Noj qab haus huv, Cov kab mob thiab mob
Txha caj hemangioma - ib tug txaus ntshai tus kab mob
Nyob rau hauv lub txha nqaj txha caj hemangioma yog lub feem ntau tus kab mob. Qhov no pathology es nyuaj los mus txiav txim visually, vim hais tias nws feem ntau muaj ib tug subclinical. txha caj hemangioma - ib tug benign qog, uas muaj feem xyuam rau nws txawv departments (feem ntau thoracicoinferior thiab nruab nrab hauv siab cheeb tsam). Cov hlav yog laus nyob rau hauv lub pob txha mos cheeb tsam ntawm cov nqaj qaum. Raws li statistical cov kev tshawb fawb xws abnormality yog pom nyob rau hauv 10% ntawm cov pejxeem. txha caj hemangioma mas kaw nyob rau hauv cov poj niam laus.
Nyob rau hauv feem ntau tus neeg mob (txog 80%) hemangioma muaj feem xyuam rau lub thib rau lub thoracic vertebra. Nyob rau hauv zaus txhab ntawm lumbar nqaj qaum nyob rau hauv ob qhov chaw. Swb lub ncauj tsev menyuam thiab sacral cov hlav yog hais txog 1%.
Xav histology, hemangiomas ntawm cov nqaj qaum yog txwv kom muab zais rau hauv capillary, cavernous, thiab mixed ratsematoznye. Capillary Hemangioma muaj ib tug plurality ntawm nyias capillary hemangiomas, uas yog intertwined nrog txhua lwm yam thiab cov txheej txheem ntawm nyob rau hauv ob peb lub npas. Cov hlav yog yuav luag yeej tsis khiav lag luam, lawv tsim tsis muaj khees soj ntsuam tej yam tshwm sim. Cavernous neoplasm muaj li ntawm ib tug plurality ntawm kab noj hniav ntawm txawv loj thiab zoo. Tej kab noj hniav yog sib cais los ntawm nyias-walled muab faib muaj connective cov ntaub so ntswg. Ratsematoznye - tsiag ntawv los ntawm tsim ntawm ib tug conglomerate uas muaj arterial thiab venous hlab ntsha. Zoo, thaum kawg, mixed hom hemangioma tsim nrog kev koom tes los ntawm cov hlab ntsha, loj cov hlab ntsha thiab cavernous kab noj hniav.
txha caj hemangioma yog tsis tshua muaj manifested uas raug soj ntsuam tej yam tshwm sim. Txawm li cas los, tej zaum (txog 10-15% ntawm cov neeg mob) tus kab mob no cov txheej txheem muaj tshwm sim nrog ib tug cov tsev kho mob, uas yog nrog mob heev nyob rau hauv paraventebralnoy cheeb tsam. Nyob rau hauv txoj kev loj hlob ntawm hemangiomas puas lawm pob txha trabeculae uas ua rau yus mus rau ib tug txo nyob rau hauv cov pob txha muaj zog.
Mob ntawm tus kab mob yog ua siv X-ray, magnetic resonance thiab xoo tomography.
Pa tshuaj siv ob peb txoj kev los kho tus kab mob no: tawg txoj kev kho, embolization, percutaneous vertebroplasty, haus dej caw thiab kev phais. Rau ntau xyoo phais cov txheej txheem tseem yooj yim thaum lub sij hawm cov kev kho mob ntawm hemangiomas. Cov qauv no yog raws li nyob rau hauv qhov kev tshem tawm ntawm nqaij mos tivthaiv ntawm lub qog thiab ib tug ib nrab resection ntawm cov cuam tshuam pob txha hlav. Txij li thaum vascularization ntawm cov qog yog cov tsis tshua siab, feem ntau nrog los ntawm xws li ua hauj lwm tshaj profuse los ntshav. Tagnrho ntshav tej zaum xeeb mus txog 4 liv, lub neej no tus nqi yog 25%.
Nyob rau hauv thaum ntxov 30-ies ntawm lub xyoo pua xeem nws tau raug npaj zoo tshaj kev kho mob ntawm hemangiomas - radiotherapy. Los ntawm kev siv cov X-ray qauv yog hloov nqaij mos mob tivthaiv. Nyob rau hauv cov ntaub ntawv no, lub qog fibroliziruetsya thiab cirrhosis. Tam sim no, qhov no txoj kev yog yuav luag yeej tsis siv vim hais tias ntawm lub tseem ceeb raug ntawm tus neeg mob. Cov miv nyuas siv zug ntawm no txoj kev kho yog hais txog 85-88%.
Alcoholism hemangiomas twb ua siv 96% ethanol, uas tshwm sim vim hardening ntawm hlav.
Hemangioma ntawm cov nqaj qaum, muaj contraindications yog: ce, phau ntawv txoj kev kho, massage, txij li thaum tag nrho cov ntawm cov kev muaj peev xwm ntxias ib tug puas. Nco ntsoov hais tias txha kuj yuav tsub kom cov ntxim yuav zoo siv ntawm puas. Cov neeg mob mob hemangioma txha caj kho mob pej xeem kev tsis pom zoo cov kev yog inefficient vim hais tias cov qog nyob rau hauv ib tug tej thaj chaw deb qhov chaw.
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