Osteoid osteoma mafupa: zizindikiro, matenda ndi mankhwala kamwedwe

Mafupa, monga ziwalo zina, akhoza linapuwalanso ndi chilengedwe kunja. Izi amakwiya mapangidwe zotupa zilonda ndi mtima wabwino ndi embodiments zosiyanasiyana za choyambitsa ndi njira yachipatala.

Osteoid osteoma

Osteoma - ndi morphologically zambiri okhwima mtima wabwino chotupa kuti zingachitike monga ulamuliro, mu diaphysis wa yaitali mafupa tubular. Iwo aumbike mwa osteoclasts ndi fupa akufanana ndi wokhazikika mu dongosolo lawo. matenda nthawi zambiri ndi wapezeka ana, ndi zambiri mwangozi anapezazo X-ray Kupenda chifukwa china.

Kutanthauzira atsogolera tibia, kenako femur ndi, humerus, fupa la mkono ndi mafupa lathyathyathya a Chigaza lapansi. Mu wathanzi fupa, osteoblasts kupanga chitsanzo concentric. Dongosolo limeneli mosavuta kugawira kulemera katundu fupa. Mbali adasandulika a mafupa a imakonzedwa mosintha maselo, lotayirira connective minofu ili therebetween.

zifukwa

Osteoid osteoma akhoza amachepa chifukwa cha zifukwa.

1. Metaplasia la fupa, ndiye kubadwanso ake mu mtundu wina wa khungu.
2. mafupa Violation tsamba mu nthawi embryonic chifukwa zotsatira wa poizoni mankhwala kapena njira thupi.
3. Cholowa kutengera za matenda amenewa.
4. Kukhalapo mu mtima wa matenda aakulu matenda kapena foci kutupa (nyamakazi, lupus, chindoko).
5. Kulakwila kagayidwe kashiamu kapena excretion asidi uric (gout).
6. Yaitali waulesi kutupa mu m'njira za m'mphuno paranasal (maxillary, mazunzo).

Mwatsoka, zonse zimene ali mozungulira yekha. Asayansi angathe zisanathe kufotokoza zimene ndendende chimachititsa chitukuko cha matenda.

Gawo

Osteoid osteoma akhoza mitundu angapo. Kuonetsetsa gulu ndi chiyambi, kapangidwe histological ndi malo.

1. Ndi chiyambi:

• hyperplastic osteoma. Kupangidwa kwa maselo a mafupa, zomwe zili kudutsa fupa kapena circumference kudziunjikira yekha kumbali ina yake. Chotupa angathe kukula onse kunja ndi mkati thupi. malo Chitsanzo: nkhope, Chigaza, forearm, ntchafu, atavalanso zoteteza;
• geteroplasticheskaya osteoma. Bwaloli minofu connective pa fupa wophuka chifukwa cha yaitali makina kukondoweza malo. Nthawi zambiri isanafalikire pa phewa kapena ntchafu tendon.

2. Malinga ndi kapangidwe ndi kutanthauzira:

• olimba m'mene concentrically anakonza mwamphamvu pafupi osteocytes mzake. Monga ulamuliro, kuonekera mu mafupa mosabisa;
• mafupa chinkhupule ngati wathanzi. Osteocytes inali pakati pa minofu adipose, mitsempha ya magazi ndi mafupa. Opezeka mafupa yaitali;
• medullary zochuluka wodzazidwa ndi mafupa patsekeke. Yosowa sinuses zambiri pneumatic nkhope achigaza.

zizindikiro

Ambiri osteoid osteoma wa tibia, kotero chitsanzo chake ife kudzasanthulira mawonetseredwe matenda a matenda. Kawirikawiri, izi chotupa kutanthauzira kwa nthawi yaitali sanali zimapezeka, kotero odwala ngakhale kuganiza kuti kuli zotupa okha. Osteoid osteoma wa femur ndi (pafupipafupi wachiwiri) komanso salowa kupeza okha.

M'kupita kwa nthawi, odwala kuyamba kuoneka ofooka kupweteka ululu kuti kutanthauzira ndi mphamvu zofanana ndi kusapeza mu minofu pambuyo thupi. Patapita miyezi ingapo ululu akukulirakulira, iwo nakweza usiku ndi usana kuchepa pang'ono, komabe mpaka kalekale chifukwa kusapeza munthu.

Pamene iye akuyamba kukula chotupa contoured pansi pa khungu, makamaka kumadera kumene kuli pang'ono subcutaneous mafuta. Ngati malo pathological lili kwambiri fupa, ndi palpation wa zinkakhala m'dera sadzakhala kuyambitsa anachita chowawa. Koma malo a chotupa mkati M'mimbamo olowa kapena pansi periosteum ndi adzachititsa chodziwa ululu.

Osteomas ili chigaza fupa mwina compress ziwiya magazi ndi mitsempha, kuchititsa zizindikiro m'dera ubongo wa paresis ziwalo, kusawona bwino, kununkhiza, maonekedwe mutu kapena khunyu.

diagnostics

Osteoid osteoma fupa wapezeka ndi mwayi pa X-ray bwino. Ndipo pokhapokha chotupa cha anapeza dokotala n'kukulemberani mayesero zina kudziwa chikhalidwe cha chotupa cha, histological matabwa ake, kukula ndi kukhalapo kwa metastasis.

Zipangizo radiography kudziwa kapangidwe minofu padziko zotupa: wandiweyani (yaying'ono) kapena porous zakuthupi (chinkhupule), malingana ndi kumene osteoid osteoma. Photos of fupa anakhudzidwa limachititsa kuganizira kwambiri mwatsatanetsatane malo a chotupa, kukula ndi osalimba.

Chithunzi kakufanana cha matenda purulent osteomyelitis, amene akhoza kusokoneza katswiri amene m'mbuyomu anakumana ndi diagnoses ofanana. Komanso, n'zosatheka kwagona kuti cholinga cha ndondomeko pathological ndi yaing'ono (zosakwana centimeter awiri), komanso palibe zizindikiro zapadera zimene zidzasonyeze pamaso pa matenda.

Ngati nkotheka, dokotala amatumiza mtima pa kompyuta kapena maginito kumveka kulingalira. Onetsetsani kuti amathera puncture zotupa kufufuza histological. Izi kumatha zilonda Inde kwa ndondomekoyi. Kutsimikiza kapena kutsutsa pamaso pa metastases, m'pofunika kupanga scintigraphy.

chithandizo opaleshoni

Komanso ankachitira osteoid osteoma? Opaleshoni pamene matenda izi imatengedwa koyenera pokhapokha ngati chotupa amakhudza kukula fupa, izo deforms ndipo amayambitsa kupweteka kwambiri. Zikuonetsa mankhwala opaleshoni ndi:

• Miyeso osteoma kuposa centimeter ndi;
• kukanika pafupi ziwalo;
• stunting kapena fupa chilema;
• zokongoletsa chilema.

Pali njira zingapo kuchotsa zotupa. Chisankho zimadalira chotupa, nkhaniyi dotolo ndi mphamvu. Monga ulamuliro, miyendo kugonjetsedwa ntchito zoopsa kapena mafupa osteoma ya Chibade, nkhope kapena sinuses - madokotala maxillofacial, ENT madokotala kapena neurosurgeons. Precondition kwa kutanthauzira kulikonse kwa ndondomeko pathological, - kuchotsa fupa gawo ndiyopangidwa pamodzi ndi periosteum ndi gawo la minofu wathanzi. Izi zachitika pofuna kupewa kumwa.

mankhwala

Osteoid osteoma si amenable mankhwala ndiwofatsa. Koma mothandizidwa ndi inu mukhoza kuchotsa zizindikiro za matenda. Choyamba, ndithudi, kuthetsa wodwalayo ululu. Ntchito imeneyi NSAIDs mu mawonekedwe a mafuta, creams kapena angakhale angelo, timitu, komanso mu mawonekedwe a mapiritsi kukwaniritsa zimakhudzanso Integrated.

Pamene wochepa ntchito chotupa sitingachisonyeze, popeza limodzi ndi kusapeza wodwalayo ndipo zikhoza kukhala zoopsa kuposa neoplasm. Choncho, gulu la mtima kuonerera matenda, kuti makonzedwe chokwanira apangidwa pa nthawi ngati kuwonjezeka mu kukula kwa inagona pathological. Specific mankhwala mankhwala si ikuchitika.

Chithandizo cha mankhwala wowerengeka

Amenable ngati mankhwala mankhwala wowerengeka osteoid osteoma? Mankhwala a mtundu uwu akhoza kuyamba yekha atakambirana ndi katswiri, chifukwa akhoza zimawonjezera zizindikiro ndi chifukwa kukula chotupa.

Pali maphikidwe kuchotsa ululu, monga broths wa maluwa hawthorn kapena tincture a elderberry. Koma zotsatira achire pazimene mankhwala sakudziwika Choncho, dziŵani kuti kuwatengera, mungaganize chiopsezo ena. Pali ena tsankho mankhwala boma komanso zitsanzo zambiri pamene aiming compresses kapena ultraviolet walitsa amachepetsa kukula kwa osteoma. Sikuti kuti yokha N'zolimbikitsa. Ndi bwino kupita kwa dokotala wodziwa bwino.

Kuneneratu ndi kapewedwe

Kukula ka chotupa ndi ungwiro wake n'zotheka kupereka madokotala ananena zawo mtima. Pambuyo mankhwala opaleshoni ya recurrences n'zochepa kwambiri. Chifukwa maonekedwe awo akhoza kukhala kupanda chotupa resection chifukwa cha chachilengulengu X-ray.

Ntchito pa nkhope, monga ulamuliro, sikumachititsa chibadwa kuonekera zodzikongoletsera. Ngati osteoma lalikulu kukula, pambuyo chithandizo chachikulu, mtima wa tikulimbikitsidwa kuti reconstructive opaleshoni pulasitiki.

kupewa Specific kulibe. Pachaka njira cheke akuluakulu mpata kudziwa ndi yochotsa chotupacho.