Adenoma o te repe salivary: take, tohu me maimoatanga

Torutoru whakaaro te wahi i te repe salivary. Ahakoa ia mahi wā ona mahi, me e kore e meinga hūhi, e kore e utu i te reira nui aro. Adenoma o nga repe salivary kia rerekē i roto i to ratou hanganga histological me morphological. He mārere me Koló ratou, rite tahi atu growths. whakawhanake kaua āta pukupuku mārire, a kahore e whakaatu hūhi atu tohumate ranei ratou. hohoro pukupuku mārere tupu, whakarato whakaaturanga i roto i te tata okana me te kopa, meinga mamae me te whara karere kanohi.

whakamāramatanga

Kei hea ko te repe salivary? Tuatahi, me te tuatahi ko reira ia tapao e tenei rua tinana serous kauae, kei raro te kiri, me te iho i mua o te taringa. Ko tōna mahi matua ko te secretion me haaputuputuraa o te huware. Ko te nui o te wai konutai me te pāhare pāporo te pūhau, me te amylase. Hangaia e te reira i roto i te mangai reo waikawa ki te pH raro atu i 6. hoki te ra e taea repe e rua tohatoha ake ki te hawhe rita o huware.

Salivary adenoma repe - he mārire, takawaenga mārere ranei neoplasms, e kua hanga e o repe salivary iti nui ranei. I roto i nga tukanga neoplastic katoa i te hautanga o te repe salivary pūkete hoki e pā ana ki te kotahi ōrau. Ko te ahua pai nui tenei. Ka taea e ngā huringa timata i tetahi tau, engari te nuinga o maha tenei tupu i roto i te tau o waenganui, me te koroheke (40-60 tau), me nga wahine e rua rite maha atu i nga tangata.

E pängia ana ki te repara, hohokitanga me te metastasis Neoplasms, reira, ko reira o te pānga ki niho me tākuta ā-waha.

take

He aha i reira ko te adenoma o te repe salivary, tae noa ki te mea i mohiotia te mutunga. I roto i te whakaaro hauora ko e kia whai pānga te ahua o te pukupuku ki whētuki i roto i te rohe i mua ranei mate inflammatory, me te repe (repe). Otiia e kore e tūroro katoa i te hītori o te wā ōrite.

Ētahi pūkenga onoono e ai te take o te pukupuku repe salivary hei te kopa dystopia congenital. Ano, e kore e tukunoa'i enei wheori oncogenic rite Epstein - Barr huaketo, cytomegalovirus (i roto i ngā 16, 18, 31 me te 32 th o te piha haapiiraa) me herpes simplex huaketo.

Otiia e kore e te reira wā katoa, kei hea kia whakawhanake ai adenoma repe salivary. Me rapu te take i roto i te puka o te ora o te tangata (fakateka tupeka ranei whakamahi tarukino), tona nohoanga me te mahi (nui ra te rongo, te rongo auau o te matenga, me te kaki radiation therapy i runga i te thymus thyroid ranei mate). Kei te whakapono te reira e pā ana te māuiuitanga ki rahi cholesterol, te kore o te huaora i roto i te kai, me disorders hormonal.

Kei te whakapono te reira e i kaimahi mōrearea he rakau, rino, me te ahumahi matū (waipara o Mariao whakarewa taimaha), hairdressers.

TNM whakarōpū

Hoki te haratau i roto i te tātaritanga me te maimoatanga o te adenoma o te repe salivary whakamahia te whakarōpū ao e whakahaere te wā whakamāramatanga o te tukanga:

1. T (puku) - rahi puku:
   - T0 - te tāutu kore taea adenomas;
   - T1 - neoplasms diameter iti iho i te 2 cm;
   - T2 - diameter 4 cm, engari e kore e tua atu i te putanga atu repe;
   - T3 - taumira o 4 ki te 6 cm, e kore te karere kanohi patua;
   - T4 - diameter o neke atu i te 6 cm, horahia ki te kiko pātata, pānga reira raru cranial.
2. N (kōpuku) - taikiri rohe:
   - N0 - kahore metastases;
   - N1 - patua tetahi kōpuku huamo ki 3 cm;
   - N2 - patua e rave rahi kōpuku, te rahi puku - i 3 ki te 6 cm;
   - n3 - patua maha kōpuku, nga pukupuku diameter - neke atu i te 6 cm.
3. M (metastasis) - metastases:
   - M0 - No metastases tawhiti;
   - M1 - i reira he metastases tawhiti.

Tenei pūnaha i taea ki te faaohie i te tātaritanga me te waitohunga o te mate. Na hanga te waehere ārepa reira taea ki te whakamahi i te reira i roto i tetahi whenua i roto i te ao.

whakarōpū morphological

Adenoma o te repe hūare ko o te maha ngā momo, rere i roto i te hanganga histological me morphological:

1. puku epithelial. Ka taea e te whakawhanake te reira i te kopa o rua repe salivary nui, me te iti. Āhuatanga e te tupu o te epithelium i te lumen o te aerodynamics i te puka o te papillae, kribroznyh me te tubular hanganga.
2. adenoma Monomorphic. pukupuku Koló titoa o kiko glandular. Whanake ngaro, rawa i roto i nga tangata pakeke. He he a tawhio hanga porotītaha ranei ōritetanga rapa.
3. whai Adenolymphoma i Morphology monomorphic adenoma, engari i roto i te repe kei hoki te waitinana.
4. adenoma Sebaceous - Kei te mārama puku i hanga o te maha i'ai whēwhē pūtau sebaceous. Ka taea e te whakawhanake te reira i tetahi tau. Mamae kore, kua he tae kowhai. I muri i tango o kore hoatu metastasis.
5. tito adenoma Canalicular te o pūtau epithelial prismatic, e kua kohia ki paihere. Ko te tau toharite o tūroro ki tenei momo o te puku - 65 tau. I tua atu ki te adenoma salivary repe pānga atu ngutu o runga, me te paparinga.
6. adenoma pūtau basal. Koló arā, o pūtau basal. Tikanga, he kono ma raru iti. e kore e auau te reira me maligneziruetsya.
7. adenoma Pleomorphic o te repe salivary taea tupu ki te rahi nui, pukepuke, me te mātotoru. Ko te tikanga kia puta mārire, engari i roto i te wāhanga i muri mai i roto i te pūtau mārere. Roto ano kei te wai me fibroblasts. Nireaha ki te maimoatanga hāparapara, engari no te mea o te pātata ki te tākuta io kanohi kia fifi.

tohu

whakawhanake adenoma Koló o te repe hūare rawa āta, i ētahi wā mō ngā tau. e kore e meinga e te reira i tetahi mana'o tuakiri, engari ka taea e hanga i taua he tangata ki te wa asymmetrical. Ko te take mō te haere ki te tākuta tenei. I muri i tango o taua puku kia auau ai i roto i te 6 ōrau o te wā. Ki te kei te puku te tata ki te pharyngeal Scion hūare repe, ka taea e meinga reira he takahi o horomia, mamae i roto i te taringa me te lockjaw ngaungau uaua.

Nahea te he adenoma takawaenga o te salivary repe? He rite a i te wa ano i roto i nga puku mārire, me te mārere ona tohu. Kei te āhuatanga i te reira na roto i te tupu infiltrative tere, e whakamotitia ana e ia te kikokiko a tawhio noa ratou. Ka taea e auau te reira, ka hoatu metastases tawhiti ki nga pūkahukahu, me te wheua.

pukupuku mārere puta rua takitahi me muri huringa mārere o te pukupuku mārire. Tupu tere tomo ki te kikokiko e karapoti ana. Ko te kiri i runga i te puku whero, wera, me te kukū. kia kia ulcerated te reira. Āhuatanga e mamae, raruraru o nga uaua masticatory, ake i roto i tata taikiri me aroaro o metastases.

tātaringa

kitea salivary pukupuku repe tino noa. Ki te mahi i tenei, e hiahia ana koe ki te tirotiro i tō niho, me te matepukupuku rānei, ki te kohikohi amuamu, me te kitea i roto i te hītori o te mate. kia utua ngā whakarongo ki te Morphology o te puku, tona rahi, ōritetanga me te nekeneke.

Mai i ngā tūhuratanga mauhaa kawea angaanga Radiography, repe ultrasound salivary ptyalography (titiro patency ductal repe) me sialostsintigrafiya (mo te rapunga o metastases tawhiti). whakaaro te tikanga tino pono te ki poka, te repe aru e waimeha me kiko unuhanga mō te ako histological me pathological.

Hei whakamārama i te nuinga o te tukanga e hiahia CT salivary repe, pouaka X-ray wheua takitahi ranei.

Maimoatanga o te pukupuku Koló

Ki te pāngia tetahi manawanui te pukupuku mārire o te repe salivary, ia ara tika tonu ki te taote. Kua roa whakawhanakehia reira tikanga o "husking" tenei ahua o te pukupuku. taua te kokoti iti i runga i te capsule o te adenoma repe kua pā te ka nekehia atu. Ko te tākuta i te wa ano e ngana ana e kore e ki te tūkino i te tirotiro o te puku. huaina taua pokanoa ko "ekskholeatsiya".

Tangohanga o kikokiko e hiahiatia ana ki te hoatu i te whakamātautau whänui, me te mōkitokito ki te whakaū i te tātaritanga. e kore te te karere kanohi nekehia atu, kia rite ki te uaua reira patua. Ki te whakawhanake i te puku i roto i te repe submandibular, he reira tupu tangohia, me te hou, me te rino.

Maimoatanga o te pukupuku mārere

titau matatini maimoatanga ngā he adenoma salivary repe mārere. Taukiri e, kua whakamana pokanga? i mua i Ahakoa he tika te wawaotanga ki te kawe i te akoranga o te gamma-therapy ki te whakaiti i te rahi o te puku, me te ki te ārai i te putanga o metastases rohe, me te tawhiti. whakamana Pokanga te tika i muri i te marama i muri i iraruke.

tūtohu ētahi kaituhi ki te mahi i te tango oti o nga repe hūare, tahi ki nga manga o te karere kanohi i roto i te poraka kotahi, ki te extirpation o taikiri rohe. Ki te kitea te tirohanga kua tupu e te puku ki te wheua o te kauae raro, Me hoki tenei wāhanga ki resect. Otiia i mua i te mahi he e tika ana ki te whakaaro me pehea ki te whakaoreore i te toenga o te wheua.

I roto i ngā take kino, te mea iraruke whànau anake tūtohu, mai kore ko te puku ki te kia nekehia atu e tika ana ki te kiko wewete rawa.

outlook

Hoki te pukupuku mārire i muri waitohunga maimoatanga hāparapara mō te ora me te hauora pai. He iti te tūponotanga o te hohokitanga, kotahi anake, me te hawhe ōrau. hoki puta puku mārere tino kino. Te whakaora i te manawanui taea rua tekau anake ōrau o nga take, a tae noa ka reira ko te ati e te kitea te puku. Metastasis ki ētahi atu whēkau kitea i roto i tata te hawhe o te wā.