Hamartoma a m'mapapo: zimayambitsa, zizindikiro, chithandizo

Hamartoma a m'mapapo akupereka wapadera dizembrionalnoe mapangidwe wopangidwa advantageously a zigawo zikuluzikulu za bronchial khoma m'mapapo parenchyma. anomaly anafotokozedwa koyamba mu 1904.

mwachidule

Pansi hamartoma anatanthauza mtima wabwino chotupa a m'mapapo, amene limapangidwa chichereŵechereŵe, mtima ndi dongosolo fibrous. Kudwala nthawi isanafalikire mkati mwa m'mapapo parenchyma, chifukwa kukula yaing'ono ali pafupifupi ziribe mphamvu pa kugwira ntchito kwa ziwalo.

Hamartoma chikuyimira umodzi zozungulira mapangidwe kapangidwe wandiweyani, kukula kwa amene zimasiyanasiyana masentimita 0.5 5. Anomaly zambiri osati amasiyana chizolowezi kuwonjezeka mwapang'onopang'ono, koma zochiritsira amadziwika milandu kudziwa mtima kuwonjezeka pang'onopang'ono awiri kudwala. Pakati zotupa zonse m'mapapo hamartomas chosaopsa chikhalidwe chionetsero zambiri (60% milandu). matenda makamaka matenda amuna.

etiology

M'mapapo hamartoma akufotokozera chifukwa kuyan'anila za chitukuko yoopsa akali nthawi embryonic. Amakhala ndi mitundu yosiyanasiyana ya zinthu embryonic zimakhala ndi zigawo zikuluzikulu ofanana ndi chikhalidwe cha thupi limene mwachindunji ili. Ichi ndi chifukwa chachikulu ku hamartomas teratoma. Yotsirizira zambiri imakhala mbalizo ndi minofu zinthu mlendo kwa chiwalo chimene isanafalikire.

Gawo

Okwana pali classifications angapo matenda. Malinga ndi predominance wa mtima wabwino m'mapapo chotupa minofu ndi:

• Lipomatous.
• Organoid.
• Hondromatoznaya.
• Angiomatous.
• Leyomiomatoznaya.

Malinga ndi kuchuluka kwa zotupa kusiyanitsa limodzi ndi mitundu angapo kudwala. Kutanthauzira kumasulidwa endobronchial, subpleural intrapulmonary ndi maphunziro.

chithunzi matenda

Hamartoma kuwala kwa nthawi yaitali kuwonetsera zizindikiro khalidwe. Mapangidwe mwapang'onopang'ono subpleural zambiri limodzi ndi ululu kusapeza m'dera pachifuwa. Ngati hamartoma anapangidwa wa bronchus khoma, monga angasokoneze permeability wa bronchi ndi. Pankhaniyi, odwala amadandaula chifuwa aakulu ndi kulekana muco-purulent sputum, mu nthawi zina pali hemoptysis.

matenda

Chifukwa chakuti kudwala ndi ambiri asymptomatic, n'zotheka kudziwa lokha pa anayendera chizolowezi. Kwa dokotala mwatsatanetsatane matenda n'kukulemberani Kupenda radiological, imene wapezeka mthunzi wa akalumikidzidwa anamaliza zamitundu yosiyanasiyana ndi contours molunjika kapena wavy. Kawirikawiri, ndi X-ray anatsimikiza Mbali yokhala ngati inclusions. Chiwerengero chawo chifukwa mphamvu ya mithunzi. Ngati mumathera kuphunzira yaitali zazikulu, izo Tingaone kuti kukula kwa m'mapapo hamartoma zikusintha pang'onopang'ono. Komano, mphamvu ya madipoziti ya laimu akuchita mofulumira.

Education endobronchial chikhalidwe akuwonetseredwa zizindikiro mwachindunji kapena kudzera m'njira zina. Mbali yoyamba ndi za chotupa ozungulira ndi yosalala ndi lakuthwa konsekonse, zimadziŵika ndi X-ray. Sitipereka mawonetseredwe - ndi atelectasis, hypoventilation, ndi zizindikiro zina kuphwanya madutsidwe bronchial.

A udindo wapadera zapatsidwa kwa matenda masiyanidwe. Nkofunika kwambiri kuti tisasokoneze ichi ndi kudwala kwa a zotumphukira khansa ya m'mapapo ndi tuberculoma.

Kodi tiyenera kuwaona motani?

Pa upo dokotala ayenera loyamba kunena zomwe ndi hamartoma ya phapo, zimayambitsa matenda komanso chithandizo choyenera. mankhwala, mwatsoka, polimbana ndi vuto limeneli operewera. mankhwala atengedwa okha kuchepetsa zizindikiro.

Onse opaleshoni odwala akulimbikitsidwa mosachotsera. Ngati dokotala watsimikizira matenda "hamartoma ya m'mapapo", opaleshoni akuti ndi muyeso popanda chifukwa. Ngati mukukayikira kuti munthu kudwala makamaka (mwachitsanzo, khansa zotumphukira) m'pofunika kupereka mmalo thoracotomy.

Hamartoma anachotsa husking kapena resection minofu ya m'mapapo. opaleshoni imagwiridwa ntchito oponderamo njira, amene amapewa amacheka zoopsa. Pamene contraindications wachibale mtundu wa watsala chovomerezeka zazikulu ananena wodwalayo kwa miyezi ingapo. Itatha nthawi iyi funso ntchito ndi anatsimikiza zochokera kukhalapo kapena kusapezeka kwa kuwonjezeka mthunzi pa radiograph lapansi.

Kumafuna yosiyaniranapo njira endobronchial hamartoma. Chithandizo Pankhaniyi zikusonyeza kuchotsa ndi maphunziro bronhotomii resection kapena chiwalo khoma.

kaonedwe

Hamartoma ikukula pang'onopang'ono, koma akhoza kufika chachikulu. Kubadwanso chotupa chija ake ali osowa kwambiri. Malinga ndi zomwe amapeza zowerengera, n'zotheka chotupa chija si oposa 7% milandu onse. Chotupa chija angakhale okhudza mu zaminyewa ndi mesenchymal chigawo penipeni pa kenako metastasis kwa mwanabele, chiwindi ndi msana anthu.

Tikukhulupirira kuti lonse akhazikitsidwa mu nkhani iyi, mfundo adzakhala inu kwenikweni kukhala zothandiza. Khalani wathanzi!