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Hemangiomas

Read in Chinese(Traditional)

   

[Intro]

Overview: hepatic hemangioma (hemangiomas) most of them are cavernous hemangioma (cavernous hemangioma) is a common benign liver tumors can occur at any age, but often symptoms in adults, women and more. Hepatic hemangioma is the most common benign tumor of the liver, patients can be diagnosed before the majority of cases, the vast majority of asymptomatic, small due to the emergence of liver tumors greater discomfort. If the increasing trend, or in the liver capsule, there may be bleeding, life-threatening, should be treated as soon as possible. Found in any part of the liver tumor, often located in the subcapsular, mostly single (about 10% multiple), tumor diameter more than 4cm, but also small number of mm, ranging from 30cm individual person. surface of the tumor was dark red or purple, outside the capsule, sponge-like cut surface. Sometimes vascular thrombosis and tumor visible scar, occasional calcification. Under the microscope hemangioma is a flat wall for the different sizes of pipe vascular endothelial cells constitute the space transportation network, which contains red blood cells, and sometimes that of the machine fresh thrombus. Clear delineation of the tumor and surrounding tissue.

[Cause]

hepatic hemangioma is what causes it?

1. negative emotions lead to hepatic hemangioma is an important reason. The investigation proved that if long-term living in anger, tension, depressed mood, under cause emotional injuries, and "blood missed", or "astringent fluid stagnation," and not go forward, gradually formed product (liver hemangioma) .

2. poor eating habits are also causing a major factor in hepatic hemangioma. If regular smokers, cited wine, eating fatty or spicy grease Atsumi irritation and cold food will be "injured spleen, liver and spleen disharmony" resulting in "qi deficiency, blood stasis, phlegm knot" and speed up the liver hemangioma growth.

3. The main risk factors are:

(1) capillary tissue infections after deformation, causing telangiectasia .

(2) partial necrosis of liver tissue, peripheral vascular congestion, expansion, and finally the formation of vacuoles.

(3) the limitations of intrahepatic persistent venous stasis, vein swelling caused by the formation of sponge-like expansion.

(4) liver bleeding, hematoma machine, the formation of blood vessels after vascular recanalization expansion.

(5) congenital abnormalities of vascular tumors, most have a family genetic predisposition.

[Sign]

hemangiomas early symptoms?

small asymptomatic lesions, the ultrasound examination found that the larger lesions can cause abdominal discomfort or a palpable mass. Giant hemangioma can significantly increase the liver. Clinical manifestations, <4cm were asymptomatic, often in the physical examination for abdominal ultrasound found incidentally; 4cm above about 40% with abdominal discomfort, hepatomegaly, loss of appetite, indigestion and other symptoms. hemangiomas often with machines of thrombosis may be caused by repeated thrombosis of tumor swelling, pain caused by Glisson's capsule stretch. Mixed soft and hard lumps, there are different degrees of compressibility sense, a few showed a sense of hard nodules. Few spontaneous tumor rupture. normal liver function, a large hemangioma is a rare syndrome, consumption of coagulation disorders, thrombocytopenia, and low in fiber and serum protein.

[Aftertreat]

eat liver hemangioma good?

suitable food: producing high-calorie and nutrient-rich foods such as lean meat, chicken, fish, dairy and soy products. fresh vegetables, celery, spinach, tomatoes , radish, garlic, fresh bamboo shoots. seafood in the kelp, seaweed, jellyfish, algae, with habitual constipation, and they should always eat bananas, persimmons, watermelons, melons, water chestnuts, honey, royal jelly, corn powder, food, black fungus, white fungus, etc..

suitable food: eat less greasy food, alcohol and tobacco taboo, high cholesterol foods, such as the animal's brain, spinal cord, internal organs, egg yolks, shellfish (such as: mussels), software (such as squid, cuttlefish, fish roe).

therapeutic side: 1, SM Tian chicken

[prescriptions] salvia 24 grams, frog 250 grams of red dates 4.

[Method] to select the live frog live slaughter, to the intestines and claw, skin, wash. Salvia, red dates (pitted) wash. Put all materials together into the pot, add some water, high heat boil, simmer for 2 hours. seasoning.

[use] decoction and meat. can be dressed in uniforms.

2, hawthorn malt drink:

[Prescription] health hawthorn 20 grams, 10 grams of malt.

[Method] hawthorn chopped raw, washed, malt wash, put together using a covered cup boiling water, simmer 2 to 3 minutes after.

[use] juice when the tea. can be dressed in uniforms.

3, tianqi turtle stew meat

[prescriptions] pork 120 grams, 10 grams Tianqi, turtle 30 grams of red dates 4.

[Method] to pseudo-ginseng, turtle, red dates (pitted) Wash, wash pork cuts. the All materials together into the steaming pot, add water amount, simmer stew separated water 2 to 3 hours, seasoning.

[use] decoction and meat, can be dressed in uniforms .

[Prevent]

hepatic hemangioma should be how to prevent?

Although congenital hepatic hemangioma factors, but its growth is acquired factors contributed. So prevention is to try to avoid tumor growth. Such as the right to treat a variety of things to relieve anxiety, tension, avoid emotional injuries. Eat less food should be spicy feiganhouwei and stimulation of the goods, eat more fresh vegetables, do not drink, usually pay attention to exercise, such as abdominal see a plot block, body weight loss, malaise, fatigue and other symptoms should be early detection and timely treatment.

[Treat]

liver hemangioma before treatment considerations?

1, enhance sports exercise 1 hour every day, activities to not more than 170 heart rate and age difference, or the body slightly Khan, do not feel tired after exercise self-inductance of the body easily prevail, at least five days a week, activity, perseverance.

2, the long-term smoking quit drinking alcohol limit can interfere with lipid metabolism, so that elevated blood lipids.

3, to avoid the emotional stress, insomnia, excessive fatigue, irregular life, anxiety, depression, these factors make fat metabolic disorders. in the long-term elderly do not play mahjong, chess, keep calm, as less angry.

Chinese medicine treatment of hepatic hemangioma

treatment of hepatic angiomatosis, the use of liver qi, blood circulation, Endometriosis-based, but the specific treatment should be identified in the stagnation of qi, blood stasis of the emphasis such as the blood stasis mainly on the use of the following drugs: antelope bone, buffalo horn, bezoar, tpg Qingreliangxue pain; Bupleurum, nuclear yellow, needles, etc. qi Su Qing Kai Yu; salvia safflower blood circulation; fried Shan Jia, herb, Chuanzu Endometriosis, go channeling meridians, such as a gas stagnation mainly on the use of the following drugs: Bupleurum, turmeric, yellow core, needles and other factors Qing qi stagnation; with Salvia, safflower, triangular, Curcuma, rhubarb, blood circulation; fried Shan Jia, herb, Chuanzu Endometriosis, pain network. and then with oral "bear bile pills" and "Dan the fire Diathermy" effect is more good. zhengjia of the disease, and general blood stasis disease is different from the often long time, siltation, non-qi and blood circulation of the law alone can be effective.

[bear bile Pill]

bear bile, pearls, Aescin a flower, pseudo-ginseng, taurine, adequate, drying, and research to fine and mix thoroughly, one gram per serving.

function: Tongqiao pain, blood circulation. hemangiomas (Chinese name: liver Zhengjia) is a common benign liver tumors, small ones may be asymptomatic, and the larger the can cause loss of appetite, belching, threatening pain and other symptoms. western medicine treatment for this disease advocate surgery or radiation therapy, hepatic artery ligation, etc. Therefore, many patients fear surgery, seek treatment in traditional Chinese medicine. ancient chinese refer, quite a lot of that is symptomatic impassioned internal injuries, leading to liver qi stagnation, qi stagnation, stasis course of time, then into Zhengjia.

western medicine treatment of hepatic hemangioma method

slow development of hepatic hemangiomas, the prognosis is good, the need for treatment depends on tumor growth and clinical symptoms, rather than the absolute size of the tumor and most have been diagnosed and asymptomatic patient, out-patient follow-up may, without special treatment. hemangiomas many interventions, including surgery, interventional therapy, sclerotherapy and laparoscopic surgery and other vascular tumors, although surgery has certain risks, but the treatment of hepatic vascular tumor most direct and most thorough means. laparoscopic hepatic hemangioma resection, recurrence is often not suitable conventional implementation. for unresectable symptomatic of the huge hepatic hemangioma, also consider the use of orthotopic liver transplantation of hepatic hemangioma of non-surgical treatments include: transcatheter hepatic arterial embolization or laparoscopic hepatic artery ligation, local radiation therapy, oral steroids and intramuscular IFN-α, etc. hepatic arterial embolization of hepatic hemangioma can cause serious biliary complications, should be avoided. radiotherapy allows a small number of patients with symptoms, tumor shrinkage. ultrasound-guided sclerotherapy treatment, it is not certain for drug treatment of hepatic hemangioma and treatment in the form of value, is also not fully evaluated.

[Examine]

hepatic hemangioma should be how?

1. ultrasonography:

show intrahepatic homogeneous, hyperechoic lesion, the border mostly clear, or lesion area hyperechoic with irregular hypoechoic lesion expansion can be displayed within the sinusoids.

2.CT performance:

(1) scan: liver low-density areas, clear contours, homogeneous density more low-density lesion area or district, on behalf of thrombosis or fiber separation unit, a few can be seen calcification.

(2) enhanced scan:

① edge of early lesions significantly enhanced nodular or "island-like" density similar to adjacent abdominal aorta was significantly higher than the surrounding liver parenchyma and lasts longer than 2 minutes.

② with time, enhance the rate of nearly pushed to the central lesions, and lesions in low-density area is relatively smaller.

③ delay scan lesions were isodense or slightly higher density (more plain when the low-density lesion in no change).

enhanced scan in the diagnosis of hepatic cavernous hemangioma of the important ways, with the characteristic features, the diagnostic accuracy rate of 90% or more. Generally typical in early arterial phase, that is, after injection of 30 to 60 seconds. Therefore stressed the right of inspection techniques that quickly, groups like the injection of contrast medium, fast scanning, timely delay scanning. Otherwise, failing to see the characteristic features of misdiagnosed or missed diagnosis.

3. isotope liver 99mTC hepatic blood pool scan angiography can help the diagnosis of hepatic hemangioma, showed no tumor staining, clear and sharp edges, hemangioma development time longer.

4.MRI: T1 images showed low signal intensity, T2 relaxation time extension, showed high signal intensity tissue.

[Diff]

hemangiomas diseases easily confused?

cavernous hemangioma liver cancer mainly with the identification.

1. hepatocellular carcinoma: generally have hepatitis, a history of cirrhosis, afp may be positive, intravenous enhanced scan can help identify.

2. liver metastases: Some liver metastases enhanced scan may show peripheral enhancement, similar to the early manifestation of hemangioma, but the delay scan showed low density can be identified.

3. liver abscess: usually around the ill-defined lesion, fuzzy, low-density halo seen around the abscess, typical lesions around the strengthened presence of gas within the lesion. Requires a combination of clinical manifestations.

[Disease]

liver fibrosis may be caused by the diseases?

fibrosis-related liver disease

α1-antitrypsin deficiency liver disease metastatic liver cancer liver and kidney syndrome fatty liver elderly elderly elderly hepatocellular carcinoma liver nodules cirrhotic alcoholic liver disease, viral hepatitis elderly renal carcinoid liver damage and portal hypertension elderly liver cirrhosis, hepatic encephalopathy elderly amyloidosis liver tumors

more abdominal symptoms

HBV and HCV re Howship-Romber retrograde spread of cancer patients with advanced gastrointestinal cancer ventral abdominal plate quiet role of bladder stones after the violent outbreak of watery diarrhea, abdominal pain, cardiac flaccid obturator nerve damage closed loop obstruction with constipation constipation with severe abdominal pain, constipation, abdominal mass and blood in the stool mixed with blood and excrement meconium can not be excluded viral diarrhea onset of abdominal pain after meal after meal syndrome


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