ʻO Klippel-Trenaunay Syndrome

ʻO Klippel-Trenaunay Syndrome (KTS) kahi ʻano laha ʻole i loaʻa mau i ka wā hānau. Hoʻopili pinepine ka maʻi i nā stain waina awa, ka ulu nui ʻana o nā iwi a me nā mea palupalu, a me nā veins varicose.

Kū ka hapa nui o nā hihia o KTS me ke kumu ʻole. Eia nō naʻe, manaʻo ʻia e waiho ʻia kekahi mau hihia ma o nā ʻohana (hoʻoilina).

Nā ʻōuli o KTS me:

• ʻO ka nui o nā kīnā waina awa a i ʻole nā ​​pilikia o nā kīʻaha koko, e like me nā kiko ʻeleʻele i ka ʻili
• ʻO nā veins varicose (ʻike ʻia i ka wā kamaliʻi, akā e ʻike ʻia ma hope i ka wā kamaliʻi a ʻōpio paha)
• Gait paʻa ma muli o ka ʻokoʻa lōʻihi-lōʻihi (ʻoi aku ka lōʻihi o ka lālā i pili)
• Iwi, ʻaʻa, a ʻehaʻeha paha

Nā hōʻailona kūpono ʻē aʻe:

• Kahe mai ka pololei
• Koko i ka mimi

Hiki i ka poʻe me kēia ʻano ke ulu nui o nā iwi a me nā mea palupalu. Kū pinepine kēia i nā wāwae, akā hiki ke hoʻopili i nā lima, ka maka, ke poʻo, a i ʻole nā ​​mea kūloko.

Hiki ke hoʻohana i nā ʻenehana kiʻi ʻokoʻa e ʻike ai i nā loli i nā hanana o ke kino ma muli o kēia kūlana. Kōkua pū kekahi i ka hoʻoholo ʻana i ke kumumanaʻo o ka lapaʻau. Pākuʻi ʻia kēia mau mea:

• MRA
• Endoscopic thermal ablation therapy
• Nā kukuna X
• Nānā CT a CT kiʻi kiʻi kiʻi paha
• MRI
• Waihoʻoluʻu duplex ultrasonography

Hiki i ka Ultrasound i ka wā o ka hāpai ke kōkua i ka hōʻoia ʻana i ke ʻano.

Hāʻawi nā ʻoihana aʻe i ka ʻike hou aʻe e pili ana i KTS:

• ʻO ka Klippel-Trenaunay Syndrome Kākoʻo Pūʻulu - k-t.org
• ʻO ka Foundation Vmarks Birthmarks - www.birthmark.org

Hana maikaʻi ka hapa nui o nā poʻe me KTS, ʻoiai ke ʻano o ke ʻano i ko lākou helehelena. Loaʻa i kekahi poʻe nā pilikia psychological mai ke ʻano.

Hiki i kekahi manawa i nā kīʻaha koko ʻokoʻa i loko o ka ʻōpū, pono paha e loiloi.

ʻO Klippel-Trenaunay-Weber maʻi; KTS; Angio-osteohypertrophy; Hemangiectasia hypertrophicans; Nevus verucosus hypertrophicans; ʻO ka malformation capillary-lymphatico-venous (CLVM)

Greene AK, Mulliken JB. Nā anomalies vascular. I loko o: Rodriguez ED, Losee JE, Neligan PC, eds. ʻOki kino: Volume 3: Craniofacial, ʻoki poʻomanaʻo poʻo a me nā ʻāʻī a me nā ʻoki lula pediatric. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 39.

Pūnaewele Kākoʻo K-T Pūnaewele. Nā kulekele hana lapaʻau no Klippel-Trenaunaysyndrome (KTS). k-t.org/assets/images/content/BCH-Klippel-Trenaunay-Syndrome-Management-Guidelines-1-6-2016.pdf. Hoʻohou i Ianuali 6, 2016. Loaʻa iā Nowemapa 5, 2019.

Longman RE. ʻO Klippel-Trenaunay-Weber maʻi. I: Copel JA, DAlton ME, Feltovich H, et al, eds. Kiʻi Obstetric. ʻElua ed. Piladelapia, PA: Elsevier; 2018: chap 131.

McCormick AA, Grundwaldt LJ. Nā anomalies vascular. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 10.