Cavernoma ubuchopho: oonobangela, iimpawu, uphethwe, zonyango, iziphumo

Umhlaza asinto ingaqhelekanga. Minyaka kwandisa inani lezigulane, oncologists. Ithumba isenokuvela naphi na emzimbeni, kunye zikho iimpawu ixesha elide. Ngamnye kuthi, Kakade ke, senze ebuhlungu, kodwa ngaba sikhe ukubhala off inkangeleko yakhe phezu ukudinwa, uxinzelelo oluphezulu lwegazi, okanye iimpawu osteoarthritis. Mhlawumbi ukuba ihlolwe ixesha uze ufumanise isizathu lokwenene? Yamathumba yokuba kukho amabi kuphela kodwa ukuba ingozi. Yintoni cavernoma yobuchopho, yintoni unobangela zalo zonyango, khangela olandelayo.

Yintoni cavernoma

Cavernoma elinye igama - angioma cavernous zobuchopho. Le Ithumba akazalani ukuhamba kwegazi jikelele kwaye naye unxibelelwano olucacileyo, organic kwaye zisebenza.

Ukuba impendulo yalo mbuzo: "cavernoma yobuchopho - uyintoni na," ukuba achaze le. Le ingqondo yamathumba njengoko nemingxuma nemithambo iimilo ezahlukeneyo. Zinezintlu iimveliso igazi kubola. Content ingaba ziingxaki anazo nokuqina inyama negazi egazi, kwaye ezinye kweendonga ethe elibhityileyo. Imilinganiselo cavernomas kunye nenani labo ingahluka. Ngoko entities ezimbalwa zikhululekile ukuba ahlukane omnye komnye yaye ngqo kwamanye ngokusondeleyo.

Ngaphandle cavernoma abe phezu benqumla kunye unomona oluhlaza. It has a ehlambulukileyo-cut, ngokufuthi elirhangqiweyo, kwaye ecandwe ukusuka esikule ezingqonge. In ancedisana elijikelezileyo utshintsho ezimbi. umbala tyheli uya Medulla, esijikeleze nemingxuma, loo nto luphawu lokuba baye ukopha.

Apho inokubuyiselwa khona cavernoma?

Eyendawo yamathumba

Cavernous Ange ubuchopho sivakala nayiphi na inxalenye yayo. Ingaba le ndawo zilandelayo kwasendaweni yayo;

• Neuron - rhoqo.
• Thalamus.
• Le I-.
• Ventricles yengqondo.
• Brainstem.

Izinto ezibangela cavernomas

Amaninzi, cavernoma ubuchopho - ukuma naso. A Ithumba ebubonisayo ithambe kwaye bhetyebhetye xa sicinezelweyo. Xa ohlohliweyo, iyalahleka, kodwa ke kwakhona, ukuba imilo yayo yokuqala, inokuba wopha, nayo eyakhupha isifo.

Isizathu sokuba Esibelekweni - ukugxojwa inguqu noshowo kwaye zisebenza weeseli zeethishu. uqhagamshelo lwemithambo ukuze imithambo kwibakala lokuqala lophuhliso ezingekazalwa kuphakamisa kwesi sifo.

Isizathu ukuba ijwabu nokwenzakala ethambileyo leyo laqalisa ukuyilwa yamathumba nemithambo.

Kananjalo Kukholelwa ukuba ukuyilwa cavernomas kunganegalelo:

• izifo ezosulelayo ithwele usana.
• izinto omzimba kunye arhabaxa.
• Beam radiation.

Indlela ukuqaphela esi sifo? Ziziphi iimpawu uphawu ngenxa kwakhe?

Iimpawu angioma yobuchopho cavernous

Ngokuqhelekileyo, izifo ezifana Cerebral cavernoma nazimpawu. Isigulane andizange ndinikhathaze ngakufuna nto, akukho zimpawu ekrokrisayo. Rhoqo wafumana neoplasm ngexesha kuhlolwa. Kodwa ke, iimpawu ixhomekeke cavernomas indawo kunye nesayizi yayo. Ku waphawula ukuba libizwe abonakalisa kwizigulane kunye Cavernomas kwi esikhondweni ebuchotsheni, kwi ekhohlo okanye ekunene lobe zexeshana ukuya nomhlehlo ngokungqalileyo.

Lo mfanekiso kwezonyango sifo kunye ezi mpawu zilandelayo:

• Yintloko ye ezisisigxina.
• syndrome sokuwa.
• Vela amahlaba.
• Ukubuyisa.
• ubuntununtunu, ukuphazamiseka.
• Walahlekelwa kabukhali kukuva.
• Ukukhubazeka.

Ukuba intloko mandla, kusenokwenzeka ukuba komsipha cavernomas eludongeni. eliphezulu kakhulu ingozi legazi. Kwezi izigulane, kuba 4-23%, kwaye ukuba isigulane ubandezeleka ukopha kwakhona, ngowe-30% yamatyala yenza ukhubazekile.

nemiphumela yezifo

nemiphumela cavernoma ingqondo ikakhulu ezinxulumene zizigulo zemithambo. Kwakunye nale izitshanguba yinqontsonqa zobuchopho. Ithumba Oluma ijwabu ingqondo, kwaye baqalisa ukukhulisa izakhono mpawu njengoko kuchaziwe apha ngasentla. Xa kwenzeka ukopha, Medulla buzane hemosiderin kunye nezinye iimveliso metabolic. Ngenxa yoko, ezinye misebenzi abakhubazekileyo. Ngoko ukuba cavernoma ise nomhlehlo ngokungqalileyo, ukuze aphuhlise iimpawu ezifana:

• Isigulane ulahlekelwa izakhono.
• Alinako ngeliso kakhulu ukuvavanya ngokwabo nabanye.

Ukuba kukho sisilonda esidumbileyoesingaphakathi yasekhohlo okanye ekunene lobe zezomzuzwana, lo gama i-isabelo sinamandla, ezizezi ekunene-zasekhohlo - ekhohlo, ekhohlo-sasekhohlo - ngesandla sokunene, ngoko angavela iimpawu:

• Ukulahleka emasimini ezibonwayo.
• Ephula kwetyala.
• It ephazamisa ubuchule ukubiza amagama.

Ukuba sisilonda esidumbileyoesingaphakathi ayikho kummandla okuvelelayo nomhlehlo zezomzuzwana, zibandakanya onokugula okunjalo:

• Ukuvela nemibono eziviwayo.

Kuyo nayiphi na imeko, ukuba lokalizetsya sisilonda esidumbileyoesingaphakathi kummandla zezomzuzwana, luphawulwa uphuhliso ukuphazamiseka kwengqondo.

Kwakhona, inkqubo yokukrala iqala ubhaqo emva sifo Cavernomas okanye utshintsho sisiba mandundu, yaye imiphumo enjalo:

• Yokopha.
• ingozi Cerebrovascular.
• Uqhekeko kwemithambo yegazi kunye kophulwa yokumpompoza kwegazi yasekuhlaleni.
• Ukwanda ezisebenzisanayo nemithambo kunye ezimfanteni.
• Ukufa.

cavernomas isifo

Izigulane ngamanye amaxesha abaqondi ukuba babe cavernoma ebuchotsheni. Yintoni na ndafunda kuphela emva ukufunyanwa yayo, ngelo xesha bamangaliswe kukuba ngalo lonke ixesha sisekho yayo ithe yabangela ukuba waziva. Xa kwafunyaniswa ukuba ngugqirha uze ulandele uphuhliso wayo kufuneka zibekwe esweni rhoqo.

cavernoma ubuchopho kwafunyaniswa ngenxa zophando zilandelayo:

• Itomography ngekhompyutha.
• intlokoma umfanekiso Magnetic.
• Angiography.
• EEG. Ixabiso le nkonzo ixhomekeke, Kakade ke, phezu kwikliniki esixekweni okanye isigulane baya kuva nkqubo, kodwa ke xa sithetha avareji, ngoko kudibana 1500 engange kungenzeka kakhulu. Noko ke, le ndlela yeyona kangangoko nokumisela ubukho sokuwa.

Ngexesha lamalungiselelo sesigulane unyango kusetyenziswa tractography radiosurgical, nto leyo evumela ukuba ukubala idosi efunekayo.

Izimo for Cavernomas

Kufuneka kuqatshelwe ukuba izifo ezifana cavernoma yobuchopho, akavumeli unyango amayeza Folk and self-amayeza. Ekubeni maxa wambi kwandisa ingozi legazi okanye komsipha kwemithambo yegazi.

Kwakhona akukho kuvumelekile ukwenza le physiotherapy ithumba, zokuthambisa njalo. N., Loo nto ukusebenzisa zonke iindlela ezivuselela nokuhamba kwegazi.

Kuyanconywa ukuba esweni rhoqo Cavernomas ukwenza i MRI kunye EEG. Ixabiso ezi nkonzo ukuba abanye lingakhangeleka liphezulu ngokwaneleyo, Noko ke, kwakhona akuyomfuneko ukuba salindela ukuba ukukhumbula ukuba, xa ke, ezempilo kunye bonke nanto.

ngonyango

Cavernoma akukho iSADC unyango ngamachiza. ukungenelela kuhlinzwa kuyinto kuyimfuneko. Ithumba enqwenelekayo ukususa. Nangona kunjalo, oku akusoloko kusenzeka ngenxa kwindawo yayo. Kwakhona, isigulana sibe phezu kwalo, ukuba akukho kuphazamisana cavernoma. akufunwa ukusebenza kulo mzekelo, kodwa ubungozi ahlale. Isigulana kufuneka abe phantsi kweliso luvo.

Phambi sokuwa yomguli aphathwe anticonvulsants. Kodwa kwakhona kucetyiswa ukuba izigulane loo isiqabu ngokukhawuleza ukusuka neoplasm.

cavernomas eziyingozi kakhulu, nto leyo ibekwe zikhabane inzulu ebuchotsheni kwaye ayikwazi lisuswe. A lot of practice kunye namava kulo unyango analo Institute of Neurosurgery. Burdenko.

imeko ingaqhelekanga apho oogqirha bacebisa ngokususa ithumba, usebenzisa iindlela ezahlukeneyo.

Xa msebenzi kuyimfuneko

Oogqirha kugxininisa ukususwa cavernomas ukuba:

• Ithumba ukumqumbisa sokuwa, yombono.
• Endaweni engekude kwiindawo ezibalulekileyo.
• Cavernoma pravotsiruet zizigulo zemithambo kunye legazi ngokuphindaphindiweyo.
• Ithumba inkulu ngobukhulu yaye kummandla onemfundo ebalulekileyo.

Kulo mzekelo, ugqirha kufuneka ithathele ingqalelo:

• yobudala yesigulane.
• Imilo nobukhulu nethumba.
• Ikhosi kwesifo kunye nezigulo ezinxulumene.
• Ngayo abantu kudala ingenzi.

Ukuba Ithumba akakwazi intsumpa kususwa, kukho ezinye iindlela zale mihla zokususwa.

Techniques for cavernomas ukususwa

Khawuve oko ezinye iindlela yokususa ingqondo cavernomas ngaphandle utyando yemveli, kukho:

• Radiosurgery. Gamma Knife. Faka ku yamathumba ingafikeleleki. Akukho ingozi yokopha. Ukuyeka nethumba ngokupheleleyo.
• Laser therapy. Faka ekususeni ukuqanda kumphezulu. ingozi encinci ukopha nezibhaxu.
• Kriolechenie. Faka nitrogen engamanzi ngenxa yamathumba ezibalulekileyo.

Zonke ezi ndlela zisetyenziswa ekususweni cavernomas kwi-Institute of Neurosurgery. Burdenko. Ukuze kusetyenziswe indlela kwimeko nganye ngamnye kugqitywa kwi-thethwano lonyango, emva kokuba kugqitywe uviwo ngenyameko isigulane.

Lokubuyisa emva kotyando

iinkqubo Ukubuyiselwa maziqale kwangethuba kangangoko ukuthintela ukuba amalungelo yokukhubazeka. Eminye imisebenzi akayi kuba kunokwenzeka ukuba ukubuyisela.

IXesha ekuPhulukenwe nalo emva kotyando kufuneka kwenziwa ziingcali ezinamava. Ufuna iingcebiso noncedo:

• Ugqirha.
• Psychologist.
• Doctor LFK.
• Umzimba.
• Speech therapist.
• Chemotherapist.
• Sebenzisa komzimba.
• abasebenzi Junior.

Postoperatively, qinisekisa ukuba wenza i MRI, uze emva koko ngokuphindaphindiweyo emva kweenyanga 4-6. Oku kuza kunceda ukuqinisekisa ukuba angioma cavernous zobuchopho lususwe.

Inkqubo engcono kunye nemveliso ngakumbi kwimeko yesiqhelo uya kuqhutywa, ukuze ukubuyisela ngokukhawuleza imisebenzi elahlekileyo. Kuba isigulane ngasinye kufuneka inkqubo kwisimo ngasinye. Ngelo isanda, zonke iiklasi kuqhutywa kwimowudi kwisixando, kwaye ukuba akukho kuvuka akukho zingxaki, ungenza ukwandisa le nkqubo.

I-ALS umguli

Oogqirha bathi ukususa cavernomas e phambili yayo kwisithuba seenyanga ezintandathu uye abane engcono. Kwi 70% stop ukopha, 55% ezigulane kunye ukuhlaselwa syndrome unesathuthwane ukuncipha okanye shwaka ngokupheleleyo.

Xa kuphuhliswa nabanesithuthwane syndrome ngenxa cavernoma ixesha elide, ukusebenza unyango kunciphisa.

Ukususa cavernomas ngokufuthi zisetyenziswa kweli nqanaba unyango radiosurgical. Eyona nto ibalulekileyo - ukuba bangalahlekelwa lixesha, ngoko ke amathuba okufumana umsebenzi ezilahlekileyo uze unciphise umngcipheko legazi inyuswe.