Adenoma na salivary gland shine yake: haddasawa, cututtuka da jiyya

'Yan tunanin inda salivary gland shine yake. Duk da yake ta a kai a kai ya yi aikin da ayyuka da kuma ba ya haifar da rashin jin daɗi, ba biya yawa da hankali. Adenoma na salivary gland iya bambanta a cikin histological da morphological tsarin. Su, kamar sauran growths ne m da kirki. Yãfẽwa marurai ci gaba wajen sannu a hankali, kuma ba su nuna kansu rashin jin daɗi ko wasu cututtuka. M marurai girma da sauri, samar da screenings a makwabtaka da gabobin da kyallen takarda, haddasa zafi da fuska jijiya rauni.

definition

Ina salivary gland shine yake? Farko, kuma farkon shi ne ya kamata a lura da cewa wannan biyu alveolar serous jiki, located ƙarƙashin fata da kuma saukar a gaban kunne. Its main aiki ne mugunya, kuma jari na yau. A babban adadin ruwa sodium da kuma potassium chlorides, kazalika da amylase. Yana halitta a cikin bakinka acidic matsakaici da PH ƙananan fiye 6. Domin a rana biyu gland iya ware har zuwa rabin lita, daga yau.

Salivary gland shine yake adenoma - mai kirki, tsaka-tsaki ko m neoplasms, wanda aka kafa daga kananan ko manyan salivary gland. Daga cikin dukan neoplastic matakai a wata sulusi da murabba'i na salivary gland asusu na kimanin daya bisa dari. Wannan shi ne wajen high adadi. Canje-canje iya fara a kowane zamani, amma mafi sau da yawa wannan ya faru a tsakiyar da kuma tsufa (40-60 shekaru), tare da mata sau biyu kamar yadda sau da yawa fiye da maza.

Neoplasms ne yiwuwa ga malignancy, komawa da kuma metastasis, saboda haka, shi ne na riba dõmin ya Zahnärzte kuma baka likitoci.

dalilai

Me ya sa babu wani adenoma na salivary gland shine yake, har sai karshen ne ba a sani ba. A likita zato shi ne cewa bayyanar marurai iya dangantawa da rauni a yankin gabanin ko kumburi cututtuka, kazalika da mumps (mumps). Amma ba dukan marasa lafiya da wani tarihi na irin wannan lokuta.

Wasu malamai sun nace da cewa a cikin hanyar salivary gland shine yake marurai iya zama nakasar dystopia kyallen takarda. Har ila yau, ba hana tasiri wadannan oncogenic ƙwayoyin cuta kamar Epstein - Barr cutar, cytomegalovirus (musamman 16, 18, 31 da kuma 32 ga watan aji) da kuma herpes simplex cutar.

Amma yana da ba dukkan lokuta, inda shi iya ci gaba salivary gland shine yake adenoma. A dalilai dole ne, a nemi a cikin nau'i na rayuwar mutum (taban da ake taunawa ko amfani da miyagun ƙwayoyi), ta mazauninsu da aikin (wuce kima rana mai daukan hotuna, m daukan hotuna na kai da wuya radiation far a kan thymus ko thyroid cuta). An yi imani da cewa Pathology hade tare da karin cholesterol, rashin bitamin a rage cin abinci da kuma hormonal cuta.

An yi imani da cewa a hadarin ma'aikata itace, karfe da kuma sinadaran masana'antu (shaida da nauyi karfe salts), hairdressers.

TNM rarrabuwa

Domin saukaka a cikin ganewar asali da kuma lura da adenoma na salivary gland shine yake an yi amfani da kasa da kasa rarrabuwa cewa facilitates definition mataki na aiwatar:

1. T (ƙari) - ƙari size:
   - T0 - gane adenomas iya ba;
   - T1 - neoplasms diamita kasa da 2 cm.
   - T2 - diamita 4 cm, amma ba a hayin gland shine yake kofofi.
   - T3 - ƙuduri na 4 zuwa 6 cm, fuska jijiya ba buge;
   - T4 - diamita na fiye da 6 cm, yada to m nama, shi rinjayar da girman kwanyar jijiyoyi.
2. N (nodes) - shiyya Lymph nodes:
   - N0 - babu metastases.
   - N1 - buga daya kumburi busa zuwa 3 cm.
   - N2 - bugi dama nodes, ƙari size - daga 3 zuwa 6 cm.
   - N3 - bugi yawa nodes, diamita marurai - fiye da 6 cm.
3. M (metastasis) - metastases:
   - M0 - Babu m metastases.
   - M1 - akwai m metastases.

Wannan tsarin ya iya ya rage wuya da bincike da kuma hangen nesa da cutar. Kuma da alphanumeric code sa ya yiwu don amfani da shi a kowace ƙasa a duniya.

morphological rarrabuwa

Adenoma na da parotid gland shine yake shi ne na dama iri, iri dabam-dabam a cikin histological da morphological tsarin:

1. Epithelial ƙari. Yana iya ci gaba daga kyallen takarda duka biyu manyan da kananan salivary gland. Halin da ci gaban da epithelium a lumen na ducts a cikin nau'i na papillae, kribroznyh kuma tubular Tsarin.
2. Monomorphic adenoma. Yãfẽwa marurai hada da glandular nama. Tasowa kada a gane, musamman a mazan maza. Yana yana da wani zagaye ko m siffar na roba daidaito.
3. Adenolymphoma haka a kan ilimin halittar jiki monomorphic adenoma, amma a ciki da gland kuma ƙunshi Lymph.
4. Sebaceous adenoma - An fayyace ƙari kafa da dama ramummuka cystic sebaceous Kwayoyin. Yana iya ci gaba a kowane zamani. M, yana da wani yellowish launi. Bayan kau na taba bada metastasis.
5. Canalicular adenoma aka hada da prismatic epithelial Kwayoyin, wanda ake tattara a cikin daure. A talakawan shekaru marasa lafiya da irin wannan ciwon daji - 65 years. Bugu da kari ga salivary gland shine yake adenoma rinjayar mafi babba lebe da kuma kunci.
6. Basal cell adenoma. Yãfẽwa kunshi muhimmi cell. Yawanci, a kananan m fari kulli. Yana ba sake aukuwa da kuma maligneziruetsya.
7. Pleomorphic adenoma na salivary gland iya girma zuwa babban size, m kuma m. Yawancin lokaci benign, amma a baya, saukarwa iya bayyana a cikin m Kwayoyin. Tu kanta ƙunshi wani ruwa da kuma fibroblasts. Amenable ga m magani, amma saboda da kusanci zuwa ga gyara man fuska jijiya Surgeons iya zama matsaloli.

cututtuka

Yãfẽwa adenoma na parotid gland shine yake tasowa sannu a hankali sosai, wani lokacin ga shekaru. Yana ba ya haifar da wani kayadadden ji, amma shi zai iya sa mutum ya da wani asymmetrical lokaci. Wannan shi ne dalilin faruwa ga likita. Bayan kau da irin siffofin marurai na iya sake aukuwa a 6 bisa dari na lokuta. Idan ƙari ne dake kusa da pharyngeal Scion parotid gland shine yake, shi zai iya sa wani take hakkin hadiya, zafi a cikin kunne da kuma lockjaw taban da ake tsokoki.

Ta yaya wani tsaka-tsaki adenoma na salivary gland shine yake? Its bayyanar cututtuka masu kama da a lokaci guda a cikin benign da kuma m siffofin maruran. An halin m infiltrative girma, shi halaka nama a kusa da su. Yana iya sake aukuwa da kuma ba m metastases da huhu da kuma kashi.

M marurai faruwa biyu da kansa da kuma bayan m canji na kirki siffofin maruran. Girma cikin sauri shiga cikin kewaye nama. A fata a kan ƙari ja, zafi da kuma siga. Yana iya ulcerated. Halin da zafi, disturbances na masticatory tsokoki, da kara a kasar Lymph nodes da kuma gaban metastases.

bincikowa da

Salivary gland shine yake marurai samu quite kawai. Don yin wannan, kana bukatar ka duba your hakora da kuma oncologist, ya tattara gunaguni da kuma gano da tarihi da cutar. Musamman hankali ya kamata a biya zuwa ilimin halittar jiki na ƙari, ta size, daidaito da kuma motsi.

Daga instrumental bincike dauki kwanyar radiography, duban dan tayi salivary gland ptyalography (duba gland shine yake ductal patency) da kuma sialostsintigrafiya (for ganewa na m metastases). A mafi yawan abin dogara Hanyar aka dauke su huda da gland shine yake bi da smears da kuma nama biopsy for histological da kuma pathological karatu.

Don fayyace wannan Yaduwar tsari na iya bukatar CT salivary gland shine yake, kirji X-ray ko mutum ƙasũsuwa.

Jiyya na yãfẽwa marurai

Idan wani haƙuri ne suka kamu da maruran benign na salivary gland, ya mike hanya zuwa ga likita. An dade ɓullo da dabara na "husking" wannan irin siffofin maruran. A kananan incision a kan kwantena na shafa gland shine yake adenoma aka hada da cire. Likita a lokaci guda kokarin kada su lalata da abinda ke ciki na ciwon daji. Irin wannan tsangwama da aka kira "ekskholeatsiya".

Kau da nama da ake bukata domin bayar a macro- da microscopic jarrabawa ga tabbatar da ganewar asali. A fuska jijiya da aka taba cire, kamar yadda yana da wuya buga. Idan ƙari tasowa a cikin submandibular gland, shi ne kawar da sabon ci gaban, da na baƙin ƙarfe.

Jiyya na m marurai

Complex hada magani na bukatar wani m salivary gland shine yake adenoma. Yadda ake tiyata yi? Ko kafin shiga tsakani wajibi ne a gudanar da wani hanya na gamma-far don rage girman da ƙari, kazalika da hana fitowan na yankin da kuma m metastases. Surgery aka yi kai tsaye bayan wata daya bayan radiotherapy.

Wasu marubuta bayar da shawarar yin cikakken kau da parotid gland, tare da rassan da fuska jijiya a cikin guda block, tare da extirpation na shiyya Lymph nodes. Idan dubawa gano cewa, da ciwon daji ya girma a cikin kashi na ƙananan muƙamuƙi, wannan sashe ma bukatar resect. Amma kafin aiki wajibi ne don la'akari da yadda za a yi shirin yaqi sauran kashi.

A tsanani lokuta, shi ne shawarar kawai palliative radiotherapy, tun da ƙari ba za a cire saboda ma sako-sako da nama.

Outlook

Domin benign marurai bayan m magani hangen nesa ga rayuwa da kuma kiwon lafiya m. Yiwuwar komawa ne low, kawai daya da rabi cikin dari. M marurai ma faruwa musamman ya fi karfinsu. Warkar da haƙuri iya kawai ashirin bisa dari na lokuta, har ma sai akwai hadari cewa ƙari reappears. Metastasis zuwa wasu gabobin samu a kusan rabin lokuta.