Musana hemangioma - chii? How kurapa musana hemangioma

Maererano nenhamba, aitungamirira nzvimbo pakati kukonzera rufu munyika yedu, kuwedzera kune njodzi uye zvemwoyo, oncological zvirwere ndezvaJehovha. Uye vazhinji vavo, kunyanya kana bundu iri nyanyisa, zvakadai chirwere kwakafanana mutongo. Siyanei ndozvazvakaita kana anoona benign. Muzviitiko zvakadaro, fungidziro anoonekwa nani. kana kurapwa zvokurwara zvichibvira, uye ayo mugumisiro inotungamirira nokuporesa murwere zvakakwana. Zviri nyaya dzakadaro dzinosanganisira musana hemangioma.

Chii?

Kazhinji, mufananidzo zvirwere yakadaro inogona kuonekwa sezvo ari ganda uye kukanganisa siyana zvomukati uye hurongwa, kazhinji vanoramba yakavanzwa upenyu kubva pameso wehondo yavo, kana kuratidza kumusoro randomly panguva kuongorora chero kukanganisa, kusanganisira Kumwe kuchinja kunotanga yacho pfupa maitiro. Kana isu kutaura zvakananga pamusoro nechirwere kuti "musana hemangioma" - chii, chii ano mushonga rinorondedzera vari muchikwata che benign namamota, izvo conglomerate pamusoro vascular mwanda, dzimwe nguva displacing mafupa. Panyaya iyi, zvokurwara ichi anonziwo "vertebral angioma" kana "arteriovenous malformation".

Ngationei zita "hemangioma" (nomuzongoza) - chii? Izwi iri rinobva echiGiriki mashoko haima - ropa, angeon - mudziyo "Ohm" - kuguma, hunhu zvose yakaoma tishu kukura.

Roga, bundu inokura zvishoma nezvishoma uye asingauyi kuumba metastases. The chikuru chinoratidza localization - the mhango of vertebral muviri, uyewo cartilaginous fuma pakati pavo. Zvisinei, pane dzimwe, zvikuru mashoma uye zvisina kujairika munzvimbo mapfupa. In nyaya yacho musana kakawanda vanozivikanwa kupatsanura masero pathological vascular data, achisimbisa dzemo kwakabva kukura dzidzo.

Pakati zvose pfupa mapundu ose nomuzongoza muviri hemangioma zvinotoda chegumi pathological idzodzo anomirirwa pano inoyerera vaviri anonetsa zvekuchipatara zviratidzo uye kuva chero kuwanikwa pa histological kuzviongorora.

causation zvirwere

About zvirwere zvakadai musana hemangioma, - chii, apo riri uye sei chinoratidza pacharo - muverengi ane zvikuru pamusoro kumiririrwa. Zvino ndiyo nguva kutanga kudzidza zvinokonzera uye zvigadziriswe pamusoro pokumuka vascular bundu kwakadaro benign.

Sezvineiwo, kunyange pakutanga sayenzi yezvokurapa rechi21 remakore haapi chaiyoiyo tsanangudzo yacho etiology ose neoplasm ichi. It vakasarudza govera chirwere predisposing zvinokonzera. The chikuru ndiye nhoroondo yemhuri, kubudikidza Pakusarudza kuvapo Gene mutation chitarisiko kuremara uye vachiberekwa kusagadzikana ngarava rusvingo mamiriro pamusoro vertebral chechetere.

Uyezve, imwe chipo kubva zvinhu zvakadai dzomunharaunda zvinyama hypoxia uye yakakwirira kwevari munhukadzi kemikari estrogen, iyo kunosimbiswa nhamba. zvokurwara ichi rinowanikwa hadzi vakawanda vachembera kusvika 5 nguva kakawanda kupfuura vanhu.

pathogenetic zvinhu

On the kare dzakachinjwa vertebra pashure pokuberekwa kumarudzi hwavo ichapa dzakasiyana-siyana zvemaziso uye panyama nemigumisiro kuti pave chitarisiko kugara microtrauma uye ropa pamusoro pathologically dzakatetepa uye kusimba nemidziyo ropa. Kumisa ropa nomuviri kusashanda pakugwamba siyana, kusanganisira paumbwe hombe uwandu ropa clots panguva yomunharaunda chechetere. Panguva iyoyowo kusashanda masero, osteoclasts, vanoparadza mapfupa nematanda vertebral miviri uye kutsigira kukura midziyo itsva panzvimbo isina chinhu pashure nedanho recanalization ropa fibrin clots. Saka, zvishoma nezvishoma asi zvirokwazvo, pane ikure pathological vascular conglomerate.

The maitiro nzvimbo yacho lesion of vertebrae

Hemangioma of thoracal musana - vakawanda nenhanho kukuvara, zvikurukuru mukati ayo yechitanhatu vertebra. localization ichi rinowanikwa muna 85 muzana zvaakacherechedza.

Muna 2% pamusoro pacho ndingangokuvara achirova remuromo kana thoracal vertebrae. Clinical Kuongorora vakawanda haemangiomatosis uyewo vari kurova kubva 2 kusvika 5 vertebral miviri.

Hemangioma of lumbar nomuzongoza, kunyanya okumusoro akaturikidzana, uye kakawanda panowanikwa bundu localization wechipiri.

Akapiwa hunhu namamota vanoisa hazvina kuoma kufungidzira akaparirwa chikuru zviratidzo chirwere. Kunoratidzwa pamusoro pakanyorwa womunharaunda rinomutsa muchimiro zvakaipa kuchinja muviri parameter pathologically kuumbwa vertebra kukwirira dzaro kukura uye kuparara inobvira compression kuti pedyo tsinga Midzi rebei chimiro akadai musana hemangioma. Bundu saizi, kunyanya kana zvinotora vertebral mhango zvachose, zvakananga inobata kukiriniki uye ukuru kuratidzwa kurwadziwa.

Clinic hemangiomas of vertebral mbiru

Sezvataurwa pamusoro apa, zviratidzo hosha kakawanda kumbopfeka. Uye murwere anotsvaka rubatsiro kumusana marwadzo anokonzerwa wakasiyana zvachose chirwere. Zvisinei, kuti hemangioma anogona kurwadziwa kiriniki muzviitiko apo zviri yakakura kupfuura 1 masendimita, kuri kutyisa chiratidzo - munhu werudzii harbinger ramangwana compression pakakuvara muviri njodzi vertebra. Persistent marwadzo chirwere kunoratidzwa nezvokukura hemangiomas wakananga localization sezvo nehasha, kunyanya kana zvikuru ayo uye nguva dzose. Muzviitiko zvakadaro vanoumba kusvika 4%. The marwadzo anokonzerwa compression pamusoro musana etsinga harinzwi uye zvinhu nokuda bundu vascular ropa wedzerai panguva vanoshingaira kufamba, kurereka, kuchinja muviri nezvenzvimbo muchadenga, uyewo thrombosis akatevera makakatanwa ligamentous midziyo yacho musana mbiru.

Semuenzaniso, hemangioma remuromo nomuzongoza anogona kuratidza vemunyika kurwadziwa ari mutsipa kana akatendeuka kana vachikotama muviri, zvisingafadzi nezvekufadza pa nzvimbo kukuvara, kusanganisira mabasa akasiyana muviri. Yakajeka kuzvirotera unopfuta kurwadziwa nzvimbo bundu nzvimbo.

Normal mutoro anova ngozi uye kungaita kuti compression pakakuvara mu maronda ose pathological muitiro kupfuura hafu vertebral muviri. Kana kutyora kuvimbika vertebra yakatotanga Zvakacherechedzwa kuti compression pamusoro musana fuma vangapikisa kuchinja kusvikira micturition zvinetso, kana kufamba zvirwere nokuda mhando rutivi.

Chirwere matanho kuti chirwere kuonekwa

Kuzivikanwa hemangioma zvakaoma nokuda maitiro ayo refu uye anonoke kukura, uyewo asymptomatic kakawanda.

The chikuru ano nzira nechirwere - kombiyuta uye rinobva resonance kuri, X-ray kuzviongorora nomuzongoza, uyewo paumbwe zvemamiriro angiography pamwe Kusiyana jekiseni uye kugadzirwa munhevedzano zvifananidzo. Uyezve zvikavengwa chirwere hemangioma, mamwe nzira pakuongorora kwakaitwa kuitira kuongorora uye kudzora benign neoformation. Club kukura mwero uye kufungisisa zvikuru pathomorphology bundu mamiriro, nokuda simba akataurwa rwakapedza nyaya sei kurapa hemangiomas yacho nomuzongoza.

yezvaunoita hemangioma muzongoza nevarwere Nzira

With kuramba richiona nezvezvabuda bundu sokugamuchira hwaro pamuviri kurapa murwere mudanga uye zvishoma nezvishoma kufambira mberi kukura kwayo. manipulations kuchirapa chete vakatakudzwa kubva pana hasha kukura.

Zvichienderana nzvimbo uye kukura hemangiomas vakasarudzwa imwe nzira yokurapa.

Sclerotherapy - chikuru uye inobudirira nzira yokuwana

Kumisa kukura neoplasm mukati chaiwo tsono kuburikidza ganda yakazara zvinhu chaiwo ehupfumi chakatodzana mapfupa simende. zvokunyama akadaro polymethyl methacrylate, izvo pashure Kutarisirwa hemangioma zapustevayut midziyo uye vertebral mhango ichioma. Naizvozvo, nzira iyi yokurapa inonzi tsono vertebroplasty percutaneous. It rinoitwa pasi zvavo kana omunharaunda yokutindivadza.

Rakashandiswa sclerotherapy siyana okusuma inopupuma mumiririri kuti anosunungurwa nenzira anobudisa mushonga zvishoma nezvishoma zvakananga kupinda bundu. It anoita somunhu embolus, wedzerai midziyo uye vakaisa mucherechedzo kumbomira chokuendesa zvinovaka muviri kupinda pachoto pamusoro pathological kukura, zvishoma nezvishoma zvichiita kuti kubva atanga uye kuoma dzimwe nhengo dzomuviri. Nzira iri rinoshandiswa kana pasina ngozi ane vertebral muviri compression nokutyora, uyewo ndingangokuvara ropa gemangiomatoznyh midziyo.

Nokushandisa kuvhiya nzira apo zvakakodzera kuti decompress kuti musana uye midzi yawo fuma kare zvinopwanya pfupa zvivako uye compression masero pedyo tsinga kuuya. Uyewo akaita resection dzidzo.

Nengozi uye kunyevera pamusoro nzira varwere hemangioma

Kare danda nzira impacting ari hemangioma zvino kushandiswa Kashoma pamusana rikurumidze uye hwakachengeteka nzira.

Tinofanira kuyeuka kuti kana anoona munhu dzidzo yakadaro vanofanira kudzivisa pathological migumisiro iri muviri zvakadai kudziyisa, masaja, chero bhuku uye physiotherapy, uyewo chevarwere mishonga kuderedza exacerbations uye vakakutsamwisai kukura pathological kukoshesa.

Zvinosuruvarisa, mune ano ezvinhu oupenyu, kusanganisira zvakatipoteredza, zvokudya, mvura uye mhepo, chakanakisisa utano anozvikudza mashoma. Hemangioma, kunyange ndezvaiye bundu muitiro, asi achiri ane benign kosi kakawanda. Uye kana zviri simba akataurwa uye pasina hasha kukura, husingatsigirwi asingadi kutambura.