Msana hemangioma - matenda oopsa

Mu msana msana hemangioma ndi matenda ambiri. kudwala ili m'malo ovuta kudziwa zowoneka, chifukwa limakhudza subclinical. msana hemangioma - mtima wabwino chotupa, kumene kumakhudza m'madipatimenti ake osiyana (zambiri thoracicoinferior ndi pakati pachifuwa dera). zotupa awa isanafalikire mu chichereŵechereŵe m'dera la msana. Malinga ndi maphunziro zowerengera chosayenerera kuitsatira ili pa 10% ya anthu. msana hemangioma makamaka olembedwa akazi wamkulu.

Nthawi zambiri (pafupifupi 80%) hemangioma amakhudza chimodzi thoracic linkawonongeka. Mu zotupa pafupipafupi lumbar msana mu malo chachiwiri. Kukunda khomo lachiberekero ndi sacral zotupa awa ndi 1%.

Poganizira histology, hemangiomas msana anawagawira mu capillary, cavernous, kuphatikizapo ratsematoznye. Capillary Hemangioma imakhala ndi kuchuluka kwa hemangiomas woonda capillary, amene zapiringizana ndi mzake ndi imakonzedwa mu mipira angapo. zotupa izi pafupifupi konse ntchito, kukhala popanda zizindikiro chenicheni matenda. Cavernous neoplasm lopangidwa ndi kuchuluka kwa cavities kukula osiyana ndi mawonekedwe. Chotero woonda-mipanda cavities ankasiyana partitions wapangidwa ndi minofu connective. Ratsematoznye - yodziwika ndi mapangidwe ndi yense amene tichipeza wolumikizira ndi ziwiya venous. Chabwino, potsiriza, wosakaniza mtundu hemangioma anapanga ndi nawo capillaries ndi zombo zikuluzikulu ndipo cavities cavernous.

msana hemangioma sikawirikawiri akuwonetseredwa ndi zizindikiro mmene matenda. Komabe, nthawi zina (za 10-15% ya milandu) ndondomeko matenda amapezeka ndi chipatala osiyana, omwe limodzi ndi ululu m'dera paraventebralnoy. Mu chitukuko cha hemangiomas anawononga fupa trabeculae imbaenda ku kuchepa mphamvu fupa.

Matenda a matenda ndi chinagwira ntchito X-ray, maginito kumveka ndi yopangidwa tomography.

mankhwala ochiritsira amagwiritsa njira zingapo pofuna kuchiza matenda: cheza mankhwala embolization, percutaneous vertebroplasty, uchidakwa ndi opaleshoni. Kwa zaka zambiri njira opaleshoni anakhalabe zofunika pa chithandizo cha hemangiomas. njira zachokera kuchotsa minofu zofewa chigawo chotupa, ndi tsankho resection wa bwanji zotupa fupa. Popeza vascularization a zotupa awa ali kwambiri mkulu, nthawi zambiri limodzi ndi ntchito ochuluka profuse magazi. Buku kukha magazi nthawi zina kufika mpaka malita 4, amafa zaka 25%.

Kumayambiriro 30 ntchentche za m'ma otsiriza wakhala akufuna chithandizo aluso hemangiomas - radiotherapy. Pogwiritsa ntchito X-ray dongosolo lisinthike zofewa minofu chotupa chigawo. Pankhaniyi, chotupacho fibroliziruetsya ndipo amamuyambitsa timabala. Pakali pano, njira imeneyi ndi pafupifupi konse ntchito chifukwa cha kukhudzana kwambiri wodwalayo. The efficacy mankhwala izi ndi pafupifupi 85-88%.

Uchidakwa hemangiomas anali pogwiritsa ntchito 96% Mowa, kumene kumachitika chifukwa oipa a zotupa.

Hemangioma msana, ali contraindications ndi: thupi, mankhwala Buku, kutikita, chifukwa mwa njira zimenezi kungakhale wovulala. Kumbukirani kuti kufooka kwa mafupa komanso kumachititsa la fupa lothyoka. Odwala matenda ndi hemangioma msana mankhwala azitsamba wowerengeka ali osavomerezeka njira izi ndi inefficient chifukwa chotupa cha lili malo akutali.