Chii chinonzi xanthomas, mhando huru uye maitiro ekurapa

Zvemukati

• Mhando huru dze xanthoma
• Chii chinonzi xanthelasma?
• Maitiro ekusimbisa kuongororwa
• Kurapwa kunoitwa sei
• Kurapa kwegastric xanthoma

Xanthoma inowirirana nekuonekwa kwezvidiki zvidiki mukuzorora kwakanyanya paganda, rakagadzirwa nemafuta anogona kuoneka pane chero chikamu chemuviri, asi kunyanya pamatehwe, ganda, maoko, tsoka, magaro nemabvi.

Kuonekwa kwe xanthoma kunowanzoitika kune vanhu vane cholesterol yakanyanya kana triglycerides, kunyange inogona zvakare kuoneka kune vanhu vasina cholesterol inoshanduka.

Kuvapo kwe xanthoma kunowanzo mucherechedzo wekuti kune huwandu hukuru hwekufamba kwecholesterol, izvo zvakakonzera macrophages, ayo ari masero edziviriro yezvirwere mumuviri, kuputira maseru emafuta, achishandurwa kuita foamy macrophages uye achiiswa munyama. Nekudaro, xanthoma hachisi chirwere, asi chiratidzo chinosangana nehurema mune metabolism yemafuta nemapuroteni anotakura cholesterol mumuviri.

Mhando huru dze xanthoma

Kuumbwa kwe xanthoma kunowanzoitika kune vanhu vane hunhu husina kunaka mararamiro, ndiko kuti, vane chikafu chakapfuma mumafuta uye vakagara, izvo zvinofarira kuunganidzwa kwecholesterol uye triglycerides. Nekudaro, xanthoma inogona zvakare kuitika semhedzisiro yezvimwe zvirwere, senge decompensated chirwere cheshuga, biliary cirrhosis kana kutadza kwechiropa.

Zvinoenderana nehunhu hwavo uye nzvimbo, xanthomas inogona kuiswa mu:

• Xanthelasmas: ndiyo mhando ye xanthoma iyo iri paziso reziso, muchimiro cheyellowish uye zvinyoro zvinyoro, kazhinji kune vanhu vane nhoroondo yecholesterol yakawanda;
• Kuputika xanthomas: ndiyo fomu inowanzozivikanwa ye xanthoma uye inosanganisirwa neyakawedzera triglycerides, mune ayo mapundu madiki eyero anoonekwa, kunyanya pazvidya, makumbo, magaro nemaoko. Vanowanzo gadziridza kana triglycerides yakajairwa;
• Tuberous xanthomas: yero yemaqhubu ayo anowanikwa ari pamagokora uye pazvitsitsinho zvevanhu vane cholesterol yakawanda;
• Tendon xanthoma: ndiyo dhipoziti inoitika mumatoni, kunyanya mumatumburu, muchitsitsinho, kana muminwe, uye zvinowanzoitika kune vanhu vane cholesterol yakawanda;
• Flat xanthomas: dzakapeteredzwa uye dzinoonekwa kazhinji mumapapuru, kumeso, trunk uye mavanga.

Kune zvekare imwe fomu ye xanthoma, inova gastric xanthoma, mune maronda emafuta anoumbwa mudumbu uye ayo kazhinji asingakonzere zviratidzo, kuzivikanwa mune endoscopies kana gastric kuvhiya kwezvimwe zvikonzero. Rudzi urwu rwe xanthoma haruwanzo, uye chikonzero charo hachinyatso kuzivikanwa.

Chii chinonzi xanthelasma?

Xanthelasma imhando ye xanthoma iyo inotsetseka, yero machena uye maronda anowanikwa mumaziso, kunyanya pamaziso, kazhinji nenzira inoenderana. Kuvapo kwe xanthelasma hakutapurirane, sezvo iri mhinduro yemuviri kune huwandu hukuru hwekutenderera cholesterol, uye inowanzoitika kune vanhu vakuru vane kusagadzikana mune metabolism yemafuta.

Kunyangwe isingakonzere njodzi, xanthelasma inogona kukonzera kusagadzikana mumunhu nekuda kwekuonekwa kwezvironda, saka vanokumbira kubviswa kwe xanthelasma, kunoitwa kuburikidza nekuvhiya kana kuburikidza nehunyanzvi hunoparadza xanthelasma, senge iacids, lasers kana electrocoagulation, ye muenzaniso.

Maitiro ekusimbisa kuongororwa

Kuongororwa kwe xanthoma ikiriniki, ndiko kuti, inoitwa neye dermatologist kana general general kupitia kuongororwa kwehunhu hwe xanthomas. Mune zvimwe zviitiko, kuongororwa kweropa kunogona zvakare kuratidzwa kutarisa huwandu hwecholesterol uye kutenderera triglycerides.

Kurapwa kunoitwa sei

Kana munhu ane xanthomas aine akawandisa cholesterol kana triglycerides akaonekwa mukuyedzwa kweropa, chiremba anozoratidza kurapwa kwekudzora aya mazinga, nemishonga inonzi hypolipidemic drug, seSimvastatin, Atorvastatin, uye fibrate, senge Fenofibrate kana Bezafibrato, semuenzaniso. Uye zvakare, maitiro ekubvisa mafuta ekuisa anogona kuitwa, ayo anofanirwa kuitwa nedermatologist, senge:

• Kuvhiya kwekubvisa uye kuvhara nezvidimbu: ndiyo yakachengeteka, inoshanda sarudzo, inogona kuitwa mukiriniki yekunze, ine mutengo wakaderera uye inoburitsa mibairo yakanaka.
• Kemikari cauterization: inokodzera maronda madiki uye epamusoro. Izvo zvinoitwa kuburikidza nekushandisa kwezvinhu zvinokonzeresa senge trichloroacetic acid kana musanganiswa weasidhi;
• Laser kurapwa: kuburikidza neyekupedzisira pulsed carbon dioxide kana pulsed laser;
• Kuchema: kushandisa mvura senitrogen kana kabhoni dhayokisaidhi chando;

Izvo zvakare zvakakosha kuti kurapwa uye kudzora kwezvimwe zvirwere zvine chekuita neshanduko mukuchinja kwemasabolism uye kuumbwa kwe xanthomas, senge chirwere cheshuga, gomarara rechiropa, hypothyroidism kana hosha dzeitsvo kuitwe.

Kurapa kwegastric xanthoma

Gastric xanthoma kana gastric xanthelasma masaga machena echolesterol kana lipids, ane mitsetse isina kujairika, inogona kuyera 1 kusvika 2 mm, iri mudumbu. Kurapa rudzi urwu rwe xanthoma zvakafanira kuve ne endoscopy uye bhiopsy bvunzo, uye kana zviratidzo zvegomarara remudumbu zvikaonekwa kunze, zvinowanzova mamiriro asina kunaka, uye mufambiro unofanirwa kucherechedzwa, kureva kuti, unofanirwa kuongororwa kazhinji. ona shanduko yedambudziko.

Nekudaro, kana paine njodzi yekuumbwa nekenza kana zviratidzo zvekuwedzera kweiyo xanthoma, chiremba anozokwanisa kutungamira kubviswa kwayo, maitiro anoitwa kuburikidza neendoscopy.