Frontal sinus osteoma

Pali zotupa zomwe zimapangidwa kuchokera ku minofu ya mafupa, monga lamulo, iwo ali abwino. Zikodzo zoterezi zimaphatikizapo osteoma ya sinthri yoyamba. Kupititsa patsogolo kwake kumachitika pang'onopang'ono ndipo kwa nthawi yayitali sitingadziwe, makamaka ngati chotupacho chiri pamtunda wa mafupa a chigaza.

Zomwe zimayambitsa osteoma za machimo oyenera ndi omanzere

Palibe deta yeniyeni yeniyeni yomwe imayambitsa kukula kwa ziphuphu za mafupa. Mfundo zambiri:

• cholengedwa chobadwa;
• zojambula zamtundu;
• syphilis;
• rumatism ;
• gout;
• Kuvulala koyamba koyamba.

Zizindikiro ndi matenda a frontal sinus osteoma

Nthawi zambiri zachipatala, zizindikiro za chotupa sichiwonetsedwa chifukwa cha malo ake - kunja kwa minofu ya mafupa. Matendawa atha kupangidwa pambuyo poyezetsa matenda a x-ray, osankhidwa ndi matenda ena.

Nthawi zambiri, osteoma ili mkati mwa sinthri yoyamba ndipo, pamene ikukula, imayambitsa zizindikiro zotsatirazi:

• kupweteka kwakukulu;
• matenda a khunyu;
• chisokonezo chowonjezeka;
• zovuta kukumbukira;
• ataxia;
• kumva, kuona ndi kununkhiza;
• kusokoneza kupuma kwa pakhosi;
• Matenda a hormoni (kawirikawiri).

Vuto lalikulu pofufuza ndilokuti mawonetseredwe a chipatala omwe ali pamtunduwu ali ofanana ndi njira zina zowonongeka, monga carcinoma, osteochondroma, fibroma, osteosarcoma. Komanso, osteoma ikhoza kukhala ngati poliomyelitis osatha.

Kufufuza kumaphatikizapo kufufuza minofu ya mafupa m'madera osankhidwa, computed tomography (CT).

Kuchiza kwa frontal sinus osteoma

Ndi chotupa chochepa chomwe chimapezeka kumtunda kwa fupa, kuyang'anitsitsa nthawi zonse ndi CT kukulimbikitsidwa. Ngati chotupacho sichimayambitsa ululu ndi zovuta, chithandizo chapadera sichifunika.

Pa nthawi imene osteoma imapangitsa kuti mitsempha ikhale yamapeto ndipo imayambitsa chimodzi kapena zingapo zazizindikirozi, kupititsa opaleshoni kumaperekedwa. Palibe mankhwala osokoneza bongo chifukwa cha chotupa.

Ntchito yochotsa frontal sinus osteoma

Masiku ano, pali njira ziwiri zoyendetsera ntchito zotere: zachikale ndi zosaposera:

1. Njira yoyamba imagwiritsidwa ntchito ndi miyeso yodabwitsa ya kumangapo ndipo imapeza mwayi wopita kunja kwa neoplasm. Kuchita opaleshoniyi kumakhala koopsa kwambiri ndipo kumafuna nthawi yaitali yowonzanso (pafupifupi miyezi 1-2), pambuyo pake pali zilonda zooneka bwino, ndipo zingatheke kukonza pulasitiki.
2. Njira yachiwiri ndi yochepa kwambiri. Mitundu ya 2-3 imapangidwira m'malo osteoma, momwe zimagwiritsira ntchito zipangizo zamakono komanso makina opanga mafilimu ochepa kwambiri, kuti dokotalayo aone momwe ntchito ikuyendera mu nthawi yeniyeni. Opaleshoniyi imalekerera kwambiri ndi odwala, imaphatikizapo kuchira mwamsanga ndi kuchiritsa kwa mapira ofewa, pafupifupi masamba osapsa.

Ndikofunika kuzindikira kuti pamene mukuchita opaleshoni, onse okalamba ndi omaliza, si osteoma okha omwe amachotsedwamo, koma ndi mbali ya minofu yathanzi pozungulira iyo ndi pansi pa chotupacho. Izi zimachitidwa kuti athetseratu maselo onse a mafupa osamalidwa bwino, komanso kupeŵa kubwereza kwa matendawa ndi kubwereza mobwerezabwereza kwa malo omwewo.

Zochitika zonsezi zimagwiritsidwa ntchito pansi pa anesthesia kwa maola 1-2, malingana ndi kukula ndi malo a osteoma.