Ese umwana wawe afite ikimenyetso cy'amavuko? Reka tubiganireho!

Nk'umubyeyi, ni ibisanzwe kugira impungenge nke iyo ubonye akantu gato cyangwa ibara ry'uruhu rw'umwana wawe rihinduka, sibyo? Akenshi, ibi ni byo twita 'ibibara byo mu nda'. Nubwo bimwe muri byo bishira, hari igihe ugomba kubihangayikishwaho gato. Noneho, reka tuvuge kuri ibi bibara byo mu nda uyu munsi mu buryo bworoshye ushobora gusobanukirwa, sibyo?

Ibirahure byo mu gihe cy'amavuko ni iki?

Mu magambo make, ikizinga cy'ivuka ni ikintu cyangwa inenge igaragara ku ruhu, haba mu gihe umwana akiri mu nda cyangwa nyuma yo kuvuka. Biza mu miterere yose, amabara, n'ingano. Bimwe biri ku rwego rumwe n'uruhu, mu gihe ibindi birererwa. Bimwe bifite impande zoroshye, mu gihe ibindi bifite impande zidahuje. Ni kimwe no ku ibara; bishobora kuva ku mukara w'umukara, umukara woroheje, n'ubururu bworoheje kugeza ku ibara ry'umutuku, umutuku n'umuhengeri. Ikintu cy'ingenzi ni uko inyinshi mu mbyaro z'ivuka nta kibazo zifite. Inyinshi zizashira cyangwa zigashira uko igihe kigenda gihita. Ariko, ni gake cyane, zimwe mu mbyaro zishobora kujyana n'izindi ngorane z'ubuzima. Niyo mpamvu ari ngombwa kumenya izi mbyaro z'ivuka.

Kuki ibi bimenyetso by'amavuko bibaho?

Ubu ushobora kuba uri kwibaza uti "Kuki ibi byabaye ku mwana wanjye? Ese hari ikintu kibi nakoze mu gihe ntwite?" Ntureke ibyo bikubeshye. Ukuri ni uko abaganga bataramenya impamvu nyayo y'imyakura myinshi. Ntibishobora kwirindwa. Ntabwo biterwa n'ikintu icyo ari cyo cyose wakoze cyangwa utakoze mu gihe utwite. Ntabwo biterwa n'imvune nto cyangwa ihungabana ry'uruhu iyo ubyaye umwana. Hari ubwoko bw'imyakura ikunda kugaragara mu miryango, ariko nta mpamvu yihariye ya genetiki yabonetse kugeza ubu. Rero, ntugahangayike, si ikosa ryawe.

Ni ubuhe bwoko bw'ingenzi bw'ibibabi by'amavuko?

Ibimenyetso by'amavuko bishobora kugabanywamo ubwoko bubiri bw'ingenzi. Bitandukanye mu buryo bikora, bityo bigatandukana n'impamvu zibitera.

• Imitsi y'amaraso : Ibi biterwa n'uko imitsi mito y'amaraso mu mubiri wacu idakora neza. Imitsi myinshi y'amaraso ihurira hamwe ahantu hamwe, cyangwa ikaba minini kandi nini kuruta uko bisanzwe.
• Ibara ry'uruhu: Ibi biterwa n'uturemangingo duha ibara uruhu rwacu (uturemangingo tw'uruhu) dukura cyane ahantu hamwe, ni ukuvuga kwishyira hamwe.

Noneho reka tuvuge kuri buri bwoko muri ubu buryo mu buryo burambuye.

Reka tubanze tuvuge ku mitsi y'amaraso.

Ubwoko bukunze kugaragara bw'ibibara byo mu nda ni amabara ya macular, hemangiomas, na port-wine stains. Reka turebere hamwe buri kimwe muri ibi.

Amabara ya macular cyangwa 'udusimba twa salmon'

Hari n'abantu babyita 'udusimba twa salmon', 'ubusa bw'abamarayika' cyangwa 'ibisebe by'inkoko'. Ibi ni byo bikunze kugaragara cyane mu mitsi y'amaraso. Biba bitukura cyane, rimwe na rimwe bikagira umutuku w'ibara ry'umutuku. Bikunze kuboneka ku gahanga, hejuru y'amaso, inyuma y'ijosi (rizwi kandi nk'ibirenge by'igikona), hejuru y'izuru, ku munwa wo hejuru cyangwa inyuma y'umutwe. Wibuke ko ibi bibara bishobora kwijima iyo umwana arira cyangwa ashyizeho imihati mike. Ntugahangayikishwe n'ibi. Akenshi, ibi bibara bizashira umwana amaze umwaka umwe cyangwa ibiri. Hari ibibara biri inyuma y'ijosi bishobora kumara igihe kirekire, wenda kugeza akuze. Ariko si ikibazo.

Hemangiomas cyangwa 'ibimenyetso bya strawberry'

Hemangioma ni ubwoko bw'ibibara by'amavuko bamwe bita 'ibibara by'ibishyimbo' kuko bisa nk'ibishimbo iyo biri ku ruhu. Bitwa "hemangioma yo hejuru" iyo biri ku ruhu, "hemangioma yimbitse" iyo biri munsi y'uruhu, rimwe na rimwe "hemangioma y'ibishyimbo" iyo biri mu byiciro byombi. Hemangioma ni uruhu ruto, rurerure rushobora kuba umutuku wijimye. Tekereza nk'urushimbo ruto. Akenshi ntirugaragara kugeza iminsi mike cyangwa ibyumweru nyuma yo kuvuka, hanyuma rukagaragara. Hemangioma yimbitse, iri munsi y'uruhu, ishobora kugaragara nk'ubururu kuko ifitanye isano n'imitsi y'amaraso iri mu bice byimbitse by'uruhu. Ikintu cy'ingenzi kuri hemangioma ni uko ikura vuba cyane mu mezi 6 ya mbere y'ubuzima bw'umwana. Ababyeyi baratinya iyo babibonye. Ariko, nyuma y’ibyo, akenshi zigabanuka, zikaba nto, kandi zikabura burundu hagati y’imyaka 5 na 10. Ariko, zimwe mu ruhu nini, iyo zigabanutse, zishobora gusiga isura idasanzwe ku ruhu, ni ukuvuga inkovu nto. Iyo bibaye ngombwa, ibi bishobora gukosorwa nyuma hakoreshejwe kubagwa gato. Izindi zisiga ibara ritukura ku ruhu, rishobora gufashwa no kuvurwa hakoreshejwe uburyo bwihariye bwa laser. Nubwo zishobora kugaragara ahantu hose ku mubiri, akenshi zigaragara ku mutwe cyangwa mu ijosi. Ariko, iyo ziri hafi y’amaso, izuru, cyangwa umunwa, rimwe na rimwe zishobora kubangamira ibintu nko kureba, guhumeka, no kurya. Ibyo bibaye, muganga azabivura.

Ibirahure bya divayi ya Port

Ibi ni utudomo tumeze nk'aho divayi itukura yamenetse ahantu runaka ku mubiri. Ni ko byahawe izina ryabyo. Bikunze kugaragara ku maso, mu ijosi, mu maboko, cyangwa ku maguru. Ibi bidomo bya divayi ya port-wine bishobora kuba ingano iyo ari yo yose, kuva ku kadomo gato kugeza ku kirahure kinini. Ariko hari ikintu kidasanzwe kuri byo,Ibi bikura gusa uko umwana akura, ni ukuvuga uko umwana akura. Uko igihe kigenda gihita, bigenda byijima, kandi iyo bitavuwe, kugeza mu myaka yo hagati, bishobora kuba bibi ndetse bikamera nk'utubuye duto. Ibi ntibizigera bishira ubwabyo, kandi ni ngombwa kubyibuka. Abaganga bahangayikishijwe cyane cyane n'ibizinga bya port-wine hafi y'amaso, kugira ngo barebe niba hari ikibazo kirimo gutera amaso. Niba ibi bizinga biri ku bice bimwe na bimwe by'isura, bashobora gukenera gukora ibindi bizamini, nka MRI scan, kugira ngo barebe niba hari ingaruka ku bwonko.

Noneho reka turebe ibimenyetso by'amavuko bifite ibara.

Ibimenyetso bikunze kugaragara cyane muri ubu bwoko bw'ibibara, biterwa n'uturemangingo dutanga ibara ku ruhu, ni utudomo twa 'Café-au-lait', utudomo twa 'Mongolia', n'ibyo dukunze kwita uduheri, ari byo byitwa 'congenital nevi' mu buvuzi.

Ahantu ho guteka cafe-au-lait

Utu duce dukunze kugaragara cyane. Izina risobanura "ikawa irimo amata," bitewe n'ibara ry'utu duce. Dushobora kugaragara ahantu hose ku mubiri. Hari igihe, uko umwana wawe agenda akura, utu duce dushobora kwiyongera. Nta kibazo kugira utu duce kamwe cyangwa tubiri. Ariko, niba umwana wawe afite utudomo dutandatu (6) cyangwa turenga twa café-au-lait, turuta agapira k'ikaramu (ku mwana muto) cyangwa turenze kimwe cya kane (ku mwana ukuze gato), ni ngombwa kubibwira muganga wawe. Kuko, ibuka ko kugira utu duce twinshi muri two bishobora kuba ikimenyetso cy'indwara ya genetiki yitwa neurofibromatosis. Iyi ndwara itera gukura kudasanzwe kw'uturemangingo tw'imitsi. Niyo mpamvu ari ngombwa kubibwira muganga wawe niba ubonye utu duce twinshi muri two.

Ahantu ho muri Mongoliya

Ibi ni ibizinga birambuye, by'ubururu-imvi. Nubwo bisa n'ibikomere, si ibikomere. Bikunze kugaragara ku matako cyangwa mu mugongo wo hasi. Bikunze kugaragara cyane ku bana bafite uruhu rwijimye rw'Abanyaziya, Abanyamerika b'Abahinde, Abanyafurika, Abanya-Hisipaniya, n'Abanyaburayi bo mu majyepfo. Abana benshi bo mu gihugu cyacu nabo barabyibasira. Ntabwo bisaba kuvurwa, kandi akenshi bishira burundu bageze mu kigero cy'amashuri, kandi ntabwo ari bibi.

Imfuruka/Indwara zo mu nda

Ubusanzwe twita 'ibibara by'umukara', mu buvuzi bizwi nka 'nevi' (ubwinshi) cyangwa 'nevus' (ubumwe). Abantu benshi bagira ibi bibara mu gihe runaka mu buzima bwabo. Akadomo kaboneka igihe cyo kuvuka kitwa 'congenital nevus', kandi ibi bigumaho ubuzima bwose. Nubwo ibi akenshi ari nta kibazo, nevi nini cyane cyangwa nini cyane, ni ukuvuga ibibara binini nk'ikiganza, bishobora kumera nka 'melanoma', kanseri y'uruhu, nyuma.Ariko, nubwo ibyo byago ari bike. Hashobora kubaho ibyago bike cyane bituruka ku duheri duto, ariko na two ni duto cyane. Utwo duheri dushobora kuba umukara woroshye, umukara wijimye, cyangwa umukara; dushobora kuba duto cyangwa tuzamutse; rimwe na rimwe dushobora no kugira umusatsi ukomoka kuri two.

Ni gute wavura ibibara by'amavuko?

Noneho ushobora kuba wibaza niba ibi bitose bigomba kuvurwa. Oya, ntabwo ari byo. Ibitose bya macular, cyangwa uduce twa salmon, akenshi birashira ubwabyo. Ibyo inyuma y'ijosi bishobora kumara igihe, ariko ntibigaragara cyane kandi ntabwo ari ikibazo. Izindi nkovu nyinshi zijyanye n'imitsi y'amaraso zishobora kuvurwa bibaye ngombwa. Ibitose bya Port-wine na hemangioma zimwe na zimwe bishobora kugira ingaruka ku bana mu byiyumvo kuko bigira ingaruka ku isura yabo, cyane cyane iyo biri mu maso. Hemangioma nto ahantu hatagaragara cyane akenshi ntizikenera kuvurwa. Kuko, nk'uko twabivuze mbere, inyinshi muri zo zigabanuka ubwazo umwana ageze ku myaka 10. Ariko, abaganga bavura hemangioma nini kandi igaragara. Imiti imwe (nka propranolol na steroids) iterwa muri hemangioma, imwe itangwa mu mitsi (binyuze mu muyoboro wa IV), indi ifatwa mu kanwa. Abana bafite ibitose bya port-wine bashobora kungukirwa no kuvurwa na laser. Ibi bikubiyemo gukoresha urumuri rwinshi (laser) kugira ngo ibara ry'ikitose rigaragare neza. Ibizinga byinshi bishobora gukurwaho nyuma yo kuvurwa inshuro nyinshi hakoreshejwe ubwoko bwa laser yitwa pulsed-dye laser. Hari ibizinga bishobora kongera kugaruka, bigasaba ubundi buvuzi. Ubusanzwe kuvurwa hakoreshejwe laser bitangira umwana akiri muto, akenshi afite amezi make. Ibi biterwa nuko ikizinga n'imitsi y'amaraso bikiri bito, bityo ibisubizo biba byiza. Ibizinga ku mutwe no mu ijosi bikira neza iyo hakoreshejwe laser. Ibikoresho byihariye byo kwisiga, cyangwa amavuta yo kwisiga, bishobora gutwikira by'agateganyo ikizinga cya port-wine. Ibizinga by'ibara ry ...

Ni ryari ukwiye kujya kwa muganga?

Ibi ni ingenzi cyane. Ni byiza kwereka muganga ikimenyetso cy'amavuko ukimara kukibona ku mubiri w'umwana wawe kugira ngo umenye ubwoko bwacyo, uburyo gikeneye gukurikiranwa, ndetse niba gikeneye kuvurwa cyangwa kitagomba kuvurwa. Byongeye kandi,

Amaraso ava ku kiraro cy'amavukoNiba irimo kuva amaraso, ibabaza, isharira, cyangwa itukura, yabyimbye, cyangwa isohora amabyi , ugomba guhita ubonana na muganga.

Nkuko bigenda ku gisebe cyose kiva amaraso, oza igisebe n'isabune n'amazi, shyira igitambaro gisukuye cya gauze, hanyuma ushyireho igitutu kugeza igihe amaraso ahagaze. Niba kuva amaraso bitahagaze, hamagara muganga. Hari igihe hemangioma zishobora kugira ibisebe bifunguye mu bice bimwe na bimwe, bishobora kwandura. Ibisebe byo kubyara bifite ibara ni gake cyane. Ariko, ibisebe bisanzwe, cyane cyane nevi yo mu nda, bigomba gukurikiranwa kugira ngo harebwe impinduka mu bunini, ibara, imiterere, n'uburebure mu buzima bwose. Niba ubonye impinduka zikomeye, bwira muganga wawe .

Ni iki kindi wifuza kumenya?

Iyo ubonye ikimenyetso cy'amavuko ku mwana uvutse, cyane cyane niba ari kinini cyangwa ahantu hagaragara nk'isura, ushobora kumva utangaye gato kandi ubabaye mu ntangiriro. Ibyo ni ibisanzwe. Niba ikimenyetso cy'amavuko kiri ahantu hagaragara, bamwe bashobora kukibaza bakakireba mu buryo butangaje. Bishobora kubababaza gato. Muri ibyo bihe, bizagufasha kugira igisubizo cyoroshye mu mutwe cyo kubaha. Abantu benshi ntibabikora kubera ububi bwabo, ahubwo baba bashaka kumenya gusa. Ariko, niba barenze umurongo bakabaza ibibazo, cyangwa niba bibababaza, ufite uburenganzira bwo kubabwira mu buryo bwiza. Wibuke ko kuva bakiri bato, abana bareba uko ababyeyi babo bahangana n'ibintu nk'ibyo n'uko bavuga. Uko ni ko biga guhangana n'uko abandi bantu babyitwaramo. Kuganira n'abana ku bimenyetso by'amavuko mu buryo bworoshye kandi bweruye bibafasha kubyakira nk'igice cyabo, kimwe n'ibara ry'umusatsi wabo cyangwa ibara ry'amaso. Iyo umuntu abibajije, muhe igisubizo cyoroshye. Urugero, ikintu nka, "Iki ni ikimenyetso cy'amavuko gusa. Nakivukanye." Nanone, kugira umwana ukikijwe n'umuryango n'inshuti zimufata nk'ibisanzwe, zimukunda kandi zimushyigikira ni ingenzi cyane ku buzima bwo mu mutwe bw'umwana no kwigirira icyizere.

None se, ni ubuhe butumwa bw'ingenzi dukwiye gufata muri iyi nkuru?

Sawa, reka noneho twibuke ingingo z'ingenzi cyane mu byo twavuzeho.

• Inyinshi mu nkovu zo kubyara nta cyo zitwaye, kandi nyinshi zizashira ubwazo. Rero ntugahangayike bitari ngombwa.
• Impamvu y'ibibara by'amavuko akenshi ntabwo izwi, kandi ntabwo ishobora kwirindwa. Ntukigire icyaha.
• Hari ubwoko bubiri bw'ingenzi bw'ibibara byo mu nda: imitsi n'ibibara. Muri buri bwoko, hari ubundi bwoko bw'ibibara.
• Ni ngombwa cyane kubanza kwereka muganga buri kimenyetso cy'amavuko, nubwo cyaba ari gito, no gusaba inama.
• Uduheri tumwe na tumwe, nka hemangiomas na port-wine stains, dushobora gukenera kuvurwa, cyane cyane iyo bibangamira isura, kureba (niba hafi y'ijisho), kurya (niba hafi y'umunwa), cyangwa guhumeka (niba hafi y'izuru).
• Niba ufite utudomo turenga 6 twa café-au-lait, niba ari tunini, cyangwa niba ubonye impinduka mu bunini, ibara, cyangwa imiterere y'uduheri twavutse, menya neza ko wabibwiye muganga.
• Igikuru ni uguha umwana ufite ikimenyetso cy'amavuko urukundo, inkunga, n'ibidukikije bisanzwe kandi bishimishije .

Ndizera ko ibi bizasubiza ibibazo byinshi byawe ku bijyanye n'ibibazo by'amavuko. Niba ufite ibindi bibazo, ntutindiganye kubaza muganga w'umuryango wawe cyangwa muganga w'abana.

---

Ibara ry'amavuko, Uruhu rw'uruhinja, Uduce tw'uruhu, Hemangioma, Uburyo bwo kuvura hakoreshejwe laser