He puʻu i loko o ke akepaʻa? Mai hopohopo! E kamaʻilio kākou e pili ana i ka Liver Hemangioma ma nā ʻōlelo maʻalahi

E noʻonoʻo ua loaʻa iā ʻoe kahi scan ate no kekahi kumu ʻē aʻe. Hiki paha ma muli o ka pilikia ʻōpū, a i ʻole he nānā maʻamau wale nō. Ke loaʻa iā ʻoe ka hōʻike, ʻike ʻoe aia kahi "ʻeha ate" a i ʻole "puʻupuʻu ate." Ke lohe mākou i ka huaʻōlelo "puʻupuʻu," manaʻo mākou, "Auē kuʻu Akua, he maʻi kanesa anei kēia?" ʻAʻole anei he makaʻu nui kēlā? ʻOiaʻiʻo, hopohopo nā mea a pau ke lohe lākou i kēlā huaʻōlelo. Akā, mai hopohopo. No ka mea, ʻaʻole nā ​​puʻupuʻu a pau i loko o ke ake he maʻi kanesa. ʻO ka ʻoiaʻiʻo, ʻo ke ʻano maʻamau a maikaʻi ʻole o ka puʻupuʻu a mākou e kamaʻilio nei i kēia lā, ʻo ia ka mea a mākou e kamaʻilio nei i kēia lā, ʻo ia hoʻi, `(Liver Hemangioma)`.

I ka ʻōlelo maʻalahi, he aha ka Hemangioma o ke ake?

ʻOiai he ʻano paʻakikī iki ka inoa, he maʻalahi loa ka moʻolelo. ʻO ka 'Liver Hemangioma' (i kekahi manawa i kapa ʻia ʻo 'Hepatic Hemangioma') he puʻupuʻu ʻaʻole maʻi kanesa e ulu ana i loko o kou ake. Hana ʻia ia me kahi puʻu o nā kīʻaha koko i hui pū ʻia a hoʻopilikia iki ʻia. E noʻonoʻo iā ia e like me kahi pōpō kaula i hui pū ʻia. Akā, hana ʻia ia me nā kīʻaha koko.

Hiki i nā ʻōpū hemangioma e like me kēia ke ulu aʻe ma nā wahi ʻē aʻe o ke kino, me ka lolo. ʻOiai hiki iā lākou ke hana i nā pilikia liʻiliʻi i kekahi manawa ma ia mau wahi, he mea kakaikahi loa ka hemangioma i loko o ke akepaʻa. ʻO ka mea nui, ʻaʻole loa e lilo kēia mau mea i maʻi kanesa. ʻAʻole lākou e hana i kekahi mau hōʻailona. I mea e hiki ai kēlā, pono e nui loa ka ʻōpū.

No ke aha i hiki mai ai kēia iaʻu? He mea anei ia e makaʻu ai?

ʻO kahi nīnau a ka poʻe he nui e nīnau ai, "No ke aha i loaʻa ai kēia iaʻu?" ʻO kaʻoiaʻiʻo, ʻaʻole i loaʻa i nā kānaka ʻepekema kahi kumu kūpono no ia mea. Manaʻo kekahi he hānau ʻia paha ia. ʻO ia hoʻi, aia paha nā hua o kēia i loko o ko kākou kino i ka wā e hānau ʻia ai kākou.

Akā, mai hopohopo no kēia mau mea.

Hoʻokahi wale nō puʻupuʻu o ka hapa nui o nā kānaka. ʻAʻole ia e laha i nā wahi ʻē aʻe o ke kino, a ʻaʻole ia e nui aʻe. No laila, i ka hapa nui o ka manawa, hiki iā mākou ke hele i ko mākou ola maʻamau me ka hopohopo ʻole.

Eia kekahi, ʻoi aku ka maʻamau o kēia ʻano ma mua o kou manaʻo. Hoʻopilikia ia ma kahi o 5% o ka heluna kanaka. ʻOi aku ka nui o ka hōʻike ʻia ʻana i waena o nā wahine waena. I kekahi manawa, loaʻa i nā keiki liʻiliʻi kēia mau puʻupuʻu, akā i ko lākou ulu ʻana, emi pinepine kēia mau puʻupuʻu a nalowale.

He aha nā hōʻailona o ka hemangioma?

ʻO ka hapa nui o ka manawa, ʻo ia hoʻi, ʻoi aku ma mua o 90%, ʻaʻohe hōʻailona.He liʻiliʻi loa ka hapa nui o kēia mau puʻupuʻu, ma kahi o 3 kenimika. ʻIke ʻia lākou i ka wā o kahi scan i hana ʻia no kekahi kumu ʻē aʻe.

Eia naʻe, he mea kākaʻikahi ka ulu ʻana o kēia puʻupuʻu ma mua o 10 kenimika. Kāhea mākou iā ia he "hemangiomas nunui". Mai ia mau puʻupuʻu nui e ʻike ʻia ai nā hōʻailona i kekahi manawa. ʻO ke kumu o kēia, ʻoiai e ulu ana ka puʻupuʻu, hoʻomaka ia e kaomi i nā ʻōpū i loko o ka ʻōpū, e like me ka ʻōpū. A laila hiki iā ʻoe ke manaʻo i nā mea e like me kēia.

Aia kekahi mau pilikia e hiki mai ana, ʻoiai inā he mea kākaʻikahi?

ʻAe, aia kekahi mau mea hiki ke hana pinepine ʻole ʻia. ʻAʻole pono ʻoe e hopohopo e pili ana i kēia mau mea, akā he mea maikaʻi ke makaʻala iā lākou. Hiki wale kēia i ka poʻe me nā puʻupuʻu nui loa.

• Ke kuʻi ʻana o nā ʻōpū a puni:I ka ulu ʻana o ka puʻupuʻu, hiki iā ia ke kaomi ma luna o nā kīʻaha koko kokoke a i ʻole nā ​​aʻa bile. Hiki i kēia ke hana i nā kūlana e like me ka pehu ʻana i nā wāwae (edema), nā ʻōpū koko (thrombosis), a i ʻole ka jaundice, ka mea e hoʻolilo ai i ka ʻili i melemele.
• Ke kahe ʻana o ke koko i loko o ka puʻu: Hiki i nā kīʻaha koko nāwaliwali i loko o ka puʻu ke hana i nā wahi liʻiliʻi o ke kahe ʻana o ke koko i loko o ke kino.
• Pohā: He mea kākaʻikahi loa kēia. Inā loaʻa i ke akepaʻa kahi hahau nui, e like me kahi ulia koʻikoʻi, hiki i ka puʻupuʻu ke pohā a kahe ke koko i loko o ke kino (hemorrhage). He pilikia olakino kēia. Inā hana ʻia kēia, pono ʻoe e hele koke i ka Emergency Department (ETU) o ka haukapila.

Eia hou, mai hopohopo e pili ana i kēia mau mea. E nānā kāu kauka i kou kūlana a hana i kahi hana ma mua o ka hiki ʻana mai o kahi pilikia.

Pehea e ʻike ai nā kauka i kēia?

E like me ka mea i ʻōlelo ʻia ma mua, ʻike pinepine ʻia ia ma ke ʻano ulia pōpilikia, i ka wā o kahi scan i hana ʻia no kekahi mea ʻē aʻe. Ke kānalua nā kauka i kahi hemangioma, hoʻohana lākou i nā ʻano scan like ʻole e hōʻoia iā ia.

• ʻO ke kiʻi ʻana i ka ultrasound: Hoʻohana kēia i nā nalu kani alapine kiʻekiʻe e kiʻi i nā kiʻi o ke akepaʻa. He hoʻāʻo maʻalahi loa kēia a ʻaʻohe ʻeha. I kekahi manawa, hiki ke hana ʻia kahi "ultrasound hoʻonui ʻia", i hana ʻia ma ke komo ʻana i kahi kala i loko o nā kīʻaha koko.
• CT Scan (Computed Tomography): ʻO ka CT scan kahi ʻano hana o ka lawe ʻana i nā kiʻi ʻokiʻoki o kou kino me ka hoʻohana ʻana i nā kukuna X, e like me ka ʻoki ʻana i kahi ʻāpana berena. Hiki i kēia ke hōʻike i nā kikoʻī he nui e pili ana i ka puʻupuʻu.
• MRI Scan (Magnetic Resonance Imaging): Hoʻohana kēia i kahi magnet nui a me nā nalu lekiō e lawe i nā kiʻi maopopo a kikoʻī o ke akepaʻa. ʻO kēia ke scan maikaʻi loa e hōʻoia i kahi hemangioma.

Pehea ʻoe e ʻike pono ai ʻaʻole kēia he maʻi kanesa?

ʻO kēia ka nīnau nui loa ma ka noʻonoʻo o kēlā me kēia kanaka. Hiki i nā kauka ke hoʻokaʻawale ma waena o ka hemangioma a me ke kanesa ma 99% o nā hihia mai nā scan i ʻōlelo ʻia ma luna.

E noʻonoʻo e pili ana i ia mea, ulu wikiwiki nā hunaola kanesa i ka hala ʻana o ka manawa a loli ke ʻano. Akā, ʻo ka hemangioma e mau ana no nā makahiki me ka ʻole o ka loli . Hiki i ke kauka ke hana i kahi scan i kēlā me kēia 6 mahina a i ʻole hoʻokahi manawa i ka makahiki e hōʻoia inā he loli. Eia kekahi, inā he kanesa ia i pālahalaha i ke akepaʻa mai kahi ʻē aʻe, pono e ʻike ʻia kēlā kanesa mua ma kahi ʻē aʻe o ke kino. No laila, ma o nā scan wale nō e hiki ai iā mākou ke hoʻoholo pololei e pili ana i kēia.

He pono anei ke mālama ʻia ka hemangioma?

I ka hapanui o nā hihia, ʻaʻole ka pane.

Inā ʻaʻohe ou hōʻailona a he liʻiliʻi ka puʻupuʻu, ʻaʻohe pono o ka lāʻau lapaʻau. E nānā wale kāu kauka iā ia. ʻO ia hoʻi, e hana paha i kahi scan i hoʻokahi manawa i ka makahiki e ʻike ai inā ua loli kona nui. ʻAʻole nui a loli paha ka hapa nui o nā hemangiomas.

Eia nō naʻe, inā e ulu mālie ka puʻupuʻu, a inā paha e loaʻa iā ʻoe nā hōʻailona, ​​​​hiki i kāu kauka ke kuhikuhi iā ʻoe no ka mālama ʻana.

• ʻO ka Embolization Arterial: Pili kēia i ke ālai ʻana i ke kīʻaha koko nui e hoʻolako ana i ke koko i ka puʻupuʻu (ke aʻa hepatic). Ke ʻoki ʻia ke kahe koko i ka puʻupuʻu, e pau ka ulu ʻana a hiki ke emi iho.
• Wehe ʻana i ke ʻoki kino: Inā nui loa ka puʻupuʻu, loaʻa nā hōʻailona koʻikoʻi, a i ʻole he mau pilikia ʻē aʻe, hiki ke hana ʻia ke ʻoki kino e wehe wale i ka puʻupuʻu.

Nā kiko kūikawā no nā wahine: ʻO ka hormone Estrogen a me ka hāpai ʻana

Ua manaʻoʻiʻo ʻia he hopena ko ka hormone wahine estrogen i ka nui o kēia mau puʻupuʻu i nā wahine, a i kekahi manawa e piʻi aʻe ko lākou nui. No laila,

• I ka wā hāpai: I ka wā hāpai, piʻi aʻe nā pae estrogen i loko o ke kino. No laila, hiki i ka puʻupuʻu i loko o ke kanaka me ka hemangioma ke ulu iki i kēia manawa. Akā, ʻaʻole ia e lilo i mea nui loa i loko o 9 mau mahina. Eia nō naʻe, inā ʻoe e hoʻolālā ana e hāpai a ua hāpai mua paha, he mea nui loa ia e haʻi i kāu kauka e pili ana i kēia. E nānā ʻo ia iā ʻoe inā pono.
• Hoʻōla hormone: ʻO nā mea e like me ka hoʻōla hormone replacement (HRT) i lawe ʻia ma hope o ka menopause hiki ke hoʻonui i nā pae estrogen. Inā he hemangioma kou, e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kēia ʻano lapaʻau.

Ke hoʻopilikia nei anei ka meaʻai a me ka mea inu i kēia?

ʻAʻole. ʻAʻohe pilina pololei ma waena o ka meaʻai āu e ʻai ai a me ka ulu ʻana o kahi hemangioma.

Eia nō naʻe, he ʻōkana koʻikoʻi kou akepaʻa i loko o kou kino. No laila he manaʻo maikaʻi e noʻonoʻo e pili ana i ke olakino o kou akepaʻa holoʻokoʻa. Ma ka hōʻemi ʻana i nā meaʻai kiʻekiʻe i ke kō a me ka momona a me ka ʻai ʻana i nā mea kanu a me nā huaʻai, hiki iā ʻoe ke pale i kou akepaʻa mai nā maʻi ʻē aʻe, e like me ka maʻi akepaʻa momona.