Hemangioma ntawm lub taub hau hauv cov menyuam yaus feem ntau tshwm sim thaum yug los. Nrog xws li ib tug pathology, tsib mus rau kaum feem pua ntawm cov me nyuam yug los. Ntawm cov menyuam mos ntxov ntxov, qhov teeb meem no tseem muaj ntau dua. Outwardly, hemangioma zoo ib yam li qhov chaw liab tsaus ntawm ntau qhov ntau thiab tsawg. Hauv kab lus no, peb yuav tham txog cov tsos mob, ua rau thiab kho tus kab mob no.
Yog vim li cas
Hauv qee cov menyuam yaus, hemangioma ntawm lub taub hau tsis tshwm sim tam sim tom qab yug me nyuam, tab sis thaum thawj xyoo ntawm lub neej. Qhov tseeb, nws yog ib qho qog nqaij hlav uas muaj cov hlwb uas ua rau cov phab ntsa ntawm cov hlab ntsha. Cov neoplasm no feem ntau daws tau ntawm nws tus kheej, yog li cov niam txiv yuav tsum tsis txhob txhawj ntau dhau ua ntej.
Cov kws kho mob tseem tsis tau muaj peev xwm txhim kho qhov ua rau hemangioma hauv cov menyuam yaus ntawm lub taub hau. Yog vim li cas rau qhov no, thaj, yog tsim nyob rau hauv lub sij hawm embryonic. Nco ntsoov tias qhov no yuav yog vim kev txhim kho tsis raugcov hlab ntsha.
Tsis tas li, qhov ua rau hemangioma hauv cov menyuam yaus ntawm lub taub hau, raws li ntau tus kws kho mob, tau noj qee yam tshuaj thaum cev xeeb tub, yav dhau los cov kab mob thiab cov kab mob ua pa. Yog li ntawd, cov niam txiv yuav tsum ua tib zoo saib xyuas lawv noj dab tsi, nco ntsoov sab laj nrog kws kho mob.
Muaj lwm yam uas yuav ua rau muaj qhov tshwm sim ntawm neoplasms. Piv txwv li, lawv ntseeg tias suav nrog leej niam noj cov tshuaj lom, nrog rau cov xwm txheej tsis zoo.
Raws li kev tshawb fawb tshiab los txog niaj hnub no, hormonal imbalances kuj ua rau cov tsos ntawm hemangioma hauv cov menyuam yaus ntawm lub taub hau, tshwj xeeb tshaj yog tias tus ntxhais yug los.
Views
Muaj ntau ntau yam ntawm no neoplasm. Kev faib tawm ntawm hemangioma hauv cov menyuam yaus ntawm lub taub hau yog nyob ntawm nws cov yam ntxwv morphological.
Cov kws tshaj lij qhia peb pawg tseem ceeb:
- cavernous, lossis cavernous;
- yooj yim, lossis capillary;
- mixed, los yog ua ke.
Cov kab mob capillary muaj cov hlwb uas ua rau cov phab ntsa sab hauv ntawm cov hlab ntsha sab nraud. Nws feem ntau tshwm sim ntawm cov tawv taub hau ntawm cov menyuam yaus. Hemangioma nyob rau hauv cov ntaub ntawv no yog tsim tsis ntxaum tshaj lub epidermal txheej. Nws muaj ib tug nodular los yog tuberous-flattened qauv thiab meej meej ciam teb. Yog tias koj nias rau ntawm nws, tom qab ntawd lub neoplasm tig daj ntseg, thiab tom qab ntawd rov qab sai dua, rov kis dua.xiav xiav tint.
Cavernous hemangioma ntawm lub taub hau ntawm tus menyuam yog nyob ncaj qha hauv qab daim tawv nqaij. Nws muaj ntau cov kab noj hniav uas muaj ntshav. Nyob rau hauv cov me nyuam mos, outwardly, xws li ib tug neoplasm zoo li ib tug xiav tubercle, uas muaj ib tug elastic thiab mos qauv. Yog tias koj nias rau nws, nws yuav daj ntseg thiab sai sai, vim tias yuav muaj cov ntshav tawm ntawm cov kab noj hniav. Thaum tus me nyuam thawb, hnoos lossis ua rau muaj kev ntxhov siab uas cuam tshuam nrog kev nce ntshav siab, lub cavernous hemangioma ntawm tus menyuam lub taub hau loj tuaj.
Cov ntau yam kawg yog ua ke hemangioma. Nrog rau kev sib xyaw ua ke, cov yam ntxwv muaj nyob hauv cov qog nqaij hlav thiab cov qog yooj yim tau ua ke. Xws li ib tug neoplasm tsis tsuas yog cov hlwb ntawm cov phab ntsa capillary, tab sis kuj muaj ntau yam ntaub so ntswg - connective, tshee, lymphoid. Cov hom sib xyaw ua ke muaj ob qho tib si subcutaneous thiab ib feem ntawm lub ntsej muag. Nyob rau tib lub sijhawm, nws nce mus rau ntau hom, xws li gemlymphangioma, angioneuroma lossis angiofibroma.
Signs
Thaum koj pom daim duab ntawm hemangioma ntawm tus menyuam lub taub hau, koj yuav pom tias qhov no yog ib qho neoplasm ib txwm, nws nyuaj rau tsis meej pem nrog txhua yam. Daim duab kho mob tshwj xeeb heev. Kev kuaj mob yog ua tam sim ntawd ntawm kev teem caij nrog tus kws kho mob dermatologist. Cov tsos mob ntawm bulging hemangioma ntawm tus me nyuam lub taub hau nyob ntawm nws hom.
Yog tias nws yooj yim, ces nws yog xim xiav-burgundy tubercle nrog cov qauv knotty thiab cov npoo ntshiab, zoo ib yam li wart.
Cavernous yog subcutaneousxiav o. Kev sib xyaw pom pom zoo ib yam li cov duab capillary, vim nws yog ib feem nyob hauv qab daim tawv nqaij.
Yuav ua li cas thiaj paub qhov txawv ntawm lub cim yug?
Nws yuav nyuaj rau tus kws kho mob uas tsis yog tus kws kho mob tshwj xeeb los txiav txim siab txog hom qog nqaij hlav, nrog rau lwm yam tsis xws luag uas yuav tshwm sim ntawm tus menyuam daim tawv nqaij, kom nkag siab tias nws yog dab tsi. Hemangioma hauv menyuam yaus tuaj yeem muaj qhov sib txawv. Qee zaum, nws zoo li lub cim yug, lub nevus loj lossis mole, wart.
Muaj ib txoj hauv kev kom paub qhov txawv ntawm lwm cov qauv. Cov tsos mob ntawm hemangioma nyob rau hauv cov menyuam yaus ntawm lub taub hau yog tias yog tias koj nias rau ntawm nws, nws yuav tig daj ntseg tam sim ntawd, vim tias yuav muaj cov ntshav tawm. Nyob rau tib lub sijhawm, nws yuav rov ua dua nws cov xim.
Txhua lwm yam ntawm daim tawv nqaij tsis hloov pauv thaum nias. Lwm qhov cim ntawm hemangioma yog qhov kub ntawm cov qog. Nws yuav siab me ntsis dua lwm qhov chaw.
Kev nyuaj siab
Hemangioma feem ntau tshwm ntawm lub taub hau ntawm tus menyuam thaum yug los. Txij li qhov no yog ib qho benign neoplasm, nws yuav luag tsis ua rau muaj kev phom sij txaus ntshai. Feem ntau, nws tsis nce qhov loj me, tsis ua rau muaj qhov tsis xis nyob hauv cov menyuam yug tshiab, vim nws tsis mob kiag li.
Nws tsuas yog tsim nyog txhawj xeeb yog tias muaj hemangioma bulging ntawm tus menyuam lub taub hau pib loj hlob. Muaj tseeb, qhov no tshwm sim tsawg heev. Hauv qhov xwm txheej zoo li no, ib tus yuav tsum ceev faj txog qhov tshwm sim hauv qab no ntawm hemangioma ntawm tus menyuam lub taub hau:
- suppuration thiab kis kab mob;
- los ntshav vimpuas los yog raug mob;
- Yulceration ntawm neoplasm;
- ua txhaum txoj haujlwm ntawm cov khoom nyob sib ze thiab cov ntaub so ntswg vim yog squeezing lawv nrog hemangioma;
- tuag lossis necrosis ntawm daim tawv nqaij.
Txoj kev xav tau
Thaum kws kho mob dermatologist kuaj pom tus menyuam mos, nws yog ib qho tseem ceeb uas hom neoplasm tau teeb tsa. Yog hais tias nws yog ib qho yooj yim daim ntawv ntawm tus kab mob, nws yuav tsuas muaj cov vascular hlwb. Vim li no, xws li qog nqaij hlav tsis nquag loj hlob. Yog li ntawd, nyob rau hauv feem ntau, nws raug pom zoo kom siv expectant tactics kom lub neoplasm daws nws tus kheej.
Tib lub sijhawm, nws yog qhov tsim nyog los tswj nws hauv hom tsis tu ncua. Ua ke nrog tus kws kho mob tuaj koom, cov niam txiv yuav tsum xyuas kom meej tias nws tsis loj hlob los yog loj hlob qeeb, nyob rau hauv feem rau lub cev ntawm tus me nyuam mos, tab sis nyob rau hauv tsis muaj cov ntaub ntawv sai.
Raws li txoj cai, capillary hemangioma daws ntawm nws tus kheej tom qab qee lub sijhawm. Qhov no tshwm sim sai li sai tau thaum tus menyuam loj hlob me ntsis. Nws yuav tsum to taub hais tias qhov regression yuav tshwm sim maj mam. Ua ntej, nyob rau hauv nruab nrab ntawm lub qog, ib tug NW nyuam qhuav pom daj ntseg cheeb tsam yuav pom, uas nyob rau hauv cov xim thiab tsos yuav zoo ib yam li daim tawv nqaij ntawm ib tug ntxoov ntxoo. Maj mam, nws cov ciam teb yuav pib nthuav dav, nws thiaj li ncav cuag cov ciam teb ntawm kev loj hlob nws tus kheej.
Lub neoplasm yuav txo qis rau ntau xyoo. Hauv cov neeg mob feem ntau, nws ploj mus tas li thaum muaj hnub nyoog peb mus rau xya xyoo, thaum tus menyuam mus kawm ntawv.
kev kho mob radical
Nrog rau daim ntawv sib xyaw thiab cavernous ntawm pathology, ntau txoj kev radical feem ntau yog siv rau. Muaj cib fim los ua kev phais mob txij li hnub nyoog peb hlis.
Hauv qhov xwm txheej tshwj xeeb, kev ua haujlwm muaj peev xwm ua tau rau tus menyuam yug tshiab uas nyuam qhuav yug los. Yuav tsum muaj laj thawj zoo rau qhov no. Piv txwv li, kev hem thawj rau lub neej ntawm tus menyuam lossis nws txoj kev noj qab haus huv tom qab. Hauv qhov no, kev ua haujlwm tuaj yeem ua tau ntawm plaub lossis thib tsib lub lim tiam ntawm tus menyuam lub neej.
Muaj ntau ntau txoj hauv kev los kho hemangioma hauv cov menyuam yaus ntawm lub taub hau. Lawv txawv nyob ntawm seb qhov loj ntawm neoplasm, hom kab mob, kev noj qab haus huv ntawm tus neeg mob, cov kev xav uas twb muaj lawm rau nws txoj kev loj hlob thiab nce. Raws li cov npe ntawm cov xwm txheej no, tus kws kho mob xaiv ib lossis lwm hom kev kho mob. Nws tuaj yeem yog cryodestruction, sclerosis, laser tshem tawm, electrocoagulation, phais excision.
Cia tham txog txhua yam ntawm cov haujlwm no kom ntxaws ntxiv, kom cov niam txiv tau txais kev pom zoo tag nrho ntawm qhov xav tau los ntawm kev cuam tshuam kev phais tshwj xeeb.
Sclerosis ntawm hemangioma hauv cov menyuam yug tshiab yog suav tias yog qhov kev xaiv zoo tshaj plaws. Txawm li cas los xij, nws yuav tsum tau ua raws li ntau txoj hauv kev tseem ceeb, yam tsis muaj qhov tsis tuaj yeem ua tiav qhov txiaj ntsig. Sclerotherapy tsuas yog raug kho yog tias hemangioma raug kuaj pom hauv tus menyuam hnub nyoog qis dua ib xyoos. Kev ua haujlwm yog ua thaum lub neoplasm nyob rau ntawm thaj tsam parotid, mucous daim nyias nyias. Nyob rau tib lub sijhawm, nws qhov ntev yuav tsum me me. Qhov no yog qhov yuav tsum tau ua ua ntej. Yog cov qog loj thiabloj hlob zuj zus, kev ua haujlwm tsis tau ua tiav, vim tias muaj kev pheej hmoo ntawm kev tsim cov kab mob thiab cov caws pliav ntawm daim tawv nqaij, uas yuav nyob twj ywm rau lub neej.
Sclerotherapy yog ua nyob rau hauv ob peb theem. Nyob rau hauv tus txheej txheem ntawm kev npaj, thaj tsam ntawm lub cev yog kho nrog cawv, tshuaj tua kab mob los yog iodine tov. Tom qab ntawd nws yog ib qho tseem ceeb rau anesthetize nws. Ua li no, daim tawv nqaij yog lubricated nrog tshuaj loog hauv zos.
Thaum cov tshuaj tau ua haujlwm, tus kws phais mob pib txhaj tshuaj sclerosant. Raws li cov khoom xyaw tseem ceeb, raws li txoj cai, sodium salicylate thiab cawv yog siv hauv qhov sib piv ntawm 1 mus rau 3, feem. Qee zaum, cov menyuam yaus yuav raug tshuaj urethane-quinine, tab sis qhov no tshwm sim tsis tshua muaj. Cov tshuaj no muaj peev xwm sclerosing siab. Txawm li cas los xij, nws yog tshuaj lom heev, yog li nws tsis siv rau cov menyuam mos. Kev txhaj tshuaj yog ua nrog cov koob thinnest, qhov txoj kab uas hla tsis tshaj ib nrab millimeter. Rau txhua qhov manipulation, tus kws kho mob ua ntau yam tshuaj. Lawv tus lej kawg tuaj yeem raug teeb tsa nyob ntawm qhov loj ntawm cov qog nqaij hlav.
kauj ruam tom ntej ntawm cov txheej txheem no yog mob. Raws li kev siv ntawm cov tshuaj, cov qog ua o thiab pib thrombose, hloov los ntawm cov ntaub so ntswg. Cov txheej txheem no yuav siv sij hawm los ntawm ib lub lis piam mus rau kaum hnub, tom qab uas qhov mob tshwm sim, thiab cov txheej txheem rov ua dua. Yuav kom ua tiav resorption, nws yuav tsum tau ua los ntawm peb mus rau kaum tsib zaug.
Cryodestruction
Cov txheej txheem no yuav luag tsis mob, ua haujlwm nrawm, tab sis cuam tshuam nrogtej teeb meem. Nrog cov txheej txheem no, koj tuaj yeem tshem tawm hemangioma tsuas yog tias nws tsis nyob ntawm lub ntsej muag.
Tus kws kho mob ua rau ntawm daim tawv nqaij nrog kua nitrogen, vim qhov no, tus cwj pwm caws pliav lossis qee qhov kev cuam tshuam tuaj yeem nyob ntawm daim tawv nqaij. Nws raug tshem tawm los ntawm laser resurfacing nyob rau hauv neeg laus.
Cov txheej txheem pib nrog kev kho tshuaj tua kab mob nrog iodine lossis cawv. Thaj tsam ntawm daim tawv nqaij yog khov. Lub dav hlau ntawm cov kua nitrogen yog txhaj rau hauv cov neoplasm, nyob rau hauv lub zog ntawm cov hemangioma pib tawg. Hauv qhov no, hlwv nrog cov khoom tsis muaj menyuam tuaj yeem tshwm sim hauv qhov chaw tsis raug. Qhov no yog ib qho txheej txheem rau kev tuag ntawm cov hlab ntsha. Sij hawm dhau mus, lub hlwv yuav txo qis, thiab tom qab ntawd nws yuav qhib nws tus kheej, thiab cov tawv nqaij tuab yuav tshwm sim hauv qhov chaw no.
Kho tau tshwm sim thaum lub sij hawm kho dua tshiab. Lub qhov txhab yuav tsum tau kho tsis tu ncua nrog ib qho tshuaj antiseptic. Lub sij hawm no tus me nyuam yuav tsum tau swaddle nws txhais tes los yog muab tso rau mittens kom nws tsis txhob tawg cov crusts, uas yuav tsum tau poob ntawm lawv tus kheej.
YElectrocoagulation
Kev tawm nrog tam sim no yog ib txoj hauv kev sai thiab zoo ntawm kev tshem cov qog nqaij hlav. Nws yog ib qho tseem ceeb kom paub tias tsuas yog yooj yim los yog cutaneous hemangioma yog kho nrog electrocoagulation. Txhawm rau tiv nrog kev sib xyaw lossis cavernous neoplasm, koj yuav tsum xaiv lwm txoj hauv kev.
Qhov zoo ntawm hom kev phais no yog lub peev xwm tshem tawm cov qog sai li sai tau - hauv ib zaug xwb. Qhov no tau lees tias yuav kho tau sai thiab muaj kev pheej hmoo tsawg kawg ntawm kev kis kab mob.
txheej txheem piblos ntawm cov txheej txheem ntawm kev kho mob ntawm daim tawv nqaij nrog iodine lossis cawv. Tom qab ntawd cov tshuaj loog hauv zos tau ua, thiab ntau qhov kev txhaj tshuaj nrog tshuaj loog yog ua nyob ib ncig ntawm qhov chaw nrog hematoma. Kev tshem tawm nws tus kheej tshwm sim los ntawm cauterizing cov qog nrog ib qho hluav taws xob tam sim no siv cov hlau nozzle uas zoo li lub voj voog. Nyob ntawm seb qhov loj me ntawm cov qauv tsim, cov txheej txheem kav ntev li ib mus rau tsib feeb.
Tom qab ntawd nws yog ib qho tseem ceeb uas yuav tsum tau mus txog rau theem kev kho kom rov zoo, vim tias qhov txhab yuav tshwm sim hauv thaj tsam cuam tshuam, npog nrog cov yam ntxwv crust. Yuav tsum poob rau ntawm nws tus kheej, yog li tus menyuam yuav tsum tau swaddle nws txhais tes kom nws tsis txhob rub tawm.
YLaser kho tau
Qhov no yog txoj kev nyab xeeb tshaj plaws uas tau pom tias muaj txiaj ntsig zoo hauv kev tawm tsam cov qog. Kev tshem tawm ntawm neoplasm nrog lub laser yog nqa tawm txhua lub hnub nyoog (los ntawm thawj lub hlis ntawm tus menyuam mos lub neej). Cov cuab yeej no tso cai rau koj kom tau txais txiaj ntsig zoo los ntawm thawj qhov kev sib tham, tsis muaj kev pheej hmoo ntawm caws pliav, thiab nws tsis tuaj yeem rov ua dua.
Lub tshuab nws tus kheej yog coagulation thiab evaporation ntawm cov ntshav hauv cov hlab ntsha. Nyob rau tib lub sijhawm, lawv cov phab ntsa lo ua ke, thiab cov hlab ntsha puas tsuaj pib maj mam yaj.
Tom qab kev kho tshuaj tua kab mob ntawm daim tawv nqaij, qhov chaw ntawm qhov txhab raug tshuaj loog nrog tshuaj loog. Lub qog yog irradiated nrog ib tug laser beam. Tom qab cov txheej txheem, ib daim ntaub qhwv nrog ib tug kho ointment yog siv. Thaum lub sijhawm kho, cov niam txiv yuav tsum tsis tu ncua kho qhov txhab nrog tshuaj tua kab mob, siv cov tshuaj pleev kom zoo thiab tshuaj pleev, thiab tiv thaiv cov pob txha los ntawm kev tawg ntawm lawv tus kheej.
Txoj kev phais
Radical phais yuav tsum tau muaj tsawg zaus thaum cov qog tau cuam tshuam cov txheej txheej ntawm daim tawv nqaij. Ua ntej tshem tawm hemangioma, nws raug nquahu kom mus rau kev kho mob sclerotherapy lossis lwm cov txheej txheem npaj kom txo qhov loj ntawm kev loj hlob.
Hauv tshuaj loog, siv tshuaj loog lossis tshuaj loog hauv zos. Tus kws phais txiav tawm qhov hemangioma los ntawm kev txiav tawm, thiab txheej txheej ntawm cov ntaub so ntswg noj qab haus huv nyob ib puag ncig nws kuj raug tshem tawm kom tshem tawm qhov muaj peev xwm rov muaj dua. Lub qhov txhab ntxuav thiab ua tib zoo kho.
Ib qho hnav tsis taus nrog kho thiab tshuaj tua kab mob yog siv rau thaj chaw puas.
Lub sijhawm kho kom rov zoo tuaj yeem kav ntev li ob peb lub lis piam. Yog tias koj npaj kev saib xyuas kom raug, koj tuaj yeem zam qhov caws pliav yav tom ntej lossis lawv yuav luag tsis pom.
