Mea Kākau: Randy Alexander
Lā O Ka Hana: 24 Apelila 2021
HōʻAno Hou I Ka Lā: 18 Nowemapa 2024
Anonim
Hemangiomas : Pathology,Pathogenesis,Types of Hemangiomas ,Clinical features,Diagnosis and Treatment
Wikiō: Hemangiomas : Pathology,Pathogenesis,Types of Hemangiomas ,Clinical features,Diagnosis and Treatment

Anter

He aha ka hemangioma?

ʻO Hemangiomas, a i ʻole nā ​​hemangiomas pēpē, nā ulu noncancerous o nā kīʻaha koko. ʻO lākou nā ulu ulu a i ʻole nā ​​tumors maʻamau o nā keiki. Ulu mau lākou no kekahi manawa a laila e iho me ka ʻole o ka lapaʻau.

ʻAʻole lākou e hoʻokumu i nā pilikia i ka hapanui o nā pēpē. Eia nō naʻe, wehe paha kekahi mau hemangiomas a kahe a ulcerate paha. He ʻeha paha kēia. Ke kaukaʻi nei i ko lākou nui a me ko lākou wahi, hoʻoliʻiliʻi paha lākou. Hoʻohui ʻia, kū paha lākou me nā ʻōnaehana ʻōiwi waena a i ʻole nā ​​abnormalities ʻōiwi.

Hiki ke ulu i nā ulu me nā hemangiomas o loko. Hoʻopili kēia i nā ʻōpū o loko e like me:

  • ke akepaʻa
  • nā ʻāpana ʻē aʻe o ka ʻōnaehana gastrointestinal
  • ka lolo
  • nā lālā o ka ʻōnaehana hanu

ʻO nā hemangiomas e hoʻopili i nā mea maʻa maʻamau ʻaʻole pilikia i nā pilikia.


Pehea e ulu ai nā hemangiomas?

Ma ka ʻili

Hoʻomohala ka hemangiomas o ka ʻili ke loaʻa ka nui o nā kīʻaha koko i hoʻokahi wahi o ke kino.

ʻAʻole maopopo ka poʻe loea no ke aha e hui pū ai nā kīʻaha koko e like me kēia, akā manaʻoʻiʻo lākou nā kumu o kekahi mau protein i hana ʻia i ka placenta i ka wā o ka hāpai ʻana (ʻo ka manawa ke hāpai ʻoe.

Hiki i nā hemangiomas o ka ʻili ke hana i ka papa luna o ka ʻili a i ʻole i ka momona momona ma lalo, i kapa ʻia ka papa subcutaneus. I ka mua, he hemangioma paha ke ʻano o ka ʻulaʻula i ka ʻili. Lohi, hoʻomaka ia e puka i waho mai ka ʻili. Eia naʻe, ʻaʻohe maʻamau nā hemangiomas i ka wā hānau.

Ma ke akepaʻa

Hemangiomas o ke akepa (hepatic hemangiomas) ke ʻano o loko a ma luna o ke akepaʻa. Hiki i kēia mau mea ke pili i nā hemangiomas pēpē, a i ʻole hiki ke pili ʻole. ʻO ka hemangiomas non-pēpē o ke akepaʻa e manaʻo ʻia he maʻalahi i ka estrogen.

I ka wā menopause, kauoha ʻia nā wahine he nui i ka estrogen pani e hoʻoliʻiliʻi i nā ʻōuli i hana ʻia e ka emi ʻana o kā lākou pae estrogen maoli.


Hiki i kēia estrogen keu ke hoʻoulu i ka ulu ʻana o ke ake hemangiomas. Pēlā nō, hāpai ka hāpai ʻana a i kekahi manawa hiki i nā pākana pale waha ke hoʻonui i ka nui o nā hemangiomas.

Kahi e hiki ai

Ma waho o ka ʻili a me ke ake, hiki i nā hemangiomas ke ulu aʻe a kaomi i nā wahi ʻē aʻe i loko o ke kino, e like me ka:

  • nā puʻupaʻa
  • māmā
  • kolonā
  • lolo

Nā hōʻailona a me nā hōʻailona o hemangiomas

Kaukaʻi ʻia i ka wahi a me ka nui, ʻaʻole hana maʻamau nā hemangiomas i nā ʻōuli i ka wā a ma hope paha o kā lākou hoʻokumu ʻana. Eia nō naʻe, hana paha lākou i kekahi mau hōʻailona inā ulu nui a i ʻole i kahi wahi maʻalahi a i ʻole inā he nui nā hemangiomas.

ʻIke maʻamau ʻo Hemangiomas o ka ʻili ma ke ʻano he mau ʻulaʻula ʻulaʻula a i ʻole nā ​​puʻupuʻu. Ke ulu lākou, nānā lākou e like me nā hānau hānau waihoʻoluʻu burgundy. Kāhea ʻia ka hemangiomas o ka ʻili i kekahi manawa i kā strawberry hemangiomas ma muli o ko lākou ʻano ʻulaʻula hohonu.

I nā ʻōpū o loko

ʻO Hemangiomas i loko o ke kino me nā ʻōuli kikoʻī i ka ʻokena i pā. ʻO kahi laʻana, kahi hemangioma e pili ana i ka gastrointestinal tract a i ʻole ke ake e loaʻa me nā ʻōuli e like me:


  • nausea
  • ka luaʻi
  • ʻoluʻolu o ka ʻōpū
  • nalo ʻai ʻole
  • he manaʻo piha i loko o ka ʻōpū

Pehea lākou e ʻike ʻia ai

ʻO ka hōʻailona maʻamau ma ka nānā ʻana i ka nānā kino ʻana e ka mea mālama ola. Hiki i kāu kauka ke hana i kahi hōʻailona ʻike i ka wā o ka hoʻokolokolo kino.

Hiki ke ʻike ʻia ʻo Hemangiomas ma nā ʻokana i ka wā o kahi hoʻokolohua kiʻi, e like me:

  • he ultrasound
  • MRI
  • CT scan

I kekahi mau kūlana, ʻike pinepine ʻia lākou e ka loaʻa wale.

Nā koho lapaʻau no hemangiomas

ʻAʻole koi ʻia kahi hemangioma hoʻokahi, hemangioma liʻiliʻi. E hele paha ia ma kāna iho. Eia nō naʻe, koi ʻia kekahi mau hihia i ka lapaʻau ʻana, e like me ka hemangiomas o ka ʻili e hoʻomohala i nā ulcerations a i ʻole nā ​​ʻeha, a i ʻole ma nā wahi kikoʻī ma ka maka e like me ka lehelehe.

Nā koho lapaʻau e:

Nā poloka beta

  • Propranolol waha: ʻO ka propranolol waha ka lālani pale mua no nā hemangiomas e pono ai nā ʻōnaehana ʻōnaehana. Ua ʻae ka US Food and Drug Administration (FDA) i hemangeol (oral propranolol hydrochloride) i ka 2014.
  • Kumuhana beta-blockers, e like me ka gel timolol: Hiki ke hoʻohana ʻia kēia mau beta-blockers no nā hemangiomas liʻiliʻi, ma luna wale nō. He kuleana paha kā lākou i ka mālama ʻana i nā hemangiomas ulcerated liʻiliʻi. Manaʻo nui ʻia kēia lāʻau i ka wā e hoʻohana pono ʻia ai ma lalo o ka mālama ʻana a kahi mea mālama ola.

Laau lāʻau Corticosteroid

Hoʻokomo ʻia paha ʻo Corticosteroids i loko o ka hemangioma e hōʻemi ai i kona ulu ʻana a hoʻōki i ka hoʻāhu.

ʻAʻole hoʻohana pinepine ʻia nā steroid pūnaewele, e like me prednisone a me prednisolone. ʻOiai, he kuleana paha kā lākou no ka poʻe hiki ʻole ke hoʻohana i nā lāʻau ʻē aʻe e like me beta-blockers i hoʻohana mau ʻia.

Lapaʻau kukuna

Hiki ke hoʻohana ʻia ka lapaʻau laser e hemo i nā hemangiomas ma luna o nā papa o ka ʻili. I kekahi mau hihia, hiki i kahi kauka lāʻau ke hoʻohana i ka mālama laser e hoʻemi i ka ʻulaʻula a hoʻomaikaʻi i ka helehelena.

ʻ gellika lāʻau lapaʻau

ʻO ke gel gel i kapa ʻia ʻo becaplermin (Regranex) mea pipiʻi a hoʻohana ʻia i kahi inoa ʻole i kekahi mau noiʻi ma ke ʻano he lapaʻau no nā hemangiomas ulcerated mau. Hāpai ia i kahi pilikia o ka hoʻomohala ʻana i ka maʻi ʻaʻai i ka poʻe i loaʻa pinepine iā ia. E kamaʻilio me kāu kauka e pili ana i nā pilikia.

ʻOki kino

Inā liʻiliʻi ka hemangioma i hiki ke hemo ʻia e ke kaha ʻana, e noʻonoʻo paha kāu kauka i ke kaha ʻana he koho.

No nā hemangiomas ma nā ʻokana

Hiki i nā hemangiomas i loko o ke kino ke mālama i ka lāʻau inā ulu lākou a nui a ʻeha paha i ka ʻeha.

Nā koho lapaʻau no kēia mau hemangiomas:

  • wehe ʻoki o ka hemangioma
  • wehe ʻoki o ke kino poino a i ʻole wahi i hōʻino ʻia
  • I nā hemangiomas o ke ake, ʻo ke hoʻopaʻa ʻana i ka lako o ke koko nui i ka hemangioma he koho paha

Outlook

ʻOi aku ka nui o ka hemangioma ma mua o ka mea olakino. Eia nō naʻe, pono ʻoe e kamaʻilio me kahi mea mālama ola inā he hopohopo kāu a i ʻole makemake e kūkākūkā e pili ana i ka wehe ʻana.

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