#长沙头条 ##湖南省中西医结合医院#
Recently, 69-year-old Grandma Li went to Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine (Affiliated Hospital of Hunan Academy of Traditional Chinese Medicine) for inpatient treatment due to paroxysmal swelling pain in her left waist and abdomen.
Yang Jian, the head of the Department of Urology, and Liu Jian, the chief physician, carefully understood the condition, and after improving the enhanced CT scan, it was suggested that the left kidney was a huge mass, which was considered to be a hamartoma of the left kidney, about 10*10*11 cm.
The patient has a history of prior interventional surgery for hamartoma hemorrhage. Director Yang Jian considered that the kidney had a mass closely connected to the surrounding tissues of the kidney, the tissue was tough, and the adhesion with the spleen was particularly tight, and after completing the admission examination and preoperative preparation, he underwent laparotomy and nephrectomy under general anesthesia. After the operation, the patient's left side of the waist and abdomen was relieved, and the patient and his family were very satisfied with the treatment effect and expressed their gratitude.
What is a renal hamartoma?
Renal hamartoma, also known as renal angiomyolipoma (RAML), is composed of abnormal blood vessels, smooth muscle and mature adipose tissue in different proportions, and is the most common benign tumor of the kidney, accounting for about 11.6% of kidney tumors, with an incidence of 0.13-3% in the population, occurring in middle-aged and elderly women.
How to detect renal hamartoma in time?
Renal angiomyolipoma lacks specific clinical signs and symptoms, and the diagnosis is confirmed by imaging. Ultrasonography is an easy screening tool, and CT and MRI are the most reliable diagnostic methods for qualitative and localization.
How is renal hamartoma treated?
During the course of renal hamartoma, kidney function will be gradually impaired, resulting in kidney rupture and bleeding, which can be life-threatening in severe cases. RAML is a benign lesion, and the principles of nephron preservation and renal function preservation are the principles that should be followed in the treatment.
Patients with renal angiomyolipoma with a diameter greater than 4 cm or a diameter less than 4 cm but with clinical symptoms should be actively treated with surgery to preserve functional renal tissue as much as possible.
For tumors with a diameter of < 4cm, surgical treatment can be performed, and conservative treatment with traditional Chinese medicine should be adopted. In terms of diet, we should pay attention to light diet, avoid high-fat, high-protein, high-cholesterol food, avoid eating too salty, too sweet, spicy food, avoid the waist and kidney area by gravity impact during exercise, pay attention to exercise, if there are lumps, abdominal distension and pain, body emaciation, fatigue and other symptoms, should be checked as soon as possible, and timely treatment.
What should I pay attention to in my daily life?
According to Dr. Liu Jian, patients with renal hamartoma should pay attention to the following in their daily life:
1. Patients should avoid excessive exertion at work and housework, do not hold heavy objects, and avoid strenuous exercise, so as not to be hit by external forces and cause tumor rupture and bleeding. You can choose to walk, do tai chi, listen to soft music, etc.
2. Regular re-examination of renal ultrasound.
3. Nutritious diet: Eat more legumes, such as mung bean porridge, red bean buns, etc. Eat more vegetables, fruits, (such as tomatoes, carrots, etc.), vegetables with antioxidant effects.
Eat lean meat, fish and other foods rich in high-quality protein every day, and eat a light diet with less salt. Drink plenty of fluids. Traditional Chinese medicine pays attention to the saying that the organs are nourished, and it is recommended to eat animal kidneys once a week, and lotus seeds, yams, walnuts, jujubes, and pork loins can be eaten to a certain extent.
4. Be emotional and maintain a good attitude: People with severe mental trauma, psychological contradictions, long-term depression, and insecurity are most likely to suffer from renal hamartoma. According to the theory of pathogenesis of emotions in traditional Chinese medicine, a healthy body is mainly due to the relative balance of yin and yang in the body, and too much or too little of the seven emotions can damage yin and hurt yang, resulting in the loss of balance of yin and yang and related internal organs.
Director Yang Jian reminded that early detection and early diagnosis are the key to the treatment of this disease. Because there are immature blood vessels in the components of the hamartoma, the tumor may rupture suddenly, causing bleeding from the tumor, and the patient may present with acute abdominal pain, and even shock if there is a lot of bleeding, so it is necessary to be vigilant and come to the hospital in time when the above symptoms appear.
Hunan Medical Chat Special Author: Chen Yan Leng Fu, Department of Urology, Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine (Affiliated Hospital of Hunan Academy of Traditional Chinese Medicine).
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(Editor YH)