Mutsipa chikofu evaMedhia uye divi: kurapwa. The chikofu iri ngozi?

Chikofu mutsipa mhango pahombodo riri kuumbwa pamwe matete madziro, uye nemvura zviri mukati. cysts Most vari vachiberekwa zvakasikwa. Mutsipa chikofu rinoreva boka guru zvirwere chiso uye remuromo-mandibular kupesana. Zvingamuka sezvo yakazvimirira zvokurwara kwenguva yakareba. A chikofu iri benign, asi unogona panoda kuva akaipa kana yakaoma paumbwe imwe fistula kana suppuration.

Modern kupatsanura runoparadzanisa cysts pamusoro lateral uye medial. Zvisinei, munyika mune imwe hurongwa, iyo rinozivisa zvinotevera marudzi cysts:

• thyroid, sublingual (evaMedhia);
• Gill (divi);
• timofaringealnye cysts;
• epidermoid (dermoid).

Pepa ichi, isu ngatimboongororai maviri cysts: medial uye lateral.

Chikofu kwemitsipa: zvinokonzera

Kazhinji Chikonzero pokumuka cysts chinhu vachiberekwa abnormality. Muzana remakore rapfuura pakava dzidziso kuti riwedzere nokuti ndizvo anomaly rokutanga uye rechipiri dakashwa namaberere uye makatsemuka. Panguva mudumbu budiriro fistula anovhara incompletely, zvichiguma nokuumbwa Gill muforo. Naizvozvo divi vari kuumbwa panguva ino nzvimbo chengetedzo cysts.

Rinotaurawo kunokonzera chimiro masangano dzinosanganisira:

• Wokugaya residues jugular sinus (cysts kuumbwa divi).
• Zvemamiriro kukura rechipiri uye rechitatu dakashwa yakachekwa (zvichiguma nokuumbwa fistulas).
• The anomaly of hypoglossal mutsinga dzinofamba nemukaka (anova chinokonzera inotungamirwa cysts evaMedhia).

Vachiberekwa cysts parotid nharaunda uye mutsipa vane zvekuchipatara zvinhu. Rusvingo romukati rinoumbwa epithelial masero columnar pamwe shoma sandara masero, uye pose masvingo chinosanganisira thyroid masero. Nokudaro, etiology nyore cysts - a zvako kanomirira embryonic ducts uye crevices.

Mutsipa chikofu anogona kuratidza kusimuka achiri kuyaruka. Somuenzaniso, zera kana zvokurwara pachayo kakawanda kuonekwa, makore 10-15. Masayendisiti vanowanzomuitira kudavira kuti hosha iri chakasvitswa kubva vabereki kuvana nokuda recessive mhando.

The chikofu iri ngozi

Maererano nenhamba, chirwere chacho apo neapo, asi rinoreva zvirwere ine ngozi zvikuru. Pokumbononotswa chirwere chirwere kungaita kuti rufu nomurwere. Kukurumidza Zvakawanikwa cysts vari kuyaruka zvichitungamirira nechitarisiko kuremara. Uyezve, imwe chikofu guru kunotungamirira kutaura zvakanaka, pakuparadza dzepanguva, mukuru zvakawanda zvive. Pane matunhu mukana suppurative kuzvimba uye degeneration kupinda kenza.

Features evaMedhia chikofu

Mamirire zviratidzo panguva evaMedhia chikofu anogona kusava zvachose, uye zvikuru yakareba. Kazhinji, hosha kunooneka pachayo iri makore 6 kana 13-15. akaumba wakakodzera evaMedhia chikofu pamutsipa kwebasa rurimi-thyroid thyroid utachiona mutsinga dzinofamba nemukaka iri pamberi munharaunda mumutsipa. zvokurwara ichi anova mudumbu.

EvaMedhia chikofu mutsipa - paumbwe imwe gobvu uye kusanduka, pamwe pachena pokugumira uye dhayamita vanenge 2 masendimita. Mukutanga zvokukura kukura asina kurwadza chero zviratidzo. Zvayaiva nechemberi kurutivi mumutsipa. EvaMedhia chikofu kunoitika muna 40% nyaya. Zviri kwemarudzi aya cysts vanowanzotevedzera akaora uye inotungamirwa fistulas.

Features lateral cysts

Lateral mutsipa chikofu akasiyana pakati chete localization. Hosha ikabuda mudumbu panguva mangwanani pamuviri. Pamusana vachiberekwa anomalies dakashwa muforo asingadi kutsakatika pamwe nebudiriro, zvichiguma chikofu anooneka mhango yavo. Nechirwere chirwere pavaizvarwa. Zvokurwara kunoitika zvikuru kakawanda pakati, anenge 60% nyaya.

Lateral chikofu anterolateral mutsipa riri kudivi mumutsipa. It ane chimiro somunhu multi-kamuri uye vasina yomukati. Vemunyika mune jugular tsinga. dzidzo guru anorumanya ropa midziyo uye tsinga, uyewo nawo zvomukati, nokuwondisa uye kusanzwa. Kana chikofu iri mupfupi - marwadzo iri kazhinji vasipo. Panguva palpation palpable kumativi dzidzo, mobile uye tigone kushanduka. Chikofu kuoneka apo akashandura musoro.

Dzinozivikanwa nezvemarudzi mana lateral cysts, akasiyana mune localization dzavo:

• Education, riri kudzika remuromo zvinyama panguva zvikuru midziyo ropa. Kazhinji hazvina fuses pamwe jugular tsinga.
• Education, iri thoracal-clavicular nharaunda.
• Education, iri pakati carotid tsinga uye parutivi parusvingo dokeriro.
• Education, anopindura imwe nzvimbo pedyo carotid tsinga uye pharyngeal rusvingo.

Zviratidzo zviri lateral uye medial cysts

Mukutanga nzendo chirwere kana kana chikofu ane diki saizi, chero zviratidzo hatisi. The ganda pamusoro nzvimbo bundu ane hwandaiva Hue. Kana yokukuvadzwa kana dzidzo chirwere anotanga kukura uye tsonyera tsinga, zvichiguma kurwadziwa. Kuwedzera kukura, kuti chikofu anotanga kuuya yakawanda zvingasanakira, kusanganisira kutadza ari chakaipa kudya nokuda kwokudzvinyirira pamusoro pedyo nhengo.

Ndakabatana purulent kwacho bundu kunoratidzwa akatsvuka ganda, apo dzidzo iri pachena zvinoonekwa kuti kupfeka ziso. Gare gare panzvimbo ino vakaumba fistula.

EvaMedhia chikofu anogona kuiswa munzvimbo sublingual munharaunda. With kukura murwere dzidzo vangasangana nokutaura zvinetso, nokuti mutauro anogara mune zvakanaka. Kuwedzera kukura, evaMedhia chikofu varwadziwe.

chirwere chirwere

Panguva Chaiyo chirwere zvirwere zvinokosha chaizvo, nokuti kana ukapotsa nguva, bundu kubva benign patsva kuva kenza.

Ongororo rinotanga kuona rokuongorora uye palpation murwere wacho pamutsipa nharaunda. Nokuti nechirwere pakati cysts ari evaMedhia uye lateral mhando kuitwa vanoverengeka maitirwo:

• Ultrassom kuongorora munda dzidzo.
• Vakaona.
• Ponji of mberi kuferefeta nemvura.
• Fistulography.
• Radiography pakatanga musiyano mumiririri.

Pasina chirwere chirwere chinogona kuonekwa kuvhiringidzwa lymphadenitis, lymphosarcoma, cavernous hemangioma, neurofibroma, lipoma, vascular aneurysm, pute, tiibhii kuti node nodes. Ndokusaka zvichikosha chaizvo kuti aite rimwe basa chirwere uchishandisa ichangobva michina.

Mabatirwo lateral uye medial cysts

Removal mutsipa cysts anoitwa apo Detective bundu upi saizi uye chero mhando. Early chirwere uye kurapwa zvirwere murwere hakubvisi zvimwe matambudziko. Kana oparesheni rinoitwa, mutsipa cysts kubviswa kazhinji chete pasi zvavo yokutindivadza. Munguva Kupindira pamusoro chikofu mhango dzaro zviri ose excised chose, uye kunoguma ronda vasonanidza kumusoro. manipulations vakadaro kuitwa kuitira kubvisa nengozi dzokororo yacho chikofu.

Kana excision pakati lateral cysts zvingatora matambudziko nokuda pedyo nzvimbo bundu iri etsinga harinzwi. Nokubviswa dzidzo mumutauro kuitwa kana achishandisa muromo kana achishandisa incision pahuro.

In pamberi kushoma, zvakadai somunhu pute, kana fistula, pakutanga kunodiwa kubvisa kuunganidza pus. Chikofu pachayo haina kubviswa - murwere basa Anti-anogumbura kurapa. Kana zvakakodzera, pashure kubviswa kushoma (mwedzi mishoma) chikofu mhango anogona kubviswa zvachose.

Kuvhiya nokubviswa fistula - a rakaoma chaizvo urongwa. Zvinoda kunyatsotarisirwa uye zvinomuomera kuikanganwa yose sinus maturakiti, izvo zvinogona trudnozametnymi uye zvakaoma. Kana vakaona kurapwa chikofu mutsipa anopiwa pakarepo.

zvinogoneka yematambudziko

Kazhinji, Mabatirwo lateral uye medial chikofu ane fungidziro yakanaka kwazvo, sezvo kuna mangwanani Mabatirwo kuitazve ngozi iri diki chaizvo. Zvisinei, dzimwe nguva, zvinogoneka matambudziko. Somuenzaniso, kana uri hadzina kubviswa ose cysts, kana maturakiti, pane mukana wokuti apiwa purulent kuzvimba.

The chikofu ndiyo ngozi vakwegura? Chokwadi kuti nokuda zera zvechadenga muviri uye simba rokuzvidzivirira kwakakwana excision pamusoro chikofu haina kuitwa. Kwakadaro varwere incision mune dzidzo kubvisa yose mukati mhango mberi yakashambwa akambozvishandisa kuuraya utachiona. Zvisinei, kurapwa iyi akanga afa nokuda mukuru ngozi dzokororo chirwere chacho.

Kudzivirira chirwere

Kazhinji, hapana matanho. Kukura chirwere inoita basa rinokosha magene kubatwa. Kana cysts akasangana vabereki, chete chinhu vanogona kuita kuti azive anofungidzirwa pangozi yokuita hosha iri mwana asati aberekwa. nyaya dzakadaro vakabatwa vanachiremba-genetics.

Kana mumwe wevabereki ane bundu kana chikofu munharaunda pamutsipa, unofanira kuramba zvichiongororwa kukambaira nyanzvi kuziva chirwere yekare kare yemagwaro. Panguva Chaiyo chirwere uye kurapwa achaita mwana hwomunhu zvakakwana zvakajairika uye utano. Muchiitiko chino, haumbofaniri haabatanidzi ngozi kuitazve, saka unofanira kugara kunoonekwa nachiremba kuti upenyu.