ʻO ka loaʻa ʻana o kahi hōʻailona hānau ma ka ʻili o kahi pēpē he mea kupanaha mau a hāpai i nā nīnau he nui. Pono mākou e hopohopo? Pono mākou e ʻoluʻolu e nānā a komo paha? Nā pane.

Ma luna o nā mea a pau, mai hoʻolohe i nā manaʻoʻiʻo kaulana kahiko. ʻAʻohe pili o kāu pēpē “café-au-lait” me ka inu kofe i kou wā hāpai. ʻAʻole i ʻoi aku ma mua o nā angiomas ma muli o ka makemake nui i nā hua ʻulaʻula. Inā ʻaʻole maopopo iā mākou pehea e wehewehe ai i kēia mau mea liʻiliʻi dermatological peculiarities, hoʻokahi mea maopopo, ʻaʻole pili lākou i ke ʻano i ka wā hāpai.

ʻAʻole like me nā kiko ʻē aʻe mai ka hānau ʻana, ʻaʻole ʻike ʻia ka hemangioma no kekahi mau lā, a i ʻole kekahi mau pule. Mea maʻamau - pili ia i hoʻokahi o nā kamaliʻi he ʻumi - pili kēia anomaly vascular i nā kaikamahine hou aku, nā pēpē haʻahaʻa haʻahaʻa a me nā pēpē ʻoi loa. Ua ʻike ʻia nā kumu ʻē aʻe: ka makahiki ʻelemakule o ka makuahine, nā ʻeha o ka placenta i ka wā hāpai (detachment a biopsy no ka maʻi prenatal), ʻohana Caucasian, hāpai nui, etc.

ʻO ka hapa nui o ka manawa, ua ʻoluʻolu nā kauka i ka nānā ʻana i ka ulu ʻana o ka hemangioma, i hana ʻia ma ka ʻōnaehana ʻekolu. ʻO ka mua, he māhele o ka ulu wikiwiki, e mau ana ma waena o 3 a me 12 mahina a i ka wā e ulu ai ka lesion ma ka ʻili a me ka nui. A laila hoʻomau ia no kekahi mau mahina, ma mua o ka hoʻihoʻi ʻana i ka manawa, ma mua o ka makahiki 4. He kakaikahi ka hopena o ka ʻili (ka mānoanoa o ka ʻili, ka hoʻomāhuahua ʻana o nā kīʻaha koko) akā hiki ke hiki i nā manawa a pau ke ulu nui. A laila makemake nā kauka e komo e hoʻopau iā ia. Pono ʻoe e hoʻāʻo e kaupalena i ka hoʻonui ʻana o ka hemangioma ke kau ʻia ma kahi kokoke i ka maka a i ʻole ka ʻōpū hanu. ʻO kekahi hōʻailona no ka lāʻau lapaʻau: ʻaʻole ka hiʻohiʻona o hoʻokahi, e like me ka mea maʻamau, akā no nā "strawberries" ma ke kino holoʻokoʻa. He mea kakaikahi loa ia, akā hiki i kekahi ke makaʻu i ka hiki ʻana mai o nā maʻi ʻē aʻe, i kēia manawa i loko, ʻo ia hoʻi ma ke ake.

No ka hoʻolōʻihi i ka piʻi ʻana o kahi hemangioma invasive, ua lōʻihi ka cortisone i ka mālama maʻamau. Akā ʻoi aku ka maikaʻi o nā kauka i kēia manawa: propranolol.

Ua kapa ʻia ʻo "nā kiko waina" ma muli o ko lākou ʻulaʻula ʻeleʻele, hiki ke ana ʻia nā angiomas palahalaha i kekahi mau kenimika huinaha liʻiliʻi, e like me ka uhi ʻana i kahi ʻāpana holoʻokoʻa o ke kino a i ʻole ka hapalua o ka maka. I ka hopena hope, makemake nā kauka e nānā i ka loaʻa ʻole o nā angiomas ʻē aʻe i loko o nā meninges a i ʻole nā ​​​​maka e hoʻohana ana i ka MRI lolo.

Akā, i ka hapa nui o kēia mau anomali vascular liʻiliʻi he maikaʻi loa. Hiki i kahi wahi maikaʻi ʻole ke ʻae i ka makemake e wehe iā lākou me ka laser. No laila, paipai nā kauka i ke komo ʻana i ka wā mua: i ka ulu ʻana o ka angioma me ke keiki, ʻoi aku ka wikiwiki o ka mālama ʻana, ʻo ka liʻiliʻi o ka ʻili e mālama ʻia he mea nui a ʻoi aku ka nui o nā kau. He 3 a i ʻole 4 mau hana maʻamau, ʻoi aku ka maikaʻi ma lalo o ka anesthesia maʻamau, e hōʻemi i ka pala a i ʻole e nalowale loa.

Useless ma ka 'ē aʻe lima i ka manaʻolana e wehe i ka liʻiliʻi kukui ulaula wahi i kekahi manawa ma ka pae o ka ai, ma ka hairline, he indelible. ʻO ka mea hele pinepine a noho ma ke kiʻekiʻe o ka lae ma waena o nā maka ʻelua - he hiʻohiʻona, ʻeleʻele i ka wā e uē ai ke pēpē - e like me ka banal a me ka hilinaʻi, nalo wale ia ma mua o 3-4 mau makahiki. makahiki.

Nui nā keiki o ʻAsia, ʻApelika a me Mediterranean paha kahi wahi i kapa ʻia ʻo Mongoloid (a i ʻole Mongolian). ʻO ka ʻulaʻula, aia ma ke kua i lalo a ma ka ʻāʻī akā hiki ke loaʻa ma ka poʻohiwi a i ʻole ka lima. Maikaʻi maikaʻi, hoʻihoʻi iā ia iho a nalowale loa a puni nā makahiki 3-4.

Ma muli o ka nui o ka melanin, ʻike pinepine ʻia kēia mau ʻāpana ʻulaʻula liʻiliʻi ma ke kumu a i ʻole ke kumu o nā lālā. No ka mea ʻaʻole ʻike pinepine ʻia lākou a, i ka hapa nui o nā hihia me ka ʻole koʻikoʻi, makemake nā kauka ʻaʻole e hoʻopā iā lākou. E akahele naʻe inā ʻike ʻia nā kiko "café-au-lait" hou i ka makahiki mua. Pono e kūkākūkā no ka mea hiki i ko lākou hele ʻana ke hōʻailona o kahi maʻi genetic.