I-Cherry Angioma: Kungani Uthola Amadoti Amancane Abomvu Esikhumbeni Sakho

Ama-cherry angiomas — azaziwa nangokuthi ama-Campbell de Morgan spots, ama-senile angiomas, noma ama-cherry hemangiomas — ayizikhukhula ezincane, ezibomvu ezikhanyayo kuya ezimnyama eziphuzi ezakhiwe ngamaqoqo ama-capillaries agcwele emzimbeni. Lezi yiziguli ezivamile kakhulu zokukhula kwezakhamzimba kubantu abadala, zithinta cishe u-50 percent noma ngaphezulu kwabantu abadala abangaphezu kweminyaka engu-30, ngokwanda kokwenzeka nokuqhubeka kwenani njengoba ubudala buqhubeka. Ngeminyaka engu-70, abantu abaningi banezikhukhula eziningi zama-cherry angiomas.

Lezi zikhukhula ngokuvamile zihlala phakathi kuka-1 kuya ku-5 millimeters ububanzi, nakuba zingase zikhule zibe zinkulu. Ziqala njengama-macules abomvu, angase angabonakali kahle, bese ziba phezulu, zibe ne-papules ezibunjwe ngendlela ye-dome ezine-cherry-red ehlukile — ngakho igama lazo. Umbala uvela enhlanganisweni eqinile yama-capillaries agcwele kanye nama-venules akha lesi sifo.

Ama-cherry angiomas avame ukutholakala emzimbeni, ikakhulukazi emaphakathini, esifubeni, esiswini, nasemva, kodwa angavela ezandleni, emilenzeni, emahlombe, nasekhanda. Awavamile ezandleni, ezinyaweni, nasebusweni. Lezi zifo ziphakathi kokuba zinhle, azinayo imiphumela emibi, futhi azidingi ukwelashwa kwezokwelapha.

Ziyingxenye ejwayelekile yokuguga kwesikhumba, njengokuthi zikhona futhi azinabungozi njengemihlobiso emhlophe. Nokho, zingase zibe ne-bleeding uma zihlukumezeka — ziqhamuka ezimpahleni, zikhubazeka ngesikhathi sokuhlanza, noma zishayisana nezinto — futhi le bleeding, ihlanganiswe nokuphuma kwazo okungazelelwe ngenani elikhulu, kwesinye isikhathi kubangela ukukhathazeka okungadingekile.

I-mechanism ethile engemuva kokwakheka kwama-cherry angioma ayiqondakali kahle, kodwa ucwaningo lukhombisile izici eziningana ezithinta lokhu. Ukuguga kuyisici esibaluleke kakhulu sokuphila — ukuvela kwama-cherry angiomas kukhula kakhulu ngemva kweminyaka engu-30 futhi kuqhubeka kukhula ngonyaka, kukhombisa ukuthi izinguquko ezihlanganisiwe ezihlobene nokuguga ezindaweni zezimali nezakhiwo ezisekelayo zidlala indima enkulu. Ngokomlando, ama-cherry angiomas abonisa ama-venules agcwele kanye nama-capillaries anemithambo emincane kanye nezikhala ezandisiwe ku-papillary dermis, kanye nenani elandisiwe lama-mast cells kanye nezinga eliphakeme le-vascular endothelial growth factor (VEGF), iprotheni ekhuthaza ukwakheka kwezitho zezimali ezintsha.

Ukuphila kwemvelo kuthinta kakhulu ukungabi namandla — ama-cherry angiomas avame ukuhamba emindenini, futhi uma abazali bakho bathola amaningi, nawe kungenzeka ukuthi uzothola. Izici ze-hormonal zingase zibe nendima, njengoba abanye abesifazane beqaphela ukukhula kwama-cherry angiomas ngesikhathi sokukhulelwa. Ukuvezwa kwemichiza kuvezwe kwezinye izifundo — igesi ye-mustard, ama-bromides, i-butoxyethanol, kanye ne-cyclosporine konke kuhlotshaniswa nokukhula kwama-cherry angiomas, nakuba ukuvezwa kwemvelo okujwayelekile kungase kungabi nezizathu ezibalulekile kubantu abaningi.

Isimo sezulu nokukhanya kwelanga kubonakala kungabi nezici ezinkulu, okukhombisa ukuthanda kwe-lesions emzimbeni kunokuthi ezindaweni ezithintekayo ngelanga. Abanye ocwaningweni baphakamisa ukuthi ama-cherry angiomas avela ngenxa yokushintsha okwenziwa emzimbeni kumaseli e-vascular endothelial okwenza ukukhula okukhululekile nokwandisa, okufana nendlela ezinye izikhukhula ezinhle zikhula ngayo ngenxa yokushintsha kwamaseli. Kungakhathaliseki ukuthi isizathu esithile, ama-cherry angiomas akhombisa ukukhula okuhlelekile kwama-capillaries okungabikho ubungozi bezempilo.

Ngenkathi ama-cherry angiomas engama-spot abomvu avame kakhulu esikhumbeni, kunezinye izimo eziningi ezingakhiqiza ama-lesions afana nokubukeka futhi zidinga ukuqashelwa. Ama-petechiae yizikhukhula ezincane, ezijulile, ezibomvu-purplish ezibangelwa ukuvuza kwama-capillaries esikhumbeni. Ngokwehlukile kuma-cherry angiomas, ama-petechiae awashintshi (awaguquki abe mhlophe) uma pression, futhi angase abonise izimo ezinzima ezifaka phakathi izinga eliphansi lama-platelet, izinkinga zokuhlanganisa igazi, noma i-vasculitis.

I-cluster ye-spot ezibomvu ezingenakushintsha ezivela ngokuzumayo idinga ukuhlolwa kwezokwelapha ngokushesha.!! Ama-spider angiomas (ama-spider nevi) yizikhukhula ezincane zezakhamzimba ezine-artriole ebomvu emaphakathi kanye nezinkanyezi ezihambayo ezibukeka njengezinyawo ze-spider. I-spider angioma eyodwa ivamile futhi iyinhle, kodwa ama-spider angiomas amaningi — ikakhulukazi emzimbeni ophakeme nasebusweni — angase abe uphawu lwezifo ze-liver, ukweqisa kwe-estrogen, noma ukukhulelwa.

Ama-angiokeratomas ayizikhukhula ezimnyama ezibomvu kuya ezimnyama ezine-surface eqinile, ethambile engase ibukeke njengezikhukhula zama-cherry angiomas kodwa inezinto ezihlukile, kuhlanganisa i-epidermal hyperkeratosis edlula ama-vessels agcwele. Zenzeka esikhwameni, ku-vulva, noma ezindaweni eziphansi futhi ngokuvamile zinhle, nakuba ama-angiokeratomas ajwayelekile angase abonise i-Fabry disease, isifo sokugcina se-lysosomal. Ama-pyogenic granulomas ayizikhukhula ezibomvu ezikhula ngokushesha, ezithambile ezivame ukuvuza kalula futhi zingase zivele ngemuva kokuhlukumezeka okuncane.

Zidinga ukususwa njengoba zingazitholi zodwa. I-amelanotic melanoma — i-melanoma engekho pigment — ingavela njenge-papule ebomvu noma ephinki efana ne-lesion ye-vascular. Noma iyiphi i-spot ebomvu ekhula ngokushesha, ivuza kaningi, noma inezici ezingajwayelekile kufanele ihlolwe ukuze kuqinisekiswe le miphumela engajwayelekile kodwa eyingozi.

Noma ama-cherry angiomas engabazekayo, ukuqonda ukuthi nini i-spot ebomvu esikhumbeni sakho ingase ibonise okuthile okukhathazayo kubalulekile empilweni yakho. Funa ukuhlolwa kwezokwelapha uma ama-spot abomvu ebonakala ngokuzumayo ngenani elikhulu — nakuba ama-cherry angiomas amasha eba khona ngokuhamba kwesikhathi, ukuvela ngokuzumayo kwama-lesions amaningi ezakhamzimba kungase kubonise izinguquko ze-hormonal, izifo ze-liver, noma, ngokungajwayelekile, ubungozi bangaphakathi. Noma iyiphi i-spot ebomvu ekhula ngokushesha ezinsukwini kuya ezinyangeni, kunokuba kube ukukhula kancane okujwayelekile kwe-cherry angiomas, kudinga ukuhlolwa.!!

Ama-lesions avuza kaningi ngaphandle kokuhlukumezeka okubonakalayo, anemikhawulo engajwayelekile noma engalingani, abonisa ukwehluka kombala okungaphezu kokubomvu okujwayelekile noma okuphinki okujwayelekile kwe-cherry angiomas, noma ahambisana nezinye izimpawu ezifana nokukhathala, ukuvuvukala kalula, noma ukulahlekelwa kwesisindo okungachazwanga kufanele ahlolwe. Usayizi we-lesion nawo ubalulekile — nakuba ama-cherry angiomas emuva kwesikhathi engase adlule ama-millimeters amahlanu, ama-lesions akhula ngaphezu kwe-centimeter awajwayelekile futhi kufanele ahlolwe. Indawo inganikeza izinkomba: ama-spot amaningi abukeka njengezakhamzimba ebusweni noma esifubeni somuntu ophuza utshwala angase akhombise ama-spider angiomas ahlobene nezifo ze-liver.

Ama-spot abomvu noma apurple angawashintshi uma pressure angase abe ama-petechiae akhombisa isifo sokuvuza. Noma iyiphi i-spot ebomvu emlonyeni, ngaphakathi emlonyeni, noma ebhedini ye-nail idinga ukuhlolwa ukuze kuqinisekiswe izifo ezinkulu. Kubantu abaningi abadala abathola ama-dots amancane, azinzile, abomvu kakhulu emzimbeni — ukubonakaliswa okujwayelekile — ukuvuma kuyafaneleka. Lezi ziqinisekisiwe ukuthi ama-cherry angiomas, futhi zinhle njengokuthola kwesikhumba okungaba khona.

Njengoba ama-cherry angiomas engabazekayo, ukususa akukhona okudingekayo kwezokwelapha futhi kwenziwa kuphela ngezizathu zokubukeka noma ukuze kubhekwe ama-lesions avame ukuhlukumezeka futhi aphenduke avuze. Kunezindlela eziningi ezisebenzayo zokususwa. I-electrocautery (i-electrodesiccation) isebenzisa i-probe kagesi encane ukuze ibhujise izicubu zezakhamzimba.

Ngemuva kokufaka i-anesthesia yendawo, umphetho wesikhumba se-cautery ufakwa ku-cherry angioma, uhlanganisa ama-vessels agcwele. Lokhu kuyashesha, kuyasebenza, futhi kutholakala kabanzi emahhovisi ezokwelapha. Isikhathi sokuphola sithatha cishe amasonto amabili kuya kwamathathu, futhi imiphumela ivamise ukuba yinhle kumalese ezincane.

I-pulsed dye laser (PDL) igxile ku-hemoglobin ema-vessels egcwele, ifudumeza futhi ibhujise, kuncishiswe umonakalo ezicubeni ezizungezile. I-PDL ikakhulukazi ifanele ama-cherry angiomas aphansi futhi ingase ibhekane namalesi amaningi eseshini eyodwa. Imiphumela emibi ifaka phakathi i-purpura yesikhashana (ukuvuvukala) endaweni yokwelashwa ethatha amasonto amabili kuya kwamathathu.

I-intense pulsed light (IPL) isebenza ngendlela efanayo ne-PDL futhi ingase ibhekane namama-cherry angiomas ngokuphumelelayo. I-cryotherapy nge-liquid nitrogen iqandisa futhi ibhujise izicubu zezakhamzimba. Isebenza ngokushesha futhi iyabiza kodwa ingase ishiywe ne-hypopigmentation yesikhashana, ikakhulukazi ezikhumbeni ezimnyama.

I-shave excision isusa ngempela i-cherry angioma nge-blade ngemuva kokufaka i-anesthesia yendawo. Le ndlela inikeza isampula yesikhumba ukuze kuqinisekiswe uma kukhona ukungaqiniseki kokuhlola. Kubantu abaningi abanama-cherry angiomas amaningi abafuna ukwelashwa, izeshini ze-laser noma ze-IPL ezibhekana namalesi amaningi ngasikhathi sinye zinikeza ukusebenza kahle okuphezulu. I-inshurensi ayikhokhi ukususa ama-cherry angiomas ngezizathu zokubukeka, ngakho izindleko zikhokhwa ngempela futhi zihluka ngendlela, inani lamalesi ahlolwe, nendawo yokuhlala.

Ukubukeka kwezikhala ezibomvu ezintsha esikhumbeni sakho ngokwemvelo kukhuphula imibuzo — ikakhulukazi uma ungazi kahle nge-cherry angiomas noma ukhathazekile ngokuqhathanisa phakathi kwazo nezilonda ze-vascular ezingase zibe nzima. Skinscanner isebenzisa ukuhlaziywa kwesithombe okuhlakaniphile ukuze ihlaziye izikhala ezibomvu nezilonda ezibukeka njenge-vascular, iqhathanisa izici zazo zokubukeka nezithombe ezihambisana ne-cherry angiomas, spider angiomas, petechiae, angiokeratomas, nezinye izimo. Ngokuthwebula isithombe sesikhala esibomvu, uthola ukuhlolwa okwenziwa yi-AI ngokushesha kokuthi leli londa lihambisana nokubukeka okujwayelekile kwe-cherry angioma engalapheki noma libonisa izici eziphakamisa ukuxilongwa okuhlukile okudinga ukuhlolwa kochwepheshe.

Lokhu kuyasiza kakhulu esimweni esivamile sokubona isikhala esibomvu esisha nokuzibuza ukuthi sidinga ukunakekelwa kwezokwelapha — ezimweni eziningi, impendulo ye-cherry angiomas ejwayelekile yebo. Kubantu abathuthukisa izikhala eziningi ezibomvu ezintsha, i-Skinscanner isiza ukuqopha ukubukeka kwazo nokusabalala kwazo ngokuhamba kwesikhathi, okungolwazi oluwusizo kudokotela wakho uma kudingeka ukuhlolwa. Uhlelo lungasiza futhi ukukuhlukanisa phakathi kwezinhlobo ezahlukene zezikhala ezibomvu — ukuncibilika ngokumelene nokungancibiliki, eziphakeme ngokumelene nezikhala ezijwayelekile — kunikeza umongo wokufundisa okwandisa izinqumo ezicacile mayelana nempilo yesikhumba sakho. I-Skinscanner ayikh substitute ukuhlolwa kwezokwelapha kwezikhala ezibomvu ezingejwayelekile, ezishintsha ngokushesha, noma ezihambisana nezimpawu ezijwayelekile, kodwa inikeza ukuqinisekiswa okulula kwezinkulungwane ze-cherry angiomas ezilungile ezibangela ukukhathazeka okungadingekile.