He pehu liʻiliʻi kou ma kou ʻili e kahe ana ke koko? He (Pyogenic Granuloma) paha ia!

Ua ʻike anei ʻoe i kahi pehu liʻiliʻi e kū mai ana ma kahi o kou kino, ma kahi manamana lima paha, ma kahi lehelehe, a i loko paha o kou waha, e ulu mālie ana a kahe ke koko? Inā ua loaʻa iā ʻoe kahi puʻupuʻu e like me kēia e kahe ana ke hoʻopā ʻoe iā ia, a he ʻulaʻula iki, e noʻonoʻo paha ʻoe he aha ia. I kēia lā e kamaʻilio mākou e pili ana i kēia ʻano, ʻo ia hoʻi ma ka ʻōlelo lapaʻau i kapa ʻia ʻo (Pyogenic Granuloma). Mai hopohopo, ʻaʻole kēia he maʻi kanesa.

He aha kēia (Pyogenic Granuloma)? E wehewehe pono kākou?

I ka ʻōlelo maʻalahi, he puʻupuʻu maikaʻi ʻole ka granuloma pyogenic e kū ana ma kou ʻili a i ʻole ma nā membrane mucous (nā membrane lahilahi a pulu i loko o kou waha a me kou ihu). Hiki i kēia mau puʻupuʻu ke hoʻokahe pinepine i ka wai, a hiki ke kahe maʻalahi ke koko.

Eia nō naʻe, he inoa hewa iki kēia inoa. ʻO ke ʻano o ka huaʻōlelo "Pyogenic" ʻo ia hoʻi "ka hana ʻana i ka pus." ʻO ka "Granuloma" he puʻupuʻu e hana ʻia i ka wā e hōʻuluʻulu ai nā hunaola koko keʻokeʻo i ka pane ʻana i kahi maʻi. Eia nō naʻe, ʻaʻole pinepine kēia mau puʻupuʻu "Pyogenic Granuloma" i hoʻokumu ʻia e ka maʻi, a ʻaʻole pinepine lākou i loko o nā hunaola koko keʻokeʻo a i ʻole ka pus.

Ua kapa pololei nā kauka i kēia maʻi ʻo "(Lobular Capillary Hemangioma)". ʻO ia hoʻi, he puʻupuʻu ia i hana ʻia e nā kīʻaha koko ʻē. E noʻonoʻo, ua hui pū nā kīʻaha koko liʻiliʻi he nui i kahi hoʻokahi a hana ʻia e like me kahi pōpō liʻiliʻi. Pēlā kēia.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia (Pyogenic Granuloma)?

Hiki ke ulu kēia ʻano maʻi i kekahi o kēlā me kēia makahiki, lāhui, a kāne paha. Eia nō naʻe, ʻoi aku ka maʻamau o ia i nā keiki ma lalo o 6 makahiki, nā kamaliʻi ʻōpio, nā mākua ʻōpio, a ʻoi aku hoʻi i nā wahine hāpai .

Ke ulu kēia mau puʻupuʻu i nā wahine hāpai, he nui ko lākou mau inoa kūikawā. No ka laʻana, hoʻohana ʻia nā inoa e like me (Granuloma Gravidarum), (Granuloma of Pregnancy) a i ʻole (Epulis Gravidarum). ʻO ka hapa nui o ka manawa, nalowale kēia mau mea ma hope o ka hānau ʻana.

Pehea ka maʻamau o kēia ʻano?

He maʻi maʻamau ka granuloma pyogenic, ʻoiai i ka wā hāpai. Eia nō naʻe, he paʻakikī ke ʻōlelo pololei i kona ʻano maʻamau, no ka mea, ʻaʻole nui ka poʻe e ʻimi i ke kōkua lapaʻau ke ʻike lākou i kahi puʻupuʻu liʻiliʻi e like me kēia, a no laila ʻaʻole i hōʻike ʻia.

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No laila, he maʻi ʻaʻai anei kēia? Pono anei au e hopohopo?

He pilikia kēia i loaʻa i nā kānaka he nui. ʻO ka (Pyogenic Granuloma) he puʻupuʻu i hana ʻia mai nā kīʻaha koko ʻē. Eia naʻe, ʻaʻole kēia he maʻi kanesa. No laila, ʻaʻohe kumu e makaʻu pono ʻole ai i kēia. ʻAʻole kēia e hoʻoweliweli i kou ola.

He aha ke kumu o ka Pyogenic Granuloma?

ʻAʻole maopopo ke kumu maoli o kēia mau puʻupuʻu. Eia nō naʻe, ua pili kekahi mau mea i ke kūlana. ʻO kēia mau mea:

• Nā loli hormonal: ʻO nā loli hormonal i nā wā e like me ka hāpai ʻana, a i ʻole ka hoʻohana ʻana i nā lāʻau hoʻomalu hānau, hiki ke lilo i kumu no kēia. ʻO nā loli hormonal nui e kū mai ana i ke kino i ka wā hāpai e hoʻonui i ka manawa kūpono o ka loaʻa ʻana o ia mau puʻupuʻu.
• Nā maʻi bacteria: ʻO ka maʻi me ka bacteria '(Staphylococcus aureus)' (ka bacteria e hoʻoulu ai i nā maʻi "staph" a mākou e ʻike nei) hiki ke hana i kēia i kekahi manawa.
• Nā ʻeha liʻiliʻi a i ʻole ke kaomi liʻiliʻi ma ka ʻili a i ʻole nā ​​​​memb mucous: No ka laʻana, kahi ʻeha liʻiliʻi, kahi ʻōpala, kahi ʻōpū waha, a i kekahi manawa a puni nā ʻō pepeiao a i ʻole nā ​​​​ʻō ihu. ʻO ka hoʻomaʻemaʻe waha maikaʻi ʻole kekahi o nā kumu o kēia.
• Ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau: Ua ʻike ʻia hiki ke loaʻa kēia mau puʻupuʻu i ka wā e hoʻohana ai i kekahi mau lāʻau lapaʻau. ʻO kekahi o kēia mau lāʻau lapaʻau:
• (Antineoplastics) (nā lāʻau lapaʻau e pepehi i nā hunaola kanesa)
• (Antiretrovirals) (nā lāʻau lapaʻau i hāʻawi ʻia no nā maʻi viral e like me ka HIV)
• (Nā Immunosuppressants) (nā lāʻau lapaʻau e hōʻemi i ka pale ʻana o ke kino, no ka laʻana, nā lāʻau lapaʻau i hāʻawi ʻia ma hope o ka hoʻoili ʻana o kahi kino)
• (Retinoids) (nā lāʻau lapaʻau i loaʻa ka wikamina A, i hoʻohana ʻia no nā maʻi ʻili)

Ma hea i loko o ke kino e hiki ai ke ulu aʻe kēia (Pyogenic Granuloma)?

Hiki ke ʻike ʻia kēia mau puʻupuʻu ma nā wahi āpau ma kou ʻili a i ʻole ma nā membrane mucous (e like me loko o kou waha a ihu paha). ʻO nā wahi maʻamau e ʻike ai iā lākou:

• Maka
• Waha: nā ʻāʻī, nā lehelehe, ke alelo, loko o ka ihu
• Manamana lima (nā lima a me nā wāwae)

E noʻonoʻo, ʻike ʻia kahi puʻupuʻu liʻiliʻi ma kou ʻāʻī, a i kou palaki ʻana i kou mau niho, kahe ke koko. A i ʻole ʻike ʻia kahi pōpō ʻulaʻula liʻiliʻi ma kou manamana lima, a inā paʻakikī iki, puka mai kahi kulu koko. He mea hiki loa kēia i ka (Pyogenic Granuloma).

Pehea ke ʻano o kēia (Pyogenic Granuloma)?

Hoʻomaka ia me he puʻupuʻu liʻiliʻi a ʻiʻo e puka mai ana mai kou ʻili a i ʻole ka membrane mucous. Ulu koke ia. Hiki iā ia ke ulu mai kekahi mau milimita (e like me ka nui o ka wēlau penikala) a i ka hapalua kenimika (e like me ka nui o ka wēlau manamana lima).

I kekahi manawa, wehewehe nā kauka i ke ʻano o kēia mau mea me he "ʻiʻo wili ʻia." Hiki iā lākou ke poni, ʻulaʻula, ʻulaʻula-ʻeleʻele, a poni paha. I ka manawa pinepine, hiki ke ʻike ʻia kahi "kola" keʻokeʻo, e like me ke korale a puni ka lalo o ka puʻupuʻu.

Ke ulu nui kēia mau puʻupuʻu, hiki ke hoʻopili ʻia kekahi i ka ʻili me kahi kumu liʻiliʻi ((pedunculated)). A i ʻole hiki ke hoʻopili pololei ʻia kekahi i ka ʻili ((sessile)).

Hiki i ka (Pyogenic Granuloma) ke loaʻa kahi ʻili laumania i ka wā mua, akā ma hope e lilo ia i puʻupuʻu a ʻāʻī. No ka mea he palupalu loa kēia mau puʻupuʻu, hiki iā lākou ke kahe a kahe maʻalahi. Inā ʻoe e hoʻopā iā lākou a haehae paha i kahi ʻāpana lole, hiki iā lākou ke kahe ke koko.

He mea laha anei kēia mau mea?

ʻAʻole, ʻaʻole he maʻi lele ka (Pyogenic Granuloma). No laila, mai hopohopo e pili ana i ka hoʻopili ʻana i kekahi kanaka no ka mea ua loaʻa iā ʻoe. ʻO ka maʻamau, loaʻa i ke kanaka hoʻokahi wale nō puʻupuʻu i ka manawa hoʻokahi, akā i kekahi manawa hiki ke ulu aʻe kekahi mau puʻupuʻu i ka manawa hoʻokahi.

Pehea e ʻike ai ke kauka i kēia he "Pyogenic Granuloma"?

Ke hele ʻoe e ʻike i ke kauka me kahi puʻupuʻu e like me kēia, e hana lākou i kēia mau mea e hoʻoholo ai inā he "Lobular Capillary Hemangioma" ia:

• E nīnau inā ua loaʻa kekahi ʻeha a ʻāʻī paha i kēlā wahi.
• E nānā ʻia kou ʻili a i ʻole ka membrane mucous.
• Nīnau mai inā ua hāpai ʻoe (inā he wahine ʻoe).
• Nīnau lākou e pili ana i kēlā me kēia lāʻau lapaʻau āu e hoʻohana ai .

ʻO ka hapa nui o ka manawa, e ʻike nā kauka i kahi granuloma pyogenic ma muli o kēia ʻike. Eia nō naʻe, i kekahi manawa, ʻoiai inā he kānalua e pili ana i ke ʻano o ka puʻupuʻu, hiki iā lākou ke lawe i kahi ʻāpana liʻiliʻi o ka puʻupuʻu a hoʻouna aku i ka lab e nānā ʻia ma lalo o kahi microscope. Ua kapa ʻia kēia he biopsy.

Aia kekahi mau ala e ho'ōla ai i kēia (Pyogenic Granuloma)?

ʻAe, aia nā lāʻau lapaʻau e mālama ai i kēia maʻi. ʻO nā lāʻau lapaʻau nui i loaʻa no kēia maʻi:

• Ka wehe piha ʻana o ka puʻupuʻu.
• Ke wehe ʻana i nā mea hoʻonāukiuki āu e manaʻo nei he kumu paha ia. Eia kekahi laʻana, inā he lāʻau lapaʻau āu e lawe nei, ke hoʻololi nei i kēlā lāʻau lapaʻau (ma ke aʻo ʻana a ke kauka), inā he ʻeha waha, ke mālama ʻana, a inā he apo pepeiao, ke wehe ʻana.

ʻO ka mea nui loa, inā ʻoe e hāpai ana, i ka hapa nui o ka manawa e nalo aku kēia mau puʻupuʻu ma hope o ka hānau ʻana o ke pēpē. No laila hiki iā ʻoe ke pale aku i ka lāʻau nui no kēia i ka wā hāpai, akā inā loaʻa iā ʻoe kekahi mau pilikia e like me ke kahe ʻana o ke koko, e ʻimi i ke kōkua lapaʻau.

Pehea e wehe ai i kēia (Pyogenic Granuloma)?

Hiki i ke kauka ke loiloi i kou kūlana a paipai i nā ʻano hana e like me nā lāʻau lapaʻau a i ʻole ke ʻoki liʻiliʻi e wehe ai i ka puʻupuʻu.

Nā lāʻau lapaʻau topical e hoʻemi i ka puʻupuʻu:

• Ke hoʻopili ʻana i nā kemika e like me (Silver nitrate), (phenol) a me (trichloroacetic acid / TCA) i ka puʻupuʻu. Ke hoʻopili ʻia kēia mau mea, e emi ana ka puʻupuʻu.
• Inā he puʻupuʻu e like me kēia ma kou maka, hiki iā ʻoe ke hoʻohana i nā kulu maka e like me "(timolol)".
• He ʻano kirīmi i hoʻopili ʻia i ka ʻili i kapa ʻia ʻo (Imiquimod).
• Ka hoʻokomo ʻana i ka steroid i loko o ka puʻu.

Nā kaʻina hana lapaʻau e wehe i nā puʻupuʻu:

• Cryotherapy: He ʻano hana no ka hoʻopaʻahau ʻana i kahi wart me ka hoʻohana ʻana i ke anu nui (kahi mea e like me ka hau) a laila e puhi iā ia e wehe.
• (Curettage a me ke cautery): Kālai ʻia ka puʻupuʻu me kahi mea hana kūikawā ((curettage)), a laila puhi ʻia ka ʻāpana ((cautery)) e hoʻōki i ke kahe ʻana o ke koko a hōʻemi i ka pilikia o ka hoʻi hou ʻana.
• Lapaʻau laser:Hoʻohana ʻia nā kukuna laser e luku i nā ʻiʻo kūpono ʻole.
• ʻOki ʻoki kino: He ʻoki kino liʻiliʻi e wehe loa i ka puʻupuʻu. ʻO kēia ke ʻano hana holomua loa no ka mea ua wehe loa ʻia ka puʻupuʻu, e hōʻemi ana i ka manawa kūpono o ka hoʻi hou ʻana.

Aia kekahi mea e hiki ai iā mākou ke hana e hōʻemi i ka hanana ʻana o kēia?

ʻOiai ʻaʻole ʻike ʻia nā kumu kikoʻī o ka granuloma pyogenic, he paʻakikī ke ʻōlelo pehea e pale loa ai i kona ulu ʻana. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kou pilikia ma ka pale ʻana i kekahi o nā mea i ʻike ʻia e pili ana i ke kūlana.

• Ke pale nei i nā lāʻau lapaʻau (ma ke aʻo ʻana a ke kauka) i manaʻo ʻia e hoʻoulu ai i kēia kūlana.
• E pale i nā ʻeha pono ʻole i ka ʻili. Eia kekahi laʻana, e makaʻala i ka hoʻololi pinepine ʻana i nā apo pepeiao, ke kiʻi ʻana i nā peʻa, a me ke kiʻi ʻana i nā piercings.
• Ka mālama ʻana i ke olakino waha maikaʻi. He mea nui loa ka palaki pono ʻana i kou mau niho i kēlā me kēia lā a me ka mālama ʻana i kou waha i ka maʻemaʻe.
• E holoi pono i nā ʻeha o ka ʻili e like me nā ʻoki, nā ʻōpala, a me nā mea kuni, e kau i ka lāʻau lapaʻau e pale ai i ka maʻi, a e uhi mau iā lākou.

He aha ka mea e hiki mai ana inā loaʻa iaʻu ka Pyogenic Granuloma?

He maikaʻi loa ka wānana no kekahi me Pyogenic Granuloma. ʻO nā puʻupuʻu e ulu ana i ka wā hāpai e nalowale pinepine ia ma o lākou iho. ʻOiai ʻo nā ʻano ʻē aʻe e pono ai ka mālama ʻana, pane maikaʻi lākou i ka mālama ʻana.

ʻO ka mea nui, ʻaʻole e lilo kēia mau puʻupuʻu i maʻi kanesa, a ʻaʻole lākou e hoʻopōkole i kou ola.

Eia nō naʻe, hiki i kēia mau puʻupuʻu ke lilo i maʻi, ʻoiai inā ʻoe e pahū a ʻomi paha iā lākou. Eia kekahi, ma hope o ka wehe ʻia ʻana o ka puʻupuʻu, hiki ke waiho i kahi ʻeha liʻiliʻi.

Ke hana ʻia kēia a ho'ōla ʻia, hiki anei ke hana hou ʻia?

ʻAe, ʻoiai ma hope o ka mālama pono ʻana a me ka wehe ʻana, i kekahi manawa hiki i ka (Pyogenic Granuloma) ke hoʻi hou ma kahi like a i ʻole ma kahi ʻē aʻe o ke kino. Wahi a kekahi mau noiʻi, hiki i ka nui o ka hoʻi hou ʻana o kēia mau mea ke piʻi aʻe i ka 40%. No laila, mai manaʻo ʻoe i ka wā i loaʻa ai iā ʻoe kekahi a ua ho'ōla ʻia, ʻaʻole ia e hoʻi hou.

Inā loaʻa iaʻu kahi (Pyogenic Granuloma), pehea wau e mālama ai? Pono anei au e ʻike i ke kauka?

I ka hapanui o nā hihia , ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau inā loaʻa iā ʻoe kahi "Pyogenic Granuloma", no ka mea hiki i kēia ke pale i ke kahe ʻana o ke koko, ka maʻi, a hiki nō hoʻi ke kōkua i ka hōʻoia ʻaʻole ia he maʻi kanesa.

Inā hoʻoholo ʻoe ʻaʻole e ʻimi i ke kōkua lapaʻau (ʻaʻole mākou e paipai aku), e uhi i ka puʻupuʻu me kahi kāʻei maʻemaʻe. Hiki i kēia ke kōkua i ka pale ʻana i ke kahe ʻana o ke koko a me ka maʻi.

Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​e ʻike pono i ke kauka:

• Ma kahi a puni paha o ka puʻuInā piʻi aʻe ka ʻeha a i ʻole ka ʻeha i manaʻo ʻia i ka wā o ke kaomi ʻana.
• Inā e puka mai ana kekahi mea e like me ka pus mai ia wahi.
• Inā ʻike ʻia nā kaha ʻulaʻula a ʻeleʻele paha ma ka ʻili.
• Inā he pehu a puni ka puʻu.

He mau hōʻailona paha kēia o kahi maʻi ʻili, no laila he mea nui e ʻimi koke i ka lāʻau lapaʻau.

Leka Hoʻihoʻi Hope Loa

He puʻupuʻu ʻaʻole kanesa ka granuloma pyogenic, i hoʻokiʻekiʻe ʻia e hana ana ma ka ʻili a i ʻole nā ​​​​membēpē mucous. Hoʻokumu ʻia ia e nā kīʻaha koko ʻē aʻe e hiki ke kahe maʻalahi ke hōʻeha ʻia.

• ʻAʻole kēia he maʻi kanesa, no laila mai makaʻu pono ʻole.
• He mea maʻamau kēia i ka wā hāpai a nalowale pinepine ia ma hope o ka hānau ʻana.
• Mai uhaʻi a ʻūmi paha i kēia mau mea, no ka mea hiki i kēia ke hoʻoulu i ka maʻi.
• Inā loaʻa iā ʻoe kahi puʻupuʻu e like me kēia, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka e kūkākūkā i nā koho lapaʻau kūpono. A laila hiki iā ʻoe ke hōʻoia inā he ʻoiaʻiʻo ia he (Pyogenic Granuloma).

Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Inā loaʻa iā ʻoe kahi pilikia like, mai poina e ʻimi i ke kōkua lapaʻau i ka hikiwawe loa.

ʻO ka Granuloma Pyogenic, nā maʻi ʻili, ke kahe koko, ka ʻili, ka hāpai ʻana, ka Hemangioma Capillary Lobular, nā puʻupuʻu ʻili