ʻO nā pololi Cholesterol ma nā pūlima, he xanthelasms ka neoplasms benign melemelo i hoʻokumu ʻia ma lalo o ka ʻili o ka ʻili o nā maka. ʻO kā lākou wahi maʻamau ka ʻaoʻao o ka maka.
Hiki i nā Neoplasms ke lilo hoʻokahi a i ʻole ka nui. ʻO ke ʻano o nā kīpaha ma ka eyelids a i ʻole nā ʻāpana ʻē aʻe o ka ʻili he hōʻailona prognostic maikaʻi ʻole a hōʻike i ka hōʻeha o ka maʻi lipid metabolism.
I ka hoʻokumuʻana o xanthelasm, pono ia e hana i kahi maʻi diagnostic piha e maopopo i nā mea pili i ka metabolic. ʻO ka wehe ʻana i nā kolikoli kolamu ma nā maka he mea kūpono wale nō ma o ka hana ʻana, me ka hoʻohana ʻana i nā hana hōʻemi minimally invasive.
Hōʻailona o ka xanthelasm
I mea e hoʻomaopopo ai i ka hoʻopau pono ʻana i nā palaki kolesterol ma nā maka, pono ia e hoʻomaopopo i ka pathophysiology o ke kaʻina hana.
I ka manawa pinepine, ua haku ʻia nā xanthelasms i nā ʻelele o nā ʻelemakule kahiko. ʻOiai ka uluʻana o nā kāne i ka minamina o ka metabolism lipid, i loko o nā wahine i ka ulu pinepine o ka xanthelasm e ulu pinepine.
Wahi a ka pathophysiology o ka neoplasm development, ʻo ke kumu no kēia he nui o ka maikaʻi i ka metabolism momona a me kahi pae i haʻi ʻia o ke kaʻina atherosclerotic.
ʻO ka etiology o xanthelasm he idiopathic. ʻO ia, ʻaʻohe kumu kūpono no ka hoʻokumu ʻana i nā platena.
Ke hoʻolako nei i nā mea:
- ka heleʻana o kahi momona alimentary;
- ka heleʻana o ka metabolic syndrome;
- insulin mellitus maʻi diabetes;
- hepatosis momona momona me kahi ka hoʻololi ʻana i ka cirrhosis;
- hypothyroidism koʻikoʻi;
- ka hoʻonui hoʻonui nui ʻana i ka kologen endogenous o nā ʻano kumu mua;
- amyloidosis a me steatonephrosis.
I kekahi mau hihia, he moʻomeheu nā genesis o ka maʻi. ʻO ka "hauʻoli" nā mea nona ka xanthelasm e wehewehe i nā neoplasms like i nā ʻohana pili kokoke.
ʻO ke kihi kikowaena luna i luna nui loa i ka pilaloka ma muli o ka hele mai o ka ʻili maikaʻi, a me ka ili.
Hōʻike ʻia ke kiʻi morphological o nā neoplasms e ka hōʻiliʻili ʻana o nā lipids ma lalo o ke kuli me ka ulu o ka huina. ʻO ka wehe ʻana o ke kolamu a me nā lipher atherogenic kahi o ka morphological substrate o ka maʻi.
ʻO ke kiʻi haukaʻi ma ka hoʻokumu ʻana o xanthelasm
ʻO ka kolone Cholesterol kahi kikoʻī subcutaneous e kū aʻe ma luna o ka ʻili, me kahi pue melemele i ʻōlelo ʻia. He wahi maʻamau o ka hoʻolālā ʻana, ʻo ia ke ʻano o nā maka, ka puʻu i luna a i ʻole a i lalo paha, ka kihi o loko.
ʻAʻohe nā hopohopo neoplasm i ka mea maʻi, hoʻomāʻeha ʻole, me ka puʻuwai maʻalahi.
I ka hapanui pinepine, ua nānā ʻia kekahi lesi bilateral - ʻehā mau kuhi i nā ʻaoʻao ʻelua.
Me nā foci he nui, hiki ke hoʻohui i nā pākahi a hana i nā mahina nui o ka hōʻiliʻili lipid.
Me ka decompensation o lipid metabolism, he hoʻomau i ka hoʻopiha mau o nā kuʻemaka me nā lipids aia i ka hana oculomotor impaired.
He maʻi lohi ʻo Xanthelasma. ʻO ka hapa nui, ʻaʻole i komo nā neoplasm i ka hoʻomohala ʻana o nā hōʻailona, no laila ʻaʻole noʻonoʻo ka mea maʻi e pono ke ʻimi i ke kōkua olakino.
Hiki ke hoʻololi ʻia ka nui o nā puka.
ʻAʻole ʻike ʻia nā Plaques i ka hōʻino, a no laila, ʻaʻole lākou e hoʻoweliweli i ka ola kanaka. Hoʻokumu lākou i kahi kakala aesthetic hai wale nō.
ʻO ka hoʻokumu ākea nui o nā plakika ʻoi aku kahi ʻano maikaʻi ʻole o ka maʻi a hana i ka ʻehaʻeha koʻikoʻi i ka mea maʻi.
ʻO Xanthomatosis kekahi ʻano o nā māhele aʻe o ke kino:
- Pā maka a ʻāʻī.
- Ka hopena, me ka noho nui o ka hoʻololi a me nā pae hoʻonui.
- Nā membus haika.
- Hoʻomaʻamaʻa pinepine ʻia i ke ʻano o nā pōpoki ma nā lula maoli o ka ʻili.
Ka papa ʻōlelo o nā neoplasms:
- ʻO nā mele loloa;
- piʻo;
- ka hū ona;
- lobed ʻano.
ʻAʻole kūpono nā kumu i ke ʻano hou. Hōʻike ʻia ko lākou mau helehelena e ka hoʻomau mau ʻana o ka holomua.
Kuhi pinepine ʻia kēlā mau leʻa i ka hoʻomaʻamaʻa pediatric. ʻO ke kumu o kēia kahi ke hōʻeuʻeu i ka papa o ka papaʻi o ka ʻōpala.
Pono ke alakaʻi i ka mālama lapaʻau koke.
ʻO nā kaʻina hana hoʻomālikelike
ʻO ke ʻano o ka xanthelasm kahi hōʻailona o ka hōʻinoʻole o ka lipid metabolism a hōʻike pū kekahi i ka hoʻomohala ʻana o ka atherosclerosis. I nā hōʻailona mua o ka hoʻokumu ʻana o nā puka i nā maka, pono ʻoe e kamaʻilio i ke kauka. ʻO ka mea mua, ua ʻōlelo ʻia e nīnau aku i kahi dermatologist e waiho i nā maʻi ʻiliʻili kino. ʻO ka hana aʻe e nīnau aku ai i kahi kauka, cardiologist a me ka lāʻau maʻi vascular.
I kekahi mau hihia, pono i kahi kauka loea e nānā pono i kahi maʻi me ka hōʻiliʻili o nā hoʻopiʻi no ka maʻi maʻi.
I mea e wehewehe pono ai i ka hoʻomohala ʻana, pono e hoʻokō i kēia mau hana:
- ʻO ke ʻano loiloi biochemical koko me kahi kiʻi piha lipid lōʻihi.
- ʻO ka loiloi ultrasound o nā puʻuwai a me nā koko.
- ʻO ka Dopplerography o nā moku o ka naʻau.
- Ka hoʻāʻo ʻana o ka glucose koko, ka hoʻāʻo ʻia ka hoʻohaʻahaʻa.
- Hoʻomoe ʻana i ka hōʻaiʻe kuʻina-brachial index;
- Ka heluʻana o ka pauna ʻōiwi kino.
- Electrocardiography
Eia kekahi, e like me nā loina o ka maʻi maʻi, lawe ʻia ke ʻano hoʻonaninani.
ʻO nā maʻi me nā hōʻike like like:
- neoplasms benign a hōʻino;
- hiʻi o ka ʻili;
- granulomas syphilitic;
- nā maʻi ʻōpū;
- papillomas.
E hoʻokaʻawale i nā ʻōnaehana o luna, hana ʻia ka lāʻau biopsy me ka nānā ʻana i ka histological hou, he ʻano Wasserman, hōʻike Diaskin a me nā ʻano hana ʻē aʻe.
Hoʻohana ʻia Xanthelasm
Ma muli o ke kūkulu ʻana o ka xanthelasm he hopena ia o ka metabolism lēwa, pono e kūpono ke mālama.
ʻO ke kumu mua ke hoʻoponopono ʻana i ka lāʻau lapaʻau me ka pauma o ka protein.
E hoʻokō aku i ka hopena kiʻekiʻe ma ka manawa pōkole loa, koi ʻia kahi loli holoʻokoʻa ka pono a me ke ʻano hana.
Pono ka hopena o ka atherosclerosis, i pili pū me ka mea e kuhikuhi i ka mea maʻi i kahi lipid-lowing therapy.
ʻO ka ʻoi loa e pili ana i ka hakakā me nā ʻōlapa atherosclerotic o nā lāʻau o ka pūʻulu statin. Hiki iā ʻoe ke hakakā pū me ke kolamu kiʻekiʻe a me nā lāʻau lapaʻau e pili ana i nā Omega-3 a me nā Omega-6 fatty acid. Loaʻa i kēia pae o nā mea waiwai i ka hopena antagonistic ma luna o ka cholesterol. Hiki i nā molekena Omega-acid ke hoʻoneʻe i nā ʻikina kolene mai ka endothelium vascular.
I waena o nā kānaka lapaʻau, makemake ʻia nā lāʻau lapaʻau. Nui nā lāʻau lapaʻau ua haʻi ʻia ka hopena antiatherogenic.
No ka mālamaʻana i nā neoplasms, hoʻohana ʻia ka heparin a me ka ichthyol.
Akā, hiki ke hoʻopau wale i ka neoplasms me ke kōkua o ka pale ʻana i ka holo ʻana.
I mea e hoʻopiha loa ai i ka xanthelasm, ua hoʻohana ʻia nā kiʻi hoʻokūkū minima ma lalo nei:
- Luku luku ʻia.
- Kēiahea.
- Hoʻohālikelike.
- Paʻi leʻaleʻa kūwaho e hoʻāla ai neoplasms
- Ke ʻano hana hoʻokūkū maʻamau.
ʻO ke ala hope o ka wehe ʻana e kōkua i ke kāpae ʻana i ka kikoʻī i hoʻololi ʻia, akā ma ka hapa nui loa e loaʻa ai nā manaʻo ʻino mai nā mea maʻi ma muli o ka manawa lōʻihi.
ʻO ka mea loea i ka wikiō ma kēia ʻatikala e kamaʻilio e pili ana i ka xanthomas.
