Lymphangioma nyob rau hauv cov me nyuam: cov tsos mob, ua rau, kev kho mob thiab kev tiv thaiv nta

Nyob rau hauv feem ntau ntawm cov neeg mob, cov loj ua hlav nyob rau hauv cov me nyuam yog kev loj hlob mob ntawm ntaub so ntswg los hauv nruab nrog cev thaum lub sij hawm embryonic txoj kev loj hlob.

Raws li ib tug txoj cai, xws kev kawm ntawv, xws li lymphangioma nyob rau hauv cov me nyuam pom tias tsis ntev tom yug los yog nyob rau hauv thawj xyoo ntawm lub neej. Cov feem ntau hlav ntawm connective cov ntaub so ntswg xwm muaj xws li hemangioma thiab lymphangioma. Cov kev loj hlob ntawm benign qog nyob rau hauv cov me nyuam tshwm sim sai npaum li cas tshaj rau cov neeg laus, yuav tsum tau ib tug ceev mob thiab xaiv ntawm ntxiv kev kho mob.

Yuav ua li cas yog benign qog?

Benign qog ntawm lub vascular nqaij yog muab faib mus rau hauv:

• vascular hlav (haemangioma);
• plawv txawv txav (nevi, teleangioektizii).

Hemangiomas (angioma) tshwm sim los ntawm mob ntawm angiogenesis. Lom lawv loj hlob sai tsuas yog nyob rau thawj thawj rau lub hlis tom qab yug tus me nyuam. Nyob rau hauv tus txheej txheem ntawm loj hlob angioma kev puas tsuaj lwm tus cov ntaub so ntswg, txoj kev ua ruaj khov kom hniav zoo nkauj thiab ua haujlwm zoo tsis xws luag.

Qhov feem ntau heev capillary hemangioma, muaj ib tug plurality across faib cov hlab ntsha. Lawv muaj ib tug saum npoo qhov chaw thiab tsis puas ntxaum khaubncaws sab nraud povtseg ntawm cov dermis. Nyob rau kev xeem, yog nws li ca los yog tsuas yog me ntsis tsa saum toj no ntawm daim tawv nqaij slick nrog kom meej meej tseg rau ib thaj tsam ntawm liab (tej zaum xiavlus) xim. Nws txawj involution mus txog 7-8 lub xyoo. Favorite localization: lub taub hau, lub ntsej muag, sab qaum kev rov qab thiab lub hauv siab.

Cavernous angioma tsim muaj kab noj hniav sib cais los ntawm connective cov ntaub so ntswg choj. Yuav ciaj sia tuaj nyob rau hauv tob, ntaus cov subcutaneous rog rog thiab tej nqaij. Lawv tsis muaj tseeb ib thaj tsam. Thaum positioned nyob rau hauv lub caj dab thiab ntsej muag ua rau lawv deformation thiab asymmetry. Ib tug yam ntxwv feature yog kho kom zoo nrog cov ntshav filling angiomas quaj qw thiab quaj.

Branched hemangioma tsim txuam nrog ntawm atypical hlab ntsha, uas yog nyob, feem ntau, nyob rau sab chaw ntawm lub caj dab thiab ntsej muag. Pob pulsates, kub mus rau lub kov. Ntawm qeeb txoj kev loj hlob, nyob rau hauv kev sib piv mus rau lwm cov hemangiomas.

Mixed angioma muaj vascular thiab lwm yam ntaub so ntswg, raws li zoo raws li tag nrho, sib txuas nta ntawm lub saum toj no piav hlav tsis tshua muaj.

Kev kho mob ntawm vascular hlav

Tsis hais rau cov kev kho mob ntawm angioma ntseeg ultra-ceev kev vam meej ntawm lub qog, qhov muaj feem thib txoj kev loj hlob ntawm tus me nyuam, raws li tau zoo raws li yus localization (parotid, orbital thiab sab nqaij daim tawv cheeb tsam) thiab muaj cov branching angioma, tsis yog nquag involution.

Tshwj xeeb tshaj yog cov lus hais ib txwm angioma rau loj hlob sai nyob rau hauv thawj lub hlis ntawm lub neej. Me me, ces dag kev kawm ntawv nyob rau hauv ib tug ob peb lub lis piam yuav loj hlob mus txog 3-4 lub sij hawm.

Thaum me me ntawm capillary thiab cavernous hemangiomas siv conservative kev kho "Propranolol". Tsis tas li ntawd zoo:

• kev saib xyuas cov lub qog nyob rau hauv ethanol, diluted novocaine;
• Lawm sclerotherapy;
• cryosurgery;
• excision;
• elektorokoagulyatsiya;
• thaum branched angioma Handtied pub cov hlab ntsha nrog ntxiv excision ntawm lub qog.

Differential mob lymphangiomas thiab hemangiomas

Yuav ua li cas yog qhov txawv hemangioma thiab lymphangioma nyob rau hauv cov me nyuam? Angioma yog tsim los xiavlus liab Hawj txawm nrog uas puncturing cov ntshav tso. Characteristically nce ntshav sau hemangiomas thaum quaj thiab qw nrov nrov tus me nyuam ntog yooj yim thaum pressed, paler thaum nias iav.

Lymphangioma nyob rau hauv cov me nyuam yog yus muaj los ntawm ib tug daj ntseg ntxoov ntxoo ntawm cov qog, qhov kev tso tawm ntawm cov kua ntshiab ntshiab nyob rau hauv ib tug punctate, tsis muaj kev lwj thaum pressed.

Benign qog ntawm lub lymphatic hlab ntsha

Yuav ua li cas yog lymphangioma nyob rau hauv cov me nyuam, ua rau thiab cov tswv yim rau kev kho mob sib tham hauv qab no.

Lymphangioma yog dizembriogeneticheskim hlav thiab yog nyob rau hauv yuam cai ntawm lub lymphatic system. Nyob rau hauv soj ntsuam xyaum, muaj tsawg angioma.

Feem ntau, cov mob no tsis yog tsim los pab sai li sai tau tom qab yug me nyuam, thiab tom qab ib tug ob peb lub hlis vim lub fact tias chiv lymphangioma nyob rau hauv cov me nyuam yog nyob rau hauv lub pw lub xeev, nws loj hlob sai thiab qhov kev nce yog lub txiaj ntsim ntawm kev puas raug mob, lub inflammatory txheej txheem, lub physiological kev loj hlob ntawm tus me nyuam.

Lub nyiam localizations yog: lateral nto ntawm lub caj dab, hauv qab ntawm lub qhov ncauj, tus nplaig, daim di ncauj.

Tsis tshua muaj lymphangioma ntawm lub plab nruab nrog cev thiab theem nrab hlav sawv los ntawm tus ua txhaum ntawm lymphatic kua (post-operative teeb meem, lymphangitis).

Tej yam yooj yim lymphangioma (capillary)

Feem ntau cov feem ntau lymphangioma nyob rau hauv cov me nyuam manifests nws tus kheej nyob rau hauv daim ntawv ntawm cov makroheylii (kom di ncauj) thiab makroglosii (tsam tus nplaig). Tsiag ntawv los ntawm cov tsos ntawm ntau yam, zoo spaced npuas pos huab nrog lub teeb cov ntsiab lus. Lub qog muaj testovidnuyu taub hau, mob nyob rau hauv palpation. Yog tsis kho cov lus lesion ua mus rau tsim ntawm malocclusion, txawv txav dentition.

cavernous lymphangioma

Thaum saib visualized phiajcim ntau kab noj hniav thiab nodules nrog tsis meej cov ntsiab lus. Lub qog laus nyob rau hauv cov nqaij mos mos thiab ua rau teeb meem loj deformation ntawm lub caj dab thiab ntsej muag.

lymphocele

Nws yus muaj los ntawm meej thaj tsam, thiab multichamber qog tsiv teb tsaws los ntawm ib tug kab noj hniav mus rau lwm lub thaum cia li muab lub qog. Lymphangioma caj dab nyob rau hauv cov me nyuam yog ib qho ntawm feem ntau benign qog, thiab feem ntau nws tus kheej nyob rau hauv lub sab ntawm lub caj dab. Tsawg cystic lymphangioma laus nyob rau hauv lub qhov ncauj kab noj hniav.

kab mob lymphangioma

Nyob rau pub ntxiv tshaj qhov inflammatory txheej txheem qhia ceev txoj kev loj hlob ntawm cov qog, nws rhiab, lossis puas liab liab, o thiab cov tsos ntawm daim tawv nqaij obscheintoksikatsionnyh cov tsos mob (ua npaws, tsis muaj zog thiab thiaj li nyob. D.).

Yog hais tias muaj yog ib tug cutaneous lymphangioma nyob rau hauv ib tug me nyuam tshaj rau Smear lub qog yuav muab tau los ntawm ib tug tshwj xeeb. Feem ntau nyob rau hauv cov neeg mob thov lub antibacterial thiab anti-inflammatory tshuaj pleev ( "lincomycin" "clindamycin" "levomikol" erythromycin tshuaj pleev), mauj tshuaj tua kab mob thiab antihistamines.

kev kho mob:

• Decompression tej.
• Sclerotherapy quinine-urethane.
• Phais excision thiab tshem tawm ntawm lub pathological ntaub so ntswg.
• Ua ke kev kho mob.
• Ultrasonic degradation tom aspiration ntawm tus txheem.

Lymphangioma mob plab

mob plab lymphangioma nyob rau hauv cov me nyuam yog manifested los ntawm cov nram qab no cov tsos mob. Feem ntau, cov neeg mob mus nyob hauv lub tsev kho mob nrog ib tug mob "mob plab mog" (mob hnyuv tws, mezodenit, adnexitis, Meckel diverticulum). Lub ntsiab lus tsis txaus siab ntawm qhov mob nyob rau hauv lub plab mog, nrog loj hlav yuav plab asymmetry. Ntuav thiab quav mob yog tsis raug. Nyob rau palpation qhia ib tug ntom, qeeb-tsiv kev kawm ntawv, tsis mob, malosmeschaemoe.

Rau differential mob tuav siv ultrasound, xoo tomography. Cov kev tsom xam ntawm cov ntshav yog tsis muaj inflammatory kev hloov cov yam ntxwv ntawm "mob plab mog".

phais kho mob. Tau laparotomy nrog excision ntawm hlav thiab ntxiv histological xeem.

kev tiv thaiv

Cov me nyuam nrog benign qog no yuav tsum dispensary. Tom qab cov kev kho mob pom zoo mus kuaj ib ce maxillofacial kws phais neeg:

• nyob rau hauv thawj xyoo - ib tug txhua txhua peb lub hlis;
• nyob rau hauv lub thib ob xyoo - ob zaug ib xyoos;
• peb xyoo - tom qab cov kev kho mob ib xyoos ib zaug ua ntej ncav lub hnub nyoog ntawm feem ntau.

Kev kho hniav nqa tawm nyob rau hauv thiaj li yuav kho malocclusion thiab hais lus txoj kev kho rau hais lus kho.

Yog vim li cas tsim lymphangioma nyob rau hauv cov me nyuam? Cov ua ntawm tus kab mob tej zaum yuav mus rau ib tug yav dhau los kab mob thaum lub sij hawm embryonic txoj kev loj hlob. Cov kev tiv thaiv thiab hemangiomas Lifang tsis muaj nyob, raws li cov no hlav tsim vim dizembriogeneza thiab yog innate.

Thaum npaj ib tug cev xeeb tub pom zoo kuaj rau lub teeb kab mob (viruses yuav ua congenital me nyuam hauv plab pathology: rubella, chickenpox, toxoplasmosis, cytomegalovirus, syphilis, herpes simplex tus kab mob no hom 1 thiab 2), rejection ntawm phem cwj pwm tsis zoo, uas tau txais tshwj xeeb vitamin complexes, soj nyob rau hauv lub antenatal lub tsev kho mob thiab mus ntsib tus kws tshuaj kuaj pojniam.