Tsvuku mabhero

Akazvarwa matsvuku mavara eganda akagadzirwa nemidzi yeropa padyo nechepamusoro peganda. Vanokura vasati vasvika kana nguva pfupi mushure mekuberekwa.

Kune maviri akakosha mapoka ezvizvarwa zvekuzvarwa:

• Mabhero matsvuku anoumbwa nemidziyo yeropa padyo nechepamusoro peganda. Izvi zvinonzi mabhaisikopo mabirthmark.
• Pigmented mabhureki enzvimbo idzo ruvara rwechiratidzo chekuzvarwa rwakasiyana neruvara rweganda rese.

Hemangiomas rudzi rwakajairika rwevascular birthmark. Chikonzero chavo hachizivikanwe. Ruvara rwavo runokonzerwa nekukura kwemitsipa yeropa panzvimbo iyi. Mhando dzakasiyana dzehemangiomas dzinosanganisira:

• Strawberry hemangiomas (sitirobheri mucherechedzo, nevus vascularis, capillary hemangioma, hemangioma simplex) inogona kukura vhiki dzinoverengeka mushure mekuberekwa. Vanogona kuoneka chero kupi pamuviri, asi kazhinji vanowanikwa pamutsipa nechiso. Nzvimbo idzi dzine tumidziyo tuduku turopa twakave pedyo napedyo.
• Cavernous hemangiomas (angioma cavernosum, cavernoma) akafanana nestirobheri hemangiomas asi iwo akadzika uye anogona kutaridzika senge tsvuku-bhuruu spongy nzvimbo yetishu yakazadzwa neropa.
• Salmon zvigamba (stork inoruma) zvakajairika. Kusvikira pahafu yevacheche vese vanayo. Iwo madiki, epingi, akapatsanuka mavara akaumbwa netsinga dzeropa diki dzinoonekwa kuburikidza neganda. Izvo zvinowanzoitika pahuma, maziso, muromo wepamusoro, pakati peye tsiye, uye neshure kwemutsipa. Salmon zvigamba zvinogona kunyanya kuoneka kana mucheche achichema kana panguva yekuchinja tembiricha.
• Port-waini matanga ari akati sandara mahemangiomas akagadzirwa akawedzerwa madiki eropa mitsipa (capillaries). Port-waini tsvina kumeso inogona kuve yakabatana neSturge-Weber syndrome. Ivo vanowanzo kuve vari kumeso. Hukuru hwavo hunosiyana kubva padiki kusvika kune inopfuura hafu yenyama yemuviri.

Zviratidzo zvikuru zvekuzvarwa zvinosanganisira:

• Mako paganda rinoita kunge tsinga dzeropa
• Kuputika kweganda kana lesion iyo yakatsvuka

Anopa hutano anofanirwa kuongorora zvese zvekuzvarwa. Kuongororwa kunoenderana nekuti mabarkmark anotaridzika sei.

Miedzo yekusimbisa yakadzika mabirthmark inosanganisira:

• Ganda biopsy
• CT scan
• MRI yenharaunda

Mazhinji sitirobheri hemangiomas, cavernous hemangiomas, uye salmon zvigamba ndezvenguva pfupi uye hazvidi kurapwa.

Port-waini tsvina inogona kusada kurapwa kunze kwekunge:

• Kanganisa chitarisiko chako
• Konzera kushungurudzika mupfungwa
• Zvinorwadza
• Chinja saizi, chimiro, kana ruvara

Mazhinji ekuzvarwa anogara aripo haarapwe mwana asati asvika zera rechikoro kana chiratidzo chekuzvarwa chiri kukonzera zviratidzo. Port-waini tsvina pameso zvakasarudzika. Ivo vanofanirwa kurapwa vachiri vadiki kudzivirira matambudziko epamoyo uye ehukama. Kuvhiyiwa kweLaser kunogona kushandiswa kuvabata.

Kuviga zvizorwa kunogona kuviga mabhero ekugara zvachose.

Oral kana jekiseni cortisone inogona kudzikisira saizi yehemangioma iri kukura nekukurumidza uye ichikanganisa kuona kana nhengo dzakakosha.

Mimwe mishonga yekurapa matsvuku ekuberekwa inosanganisira:

• Beta-blocker mishonga
• Kupisa (cryotherapy)
• Laser kuvhiya
• Kuvhiya kubviswa

Zviratidzo zvekuzvarwa hazviwanzo kukonzera matambudziko, kunze kwekuchinja pakuonekwa. Zvizhinji zvekuzvarwa zvinoenda zvoga panguva iyo mwana anosvika zera rechikoro, asi zvimwe zvinogara zvachose. Aya anotevera mafambiro ekuvandudza anowanzoitika kune akasiyana marudzi ezviratidzo zvekuzvarwa.

• Strawberry hemangiomas kazhinji inokura nekukurumidza uye inogara saizi yakafanana. Vanobva vaenda havo. Mazhinji sitirobheri hemangiomas aenda nenguva iyo mwana ave nemakore gumi nemapfumbamwe ekuberekwa. Nekudaro, panogona kunge paine shanduko diki muvara kana kubvaruka kweganda paive nebarkmark.
• Dzimwe cavernous hemangiomas dzinoenda dzoga, kazhinji kunge mwana pazera rekuchikoro.
• Salmon zvigamba zvinowanzopera sezvo mucheche anokura. Zvimedu kumashure kwemutsipa hazvigone kupera. Kazhinji hazvioneke sezvo bvudzi rinokura.
• Port-waini maturu anowanzo gara.

Aya matambudziko anotevera anogona kuitika kubva kuzviratidzo zvekuzvarwa:

• Kushungurudzika mupfungwa nekuda kwechitarisiko
• Kusagadzikana kana kubuda ropa kubva pamasvomendi mabarkmark (dzimwe nguva)
• Kukanganisa nekuona kana kuita kwemuviri
• Kutyisa kana kunetseka mushure mekuvhiyiwa kuti ubvise

Ita kuti mupi wako wehutano atarise ese mabhureki.

Iko hakuna inozivikanwa nzira yekudzivirira mabhero ekuberekwa.

Strawberry mucherechedzo; Vascular ganda rinoshanduka; Angioma cavernosum; Capillary hemangioma; Hemangioma simplex

• Stork inoruma
• Hemangioma kumeso (mhino)
• Hemangioma pachirebvu

Habif TP. Vascular tumors uye kusagadzikana. Mune: Habif TP, rakanyorwa. Clinical Dermatology. 6th ed. Philadelphia, PA: Elsevier; 2016: chits. 23.

Paller AS, Mancini AJ. Vascular kusagadzikana kwehucheche uye hudiki. Mune: Paller AS, Mancini AJ, eds. Hurwitz Clinical Pediatric Dermatology. 5 ed. Philadelphia, PA: Elsevier; 2016: chits.

Patterson JW. Vascular mamota. Mune: Patterson JW, ed. Weedon's Ganda Pathology. 4th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 38.