Tse tobileng lesapo: human anatomy le bolwetse

The lesapo tse tobileng e bopa e calvarium. Le amana le hlaphohetsoe likelellong ka (mahlong le monko), ho etsa mosebetsi o kopanetsoe, 'me e na le likarolo tse peli: tshekaletseng le paatsepama. lefapha Horizontal e arotsoe nasal unpaired le likarolo orbital ea mouoane.

The lesapo tse tobileng e na le likarolo tse 'nè: e' meli orbital, nasal le tse tobileng sekala. Tse tobileng holim na sekala latelang: tobileng (ntle), boko (hare) le tse peli tse ya ntango (lehlakoreng). The lesapo tse tobileng ka tshebetso ya ho liphetoho ho iphetola ha lintho, develops litutulu tse tobileng, ho fellang ka phatleng pholileng fetohile: ho tswa downhill o ile khonvekse. Holim tse tobileng ke khonvekse ka pele, le boreleli midline na ke ho honyenyane bonahaleng bophahamo. Likarolong anterior ya holim'a metsi ka ntle la sekala sa kena holim orbital. The lesapo tse tobileng (holim'a sekala) e arohane le holim 'a arcuate mola ya ntango ya ntango.

lefu

Hyperostosis ba tse tobileng lefu lesapo kapa Morgagni-Stewart-Morel o tsejoa saense tse fetang 250 lilemong tse, empa esita le kajeno thahasello ea bo-rasaense ba ho lefu lena e tsoela pele ka sekhahla. Ka lebaka la lefu lena ho na le kelello, vegetative-vascular le tshilong ya dijo ka le mafu hormonal. Ba bang ba bangodi ho le matšoao hyperostosis ka sehloohong kenyeletsa botenya, kgatelelo ya madi, phehellang hlooho. Hangata e le lefu lena e ho kopantswe le mafu a kelello (atrophic myotonia, mafu bokong, lefu cerebrovascular, ruruhisang tshwaetso). Leha ho le joalo, ho fihlela joale ha e thehilweng se ikemetseng etiological lebaka.

Osteoma tsa lesapo tse tobileng - lefu le sa tloaelehang tšoauoa ka sebopeho sa lihlahala nang kotsi. Ho lumeloa hore ho etiology tsa osteoma amanang le ntlha e lefa (kgonego ya fetisetsa bolwetse litloholo e tobileng ea karolo ea 50 lekholong), joalokaha ho hlalositsoe congenital exostosis.

The pathogenesis lefu lena

Osteomas tsebahalang mefuta e meraro: tiileng, 'me medullary seponche. Tiileng osteoma na le lintho tse bonahalang le letšo-letšo (lipoleiti), eo ba lokisetsa e tšoanang le ho holim 'a neoplasm ka. Medullary mofuta osteoma na cavities e pharaletseng eo tletse ka lesapo moko.

Ho latela Virchow khetholla mefuta e 'meli ea dihlahala: geteroplasticheskie (thehoa ho tswa dinama tse nyenyane tse connective), hyperplastic (thehoa ho tswa ho lesapo la). Sehlopha sa pele se akarelletsa osteophyte - dikarolo tse sa reng letho ka lesapo. Haeba ba ne ba lula ka sedikiso lohle la lesapo, ba ile ba ba bitsoa hyperostosis. Haeba masapo e ntshitsweng ka mokgwa wa lihlahala ka sebaka sa e fokolang, ho exostosis, haeba ho e-na ka hare ho lesapo la - enostosis.

Clinical matšoao osteoma

Osteomas, hlahella holim'a ka hare tsa lesapo tse tobileng, a tsamaea le ho tšoaroa ke hlooho khafetsa, sethoathoa, mafu a kelello, a matšoao a eketsehileng khatello ea intracranial. Ha hlahala e localized ka "Sella" ka bontša hormonal imbalance. Ha localized sebakeng sinuses e ntshetswa pele diplopia, exophthalmos, ptosis, anisocoria, fokotseha Pono, joalo-joalo

Hangata ka ho fetisisa osteoma localized ka ntle (lateral) holim 'a lesapo la. Osteomas, localized ka ntle ya poleiti lehata bone bone, o ile a bontša ka sebōpeho sa thuto e le letšo-letšo, bohloko le ea sebele. Phumano e thehiloe fumanoeng ke ea tleleniki le radiological. Ha extracranial hlahala kgolo ya e tšoenngoa hema, monko, ka linako tse ling a holofala masapo ea sefahleho.

Leha ho le joalo hangata ka ho fetisisa jala intracranial osteoma. lihlahala tse joalo li timetsa ba morao leboteng la sinuses tse tobileng, a etsa hore compression ea ntho boko. Ha ho thulaganyou e amanang le tšoaetso ea ena pathological hlahisa arachnoiditis, boko abscess, meningitis. Phapang ea lefu ho tloha osteosarcoma le osteomyelitis. Neoplasms ba tlosoa ngaka e ka.