Hemangioma ni iki? Ibimenyetso, Impamvu, n'Uko Ivurwa

Hemangioma ni ikibuno gitukura cyane cyavutse gifite imiyoboro y'amaraso yiyongereye iteraniye hamwe munsi y'uruhu rwawe. Aya mabumbe atari kanseri (atarwaye kanseri) akunze kugaragara, agera kuri 1 kuri abana 10, kandi nta ngaruka mbi agira mu bihe byinshi.

Tekereza kuri hemangiomas nk'uburyo umubiri wawe ukoresha mu gukora urusobe rw'imiyoboro y'amaraso muri kimwe cy'ibice. Nubwo bishobora kugaragara nabi ku babyeyi bashya, ibi bimenyetso bisa n'icyeragi ni igice gito cy'iterambere ry'umwana wawe kizashira uko igihe kigenda.

Ibimenyetso bya hemangioma ni ibihe?

Hemangiomas isanzwe igaragara nk'ibice byuzuye, bitukura cyane, byoroshye kandi bisa n'ifu.

Dore ibimenyetso bisanzwe ushobora kubona:

• Ibibuno bitukura cyane, byuzuye bisa n'icyeragi
• Uburoro bworoshye, bushobora gukinishwaho
• Kwiyongera vuba mu mezi ya mbere
• Kuba umweru (guhinduka umweru) iyo ukinishijweho, hanyuma ugasubira kuba utukura
• Ubushyuhe ugereranije n'uruhu ruri hafi

Hemangiomas nyinshi zitangira ari nto kandi zikura vuba mu mwaka wa mbere w'umwana wawe. Nyuma y'iki gihe cyo gukura, zisanzwe zitangira kugabanuka no kuzimira, zikaba zarazimye burundu zigeze ku myaka 5 kugeza kuri 10.

Mu bihe bidasanzwe, hemangiomas ziri munsi zishobora kugaragara zera cyangwa zijimye aho kuba zitukura, kandi zimwe zishobora gutera kubyimba gato mu gice kiri hafi. Iyi mpinduka ni isanzwe kandi isanzwe ikurikira uburyo bumwe bwo gukura no kugabanuka.

Ubwoko bwa hemangioma ni ubuhe?

Hemangiomas ifite ubwoko butatu nyamukuru, buri bwoko bufite imico itandukanye gato. Gusobanukirwa ubwoko umwana wawe afite bishobora kugufasha kumenya icyo witeze uko ikura.

Ubwoko busanzwe harimo:

• Hemangiomas zo hejuru: Ibibuno bitukura cyane, byuzuye ku ruhu rugaragara bisa n'icyeragi
• Hemangiomas zo munsi: Ibibuno byera cyangwa bijimye biri munsi y'uruhu
• Hemangiomas zivanze: Ihuriro ry'ibice byo hejuru n'ibyo munsi

Hemangiomas zo hejuru ni zo zoroshye kubona kandi zigize hafi 60% by'ibintu byose. Hemangiomas zo munsi bishobora kuba bigoye kubona mbere ariko bikaba byigaragaza uko bikura.

Mu bihe bidasanzwe cyane, bamwe mu bana bashobora kugira hemangiomas nyinshi, ibyo bishobora kugaragaza uburwayi bwitwa hemangiomatosis. Ibi bisaba ubuvuzi kugira ngo habeho gusuzuma hemangiomas zo imbere zishobora kugira ingaruka ku mubiri.

Impamvu ya hemangioma ni iyihe?

Impamvu nyakuri ya hemangiomas ntiyumvikana neza, ariko itera iyo imiyoboro y'amaraso yiyongereye kurusha uko bisanzwe mu gice runaka. Ibi bibaho mu gihe umwana wawe ari gutera imbere, bikaba byatuma habaho iteraniro ry'imiyoboro y'amaraso yiyongereye igira uruhare mu kugaragara kw'ikibuno gitukura.

Ibintu bimwe bishobora kongera ibyago byo kugira hemangiomas:

• Kuvuka mbere y'igihe cyangwa ufite ibiro bike
• Kuba umukobwa (abakobwa bafite ibyago byinshi inshuro 3-5)
• Kuba ufite ubwoko bw'uruhu rwera
• Kuba wavutse ari benshi (impanga, utatu)
• Kuba ufite nyina wagize ibibazo byo gutwita

Ni ngombwa gusobanukirwa ko hemangiomas atari impamvu y'icyo wakoze cyangwa utakoreye mu gihe cyo gutwita. Ni impinduka gusa mu buryo imiyoboro y'amaraso itera imbere, kandi ntibishoboka kuyikumira.

Mu bihe bidasanzwe cyane, ibintu by'umuzuko bishobora kugira uruhare, cyane cyane iyo abagize umuryango benshi bagize hemangiomas. Ariko, ibintu byinshi bibaho nta mateka y'umuryango.

Ni ryari ukwiye kujya kwa muganga kubera hemangioma?

Hemangiomas nyinshi nta ngaruka mbi zigira kandi ntizigomba kuvurwa vuba. Ariko, ugomba kuba ufite umuganga wawe ugenzura ikibuno cyose gishya kugira ngo yemeze uburwayi kandi akurikirane iterambere ryacyo.

Hamagara muganga wawe ako kanya ubonye:

• Kwiyongera vuba bigaragara nabi
• Kuva amaraso cyangwa ibikomere ku hemangioma
• Ibimenyetso by'indwara nk'ifu, ubushyuhe bwinshi, cyangwa umutuku ugaragara
• Aho iri hafi y'amaso, izuru, akanwa, cyangwa agace k'imbere
• Hemangiomas nyinshi zigaragara icyarimwe

Hemangiomas iri mu duce runaka ishobora kuba ikenewe kwitabwaho byihariye kuko ishobora kubangamira imikorere y'ingenzi. Urugero, iziri hafi y'amaso zishobora kugira ingaruka ku iterambere ry'ububone, mu gihe iziri mu gace k'imbere zishobora kuba zifite ibibazo byo gucika intege no kuva amaraso.

Niba umwana wawe afite hemangiomas zirenze eshanu, muganga wawe ashobora kugusaba ibizamini byongeyeho kugira ngo asuzume hemangiomas zo imbere, nubwo iyi mimerere ari nke cyane.

Ibyago byo kugira hemangioma ni ibihe?

Ibintu bimwe bituma hemangiomas ibafite ibyago byinshi byo kugira, nubwo kugira ibi byago ntibihamya ko umwana wawe azayigira. Gusobanukirwa ibi bintu bishobora kugufasha kumenya icyo ugomba kwitondera.

Ibyago by'ingenzi harimo:

• Kuvuka mbere y'igihe (cyane cyane mbere y'ibyumweru 32)
• Kuvuka ufite ibiro bike (munsi ya 1.5 kg)
• Kuba umukobwa
• Kuba ufite ubwoko bw'uruhu rwera
• Kuvuka ari benshi (impanga cyangwa utatu)
• Kuba nyina afite imyaka myinshi
• Nyina afite amateka ya preeclampsia cyangwa ibibazo by'umurama

Abana bavutse mbere y'igihe bafite ibyago byinshi, hemangiomas igaragara kugeza kuri 30% by'abana bavutse mbere y'ibyumweru 32. Ibi birashoboka kuko iterambere ry'imiyoboro y'amaraso ryabo rikomeza hanze y'inda.

Nubwo ibi byago ari byiza kubimenya, ibuka ko abana benshi bafite ibyago byinshi batagira hemangiomas, kandi abana benshi badafite ibyago byinshi bayigira. Buri kintu ni cyo cyihariye.

Ingaruka zishoboka za hemangioma ni izihe?

Uruhare runini rwa hemangiomas nta ngaruka mbi rugira kandi rugabanuka ubwaryo. Ariko, bimwe mu bihe bishobora kuba bikenewe kuvurwa kugira ngo hirindwe ibibazo cyangwa kuvura ibimenyetso.

Ingaruka zishoboka zishobora kuba:

• Ibibyimba (ibikomere bishobora kubabaza kandi bikaba bifite ibyago byo kwandura)
• Kuva amaraso kubera imvune cyangwa gukorakoranya
• Kubangamira ububone, guhumeka, cyangwa kurya
• Impinduka z'uruhu ziramba nyuma yo kugabanuka
• Ingaruka zo mu mutwe kubera aho iri

Ibibyimba ni cyo kibazo gisanzwe, kiba kuri hafi 10% bya hemangiomas. Ibi bishoboka cyane mu duce dufite ubushyuhe, nko mu gace k'imbere cyangwa aho imyenda ikorakora.

Mu bihe bidasanzwe cyane, hemangiomas nini zishobora gutera ibibazo by'umutima kubera kwiyongera kw'amaraso, cyangwa gukanda ibice biri hafi. Hemangiomas iri hafi y'inzira yo guhumeka ishobora gutera ibibazo byo guhumeka, mu gihe iziri hafi y'amaso zishobora kugira ingaruka ku iterambere ry'ububone.

Ingaruka nyinshi ziravurwa neza hamwe no kwitabwaho neza kwa muganga, kandi ingaruka zikomeye ni nke cyane.

Hemangioma imenyekanwa gute?

Abaganga bashobora kumenya hemangiomas gusa babireba kandi bakabona uburyo ibaye. Igaragara nk'icyeragi kandi ibaye umweru iyo ukinishijweho, bituma biroroshye kuyimenya.

Umuganga wawe azasuzuma ikibuno kandi akubaze:

• Igihe wabimenye bwa mbere
• Umuvuduko wayo wo gukura
• Impinduka zose mu ibara cyangwa imiterere
• Niba kuva amaraso cyangwa gutera ububabare
• Amateka y'umuryango wawe y'ibimenyetso nk'ibi

Mu bihe byinshi, nta bizamini byongeyeho bikenewe. Ariko, niba hemangioma iri ahantu hakomeye cyangwa niba umwana wawe afite hemangiomas nyinshi, muganga wawe ashobora kugusaba ibizamini byo kubona amashusho.

Ultrasound ishobora gufasha kumenya ubwinshi bwa hemangioma, mu gihe MRI ishobora gukoreshwa mu bihe bigoye cyangwa gusuzumira hemangiomas zo imbere. Ibi bizamini nta bubabare bigira kandi bifasha abaganga gutegura uburyo bwiza bwo kuvura.

Uburyo bwo kuvura hemangioma ni ubuhe?

Hemangiomas nyinshi ntizisaba kuvurwa na gato kuko zigabanuka kandi zikazimira ubwazo uko igihe kigenda. Ariko, kuvura bishobora gusabwa kuri hemangiomas itera ibibazo cyangwa iri ahantu habi.

Uburyo bwo kuvura bushobora kuba:

• Kureba no gukurikirana
• Imiti yo kwisiga nka timolol gel
• Imiti yo kunywa nka propranolol
• Laser therapy kugira ngo igaragara neza
• Kubaga mu bihe bidasanzwe

Propranolol, imiti y'umutima, yabaye uburyo bwo kuvura hemangiomas zifite ibibazo. Ikora igabanya imiyoboro y'amaraso kandi ikora neza iyo itangiye hakiri kare.

Timolol gel yo kwisiga ishobora gukoreshwa kuri hemangiomas nto zo hejuru. Ubu buryo bwo kuvura bukwisigwa ku ruhu kandi bushobora gufasha kugabanya umuvuduko wo gukura cyangwa kwihutisha kugabanuka.

Kubaga birakenewe gake kandi bisanzwe bibujijwe kuri hemangiomas idasubiza ku bindi bivurwa cyangwa itera ibibazo bikomeye. Abaganga benshi bakunda gutegereza no kureba uko hemangioma itera imbere mbere yo gutekereza ku buryo bwo kuvura bwakoreshejwe.

Uko witwara mu rugo mu gihe cyo kuvura hemangioma

Kwita kuri hemangioma mu rugo ni byoroshye kandi bigamije kurinda ako gace no gukurikirana impinduka. Hemangiomas nyinshi ntizisaba kwitabwaho byihariye uretse kwita ku ruhu rusanzwe.

Dore uko ushobora kwita ku hemangioma y'umwana wawe:

• Komeza ako gace ari kera kandi kumeze
• Irinde gukorakoranya cyangwa gukura kuri hemangioma
• Kwifashisha amavuta yo kwisiga aroroshye niba uruhu rumeze nabi
• Kurinda imvune hamwe n'imyenda yoroshye
• Fata amafoto buri gihe kugira ngo ukure amaso ku mpinduka

Niba hemangioma iba ibintu, komeza uyisukure hamwe n'isabune yoroshye n'amazi, kandi ushireho imiti yose yatanzwe. Fata ibice byafunguye hamwe n'ubudodo butari bwo kugira ngo wirinda ibibazo byongeyeho.

Kwitondera ibimenyetso by'indwara nko kwiyongera kw'umutuku ku nkengero, ifu, cyangwa umutuku ugaragara. Ibi bimenyetso bisaba ubuvuzi bw'ako kanya.

Ibuke ko hemangiomas ari nta ngaruka mbi kandi itazahinduka ikintu kibabaza. Intego yo kwita mu rugo ni ugutera imbaraga no kwirinda ibibazo bitari ngombwa.

Uko wakwitegura kujya kwa muganga

Kwitwara neza mbere yo kujya kwa muganga bishobora kugufasha kubona amakuru n'ubuvuzi byiza ku hemangioma y'umwana wawe. Gutegura gato bigira uruhare mu gutuma uruzinduko rugira akamaro.

Mbere y'uruzinduko rwawe:

• Fata amafoto meza agaragaza ubunini n'imiterere ya hemangioma
• Andika igihe wabimenye bwa mbere n'uko yahindutse
• Andika ibimenyetso cyangwa impungenge zose
• Zana urutonde rw'imiti ukoresha ubu
• Tegura ibibazo ku buryo bwo kuvura n'igihe

Tekereza kuzana amafoto atandukanye kugira ngo ugaragaze uko hemangioma yahindutse. Iyi ngingo y'igihe ifasha abaganga gusobanukirwa uburyo bwo gukura no gufata ibyemezo byiza byo kuvura.

Ntuzuyaze kubabaza icyo witeze mu mezi ari imbere, igihe cyo guhangayika, n'ibimenyetso bisaba kwitabwaho ako kanya. Gusobanukirwa uko bigenda bisanzwe bifasha kugabanya impungenge.

Niba kuvura byasabwe, babaze ku ngaruka mbi, umusaruro, n'ubundi buryo kugira ngo ubashe gufata ibyemezo byiza ku buzima bw'umwana wawe.

Icyo ukwiye kumenya cy'ingenzi kuri hemangioma

Hemangiomas ni ibimenyetso bisanzwe, bitari kanseri, bisanzwe bigaragara mu nda ya mbere y'ubuzima kandi bikura vuba mu mwaka wa mbere. Ikintu cy'ingenzi cyo kwibuka ni uko nta ngaruka mbi zigira mu bihe byinshi.

Hemangiomas nyinshi zigabanuka kandi zigabanuka cyane zigeze ku myaka 5 kugeza kuri 10 nta kuvurwa. Nubwo bishobora kugaragara nabi mbere, cyane cyane mu gihe cyo gukura, gake cyane bituma habaho ibibazo bikomeye.

Izerera icyo wumva ku gihe cyo gushaka ubuvuzi, ariko kandi wizeye ko kamere isanzwe ikemura ibi bimenyetso ubwayo. Gukurikirana buri gihe hamwe n'umuganga wawe bihamya ko ibibazo byose bifatwa hakiri kare kandi bigacungwa uko bikwiye.

Ibuke ko kugira hemangioma ntibigaragaza ikintu icyo ari cyo cyose wakoze nabi, kandi hamwe no kwitabwaho neza no gukurikirana, abana benshi bafite hemangiomas bagira uruhu rusanzwe, rwiza.

Ibibazo bikunze kubaho kuri hemangioma

Hemangioma y'umwana wanjye izasiga ikimenyetso kiramba?

Hemangiomas nyinshi zigabanuka cyane kandi zigasiga ikimenyetso gito cyangwa kitagaragara. Hafi 50% izimira burundu zigeze ku myaka 5, kandi 90% igaragaza iterambere rigaragara zigeze ku myaka 9. Zimwe zishobora gusiga impinduka nke z'uruhu cyangwa ibara rito, ariko ibi bisanzwe bitagaragara. Hemangioma itangira kugabanuka hakiri kare, irashobora kuzimira burundu.

Hemangiomas ishobora gusubira inyuma nyuma yo kuzimira?

Oya, hemangiomas ntisubira inyuma iyo imaze kurangiza kugabanuka. Ikora uburyo bwo gukura bukurikiwe no kugabanuka, kandi ubu buryo buramba. Ariko, umwana wawe ashobora kugira ibimenyetso bishya, bitari byo, uko akura, ibyo bishobora gutera urujijo. Ibimenyetso byose bitukura bigaragara nyuma y'uko hemangioma imaze kuzimira bigomba kumenyeshwa muganga wawe.

Ni byiza gutera inkingo umwana wanjye niba afite hemangioma?

Yego, kugira hemangioma ntigira ingaruka ku gahunda yo gukingira umwana wawe na gato. Hemangiomas ntizibangamira ubudahangarwa bw'umubiri cyangwa ntizibangamira ingaruka z'inkingo. Urashobora gukurikiza gahunda isanzwe yo gukingira yatanzwe na muganga wawe. Irinde gukingira inkingo muri hemangioma niba bishoboka, nubwo ibi bituma habaho ibibazo gake.

Ndagomba guhangayika niba hemangioma y'umwana wanjye ivuye amaraso?

Kuva amaraso make kuri hemangioma bisanzwe nta ngaruka mbi bigira, ariko bikeneye kwitabwaho. Koresha igitambaro cyiza cyiza iminota 10-15 kugira ngo uhagarike amaraso. Komeza ako gace ari kera kandi kumeze, kandi hamagara muganga wawe niba amaraso ari menshi, adashaka guhagarara, cyangwa niba ubona ibimenyetso by'indwara. Kuva amaraso bikunze kugaragaza ko hemangioma iba ibintu, ibyo bishobora kugira akamaro mu kuvurwa kwa muganga.

Ibiryo cyangwa impinduka mu mibereho bishobora gufasha hemangiomas kugabanuka vuba?

Nta biryo byihariye cyangwa impinduka mu mibereho bishobora kwihutisha kugabanuka kwa hemangioma. Ibi bimenyetso bikurikira igihe cyabyo ubwabyo hatitawe ku bintu byo hanze. Uburyo bwiza ni kwita ku ruhu rusanzwe, kurinda imvune, no gukurikirana buri gihe. Shyira imbaraga mu myitwarire isanzwe, iboneye ku mwana wawe muri rusange, ariko ntutegereze ko uburyo bwihariye buhindura uko hemangioma itera imbere.