Osteoma of frontal sinus: kurapwa, kubviswa nemigumisiro

Various zvirwere pakugadzirwa masero pasi vasiri nhengo dzomukati kutsamwisa paumbwe anomera. Uyewo, kuti anomera dzinoiswa sezvo benign kana akaipa. Nokuti pakutanga kunoratidzwa nekaupenyu kunonoka kukura. Benign mapundu regai kukonzera kutyorwa dzimwe gadziriro uye nhengo. chikamu ichi zvinoreva mapundu osteoma pamusoro frontal sinus. Next tinofunga zvokurwara ichi zvizere.

tsananguro

Osteoma sinus inofanira Kusiyanisa repfupa irregularly. bundu Izvi hazvirevi kubereka masero nyanyisa. Sinus osteoma musamutsamwisa kusagadzikana uropi. Zvokurwara angatanga kukudziridza pauduku (mangwanani) zera uye kupedzisa kupedzisa inotungamirwa yaro muna 18, makore 20.

Features

The kutanga nzira chirwere chacho rinenge imperceptible. Osteoma frontal sinus ngaakuitireiwo zvikuru netsaona, pakuitika upi concomitant rabhoritari zvidzidzo. Somuenzaniso, kazhinji bundu iri dzakaonekwa pa X-ray pamusoro kukuvara mumusoro. Kukura bundu sero metastasis haina kuchengetwa. Neoplasm haadi kukanganisa nzvimbo chokuita kuti vasiri nhengo dzomukati.

zvikonzero

Nyanzvi regai pari kuziva chaiwo zvinhu kuti pave nekukurukurirana bundu. Kunyange zvakadaro, vakawanda inonzi vanoverengeka vanofungidzirwa zvinokonzera. Pakati pavo:

• Kakawanda chikosoro, sinusitis nezvimwe zvakaoma sinusitis.
• Abnormalities iri majini Kusiyanisa repfupa rinenge riri yekufetus okukura. Zvirwere izvi zvinogona kukonzerwa nemavhairasi uye kwemabhakitiriya zvinokonzera zvirwere.
• Kushaikwa vhitamini D uye calcium yakawanda kukanganisika.
• Kunotevera uye zvinorehwa siyana Murabhoritari chirwere pachishandiswa dzinoitwa aine ponji pamusoro maxillary sinus.
• Radiation, kusanganisira X-ray.
• Kwakaomarara dzezvakatipoteredza ezvinhu.

Osteoma pfupa rose angatanga kwete sphenoid, frontal, ethmoid mapfupa ari dehenya. Kazhinji, bundu iri dzakaonekwa mu miviri vertebrae, uye ezasi migumo. Kashoma kuchengetwa osteoma ari spinous kwendangariro. Muzviitiko izvi zvakafanira kuita munhu kusiyaniswa chirwere dzakakudzingai osteophyte kukura pahwaro dzamarudzi shanduko kuitika munyika nemamiriro musana mbiru chinopedza mhando.

Osteoma of frontal sinus: tsanangudzo

localization iri kuonekwa rakajairika hworudzi urwu bundu. Course chirwere ndiye anenge asymptomatic, refu. Kazhinji, ari frontal sinus osteoma pasina ongororo mabasa akaoma chaizvo kuti uonekwe. Mazvikokota Angataura chirwere iri zvinoitirwawo nokuchinja inzwi murwere, kuvapo kurwadziwa zvikuru musoro zvachose hunhu. Yaitsigira divi lesion, akadai osteoma rwerudyi frontal sinus, achiperekedzwa kutadza kuona zvakanaka mune ziso rimwe. Bilateral chimiro hwapedyo nokukurumidza zvakakwana. Kunoratidza pacharo necheseri Gardner chirwere. Zvinofungidzirwa kuti ichi ndicho chimwe chezvinhu zvikuru ngozi siyana, izvo anoratidza osteoma ari frontal sinus. The oparesheni kunofanira kuitwa iyi nokukurumidza. On pakanyorwa kwakadai zvokurwara neoplasm dzinogona kuonekwa mapoka dzematunhu mapfupa rezasi wamativi, nomuzongoza.

zvekuchipatara mufananidzo

Sei munhu osteoma pamusoro frontal sinus? Zviratidzo nehosha kuitika chete idzodzo zviitiko apo bundu ichikura uye otanga zvazvinoita kuyeuka vasiri tishu. Muchiitiko chino, pangava Kuvhiringidza muropa riparadzirwe mune dzimwe nzvimbo. Izviwo, chinokurwadzai atrophy munyama. Somugumisiro, inowanzotorwa oparesheni akashatirwa kana kuti mugove. Zvingaonekwa anoratidza kuti pathological kuratidzwa pakuti ayo kupatsanura. Somuenzaniso, kuti vanachiremba kuziva hyperplastic bundu. Inokudziridza somugumisiro kukurumidza yokuwedzera dzose mapfupa masero, seari pana inowanzotorwa rukoko. Zvakaguma yakaratidza vanokara thickening mune imwe muchitokisi nzvimbo. Panguva iyoyowo, pamusoro hypertrophied nharaunda mune rive dete pamusoro mafupa. Izviwo, anowedzera mukana wokuti mitswe uye makatsemuka.

hyperplastic chimiro

Izvi mhando bundu aumba kubva masero connective zvinyama uye shwashwa calcification kwaizotevera deposition akasiyana-siyana pamusoro munyu. Vazhinji zvokurwara hyperplastic fomu osteophyte ndiye kutanga danho. Iye localizes kune spinous dzinotsanagura ari nomuzongoza. The zvokurwara angatanga hwokufananidzira zviratidzo chemajoini. Panguva rokuongorora anogona kuwanika pamusoro spinous dzinotsanagura batana bundu. Hazvina nyarara uye mira pamusoro palpation. Vasiri kufamba bhuku anodzokororwa inowanzotorwa siyana.

Kuratidza zvokurwara hyperplastic fomu

Zviratidzo zviri chirwere chingava chinooneka chaiko kuremara. Somuenzaniso, zvinogona yakavakwa-up unopinza inotungamirwa, mapfupa thickening akasunungura asymmetry kumeso kana zvimwe zvikamu muviri. Tikafunga compression midziyo ropa uye tsinga fibers zvingaitika marwadzo uye chiveve. Zvikurukuru, kuratidzwa zvakajeka Data yakanyorwa munzvimbo rezasi wamativi. Mune zvimwe zviitiko, neuropathy angatanga, kutanga kushayiwa ropa wedzerai njodzi chikamu muviri. Hyperplastic osteoma of frontal sinus pane kunzwa compression mukati mhino uye huma. The mucous Kamudzira mhino, kazhinji yakaoma uye vaifurirwa chirwere. Izvi zvinokonzera murwere ane chirwere rhinitis, haagoni kugadziridzwa vasoconstrictor. Kuratidzwa kupfuura ngozi iyo pamwe munhu ari kuzviitirwa zvokurwara, kunyanya, kuruboshwe frontal sinus osteoma anoonekwa rakapinza kuderera kutarisana acuity ziso rimwe. Panguva ino zvinganzi kuwedzerwa tichibatwa kurwadziwa mumusoro, uyewo sokuora zvipusha nezvipusha, achiperekedzwa clonic pfari. In muduku, zvinogona kukonzera kuoma tsinga, mwoyo nokukundikana uye kufema.

zvokurwara Diagnostics

Sezvataurwa pamusoro apa, kudoma chirwere zvakaoma, nekuti yose kukura anomera (ndiro makore 3-4), varwere vari kutendeukira kuna nyanzvi vane zvichemo kwese nedzimwe syndromes uye mamiriro. Differential chirwere rinoitwa mushure ndima murwere X-ray kuzviongorora. Kuonekwa zvirwere achishandisa histological pachisara hypertrophied tishu. Panyaya iyi, chiremba wacho anofanira siya kenza, poriyo, rachitic kuchinja. Initial kuongorora rinoitwa uchishandisa X-ray uye kombiyuta tomography nzira. Panguva iyi zvakakosha kubvisa bundu uye Ewing kuti sarcoma. namamota ava zvikuru nyanyisa uye kufambira mberi nokukurumidza, nokukurumidza chikonzero rufu.

Osteoma of frontal sinus: kurapwa

To musi, pane imwe chete nzira kubvisa chirwere. It is excision kuti zvakanyanyisa vashoma mapfupa tishu. Removal osteoma frontal sinus rinoitwa kushandisa talk yokutindivadza. Nokufamba kupindira akaita kuvhuya chitunha ganda. In rinokosha nguva ungada craniotomy mapfupa cranial. Zvadaro, chiremba anoita kumbonyatsoongorora resection pakati dzakachinjwa nzvimbo. Panyaya iyi, kubviswa nyaya nzvimbo uye osteosclerosis pamwe zvaparadzwa tsinga. Panguva Kupindira panobviswa kwete chete bundu, asi chezvibereko pfupa bwendefa utano zvinyama umo bundu raiva. Nokubviswa osteoma pamusoro frontal sinus riri basa nyaya, kana lesion ari kushingaira kukura, uye pane zvikuru raidudzwa zviratidzo kudzikira mune utano murwere. Kana bundu asingadi kuva uye haakonzeri hanya, zvakakwana kuita dzose inspections uye kutevera-up.

vapore nguva

Pashure pokuvhiyiwa, murwere anozadziswa kudzorerwa. In wokutanga danho kunoitika ezvinhu Zvokusunungurwa chipatara kuvhiyiwa. Pane vatora matanho okudzivisa panowanikwa yechipiri anomera uye kuwedzera rokuzvivandudza rakaita kuti irambe kwendangariro. Mune ramangwana, kuti vapore akarongwa zvakanaka rudzi, zororo uye basa. Murwere ushandiswe chaiyo kudya pamwe yakawanda calcium. Kuti abudirire kutadzisa kukura chirwere zvakakodzera kuita matanho. Vanofanira zvainanga kuderedza ndingangokuvara panowanikwa chikosoro kweinenge mwedzi matanhatu okutanga pashure kuvhiyiwa. Kazhinji, kuitira kudzivisa matambudziko mune zvose zvepuraimari uye yechipiri pakukura chirwere zvakafanira kushanyira chiremba nenguva nenzira. Early chirwere muzviitiko zvakawanda kudzivisa zvakasimba nezvemigumisiro osteoma.