Kodi xanthomas, mitundu yayikulu ndi momwe mungachiritsire

Zamkati

• Mitundu yayikulu ya xanthoma
• Xanthelasma ndi chiyani?
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira
• Chithandizo cha chapamimba xanthoma

Xanthoma imafanana ndi kuwonekera kwa zotupa zazing'ono zotumphuka pakhungu, zopangidwa ndi mafuta omwe amatha kuwonekera mbali iliyonse ya thupi, koma makamaka pamisolo, khungu, manja, mapazi, matako ndi mawondo.

Maonekedwe a xanthoma amapezeka kwambiri mwa anthu omwe ali ndi cholesterol kapena triglycerides, ngakhale amatha kuwonekera mwa anthu omwe alibe cholesterol.

Kupezeka kwa xanthoma nthawi zambiri kumakhala chizindikiro chakuti pali mafuta ochulukirapo ochulukirapo, omwe amachititsa ma macrophages, omwe ndi maselo amthupi, kuphatikiza ma cell amafuta, osandulika ma macrophages a foamy ndikuikidwa mu minofu. Chifukwa chake, xanthoma si matenda, koma chizindikiro chokhudzana ndi chilema chamafuta amafuta ndi mapuloteni omwe amakhala ndi mafuta m'thupi.

Mitundu yayikulu ya xanthoma

Kupangidwa kwa xanthoma kumakhala kofala kwambiri pakati pa anthu omwe ali ndi zizolowezi zosayenera pamoyo wawo, kutanthauza kuti, omwe amadya mafuta kwambiri komanso amakhala pansi, zomwe zimapangitsa kuti cholesterol ndi triglycerides zitheke. Komabe, xanthoma ikhozanso kuchitika chifukwa cha matenda ena, monga matenda a shuga, biliary cirrhosis kapena chiwindi kulephera.

Malinga ndi mawonekedwe ndi malo, xanthomas akhoza kugawidwa mu:

• Xanthelasmas: ndi mtundu wa xanthoma womwe umakhala pakope la chikope, ngati chikwangwani chachikasu komanso chosalala, nthawi zambiri mwa anthu omwe ali ndi mbiri ya cholesterol yambiri;
• Xanthomas zophulika: ndi mtundu wofala kwambiri wa xanthoma ndipo umalumikizidwa ndi triglycerides yowonjezeka, momwe zotupa zazing'ono zachikasu zimawonekera, makamaka ntchafu, miyendo, matako ndi mikono. Amakonda kusintha pamene ma triglycerides amakhala achilengedwe;
• Tuberous xanthomas: mitsempha yachikasu yomwe imapezeka makamaka pazigongono ndi zidendene za anthu omwe ali ndi cholesterol yambiri;
• Tendon xanthoma: ndichosungika chomwe chimapezeka mum tendon, makamaka pachimake cha zilonda, chidendene, kapena zala, ndipo zimachitikanso mwa anthu omwe ali ndi cholesterol yambiri;
• Xanthomas Lathyathyathya: Amaphwanyidwa ndipo amawonekera nthawi zambiri m'matumba a palpate, nkhope, thunthu ndi zipsera.

Palinso mtundu wina wa xanthoma, womwe ndi gastric xanthoma, momwe zotupa zamafuta zimapangidwa m'mimba ndipo zomwe sizimayambitsa matendawa, zimadziwika mu endoscopies kapena maopaleshoni a m'mimba pazifukwa zina. Mtundu wa xanthoma ndi wosowa, ndipo chifukwa chake sichidziwika kwenikweni.

Xanthelasma ndi chiyani?

Xanthelasma ndi mtundu wa xanthoma momwe zipilala zosalala, zachikasu ndi zotupa zimapezeka m'maso, makamaka pamikope, nthawi zambiri mofananira. Kupezeka kwa xanthelasma sikumafalikira, chifukwa ndimayankho amthupi chifukwa cha kufalikira kwa cholesterol, ndipo imachitika pafupipafupi kwa achikulire omwe ali ndi vuto lamafuta amafuta.

Ngakhale sizimayambitsa zoopsa, xanthelasma imatha kubweretsa mavuto mwa munthu chifukwa cha kuwonekera kwa zilondazo, chifukwa chake amapempha kuchotsedwa kwa xanthelasma, komwe kumachitika kudzera mu opaleshoni kapena kudzera munjira zomwe zimawononga xanthelasma, monga ma acid, lasers kapena electrocoagulation, chifukwa Mwachitsanzo.

Momwe mungatsimikizire matendawa

Kupezeka kwa xanthoma ndichachipatala, ndiye kuti, amapangidwa ndi dermatologist kapena dokotala wamba kudzera pakuwunika kwa ma xanthomas. Nthawi zina, kuyezetsa magazi kumatha kuwonetsedwa kuti muwone kuchuluka kwa cholesterol komanso kufalitsa triglycerides.

Momwe mankhwalawa amachitikira

Ngati munthu yemwe ali ndi xanthomas ali ndi cholesterol yochulukirapo kapena triglycerides wapezeka poyesa magazi, adotolo awonetsa chithandizo chamankhwalawa, monga mankhwala a hypolipidemic, monga Simvastatin, Atorvastatin, ndi fibrate, monga Fenofibrate kapena Bezafibrato, Mwachitsanzo. Kuphatikiza apo, njira zochotsera madipoziti zimatha kuchitika, zomwe ziyenera kuchitidwa ndi dermatologist, monga:

• Opaleshoni yochotsa ndi kutseka ndi ulusi: ndiyo njira yotetezeka kwambiri, yothandiza kwambiri, itha kuchitika kuchipatala cha odwala, ili ndi mtengo wotsika ndipo imabweretsa zotsatira zabwino;
• Cauterization yamankhwala: oyenera zilonda zazing'ono komanso zopanda pake. Zimachitika pogwiritsa ntchito zinthu zowononga monga trichloroacetic acid kapena kuphatikiza kwa zidulo;
• Chithandizo cha Laser: kudzera kopitilira mpweya woipa kapena pulsed laser;
• Kuchiza opaleshoni: kugwiritsa ntchito chipale chofewa cha nayitrogeni kapena carbon dioxide;

Ndikofunikanso kwambiri kuti chithandizo ndi kuwongolera matenda ena okhudzana ndi kusintha kwa kagayidwe kake ndi mapangidwe a xanthomas, monga matenda ashuga, khansa ya chiwindi, hypothyroidism kapena matenda a impso.

Chithandizo cha chapamimba xanthoma

Gastric xanthoma kapena chapamimba xanthelasma ndi matumba achikaso a cholesterol kapena lipids, okhala ndi mizere yosakhazikika pang'ono, yomwe imatha kuyeza 1 mpaka 2 mm, yomwe ili m'mimba. Kuti muthane ndi mtundu uwu wa xanthoma ndikofunikira kukhala ndi mayeso a endoscopy ndi biopsy, ndipo ngati zizindikiro za khansa ya m'mimba sizichotsedwa, nthawi zambiri zimakhala zoyipa, ndipo mayendedwe akuyenera kuwonedwa, ndiye kuti, ayenera kuyang'aniridwa pafupipafupi. onani kusinthika kwa vutoli.

Komabe, ngati pali chiopsezo cha kupangidwa kwa khansa kapena zizindikiro zakukula kwa xanthoma, adokotala azitha kuwongolera kuti achotsedwe, njira yomwe yachitika kudzera ku endoscopy.