Ib lub cyst sebaceous (atheroma lossis hauv cov neeg ib txwm siv) yog ib qho kev tsim kho zoo uas muaj cov tshuaj ntsiav nrog sebum sab hauv. Atheroma tuaj yeem nyob txhua qhov chaw ntawm lub cev. Nws feem ntau kis tau. Tab sis thaum tsis muaj qhov mob, qhov tsim yog feem ntau asymptomatic.
qhov kev tsim no yog tshwm sim los ntawm kev thaiv cov ducts ntawm cov qog sebaceous. Atheromas muaj tsawg heev hauv cov menyuam yaus, tab sis feem ntau tshwm sim hauv cov laus. Cov formations yog mobile, loj hlob qeeb, muaj ib tug puag ncig, tsis mob thiab nyob rau hauv cov ntaub so ntswg subcutaneous. Atheromas muaj ib tug nyias nyias capsule ntim nrog cov khoom keratinized. Lawv qhov loj tuaj yeem sib txawv ntawm ob peb millimeters mus rau 5 centimeters.
Sebaceous cysts yog hu ua epidermal inclusion cysts. Lawv yog benign daim tawv nqaij lesions. Kev kawm tsis tshua xav tau kev cuam tshuam rau kev kho mob,yog li ntawd, lawv feem ntau raug tshem tawm vim li cas kom zoo nkauj. Yog tias cov hlwv ua rau mob, rov qab los, lossis loj heev uas cuam tshuam rau tus neeg mob lub neej ib txwm, lawv raug pom zoo kom tshem tawm.
Atheromas tsis dhau ntawm lawv tus kheej. Lawv qhov loj me tuaj yeem nce lossis txo lub sijhawm. Tab sis kom tshem tau cov kev kawm zoo li no, koj yuav tsum hu rau tus kws tshaj lij.
Kev piav qhia
Sebaceous cysts yog cov benign loj hlob uas nyob hauv qab ntawm daim tawv nqaij. Lawv feem ntau loj hlob qeeb thiab tsis ua rau lub neej hem. Feem ntau cov atheromas zoo li cov khoom txawb subcutaneous nodule, sib npaug, daj lossis dawb. Lub cyst muaj ib tug pasty pawg uas muaj li ntawm keratin thiab lipid. Cov tshuaj no kuj muaj nyob rau hauv cov plaub hau thiab txheej txheej ntawm daim tawv nqaij. Atheroma cov ntsiab lus feem ntau yog qias neeg, uas tej zaum yuav yog vim muaj kab mob los yog decomposition, los yog vim lawv cov rog.
Cov kab mob qog nqaij hlav tuaj yeem tshwm sim nyob txhua qhov ntawm lub cev, tab sis lawv feem ntau pom ntawm lub ntsej muag, pob tw thiab caj dab. Atheromas tsis muaj teeb meem yog tias lawv tsis ua rau tsis xis nyob, mob, thiab yog tias mob tsis tshwm sim. Hauv lwm qhov xwm txheej, nws raug nquahu kom siv kev ntsuas los tawm tsam sebaceous cysts. Cov no tuaj yeem yog txhaj tshuaj hormonal, autopsy thiab kua dej. Kuj tseem muaj txoj hauv kev tshem tawm atheroma: ua tiav lossis ib nrab txiav thiab kho laser. Txhawm rau tiv thaiv qhov tshwm sim ntawm nti thiab kab mob, cov neeg mob tsis pom zoo kom nyem tawm atheromas lossis tshem tawm cov ntsiab lus ntawm lawv tus kheej. Cov txheej txheem no tsuas yog ua los ntawm kev kho mob xwbneeg ua haujlwm.
Yog vim li cas
Cysts feem ntau yog tsim los ntawm cov fibers thiab fatty. Kev tsim tuaj yeem tshwm sim nyob qhov twg hauv lub cev. Feem ntau lawv nyob ntawm tawv taub hau, nraub qaum, ntsej muag (tsuas yog ntawm lub puab tsaig), lub hauv pliaj. Tsis tas li ntawd, atheromas tuaj yeem tshwm sim hauv qhov chaw mos. Feem ntau, cov qog sebaceous tshwm sim hauv cov txiv neej, thiab tsis tshua muaj rau cov poj niam.
Atheromas yog qhov tshwm sim ntawm cov txheej txheem ntawm kev cog qoob loo ntawm cov kab mob epidermal hauv lub dermis. Ob peb yam tuaj yeem ua rau cov qog sebaceous, piv txwv li:
- kev tu tus kheej tsis zoo;
- ua rau cov hauv paus plaub hau;
- thaiv qhov pores vim siv cov tshuaj pleev ib ce tsis zoo;
- tsis ua raws li kev noj haus, kev tsim txom ntawm cov khoom qab zib, ntsim thiab rog;
- mob rau cov qog sebaceous (khaus, ua haujlwm phais);
- pob txuv;
- heredity (xws li Gardner syndrome lossis basal cell nevus).
Kev kho mob
Ib yam tsis muaj kab mob sebaceous cyst tuaj yeem raug tshem tawm ib txwm los ntawm tus kws phais mob kom zoo nkauj thiab tiv thaiv lub hom phiaj. Kev tshem tawm yog txoj kev zoo tshaj plaws ntawm kev kho mob kom tshem tau atheroma. Txawm li cas los xij, nws tsim nyog nco ntsoov tias thaum excising tsim, muaj kev pheej hmoo ntawm caws pliav. Tab sis yog tias atheromas tsis raug tshem tawm, tab sis tsuas yog qhib thiab tso tawm, qhov rov ua dua ntawm lub cyst tsis tuaj yeem zam tau. Thaum tsis muaj qhov mob, tus neeg mob muaj lub sijhawm los xaiv txoj kev kho mob: tshem tawm atheroma phais lossis nrog laser.
Qhov kev xaiv tseem ceeb ntawm kev kho mob rau cov kab mob sebaceous cyst yog incision thiab kua dej. Lub sebum uas nyob rau hauv lub tsim yog tuab heev kom spontaneously tawm. Yog tias koj tsis tshem tag nrho cov tshuaj ntsiav nrog keratin tag nrho, ces atheroma yuav tshwm sim dua.
Qee zaum, cov qog sebaceous tuaj yeem tawg thiab cov ntsiab lus tawg. Hauv cov xwm txheej no, tom qab qhib thiab ntxuav lub atheroma kab noj hniav, tus neeg mob tau muab tshuaj tua kab mob. Lawv yuav tsum tau los txo qhov mob thiab txo qhov mob. Tsis muaj contraindications kiag li rau qhib thiab tso dej los yog tshem tawm cov kab mob sebaceous cyst. Txawm li cas los xij, cov neeg mob los ntshav los yog nyiam cov ntshav txhaws yuav tsum tau saib xyuas kom zoo. Cov abscesses loj yuav tsum tau muab tshem tawm hauv chav ua haujlwm raws li kev siv tshuaj loog.
Laser kho mob
Sebaceous cysts yog cov tawv nqaij tawv nqaij. Feem ntau lawv raug tshem tawm ntawm qhov chaw ntawm lub cev vim muaj qhov tsis xws luag. Cov txheej txheem tsim nyog rau kev tsim cov me me txog li 5 hli.
Lub sijhawm laser tshem tawm ntawm atheroma, tus kws tshaj lij kub hnyiab tawm nrog kev pab ntawm hluav taws xob tag nrho cov ntsiab lus ntawm wen nrog rau cov tshuaj ntsiav. Cov txheej txheem yuav siv sij hawm tsis tshaj 20 feeb. Qhov ntev ntawm qhov tshwm sim caws pliav tsuas yog li ntawm ib feem peb ntawm thawj txoj kab uas hla ntawm lub cyst, thiab qee qhov me me ntawm lub ntsej muag, qhov caws pliav tsis pom kiag li. Tsis muaj relapses nrog laser tshem tawm ntawm atheroma.
Surgery
Muaj peb txoj hauv kev tseem ceeb siv rau kev phais tshem tawm ntawm atheroma: cov pa dav davexcision, tsawg kawg excision thiab biopsy. Cia wb mus saib lawv.
Kev txiav txim siab dav
Kev txiav txim kom tiav yog ib txoj hauv kev uas tso cai rau koj tshem tawm cov qog sebaceous los ntawm cov ntaub so ntswg ib puag ncig los ntawm kev txiav elliptical. Txoj kev kho no yog tus qauv kub. Txawm li cas los xij, kev txiav tawm dav dav feem ntau ua rau muaj qhov caws pliav piv rau lwm txoj kev tshem tawm atheroma.
Kev txiav txim siab tsawg kawg
Txoj kev kho mob phais no yog tsim los ntawm 2-3 hli incision los ntawm cov ntsiab lus ntawm lub cyst raug tshem tawm. Me me ntawm cov tshuaj loog yog siv los kho qhov mob. Tom qab ntxuav cov kab noj hniav los ntawm cov ntsiab lus ntawm lub cyst, lub loosened capsule raug tshem tawm los ntawm tib lub qhov me me. Cov ntshav thaum lub sij hawm tus txheej txheem yog tsawg thiab cov qhov txhab zoo sai sai.
Nrog kev txiav tawm tsawg kawg ntawm atheroma, muaj suab nrov tsis muaj caws pliav. Tab sis muaj kev pheej hmoo rov tshwm sim ntawm wen.
Txoj kev tsim nyog rau cov hlwv loj uas tsis tau ua rau mob. Hauv qhov xwm txheej zoo li no, tag nrho cov tshuaj ntsiav tuaj yeem raug tshem tawm nrog kev phais me me thiab lub sijhawm kho sai dua. Tsis tas li ntawd, rau cov hlwv nyob rau ntawm qhov chaw qhib ntawm lub cev, txoj kev no ua tiav cov txiaj ntsig zoo nkauj zoo nkauj vim yuav luag pom tsis pom.
Biopsy
Txoj kev no yog ua nrog nrog laser txiav. Nyob rau hauv rooj plaub no, lub laser ua ib lub qhov me me los ntawm cov ntsiab lus raug tshem tawm. Kev tshem tawm ntawm cov phab ntsa sab nrauv ntawm lub cyst tshwm sim tom qab li 4 lub lis piam. Nrog txoj kev noKev tshem tawm ntawm atheroma, kev kho sai sai tshwm sim.
Txawm hais tias xaiv txoj kev twg, cov ntsiab lus ntawm wen capsule raug tshuaj lom rau kev kuaj sim.
Rehab
Tom qab kev phais tshem tawm ntawm atheroma, tus kws kho mob tau sau ntawv siv tshuaj tua kab mob los tiv thaiv kev kis kab mob tom qab lub qhov txhab. Nws yuav tsum tau siv kom txog rau thaum qhov incision yog kiag li kho. Tus kws kho mob kuj tuaj yeem sau tshuaj pleev kom txo tau cov nti thiab keloids. Nws yuav tsum tau siv tam sim ntawd tom qab cov sutures tau kho thiab kom txog thaum ua tiav resorption, nrog rau qhov ploj ntawm qhov tsis xws luag.
Qee zaum, o me ntsis tuaj yeem tshwm sim tom qab tshem tawm atheroma. Tom qab ib pliag, nws yuav tsum dhau ntawm nws tus kheej. Yog tias qhov o tsis ploj mus, tab sis qhov nce ntxiv, thiab lwm yam tsos mob tshwm sim, xws li:
- reddening ntawm thaj chaw ib ncig ntawm qhov kev txiav,
- paug tawm tom qab tshem tawm cov kua dej,
- kub nce,
- tshwm sim lossis ua rau mob hnyav,
Pom zoo mus nrhiav kev kho mob tam sim ntawd.
Kev nyuaj siab
Txhua yam kev pheej hmoo tsawg muaj tshwm sim tom qab ua haujlwm. Nws yog tib yam nyob rau hauv cov ntaub ntawv ntawm kev phais tshem tawm ntawm atheroma. Nov yog qee qhov teeb meem uas yuav tshwm sim thaum thiab tom qab tus txheej txheem:
- cyst rupture,
- abscess,
- tshem tawm tsis tiav ntawm cov ntsiab lus ntawm atheroma lossis lub capsule nws tus kheej,
- ntshav txhaws,
- rebirth into oncology kev kawm.
Ib cyst sebaceous yog suav tias yog txawv txawv thiab tej zaum yuav malignant yog tias cov yam ntxwv hauv qab no tshwm sim:
- kab ntau dua tsib centimeters,
- rov qab sai sai tom qab kev kuaj mob,
- cim kab mob xws li liab, mob, lossis kua paug.
Reviews
Kev tshem tawm ntawm atheroma yog ib qho radical, tab sis txoj kev zoo tshaj plaws. Feem ntau ntawm cov neeg mob uas lub sebaceous cyst yog tag nrho excised tsis ntsib relapses. Txawm li cas los xij, vim qhov tshwm sim ntawm nti thiab nti tom qab tshem tawm ntawm atheroma, kev tshuaj xyuas yog sib xyaw. Txoj kev no tsis haum rau kev tsim nyob rau ntawm qhov chaw qhib ntawm lub cev, xws li lub ntsej muag lossis caj dab.
Kev tshem tawm ntawm atheroma yog ua los ntawm kev phais sab nraud, uas ua rau muaj qhov caws pliav. Tab sis muaj lwm txoj kev. Yog tias qhov tsim me me, koj tuaj yeem siv laser tshem tawm ntawm atheroma. Cov lus teb rau cov txheej txheem no yog qhov zoo. Kev ua haujlwm yog ceev heev, thiab xyaum tsis muaj nti thiab nti. Ntau tus nco ntsoov tias lub sijhawm kho dua tshiab kuj dhau nrawm dua.
Txawm hais tias atheroma raug tshem tawm nrog lub laser lossis phais tshem tawm, txhua tus neeg mob rov zoo tag nrho.
