IHemangioma

-Delile

• Yini i-hemangioma?
• Ama-hemangiomas akhula kanjani?
• Esikhumbeni
• Esibindi
• Lapho zenzeka khona
• Izimpawu nezimpawu ze-hemangiomas
• Ezingxenyeni zangaphakathi
• Ukuthi zitholakala kanjani
• Izinketho zokwelashwa kwama-hemangiomas
• Ama-beta blockers
• Imithi ye-Corticosteroid
• Ukwelashwa nge-Laser
• Ijeli yokwelashwa
• Ukuhlinzwa
• Okwe-hemangiomas ezithweni
• Umbono

Yini i-hemangioma?

AmaHemangiomas, noma ama-hemangiomas amancane, ukukhula okungadabukisi kwemithambo yegazi. Ziyizibalo ezivame kakhulu noma izicubu ezinganeni. Imvamisa zikhula isikhathi esithile bese ziyaphela ngaphandle kokwelashwa.

Azibangeli izinkinga ezinganeni eziningi. Noma kunjalo, amanye ama-hemangiomas angavula futhi aphume igazi noma abe nesilonda. Lokhu kungaba buhlungu. Ngokuya ngosayizi nendawo yabo, kungenzeka ukuthi bakhubaza. Ngokwengeziwe, zingahle zivele nolunye uhlelo lwezinzwa oluphakathi noma ukungajwayelekile komgogodla.

Ukukhula kungenzeka futhi ngamanye ama-hemangiomas angaphakathi. Lokhu kuthinta izitho zangaphakathi ezifana:

• isibindi
• ezinye izingxenye zesistimu yamathumbu
• ubuchopho
• izitho zokuphefumula

Ama-hemangiomas athinta izitho zomzimba ngokuvamile awabangeli izinkinga.

Ama-hemangiomas akhula kanjani?

Esikhumbeni

AmaHemangiomas esikhumba akhula lapho kunokwanda okungajwayelekile kwemithambo yegazi endaweni eyodwa yomzimba.

Ochwepheshe abaqiniseki ukuthi kungani imithambo yegazi ihlangana ndawonye kanjena, kodwa bakholelwa ukuthi kubangelwa amaprotheni athile akhiqizwa ku-placenta ngesikhathi sokukhulelwa (isikhathi lapho usesibelethweni).

AmaHemangiomas esikhumba angakha engxenyeni ephezulu yesikhumba noma kungqimba olunamafutha ngaphansi, olubizwa ngokuthi ungqimba olungaphansi kwesikhumba. Ekuqaleni, i-hemangioma ingabonakala njengophawu olubomvu lokuzalwa esikhunjeni.Kancane kancane, izoqala ukuphuma iye phezulu isikhumba. Kodwa-ke, ama-hemangiomas awavamile ukuba khona lapho kuzalwa.

Esibindi

Ama-hemangiomas wesibindi (hepatic hemangiomas) akha ngaphakathi nangaphezulu kwesibindi. Lokhu kungahlotshaniswa nama-hemangiomas wezinsana, noma kungahlobene. Ama-hemangiomas angenabusana besibindi kucatshangwa ukuthi ayazwela ku-estrogen.

Ngesikhathi sokunqamuka kokuya esikhathini, abesifazane abaningi babekwa esikhundleni se-estrogen ukunciphisa izimpawu ezibangelwa ukwehla kwamazinga abo emvelo e-estrogen.

Le estrogen eyeqile ingakhuthaza ukukhula kwama-hemangiomas wesibindi. Ngokufanayo, ukukhulelwa kanye namaphilisi okukhulelwa ngomlomo kwesinye isikhathi angakhuphula usayizi wama-hemangiomas.

Lapho zenzeka khona

Ngaphandle kwesikhumba nesibindi, ama-hemangiomas angakhula noma acindezele ezinye izindawo emzimbeni, njenge:

• izinso
• amaphaphu
• ikholoni
• ubuchopho

Izimpawu nezimpawu ze-hemangiomas

Ngokuya ngendawo nosayizi, ama-hemangiomas awavamisile ukudala izimpawu ngesikhathi noma ngemuva kokwakheka kwawo. Kodwa-ke, zingadala ezinye izimpawu uma zikhula zinkulu noma zisendaweni ebucayi noma uma kukhona ama-hemangiomas amaningi.

Ama-hemangiomas esikhumba avame ukuvela njengokuklwebheka okuncane okubomvu noma amaqhubu. Njengoba zikhula, zibukeka njengezimpawu zokuzalwa ezinemibala ye-burgundy. Ama-hemangiomas esikhumba kwesinye isikhathi abizwa nge-strawberry hemangiomas ngenxa yokubukeka kwawo obomvu ngokujulile.

Ezingxenyeni zangaphakathi

Ama-hemangiomas ngaphakathi komzimba akhona anezimpawu ezithile ezithweni ethintekile. Isibonelo, i-hemangioma ethinta umgudu wamathumbu noma isibindi ingaveza izimpawu ezifana nalezi:

• isicanucanu
• ukuhlanza
• ukungakhululeki esiswini
• ukulahlekelwa isifiso sokudla
• umuzwa wokugcwala esiswini

Ukuthi zitholakala kanjani

Ukuxilongwa kuvame ngokuhlolwa okubonakalayo ekuhlolweni komzimba ngumhlinzeki wezokunakekelwa kwempilo. Udokotela wakho angenza ukuxilongwa okubonakalayo ngesikhathi sokuhlolwa komzimba.

Ama-hemangiomas ezithweni angabonakala kuphela ngesikhathi sokuhlolwa kwe-imaging, njenge:

• i-ultrasound
• I-MRI
• Iskena se-CT

Kwezinye izimo, zivame ukutholwa ngengozi.

Izinketho zokwelashwa kwama-hemangiomas

I-hemangioma eyodwa, encane ngokuvamile ayidingi ukwelashwa. Kungenzeka ihambe yodwa. Kodwa-ke, amanye amacala angadinga ukwelashwa, njengama-hemangiomas esikhumba akhula nezilonda noma izilonda, noma asezindaweni ezithile ebusweni ezinjengezindebe.

Izinketho zokwelashwa zifaka:

Ama-beta blockers

• I-propranolol yomlomo: I-Oral propranolol iyindlela yokuqala yokuvikela ama-hemangiomas adinga ukwelashwa okuhlelekile. I-U.S.Food and Drug Administration (FDA) yavuma i-hemangeol (i-oral propranolol hydrochloride) ngo-2014.
• Isihloko beta-blocker, njenge-timolol gel: Lawa ma-beta-blockers angasetshenziselwa ama-hemangiomas amancane, angenasisekelo. Bangaba neqhaza ekwelapheni ama-hemangiomas amancane anesilonda. Le mithi ngokuvamile ibhekwa njengephephile uma isetshenziswe kahle ngaphansi kokunakekelwa ngumhlinzeki wezokunakekelwa kwempilo.

Imithi ye-Corticosteroid

I-Corticosteroids ingafakwa kwi-hemangioma ukunciphisa ukukhula kwayo nokuyeka ukuvuvukala.

I-systemic steroids, efana ne-prednisone ne-prednisolone, ayisasetshenziswa ngokujwayelekile. Noma, bangaba nendima kulabo abangakwazi ukusebenzisa eminye imithi efana ne-beta-blockers esetshenziswa kakhulu.

Ukwelashwa nge-Laser

Ukwelashwa nge-Laser kungasetshenziswa ukususa ama-hemangiomas ezingqimbeni eziphezulu zesikhumba. Kwezinye izimo, udokotela ohlinzayo angasebenzisa ukwelashwa kwe-laser ukunciphisa ububomvu nokwenza ngcono ukubukeka.

Ijeli yokwelashwa

Ijeli elinomuthi elibizwa ngokuthi i-becaplermin (i-Regranex) liyabiza futhi selisetshenzisiwe ngaphandle kwelebula kwezinye izifundo njengomuthi wokwelapha ama-hemangiomas angapheli. Kunengozi yokuba nomdlavuza kubantu abawuthola kaninginingi. Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nezingozi.

Ukuhlinzwa

Uma i-hemangioma incane ngokwanele ukuthi ingasuswa ngokuhlinzwa, udokotela wakho angacabanga ukuthi ukuhlinzwa kuyindlela yokukhetha.

Okwe-hemangiomas ezithweni

Ama-hemangiomas emzimbeni angadinga ukwelashwa uma ekhula kakhulu noma edala izinhlungu.

Izinketho zokwelashwa zalezi hemangiomas zifaka:

• ukukhishwa kokuhlinzwa kwe-hemangioma
• ukukhishwa kokuhlinzwa kwesitho esonakele noma indawo elimele
• Ku-hemangiomas yesibindi, ukubopha ukunikezwa kwegazi okuyinhloko ku-hemangioma kungaba yindlela

Umbono

Kaningi kunalokho, i-hemangioma ikhathazeka kakhulu ngezimonyo kunokwelashwa. Noma kunjalo, kufanele ukhulume nomhlinzeki wezokunakekelwa kwezempilo uma unezinkinga noma ufuna ukuxoxa ngokususwa.