Xanthome

Xanthome

ʻO nā ʻili ʻili liʻiliʻi i haku ʻia ma ka momona, xanthomas e ʻike pinepine ʻia ma ka lihilihi maka. Bense pseudotumors, hiki iā lākou ke lilo i hōʻailona no ka maʻi lipid.

Xanthoma, pehea e ʻike ai ia

ʻO Xanthoma kahi liona liʻiliʻi o ka ʻili he mau milimita ka nui, ma ka waihoʻoluʻu melemele i ke kala. Hana ʻia ia me nā lipids (cholesterol a me nā triglycerides).

Aia kekahi mau ʻano xanthoma ma muli o ka wahi i hoʻopilikia ʻia a me ke ʻano o nā leona. Hoʻohui ʻia lākou ma lalo o ka huaʻōlelo xanthomatosis:

  • ʻO ka eyelid xanthoma, a i ʻole xanthelasma, ka mea maʻamau. Hiki iā ia ke hoʻopili i ka maka o lalo a i luna paha, ʻo ka hapanui ma ka kihi o loko. ʻIke ʻia i ke ʻano o nā pā melemele a i ʻole nā ​​kinipōpō liʻiliʻi o ka momona beige, kūlike i kahi waiho o ka kolukoleta i nā papa papa o ka ʻili;
  • ʻike ʻia e ka papules melemele e hōʻike koke ʻia ma ka ʻūhā, kuʻe a me nā kuli. I kekahi manawa ʻeha, nalo wale lākou akā noho ka pigmentation kuewa no kekahi manawa;
  • Loaʻa ka xanthoma palmar striated i loko o nā pelu o nā manamana lima a me nā lima. ʻOi aku i kahi ulu, ʻoi aku ia i kahi kiko melemele;
  • hoʻopili ka planant xanthomas i ka pahu a me ke aʻa o nā lālā, i kekahi manawa ka maka, i ke ʻano o nā pā melemele nui. He kakaikahi loa lākou;
  • pili ka tendon xanthoma i ka tendon Achilles a i ʻole nā ​​extensor tendons o nā manamana lima ʻaʻole ma ka ʻili, akā ma lalo o ka ʻili.
  • Hoʻopili ka tubantous xanthoma i nā wahi o ke kaomi e like me nā kuʻekuʻe a kuli paha. Hoʻololi lākou i ke ʻano mai nā papule liʻiliʻi a paʻa i nā melemele melemele a ʻalani paha, pili pinepine ʻia me kahi halo erythematous.

I ka hapanui o nā hihia, ua lawa kahi hoʻokolohua hoʻokolohua e kahi dermatologist e hōʻike pono i ka xanthoma. Kākaʻikahi wale nō, hana ʻia kahi biopsy.

Nā kumu o xanthoma

ʻO Xanthomas ka mea nui ma muli o ka infiltration ma lalo o ka ʻili o nā pūnaewele i hoʻopiha ʻia me nā droplets lipid i haku ʻia ma ka nui o ka kolesterol a i kekahi manawa nā triglycerides.

Hoʻopili pinepine ʻia ʻo Xanthoma me kahi maʻi lipid (hyperlipidemia). A laila ʻōlelo mākou no ka dylipidemic xanthomatosis. ʻO lākou ka mea hōʻike o kahi ʻohana hyperlipoproteinemia mua a i ʻole ke kula kiʻekiʻe (diabetes, cirrhosis, lāʻau lapaʻau, a me nā mea ʻē aʻe). Kū me kahi xanthoma, no laila pono e hoʻokō i kahi loiloi lipid piha me ka hoʻoholo ʻana o ka nui o ka cholesterol, ka hoʻoholo ʻana o HDL, LDL kolesterol, tryglycerides a me nā apolipoproteins. 

ʻO Normolipidemic xanthomatosis, ʻaʻole pili me kahi maʻi lipid, kākaʻikahi loa. Pono lākou e ʻimi i nā pathology like ʻole, ʻo ka hematological hoʻi.

ʻO ka xanthoma eyelid wale nō (xanthemum) ʻaʻole pili pono ʻia me ka dyslipidemia.

Ka makaʻu o ka pilikia o xanthoma

ʻO nā pilikia o ka xanthoma nā mea o ka dislipidemia me lākou e pili ai. No laila ʻo kēia nā pilikia o ka maʻi maʻi

Ka mālama ʻana i ka xanthoma

Hiki iā Xanthomas, ke wehe ʻia. Inā liʻiliʻi lākou, hiki i ka dermatologist ke lawe iā lākou me kahi scalpel, ma lalo o ka anesthesia kūloko. Inā nui a i ʻole i mua o kahi contraindication i ke kaha ʻana, hiki ke hoʻohana ʻia ka laser.

Inā pili ka xanthoma me ka dislipidemia, pono e mālama ʻia kēia me ka papaʻai a me / a i ʻole ka lāʻau e hōʻalo ai i nā pilikia o ka maʻi puʻuwai.

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