Hemangioma ntawm qhov chaw mos yog qhov tsis xws luag hauv kev tsim cov hlab ntsha hauv cov txheej txheem ntawm daim tawv nqaij. Nws yog qhov pom kev kho kom zoo nkauj tsis xws luag. Xws li qhov tsis txaus yog qhov txaus ntshai heev rau lub neej ntawm tus neeg mob. Txhua qhov kev raug mob uas ua rau cov hlab ntsha sab nraud tsis tuaj yeem ua rau los ntshav - ntau dua lossis tsawg dua.
Qhov xwm txheej txaus ntshai tshaj plaws tshwm sim yog tias lub cavernous hemangioma ntawm lub labia tawg (daim duab ntawm kev tsim tsis txuas rau vim li cas kev coj ncaj ncees). Hom hemangioma no muaj cov kab noj hniav loj thiab cuam tshuam nrog cov hlab ntsha sib sib zog nqus. Ib qho mob qog nqaij hlav ntawm cov hlab ntsha tuaj yeem ua rau cov ntshav txhaws. Tsis tas li ntawd, ulceration tuaj yeem suav hais tias yog ib qho teeb meem loj. Qhov tsim ntawm phlebitis thiab thrombophlebitis yuav yog lub hauv paus ntawm cov teeb meem loj.
Tshawb nrhiav hemangioma ntawm lub labia hauv cov menyuam mos tom qab yug me nyuam, thiab qee zaum thaum thawj lub hlis ntawm tus menyuam lub neej.
Muaj hemangiomas, ob leeg ib leeg thiab ntau yam. Ntawm qhov chawhemangiomas nyob rau hauv cheeb tsam ntawm perineum thiab sab nraud genitalia, muaj ib tug ulceration, tab sis tom qab lub neoplasm kho ntawm nws tus kheej. Vim li cas hemangiomas txaus ntshai thiab lawv tuaj yeem kho tau?
Yog vim li cas
Tus kab mob no tseem tsis tau kawm tiav los ntawm cov tshuaj. Tab sis cov laj thawj tseem ceeb ntawm hemangioma ntawm labia hauv cov neeg laus thiab menyuam yaus, cov kws tshaj lij ntseeg tias:
- cuam tshuam sab hauv ntawm cov hlab ntsha thiab cov ntaub so ntswg;
- kab mob ntawm tib neeg lub cev;
- cuam tshuam ntawm hluav taws xob hluav taws xob lossis raug tshav ntuj;
- genetic predisposition;
- niam haus thaum cev xeeb tub;
- pathology ntawm intrauterine vascular kev loj hlob ntawm tus me nyuam.
Qhov laj thawj yog tus kab mob kis uas leej niam muaj thaum cev xeeb tub, thiab, raws li, tus menyuam. Nyob rau hauv cov ntaub ntawv no, ib tug hemangioma yog ib tug qog. Nws tshwm sim vim kev ua haujlwm tsis zoo ntawm cov hlab ntsha. Yog tias qhov neoplasm no tsis thab tus neeg mob, nws tsis tas yuav tshem nws. Tab sis nyob rau hauv cov ntaub ntawv ntawm nws loj hlob, tsis xis nyob, los ntshav, koj yuav tsum sab laj nrog kws kho mob.
Txawm hais tias muaj kev txhim kho qib siab ntawm cov tshuaj thoob plaws ntiaj teb, qhov teeb meem ntawm qhov tsos thiab kho hemangiomas tseem tsis tau daws tag nrho. Cov kws kho mob tsis pom zoo txog qhov ua rau cov qog no thiab yuav tiv thaiv lawv li cas.
Symptoms
Hemangioma ntawm tus poj niam qhov chaw mos hauv nruab nrog cev yog qhov chawci crimson, xiav los yog liab doog, reminiscent ntawm ib tug abscess ntawm cov ntaub so ntswg. Capillaries yuav tshwm sim ntawm qhov chaw. Yog hais tias lub pathological cheeb tsam ntawm daim tawv nqaij yog palpated, nws yuav tig daj ntseg rau ib tug luv luv lub sij hawm, thiab ces rov qab mus rau nws thawj xim thiab loj. Cov neoplasm tuaj yeem ua tau ob qho tib si tiaj tus thiab siab, qhuav thiab ntxhib, tsis sib xws thiab pob, mos hauv kev ntxhib los mos. Nws kuj tseem yuav kub piv rau lwm qhov chaw ntawm daim tawv nqaij.
Feem ntau, cov neeg laus tsis muaj mob ntawm qhov chaw ntawm neoplasm. Yog hais tias qhov chaw pathological puas lawm, los ntshav hnyav tuaj yeem tshwm sim, uas yuav nyuaj heev, thiab cov nqaij mos necrosis yuav tshwm sim yav tom ntej.
Cov qog feem ntau me me, tsis loj hlob lossis loj hlob qeeb, tab sis tsis pub ntau tshaj 3 centimeters. Raws li twb tau hais lawm, ib qho neoplasm ntawm lub labia yuav tsis tshwm sim nws tus kheej hauv txhua txoj kev, nws tuaj yeem kuaj pom los ntawm palpation. Hauv cov menyuam yaus, qhov o ntawm lub labia tuaj yeem loj hlob hauv thawj 6 lub hlis ntawm lub neej, tom qab ntawd nres lossis qeeb.
Kev kho hluav taws xob
Radiotherapy yog siv rau cov pa capillary thiab cavernous hemangiomas ntawm daim tawv nqaij thiab parenteral fatty ntaub so ntswg ntawm lub labia. Xws li kev kho mob ntawm hemangiomas yog ib txoj hauv kev zoo tshaj plaws.
Nws yog qhov tshwj xeeb tshaj yog tias nws tau ua hauv menyuam yaus hauv thawj xyoo ntawm lub neej, txij li thaum lub hnub nyoog no qhov cuam tshuam ntawm cov ntaub so ntswg angiomatous rau ionizing hluav taws xob ntau dua. Nws tsis yog qhov txawvua kom nws muaj peev xwm ua tiav qhov kev kho zoo rau hemangiomas nrog kev rov ua dua tshiab ntawm daim tawv nqaij zoo.
Laser kho mob
Nyob rau hauv kev kho mob ntawm hemangioma superficial ntawm lub labia majora, lub npe hu ua laser tshem tawm txoj kev yog siv. Txoj kev no yog ib qho zoo tshaj plaws, vim nws tso cai rau koj tshem tawm cov neoplasm ib zaug thiab rau tag nrho, tsis muaj kev mob, thiab tsis tawm nti ntawm lub cev.
Lub laser yuav tsis muaj qhov tsis zoo rau ntawm daim tawv nqaij thiab muaj kev nyab xeeb rau tus menyuam. Cov tawv nqaij ua zoo kawg nkaus du thiab huv si tom qab tus txheej txheem. Txoj kev no kiag li nres qhov kev loj hlob ntxiv ntawm cov qog thiab txhawb nqa nws cov resorption tiav yam tsis muaj qhov cim ntawm lub cev.
YDiathermoelectrocoagulation
Diathermoelectrocoagulation rau hemangioma ntawm lub labia yog qhov chaw cauterization ntawm cov tawv nqaij cuam tshuam nrog cov electrode thiab hluav taws xob tam sim no. Xws li cov nyhuv tsis yog siv ntau zaus thiab tsuas yog tsim rau cov qog nqaij hlav me me. Qhov zoo ntawm txoj kev no yog:
- painless;
- tsis muaj ntshav;
- siv tau rau txhua lub hnub nyoog;
- tsis muaj contraindications thaum cev xeeb tub thiab lactation;
- tsis muaj qhov tshwm sim tom qab kev phais.
Kev kho cov tawv nqaij kom tiav tom qab lub npe txheej txheem tshwm sim hauv 14-18 hnub, yuav luag tsis muaj qhov seem.
Cryodestruction
txheej txheem nonqa tawm sai heev. Cov cuab yeej muaj nitrogen yog siv rau lub cev rau 20-25 vib nas this. Feem ntau, cov neeg mob tsis muaj sijhawm los nkag siab txog qhov tshwm sim, txij li thaum lub sijhawm txheej txheem no yuav hnov mob me ntsis tingling, thiab tsis pom muaj lwm yam tsis xis nyob. Nws yuav tsum raug sau tseg tias txoj kev no muaj kev nyab xeeb kiag li thiab yog qhov zoo tagnrho rau cov menyuam yaus hnub nyoog peb xyoos thiab laus dua.
Tom qab cryodestruction, tsis muaj kev txwv, tsuas yog tus menyuam xav tau kev thaj yeeb thiab kev thaj yeeb me ntsis hauv thawj teev tom qab ua haujlwm.
YHommon Therapy
Muaj cov xwm txheej thaum hemangioma ntawm lub labia nce nrawm. Hauv cov xwm txheej zoo li no, kev kho hormonal yog siv los kho nws. Cov kws kho mob siv Prednisolone ua tshuaj. Cov tshuaj no pab tiv thaiv kev loj hlob ntawm vascular cov ntaub so ntswg, thiab kev loj hlob ntawm cov qog nres.
Kev kho lub voj voog feem ntau siv plaub lub lis piam. Yog tias neoplasm tau kuaj pom raws sijhawm, ces yuav tsis muaj teeb meem ntawm txoj kev rov qab los. Hemangioma tsis yog ib yam kab mob loj, tab sis yog tias muaj cov cim qhia, koj yuav tsum hu rau tus kws kho mob tam sim ntawd.
Ib ob peb lo lus ntxiv txog kev kho hemangioma
Nws yuav tsum tau hais tias hemangiomas yog qhov txaus ntshai tshwj xeeb rau cov menyuam mos ntxov ntxov: hauv lawv lawv nce 2-3 zaug sai dua li cov menyuam puv sijhawm. Txawm hais tias, raws li kev tshawb fawb, kwv yees li 7% ntawm cov neoplasms no yuav ploj mus ntawm lawv tus kheej thaum menyuam loj hlob. RauNyob rau hauv ib lo lus, qhov no distinguishes lawv los ntawm lwm yam qog. Txawm li cas los xij, raws li txoj cai, qhov kev nyab xeeb tshaj plaws ploj mus - cov yooj yim thiab cov nyob ntawm qhov chaw kaw ntawm lub cev.
Ntau xyoo dhau los, cov kws tshaj lij tau tso tseg txoj kev phais kev kho mob ntawm kev tshem tawm hemangiomas, thiab tam sim no hauv 95% ntawm cov neeg mob qog nqaij hlav vascular tau kho nrog txoj kev phais. Xws li kev kho mob tuaj yeem pib thaum muaj hnub nyoog ntxov - yuav luag tam sim tom qab kuaj mob. Thiab qhov sai koj pib, qhov zoo dua qhov tshwm sim yuav.
Yog li, 70% ntawm hemangiomas raug kho cryogenically, siv cov kua nitrogen ntawm qhov kub ntawm -196 ° C. Hauv qhov no, kev kho mob tshwm sim tsis muaj caws pliav, uas yog qhov tseem ceeb rau tus neeg mob. Tus naj npawb ntawm kev kho mob cryotherapy nyob ntawm qhov loj ntawm hemangioma. Nyob rau tib lub sijhawm, koj tuaj yeem tshem tawm cov neoplasm ntawm 10 cm². Cov txheej txheem yog ua los ntawm tus neeg mob sab nraud, tsis muaj tshuaj loog. Cov teeb meem, raws li txoj cai, tsis tshwm sim. Thiab tom qab qhov kawg ntawm kev ua haujlwm, yuav luag tsis muaj kev kho tshwj xeeb. Nws yog txaus los kho qhov chaw uas cov qog nyob nrog ci ntsa iab ntsuab, thiab tom qab ntawd nrog me nyuam mos cream.
Rau qhov tob tob hauv qhov hemangiomas (nrog rau cov ntawm lub ntsej muag), txoj kev siv microwave cryodestruction yog siv. Nyob rau hauv cov ntaub ntawv no, lub qog yog irradiated nrog ib tug microwave teb, thiab ces raug cryotherapy.
Cov menyuam yaus hnub nyoog qis dua rau lub hlis yuav tau txais txiaj ntsig los ntawm kev kho mob nrog Prednisolone ntsiav tshuaj.
Rau qhov tsim ntawm qhov chaw mos, kev kho hluav taws xob kuj pom zoo. Los ntawm txoj kev, rau cov qog nqaij hlav hauv thaj av parotid, ntawm lub ntsej muag thiab caj dab, thev naus laus zis ntawm angiography thiab embolization tau tsim (uas yog, vasoconstriction thiab thaiv cov dej ntws.ntshav mus rau lub qog). Kev phais mob tsuas yog siv rau qhov tob hemangiomas hauv qhov chaw kaw ntawm lub cev thiab ceg ceg.
Kev ua haujlwm
Kev phais rau hemangioma ntawm lub labia yog ib txoj hauv kev tsis tshua muaj kev kho mob, vim nws muaj qee yam txaus ntshai, nrog rau kev mob thiab tsis xis nyob hauv lub sijhawm tom qab phais. Kev ua haujlwm raug muab rau hauv rooj plaub:
- pheej hmoo ntawm qog nqaij hlav loj hlob mus rau qhov tsis zoo;
- yog tias qhov neoplasm ua rau tsis xis nyob;
- nrog cov qog loj hlob sai;
- kev loj hlob;
- cov tsos mob uas tsis sib haum nrog lwm yam kev kho mob.
Thaum lub sijhawm ua haujlwm, cov kws phais tshem tawm cov qog nws tus kheej thiab ib feem me me ntawm cov ntaub so ntswg noj qab haus huv uas nyob ib sab los tiv thaiv kev rov tshwm sim ntawm cov qog hauv tib cheeb tsam.
