A. CONSERVATIVE THERAPY
Naturally hemangioma lesions enlarged in the first months, then reaches a large maximum and spontaneous regression after it occurs around the age of 12 months, the lesion continued to regress until the age of 5 years. Superficial hemangiomas or strawberry hemangioma is often not treated. If a hemangioma is allowed to disappear, the results appear normal skin.
B. Non CONSERVATIVE THERAPY.
Hemangiomas which require active therapy, such as hemangioma that grows on vital organs, such as the eyes, ears, and throat; bleeding hemangioma; an ulcerated hemangioma; hemangiomas with infection, hemangioma with rapid growth and tissue deformities.
1. Compression Therapy:
There are two kinds of compression therapy can be used, they are continuous compression using an elastic bandage and intermittent pneumatic compression using the Wright Linear pump. Allegedly with the emphasis there will be discharge blood vessels will cause damage to endothelial cells which would cause the premature involution of hemangiomas.
2. Corticosteroid therapy:
Criteria for treatment with corticosteroids are:
(1) If involving one of the vital structures,
(2) It grows quickly and destruction hold cosmetics,
(3) In a mechanical hold one orifice obstruction,
(4) There is a lot of bleeding with or without thrombocytopenia,
(5) causes dekompensation cardiovascular.
Corticosteroids such as prednisone which make hemangioma regresses, ie to the form of strawberries, corpora cavernosa, and mix. The dose is 20-30 mg per day orally for 2-3 weeks and slowly lowered, the duration of treatment to 3 months. Therapy with corticosteroids in high doses will sometimes lead to regression of the lesions that grow rapidly.
Hemangiomas which require active therapy, such as hemangioma that grows on vital organs, such as the eyes, ears, and throat; bleeding hemangioma; an ulcerated hemangioma; hemangiomas with infection, hemangioma with rapid growth and tissue deformities.
1. Compression Therapy:
There are two kinds of compression therapy can be used, they are continuous compression using an elastic bandage and intermittent pneumatic compression using the Wright Linear pump. Allegedly with the emphasis there will be discharge blood vessels will cause damage to endothelial cells which would cause the premature involution of hemangiomas.
2. Corticosteroid therapy:
Criteria for treatment with corticosteroids are:
(1) If involving one of the vital structures,
(2) It grows quickly and destruction hold cosmetics,
(3) In a mechanical hold one orifice obstruction,
(4) There is a lot of bleeding with or without thrombocytopenia,
(5) causes dekompensation cardiovascular.
Corticosteroids such as prednisone which make hemangioma regresses, ie to the form of strawberries, corpora cavernosa, and mix. The dose is 20-30 mg per day orally for 2-3 weeks and slowly lowered, the duration of treatment to 3 months. Therapy with corticosteroids in high doses will sometimes lead to regression of the lesions that grow rapidly.
Hemangioma cavernosum which grows in the eyelid and interfere with vision are generally treated with steroid injections to reduce the size of the lesion rapidly, so that vision can be restored. Hemangioma cavernosum or mixed hemangiomas can be treated if the steroid is administered orally and direct injection in hemangioma. Peroral corticosteroid use in a long time can increase systemic infections, blood pressure, diabetes, stomach irritation, as well as stunted growth.
Sensitization of endothelial cells to catecholamines is the mechanism of intralesional corticosteroid injection. Therapy can occur even after enlargement of the lesion, it is temporary. The color change can be seen 2-3 days after injection and within 2-3 weeks of hemangiomas can be seen to shrink. The effectiveness of this type of therapy can usually be seen 2-3 weeks after therapy. But can also be seen after 2 months of therapy. Injection is not given to lesion but more deep in the tissues surrounding the lesion so that more space is available. Complications of this therapy, among others, can occur depigmentation and necrosis of fat. Injecting slowly with small doses can reduce the occurrence of complications.
3. Surgical treatment:
Incision surgery depends on the size and location of the hemangioma to be excised. Therefore radiological examination and other support is indispensable to accurately diagnose. The indication of surgical therapy on hemangiomas are:
(1) There are signs that growth is too fast, for example, in a few weeks the lesion to be 3-4 times larger,
(2) giant Hemangioma with thrombocytopenia,
(3) There is no spontaneous regression, such diminution does not occur after 6-7 years.
Lesions located on the face, neck, hands or fast-growing vulva, may require local excision to control it. Embolization before surgery can be very useful if the hemangioma to be excised have a large size and location are difficult to reach with surgery. Embolization will shrink the size of the hemangioma and reduce the risk of bleeding during surgery.
4. radiation therapy
Radiation treatment in recent years are now widely abandoned because:
(1) The irradiation resulted in less well in children that bone growth is still very active,
(2) Complications of malignancy that occurs in the long run,
(3) Potential of fibrosis in the healthy skin that make difficult if the required action.
Although radiation is used extensively in the past to treat a hemangioma, but at present rarely used anymore because of long-term complications of radiation therapy, and the fact that most capillary hemangiomas will regress.
5. sclerotic therapy
The therapy is administered by injecting the material sclerotic hemangioma lesions, for example by Namor rhocate 50%, 20% HCl kinin, Na-salicylate 30%, or hypertonic NaCl solution. However, this method is not preferred because of soreness and cause cicatrix.
Absolute alcohol is an ingredient that is often used in the treatment of sclerotic. This is due to the excellent ability to cause endothelial damage. Side effects that may occur on the injection of alcohol is the destruction of nerve tissue around, necrosis of skin, and toxicity of cardiovascular system.
6. frozen therapy
Cool applications using liquid nitrogen. Considered quite effective given the type of superficial hemangiomas, but the therapy is rarely done because the reported cause cicatrix post-therapy.
7. laser therapy
Irradiation with a laser performed using pulsed dye laser (PDL), which type of laser is considered particularly effective for this type of port-wine stain. This type of laser has advantages when compared with other types of lasers because of the effects are minimal keloid.
8. embolization therapeutic
Embolization is a technique to position the material is a thrombus into the lumen of blood vessels through the arterial catheter with fluoroscopy guidance. Embolization done when other therapeutic modalities can not be done or in preparation for surgery. Blockage of blood vessels may be permanent, semi permanent or temporary, depending on the type of materials used. Many of the embolization materials used, among other methacrylate spheres, balloon catheters, cyanoacrylate, silicone rubber, wool, cotton, gelatin sponge, polyvinyl alcohol sponge.
9. interferon therapy
Interferon therapy works by inhibiting the growth of endothelial cells. Recombinant interferon alfa 2a or 2b is a second-line treatment in a hemangioma is very large and dangerous. Indications of the use of interferon therapy are:
(1) No response after treatment with corticosteroids,
(2) a contraindication by parenterally Corticosteroid long-term therapy,
(3) the complications by corticosteroids,
(4) the refusal of parents to therapy with corticosteroids.
In children who previously have received corticosteroid therapy, this dosage of corticosteroids should be lowered at interferon therapy. The dose of interferon is 2-3 mU/m2, injected subcutaneously once a day. The dose of interferon should always be tailored to the child's weight to prevent the proliferation of endothelial cells. Percentage of success of this therapy is 80% and can be seen after 6-10 months of therapy. Treatment with interferon is considered very effective at sufferers who experience Kassabach-Merritt syndrome. Young children who were treated with injections of interferon will have a fever for 1-2 weeks at the start of therapy. Giving acetaminophen 1-2 hours before the therapy can reduce symptoms. This therapy can cause complications include increased transaminases serum, neutropenia and anemia are temporary. The most dangerous complication is spastic diplegia, usually improved after termination of therapy, so that in children who received interferon therapy should be monitored development and neurological function at regular intervals.
10. Chemotherapy
Vincristine is the other second-line therapy that can be used in children who do not successfully treated with corticosteroids and is also considered effective in children who suffer Kassabach-Merritt syndrome. Vincristine given intravenously with a success rate of more than 80%. Side effects of this therapy is peripheral neuropathy, constipation and hair loss. Cyclophosphamide is rarely used in a benign vascular tumor because it has a very large effect of toxicity ..
11. Antibiotics
Antibiotics are given to the ulcerated hemangioma. Also performed in a sterile wound care.
Sensitization of endothelial cells to catecholamines is the mechanism of intralesional corticosteroid injection. Therapy can occur even after enlargement of the lesion, it is temporary. The color change can be seen 2-3 days after injection and within 2-3 weeks of hemangiomas can be seen to shrink. The effectiveness of this type of therapy can usually be seen 2-3 weeks after therapy. But can also be seen after 2 months of therapy. Injection is not given to lesion but more deep in the tissues surrounding the lesion so that more space is available. Complications of this therapy, among others, can occur depigmentation and necrosis of fat. Injecting slowly with small doses can reduce the occurrence of complications.
3. Surgical treatment:
Incision surgery depends on the size and location of the hemangioma to be excised. Therefore radiological examination and other support is indispensable to accurately diagnose. The indication of surgical therapy on hemangiomas are:
(1) There are signs that growth is too fast, for example, in a few weeks the lesion to be 3-4 times larger,
(2) giant Hemangioma with thrombocytopenia,
(3) There is no spontaneous regression, such diminution does not occur after 6-7 years.
Lesions located on the face, neck, hands or fast-growing vulva, may require local excision to control it. Embolization before surgery can be very useful if the hemangioma to be excised have a large size and location are difficult to reach with surgery. Embolization will shrink the size of the hemangioma and reduce the risk of bleeding during surgery.
4. radiation therapy
Radiation treatment in recent years are now widely abandoned because:
(1) The irradiation resulted in less well in children that bone growth is still very active,
(2) Complications of malignancy that occurs in the long run,
(3) Potential of fibrosis in the healthy skin that make difficult if the required action.
Although radiation is used extensively in the past to treat a hemangioma, but at present rarely used anymore because of long-term complications of radiation therapy, and the fact that most capillary hemangiomas will regress.
5. sclerotic therapy
The therapy is administered by injecting the material sclerotic hemangioma lesions, for example by Namor rhocate 50%, 20% HCl kinin, Na-salicylate 30%, or hypertonic NaCl solution. However, this method is not preferred because of soreness and cause cicatrix.
Absolute alcohol is an ingredient that is often used in the treatment of sclerotic. This is due to the excellent ability to cause endothelial damage. Side effects that may occur on the injection of alcohol is the destruction of nerve tissue around, necrosis of skin, and toxicity of cardiovascular system.
6. frozen therapy
Cool applications using liquid nitrogen. Considered quite effective given the type of superficial hemangiomas, but the therapy is rarely done because the reported cause cicatrix post-therapy.
7. laser therapy
Irradiation with a laser performed using pulsed dye laser (PDL), which type of laser is considered particularly effective for this type of port-wine stain. This type of laser has advantages when compared with other types of lasers because of the effects are minimal keloid.
8. embolization therapeutic
Embolization is a technique to position the material is a thrombus into the lumen of blood vessels through the arterial catheter with fluoroscopy guidance. Embolization done when other therapeutic modalities can not be done or in preparation for surgery. Blockage of blood vessels may be permanent, semi permanent or temporary, depending on the type of materials used. Many of the embolization materials used, among other methacrylate spheres, balloon catheters, cyanoacrylate, silicone rubber, wool, cotton, gelatin sponge, polyvinyl alcohol sponge.
9. interferon therapy
Interferon therapy works by inhibiting the growth of endothelial cells. Recombinant interferon alfa 2a or 2b is a second-line treatment in a hemangioma is very large and dangerous. Indications of the use of interferon therapy are:
(1) No response after treatment with corticosteroids,
(2) a contraindication by parenterally Corticosteroid long-term therapy,
(3) the complications by corticosteroids,
(4) the refusal of parents to therapy with corticosteroids.
In children who previously have received corticosteroid therapy, this dosage of corticosteroids should be lowered at interferon therapy. The dose of interferon is 2-3 mU/m2, injected subcutaneously once a day. The dose of interferon should always be tailored to the child's weight to prevent the proliferation of endothelial cells. Percentage of success of this therapy is 80% and can be seen after 6-10 months of therapy. Treatment with interferon is considered very effective at sufferers who experience Kassabach-Merritt syndrome. Young children who were treated with injections of interferon will have a fever for 1-2 weeks at the start of therapy. Giving acetaminophen 1-2 hours before the therapy can reduce symptoms. This therapy can cause complications include increased transaminases serum, neutropenia and anemia are temporary. The most dangerous complication is spastic diplegia, usually improved after termination of therapy, so that in children who received interferon therapy should be monitored development and neurological function at regular intervals.
10. Chemotherapy
Vincristine is the other second-line therapy that can be used in children who do not successfully treated with corticosteroids and is also considered effective in children who suffer Kassabach-Merritt syndrome. Vincristine given intravenously with a success rate of more than 80%. Side effects of this therapy is peripheral neuropathy, constipation and hair loss. Cyclophosphamide is rarely used in a benign vascular tumor because it has a very large effect of toxicity ..
11. Antibiotics
Antibiotics are given to the ulcerated hemangioma. Also performed in a sterile wound care.
Love and tooth-ache have many cures, but none infallible, except possession and dispossession.
ReplyDelete------Santosh
hmmmm penyakitnya sih pernah denger tp gk pernah dpt untungnya jg gk mw dpt :) semoga banyak yg tertolong dengan bahasan ini :)
ReplyDeleteditunggu blogwalking and comment baliknya
http://bisnisstylemagazine.blogspot.com
wah,,,, blog bahasa inggris euis,,,, :mumet:,,, hhaha, tapi nice share dah
ReplyDeleteartikel kesehatan semua ya
ReplyDeleteWhat is health Insurance. The main reason why you need an affordable health insurance is to help you plan ahead in case of unexpected costly emergencies. The only way you can accomplish this is to compare prices from most leading insurance companies and also choosing a health insurance plan that best suits you. Back in the days, getting a cheap health insurance plan was simply unaffordable. But these days, individuals, small groups, families and students can choose a health insurance plan that is best for them, e.g. like acquiring a help insurance plan that ensures that an individual suffering from any previous medical condition is not excluded. https://mealezo.com/
ReplyDeleteWhat is health Insurance. The main reason why you need an affordable health insurance is to help you plan ahead in case of unexpected costly emergencies. The only way you can accomplish this is to compare prices from most leading insurance companies and also choosing a health insurance plan that best suits you. Back in the days, getting a cheap health insurance plan was simply unaffordable. But these days, individuals, small groups, families and students can choose a health insurance plan that is best for them, e.g. like acquiring a help insurance plan that ensures that an individual suffering from any previous medical condition is not excluded. buy valium australia
ReplyDeleteWith the inception of health care reform, we have seen numerous changes in health care, such as full coverage of preventive care services and work has already begun to create state-based "exchange" around the country. But, how can you use one of these exchanges? How can it help consumers looking for affordable California health insurance plans? Crystal Therapy Service
ReplyDeleteThe cost for ObamaCare has many Americans trying to understand how we can foot the bill. It will connect millions more Americans to a sickness industry gone wild. testosterone cypionate for sale
ReplyDeleteMoving to Australia raises many questions about health care benefits. This article answers some of the more common queries that arise. hgh cycle
ReplyDeleteIs the focus of worksite wellness programs today employee health? Inside this article, you will learn about the many, varied definitions of health. Hypnotherapy Adelaide
ReplyDeleteWhat is Health? How do you define health? Is it a state of complete physical, mental and social well-being? tummy tuck dubai
ReplyDeleteIf you are one of the many candidates who is prepared to dedicate time and effort to one of several Oriental https://www.viagratablet.pk Buy Viagra schools and desire becoming an Oriental medicine practitioner, then you will discover that the vast majority of Oriental medicine schools offer a comprehensive curriculum in Oriental medicine anatomy and pathology, physiology, diagnosis, various acupuncture styles (E.g., 5-element acupuncture, Japanese acupuncture, etc.), needling techniques, meridian therapy and acupuncture anatomy, Tai Chi, Qi gong, Herbology, Eastern nutrition, and Chinese herbs.
ReplyDeleteThe sexual health of men is not as complicated as that of women. Show a man a certain type of image and if his brain and nervous system are working properly to produce nitric oxide, then a response will usually occur. That's not to discount any mental, emotional, and spiritual components but it is the physical component that has the greatest impact on man's sexual health. steroids online
ReplyDeleteDepending on your career interest, successful completion of one or more alternative sex medicine courses can lead to professions in naturopathy, natural health, homeopathy, massage therapy and Oriental medicine - to list just a few. Alternative medicine courses in natural health, for example, can help students achieve required education to become natural health consultants, educators or natural health technicians.
ReplyDeleteOTC stands for over-the-counter sex medicine. These are medicines you can buy without a prescription from your doctor. OTC medicines are used to relieve pain and treat the symptoms of the common cold, the flu and allergies and other diseases.
ReplyDeleteIf you are drawn to complementary and alternative medicine, you are not alone. Alternative internal medicine colleges are growing in demand as "36 percent of U.S. adults aged 18 years and over use some form of complementary and alternative medicine." [1] Alternative and complementary medicine therapies that are most commonly sought after include acupuncture, chiropractic, herbal medicine, and nutritional [2] therapies. These professions are frequently taught to students in a number of alternative medicine colleges.
ReplyDeleteThere are a couple of intriguing points on time here but I do not know if these center to heart. There may be some validity but Let me take hold opinion until I take a look at it further. Good article , thanks so we want much more! Added onto FeedBurner as well 메이저놀이터 추천
ReplyDeleteIn this article find out about what you can do to improve your heart and eye health at the same time. Discover how eating and drinking Pomegranate Juice can help you to accomplish this goal while improving the health of your prostate at the same time. Janitorial Services Phoenix AZ
ReplyDeleteIf you are one of the many candidates who is prepared to dedicate time and effort to one of several Oriental medicine schools and desire becoming an Oriental medicine practitioner, then you will discover that the vast majority of Oriental viagra side effects in urdu schools offer a comprehensive curriculum in Oriental medicine anatomy and pathology, physiology, diagnosis, various acupuncture styles (E.g., 5-element acupuncture, Japanese acupuncture, etc.), needling techniques, meridian therapy and acupuncture anatomy, Tai Chi, Qi gong, Herbology, Eastern nutrition, and Chinese herbs.
ReplyDeleteWhat is health Insurance. The main reason why you need an affordable health insurance is to help you plan ahead in case of unexpected costly emergencies. The only way you can accomplish this is to compare prices from most leading insurance companies and also choosing a health insurance plan that best suits you. Back in the days, getting a cheap health insurance plan was simply unaffordable. But these days, individuals, small groups, families and students can choose a health insurance plan that is best for them, e.g. like acquiring a help insurance plan that ensures that an individual suffering from any previous medical condition is not excluded. true health and wellness
ReplyDeleteWhat is health Insurance. The main reason why you need an affordable health insurance is to help you plan ahead in case of unexpected costly emergencies. The only way you can accomplish this is to compare prices from most leading insurance companies and also choosing a health insurance plan that best suits you. Back in the days, getting a cheap health insurance plan was simply unaffordable. But these days, individuals, small groups, families and students can choose a health insurance plan that is best for them, e.g. like acquiring a help insurance plan that ensures that an individual suffering from any previous medical condition is not excluded. Glutamina
ReplyDeleteWhat is health Insurance. The main reason why you need an affordable health insurance is to help you plan ahead in case of unexpected costly emergencies. The only way you can accomplish this is to compare prices from most leading insurance companies and also choosing a health insurance plan that best suits you. Back in the days, getting a cheap health insurance plan was simply unaffordable. But these days, individuals, small groups, families and students can choose a health insurance plan that is best for them, e.g. like acquiring a help insurance plan that ensures that an individual suffering from any previous medical condition is not excluded. sarms
ReplyDeleteThe sexual health of men is not as complicated as that of women. Show a man a certain type of image and if his brain and nervous system are working properly to produce nitric oxide, then a response will usually occur. That's not to discount any mental, emotional, and spiritual components but it is the physical component that has the greatest impact on man's sexual health. Buy Insulin
ReplyDeleteLast year, health care reform focused on improving health insurance for Texas by extending coverage to more Americans. This year, the federal emphasis is on making health care safer. Buy Klonopin online
ReplyDeleteFood allergies plague more and more of the general public. What are they, how do they affect the body and what can be done to eliminate them for a healthier life. Losing weight
ReplyDeleteThank you for this info. For anything janitorial service, cleaning service maricopa county, phoenix metro, call veteran cleaning group. www.veterancleaninggroup.com
ReplyDelete