Nā hānau hānau ʻulaʻula

ʻO nā hānau hānau ʻulaʻula nā hōʻailona ʻili i hana ʻia e nā kīʻaha koko kokoke i ka ʻili. Hoʻolālā lākou ma mua a ma hope koke paha o ka hānau ʻana.

Aia ʻelua papa nui o nā hānau hānau:

• Hana ʻia nā hānau hānau ʻulaʻula i nā moku koko kokoke i ka ʻili. Kapa ʻia kēia mau mea he vmarks hānau.
• ʻO nā hānau hānau pigment nā wahi e ʻokoʻa ai ke kala o ka hānau hānau mai ke kala o ke koena o ka ʻili.

ʻO Hemangiomas kahi ʻano maʻamau o ka hānau hānau. ʻAʻole ʻike ʻia ko lākou kumu. Hoʻokumu ʻia ko lākou kala e ka ulu ʻana o nā kīʻaha koko ma ka pūnaewele. ʻO nā ʻano hemangiomas like ʻole:

• Hiki ke hoʻomohala ʻia ʻo Strawberry hemangiomas (strawberry mark, nevus vascularis, capillary hemangioma, hemangioma simplex) i mau pule ma hope o ka hānau ʻana. Hōʻike ʻia paha lākou ma nā wahi āpau o ke kino, akā ʻike pinepine ʻia ma ka ʻāʻī a me ka maka. Aia kēia mau wahi i nā kīʻaha koko liʻiliʻi kokoke loa.
• ʻO ka cavernous hemangiomas (angioma cavernosum, cavernoma) ʻano like me ka strawberry hemangiomas akā hohonu lākou a ʻike ʻia he wahi ʻulaʻula polū o nā kiko i piha i ke koko.
• ʻO nā pā Salmon (nahu mai ka stork) he mea maʻamau. Loaʻa iā lākou i ka hapalua o nā keiki hānau hou. He liʻiliʻi lākou, ʻulaʻula, nā pālahalaha i hana ʻia i nā kīʻaha koko liʻiliʻi i hiki ke ʻike ʻia ma o ka ʻili. ʻO ka mea maʻamau ma ka lae, nā lihilihi, ka lehelehe luna, ma waena o nā kuʻemaka, a ma ka hope o ka ʻāʻī. Hiki ke ʻike ʻia nā pānaʻi Salemona ke uē ke pēpē a i ʻole ke loli ka mahana.
• ʻO nā kīʻaha Port-waina nā hemangiomas pālahalaha i hana ʻia i nā kīʻaha koko liʻiliʻi (capillaries). Hiki ke hoʻopili ʻia nā stain Port-wine ma ka maka me ka maʻi Sturge-Weber. Kū pinepine lākou ma ka maka. Hoʻololi ko lākou nui mai ka liʻiliʻi a i ka hapalua o ka ʻili o ke kino.

ʻO nā ʻōuli nui o nā hānau hānau:

• Nā māka ma ka ʻili e like me nā kīʻaha koko
• ʻUlaʻula ʻaʻula o ka ʻili a ʻulaʻula paha

Pono ke kahu mālama ola e nānā i nā hānau hānau āpau. Hoʻokumu ʻia ka diagnostics ma ke ʻano o ka nānā aku o ka hānau hānau.

ʻO nā hoʻāʻo e hōʻoia i nā hānau hānau hohonu:

• ʻ biiwi lāʻau
• CT scan
• MRI o kahi

He mau hemangiomas strawberry, nā hemangiomas cavernous, a me nā pā salmon he manawa pōkole a ʻaʻole pono ka lāʻau.

ʻAʻole pono nā lāʻau stain-port i ka lāʻau ke ʻole lākou:

• Hoʻopili i kāu helehelena
• Kumu kaumaha kaumaha
• He ʻeha
• Hoʻololi i ka nui, ke ʻano, a i ʻole ke kala

ʻAʻole mālama ʻia ka hapa nui o nā hānau hānau paʻa ma mua o ka hiki ʻana o ke keiki i ka makahiki kula a i ʻole ke kumu hānau ka hopena. ʻO nā stain Port-waina ma ka maka he ʻokoʻa. Pono lākou e mālama ʻia i ka wā ʻōpio e pale i nā pilikia o ka naʻau a me ka pilikanaka. Hiki ke hoʻohana ʻia ke kahakaha laser e mālama iā lākou.

Hūnā paha nā mea hoʻonani i nā palena hānau hānau mau.

Hiki i ka ʻoki a i ʻole injected cortisone ke hōʻemi i ka nui o kahi hemangioma e ulu wikiwiki nei a hoʻololi i ka ʻike a i ʻole nā ​​mea ola.

ʻO nā ʻano lapaʻau ʻē aʻe no nā hānau hānau ʻulaʻula:

• Nā lāʻau lapaʻau Beta-blocker
• Paʻahau (cryotherapy)
• ʻOki kino kukuna
• Wehe ʻoki

ʻAʻohe kumu o nā hānau hānau i nā pilikia, ʻokoʻa nā hoʻololi o ka helehelena. Hele nui nā hānau hānau ma kā lākou iho i ka manawa a ke keiki i hiki ai i ke kula, akā paʻa kekahi. ʻO nā lauana hoʻomohala aʻe i ʻano like me nā ʻano o nā hānau hānau:

• Ulu wikiwiki nā Strawberry hemangiomas a noho i ka nui like. A laila hele lākou. ʻO ka hapa nui o nā strawberry hemangiomas i hala i ka manawa he 9 mau makahiki o ke keiki. Eia nō naʻe, hiki ke hoʻololi iki i ke kala a i ʻole ka ʻili ʻana o ka ʻili kahi o ka hānau hānau.
• Hele kekahi o nā cavernous hemangiomas iā lākou iho, ma ke ʻano maʻamau o ke keiki e pili ana i ka makahiki kula.
• E mae pinepine nā pā Salmon ke ulu ka pēpē. ʻAʻole mae paha nā pāʻina ma ka ʻāʻī o ka ʻāʻī. ʻAʻole ʻike ʻia lākou i ka ulu ʻana o ka lauoho.
• Paʻa pinepine nā paʻi Port-waina.

Hiki ke hana i nā pilikia aʻe mai nā hānau hānau:

• Kaumaha kaumaha ma muli o ka helehelena
• Ka hōʻoluʻolu a me ke kahe ʻana mai nā vmarks hānau (i kekahi manawa)
• Hoʻopilikia i ka ʻike a i ʻole nā ​​hana o ke kino
• Hoʻopili a paʻakikī paha ma hope o ke kahakaha ʻana e kāpae iā lākou

E nānā i kāu mea mālama ola i nā ʻōuli hānau āpau.

ʻAʻohe ala i ʻike ʻia e pale aku ai i nā hānau hānau.

Mākala Strawberry; Hoʻololi ka ʻili vascular; Angioma cavernosum; Capillary hemangioma; Hemangioma simplex

• Nahu ʻaʻaka
• Hemangioma ma ka maka (ihu)
• Hemangioma ma ka auwae

ʻO Habif TP. ʻO nā ʻōpū vascular a me nā malformations. I: Habif TP, hoʻoponopono. Dermatology Lapaʻau. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 23.

Paller AS, Mancini AJ. Nā maʻi kīnā o ke keiki a me ka wā kamaliʻi. I: Paller AS, Mancini AJ, eds. ʻO Hurwitz Clinical Pediatric Dermatology. 5th lā. Piladelapia, PA: Elsevier; 2016: chap 12.

Patterson JW. ʻO nā kūpuna vascular. I: Patterson JW, hoʻoponopono. ʻO Weedon's Skin Pathology. ʻEhā ed. Piladelapia, PA: Elsevier; 2016: chap 38.