Osteoma wa nkusani mazunzo: chithandizo, kuchotsa zotsatira

matenda osiyanasiyana mu mapangidwe maselo pansi zimakhala zokhudza thupi imautsa mapangidwe zotupa. Nawonso zotupa anawagawira ngati chosaopsa kapena zilonda. Pakuti loyamba amakhala ndi kukula ndi odekha. zotupa chosaopsa musati chifukwa kuyan'anila za machitidwe ena ndi ziwalo. gulu amatanthauza zotupa osteoma wa nkusani mazunzo. Kenako, tikambirana kudwala izi mwatsatanetsatane.

mwachidule

Osteoma nkusani ndi ndondomeko zosiyanasiyana fupa zoumbika mosiyanasiyana. chotupa ichi si Maselo zilonda. Osteoma nkusani si imfayo chisokonezo cha ubongo. Kudwala angayambe kukhala ndi ana (oyambirira) msinkhu ndi kumaliza kumaliza mapangidwe ake 18, zaka 20.

Features

Njira yoyamba ya matenda ndi pafupifupi imperceptible. Osteoma mazunzo nkusani angasonyeze ndithu mwangozi, mu ndondomeko ya maphunziro aliwonse concomitant zasayansi. Mwachitsanzo, nthawi zambiri chotupa ndi wapezeka pa X-ray pa kuvulala mutu. Mu chitukuko cha metastasis chotupa selo mwaonapo. Neoplasm si m'madera zokhudzana wa zimakhala zokhudza thupi.

zifukwa

Akatswiri musati panopa mukudziwa zinthu enieni amene amayambitsa chotupa. Komabe, ambiri amatchedwa zimayambitsa angapo ankaganizira. Pakati pawo:

• Pafupipafupi chimfine, sinusitis ndi zina zovuta sinusitis.
• Kuvutika mu zosiyanasiyana majini a minofu fupa mu nthawi yoopsa chitukuko. matenda amenewa akhoza zidzayambike ndi tizilombo toyambitsa wothandizila opatsirana.
• Losowa vitamini D ndi akusowa calcium.
• Vutoli ndi zotsatira zosiyanasiyana za njira zasayansi matenda amene anagwirizana ndi puncture wa nkusani maxillary.
• Cheza, kuphatikizapo X-ray.
• Kulanga mmene chilengedwe.

Osteoma fupa lonse angathe osati sphenoid, mazunzo, ethmoid fupa a Chigaza lapansi. Nthawi zambiri, chotupacho ndi wapezeka mu matupi a vertebrae, ndipo m'munsi malekezero. Kawirikawiri anati osteoma mu njira spinous. Mu milandu m'pofunika kuti achite matenda kusiyanitsidwa osaphatikiza chitukuko osteophyte pamaziko a mosalekeza kusintha ziliri pa dongosolo la msana ndime osachiritsika mtundu.

Osteoma wa nkusani mazunzo: kufotokoza

kutanthauzira Izi ankaona kuti ambiri mtundu wa chotupa. Njira ya matenda ndi pafupifupi asymptomatic, wautali. Nthawi zambiri, mazunzo nkusani osteoma popanda ntchito iliyonse kafukufuku zovuta kuti apezeke. The katswiri angawauze matenda likhoza kusintha mawu a wodwalayo, pamaso pa ululu mu mutu wa khalidwe okhazikika. Unilateral chotupa, monga osteoma wa lamanja mazunzo nkusani, limodzi ndi kuwonongeka zooneka diso limodzi. mawonekedwe amgwirizano akufotokozera mwamsanga mokwanira. Izo kumaonekera maziko Gardner matenda. Akukhulupirira kuti ndi imodzi mwa mitundu owopsa amene amadera osteoma wa nkusani mazunzo. opaleshoni ziyenera kuperekedwa mu nkhani iyi posachedwapa. Pa maziko a mtundu wa kudwala neoplasm angathe kuonedwa magulu m mafupa a m'munsi malekezero, msana.

chithunzi matenda

Kodi ndi osteoma wa nkusani mazunzo? Zizindikiro za matenda kudzachitika pokhapo milandu kumene chotupa kukula ndipo akuyamba bwanji okhudzidwa thupi minofu. Pankhaniyi, pali chisokonezo magazi m'madera ena. Zimenezi, amakwiya manja mwa zimakhala ndi. Motero, ntchito wabwinobwino ndi kutanganidwa kapena gawo limenelo. Kuzipenya zikusonyeza kuti mawonetseredwe pathological amadalira gulu ake. Mwachitsanzo, akatswiri kudziwa hyperplastic chotupa. Akufotokozera chifukwa cha kuchuluka mofulumira maselo yachibadwa fupa, superimposed pa wosanjikiza yachibadwa. The chifukwa kuwululidwa ndi thickening nthenda mu malo ena selo. Pa nthawi yomweyo, za dera hypertrophied pali kupatulira wa fupa. Zimenezi, kumachititsa wa fractures ndi ming'alu.

mawonekedwe hyperplastic

Mtundu wa chotupa anapanga ku maselo a minofu connective ndi chichereŵechereŵe calcification ndi wotsatira mafunsidwe a mitundu yosiyanasiyana ya mchere. Ambiri mwa kudwala hyperplastic mawonekedwe osteophyte ndi siteji koyamba. Iye localizes kuti njira spinous msana. The kudwala angathe kuyamba zizindikiro ankaikira nyamakazi. Pa kuyenderako angapezeke pa njira spinous chotupa wandiweyani. Ndi sabweretsa chisoni ndi ima pa palpation. Thupi sayenda voliyumu ya anakhalabe mu osiyanasiyana yachibadwa.

Maonekedwe a kudwala mawonekedwe hyperplastic

Zizindikiro za matenda angakhale zopindika kuonekera kuthupi. Mwachitsanzo, zingakhale anamanga-mpaka kumalire mapangidwe, fupa thickening anamasula asymmetry mu nkhope kapena ziwalo zina. Against maziko a psinjika Mitsempha ndi ulusi mitsempha kumachitika ululu ndi dzanzi. Makamaka, kumasonyeza bwino deta olembedwa mu dera malekezero m'munsi. Mu zina, neuropathy angayambe, kukhala kuperewera kwa kotunga magazi kuti mbali zinkakhala za thupi. Hyperplastic osteoma wa nkusani mazunzo pali kumverera kwa psinjika mu mphuno ndi mphumi. The mucous nembanemba wa mphuno, kawirikawiri youma ndi atengeke kwambiri matenda. Izi zimapangitsa wodwalayo rhinitis aakulu, sangakhoze kusintha vasoconstrictor. Mawonetseredwe yoopsa kwambiri yomwe limodzi ndi kudwala munthu amaganiza, makamaka, anachoka mazunzo nkusani osteoma imatengedwa lakuthwa kuchepa acuity zooneka diso limodzi. Ndi nthawi iyi mwina zidzawonjezedwa chifundo cha ululu mu mutu, komanso matenda akhunyu khunyu, limodzi ndi khunyu clonic. Ana aang'ono, zingayambitse ziwalo ya ubongo, mtima kulephera ndi kupuma.

kudwala diagnostics

Monga tanenera, kudziwa matenda kovuta, chifukwa mu kukula kwa zotupa (zomwe ndi zaka 3-4), odwala ndi kutembenukira kwa akatswiri madandaulo ankaikira syndromes zina ndi zinthu. matenda masiyanidwe ikuchitika pambuyo ndimeyi wodwalayo X-ray bwino. Kudziwika matenda kudzera mwa kusanthula histological hypertrophied minofu. Pankhaniyi, katswiri ayenera kukusalani khansa, poliyo, kusintha rachitic. mosamala koyamba imagwiridwa ntchito X-ray ndi njira kompyuta tomography. Pa nthawi imeneyi n'kofunika kuthetsa chotupa ndi sarcoma Ewing a. zotupa Awa kwambiri zilonda ndi patsogolo mofulumira, mwamsanga chifukwa imfa.

Osteoma wa nkusani mazunzo: chithandizo

Pakali pano, pali njira imodzi yokha kuthetseratu nthendayi. Ndi excision wa mwauchidakwa atachuluka minofu fupa. Kuchotsa osteoma mazunzo nkusani imagwiridwa ntchito mankhwala ochititsa dzanzi ambiri. M'kupita kwa alowererepo izo wopereka autopsy wa khungu. Nthawi yapadera, mungafunike craniotomy cranial mafupa. Kenako, dokotalayo akuchita ndi resection mokwanira m'dera kusinthidwa. Pankhaniyi, kuchotsa zokhudza maphunziro ndi osteosclerosis ndi mitsempha ya magazi kuonongeka. Pa nthaŵi ya likuchotsedwa osati chotupa, komanso mbali ya mbale fupa minofu thanzi zomwe chotupa imene inali. Kuchotsa osteoma wa nkusani mazunzo amagwira ntchito choncho, ngati chotupa ikukula mwachangu, ndipo pali zizindikiro kutchulidwa ndithu kuwonongeka thanzi wodwalayo. Ngati chotupa woterewu ndipo sayambitsa nkhawa, wopilitiza chiphasochi zonse ndi yotsatira.

nthawi konzanso

Pambuyo pa opaleshoni, wodwala wayamba kubwezeretsedwa. Mu sitepe yoyamba chikuchitika mu zikhalidwe za opaleshoni konzanso kuchipatala. Pali anatengedwa miyeso kuteteza zosayembekezereka wa zotupa sekondale ndi imathandizira njira regenerative. M'tsogolo, kukhazikitsa ndi bwino bungwe mode, mpumulo ndi ntchito. Wodwala Kwalamulidwa kudya zakudya zapadera ndi yambiri calcium. Bwinobwino kupewa chitukuko cha matenda ndikofunikira kugwira zodzitetezera. Iwo ayenera umalimbana kuchepetsa Mwina wa zosayembekezereka chimfine kwa osachepera miyezi isanu ndi umodzi pambuyo opaleshoni. Ambiri, pofuna kupewa mavuto mu pulayimale ndi chitukuko yachiwiri ya matenda m'pofunika kukaona dokotala m'nthawi yake. matenda oyambirira nthawi zambiri kupewa aakulu zotsatira osteoma.