I-Cherry Angioma: Kungani Uqhubeka Ufumana Iindawo Ezincinci Ezibomvu Esikhumbeni Sakho

I-Cherry angiomas — ezaziwa ngokuba ziindawo ze-Campbell de Morgan, i-senile angiomas, okanye i-cherry hemangiomas — ziindawo ezincinci, ezibomvu ezikhanyayo ukuya kwi-purple emdark, ezakhiwe ngamaqela e-capillaries aphakanyisiweyo emsurface yesikhumba. Ziyintlobo ezivamile ye-vascular proliferation kubantu abadala, zithinta malunga neepesenti ezingama-50 okanye ngaphezulu kubantu abadala abangaphezulu kweminyaka engama-30, kunye nokwanda kweprevalence kunye nenani ngokuhamba kwexesha. Ngeminyaka engama-70, abantu abaninzi bane-cherry angiomas ezininzi.

Le miphunga ibonakala ihamba phakathi kwemilimitha enye ukuya kwemihlathi emihlanu ububanzi, nangona inokukhula ibe nkulu ngamanye amaxesha. Iqala njenge-macules ezibomvu eziphakanyisiweyo ezingathandeki kwaye kancinci kancinci ziba zi-papules eziphakanyisiweyo, ezine-shape ye-dome kunye nombala obonakalayo obomvu — ngenxa yoko igama lazo. Umbala uvela kwi-network eqinileyo ye-capillaries aphakanyisiweyo kunye ne-venules ezakha le lesion.

I-Cherry angiomas ivamile kakhulu kwi-trunk, ngakumbi kwi-chest, abdomen, kunye ne-back, kodwa inokubakhona ezandleni, emalungeni, kumacala, nasekhanda. Azivamile kwiingalo, kwiinyawo, nasebusweni. Le miphunga iphelele, ayinayo imiphumo emibi, kwaye ayifuni naluphi na unyango lwezempilo.

Ziyinxalenye eqhelekileyo yokuguga kwesikhumba, njengoko zikhona kwaye zingabungozi njengemihlathi emhlophe. Nangona kunjalo, zingaqala ukuhamba uma zixhaphakile — zixhaphakile kwiimpahla, zixhaphakile xa zikhupha, okanye zixhaphakile kwiimpahla — kwaye le mihlathi, idibene nokuphuma kwazo ngokukhawuleza kwiindawo ezininzi, ngamanye amaxesha ibangela ukukhathazeka okungafunekiyo.

Iindlela ezichanekileyo zokwakha i-cherry angioma aziqondakali ngokupheleleyo, kodwa uphando luveze izinto ezininzi ezinxulumene nazo. Ukuguga kukhulu kakhulu — umphumo ukhula kakhulu emva kweminyaka engama-30 kwaye uqhubeka ukhula nganye ngeminyaka elandelayo, kubonisa ukuba utshintsho oluhlanganisiweyo oluxhomekeke kwiminyaka kwiindonga zeenxalenye ze-gazi kunye nezakhiwo ezixhasayo zidlala indima ephambili. Histologically, i-cherry angiomas ibonisa i-venules kunye ne-capillaries eziphakanyisiweyo ezineendonga ezithintele kunye ne-lumens ezandisiweyo kwi-papillary dermis, kunye nenani elandisiweyo le-mast cells kunye ne-levels eziphakanyisiweyo ze-vascular endothelial growth factor (VEGF), iprotheni ekhuthaza ukwakhiwa kwee-capillaries ezintsha.

Ukuphindaphinda kwezakhiwo zomzimba kukhulu kakhulu — i-cherry angiomas ivame ukuhamba kwiimuli, kwaye ukuba abazali bakho bakha ezininzi, unokuthi nawe ube njalo. Iimpawu ze-hormonal zingadlala indima, njengoko abaninzi babasetyhini bazi ukuba zanda i-cherry angioma ngexesha lokukhulelwa. Ukuchaphazeleka kweekhemikhali kuye kwavela kwiingxelo ezininzi — igesi ye-mustard, i-bromides, i-butoxyethanol, kunye ne-cyclosporine zonke zixhaphake kwi-cherry angioma, nangona ukuchaphazeleka okujolise kumphakathi akukwazi ukuba yimbangela ebalulekileyo kubantu abaninzi.

Umoya kunye nokuchaphazeleka kwelanga akubonakali njengemiba ebalulekileyo, okuhambelana nokuthanda kwe-lesions kwi-trunk kunokuba kwiindawo ezichaphazelekayo zelanga. Abanye abaphandi baphakamisa ukuba i-cherry angiomas ibangelwa kukutshintsha kwe-somatic kwiicell ze-vascular endothelial ezibangela ukuphindaphinda kunye nokuphakanyiswa, njengoko ezinye iimpawu ezingenabungozi ziveliswa kukutshintsha kwe-cell enye. Nokuba yintoni na eyibangela, i-cherry angiomas imele ukuphindaphinda okungabungozi kwee-capillaries ezingenabungozi ezingenakubangela umngcipheko wezempilo.

Nangona i-cherry angiomas zihlala zininzi kakhulu njengoko zikhona kwiindawo ezincinci ezibomvu esikhumbeni, ezinye iimeko ezininzi zingakha i-lesions ezifanayo kwaye zifanele ukwaziwa. I-petechiae ziindawo ezincinci, ezijolise, ezibomvu-njengomnyama ezibangelwa kukopha kwi-capillaries zisebenza esikhumbeni. Ngokungafani ne-cherry angiomas, i-petechiae azikhanyisi (aziguquki zibe mhlophe) xa zicinezwa kwaye zingabonisa iimeko ezinzima ezifana nokuphantsi kwee-platelet, iimeko zokuphosa igazi, okanye i-vasculitis.

I-Cluster yeendawo ezintsha, ezingenakukhanyiswa ezibomvu ezivela ngaxeshanye ifuna ukuhlolwa ngokukhawuleza kwezempilo.!! I-spider angiomas (i-spider nevi) ziindawo ezincinci zevasculature ezine-arteriole ebomvu emntla kunye neekhokhobe ezijolise njengeenxalenye ze-spider. I-spider angioma enye ivamile kwaye ayinabungozi, kodwa i-spider angiomas ezininzi — ngakumbi emzimbeni ophakamileyo nasebusweni — zingaba uphawu lwezifo ze-liver, ukwanda kwe-estrogen, okanye ukukhulelwa.

I-Angiokeratomas ziipapules ezimnyama ezibomvu ukuya kumnyama ezinephezulu eqinileyo, ethambileyo enokufana ne-cherry angiomas kodwa ine-histology ehlukile ebandakanya i-epidermal hyperkeratosis phezu kwee-vessels ezikhulisiweyo. Zenzeka kwi-scrotum, vulva, okanye kwiindawo eziphantsi kwaye zihlala zingabungozi, nangona i-angiokeratomas ezibanzi zihlala zibonisa i-Fabry disease, i-liposomal storage disorder. I-pyogenic granulomas zikhula ngokukhawuleza, zikhanyayo, kwaye zinemibala ebomvu ezivula kalula kwaye zingavela emva kokulimala okuncinci.

Zifuna ukususwa njengoko zingazixazululi zodwa. I-amelanotic melanoma — i-melanoma engena pigment — ingavela ngokungaqhelekanga njengepapule ebomvu okanye emthubi efana ne-lesion yevasculature. Nanyani indawo ebomvu ekhula ngokukhawuleza, ivuleka rhoqo, okanye inemiphumo engalunganga kufuneka ihlolwe ukuze kuqinisekiswe le mngcipheko ingaqhelekanga kodwa ibi.

Nangona i-cherry angiomas zingabungozi, ukuqonda ukuba nini indawo ebomvu esikhumbeni sakho ingaba uphawu lwezinto ezinzima kubalulekile kwimpilo yakho. Funa ukuhlolwa kwezempilo ukuba iindawo ezibomvu zivele ngaxeshanye kwiingxelo ezinkulu — nangona i-cherry angiomas ezintsha zikhula ngokuhamba kwexesha, ukuvuka ngokukhawuleza kwee-lesions ezininzi zevasculature kungabonisa utshintsho lwehormonal, izifo ze-liver, okanye, ngokuqhelekileyo, i-malignancy yangaphakathi. Nanyani indawo ebomvu ekhula ngokukhawuleza kwiintsuku ukuya kwiiveki, kungekhona ukwandiswa kancinci okujolise kwi-cherry angiomas, ifanele ukuhlolwa.!!

I-lesions ezivuleka rhoqo ngaphandle kokulimala okubonakalayo, zineemida ezingalunganga okanye ezingalingani, zibonisa ukwahluka kwemibala ngaphandle kombala obomvu okanye omnyama obonakalayo kwi-cherry angiomas, okanye zixhaswa ngeminye imiqondiso efana nokukhathala, ukungena kwi-bruising, okanye ukulahleka kwesisindo okungachazwanga kufuneka zihlolwe. Usayizi we-lesion ubalulekile nakho — nangona i-cherry angiomas zihlala zidlula i-milimitha ezinhlanu, i-lesions ezikhula ngaphezu kwe-centimeter zihlala zingaqhelekanga kwaye kufuneka zihlolwe. Indawo inganika iimpawu: iindawo ezininzi ezibomvu ezijolise ebusweni okanye emzimbeni ophakamileyo kumntu ophuza i-alkhohol zingabonisa i-spider angiomas ezihambelana nezifo ze-liver.

Iindawo ezibomvu okanye ezimnyama ezingakhanyisi xa zicinezwa zingaba yi-petechiae ezibonisa iimeko zokopha. Nanyani indawo ebomvu emlonyeni, ngaphakathi emlonyeni, okanye kwi-nail bed ifuna ukuhlolwa ukuze kuqinisekiswe ukuba akukho pathology ebalulekileyo. Kwabantu abaninzi abadala abakhula iindawo ezincinci, ezizinzileyo, ezibomvu ezikhanyayo emzimbeni wabo — umfanekiso ophakathi — ukunceda kuyafaneleka. Lezi zihlala ziyi-cherry angiomas, kwaye zihlala zingabungozi njengoko nayiphi na into esikhumbeni ingaba.

Ngenxa yokuba i-cherry angiomas zingabungozi, ukususwa akufuneki ngempilo kwaye kwenziwa kuphela ngezizathu zokubukeka okanye ukulungisa i-lesions eziqhelekileyo ezonakaliswayo kwaye zihlala zikhupha igazi. Iindlela ezininzi ezisebenzayo zokususwa zikhona. I-electrocautery (i-electrodesiccation) isebenzisa i-probe ye-electrical encinci ukuchitha isikhumba se-vascular.

Emva kokufaka i-anesthesia yeendawo, umphambili wesixhobo sokucima ufunyanwa kwi-cherry angioma, ucoceka iivessels ezikhulisiweyo. Le ndlela iyashesha, iyasebenza, kwaye iyafumaneka kwi-ofisi ze-dermatology. Ixesha lokuphola limalunga neenyanga ezi-1 ukuya kwezi-2, kwaye iziphumo zihlala zibalasele kwi-lesions ezincinci.

I-pulsed dye laser (PDL) ijolise kwi-hemoglobin kwiivessels ezikhulisiweyo, ifudumeza kwaye ichitha zona ngelixa inciphisa umonakalo kwi-skin esingqongileyo. I-PDL ikakhulu ifanelekile kwi-cherry angiomas ezijolise kwaye ingaphatha i-lesions ezininzi ngexesha elinye. Iziphumo ezibi ziquka i-purpura yesikhashana (ukuphosa) kwindawo yokunyanga okuthatha iinyanga ezi-1 ukuya kwezi-2.

I-intense pulsed light (IPL) isebenza ngendlela efanayo ne-PDL kwaye ingaphatha i-cherry angiomas ezininzi ngempumelelo. I-cryotherapy nge-liquid nitrogen ifaka umoya kwaye ichitha isikhumba se-vascular. I-quick and inexpensive kodwa ingashiya i-hypopigmentation yesikhashana, ngakumbi kwiithoni zesikhumba ezimnyama.

I-shave excision isusa ngokomzimba i-cherry angioma ngombhoxo emva kokufaka i-anesthesia yeendawo. Le ndlela ibonelela ngempahla yesikhumba yokufakela i-pathological confirmation ukuba kukho nayiphi na ukungaqinisekisi kokuxilongwa. Kubantu abaninzi be-cherry angiomas abafuna ukunyanga, iiseshoni ze-laser okanye ze-IPL ezijolise kwi-lesions ezininzi ngaxeshanye ziza neempumelelo ezilungileyo. I-inshorensi ayikhokhisi ukususwa kwe-cherry angiomas, ngoko ke iindleko zikhokhwa ngexabiso kwaye zihluka ngokwendlela, inani lelesions eziphathwayo, kunye nendawo yokuhlala.

Ukubukeka kweendawo ezintsha ezibomvu esikhumbeni sakho kudala imibuzo — ngakumbi ukuba awuqhelananga ne-cherry angiomas okanye ukhathazekile ngokuqonda umahluko phakathi kwazo kunye nezinye i-lesions zevasculature ezinzima. I-Skinscanner isebenzisa uhlalutyo lwezithombe oluphucukileyo ukuhlola iindawo ezibomvu kunye ne-lesions ezijolise, iqhathanisa iimpawu zazo zokubukeka neempawu ezihambelana ne-cherry angiomas, spider angiomas, petechiae, angiokeratomas, kunye nezinye iimeko. Ngokuthatha umfanekiso weendawo ezibomvu, ufumana ukuhlolwa okwenziwa yi-AI ngokukhawuleza kokuba i-lesion ihambelana nokubukeka okujolise kwe-cherry angioma engabungozi okanye ibonisa iimpawu eziphakamisa ukuxilongwa okwahlukileyo okufanele ukuhlolwa ngochwepheshe.

Le nto ibalulekile kwiimeko ezivamile zokubona indawo ebomvu entsha kwaye ukucinga ukuba ifuna ingcaciso yezempilo — kwiimeko ezininzi, impendulo ye-cherry angiomas ejolise kukuba hayi. Kubantu abakhula iindawo ezininzi ezibomvu, i-Skinscanner inceda ukurekhoda ukubonakala kwazo kunye nokusabalala kwexesha, okubalulekile kumgqirha wakho ukuba udinga ukuncokola. I-app ingakunceda ukwahlula phakathi kweentlobo ezahlukeneyo zeendawo ezibomvu — ezikhanyayo vs.

ezingakhanyisi, ezijolise vs. eziphakamileyo, ezihambelanayo vs. ezingahambelaniyo — ibonelela ngengcaciso yokufundisa evumela izigqibo ezichanekileyo malunga nempilo yakho yesikhumba. I-Skinscanner ayifuni ukuhlolwa kwezempilo kwiindawo ezibomvu ezingaqhelekanga, ezishintshayo ngokukhawuleza, okanye ezihambelana neempawu zempilo, kodwa ibonelela ngokuqinisekiswa okukhawuleza kwiicherry angiomas ezininzi ezingenakukhathaza.