ʻO ka hauʻoli nui loa no ka makuahine a makua paha me kahi pēpē hānau hou, ʻo ia ke nānā aku i kēlā helehelena liʻiliʻi me ke aloha. Akā, pehea inā e ʻike koke ʻia kahi mea e like me kahi kiko ʻulaʻula liʻiliʻi ma ka ʻili o ka pēpē, malia paha ma ka maka? Pehea inā ma hope o kekahi mau lā e lilo ia i kala o kahi ʻōpena a lilo i mea poepoe iki? Makaʻu iki nā mea a pau, ʻeā? "He aha kēia? He mea weliweli anei kēia? No ke aha i hana ʻia ai kēia i kaʻu pēpē?" Nui nā nīnau e hiki mai ana i ka noʻonoʻo. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā, maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
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He aha maoli kēia Strawberry Hemangioma?
I ka ʻōlelo maʻalahi, he ʻano kēia kahi i hui pū ai nā kīʻaha koko liʻiliʻi he nui a hana i kahi puʻupuʻu ma lalo o ka ʻili. ʻO kēia ke kumu e ʻulaʻula ai ka ʻili a i kekahi manawa e piʻi iki aʻe. Ua kapa ʻia ʻo ia he "Strawberry Hemangioma" no ka mea ua like ia me kahi strawberry liʻiliʻi.
Manaʻo ka poʻe he nui i kēia he "hōʻailona hānau" ke ʻike lākou. Akā, he ʻokoʻa iki ia ma mua o kahi hōʻailona hānau. Ma ke ʻano lapaʻau, he puʻupuʻu liʻiliʻi kēia, ʻaʻole maʻi kanesa (benign). Akā , mai makaʻu i ka huaʻōlelo "puʻupuʻu," ʻaʻole kēia he maʻi kanesa. ʻAʻole ia he mea weliweli e like me ia. Ua kapa pū kekahi poʻe iā ia he "hōʻailona hānau vascular".
ʻO ka mea kupaianaha e pili ana i kēia, ʻo ia ka ulu iki ʻana o kēia puʻupuʻu i ka makahiki mua o ka pēpē, a laila emi a nalowale iā ia iho me ka ʻole o ka lāʻau lapaʻau. Ma kahi o 10% o nā pēpē, nalowale ia i ka wā e hiki ai lākou i ko lākou lā hānau mua. Ma kahi o 90% o nā mea ʻē aʻe, ua aneane nalowale loa ia i ka wā e 10 ai ko lākou mau makahiki.
ʻAʻole ʻike pinepine ʻia kēia mau mea i ka wā hānau. Hoʻomaka lākou e ʻike ʻia i nā lā mua a i ʻole nā mahina mua o ke ola. Hiki iā lākou ke ulu ma nā wahi āpau o ke kino, akā ʻike pinepine ʻia ma ke poʻo a me ka maka. Hiki iā lākou ke ulu koke no kekahi manawa ma hope o ko lākou ʻike mua ʻia ʻana. Akā a laila emi hou lākou a nalowale hope.
Pehea ka maʻamau o kēia mau mea?
ʻOi aku ka maʻamau o kēia maʻi ma mua o kou manaʻo. Ma ka awelika, ma kahi o hoʻokahi o 10 mau pēpē hānau hou e loaʻa i kahi hemangioma. ʻO ia hoʻi, ʻaʻole ia he mea maʻamau. Loaʻa paha i kekahi mau pēpē ma mua o hoʻokahi.
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Check Availability →Aia kekahi mau ʻano hemangioma?
ʻAe, aia kekahi mau ʻano nui. Hoʻokumu ʻia kēia hoʻokaʻawale ʻana ma ka hohonu o kona ʻano.
| ʻAno hemangioma | Ka wehewehe maʻalahi |
|---|---|
| Hemangioma ma luna o ka ʻili | Ulu kēia mau mea ma lalo o ka papa luna o ka ʻili (epidermis). ʻO kēia ʻano ka hemangioma strawberry a mākou e kamaʻilio nei. He ʻulaʻula ia a ua like ia me ka oval. |
| ʻO ka Hemangioma Cavernous (Hohonu) | Komo hohonu kēia i loko o ka ʻili, ma lalo pono o ka papa momona (hypodermis). Hiki i kēia ke hoʻolilo i ka ʻili i ʻāwili a ʻike ʻia he polū-poni. I kekahi manawa hiki iā lākou ke ʻeha iki a kahe ke koko. |
| Hemangioma i hui pū ʻia | Loaʻa i kēia nā ʻano o nā ʻano ʻelua i ʻōlelo ʻia ma luna. ʻO ia hoʻi, hiki ke ʻike ʻia ke ʻano ʻulaʻula e like me ka strawberry a me nā puʻupuʻu hohonu a piʻi aʻe ma lalo o ka ʻili. |
Loaʻa anei kēia i nā mākua kekahi?
ʻAe, hiki i kēia ʻano puʻupuʻu kīʻaha koko ke loaʻa i nā pākeke. Akā a laila kapa mākou iā lākou ʻo (Cherry Angioma).
He mau kiko poepoe ʻulaʻula kēia e like me nā cherries. He laumania kekahi, he piʻi iki kekahi. ʻIke pinepine ʻia lākou ma ke kino ma hope o 30 mau makahiki, ʻoi aku hoʻi ma nā wahi e like me ka umauma a me ka ʻōpū. Ua kapa ʻia hoʻi lākou he "senile angiomas" no ka mea he mea maʻamau loa ia me ka ʻelemakule. ʻAʻole e like me nā hemangiomas pēpē, ʻaʻole lākou e nalowale. Hiki iā lākou ke ulu hou aʻe i kou wā ʻelemakule. Inā hopohopo ʻoe e pili ana i ko lākou helehelena, hiki iā ʻoe ke wehe iā lākou e ke kauka ʻili.
No ke aha i loaʻa ai i nā pēpē kēia mau kiko? He aha ke kumu?
ʻAʻole i loaʻa ke kumu kikoʻī o kēia. Nui nā mākua e noʻonoʻo nei, "No kekahi mea aʻu i hana ai i ka wā hāpai paha kēia?" ʻAʻole loa ia ka hihia.
ʻAʻohe mea, e like me ka mea a ka makuahine e ʻai ai, e inu ai, a i ʻole ke kaumaha i ka wā hāpai, hiki ke hana i kēia. He manaʻo hewa loa kēlā.
Manaʻo nā kauka i ka wā e ulu pono ʻole ai nā kīʻaha koko a me nā ʻāpana kokoke i ka ʻili o kahi pēpē, e hui pū lākou a hana i kahi puʻupuʻu liʻiliʻi. ʻO ia ke ʻano o kēia hemangioma.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia mau mea?
ʻOiai hiki i kekahi pēpē ke loaʻa i kēia, aia kekahi mau kumu e hoʻonui iki i ka pilikia.
- ʻOiai he kaikamahine: ʻOi aku ka nui o nā kaikamahine i kēia ma mua o nā keikikāne.
- Kaumaha hānau haʻahaʻa:No nā pēpē i emi ke kaumaha ma mua o 5 ½ paona i ka wā hānau.
- ʻO ka lilo ʻana i māhoe: No nā pēpē e like me nā māhoe a me nā māhoe ʻekolu.
- Ka hānau mua ʻana: He pēpē i hānau ʻia ma mua o 37 mau pule o ka hāpai ʻana.
- ʻO ke keʻokeʻo: ʻO kēia ka mea maʻamau i waena o nā keiki keʻokeʻo.
Pehea e loli ai kēia wahi i ka hala ʻana o ka manawa?
ʻO ka hapa pinepine, ʻike ʻia kēia hemangioma i loko o ka mahina mua o ka hānau ʻana o kahi pēpē. Hiki ke ʻike mua ʻia he ʻōpala liʻiliʻi a he pehu liʻiliʻi paha. A laila , i loko o nā mahina 4 a 6 mua o ka pēpē, ulu wikiwiki ia.
Ma hope o ka pau ʻana o kēia ulu ʻana (ma mua o ka makahiki 1), hoʻomaka mālie ia e emi. A laila e nalowale paha kona kala ʻulaʻula a lilo i hina a keʻokeʻo paha. Hiki i kekahi mau keiki ke ʻeha i kēia wā emi. I ka hapa nui o nā keiki, ua aneane nalowale loa ka mole i ka makahiki 10.
Pono anei au i ka lāʻau lapaʻau? He aha nā lāʻau lapaʻau i loaʻa?
ʻO ka hapa nui o ka manawa, ʻaʻole pono kēia i kekahi lāʻau lapaʻau. No ka mea e nalowale ana ia ma kāna iho , ʻōlelo nā kauka e hāʻawi i ka manawa. Eia nō naʻe, i kekahi mau hihia kūikawā, ʻōlelo nā kauka e hoʻomaka koke i ka lāʻau lapaʻau.
| I ka manawa e noʻonoʻo ai i ka mālama ʻana | |
|---|---|
| Kahi | Inā ulu kahi hemangioma ma kahi e like me ka maka, ka pepeiao, ka ihu, a i ʻole ka waha, hoʻopilikia ia i ka ʻike, ka lohe, ka hanu ʻana, a i ʻole ka ʻai ʻana . |
| Ka ulu ʻana | Inā e ulu wikiwiki ana a inā paha he nui loa kona nui. |
| ʻAno a me ka hopena noʻonoʻo | Inā he hopena koʻikoʻi ia i ke ʻano o ke keiki a no laila e hōʻino i ka manaʻo ponoʻī o ke keiki . |
I ia mau hihia, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau e hiki mai ana:
- Nā mea pale Beta: Hiki ke lawe ʻia kēia mau mea ma ka waha (e like me propranolol) a i ʻole e kau ʻia ma ke ʻano topical (e like me timolol). Hoʻopili kēia i nā kīʻaha koko a hoʻemi i ka puʻupuʻu.
- Nā lāʻau lapaʻau Laser: Ke hoʻohana nei i nā kukuna laser e hoʻēmi i ka ʻōpū a wehe paha i nā ʻeha i koe.
- Wehe ʻana i ke ʻoki kino: I kekahi mau hihia kakaikahi, pono paha ke ʻoki kino e wehe i ka puʻupuʻu.
Hiki i kēia ke hoʻoulu i nā pilikia?
E nalowale ana ka hapa nui o nā hemangioma me ka ʻole o ka pōʻino. Eia nō naʻe, he mea kakaikahi loa, hiki i kekahi ke hana i nā pilikia, ʻoiai ma muli o ko lākou wahi.
- Inā kū kokoke lākou i ka maka: Hiki i kēia mau mea ke kaomi ma ka maka o ka maka a hoʻopilikia i ka ʻike. Hoʻonui pū lākou i ka pilikia o nā maʻi e like me ka glaucoma a i ʻole ka maka palaualelo/amblyopia.
- Inā hana lākou i loko o ka waha: Hiki i nā mea i hana ʻia i loko a i ʻole a puni ka waha ke laha i ke ala ea a keakea i ka hanu ʻana a me ka ʻai ʻana.
- Ke kahe koko a me ka maʻi: He lahilahi loa ka ʻili ma luna o ka hemangioma, no laila inā paʻakikī iki ʻoe a ʻōpala paha, hiki ke kahe ke koko. He lōʻihi hoʻi ka manawa e ho'ōla ai kēia mau ʻeha, no laila aia kahi pilikia o ka maʻi.
- Ka hopena noʻonoʻo: ʻO ka hemangioma, ʻoiai hoʻi ka mea nui ma ka maka, hiki ke hoʻopilikia i ka hilinaʻi iā ia iho o ke keiki. Ke hoʻohenehene nā keiki ʻē aʻe iā lākou, hiki i ke keiki ke hana maikaʻi ʻole ma ke kula, hōʻike i nā loli o ke ʻano, a lilo i mea kaumaha.
I ka manawa hea ʻoe e makemake ai e ʻike i kāu kauka?
ʻIke pinepine ʻia kēia e ke kauka ma ke keʻena lapaʻau o ka pēpē. Eia nō naʻe, inā ʻike ʻoe i kekahi o kēia mau mea, e ʻoluʻolu e haʻi i kāu kauka.
- Inā kokoke ka hemangioma i ka maka, ka waha, a i ʻole ka ihu .
- Inā he ʻoi aku ma mua o hoʻokahi ma ke kino.
- Inā ua ʻeha a ʻaʻole hoʻi e ho'ōla ʻia .
- Inā ʻulaʻula ka ʻeha, pehu, mehana, a i ʻole e kahe ana ka wai e like me ka pus (he mau hōʻailona kēia o ka maʻi).
Ke hele ʻoe e ʻike i ke kauka, mai kānalua e nīnau i kēia mau nīnau:
- "E ke kauka, ʻoi aku ka maikaʻi o ka mālama ʻana i kēia, a i ʻole e kali a nalo wale ia ?"
- "Inā mālama ʻia, he aha ka lāʻau lapaʻau maikaʻi loa no kaʻu pēpē?"
- "He aha nā hopena ʻaoʻao e hiki mai ana ma muli o ka lāʻau lapaʻau?"
- "He aha nā hōʻailona o nā pilikia e pono iaʻu e hopohopo nui?"
ʻO ka mea hope loa, he maʻi maʻamau a ʻino ʻole ka hemangioma strawberry i nā pēpē. ʻO ka hapa nui o ka manawa, nalo wale ia me ka ʻole o ka lāʻau lapaʻau. I ka hiki ʻana o ke keiki i 10 mau makahiki, ua aneane nalowale loa.
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- He ʻulaʻula, ʻākea, a ʻaʻole maʻi kanesa ka Strawberry Hemangioma, he puʻupuʻu maʻamau ia i nā pēpē. Hoʻokumu ʻia ia e ka hui ʻana o nā kīʻaha koko liʻiliʻi.
- Nalowale ka 90% o kēia mau mea iā lākou iho me ka ʻole o ka lāʻau lapaʻau ʻia i ka wā e piha ai ke keiki i 10 mau makahiki.
- ʻAʻole kēia i hana ʻia e kekahi mea a ka makuahine i hana ai a i ʻai ai paha i ka wā hāpai. No laila, mai hopohopo no ia mea.
- Inā kokoke ka mole i nā maka, ka waha, a i ʻole ka ihu, a ke keakea nei i ka hanu ʻana, ka ʻai ʻana, a i ʻole ka ʻike ʻana, pono koke ka lāʻau lapaʻau.
- Inā lilo ka ʻeha i wahi, hōʻike i nā hōʻailona o ka maʻi, a i ʻole he kānalua a hopohopo paha kāu e pili ana i ia mea, e kamaʻilio me kāu kauka.
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