Ma hemangiomas

Ma hemangiomas

Ndi chiyani ?

Hemangioma, kapena infantile hemangioma, ndi chotupa choopsa chomwe chimawonekera pathupi la khanda patatha masiku kapena milungu ingapo kuchokera pamene anabadwa ndipo chimakula mofulumira m'miyezi yoyamba ya moyo, isanabwerere mwakachetechete ndi kuzimiririka ndi ukalamba. Zaka 5-7. Komabe, nthawi zina zovuta zimafuna chithandizo chamankhwala. Ndiwofala kwambiri mitsempha yamagazi, yomwe imakhudza 5-10% ya ana. (1)

zizindikiro

Hemangioma imatha kuyeza kuchokera mamilimita angapo mpaka ma centimita angapo. Imapatulidwa mu 80% ya milandu ndipo imapezeka kumutu ndi khosi mu 60% ya milandu (1). Koma palinso angapo (kapena kufalitsidwa) hemangiomas. Pambuyo pa gawo la kukula kofulumira, kukula kwake kumasokonekera m'chaka choyamba cha moyo wa khanda, ndiye kuti chotupacho chimabwerera pang'onopang'ono mpaka kutayika kwathunthu nthawi zambiri. Pali mitundu itatu yachipatala ya hemangioma:

  • Cutaneous hemangiomas, yomwe imakhudza dermis, ya mtundu wofiira wonyezimira, kutenga mawonekedwe a plaque kapena lobe, ndi yosalala kapena yonyezimira ngati chipatso, motero dzina lake la "strawberry angioma", likuwonekera pa masabata atatu oyambirira a moyo. ;
  • Ma subcutaneous hemangiomas, okhudza hypodermis, mtundu wa bluish ndipo amawonekera pambuyo pake, pafupifupi miyezi itatu kapena inayi.
  • Mitundu yosakanizidwa yomwe imakhudza dermis ndi hypodermis, yofiira pakati ndi bluish pozungulira.

Chiyambi cha matendawa

bungwe la mitsempha ya m'mitsempha silinakhwime m'masabata asanabadwe, monga momwe zimakhalira nthawi zambiri, ndipo likupitirizabe kukhala ndi moyo wa extrauterine.

Ndikofunikira kutsindika kuti, ngakhale kuyesayesa kwa magulu, pamakhalabe chisokonezo chachikulu cha semantic motero chisokonezo cha matenda kuzungulira mawu akuti "hemangioma". Dziwani kuti pali zotupa zina zapamtima, monga congenital hemangioma. Mosiyana ndi chotupa chochokera ku hemangioma, chotupa chomwe chimayambitsa chimakhalapo kuyambira pakubadwa ndipo sichimakula. Ndi wofiirira ndipo nthawi zambiri amapezeka m'miyendo pafupi ndi mfundo. Pomaliza, kusiyana kuyenera kupangidwa pakati pa zotupa zam'mitsempha ndi zolakwika za mitsempha.

Zowopsa

Atsikana ali ndi mwayi wokhala ndi hemangioma katatu kuposa anyamata. Amawonanso kuti chiopsezo chimakhala chachikulu kwa makanda omwe ali ndi khungu loyera ndi loyera, kulemera kochepa komanso pamene mimba yavutika ndi zovuta.

Kupewa ndi chithandizo chamankhwala

Kuchepa kwa hemangioma kumachitika modzidzimutsa mu 80-90% ya milandu (malingana ndi gwero), koma m'pofunika kugwiritsa ntchito chithandizo pamene hemangioma ndi yaikulu ndipo imakhala yovuta, muzochitika zotsatirazi:

  • The chotupa necroses, magazi ndi zilonda;
  • Pomwe chotupacho chili pachiwopsezo cholepheretsa kugwira ntchito bwino kwa chiwalo, kaya ndi diso, pakamwa, khutu, mphuno…;
  • Hemangioma yosawoneka bwino imakhudza kwambiri mwana, komanso kwa makolo. Zowonadi, hemangioma yosawoneka bwino imatha kubweretsa malingaliro osiyanasiyana oyipa: kudzimva kukhala wodzipatula kwa mwana, kudziimba mlandu, nkhawa komanso mantha.

Kuchiza kwa Hemangioma kumagwiritsira ntchito corticosteroids, cryotherapy (mankhwala ozizira), laser komanso, kawirikawiri, kuchotsa opaleshoni. Dziwani kuti mankhwala atsopano omwe adapezeka mwangozi mu 2008, propranolol, amapereka zotsatira zabwino, ndikuchepetsa chiopsezo cha zotsatirapo. Ndi mankhwala a beta-blocker omwe adalandira chilolezo chotsatsa ku Europe mu 2014.

Siyani Mumakonda