Renal angiomyolipoma - zvinokonzera, zviratidzo, kurapwa.

Renal angiomyolipoma - chimwe chezvinhu zvakafanana benign mapundu ose ari itsvo. Izvi bundu hwapedyo kubva mesenchymal zvinyama mhando, uye rinoumbwa midziyo ropa, kumeso tsandanyama uye adipose rinenge nekuda kwayo sezvamunoita uye chirwere wakanzi - angiomyolipoma neitsvo. Smooth tsandanyama Sero mapundu vari benign uye Vakarongwa akaturikidzana pamusoro mwanda nemidziyo ropa ane zvakakwana gobvu rusvingo tsandanyama, asi simba kwakavharwa nenyama mahwendefa. Uyezve, midziyo bundu zvinogona netsaona kubvaruka - nokuti kuti tsandanyama fibers akure zvikuru nokukurumidza midziyo izvo physiologically irege kukura panguva pamwero chete uye nguva navo.

Renal angiomyolipoma anogona zvakanaka pamwe neimwe mhando itsvo anomera , kana chete kutanga pamusoro pakanyorwa nhego chirwere. Kunyange zvazvo angiomyolipoma itsvo uye rinoreva benign zvirwere, muna aakatipa kacho, pane mamiriro ezvinhu apo bundu inokura iri pedyo node nodes kana kupinda renal tsinga. Asi zviri nani Kusara kuushe, saka kwakasara nzira kuti kuvhiya kurapwa kushandiswawo chirwere ichi anoruramiswa.

Angiomyolipoma kuti itsvo kazhinji kunokanganisa repakati uye vakura. Women achitambura nechirwere ichi ndiko 4 nguva kakawanda kupfuura vanhu. Uyezve, pane zvimiro zviviri chirwere ichi - wokutanga (80% vose nyaya), apo neapo, uye wechipiri (20%) vachiberekwa chokuita tuberous kuoma dzimwe nhengo dzomuviri.

zviratidzo angiomipolipomy

• Kurwadziwa lumbar nharaunda uye dumbu

kurwadziwa kwakadaro kuitika nokuda ropa kubva bundu, iyo kuitika somugumisiro atsamwira rwengarava ropa. Uyezve, kunyanya ropa mune zvimwe zviitiko zvinogona kukonzera murwere gemmoratichesky peritonitis uye kuvhunduka.

• palpable mota
• hematuria
• Inosimudzira BP

chirwere chirwere

• US kudzidza

On ultrasonography mune murwere anorwara nechirwere yakadaro sezvo renal angiomyolipoma zvakajeka zvikuru kuonekwa homogeneous woita neoplasm rine kwakawedzera echogenicity.

• CT kudzidza

CT Kudzidza Unoratidzawo woita neoplasm.

• Urograficheskoe kudzidza

Zvichida panguva X-ray zvidzidzo uchishandisa Urografin.

Renal angiomyolipoma - kurapwa

Varwere zviduku bundu saizi regai zvinoda kuvhiya kurapwa. Somuenzaniso, mumwe murwere ane chirwere che "Angiomyolipoma zvakanaka itsvo", kukura 4 masendimita ari dhayamita kuti kupiwa munhu zvokuongorora nyanzvi uye vakabata Ultrasound kana CT bvunzo pagore. Kana bundu haisi kufambira mberi, hazvigoni kubviswa.

Kuvhiya kurapwa chinodiwa kuti anenge ose murwere, bundu saizi kupfuura 5 masendimita ari dhayamita, uye ndiani chinoshanda dzinowanzoona utano itsvo wechipiri. Chokwadi ndechokuti vane saizi iri bundu kunobvira pangozi Hemorrhagic yematambudziko, kureva, womukati ropa, izvo kwete chete marwadzo ari murwere, asi anogona kuva nengozi, nokuda panowanikwa sepsis muviri.

Kuvhiya kubviswa bundu zvinogoneka nenzira mbiri - wokutanga nyore nephrectomy, naro bundu yabviswa pamwe chikamu itsvo, uye yechipiri muna enucleation anomera. Enucleation - mumwe muitiro kuti kubviswa namamota, sezvamakaropafadzwa nhengo rinenge riri kushanda asina kukanganiswa, asi zvikamu kupinda kuna bundu. Kana enucleation (kana husking bundu) zvinyama akapoteredza layered maumbirwo, apo tiine Kamudzira yacho neoplasm. nzira yechipiri rinoshanda chete benign anomera.