Lymphangioma ezinganeni: izimpawu, izimbangela, ukwelashwa kanye nokuvimbela izici

Ngo iningi amacala, izimbangela eziyinhloko izimila ezinganeni lezi zinkinga zokukhula izicubu noma izitho zangaphakathi phakathi ukuthuthukiswa sombungu.

Njengomthetho, imfundo enjalo, ezifana lymphangioma ezinganeni ezikhonjwe ngokushesha nje ngemva kokuzalwa noma eminyakeni yokuqala yokuphila. Izimila ezivame kakhulu zezinzwa izicubu imvelo zihlanganisa hemangioma futhi lymphangioma. Ukwanda izimila ingozi ezinganeni kwenzeka ngokushesha kakhulu kunezinye abadala, kudinga uphethwe okusheshayo kanye ukukhethwa okunye ukwelashwa.

Yiziphi izimila ingozi?

izimila Benign ijwabu semithambo uhlukaniswe:

• izimila semithambo (haemangioma);
• kwezinso zenhliziyo (nevi, teleangioektizii).

Hemangiomas (angioma) bavele iziyaluyalu angiogenesis. Kugujwa ukukhula kwabo okusheshayo ikakhulukazi ezinyangeni zokuqala eziyisithupha emva kokuzalwa. Ngo inqubo ekwandeni umonakalo angioma enyameni ezungezile, ukwakha yezimonyo esitebeleni kanye zamehlo sokusebenza.

I njalo kunazo capillary hemangioma, ehlanganisa sebuningini capillary nemiyalezo basakaza. Banezinhliziyo indawo ebusweni futhi musa ilimaze izingqimba ezijulile dermis. On luhlolo, zihunyushwa njengoba flat noma nje kancane ephakeme ngaphezu le bahlakaniphe isikhumba nge imingcele ecacile of okukhanyayo (ngezinye izikhathi bluish) umbala. Uthambekele nokuguqulwa involution kuze iminyaka 7-8. kwasendaweni Izintandokazi: ikhanda, ubuso, emuva engenhla nasesifubeni.

Cavernous angioma kwakhiwa izimbotshana ahlukaniswe zezinzwa izicubu amabhuloho. Bathambekele sikhule ukujula, hit ongama amanoni kwemisipha izicubu. Abanaso imingcele ecacile. Khathi isebangeni entanyeni nobuso asihole ukusonteka yabo futhi asymmetry. Isici nobuntu luphakanyiswa ngegazi ukugcwaliswa angiomas ukuthethisa nokukhalela.

hemangioma branched kwakhiwa ekuqongeleleni izitsha atypical, okuyinto zitholakala, ngokuvamile, ohlangothini evele entanyeni nobuso. Isimila pulsates, ashisayo uma uyithinta. Of ukukhula kancane, uma eqhathaniswa kwamanye hemangiomas.

angioma ezixutshiwe ehlanganisa semithambo nezinye izicubu, kanye kuhlanganiswe, izici ukuhlanganiswa izimila achazwe ngenhla ezingavamile.

Ukwelashwa izimila semithambo

inkomba Ingabe Ohulumeni Banalo Lonke ekwelapheni angioma bakholwe inchubekelembili ultra-fast yesimila, ukuthuthukiswa eziseqhulwini ingane, kanye kwasendaweni eziyingozi (parotid, esifundeni esemkhathini nezesikhasana) kanye nokuba khona ekhelini angioma, abanakho ukuthambekela involution.

Ikakhulukazi liphinyiselwe ukuthambekela angioma kube nokwanda okukhulu ezinyangeni zokuqala zokuphila. zingakhula Small, imfundo olukha phezulu emasontweni ambalwa ukuze 3-4 izikhathi.

Lapho nengcosana capillary kanye cavernous hemangiomas ukwelapha olandelanayo "Propranolol". Futhi ngempumelelo:

• esasikhipha ukuze isimila e-ethanol, novocaine buhlanjululwe;
• I-hormone sclerotherapy;
• cryosurgery;
• excision;
• elektorokoagulyatsiya;
• ngenkathi angioma branched Handtied ukusuthisa izitsha nge excision okwengeziwe yesimila.

Ukwahlukaniswa uphethwe lymphangiomas futhi hemangiomas

Uyini hemangioma umehluko kanye lymphangioma ezinganeni? Angioma Ukwakheka noma luhlaza bluish obomvu ngawo igazi puncturing ikhishwe. Akumangalisi lenyuka igazi ngokugcwalisa hemangiomas lapho ukukhala nokuklabalasa ingane eqala kalula lapho sicindezelwe, paler lapho sicindezelwe ingilazi.

Lymphangioma ezinganeni elinesimo umthunzi okhanyayo yesimila, ukukhululwa ketshezi endaweni punctate, ukungabi kwamazinyo uma kucindezelwa.

izimila Benign we lymph

Kangakanani lymphangioma ezinganeni, kubangela kanye nezincomo for ukwelashwa sichaziwe ngezansi.

Lymphangioma kukhona izimila dizembriogeneticheskim futhi ahlukumeza kohlelo lymph. Ngo umkhuba emtholampilo, kukhona angioma kancane.

Ngokuvamile, inkinga itholakala hhayi kusungulwa ngokushesha emva kokuzalwa, futhi ngemva kwezinyanga ezimbalwa ngenxa yokuthi ekuqaleni lymphangioma ezinganeni lisasesimweni ilele, ekukhuleni kwayo ngokushesha kanye nokwanda zibangelwa ukulimala esibuhlungu, ukuvuvukala, ukukhula bokuphila ingane.

I kwasendaweni owathandayo: surface lateral entanyeni, phansi umlomo, olimini, ezindebeni.

lymphangioma ezingavamile kwezitho besisu futhi izimila yesibili ezivela ukwephulwa of amanzi lymph (yezinkinga post-op, lymphangitis).

lymphangioma Simple (capillary)

Ngokuvamile lymphangioma ezinganeni kuzibonakalisa ngesimo makroheylii (ukwandisa lip) kanye makroglosii (ulimi lakhulisiwe). Libhekene ukubukeka amaningi, Bubbles eduze zishiyane esinamafu ngokuqukethwe ukukhanya. Ithumba has testovidnuyu ukungaguquguquki, kobuhlungu ku palpation. Uma kungelashwa ulimi lesion kuholela ekwakhekeni malocclusion, dentition ongaphilile.

lymphangioma cavernous

Uma kubhekwa ibukeke ukuhlanganisa izimbotshana amaningi futhi Izigaxana ngokuqukethwe akucacile. Ithumba itholakala izicubu ezithambile kanye kuholela ukusonteka abalulekile entanyeni nobuso.

lymphocele

It libhekene imingcele ecacile, futhi ama-lymph multichamber abasuka omunye umgodi kwenye ngenkathi ecindezela yesimila. Lymphangioma entanyeni izingane ingenye izimila ezivamile kungavamile ukuba ingozi, futhi avame kuzibonakalisa ohlangothini entanyeni. Ngaphansi lymphangioma fibrosis zendawo ngalo ingaphakathi ngomlomo.

ukutheleleka lymphangioma

On kokujoyina ukuvuvukala inqubo show ukukhula okusheshayo yesimila, isisa yayo, ububomvu, ukuvuvukala kanye ukubukeka izimpawu isikhumba obscheintoksikatsionnyh (imfiva, ubuthakathaka kanye nokunye. D.).

Uma kukhona lymphangioma cutaneous e ingane kuka ukufezekisa isimila ingatholakala onguchwepheshe. Ngokuvamile kulezi zimo ukusebenzisa wamafutha elwa namagciwane kanye eqeda ukuvuvukala ( "lincomycin" "clindamycin" "levomikol" erythromycin wamafutha), imithi elwa namagciwane eluhlelweni kanye antihistamine.

ukuphathwa:

• Decompression wokubhoboza.
• Sclerotherapy i-quinine-urethane.
• excision Steel nokususwa kwezicubu sokugembula.
• ukwelashwa okuhlanganisiwe.
• Ultrasonic nokucekelwa nge nenshisekelo okwalandela okuqukethwe.

Lymphangioma besisu

lymphangioma besisu ezinganeni livezwa zimpawu ezilandelayo. Ngokuvamile, iziguli wavuma emtholampilo ukuxilongwa "esiswini oyingozi" (appendicitis acute, mezodenit, adnexitis, Meckel diverticulum). Izikhalazo eyinhloko ubuhlungu esiswini, ngemihlume ezinkulu kungaba isisu asymmetry. Ukuhlanza nokukhishwa sezinyawo iziyaluyalu aziyona into evamile. On palpation kwembula obukhulu, ezihamba kancane imfundo, ngaphandle kobuhlungu, malosmeschaemoe.

Ukuze ukuxilongwa umehluko ukusetshenziswa ulwazi ultrasound, ngekhompyutha tomography. Uhlaziyo jikelele igazi akukho izinguquko ukuvuvukala ehambisana 'esiswini oyingozi ".

ukwelashwa kuhlinzwa. laparotomy owazenza excision izimila kanye enye esizoyihlola histological.

zokuvimbela

Izingane ngemihlume ingozi angaphansi Dispensary ayimpoqo. Ngemva zokwelapha abazitusayo njalo bayohlolwa udokotela ohlinzayo maxillofacial:

• onyakeni wokuqala - eyodwa njalo ngemva kwezinyanga ezintathu;
• ngonyaka wesibili - kabili ngonyaka;
• Ngomnyaka wesithathu - emva kokwelashwa kanye ngonyaka ngaphambi kokufinyelela yobudala.

ukwelashwa kwamazinyo kwenziwe ukuze ulungise malocclusion futhi inkulumo sokuvivinya inkulumo ukulungiswa.

Kungani ukuthuthukisa lymphangioma ezinganeni? Izimbangela zesifo kungaba igciwane odlule ngesikhathi ukuthuthukiswa sombungu. zokuvimbela esiqondile hemangiomas Lifang alikho, njengoba lezi izimila ukuthuthukisa dizembriogeneza ngenxa futhi isegazini.

Uma uhlela ukukhulelwa Kunconywa ukuhlolwa Torch izifo (amagciwane abangela azalwa naso zokugula fetus: rubella, upokisi, toxoplasmosis, cytomegalovirus, ugcunsula, herpes simplex virus izinhlobo 1 no-2), bazilahla imikhuba emibi, ethola ekhethekile Vitamin izakhiwo, ubufakazi emtholampilo futhi uvakashelwa njalo kuya wezifo zabesifazane.