ʻO Cystic hygroma
ʻO kahi cystic hygroma kahi ulu ulu pinepine i ka poʻo a me ka ʻāʻī. He kīnā hānau.
Kū kekahi cystic hygroma i ka ulu ʻana o ka pēpē i loko o ka ʻōpū. Hana ʻia ia mai nā ʻāpana o nā mea e lawe i nā kahe koko a me nā keʻokeʻo keʻokeʻo. Kapa ʻia kēia mea he kikoola embryonic lymphatic.
Ma hope o ka hānau ʻana, ʻo ka hygroma cystic pinepine ke nānā aku e like me ka puʻu palupalu ma lalo o ka ʻili. ʻAʻole paha e loaʻa ke koʻokoʻo ma ka wā hānau. Ulu maʻamau i ka ulu ʻana o ke keiki. I kekahi manawa ʻaʻole ʻike ʻia a hiki i ka nui ʻana o ke keiki.
ʻO kahi hōʻailona maʻamau kahi ulu o ka ʻāʻī. ʻIke ʻia paha i ka wā hānau, a i ʻole ʻike ʻia ma hope i kahi pēpē ma hope o kahi maʻi hanu o luna (e like me ke anuanu).
I kekahi manawa, ʻike ʻia kahi cystic hygroma e hoʻohana ana i kahi ultrasound hāpai keiki ke noho ka pēpē i loko o ka ʻōpū. Hiki i kēia ke manaʻo he pilikia chromosomal paha kā ka pēpē a i ʻole nā kīnā hānau ʻē aʻe.
E hana ʻia paha kēia mau hoʻāʻo:
- Pākuʻi x-ray
- Kukuna ultrasound
- CT scan
- MRI hoʻoili
Inā ʻike ʻia ke ʻano i ka manawa o kahi ultrasound hāpai, e koi ʻia nā hōʻike ultrasound ʻē aʻe a i ʻole amniocentesis.
Hoʻopili ka mālama ʻana i ka hoʻoneʻe ʻana i nā aʻa āpau. Eia nō naʻe, ulu pinepine nā cystic hygromas, hiki ʻole ke hemo i nā mea āpau.
Ua hoʻāʻo ʻia nā ʻano lāʻau ʻē aʻe me ka kūleʻa wale o ka kūleʻa. Pākuʻi ʻia kēia mau mea:
- Nā lāʻau Chemotherapy
- Ka pahu kui o sclerose nā lāʻau
- Lapaʻau hoʻomākala
- ʻO Steroids
Maikaʻi ke kuanaʻike inā hiki i ke kahakaha ke hoʻopau loa i nā ʻaʻa ʻole. I nā hihia kahi hiki ʻole ke hoʻopau loa, hoʻi pinepine ka cystic hygroma.
ʻO ka hopena lōʻihi e hilinaʻi ʻia paha ma nā ʻano kino ʻē aʻe o nā chromosomal a i ʻole nā hānau hānau, inā aia kekahi.
Komo pū nā pilikia:
- Kahena
- Poino i nā hale i ka ʻāʻī i hoʻokumu ʻia e ke ʻoki
- Maʻi kīnā
- Hoʻi o ka cystic hygroma
Inā ʻoe e ʻike i kahi puʻupuʻu i kou ʻāʻī a i ʻole ʻāʻī o kāu keiki, e kāhea i kāu mea mālama ola.
Lymphangioma; Malformation Lymphatic
ʻO Kelly M, ʻO Tower RL, Camitta BM. Nā mea kūpono ʻole o nā moku lymphatic. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 516.
Marcdante KJ, Kliegman RM. Ke ala waena haʻahaʻa, parenchymal, a me nā maʻi vaskular pulmonary. I: Marcdante KJ, Kliegman RM, hua. Nā Pono Nui o Pediatrics. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 136.
Richards DS. ʻO ke ultrasound Obstetric: ke kiʻi ʻana, ka launa ʻana, ka ulu ʻana, a me ka anomaly. I: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Nā Obstetrics: Nā Pregnancies Maʻamau a me nā pilikia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 9.
Rizzi MD, Wetmore RF, Potsic WP. ʻIke ʻokoʻa o ka lehulehu o ka ʻāʻī. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 198.