Hemangioma umgogodla - kuyini? Indlela aphathe hemangioma umgogodla

Ngokwezibalo, isikhundla aholayo phakathi kwezimbangela eziyinhloko yokushona kwabantu ezweni lethu, ngaphezu izingozi futhi senhliziyo, izifo oncological eyakhe. Futhi abaningi babo, ikakhulukazi uma Ithumba abulalayo, kokutshelwa ngokukhubazeka kwengane kufana umusho. Ngandlela-thile ezahlukene kunjalo uma ithola kungavamile ukuba ingozi. Ezimweni ezinjalo, onalesi sifo kubhekwa ngconywana uma ukwelashwa zokugula kungenzeka, futhi umphumela walo kuholela ukuphulukiswa ephelele isiguli. Kuyinto Ezimweni ezinjalo zihlanganisa hemangioma umgogodla.

Kuyini lokhu?

Ngokuvamile, umfanekiso wanoma leso sifo ingavela njengoba esikhumbeni futhi kuthinte izitho ezihlukahlukene futhi izinhlelo, ngokuvamile bahlale becashile ukuphila emehlweni womkhosi wawo, noma ukubonisa ngezikhathi ngesikhathi nokuhlolwa kwanoma yimuphi copyright, kuhlanganise izinguquko sokugembula wethambo uhlelo. Uma sikhuluma ezimayelana sitholakele "hemangioma umgogodla" - kuyini, ukuthi imithi yesimanje ichaza ke esigabeni izimila kungavamile ukuba ingozi, okuyinto Uyi nhlanganisela ka izinyanda semithambo, ngezinye izikhathi displacing ithambo. Kule ndaba, lo zokugula ubizwa nangokuthi "angioma vertebral" noma "malformation arteriovenous".

Ake sithole ukuthi kwakungani igama "hemangioma" (nomgogodla) - kuyini? Igama elithi livela esiGrekini amazwi eHaima - igazi, angeon - isitsha "Ohm" - ekupheleni, nobuntu zonke izicubu ukukhula okungavamile.

Ngu uqobo, isimila sikhula kancane kancane futhi ingeyona metastases. Isici eyinhloko kwasendaweni - ngalo ingaphakathi yomzimba vertebral, kanye izidakamizwa cartilaginous phakathi kwabo. Nokho, kunezinye, izindawo ezingavamile kakhulu futhi engavamile ngo amathambo. Endabeni ka emgogodleni bavame ukubonakala sokuhlukanisa amaseli sokugembula idatha semithambo, eqinisekisa umsuka lendawo imfundo ezikhulayo.

Phakathi kwabo bonke labo ithambo izimila yomgogodla umzimba hemangioma kuthatha zokwakheka yeshumi sokugembula umelwe lapha egeleza kokubili izimpawu zokwelashwa zeziyaluyalu nokuba okwatholakala okungahleliwe ngesikhathi luhlolo histological.

causation yesifo

Mayelana izifo ezifana hemangioma umgogodla, - kuyini, lapho itholakala nokuthi kuzibonakalisa - umfundi unazo eyinhloko ebusweni ukumelwa. Manje yisikhathi ukuqala ukutadisha izimbangela kanye nezindlela zokuthuthukiswa kuwuphawu lwesimila ezinjalo ingozi semithambo.

Ngeshwa, ngisho ekuqaleni kwesayensi yezokwelapha kwekhulu lama-21 akukuniki izincazelo ezinembile etiology lokhu neoplasm. It isinqumo ukwaba sifo ungalokothi uphuze izinto. Lowo oyinhloko ngumlando umndeni, kutfolwa khona isakhi sofuzo kuguquka ukubukeka isici neziyaluyalu azalwa naso isakhiwo isitsha odongeni ezingeni vertebral.

Ngaphezu kwalokho, umnikelo ethize kusukela izinto ezifana endawo izicubu hypoxia kanye namazinga angcono insikazi-hormone okuthiwa i-estrogen, okuyinto kuqinisekiswa izibalo. Lokhu zokugula butholakala labantu besifazane omdala cishe izikhathi ezingu-5 kaningi kunabantu.

izici pathogenetic

On the vertebra kakade Ushintshe emva kokuzalwa ukuphila kwabo konke izonikeza ezihlukahlukene imiphumela mechanical ngokomzimba ezingaba nomthelela ukubukeka microtrauma njalo futhi ukopha yegazi pathologically mncane futhi ethambile. Ukumisa ukopha umzimba isebenze ekunqandeni ukusabela, kuhlanganise ukwakheka imali okukhulu amahlule ezingeni lendawo. Ngesikhathi amaseli esifanayo yasebenza, osteoclasts, okuyinto ukubhubhisa ithambo ngemishayo emizimbeni vertebral nokukhuthaza ukukhula imikhumbi phezu kwendawo engenalutho emva inqubo recanalization wegazi fibrin amahlule. Ngakho, kancane kancane, kukhona ukukhula sokugembula semithambo nhlanganisela.

Isici indawo lesion ka amathambo

Hemangioma yomgogodla thoracic - ezingeni ezivamile yokulimala, ikakhulukazi phakathi vertebra yayo wesithupha. Lokhu kwasendaweni kwenzeka e 85 per cent kokuma.

Ngo-2% wezindleko izimo, ematfuba ukushaya wesibeletho noma amathambo thoracic. observation Clinical of haemangiomatosis amaningi nawo ukushaya kusukela 2 kuya 5 emizimbeni vertebral.

Hemangioma yomgogodla lumbar, ikakhulukazi izingqimba engenhla, futhi ukuvama okuvela kwasendaweni isimila yesibili.

Banikezwe nobuntu izimila beka akunzima ukubona ngeso lengqondo ukuthi kwabangela izimpawu eziyinhloko zesifo. It is ibonakaliswa isizinda Dynamics lendawo ngesimo ushintsho ongathandeki umzimba ipharamitha pathologically kwakhiwa vertebra ukuphakama kwalo ne ukuthuthukiswa futhi ukuwa kokucindezelwa okungenzeka eduze emsipheni izimpande kuyoshaya ifomu ezifana hemangioma umgogodla. usayizi isimila, ikakhulukazi uma kuthatha ngokuphelele umgodi vertebral, oluthinta ngqo emtholampilo kanye nezinga ukubonakaliswa ubuhlungu.

Umtholampilo hemangiomas kwekholomu vertebral

Njengoba kushiwo ngenhla, izimpawu zesifo uvame ezigugile. Futhi isiguli sifuna usizo lwezokwelapha ngenxa yobuhlungu beqolo okubangwa isifo esihluke ngokuphelele. Nokho, hemangioma anganika ubuhlungu umtholampilo ezimweni lapho engaphezu kuka-1 cm, okuyinto uphawu okwethusayo - uhlobo kuzalwa Ngokuzayo kokucindezelwa ukwaphuka we komzimba vertebra ethintekile. Ukuqhubeka ubuhlungu syndrome libhekene ukukhula hemangiomas kwasendaweni ethize njengoba nolaka, ikakhulukazi uma ngegalelo lako futhi ukuqinisela. Ezimweni ezinjalo, zimumethe-4%. Nobuhlungu obubangelwa kokucindezelwa we umgogodla kwalapho kuhlangana khona imizwa futhi izinto ngenxa isimila semithambo liningi igazi ngesikhathi ukunyakaza asebenzayo, enyakazayo, izinguquko isikhundla umzimba emkhathini, kanye thrombosis balandela ukungezwani apharathasi ligamentous ka ikholomu umgogodla.

Isb, hemangioma nomgogodla wesibeletho ingase ibonise izinhlungu ehunyushelwe entanyeni lapho ukuvula noma eguqa umzimba, emizweni ezingemnandi endaweni yokulimala, kufaka phakathi ukusebenza umsebenzi ahlukahlukene. Specific kukhona ebusuku esivuthayo ubuhlungu kule site kwendawo lwesimila.

umthwalo Jwayelekile kuba yingozi futhi kungaholela ophukayo kokucindezelwa e izilonda inqubo sokugembula ezingaphezu kwesigamu umzimba vertebral. Uma kokunikezwa kwe-ubuqotho vertebra isivele waphawula, zlib we umgogodla intambo izidakamizwa bangase balwisane izinguquko eziphawulekayo kuze iziyaluyalu micturition, noma ukuhamba iziyaluyalu ngohlobo ukukhubazeka.

izinyathelo sokuxilonga ukuze ukuthola isifo

Ubunikazi hemangioma nzima ngenxa izici zokukhula kwayo okwakuzothatha isikhathi eside futhi kancane, kanye asymptomatic ezimweni eziningi.

Izindlela zanamuhla eyinhloko uphethwe - computer futhi magnetic resonance imaging,-X-ray luhlolo yomgogodla, kanye kumiswa angiography ongaphilile nge Ngokuphambene umjovo kanye ukukhiqizwa uchungechunge izithombe. Ngaphezu kwalokho ukuthola uphethwe hemangioma, izindlela ezengeziwe of luhlolo olwenziwa ukuze ihlole futhi ilawule a neoformation kungavamile ukuba ingozi. Ukulandelela nokuthathe kwenza izinga lokhula futhi kucatshangelwa kakhulu isakhiwo pathomorphology isimila, ngenxa okwashiwo ashukumisayo axazulula inkinga sendlela yokuphatha abanye hemangiomas sokukhubazeka komgogodla.

ukuqhuba neziguli hemangioma emgogodleni Amaqhinga

Nge nokuqapha njalo isimila kuthathwe njengesisekelo ukuphathwa okhulelwe isiguli nge ozinzile futhi kancane ethuthuka ngendlela. manipulations zokwelapha kuphela abazenzi esimweni ukukhula nolaka.

Kuye indawo kanye nosayizi hemangiomas ekhethiwe indlela ethile yokwelapha.

Sclerotherapy - indlela eyisisekelo emhloleni ukuchayeka

Ukumisa ekukhuleni neoplasm ngaphakathi ngenaliti ekhethekile ngesikhumba yagcwala impahla ekhethekile, izakhiwo efana amathambo usimende. a impahla njalo is polymethyl methacrylate, okuyinto emva ekuphathweni hemangioma izitsha zapustevayut futhi ingaphakathi vertebral Uqinisa. Ngakho-ke, le ndlela yokwelashwa ngokuthi percutaneous vertebroplasty inaliti. It wenziwa ngaphansi izinzwa jikelele noma wendawo.

Njengoba lisetshenziswe sclerotherapy ezihlukahlukene ukwethulwa ejenti yesivini ukuthi uyakhululwa by ipayipi ngqo yesimila. It uba i embolus, izitsha ukunikezela uphawu ukulethwa kokumisa izakhi ku le ukukhula sokugembula, kancane kancane wabangela ukuba abaphindela futhi sclerosis. Le ndlela isetshenziswa uma kungekho ingozi ye vertebral umzimba kokucindezelwa ukwa, kanye ematfuba ukopha izitsha gemangiomatoznyh.

Ngu asesebenzisa indlela yokuhlinzwa lapho kudingeka decompress emgogodleni izimpande zawo izidakamizwa kakade Ukubhujiswa okuzayo ithambo izakhiwo kanye kokucindezelwa ka eduze ezinzwa. Futhi wenza resection lemfundo.

Izingozi kanye izexwayiso amacebo kweziguli hemangioma

Njengoba ngaphambili ayaziwa ugongolo indlela nomthelela hemangioma manje selisetshenziswa akuvamile ngenxa izindlela iyashelela futhi evikelekile.

Kumelwe sikhumbule ukuthi uma kutholakala umuntu imfundo enjalo kufanele sigweme imiphumela sokugembula emzimbeni ezifana Ukushisa, massage, iyiphi incwadi yomholi bese Physiotherapy, kanye amakhambi abantu ukunciphisa exacerbations futhi ukucunula ukukhula focus sokugembula.

Ngeshwa, ngo izimo yesimanje yokuphila, okufaka hlangana ibhoduluko, ukudla, amanzi kanye nomoya, Ngiwumqemane kungaba ozibongayo ambalwa. Hemangioma, nakuba kungokwalabo inqubo isimila, kodwa usenayo Yiqiniso ingozi ezimweni eziningi. Futhi uma okwashiwo ashukumisayo kanye ukungabikho ukukhula nolaka, izinga lokuphila akusho ahlupheke.