Lymphangioma ana: zizindikiro zimayambitsa, mankhwala ndi kupewa zinthu

Mu ambiri milandu, bvuto lalikulu pa zotupa ana ndi matenda kakulidwe wa zimakhala kapena ziwalo pa chitukuko embryonic.

Monga ulamuliro, maphunziro, monga lymphangioma ana kuzindikiridwa mwamsanga pambuyo pa kubadwa kapena mu zaka zoyambirira za moyo. The zotupa ambiri minofu connective chilengedwe monga hemangioma ndi lymphangioma. Kukula kwa zotupa chosaopsa ana amapezeka mofulumira kwambiri kuposa akuluakulu, amafuna matenda mwamsanga ndi kusankha chithandizo zina.

ndi chosaopsa zotupa chiyani?

zotupa chosaopsa a minofu mtima lagawidwa:

• zotupa mtima (haemangioma);
• kuvutika mtima (nevi, teleangioektizii).

Hemangiomas (angioma) chichokera matenda a angiogenesis. Chikondwerero kukula mofulumira makamaka miyezi isanu ndi umodzi woyamba atabadwa. Mu ndondomeko ya kuchulukana angioma kuwonongeka ozungulira minofu, kupanga zodzikongoletsera khola ndi zilema zinchito.

Nthawi zambiri capillary hemangioma, kupanga ndi kuchuluka kwa capillaries mosintha kugawa. Ali pamwamba malo ndipo musati kuwononga zigawo mwakuya dermis lapansi. Kuzionetsetsa, amene amatembenuzidwa zomveka kapena pang'ono chabe kukwezeka pamwamba pa khungu mpala ndi malire zodziwika wa ofiira owala (nthawizina bluish) mtundu. Sachedwa mowiriza involution kwa zaka 7-8. Favorite kutanthauzira: mutu, nkhope, chapamwamba mmbuyo ndi chifuwa.

Cavernous angioma anapanga cavities ankasiyana milatho connective minofu. Samalira kumera mu kuya, anagunda subcutaneous mafuta ndi minofu minofu. Iwo alibe omveka bwino. Pamene pabwino mu khosi ndi maso patsogolo kwa mapindikidwe awo ndi asymmetry. Mbali khalidwe kumatheka ndi magazi kudzazidwa angiomas kukuwa ndi kulira.

Nthambi hemangioma anapanga kudzikundikira ziwiya atypical, yomwe ili, zambiri, pa pamalo mbali ya khosi ndi nkhope. Chotupa pulsates, otentha kukhudza. Kukula pang'onopang'ono, poyerekezera hemangiomas ena.

Obwerawa angioma ongokhala mtima ndipo zimakhala ena, komanso zimagwira kaphatikizidwe mbali ya zotupa pamwamba anafotokoza n'zochepa.

Mankhwala a zotupa mtima

Mtheradi umboni zochizira angioma mukukhulupirira kupitilira kopitilira muyeso-kudya chotupa, ndi patsogolo chitukuko cha mwana komanso zoopsa kutanthauzira (parotid, yozungulira ndi wathupi dera) ndi kukhalapo kwa nthambi angioma, sangakhale ndi vuto involution.

Makamaka kutchulidwa chizolowezi angioma kukula mofulumira miyezi ya moyo. Small, maphunziro zachiphamaso mu masabata ochepa akhoza kukula kwa nthawi 3-4.

Pamene wochepa capillary ndi cavernous hemangiomas ntchito ndiwofatsa mankhwala "Propranolol". Wogwira:

• yopereka kwa chotupa mu Mowa, kuchepetsedwa novocaine;
• Timadzi sclerotherapy;
• cryosurgery;
• excision;
• elektorokoagulyatsiya;
• pamene nthambi angioma Handtied kudyetsa ziwiya ndi excision zina chotupa cha.

Masiyanidwe matenda lymphangiomas ndi hemangiomas

ndi kusiyana hemangioma ndi lymphangioma ana chiyani? Angioma ndi mapangidwe kapena bluish wofiira hue ndi zomwe puncturing magazi anamasulidwa. Characteristically kuchuluka magazi kudzaza hemangiomas pamene kulira mwana Falls mosavuta atamukakamiza, paler atamukakamiza galasi.

Lymphangioma ana amakhala ndi mthunzi chochepa cha chotupa cha, amasulidwe madzi momveka bwino punctate ndi, kusowa kuwola atamukakamiza.

zotupa chosaopsa wa ziwiya lymphatic

Kodi lymphangioma ana, amachititsa ndi malangizo chithandizo zafotokozedwa pansipa.

Lymphangioma ndi dizembriogeneticheskim zotupa ndipo kuphwanya dongosolo lymphatic. Zochita matenda, pali zochepa angioma.

Kawirikawiri, matenda si anakhazikitsa nthawi yomweyo pambuyo pa kubadwa, ndipo patadutsa miyezi yochepa chifukwa chakuti poyamba lymphangioma ana ndi boma kugona, kukula mofulumira ndi kuwonjezeka ndi chifukwa cha kuvulala zoopsa, ndi yotupa ndondomeko, kukula thupi la mwanayo.

The localizations kwambiri ndi: lateral pamwamba pa khosi, pansi pa kamwa, lilime, milomo.

Osowa lymphangioma ziwalo m'mimba ndi zotupa sekondale akuwuka kuchokera kuphwanya lymphatic ngalande (zosokonezeka pambuyo kugwira ntchito, lymphangitis).

Zambiri lymphangioma (capillary)

Nthawi zambiri lymphangioma ana kumaonekera mwa mawonekedwe a makroheylii (kuonjezera mlomo) ndi makroglosii (wakulitsidwa lilime). Yodziwika ndi maonekedwe a angapo, thovu kwambiri spaced mitambo ndi zili kuwala. Chotupa ali testovidnuyu kugwirizana, sabweretsa chisoni pa palpation. Popanda kuchitapo kanthu chinenero chotupa kumabweretsa mapangidwe a malocclusion, nthenda dentition.

cavernous lymphangioma

Kuwaona visualized merging cavities angapo ndipo tinatake tozungulira ndi zili bwinobwino. Chotupa isanafalikire mu zimakhala zofewa ndipo kumayambitsa mapindikidwe yofunika kwambiri khosi ndi nkhope.

lymphocele

Iwo yodziwika ndi omveka bwino ndiponso multichamber lymph kusamuka kwa M'mimbamo wina ndi mzake pamene kufinya chotupa. Lymphangioma khosi ana ndi imodzi mwa ambiri zotupa chosaopsa, ndi zambiri kumaonekera mmbali mwa khosi. Pasanathe enaake lymphangioma isanafalikire mu M'mimbamo m'kamwa.

matenda lymphangioma

Pa kugwirizana yotupa ndondomeko amasonyeza kudya kukula chotupa, kukoma mtima kwake, redness, kutupa ndi maonekedwe zizindikiro khungu obscheintoksikatsionnyh (malungo, kufooka ndi zina zotero. D.).

Ngati pali lymphangioma cutaneous mu mwana kuposa kupaka chotupa mukhonza kuwapeza katswiri. Kawirikawiri milandu ntchito antibacterial ndi odana ndi yotupa mafuta ( "lincomycin" "clindamycin" "levomikol" mankhwalawa mafuta), mankhwala zokhudza zonse ndi mankhwala.

chithandizo;

• Decompression puncture.
• Sclerotherapy kwinini-urethane.
• Opaleshoni excision ndi kuchotsa zimakhala pathological.
• Tikaphatikiza chithandizo.
• Akupanga kudzitsitsa ndi chiyembekezo wotsatira wa nkhani.

Lymphangioma m'mimba

lymphangioma m'mimba mwa ana akuwonetseredwa ndi zizindikiro zotsatirazi. Childs, odwala anavomereza kuti chipatala ndi matenda "pamimba pachimake" (pachimake appendicitis, mezodenit, adnexitis, Meckel diverticulum). Madandaulo chachikulu cha ululu pamimba, ndi zotupa zazikulu akhoza mmimba asymmetry. Kusanza ndi chopondapo matenda sizionekaoneka. Pa palpation limafotokoza wandiweyani, pang'onopang'ono maphunziro, sabweretsa chisoni, malosmeschaemoe.

Pakuti matenda masiyanidwe nkhani ntchito ultrasound, yopangidwa tomography. The kusanthula ambiri a magazi palibe kusintha yotupa khalidwe la "pamimba pachimake".

chithandizo opaleshoni. Anachita laparotomy ndi excision a zotupa ndi zina histological bwino.

kupewa

Ana ndi zotupa chosaopsa imvera dispensary mokakamizidwa. Pambuyo mankhwala analimbikitsa zonse cheke akuluakulu maxillofacial dokotala:

• M'chaka choyamba - mmodzi miyezi itatu;
• m'chaka chachiwiri - kawiri pa chaka;
• M'chaka chachitatu - pambuyo mankhwala kamodzi pa chaka asanafike zaka ambiri.

chithandizo mano ikuchitika pofuna kukonza malocclusion ndi lolankhula kuti tikonzedwe kulankhula.

N'chifukwa chiyani kukhala lymphangioma ana? The zimayambitsa matenda zingakhale ndi matenda yapita pa chitukuko embryonic. Specific kupewa ndi hemangiomas Lifang kulibe, monga zotupa awa kukhala dizembriogeneza chifukwa ndipo titadziwa.

Pamene akukonzekera mimba analimbikitsa mosamala pa matenda muuni (mavairasi kuchititsa kobadwa nako yoopsa kudwala: chikuku, katsabola, toxoplasmosis, cytomegalovirus, chindoko, nsungu simplex HIV mitundu 1 ndi 2), kukana makhalidwe oipa, kulandira maofesi wapadera vitamini, kuonerera kuchipatala antenatal ndi kuyendera gynecologist lapansi.