Lymphangioma kuvana: zviratidzo, zvinokonzera, kurapwa uye ekudzivirira mamiriro

In Kakawanda kacho, zvinokonzeresawo anomera munzvimbo vana zvokukura kusagadzikana nyama kana zvomukati panguva embryo kukura.

Kazhinji, dzidzo yakadaro, akadai lymphangioma muvana akazivisa achangoberekwa kana mumakore okutanga oupenyu. Vakawanda mapundu ose connective zvinyama hunhu zvinosanganisira hemangioma uye lymphangioma. Kukura benign anomera muvana kunoitika nokukurumidza zvikuru kupfuura vanhu vakuru, zvinoda kukurumidza chirwere uye pakusarudza mamwe marapirwo.

Ndezvipi benign anomera?

Benign mapundu pamusoro vascular zvinyama rakakamurwa:

• vascular mapundu (haemangioma);
• zvemwoyo abnormalities (nevi, teleangioektizii).

Hemangiomas (angioma) muka kubva kusagadzikana angiogenesis. Vakapemberera kukura kwavo nokukurumidza kunyanya mumwedzi mitanhatu yokutanga pashure pokuberekwa. In nedanho kuwanda kukuvara angioma yakapoteredza zvinyama, achiumba yakatsiga zvizorwa uye dzichipfekeka kuremara.

Zvikuru kakawanda rirambe richibvira hemangioma, dzine munhu muzvizhinji kuti randomly akagovera capillaries. Vane pose nzvimbo uye regai kukuvadza zvakadzama akaturikidzana ari dermis. On ongororo, anoshandurwa sezvo sandara kana chete zvishoma rakakwirira kupfuura ganda itsvedze pamwe miganhu zvakajeka inobwinya tsvuku (dzimwe nguva rinokwanisa kucheneruka) ruvara. Asingatani vaingoerekana involution kusvika makore 7-8. Favorite localization: musoro, chiso, yokumusoro shure uye muchipfuva.

Cavernous angioma vakaumba in dzakaparadzaniswa connective tishu mabhiriji. Vanowanzoda imere zvakadzama, akarova subcutaneous mafuta uye tsandanyama tishu. Havana miganhu zvakajeka. Kana papi mu pamutsipa uye vanotarisana kutungamirira kuti deformation dzavo uye asymmetry. A maitiro chinhu kunosimudzirwa neropa zvekupfakira angiomas vachizhamba uye kuchema.

Mapazi hemangioma vakaumba kuunganidza atypical midziyo, izvo dziri, kazhinji, kurutivi hukawanika kwemitsipa uye chiso. Bundu pulsates, inopisa kuti ikabatwa. Of anononoka kukura, tichienzanisa nedzimwe hemangiomas.

Mixed angioma zvinosanganisira vascular uye mune dzimwe nzvimbo dzomuviri, uyewo zvabatanidzwa, kubatanidza zviri pamusoro anotsanangurwa anomera hadziwanzowaniki.

Mabatirwo vascular anomera

Mhedziso chiratidzo nokuda Mabatirwo angioma tenda Ultra-kutsanya kuchiita bundu, Zvinokosha kukura mwana, uyewo kune ngozi localization (parotid, orbital nezvenyama nharaunda) uye kuvapo branching angioma, Haakurumidzi involution.

Kunyanya iziviswe Itsika angioma kune Kuwedzera mumwedzi zvoupenyu rokutanga. Small, asingafungi dzidzo munyika shomanana inogona kukura 3-4 nguva.

Kana uwandu rirambe richibvira uye duku cavernous hemangiomas vanoshandisa kuchinja kurapa "Propranolol". Also inoshanda:

• Kuropafadza bundu iri panyaya iyi, rakasanganiswa novocaine;
• Kemikari sclerotherapy;
• cryosurgery;
• excision;
• elektorokoagulyatsiya;
• apo mapazi angioma Handtied kudyisa midziyo mimwe excision pakati bundu.

Differential chirwere lymphangiomas uye hemangiomas

Musiyano hemangioma uye lymphangioma muvana? Angioma ndiwo paumbwe kana rinokwanisa kucheneruka Hue dzvuku nako puncturing ropa akasunungurwa. Characteristically kwakawedzera ropa ichizadza hemangiomas kana kuchema uye kuridza mhere mwana anowira nyore kana achingomutambudza, paler kana achingomutambudza rinoonekera.

Lymphangioma mune vana dzinoratidzwa rakachenuruka nomumvuri bundu, kubudiswa pachena emura ari punctate, kushaya kuora kana achingomutambudza.

Benign mapundu ose nhengo dzinobudisa midziyo

Sei lymphangioma nevana, zvinokonzera uye kurumbidza kunorapwa inokurukurwa pazasi.

Lymphangioma muri dizembriogeneticheskim namamota uye vari kutyora nhengo dzinobudisa hurongwa. In kurapwa tsika, pane zvishoma angioma.

Kazhinji, nechirwere haangasimbiswi pakarepo pashure pokuberekwa, uye pashure pemwedzi mishomanana nokuti kuti pakutanga lymphangioma muvana iri avete wehurumende, ayo kukurumidza kukura uye kuwedzera dzinokonzerwa dzechimwe kukuvara, kushoma, ivo vasiri ikure mwana.

The kufarira localizations ndiwo: lateral pemvura mutsipa, pasi muromo, rurimi, miromo.

Rare lymphangioma of abdominal nadzo uye yechipiri mapundu kunobva kutyora nhengo dzinobudisa abudise (post-kushanda matambudziko, lymphangitis).

Simple lymphangioma (rirambe richibvira)

Kakawanda lymphangioma mune vana kunooneka pacharo muchimiro makroheylii (kuwedzera muromo) uye makroglosii (akawedzera rurimi). Dzinoratidzwa kuonekwa vakawanda, hwakada munzvimbo dzokuzororera dzaiva matema ramakore chiedza kugutsikana. Bundu ane testovidnuyu kusachinja-chinja, nyarara pamusoro palpation. Untreated mutauro lesion inotungamirira paumbwe malocclusion, mwero dentition.

cavernous lymphangioma

Kana kuonekwa mufanidziro kubatanidzwa nomumwe akawanda in uye nodules pamwe kujeka kugutsikana. Bundu iri mupasi riri nyoro nyama uye kuupenyu chinokosha deformation kwemitsipa uye chiso.

lymphocele

It dzinoratidzwa pachena miganhu, uye multichamber node kutama kubva mhango mumwe apo kudzvinya bundu. Lymphangioma mutsipa muvana chimwe chezvinhu zvakafanana benign namamota, uye kazhinji kunooneka pachayo iri parutivi mutsipa. Kuderera cystic lymphangioma vemunyika mune nemumuromo mhango.

chirwere lymphangioma

On kubatana kushoma anoratidza zvakasimba kukura bundu, ayo unyoro, akatsvuka, kuzvimba uye chitarisiko ganda obscheintoksikatsionnyh zviratidzo (nefivha, simba uye zvichingodaro. D.).

Kana pane cutaneous lymphangioma ari mwana pane vaname bundu kunogona kuwanikwa kubva nyanzvi. Kazhinji kacho izvi kushandisa antibacterial uye Anti-anogumbura mafuta ( "lincomycin" "clindamycin" "levomikol" erythromycin mafuta), systemic nemishonga inorwisa mabhakitiriya uye antihistamines.

kurapwa:

• Decompression ponji.
• Sclerotherapy Quinine-urethane.
• Kuvhiya excision uye nokubviswa pathological munyama.
• Combined kurapwa.
• Ultrasonic kudzikisirana pamwe unozotevera chido zviri.

Lymphangioma abdominal

abdominal lymphangioma muvana kunoratidzwa zvinotevera zviratidzo. Kazhinji, varwere vakabvuma kukiriniki chirwere "rikwanise dumbu" (rikwanise appendicitis, mezodenit, adnexitis, Meckel diverticulum). The chikuru kunyunyuta kurwadziwa mudumbu, namamota makuru anogona nomudumbu. asymmetry. Kurutsa uye chetsoka zvinetso havasi zvemo. On palpation kunoratidza gobvu, anononoka-kutamira dzidzo, nyarara, malosmeschaemoe.

For differential chirwere anodzidzisa kushandiswa Ultrasound, computed tomography. The vakawanda Kuongororwa kweropa hapana anogumbura kuchinja yo "rikwanise dumbu".

kuvhiya kurapwa. Akaita laparotomy pamwe excision anomera uye zvakare histological kuzviongorora.

dziviriro

Vana vane benign mapundu inozviisa zvairayirwa dispensary. Mushure kurapwa yakarumbidza dzose kunoonekwa nachiremba maxillofacial chiremba:

• rokutanga gore - mumwe nomumwe mwedzi mitatu;
• mugore rechipiri - kaviri pagore;
• Mugore rechitatu - mushure kurapa kamwe pagore asati asvika zera ruzhinji.

Dental kurapwa kuitwa kuitira kugadzirisa malocclusion uye matauriro kurapa nokuda kutaura kururamiswa.

Sei kuva lymphangioma vana? Zvinokonzera chirwere chingava kuti kumashure chirwere panguva embryo kukura. Chaicho kudzivirira uye hemangiomas Lifang haako, sezvo namamota izvi kuva yakafanira dizembriogeneza uye vari chokuziva.

Kana kuronga pamuviri yakarumbidza kuongororwa tochi zvirwere (nemavhairasi zvichikonzera vachiberekwa fetus zvokurwara: rubella, chibhokisi, toxoplasmosis, cytomegalovirus, njovhera, herpes simplex utachiona nezvemarudzi 1 uye 2), kurambwa tsika dzakaipa, kugamuchira chaiyo vhitamini zvivako, akataura mukati antenatal kiriniki uye kugara uchishanyira vanhu gayinakorojisiti.