Hamartoma o pūkahukahu: take, tohu, maimoatanga

Hamartoma o pūkahukahu he hakari hanganga dizembrionalnoe motuhake ngā pai io o te wāhanga o te parenchyma taiepa, me te pukapuka arahau. Pākatokato i whakaahuatia tuatahi i roto i 1904.

Overview

I raro i hamartoma auraa te puku Koló o te pūkahukahu, e Kei roto te ngohe, iaia me te hanganga kaiota. Kei te nuinga o te wā paetata māuiuitanga i te roto o te parenchyma pūkahukahu, e tika ana ki to ratou rahi iti kua tata kore pānga i runga i te mahi o nga whekau.

Hamartoma tohu te hanganga porohita kotahi o te kakano pūrerehu, te rahi o e rerekē i 0.5 ki te 5 cm. Nuinga o Pākatokato kore rerekē hinaaro ki te hua whakamua, engari i roto i te mahi hauora e mohiotia take o te whakatau i te haafifi i ki te hua āta i roto i te whānui māuiuitanga. I roto i te pukupuku pūkahukahu katoa hamartomas faaiteiteraa Koló āhua maha (60% o te wā). Kei te nuinga pāngia te mate i roto i nga tane.

etiology

Lung hamartoma whanake tika ki maumaui o te whanaketanga fetal ko tonu i roto i te wā embryonic. Kei a ia ko ngā momo o ngā huānga kopa embryonic, me wāhanga rite i te natura o te tinana i roto i nei tika kei reira. Ko te rerekētanga matua i te hamartomas teratoma tenei. te tikanga ngā o primordia me kikokiko āhuatanga manene ki te okana i roto i nei paetata reira te whakamutunga.

whakarōpū

I roto i te katoa i reira e rave rahi whakarōpū o te mate. E ai ki te predominance o Koló kiko pūkahukahu puku ko:

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

Tei runga i te maha o te pukupuku te wehe māuiuitanga kotahi me rerekē maha. Localization endobronchial tuku, intrapulmonary subpleural me te mātauranga.

pikitia haumanu

e kore e taea e Hamartoma te marama mo te wa roa faaite mai i te tohu āhuatanga. Ko te hanganga whakamua te nuinga o subpleural tahi e te mamae hūhi i roto i te rohe pouaka. Ki te hanga e hamartoma o taiepa ngōrahi, rite reira e taea te whakapōrearea i te uruhanga o te bronchi. I roto i tenei take, amuamu tūroro o te mare nui ki wehenga sputum muco-purulent, i roto i te wā onge reira he hemoptysis.

tātaritanga

Nā ki te meka i ko te nuinga asymptomatic te māuiuitanga, ko reira taea ki te kitea anake i roto i te tirohanga ngā. Hoki tākuta haumanu atu taipitopito whakatakoto whakamātautau radiological, i nei kitea te atarangi o āhua porotaka o rerekē te rahi ki te takiwa tika mawhatu ranei. Ko te tikanga, i whakaritea te X-ray inclusions calcareous. Ko e tika ana ki te kaha o nga atarangi ratou tau. Ki te noho koe i ako roa hihiri, e taea te kite i te reira e te huri i te rahi o te hamartoma pūkahukahu rawa āta. I te tahi atu te ringa, kei te ahu whakamua tere te kaha o nga putunga kotakota.

Mātauranga whakakitea āhua endobronchial hāngai, me te autaki tohu. I roto i te take tuatahi ko te reira e pā ana ki te puku porohita ki tapa maeneene me te koi, detectable i te X-ray. faaiteraa autaki - he atelectasis, hypoventilation, me era atu tohu o te takahi o te kawe ia arahau.

Kei te hoatu he tūranga motuhake ki te tātaritanga pārōnaki. He mea tino nui e kore ki te whakapoauau tenei ki te māuiuitanga o te pukupuku pūkahukahu piringa , me te tuberculoma.

He aha kia tukinotia?

I roto i te kōrero kia te tuatahi o te katoa te tākuta ki te korero ki te mea ko te hamartoma o te pūkahukahu, ai o mate, me te maimoatanga tika. maimoatanga Drug, heoi, i roto i te whawhai ki tenei raruraru ko hua. E riro taero rongoā anake ki te whakaiti i tohumate.

tūtohu tūroro katoa pokanga te kahore okotahi. Ki te mea kua whakapumautia te tākuta te tātaritanga "hamartoma o pūkahukahu", whakaaro te mahi te ki hei mehua mutunga. Ki te whakapae koe te māuiuitanga ngā (hei tauira, mate pukupuku piringa) he reira e tika ana ki te hoatu hiahia ki thoracotomy.

Hamartoma nekehia atu e husking resection o pūkahukahu kiko ranei. whakamana ana te mahi kei te whakamahi i purena tikanga, e mawehe vahi ngaukino. A, no te contraindications whanaunga ki tenei momo o te wawaotanga he whakaaetia mātakitaki hihiri o te manawanui mo te marama torutoru. I muri i tenei wā kua riri hāngai te pātai o te mahi i runga i te aroaro ngaro o te whakanui ake i te whakamarumaru i runga i te radiograph ranei.

E titau te reira i te huarahi hamartoma endobronchial paku rerekē. Treatment i roto i tenei take titau te tango i te bronhotomii mātauranga resection taiepa okana ranei.

outlook

Kei te tipu haere rawa āta Hamartoma, engari ka taea e tae hanganga ammonite. Fanauraa i roto i tona repara he tino onge. E ai ki te kōrero tatauranga e wātea ana, e kore ko te taea o te repara neke atu i te 7% o te wā katoa. kia whakawhānui repara i roto i rua wähanga epithelial me mesenchymal i roto i te hanganga, i aru i te metastasis ki taikiri, ate me te tuarā tangata.

Te ti'aturi nei tatou e te whakatakotoria atu i roto i tēnei tuhinga katoa, ka waiho i te mōhiohio mō koutou ki te mau kia whai hua. E noho hauora!