Inenge 3% yevana vanoberekwa vane ganda rakafuridza rima rakatsvuka pameso kana kuti musoro, uye 10% yevana vanoumbwa mukati megore rokutanga rehupenyu. Iyi hemangioma inonzi tumorine inorwara ine masero ayo anotenderera masvingo emidziyo yeropa. Neoplasm inowanzozvipira kuzvisarudzira.
Hemangioma muzvitsva - zvinokonzera
Hazviri pachena kuti nei chirwere ichi chichionekwa muvana. Zvichida, hemangioma muchechecheche pamusoro pemusoro inoumbwa munguva yekumbryonic mushure mekupedzisira kwekuvandudzwa kwemasvipa eropa. Izvi zvinogona kukonzerwa nokushandiswa kwemimwe mishonga panguva yekuzvitakura, kutumirwa kwepemheta-viral uye zvirwere zvebhakitiriya .
Pane zvimwe zvinokonzera kukonzera hemangioma muchecheche, zvikonzero hazvina kunaka mumamiriro ezvinhu ezvemhuka kana kushandiswa kwezvinhu zvinosvibisa naamai. Zvidzidzo zvenguva pfupi zvakaratidza kuti chirwere chinorwara chinorangarirwa chinogona kukonzerwa nezvinetso zvehomoni, kunyanya kana musikana ari mukadzi.
Mhando dze hemangiomas muzvitsva
Kuenzanisa kweiyo inotsanangurwa neoplasm inobva pane zvayo zvinonzi morphological features. Hemangioma muvana inoparadzaniswa muzvikamu zvinotevera:
- iri nyore ( capillary );
- cavernous ( cavernous );
- akavhenganiswa (akabatanidzwa).
Capillary hemangioma muzvitsva
Izvi zvakasiyana-siyana zvebonde rinorwara rine masero akaisa mukati memasvingo emadzivi emidziyo yeropa. A simple hemangioma pachiso chomwana (kana pamusoro) haisi yakadzika kupfuura epidermal layer. Iine miganhu yakajeka, chimiro chakazara-chengetedzwa kana chinogunzva. Kana iwe uchinge uchinge uchinge uchinge uchitarisa, huchasvibiswa, uye nekukurumidza udzorere unhu hwahwo, ruvara rwebhuruu-bluish, ruvara.
Cavernous hemangioma muzvitsva
Iro cave inorwara yechirwere ichi iri pasi peganda. Inoumbwa nemapoka akawanda akazara neropa. Cavernous hemangioma muchechecheche inenge yakaita se cyanotic tubercle nechepfa uye yakasununguka. Kana kushandiswa kunoshandiswa kune bundu, rinowira uye rinoputika nekuda kwekubuda kweropa kubva mumakumbo. Kana mwana achikwevera, tights, kana zvimwe zvinetso zvinowanzoitika nekuwedzera kukumanikidza, kukura kunowedzera mukukura.
Akabatanidza hemangioma muzvitsva
Mixed variant pathology inosanganisira maitiro echirwere chisina kuchena uye chechivernous. Cavernous-vascular hemangioma muvana haisanganisi masero emadziro edzimba, asiwo mamwe matukisi:
- kutya;
- kuwirirana;
- lymphoid.
Akabatanidza hemangioma muzvitsva zvinokwana zvose zvisingatauri uye zviduku. Inogona kufambira mberi nenzira dzakasiyana-siyana:
- angioneuroma;
- hemlymphangioma;
- angiofibroma nevamwe.
Hemangioma - zviratidzo
Kliniki yemufananidzo webenign neoplasm ndeyechokwadi, saka zvinonzwisisika zviri nyore kuongorora pamwe nedermatologist. Hemangioma inoratidzika seiyi muchecheche inobva kune yakarudzi rwayo:
- Zviri nyore - burgundy bluish tubercle nemakona akajeka uye knobby chimiro, chakafanana newart.
- Cavernous - subcutaneous kutuka kwe cyanotic ruvara. Inonyatsoratidza izvo izvi hemangioma inoratidzika sezvitsva, mufananidzo uri pasi apa.
- Mixed -a neoplasm, chikamu chiri pasi peganda, rinoratidzika sechimiro chema capillary.
Nzira yekusiyanisa hemangioma kubva pakaberekwa?
Izvo zvakaoma kuti vabereki vazviriritire pachavo kusiyanisa marondedzero ezvirwere uye zvimwe zvikanganiso zveganda. Hemangioma yeganda muzvitsva zvinogona kufanana nevus guru (birthmark), birthmark kana wart. Kwake kubva kune idzi zvinyorwa zvisinganzwisisiki, unofanirwa kuisa kudzvinyirira zvishoma pamudhu. Hemangioma pakarepo inotendeuka nekuda kwekubuda kweropa, asi zvishoma nezvishoma ichadzorera ruvara rwayo. Iyo yakasara ganda rakashata icharamba iri mumvuri mumwe chete. Chimwe chechiratidzo ndechekuti kutonhora kwechirwere kunopfuvura zvishoma kune zvevakakidzani.
Matambudziko ehemangioma kuvana
Bheniin neoplasm haigoni kukonzera migumisiro ine ngozi. Mune zviitiko zvakawanda, vascular hemangioma muzvitsva zvinorwadza uye hazviwedzere muhukuru. Iyo inowanzotanga kukura uye inotungamirira kumatambudziko akadaro:
- kubuda ropa pakurwisa kushungurudzika;
- hutachiona hwemuviri, kudyidzana;
- kuwirirana kwezvimwe zvipfeko uye zvivako zvehupenyu, kuputsa kwemaitiro avo;
- kurwara kweyeoplasm;
- necrosis (kufa) kweganda.
Nzira yekurapa hemangioma sei muchecheche?
Kana mwana wacho akaonekwa kuti ane chirwere chechirwere chechirwere, chiremera chacho chinongova nemasero emasero uye haisi nyore kukura nokukurumidza, kumirira-uye-kuona maitiro anoshandiswa. Rudzi urwu rwesupupuri runongobata nguva dzose kutarisa. Inofanira kuve yakasimbiswa kuti haina kukura muhukuru kana kukura zvishoma nezvishoma, zvichienderana nemutumbi wemucheche.
Kazhinji capillary hemangiomas inopera zvakasununguka sezvo mwana akura. Kuzvidzora kunowanzoitika zvishoma nezvishoma. Chokutanga, pakati pegumbo racho rinenge rakaita sedenga, riri pedyo nemuvara kune mumvuri wakazara weganda. Vanowedzera, vanosvika kumiganhu yenheyo yakavakwa. Mumakore mashomanana, neoplasm inogara iri duku uye pakupedzisira inonyangarika nemakore matatu kusvika ku7.
Ne cavernous uye yakavhenganiswa nehutachiona, kushandiswa kwakanyanya kwehemangioma muvana kunoratidzwa. Nzira dzekushanda dzinongororwa kubva pamakore emwedzi mitatu, kupindira kunowanzoitwa pasina kuvhima kunoitwa mumucheche (kubvira mavhiki 4-5 ehupenyu). Zvichienderana nemamiriro ezvinhu ose emuviri, rudzi rwechirwere, uwandu hwayo nekukura kwemaitiro, chiremba achapa maitiro akasiyana-siyana ekushanda:
- sclerosing;
- crystestruction;
- electrocoagulation;
- laser removal;
- chirurgical excision.
Sclerotherapy ye hemangioma muvana
Iyi nzira yekurapa inoonekwa seyo inonyanya kuregerera, asi inoda kushandiswa kwezvikamu zvakasiyana-siyana. Sclerotherapy inorondedzerwa kana hemangioma inowanikwa mune vana vari pasi pegore rimwe chete, inowanikwa mumucu membrane, chiso kana parotid region, ine zviduku zvishoma. Muchiripo chechirwere chikuru mumwana achangoberekwa, nzira iyi haina kukodzera nekuda kwengozi yekucheka uye zvironda paganda.
Sclerotherapy inoitwa mumatanho:
- Kugadzirira. Nzvimbo yakarapwa inoparadzwa neine antiseptic, doro kana iodine solution.
- Anesthesia. Ganda rinogadziriswa nechinzvimbo chekushongedza.
- Nhanganyaya yezvinyorwa. Izvo zvinoshandiswa zvinonyanya kunwa doro (70%) kana sodium salicylate (25%). Kazhinji vana vanopiwa quinine urethane. Ichi chirwere chinokwidzidza zvakanyanya mano, asi inonyanya kuora, kunyanya kana mwana ari mucheche. Injection inogadzirwa nemishonga yakaonda kwazvo (0.2-0.5 mm). Nokuda kwekugadzirisa majekiseni mashoma majekiseni anoitwa, iyo yakawanda inotarirwa maererano nehukuru hwebonde rebenign.
- Kuvhiringidza. Mushure mekunyora, midziyo inoputika uye inoputika, inotsiviwa nehutachiona. Izvi zvinotora mazuva 7-10, uye kuputika kunopera.
- Dzokorora nzira yacho. Kusvikira kupera kwekugadziriswa kweeoplasm, injenji 3 kusvika ku15 dzinodiwa.
Kuchema kwemvura ye hemangioma
Nzira yakatsanangurwa yekushungurudza kwepamuviri muzvakaberekwa inokurumidza uye inenge isisina kurwadziwa, asi inosanganisira mamwe matambudziko. Nemubatsiro wekuchema, hemangioma inobviswa vana kusvikira pagore kana iyo neoplasm isingawaniki pachiso. Mushure mekunge maona kuine nitrojeni yakasvibiswa, ruvara runowanikwa runogona kuramba ruchiri paganda, uye kunyange chisimbiso chekodeve, icho chinofanira kubviswa neasera rinomutsazve pane imwe nguva.
Nzira yekugadzirisa:
- Antiseptic treatment. Hemangioma inoparadzwa newaini kana kuti isina simba iodine solution.
- Kusununguka. Kuburikidza neganda rakapfava, jet yeakisijeni yakasvibiswa inowedzerwa neoplasm kwemasekondi 3-10, zvichienderana nekukura kwechirwere.
- Kuparadzwa kwehemangioma. Mushure mokunge kusvibiswa, blister ine zvinyorwa zviri mukati inowanikwa munzvimbo isina kukwana. Iyi ndiyo nzira yakasarudzika yekunyangarika kweyeoplasm uye rufu rwemitsipa yeropa.
- Kudzorera. Zvishoma nezvishoma blister inova duku uye yakasununguka. Munzvimbo yayo pane mavara akaoma.
- Kuporesa. Panguva yekuvandudza, zvinodiwa kurapa ronda nekuomeswa kweanoriseptic solutions. Zvinokurudzirwa kuisa swaddle iyo inoberekwa patsva kana kuisa mittens kuitira kuti mwana wacho asingaiti hake kubvisa makusti. Vanofanira kuwira pachavo pachavo.
Electrocoagulation ye hemangioma
Kunzwa kutyisidzirwa kunofungidzirwa kuti ndiyo imwe yenzira dzakanakisisa uye dzinokurumidza nzira yekurwisana nehutachiona. Nekubatsirwa kwe electrocoagulation, chete mutsara (nyore) hemangioma muzvitsva inobatwa, kubviswa kwe cavernous kana kuchanganidzwa neoplasm kunogona kuzadziswa nedzimwe nzira. Kubatsirwa kwegadziriro iyi mubvunzo ndeyekuti inogona kubvisa chirwere mumusangano mumwe chete, pangozi yehutachiona hwekuvadzwa uye kupora nokukurumidza.
Electrocoagulation process:
- Antiseptic kurapa kweganda. Kazhinji doro kana iodini inoshandiswa.
- Local anesthesia. Munharaunda iyi ne hemangioma, majekiseni akawanda neanesthetic anoitwa.
- Kubviswa. Nokushandisa benzi resimbi mumhando yesimbi, chiremba anovhiya anorwisa tumarara ane magetsi kwemaminitsi 1-5, zvichienderana nekukura kwechirema.
- Kuvandudza. Munzvimbo yakarapwa, inenge pakarepo vanga rinoumbwa, rakafukidzwa nechitsiko. Haikwanise kubviswa, mwana achangoberekwa achafanirwa kuputika maoko ake.
Kubviswa kwehemangioma ne laser muvana
Iyo yakataurwa nzira yekurapa ndiyo yakachengeteka uye inobudirira zvikuru pamamota ari pamusoro peganda rechechecheche. Kubviswa kwehemangioma muvana nea laser kunogona kuitwa panguva ipi neipi, kunyange kana mwana ari mucheche (kubva pamwedzi wekutanga). Iyi teknolojia inopa chikonzero chaidiwa kwechitsauko 1, haitungamiri pakuumbwa kwezvinotyisa uye zvinodzivisa kudzokazve kwehutano.
Icho chiito chechiito che laser ndeye kubuda uye kuvepa ropa mumidziyo. Masvingo avo akabatanidzwa pamwe chete, uye iyo yakashata yakaipisisa zvishoma nezvishoma.
Nhanho dzokunyengera:
- Antiseptic kurapa kweganda.
- Local anesthesia ane injections ye anesthetic.
- Kushandiswa kwechiremera chechiremera chinonzi laser beam.
- Isa bhanhire risina kuchena kune mafuta anoporesa.
- Ganda rinodzokorora. Munguva yekuvandudza nguva, vabereki vechecheche vanofanira kugara vachibata ronda pamwe nevanorayirirwa, vanoshandisa kuporesa mafuta kana mafuta, musabvumira mwana kuti abvise majee.
Kugadziriswa kubviswa kwehemangioma
Iyo nzira inoshandiswa inoshandiswa muzviitiko zvisingawanzoitiki, apo ruvara rutsva harunogara panzvimbo yeganda, asi mumakamuri aro akadzika. Asati abvisa hemangioma muvana vane scalpel, chiremba anokwanisa kuronga kugadzirira nzira kana kugadzirisa kuderedza ukuru hwekuvaka-up.
Nhanho dzekushanda:
- Anesthesia. Zvichienderana nehukuru hwechirema, musha kana aneshehesia inoshandiswa.
- Excision. Achishandisa scalpel, chiremba anochera hemangioma uye hutete hwakatsetseka hwehutano hwakapoteredza kuti hudzivirire zvakare.
- Kushamba, kurapwa kwepiriseptic yevanga.
- Kushandisa bhanhire risina kuchena ne antibacterial uye kuporesa mafuta.
- Nguva yekudzorera. Kudzoka kunogona kupedza vhiki dzinoverengeka. Nekuchengetedza kwakakodzera mwana achangoberekwa, hapana mavanga kana kuti anenge ava asingaoneki.