Kwv yees li ntawm 3% ntawm cov me nyuam mos liab yug los nrog ib qho chaw liab dub rau ntawm lub ntsej muag lossis lub taub hau, thiab 10% ntawm cov me nyuam tau tsim nyob rau thawj xyoo ntawm lub neej. Qhov hemangiom no yog ib hom pob txha zoo heev ntawm cov hlwb uas kab cov phab ntsa hauv cov hlab ntsha. Neoplasm nws tus kheej yog tus kheej txoj kev resorption.
Hemangioma rau cov menyuam yug tshiab - ua rau
Nws tseem tsis tau paub meej tias vim li cas cov pathology tshwm hauv cov menyuam yaus. Tej zaum, hemangioma rau cov me nyuam yug hauv lub taub hau yog tsim nyob rau hauv lub sij hawm embryonic tiv thaiv cov keeb kwm ntawm kev txawv txav ntawm cov hlab ntsha. Qhov no tuaj yeem tshwm sim los ntawm kev siv cov tshuaj thaum lub caij cev xeeb tub, qhov hloov ntawm cov kab mob ntawm cov kab mob sib kis kab mob ntsws thiab kab mob .
Muaj lwm yam ua tau rau ua rau hemangioma hauv cov me nyuam yug tshiab, yog vim li cas tsis muaj qhov tsis zoo los yog kev siv tshuaj lom neeg los ntawm leej niam. Cov kev tshawb fawb tsis ntev los no tau pom tias cov nqaij pob txha benign hauv kev saib xyuas tuaj yeem tshwm sim los ntawm hormonal ntshawv siab, tshwj xeeb tshaj yog yog hais tias tus poj niam yog poj niam.
Hom kev hemangiomas rau cov menyuam mos
Kev faib tawm ntawm qhov piav qhia txog neoplasm yog raws li nws qhov kev hloov ntawm lub cev. Hemangioma hauv cov menyuam yaus raug faib rau cov pawg hauv qab no:
- yooj yim ( capillary );
- cavernous ( cavernous );
- tov (ua ke).
Capillary hemangioma rau cov me nyuam mos
Qhov no variant ntawm ib benign qog muaj hlwb nkaum sab hauv phab ntsa ntawm superficial ntshav hlab ntsha. Ib qho yooj yim hemangioma ntawm lub ntsej muag ntawm tus me nyuam (los yog ntawm lub taub hau) nyob tsis ntxaum tshaj qhov txheej txheem epidermal. Nws muaj meej ciaj ciam, ib tug qauv hauv plawv los yog plhws. Yog tias koj nias rau ntawm lub qog, nws yuav tig daj, ces ceev nrawm nws cov yam ntxwv, ntshav-xiav, xim.
Cavernous hemangioma hauv cov me nyuam mos
Lub cavernous daim ntawv ntawm tus kab mob no nyob hauv qab ntawm daim tawv nqaij. Nws muaj ntau yam kab noj hniav uas tau ntim nrog ntshav. Cavernous hemangioma hauv cov me nyuam mos zoo li lub cyanotic tubercle nrog ib tus qauv mos mos thiab ywj siab. Thaum twg lub siab ua ntawv mus rau lub pob, nws tsaus muag thiab ua pliav vim qhov tawm ntawm cov ntshav los ntawm cov kab noj hniav. Yog hais tias tus me nyuam hnoos, tights, los yog lwm yam kev nyuab siab tshwm sim nrog kev ua kom siab, qhov loj hlob tuaj zus.
Ua ke hemangioma hauv cov me nyuam mos
Mixed variant pathology combines cov yam ntxwv ntawm ib qho yooj yim thiab cov kev mob ntawm cavernous. Cavernous-vascular hemangioma hauv cov me nyuam yaus tsis yog tsuas hlwb ntawm cov phab ntsa capillary, tab sis kuj lwm cov ntaub so ntswg:
- poob siab;
- txuas;
- lymphoid.
Cov tshuaj tua kab hemangioma hauv cov me nyuam yug tshiab muaj ob qho tib si ua ib feem hauv qab thiab muaj kab hauv qab. Nws tuaj yeem ua tiav rau hauv ntau hom:
- angioneuroma;
- hemlymphangioma;
- angiofibroma thiab lwm tus.
Hemangioma - cov paib
Daim duab saib ntawm ib tus kab mob benign neoplasm yog qhov tshwj xeeb, yog li nws tau yooj yim tshuaj xyuas ntawm kev kuaj mob nrog ib tug kws kho hniav dermatologist. Qhov hemangioma zoo li cas hauv cov me nyuam yug los nyob ntawm seb nws hom:
- Yooj yim - burgundy ntsi tubercle nrog cov npoo ntshiab thiab pob txha caj npab, zoo ib yam li ib lub qhov.
- Cavernous - subcutaneous o ntawm cyanotic tsos nqaij daim tawv. Nws qhia meej meej hais tias qhov no hemangioma zoo li cov me nyuam mos, cov duab hauv qab no.
- Mixed - neoplasm, ib feem nyob hauv qab ntawm daim tawv nqaij, visually tsa ib hom capillary.
Yuav ua li cas kom paub qhov txawv ib hemangioma los ntawm lub tsev yug me nyuam?
Nws yog ib qho nyuaj rau cov niam txiv kom nyias txawv nyias qhov piav qhia qog thiab lwm cov tawv nqaij tsis meej. Hemangioma ntawm daim tawv nqaij hauv cov me nyuam mos muaj peev xwm zoo li ib qho loj nevus (yug me nyuam), yug me nyuam los yog ib lub tsev neeg. Rau nws los ntawm cov kab mob benign neoplasms, koj yuav tsum muab me ntsis siab rau lub tubercle. Hemangioma tamsim ntawd hloov pliav vim yog kev tawm ntawm cov ntshav, tabsis yuav maj mam tig rov qab xim. Cov tawv nqaij ntxiv tsis zoo yuav nyob twj ywm tib qho ntxoov ntxoo. Ib qho kev mob ntxiv yog tias qhov kub ntawm qhov qog yog me ntsis siab tshaj qhov ntawm cov chaw nyob sib ze.
Cov teeb meem ntawm hemangioma hauv cov me nyuam
Benign neoplasm tsis tshua muaj kev tsim txom. Feem ntau, cov vascular hemangioma hauv cov me nyuam yug tshiab tsis mob thiab tsis tuaj yeem ua kom loj dua. Nws tsis tshua pom tau pib loj hlob thiab ua rau cov teeb meem zoo li no:
- los ntshav tiv thaiv kev puas ntsoog;
- tus kab mob ntawm cov qog, kev yug;
- compression ntawm cov nqaij npuab uas nyob ib sab thiab cov qauv organic, ua txhaum ntawm lawv txoj haujlwm;
- lub rwj ntawm lub neoplasm;
- necrosis (tuag) ntawm daim tawv nqaij.
Yuav ua li cas kho kho hemangioma rau cov me nyuam mos?
Yog hais tias tus me nyuam muaj tus kab mob yooj yim ntawm tus kab mob, tus qog muaj tsuas yog vascular hlwb thiab tsis yog nws txoj kev loj hlob sai, tos-thiab-saib tactics. Hom kab mob neoplasm no tsuas yog ua kom tsis tu ncua. Nws yuav tsum tau ensured tias nws tsis nce loj los yog loj hlob heev, hauv kev faib ua feem rau lub cev ntawm tus menyuam mos.
Feem ntau capillary hemangiomas dissolve ntawm nws tus kheej thaum tus menyuam loj hlob. Tshwm sim sai sai no. Ua ntej, nyob rau hauv qhov chaw ntawm cov qog no tshwm sim thaj chaw, kaw nyob rau hauv cov xim rau qhov qub ntxoov ntxoo ntawm daim tawv nqaij. Lawv nthuav, ncav lub ciaj ciam ntawm cov ntug kev ua. Ob peb xyoo dhau los no neoplasm me me thiab me kawg thaum 3-7 xyoo.
Nrog cavernous thiab mixed pathology, radical kho ntawm hemangioma hauv cov me nyuam yog qhia. Cov tswv yim ua haujlwm yog sau tsuas yog los ntawm lub hnub nyoog 3 lub hlis, tsis tshua muaj kev phais mob phais mob hauv cov me nyuam mos (txij 4-5 lub lim tiam ntawm lub neej). Raws li kev mob ntawm lub cev, hom kab mob, nws txoj kev loj hlob thiab kev loj hlob, tus kws kho mob yuav qhia txog kev pom zoo ntawm kev ua haujlwm:
- sclerosing;
- cryodestruction;
- electrocoagulation;
- tshem tawm laser;
- phais kev phais.
Sclerotherapy ntawm hemangioma hauv cov me nyuam
Txoj kev kho no yog qhov feem ntau kev sib tw, tab sis yuav tsum tau ua raws li ntau cov txheej txheem. Sclerotherapy yog tus kws kho mob thaum lub sijhawm kuaj pom tus kabmob hauv cov menyuam yaus ib xyoo, nws muaj nyob rau ntawm daim tawv nqaij, lub ntsej muag lossis thaj chaw hauv thaj tsam, nws muaj qhov loj me me. Thaum muaj cov qog nqaij hlav loj hauv cov me nyuam mos, qhov txheej txheem no tsis haum vim qhov kev pheej hmoo ntawm caws pliav thiab mob hauv daim tawv nqaij.
Sclerotherapy yog ua tiav hauv theem:
- Npaj. Qhov chaw kho mob yuav muab so tawm nrog cov tshuaj antiseptic, cawv los yog iodine.
- Tshuaj loog. Daim tawv nqaij yog lubricated nrog lub zos anesthetic.
- Taw qhia ntawm sclerosant. Cov khoom nquag yog feem ntau cawv (70%) lossis sodium salicylate (25%). Tsis tshua muaj menyuam yaus raug xaiv quinine urethane. Cov tshuaj no muaj peev xwm ua tau siab dua, tab sis kuj yog ib yam mob toxic, tshwj xeeb tshaj yog tias tus menyuam yog menyuam mos. Injections yog ua nrog koob heev (0.2-0.5 hli). Rau ib txoj kev ntxias tau ob peb hno, lawv cov nyiaj yog xam raws li qhov loj ntawm cov leeg pob txha.
- Tus mob o. Tom qab sclerosing, cov hlab ntsha tuaj yws thiab sib xyaw, hloov nrog cov ntaub so ntswg. Txoj kev no yuav siv sij hawm 7-10 hnub, thiab qhov mob ua rau nws mob.
- Rov ua qhov txheej txheem. Mus txog thaum pib resusption ntawm lub neoplasm, 3 mus rau 15 txhaj koob tshuaj yuav tsum tau txhaj.
Cryodestruction ntawm hemangioma
Tus txheej txheem piav qhia txog cov kev kho mob hauv cov me nyuam yug me nyuam yog ceev thiab tsis mob heev, tab sis yuav muaj teeb meem. Nrog kev pab ntawm cryodestruction, hemangioma raug muab tshem tawm hauv cov menyuam yaus mus txog ib xyoos yog tias lub neoplasm tsis nyob ntawm lub ntsej muag. Tom qab kis tau cov dej nitrogen, ib qho caws pliav yuav nyob ntawm daim tawv nqaij, thiab txawm tias ib lub hnab yas, uas yuav tsum tau muab tshem tawm los ntawm lub laser rov tom qab lub hnub nyoog.
Tus txheej txheem ntawm cryodestruction:
- Kev kho antiseptic. Hemangioma raug so tawm nrog cawv los yog kua qaub iodine tsis muaj zog.
- Cia kom khov. Los ntawm ib txoj hlab pas, ib lub dav hlau ntawm cov kua nitrogen muab rau lub neoplasm rau 3-10 vib nas this, nyob ntawm seb qhov loj me ntawm lub qog.
- Kev puas tsuaj ntawm hemangioma. Tom qab cryodestruction, muaj ib lub hlwv nrog cov khoom ua kom tsis muaj zog yog tsim nyob rau cheeb tsam tsis zoo. Qhov no yog ib qho txheej txheem ntawm disappearance ntawm neoplasm thiab tuag ntawm cov hlab ntsha.
- Rov qab. Maj mam hlwv cov kab mob me me thiab pheej yaum kom yog. Nyob rau hauv nws qhov chaw ib daim ntaub ntom kab.
- Zoo. Thaum lub sij hawm rov kho, nws yog ib qhov tsim nyog los kho qhov mob nrog kev zom cov tshuaj tua kab mob. Nws yog ib qho tsim nyog kom swaddle tus menyuam mos los sis muab tso rau hauv hnab looj tes kom tus menyuam tsis tuaj yeem rhuav tshem cov kab nrig. Lawv yuav tsum poob lawv tus kheej.
Electrocoagulation ntawm hemangioma
Raug kev poob siab yog suav hais tias yog ib txoj haujlwm zoo tshaj plaws thiab sai tshaj ntawm kev tiv thaiv tus kab mob benign. Nrog kev pab ntawm electrocoagulation, tsuas yog cov kabmob (hemoglobinous) hemangioma rau cov me nyuam yug tshiab, tshem tawm lub cavernous los yog mixed mixed neoplasm zoo tshaj plaws los ntawm lwm txoj kev. Cov txiaj ntsim ntawm cov txheej txheem yog qhov tseem ceeb ntawm kev tshem tawm cov qog nyob hauv ib qho kev sib ntsib, qhov tsawg tshaj plaws ntawm qhov mob kis thiab mob ceev ceev.
Cov txheej txheem hloov txoj hlua:
- Kev kho antiseptic ntawm daim tawv nqaij. Feem ntau siv cawv lossis iodine.
- Cov tshuaj loog. Nyob ib ncig ntawm qhov chaw nrog hemangioma, ob peb hnoos nrog ib qho tshuaj loog.
- Tshem tawm. Los ntawm txoj kev siv lub xuab zeb hlau hauv daim duab ntawm ib lub voj, tus kws phais yuav soj ntsuam cov qog nrog ib qho hluav taws xob tam sim no rau 1-5 feeb, nyob ntawm seb qhov loj ntawm qhov ntxeev.
- Rehabilitation. Hauv thaj chaw kho mob, yuav luag tam sim ntawd lub qhov txhab tsim, uas muaj cov kab ua ke. Nws tsis tuaj yeem raug tshem tawm, tus menyuam mos yuav tsum swaddle nws caj npab.
Tshem tawm ntawm hemangioma los ntawm laser rau me nyuam yaus
Cov kev qhia txog kev kho yog qhov zoo tshaj plaws thiab zoo tshaj rau cov qog nyob ntawm qhov tawv ntawm tus menyuam mos. Kev tshem tawm cov hemangiomide me nyuam los ntawm laser tuaj yeem ua tau rau txhua lub hnub nyoog, txawm tias tus me nyuam yug los (txij li lub hli 1). Cov cuab yeej no muab qhov kev xav tau rau kev sib tham rau 1 lub sijhawm, tsis ua rau cov pob txha tsim thiab tiv thaiv kev mob ntsws rov qab.
Lub mechanism ntawm kev ua ntawm lub laser yog evaporation thiab folding ntawm cov ntshav nyob rau hauv lub vessels. Lawv cov phab ntsa yog sib khib ua ke, thiab cov hlab ntsha puas tsuaj yog maj mam dissolving.
Cov theem ntawm kev tswj:
- Kev kho antiseptic ntawm daim tawv nqaij.
- Tshuaj loog lub cev nrog cov tshuaj loog.
- Ntsia ntawm lub qog nrog ib tug kab teeb laser.
- Thov ib lub voos kom tsis muaj zog rau qhov mob zoo.
- Daim tawv nqaij tshiab. Thaum lub sij hawm rov qab kho, tus menyuam mosliab niam txiv yuav tsum niaj zaus kho lub qhov txhab nrog cov tshuaj tiv thaiv antiseptics, siv tshuaj zoo los yog tshuaj pleev, tsis txhob pub tus menyuam tawm ntawm cov kab tho rov qab.
Phais tshem tawm ntawm hemangioma
Cov radical mus kom ze yog siv nyob rau hauv tsawg zaus, thaum tshiab tsim yog laus tsis nyob rau ntawm daim tawv nqaij saum npoo, tab sis nyob rau hauv nws cov khaubncaws sab nraud povtseg. Ua ntej tshem cov hemangioma hauv cov menyuam uas muaj rab tawv taub hau, tus kws phais yuav pom zoo kom ua cov txheej txheem los sis sclerosing kom txo qhov loj ntawm kev tsim.
Cov theem ntawm kev khiav hauj lwm:
- Tshuaj loog. Nyob ntawm seb qhov me me ntawm qhov kho me me, siv los sis tshuaj loog los yog siv cov tshuaj loog.
- Tshem tawm. Siv daim tawv taub hau, tus kws kho mob txiav tawm lub hemangioma thiab nyias txheej ntawm cov ntaub so ntswg noj qab nyob zoo los tiv thaiv kev rov mob plab.
- Ntxuav, kho antiseptic ntawm ib lub qhov txhab.
- Ua ntawv thov ib lub voos tawv nqaij uas muaj cov kab mob tua kab mob thiab kho cov tshuaj pleev.
- Lub sij hawm rov kho dua. Txoj kev rov qab tau tuaj yeem kav ntau lub lis piam. Nrog rau kev tu tus menyuam mos, tsis muaj nti lossis lawv yuav luag tsis pom.