Hemangioma vertebra: izimpawu, uphethwe, ukuphathwa

Hemangioma - ukukhula wendawo imithambo isimila igazi. Eqinisweni isimila kungavamile ukuba ingozi, okungukuthi, akakaze metastasizes. Ngokusho idatha yamanje kwenzeka kuzo zonke umuntu yeshumi emhlabeni, kodwa 99% amacala akusho ukuzibonakalisa futhi akuyona ingozi empilweni.

Okuvame kakhulu amafomu ebusweni, okuyinto bulging zokwakheka onsomi esikhumbeni. Nokho, hemangiomas ingaqala kuphi emzimbeni, futhi kungatholakala kuphela ngengozi, ngoba ngulona logeleta ngaphezulu asymptomatic ngokuvamile.

Hemangiomas kukhona ezinhlobo ezimbili: capillary kanye cavernous. ifomu capillary kuyinto mncane ngodonga plexus semithambo kanye nesakhiwo cavernous has izimbotshana eziningana sixhumene. hemangioma capillary ukhula kancane kakhulu futhi cishe akukho ngozi, kuyilapho cavernous ngokuvamile imbangela yezinkinga ezihlukahlukene. Ukusungula izinhlobo isimila kubalulekile ekunqumeni ukwelashwa.

Phakathi zonke izinhlobo hemangiomas vertebral (uvame ukubizwa kanjalo vertebral) akuyona into engavamile. Njengomthetho, ke ukukhombisa izithombe ezithwetshulwe phezu esiwohlozayo disc isifo, sciatica nezinye izifo umgogodla. Ngokuvamile kuthinta aphansi thoracic kanye engenhla lumbar amathambo. Neoplasm yobukhulu encane akusho ukuzibonakalisa futhi ayidingi ukuphathwa ngendlela ekhethekile. Nokho Ithumba ukhula kancane kakhulu, lapho hemangioma vertebra enkulu iba isifo esingathí sina, ngokuvamile ezidinga kokungenela kuhlinzwa.

Kuyini hemangioma esiyingozi? Okokuqala, ngokukhula kwe-isimila licindezele ithambo izicubu zomzimba vertebral. It babonakalise njalo ubuhlungu emuva. Uma ungenzi lutho izinyathelo, nge nokwandisa kungenzeka vertebra Waphuka. Amathuba lokhu kuba eliphezulu kakhulu lapho isimila ithatha ezingaphezu kuka-50% emzimbeni vertebral. Ngokuvamile abantu baphuka izinqulu ngokuvamile kwenzeka ngesikhathi umsebenzi futhi inkinga esisongela kakhulu, ngoba Lokhu kungenzeka lapho umgogodla intambo kokucindezelwa. Isiguli ezwe ubuhlungu obuhlabayo emhlane, bese ngokushesha ukuthuthukisa ukukhubazeka imilenze, futhi kuphula umthetho we ukuchama. Uma hemangioma vertebral nzima ukwa, isidingo ukuhlinzwa kanye nokuvuselelwa eside.

Omunye kungenzeka inkinga - ezikhulayo isimila kokucindezelwa ka emgogodleni noma izimpande zawo. Lokhu uzosungula inombolo kuphazamiseka izinzwa: paresis, ukukhubazeka, ukuzwela kahle, ubuhlungu kanye impumuzo.

Izimpawu eyinhloko hemangiomas ezikhulayo - ubuhlungu nokuphazamiseka zezinzwa. Kwasendaweni (thoracicoinferior futhi verhnepoyasnichny nomgogodla) ukhombise okungenzeka eliphansi osteochondrosis noma radiculitis. Izimpawu umgogodla intambo kokucindezelwa, noma izimpande zawo bephoqeleka ukuba cabanga umdlavuza. Kuvele wezinzwa abanolwazi noma ohlinza izinzwa Akunzima hemangioma umsolwa.

Enokwethenjelwa kakhulu izindlela zokuxilonga - computed tomography (i-CT) futhi i-magnetic resonance imaging (MRI). Lapho usebenzisa lezi zindlela, lo uphethwe yini ungabaza. Nokho, ngisho ezejwayelekile ze-X ray yomgogodla kuyinto shot omuhle, futhi indlela ngokuvamile okwanele zokuxilonga.

Ukwelashwa amafomu cutaneous zenzelwe kahle futhi ayimeli noma ibuphi ubunzima. Nokho, ukwelashwa laser we hemangiomas, okuyinto kusetshenziswa khona ebusweni indawo yesimila, akusiyo efanelekayo lolu hlobo isifo esimweni yomgogodla.

Small ukwelashwa capillary hemangioma ngokuvamile kungadingeki, avame kwenzeka ezimele reverse ukuthuthukiswa (involution) we novobrazovaniya. ukwelashwa okukhethekile kuboniswa uma kukhona ubuhlungu noma lapho esiningi lwesimila.

Steel ukususwa hemangioma ngokusebenzisa ukufinyelela evulekile, manje selisetshenziswa akuvamile, kusukela Le ndlela alikwenqabeli ukuphuza Ukuphinda, kodwa kuyingozi ukopha. ukuphathwa Vula kuhlinzwa yesiguli ngubani sitholakale hemangioma vertebra isetshenziselwa waphuka vertebral noma zlib of emgogodleni, lapho decompression ledzingekako izakhiwo kwemizwa.

ukwelashwa ngemisebe futhi sclerotherapy futhi angahlangabezani edingekayo isilinganiso ukuphepha / ngempumelelo.

Indlela eyinhloko yokwelashwa okwamanje - percutaneous inaliti vertebroplasty. Ngakho isimila isikhoxe esigcwele usimende ekhethekile, okuyinto kuvimbela lokubuya kwesifo kanye kuqinisa umzimba vertebral. Kancane ukuhlinzwa koda futhi kwenziwa ngaphansi izinzwa wendawo. Isidingo nokuvuselelwa eside kukhona.