Yintoni i-Pyogenic Granuloma?
I-pyogenic granuloma (lobular capillary hemangioma) yinkqubo ye-vaskhuli engalunganga ekhula ngokukhawuleza. Ngaphandle kwegama, ayinayo i-pus kwaye ayiyiyo i-granuloma yangempela — igama elidala lingalunganga. Le lesion iqulethe i-capillaries ezakhelwe kwi-tissue yokuxhoma engalunganga kwaye ibonakala njenge-nodule ebomvu ukuya kwi-dark red, ephakamileyo enokuhluza kakhulu ngokuqhwalela okuncinci. I-pyogenic granulomas zenzeka naphi na ubudala kodwa ziqhelekile ngakumbi kubantwana kunye nabantu abatsha.
Izizathu kunye neMikhwa
Izizathu ezichanekileyo aziqondwanga ngokupheleleyo. Kwiimeko ezininzi, i-pyogenic granulomas ziveliswa emva kokulimala kwendawo — ukungqubana, ukuxhaphaza, inkqubo yokuhlinzwa, okanye ukulunywa yintsokoti. Iimpembelelo zehormone zidlala indima: zenzeka rhoqo ngexesha lokukhulelwa (granuloma gravidarum, ngakumbi kwiigums).
Ezinye iimeko (i-retinoids, ezinye i-tyrosine kinase inhibitors) zinokukhuthaza ukuveliswa kwazo. Ngexesha elithile ziveliswa ngaphandle kokuba kube khona umkhwa obonakalayo.
Iimpawu eziQhelekileyo
I-pyogenic granulomas zihlala zikhula ngokukhawuleza kwiiveki ezimbalwa zibe yi-nodule ye-5–15 mm enepedunculated okanye enesiseko esibanzi. Ubuso bayo buhle, bujolise, kwaye bumnyama obomvu ukuya kwi-brownish-red. Umphumo ophawulekayo kukuphuma kwegazi okukhulu — nokuthintela okuncinci kungabangela ukuhluza okukhulu okunzima ukuyeka.!!
I-collarette ye-epithelial emhlophe ikhulisa rhoqo isiseko. Iindawo ezikhethiweyo ziquka iifinger, iiliso, iigums, ubuso, kunye nomzimba.
Uhlolo
Uhlolo ngokubanzi lusekelwe kwiimeko zonyango ezijolise kumphumo ophakathi — i-nodule ye-vascular ekhula ngokukhawuleza, enepeduncle, elula ukuhamba. I-Dermoscopy ibonisa umphumo obomvu ofanayo onokubona i-collarette emhlophe. Ukuhlolwa kwe-histopathological emva kokususwa kuqinisekisa uhlolo kwaye kuxoshe iimeko ezibalulekileyo zokwahlula: i-melanoma engamelenoti, i-squamous cell carcinoma, i-Kaposi sarcoma, kunye ne-bacillary angiomatosis. Ikakhulu kubantu abadala, yonke imithambo esuswe kufuneka ihlolwe ngokuhamba kwe-histology.!!
Uphuhliso kunye Nokususwa
Njengoko i-pyogenic granulomas ingazixazululi ngokwazo kwaye ingachaphazela kakhulu, ukuphuhliswa kuyacetyiswa. Ukususa nge-shave excision kunye ne-electrocautery ye-bhasi yeyona ndlela isetyenziswa kakhulu — ivumela ukuhlolwa kwe-histological kwaye inezinga eliphantsi lokuphinda kubonakale. Ezinye iindlela ziquka i-curettage kunye ne-cauterization, i-cryotherapy, kunye nokuphuhliswa kwe-laser (Nd:YAG okanye i-pulsed dye laser).
Kwiindawo ezincinci, ikakhulu kubantwana, i-timolol ye-topical okanye i-imiquimod ingazama. Ukususwa ngokupheleleyo kubalulekile, njengoko iindawo eziphathiweyo ngokungaphelelanga zihlala zibuya.
Iimbono ezikhethekileyo kunye nePrognosis
Iprognosis ikhulu — i-pyogenic granulomas ayinabungozi kwaye ayithumeli. Ukuphinda kubonakale emva kokususwa okungaphelelanga kwenzeka kwi-10–15% yeemeko, ngamanye amaxesha njengemithambo emininzi ebonakalayo edlalayo kumphumo wokuqala. Ngexesha lokukhulelwa, i-pyogenic granulomas ye-oral ikakhulu ibuyela emuva ngokwempilo emva kokubeletha. Kubantwana, iindawo ezikwi-finger kunye ne-toe zingaphazamisa ukusebenza kwemihla ngemihla kwaye kufuneka ziphathwe ngokukhawuleza.
Indlela i-AI Skin Analysis Ecan Help
I-nodule ekhula ngokukhawuleza, ebomvu kakhulu, eblelayo iyakhathaza — kwaye kulungile, njengoko kufuneka ihlolwe. I-Skinscanner ingakunceda uqikelele ukuba ukuhamba okutsha kwesikhumba kuhambelana ne-pyogenic granuloma ngokusekelwe kumbala, umfanekiso, umgangatho wephezulu, kunye nomphumo wokukhula. Kubalulekile, ukuhlalutya kwe-AI kukhumbuza iimpawu ezinokukhumbuza iimeko ezikhathazayo ezifana ne-melanoma engamelenoti, kukunceda uqonde umngcipheko wokufuna ukuhlolwa kochwepheshe.
Emva kokususwa, i-Skinscanner ingalandelela indawo yokuphuhliswa ukuze ibonise iimpawu zokuphinda kubonakale, ezenzeka kwi-10–15% yeemeko. I-Skinscanner ayithathi indawo yokuhlolwa kwe-histopathological — eyona ibaluleke kakhulu emva kokususwa ukuqinisekisa uhlolo — kodwa ibonelela ngovavanyo oluyimfuneko lokuqala olunceda ukuba uphumeze ngokukhawuleza xa ukuhamba okukhathazayo kubonakala.
