Angiofibroma ʻōpio

ʻO Juvenile angiofibroma kahi ulu noncancerous e kumu i ke kahe ʻana o ka ihu a me nā sinus. ʻIke pinepine ʻia ia i nā keikikāne a me nā kāne ʻōpio.

ʻAʻole maʻamau ka angiofibroma ʻōpio. ʻIke pinepine ʻia ia i nā keikikāne ʻōpio. Loaʻa i ka tumo nā kīʻaha koko he nui a pālahalaha i loko o kahi i hoʻomaka ai (invasive kūloko). Hiki i kēia ke hōʻino i ka iwi.

ʻO nā hōʻailona me:

• Ka hanu paʻakikī ma o ka ihu
• ʻĀpiki maʻalahi
• Nā ihu ihu pinepine a i ʻole hoʻi
• ʻEha poʻo
• ʻO ka pehu ʻana o ka papalina
• Lohe hoʻolohe
• Kahe ihu, he koko mau
• Kahe lōʻihi ʻana
• Pihu ihu

Hiki i ka mea mālama ola ke ʻike i ka angiofibroma ke nānā i ka ʻāʻī o luna.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Arteriogram e ʻike i ka hāʻawi o ke koko i ka ulu ʻana
• CT scan o nā sinus
• MRI scan o ke poʻo
• X-ray

Paipai ʻole ʻia ka Biopsy ma muli o ka nui o ke kahe o ke kahe ʻana.

Pono ʻoe i ka lapaʻau inā ulu ka angiofibroma i ka nui, ka pale ʻana i nā kahawai, a i ʻole ke kumu o ka ihu ihu. I kekahi mau hihia, ʻaʻole pono ka lapaʻau.

Pono paha ke ʻoki e wehe i ka tumo. Hiki paha i ka tumo paʻakikī ke lawe aku inā ʻaʻole paʻa ʻia a pālahalaha ʻia i nā wahi ʻē aʻe. ʻO nā ʻenehana ʻoki ʻoi hou e kau ana i kahi kāmela ma o ka ihu ua hōʻemi iki ka hana o ka wehe ʻana i ka tumo.

Hana ʻia kahi hana i kapa ʻia ʻo embolization e pale ai i ka tumo mai ke kahe ʻana o ke koko. Hiki i ke kaʻina hana ke hoʻoponopono i nā nosebleeds e ia iho, akā ʻo ka mea pinepine pinepine ʻia e ke ʻoki e wehe i ka tumo.

ʻOiai ʻaʻole maʻi maʻi, angiofibromas e hoʻomau i ka ulu. E nalo paha kekahi ma o lākou iho.

He mea maʻamau ka hoʻi ʻana o ka tumo ma hope o ke kahakaha ʻana.

Komo pū nā pilikia:

• Anemia
• Kaomi ma ka lolo (laha ʻole)
• Hoʻolahalaha i ka puʻupuʻu i ka ihu, sinus, a me nā hanana ʻē aʻe

Kāhea i kāu mea hāʻawi inā loaʻa pinepine iā:

• Nā Nosebleeds
• Pāhi ihu ʻaoʻao ʻekahi

ʻAʻohe ala i ʻike ʻia e pale ai i kēia ʻano.

ʻŌpū ihu; Angiofibroma - ʻōpio; ʻŌiwi ihu benign; Ihu ʻōpio ʻōpio angiofibroma; JNA

• Tuberous sclerosis, angiofibromas - alo

Chu WCW, Epelman M, Lee EY. Neoplasia. I: Coley BD, hoʻoponopono. ʻO Caffey's Pediatric Diagnostic Imaging. 13th ed. Piladelapia, PA: Elsevier; 2019: chap 55.

Haddad J, Dodhia SN. Loaʻa nā maʻi o ka ihu. 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 405.

ʻO Nicolai P, Castelnuovo P. Benign tumors o ke kaona sinonasal. 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 48.

ʻO Snyderman CH, Pant H, Gardner PA. Angiofibroma ʻōpio. I: Meyers EN, Snyderman CH, eds. ʻOihana Otolaryngology: Ke poʻo o ke poʻo a me ka ʻāʻī. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2018: chap 122.