Zizindikiro zofiira zofiira

Zizindikiro zofiira zofiira ndizolemba pakhungu zopangidwa ndi mitsempha yamagazi pafupi ndi khungu. Amakula asanabadwe kapena atangobadwa kumene.

Pali magawo awiri akulu azizindikiro:

• Zizindikiro zofiira zofiira zimapangidwa ndi mitsempha yamagazi pafupi ndi khungu. Izi zimatchedwa zizindikiritso zam'mimba.
• Zikwangwani zobadwira ndi madera omwe mtundu wa birthmark umasiyana ndi khungu lina lonse.

Ma hemangiomas ndi mtundu wamba wazobadwa ndi mitsempha. Zomwe zimayambitsa sizikudziwika. Mtundu wawo umayambitsidwa ndi kukula kwa mitsempha yamagazi pamalowo. Mitundu yosiyanasiyana ya ma hemangiomas ndi awa:

• Strawberry hemangiomas (sitiroberi chizindikiro, nevus vascularis, capillary hemangioma, hemangioma simplex) imatha kutuluka milungu ingapo atabadwa. Amawoneka kulikonse pathupi, koma nthawi zambiri amapezeka pakhosi ndi pankhope. Maderawa amakhala ndimitsempha yamagazi yaying'ono yomwe imayandikana kwambiri.
• Cavernous hemangiomas (angioma cavernosum, cavernoma) ndi ofanana ndi sitiroberi hemangiomas koma ndi yakuya ndipo imawoneka ngati malo ofiira ofiira abuluu aminyama yodzaza magazi.
• Zigamba za salimoni (kulira kwa dokowe) ndizofala kwambiri. Mpaka theka la ana onse obadwa kumene amakhala nawo. Ndi ang'onoang'ono, pinki, mawanga athyathyathya opangidwa ndi mitsempha yaying'ono yamagazi yomwe imatha kuwoneka pakhungu. Amakonda kupezeka pamphumi, zikope, mlomo wapamwamba, pakati pa nsidze, ndi kumbuyo kwa khosi. Zigawo za saumoni zimatha kuwonekera kwambiri khanda likalira kapena pakusintha kwa kutentha.
• Madontho a vin-port ndi ma hemangiomas athyathyathya opangidwa ndi mitsempha yaying'ono yamagazi (ma capillaries). Madontho a vin-port pankhope amatha kuphatikizidwa ndi matenda a Sturge-Weber. Amakonda kupezeka pankhope. Kukula kwawo kumasiyanasiyana kuyambira zazing'ono kwambiri mpaka kupitirira theka la mawonekedwe a thupi.

Zizindikiro zazikulu za zizindikiro zakubadwa ndizo:

• Zolemba pakhungu lomwe limawoneka ngati mitsempha yamagazi
• Kutupa pakhungu kapena zotupa zomwe ndizofiira

Wothandizira zaumoyo ayenera kuwunika zonse zobadwa nazo. Kuzindikira kumatengera momwe mabarkmark amawonekera.

Kuyesa kotsimikizira zizindikiritso zakuya ndizo:

• Khungu lakhungu
• Kujambula kwa CT
• MRI ya m'derali

Ma sitiroberi ambiri a hemangiomas, ma cavernous hemangiomas, ndi mabala a saumoni ndi akanthawi ndipo safuna chithandizo.

Madontho a vinyo wa Port sangasowe chithandizo pokhapokha:

• Sinthani mawonekedwe anu
• Kuyambitsa nkhawa
• Zimapweteka
• Sinthani kukula, mawonekedwe, kapena utoto

Zizindikiro zambiri zobadwira sizimachiritsidwa mwana asanakwanitse sukulu kapena chizindikirocho chikuyambitsa zizindikilo. Madontho a vinyo Port ndi nkhope ndizosiyana. Ayenera kuthandizidwa ali achichepere kuti apewe zovuta zamaganizidwe ndi chikhalidwe. Opaleshoni ya laser itha kugwiritsidwa ntchito kuwachiritsa.

Zodzoladzola zobisa zimatha kubisa zikhazikitso zosatha.

Oral kapena jekeseni ya cortisone imatha kuchepetsa kukula kwa hemangioma yomwe ikukula mwachangu ndikukhudza masomphenya kapena ziwalo zofunika.

Mankhwala ena azizindikiro zobiriwira zobiriwira ndi monga:

• Beta-blocker mankhwala
• Kuzizira (cryotherapy)
• Opaleshoni ya Laser
• Kuchotsa opaleshoni

Zizindikiro za kubadwa sizimayambitsa mavuto, kupatula kusintha mawonekedwe. Zizindikiro zambiri zobadwa zimachoka paokha mwana akafika kusukulu, koma zina ndizokhazikika. Njira zotsatirazi zakukula kwa mitundu yosiyanasiyana yazizindikiro:

• Strawberry hemangiomas nthawi zambiri imakula msanga ndikukhala ofanana. Kenako amapita. Ma sitiroberi ambiri a hemangiomas amakhala atapita mwana ali ndi zaka 9. Komabe, pakhoza kukhala kusintha pang'ono pakhungu kapena puckering pakhungu pomwe panali birthmark.
• Ma cavernous hemangiomas ena amapita pawokha, nthawi zambiri mwana ali pafupi zaka zakusukulu.
• Zigamba za salimoni nthawi zambiri zimatha mwana akamakula. Zigamba kumbuyo kwa khosi sizingathe. Nthawi zambiri samawoneka tsitsi likamakula.
• Madontho a vinyo wa doko nthawi zambiri amakhala osatha.

Zovuta zotsatirazi zitha kuchitika kuyambira pakubadwa:

• Kuvutika mumtima chifukwa cha mawonekedwe
• Kusasangalala kapena kutuluka m'magazi obadwira (nthawi zina)
• Kusokoneza masomphenya kapena ntchito zathupi
• Zovuta kapena zovuta pambuyo pochita opaleshoni kuti muwachotse

Uzani wothandizira zaumoyo wanu kuti ayang'ane zizindikiro zonse zobadwa.

Palibe njira yodziwikiratu yodzitetezera zizindikiro zakubadwa.

Chizindikiro cha Strawberry; Kusintha kwa khungu lamitsempha; Angioma cavernosum; Capillary hemangioma; Hemangioma simplex

• Stork kuluma
• Hemangioma kumaso (mphuno)
• Hemangioma pachibwano

Khalani TP. Zotupa zam'mimba ndi zovuta. Mu: Habif TP, mkonzi. Matenda Opatsirana Matenda. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2016: chap 23.

Paller AS, Mancini AJ. Zovuta zam'mimba kuyambira ali wakhanda komanso ubwana. Mu: Paller AS, Mancini AJ, eds. Matenda Ovulaza Achipatala a Hurwitz. 5th ed. Philadelphia, PA: Elsevier; 2016: chap 12.

Patterson JW. Zotupa zamitsempha. Mu: Patterson JW, mkonzi. Matenda a Khungu la Weedon. Wolemba 4. Philadelphia, PA: Elsevier; 2016: chap 38.