Cov pob txha, zoo li lwm yam hauv nruab nrog cev, tuaj yeem raug cuam tshuam rau qhov tsis zoo ntawm ib puag ncig sab nraud. Qhov no provokes tsim ntawm malignant thiab benign qog nrog sib txawv triggers thiab kev kho mob cov kev xaiv.
Osteoid osteoma
Osteoma yog morphologically tshaj plaws mature benign qog uas tsim, raws li txoj cai, nyob rau hauv lub diaphysis ntawm ntev tubular pob txha. Nws yog tsim los ntawm osteoclasts thiab zoo li cov pob txha ib txwm nyob hauv nws cov qauv. Feem ntau, tus kab mob no tau kuaj pom thaum menyuam yaus, thiab feem ntau yog qhov xwm txheej pom ntawm x-ray rau lwm qhov laj thawj.
Nyob rau hauv lub zos, tus tibia coj, ua raws li femur, humerus, forearm pob txha thiab tiaj tus pob txha taub hau. Nyob rau hauv cov pob txha noj qab nyob zoo, osteoblasts tsim ib tug concentric qauv. Qhov kev npaj no tso cai rau kev faib khoom hnyav dua thaum thauj khoom ntawm cov pob txha. Hauv qhov hloov pauv ntawm lub cev pob txha, cov hlwb raug teeb tsa los ntawm kev sib txuas, nrog cov ntaub so ntswg xoob ntawm lawv.
Yog vim li cas
Osteoid osteoma tuaj yeem tshwm sim rau ntau yam.
- Metaplasia ntawm pob txha cov ntaub so ntswg, uas yog, nws hloov mus rau lwm hom cell.
- Kev ua txhaum ntawm cov pob txha hauv lub sijhawm embryonic vim raug hluav taws xob, lub cev lossis tshuaj lom neeg.
- Hereditary predisposition rau tej kab mob.
- Tus neeg mob muaj kab mob sib kis los yog foci ntawm o (rheumatoid mob caj dab, lupus, syphilis).
- Impaired calcium metabolism lossis excretion ntawm uric acid (gout).
- Ntau sluggish o nyob rau hauv paranasal sinuses (maxillary, frontal).
Hmoov tsis zoo, tag nrho cov xwm txheej no tsuas yog tsis ncaj qha. Cov kws tshawb fawb tseem tsis tau piav qhia meej tias qhov ua rau muaj tus kab mob no tiag tiag.
Kev faib tawm
Osteoid osteoma tuaj yeem muaj ntau hom. Kev faib tawm yog txawv los ntawm keeb kwm, cov qauv histological thiab qhov chaw.
By origin:
- hyperplastic osteoma. Nws yog tsim los ntawm cov pob txha hlwb uas nyob ib ncig ntawm tag nrho ib ncig ntawm cov pob txha los yog sau rau ntawm ib sab ntawm nws. Cov qog tuaj yeem loj hlob sab nraud thiab sab hauv lub cev. Qhov chaw nyob: ntsej muag, pob txha taub hau, forearm, ncej puab, sab ceg;
- heteroplastic osteoma. Nws yog cov ntaub so ntswg sib txuas uas loj hlob ntawm cov pob txha vim lub sijhawm ntev ntawm cov neeg kho tshuab qhov chaw. Feem ntau yog nyob rau hauv cov leeg ntawm lub xub pwg nyom lossis lub duav.
2. Los ntawm cov qauv thiab localization:
- khoom, muaj qhov chaw nyob ze ze ntawm osteocytes. Feem ntau tshwm sim hauv cov pob txha tiaj;
- spongy,zoo li cov pob txha noj qab nyob zoo. Nruab nrab ntawm cov osteocytes yog cov ntaub so ntswg adipose, cov hlab ntsha thiab cov pob txha pob txha. Pom nyob rau hauv cov pob txha tubular;
- medullary kab noj hniav nplua nuj nrog cov pob txha pob txha. Lawv tsis tshua muaj, feem ntau nyob rau hauv cov pa sinuses ntawm lub ntsej muag pob txha taub hau.
Symptoms
Qhov ntau tshaj plaws osteoid-osteoma ntawm tibia, yog li peb yuav tshuaj xyuas cov kev kho mob tshwm sim ntawm tus kab mob siv nws cov piv txwv. Raws li txoj cai, cov qog ntawm qhov chaw hauv cheeb tsam no tsis tshwm sim nws tus kheej rau lub sijhawm ntev, yog li cov neeg mob yuav tsis xav tias muaj cov neoplasm. Osteoid osteoma ntawm femur (qhov thib ob feem ntau) kuj tsis nrhiav kom pom nws tus kheej.
Lub sijhawm dhau mus, cov neeg mob pib mob mob me me, uas, raws li qhov chaw thiab siv zog, zoo ib yam li cov leeg tsis xis nyob tom qab kev tawm dag zog. Tom qab ob peb lub hlis, qhov mob ua rau mob tsis taus, lawv hnyav heev thaum hmo ntuj thiab qis me ntsis thaum nruab hnub, tab sis txawm li cas los xij ua rau tus neeg tsis xis nyob mus tas li.
Raws li cov qog loj hlob, nws pib contour nyob rau hauv daim tawv nqaij, tshwj xeeb tshaj yog nyob rau hauv cov chaw uas muaj me ntsis subcutaneous rog. Yog hais tias lub pathological tsom nyob rau hauv tob hauv cov pob txha, ces palpation ntawm qhov chaw cuam tshuam yuav tsis ua rau ib tug tsis zoo tshuaj tiv thaiv. Tab sis qhov chaw ntawm cov qog nyob rau hauv cov kab noj hniav sib koom ua ke los yog hauv qab periosteum yuav ua rau mob ntxiv.
Osteomas nyob rau hauv cov pob txha ntawm pob txha taub hau tuaj yeem ua rau cov hlab ntsha thiab cov hlab ntsha, ua rau cov tsos mob hauv zos hauv daim ntawv ntawm paresis, tuag tes tuag taw,pom, hnov tsw, mob taub hau lossis qaug dab peg.
Diagnosis
Osteoid-osteoma ntawm pob txha raug kuaj pom los ntawm lub sijhawm ntawm x-ray. Thiab tom qab kuaj pom neoplasm, tus kws kho mob tau sau cov kev ntsuam xyuas ntxiv los txiav txim qhov xwm txheej ntawm cov qog, nws cov qauv histological, qhov loj me thiab muaj cov metastasis.
Spot radiography tso cai rau koj los txiav txim cov qauv ntawm cov ntaub so ntswg nyob ib ncig ntawm cov qog: ntom (compact) cov khoom los yog ntxeem tau (spongy), nyob ntawm seb qhov chaw osteoid osteoma nyob. Daim duab ntawm cov pob txha cuam tshuam ua rau nws tuaj yeem kuaj xyuas kom meej qhov chaw ntawm cov qog, qhov loj thiab qhov ntom.
Daim duab zoo ib yam li cov kab mob uas tsis yog-purulent osteomyelitis, uas tuaj yeem cuam tshuam rau tus kws kho mob tshwj xeeb uas tsis tau ntsib cov kev kuaj mob yav dhau los. Tsis tas li ntawd, qhov nyuaj nyob rau hauv qhov tseeb hais tias lub hom phiaj ntawm cov txheej txheem pathological yog me me (tsawg dua li ib centimeter inch), thiab tseem tsis muaj cov tsos mob tshwj xeeb uas yuav qhia tau tias muaj tus kab mob.
Yog tias ua tau, tus kws kho mob xa tus neeg mob mus rau suav lossis sib nqus resonance imaging. Nco ntsoov puncture neoplasm rau kev kuaj histological. Qhov no tso cai rau koj kom tshem tawm cov kab mob malignant ntawm tus txheej txheem. Txhawm rau kom paub meej lossis tsis lees paub qhov tshwm sim ntawm metastases, nws yog qhov yuav tsum tau ua qhov scintigraphy.
kev kho mob phais
Kev kho osteoid osteoma zoo li cas? Kev phais rau qhov kev kuaj mob no yog txiav txim siabtsim nyog tsuas yog cov qog cuam tshuam rau kev loj hlob ntawm cov pob txha, deforms nws los yog ua rau mob hnyav. Cov lus qhia rau kev kho mob phais yog:
- Osteoma loj dua ib centimeter;
- ua txhaum txoj haujlwm ntawm lub cev nyob sib ze;
- stunting lossis pob txha deformity;
- aesthetic defect.
Muaj ntau ntau txoj hauv kev los tshem tawm cov neoplasm. Qhov kev xaiv nyob ntawm qhov chaw ntawm lub qog, kev paub thiab kev muaj peev xwm ntawm tus kws phais. Raws li txoj cai, kev puas tsuaj rau cov pob txha ntawm cov extremities yog ua los ntawm traumatologists los yog orthopedists, osteomas ntawm pob txha taub hau, lub ntsej muag los yog sinuses - maxillofacial kws phais, ENT kws kho mob los yog neurosurgeons. Ib qho yuav tsum tau ua ua ntej rau txhua qhov chaw ntawm cov txheej txheem pathological yog tias kev tshem tawm ntawm cov pob txha yog ua ke nrog periosteum thiab ib feem ntawm cov ntaub so ntswg noj qab haus huv. Qhov no yog ua los tiv thaiv kev rov qab los.
Drug therapy
Osteoid osteoma tsis tuaj yeem hloov kho rau kev kho mob. Tab sis nrog kev pab los ntawm nws koj tuaj yeem txo cov tsos mob ntawm tus kab mob. Ua ntej ntawm tag nrho cov, ntawm chav kawm, cawm tus neeg mob los ntawm qhov mob. Rau qhov no, cov tshuaj uas tsis yog-steroidal anti-inflammatory siv nyob rau hauv daim ntawv ntawm cov tshuaj pleev, cream los yog gels topically, raws li zoo raws li nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj mus cuag ib tug complex nyhuv.
Thaum cov qog me me, kev phais tsis tau qhia, vim tias nws muaj kev tsis xis nyob rau tus neeg mob thiab tuaj yeem ua rau mob ntau dua li neoplasm. Yog li ntawd, lub dispensary soj ntsuam yog tsim rau tus neeg mob, yog li ntawd nyob rau hauv cov ntaub ntawv ntawm ib tug nce nyob rau hauv qhov loj ntawm lub pathological tsom xam, lawv tau noj nyob rau hauv lub sij hawm.kev ntsuas tsim nyog. Tsis muaj tshuaj kho mob tshwj xeeb.
Kev kho mob nrog pej xeem tshuaj
Puas osteoid osteoma kho tau nrog cov tshuaj pej xeem? Kev kho mob ntawm hom no tsuas yog pib tom qab kev sab laj nrog tus kws kho mob tshwj xeeb, vim tias nws tuaj yeem ua rau cov tsos mob hnyav dua thiab ua rau cov qog loj hlob.
Muaj cov zaub mov los daws qhov mob, xws li decoctions ntawm hawthorn paj lossis elderberry tincture. Tab sis qhov kev kho mob ntawm cov tshuaj no tsis paub, yog li koj yuav tsum nco ntsoov tias noj lawv, koj yuav muaj kev pheej hmoo. Muaj qee qhov kev txiav txim siab tawm tsam cov tshuaj, nrog rau ntau qhov piv txwv uas compresses lossis tsom ultraviolet hluav taws xob tau txo qhov loj ntawm osteoma. Tsis txhob txais koj txoj kev cia siab nrog qhov no. Mus ntsib kws kho mob zoo dua.
Huab cua thiab tiv thaiv
Qhov me me ntawm cov qog thiab nws qhov zoo tib yam tso cai rau tus neeg mob kom muaj kev pom zoo. Tom qab kev kho mob phais, relapses yog heev tsawg. Yog vim li cas rau lawv qhov tsos tej zaum yuav tsis txaus resection ntawm cov qog vim fuzzy x-rays.
Kev phais ntawm lub ntsej muag, raws li txoj cai, tsis ua rau pom qhov tsis xws luag. Yog hais tias osteoma loj loj, ces tom qab kev kho mob tseem ceeb, tus neeg mob raug pom zoo kom mus rau reconstructive yas phais.
Tsis muaj kev tiv thaiv tshwj xeeb. Kev tshuaj xyuas kev tiv thaiv txhua xyoo ua rau nws tuaj yeem kuaj pom thiab tshem tawm cov qog hauv lub sijhawm.
