Hemangioma

Zvemukati

• Chii chinonzi hemangioma?
• Hemangiomas inokura sei?
• Paganda
• Pachiropa
• Kwazvinoitika
• Zviratidzo nezviratidzo zvehemangiomas
• Munhengo dzemukati
• Maitiro avanoonekwa
• Kurapa sarudzo yehemangiomas
• Beta-blockers
• Corticosteroid mishonga
• Laser kurapwa
• Mishonga gel
• Kuvhiya
• Kune hemangiomas panhengo
• Outlook

Chii chinonzi hemangioma?

Hemangiomas, kana yecheche hemangiomas, kukura kusinganzwisisike kwemitsipa yeropa. Ndidzo dzinonyanya kukura kana mamota muvana. Vanowanzo kukura kwechinguva uye vobva vadzikira vasina kurapwa.

Hazvikonzeri matambudziko muvacheche vazhinji. Zvisinei, mamwe mahemangiomas anogona kuvhura nekubuda ropa kana ulcerate. Izvi zvinogona kurwadza. Zvichienderana nesaizi yavo nenzvimbo, vanogona kunge vachishatisa. Pamusoro pezvo, zvinogona kuitika pamwe necentral nervous system kana musana kusagadzikana.

Iko kukura kunogona kuitikawo nemamwe ma hemangiomas emukati. Izvi zvinokanganisa nhengo dzemukati dzakadai se:

• chiropa
• zvimwe zvikamu zvemudumbu system
• uropi
• nhengo dzekufema system

Hemangiomas anokanganisa nhengo kazhinji haakonzere matambudziko.

Hemangiomas inokura sei?

Paganda

Hemangiomas eganda anokura kana paine kuwanda kusinganzwisisike kwemitsipa yeropa mune imwe nzvimbo yemuviri.

Nyanzvi hadzina chokwadi chekuti sei tsinga dzeropa dzakabatana pamwechete seizvi, asi ivo vanotenda kuti zvinokonzerwa nemamwe mapuroteni anogadzirwa muplacenta panguva yekubata (iyo nguva yaunenge uri mudumbu).

Hemangiomas eganda anokwanisa kuumba mune yepamusoro peganda kana munzvimbo ine mafuta pasi, iyo inonzi subcutaneous layer. Pakutanga, hemangioma ingaite senge mucherechedzo mutsvuku paganda. Zvishoma nezvishoma, inotanga kubuda ichibva kumusoro kubva paganda. Zvisinei, mahemangiomas haawanzo kuvepo pakuzvarwa.

Pachiropa

Hemangiomas yechiropa (hepatic hemangiomas) inoumba mukati uye pamusoro pechiropa. Izvi zvinogona kuve zvine hukama nevecheche hemangiomas, kana ivo vanogona kunge vasina hukama. Iwo asiri-echecheche hemangiomas echiropa anofungidzirwa kuve anoteerera kune estrogen.

Munguva yekuguma kuenda kumwedzi, vakadzi vazhinji vanopihwa kutsiva estrogen kuti vadzikise zviratidzo zvinokonzerwa nekuderera kwemasero esrogen.

Iyi yakawandisa estrogen inogona kukurudzira kukura kwechiropa hemangiomas. Saizvozvo, nhumbu uye dzimwe nguva yekunwa mapiritsi ekudzivirira inogona kuwedzera saizi yehemangiomas.

Kwazvinoitika

Kunze kweganda uye chiropa, hemangiomas inogona kukura kana kumanikidza dzimwe nzvimbo mukati memuviri, senge:

• itsvo
• mapapu
• colon
• uropi

Zviratidzo nezviratidzo zvehemangiomas

Zvichienderana nenzvimbo uye saizi, mahemangiomas haawanzo kukonzera zviratidzo panguva kana mushure mekuumbwa kwavo. Zvisinei, zvinogona kukonzera zvimwe zviratidzo kana zvikakura zvakakura kana munzvimbo yakaoma kana kana paine akawanda mahemangiomas.

Hemangiomas eganda anowanzo kuoneka sediki diki kukwenya kana mapundu. Sezvavanokura, vanoita senge burgundy-mavara ekuzvarwa mabhero. Ganda hemangiomas dzimwe nguva anonzi sitirobheri hemangiomas nekuda kwekuratidzika kwavo kwakatsvuka.

Munhengo dzemukati

Hemangiomas mukati memuviri uripo nezviratidzo zvakanangana nenhengo inobatika. Semuenzaniso, hemangioma inokanganisa gastrointestinal turakiti kana chiropa inogona kuuya nezviratidzo zvakaita se:

• kusvotwa
• kurutsa
• kusagadzikana mudumbu
• kurasikirwa nenzara
• kunzwa kuzara mudumbu

Maitiro avanoonekwa

Iko kuongororwa kunowanzo kuve nekuongororwa kunoonekwa pakuongorora kwemuviri neanopa hutano. Chiremba wako anogona kuita anoonekwa kuongororwa panguva yekuongorora kwepanyama.

Hemangiomas panhengo dzinogona kungoonekwa chete panguva yekuyedza imaging, senge:

• iyo Ultrasound
• MRI
• CT scan

Mune mamwe mamiriro, ivo vanowanzoonekwa nemukana.

Kurapa sarudzo yehemangiomas

Imwe, diki hemangioma kazhinji haidi kurapwa. Zvingangoenda zvoga. Zvisinei, zvimwe zviitiko zvinogona kuda kurapwa, senge ganda hemangiomas rinoita maronda kana maronda, kana ari munzvimbo dzakatarisana kumeso senge muromo.

Sarudzo dzekurapa dzinosanganisira:

Beta-blockers

• Oral propranolol: Oral propranolol ndiyo yekutanga yekudzivirira yehemangiomas inoda systemic kurapwa. IU.S. Food and Drug Administration (FDA) yakabvumira hemangeol (oral propranolol hydrochloride) muna 2014.
• Misoro beta-blockers, senge timolol gel: Aya beta-blockers anogona kushandiswa kune madiki, epamusoro hemangiomas. Vanogona zvakare kuve nebasa rekurapa madiki maronda hemangiomas. Mushonga uyu unowanzoonekwa sewakachengeteka kana uchishandiswa mushe pasi pekuchengetwa kweanopa hutano.

Corticosteroid mishonga

Corticosteroids inogona kuiswa muhemangioma kuti ideredze kukura kwayo uye kumisa kuzvimba.

Systemic steroids, senge prednisone uye prednisolone, hadziwanzo kushandiswa zvekare. Kunyangwe, ivo vanogona kuve nebasa kune avo vasingakwanise kushandisa mimwe mishonga senge beta-blockers ayo anowanzo shandiswa.

Laser kurapwa

Laser kurapwa kunogona kushandiswa kubvisa hemangiomas pazvikamu zvepamusoro zveganda. Mune zvimwe zviitiko, chiremba anovhiya anogona kushandisa laser kurapwa kudzikisira kutsvuka uye kunatsiridza kutaridzika.

Mishonga gel

Gel rakagadzirwa nemishonga rinonzi becaplermin (Regranex) rinodhura uye rave richishandiswa-kuremerwa mune zvimwe zvidzidzo sekurapa kwechirwere chisingaperi chinonzi hemangiomas. Inotakura njodzi yekuva nekenza mukati mevanhu vanoigamuchira kakawanda. Taura nemupi wako wezvehutano nezve njodzi.

Kuvhiya

Kana iyo hemangioma iri diki zvakakwana kuti inogona kubviswa nekuvhiya, chiremba wako anogona kufunga kuvhiya sarudzo.

Kune hemangiomas panhengo

Hemangiomas mukati memuviri ingangoda kurapwa kana ikakura zvakanyanya kana kukonzera marwadzo.

Kurapa sarudzo dzeaya hemangiomas dzinosanganisira:

• kuvhiya kubviswa kwehemangioma
• kubviswa kwekuvhiya kwenhengo yakakuvadzwa kana nzvimbo yakakuvadzwa
• Mune hemangiomas yechiropa, kusungira kubva paropa hombe kune iyo hemangioma inogona kunge iri sarudzo

Outlook

Kazhinji kazhinji kwete, hemangioma inonyanya kunetseka nezve cosmetic pane yekurapa. Zvakadaro, iwe unofanirwa kutaura nemubatsiri wezvehutano kana iwe uine chero zvinonetsa kana uchida kukurukura nezve kubviswa.