I-frontal sinus osteoma: ukwelashwa, ukususwa, imiphumela

Ukuphazamiseka okuhlukahlukene ekusetshenzisweni kwamaseli ezakhiweni zomzimba kususa ukwakheka kwezidumbu. Kanti, ama-neoplasms ahlukaniswa abe amahle futhi ayingozi. Okokuqala, ukukhula kancane kancane kuyisici. Izicubu ze-Benign azibangeli ukuphazamiseka kwamanye amahlelo nezitho. Kulesi sigaba se-neoplasms yi-osteoma ye-sinus yangaphambili. Okulandelayo, cabanga ngalezi zifo ngokuningiliziwe.

Ulwazi jikelele

I-Osteoma yesinus iyindlela yokuhlukanisa okungalungile kwamathambo esithambo. Le neoplasm ayifaki amaseli amabi. I-Osteoma ye-sinus ayifuni ukuphazamiseka ekusebenzeni kobuchopho. I-pathology ingaqala ukuthuthukiswa kwayo ebuntwaneni (ekuqaleni) ubudala futhi igcwalise ukwakheka kwayo ngokuphelele eminyakeni eyi-18-20.

Izici

Inkambo yokuqala yalesi sifo cishe ayibonakali. I-osteoma ye-sinus yangaphambili ingabonakaliswa ngokuphelele ngengozi, kunqubo yanoma yikuphi ukucwaninga kwelabhutri. Isibonelo, ngokuvamile i-neoplasm iboniswa yi-radiography ngokulimala kwekhanda. Inqubo yokuthuthukiswa kwesisu, akukho metastasis yamaseli. I-Neoplasm ayithinti izindawo ezixubile zezicubu zomzimba.

Izimbangela

Ochwepheshe ngesikhathi samanje abazi ukuthi yiziphi izinto eziholele ekutheni i-neoplasm. Noma kunjalo, izimbangela eziningi ezivame ukusolakala zibizwa. Phakathi kwabo:

• Imikhuhlane evame ukuxilongwa yisinitis kanye nezinye sinusitis.
• Ukuphazanyiswa kokuhlukaniswa kwezakhi zofuzo zamathambo ngesikhathi se-intrauterine yentuthuko. Lezi ziphazamiso zingashukunyiswa ama-agent aphethwe yi-viral and bacterial.
• Ukungabi ne-vitamin D ne-calcium ukuntuleka.
• Ukulimala nazo zonke izinhlobo zemiphumela yezinqubo zokuxilonga kwelabhutrikhi, ezihlobene nokugqunywa kwesiniso se-maxillary.
• Irradiation, radiographic kuhlanganise.
• Izimo ezingavumelekile zemvelo.

I-osteoma yethoba lonke lingakhula hhayi kuphela emathangeni aphethwe emakhazeni , angaphambili, angasenhla . Ngokuvamile, i-neoplasm iyatholakala emzimbeni we-vertebrae nezinyathelo ezingezansi. I-Osteoma kulezinqubo ze-spinous ayivamile. Kulezi zimo, kubalulekile ukuhlinzeka ngokuxilongwa okuhlukile, ngaphandle kokuthuthukiswa kwama-osteophyte emhlabathini wokuguquka okwamanje okuqhubekayo kwisakhiwo sekholomu ye-vertebral yohlobo olusabekayo.

I-frontal sinus osteoma: incazelo

Lokhu kwendawo kubhekwa njengento evame kakhulu kulolu hlobo lwesisu. Inkambo yesi sifo isuke ingaba yinkimbinkimbi, isikhathi eside. Ngokuvamile, i-sinus osteoma yangaphambili ngaphandle kwemisebenzi yocwaningo ekhethekile itholakala ukuthi inzima kakhulu. Isazi singasithatha lesi sifo uma kwenzeka shintshwe ngezwi lesiguli, phambi kobuhlungu obunzima ekhanda lendalo. Isilonda esisodwa esisodwa, isibonelo, i-osteoma yesinasi yangaphambili efanele, ihambisana nokuphazamiseka okubukwayo kweso elilodwa. Umumo wesigodi uqala ngokushesha. Ibonakala ngokumelene nesifo sikaGardner. Kukholelwa ukuthi lena ingenye yezindlela eziyingozi kakhulu lapho i-osteoma ye-sinus yangaphambili ibonakala khona. Ukusebenza kufanele kwenziwe kulokhu ngokushesha ngangokunokwenzeka. Ngokuphathelene nalolu hlobo lwe-pathology, ama-neoplasms angatholakala ngamagatsha wendawo emathanjeni emiphahla engezansi, ikholomu ye-vertebral.

Isithombe somtholampilo

I-osteoma ye-sinus yangaphambili ibonakala kanjani? Izimpawu ze-pathology zibonakaliswa kuphela ezimweni lapho i-tumor, ikhula, iqala ukuphazamisa izicubu zomzimba ezihlanganisiwe. Kulesi simo, kungase kube nokuphulwa ekuhambeni kwezindawo ezithile. Lokhu, futhi, kuyashukumisa i-atrophy emaqenjini. Ngenxa yalokho, ukusebenza okujwayelekile kwalokhu noma leyo ndawo kuphazanyiswa. Njengoba ukuboniswa kuboniswa, ukubonakaliswa kwe-pathology kuxhomeke ekuhlukanisweni kwayo. Isibonelo, izazi zikhomba isisu esinamandla. Lokhu kuvela ngenxa yokukhula okusheshayo kwamangqamuzana avamile amathambo, agcwele isendlalelo somzimba. Ngenxa yalokho, ukuqina kwe-pathological endaweni ethile ye-element kubonakala. Ngokuhambisana nalokhu, ukuncibilika kwetincuba zamathambo kubonakala eduze nendawo ebizwa ngokuthi i-hypertrophied. Lokhu futhi, kwandisa amathuba okuqhekeka nokuqhekeka.

Ifomu elingenasisekelo

Lolu hlobo lwesisu luvela emangqamuzaneni amathishu okuxhumene nezidakamizwa, alandelwe ukubalwa nokufakwa kwezinhlobo ezihlukahlukene zamanoni. Iningi le-hyperplastic form of the pathology yisigaba sokuqala se-osteophyte. It is localized in izinqubo spinous of the umgogodla. I-pathology ingazibonakalisa ngesimo sezimpawu ezivamile ze-osteochondrosis. Ngesikhathi sokuhlolwa, i-neoplasm enesisindo ingatholakala ezinkampanini ze-spinous. Awubuhlungu futhi awunamatheli lapho ehlushwa. Izinga lomzimba lokuhamba ligcinwa ngaphakathi kwemingcele evamile.

Ukubonakaliswa kwefomu elingenasisindo se-pathology

Izimpawu zalesi sifo zingabonakala zikhubazeka ngokomzimba. Isibonelo, kungenziwa ukwakheka komkhawulo owakhelwe phezulu, ukuqina kwethambo, okuvezwa yi-asymmetry ebusweni noma enye ingxenye yomzimba. Ngokumelene nesimiso sokucindezela imithwalo yegazi namagundane wezinzwa, ubuhlungu nobuchopho bungenzeka. Ngokuyinhloko, lezi zibonakaliso zibonakala ngokucacile esifundeni semikhawulo engezansi. Kwezinye izimo, i-neuropathy ingahlakulela, futhi ukungabi khona kwegazi kuyingxenye ethintekayo yomzimba kungase kuthuthuke. Ngama-osteoma angenasisekelo e-sinus yangaphambili, kunomzwelo wokucindezela ngaphakathi kwesikhumba esiswini nasemaphethelweni. I-mucosa yama-nasal ngokuvamile isomile futhi ijwayele ukutheleleka. Lokhu kubangela iziguli ukuba zibe ne-rhinitis engapheli engakwazi ukuqedwa yi-vasoconstrictors. Ukubonakaliswa okunobungozi kunazo zonke, okuhambisana ne-one-side pathology, ikakhulukazi, i-osteoma yesinxele yangasese yangakwesokunxele, ukunciphisa okubukhali kweso elibonakalayo leso. Kulokhu, ngokuhamba kwesikhathi, ukuhlaselwa ubuhlungu obukhulu ekhanda kungase kwengezwe, kanye nokuhlukunyezwa komtholampilo okuhambisana nokuphefumula kwe-clonic. Kusukela esemncane kungabangela ukukhubazeka kwesimiso sezinzwa, ukuboshwa kwenhliziyo nokuphefumula.

Ukuxilongwa kwe-pathology

Njengoba kushiwo ngenhla, kunzima ukuthola lesi sifo, ngoba phakathi nokukhula kwe-tumor (futhi lokhu sekuyiminyaka engu-3-4), iziguli ziphendukela kubachwepheshe ngezikhalazo ezijwayelekile kwezinye izimo nezimo. Ukuxilongwa ngokuhlukana kwenziwa emva kokuba isiguli sihlolwe i-X-ray. Ukuthola lesi sifo kwenziwa ngokusebenzisa ukuhlaziywa kwe-hertological kwezicubu ze-hypertrophied. Kulesi simo, isazi kufanele singabandakanyi isisu esinonya, i-poliomyelitis, kanye nokushintsha kwe-ricket. Ukuhlolwa okuyinhloko kwenziwa ngokusebenzisa i-X-ray indlela kanye ne-computer tomogram. Kulesi sigaba, kubalulekile ukukhipha i-sarcoma ne-Ewing's tumor. Lezi zinhlayiya zihlukaniswa ngezinga eliphakeme lokulimala futhi, ngokuqhubekayo ngokuqhubekayo, maduzane kubangela umphumela obulalayo.

I-frontal sinus osteoma: ukwelashwa

Kuze kube manje, kunendlela eyodwa kuphela yokuqeda i-pathology. Kuyinto yokweqa kwezicubu zethambo elidlulele ngokweqile. Ukususwa kwe-osteoma yesinasi sangaphambili kwenziwa ngokusebenzisa i-anesthesia ejwayelekile. Phakathi nokungenelela, isikhumba sivuliwe. Ezimweni ezikhethekile, i-trepanation ye-bone cranial ingadingeka. Emva kwalokhu, udokotela ohlinzayo uqhuba ukuqhutshwa okuphelele kwendawo eguquliwe. Ngesikhathi esifanayo, izindawo ze-osteosclerosis ezinezitsha zegazi ezonakalisiwe nazo ziyakususwa. Ngesikhathi sokungenelela, hhayi kuphela i-neoplasm ngokwayo, kodwa futhi ingxenye yepuleti lezincuba zethambo enempilo, lapho i-tumor itholakale khona, iqedwa. Ukususwa kwe-osteoma sinus yangaphambili kunqunywe lapho kwenzeka ukuthi lesi sifo siphumelele futhi kunezibonakaliso ezanele zokukhubazeka empilweni yesiguli. Uma i-neoplasm ingakhulumi futhi ingabangeli ukukhathazeka, kwanele ukuqhuba ukuhlolwa okuvamile nokubuka okunamandla.

Isikhathi sokuvuselela

Ngemuva kokuhlinzwa, isiguli siyabuyiselwa. Esigabeni sokuqala, ukuvuselelwa kwenzeka esibhedlela sokuhlinzeka. Lapha, izinyathelo zithathwa ukuvimbela ukubukeka kwesibili kwe-neoplasm nokusheshisa izinqubo zokuvuselela. Esikhathini esizayo, ukulungiswa kabusha kuqukethe inhlangano efanele yokubusa kanye nokusebenza kombuso. Isiguli sigciwe ukudla okukhethekile nge-calcium enkulu. Ukuvimbela ngempumelelo ukuthuthukiswa kwempilo, kubalulekile ukufeza izinyathelo zokuzivikela. Kumelwe kuhloswe ukunciphisa amathuba okubanda okungenani izinyanga eziyisithupha zokuqala emva kokuhlinzwa. Ngokuvamile, ukuvimbela izinkinga kokubili ukuthuthukiswa okuyisisekelo nesekondari, kubalulekile ukuvakashela udokotela ngesikhathi esifanele. Ukuxilongwa kokuqala ezimweni eziningi kugwema imiphumela ebuhlungu ye-osteoma.