He puʻupuʻu anei kou e like me kēia ma kou akepaʻa? (Hemangioma o ke akepaʻa) E kamaʻilio kākou e pili ana i kēia!

I kekahi manawa, ke loaʻa iā ʻoe kahi scan no kekahi kumu ʻē aʻe, e ʻōlelo paha ke kauka he puʻupuʻu liʻiliʻi kou i loko o kou ake. He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe i kēia, ʻeā? Manaʻo paha ʻoe, "Auē kuʻu Akua, ʻaʻole maopopo iaʻu inā he maʻi koʻikoʻi kēia." Akā, he mea hopohopo maoli anei kēia puʻupuʻu o ke koko o ke ake, a i ʻole `(Liver Hemangioma)` ? E kamaʻilio kākou e pili ana i kēia me nā kikoʻī.

He aha kēia ʻano akepaʻa `(Hemangioma)`?

I ka ʻōlelo maʻalahi, he puʻupuʻu ʻaʻole maʻi kanesa ka hemangioma akepaʻa e hana ʻia ana i loko o kou akepaʻa. Hana ʻia ia me kahi puʻupuʻu o nā kīʻaha koko i hui pū ʻia a he ʻano ʻē iki. Hoʻolako ʻia kēia mau kīʻaha koko me ke koko e ke aʻa nui o ke akepaʻa, ʻo ia hoʻi ke aʻa hepatic. Hiki i nā puʻupuʻu Hemangioma ke hana maoli ma nā wahi ʻē aʻe o ke kino, e like me ka lolo. I kekahi manawa, hiki iā lākou ke hana i nā pilikia. Eia naʻe, ʻo ka hapa nui o nā puʻupuʻu hemangioma akepaʻa he mea ʻino ʻole. ʻAʻole lākou e lilo i kanesa. Hoʻokumu wale lākou i nā hōʻailona ke nui loa lākou.

He aha ka mea e hana ʻia ke loaʻa kēia i loko o ke akepaʻa?

ʻAʻole maopopo i nā kānaka ʻepekema ke kumu o ka ulu ʻana o nā hemangioma akepaʻa. Inā loaʻa iā ʻoe kekahi, ua manaʻo ʻia he mea kūikawā. Manaʻo kekahi poʻe he kīnā hānau paha ia. ʻAʻole ia he manaʻo he hewa kekahi mea me kou akepaʻa. A ʻaʻole ia e hoʻopilikia pinepine i kou akepaʻa. Hoʻokahi wale nō hemangioma hepatic i ka hapa nui o ka poʻe. ʻAʻole ia e laha i nā wahi ʻē aʻe o ke kino, a kakaʻikahi ka nui. I ka hapanui o nā hihia, hiki iā ʻoe ke hele i kou ola maʻamau me ka hopohopo ʻole.

Pono anei mākou e makaʻu i ka `Ate Hemangioma`?

ʻO ka Hemangioma o ke akepaʻa, ka mea i ʻike ʻia i nā pākeke a me nā keiki , ʻaʻohe mea e hopohopo ai. ʻO 10% wale nō o kēia mau mea e nui aʻe. Eia kekahi, inā ʻoe e manaʻo i kekahi ʻoluʻolu ʻole mai ia mea, e like me ka manaʻo o ka paʻa i loko o kou ʻōpū, pono ka puʻupuʻu e nui loa. E nānā pono kāu kauka iā ia a e hana ma mua o ka nui ʻana.

Eia nō naʻe, ʻokoʻa iki ke ʻano o ka hemangioma e ulu ana i nā pēpē, i kapa ʻia ʻo "Infantile Hepatic Hemangioma (IHH),". Hiki ke ʻokoʻa kona ʻano. No laila, inā loaʻa i kahi pēpē liʻiliʻi kēia, he mea nui loa ia e hahai i nā ʻōlelo a ke kauka.

Pehea ka maʻamau o kēia mau mea?

ʻO nā hemangioma o ke akepaʻa nā ʻeha maʻamau o ke akepaʻa. Hoʻopilikia lākou ma kahi o 5% o ka heluna kanaka. ʻIke pinepine ʻia lākou i ka wā waena (ma kahi o 70%). ʻOi aku ka maʻamau o lākou i nā wahine (ma kahi o 80%). Inā loaʻa lākou i ka wā kamaliʻi, emi pinepine lākou i ka hala ʻana o ka manawa a nalowale i ka wā makua.

He aha nā hōʻailona o ka "Hemangioma o ke ake"?

He liʻiliʻi loa ka hapa nui o nā hemangioma akepaʻa, no laila ʻaʻole lākou e hōʻike i kekahi mau hōʻailona. ʻO ka maʻamau he 3 kenimika (cm) ka nui. ʻO nā puʻupuʻu he 10 kenimika a ʻoi aku paha ka nui ua kapa ʻia ʻo " geant hemangiomas ." ʻO kēia mau mea nui ka mea e hōʻike pinepine ai i nā hōʻailona. ʻO kēia no ka mea i ka ulu ʻana o ka puʻupuʻu, hiki iā ia ke pehu i loko o ka ʻōpū a kaomi i nā ʻāpana e like me ka ʻōpū.

ʻO nā hōʻailona i ʻike pinepine ʻia:

• ʻEha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū.
• Manaʻo piha a pehu.
• ʻO ka manaʻo piha ma hope o ka ʻai iki ʻana he anorexia.
• Ka luaʻi.

Hiki ke loaʻa nā pilikia ʻē aʻe?

He mea kākaʻikahi loa kēia, akā hiki ke loaʻa kekahi mau pilikia. Eia kekahi laʻana:

• Hiki i ke kaomi ma kou mau kīʻaha koko a i ʻole nā ​​​​auwai bile ke hana i nā kūlana e like me ka pehu (edema), nā ʻōpū koko (thrombosis), a i ʻole jaundice .
• Hiki i nā kīʻaha koko i hoʻololi ʻia i loko o ka puʻupuʻu ke kahe i loko o kou lua ʻōpū.
• Hiki ke ʻike ʻia nā loli i loko o ka puʻu, e like me nā ʻūpā koko, nā ʻeha, a i ʻole nā ​​waihona calcium.
• He mea kākaʻikahi loa, inā paʻi nui ʻia ke akepaʻa a hoʻoikaika nui ʻia paha, hiki i kēia puʻupuʻu ke poha a hoʻoulu i ke kahe koko nui i loko (hemorrhage). He pilikia kēia. Akā e hoʻomanaʻo, he mea kākaʻikahi loa kēia e hana.

Pehea ke ʻano o kēia ʻHemangioma o ke ake?

I ka maka ʻōlohelohe, ʻike ʻia kēia mau mea he mau ʻeha pālahalaha, i wehewehe pono ʻia, ʻulaʻula-polū ʻeleʻele. Hiki ke hoʻopuni ʻia lākou e kahi capsule ʻiʻo lahilahi. Ma lalo o kahi microscope, ua hana ʻia lākou me nā ʻāpana vascular cavernous i piha i ke koko. I kekahi manawa ua kapa ʻia lākou he " cavernous hemangiomas ."

He aha nā kumu o ka "Hemangioma o ke ake"?

E like me kā mākou i ʻōlelo ai ma mua, ʻaʻole ʻike ʻia ke kumu kikoʻī o kēia mau puʻupuʻu. Manaʻo kekahi he hānau ʻia a i ʻole he hoʻoilina genetic. Me he mea lā he pilina ma waena o ka hemangioma akepaʻa a me ka hormone estrogen. ʻOi aku ka maʻamau o lākou i nā wahine, ʻoiai i nā wā o nā pae estrogen kiʻekiʻe, e like me ka wā ʻōpio, hāpai keiki, a i ka wā e lawe ai i ka lāʻau lapaʻau hoʻololi hormone.

Aia kekahi pilina ma waena o ka hoʻohana ʻana i ka waiʻona a me kēia?

ʻAʻole. ʻAʻole ʻike ʻia ka hoʻohana ʻana i ka waiʻona he kumu pilikia no ka hoʻomohala ʻana i ka Hemangioma o ke Ake. ʻO ka hoʻohana ʻana i ka waiʻona e pili pinepine ʻia me nā puʻupuʻu ate ʻino. Hiki i ka waiʻona ke hana i nā pilikia ʻē aʻe no kou ake, akā ʻaʻole ʻo Hemangioma kekahi o lākou.

Pehea e ʻike ai nā kauka i ka `Hemangioma o ke ake`?

No ka mea, ʻaʻole lākou e hōʻike pinepine i nā hōʻailona, ​​​​ʻike pinepine ʻia lākou ma ke ʻano ulia. Hiki ke loaʻa iā lākou i ka wā o kahi scan āu e hana ai no kekahi kumu ʻē aʻe. Aia kekahi mau ʻano scan e hiki ke ʻike i kahi `(Ate Hemangioma)`:

• ʻO ka ultrasound i hoʻonui ʻia i ka hoʻohālikelike: Hoʻouna ʻia nā nalu alapine kiʻekiʻe ma o nā ʻiʻo o ke kino, a hoʻopaʻa ʻia nā leo a hoʻololi ʻia i wikiō a i ʻole nā ​​​​kiʻi.
• CT scan: Hoʻohana ka CT scan i nā kukuna X a me nā kamepiula e kiʻi i nā kiʻi ʻokiʻoki o kou kino.
• ʻO ke kiʻi MRI (Magnetic resonance imaging (MRI): Hoʻohana ʻia kahi magnet nui, nā nalu lekiō, a me ke kamepiula e hana i nā kiʻi.
• He hoʻāʻo X-ray e nānā i nā kīʻaha koko i loko o kou kino (ʻokoʻa X-ray).
• Nānā i ke akepaʻa nuklea: Hoʻohana kēia i kahi mea radioactive i kapa ʻia ʻo Technetium-99m e kiʻi i nā kiʻi o ka hemangioma.

Pehea ʻoe e ʻike pono ai inā he 'Hemangioma o ke ake' kēia a he maʻi kanesa paha?

I ka hapanui o nā hihia, hiki i nā scan ke haʻi i ka ʻokoʻa ma waena o nā mea ʻelua. Eia nō naʻe, inā ʻaʻole i loaʻa i kāu hemangioma nā hōʻailona maʻamau, pono paha nā hoʻokolohua hou aʻe e hoʻokaʻawale iā ia mai ke kanesa o ke ake. No ka laʻana, ʻo kahi puʻupuʻu kanesa i loko o ke ake (hepatocellular carcinoma) e loli pinepine i ke ʻano i ka hala ʻana o ka manawa, ʻoiai ʻo ka hemangioma e mau ana ka paʻa. Pēlā nō, inā ua pālahalaha ke kanesa i ke ake mai kahi ʻē aʻe (metastatic cancer), hiki ke loaʻa ma nā wahi ʻē aʻe o ke kino.

Mai hopohopo! He mau ala maikaʻi ko nā kauka e hoʻokaʻawale ai ma waena o kēia mau kūlana. Inā he mau hopohopo kāu, e kamaʻilio me kāu kauka.

Pono anei e wehe i ka "Hemangioma o ke ake"?

Inā ʻaʻole ia e hoʻopilikia iā ʻoe, ʻaʻole pono ʻoe e wehe ʻia. Eia nō naʻe, inā ʻike ʻia kou hemangioma e ulu nui ana, hiki i kāu kauka ke kuhikuhi i kahi hana e hoʻōki ai ma mua o ka lilo ʻana i pilikia. No ka laʻana, hiki ke ālai ʻia a nakinaki ʻia paha ke aʻa nui e hoʻolako ana iā ia me ke koko (arterial embolization). Hiki i kēia ke hoʻolohi i kona ulu ʻana, a hiki paha ke hoʻohuli iā ia. Inā hoʻomau ia i ka ulu ʻana, a inā paha e hoʻoulu ia i nā hōʻailona a i ʻole nā ​​​​pilikia, hiki ke hana ʻia ke ʻoki ʻana e wehe iā ia.

Pehea e mālama pinepine ʻia ai ka hemangioma o ke ake?

I ka hapanui o nā hihia, e nānā wale kāu kauka i kou puʻupuʻu. Malia paha i hoʻokahi a ʻelua paha i ka makahiki, e hana lākou i kahi scan e ʻike inā e loli ana. ʻAʻole loli ka hapa nui o nā hemangiomas a i ʻole e nui aʻe. ʻOiai i kēlā manawa, ulu mālie loa lākou - ma kahi o 2 millimeters i kēlā me kēia makahiki.

Pono anei mākou e hopohopo e pili ana i nā pilikia o ka 'Ate Hemangioma' i ka wā hāpai?

Ma muli o ka piʻi ʻana o nā pae estrogen i ka wā hāpai, inā he hemangioma kou, aia kahi manawa e ulu ai ia (inā e ulu ana ia). Eia nō naʻe, ʻaʻole paha e ulu nui aʻe ia i loko o ʻeiwa mahina. Eia nō naʻe, ma muli o kona nui, hiki i kāu kauka ke hoʻoholo e mālama mua iā ia e pale aku i kona ulu ʻana. Me kahi hemangioma nui, aia kahi pilikia liʻiliʻi o ka haki ʻana, ʻoiai he mea kakaikahi loa, me ke kaumaha o ka hānau ʻana. No laila, inā hāpai ʻoe a he hemangioma kou, he mea nui e kamaʻilio me kāu kauka e pili ana i ia mea.

Hiki ke pale ʻia ka ulu ʻana o ka `Ate Hemangioma`?

ʻOiai ʻaʻole mākou i ʻike pono i ke kumu o lākou, ʻaʻole mākou i ʻike pehea e pale aku ai iā lākou. Eia nō naʻe, ʻo ke kiʻekiʻe o ka estrogen kekahi kumu. Inā he hemangioma kou akepaʻa, ʻo ka hoʻōki ʻana a i ʻole ka pale ʻana i ka lāʻau hoʻololi hormone e kōkua paha i ka hōʻemi a pale ʻana paha i ka ulu ʻana o ka puʻupuʻu.

He aha ka wānana no kekahi me ka `Ate Hemangioma`? (Prognosis)

Ma ke ʻano laulā, maikaʻi loa ka nānā ʻana. ʻAʻole pilikia ka hapa nui o nā hemangiomas o ke ake. Eia nō naʻe, he hopena maʻalahi ke ʻoki ʻana. No laila, ʻaʻohe mea e hopohopo ai.

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

ʻAʻole, ʻaʻole pili pololei kāu ʻai i ka Hemangioma o ke ake. Eia nō naʻe, pili kāu ʻai i ke olakino holoʻokoʻa o kou ake. Inā makemake ʻoe e hōʻemi i ke kaumaha holoʻokoʻa ma kou ake, he mea nui ka ʻai olakino. ʻO ka hōʻemi ʻana i ke kō a me ka momona mai kāu ʻai e hiki ke kōkua i ka pale ʻana a i ʻole ka hōʻemi ʻana i ka mālama ʻana i ka momona i loko o kou ake.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻoluʻolu ʻole, e like me ka ʻeha a i ʻole nā ​​pilikia ʻōpū, e ʻike pono i ke kauka. ʻO ka hapa nui o ka manawa, ʻaʻole paha e pili kēia mau hōʻailona i kou Ate Hemangioma, akā hiki i kāu kauka ke kōkua iā ʻoe e ʻike i ke kumu.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻAʻohe mea makemake e ʻike he puʻupuʻu ko lākou. Eia nō naʻe, he mea maʻamau loa kēia mau ʻ(Liver Hemangioma)`, a he `(benign)` lākou.Inā loaʻa iā ʻoe kekahi, ʻaʻole paha ia e hoʻopilikia iā ʻoe. E like me kekahi mau puʻupuʻu maikaʻi ʻole, ʻaʻole kēia e lilo i ʻano puʻupuʻu ʻē aʻe. ʻAʻole lākou e nui a loli paha. Hiki iā ʻoe ke hoʻokuke wale iā ia, e ʻae i kāu kauka e nānā iā ia, a hoʻomaha. Inā he hemangioma akepaʻa nui a hōʻailona paha kou, e hāʻawi kāu kauka i nā ala e mālama ai. Inā pono ke ʻoki ʻana, hiki ke wehe loa ʻia ka puʻupuʻu.

No laila, mai makaʻu! E noho mākaukau, e hahai i nā ʻōlelo aʻo a kāu kauka, a e hiki iā ʻoe ke noho me ka hopohopo ʻole.

Nā puʻupuʻu ake , hemangioma ake, maʻi ake, nā puʻupuʻu ʻaʻole maʻi kanesa, nā kīʻaha koko ake, ake, nā hōʻailona