Angiodysplasia ea colon

Angiodysplasia ea colon e ruruhile, methapo ea mali e senyehang habonolo ka har'a kolone. Sena se ka baka tahlehelo ea mali ho tsoa pampitšaneng ea meno (GI).

Angiodysplasia ea colon e amana haholo le botsofali le ho senyeha ha methapo ea mali. E tloaelehile haholo ho batho ba baholo. Hangata e bonahala ka lehlakoreng le letona la kolone.

Mohlomong, bothata bo hlaha ka lebaka la likhahla tse tloaelehileng tsa colon tse etsang hore methapo ea mali e sebakeng seo e hōle. Ha ho ruruha hona ho e ba boima, tsela e nyane e hlaha lipakeng tsa mothapo o monyane le mothapo. Sena se bitsoa `` arteriovenous malformation ''. Ho tsoa mali ho ka hlaha sebakeng sena leboteng la colon.

Nako le nako, angiodysplasia ea colon e amana le maloetse a mang a methapo ea mali. E 'ngoe ea tsona ke lefu la Osler-Weber-Rendu. Boemo bona ha bo amane le mofets'e. E boetse e fapane le diverticulosis, e leng sesosa se tloaelehileng sa ho tsoa mali ka maleng ho batho ba baholo.

Matšoao a fapana.

Batho ba baholo ba ka ba le matšoao a kang:

• Bofokoli
• Mokhathala
• Phefumoloho e khutšoanyane ka lebaka la phokolo ea mali

Ba kanna ba se ke ba tsoa mali ka ho otloloha ho tsoa kolone.

Batho ba bang ba ka ba le linako tsa ho tsoa mali hanyane kapa hampe moo mali a khubelu kapa a lefifi a tsoang ho rectum.

Ha ho bohloko bo amanang le angiodysplasia.

Liteko tse ka etsoang ho fumana boemo bona li kenyelletsa:

• Angiography (e sebetsa feela haeba ho tsoa mali ka har'a colon)
• Palo e felletseng ea mali (CBC) ho lekola phokolo ea mali
• Colonoscopy
• Teko ea setulo bakeng sa mali a boloi (a patiloeng) (sephetho se setle sa tlhahlobo se fana ka maikutlo a ho tsoa mali kahara kolone)

Ho bohlokoa ho fumana sesosa sa ho tsoa mali kahara kolone le hore na mali a lahleha kapele hakae. U kanna ua hloka ho amoheloa sepetlele. Maro a ka fanoa ka mothapo, 'me ho ka hlokahala lihlahisoa tsa mali.

Kalafo e 'ngoe e kanna ea hlokahala hang ha mohloli oa mali o fumanoe. Maemong a mangata, ho tsoa mali ho emisa ka bohona ntle le kalafo.

Haeba kalafo e hlokahala, e kanna ea kenyelletsa:

• Angiography ho thusa ho thibela methapo ea mali e tsoang mali kapa ho isa moriana ho thusa ho etsa hore methapo ea mali e tiee ho emisa ho tsoa mali
• Ho chesa (cauterizing) sebaka sa ho tsoa mali ka mocheso kapa laser ho sebelisa colonoscope

Maemong a mang, ho buuoa ke eona feela khetho. U kanna oa hloka lehlakore lohle le letona la kholone (hemicolectomy e nepahetseng) e tlosoe haeba ho tsoa mali a mangata ho ntse ho tsoela pele, leha ho se ho lekile mekhoa e meng ea kalafo. Meriana (thalidomide le estrogens) e ka sebelisoa ho thusa ho laola lefu lena ho batho ba bang.

Batho ba tsoang mali a amanang le boemo bona leha ba bile le colonoscopy, angiography, kapa opereishene ba kanna ba ba le mali a mangata nakong e tlang.

Pono e lula e le ntle haeba ho tsoa mali ho laoloa.

Mathata a ka kenyelletsa:

• Khaello ea mali
• Lefu le tsoang tahlehelong e feteletseng ea mali
• Litla-morao tsa kalafo
• Ho lahleheloa ke mali haholo ho tsoa pampitšaneng ea GI

Bitsa mofani oa hao oa bophelo bo botle haeba mali a tsoa mali.

Ha ho na thibelo e tsebahalang.

Ectasia ea vascular ea colon; Colonic arteriovenous e fosahetseng; Ho tsoa mali - angiodysplasia; Tsoa mali - angiodysplasia; Ho tsoa mali ka mpeng - angiodysplasia; GI tsoa mali - angiodysplasia

• Lisebelisoa tsa tsamaiso ea lijo

Brandt LJ, Aroniadis OC. Mathata a vascular ea pampiri ea meno. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mpeng le Mafu a Sebete. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 37.

Ibanez MB, Munoz-Navas M. Boloi le ho tsoa mali ho sa foleng ha masapo. Ka: Chandrasekhara V, Elmunzer J, Khashab MA, Muthusamy VR, eds. Kliniki ea meriana ea Endoscopy. 3rd ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 18.