Osteoma le sinus ngokungqalileyo: unyango, ukususwa lweziqhamo

zezigulo ezahlukeneyo ekubunjweni iiseli phantsi kwinyama komzimba bawaphikise ukuyilwa yamathumba. Ngenxa yoko, nangezilonda zicalulwa njenge ingozi okanye amabi. Kuba lokuqala luphawulwa kukukhula olucothayo kakhulu. yamathumba ebubonisayo, musa ukuba ukutyeshelwa ezinye iinkqubo kunye namaziko. Olu didi libhekisa yamathumba osteoma le sinus ngokungqalileyo. Emva koko, siza kuyihl 'amahlongwane le leengxaki ngokweenkcukacha.

Overview

Osteoma sinus yinkqubo umahluko ithambo okudodobalisa. Le Ithumba ongavelisi iiseli amabi. Sinus osteoma ukuba nimqumbise ukuphazamiseka ebuchotsheni. Pathology zinokuqalisa kukukhulisa (ekuqaleni) ubudala ebuntwaneni entanjeni ukugqiba lasungulwa ngowama-18, engama-20.

iimpawu

Ikhosi yokuqala sifo phantse imperceptible. Osteoma ngokungqalileyo sinus ukuze ubonise ngengozi, kwinkqubo naziphi na izifundo laboratory ezihamba. Umzekelo, kaninzi nethumba ibanjiwe kwi X-ray phezu ukwenzakala entloko. Xa kuphuhliso weseli ithumba Ukudlulela akukho ulandelwe. Neoplasm awuchaphazeli iindawo ezinxulumene izicwili nokomzimba.

izizathu

Iingcali musa okwangoku ukuba izinto ngqo engabangela thumba. Noko ke, ixhaphake kakhulu kuthiwa izinto ezininzi okusolwayo. Phakathi kwabo:

• umkhuhlane rhoqo, sinusitis kunye nezinye sinusitis ezintsonkothileyo.
• Na ukungaqheleki kule umahluko yemfuza esiqwini wethambo kwixesha ezingekazalwa zophuhliso. Ezi ukuphazamiseka nga kuxhokonxwa arhente wentsholongwane egazini kunye amagciwane esosulelayo.
• Ukunqongophala ivithamin D kunye calcium ukuswela.
• Trauma neziphumo ezahlukeneyo elabhoratri iinkqubo zokuxilonga ezihlobene kunye okuhlatywa le sinus maxillary.
• Imitha, kuquka X-ray.
• kwezimo zendawo ezimbi.

Osteoma ithambo xa lilonke ingaqala nje kuphela sphenoid, ngokungqalileyo, ethmoid ithambo intamo. Ngokufuthi, Ithumba ibonakele imizimba amathambo, kunye yesiqephu asezantsi. Ayifane waphawula osteoma kwiinkqubo spinous. Kule meko kuyimfuneko ukwenza uxilongo enomahluko ngaphandle uphuhliso osteophyte ngenxa yotshintsho yangoku eqhubekayo isakhiwo ikholam uhlobo spinal sisiba mandundu.

Osteoma le sinus ngokungqalileyo: inkcazo

Eli lizwe ithathwa ukuba ibe yeyona ixhaphakileyo olu hlobo ithumba. Ikhosi le sifo phantse nazimpawu, elide. Ngokubanzi, i sinus osteoma ngokungqalileyo ngaphandle imisebenzi yophando kunzima kakhulu ukuba unesifo. Yingcali kusenokubonisa izifo xa kuthe inguqu izwi kwisigulana, ubukho iintlungu eziqatha intloko ezisisigxina. sisilonda esidumbileyoesingaphakathi unilateral, ezifana osteoma le sinus ekunene ngokungqalileyo, ekhatshwa ongaboniyo iliso elinye. ifomu mazwe uvela ngokukhawuleza ngokwaneleyo. Oku kubonakala ngasemva sifo Gardner. Kukholelwa ukuba le yenye yeentlobo eyingozi kakhulu, esizibonakalisa osteoma le sinus ngokungqalileyo. Lo msebenzi kufuneka wenziwe kulo mzekelo ngokukhawuleza kangangoko kunokwenzeka. Kwisiqalo yale hlobo leengxaki neoplasm kungabonwa amaqela zalapha amathambo kweqondo asezantsi, umqolo.

picture clinical

kanjani i osteoma le sinus ngokungqalileyo? Iimpawu izifo kwenzeka kuphela kwiimeko apho thumba akhule kwaye iqala ukuchaphazela inyama ezihambisana nokomzimba. Kulo mzekelo, kubekho ukuphazamiseka kwegazi kwezinye iindawo. Oku, kudale yoma emzimbeni. Ngenxa yoko, lo msebenzi eqhelekileyo uphazamiseke okanye loo nxalenye. Kokuma zibonisa ukuba obubonakala zophendlo lwezifo ixhomekeke yokuhlelwa yayo. Umzekelo, iingcali ukuchonga ithumba hyperplastic. Yenzeka ngenxa kunyebeleziso ngokukhawuleza iiseli ithambo oqhelekileyo, xa kuthelekiswa umaleko yesiqhelo. Isiphumo watyhila enye ukuqina ezingaqhelekanga kwindawo ethile iseli. Ngelo xesha, malunga kummandla hypertrophied kukho olindelwe wethambo. Oku, kunyusa amathuba Ukophuka neentanda.

ifomu hyperplastic

Olu hlobo ithumba wabumba kwiiseli zomzimba nokuqina kunye intlala calcification nokufumba elandelayo iintlobo ezahlukeneyo neetyuwa. Uninzi ifomu hyperplastic ngezifo osteophyte yi isanda. Yena localizes kwiinkqubo spinous yomqolo. Le leengxaki ingaqala kwi iimpawu ngumntu osteoarthritis. Ngexesha nokuhlolwa ingafunyanwa kwi kwiinkqubo spinous of ithumba ashinyeneyo. Kuyinto elula kwaye izimele kwi Ngokucofa. ukushukumiseka period of umthamo olupheleleyo kuluhlu yesiqhelo.

Obubonakala uhlobo hyperplastic ngezifo of

Iimpawu zesi sifo inokuba iziphene zibonakale emzimbeni. Umzekelo, kunokuba eyakhelwe-up edge Ukwakheka, ukuqina amathambo wakhulula asymmetry ebusweni okanye namanye amalungu omzimba. Ngokuchasene imvelaphi ucinezelo kwemithambo yegazi kunye luvo kunokwenzeka iintlungu kunye ndindisholo. Ngokukodwa, njengokubonisa gca data ezibhalwe kummandla kweqondo asezantsi. Kwezinye iimeko, le neuropathy baqalise, ukuphuhlisa ukuswela igazi ukuba inxalenye uchaphazelekayo lomzimba. osteoma Hyperplastic le sinus ngokungqalileyo kukho yimvakalelo ucinezelo ngaphakathi impumlo kunye ebunzi. Le inwebu kwiinwebu impumlo, ngokuqhelekileyo owomileyo kwaye kalula kusuleleko. Oku kubangela ogulayo nokuthimliswa ezingapheliyo, ayikwazi ukuba zilungiswe vasoconstrictor. Ukubonakalisa ingozi leyo sikhatshwa ngezifo macala onke, ingakumbi, ekhohlo ngokungqalileyo sinus osteoma uthathwa ukwehla okukhulu acuity ebonwayo iliso elinye. Ngeli xesha zingongezelelwa ezikwenza buhlungu kakhulu entloko, kwakunye ukuxhuzula lwezonyango unesathuthwane, ekhatshwa sokuwa clonic. Kwabantwana abancinane, oko kunokubangela ukushwabana nervous system, ukusilela kwentliziyo nokuphefumla.

uxilongo zokugula

Njengoko kukhankanyiwe ngasentla, ukuchonga isifo kakhulu kunzima, kuba yonke ukukhula yamathumba (oko kukuthi iminyaka 3-4), izigulane babuyelayo ukuba iingcali kunye nezikhalazo imifuziselo nezinye syndromes kunye nemiqathango. diagnosis umahluko lwenziwa emva kokuba sicatshulwa yomguli yoviwo X-ray. Ubhaqo kwezifo ngokusebenzisa uhlalutyo histological hypertrophied kwithishyu. Kulo mzekelo, yingcali kufuneka ngaphandle umhlaza, ipoliyo, utshintsho rachitic. Ukuhlolwa lokuqala lwenziwa ngokusebenzisa X-reyi kwaye indlela Itomography computer. Kweli nqanaba kubalulekile ekupheliseni thumba kunye nee- Ewing kaThixo. Ezi yamathumba abo elibulalayo kakhulu inkqubela ngokukhawuleza, kungekudala ukufa.

Osteoma le sinus ngokungqalileyo: unyango

Ukuza kuthi ga ngoku, kukho indlela enye kuphela ukuphelisa esi sifo. Lo Ukusikwa esiqwini ithambo yene ngokugqithiseleyo. Ukususwa osteoma ngokungqalileyo sinus olwenziwa ngokusebenzisa Ukubulawa jikelele. Ekuhambeni kongenelelo babesenza yotyando kwesikhumba. Kwiimeko ezikhethekileyo, ungafuna amathambo craniotomy cranial. Emva koko, lo gqirha uphumeza resection ngokucokisekileyo ndawo iguqulwe kancinane. Kulo mzekelo, ukususwa iinkalo zezifundo osteosclerosis neempahla yegazi yonakele. Ngexesha longenelelo iyapheliswa kuphela ithumba, kodwa inxalenye kwipleyiti ithambo ephilile apho ibekwe nethumba. Ukususwa osteoma le sinus ngokungqalileyo yabelwa kunjalo, ukuba sisilonda esidumbileyoesingaphakathi ikhula ngamandla, kwaye kukho iimpawu kakhulu iqapheleka ngezimvo yempilo yesigulane. Ukuba Ithumba akuthethi ukuphuhlisa akubangeli inkxalabo, ngokwaneleyo ukwenza uhlolo rhoqo kwaye ulandele-up.

period kwimo

Emva kotyando, isigulana ijongene nokubuyiselwa. Xa inyathelo lokuqala lwenzeka kweemeko utyando esibhedlele yesiqhelo. Kukho amanyathelo athatyathiweyo ukuthintela ukwenzeka yamathumba ezizisekondari ukuba kukhawuleziswe iinkqubo okungenisa. Kwixesha elizayo, kwimo esicwangciswe kakuhle imowudi, ukuphumla kunye nomsebenzi. Nomonde emiselweyo ukutya ezizodwa oluninzi calcium. Ukuze ngempumelelo iyaluthintela uphuhliso sifo kuyimfuneko ukuphumeza amanyathelo othintelo. Kufuneka lujoliswe ekunciphiseni amathuba kukuvela njengomkhuhlane ubuncinane kwiinyanga zokuqala ezintandathu emva kotyando. Ngokubanzi, ukwenzela ukuthintela iingxaki kuzo zombini zamabanga aphantsi kunye nophuhliso yesibini sifo kuyimfuneko ukutyelela ugqirha ngendlela ngexesha. Ukufunyaniswa kwangoko kwiimeko ezininzi ukuphepha kakhulu imiphumo osteoma.