Ua ʻike anei ʻoe i nā puʻupuʻu liʻiliʻi e ʻike koke ʻia ma kou ʻili, he ʻulaʻula, uliuli, a poni paha ke kala? I kekahi manawa e hopohopo paha ʻoe i ka noʻonoʻo ʻana i kēia mau mea, ʻeā? No laila i kēia lā e kamaʻilio mākou e pili ana i kahi kumuhana koʻikoʻi e pono ai ʻoe e makaʻala. Kāhea mākou i kēia maʻi he angiokeratoma. E nānā kākou i ke ʻano o ia mea, no ke aha e hoʻokumu ʻia ai, a me nā mea ʻē aʻe e hiki ai ke hana.
E nānā wale kākou i ke ʻano o ka angiokeratoma.
I ka ʻōlelo maʻalahi, ʻo ka angiokeratoma kahi ʻano puʻupuʻu liʻiliʻi a paʻakikī e hana ʻia ma luna o kou ʻili. Hoʻokumu ʻia kēia e nā kīʻaha koko liʻiliʻi kokoke i ka ʻili o kou ʻili, i kapa ʻia ʻo nā capillaries, e hoʻonui ʻia a pahū paha. ʻO kēia ke kumu o ka mānoanoa o ka papa luna o kou ʻili. ʻO kēia ke kumu o kēia mau puʻupuʻu e ʻike ʻia he ʻulaʻula, uliuli, poni, a i kekahi manawa he mau puʻupuʻu ʻeleʻele ma lalo o ka ʻili.
Akā ʻo ka mea nui e haʻi aku iā ʻoe ma ʻaneʻi, ʻo kēia mau puʻupuʻu i kapa ʻia ʻo angiokeratomas he mau puʻupuʻu ʻaʻole cancerous/benign . ʻO ia hoʻi, ʻaʻole lākou he maʻi kanesa, no laila mai makaʻu pono ʻole.
ʻO ke ʻano o kēia inoa ma ka ʻōlelo Helene:
- ʻO Angio ke ʻano o nā kīʻaha koko.
- ʻO Kera ke ʻano o kahi mea paʻa, e like me ka pepeiaohao.
- ʻO ke ʻano o Toma he puʻupuʻu.
No laila, me kēia mau ʻōlelo e hele mai ana kahi manaʻo iki e pili ana i ke kūlana, ʻeā?
He aha kēia mau capillaries?
I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia mau capillaries. ʻO nā capillaries nā kīʻaha koko liʻiliʻi loa i loko o kā mākou ʻōnaehana hoʻopuni koko. He liʻiliʻi loa lākou, ua like lākou me ka piko o ka peni. ʻAʻole hiki iā mākou ke ʻike iā lākou me ko mākou mau maka ʻōlohelohe koe wale nō ma o kahi microscope.
E noʻonoʻo wale, aia ma kahi o 10 biliona mau capillaries e like me kēia i loko o ko kākou kino! ʻO kēia nā mea e hoʻopili ai i ko kākou mau kīʻaha koko nui (nā aʻa) a me nā veins kekahi i kekahi. Ma ka hoʻopili ʻana iā lākou, kōkua kēia mau capillaries liʻiliʻi i ka lawe ʻana i ka oxygen a me nā meaʻai mai ke koko i nā cell ma loko o ko kākou kino.
Aia kekahi mau ʻano angiokeratoma?
ʻAe, aia kekahi mau ʻano nui o ka angiokeratoma. Hoʻopilikia kēia i ka papa waena o ko mākou ʻili (kapa mākou iā ia ʻo ka dermis) a me ka papa luna (ka epidermis). E nānā kākou i kēlā mau ʻano:
ʻO ka Angiokeratoma o Fordyce
ʻO kēia ʻano ka mea maʻamau i loaʻa ma ka scrotum a i ʻole ka penis o nā kāne . ʻO ia hoʻi, ma ka ʻōnaehana hānau kāne. Eia nō naʻe, hiki ke ʻike pinepine ʻia ma ka vulva o nā wahine. Hiki i kekahi poʻe ke ulu ʻaʻole i hoʻokahi a ʻelua paha o kēia mau puʻupuʻu, akā he mau haneli o lākou.
ʻO ka Angiokeratoma o Fordyce ka mea maʻamau e pili ana i nā poʻe ma luna o 50 mau makahiki.Hiki i nā ʻeha like (i kapa ʻia ʻo angiomas) ke loaʻa i kekahi manawa i nā wahine hāpai a i ʻole ka poʻe e hoʻohana ana i ka kaohi hānau hormonal.
ʻO ka Angiokeratoma o Mibelli
ʻO kēia ʻano ka mea maʻamau i nā kaikamahine ʻōpio . ʻIke pinepine ʻia kēia mau ʻeha ʻili ma nā pelu o ka ʻili ma waena o nā manamana lima (ma nā lima a me nā wāwae). Hiki iā lākou ke ʻike ʻia ma nā kuli, nā kuʻekuʻe lima, a me nā umauma. ʻOi aku ka maʻalahi o ke kahe ʻana o ke koko i kēia ʻano puʻupuʻu.
ʻO ka angiokeratoma circumscriptum
ʻO kēia ka manawa e hānau ʻia ai kahi pēpē me nā kiko pālahalaha, ʻano ʻē e like me nā ʻeha . I ka hala ʻana o ka manawa, hiki i kēia mau kiko ke lilo i mau ʻāpana ʻili i piʻi aʻe, ʻulaʻula, unahi. Hiki i kēia mau mea ke kahe ke koko. Hiki i kēia mau puʻupuʻu ke liʻiliʻi ma mua o ka hapalua ʻīniha. Akā, he mea kākaʻikahi loa, hiki iā lākou ke uhi a hiki i ka hapahā o ke kino.
Loaʻa pinepine kēia mau puʻupuʻu ma kekahi ʻaoʻao o ka puʻupuʻu a i ʻole nā ʻūhā. Hiki i kekahi mau keiki ke loaʻa iā lākou ma ka ʻāʻī, ke kino, nā testicles, a i ʻole ke alelo. He mea kākaʻikahi loa kēia ʻano, a ʻo ia wale nō ke ʻano i ʻoi aku ka maʻamau i nā kaikamahine.
ʻO Angiokeratoma corporis diffusum
Loaʻa kēia ʻano i nā poʻe me nā kūlana e like me nā maʻi mālama lysosomal . No ka laʻana, ka maʻi Fabry. He mau maʻi metabolic hoʻoilina kēia. Pale kēia mau maʻi i ke kino mai ka wāwahi pono ʻana i kekahi mau huahana ʻōpala.
ʻIke pinepine ʻia kēia ʻano ʻeha ʻili ma ka ʻāpana genital, ka ʻōpū, a me ka ʻāpana a mākou e kapa nei ʻo "pants area" mai nā pūhaka a i nā kuli. Hiki iā lākou ke loaʻa i ka wā kamaliʻi, ʻōpio, a i ʻole ka wā makua.
Pehea ka maʻamau o kēia ʻano? He aha nā kumu?
He ʻano laha ʻole ka Angiokeratoma. Ma ʻAmelika Hui Pū ʻIa, no ka laʻana, hoʻopilikia ia ma kahi o 0.16% o nā kānaka, a i ʻole emi ma mua o 2 i loko o 1,000 poʻe. Ma kahi o 14% o nā angiokeratoma āpau he Fordyce's angiokeratomas (ke ʻano e kū ana ma nā testicles). He mea maʻamau kēia i nā kāne keʻokeʻo.
I kēia manawa, e nānā kākou i ke kumu o kēia mau angiokeratomas .
Hana ʻia kēia i ka wā e nalowale ai nā ʻiʻo e kākoʻo ana i nā paia capillary i ko lākou elasticity (flexibility) . Hiki ke hana ʻia kēia e kekahi mau kumu:
- Malia paha he mea genetic kēia.
- Hiki paha ke kumu o kekahi mau ʻano ʻē i loko o nā kīʻaha koko (vascular malformations).
- Hiki ke hana ʻia e ke kaomi lōʻihi ma luna o nā kīʻaha koko.
- A i ʻole, he maneʻo iki paha a he ʻōpala paha ma ka ʻili no ka manawa lōʻihi (ka huhū mau) .
Ke hana ʻia kēia, lilo kēlā mau capillaries i mea paʻakikī iki, pehu, a i kekahi manawa hiki ke pohā. Ua ʻike paha ʻoe i kekahi poʻe me nā aʻa koko polū ma ko lākou mau wāwae, a mākou e kapa nei he "nā aʻa koko kolo". ʻO ia ka mea like. Akā i loko o ka angiokeratoma, ʻo ka mea e hana ʻia, ʻo ia ka hoʻokuke ʻana o ke capillary i hoʻonui ʻia i loko o ka ʻili, e hana ana i kahi puʻupuʻu i hāpai ʻia a ʻeleʻele, a mākou e kapa nei he "papule".
Eia kekahi, ʻo nā kūlana e like me nā aʻa varicose i loko o nā testicles (varicoceles) a i ʻole nā hernias inguinal hiki ke kau i ke kaomi ma luna o nā capillaries. Hiki i kēia ke alakaʻi i ka angiokeratoma o nā testicles. Pēlā nō, ʻo ke kaomi i ka wā hāpai hiki ke hana i ka angiokeratoma o ka vulva.
I kekahi manawa, hiki ke ulu aʻe kahi puʻupuʻu angiokeratoma hoʻokahi ma kahi kikoʻī ma ke kino , i nā makahiki ma hope .
He aha nā hōʻailona o ka angiokeratoma?
Hiki i nā angiokeratomas ke ʻano like me nā warts . Hiki iā lākou ke ʻike ʻia ma nā wahi āpau o ke kino. Hoʻomaka kēia mau puʻupuʻu i ka ʻulaʻula, a laila lilo i ʻeleʻele a poni paha i ka hala ʻana o ka manawa, a mānoanoa ka ʻili ma luna o lākou. Eia nō naʻe, ʻaʻole paha lākou e ʻike nui ʻia e ka poʻe me ka ʻili ʻeleʻele.
Inā ʻoe e kaomi i kekahi o kēia mau puʻupuʻu me kou manamana lima, ʻaʻole ia e mae (e lilo i keʻokeʻo). Loaʻa paha iā ʻoe hoʻokahi puʻupuʻu (he angiokeratoma hoʻokahi), a i ʻole he 100 mau puʻupuʻu paha kāu.
Eia nā hōʻailona maʻamau o ka angiokeratomas:
- He ʻano dome kona .
- Paʻa a paʻakikī paha i ka hoʻopā ʻana.
- ʻUlaʻula, polū, poni a ʻeleʻele paha .
- ʻOi aku ka liʻiliʻi ma mua o ka hapaha ʻīniha (5 millimeters) `(ʻOi aku ka liʻiliʻi ma mua o ka hapaha ʻīniha (5 millimeters))`.
- ʻŌpala ma ka ʻili, me ke ʻano a me he ʻiliʻili lā a unahi paha .
ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia mau mea? (Nā kumu pilikia)
Hiki i kekahi ke hoʻomohala i nā angiokeratomas, akā ʻoi aku ka maʻamau o kekahi mau ʻano i kekahi mau makahiki a me nā kāne.
Eia kekahi laʻana, ʻoi aku ka nui o ka loaʻa ʻana o ka angiokeratoma o ka scrotum (Fordyce) i nā kāne keʻokeʻo . Pēlā nō, ʻoi aku ka nui o ka loaʻa ʻana o ka angiokeratoma corporis diffusum i nā poʻe me nā maʻi mālama lysosomal.
Hiki i kēia ke hana i nā pilikia ʻē aʻe?
ʻOi aku ka nui o ke kahe ʻana o ke koko o kekahi mau ʻano angiokeratoma ʻoiai inā ua palapū ʻia . Hiki i kekahi poʻe ke manaʻo ʻoluʻolu ʻole a huhū hoʻi e kēia mau puʻupuʻu. Hiki i kekahi ke ʻike i ka maneʻo a i ʻole ke kuni .
ʻO ka mea nui, hiki ke hana ʻia nā ʻūpā koko i loko o nā angiokeratomas. Akā, ʻaʻole like kēia mau ʻūpā koko me nā ʻūpā koko weliweli e ālai ana i ke kahe koko i loko o ko kākou kino (nā mea e hoʻoulu ai i nā hahau a me nā hōʻeha puʻuwai). ʻAʻole lākou e hoʻoweliweli iā ʻoe i ka loaʻa ʻana o nā hahau a i ʻole nā hōʻeha puʻuwai. Eia nō naʻe, hiki i kēia mau ʻūpā koko ke hōʻeha i ka ʻeha.
Pehea ʻoe e ʻike pono ai he angiokeratoma kēia? (Diagnosis)
No ka ʻike pono ʻana i ke ʻano o kēia maʻi, pono ʻoe e ʻike i kahi kauka ʻili . He kauka ʻo ia e nānā a mālama i nā maʻi ʻili.
ʻOiai ʻaʻole he maʻi ʻili nā angiokeratomas, hiki i kekahi o nā puʻupuʻu ke like me ka melanoma, kahi ʻano maʻi ʻili koʻikoʻi . Hiki i kāu kauka ke hoʻohana i kahi mea hana kūikawā i kapa ʻia he dermoscope e nānā i nā puʻupuʻu. Hiki iā lākou ke lawe i kahi ʻāpana liʻiliʻi o ka ʻili (kahi biopsy ʻili) e hōʻoia ʻaʻole ia he maʻi ʻili.
Aia kekahi lāʻau lapaʻau no kēia? Hiki ke ho'ōla ʻia?
ʻAʻole e nalowale wale nā puʻupuʻu angiokeratoma. I kekahi manawa hiki iā lākou ke nui aʻe a nui aʻe.
Akā i ka hapanui o ka manawa, ʻaʻole pono nā angiokeratomas i kahi mālama kūikawā . Eia nō naʻe, inā e hilahila ʻoe a hilahila paha i kou helehelena i kēia mau puʻupuʻu, a inā e kahe ke koko, maneʻo, a i ʻole e hoʻoulu i nā pilikia ʻē aʻe, pono paha ka mālama ʻana.
Hana ʻia kēia lāʻau lapaʻau ma ke keʻena o kāu kauka. Hiki ke hāʻawi ʻia iā ʻoe kahi anesthetic kūloko e hoʻomāno i kou ʻili. Akā e hoʻomanaʻo e hiki i kekahi mau angiokeratomas ke hana i ka ʻeha .
Hiki i kāu kauka ke koho i kekahi o kēia mau lāʻau lapaʻau:
- Cryotherapy: Wehe ʻana i ka puʻupuʻu me ka hoʻohana ʻana i ke anu nui.
- ʻO ke ʻoki uila a i ʻole ka fulguration: Ke luku ʻana i ka puʻupuʻu ma ka hoʻopili ʻana i ka wela mai ka uila.
- ʻO ke ʻoki laser (ablation): Wehe ʻana i ka puʻupuʻu me ka hoʻohana ʻana i nā kukuna kukui ikaika kiʻekiʻe.
- ʻOki ʻili: Wehe ʻana i ke capillary i hōʻino ʻia me ka ʻili.
He aha ka manaʻolana no kekahi me ka angiokeratoma?
Hiki i nā Angiokeratomas ke hoʻohilahila i kekahi poʻe e pili ana i ko lākou helehelena. Hiki i kēia mau manaʻo ke alakaʻi i ke kaumaha a i ʻole ka hopohopo . Hiki i ka lāʻau lapaʻau ke kōkua iā ʻoe e hoʻoponopono i kēia mau loli i kou helehelena. Hiki i kekahi mau lāʻau lapaʻau ke wehe loa i nā puʻupuʻu.
ʻOiai ʻaʻole pono ka hapa nui o nā angiokeratomas i ka mālama ʻana, he mea nui e loaʻa kahi hōʻoia pololei e kāpae i nā kūlana koʻikoʻi .
He aha kekahi mau mea āu e nīnau ai i kāu kauka?
Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau ʻana i kēia mau nīnau:
- No ke aha i loaʻa ai iaʻu kēia angiokeratoma?
- He aha ke ʻano o ka angiokeratoma i loaʻa iaʻu?
- Pono anei au i ka lāʻau lapaʻau?
- He aha nā koho lapaʻau e loaʻa iaʻu?
- Pono anei au e hopohopo e pili ana i nā hōʻailona o nā pilikia?
He maʻi laha pili i ke moekolohe (STD) anei kēia? He maʻi ʻili anei?
ʻAʻole, ʻaʻole he maʻi a he maʻi paha ka angiokeratoma i laha ma ke ʻano moekolohe (STD a i ʻole STI) . ʻAʻole hiki iā ʻoe ke loaʻa mai kekahi mea ʻē aʻe. Hiki i nā puʻupuʻu angiokeratoma e ulu ana ma ka scrotum a i ʻole labia ke ʻano like me nā ʻōuli genital. ʻO ia ke kumu e makemake ai kāu kauka e nānā i kahi wahi liʻiliʻi o kou ʻili e hana i kahi hōʻailona kūpono.
Eia kekahi, e like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole ka angiokeratoma he maʻi ʻili . ʻO ka loaʻa ʻana o kēia maʻi ʻaʻole ia e hoʻonui i kou pilikia o ka loaʻa ʻana o ka maʻi ʻili.
ʻAʻole paha e hoʻi hou mai nā angiokeratoma ma kahi like ma hope o ka mālama ʻana. Eia nō naʻe, hiki ke ulu aʻe nā puʻupuʻu hou ma nā wahi ʻē aʻe o kou kino.
No laila, eia kekahi mau mea e hoʻomanaʻo ai mai kā mākou i kamaʻilio ai (Leka Lawe-Home):
ʻAe, ua kamaʻilio nui kākou e pili ana i ka Angiokeratoma, ʻeā? ʻO ka mea hope loa, eia nā mea nui e pono ai ʻoe e hoʻomanaʻo:
- He ʻulaʻula, polū, poni, a ʻeleʻele paha nā puʻupuʻu angiokeratomas e hana ʻia i ka wā e hoʻonui ʻia a pohā paha nā kīʻaha koko liʻiliʻi (capillaries) kokoke i ka ʻili o ka ʻili , e hoʻomānoanoa ai i ka ʻili ma luna o lākou.
- ʻAʻole kēia he mau maʻi kanesa .
- Aia kekahi mau ʻano angiokeratomas. Hiki i kekahi (e.g., nā angiokeratomas a Fordyce) ke like me nā ʻōuli genital no ka mea e hana ʻia ana ma nā testicles a i ʻole a puni ka labia.
- ʻOiai ʻaʻole pono kēia i ka mālama ʻia ma ka hapa nui o nā hihia, hiki ke mālama ʻia inā ʻoluʻolu ʻole ia me kona helehelena, ke kahe ʻana o ke koko, ka maneʻo, a i ʻole ke kumu o ka ʻeha.
- ʻO ka mea nui loa, inā ʻike ʻoe i kahi loli e like me kēia i kou ʻili, e ʻike i ke kauka e ʻike pono i ke ʻano o ia mea . Ma kēlā ala, hiki iā ʻoe ke pale aku i ka makaʻu pono ʻole a loaʻa ka lāʻau kūpono inā pono.
Manaʻolana wau he mea pono kēia ʻike iā ʻoe. E mālama i kou ʻili, no ka mea, he mea nui ka ʻili olakino no ke ola olakino!
ʻangiokeratoma , puʻupuʻu ʻili, nā kiko ʻulaʻula, nā capillaries, nā maʻi ʻili, Fordyce, ka maʻi Fabry, nā hōʻailona ʻili, ka mālama ʻana i ka ʻili











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