Hemangioma

Hemangioma

He aha kēīa ?

ʻO ka hemangioma, a i ʻole infantile hemangioma, ʻo ia ka maʻi ʻaʻai maʻi maʻi e ʻike ʻia ma ke kino o kahi pēpē i kekahi mau lā a i ʻole mau pule ma hope o ka hānau ʻana a ulu wikiwiki i nā mahina mua o ke ola, ma mua o ka hoʻi hou ʻana a nalo i ka makahiki. 5-7 makahiki. Eia nō naʻe, i kekahi manawa pono nā pilikia i ka lāʻau lapaʻau. ʻO ia ka maʻi maʻamau maʻamau, pili i ka 5-10% o nā keiki. (1)

Ōuli

Hiki ke ana ka hemangioma mai kekahi mau millimeters a i kekahi mau kenimika. Hoʻokaʻawale ʻia ia ma 80% o nā hihia a loaʻa i ke poʻo a me ka ʻāʻī ma 60% o nā hihia (1). Akā he nui nā hemangiomas (a i hoʻolaha ʻia paha). Ma hope o ka ulu wikiwiki ʻana, hoʻopau ʻia kona ulu ʻana a puni ka makahiki mua o ke ola ʻana o ke keiki pēpē, a laila e hoʻihoʻi mālie ke koko a nalowale loa i ka hapa nui o nā hihia. Aia ʻekolu ʻano maʻi o ka hemangioma:

  • ʻO nā hemangiomas ʻili, pili i nā dermis, ʻulaʻula ʻulaʻula, e lawe ana i ke ʻano o kahi plaque a i ʻole ka lobe, me kahi ʻili laulima a ʻili paha e like me ka hua, no laila kona inoa ʻo "strawberry angioma", e ʻike ʻia i nā pule mua ʻekolu o ke ola. ;
  • Hemangioma subcutaneous e pili ana i ka hypodermis, ʻulaʻula ke kala a ʻike ʻia ma hope, ma kahi o 3 a 4 mau mahina.
  • Nā ʻano hui ʻia e pili ana i ka dermis a me ka hypodermis, ʻulaʻula i waenakonu a polū a puni.

Nā kumu o ka maʻi

ʻAʻole i oʻo ka hoʻonohonoho ʻana o ka ʻōnaehana vascular i nā pule ma mua o ka hānau ʻana, e like me ka mea maʻamau, a hoʻomau mau ʻia i ke ola extrauterine.

He mea nui ia e koʻikoʻi, ʻoiai ʻo ka hoʻāʻo ʻana o ka hoʻokaʻawale ʻana, aia nō kahi semantic nui a no laila ka huikau diagnostic e pili ana i ka huaʻōlelo "hemangioma". E hoʻomanaʻo, aia kekahi mau maʻi maʻi maʻi vascular ʻē aʻe, e like me ka hemangioma congenital. 'A'ole e like me ka ma'i koko i loa'a mai ka hemangioma, aia mai ka hānau 'ana a 'a'ole ulu. He poni a hoʻopaʻa pinepine ʻia i nā lālā kokoke i nā hui. ʻO ka hope, pono e hoʻokaʻawale ʻia ma waena o nā maʻi maʻi vascular a me nā malformations vascular.

Nā mea pilikino

ʻOi aku ka nui o nā kaikamahine i ka hemangioma ma mua o nā keikikāne. Ua ʻike ʻia ʻoi aku ka nui o ka pilikia i nā pēpē me ka ʻili maikaʻi a keʻokeʻo, haʻahaʻa ke kaumaha a i ka wā i loaʻa ai nā pilikia o ka hāpai ʻana.

Kāohi a me ka lapaʻau

ʻO ka hoʻihoʻi ʻana o ka hemangioma he 80-90% o nā hihia (e pili ana i ke kumu), akā pono e hoʻohana i ka lāʻau lapaʻau inā nui ka hemangioma a lilo i mea paʻakikī, i kēia mau hihia:

  • ʻO ke koko necroses, koko a me nā ʻeha;
  • ʻO ka wahi o ka maʻi ʻaʻai e pale ana i ka hana pono o ke kino, ʻo ia ka maka, ka waha, ka pepeiao, ka ihu…;
  • ʻO kahi hemangioma maikaʻi ʻole he hopena koʻikoʻi no ke keiki, akā no nā mākua. ʻOiaʻiʻo, hiki i kahi hemangioma maikaʻi ʻole ke alakaʻi i kahi ʻano o nā manaʻo maikaʻi ʻole: ka manaʻo o ke kaʻawale mai ke keiki, ka hewa, ka hopohopo a me ka makaʻu.

Hoʻohana ka mālama ʻana i ka Hemangioma i nā corticosteroids, cryotherapy (lāʻau anu), laser a, ʻoi aku ka kakaikahi, ʻokiʻoki. E hoʻomaopopo i kahi lāʻau lapaʻau hou i ʻike ʻia ma 2008, propranolol, hāʻawi i nā hopena maikaʻi, ʻoiai e kaupalena ana i ka hopena o nā hopena ʻaoʻao. He lāʻau lapaʻau beta-blocker i loaʻa i ka mana kūʻai aku ma ʻEulopa ma 2014.

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