi e pili ana i nā kīʻaha koko hepatic. I ka nui o nā hihia, ʻaʻole ia e hōʻeha i nā hōʻailona a ʻaʻole pono e hana.

Definition

ʻO ka Angioma o ke ake, i kapa ʻia ʻo hemangioma a i ʻole hepatic angioma, he maʻi maʻi maʻi e ulu ana ma ka lilo o nā kīʻaha koko a hana i kahi puʻupuʻu liʻiliʻi i hana ʻia me nā moku ʻano ʻole. 

ʻO ka maʻamau, hōʻike ʻia ka angioma ma ke ʻano he lesion kaʻawale, wehewehe maikaʻi ʻia me ke anawaena o ka liʻiliʻi ma lalo o 3 knm (emi iho i ka 1 knm i kēlā me kēia manawa). Paʻa ka angioma a ʻaʻohe kumu o nā hōʻailona. Hiki ke hoʻolaha ʻia nā angiomas lehulehu ma ke ake.  

Hiki i ka lesion ke lawe i kahi ʻano atypical. Aia nā angiomas nunui e ana ana a hiki i 10 knm, lawe kekahi i ke ʻano o nā nodules fibrous liʻiliʻi loa (sclerotic angiomas), ʻo nā mea ʻē aʻe i hoʻopaʻa ʻia a pili ʻia paha i ke ake e kahi pedicle ...

Hiki ke loli ka nui o kekahi angiomas no ka wā lōʻihi, akā ʻaʻole e hoʻohaʻahaʻa i nā maʻi ʻaʻai ʻino.

Nā kumu

He maʻi ʻaʻohe kumu i ʻike ʻia, no ka hānau hānau paha. Aia paha kekahi angiomas ate ma lalo o ka mana o nā hormones.

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ʻIke pinepine ʻia ka Angioma i ka wā o ka ultrasound abdominal. Ke ola kino ke akepaʻa a ʻoi aku ka liʻiliʻi o ka ʻōpū ma lalo o 3 knm, ʻike maopopo ʻia ka nodule kikoʻī a ʻaʻohe pono e nānā hou aku.

Ke atypical ka angioma a i ʻole i nā poʻe maʻi me ka maʻi o ke ake, e like me ka cirrhosis a i ʻole ka maʻi ʻaʻai o ka ate, hiki ke kuhihewa ʻia no nā ʻano ʻokoʻa ʻē aʻe ma ka ultrasound. He paʻakikī loa ka hōʻailona no nā angiomas liʻiliʻi i nā maʻi me nā maʻi maʻi maʻi.

Pono e hana ʻia nā hoʻokolohua kiʻi ʻē aʻe me ka injection o nā huahana like ʻole (ultrasound, CT scan a i ʻole MRI) e hōʻoia i ka maʻi. ʻO ka MRI ka mea koʻikoʻi a me ka hoʻokolokolo kikoʻī loa, a hiki iā ia ke wehe i ka kānalua ma mua o ʻeiwa mau manawa mai ka ʻumi.

Inā ʻaʻole hiki ke hoʻopaʻa ʻia ka maʻi ma o nā hoʻokolohua kiʻi, hiki ke noʻonoʻo ʻia kahi biopsy. Na ke kauka e hoʻokomo i kahi kui ma ka ʻili. ʻO ka pololei diagnostic hiki i 96%.

Pili ka poʻe

I ka loaʻa ʻole o nā hōʻailona a hāʻawi ʻia i ke kuleana o ka manawa i ka maʻi maʻi, paʻakikī ke ʻike pono i ka nui o nā poʻe i loaʻa i nā angiomas o ke ake. EASL (Hui ʻEulopa no ke aʻo ʻana i ke ake: Ua manaʻo ka European Association for the Study of the Liver) ma kahi o 0,4% a 20% o ka heluna kanaka e hoʻopilikia ʻia (ma kahi o 5% i ka wā i hana ʻia ai ka manaʻo ma ke ʻano o nā hoʻokolohua kiʻi, akā hiki i ka 20% i nā haʻawina e pili ana i nā ate autopsied. ).

Loaʻa nā angiomas ate i nā poʻe o nā makahiki āpau, me nā pēpē, akā ʻike pinepine ʻia lākou i nā poʻe mai 30 a 50 mau makahiki, me ka nui o nā wahine.

Nā mea pilikino

Hiki i nā lāʻau Hormonal ke pāʻani i ka hoʻonui ʻana i ka nui o kekahi angiomas ate. Eia naʻe, hōʻike nā haʻawina he mea liʻiliʻi kēia pilikia a he mea pōʻino a priori. ʻAʻole hoʻopaʻa ʻia ka contraception oral i nā wahine me nā maʻi ʻaʻole holomua a hiki ke hoʻomau ʻia me ka nānā ʻole ʻana.

ʻO ka hapa nui o ka manawa, ʻo ka angioma ka asymptomatic.

Hiki i nā angiomas nui ke hoʻopaʻa i ka ʻiʻo pili a hoʻoulu i ka ʻeha a me ka ʻeha.

Nā pilikia

I nā hihia liʻiliʻi, hiki ke loaʻa nā pilikia ʻē aʻe:

• thrombosis (ka hoʻokumu ʻana o kahi clot),
• ʻO ka maʻi maʻi Kasabach-Merritt (SKM) i hōʻike ʻia e kahi hopena inflammatory a me kahi maʻi coagulation,
• ʻO ka hemorrhage intra-tumor, a i ʻole ka hoʻoheheʻe ʻia ʻana o ke koko i loko o ka peritoneum e ka haki ʻana o ka angioma (hemoperitoneum) ...

ʻAʻole pono e mālama ʻia nā angiomas liʻiliʻi, kūpaʻa, hōʻailona ʻole - a nānā ʻia paha.

I nā hihia ʻē aʻe, hiki ke noi ʻia ka arterial embolization (obstruction). Hiki ke hoʻokumu ʻia ka mālama ʻana i ka lāʻau lapaʻau me nā corticosteroids a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe. ʻOi aku ka kakaikahi, e noʻonoʻo ʻia ke ʻoki ʻana e wehe i ke koko.