Osteoid osteoma mapfupa: zviratidzo, chirwere uye kurapwa zvaiitwa

Mapfupa, kufanana nedzimwe nhengo, zvinogona kukanganisika nokuda kwokunze kwezvakatipoteredza. Izvi chinokurwadzai paumbwe nyanyisa uye benign mapundu nedzimwe embodiments pakati chikungiso uye kunotoda kosi.

Osteoid osteoma

Osteoma - iri morphologically kupfuura vakuru munhu benign nebundu kuti zvikamuka, sezvo mutemo, muna diaphysis kare mapfupa tubular. It achiumbwa pamusoro osteoclasts uye mapfupa chakafanana dzose muna maumbirwo yavo. Kakawanda maperembudzi dzakaonekwa pauduku, uye kazhinji netsaona kuwana X-ray Kuongorora mumwe chikonzero.

Localization anotungamirira tibia, uchiteverwa femur, humerus, pfupa rimwe honokono uye mapfupa sandara pakati dehenya. In pfupa utano, osteoblasts vanoumba concentric muenzaniso. Urongwa Izvi zvinoita nyore kuti uendese uremu mutoro pamusoro mafupa. The mugove akachinjwa pamusoro marangwanda vanosarudzirwa randomly masero, kusazvibata connective zvinyama iri therebetween.

zvikonzero

Osteoid osteoma anogona kuitika nokuda kwezvikonzero zvakasiyana-siyana.

1. Metaplasia pamusoro pfupa, kureva, ayo kuberekwazve mune imwe mhando foni.
2. Kutyora Tab mapfupa embryonic nguva nokuda migumisiro nemwaranzi, kemikari kana mumuviri nzira.
3. Nhaka kubatwa nezvirwere zvakadai.
4. Kuvapo murwere echirwere zvinotapukira kana foci kuti kuzvimba (dzinonzi rheumatoid arthritis, lupus, njovhera).
5. Kukanganisa calcium muviri kana excretion kuti uric asidhi (gout).
6. Refu usimbe kuzvimba ari paranasal sinuses (maxillary, frontal).

Zvinosuruvarisa zvose zvinokonzera vari kunanga chete. Masayendisiti anogona haisati tsanangura chii chaizvo chinoita kukura chirwere ichi.

kupatsanura

Osteoid osteoma angava anoverengeka siyana. Govera kupatsanura kubudikidza mavambo, histological marongerwo uye nzvimbo.

1. By mavambo:

• hyperplastic osteoma. Aumba kubva pfupa mumasero, izvo dziri mhiri pfupa kana sekamufarenzi uchingounganidza chete kurutivi rumwe rutivi rwacho. Bundu anogona kukura vose kunze uye mukati muviri. Typical nzvimbo: chiso, dehenya, honokono, chidya, Shin;
• geteroplasticheskaya osteoma. Rinomiririra connective zvinyama pamusoro pfupa inobereka nokuda kwenguva zvokuimba dzishande panzvimbo. Kakawanda vemunyika pamafudzi kana hudyu mudzira.

2. Maererano marongerwo uye localization:

• hwakasimba wakati concentrically aronga zvakasimba yakabatana mumwe osteocytes. Kazhinji, kuoneka mune sandara mapfupa;
• chipanji-kufanana mapfupa utano. Osteocytes yaiva pakati adipose zvinyama, tsinga uye mwongo. Inowanikwa mapfupa refu;
• medullary akazara zvikuru mumwongo mhango. Rare, kazhinji pneumatic sinuses chako dehenya.

zviratidzo

Vakawanda osteoid osteoma pamusoro tibia, saka muenzaniso wake tichava kuongorora zvekuchipatara zvinoratidza chirwere. Kazhinji, izvi bundu localization kwenguva refu nguva havana kuratidza pachavo, saka varwere vanogona kunyange chifungidziro kuvapo anomera pachavo. Osteoid osteoma of femur (kakawanda wechipiri) Uyewo haatsvaki kuziva pachavo.

Nokufamba kwenguva, varwere vanotanga sevasina simba vachirwadziwa marwadzo kuti localization uye kuchinyanya akafanana kusagadzikana mune tsandanyama pashure muviri. Mwedzi mishomanana gare gare kurwadziwa anova sokusingatsungiririki, ivo yakakura nokuda usiku uye zuva kuserera zvishoma, asi zvisinei kukonzera kusagadzikana zvachose nomunhu.

Sezvo iye otanga bundu kukura contoured pasi ganda, kunyanya kunzvimbo zvishoma subcutaneous mafuta. Kana pathological centre iri mu pfupa yakadzika iri palpation pakati njodzi nzvimbo haungavhenekeri isina kukunakira. Asi nzvimbo bundu mukati vagari mhango kana pasi periosteum achaita marwadzo rakawedzera.

Osteomas, iri dehenya mapfupa anogona dzvinya ropa midziyo uye tsinga, zvichikonzera omunharaunda chetsinga zviratidzo paresis, muviri, madzerere, kunhuwidza, chitarisiko nomusoro kana pfari.

Diagnostics

Osteoid osteoma pfupa dzakaonekwa netsaona musi X-ray kuzviongorora. Uye chete pashure bundu wawanikwa, chiremba prescribes zvimwe miedzo kuona hunhu bundu, ayo histological mamiriro, ukuru uye kuvapo metastasis.

Sighting radiography kuona zvinyama chivako kumativi namamota: batana (tsindirana) kana munhu porous zvinhu (chipanje), zvichienderana apo osteoid osteoma. Photos of sei mapfupa runoita kufunga zvakadzama nzvimbo bundu, kukura uye arambe achirema.

The mufananidzo afanane kuti echirwere purulent osteomyelitis, izvo zvinogona kuvhiringidza nyanzvi asina kare atarisana zvakafanana diagnoses. Uyezve, kunzwisisa chiri pakuti pfungwa iri pathological muitiro rakanyatsojeka diki (isingasviki sendimita mu dhayamita), uyewo hapana zviratidzo chaizvo izvozvo zvaizoreva kuvapo chirwere.

Kana zvichibvira, chiremba anotumira murwere pakombiyuta kana rinobva resonance kuri. Iva nechokwadi kuti tipedze ponji mapundu kuti histological kuzviongorora. Izvi hakubvisi akaipa nzira kwacho. Kuti asimbise kana agodzivisa kuvapo metastases, zvakafanira kuti scintigraphy.

kuvhiya kurapwa

sevanhu zvakanaka osteoid osteoma? Operation kana chirwere ichi anonzi zvakakodzera chete kana bundu zvakunoita mapfupa kukura, izvozvo deforms uye kunokonzera kurwadziwa. Zvairatidza kuti kuvhiya kurapwa vari:

• Sizes osteoma kupfuura sendimita;
• dysfunction pedyo nhengo;
• stunting kana pfupa wakarebesa;
• aesthetic urema.

Pane nzira dzakawanda kubvisa mapundu. Kusarudza zvinoenderana bundu, ruzivo chiremba uye zvinogonekwa. Kazhinji, maoko nemakumbo kukundwa ishande kunotevera kana vachibatsira, osteoma yeDehenya, chiso kana sinuses - maxillofacial vanachiremba vanovhiya, pfava vanachiremba kana neurosurgeons. Precondition upi localization pamusoro pathological muitiro, - achibvisa pfupa mugove unoitwa pamwe periosteum uye mugove utano tishu. Izvi zvinoitwa kuti vadzivise wava kusvutazve.

zvinodhaka kurapa

Osteoid osteoma hakusi amenable kuti kuchinja kurapwa. Asi norubatsiro kwayo unogona kubvisa zviratidzo chirwere. Chokutanga, Chokwadi, batsirai murwere kubva marwadzo. Nokuti ichi kushandiswa NSAIDs muchimiro kwamafuta, mumakenduru kana gels, topically, uyewo muchimiro mahwendefa kuti vabudirire ane Integrated kushanda.

Kana uwandu bundu kushanda duku hakuratidzwi, sezvo vaine kusagadzikana murwere uye zvingava zvakawanda zvinorwadza kupfuura neoplasm. Naizvozvo, yakatarwa nokushivirira kunotoda pakuongorora, kuti urongwa yakakwana kwakaitwa panguva pakuparwa yakawedzera ukuru pathological pfungwa. Dzakananga mushonga kurapa haina kuitwa.

Mabatirwo zvavo mishonga

Amenable kana kurapa acho mishonga osteoid osteoma? Treatment izvi mhando kunogona chokugutsikana chete pashure zano nyanzvi, nokuti kunogona kuwedzera zviratidzo uye kukonzera bundu kukura.

Pane Kubika kubviswa marwadzo, akadai broths maruva hawthorn kana tincture kuti elderberry. Asi mishonga chaizvoizvo kubva zvinodhaka Data hazvizivikanwi, saka, ziva kuti kutora kwavari, iwe kufunga imwe ngozi. Pane zvimwe kusarura pamutemo mushonga, uyewo mienzaniso yakawanda apo aiming anorumanya kana ultraviolet irradiation kunoderedza kukura osteoma. Hazvina zvakafanira kuti pachayo unokurudzira. Zviri nani kuenda chiremba anokwanisa.

Kufembera uye kudzivirira

The duku kukura bundu wayo kuchena zvigoneke kupa murwere fungidziro. Pashure kuvhiya mabatiro recurrences hadziwanzowaniki chaizvo. Chikonzero chitarisiko chavo kungava kusava nebundu resection nemhaka damerau X-ray.

Operations kumeso, sezvo mutemo, haanamati inooneka zvizorwa kuremara. Kana osteoma guru iri kukura, pashure chikuru kurapwa, murwere inokurudzirwa kuva reconstructive epurasitiki kuvhiyiwa.

Dzakananga kudzivirira haako. Annual chokudzivirira kunoonekwa nachiremba kubvumira nguva kuti zvikavengwa abvise bundu.