Angiodysplasia yekoloni

Angiodysplasia yekoloni yakazvimba, mitsipa yeropa isina kusimba mukoloni. Izvi zvinogona kukonzeresa kurasikirwa neropa kubva mudumbu (GI) turakiti.

Angiodysplasia yekoloni inonyanya kuenderana nekukwegura uye kuparara kwemitsipa yeropa. Izvo zvinowanzoitika kune vakura vakuru. Inenge inowanzoonekwa kudivi rerudyi rekoloni.

Zvingangodaro, kuti dambudziko rinobuda kubva pane zvakajairika spasms yekoloni iyo inoita kuti tsinga dzeropa munzvimbo yacho dziwedzere. Kana kuzvimba uku kukava kwakakora, imwe nzira diki inokura pakati petsinga uye tsinga. Izvi zvinodaidzwa kuti arteriovenous malformation. Kubuda ropa kunogona kuitika kubva munzvimbo ino mumadziro emakoroni.

Kazhinji, angiodysplasia yekoloni inoenderana nezvimwe zvirwere zvemitsipa yeropa. Imwe yeiyi Osler-Weber-Rendu syndrome. Mamiriro acho haana hukama nekenza. Izvo zvakare zvakasiyana ne diverticulosis, chinova chikonzero chinowanzoitika chekubuda kwematumbo muvakuru vakuru.

Zviratidzo zvinosiyana.

Vakwegura vanogona kunge vaine zviratidzo zvakaita se:

• Kushaya simba
• Kuneta
• Kufema kwekufema nekuda kwekushaya ropa

Vanogona kunge vasina kuoneka kubuda ropa chaiko kubva kukoni.

Vamwe vanhu vanogona kuve neabout yekunyorova kana kwakanyanya kubuda ropa mukati iro rakatsvuka kana rakasviba ropa rinouya kubva kune rectum.

Iko hakuna kurwadziwa kunosangana neangiodysplasia.

Miedzo inogona kuitwa kuti uongorore mamiriro aya inosanganisira:

• Angiography (inoshanda chete kana paine kubuda ropa mukati mekoni)
• Yakazara kuverenga kweropa (CBC) kutarisa kushomeka kweropa
• Colonoscopy
• Stool bvunzo yemashiripiti (yakavanzwa) ropa (yakanaka mhedzisiro mhedzisiro inoratidza kubuda ropa kubva mukoloni)

Izvo zvakakosha kuti uwane chinokonzera kubuda ropa mukoloni uye nekukurumidza kuti ropa riri kurasikirwa sei. Ungangoda kupinzwa muchipatara. Mvura dzinogona kupihwa kuburikidza netsinga, uye zvigadzirwa zveropa zvinogona kudikanwa.

Kumwe kurapwa kunogona kudikanwa kana tsime rekubuda ropa rawanikwa. Muzviitiko zvakawanda, kubuda ropa kunomira pachawo pasina kurapwa.

Kana kurapwa kuchidikanwa, zvinogona kusanganisira:

• Angiography kubatsira kuvhara iro reropa rinobuda ropa kana kuendesa mushonga kubatsira kukonzeresa kuti tsinga dzeropa dzisimbise kumisa kubuda kweropa.
• Kupisa (cauterizing) saiti yeropa nekupisa kana laser uchishandisa colonoscope

Mune zvimwe zviitiko, kuvhiyiwa ndiyo chete sarudzo. Iwe ungangoda iro rese rerudyi rekoloni (kurudyi hemicolectomy) kubviswa kana kubuda ropa kwakanyanya kuchienderera, kunyangwe mushure mekumwe kurapwa kwayedzwa. Mishonga (thalidomide uye estrogens) inogona kushandiswa kubatsira kudzora chirwere mune vamwe vanhu.

Vanhu vane kubuda ropa kwakabatana neichi chiitiko kunyangwe vanga vaine colonoscopy, angiography, kana kuvhiyiwa vanogona kunge vachive neropa rakawanda mune ramangwana.

Maonero anoramba akanaka kana kubuda ropa kuchidzorwa.

Zvinetso zvinogona kusanganisira:

• Anemia
• Rufu kubva mukurasikirwa neropa zvakanyanya
• Zvikanganiso kubva pakurapwa
• Kurasikirwa kwakanyanya kweropa kubva kuGI turakiti

Fonera wako mupi wehutano kana kubuda kweruoko kuchiitika.

Iko hakuna kunozivikanwa kudzivirira.

Vascular ectasia yekoloni; Colonic arteriovenous malformation; Hemorrhage - angiodysplasia; Kubuda ropa - angiodysplasia; Kubuda kwepamuviri - angiodysplasia; GI kubuda ropa - angiodysplasia

• Digestive system nhengo

Brandt LJ, Aroniadis OC. Vascular kusagadzikana kwepamuviri wedumbu. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 37.

Ibanez MB, Munoz-Navas M. Zvemashiripiti uye zvisina tsananguro isingagumi yemudumbu kubuda ropa. Mune: Chandrasekhara V, Elmunzer J, Khashab MA, Muthusamy VR, eds. Clinical Gastrointestinal Endoscopy. 3rd ed. Philadelphia, PA: Elsevier; 2019: chits. 18.