Ibala le-Port-wine

Ibala lewayini letheku liphawu lokuzalwa lapho imithambo yegazi evuvukile idala ukuvela kwesikhumba ngokubomvu.

Amachaphaza e-Port-wine abangelwa ukwakheka okungavamile kwemithambo yegazi emincane esikhumbeni.

Ezimweni ezingavamile, amabala ewayini lembobo iwuphawu lwe-Sturge-Weber syndrome noma i-Klippel-Trenaunay-Weber syndrome.

Amabala ewayini asesitebhisini sokuqala avamise ukuba flat futhi abomvana. Njengoba ingane ikhula, ibala liyakhula nengane futhi umbala ungajula ube bomvu ngokumnyama noma nsomi. Amachweba ewayini lasePort avela kaningi ebusweni, kepha angavela noma kuphi emzimbeni. Ngokuhamba kwesikhathi, indawo ingaqina futhi ithathe ukubukeka okufana ne-cobblestone.

Umhlinzeki wezokunakekelwa kwempilo uvame ukuxilonga ibala le-port-wine ngokubheka isikhumba.

Ezimweni ezimbalwa, kudingeka i-biopsy yesikhumba. Ngokuya ngendawo ye-birthmark nezinye izimpawu, umhlinzeki angafuna ukwenza ukuhlolwa kwengcindezi ye-intraocular yeso noma i-x-ray yogebhezi.

Ukuhlolwa kobuchopho nakho kungenziwa futhi.

Izindlela eziningi zokwelashwa ziye zazanywa ngamachaphaza ewayini lasethekwini, kufaka phakathi ukubanda, ukuhlinza, imisebe, nokubhala imidwebo emzimbeni.

Ukwelashwa kwe-Laser kuphumelela kakhulu ekususeni amabala e-port-wine. Ukuphela kwendlela engabhubhisa imithambo yegazi emincane esikhunjeni ngaphandle kokwenza umonakalo omkhulu esikhunjeni. Uhlobo oluqondile lwe-laser esetshenzisiwe luncike eminyakeni yomuntu, uhlobo lwesikhumba, kanye nebala elithile le-port-wine.

Amabala ebusweni aphendula kangcono ekwelashweni nge-laser kunalezo ezingalweni, emilenzeni, noma maphakathi nomzimba. Amabala amadala angaba nzima ukwelashwa.

Izinkinga zingafaka:

• Ukukhubazeka nokwanda kokukhubazeka
• Izinkinga ezingokomzwelo nezenhlalo ezihlobene nokubukeka kwazo
• Ukuthuthukiswa kwe-glaucoma kubantu abanamabala we-port-wine ahlanganisa amajwabu aphezulu nangaphezulu
• Izinkinga ze-Neurologic lapho ibala le-port-wine lihlotshaniswa nokuphazamiseka okufana ne-Sturge-Weber syndrome

Zonke izimpawu zokuzalwa kufanele zihlolwe ngumhlinzeki ngesikhathi sokuhlolwa okujwayelekile.

I-Nevus flammeus

• Ibala lewayini lasePort ebusweni bengane
• Isifo se-Sturge-Weber - imilenze

UCheng N, uRubin IK, uKelly KM. Ukwelashwa kwe-Laser kwezilonda zemithambo yegazi. Ku: Hruza GJ, Tanzi EL, Dover JS, Alam M, abahleli. Ama-Lasers namalambu: Izinqubo ku-cosmetic Dermatology. 3rd ed. IPhiladelphia, PA: Elsevier Saunders; 2018: isahluko 2.

IHabif TP. Izicubu zemithambo yegazi nokukhubazeka. Ku: Habif TP, ed. Ukwelashwa Kwemithi Yezokwelapha. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2016: isahluko 23.

UMoss C, uBrowne F. Mosaicism kanye nezilonda zomugqa. Ku: Bolognia JL, Schaffer JV, Cerroni L, ama-eds. Isikhumba. Umhla wesi-4. IPhiladelphia, PA: Elsevier Saunders; 2018: isahluko 62.