Ua ʻike anei ʻoe i kahi kiko liʻiliʻi a i ʻole ke kala ʻole ma kou ʻili, a i ʻole ma ka ʻili o kāu keiki liʻiliʻi? ʻO kēia nā mea a mākou e kapa nei he 'nā māka hānau'. He mea maʻamau loa lākou, a loaʻa lākou i nā ʻano a me nā nui like ʻole. E like me ka inoa e hōʻike nei, loaʻa pinepine lākou i ka wā hānau. Maʻemaʻe kekahi me ka ʻelemakule, aʻo kekahi e mau no ke ola, a hiki i kou hoʻoholo ʻana e wehe iā lākou.
He mea weliweli anei nā hōʻailona hānau? Pono anei au e hopohopo?
ʻAe, i kēia manawa ke noʻonoʻo nei paha ʻoe inā he mea weliweli kēia mau hōʻailona hānau a inā paha ʻoe e hopohopo no lākou. ʻO ka hapa nui o nā hōʻailona hānau he mea ʻino ʻole a ʻaʻole lākou e hōʻeha. Eia nō naʻe, aia kekahi mau ʻano hōʻailona hānau, no ka laʻana, kekahi mau ʻano warts (congenital nevi), hiki ke hoʻonui i kou pilikia o ka loaʻa ʻana o ka maʻi ʻili. No laila, inā ʻike ʻoe i kekahi mau loli i kāu hōʻailona hānau - e like me ka nui a i ʻole ka loli ʻana o ke kala - ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka.
He aha nā ʻano nui o nā hōʻailona hānau?
I ka ʻōlelo maʻalahi, hiki ke hoʻokaʻawale ʻia nā māka hānau i ʻelua ʻano nui. Eia kēia:
- Nā māka hānau vascular : Hana ʻia kēia mau mea me nā kīʻaha koko. Loaʻa kēia mau kiko i ka wā ʻaʻole i hana pono ʻia nā kīʻaha koko i ka wā fetal. Ua kapa ʻia hoʻi lākou he 'nā māka hānau ʻulaʻula' no ka mea, ʻo ke kala o ka kiko mai nā kīʻaha koko i loko o ka ʻili. Hiki ke loaʻa kēia mau mea i ka wā hānau, a i ʻole hiki ke ʻike ʻia i kekahi mau lā ma hope o ka hānau ʻana.
- Nā māka hānau pigmented: Hoʻokumu ʻia kēia mau mea e ka hōʻuluʻulu ʻana o nā cell pigment (nā cell melanocyte). ʻO kēia mau cell ka mea e hāʻawi i ko mākou ʻili i kona kala. No laila, ʻokoʻa ke kala o kēia mau māka hānau mai ke koena o kou ʻili. Hiki iā lākou ke ʻeleʻele, ʻeleʻele, a uliuli paha.
I kēia manawa, e kamaʻilio hou aku kākou e pili ana i kēia mau ʻano ʻelua?
Nā hōʻailona hānau vascular
ʻAe, e nānā mua kākou i kēia mau māka hānau o nā kīʻaha koko. Aia kekahi mau ʻano like ʻole o kēia.
- ʻO nā hemangioma ʻōhelopapa : Ua kapa ʻia hoʻi ʻo nevus vascularis, capillary hemangioma, a i ʻole hemangioma simplex. Hiki iā lākou ke ʻike ʻia ma nā wahi āpau o ke kino, akā ʻoi aku ka maʻamau ma ka maka, ke poʻo, ke kua, a i ʻole ka umauma. Hana ʻia lākou me nā kīʻaha koko liʻiliʻi a ʻūlū. I kekahi manawa ʻaʻole ʻike ʻia lākou i ka wā hānau a hiki ke ʻike ʻia i kekahi mau pule ma hope. Ulu koke lākou, noho i ka nui like no kekahi manawa, a laila mae. I ka hapanui o nā hihia, nalowale nā hemangioma ʻōhelopapa i ka wā e hiki ai i ke keiki ma kahi o 9 mau makahiki. Eia nō naʻe, i kekahi manawa ua loli paha ke kala o ka ʻili kahi i loaʻa ai ka mole a ua ʻāwili iki paha.
- Nā hemangioma cavernousUa kapa ʻia kēia mau mea ʻo `(Angioma cavernosum)` a i ʻole `(Cavernoma)`. Ua like kēia me nā hemangiomas strawberry, akā hele hohonu iki lākou ma lalo o ka ʻili. Hiki iā lākou ke nānā aku e like me ka huʻahuʻa ʻulaʻula-polū, he puʻu o nā ʻiʻo i piha i ke koko. E mae wale kekahi o kēia mau ʻano kiko, ʻo ka maʻamau i ka wā e lawa ai kāu keiki e hoʻomaka i ke kula.
- ʻO ka ʻili waina port : He mau māka hānau pālahalaha, ʻulaʻula-poni kēia. Hoʻokumu ʻia lākou e nā capillaries koko i hoʻonui ʻia i loko o ka ʻili. ʻIke pinepine ʻia lākou ma ka maka a hiki ke like me kēlā me kēia nui. He mau loa nā ʻili waina port inā ʻaʻole mālama ʻia. Hiki iā lākou ke ʻeleʻele a mānoanoa i ka hala ʻana o ka manawa. No laila, inā ʻike ʻia lākou ma ke kino, ʻoi aku hoʻi ma ka maka, hiki i kekahi poʻe ke manaʻo iki i ko lākou helehelena.
- Nā ʻāpana iʻa sālemona : Ua kapa ʻia kēia mau mea he 'stork bites' a i ʻole 'angel kiss birthmarks'. Ua ʻōlelo ʻia e loaʻa lākou i 30% a 50% o nā pēpē hānau hou. He mau kīʻaha koko liʻiliʻi kēia (capillaries) i ʻike ʻia ma o ka ʻili o ka pēpē. ʻIke pinepine ʻia lākou ma ka lae, ma luna o nā lihilihi maka, ma ka lehelehe luna, ma waena o nā kuʻemaka, a ma ke kua o ka ʻāʻī. E mae mālie ana kēia mau kiko i ka wā e ulu ana ka pēpē.
Nā māka hānau pigmented
I kēia manawa, e nānā kākou i nā māka hānau i hoʻokumu ʻia e nā pūnaewele pigment (`(Nā pūnaewele Melanocyte)`). He ʻokoʻa nō hoʻi kēia.
- ʻO ka melanocytosis ʻili : Ua kapa ʻia kēia mau mea ma mua ʻo 'Mongolian spots'. He uliuli kēia mau mea a ua like me nā palapū. ʻIke pinepine ʻia lākou ma nā puʻupuʻu a/a i ʻole ke kua haʻahaʻa. Eia nō naʻe, hiki iā lākou ke ʻike ʻia ma ka ʻōpū a i ʻole nā lima. ʻAʻohe mea e hopohopo ai kēia, a mae pinepine lākou i ka wā e ulu ana ke keiki.
- Nā nevi pigmented (mole) : ʻO kēia ka mea a mākou e kapa pinepine ai he mole. Ua like lākou me nā puʻupuʻu i hāpai ʻia ma ka ʻili. Hiki iā lākou ke like ke kala me kou ʻili, a i ʻole hiki ke ʻeleʻele a ʻeleʻele paha. Hiki ke ʻike ʻia nā mole ma nā wahi āpau o ke kino, hoʻokahi a i ʻole ma nā hui.
- ʻO nā nevi hānau : ʻO kēia nā warts i loaʻa i ka wā hānau. Ma kahi o hoʻokahi i loko o 100 mau kānaka i ʻōlelo ʻia he hoʻokahi a ʻoi aku paha i ka wā hānau. ʻO kēia mau māka hānau, ma muli o ko lākou nui, he liʻiliʻi ka pilikia o ka ulu ʻana i ka maʻi ʻili. ʻO nā nevi hānau nui aʻe ma mua o 20 kenimika he kiʻekiʻe aʻe ka pilikia o ka ulu ʻana i ka maʻi ʻili ma mua o nā mea liʻiliʻi. No laila, pono e nānā ʻia nā nevi hānau āpau e ke kauka. Eia kekahi, inā he loli (kala, nui, ʻano) i kēia mau māka hānau, pono e hoʻomaopopo ʻia ke kauka.
- Nā kiko Café-au-lait: He mau kiko ʻeleʻele māmā kēia, e like me ke kala o nā lepo kope. He ʻano oval pinepine lākou. Hiki ke loaʻa i ka wā hānau, a i ʻole hiki ke ʻike ʻia i loko o nā makahiki mua o ke ola o kahi keiki. ʻAʻohe mea e hopohopo ai ka loaʻa ʻana o hoʻokahi kiko café-au-lait. Eia nō naʻe, inā he nui nā kiko i ʻoi aku ka nui ma mua o ka nui o kahi ʻāpana kālā, he hōʻailona paha ia o kahi maʻi ma lalo, e like me ka neurofibromatosis. No laila he manaʻo maikaʻi e ʻike i ke kauka inā ʻike ʻoe i kekahi o kēia mau mea.
Loaʻa i nā kānaka a pau nā hōʻailona hānau?
Manaʻo ʻoe he mau hōʻailona hānau ko kēlā me kēia kanaka? He mea maʻamau loa nā hōʻailona hānau, akā ʻaʻole i loaʻa i kēlā me kēia kanaka. Wahi a nā helu helu, ma kahi o 10% o nā pēpē i hānau ʻia ma ka honua holoʻokoʻa he ʻano hōʻailona hānau kikoʻī i kapa ʻia ʻo "Hemangioma".
Pehea ke ʻano o nā hōʻailona hānau?
ʻOkoʻa ke ʻano o nā hōʻailona hānau no kēlā me kēia kanaka. Nui, ʻano, kala - hiki ke ʻokoʻa kēia mau mea a pau. Eia kekahi mau ʻano maʻamau o kahi hōʻailona hānau:
- He wahi ma kou ʻili i pālahalaha a hāpai iki paha.
- Hiki i kēia wahi ke loli ka nui mai ka piko o kahi pine a i ka nui o kou lima.
- ʻOkoʻa ke kala o ka mole mai ke kala o ka ʻili a puni (poni, ʻulaʻula, poni, ʻeleʻele māmā, ʻeleʻele ʻeleʻele, a ʻeleʻele paha).
Hiki i nā māka hānau pigmented ke ulu nui a loli ke kala i kou wā ʻelemakule. Hiki ke ʻike nui ʻia kēia mau loli ke hōʻike ʻia ʻoe i ka lā a i ʻole i ka wā o nā loli hormonal (e like me ka wā hāpai a i ʻole ka wā ʻōpio). I kekahi manawa hiki iā lākou ke maneʻo a kahe ke koko inā ʻoe e kahakaha iā lākou.
He aha ke kumu o nā māka hānau?
ʻO kahi nīnau a ka poʻe he nui e nīnau ai, 'No ke aha e hana ʻia ai kēia mau māka hānau?' ʻO ka ʻoiaʻiʻo, ʻaʻole i loaʻa ke kumu kikoʻī o nā māka hānau. Eia nō naʻe, ua manaʻoʻiʻo ʻia i kekahi manawa hiki ke hana ʻia nā māka hānau e nā mea e like me:
- ʻAʻole ulu nā kīʻaha koko e like me ka mea i manaʻo ʻia i ka wā o ka fetal (kumu o nā "Vascular birthmarks").
- ʻO nā pūnaewele Melanocyte (nā pūnaewele e hāʻawi i ke kala o ka ʻili) e ulu pū i loko o nā puʻupuʻu (kumu o nā māka hānau pigmented).
- Inā holo kekahi ʻano o nā māka hānau i loko o nā ʻohana, hiki ke lilo i predisposition genetic.
- Hiki i kekahi mau kūlana olakino ma lalo ke hana i nā māka hānau. No ka laʻana, nā kūlana e like me ka Nevus sebaceous syndrome, ka maʻi ʻili, a i ʻole Neurofibromatosis.
ʻO ka mea nui , ʻaʻole i hana ʻia nā māka hānau e kekahi mea a ka makuahine i hana ai a i ʻole i hana ʻole ai i ka wā hāpai. He mea kūlohelohe ia.
Hiki i nā hōʻailona hānau ke hoʻoulu i nā pilikia?
ʻAʻole pilikia nui nā māka hānau. Eia nō naʻe, hiki ke kū mai kekahi mau pilikia me nā māka hānau pigmented. ʻOi loa inā aia ka māka hānau ma kahi e like me ka maka, hiki iā ia ke loaʻa ka hopena noʻonoʻo.Hiki i kēia ke kumu no ka huhū e pili ana i kou helehelena a me ka nalowale ʻana o ka hilinaʻi iā ʻoe iho.
Eia kekahi, e like me kaʻu i ʻōlelo ai ma mua, hiki i kekahi mau māka hānau pigmented ke hoʻonui iki i kou pilikia o ka loaʻa ʻana o ka maʻi ʻili. No laila, inā ʻike ʻoe i kahi loli i ke kala, ka nui, a i ʻole ke ʻano o kāu a i ʻole kekahi māka hānau ʻē aʻe, pono ʻoe e ʻike i ke kauka. Inā ʻeha ka māka hānau, kahe ke koko, maneʻo, a pehu paha, e ʻike koke i ke kauka.
Pehea e ʻike ai i nā hōʻailona hānau?
ʻAʻole ia he mea nui ka ʻike ʻana i kahi hōʻailona hānau no ke kauka. E hana lākou i kahi hoʻokolokolo kino piha o kou ʻili. A laila hiki iā lākou ke ʻike inā he hōʻailona hānau ia a me ke ʻano o ia mea.
Akā i kekahi manawa, inā hohonu loa ka mole i loko o ka ʻili, hiki i kāu kauka ke ʻōlelo aku i kahi scan MRI (magnetic resonance imaging), ultrasound, a i ʻole computed tomography scan e hōʻoia i ka hōʻailona. Inā loli ka nui a i ʻole ke ʻano o kāu mole, he hōʻailona paha ia o ka maʻi ʻili, no laila pono e lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻili no ka hoʻāʻo ʻana (he biopsy ʻili).
Pehea e wehe ai i kahi hōʻailona hānau?
Inā ʻaʻole ʻoe hauʻoli i ke ʻano o kou hōʻailona hānau a makemake ʻoe e wehe ʻia, hiki iā ʻoe ke kamaʻilio me ke kauka e pili ana i ia mea. Mai ho'āʻo e wehe i kahi hōʻailona hānau ma ka home, no ka mea, hiki ke lilo i mea weliweli.
I kekahi manawa, inā manaʻo ʻoe he kiʻekiʻe kou pilikia o ka loaʻa ʻana o ka maʻi ʻili, hiki i kāu kauka ke ʻōlelo e wehe i kekahi mau māka hānau.
Aia kekahi mau ʻano hana e wehe ai i kahi hōʻailona hānau:
- Cryotherapy : He lāʻau lapaʻau e hoʻohana ana i ke anu nui loa.
- Wehe ʻana i ka laser (`(Wehe ʻana i ka laser)`) .
- Wehe ʻoki kino (`(Wehe ʻoki kino)`) .
- Nā inikini Cortisone : Hoʻohana ʻia kēia no kekahi mau ʻano.
E nānā ke kauka i kou hōʻailona hānau a haʻi iā ʻoe i ka lāʻau lapaʻau kūpono loa iā ʻoe. ʻO ka maʻamau, mālama ʻia nā hōʻailona hānau i nā keiki ma hope o ka piha ʻana o ke keiki i ka 6 mau makahiki. Eia nō naʻe, inā hoʻopilikia ka hōʻailona hānau i ka hana o nā ʻōpū koʻikoʻi e like me ka ʻike a i ʻole ka hanu ʻana, hiki ke hana mua ʻia ka lāʻau lapaʻau.
Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?
Inā wehe ʻia kahi hōʻailona hānau ma ke ʻoki ʻana, aia kahi pilikia o ka ʻōpala. Eia nō naʻe, mālama pono nā kauka ʻoki e hōʻemi i ka pilikia o ka ʻōpala. Aia kekahi pilikia o ka maʻi ma hope o ka wehe ʻana o ka hōʻailona hānau. I mea e pale aku ai i kēia mau pilikia, e nīnau i kāu kauka ʻoki a i ʻole kekahi kauka ʻē aʻe e pili ana i ke ʻano o ka mālama ʻana i kou ʻili ma hope o ka mālama ʻana i ka wā e ho'ōla ai.
Hiki ke pale ʻia nā hōʻailona hānau?
ʻAʻohe ala e pale aku ai i ka hoʻokumu ʻia ʻana o nā māka hānau. He hana kūlohelohe ia e hana pinepine ʻia. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i ka pilikia o ka loli ʻana o ke kala o kāu mau māka hānau a i ʻole ka lilo ʻana i ka maʻi ʻili ma muli o ka lā. Hiki iā ʻoe ke hana i kēia ma ka pale ʻana i kou ʻili mai nā kukuna ultraviolet ʻino o ka lā. E ʻaʻahu i ka sunscreen ke hele ʻoe i waho, e ʻaʻahu i nā lole e uhi ana i kou kino, a e kaupalena i kou ʻike ʻana i ka lā i nā hola kiʻekiʻe o ka lā - ma waena o 10 a.m. a me 4 p.m.
He aha kāu e hana ai inā he mau hōʻailona hānau kou?
ʻO ka hapa nui o nā māka hānau he mea ʻino ʻole a he mea hoʻonaninani wale nō. I kekahi manawa ua kapa ʻia lākou he 'nā māka nani' no ka mea hoʻohui lākou i kahi pā kūikawā i kou helehelena. I ka hapanui o nā hihia, ʻaʻole pono e mālama ʻia nā māka hānau. ʻO nā ʻōuli e like me nā ʻāpana salmon a me nā hemangiomas strawberry e mae i ka hala ʻana o ka manawa. E noho pū nā ʻano māka hānau ʻē aʻe me ʻoe no ke ola a hiki i kou hoʻoholo ʻana e wehe iā lākou.
Eia nō naʻe, i kekahi manawa, hiki i nā ʻiole nui, ʻoiai nā mea ma kahi i ʻike ʻia, ke hoʻopilikia i kou manaʻo ponoʻī. Inā ʻoluʻolu ʻole ʻoe i kou helehelena, hiki iā ʻoe ke hana i kēia mau mea:
- E kamaʻilio me kekahi loea olakino noʻonoʻo e pili ana i nā mea āu e noʻonoʻo nei.
- E kamaʻilio me ke kauka e pili ana i ka wehe ʻana i ka hōʻailona hānau.
- E hoʻohana i ka mea hoʻonani e hōʻemi i ke ʻano o ka hōʻailona hānau.
Āhea wau e ʻike ai i ke kauka?
Inā ʻike ʻoe i kekahi mau loli i kahi hōʻailona hānau, a inā ʻike ʻoe i nā kiko ʻili hou, e ʻike i ke kauka. E makaʻala pono i nā loli e like me kēia:
- Ke kahe koko nei (`(Ke kahe koko nei)`)
- ʻEha (`(ʻEha)`)
- ʻĀnai (`(ʻĀnai)`)
- Nā hōʻailona o ka maʻi (e like me ka ʻulaʻula, ka pehu, ka pus)
- Hoʻonui nui (`(Hoʻonui nui)`)
- ʻAno like ʻole (e.g., nā lihi like ʻole, nā waihoʻoluʻu like ʻole e ʻike ʻia ana)
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
Ke hele ʻoe e ʻike i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:
- "He aha ke ʻano o ka hōʻailona hānau iaʻu?"
- "He aha nā koho e loaʻa iaʻu e wehe ai i kēia hōʻailona hānau?"
- "He aha nā hopena ʻaoʻao o ka wehe ʻana i kahi hōʻailona hānau?"
- "E nalo aku anei kēia hōʻailona hānau oʻu ma kona iho?"
E hoʻomanaʻo pōkole.
ʻAe, eia kekahi mau mea e hoʻomanaʻo ai mai nā mea a mākou i kamaʻilio ai.
ʻO nā māka hānau he mau māka ma kou ʻili i maʻamau ʻole. ʻAʻole lākou i hana ʻia e kekahi mea a ka makuahine i hana ai a i ʻole i hana ʻole ai i ka wā hāpai. He mea lākou e hoʻohui maoli i kou helehelena. ʻIke ʻia paha kekahi o lākou a ʻaʻole paha.
Inā ʻaʻole ʻoe hauʻoli i ke ʻano o kou mole, hiki iā ʻoe ke kamaʻilio me ke kauka e pili ana i ka wehe ʻana, a ʻaʻohe mea e makaʻu ai. Hoʻololi kekahi mau mole i ka hala ʻana o ka manawa, a he mea kākaʻikahi loa, hiki i kekahi ke lilo i maʻi ʻili. No laila, inā ʻike ʻoe i kekahi mau loli i kāu mole, he mea naʻauao ke ʻimi koke i ke kōkua lapaʻau.
Nā hōʻailona hānau, nā lepili ʻili, nā maʻi ʻili, nā hemangiomas, nā warts, ka maʻi ʻili, nā kiko pēpē











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