Ukutholwa kophawu lokuzalwa esikhunjeni somntwana kuhlala kuhlaba umxhwele futhi kuphakamisa imibuzo eminingi. Ingabe kufanele sikhathazeke? Ingabe kufanele saneliswe ukuqapha noma ukungenelela? Izimpendulo.

Ngaphezu kwakho konke, ungalaleli izinkolelo ezindala ezidumile. Ibala lomntanakho i- “café-au-lait” alihlangene nokuphuza ikhofi ngesikhathi ukhulelwe. Ama-angiomas angadluli ngenxa yezifiso ezisuthi zezithelo ezibomvu. Uma singakazi kahle ukuthi singazichaza kanjani zonke lezi zinto ezincane ezikhethekile zesikhumba, kunento eyodwa eqinisekile, azihlobene neze nokuziphatha ngesikhathi sokukhulelwa.

Ngokungafani nezinye izindawo ezikhona kusukela ekuzalweni, i-hemangioma ayiveli izinsuku ezimbalwa, noma ngisho amasonto ambalwa. Okuvamile - kuthinta eyodwa ezinganeni eziyishumi - lokhu kungasebenzi kahle kwemithambo yegazi kuthinta amantombazane amaningi, izingane ezinesisindo esiphansi sokuzalwa kanye nezinsana ezizalwe ngaphambi kwesikhathi. Kutholwe ezinye izinto ezinikele: ukuguga kukamama, izilonda zeplasenta ngesikhathi sokukhulelwa (ithimba noma i-biopsy yokuxilongwa ngaphambi kokubeletha), ukhokho lwaseCaucasus, ukukhulelwa okuningi, njll.

Isikhathi esiningi, odokotela banelisekile ukuqapha ukuvela kwe-hemangioma, okwenziwa ngokuhlelekile ngezigaba ezintathu. Okokuqala, isigaba sokukhula esisheshayo, esihlala phakathi kwezinyanga ezi-3 nezingu-12 nalapho isikhumba siqala khona phezulu nangomthamo. Ibuye izinze izinyanga ezimbalwa, ngaphambi kokubuyela emuva ngokuzenzekelayo, ngaphambi kweminyaka yobudala eyi-4. Ukulandelana kwesikhumba (ukuqina kwesikhumba, ukunwebeka kwemithambo yegazi) akuvamile kepha kuhlala kwenzeka uma kwenzeka kukhula ngokweqile. Odokotela bese bekhetha ukungenelela ukuze bayimise. Kufanele futhi uzame ukukhawulela ukunwetshwa kwe-hemangioma lapho ibekwa eduze kweso noma indawo yokuphefumula. Esinye isibonakaliso sokwelashwa: ukubonakala hhayi okukodwa, njengoba kuvame ukwenzeka, kepha "kwama-strawberry" amaningana emzimbeni wonke. Kuyinto engavamile kakhulu, kepha umuntu angabe esaba ubukhona bezinye izilonda, kulokhu kungaphakathi, ikakhulukazi esibindini.

Ukwehlisa ukuqhubeka kwe-hemangioma engenayo, i-cortisone sekuyisikhathi eside iyindlela ejwayelekile yokwelashwa. Kepha odokotela manje sebenendlela ephumelela kakhulu futhi ebekezeleleke kangcono kakhulu: i-propranolol.

Ebizwa nangokuthi "amabala ewayini" ngenxa yombala wawo obomvu obomvu, ama-angiomas ayisicaba angalinganisa amasentimitha amancane amancane ayisikwele, njengokumboza yonke ingxenye yomzimba noma uhhafu wobuso. Kulokhu kokugcina, odokotela bakhetha ukuhlola ukungabikho kwamanye ama-angiomas kuma-meninges noma emehlweni besebenzisa i-MRI yobuchopho.

Kepha, ngobuningi babo, le mikhawulo emincane yemithambo yegazi ilunge ngokuphelele. Indawo engabukeki kahle ingahle ithethelele ukufuna ukuyisusa nge-laser. Ngakho-ke odokotela bancoma ukungenelela kusenesikhathi: njengoba i-angioma ikhula nengane, lapho inakekelwa khona ngokushesha okukhulu, lapho kuncane khona ukwelashwa kubalulekile futhi nenani lezikhathi liyancipha. Imvamisa kuthatha imisebenzi emi-3 noma emi-4, okungcono ngaphansi kwe-anesthesia ejwayelekile, ukunciphisa ibala noma ukuyenza inyamalale ngokuphelele.

Akusizi ngalutho ngakolunye uhlangothi ukuthembela ukususa indawo encane ebomvu ebomvu kwesinye isikhathi esezingeni lentamo, endaweni yezinwele, ayicimeki. Ngokuqondene naleyo evame ukuhamba ndawonye ihlale ezingeni lesiphongo phakathi kwamehlo womabili - kuyisici, iba mnyama lapho ingane ikhala - kufana ne-banal futhi iqinisekile, iyanyamalala yodwa ngaphambi kweminyaka yobudala eyi-3-4 ubudala.

Izingane eziningi ezivela e-Asia, e-Afrika noma eMedithera zinendawo ebizwa ngokuthi yiMongoloid (noma iMongolia). I-Bluish, ivame ukutholakala emuva nangemuva ezinqeni kodwa futhi itholakala ehlombe noma engalweni. I-benign ngokuphelele, iyaziphendulela yodwa futhi inyamalale ngokuphelele isineminyaka yobudala engama-3-4.

Ngenxa yobuningi be-melanin, lezi zindawo ezincane ezinsundu ezilula ezinsundu zivame ukutholakala esiqwini noma empandeni yezitho. Ngoba imvamisa azibonakali kakhulu futhi, ezimweni eziningi ngaphandle kokubucayi, odokotela bakhetha ukungazithinti. Qaphela, noma kunjalo, uma kuvela izindawo ezintsha ze- “café-au-lait” ngonyaka wokuqala. Kuzodingeka kuboniswane ngoba ukuba khona kwabo kungaba uphawu lwesifo sofuzo.