Hamartoma of lung: oonobangela, iimpawu, unyango

Hamartoma of lung lizisa dizembrionalnoe Ukwakheka abangaba advantageously na amacandelo inyumoniya udonga kunye nemiphunga parenchyma. anomaly wachazwa kuqala ngo-1904.

Overview

Phantsi hamartoma kwakuthetha ithumba nabungozi kwemiphunga, elibandakanya intlala, imithambo kunye nesakhiwo ezinezikhondo. Pathology lidla yenzelwe embindini parenchyma lung, ngenxa yobukhulu bawo anabo phantse nafuthe nokusebenza kwamalungu.

Hamartoma imele ukwakheka enye elijekelezayo lwe texture yehlathi, ubukhulu apho yahluka ukusuka cm 0.5 ukuya ku-5. Anomaly ngokuqhelekileyo ayahlukanga tyekelo ukuya Ukunyuka okuqhubekayo, kodwa yezonyango zaziwa amatyala yokufumanisa utyekelo ekwandeni kancinane ubukhulu ngezifo. Phakathi zonke yamathumba zemiphunga hamartomas umboniso elihle uhlobo rhoqo (60% amatyala). Esi sifo kakhulu sifo e eyindoda.

umyalezo weimeyile

Lung hamartoma eyenzeke ngenxa sanctions Palsy isekhona xesha osandul. Le nkqubo ibandakanya iintlobo ezahlukeneyo izinto tissue osandul, kunye namacandelo ezifanayo ngemvelo komzimba ibekwe kuyo ngqo. Nguwo lo ke umahluko ukususela hamartomas teratoma. Le yokugqibela aquka primordia kunye inyama izinto ezingaqhelekanga kwisiqu apho kuyo yenzelwe.

ngezigaba

Xa iyonke kukho ukuhlelwa eziliqela zesi sifo. Ngokutsho ngakumbi ubukho bezinto ebubonisayo lung ithumba inyama ngu:

• Lipomatous.
• Organoid.
• Hondromatoznaya.
• Angiomatous.
• Leyomiomatoznaya.

Kuxhomekeka inani yamathumba ukwahlula abangatshatanga ezahlukeneyo ezininzi ngezifo. Kwasendaweni release endobronchial, intrapulmonary subpleural kunye nemfundo.

picture clinical

ukukhanya Hamartoma ixesha elide akakwazi ukubonakalisa iimpawu isici. Ukwakheka okuqhubekayo subpleural ngokuqhelekileyo sikhatshwe nobunzima iintlungu kwindawo esifubeni. Ukuba hamartoma wambumba udonga bronchus, njengoko uphazamise permeability le bronchi. Kulo mzekelo, izigulane ezikhala ukukhohlela kakhulu sokohlulwa muco-ubovu isikhohlela, kwiimeko ezinqabileyo kukho hemoptysis.

uphethwe

Ngenxa yokuba le ngezifo ikakhulu nazimpawu, kunokwenzeka ukuba babone kuphela xa kuhlolwa. Ukuze ufumane ugqirha oluthe lwezonyango umisela uviwo zeradiyoloji, apho ibhaqwe isithunzi zeemilo ahanjiswa ezinobukhulu obahlukileyo kunye yakhiwe ngqo okanye siziinduli. Ngokwesiqhelo, le X-ray wagqiba inclusions calcareous. Inani labo kungenxa ngobunzulu izithunzi. Ukuba uchitha ukufunda elide onamandla, kunokuthi kubonwe ukuba ubungakanani hamartoma kwemiphunga iyatshintsha ngokucothayo kakhulu. Kwelinye icala, ngobunzulu iidiphozithi lime luqhuba ngokukhawuleza.

Nature imfundo endobronchial wabonakalisa imiqondiso ngqo nengxelo-ntetho. Kwimeko yokuqala ngayo malunga ithumba ungqukuva kunye anencasa ezibukhali emiphethweni, ubonwe X-ray. obubonakala ngokungathanga - na atelectasis, hypoventilation, kunye nezinye iimpawu kukwaphula conductivity inyumoniya.

A indima ekhethekileyo kunikwa uxilongo umahluko. Kubaluleke kakhulu ukuba ukubabhida oku ngezifo ye umhlaza wemiphunga peripheral kunye tuberculoma.

Yintoni ekufuneka ziphathwe?

Ngexesha kokubonana ugqirha kufuneka kuqala zonke ukuxelela ntoni na hamartoma kwemiphunga, ebangela kwezifo kunye nonyango olufanelekileyo. unyango iziyobisi, ngelishwa, ekulweni nale ngxaki nokungaphumeleli kwawo. imithi ithatyathwe kuphela ukunciphisa iimpawu.

Zonke utyando izigulane kuyacetyiswa ngaphandle kokukhetha. Ukuba ugqirha uye waqinisekisa uxilongo "hamartoma of wemiphunga,", umsebenzi uthathwa ukuba ube ngumlinganiselo olungenamiqathango. Ukuba urhanela kwezimilo ethile (umzekelo, umhlaza neuropathy) kuyimfuneko ukuba zincede zikhethe thoracotomy.

Hamartoma isuswe ngu husking resection okanye inyama semiphunga. Olu tyando lwenziwa kusetyenziswa iifatyi msebenzi, nto leyo ithintela ukusikwa ebuhlungu. Xa Izimo kuthelekiswa olu hlobo longenelelo ngoncedo kuvumelekile kuyajongwa olutshintshayo sesigulane iinyanga ezimbalwa. Emva kweli thuba lo mbuzo kwenu kukusebenza kugqitywa ngokusekelwe kubukho okanye ukungabikho yokwandisa emthunzini phezu radiograph.

Oku kufuna indlela hamartoma eyahlukileyo kancinci endobronchial. Unyango kulo mzekelo kuthetha yokususa imfundo bronhotomii resection okanye udonga omzimba.

Outlook

Hamartoma lukhula ngokucothayo kakhulu, kodwa unako ukufikelela kugqithiso wawumkhulu. Ngokutsha in yobubi bayo kunqabile kakhulu. Ngokutsho ulwazi lwamanani ezikhoyo, ithuba yobubi ayikho ngaphezu kwe-7% yazo zonke iimeko. Yobubi ingafikelela kwi kokubini epithelial kunye mesenchymal licandelo ukwakheka, elandelwa Ukudlulela ukuba nkovu iindawo, isibindi kwabantu kwalapho.

Siyathemba ukuba yonke eziqulathwe kule nqaku, ingcaciso iya kuba ukuba sibe luncedo. Hlala uphilile!