Muaj ob hom vascular tsim ntawm daim tawv nqaij: capillary angiodysplasia thiab hemangioma. Yeej, koj tuaj yeem pom nevi tsim los ntawm capillaries.
Qhov kev hloov pauv zoo sib xws tshaj plaws tau txais ntawm cov menyuam yug tshiab. Raws li txoj cai, nws tsis ua rau muaj teeb meem, ntxiv rau kev kho kom zoo nkauj, tab sis qee zaum, tsis muaj kev kho mob tsim nyog, muaj feem cuam tshuam los ntshav, rwj thiab kis kab mob.
Kev piav qhia
Capillary angiodysplasia yog qhov tshwm sim ntawm kev tsim tsis raug ntawm cov hlab ntsha thiab yog xim liab, ntshav lossis xim liab ntawm daim tawv nqaij. Qhov sib txawv tseem ceeb ntawm hemangiomas yog tsim ntawm cov pob loj loj uas nce thaum tus neeg loj hlob.
Nrog hnub nyoog, qhov chaw ntawm nevi tuaj yeem dhau los ua nodular thiab tau txais qhov ntxoov ntxoo tsaus. Capillary angiodysplasia, daim duab uas tau nthuav tawm hauv qab no, tsis ua rautsim kev puas tsuaj rau tib neeg lub cev, tab sis vim nws qhov chaw nyob hauv thaj chaw qhib ntawm lub cev, nws ua rau kev coj ncaj ncees tsis xis nyob thiab tuaj yeem ua rau muaj qhov tshwm sim ntawm complexes.
Cov kab mob no yog nyob rau hauv qeb ntawm congenital malformations, uas tshwm sim los ntawm kev nthuav dav ntawm cov hlab ntsha loj. Tsis zoo li capillary hemangiomas, cov pob no twb muaj nyob rau ntawm daim tawv nqaij ntawm tus me nyuam mos thiab loj heev.
Raws li tau sau tseg ua ntej, capillary angiodysplasia tsis protrude saum daim tawv nqaij, muaj cov duab tsis xwm yeem thiab ci ntxoov liab thiab liab. Feem ntau nws yog tsim rau ntawm lub ntsej muag, localization ntawm lwm qhov chaw ntawm lub cev kuj ua tau. Lub xub ntiag ntawm kev tsim ntau yam yuav qhia tau tias muaj kev phom sij ntau dua.
Diagnosis
Capillary angiodysplasia, kev kho mob uas tau xaiv ib tus zuj zus rau txhua tus neeg, raug kuaj pom tsis yog los ntawm kev kuaj sab nraud xwb. Doppler scanning ntawm cov hlab ntsha thiab cov hlab ntsha yog siv los ua tus txheej txheem kuaj mob. Tsis tas li ntawd, lub luag haujlwm tseem ceeb hauv kev tsim cov kab mob yog ua los ntawm kev kuaj ultrasound ntawm cov ntaub so ntswg uas nyob ib sab. Tus kws kho mob yuav tsum muaj kev paub txaus hauv kev tshuaj xyuas cov neeg mob uas muaj cov kab mob zoo sib xws, thiab kev saib xyuas tshwj xeeb yog them rau qhov zoo ntawm cov cuab yeej kuaj mob.
Tom qab txiav txim siab capillary angiodysplasia, hom kev tsim thiab qhov tob ntawm cov ntaub so ntswg raug tsim. Hauv cov ntaub ntawv hnyav, nws raug nquahu kom ua kev suav angiography thiab sib nquskev tshawb fawb resonance. Qhov tsis zoo ntawm qhov kev kuaj mob no yog tus nqi siab, tab sis tsis zoo li kev kuaj mob ultrasound ib txwm, lawv tso cai rau koj txheeb xyuas hom kab mob thiab qib kev puas tsuaj nrog qhov tseeb siab tshaj plaws.
Capillary angiodysplasia ntawm lub ntsej muag: kho
Yav dhau los, cov kab mob vascular tau kho tsuas yog hauv cov ntaub ntawv hnyav, qhov no yog vim qhov tseeb tias qhov kub hnyiab thiab kev phais tshem tawm tau pab tsim cov nti tob. Niaj hnub no, kev kho mob lasers tau siv los daws qhov teeb meem no, uas tsis ua rau cov ntaub so ntswg noj qab haus huv thiab muaj peev xwm xaiv coagulate cov hlab ntsha. Qhov no tso cai rau kev kho mob yam tsis muaj qhov tshwm sim hauv daim ntawv ntawm kev puas tsuaj rau daim tawv nqaij thiab nti. Raws li txoj cai, lasers emitting beams ntawm ntsuab thiab daj spectrum yog siv. Lawv cov txiaj ntsig yog kev ywj pheej dhau los ntawm cov epidermis thiab sib sau ua ke hauv capillary lumen, vim tias lub zog thermal yog tsim los kaw lub nkoj.
YYam lasers
Tsis yog lasers emitting ntsuab thiab daj lub teeb, tab sis kuj infrared pab kiag li lawm yog heev dav. Cov tom kawg yog me ntsis qis hauv kev ua haujlwm vim qhov nqus nqus hluav taws xob qis los ntawm cov ntshav.
Kev kho mob lasers raug cais raws li cov emission spectrum thiab cov qauv tsim, qhov chaw txoj kab uas hla yog qhov tseem ceeb. Devices emitting ib tug me me qhov chaw yog haum rau kev kho mob ntawm me formations. Lawv siv rau qhov dav nevi yog qhov ua tsis tau zoo vim kev ua haujlwm qeeb thiab ua haujlwm qis. Lasers nrog lub teeb pom kev ntawm qhov loj me (los ntawm 4 hli) tso cai rau koj kom ceev ceev txawm tias loj angiodysplasia nyob rau hauv ib lub sij hawm luv luv. Lawv qhov zoo dua yog qhov qis qis ntawm cov hluav taws xob tawg, vim lawv nkag mus rau hauv cov txheej txheem tob tshaj plaws ntawm daim tawv nqaij. Kev nce hauv kev ua tau zoo ntawm kev kho mob yog ua tiav los ntawm kev tiv thaiv khaub thuas ntawm epidermis thiab lub sijhawm tsawg kawg nkaus ntawm cov pulses.
Txoj kev kho mob
Capillary angiodysplasia ntawm lub ntsej muag thiab lub cev yog kho nrog lub laser siv tshuaj loog hauv zos thiab tsis tas yuav siv tshuaj loog, tsis zoo li kev phais. Cov txheej txheem tsis muaj contraindications thiab tsis pab tsim cov crusts thiab flaky nto. Thaum kho, qhov mob tsis tuaj, qee zaum muaj qhov kub hnyiab me ntsis tuaj yeem ua tau. Txhawm rau kom tshem tawm tag nrho cov cim yug, ntau cov txheej txheem yuav tsum tau ua nrog lub sijhawm ntawm 3-4 lub lis piam, lawv tus lej ncaj qha nyob ntawm qhov loj ntawm qhov tsim. Capillary angiodysplasia lightens nrog txhua txoj kev kho kom txog thaum nws ploj tag.
Lwm yam kev kho mob
Qhov tshwj xeeb ntawm kev kho mob yog txiav txim siab nyob ntawm lub hnub nyoog ntawm tus neeg mob, cov teeb meem uas twb muaj lawm, qhov loj ntawm qhov chaw thiab daim ntawv ntawm kev kawm. Kev ua tau zoo tshaj plaws tau sau tseg hauv kev kho mob thaum yau, qhov no pab tiv thaiv kev txhim kho ntawm cov teeb meem thiab kev hloov pauv hauv cov khoom noj khoom haus ntawm cov ntaub so ntswg uas nyob ib sab.
Sclerotherapy yog qhov kev xaiv zoo tshaj plaws rau kev txwv cov kab mob venous ntawm angiodysplasia. Nws yog tsim los ntawm kev sau cov cheeb tsam cuam tshuamtshwj xeeb sclerosing muaj pes tsawg leeg. Ua li no, cov teeb meem tshwm sim los ntawm kev kho mob phais tuaj yeem zam tau.
Capillar angiodysplasia: ua rau
Qhov tseem ceeb ntawm qhov pom ntawm cov cawv txiv hmab yog qhov cuam tshuam tsis zoo rau tus menyuam thaum lub sijhawm yug menyuam hauv plab. Hormonal ntshawv siab, kev siv cov tshuaj uas muaj cov nyhuv teratogenic, thiab cov kab mob sib kis tau los ntawm leej niam thaum cev xeeb tub muaj kev cuam tshuam. Nws kuj tuaj yeem tshwm sim los ntawm chromosomal abnormalities thiab lwm yam tseem ceeb. Tag nrho cov no cuam tshuam rau kev tsim cov hlab ntsha ntawm tus menyuam hauv plab thiab lub txaj capillary. Qhov tshwm sim yog arteriovenous formations uas cuam tshuam cov khoom noj khoom haus ntawm daim tawv nqaij thiab cov ntshav ncig ntawm qhov chaw.
venous angiodysplasia
Cov tsos mob ntawm tus kab mob tuaj yeem tshwm sim rau txhua lub hnub nyoog vim kev qaug cawv, raug mob, cev xeeb tub lossis hloov pauv hormonal. Ntawm qhov chaw ntawm kev tsim, cov ntshav ncig cuam tshuam, venous insufficiency thiab nquag ntshav tshwm sim. Qhov cuam tshuam tsis zoo kuj yog nyob rau ntawm cov hlab ntsha. Hauv particular, elasticity ntawm phab ntsa ntawm cov hlab ntsha txo, thiab lawv cov thinning thiab atrophy kuj ua tau. Ib qho teeb meem tsis tu ncua yog cov ntshav tsis txaus rau thaj tsam cuam tshuam. Muaj qee yam tsos mob uas ua rau nws kuaj tau tus kab mob:
- ntau kab laug sab leeg ntawm daim tawv nqaij;
- cov txheej txheem varicose, tsis tshua muajtsawg tsawg hauv cov menyuam yaus;
- tawm hws ntau dhau;
- hypertrophy ntawm ib puag ncig cov ntaub so ntswg;
- nyob rau hauv cov ntaub ntawv ntawm kev puas tsuaj rau ceg ceg, intolerance rau nce loads yog sau.
