He aha ka Hemangioma Akū? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka hemangioma akū he ʻano maʻi ʻaʻohe ʻino (ʻaʻohe kanesa) i hana ʻia e nā kīʻaha koko ma kou akū. He mea maʻamau loa kēia mau ulu a he mea ʻinoʻino ʻole ia, ʻoiai ke manaʻo nui paha ke ʻike ʻia.

ʻO ka hapa nui o nā hemangioma akū he liʻiliʻi a ʻaʻohe hōʻailona. Nui nā kānaka e ola ana i ko lākou ola holoʻokoʻa me ka ʻike ʻole ʻana i loaʻa iā lākou. Hoʻokū ʻia pinepine lākou ma ka pōʻino i nā hoʻokolohua kiʻi i hana ʻia no nā kumu ʻē aʻe, e like me ka ultrasound a i ʻole ka CT scan.

He aha nā hōʻailona o ka hemangioma akū?

ʻAʻohe hōʻailona o ka hapa nui o nā hemangioma akū. ʻO ka hapa nui o nā kānaka me kēia mau maʻi ʻaʻohe ʻino e manaʻo maʻamau loa a ʻaʻohe manaʻo iā lākou a hiki i ka hōʻike ʻana mai o kahi scan maʻamau.

Ke loaʻa nā hōʻailona, he māmā loa ia a loaʻa wale nō i nā hemangioma nui (ma mua o 4 iniha). Eia nā mea āu e ʻike ai inā ke hana nei kāu hemangioma i nā hōʻailona:

• Manaʻo piha a i ʻole ʻoluʻolu ʻole i kou ʻōpū ʻākau luna
• ʻEha ʻōpū māmā e hele mai ana a hele aku
• Nausea a i ʻole nalowale o ka makemakeʻai
• Manaʻo piha koke i ka ʻai ʻana

Loaʻa kēia mau hōʻailona no ka mea hiki i ka hemangioma nui ke pā i nā kino kokoke a i ʻole ke kāʻili i ka uhi o waho o ka akū. ʻO ka ʻoiaʻiʻo maikaʻi, ʻoiai ke loaʻa nā hōʻailona, he mea ʻinoʻino ʻole a ʻaʻohe weliweli i ke ola.

He aha nā ʻano o ka hemangioma akū?

Hoʻokaʻawale ʻia nā hemangioma akū ma muli o ko lākou nui a me nā hiʻohiʻona. Hiki i ka hoʻomaopopo ʻana i kēia mau ʻokoʻa ke kōkua iā ʻoe e hoʻomaopopo maikaʻi i ka mea e wehewehe nei kāu kauka.

ʻO nā hemangioma liʻiliʻi (ma lalo o 2 iniha) ka ʻano maʻamau loa. ʻAʻole pinepine nā hui liʻiliʻi o nā kīʻaha koko i nā pilikia a ʻaʻole pono e mālama a nānā.

ʻOi aku ka liʻiliʻi o ka nui o nā hemangioma nui (4 iniha a ʻoi aku paha), akā ʻoi aku ka nui o ka hōʻike ʻana i nā hōʻailona. He mea maʻamau loa nā hemangioma nui, ʻoi aku ma mua o 6 iniha, akā pono paha e nānā pono ʻia.

ʻO ka hapa nui o nā hemangioma, ʻo ia ka mea i kapa ʻia e nā kauka he mau hemangioma “maʻamau,” kahi i loaʻa ai kahi hiʻohiʻona kūikawā ma nā kiʻi scan. I kekahi manawa, hiki i kahi hemangioma “ʻaʻole maʻamau” ke ʻano like ʻole ma nā scan a pono e hoʻokolohua hou ʻia e hōʻoia i ka maʻi.

He aha ke kumu o ka hemangioma ate?

ʻAʻole maopopo loa ke kumu o nā hemangioma ate, akā me he mea lā ua loaʻa mai ka hānau ʻana ma ke ʻano he hoʻololi hoʻomohala. E noʻonoʻo iā lākou he mea ʻē aʻe i ke ʻano o ka hoʻokumu ʻana o kou mau kīʻaha koko i kou wā e ulu ana i loko o ka ʻōpū.

ʻAʻole kēia i hana ʻia e kekahi mea āu i hana ai a ʻaʻole paha i hana. ʻAʻole pili kēia i ka hoʻohana ʻana i ka waiʻona, ka ʻai, nā lāʻau lapaʻau, a i ʻole nā ​​koho nohona. Hōʻike wale lākou i kahi ʻokoʻa maikaʻi ʻole i ke ʻano o ka hoʻomohala ʻana o kekahi mau kīʻaha koko i kou ate.

Hiki i nā hormones, ʻoi aku hoʻi ka estrogen, ke hoʻopili i ka ulu ʻana o ka hemangioma. ʻO ia ke kumu e ʻike pinepine ʻia ai lākou i nā wahine a hiki ke ulu iki i ka wā hāpai a i ʻole me ka lāʻau hoʻololi hormone. Eia naʻe, he liʻiliʻi kēia ulu ʻana a ʻaʻole pōʻino.

I ka wā e ʻike ai i ke kauka no ka hemangioma ate?

Inā ua haʻi ʻia ʻoe he hemangioma ate kāu, ʻaʻole pono ʻoe e hopohopo a holo i ka lumi pilikia. He mau ulu maikaʻi kēia e liʻiliʻi loa ka hōʻike ʻana i nā pilikia koʻikoʻi.

Pono ʻoe e hoʻokaʻaʻike i kāu kauka inā loaʻa iā ʻoe ka ʻeha ʻōpū mau, ʻoi aku hoʻi ma kou ʻaoʻao ʻākau luna. ʻOiai he mea maʻamau ʻole kēia ʻeha ma muli o ka hemangioma ponoʻī, pono ia e nānā ʻia e kāpae i nā kumu ʻē aʻe.

E ʻimi i ka mālama ola kino koke inā loaʻa iā ʻoe ka ʻeha ʻōpū nui, koke me ka nausea, ka luaʻi, a i ʻole ka manaʻo palupalu. ʻOiai he mea maʻamau loa, hiki i nā hemangioma nui loa ke haki i kekahi manawa, ʻoiai ke hana nei kēia ma lalo o 1% o nā hihia.

Hoʻomaopopo pinepine ʻia nā hālāwai kūkākūkā ma hope o ka mālama ʻana no nā hemangioma nui wale nō. E haʻi aku kāu kauka iā ʻoe inā a i ka wā e pono ai ʻoe i ka hoʻolālā kiʻi hou e nānā i nā loli.

He aha nā mea pilikia no ka hemangioma ate?

ʻOi aku ka nui o nā hemangioma ate i loko o kekahi mau hui, ʻoiai ʻaʻole ia he manaʻo e loaʻa nō ʻoe iā lākou inā loaʻa iā ʻoe kēia mau mea pilikia. Hiki i ka hoʻomaopopo ʻana i kēia mau ʻano ke kōkua i ka hoʻomaopopo ʻana i kāu ʻike.

ʻO ka wahine ʻana ka mea pilikia nui loa. ʻOi aku ka nui o nā wahine e loaʻa nā hemangioma ate ma mua o nā kāne, ma kahi o 3 a 5 mau manawa, ma muli paha o nā hopena hormonal, ʻo ka estrogen ke kumu nui.

He kuleana ko ka makahiki, me ka nui o nā hemangioma i ʻike ʻia ma waena o 30 a 50 mau makahiki. Eia naʻe, hiki ke loaʻa i nā makahiki a pau, me nā keiki a me nā ʻelemakule.

Eia nā mea pilikia nui i ʻike ʻia e nā kauka:

• ʻO ka wahine ʻana, ʻoi aku hoʻi i nā makahiki hānau.
• Ke hapai ʻana (hiki ke ulu iki nā hemangioma i loaʻa).
• Ke hoʻohana ʻana i ka lāʻau hoʻololi hormone a i ʻole nā ​​pila hānau.
• Ka nui o nā hapai ʻana.

He mea nui e hoʻomanaʻo he mau pilina helu wale kēia. ʻAʻohe hemangioma i loaʻa i nā poʻe he nui me kēia mau mea pilikia, a loaʻa i kekahi poʻe ʻaʻohe mea pilikia.

He aha nā pilikia e hiki ke loaʻa i ka hemangioma ate?

ʻAʻole loaʻa nā pilikia i ka hapa nui o nā hemangioma ate. Noho mau ka nui o lākou i loko o kou ola a noho mau i ka palekana loa.

Ke loaʻa nā pilikia, pili pinepine lākou i nā hemangioma nui loa (ma mua o 4 iniha). ʻOiai pēlā, he mea maʻamau loa nā pilikia koʻikoʻi a emi iho i ka 1% o nā kānaka me nā hemangioma.

Eia nā pilikia hiki ke loaʻa, mai ka mea nui loa a hiki i ka mea liʻiliʻi loa:

• Ke komo ʻana o nā ʻōpū kokoke, e hoʻoulu ai i ka ʻoluʻolu ʻole a i ʻole ka piha koke ʻana i ka ʻai ʻana
• Ke kahe koko ʻana i loko o ka hemangioma ponoʻī (maʻamau e hoʻoulu wale ai i ka ʻeha iki)
• Ke hoʻopaʻa koko ʻana i loko o ka hemangioma (ʻaʻole maʻamau he weliweli)
• Ke haki ʻana me ke kahe koko kūloko (ʻano maʻamau ʻole, emi iho ma mua o 1% o nā hihia)

E kūkākūkā kāu kauka me ʻoe inā he pilikia kāu hemangioma kūikawā no nā pilikia. No ka hapa nui o nā kānaka, ʻaʻole ia, a ʻaʻohe pono e pono ai nā mālama kūikawā.

Pehea ka hōʻoia ʻana o ka hemangioma ate?

Loaʻa ka hapa nui o nā hemangiomas ate ma ka pōʻino i ka wā o nā hoʻokolohua kiʻi i hana ʻia no nā kumu ʻē aʻe. Hiki mai ka ʻike pinepine ma ke ʻano he mea kupanaha i ka wā o ka ultrasound maʻamau, CT scan, a i ʻole MRI o kou ʻōpū.

E hoʻomaka kāu kauka me kāu mōʻaukala lapaʻau a me kahi hoʻokolokolo kino. E nīnau lākou e pili ana i nā hōʻailona āu e loaʻa ai a e ʻānai mālie i kou ʻōpū, ʻoiai ʻaʻole hiki ke ʻike ʻia nā hemangiomas liʻiliʻi ma o ka ʻili.

ʻO nā hoʻokolohua hōʻoia maʻamau e komo pū ana:

1. Ultrasound - ʻO ka hoʻokolohua mua pinepine e ʻike i kahi hemangioma
2. CT scan me ka contrast - Kūleʻa e hōʻoia i ka hōʻoia a ana i ka nui
3. MRI - Hāʻawi i nā kiʻi maopopo loa a hiki ke ʻike maopopo i ka hapa nui o nā hemangiomas
4. Nā hoʻokolohua koko - Maʻamau maʻamau akā kōkua e kāpae i nā kūlana ate ʻē aʻe

I ka hapa nui o nā hihia, ʻo ke ʻano ma luna o kēia mau scan he ʻano maʻamau loa ia ʻaʻohe pono hou aku e pono ai. I nā manawa kakaikahi, inā ʻaʻole maopopo ka hōʻoia mai nā kiʻi wale nō, hiki i kāu kauka ke ʻōlelo aku i nā scan kūikawā hou aʻe a i ʻole kahi biopsy kakaikahi loa.

He aha ka lāʻau lapaʻau no ka hemangioma ate?

ʻO ka lono maikaʻi, ʻaʻole pono ka hapa nui o nā hemangiomas ate i kahi lāʻau lapaʻau. Inā liʻiliʻi kāu hemangioma a ʻaʻole e hoʻoulu i nā hōʻailona, ʻo ka hana maikaʻi loa ke waiho wale ia.

E like paha kāu kauka e ʻōlelo aku ai i kahi ala ʻo ka "nānā a kali" no nā hemangioma liʻiliʻi, ʻaʻohe hōʻailona. ʻO ia hoʻi ka nānā kiʻi maʻamau (ma ka maʻamau i kēlā me kēia mahina 6 a 12 i ka hoʻomaka ʻana, a laila emi pinepine) e hōʻoia ai ʻaʻole ia e ulu nui ana.

Manaʻo wale ʻia ka lāʻau lapaʻau no nā hemangioma e hoʻoulu ana i nā hōʻailona a i ʻole nui loa. Ke pono ka lāʻau lapaʻau, ʻo nā koho e komo pū ai:

• Wehe ʻana ma ka ʻoki ʻana (hepatectomy) - No nā hemangioma nui, hōʻailona
• Embolization arterial - Pale ʻana i ke kahe koko e hoʻemi i ka hemangioma
• Lāʻau lapaʻau radiation - Hoʻohana ʻia ma kahi ʻano liʻiliʻi, no nā hihia kūikawā wale nō
• Hoʻololi ʻana o ke akepaʻa - Loaʻa ma kahi ʻano liʻiliʻi loa, no nā hemangioma nui he nui wale nō

Hoʻomaopopo ʻia ka ʻoki ʻana ma ka maʻamau inā ʻoi aku ka nui o ka hemangioma ma mua o 4 iniha a ke hoʻoulu nei i nā hōʻailona nui e hoʻopilikia ana i kou ola. Hana ʻia mau ka hoʻoholo no ka lāʻau lapaʻau me ka akahele, e kaupaona ana i nā pilikia a me nā pōmaikaʻi kūikawā i kou kūlana.

Pehea e mālama ai i ka hemangioma akepaʻa ma ka home?

ʻAʻole pono ka noho ʻana me ka hemangioma akepaʻa i nā loli nui o ke ola no ka hapa nui o nā kānaka. ʻOiai he mau ulu maikaʻi kēia mau mea a maʻamau ʻaʻole e hoʻoulu i nā pilikia, hiki iā ʻoe ke hoʻomau me kāu mau hana maʻamau a me nā hana maʻamau.

ʻAʻole pono ʻoe e hahai i kahi meaʻai kūikawā a pale aku i kekahi mau meaʻai. ʻAʻole e hoʻopilikia ʻia kāu hemangioma akepaʻa e ka mea āu e ʻai ai a inu ai, me ka inu waiʻona liʻiliʻi (ke ʻole ʻoe e loaʻa nā kūlana akepaʻa ʻē aʻe).

Eia kekahi mau ʻōlelo aʻo kūpono no ka mālama ʻana i ke ola me ka hemangioma akepaʻa:

• Hoʻomau i ka hoʻoikaika kino maʻamau a me nā hana kino e like me ka ʻae ʻia
• E hoʻomaopopo i kekahi mau hōʻailona ʻōpū hou a i ʻole e ʻoi aku ka maikaʻi ʻole
• E mālama i kahi moʻolelo o kāu mau hōʻike kiʻi a lawe mai iā lākou i nā hālāwai lapaʻau
• Mai pale aku i nā kaʻina hana lapaʻau pono ma muli o kāu hemangioma
• E kūkākūkā i kekahi mau lāʻau hou a i ʻole nā ​​hormones me kāu kauka

Inā hāpai ʻoe a i ʻole ke noʻonoʻo nei e hāpai, e kamaʻilio me kāu kauka e pili ana i ka nānā ʻana. ʻOiai hiki i ka hāpai ke hoʻonāukiuki iki i ka ulu ʻana o nā hemangioma ma muli o nā loli hormonal, he mea maʻamau kēia a ʻaʻole pono e pale aku iā ʻoe mai ka loaʻa ʻana o nā keiki.

Pehea ʻoe e hoʻomākaukau ai no kāu kūkā me ke kauka?

Hiki i ka hoʻomākaukau ʻana no kāu kūkā ke kōkua iā ʻoe e loaʻa ka pono loa mai kāu manawa me kāu kauka a e hōʻoia i ka pane ʻia ʻana o kāu mau hopohopo a pau. Hiki i ka loaʻa ʻana o ka hemangioma ate ke hoʻāla i nā nīnau he nui, a he mea maʻamau loa ka manaʻo hopohopo e pili ana iā ia.

Ma mua o kāu kūkā, e ʻohi i kāu mau moʻolelo lapaʻau āpau e pili ana i ka ʻike ʻana o ka hemangioma. Hoʻopili kēia i nā kope o nā hōʻike kiʻi, nā hopena hoʻokolohua koko, a me nā memo mai nā kipa kauka ma mua e pili ana i kēia kūlana.

E kākau i kāu mau nīnau ma mua o ka manawa i ʻole ʻoe e poina iā lākou i ka wā o ke kūkā. ʻO nā nīnau maʻamau e komo pū me:

• Ehia ka nui o kaʻu hemangioma?
• Pono anei iaʻu ka nānā mau, a pehea ka pinepine?
• Aia anei kekahi mau hana e pono iaʻu ke pale aku?
• Hiki anei i kēia ke hoʻopilikia i nā hāpai ʻana i ka wā e hiki mai ana a i ʻole nā ​​kaʻina hana lapaʻau?
• He aha nā hōʻailona e pono ai iaʻu ke kāhea aku iā ʻoe?

E hoʻomākaukau pū i ka papa inoa o nā lāʻau lapaʻau, nā mea hoʻohui, a me nā wikamina āu e lawe ai. ʻOiai ʻaʻole pili ka hapa nui i nā hemangiomas, pono i kāu kauka kahi kiʻi piha o ke kūlana o kou olakino.

He aha ka mea nui e lawe aku e pili ana i ka hemangioma ate?

ʻO ka mea nui loa e hoʻomaopopo e pili ana i nā hemangiomas ate, ʻo ia ka mea maikaʻi, maʻamau, a he mea maʻamau loa ka pilikia olakino. ʻAʻole ʻo ka loaʻa ʻana o kekahi mea ʻo ia ka maʻi ate a i ʻole ka pilikia o ka maʻi kanesa.

ʻO ka hapa nui o nā kānaka me nā hemangiomas ate e ola ana i nā ola maʻamau loa me ka ʻole o nā hōʻailona a i ʻole nā ​​pilikia. ʻO ka ʻike ʻana i ka hemangioma pinepine e hoʻonāukiuki i ka hopohopo ma mua o ke kūlana ponoʻī.

ʻOiai he mea maʻamau ke hopohopo i ka wā mua e aʻo ai ʻoe e pili ana i kāu hemangioma, e hoʻomanaʻo he mau mea kēia i waena o nā mea ʻinoʻino loa e hiki ke ʻike ʻia ma nā kiʻi o ke ate. E kōkua kāu kauka iā ʻoe e hoʻomaopopo i kou kūlana kūikawā a hoʻoholo inā pono ke nānā a i ʻole ka mālama.

E hoʻomaʻamaʻa i ka mālama ʻana i kou olakino holoʻokoʻa me ka mālama lapaʻau maʻamau, kahi ola kaulike, a me ke kamaʻilio ākea me kāu hui olakino. ʻO kāu hemangioma ate he ʻāpana liʻiliʻi wale nō ia o ke kiʻi olakino, a no ka hapanui o nā kānaka, ʻaʻole ia he ʻāpana e pono ai ka nānā nui.

Nā nīnau pinepine e pili ana i ka hemangioma ate

Hiki i nā hemangiomas ate ke lilo i kanesa?

ʻAʻole, ʻaʻole hiki i nā hemangiomas ate ke lilo i kanesa. He mau ʻōpū maikaʻi (ʻaʻole kanesa) lākou i hana ʻia mai nā kīʻaha koko a noho maikaʻi mau i kou ola. ʻAʻohe pilikia o ka hoʻololi ʻana o ka hemangioma i ka kanesa ate a i ʻole kekahi ʻano kanesa ʻē aʻe. ʻO kēia kekahi o nā ʻoiaʻiʻo hōʻoluʻolu loa e pili ana i kēia mau ulu.

E ulu mau anei kaʻu hemangioma ate?

ʻO ka hapa nui o nā hemangiomas ate e noho mau i ka nui i kou ola. Hiki i kekahi ke ulu mālie loa i nā makahiki he nui, akā he mea maʻamau ʻole ka ulu nui. Hiki i nā loli hormonal e like me ka hāpai a i ʻole ka lāʻau hormonal ke kumu i ka ulu iki, akā he mea liʻiliʻi kēia. E nānā kāu kauka i nā loli ma o nā kiʻi manawa inā pono.

Hiki iaʻu ke hoʻomaʻamaʻa maʻamau me ka hemangioma ate?

ʻAe, hiki iā ʻoe ke hoʻomaʻamaʻa maʻamau me ka hemangioma ate. ʻAʻohe pono e pale i ka hana kino, nā haʻuki, a i ʻole nā ​​hana hoʻomaʻamaʻa. ʻO nā haʻuki hoʻopili pū kekahi he mea palekana no nā kānaka me nā hemangiomas liʻiliʻi a waena. E haʻi aku kāu kauka iā ʻoe inā pono kāu kūlana kūikawā i nā hoʻololi hana, ʻo ia hoʻi ka mea maʻamau ʻole.

Pono anei iaʻu ke pale i ka waiʻona inā loaʻa iaʻu ka hemangioma ate?

ʻAʻole pono ʻoe e pale aku loa i ka waiʻona inā loaʻa iā ʻoe ka hemangioma o ke akepaʻa. ʻAʻole hoʻopilikia ka inu waiʻona liʻiliʻi i nā hemangioma a i ʻole e hoʻoino hou aku iā lākou. Eia naʻe, he mea naʻauao mau ka inu waiʻona me ke kuleana no kou olakino akepaʻa holoʻokoʻa. Inā loaʻa iā ʻoe nā kūlana akepaʻa ʻē aʻe ma waho aʻe o ka hemangioma, hiki i kāu kauka ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo kūikawā e pili ana i ka waiʻona.

Pono anei wau e hopohopo inā ʻike ʻia kaʻu hemangioma i ka wā hāpai?

ʻAʻole kumu hopohopo ka ʻike ʻana i kahi hemangioma i ka wā hāpai. ʻOiai hiki i nā hormones hāpai ke hoʻonui iki i nā hemangioma i loaʻa, he mea maʻamau kēia e alakaʻi i nā pilikia. ʻO ka hapa nui o nā wahine hāpai me nā hemangioma he hāpai a me nā hānau maʻamau loa. E nānā pono kāu kauka iā ʻoe a me kāu pēpē, a ʻaʻole pinepine ka hemangioma e hoʻopilikia i kāu mālama hāpai.