Tus Sau: Randy Alexander
Hnub Kev Tsim: 24 Lub Plaub Hlis Ntuj 2021
Hloov Hnub: 19 Lub Kawm Ob Hlis Ntuj 2024
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Hemangiomas : Pathology,Pathogenesis,Types of Hemangiomas ,Clinical features,Diagnosis and Treatment
Daim Duab: Hemangiomas : Pathology,Pathogenesis,Types of Hemangiomas ,Clinical features,Diagnosis and Treatment

Zoo Siab

Hemangioma yog dab tsi?

Hemangiomas, lossis hemangiomas thaum mos mos, yog kev loj hlob tsis zoo ntawm cov hlab ntshav. Lawv yog cov feem ntau loj hlob lossis qog cov menyuam yaus. Lawv feem ntau loj hlob rau lub sijhawm thiab tom qab ntawd nqaim yam tsis muaj kev kho mob.

Lawv tsis ua teeb meem rau feem ntau ntawm cov menyuam mos. Txawm li cas los xij, qee qhov hemangiomas tuaj yeem qhib thiab ua kom ntshav lossis ua mob. Qhov no tuaj yeem yuav mob. Ua raws li lawv qhov loj thiab thaj chaw, lawv tuaj yeem ua tus tsis txaus ntseeg. Ib qho ntxiv, lawv yuav tshwm sim nrog lwm cov hlab ntsha hauv nruab siab lossis lub nraub qaum txawv txav.

Qhov kev loj hlob kuj tseem yuav tshwm sim nrog lwm cov hemangiomas sab hauv. Cov no cuam tshuam rau cov nruab nrog cev sab hauv xws li:

  • mob siab
  • lwm feem ntawm cov plab hnyuv plab zom mov
  • lub hlwb
  • kabmob ntawm cov txheej txheem ua pa

Hemangiomas uas cuam tshuam rau cov kabmob feem ntau tsis yog teeb meem.


Hemangiomas tshwm sim li cas?

Ntawm daim tawv nqaij

Hemangiomas ntawm daim tawv nqaij nthuav dav thaum muaj qhov txawv txav ntawm cov hlab ntshav hauv ib cheeb tsam ntawm lub cev.

Cov kws tshaj lij tsis paub meej tias vim li cas cov hlab ntsha pab pawg sib koom ua ke zoo li no, tab sis lawv ntseeg tias nws tshwm sim los ntawm qee cov protein ua tawm ntawm lub cev thaum lub sijhawm xeeb tub (lub sijhawm koj nyob hauv plab)

Hemangiomas ntawm daim tawv nqaij tuaj yeem tsim nyob rau txheej txheej sab saum toj ntawm daim tawv nqaij lossis hauv cov roj nyeem hauv qab, uas yog hu ua subcutaneous txheej. Thaum xub thawj, hemangioma tuaj yeem ua lub cim yug liab nyob ntawm daim tawv nqaij. Maj mam, nws yuav pib protrude upward los ntawm daim tawv nqaij. Txawm li cas los xij, hemangiomas feem ntau tsis tshua nyob rau thaum yug los.

Ntawm daim siab

Hemangiomas ntawm daim siab (hepatic hemangiomas) ua rau hauv daim nplooj siab thiab daim siab. Cov no tuaj yeem cuam tshuam nrog hemangiomas neeg mob plab, lossis lawv tuaj yeem cuam tshuam tau. Lub qog ua ntshav tsis ua mob rau lub siab yog xav tias muaj kev cuam tshuam nrog estrogen.

Thaum lub cev ntas, ntau tus poj niam tau sau tseg kom hloov cov tshuaj estrogen los txo qis cov tsos mob tshwm sim los ntawm qhov poob ntawm lawv cov qib tshuaj hauv nruab nrab.


Tshaj tshuaj no ntau dhau tuaj yeem ua rau txoj kev loj hlob ntawm daim siab hemangiomas. Ib yam li ntawd, cev xeeb tub thiab qee zaum kev noj tshuaj muaj zog tuaj yeem ua rau kom hemangiomas qhov luaj li cas.

Qhov twg lawv tshwm sim

Dhau li ntawm daim tawv nqaij thiab daim siab, hemangiomas tuaj yeem loj hlob ntawm lossis zaws lwm qhov chaw hauv lub cev, xws li:

  • ob lub raum
  • ntsws
  • txoj hnyuv
  • lub hlwb

Cov cim thiab tsos mob ntawm hemangiomas

Nyob ntawm qhov chaw thiab loj me me, hemangiomas tsis nquag muaj cov tsos mob thaum lub sijhawm lossis tom qab lawv tsim. Txawm li cas los xij, lawv yuav ua rau qee qhov tsos mob yog tias lawv loj tuaj lossis hauv thaj chaw rhiab lossis yog muaj ntau lub hemangiomas.

Hemangiomas ntawm daim tawv nqaij feem ntau tshwm sim zoo li liab me me lossis ua pob. Raws li lawv loj hlob, lawv zoo li burgundy-xim cim ua cim. Daim tawv nqaij hemangiomas qee zaum hu ua pos nphuab hemangiomas vim tias lawv qhov ntsej muag liab.

Hauv nruab nrog cev

Hemangiomas hauv lub cev nrog cov tsos mob tshwj xeeb rau lub cev uas raug cuam tshuam. Piv txwv, hemangioma cuam tshuam lub plab hnyuv lossis lub siab tuaj yeem nrog cov tsos mob xws li:


  • xeev siab
  • ntuav
  • tsam plab tsis xis nyob
  • tsis qab los noj mov
  • zoo nkaus li muaj tag nrho hauv plab

Yuav kuaj li cas lawv thiaj paub

Kev kuaj mob feem ntau yog los ntawm kev kuaj pom ntawm lub cev los ntawm tus kws kho mob. Koj tus kws kho mob tuaj yeem ua kom pom tseeb thaum lub sijhawm kuaj mob lub cev.

Hemangiomas ntawm lub plab hnyuv siab raum tsuas yog pom thaum kuaj mob, xws li:

  • ib qho ua ultrasound
  • MRI
  • Iav scan

Nyob rau qee qhov xwm txheej, lawv feem ntau pom los ntawm lub caij nyoog.

Kev xaiv kho mob rau hemangiomas

Ib qho me, hemangioma me me feem ntau tsis tas yuav kho. Nws yuav ploj mus nws tus kheej. Txawm li cas los xij, qee qhov xwm txheej yuav xav tau kev kho mob, xws li mob nqaij ua paug rau tawv nqaij uas mob ua paug lossis mob, lossis nyob rau thaj chaw tshwj xeeb ntawm lub ntsej muag xws li daim di ncauj.

Cov kev kho mob suav nrog:

Beta-blockers

  • Qhov ncauj propranolol: Qhov ncauj propranolol yog thawj kab kev tiv thaiv rau hemangiomas xav tau cov kev kho mob tag nrho. Lub Tebchaws Asmeskas Cov Khoom Noj thiab Tshuaj (FDA) tau pom zoo hemangeol (qhov ncauj propranolol hydrochloride) hauv xyoo 2014.
  • Cov ntsiab lus beta-blockers, xws li timolol gel: Cov beta-blockers tuaj yeem siv rau me me, sab lim hemangiomas. Tej zaum lawv yuav muaj lub luag haujlwm los kho cov hemangiomas me me ua mob. Cov tshuaj no feem ntau pom tias muaj kev nyab xeeb thaum siv los ntawm kev saib xyuas ntawm tus kws kho mob.

Cov tshuaj Corticosteroid

Corticosteroids tuaj yeem raug txhaj rau hauv hemangioma kom txo nws txoj kev loj hlob thiab kom tsis txhob muaj mob.

Cov tshuaj steriods hauv lub cev, xws li prednisone thiab prednisolone tsis siv lawm. Txawm hais tias, lawv yuav muaj lub luag haujlwm rau cov neeg uas tsis tuaj yeem siv lwm yam tshuaj xws li beta-blockers uas ib txwm siv ntau dua.

Kev kho laser

Kev kho laser tuaj yeem siv los tshem hemangiomas ntawm cov khaubncaws sab nraud povtseg sab saum toj. Qee qhov xwm txheej, kws phais neeg yuav siv cov tshuaj kho laser kom txo cov xim liab thiab txhim kho qhov zoo.

Cov tshuaj siv gel

Cov tshuaj kho mob gel hu ua becaplermin (Regranex) nws kim heev thiab tau siv ntau daim ntawv sau npe hauv qee cov kev tshawb fawb raws li kev kho mob rau kev kho mob ua ntu zus hemangiomas. Nws muaj kev pheej hmoo ntawm kev mob qog noj ntshav hauv cov neeg uas tau txais nws dua. Tham nrog koj tus kws kho mob txog cov kev pheej hmoo.

Kev phais mob

Yog tias hemangioma tsawg txaus uas nws tuaj yeem raug tshem tawm los ntawm kev phais mob, koj tus kws kho mob yuav txiav txim siab phais kev xaiv.

Rau hemangiomas ntawm cov kabmob

Hemangiomas hauv lub cev yuav xav tau kev kho mob yog tias lawv loj dhau los lossis ua rau mob mob.

Cov kev kho mob rau cov hemangiomas suav nrog:

  • kev phais mob tshem tawm ntawm hemangioma
  • kev phais mob tshem tawm ntawm cov khoom pov tseg lossis thaj chaw puas
  • Hauv hemangiomas ntawm daim siab ua haujlwm, khi tawm ntawm qhov tseem ceeb muab ntshav mus rau hemangioma tej zaum yuav muaj kev xaiv

Outlook

Ntau zaus tshaj tsis, hemangioma yog kev txhawj xeeb ntau dua tshuaj pleev ib ce dua li kev kho mob. Tseem, koj yuav tsum tham nrog tus kws kho mob yog tias koj muaj kev txhawj xeeb lossis xav tham txog kev tshem tawm.

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