Гемангиома – это сосудистая опухоль, которая развивается из эндотелия мелких сосудов, вен и артерий. Она считается доброкачественной, диагностируется у каждого десятого новорожденного ребенка, не редко встречается и у взрослых. Такое образование может располагаться на разных участках тела, но чаще возникает в области лица, воротниковой зоны, волосистой части головы. Но иногда его диагностируют на конечностях и теле. Разрастание опухоли угрожает расстройством соседних органов и тканей. По этой причине врачи советуют удаление гемангиомы.
Медицинские показания к удалению
По внешнему виду гемангиома представляет собой красное пятно на кожном покрове. Образование всегда носит доброкачественный характер, никогда не переходит в злокачественную форму. Размер опухоли бывает от нескольких миллиметров до десятков сантиметров. В ряде случаев она занимает больше половины лица или шеи.
Гемангиома поддается лечению, а к семилетнему возрасту в 70% случаев исчезает самостоятельно. Врачи настоятельно рекомендуют не подвергать новообразование воздействию ультрафиолета и травмам. При возникновении кровотечения необходимо его остановить и обратиться к врачу.
Показания к срочному лечению:
- расположение образования в районе глаз, половых органов, рта;
- разрастание опухоли внутрь или на соседние органы и ткани;
- изменение цвета.
Внимание! Если гемангиома затрагивает слизистые оболочки или внутренние органы, то лечение народными средствами не рекомендуется.
Самым эффективным способом удаления гемангиомы считается лазерный.
Противопоказания и ограничения
Врач может отложить процедуру из-за показаний:
- излишний солнечный загар;
- гормональный сбой;
- прием медицинских препаратов, повышающих восприимчивость кожи к ультрафиолету;
- болезни кровеносной системы;
- запущенные стадии заболеваний печени и почек;
- гипертония или гипотония;
- дефицит веса;
- дисфункция нервной системы.
При беременности и в период лактации доктор принимает индивидуальное решение, учитывая особенности состояния здоровья пациентки.
Основные этапы процедуры
Этапы процесса удаления сосудистого новообразования.
Визуальный осмотр пациента врачом
Он определяет интенсивность роста опухоли, место расположения, количество, форму и размер. Важным показателем считается глубина образования.
Определение вида обезболивания
В зависимости от результатов анализов определяют вид анестезии и настройку аппарата. Препараты вводятся рядом с гемангиомой. При этом возникает незначительное покалывание, что считается нормальным при данной процедуре.
Удаление опухоли
Эту процедуру проделывают в зависимости от выбранного вида операции:
- хирургический метод – иссечение гемангиомы, рекомендовано при расположении опухоли на внутренних органах и избавлении от дефектов небольшого размера на закрытых участках тела. В момент операции используют общую анестезию. Затем вырезанную опухоль направляют на гистологическое исследование;
- криодеструкция – воздействие на образование жидким азотом. Для удаления опухоли размером до 20 мм требуется тройная процедура с интервалом 2-3 суток;
- лазерный – рекомендован для удаления образований глубиной до 0,4 см. После такой операции не остаются шрамы и рубцы. Длительность процедуры – несколько минут. Удаление опухоли лазером разрешено у детей;
- склерозирование – введение в пораженную ткань склерозанта через прокол, после которого происходит химический ожог, разрушающий капилляры. После процедуры на вторые сутки место опухоли становится болезненным и уплотненным. Эффект проявляется не ранее 3-х месяцев;
- электро- и радиоволновая терапия – опухоль выжигают, после чего организм отторгает поврежденную ткань;
- рентгенотерапия – используется в крайнем случае, когда прочие методы не дали желаемого результата. Воздействие рентгеновских лучей разрушает опухоль.
Восстановительный период
Необходимо избегать солнечного излучения, солярия, не использовать декоративную косметику на раневом участке. Кожный покров обрабатывают дезсредствами, чтобы не возникло инфицирования. На область удаления накладывают стерильную повязку. Запрещено использовать для обеззараживания препараты на основе спирта, йод, марганцовку.
Современные технологии при лечении гемангиомы
Одним из современных методов удаления сосудистых новообразований считается лазерная терапия – образование мишени. Суть способа в том, что при операции используют два луча с разной длиной волны. Один лазер коагулирует небольшие части крови, которые становятся мишенями для второго лазера. В итоге происходит запаивание сосудов, а состав кожного покрова и внешность сохраняются.
Преимущества данной методики:
- отсутствие осложнений и повторного поражения сосудов;
- поэтапность процедуры;
- возможность применения метода для удаления поверхностных неглубоких образований.
Вероятные осложнения
Самым прогрессивным методом удаления опухоли считается лазерный. Его применяют при удалении гемангиомы у детей и взрослых разного возраста. Осложнения после применения этого способа иссечения не зафиксированы.
Соблюдение всех рекомендаций врача в послеоперационный период сводит риск негативных последствий к нулю.
Другие способы также требуют тщательного соблюдения рекомендаций врача. Иначе могут остаться рубцы и шрамы или развиться повторное поражение кожного покрова. Послеоперационные дефекты легко устраняются лазерной шлифовкой, а рецидив опухоли зависит от индивидуальных особенностей организма.
Рекомендации врачей после процедуры удаления
Чтобы избежать осложнений рекомендуется придерживаться простых правил:
- периодически использовать ранозаживляющие препараты;
- обрабатывать послеоперационный участок антисептиками;
- не применять декоративных косметических средств;
- защищать раневое место от травмирования;
- не пытаться самостоятельно удалить корочку;
- свести к минимуму вредные привычки.
На месте отпавшей корки на коже появится светлое пятно розоватого оттенка и незначительная отечность. Затем через короткий промежуток времени кожа приобретет обычный цвет.
Внимание! При несоблюдении рекомендаций врача процесс регенерации тканей может нарушиться, и возникнут осложнения.
Нарушение развития сосудов в мягких тканях или системе внутренних органов зачастую приводит к новообразованиям. «БиоСпаКлиник» в Москве предлагает эффективное решение проблемы — безболезненное удаление гемангиомы лазером.
Типы сосудистых гемангиом:
- кавернозная — возникает при разрастании сосудов, вен и капилляров, поражающая ткани кожи и подкожных слоев жировой ткани;
- капиллярная — красное пятно, чаще всего образуется у младенцев. Его образование провоцирует разрастание капилляров в верхних слоях кожи;
- венозная — заполненная кровью полость, как правило, появляется на губах у людей старшего возраста. Без своевременного лечения может разрастись в размерах;
- старческая — пятно, которое образуется на теле после 30 лет и имеет вид красного узелка. Со временем количество узелков на коже увеличивается;
- ангионеврома — опухоль, имеющая вид подкожного узелка. Кожа вокруг нее приобретает синюшный вид, ощущается болезненность при прощупывании.
Удаление гемангиомы 1 шт. | 1 000 руб. |
Преимущества удаления гемангиомы лазером
Применение лазера способствует излечению пациентов с различными видами сосудистых патологий: от самых ранних этапов развития новообразования до более сложных. При необходимости удаление гемангиомы лазером может быть разделено на несколько этапов, чтобы избежать травмирования мягких тканей и добиться наилучшего результата. Кроме того, такое лечение сводит к нулю риск образования рубцов, появления пигментации и других осложнений, чего довольно сложно добиться, применяя устаревшие методики лечения новообразований.
За счет использования новейших технологий кожный покров совершенно не травмируется. Однако по завершении процедуры удаления гемангиомы лазером первое время пациенту необходимо отказаться от косметических средств, водных процедур и долговременного пребывания на открытом солнце.
Как выполняется удаление гемангиом лазером
Перед операцией проводится тщательный осмотр: определяются скорость роста новообразования и его качество, глубина поражения, размер и форма, непереносимость лекарственных препаратов и прочее. От полученных показателей будут зависеть необходимое количество процедур, параметры настройки аппарата, тип анестезии и итоговая цена операции.
Врач вводит анестетик непосредственно в область скопления сосудов, а через несколько минут выполняется удаление гемангиомы. Под воздействием высокой температуры осуществляется постепенное испарение всех дефектов без кровотечения. В завершение пораженный участок обрабатывают антисептиком для избежания попадания инфекции и закрывают специальной повязкой. В течение нескольких недель после удаления гемангиомы пациенту следует ухаживать за своей кожей самостоятельно (содержать ее в чистоте, обрабатывать ранозаживляющим средством). Через определенный промежуток времени врач назначает повторный осмотр, где проверяется результат и устанавливается необходимость повторной процедуры.
Если Вы решились на удаление гемангиомы, обращайтесь в нашу клинику в Москве, наши специалисты безболезненно и качественно решат Вашу проблему. Более подробно с ценами на удаление гемангиомы Вы можете ознакомиться в прайс-листе.
Гемангиома на лице – ТОП-5 способов избавления
В нынешнее время гемангиома на лице расценивается, как достаточно часто встречающаяся проблема. Не редкость, когда она проявляется у новорожденных и малышей до 1 года.
Потому немаловажно знать о возникновении такого образования. Какую опасность оно несет? Какие существуют методы избавления от косметического изъяна, предлагаемые сегодняшней медициной?
Гемангиома на лице – что это такое?
Главная отличительная черта детской и взрослой патологии в том, что она врожденная и не способна впервые возникнуть у человека, переступившего порог совершеннолетия.
Такое образование часто длительное время находится под кожной поверхностью. А вследствие, например, ослабления организма оно прорывается наружу и стремительными темпами разрастается.
Опухолевая сосудистая структура бывает разных размеров, начиная с небольшой красноватой родинки и заканчивая немалым образованием на пол лица. Причем снаружи пятно приобретает бугристость и шероховатость.
Гемангиома на лице может появиться как у ребенка, так и у взрослого. Ниже показано образование на фото:
Помимо неэстетичности, оно создает помехи в нормальной деятельности органов зрения, обоняния, слуха.
Не злокачественное образование не угрожает здоровью малыша, если не тревожит его. В частых случаях аномалия у детей (в частности новорожденных) исчезает сама по себе к 5-7 годам.
Бояться надо, если она стремится к разрастанию, вызывает боль, зуд, раздражение кожного покрова либо грозит здоровью ребенка. Тогда потребуется немедленное лечение патологии.
Чтобы не пропустить опасные проявления гемангиомы на лице, нужно внимательно наблюдать за ее состоянием и поведением малыша.
5 основных причин образования аномалии
Существует многообразие гипотез о природе болезни. Однако они не помогли выявить первопричину возникновения гемангиомы.
Не приблизились ученые-медики и к разгадке, в какой зоне лица чаще появляется образование. Хотя существует мнение, что вызвано появление патологии значительной численностью сосудов в лицевых тканях.
Происхождение болезни у недавно рожденного младенца профессионалы увязывают с разладом в происходящем внутриутробном процессе. Такое нарушение негативно сказывается на всех системах малыша, включая и сосудистую.
Серьезной причиной появления сосудистой опухоли считается гипоксия плода. Кислородное голодание вызывает у клеток формирование новых кровеносных путей. В ответ сосудистая сеть разрастается, преобразовываясь в не злокачественную опухоль.
У взрослых патология прогрессирует при:
- гормональных нарушениях, в силу связанности их с патологической деятельностью эндокринной системы, продолжительном приеме гормонопрепаратов, изменении гормонного фона;
- воздействии на организм радиации, ядовитых веществ;
- повреждениях эпидермального покрова;
- недостатке витамина С, ведущего к тонкости сосудов;
- хронических болезнях внутренних органов.
При внезапном образовании сосудистых опухолей у взрослых нельзя исключать онкозаболевание.
4 вида гемангиом
Различаются следующие разновидности гемангиомы на лице:
- простая – ее локализация преимущественно на эпидермисе;
- кавернозная – она размещается под кожной поверхностью;
- комбинированная, содержащая и подкожную, и надкожную зоны;
- смешанная – в ее составе различные виды тканей.
Какие симптомы у превалирующих видов (4 варианта)
Чтобы безошибочно определить вид гемангиомы, надо различать симптоматику и отличительные черты опухоли.
- Простой вид наделен красным либо сине-багровым тоном, отчетливыми очертаниями и местом нахождения на эпидермальной поверхности. Такие образования повреждают, в основном, надкожный покров и частично – подкожную жировую клетчатку. Их рост происходит в стороны. Поверхность у опухолей, главным образом, гладкая. Неровные встречаются редко, немного выступающие над эпидермисом – еще реже. Пальпация сопровождается сначала побледнением образований с последующим восстановлением исходной тональности.
- Кавернозный вид с локацией под кожной поверхностью выглядит ограниченной узловатой опухолью, образованной отдельными полостями (кавернами) с внутренним наполнением кровью. Структура у них мягкая, эластичная, что выявляется при пальпации. Первоначальный оттенок у них синюшный с постепенным превращением в сине-багровый цвет, что проявляется в наслаивающихся образованиях. При надавливании гемангиомы на лице блекнут вследствие кровооттока и нарастают при кашле, крике по причине напряжения и усиленного прилива крови.
- Комбинированное образование совмещает в себе и простую, и кавернозную формы, проступает доминированной частью сосудистого разращения.
- Смешанная форма гемангиомы – это опухолевые клетки, в их составе сосудистая основа и ткани – соединительная, нервная, проч. Клетки имеют внешний облик, тональность и структуру, установленные по типам тканей в составе образования.
Лицо относится к числу мест, где локализуются подобные опухоли.
Как лечится гемангиома
Осмотрев пациента, доктор отправит того на сдачу анализов для получения полного представления о структуре опухоли.
Исследования укажут на глубину поврежденных тканей, нахождение образования касательно соединительных тканей и нервных окончаний. Необходимы и анализы крови, мочи, ультразвуковое изучение гемангиомы.
Если площадь поражения значительная, потребуется и рентгенологическое исследование сосудов.
Обычно после знакомства с анализами специалист рекомендует:
- систематическое наблюдение за опухолью, если не надо ее удалять;
- терапевтическое лечение гормональными препаратами и компрессионными повязками;
- резекцию опухоли хирургом при наличии показаний к операции;
- применение иных методов для устранения гемангиомы на лице.
Выбор способа корректирования осуществляется в зависимости от гипертрофии сосудистого образования и степени повреждения тканей.
Вопрос — ответ
Гемангиома появляется одна или группами?
Можно ли применять жидкий азот для удаления опухоли детям?
Стоит ли применять народные методы борьбы с гемангиомой?
5 современных способов удаления гемангиомы
Главный вопрос людей, у кого обнаружена гемангиома на лице: как удалить новообразование.
Сегодня существует не одна методика устранения не злокачественной опухоли. Давайте детальнее рассмотрим варианты.
Лазерное удаление
Современные лучи лазера воздействуют только на пораженный участок. Они работают во время операции, не причиняя боль пациенту и не повреждая здоровый кожный покров.
Результатом лазерной обработки становится расширенная сосудистая стенка образования, опухоль рассасывается, а шрамы не образуются.
Данный способ отличается эффективностью и безопасностью, потому и применяется даже для малышей.
Но для полного удаления напасти нередко требуется курсовое лечение из нескольких сеансов, что обусловлено типом лазерного прибора и величины пораженной площади.
Удаление с помощью жидкого азота
Способ предназначен для применения в неотложных ситуациях, если надо немедленно убрать опухоль.
Медицинское мероприятие обычно проводится в поликлинике, но только если есть и нужный препарат, и квалифицированный специалист.
В действия жидкого азота заложены стадии, выраженные:
- Прижиганием сосудистого образования азотом. Продолжительность процедуры –10 — 60 секунд, сеансов может потребоваться несколько.
- Гибелью и отпаданием опухолевых клеток под влиянием низкой температуры.
- Образованием корочки на появившейся ране (она сохраняется примерно 2 недели).
Из недостатков манипуляции стоит назвать вероятность образования рубцов и пигментации в прижигаемой зоне. Есть риск сохранения рубцов на эпидермисе. От пигментации же не остается следов спустя несколько месяцев.
Прижигание электротоком
Используется правильно подобранная сила тока, в результате не образуются серьезные косметические аномалии.
Действие производится с предельной осторожностью и только медиком-профессионалом.
Детям образования удаляются воздействием самыми низкими дозами.
Высокочастотная пульсация электротока способствует разрушению опухолевых тканей. По окончании операции обработанная гемангиома на лице покрывается сухой корочкой.
Ее надо регулярно смазывать антисептиками, и постепенно корочка отпадет. Розоватый рубец на ее месте со временем приобретет цвет кожной поверхности.
Склерозирующие инъекции
Они подходят для устранения небольших образований. В пораженную область ставят уколы со спецвеществом, губительно влияющим на сосуды.
Раствор спустя время вызывает в опухолевых сосудах воспалительный процесс, а он в свою очередь – тромбоз. Соединительная ткань при этом приходит на смену погибшим клеткам сосудов.
Инъекционная методика показана при небезопасном нахождении гемангиомы, к примеру, в непосредственной близости к глазам. Применима она и при размещении опухоли на слизистых, в носу, на губах. Но метод – болезненный.
Хирургическое удаление
Способ – из категории редких. Объясняется это появлением сильных повреждений эпидермиса. Однако удаления скальпелем не избежать, если образование:
- стремительно растет;
- стискивает ближайшие сосуды и нервы;
- вызывает боль в затронутой зоне;
- порождает язвенные проявления;
- «сидит» на веке;
- кровоточит.
Резекция гемангиомы производится и при наличии глубокого повреждения тканей, и при предположении о недоброкачественности образования. После хирургического вмешательства на лицевом эпидермисе остается шрам.
Какие используются терапевтические методы (3 способа)
Терапия в лечении гемангиомы на лице у взрослых или ребенка применяется крайне редко. Если же она, все-таки, используется, то предпочтение отдается компрессии.
Метод распространяется на образования, расположенные в местах, где возможно наложить давящую перевязку на длительный период. Спустя 2 месяца опухоль видимо уменьшается в размере либо от нее не остается и следа.
Другой способ – прием гормональных препаратов. Однако строгая ограниченность применения метода вызвана проявлением ряда серьезных сопутствующих эффектов, поэтому применяется в редких случаях строго по рекомендации специалиста.
Дозировка препаратов подбирается под конкретного пациента, особенно ребенка.
Еще один метод лечения сосудистых образований заключается в приеме лекарств Пропранолола и Тимолола. Эффективность лечебной методики доказана экспериментальными исследованиями в Европе и США.
Терапия такими препаратами осуществляется под врачебным контролем с регулярной проверкой показателей артериального давления и уровня глюкозы в крови.
Пропранолол либо Тимолол предписывается к приему в индивидуальном дозировании.
Народная медицина в помощь
Несмотря на то, что народные рецепты – не панацея в лечении сосудистых образований на лице, многие практикуют их использование.
Чистотел лидирует в списке растений для устранения с лицевого эпидермиса разных образований. Но зачастую сосудистую опухоль он не убирает из-за редкостной ее структуры.
Сок алоэ наделен противовоспалительным и антисептическим действием. Но, все же, научные исследования не подтверждают его эффективность в борьбе против сосудистых опухолей.
Мнение эксперта
Мишель Эллерн
практикующий косметолог-дерматолог
Гемангиома на лице – сосудистые опухолевидные образования в красных тональностях. Неэстетичная болезнь доставляет дискомфорт человеку. Подвержены заболеванию в 3 раза чаще девочки, чем мальчики.
Теда Контис
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Если сосудистое образование проявилось, надо непременно получить консультацию врача. Не стоит затягивать визит, тем более заниматься самолечением. Не надо и пренебрегать болезнью – течение опухолевидных аномалий предписано держать под постоянным наблюдением профессионалов.
При всей распространенности гемангиома на лице – неопасная патология. Но в некоторых случаях она вызывает тревогу, что является поводом для немедленного визита к врачу.
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