Tuesday, March 27, 2012

Strawberry Birthmark (hemangioma) In Baby


What is a hemangioma?

A strawberry mark, hemangioma medically, is a benign tumor. Your pediatrician will probably speak of a tumor, but that you should not worry. Tumor circumscribes only the fact that there is a change in tissue. With a sponge or expand blood vessels proliferate small skin like a sponge, hence the name.

Hemangiomas are common in newborns, about one to three percent of affected infants, Are present or visible with about 30 percent of hemangiomas at birth, 70% occur between the second and fifth week of life. Girls are affected five times more likely than boys.

Unlike normal mother and birth marks of the blood sponge initially grows and shrinks in most cases, then disappears again until he. Most other birth times remain unchanged.

Rarely hemangioma at birth have already reached full size. They can grow up to 18 months on, only then they may gradually decline. This is sometimes very slowly. By the time a blood sponge is completely gone, it can take between three to ten years. It can also go faster. About 80 percent of hemangiomas disappear gradually either entirely or at least partially.

Some hemangiomas are small and inconspicuous, but others are very large and disfiguring - particularly because they occur in four out of five times in the face and neck. However, they can form anywhere where blood vessels (ie the whole body, even internally). Even if they disappear by themselves, hemangiomas can leave scars that look ugly for a lifetime.

The cause of hemangiomas is unclearPresumably they are not genetically. You as parents should therefore not feel guilty, you did nothing wrong. What is important now, as soon as possible to make an accurate diagnosis in order to begin treatment.


What are hemangiomas?

There are different forms depending on the level of development and also see the hemangiomas varies. In infants, occur mainly two ways. Depending on how deep they go under the skin, it is divided into capillary (superficial) and cavernous (deep) forms. In the beginning they usually appear as bluish or pale red patch on the skin.

Kapilläres Hämangiom. Capillaries are tiny blood vessels, thus it is also formed blood sponge is relatively small. It is red and forms on the skin or mucosa. They look like a strawberry and form, in most cases, back yourself.

Cavernous hemangioma. These hemangiomas occur in larger blood vessels and are divided according to depth in the skin and subcutaneous again in cutaneous hemangioma, and a mixture of both. The cutaneous hemangioma is reddish and forms a soft lumps on the skin, which can also bluish shimmer. It is usually resolve without treatment. The subcutaneous hemangioma is flat and shimmering blue, it is not so sharply limited. This rare tumor forms are self-limiting.


Hemangiomas are harmless?

In most cases they are not nice to look at though, but innocuous. Hemangiomas can be dangerous, you can not see. Some do not grow on the skin, but in the body and thus can block vital organs or breathing, seeing, hearing, or even prevent the ingestion of food. This is also true for hemangiomas that grow very close to the eyes or ears. These haemangioma should be removed as soon as possible.

The following symptoms may indicate an inward hemangioma:
    • a yellowish color, indicative of jaundice

    • Blood in stool

  • Severe wheezing (whistling or hissing, barking cough) and breathing difficulties
If your child has more than three superficial haemangioma, then the doctor should be an ultrasound done to rule out internal haemangioma.

Find a doctor even if the tumor is growing very fast and / or changes the form.

The majority of hemangiomas is safe, not painful and does not cause discomfort. Sometimes they are somewhat sensitive to pressure and can burst into flames. But they are disturbing, especially from an aesthetic point of view.


How can they treat?

To treat, until it should have an accurate diagnosis. By ultrasound or a CT scan rarely the exact size and depth of the hemangioma can be found. With a vascular Doppler blood flow is measured.

It is often easy to maintain, whether regress hemangiomas that are not life threatening, of course. If this happens in the first year of life, usually no treatment is necessary, although the risk remains of scarring. However, the treatments often have negative consequences, so parents should consider whether they should leave the sponge to remove blood for cosmetic reasons or not. Treatment can be useful if the hemangioma disfigured face, not regresses and your child might be teased by others, but what is in the first two years of life still is not the case.

Is usually treated with laser therapy or by freezing (cryotherapy). The latter, however painful, can cause swelling and scarring. In some cases, the tumor is surgically removed. Irradiation is rarely done today because the damage is too severe for the treatment.

For very large capillary hemangiomas can also be treated with medication, for example with steroids.

Depending on the size of the hemangioma treatment lasts one to several sessions. After each treatment, a blood sponge should be checked regularly by the agency physician.


What can I do?

You can prevent hemangiomas, you can also even do anything to prevent them from growing or to accelerate the disappearance. You can try one of the above treatments, but if you decide against treatment with laser or freezing, then you can do is wait. Remember: As long as the blood sponge your baby is not seeing or hearing impaired, it is completely safe and causes him no pain. Watch the tumor, however, very carefully and go to the doctor when she grows quickly and does not regress even after several months.


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