Hamartoma o akemāmā: kumu, symptoms, lapaʻau

Hamartoma o ke akemāmā i kekahi mau kūikawā dizembrionalnoe ho okumu iloko olaila advantageously o na eiiiiiaiou o ka bronchial paia a me ka akemāmā parenchyma. anomaly i ho'ākāka 'ia ma mua i loko o 1904.

Overview

Ma lalo o hamartoma pili i ka benignʻeho no ka akemāmā, i ka loaʻa o cartilage, vascular a me fibrous 'ole. Pathology ua ana IIeEeAIEUIeXAIIUE ma ke Keena Kalaiaina o ke akemāmā parenchyma, ma muli o kā lākou i ka poe liilii, ka nui i kokoke ole ia ma luna o ka functioning o na nā loko.

Hamartoma mea he hookahi hoʻopoepoe ho okumu ana o ke anuanu hana mau, no ka nui o ka i loli aʻe mai ka 0.5 hiki i 5 knm, ke anomaly, e like me ka rula, aole ia e oko i ka welelau o i ka holumua ai mahuahua ana, akā, ma ka 'inikua me ka hana pono, aia no na hihia i maopopo ai i ke au i ka gradual mahuahua i loko o ke anawaena o ka pathology. I waena o nā mea a pau akemāmā hikoko hamartomas benign ano hōʻike nō ia o pinepine (60% o nā hihia). I ka maʻi uaʻano nui diagnosed ma kāne a pau.

etiology

Akemāmā hamartoma e hoʻomōhala ana i ku pono i ka 'aʻe' ana o fetal? Acaeoey ia hoʻi nō i loko o ka embryonic wā. Ua Ua haku o nāʻano likeʻole o ka oihana mua o ka embryonic nā'aʻaʻa, e like me like ma ke ano maoli, na eiiiiiaiou o ke kino i loko o i ia mea pololei. 'O kēia ka papa likeʻole, mai ka teratoma hamartomas. I ka hope 'ana he o primordia a me ka'aʻaʻa hehee wale malihini i ka hui, ma ka i ka mea ua IIeEeAIEUIeXAIIUE.

Mea Maluna

A oaeii, loaʻa nō kekahi mau Mea Maluna o ka maʻi. E like me ka predominance o benign akemāmāʻeho'aʻaʻa mea:

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

Ke kaumaha ma muli o ka helu ana o hikoko maopopo hookahi, a mau Lolina pathology. IIeEeAIEUAA hookuu endobronchial, subpleural intrapulmonary a me ka hoʻonaʻauao 'ana.

lapaʻau kiʻi

Hamartoma malamalama no ka lōʻihi manawa hiki ole hoike i ke ano symptoms. Subpleural e holumua ai ka hoʻonaʻauao ua ana pu ma kaʻeha discomfort i loko o ka pahu wahi. Inā hamartoma i hanaʻia o ka bronchus pa, e like me ka mea hiki loko i ka permeability o ka bronchi. Ma keia hihia, e hoomanawanui i ohumu o ka loa cough me ka huikala muco-purulent sputum, ma ka pohihihi keia manawa he mea hemoptysis.

ʻike,

Aie i ka mea i ka pathology ka puleʻAmelika, asymptomatic, he mea hiki, e huai ae wale iloko o oaeouee? Nana. No ka nui loa o ka pae'āina lapaʻau kauka prescribes radiological ninaninau, ma i 'akomi i ka aka o ua hoʻokōʻia kinona o kekahi mau nui like' ole me ka pololei a me wavy contours. I hookuu, me ka X-Ray manao calcareous inclusions. Lākou helu mea ku pono i ka nui o ka aka. Inā e lilo loa hōʻeuʻeu study, ka mea hiki ke ike i ka nui o ke akemāmā hamartoma ua hoʻololi loa lohi. Ma ka kekahi lima, i ka nui o ka Lime hoʻokomo kālā ua holo pono hikiwawe loa.

Education kauoha a me kaʻauhau'ēʻaʻe hoailona endobronchial ano hoike. Ma ka hihia mua ia mea e pili ana i ka sphericalʻeho me ka malimali a me kaʻoi lua nāna, detectable ma ka X-Ray. ʻauhau'ēʻaʻe hoikeana - ka atelectasis, hypoventilation, a me na hana mana e o ka 'aʻe' ana o bronchial conductivity.

ua hāʻawiʻia i ka palena pauʻike, A kūlana kūikawā. He loa nui ole, e hookahuli ai i kēia me ka pathology o kaʻike ākea akemāmā Ka maʻi 'aʻai , a tuberculoma.

He aha e e hana?

Iloko o ke kuka ke kauka e mua o nā mea a pau a hiki i ka mea he hamartoma o ke akemāmā hai aku, ke kumu o ka maʻi a me ka kūpono lapaʻau. Lāʻau lapaʻau, Eia naʻe, i loko o ke kaua e kū'ē i kēia pilikia mea ineffective. i lawe wale lāʻau lapaʻau ai 'e ho'ēmi i symptoms.

A pau e hoomanawanui iʻoki kino ua pono ole a koe. Inā ke kauka ua hoʻopaʻa i kaʻike, "hamartoma o akemāmā", i ka hana ua manaoia e e unconditional ana. Inā e manao kekahi ua pathology (no ka laʻana,ʻike ākea Ka maʻi 'aʻai) ia mea pono, e haawi aku ana kāu mau koho i ka thoracotomy.

Hamartoma weheʻia ma ka husking resection a akemāmā'aʻaʻa. Ke hana ua hana ka hoʻohana 'ana VATSʻano hana, a hookaaokoa ae mai o traumatic incisions. I ka wa i pili contraindications a hiki i kēia 'ano o ka' uao hoi ana hōʻeuʻeu kilo o ke ahonui i kekahi mau mahina. Ma hope iho o kēia wā o ka ninau o ka hana ua hooholoia ma muli ma ke alo paha kaawale o ka hoʻoulu i ka malu ma luna o ka radiograph.

Ua pono ka iki okoa hoʻokokoke endobronchial hamartoma. Lapaʻau ma keia hihia hoʻohuʻu he pio ma ka hoʻonaʻauao bronhotomii resection a hui, kēia pā pōhaku.

Outlook

Hamartoma oia e ulu nui loa lohi, akā, hiki iaʻu ke loaa ole gigantic huliāmahi. Rebirth i loko o kona malignancy ka'āina pohihihi keia. E like me ka mea i loaʻa ana helu 'ike, i ka manawa kūpono o ka malignancy mea i oi aku 7% o na hihia a pau. Malignancy ke ana i loko o nā epithelial a me ka mesenchymal ke keʻena i loko o ke kahua, i ukali ia e metastasis e lymph aka wahi, ake a me kanaka spine.

E manaolana aku kakou i ka mea a pau i helu 'ia i loko o kēia' atikala, i ka 'ikepili e lilo no oe i nae e maikaʻi kēia. E hoʻokaʻaʻike ola!