Osteoid amathambo osteoma: iimpawu, isifo kunye irejimeni yonyango

Amathambo, njengezinye amalungu, ukuze kuchatshazelwa kakubi yi-bume lwangaphandle. Oku kuphakamisa ukuyilwa yamathumba okubulalayo ingozi kunye embodiments ezahlukeneyo asibambe kwekhosi clinical.

Osteoid osteoma

Osteoma - ke morphologically ngakumbi abaqolileyo ithumba ingozi ukuvela, njengoko umthetho, xa diaphysis kwakudala amathambo tubular. Oku kuyilwa kwe osteoclasts kunye ithambo ufana rhoqo kubume. Isikakhulu sifo labonwa ebuntwaneni, yaye ngokuqhelekileyo bafumanisa ngengozi iimviwo X-ray ngenxa yesinye isizathu.

Kwasendaweni ikhokela lesiquluba, elandelwa yifemur, ihumerus, ithambo zengalo kunye namathambo caba intamo. Xa amathambo esempilweni, osteoblasts zakha umfanekiso concentric. Eli lungiselelo kwenza kube lula ukuba asasaze umthwalo ubunzima kwi ithambo. Inxalenye zatshintshwa ngamathambo zilungiswe ngokungakhethiyo iiseli, evakalala kwizicwili therebetween ibekwe.

izizathu

Osteoid osteoma kunokwenzeka ngenxa yezizathu ezahlukeneyo.

1. Metaplasia wethambo, oko kukuthi, ukuvuselelwa yalo olunye uhlobo weseli.
2. amathambo Nokunyhashwa tab kwixesha osandul ngenxa yeziphumo lwemitha, zeekhemikali okanye iindlela emzimbeni.
3. nezici ilifa kwizifo ezifana.
4. Ukubakho kwi isigulana zizifo ezingapheliyo ezosulelayo okanye nakujoliso olutsha na ukudumba (isifo samathambo, lupus, negcushuwa).
5. Ukophulwa calcium ukutya okanye kukhuthaza uric acid (sifo).
6. ukudumba elide njengembi kwi sinuses paranasal (maxillary, ngokungqalileyo).

Ngelishwa, zonke ezo zinto ngqo kuphela. Izazinzulu ungakwazi ukuchaza ngokupheleleyo yintoni kanye ebangela uphuhliso kwesi sifo.

ngezigaba

Osteoid osteoma be iindidi ezininzi. Bekela bucala zokuhlela ngu imvelaphi, isakhiwo histological kunye nendawo.

1. Ngu imvelaphi:

• osteoma hyperplastic. Wabumba kwiiseli ithambo, ezithi zibekwe kuzo yethambo okanye achazwe apha angemi kuphela ngapha kwayo. Ithumba zikhula zombini umzimba ngaphandle kwaye ngaphakathi. Indawo lohlobo: ubuso, yaba lukakayi, ngesa-, ithanga, shin;
• geteroplasticheskaya osteoma. Iluphawu kwizicwili kwi ithambo njengokuntshula ngenxa site eyandisiweyo yashukunyiswa ngoomatshini. Amaninzi eyendayo emagxeni okanye hip imicu.

2. Ngokutsho isakhiwo eyendawo:

• okuqinileyo akuba concentrically amalungiselelo angenziwa ezikufutshane kwezinye osteocytes ngamnye. Njengomgaqo, kuvela amathambo eflethini;
• sponge-ezifana amathambo esempilweni. Osteocytes ephakathi izihlunu adipose, imithambo yegazi kunye umongo wethambo. Afumaneka emathanjeni elide;
• medullary ngokugqithiseleyo esizaliswe lweHo- umongo wethambo. Rare, sinuses ngokuqhelekileyo womoya skull ebusweni.

iimpawu

Le osteoid osteoma uqhelekileyo le lesiquluba, ngoko umzekelo sakhe siya sihlolisise wabonakala kwezonyango sifo. Ngokuqhelekileyo, eli lizwe ithumba ixesha elide abazange kuzibonakalisa ngokwabo, ngoko izigulane ukuba baze basole ubukho yamathumba ngokwabo. Osteoid osteoma of yifemur (rhoqo yesibini) nayo akafuni ukuba bazifumanele ngokwabo.

Ekuhambeni kwexesha, izigulane baqala ukuvela buthathaka intlungu iqaqamba ukuba lapha kunye nokuqina efana ukukhathazeka kwi izihlunu emva umthambo. Kwiinyanga ezimbalwa kamva intlungu nodandatheko, ukuba ziyanyuswa yinto ubusuku nemini lungehla kancinane, kodwa nangona kunjalo ukuba ngokusisigxina ukungakhululeki umntu.

Njengoko uqala ekukhuleni ithumba ulinywa phantsi kwesikhumba, ingakumbi kwiindawo apho kukho ngamanqatha encinane ongama. Ukuba iziko zophendlo lwezifo ise nzulu ithambo, lo Ngokucofa kummandla ochaphazelekayo akayi kubangela uxabane. Kodwa ke indawo nethumba ngaphakathi kwisisu ezidityanelweyo okanye phantsi periosteum kuya kubangela intlungu kwalo.

Osteomas, ibekwe kwethambo ukakayi unakho compress iimpahla yegazi kunye luvo, ebangela iimpawu luvo beengingqi paresis, ukukhubazeka, ukungaboni, ivumba, intloko ebuhlungu inkangeleko okanye ukugula.

ekuxilongweni

osteoma Osteoid ithambo ukubonwa gaxa iimviwo X-ray. Yaye kuphela emva kokuba ithumba wafunyanwa, ugqirha umisele iimvavanyo ezongezelelweyo ukujonga uhlobo ithumba, zayo isakhiwo histological, ubungakanani kunye nobukho Ukudlulela.

Abalibona ray ukuba ukumisela ubume inyama ngeenxa yamathumba: ashinyeneyo (compact) okanye izinto aneentunja (imfunxa), kuxhomekeka apho osteoma osteoid. Iifoto wethambo ochaphazelekayo kwenza kube lula ukuba siqwalasele ngakumbi iinkcukacha indawo nethumba, ubungakanani kunye mninzi.

Lo mfanekiso ufana osteomyelitis ubovu ezingapheliyo, nto leyo edidekile ingcali ngubani na ngaphambili bejamelene iSifo efanayo. Ukongeza, kubunzima silele yokuba ugqaliselo inkqubo zophendlo lwezifo incinane kakhulu (ngaphantsi kwe isentimitha ububanzi), kwakunye njengoko kungekho iimpawu ezithile eziya kubonisa ubukho sifo.

Ukuba kunokwenzeka, ugqirha uthumela umguli kwikhompyutha okanye livakale magnetic ufaniso. Qiniseka ukuba bachithe ithutyana nangezilonda okuhlatywa lokubhalela uviwo histological. Oku kushenxisa khosi amabi, le nkqubo. Ukuze uqinisekise okanye ukuphikisa ubukho metastases, kuyimfuneko ukwenza scintigraphy.

unyango ngotyando

aphathwe kakuhle osteoma osteoid? Operation xa le uxilongo kucingwa kuyimfuneko kuphela xa nethumba kuchaphazela ukukhula ithambo, oko deforms kwaye ebangela ubuhlungu. Ubungqina obubonakalayo buxela ukuba unyango ngotyando zezi:

• Ubungakanani osteoma ngaphezu isentimitha;
• kwekhono izitho ekufutshane;
• wazivalela okanye bone ukukhubazeka;
• siphene kubuhle.

Kukho iindlela ezininzi ukususa ngamathumba. Ukukhetha kuxhomekeke ithumba, amava ugqirha kunye nezakhono. Njengomgaqo, nezimbo uhluleke zisebenza lokuthuthuzela amaxhoba okanye wezamathambo, osteoma ye yaba lukakayi, ubuso okanye sinuses - oogqirha maxillofacial, oogqirha ENT okanye neurosurgeons. Sibalulekile ukuze nayiphi endaweni yenkqubo lwezidumbu, - ukhupha isahlulo ithambo kwenziwa kunye periosteum nomlinganiso ephilile. Oku kwenziwa ukuze uphephe likakade.

unyango ngamachiza

osteoma Osteoid ayikho efanele unyango endala. Kodwa ngoncedo kuyo uyakwazi ukususa iimpawu zesi sifo. Okokuqala, kakade, sizani isigulane ngenxa yeentlungu. Kuba oku ukusebenzisa NSAIDs ngohlobo namafutha aqholiweyo, izithambiso okanye gel, ngokwemixholo, kwakunye ngohlobo iipilisi ukuze kufikelelwe isiphumo oluhlangeneyo.

Xa neentwana operation ithumba ayiboniswanga, kuba oko kukhatshwa ekuthini umguli kwaye inokuba buhlungu ngaphezu neoplasm. Ngoko ke, lo isethi nomonde kuyajongwa lwezonyango, ukuba amalungiselelo aneleyo lwenziwe ngexesha kwimeko yokwanda ubukhulu ukujoliswa yezifo. Unyango ngamachiza ngqo akwenziwanga.

Unyango amayeza intsomi

ISADC nokuba amayeza sonyango intsomi osteoid osteoma? Unyango olu hlobo unako maziqaliswe kuphela emva kokubonisana oyingcali, kuba oko mandundu iimpawu ze kubangele ukukhula nethumba.

Kukho zokupheka for ukususwa intlungu, ezifana broths iintyatyambo hawthorn okanye tincture of elderberry. Kodwa isiphumo kwezonyango ukusuka data isiyobisi ayaziwa, ke ngoko, kuba uyazi ukuba uthatha kubo, onokuyicinga umngcipheko ethile. Kukho ezinye nobandlululo amayeza esemthethweni, ngokunjalo imizekelo emininzi xa Oluma ejolise okanye zokukhanya yelanga kunciphisa ubungakanani osteoma. Akuyomfuneko ukuba ngokwawo ekhuthazayo. Kulungile ukuya kugqirha oqeqeshiweyo.

Ipredikshini kunye nokuthintela

Ubukhulu encinane thumba kunye esimsulwa kwenza kube lula ukuba ukunika abantu abane nomonde. Emva unyango zoqhaqho sisifo zinqabile kakhulu. Isizathu sokuba imbonakalo yabo kuba ukunqongophala ithumba resection ngenxa ungapheleli X-reyi.

Imisebenzi phezu kobuso, njengoko umthetho, musa kungakhokelela iziphene zibonakale izithambiso. Ukuba osteoma enkulu ngobukhulu, emva unyango lokuqala, isigulane Kucetyiswa ukuba wenze utyando zeplastiki Nokulungiswa.

Uthintelo ngqo ayisekho. othintelo ujonge-ups Annual kuvumela ixesha ukubona nokususa nethumba.