Cyst ntawm lub raum sinus ntawm lub raum sab laug yog ib qho ntawm ntau hom neoplasms uas tuaj yeem tsim hauv lub cev. Nws belongs rau qeb ntawm kev loj hlob yooj yim benign thiab, nrog rau kev kuaj mob raws sij hawm thiab kev kho mob tom ntej, tsis muaj kev cuam tshuam tsis zoo rau tib neeg kev noj qab haus huv. Txawm hais tias muaj txiaj ntsig zoo, muaj qee yam ntawm pathology uas ua rau muaj kev txhawj xeeb. Yog li ntawd, nws yog tsim nyog xav txog - ib tug sinus cyst ntawm lub raum, yog nws txaus ntshai rau tib neeg lub neej, thiab dab tsi yuav ua rau muaj teeb meem.
cov ntaub ntawv dav dav
Lub raum cystic formations yog nyias-walled round loj hlob, kom meej meej demarcated los ntawm lwm cov ntaub so ntswg. Lawv muaj cov kab noj hniav uas muaj cov kua dej serous. Lo lus "lub raum sinus cyst" yog hais txog qhov chaw ntawm neoplasm ncaj qha ze ntawm lub qhov rooj vascular ntawm lub raum. Nyob rau tib lub sijhawm, kev loj hlob tsis yogtuaj cuag lub cev.
Raws li kev txheeb cais, lub cyst, lub raum qhov ntswg ntawm lub raum sab laug tau kuaj pom ntau dua li txoj cai. Thiab tseem muaj cov xwm txheej ntawm kev puas tsuaj rau ob qho tib si ntawm lub cev ua ke tib lub sijhawm.
Qhov tseem ceeb ua rau muaj qhov tshwm sim ntawm neoplasm yog qhov nce hauv lumen hauv cov qog ntshav. Txawm hais tias qhov tseeb tias qhov sinus cyst ntawm lub raum yog suav tias yog kev loj hlob zoo thiab raug kuaj pom ntau dua li lwm hom, qhov kev pheej hmoo ntawm cov teeb meem tshwm sim, thiab yog li ntawd nws txoj kev loj hlob yuav raug saib xyuas tas li los ntawm tus kws tshaj lij.
Feem ntau, pathology raug kuaj pom hauv cov poj niam tshaj 50.
Symptoms
Thaum pib ntawm txoj kev loj hlob, nws yog ib qho nyuaj heev los txheeb xyuas lub cyst ntawm lub raum qhov ntswg ntawm lub raum sab laug, txij li cov txheej txheem pathological tau txhim kho asymptomatically. Feem ntau, kev loj hlob me me tuaj yeem tshawb pom los ntawm lub sijhawm thaum kuaj lub cev tsis tu ncua lossis kuaj xyuas lwm yam kab mob hauv lub cev.
Tab sis raws li cov neoplasm loj tuaj, nws qhov loj tuaj, uas ua rau cov ntaub so ntswg thiab cov hlab ntsha uas nyob ib sab. Qhov no pib cuam tshuam rau kev ua haujlwm ntawm cov zis thiab kev noj qab haus huv ntawm tus neeg mob. Feem ntau cov neeg suav tias qhov tsis xis nyob no rau lwm yam kab mob thiab sim kho lawv tus kheej, uas ua rau lub sijhawm nkim thiab ua rau qhov xwm txheej hnyav dua.
Cov cim tseem ceeb uas lub cev puas tuaj yeem lees paub:
- kos mob hauv thaj tsam lumbar ntawm sab laug;
- sustainablentshav siab uas tsis tuaj yeem normalize nrog cov tshuaj ib txwm muaj;
- tso zis ntau zaus lossis tso zis tso rau hauv lub cev, uas yog provoked los ntawm lub siab ntawm neoplasm ntawm lub zais zis thiab ureter;
- kev qaug zog;
- kev tsis sib haum xeeb;
- nausea;
- kiv taub hau;
- kev tsis pom kev tsis pom kev.
Nrog kev tsim ntawm ntau qhov kev loj hlob hauv lub raum, cov tsos mob yuav muaj zog dua. Tib lub sijhawm, tus neeg ntawd hnov qhov mob hnyav ntawm sab laug, ua ke nrog kev tso zis tsis zoo.
Thaum cov ntshav tso zis nkag rau hauv cov zis, nws cov xim hloov, yog li cov tsos mob no tshwm sim, koj yuav tsum tsis txhob ncua mus ntsib kws kho mob.
Yog vim li cas
Feem ntau, qhov ua rau lub raum ntawm lub raum qhov ntswg ntawm lub raum sab laug yog kev ua txhaum ntawm kev loj hlob ntawm tus menyuam hauv plab. Qhov tshwm sim ntawm kev tsim cov kab mob nce ntxiv yog tias cov neeg txheeb ze tau kuaj pom tus mob ntawm cov kab mob no.
Ua kom pom cov hlwv tuaj yeem suav nrog ntau yam:
- ua haujlwm lub cev ntau dhau;
- lumbar raug mob, poob ntawm qhov siab;
- kab mob ntawm cov zis, raum;
- haus ntau dhau;
- Ypyelonephritis;
- kev noj haus tsis txaus;
- hormonal tsis ua haujlwm;
- ib puag ncig phem;
- tsis tu ncua hypothermia ntawm lub cev;
- urolithiasis;
- kev siv tshuaj tsis raug cai.
Yog lub raum mob sab laug,Cov tsos mob thiab kev kho mob ntawm cov txheej txheem pathological tuaj yeem sib txawv heev. Yog li ntawd, koj yuav tsum tsis txhob sim tsim kom muaj kev kuaj mob ntawm koj tus kheej, thiab ntau ntxiv kom ua tiav kev kho mob, vim qhov no yuav ua rau muaj kev cuam tshuam ntxiv ntawm qhov xwm txheej.
Txhais tau
Kev kho tsis raws sijhawm ntawm lub raum ntawm lub raum sinus ntawm lub raum sab laug tuaj yeem ua rau muaj kev cuam tshuam ntawm pyelonephritis thiab lub raum tsis ua haujlwm.
Nrog rau kev loj hlob tseem ceeb ntawm kev txhim kho, qhov kev pheej hmoo ntawm nws cov rupture nce ntxiv nrog kev tso tawm ntawm cov kua paug mus rau cov kabmob thiab cov ntaub so ntswg uas nyob ib sab. Qhov no tuaj yeem ua rau qaug rau lub cev.
Ntxiv rau, qhov nce ntawm qhov loj ntawm neoplasm ua rau kev hloov pauv ntawm cov ntaub so ntswg ntawm lub cev, raws li qhov tshwm sim ntawm hydronephrosis tsim, uas cuam tshuam rau kev ua haujlwm ntawm lub raum cuam tshuam.
Ib yam ntawm cov teeb meem no tuaj yeem ua rau tib neeg noj qab haus huv, tsuas yog kev kho kom raws sijhawm yuav pab kom zam qhov no.
Diagnosis
los nrhiav kev loj hlob ntawm cov pathological, ntau hom kev kuaj mob thiab kev kuaj sim ua haujlwm tau sau tseg. Qhov no yog vim lub fact tias nyob rau hauv feem ntau lub pathology tsim asymptomatically, uas heev nyuaj rau kev kuaj mob. Tsuas yog nrog tag nrho cov ntaub ntawv tau txais, tus kws kho mob yuav tuaj yeem txiav txim siab thiab sau cov kev kho mob tsim nyog.
Cov kev kuaj mob yooj yim:
- ntsuas zis. Kev nce qib ntawm cov qe ntshav liab qhia txog kev txhim kho cov txheej txheem inflammatory hauv lub cev.
- kuaj ntshav. Kom paub ceeverythrocyte sedimentation.
- Ultrasound. Txoj kev tseem ceeb ntawm kev kuaj mob pathological hloov hauv lub cev. Echographic cov cim qhia ntawm lub raum ntawm lub raum sinus ntawm lub raum sab laug tshwm sim raws li cov duab sib npaug dub nrog cov cim qhia meej meej uas tsis sib txuas lus nrog lub plab mog. Hauv qhov no, tsis txhob cuam tshuam lub cyst nrog hydronephrosis, lymphangiosis thiab lub raum lymphomatosis.
- CT. Txhawm rau txheeb xyuas cov kab mob pathology, cov xim tshwj xeeb (iodine) tau nkag rau hauv lub cev. Tom qab 10 feeb, thaum cov pigment kis thoob plaws hauv lub cev, nws tuaj yeem txiav txim siab tias muaj cyst, vim tias cov kua dej tsim tsis txuas rau lub raum thiab yog li tsis stain zoo li lwm cov ntaub so ntswg.
- MRI. Txoj kev no yuav pab txheeb xyuas lub sinus cyst nrog cov teeb liab hyperintensity hauv T2-WI thiab hypointensity hauv T1-WI.
Txoj kev kuaj mob twg tus kws kho mob txiav txim siab yuav tshuaj yuav nyob ntawm qhov nyuaj ntawm rooj plaub thiab muaj cov tsos mob ntxiv.
kev kho mob
Thaum tsis muaj cov tsos mob tsis zoo thiab kev loj hlob ntawm lub cyst, kev kho mob tsis ua tiav. Hauv qhov no, tus neeg mob yuav tsum tau kuaj xyuas tsis tu ncua txhawm rau txheeb xyuas qhov kev loj hlob ntawm kev loj hlob ntawm neoplasm.
Tshuaj kho mob ntawm lub raum ntawm lub raum sinus ntawm lub raum sab laug yog muab rau kev loj hlob me me (txog 5 hli), tab sis tus neeg mob xav tias tsis xis nyob. Kev kho mob hauv qhov no yog txhawm rau tshem tawm cov tsos mob, normalizing cov zis tawm ntawm cov zis thiab stabilizing cov ntshav siab.
Kev kho mob, tus kws kho mob tau sau tshuaj kho mob, tshuaj tiv thaiv kab mob, thiabantispasmodics. Yog tias tsim nyog, kev siv tshuaj tua kab mob yog tsim nyog. Cov kev kho mob thiab ntau npaum yog tsim los ntawm tus kws kho mob tshwj xeeb, raws li tus neeg mob tus yam ntxwv, tag nrho cov tsos mob thiab theem ntawm kev loj hlob ntawm cyst.
Nrog kev kuaj mob raws sijhawm thiab kev kho kom txaus, koj tuaj yeem tshem tawm cov kab mob yam tsis muaj kev phais tshem tawm.
Indications rau kev phais
Kev tshem tawm ntawm kev tsim tawm yog pom zoo rau cov neeg mob uas tshwm sim ntawm lub qhov txhab ntawm lub raum tau ua rau muaj kev cuam tshuam, vim tias kev ncua sijhawm tuaj yeem ua rau muaj kev phom sij rau lub neej.
Cov lus qhia tseem ceeb rau kev phais:
- Ysuppuration ntawm neoplasm;
- tawg ntawm lub raum ntawm lub raum sinus ntawm lub raum sab laug;
- kev tso zis tseem ceeb;
- poob ntawm lub cev ua haujlwm;
- probability of degeneration into a malignant qog;
- cyst loj hlob sai;
- muaj ntshav tso zis;
- mob hnyav los ntawm lub cev cuam tshuam;
- mob ntshav siab uas tsis tuaj yeem ruaj khov nyob rau lub sijhawm ntev.
Kev tshem tawm
Muaj ntau ntau txoj hauv kev los tshem tawm cov kab mob sinus. Qhov twg xaiv? Qhov no yog txiav txim los ntawm tus kws kho mob raws li cov kev qhia uas twb muaj lawm.
hom kev phais loj:
- Ntxhis lub cyst. Thaum lub sijhawm ua haujlwm, lub cyst yog punctured nrog lub raj tshwj xeeb. Lub serous kua ntawm lub build-up yog pumped tawm los ntawm nws, ua raws li los ntawm sau lub void nrog ib tug tshwj xeeb tov uas glues rau phab ntsa.kev kawm. Yog tias qhov no tsis ua tiav, qhov tshwm sim ntawm kev rov qab yog 80%.
- Laparoscopy ntawm lub raum cyst. Kev ua haujlwm yog ua raws li kev siv tshuaj loog. Txhawm rau tshem tawm cov cyst, ntau qhov kev txiav me me yog ua nyob rau hauv phab ntsa sab hauv ntawm lub plab kab noj hniav thiab los ntawm sab ncaj qha ze ntawm lub cev. Los ntawm qhov tau txais, lub laparoscope thiab lwm yam cuab yeej tsim nyog tau muab tso rau. Cov pa roj carbon dioxide yog tom qab ntawd nkag mus rau hauv lub plab kab noj hniav kom pab nqa lub peritoneum. Tom qab ntawd, lub cyst yog excised. Thaum kawg ntawm kev ua haujlwm, tag nrho cov incisions yog sutured. Qhov zoo ntawm txoj kev: lub sijhawm luv luv (5-7 hnub), tsis muaj caws pliav, kho qhov txhab sai, txheej txheem adhesion tsawg heev.
Tom qab ua haujlwm, tus neeg mob yuav tsum hnav ntaub qhwv, thiab ua haujlwm tsis pub dhau 2 lub lis piam tom qab. Qhov no yuav pab kom tsis txhob muaj teeb meem.
kev kho neeg zoo
Nrog rau qhov me me ntawm lub raum ntawm lub raum sinus ntawm lub raum sab laug thiab tsis muaj cov tsos mob tshwm sim, kev loj hlob ntxiv tuaj yeem tiv thaiv nrog kev pab los ntawm pej xeem cov tshuaj. Kev siv lawv yuav tsum xub pom zoo nrog tus kws kho mob.
Cov tshuaj zoo tshaj plaws:
- Burdock. Ncuav lub crushed nyom cag (30 g) rau hauv boiling dej (0.5 l). Boil qhov sib tov rau 20 feeb, tsis txhob cia nws boil ntau dhau. Ncuav lub broth rau hauv ib lub thermos, tawm rau 60 feeb, huv si. Haus 3 zaug hauv ib hnub, 100 ml ib zaug.
- Kub hwj txwv. Muab 50 g ntawm tshuaj ntsuab rau hauv ib lub khob ntim. Ncuav nyob rau hauv vodka nrog ib tug ntim ntawm 500 ml. Insist nyob rau hauv qhov tsaus ntuj rau 10 hnub,co cov sib tov qee zaus. Tom qab lub sijhawm dhau mus, tshem tawm cov tincture ntawm impurities thiab haus 30 feeb ua ntej noj mov 2 zaug hauv ib hnub. Noj thawj hnub 10 tee rau 30 ml ntawm dej, nrog rau txhua hnub tom qab nce ntxiv los ntawm 1 nco, thiab ntxiv rau 20 hnub. Tom qab ntawd rov ua cov chav kawm, tab sis nrog kev txo qis hauv tus nqi txhua hnub los ntawm 1 poob.
- Elecampane. Ncuav 2.5 liv dej sov rau hauv lub khob ntim. Ncuav 30 g ntawm crushed elecampane paus, 50 g suab thaj thiab 5 g ntawm poov xab rau hauv cov kua. Muab lub ntim nrog cov khoom nyob rau hauv qhov tsaus ntuj kom txog thaum cov dej haus pib ferment. Haus 100 ml ntawm cov tshuaj txhua hnub rau 20 hnub ua ke.
- Aspen bark. Sib tov cov khoom xyaw kom muaj hmoov sib xws. Noj 1 teaspoon peb zaug ib hnub twg nrog dej sov. Tag nrho cov chav kawm - 14 hnub, so so rau tib lub sijhawm, thiab rov kho dua.
Kev Tiv Thaiv
Ua raws li cov cai tiv thaiv yooj yim yuav pab txo qis qhov tshwm sim ntawm qhov mob cyst.
- Tsis txhob hypothermia, hnav khaub ncaws rau huab cua.
- Txo ntsev kom tsawg li 2-2.5 grams tauj ib hnub.
- Haus yam tsawg 1.5-2 litres dej ib hnub.
- Txhob muab tshuaj yej, kas fes cawv.
- Txo cov khoom kib, ntsim, ntsev thiab haus luam yeeb kom tsawg.
- Kho cov kab mob sib kis raws sijhawm.
- txwv tsis pub noj chocolate.
Cov Lus Qhia
Txawm tias qhov tseeb tias lub raum ntawm lub raum qhov ntswg ntawm lub raum sab laug belongs rau qeb ntawm hom yooj yimkev kawm, qhov tshwm sim ntawm qhov teeb meem tseem muaj. Qhov kev pheej hmoo yuav nce ntxiv thaum pom tseeb cov tsos mob ntawm cov txheej txheem pathological tsis quav ntsej.
Ntxiv mus, yog tias lub raum mob rau sab laug, cov tsos mob thiab kev kho mob tuaj yeem sib txawv, yog li kev kho tus kheej, raws li kev paub ntawm koj cov phooj ywg, tsis tsim nyog, vim tias txhua kauj ruam yuam kev tuaj yeem ua rau tus kheej. nce kev loj hlob ntawm kev loj hlob thiab nws suppuration. Yog li ntawd, ua ntej yuav ua ib yam dab tsi, koj yuav tsum tau kuaj thiab mus ntsib kws kho mob.
