Hamartoma pamusoro zvemapapu: zvinokonzera, zviratidzo, kurapwa

Hamartoma pakati zvemapapu rinoratidza chaiyo dizembrionalnoe inotungamirwa zvaisanganisira advantageously pamusoro zvinoumba ari Árbol rusvingo uye zvemapapu parenchyma. anomaly akatanga kurondedzerwa muna 1904.

tsananguro

Under hamartoma zvaireva munhu benign nebundu rimwe zvemapapu, iro unotora shwashwa, vascular uye fibrous marongerwo. Zvokurwara kakawanda vemunyika ari mukati menyika zvemapapu parenchyma, nokuda kwavo duku saizi ine anenge hapana zvainoita kushanda nadzo.

Hamartoma chinomirira chimwe dzeraundi paumbwe imwe gobvu magadzirirwo, kukura iyo zvichisiyana 0.5 5 cm. Anomaly kazhinji haana kusiyana tsika kunoramba kuwedzera, asi mune okurapa vanozivikanwa zviitiko kuziva pfungwa zvishoma nezvishoma kuwedzera dhayamita zvokurwara. Pakati zvemapapu mapundu zvose hamartomas benign hunhu zviratidzwa kazhinji (60% nyaya). The chirwere dzinowanzotsigi- chirwere mu vanhurume.

etiology

Lung hamartoma hwapedyo nokuda kutyorwa fetus ichiri embryonic period. Inoitwa dzakasiyana siyana zvinhu embryo munyama, uye zvakafanana zvinoriumba pachisikirwo muviri umo iri zvakananga iri. Ndiwo musiyano mukuru kubva teratoma hamartomas. Kazhinji yokupedzisira ine primordia uye zvinyama zvinhu nomweni kuti nhengo iri riri vemunyika.

kupatsanura

In zvachose pane classifications vanoverengeka chirwere. Maererano predominance pamusoro benign zvemapapu bundu rinenge riri:

• Lipomatous.
• Organoid.
• Hondromatoznaya.
• Angiomatous.
• Leyomiomatoznaya.

Zvichienderana nhamba anomera tisiyanise kuroorwa uye vakawanda dzakasiyana zvokurwara. Localization kusunungurwa endobronchial, subpleural intrapulmonary uye dzidzo.

zvekuchipatara mufananidzo

Hamartoma chiedza kwenguva refu haagoni vanoratidza noruzhinji zviratidzo. The mberi inotungamirwa subpleural kazhinji pamwe kurwadziwa kusagadzikana mune mubhokisi nzvimbo. Kana hamartoma aumba kubva bronchus rusvingo, sezvo inogona kukanganisa permeability yacho principales. Muchiitiko chino, varwere chokunyunyuta pamusoro zvikuru chikosoro pamwe kuparadzana muco-purulent sputum, mune kushoma kacho pane hemoptysis.

kuongorora chirwere

Nokuti kuti zvokurwara iri vakawanda asymptomatic, zvinokwanisika kuti rione chete panguva dzose kuongorora. Kuti chiremba uwane zvekuchipatara prescribes radiological kuongororwa, panguva iyo padzakacherechedza mumvuri woita Zvekare zvimiro zvemhashu zvakaita zvakasiyana hukuru vane yakananga kana Wavy contours. Kazhinji, X-ray kutsunga calcareous inclusions. nhamba yavo imhaka kusimba mimvuri. Kana ukapedza nguva simba kudzidza, zvinogona kuonekwa kuti kukura zvemapapu hamartoma ari kuchinja zvishoma nezvishoma. Ukuwo, kusimba ari kwesuko deposits ari kufambira mberi nokukurumidza.

Education endobronchial hunhu akaratidza zvakananga uye zvisina kunanga zviratidzo. Muchiitiko chokutanga chiri pamusoro idenderedzwa nebundu pamwe kumeso uye unopinza micheto, detectable nokuda X-ray. Zvisina kunanga kuratidzwa - ndiko atelectasis, hypoventilation, uye zvimwe zviratidzo kutyora Árbol conductivity.

A rinokosha rakapiwa kuna differential zvawanikwa. Zvinokosha varege kuvhiringidza ichi chete zvokurwara pakati ari peripheral kenza yemapapu uye tuberculoma.

Chii chinofanira kubatwa?

Munguva zano chiremba anofanira kutanga kuudza chii ari hamartoma pamusoro zvemapapu, zvinokonzera zvirwere uye zvakakodzera kurapwa. Drug kurapwa, zvinosuruvarisa pakurwisa dambudziko iri isashande. zvinodhaka somushonga vanobviswa chete kuderedza zviratidzo.

All varwere Kuvhiya inokurudzirwa pasina anosara. Kana chiremba chine chirwere "hamartoma pamusoro zvemapapu", pokuvhiyiwa anoonekwa kuti kusiko nechiyero. Kana uchifungidzira imwe zvokurwara (somuenzaniso, peripheral kenza) zvakafanira kupa kupfuura thoracotomy.

Hamartoma kubviswa nokuda husking kana resection kuti zvemapapu tishu. The oparesheni rinoitwa kushandisa muShifimi unyanzvi, izvo haambotauri yaizoitika cheka. Kana hama contraindications izvi mhando kupindira pane bvumidzwa simba akataurwa murwere kwemwedzi mishoma. Shure iyi mubvunzo hwokushanda iri yakasarudza zvichienderana nokuvapo kana kusavapo kuwedzera mumvuri pamusoro radiograph.

Kunoda siyanei nzira endobronchial hamartoma. Treatment muchiitiko ichi chinoreva kubviswa nedzidzo bronhotomii resection kana nhego rusvingo.

mataridzikiro

Hamartoma iri kukura zvishoma nezvishoma, asi unogona kusvika yakakura zvikuru. Rebirth ayo malignancy iri apo neapo. Maererano anowanika Statistical mashoko, mukana malignancy haasi kupfuura 7% vose nyaya. Malignancy ingangowedzera zvose epithelial uye mesenchymal chezvinonhuwira pakugadzirwa, zvichiteverwa metastasis kuti node nodes, chiropa nomuzongoza kwevanhu.

Tinovimba kuti yose arakaitwa munyaya ino, mashoko zvichava kuti chaizvoizvo kubatsira. Stay utano!