Ua ʻike anei ʻoe i kekahi manawa, ʻoiai hoʻi i nā pēpē ʻōpio, aia nā puʻupuʻu ʻulaʻula liʻiliʻi, i kekahi manawa he poni ma ko lākou kino? I kekahi poʻe, hiki i kēia ke ʻike ʻia he ʻeleʻele. I kēia lā e kamaʻilio mākou e pili ana i kahi mea e like me kēia. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia he hemangioma. Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i kēia.
He aha kēia hemangioma? I ka ʻōlelo maʻalahi...
I ka ʻōlelo maʻalahi, he hui o nā kīʻaha koko i loko o ko kākou kino e hana ana i kahi puʻupuʻu liʻiliʻi e like me ka pōpō. Hiki ke loaʻa kēia mau mea i kekahi manawa i ka wā hānau. A i ʻole hiki ke ʻike ʻia i ka wā kamaliʻi, ʻo ia hoʻi, i ka wā pēpē. I kekahi manawa, hiki ke hana ʻia kēia mau mea ma hope o ko kākou ulu ʻana.
Ua ʻike anei ʻoe ʻike pinepine ʻia kēia mau hemangioma i nā pēpē ʻōpio ? Ma ke ʻano maʻamau, ma kahi o hoʻokahi o nā pēpē he ʻumi i hānau ʻia e loaʻa iā lākou. Akā hiki i nā pākeke ke loaʻa iā lākou. ʻO ka ʻoiaʻiʻo, ma kahi o ʻekolu hapahā o ka poʻe ma luna o 75 mau makahiki he ʻano i kapa ʻia ʻo "Cherry Hemangioma."
He maʻi ʻaʻai anei kēia hemangioma?
He pilikia kēia no nā kānaka he nui. ʻAʻole ʻo Hemangioma he maʻi ʻaʻai . Kāhea mākou i kēia mau puʻupuʻu maikaʻi . ʻAʻole lākou e laha i nā ʻāpana ʻē aʻe o ke kino. Eia kekahi, ʻo ka manawa kūpono e lilo ai lākou i malignant he haʻahaʻa loa, ʻo ia hoʻi he mea kakaikahi loa ia . No laila, mai makaʻu pono ʻole.
He aha nā ʻano nui o ka hemangioma?
ʻElua ʻano nui o nā hemangiomas. E nānā kākou i ke ʻano o lākou:
1. Capillary Hemangioma: Loaʻa kēia mau mea ma nā papa o luna o ko mākou ʻili.
- Hemangioma pēpē: He mea maʻamau kēia i nā pēpē ʻōpio. Kapa pū kekahi poʻe iā lākou he "Strawberry Hemangioma" no ka mea ua like lākou me ka strawberry.
- ʻO ka Hemangioma Cherry: He mea maʻamau kēia i waena o nā pākeke, ʻoi aku ka poʻe ma luna o 75 mau makahiki.
2. Hemangioma Cavernous: Hoʻomohala kēia mau mea ma nā papa hohonu o ka ʻili. ʻIke pinepine ʻia lākou a puni nā maka. Inā ulu lākou a puni nā maka, hiki iā lākou ke hoʻopilikia i ka ulu ʻana a i ʻole ka hana o ka maka. No laila, aia kahi hiki ke loaʻa nā maʻi e pili ana i ka maka e like me `(Amblyopia)` (maka palaualelo), `(Glaucoma)` (glaucoma), `(Cataracts)` (cataracts).
He mea weliweli anei ka Hemangioma?
ʻAʻole maʻamau ka hemangioma i mea weliweli. Eia nō naʻe, inā hana lākou ma kahi koʻikoʻi, e like me kahi ʻōkana, hiki iā lākou ke hōʻino i nā ʻiʻo a puni. ʻO ia ka manawa e lilo ai lākou i mea weliweli. ʻO ka nui o ko lākou weliweli ma muli o ko lākou wahi.
He aha nā hōʻailona o ka Hemangioma?
Hiki i nā Hemangiomas ke ulu ma nā wahi āpau o ke kino, akā ʻike pinepine ʻia lākou ma ke poʻo a i ʻole ka ʻāʻī . ʻIke nui ʻia lākou ke kau ʻia ma ka ʻili. Eia nō naʻe, hiki iā lākou ke ulu i kekahi manawa ma nā membrane mucous, e like me loko o ka waha a ma ke alelo. ʻO kekahi mea kupanaha, hiki iā lākou ke ulu i loko o ke kino, me ka ʻike ʻole ʻia e mākou, me ka ʻole o ka hōʻailona ʻana i kekahi mau hōʻailona. ʻO ke akepaʻa kahi maʻamau e ulu ai lākou i loko o ke kino.
Inā he hemangioma kou ma kou ʻili, hiki ke nānā aku penei:
- Hiki ke nānā aku e like me kahi puʻu i hāpai ʻia ma ka ʻili , a i ʻole e like me kahi pehu i piha i ka wai.
- No kekahi kanaka me ka ʻili māmā, hiki ke ʻokoʻa nā kiko mai ka ʻulaʻula ʻōlinolino a i ka poni . No kekahi kanaka me ka ʻili ʻeleʻele, hiki ke ʻeleʻele nā kiko. Akā i kekahi manawa, hiki i nā kiko hohonu ke lilo i polū iki.
- ʻO ka maʻamau, hiki ke ʻokoʻa ia mai kahi ʻīniha (0.64 kenimika) a i kahi ʻelua ʻīniha (5.1 kenimika) ka laulā.
- ʻOiai ke ʻike pinepine ʻia he puʻupuʻu hoʻokahi, hiki i kekahi manawa ke ʻike ʻia i loko o nā hui a i ʻole e laha nui aku.
ʻAʻole ʻeha ka Hemangioma maʻamau. Eia nō naʻe, hiki i kekahi mau kumu ke hōʻeha. ʻO kekahi kahi i loaʻa ai. Inā he hemangioma nui ia, hiki ke ʻeha inā aia ia ma kahi paʻa. Eia kekahi, inā ua ʻeha a palapū paha kahi hemangioma ma ka ʻili, hiki ke ʻeha. ʻAʻole kahe ke koko o ka hapa nui o nā hemangioma me ka ʻole o ka ʻeha .
Nā Pae o ka Hemangioma o nā Keiki
ʻO ka Hemangioma pēpē, kahi e ulu aʻe ma hope o ka hānau ʻana, he ʻelua mau pae nui. E nānā kākou i ke ʻano o lākou:
1. Ka pae hoʻolaha (pae mua): I loko o kēia wā, ulu wikiwiki loa ka hemangioma. ʻIke pinepine ʻia kēia pae i nā pēpē i loko o nā mahina 12 mua o ke ola. E noʻonoʻo, ʻo ka mea i lilo i wahi liʻiliʻi e lilo mālie i mea nui.
2. Involution (kahua 2): I loko o kēia kahua, hoʻomaka mālie ka hemangioma e emi a liʻiliʻi . Hoʻomaka pinepine kēia ma waena o nā makahiki 12 a me 18 mahina. Hiki i kēia kahua ke hala i nā makahiki e hoʻopau ai. Ma kahi o ka hapalua o nā pēpē āpau e hoʻopau i kēia kahua i ka makahiki 5. Ma kahi o ʻeiwa mai ka ʻumi, e nalo loa ia i ka makahiki 9.
Ke pau ka wā involution, e nalowale ka hemangioma. I kekahi manawa e nalowale ia me ka ʻole o nā hōʻailona. Eia nō naʻe, i kekahi manawa e waiho paha kahi ʻōpala liʻiliʻi a i ʻole ka ʻili ʻeleʻele ma kahi o ka hemangioma.
Inā e nalowale ana kahi hemangioma hānau a ʻaʻole paha, aia ia i kona ʻano. ʻO kēia mau ʻano:
- Hoʻokomo koke ʻia: Nalo koke kēia mau mea.
- ʻO nā mea noninvoluting:ʻAʻole e nalowale kēia mau mea.
- Hoʻokomo hapa ʻia: ʻAʻole nalowale loa kēia mau mea, nalowale wale kekahi hapa o lākou.
He aha ke kumu o ka Hemangioma?
Hoʻokumu ʻia nā hemangioma e ka hui pū ʻana o nā kīʻaha koko a me ka ulu ʻana ma ke ʻano ʻē. Akā, ʻaʻole maopopo i nā loea ke kumu o lākou a pehea lākou e hana ai .
He aha nā kumu pilikia?
Aia kekahi mau kumu e hoʻonui ai i ka pilikia o ka ulu ʻana o ka hemangioma:
- Makahiki: ʻOi aku ka maʻamau o kēia i nā pēpē hānau hou a me nā pēpē, ʻoiai nā pēpē ma waena o 2 mau pule a me 2 mahina.
- Ka ulu ʻana i ka wā hānau: Ma kahi o hoʻokahi o ʻelima mau pēpē i hānau mua ʻole ʻia e loaʻa paha kahi hemangioma.
- Kāne: ʻEhā manawa ka nui o ka loaʻa ʻana o kēia mau mea i nā kaikamahine.
- Kala ʻili: ʻOi aku ka maʻamau o ka Hemangioma i ka poʻe me ka ʻili māmā.
- Nā pilikia olakino ʻē aʻe: Hiki i kekahi mau kūlana olakino ke hana i nā hemangiomas, e like me ka PHACE syndrome a i ʻole ka maʻi Von Hippel-Lindau.
Nā pilikia e hiki mai ana ma muli o ka Hemangioma
ʻAʻole pinepine nā Hemangioma e hoʻoulu i nā pilikia, akā inā ulu lākou ma kahi koʻikoʻi, hiki iā lākou ke hoʻoulu i nā pilikia . Eia kekahi mau laʻana:
- A puni nā maka: ʻO nā hemangiomas e hana a puni nā maka e hiki ke hana i ke kaomi a me ka hōʻino ʻana i nā ʻiʻo palupalu o ka maka.
- ʻAʻī a me ka ʻāʻī: ʻO nā Hemangiomas e ulu ana ma ka maka haʻahaʻa a me ka ʻāʻī hiki ke hoʻopaʻa i nā mea nui e like me ka windpipe, e paʻakikī ai ka hanu ʻana.
- ʻO ke kaula kuamoʻo: Inā hana ʻia nā hemangiomas ma kekahi mau wahi o ka iwi kuamoʻo, hiki iā lākou ke ʻūlū a hōʻino i ke kaula kuamoʻo.
- Nā kino kūloko: Inā he nui nā hemangiomas i loko o ke kino, a inā he nui o lākou, hiki iā lākou ke hoʻopilikia i ka hana o nā kino kūloko a i ʻole e hōʻino.
Pehea e ʻike ai nā kauka i ka hemangioma?
ʻO nā hemangiomas, ʻoiai nā mea ma ka ʻili, he mea maʻalahi ke ʻike . Hiki i nā kauka ke ʻike iā lākou i ka wā o ka hoʻokolokolo kino maʻamau.
Hiki i nā kauka ke nānā i nā hemangiomas me ka hoʻohana ʻana i nā lako maʻalahi e like me ka ultrasound. He mea pono loa kēia hoʻāʻo no nā hemangiomas, no ka mea, ke kahe nei ke koko ma o lākou. I kekahi manawa hiki ke hana ʻia kahi biopsy, e pili ana i ka lawe ʻana i kahi ʻāpana ʻiʻo, akā ʻaʻole pono mau.
I kekahi mau hihia, hiki i kāu kauka ke paipai i kahi hoʻāʻo kiʻi ʻē aʻe, e like me ka MRI (Magnetic Resonance Imaging). Hiki i kēia mau scan ke nānā i nā pilikia huna i ʻike ʻole ʻia e ka maka ʻōlohelohe. Hiki i nā hoʻāʻo koko a i ʻole nā hoʻokolohua genetic ke kōkua i kāu kauka e ʻike i kahi hemangioma a kāpae i nā kūlana ʻē aʻe. E haʻi aku kāu kauka iā ʻoe i nā mea hou aʻe e pili ana i nā hoʻokolohua kūpono no kou kūlana.
Pehea e mālama ai ka Hemangioma?
Hiki ke mālama ʻia nā hemangiomas, akā ʻo ka hapa nui o ka manawa ʻaʻole pono lākou e mālama ʻia. ʻOiai e nalowale pinepine nā hemangiomas pēpē iā lākou iho, e ʻōlelo paha kāu kauka i ka nānā wale ʻana.
ʻO kekahi o nā kumu e pono ai ka mālama ʻana no ka hemangioma:
- Kahi: ʻOi loa aku no nā hemangiomas i loaʻa ma nā wahi kahi e hiki ai iā lākou ke hōʻino i nā ʻiʻo a i ʻole nā hale a puni.
- Nui: Pono paha nā hemangiomas nui e wehe a mālama ʻia e hoʻoponopono i ka wahi.
- ʻAno: Makemake ka poʻe he nui e wehe i nā hemangiomas ma nā wahi e like me ka maka a me ke poʻo ma muli o ko lākou ʻano.
- Nā hopena koena: ʻOiai inā ʻaʻole i mālama pololei ʻia ka hemangioma, aia paha he mau loli o nā ʻiʻo i koe ma kahi i waiho ʻia ai. Pono paha ka lāʻau lapaʻau e hoʻoponopono iā lākou.
- Ka pōʻino i ka hemangioma: Ke kahe ke koko, he mea nui loa ka mālama ʻeha kūpono no ka ho'ōla ʻana o ka hemangioma.
Aia kekahi mau ala e mālama ai i ka hemangioma:
- Nā mea pale Beta: ʻO nā lāʻau lapaʻau e like me ka propranolol ka lāʻau lapaʻau mua. Hiki i kēia ke hoʻēmi i nā hemangiomas i ka wā e ulu nui ai. Loaʻa lākou ma ke ʻano he papa waha a i ʻole nā kirimi topical.
- Corticosteroids: Hāʻawi ʻia kēia mau lāʻau lapaʻau ma ke ʻano he kirīmi topical a i ʻole injection. Hiki iā lākou ke hoʻēmi i nā hemangiomas.
- Nā Lapaʻau Laser: Hiki ke hoʻohana ʻia nā lāʻau laser e kāohi i ka ulu ʻana o nā hemangiomas a hoʻēmi paha iā lākou. Hiki i nā lasers ke hōʻemi i ka hoʻololi ʻana o ka ʻili a hoʻolilo i nā hemangiomas i ʻike iki ʻia.
- Ke ʻoki ʻana i ke koko: Hiki i nā kauka ke ʻoki i ke koko i kahi hemangioma me ka hoʻohana ʻana i nā kaʻina hana e like me ka sclerotherapy a i ʻole ka embolization.
- ʻOki kino: Hiki ke wehe ʻia nā hemangiomas nui a hohonu paha ma ke ʻoki kino. Hiki ke hana ʻia ke ʻoki kino e hoʻoponopono i nā pōʻino a i ʻole nā loli i hana ʻia e ka hemangioma.
ʻO nā hemangiomas cherry, kahi mea maʻamau i nā poʻe ma luna o 75 mau makahiki, ʻaʻole pono ka mālama ʻana. Eia nō naʻe, inā he mau pilikia lākou iā ʻoe, hiki i kāu mea mālama mua ke kuhikuhi iā ʻoe i kahi dermatologist.
Āhea wau e ʻike ai i ke kauka e pili ana i koʻu hemangioma?
Inā hōʻike kāu hemangioma i kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka:
- Inā loli ke kala
- Inā e kahe ana ke koko o ka ʻoki
- Inā pili pono kou mau maka
- Inā ulu ia a puni ka waha, ka ʻauwae, a i ʻole ka puʻu
E hoʻomanaʻo, he mea nui loa e ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i kahi loli e like me kēia.
He aha ka mea e hana inā loaʻa iaʻu kahi hemangioma?
ʻO ka mea e hana ʻia inā loaʻa iā ʻoe kahi hemangioma ma muli o ke ʻano, kahi o ia mea, a me ka lōʻihi o kou loaʻa ʻana. ʻO ka maʻamau, ʻaʻole weliweli nā hemangioma, ke ʻole lākou e ulu ma nā wahi kikoʻī. ʻO ka hapa nui o nā hemangioma e emi a nalowale iā lākou iho i ka hala ʻana o ka manawa. Akā inā pono kāu keiki i ka mālama ʻana no kahi hemangioma, aia kekahi mau lāʻau lapaʻau e hiki ke kōkua.
Inā loaʻa i kāu keiki kahi hemangioma a he mau nīnau kāu e pili ana i ka hopena o ia mea iā lākou, mai hopohopo, aia kekahi e hiki ke kōkua. Hiki i ke kauka lapaʻau o kāu keiki ke kōkua iā ʻoe e hoʻomaopopo i kēia, alakaʻi iā ʻoe i ka mea hiki iā ʻoe ke hana a me ka mea pono e hana ai. Hiki iā lākou ke kōkua iā ʻoe e hōʻoluʻolu a hōʻoluʻolu i kou mau makaʻu.
He aha ka ʻokoʻa ma waena o ka hemangioma a me kahi hōʻailona hānau?
He ʻano hōʻailona hānau vascular ka hemangioma. ʻO ia hoʻi, ua hana ʻia lākou mai nā kīʻaha koko. Hiki i nā hōʻailona hānau ke vascular a i ʻole pigmented (e like me ka mole).
Inā loaʻa i kāu keiki kahi hemangioma, he mea maʻamau ke hopohopo a me ka makaʻu, ʻoiai a hiki i kou ʻike pono ʻana i ke ʻano o ia mea. ʻOiai ma hope o ka loaʻa ʻana o kahi hōʻailona, hiki ke kaumaha ka maopopo ʻole e pili ana i ka hopena o ia mea i kāu keiki. Akā, ʻaʻole pono ʻoe e kū hoʻokahi i kēia mau nīnau. ʻO ke kamaʻilio ʻana me ke kauka pediatric o kāu keiki ka hana mua i ka loaʻa ʻana o nā pane. Hiki iā ia ke hoʻomaha i kou manaʻo a wehewehe i nā mea āu e pono ai e ʻike e kōkua i kāu keiki.
ʻŌlelo Lawe-Home: Nā mea nui loa e pono ai mākou e hoʻomanaʻo
ʻAe, e hoʻomanaʻo kākou i kēia mau manaʻo ma ke ʻano he hōʻuluʻulu manaʻo o ka Hemangioma a mākou i kamaʻilio ai:
- ʻO ka Hemangioma kahi hōʻiliʻili o nā kīʻaha koko i hala ʻole pinepine, ʻaʻole maʻi kanesa .
- Hoʻemi ka hapa nui o nā hemangiomas pēpē a nalo wale aku i ka hala ʻana o ka manawa .
- ʻO kekahi mau hemangioma, ʻoiai kēlā mau meaPono paha ka lāʻau lapaʻau ma muli o ka wahi, ka nui, a i ʻole nā pilikia e hoʻoulu ai.
- Inā ʻike ʻoe i kekahi mau loli i ka hemangioma o kāu keiki (loli o ke kala, kahe koko, ulu wikiwiki), e ʻimi koke i ke kōkua lapaʻau .
- Mai makaʻu i ka noho hoʻokahi. E kamaʻilio me kāu kauka, ʻoiai kāu kauka keiki, a e nīnau i kāu mau nīnau a pau. E hāʻawi lākou iā ʻoe i ke kākoʻo a me ke alakaʻi āu e pono ai.
E hoʻomanaʻo, ʻo ka ʻike ka pale maikaʻi loa. He mea kūpono ke mālama i ke olakino o kāu keiki liʻiliʻi.
ʻO Hemangioma, nā kiko ʻili, nā kiko pēpē, nā kiko ʻulaʻula, nā puʻupuʻu aʻa koko, nā maʻi pediatric, nā maʻi ʻili











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