Atheroma yog ib qho cyst ntawm sebaceous qog ntawm daim tawv nqaij nyob rau hauv daim ntawv ntawm ib tug ntom tsim nrog meej contours. Nws tuaj yeem tshwm sim ntawm txhua qhov ntawm lub cev tshwj tsis yog lub xib teg ntawm tes thiab ob txhais taw. Tab sis feem ntau ntawm lub cev uas atheroma tuaj yeem tshwm sim yog:
- thaj chaw ze pob ntseg;
- tawv;
- face;
- plab;
- rov;
- thaj chaw mos.
Atheromas yog du rau qhov kov, tej zaum yuav txawv me me, tab sis ntau zaus muaj cov duab sib npaug. Cov kab mob feem ntau tshwm sim los ntawm cov qog sebaceous, ingrown plaub hau follicles, thiab overproduction ntawm cov tshuaj hormone testosterone. Cov kab mob tshwm sim ntawm atheromas suav nrog Gardner's syndrome, basal cell nevus syndrome.
Feem ntau atheroma dhau los ua qhov tseem ceeb ntawm kev kis kab mob thiab yog li ua rau mob. Ib tug subcutaneous abscess yog tsim, uas yog nrog los ntawm hnyav suppuration, uas ua rau mob. Qhov xwm txheej zoo li no yog cov kua paug tuaj yeem tawg hauv qab ntawm daim tawv nqaij. Qhov no tuaj yeem ua rau muaj teeb meem loj.
Nws tsis tshua muaj tshwm sim uas atheroma nws tus kheej ploj mus yam tsis muaj kab. Koj yuav tsum tsis txhob pib tus kab mob hauv kev cia siab tias txhua yam yuav ploj ntawm nws tus kheej. Nrog cov qog me me, muaj teeb meem hauvkev kho mob yuav tsum tsis txhob tshwm sim.
Yog vim li cas
Muaj ntau yam ua rau atheroma, suav nrog:
- thaiv cov qog sebaceous;
- metabolic disorder;
- nce qib ntawm testosterone thiab steroids;
- kev raug mob ntawm cov qog sebaceous (khaus, phais, tawv nqaij mob tom qab pob txuv);
- genetic predisposition;
- microtrauma ntawm cov hauv paus plaub hau;
- kev tu tus kheej tsis zoo.
Symptoms
Atheromas yuav loj hlob qeeb thiab feem ntau tsis mob, tshwj xeeb tshaj yog thaum lawv me. Lub cyst yog nyob rau hauv ib lub hnab kaw - ib ntsiav tshuaj. Lub ntsiab kev kho mob tshwm sim ntawm formations yog:
- Lub xub ntiag ntawm lub pob txav txav tau nyob saum npoo ntawm daim tawv nqaij.
- cyst nws tus kheej tsis mob, tab sis daim tawv nqaij ib puag ncig tuaj yeem tsis xis nyob.
- qog loj feem ntau yog 1 txog 5 cm inch.
- Qee lub cyst tuaj yeem muaj qhov qhib me me thiab zoo li npau taws. Hauv qhov sib piv, atheroma loj hlob qeeb heev thiab ntev heev. Ib qho furuncle, ntawm qhov tsis sib xws, yuav ploj mus yam tsis muaj kev kho mob li ob peb lub lis piam.
- Atheroma tuaj yeem ooze cov kua paug daj daj nrog cov ntxhiab tsw.
- o, liab thiab mob yuav tshwm sim. Qhov no yog ib qho kev mob tshwm sim los yog kis kab mob.
Diagnosis
Cov kws kho mob feem ntau kuaj mob cyst tom qab kuaj lub cev yooj yim. Yog tias lub cyst muaj qhov txawv txav, tus kws kho mobTej zaum yuav sau tshuaj ntsuam xyuas ntxiv kom tsis suav nrog kev mob qog noj ntshav.
Cov kev sim uas siv los kuaj sebaceous cyst suav nrog:
- Computed tomography, uas pab tus kws kho mob los npaj qhov kev ua haujlwm zoo.
- Ultrasound. Nrog rau txoj kev no, cov ntsiab lus ntawm lub cyst yog txiav txim siab.
- Puncture biopsy. Nws koom nrog kev noj cov ntaub so ntswg me me los ntawm lub cyst mus kuaj hauv chav kuaj pom tias mob qog noj ntshav.
Kev kho mob
Atheroma yog hom kev tsim uas yuav tsis daws nws tus kheej. Nyob rau hauv qhov kev pom ntawm qhov no, cov txheej txheem kev saib xyuas feem ntau yog siv rau kev kho mob. Qee zaum cov neeg uas tau pom atheroma hauv lawv tus kheej sim nyem tawm kev kawm. Txawm li cas los xij, tsis tsuas yog qhov no yuav tsis pab tshem tawm cov cyst, tab sis nws kuj tuaj yeem ua rau muaj teeb meem loj, xws li kab mob thiab mob. Thaum tuav tawm atheroma, cov tshuaj ntsiav yuav nyob hauv qab ntawm daim tawv nqaij thiab tom qab ib ntus yuav rov ua kua paug dua.
Tam sim no, kev tshem tawm atheroma ntawm lub taub hau, hauv siab, qhov chaw mos lossis lwm qhov chaw yog ua raws li hauv qab no:
- Kev phais mob.
- Laser rhuav tshem.
- Radiofrequency excision.
Cov txheej txheem no suav hais tias yog qhov yooj yim thiab yog li ua rau tus neeg mob sab nraud.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias, txawm tias txoj kev tshem tawm atheroma, qhov tsim yuav tsum raug tshem tawm nrog rau cov tshuaj ntsiav. Txwv tsis pub, yuav tshwm sim.
Indications raukev tshem tawm
Tsis muaj kev pheej hmoo ntawm atheroma malignancy. Tab sis qhov tsim nws tus kheej coj tsis xis nyob thiab muaj kev zoo nkauj tsis xws luag, tshwj xeeb tshaj yog tias nws nyob ntawm qhov chaw qhib ntawm lub cev lossis lub ntsej muag. Ntawm lwm yam, muaj kev pheej hmoo ntawm kev raug mob thiab o ntawm atheroma. Vim li no, cov hlwv no yuav tsum tau muab tshem tawm.
YContraindications
Zoo li lwm yam kev ua haujlwm, kev tshem tawm atheroma muaj ntau yam contraindications, piv txwv li:
- oncology;
- xeeb tub;
- mob ntshav qab zib mellitus;
- kab mob autoimmune;
- kab mob herpetic nyob rau theem mob.
Kev tshem tawm
Kev tshem tawm ntawm atheroma yog ib qho haujlwm yooj yim ua rau tus neeg mob sab nraud. Thaum tus txheej txheem, tus kws kho mob txhaj tshuaj loog rau cov tshuaj loog hauv zos rau hauv cov ntaub so ntswg nyob ib ncig ntawm atheroma. Tom qab ntawd lub atheroma raug tshem tawm nrog rau cov tshuaj ntsiav thiab cov npoo ntawm lub qhov txhab yog sutured. Qee tus kws phais neeg ua qhov txiav tawm ntawm atheroma nrog rab riam hluav taws xob. Kev ua haujlwm tsuas siv 30-40 feeb xwb. Stitches raug tshem tawm tom qab 10-12 hnub. Yog tias qhov kev ua haujlwm raug ua tiav, qhov caws pliav los ntawm kev ua haujlwm yuav tsawg, thiab qhov txhab yuav zoo sai sai.
Nyob rau hauv cov ntaub ntawv ntawm o, kev phais tshem tawm ntawm atheroma yog ua nyob rau hauv ob peb theem. Ua ntej, cov ntsiab lus ntawm cov tshuaj ntsiav raug tshem tawm thiab cov kua dej yog tsim. Tom qab ntxuav lub qhov txhab, lub capsule nws tus kheej raug tshem tawm.
Tom qab tshem cov atheroma, tus neeg mob tau txais qee cov lus qhia txog kev kho mob. Lawv suav nrog:
- siv tshuaj tua kab mob;
- tsis txhob da dej rau 36 teev;
- tiv thaiv qhov txhab kom ntub thiab los ntshav;
- Yog cyst ruptures ua ntej los yog thaum lub sij hawm kev phais, tshuaj tua kab mob yog tshuaj los tiv thaiv o thiab rov tshwm sim.
YLaser tshem tawm
Kev tshem tawm ntawm atheroma nrog lub laser yog ib txoj hauv kev niaj hnub no ntawm kev cuam tshuam nrog cystic formations. Nws xyaum tsis tawm nti, uas yog ib qho tseem ceeb tshwj xeeb tshaj yog nyob rau hauv kev kho mob ntawm formations ntawm lub ntsej muag. Muaj ntau ntau txoj hauv kev rau tshem tawm atheroma nrog rab riam laser:
- Laser coagulation - cauterization ntawm cov ntaub so ntswg capsule. Siv los tshem tawm cov hlwv me me txog li 5 hli inch. Thaum kawg ntawm txoj kev, cyst tseem nyob ntawm daim tawv nqaij, yog li tsis muaj stitches. Tom qab 2 lub lis piam, qhov tsim dries thiab ntog tawm, nthuav tawm thaj chaw huv ntawm daim tawv nqaij.
- Laser tshem tawm ntawm lub cyst ua ke nrog cov tshuaj ntsiav yog ua los ntawm kev ua haujlwm nrog lub laser scalpel. Siv los tshem cov hlwv ntawm qhov loj ntawm 5 mus rau 20 mm. Thaum lub sijhawm ua haujlwm, ib qho kev txiav yog tsim, lub laser cais lub cyst los ntawm cov ntaub so ntswg noj qab haus huv. Tom qab ntawd qhov tsim yog tshem tawm, kua yog tsim, thiab lub qhov txhab yog sutured. Tshem tawm tom qab 7-12 hnub.
- Laser evaporation yog siv los tshem tawm cov hlwv loj dua 20 hli inch. Ua ntej, lub capsule qhib, nws cov ntsiab lus tau ua tib zoo tshem tawm. Tom qab ntawd, lub capsule yog evaporated los ntawm laser hluav taws xob. Kev ua haujlwm xaus nrog kev teeb tsa cov kua dej thiab cov sutures, uas raug tshem tawm tom qab 8-12 hnub.
Qhov zoo ntawm laser atheroma tshem tawm yog:
- kev ruaj ntseg;
- tsis tshua muaj kev pheej hmoo ntawm kev mob tom qab phais;
- rov qab sai;
- tsis muaj qhov tsis zoo;
- yam tsawg kawg uas yuav rov qab los.
xov tooj cua tshem tawm
Atheromas me me txog li 5 hli tuaj yeem raug tshem tawm los ntawm xov tooj cua zaus zaus. Txoj kev no yog qhov zoo tshaj plaws thiab nyab xeeb. Nrog xov tooj cua yoj tshem tawm ntawm atheroma, suturing tsis tas yuav tsum tau, feem, tsis muaj caws pliav ntawm daim tawv nqaij.
Kev ua haujlwm yog ua raws li kev siv tshuaj loog hauv zos ntawm tus neeg mob sab nraud thiab siv sijhawm li 15-20 feeb. Neoplasm hlwb yog evaporated siv cov cuab yeej tshwj xeeb uas tsim cov xov tooj cua nthwv dej. Xov tooj cua yoj tshem tawm ntawm atheroma yog contraindicated nyob rau hauv lub xub ntiag ntawm ib tug pacemaker.
Qhov zoo ntawm txoj kev no yog:
- tsis rov muaj dua;
- tsis muaj seams;
- rov qab sai.
Kev rov qab los tom qab kev phais
Qhov tsis xis nyob tsawg yuav tshwm sim tom qab kev cuam tshuam, feem ntau yog txo qis los ntawm kev siv tshuaj kho mob. Thaum cov txheej txheem dej, nws tsis pom zoo kom ntub lub qhov txhab thiab hnav khaub ncaws. Tsis pub dhau ib hlis tom qab kev ua haujlwm, koj tuaj yeem zaws thiab moisturize cov caws pliav nrog ib qho tshwj xeeb cream. Tiv thaiv thaj chaw cuam tshuam los ntawm tshav ntuj ncaj qha rau ob xyoos kom tsis txhob kub hnyiab.
Kev Tiv Thaiv
Qhov laj thawj tseem ceeb ntawm kev tsim cov atheromas yog qhov ua haujlwm tsis zoo ntawm cov qog sebaceous. Yog li, cov kev ntsuas tseem ceeb yuav tsum tau tsom rauua raws li kev noj zaub mov kom zoo thiab ua tib zoo tu cev.
Txhawm rau txo qis qhov tshwm sim ntawm atheroma, cov kev tiv thaiv hauv qab no yuav tsum tau ua raws:
- tshem tawm cov rog, qab zib, ntsim ntawm cov zaub mov;
- -coj tawm kev saib xyuas tawv nqaij me;
- tsis kam hnav khaub ncaws hluavtaws;
- thaum ntxuav, nws raug nquahu kom siv cov tshuaj pleev ib ce kom txo cov tawv nqaij oily thiab tawv taub hau.
Cov lus pov thawj tus neeg mob
Kev tshuaj xyuas txog kev tshem tawm ntawm atheroma feem ntau yog qhov zoo thiab tuaj yeem ua qhov kev sib cav zoo hauv kev sib cuag nrog tus kws tshaj lij los daws cov teeb meem nrog cov neoplasm. Txawm tias muaj tseeb hais tias lub lag luam tsis raug mob, nyob rau hauv txhua rooj plaub, nws yog nrog los ntawm excision ntawm daim tawv nqaij. Txwv tsis pub, lub cyst tsis tuaj yeem raug tshem tawm. Txawm tias xov tooj cua yoj txoj kev yuav muaj ib tug me me incision. Yog li, qhov loj dua ntawm atheroma, qhov loj dua qhov caws pliav tom qab phais. Raws li txoj cai, cov khoom siv suture dissolves sai sai, tsis pub dhau 1.5-2 lub hlis, txhua yam nyob ntawm qhov chaw ntawm neoplasm, nws qhov loj thiab qhov mob. Atheroma recurrence tshwm sim nyob rau hauv cov ntaub ntawv ntawm kev tshem tawm tsis tiav ntawm lub cyst, thaum nkag mus rau nws nyuaj vim suppuration.
In xaus
Nws yog ib qho tsim nyog sau cia tias qhov kev txaus siab ntawm tus neeg mob nrog cov txiaj ntsig ntawm kev ua haujlwm yog nyob ntawm qhov ceev ntawm nws qhov kev siv: qhov ua ntej lub atheroma raug tshem tawm (feem ntau, qhov me me ntawm nws), qhov loj dua qhov tshwm sim ntawm qhov tshwm sim. phais kev cuam tshuam nyob rau hauv daim ntawv ntawm nti thiabcaws pliav. Thaum thawj cov tsos mob ntawm atheroma tshwm sim, koj yuav tsum tsis txhob tos ntev thiab ncua mus ntsib kws kho mob.
