Hemangioma vertebra: zviratidzo, nechirwere, kurapwa

Hemangioma - yomunzvimbo kukura midziyo bundu ropa. Kutaura zvazviri ndiye bundu benign, kureva, iye haana metastasizes. Maererano mamiriro mashoko kunoitika pose chegumi munhu panyika, asi muna 99% nyaya hakuiti unooneka uye hakusi utano.

The inonyanya pamusoro siyana, izvo zviri bulging dzepepuru idzodzo paganda. Zvisinei, hemangiomas angatanga pose muviri, uye dzinogona kuonekwa chete netsaona, nekuti inoyerera kazhinji asymptomatic.

Hemangiomas muri mhando mbiri: rirambe richibvira uye cavernous. Rirambe richibvira fomu iri nhete akavakirirwa vascular plexus uye cavernous marongerwo ane interconnected in dzakawanda. Rirambe richibvira hemangioma inokura zvishoma nezvishoma uye anenge hapana ngozi, ukuwo cavernous kazhinji mhosva yematambudziko siyana. Pave siyana bundu kunokosha pakusarudza marapirwo.

Pakati kwose vertebral hemangiomas (kazhinji kunonzi vertebral) kunowanzoitika. Kazhinji, izvozvo kuratidza mifananidzo akabatwa ari chinopedza Disc chirwere, Sciatica nezvimwe zvirwere musana. Kazhinji inokanganisa rezasi thoracal uye yokumusoro lumbar vertebrae. Neoplasm duku saizi hakuiti unooneka uye haatarisiri vavashandire. Bundu rinokura zvishoma nezvishoma, Zvisinei, apo guru hemangioma vertebra anova nechirwere chakakomba, kazhinji rinoda kuvhiya kupindira.

Chii hemangioma ngozi? Chokutanga, pamwe kukura bundu anorumanya pfupa rinenge riri vertebral muviri. It vacharatidza chenguva musana marwadzo. Kana musingadi kutora chero matanho, ane zvakare kuwedzera kunogona kuitika musoro vertebra. Mukana uyu zvinova yakakwirira chaizvo kana bundu anopindura zvinopfuura 50% of vertebral muviri. Mitswe vanowanzorwara munguva yechiitwa uye tiri pangozi zvikuru kuomesa, nekuti Izvi zvinogona kuitika kana musana compression. Murwere anonzwa rakapinza kurwadziwa kumashure, ipapo nokukurumidza kuva kuoma makumbo, uye kutyora weti. Kana vertebral hemangioma kuoma nokutyora, kudiwa kuvhiyiwa uye refu vapore.

Kumwezve kuomesa - kukura bundu compression pamusoro musana kana ayo midzi. Izvi zvichaita kuva zvinoverengeka chetsinga zvirwere: paresis, muviri, havachanyatsogoni nehanya, marwadzo achitevedza tsinga.

The chikuru zviratidzo kukura hemangiomas - marwadzo uye chetsinga zvirwere. Localization (thoracicoinferior uye verhnepoyasnichny nomuzongoza) inoratidza nzvimbo yakaderera ndingangokuvara osteochondrosis kana radiculitis. Zviratidzo musana compression, kana ayo midzi vanomanikidzwa kufunga nezvekenza. An ruzivo wetsinga kana neurosurgeon hakuna kuoma fungira hemangioma.

Chakavimbika kupfuura chirwere nzira - computed tomography (CT) uye simba renyika rinonzi magnetic resonance kuri (MRI). Kana kushandisa nzira idzi, nechirwere hakuzi mubvunzo. Zvisinei, kunyange zvake X-ray pamusoro musana uri bara wakanaka, uye chirwere nzira kazhinji zvakakwana.

Mabatirwo cutaneous siyana vari zvakanaka yakagadzirwa uye asingauyi angamirira matambudziko. Zvisinei, Laser Mabatirwo hemangiomas, iro rinoshandiswa ari pose nzvimbo bundu, hazvina akakodzera ichi Chirwere mune zvakaitika nomuzongoza.

Small rirambe richibvira hemangioma kurapwa inowanzopiwa haamanikidzwi, kazhinji zvinoitika akazvimirira neizvi kukura (involution) ari novobrazovaniya. Specialised kurapwa zvinoratidzwa kana paine marwadzo kana apo yakawanda bundu.

Kuvhiya kubviswa hemangioma kuburikidza rakavhurika kuwana harichambonyanyi kushandiswa, sezvo Nzira iyi harirambidzi dzokororo, asi zviri ngozi ropa. Open kuvhiya vabatwe murwere anenge chirwere hemangioma vertebra rinoshandiswa kuti vertebral mitswe kana compression pamusoro musana, apo zvakakodzera decompression pakati Neural hurongwa.

Radiation kurapa uye sclerotherapy uyewo havana kundosangana inodiwa reshiyo hazvikuvadzi / efficacy.

The nzira chikuru kurapwa pari - percutaneous vertebroplasty tsono. Nokudaro bundu mhango akazadzwa chaiyo simende, izvo kunotadzisa kuitazve uye kunosimbisa vertebral muviri. Zvishoma invasive Kuvhiya uye zvinoitwa pasi zvomunharaunda yokutindivadza. Kudiwa kwenguva refu vapore chiripo.