Botriomycoma, yomwe imatchedwanso pyogenic granuloma kapena lobular capillary hemangioma, ndi chotupa chaching'ono chotupa chomwe chimatuluka magazi mosavuta chikakhudza. Ndi zabwino. Kufunika kosamalira makamaka chifukwa cha manyazi omwe amaimira.

Botriomycoma imawoneka ngati mphukira yaying'ono, yofiyira, yofewa, yamnofu. Imasiyanitsidwa ndi khungu lathanzi ndi poyambira pamunsi pake, yomwe ili yodziwika bwino.

Kukula kosawoneka bwino kumeneku ndi chotupa chaching'ono chotupa. Zitha kuwoneka zokha pakhungu kapena pakhungu, koma zimachitika nthawi zambiri m'malo omwe adwala microtrauma: 

• msomali wokhazikika;
• chilonda chaching'ono;
• tizilombo kapena singano kulumidwa ndi matenda;
• panaris, etc. 

Ichi ndichifukwa chake nthawi zambiri amapezeka pa zala ndi zala, komanso kumaso, milomo, mkamwa kapena kumaliseche. 

Botriomycoma imakula pang'onopang'ono, pakadutsa sabata imodzi kapena itatu, mpaka kufika 0,5 mpaka 2 masentimita m'mimba mwake. Kuwona izo zikuwoneka sizolimbikitsa kwambiri, koma palibe chifukwa chodera nkhawa kwambiri: chotupacho ndi chabwino. Ndizosapweteka komanso zopanda vuto, koma zimatha kukhala zosasangalatsa. Ikhoza, mwachitsanzo, kukhala tcheru kukhudza kapena kupaka pa nsapato. Kuonjezera apo, mitsempha yambiri, imatuluka magazi mosavuta pa kukhudzana pang'ono.

Botriomycoma imatha kuchitika pazaka zilizonse, ngakhale imapezeka kwambiri mwa ana osakwana zaka zisanu. Kwa akuluakulu, nthawi zambiri amatsatira kuvulala kochepa kapena opaleshoni. Zitha kuchitikanso panthawi yomwe ali ndi pakati, makamaka mkamwa, kapena pambuyo pa chithandizo chamankhwala (kukhala ndi zochita pathupi lonse). Amayamikiridwa makamaka ndi mankhwala oletsa ziphuphu zakumaso opangidwa ndi isotretinoin kapena ma antiretroviral amtundu wa protease inhibitor.

Kukula kumeneku, komweko, kumawoneka kuti kumabwera chifukwa cha kutupa: kumalowetsedwa ndi maselo a chitetezo chamthupi, makamaka ndi polynuclear neutrophils. Koma chifukwa chenicheni cha kuchuluka kwa ma capillaries a magazi sikudziwikabe mpaka pano. Chiyambi chopatsirana chatchulidwa koma sichinatsimikizidwe.

Chizindikiro chokha cha matendawa ndi ziphuphu zazing'ono, zofiira, zofewa zomwe zimawonekera pakhungu. Nthawi zina epidermized, nthawi zina kukokoloka. Pamapeto pake, zimakonda kutulutsa magazi mosavuta, motero zimakhala zokhuthala komanso zakuda.

Kuzindikira kwa botriomycoma ndi zachipatala. A biopsy ndi histological kusanthula sikofunikira, kupatula akuluakulu, pamene dokotala ayenera kuletsa motsimikiza maganizo a achromic melanoma, ndiko kunena za melanoma unpigmented.

Popanda chithandizo, botriomycoma imatha kuyambiranso, koma pakapita nthawi yayitali. Komabe, ena amaona kuti n’zosayenera. Koposa zonse, kutuluka magazi mobwerezabwereza kuchokera ku kukula kumeneku kumakhala kokhumudwitsa tsiku ndi tsiku.

Ichi ndichifukwa chake opaleshoni yaying'ono nthawi zambiri imakhala yabwino kuposa kuyembekezera. Pali zosankha zingapo za izi:

• cryotherapy, njira ya dermatological yomwe imaphatikizapo kugwiritsa ntchito nayitrogeni wamadzi ozizira kwambiri kuti awononge, monga momwe amachitira ndi njerewere;
• electrocoagulation, ndiko kuti, kugwiritsa ntchito singano yomwe mphamvu yamagetsi imadutsa chotupacho, kupha maselo ndi cauterize ziwiya;
• kuchotsedwa kwa opaleshoni, komwe kumaphatikizapo kuchotsa kukula ndi scalpel ndikutseka khungu.

Njira ziwiri zomalizira zikuwoneka kuti ndizo zomwe zimagwiritsidwa ntchito kwambiri, chifukwa ndizomwe zimapereka zotsatira zabwino kwambiri. Ubwino wa njira yotsirizayi ndikuti imalola kusanthula kwa labotale. Koma chofunika kwambiri ndicho kuchotsa zonse momwe mungathere kuti mupewe kubwereza.