Granuloma - yog dab tsi? Granuloma: kev kho mob, ua rau

Niaj hnub no, cov tshuaj distinguishes ob peb hom hlav ntawm tib neeg lub cev nqaij. Ib tug ntawm lawv - ib tug granuloma. Yuav ua li cas yog nws? Dab tsi ua rau tus kab mob? Yuav ua li cas los kho granuloma? No thiab lwm yam teeb meem sib tham txog nyob rau hauv tsab xov xwm.

Granuloma nruab nrab yog ib tug focal overgrowth ntawm connective cov ntaub so ntswg hlwb, uas muaj hauv daim ntawv ntawm tuab cov pob caus ntawd. Tsim yog benign thiab laus ob leeg rau ntawm daim tawv nqaij nto thiab tsis pub dhau rau ntau yam nruab nrog cev thiab cov nqaij.

Granuloma: Ua

Tsim kab mob raws li ib tug tshwm sim ntawm lub inflammatory txheej txheem, uas tej zaum yuav muaj kab mob thiab uas tsis yog-kis xwm, raws li zoo raws li ib tug unspecified etiology. Kis kab ua growths protrude kab mob xws li typhus thiab typhoid, tuberculosis, brucellosis, syphilis, tularemia, rheumatic fever, encephalitis, kab mob dev vwm. Kis kab xwm nodules tsim nyob rau hauv cov neeg uas muaj nyob rau hauv kev sib cuag nrog beryllium tebchaw, asbestos, silicates, talc. Kev kawm ntawv tseem yuav tsim nyob ib ncig ntawm lub teb chaws lub cev ntes tau nyob rau hauv lub cev.

Lub mechanism ntawm tsim

Tshwm sim inflammatory npuas thiab nws ntxiv transformation yuav ob peb theem:

1. Nyob rau hauv qhov chaw ntawm daim tawv nqaij puas tsuaj accumulates tsis paub qab hau monocytes.

2. Hluas monocytes paub tab mus rau hauv macrophages.

3. Paub tab macrophages, thiab tsim nyob rau epileptoidnye hlwb.

4. Macrophages thiab epileptoidnye hlwb fuse.

5. Giant hlwb yog tsim.

6. Sclerosis cov ntaub so ntswg.

Cov kab uas hla ntawm ib tug raug granuloma yog tsis pub dhau 2 millimeters, tab sis muaj nodules ntawm loj ntau thiab tsawg pab. Neoplasms yuav muaj ceev thiab qeeb metabolism. Nyob rau hauv tej rooj plaub, lub growths mus tam sim ntawd, nyob rau hauv lwm tus neeg - yuav tsum tau kev kho mob. Nyob rau qhov no, tus granulomas yog txwv kom muab zais rau hauv subtypes.

eosinophilic granuloma

Tus kab mob no tshwm sim nyob rau hauv cov me nyuam, nyob rau hauv uas tsis tshua muaj mob - nyob rau hauv cov tub ntxhais hluas. Cuam tshuam rau daim tawv nqaij, hauv nruab nrog cev, cov pob txha yuav eosinophilic granuloma. Yuav ua li cas yog nws xyov yog tseem nrhiav tsis tau, vim hais tias muaj yog tseem tsis tau paub qhov tseeb ua rau ntawm no pathology. Peb qhia rau koj txog lwm ces ntawm tus kab mob.

Eosinophilic granuloma manifests ib los yog ntau yam kev tsis taus nyob rau hauv cov chaw zov me tubular thiab tiaj tus pob txha ntawm tus cranial vault, nyob rau hauv lub femur thiab pelvic cov pob txha, tav, nyob rau hauv lub pob txha caj qaum. Ntaus cim rhiab thiab o ntawm lub cuam tshuam cov cheeb tsam.

X-rays nyob rau ntawm ib thaum ntxov rau theem pub rau peb saib lub pathology ntawm cov pob txha tsis xws luag nyob rau hauv ib tug sib npaug lawm. Nyob rau hauv lub tom qab ua sawv ntawm o foci coalesce rau hauv ib lub cell. Kev kawm ntawv yog tsis phem, mob xwm, feem ntau tsis vam meej. Rau loj qhov chaw ntawm o ua tau lov thiab lub tsim ntawm cuav pob qij txha. Nrog rau cov localization ntawm lub pathological txheej txheem nyob rau hauv cov pob txha ntawm ob txhais ceg, yog ib tug thooj ntawm cov pob txha, cov nqaij mos o, thiab tej zaum yuav tsim nqaij Atrophy. Tus neeg mob pom tau tias unwell, limp, tsis kam noj mov, nws yuav ua rau kom qhov kub thiab txias. Tej tsis ruaj tsis khov tsos mob. Nyob rau tib lub sij hawm tsom xam ntawm cov ntshav ntawm tej deviations los ntawm cov cai tsis qhia. Lub fuzziness ntawm kev soj ntsuam cov tsos mob yuav ua rau nws nyuaj mus nrhiav kom tau ib tug muaj tseeb kuaj mob. Rau kev kho mob feem ntau yog yuav tsum tau radiotherapy los yog kev phais.

botryomycoma

Pyogenic granuloma los yog botryomycoma, - ib tug benign qog, muaj rau hauv daim ntawv ntawm ib tug mushroom rau ib tug soj caum. Kev kawm ntawv tej zaum yuav ua tau ib tug ob peb lub hlis tom qab ntawm lub qhov koob, tej qhov nqaij ntuag, kub nyhiab los yog lwm daim tawv kev puas tsuaj. Nyob rau hauv lub ntsej muag ntawm lub qog tsa noob taum-sized tsaus liab khoom taub hau. Kev Kawm Ntawv lub qhov me ntsis. Nyob rau hauv thawj zaug rau theem papule muaj ib tug du nto, ces muaj yog ib tug ib nrab kev qhia txog lub granulomas thiab, dhau li ntawm cov ntshav, kua paug. Feem ntau cov feem ntau pyogenic granuloma yog laus rau lub ntsej muag thiab extremities, nyob rau hauv uas tsis tshua muaj mob - nyob rau hauv tus nplaig, daim di ncauj, genitals. Cov kab uas hla botryomycoma tej zaum yuav 3-4 centimeters, tab sis ntau txoj kev kawm ntawv muaj ib tug ntau me me luaj li. Tus kab mob no yog zoo li ntawd nyob rau hauv lub hauv paus ntawm cov kab mob xws li keratoacanthomas, angiomas, Kaposi lub sarcoma, kab mob qog hlav. Tab sis tus neeg mob mob cancer nyob rau hauv lub degeneration botryomycoma twb tsis kaw.

Yog hais tias paub hais tias pyogenic granuloma, kev kho mob yog nqa tawm siv cryoablation, laser cauterization, electrocoagulation, ib tug tov ntawm cov nyiaj nitrate cauterization. Yog hais tias pyogenic granuloma dav ceg, nws tshem tawm tej zaum yuav tsis tag, nyob rau hauv uas cov ntaub ntawv nws yog pom zoo kom siv cov qauv ntawm cov kev phais excision.

granuloma annulare

Tej kev kawm ntawv - heev hauv daim ntawv ntawm dermatosis benign xwm. Granuloma annulare (pictured hauv qab no) yog nyob rau hauv daim ntawv ntawm ib tug nplhaib, lub hauv paus yog ib feem ntawm uas yog noj qab nyob zoo. Cov kab uas hla ntawm lub foci ntawm o yog feem ntau 2-3 cm, txawm hais tias muaj arcs los yog rings ntawm gigantic proportions. Tsim no hom ntawm granuloma yog feem ntau nyob rau hauv cov me nyuam thiab cov tub ntxhais cov poj niam.

Lub caij nyoog ua ntawm tus kab mob yog tsis tsim tsis tau. Granuloma annulare tej zaum yuav vim:

• mob ntshav qab zib;

• carbohydrate metabolism;

• txhua yam kev raug mob;

• kho nti thiab tattoos;

• cos, cos, herpes tawm;

• tom kab thiab dev mub;

• kub nyhiab.

Muaj plaub yam ntaub ntawv ntawm granuloma annular, nyob ntawm seb qhov chaw.

laus daim ntawv

Nyob rau hauv 90% ntawm cov neeg tshuaj mob laus daim ntawv nyob rau hauv cov me nyuam. Kab Mob muaj feem xyuam rau tus taw thiab txhais tes, loj pob qij txha, nyob rau hauv uas tsis tshua muaj mob, lwm qhov chaw ntawm lub cev. Feem ntau, cov kev tsim tsev hearth txoj kab uas hla mus rau 5 cm, muaj ib puag ncig, kheej li lub qw los yog lus (muaj tsawg heev) zoo lawm. cov tub ntxhais ntawm lub chaw no tsis cuam tshuam. Nrog xws pathology raws li ib tug laus granuloma, kev kho mob yog tsis yuav tsum tau, raws li cov pob feem ntau ploj rau lawv tus kheej lub sij hawm.

Subcutaneous annular zoo

Qhov no pathology yog pom xwb nyob rau hauv cov me nyuam nyob rau hauv 6 lub xyoo. Kev kawm ntawv yog laus rau tus ntiv tes, luj tshib, hauv caug, ob txhais ceg, saum tawv taub hau.

disseminated daim ntawv

Nws thiaj paub tias yog nyob rau hauv cov neeg tshaj 50 xyoo. Qhov no zoo ntawm dermatosis captures loj cheeb tsam ntawm lub cev, feem ntau laus nyob rau extremities, ua pob ua xyua coj rau hauv daim ntawv ntawm bubbles coalescing.

perforating daim ntawv

Nyob rau hauv tsawg tus neeg mob muaj peev xwm tsim perforating daim ntawv - ib tug zoo ntawm lub nplhaib-puas granulomatosis. Muaj feem xyuam rau lub ob txhais tes, ntiv tes, kev kawm ntawv yuav siv sij hawm rau hauv daim ntawv ntawm papules, uas nws thiaj li hloov mus rau hauv cov quav hniav. Yeej granuloma tuav lawv tus kheej, tiam sis yog nws muab ib tug neeg tsis xis, koj yuav tau mus ua kom tiav kev kho mob nrog corticosteroids. UFO kuj ua txoj kev kho, kev kuaj, kev phais excision.

hniav granuloma

Hniav granuloma - yog dab tsi? Qhov no pathology ntawm cov kev kho hniav daim ntawv so ntswg thiab cov pos hniav uas muaj ib tug me me degree ntawm lub hauv paus. Ntev lub sij hawm muaj mob yuav tsis manifest nws tus kheej. Thaum lub sij hawm, muaj mob, gingival cheeb tsam yuav reddened thiab o. Granuloma yuav ua kev puas tsuaj thiab hniav poob. Tsim xws pathology raws li ib tug tshwm sim ntawm kab ncig, puas los yog hniav raug mob, cov kev kho mob ntawm kab mob.

Qhia granuloma hniav X-rays pab. Heev feem ntau tus kab mob no kuaj ntawm tom qab ua sawv, uas yog vim li cas koj yuav tsum ua tib zoo saib xyuas qhov ncauj, cov hniav mus ntsib, raws sij hawm kho caries. Lub txim ntawm kev kho hniav granulomas yog txaus tsis kaj siab thiab txaus ntshai. Nws yuav ua tau rau:

• feem los sis tag kev puas tsuaj ntawm cov hniav cov ntaub so ntswg;

• admaxillary rwj;

• purulent cellulitis;

• osteomyelitis ntawm lub puab tsaig;

• cyst puab tsaig;

• mob rau tus hniav hauv paus;

• sinusitis;

• pyelonephritis;

• shock mob cov ntaub so ntswg;

• sepsis.

Radical growths yuav qhia ib tug kev hem thawj. Yuav kom tiv thaiv qhov tshwm sim ntawm inflammatory nodules rau lub hauv paus ntawm ib tug hniav, nws yog tsim nyog nyob rau hauv cov slightest mob los yog o ntawm cov pos hniav tam sim ntawd hu rau ib tug kws kho mob. Yog hais tias tus mob yog paub tseeb hais tias, kev kho mob yog conservative thiab phais txoj kev. tus hniav nws tus kheej muaj peev xwm yuav khaws cia nyob rau thawj zaug ua sawv ntawm lub pathological txheej txheem.

tiv thaiv kev ntsuas

Tom qab nyeem ntawv no tsab xov xwm koj yuav kawm ntxiv txog qhov no kev kawm raws li ib tug granuloma. Yuav ua li cas yog nws thiab yog dab tsi txoj kev yuav siv los kho, peb twb tau hais. Tseem Kuv xav nco ntsoov txog kev tiv thaiv. Yuav kom tiv thaiv no pathology yog tsim nyog los ua ib tug noj qab nyob zoo txoj kev ua neej thiab kev kho mob soj ntsuam. Qhov no yuav tso cai rau lub sij hawm los txheeb xyuas cov thawj tsos mob qhia tias muaj mob thiab ntse kho nws.