IHemangioma

Umxholo

• Yintoni i-hemangioma?
• Zikhula njani iihemangiomas?
• Kwisikhumba
• Kwisibindi
• Apho zenzeka khona
• Iimpawu kunye neempawu zehemangiomas
• Kwizitho zangaphakathi
• Baxilongwa njani
• Unyango ukhetho lwehemangiomas
• Beta-iibhlokhi
• Iyeza leCorticosteroid
• Unyango lweLaser
• Ijeli yonyango
• Ugqirha
• Kwiihemangiomas kwizitho
• Imbonakalo

Yintoni i-hemangioma?

I-Hemangiomas, okanye i-hemangiomas yeentsana, kukukhula okungenamhlaza kwimithambo yegazi. Zizinto eziqhelekileyo zokukhula okanye amathumba ebantwaneni. Zihlala zikhula kangangexesha elithile kwaye ziyeke ngaphandle konyango.

Azibangeli ngxaki kuninzi lweentsana. Nangona kunjalo, ezinye iihemangiomas zinokuvula kwaye zophe okanye zenze isilonda. Oku kunokuba buhlungu. Kuxhomekeka kubungakanani kunye nendawo abakuyo, banokungaziphathi kakuhle. Ukongeza, zinokwenzeka ngolunye uhlobo lwe-nervous system okanye ukungahambi kakuhle komqolo.

Ukukhula kwakhona kunokubakho ngamanye ama-hemangiomas angaphakathi. Oku kuchaphazela amalungu angaphakathi anje ngala:

• isibindi
• ezinye iindawo zenkqubo yamathumbu
• ingqondo
• inkqubo yokuphefumla

I-Hemangiomas echaphazela izitho eziqhelekileyo azibangeli iingxaki.

Zikhula njani iihemangiomas?

Kwisikhumba

IHemangiomas yolusu ikhula xa kukho ukwanda okungaqhelekanga kwemithambo yegazi kwindawo enye yomzimba.

Iingcali aziqinisekanga ukuba kutheni imithambo yegazi iqokelelene ngoluhlobo, kodwa bayakholelwa ukuba ibangelwa ziiprotein ezithile eziveliswe kwi-placenta ngexesha lokumitha (ixesha xa usesibelekweni).

IHemangiomas yolusu inokubumba kulusu oluphezulu lolusu okanye kumanqatha angaphantsi, abizwa ngokuba ngumaleko ongaphantsi. Ekuqaleni, i-hemangioma inokubonakala ngathi luphawu lokuzalwa olubomvu kulusu. Kancinci, iya kuqala ukukhuphuka inyuse ukusuka kulusu. Nangona kunjalo, iihemangiomas azihlali zikhona xa kuzalwa.

Kwisibindi

I-Hemangiomas yesibindi (hepatic hemangiomas) ifom ngaphakathi nangaphezulu kwesibindi. Ezi zinokunxulunyaniswa ne-hemangiomas yeentsana, okanye azinxibelelani. Ii-hemangiomas ezingezizo iintsana zesibindi kucingelwa ukuba zibuthathaka kwi-estrogen.

Ngexesha lokuyeka ukuya exesheni, uninzi lwabasetyhini lubekwa endaweni ye-estrogen ukunciphisa iimpawu ezibangelwa kukuhla kwamanqanaba e-estrogen emvelo.

Le estrogen engaphezulu inokukhuthaza ukukhula kwe-hemangiomas yesibindi. Kwangokunjalo, ukukhulelwa kwaye ngamanye amaxesha iipilisi zomlomo zomlomo zinokunyusa ubungakanani behemangiomas.

Apho zenzeka khona

Ngaphandle kwesikhumba kunye nesibindi, i-hemangiomas inokukhula okanye icinezele ezinye iindawo emzimbeni, ezifana:

• izintso
• imiphunga
• ikholoni
• ingqondo

Iimpawu kunye neempawu zehemangiomas

Kuxhomekeka kwindawo kunye nobungakanani, iihemangiomas azihlali zibangela iimpawu ngexesha okanye emva kokudalwa kwazo. Nangona kunjalo, zinokubangela ezinye iimpawu ukuba zikhula zinkulu okanye kwindawo ebuthathaka okanye ukuba kukho iihemangiomas ezininzi.

IHemangiomas yolusu ihlala ibonakala njengemingxunya ebomvu ebomvu okanye amaqhuma. Njengoko bekhula, bajongeka ngathi ziimpawu zokuzalwa ezinemibala ye-burgundy. Ulusu hemangiomas ngamanye amaxesha lubizwa ngokuba yi-strawberry hemangiomas ngenxa yokubonakala kwabo bomvu.

Kwizitho zangaphakathi

IHemangiomas ngaphakathi komzimba zineempawu ezithile kwilungu elichaphazelekayo. Ngokomzekelo, i-hemangioma echaphazela isisu somzimba okanye isibindi sinokubonisa iimpawu ezinjenge:

• isicaphucaphu
• ukugabha
• ukungaphatheki kakuhle kwesisu
• Ukuphelelwa ngumdla wokutya
• imvakalelo yokugcwala esiswini

Baxilongwa njani

Ukuxilongwa kuhlala kuhlolwa ngokubonakalayo kuvavanyo lomzimba ngumboneleli wezempilo. Ugqirha wakho unokwenza ukuxilongwa okubonakalayo ngexesha loviwo lomzimba.

IHemangiomas kumalungu inokubonakala kuphela kuvavanyo lokucinga, njenge:

• i-ultrasound
• IMRI
• Ukuskena i-CT

Kwezinye iimeko, zihlala zibonwa ngengozi.

Unyango ukhetho lwehemangiomas

I-hemangioma eyodwa, encinci ihlala ifuna unyango. Kuya kuhamba yedwa. Nangona kunjalo, amanye amatyala anokufuna unyango, olufana nolusu hemangiomas olukhulisa izilonda okanye izilonda, okanye zikwindawo ezithile ebusweni ezinje ngomlomo.

Izinketho zonyango zibandakanya:

Beta-iibhlokhi

• Ipropranolol yomlomo: Ipropranolol yomlomo ngumgca wokuqala wokhuselo lweehemangiomas ezifuna unyango lwenkqubo. Ulawulo lwe-US Food and Drug Administration (FDA) lwaphumeza i-hemangeol (ngomlomo ipropranolol hydrochloride) ngo-2014.
• Imixholo beta-iibhlokhi, Njenge-timolol gel: Ezi blocker ze-beta zinokusetyenziselwa i-hemangiomas encinci, engabalulekanga. Banokuba nenxaxheba ekuphatheni i-hemangiomas encinci yezilonda. Olu nyango luthathwa ngokuba lukhuselekile xa lisetyenziswe kakuhle phantsi kolawulo lomboneleli wezempilo.

Iyeza leCorticosteroid

I-Corticosteroids inokufakwa kwi-hemangioma ukunciphisa ukukhula kwayo kunye nokuyeka ukudumba.

Inkqubo ye-steroids, enje nge-prednisone kunye ne-prednisolone, ayisasetyenziswa ngokufuthi. Nangona kunjalo, banokuba nenxaxheba kwabo bangakwaziyo ukusebenzisa amanye amayeza anje nge-beta-blockers aqhele ukusetyenziswa.

Unyango lweLaser

Unyango lwe-Laser lungasetyenziselwa ukususa i-hemangiomas kwiindawo ezingaphezulu kwesikhumba. Kwezinye iimeko, ugqirha unokusebenzisa unyango lwe-laser ukunciphisa ubomvu kunye nokuphucula ukubonakala.

Ijeli yonyango

Ijeli enamayeza ebizwa ngokuba yi-becaplermin (Regranex) iyabiza kwaye isetyenzisiwe ngaphandle kwelebheli kwezinye izifundo njengonyango lwehemangiomas ezingapheliyo. Inomngcipheko wokuba nomhlaza kubantu abawufumana rhoqo. Thetha nomboneleli wakho wezempilo malunga neengozi.

Ugqirha

Ukuba i-hemangioma incinci ngokwaneleyo ukuba ingasuswa ngotyando, ugqirha wakho unokucinga ngokuhlinzwa njengokhetho.

Kwiihemangiomas kwizitho

IHemangiomas ngaphakathi komzimba inokufuna unyango ukuba ikhula kakhulu okanye ibangele iintlungu.

Iinketho zonyango kwezi hemangiomas zibandakanya:

• ukususwa ngotyando hemangioma
• ukususwa ngotyando kwilungu elonakeleyo okanye indawo eyonakeleyo
• Kwiihemangiomas zesibindi, ukubopha igazi eliphambili kwi-hemangioma kunokuba yinto onokukhetha kuyo

Imbonakalo

Rhoqo kunokuba kunjalo, i-hemangioma yeyona nto ixhalabisayo kwezonyango kunezonyango. Okwangoku, kuya kufuneka uthethe nomboneleli wezempilo ukuba unayo nayiphi na inkxalabo okanye ufuna ukuxoxa ngokususwa.