Zolemba za cholesterol pazowona, ndi ma xanthelas ndi ma yellow benign neoplasms omwe amapanga pansi pa khungu loonda la eyel. Kukhazikika kwawo ndi ngodya yamkati mwa diso.
Ma neoplasms amatha kukhala amodzi kapena angapo. Maonekedwe a malekezero ake ngati ma eyelone kapena madera ena pakhungu ndi chizindikiro chosavomerezeka ndipo chikuwonetsa kuzunzika kwa matenda a lipid metabolism.
Popanga xanthelasm, ndikofunikira kuchita chidziwitso chazovuta chofufuzira mawonekedwe a metabolic. Kuchotsa ma cholesterol plaque pamafupa ndizotheka kwathunthu pakuchita opareshoni, pogwiritsa ntchito opaleshoni yovulala pang'ono.
Pathophysiology ya xanthelasm
Kuti mumvetsetse momwe mungachotsere cholesterol zolembera pamafinya, ndikofunikira kumvetsetsa pathophysiology yamapangidwe.
Nthawi zambiri, xanthelasms amapangidwa mwa oyimira akulu. Ngakhale kuti abambo amakonda kudwala matenda a lipid metabolism, mwa amayi kukula kwa xanthelasm kumachitika pafupipafupi.
Malinga ndi pathophysiology ya neoplasm development, chifukwa cha izi ndi kuperewera kwakukulu mu metabolism yamafuta ndi gawo lotchulidwa la ndondomeko ya atherosulinotic.
The etiology ya xanthelasm ndi idiopathic. Ndiye kuti, palibe chifukwa chodalirika chopangira zolembera.
Zomwe zimapereka ndi izi:
- kukhalapo kwa alimentary kunenepa;
- kukhalapo kwa kagayidwe kachakudya matenda;
- insulini yolimbana ndi matenda a shuga;
- mafuta chiwindi hepatosis ndi kusintha kwa matenda enaake;
- hypothyroidism yayikulu;
- kuchuluka kwakuthwa kwa cholesterol wa amkati osiyanasiyana;
- amyloidosis ndi steatonephrosis.
Nthawi zina, matendawa amatengera cholowa. "Achimwemwe" eni xanthelasm amafotokozera ma neoplasms ofananawo mwa abale apamtima.
Mbali yakumaso kwambiri imatha kutengeka chifukwa cha kupezeka kwa khungu losalala komanso lopyapyala.
Chithunzi cha morphological cha neoplasms chikuyimiriridwa ndi kudzikundikira kwa lipids pansi pa khungu ndi kukula kwa minofu yolumikizika. Kudziwika kwa cholesterol ndi atherogenic lipids ndi gawo laling'ono la matenda.
Chithunzi cha kuchipatala pakupanga kwa xanthelasm
Cholesterol plaque ndi neoplasm subcutaneous yomwe imakwera pamwamba pa khungu, ndimatchulidwe achikasu. Malo wamba achitukuko ndi dera lamaso, chapamwamba kapena chapansi, ngodya yamkati. Khungu la eyelid wapamwamba limawonekera.
Mitsempha sizivutitsa wodwalayo, mopweteka kwambiri, ndi mawonekedwe ofewa, osalala.
Nthawi zambiri, bilional lesion imawonedwa - zolemba mawonekedwe pamaso onse.
Pokhala ndi zolimbitsa thupi zingapo, zolembera zimatha kuphatikiza ndikupanga minda yayikulu ya lipid.
Ndi kuwonongeka kwa lipid metabolism, kudzazidwa kosalekeza kwa matope ndi lipids ndikotheka ndi ntchito ya oculomotor.
Xanthelasma ndimatenda omwe amayenda pang'onopang'ono. Nthawi zambiri, neoplasm simatengera kukula kwa zizindikiro, chifukwa chake wodwalayo sawona kuti ndikofunikira kufunafuna thandizo kuchipatala.
Kukula kwa mapangidwe kungakhale osiyanasiyana.
Mapilawo enieni sakhala ndi vuto lachiwopsezo, chifukwa chake sichiwopseza moyo wa anthu. Amayambitsa chilema chokongola.
Kukhazikika kwa mapangidwe amtunduwu ndi njira yosasangalatsa yamatenda ndipo kumadzetsa kusasangalala kwambiri kwa wodwalayo.
Xanthomatosis amadziwika ndi mbali zotsatirazi:
- Malo amaso ndi khosi.
- Zowonjezera, zokhala ndi mawonekedwe osintha ndi mawonekedwe owonjezera.
- Mucous nembanemba.
- Nthawi zambiri amawona mapangidwe a zikwangwani zachilengedwe pakhungu.
Gulu la Morphological la neoplasms:
- xanthelasms;
- chachikulu;
- chilengedwe;
- chilengedwe.
Masanjidwe samasinthasintha. Mawonekedwe awo amadziwika ndi kusinthasintha kosalekeza.
Zotupa zotere zotere sizichitika kawirikawiri m'machitidwe aana. Chomwe chimapangitsa izi ndikuphwanya kwakukulu kwa duct ya chiwindi.
Pathology imafuna chisamaliro chamankhwala mwachangu.
Njira zoyesera
Maonekedwe a xanthelasm ndi chizindikiro cha kuphwanya kwakukulu kwa metabolidi ya lipid komanso kumawonetsa kukula kwa atherosulinosis. Pazizindikiro zoyambirira za mapangidwe a mawonekedwe azowonjezera, muyenera kufunsa dokotala. Choyamba, ndikulimbikitsidwa kukaonana ndi dermatologist kuti musatenge matenda opakika pakhungu. Gawo lotsatira ndikufunsira kwa dotolo, katswiri wamankhwala ndi opaleshoni ya mtima.
Nthawi zina, dokotala wodziwa bwino amafunika kumuunika wodwalayo kuti apeze madandaulo ake.
Kuti mumvetse bwino za matendawa, ndikofunikira kuchita izi:
- Kusanthula kwamwazi wamagazi ndi mbiri yayitali ya lipid.
- Kupenda kwa mtima ndi mtima.
- Dopplerography yamatumbo amtima.
- Kuyesedwa kwa shuga wamagazi, kuyesa kwa glucose.
- Kuyeza kwa kalozera wamchifuwa;
- Kuwerengeredwa kwa mndandanda wamthupi.
- Electrocardiography
Kupitilira apo, molingana ndi mfundo zakuzindikira, matenda osiyanasiyana amachitika.
Matenda okhala ndi mawonekedwe ofananawo ndi awa:
- chidziwitso chowawa;
- kukhuthala kwa khungu;
- syphilitic granulomas;
- zotupa pakhungu;
- papillomas.
Kupatula njira zomwe tazitchulazi, chikopa chomenyera khungu chimachitika ndikuwunika kupitiliza kwa mbiriyakale, kuyesa kwa Wasserman, mayeso a Diaskin ndi njira zina zothandizira.
Zochizira Xanthelasm
Popeza mapangidwe a xanthelasm ndi chifukwa cha kuperewera kwa kagayidwe, chithandizo chiyenera kukhala choyenera.
Choyambirira chachikulu ndicho kukonza kwa cholesterol metabolism.
Kuti mukwaniritse zotsatira zazifupi kwambiri panthawi yochepa kwambiri, kusintha zakudya ndi njira yofunikira ndikofunikira.
Therapy ya atherosclerosis iyenera kukhala yokwanira, mogwirizana ndi momwe wodwalayo amamulembera mankhwala otsitsa lipid-otsitsa.
Odalirika kwambiri polimbana ndi zotupa za atherosulinotic ndi mankhwala a gulu la statin. Muthanso kulimbana ndi cholesterol yayikulu ndi mankhwala ozikidwa ndi Omega-3 ndi Omega-6 acid acid. Gulu lazinthu izi limayambitsa kukhudzana ndi cholesterol. Ma molekyulu a Omega-acid amatha kuchotsa ma cell a cholesterol ku vasot endum.
Mwa mankhwala azitsamba, mankhwala azitsamba amakonda. Zomera zambiri zamankhwala zimakhala ndi kutchulidwa kwa antiatherogenic.
Zochizira zakumalo neoplasms, heparin ndi ichthyol mafuta amagwiritsidwa ntchito.
Komabe, kuchotsa kwathunthu neoplasms ndikotheka kokha mothandizidwa ndi opaleshoni yolowerera.
Pofuna kukometsa xanthelasm, njira zotsalira zowerengera izi zimagwiritsidwa ntchito:
- Kuwonongeka kwa laser.
- Pachawalachi.
- Pikachikachi.
- Radio wave njira yochotsera ma neoplasms.
- Njira yapamwamba kwambiri yochitira opaleshoni.
Njira yotsirizira yochotsera imathandizira kuchotsa kwathunthu minofu yosinthidwa, koma nthawi zambiri imalandira mayankho olakwika kuchokera kwa odwala chifukwa cha nthawi yayitali yochiritsa.
Katswiri mu kanema munkhaniyi ayankhula za xanthomas.
