Telangiectasia (Spider Veins)

Anter

• Ke hoʻomaopopo nei i nā ʻōuli o telangiectasia
• He aha nā kumu o telangiectasia?
• ʻO wai ka makaʻu i ke kuʻikahi telangiectasia?
• Pehea e hōʻoia ai nā kauka iā telangiectasia?
• Iapaau ana o telangiectasia
• He aha ka manaʻo no ka telangiectasia?

Ka hoʻomaopopo ʻana i ka telangiectasia

ʻO Telangiectasia kahi kūlana e hoʻonui ai nā venula ākea (nā kīʻaha koko liʻiliʻi) i nā laina ʻulaʻula e like me ka ʻula ma ka ʻili. ʻO kēia mau hiʻohiʻona, a telangiectases paha, e hele mālie a pinepine i nā hui. ʻIke ʻia lākou i kekahi manawa ma ke ʻano he "spider veins" ma muli o ko lākou ʻano maikaʻi a me ka pūnaewele.

Kūleʻa ʻo Telangiectases i nā wahi e ʻike maʻalahi (e like me nā lehelehe, ihu, maka, manamana, a me nā papalina). Hiki iā lākou ke hōʻoluʻolu, a ʻike kekahi poʻe iā lākou he mea ʻole. Koho ka poʻe he nui e hemo lākou. Hana ʻia ka hoʻoneʻe ʻana e ke kumu o ka hōʻino ʻana i ka moku a koi aku iā ia e hāneʻe a i ʻole ʻeha. Hoʻoemi kēia i ka hiʻona o nā kaha ʻulaʻula a i ʻole nā ​​hiʻohiʻona i ka ʻili.

ʻOiai he ʻano maʻamau nā telangiectases, hiki iā lākou ke hōʻailona o ka maʻi nui. ʻO kahi laʻana, he telangectasia hemorrhagic hereditary (HHT) kahi ʻano kūlohelohe maʻamau e hiki ai i nā telangiectases ke hoʻoweliweli i ke ola. Ma kahi o ka hana ʻana i ka ʻili, ʻike ʻia nā telangiectases e hana ʻia e HHT i loko o nā meaola nui, e like me ke ake. Hiki paha iā lākou ke haki, ke kumu o ke kahe ʻana o ka kahe (hemorrhages).

Ke hoʻomaopopo nei i nā ʻōuli o telangiectasia

Hiki ke hōʻoluʻolu ʻo Telangiectases. ʻAʻole lākou hoʻoweliweli i ke ola, akā ʻaʻole makemake paha kekahi poʻe i ko lākou ʻano. Hoʻolālā mālie lākou, akā hiki ke hoʻonui ʻia e ke olakino a me nā huahana nani e hoʻonāukiuki i ka ʻili, e like me nā kopa abrasive a me nā ʻanepo.

ʻO nā hōʻailona me:

• ʻeha (pili i ke kaomi ma venules)
• ʻūlili
• nā māka ʻulaʻula e like me ka wili ma ka ʻili

ʻO nā ʻōuli o HHT me:

• ihu ihu pinepine
• ʻulaʻula a ʻeleʻele paha ke koko ʻeleʻele i nā noho
• pokole o ka hanu
• ka hopu ʻana
• hahau liʻiliʻi
• hānau hānau kīnā-awa

He aha nā kumu o telangiectasia?

ʻAʻole ʻike ʻia ke kumu kūpono o telangiectasia. Manaʻo nā kānaka noiʻi he nui paha nā kumu e hoʻoulu i ka telangiectases. ʻO kēia mau kumu he genetic, environment, a i ʻole hoʻohui o nā mea ʻelua. Manaʻo ʻia ʻo ka hapa nui o nā hihia o telangiectasia ke kumu o ka hōʻike mau ʻana i ka lā a i ʻole nā ​​mahana wela. ʻO kēia no ka mea maʻamau ʻike ʻia ma ke kino kahi e hōʻike pinepine ʻia ai ka ʻili i ka lā a me ka ea.

Nā kumu kumu ʻē aʻe e pili pū me:

• ʻalekohola: hiki ke hoʻopili i ke kahe o ke koko i loko o nā kīʻaha a hiki ke hōʻeha i nā maʻi o ke ake
• hāpai keiki: pili pinepine i ka nui o ke kaomi ma luna o nā venula
• ʻelemakule: hiki ke hoʻomaka nāwaliwali o nā kīʻaha koko
• rosacea: hoʻonui i nā venula i ka maka, e hana ana i kahi hiʻohiʻona i nā papalina a me ka ihu
• hoʻohana maʻamau i ka corticosteroid: lahilahi a hoʻonāwaliwali i ka ʻili
• scleroderma: paʻakikī a ʻaelike i ka ʻili
• dermatomyositis: hoʻonāuki i ka ʻili a me nāʻiʻo o ke kino
• systemic lupus erythematosus: hiki ke hoʻonui i ka ʻili o ka ʻili i ka lā a me nā mahana wela loa

ʻO nā kumu o ka telangectasia hemorrhagic hoʻoilina he genetic. ʻO ka poʻe me HHT ka hoʻoilina o ka maʻi mai ma ka liʻiliʻi o hoʻokahi makua. Manaʻo ʻia he ʻelima mau gen e hoʻokumu iā HHT, a ʻike ʻekolu. Loaʻa i ka poʻe me ka HHT i hoʻokahi ʻāpana maʻamau a i hoʻokahi a me nā ʻāpana mutate ʻelua (i hoʻokahi wale nō gen i mutated e kumu iā HHT).

ʻO wai ka makaʻu i ke kuʻikahi telangiectasia?

ʻO Telangiectasia kahi maʻi ʻili maʻamau, ʻoiai i waena o nā kānaka olakino. Eia nō naʻe, ʻoi aku ka makaʻu o kekahi poʻe i ka hoʻomohala ʻana i nā telangiectases ma mua o nā mea ʻē aʻe. Hoʻopili kēia i ka poʻe i:

• hana ma waho
• noho a kū i ka lā holoʻokoʻa
• hoʻohana ʻino i ka ʻalekohola
• hāpai keiki
• he ʻelemakule a ʻelemakule paha (e hana paha nā telangiectases e like me nā ʻili o nā ʻili)
• loaʻa ka rosacea, scleroderma, dermatomyositis, a i ʻole systemic lupus erythematosus (SLE)
• hoʻohana i nā corticosteroids

Pehea e hōʻoia ai nā kauka iā telangiectasia?

Hiki i nā kauka ke hilinaʻi i nā hōʻailona maʻi o ka maʻi. ʻIke maʻalahi ʻia ʻo Telangiectasia mai nā laina ulaula like ʻole a i ʻole nā ​​ʻano hana e hana ai ma ka ʻili. I kekahi mau hihia, makemake paha nā kauka e hōʻoia ʻaʻohe maʻi kūpilikiʻi. Nā maʻi e pili pū ana me telangiectasia me:

• ʻO ka HHT (i kapa ʻia ʻo Osler-Weber-Rendu Syndrome): kahi maʻi hoʻoilina o nā kīʻaha koko i ka ʻili a me nā lālā o loko e hiki ai ke hoʻokahe i ke kahe nui.
• ʻO ka maʻi Sturge-Weber: kahi maʻi maʻi laha ʻole ke kumu o ka hānau hānau ʻana o ka port-wine a me nā pilikia ʻōnaehana
• spider angiomas: kahi hōʻiliʻili maʻamau o nā kīʻaha koko kokoke i ka ʻili o ka ʻili
• xeroderma pigmentosum: kahi ʻano laha ʻole kahi e makaʻu loa ai ka ʻili a me nā maka i ka kukui ultraviolet

Hiki i ka HHT ke hoʻokumu i nā kīʻaha koko ʻole i kapa ʻia nā malformations arteriovenous (AVMs). Hiki paha kēia i kekahi mau wahi o ke kino. ʻAe kēia mau AVM i ka pilina pololei ma waena o nā aʻa a me nā uaua me ka ʻole o nā capillaries. Hiki i kēia ke hopena i ka hemorrhage (kahe nui o ke kahe). Hiki ke make kēia kahe ʻana ke kū i ka lolo, ke ake, a me nā akemāmā.

No ke kuhi ʻana iā HHT, hiki i nā kauka ke hana i kahi MRI a i ʻole kahi CT scan e nānā no ke kahe ʻana o ke koko a i ʻole nā ​​mea kūpono ʻole i loko o ke kino.

Iapaau ana o telangiectasia

Mālama ka lāʻau i ka hoʻomaikaʻi ʻana i ka helehelena o ka ʻili. ʻO nā ʻano ʻokoʻa nā:

• laser therapy: nā pahuhopu laser i ka moku ākea a hoʻopaʻa iā ia (pili pinepine kēia i ka ʻeha a loaʻa iā ia kahi manawa pōkole)
• ʻoki kino: hiki ke wehe ʻia nā moku ākea (hiki i kēia ke hōʻeha loa a hiki i ke ola lōʻihi)
• sclerotherapy: kālele ana i ka hōʻino ʻana i ka pale o loko o ke kīʻaha koko ma o ka hoʻokomo ʻana iā ia me kahi hopena kemika e kumu ai i ka hāpulu ʻana o ke koko e hāneʻe, mānoanoa, a i ʻole nā ​​scars i ka venule (ʻaʻohe mea e pono ai i kēia manawa hou, ʻoiai aia paha he mau kaohi hoʻoikaika manawa )

Hoʻokomo ʻia ka mālama ʻana no ka HHT:

• embolization e ālai a pani i kahi moku koko
• laser therapy e hoʻōki i ke kahe ʻana o ke kahe
• ʻoki kino

He aha ka manaʻo no ka telangiectasia?

Hiki ke hoʻomaikaʻi i ka hana i ka ʻili. ʻO ka poʻe i loaʻa ka lāʻau hoʻomalu hiki ke manaʻo e alakaʻi i kahi ola maʻamau ma hope o ka hoʻōla. Kaukaʻi ʻia i nā ʻāpana o ke kino kahi o AVMs, hiki i ka poʻe me ka HHT ke loaʻa i kahi ola maʻamau.