I have worked in the hemangioma department for nearly twenty years and have seen various types of hemangioma patients. Among them, infants under 1 year can account for more than 80%, and there are countless newborn babies. These children are "the apple of their parents' eyes", but the joy brought by the new life is shrouded in the "cloud" of disease. Next, I hope to use my years of work experience to help everyone get rid of the "haze" and regain health.
Daily observation: Is there any abnormality on the baby's body surface?
Infantile hemangioma is a benign tumor caused by vascular endothelial cell proliferation, and it is the most common soft tissue tumor in childhood. The incidence of hemangioma in newborns (0 1 month) was 4% 10%. As a novice parent, while taking care of the baby's life, we should carefully observe the child's body to see if it is normal.
Examination of body surface: Infantile hemangioma often appears in the first few weeks after birth. Novice parents can carefully check the baby's whole body to see if there are flaky red patches on the skin. This kind of patch grows faster, and after a few weeks, it will locally thicken and bulge, highlighting the body surface, such as strawberries.
Examination reaction: When the baby's limbs or trunk skin appears purple-red spots accompanied by abnormal symptoms such as high skin temperature, abnormal crying, poor mental appetite, and systemic skin mucosal bleeding, beware of severe hemangioma-Carmel syndrome. Patients with this type of hemangioma have severe thrombocytopenia and high mortality. It is necessary to seek medical treatment as soon as possible and take correct treatment in time to save lives.
See a doctor as soon as possible: when the child's lesions are located in special parts such as maxillofacial region, eye area and nasal tip, excessive growth may cause ulceration, bleeding, infection and disfigurement. Some children's skin lesions entered a natural regression period around 6543 8+0 years old, which lasted for 3 8 years, but most of them did not completely subside, often leaving behind pigment deposition, scar, fibrous fat deposition, skin drooping and so on. Therefore, it is still advocated to actively intervene in infantile hemangioma as soon as possible to control tumor (growth) and promote degeneration.
What should parents do if they find that the baby may have hemangioma?
Choice of diagnosis and treatment: choose a regular hospital to determine whether it is hemangioma; If yes, choose the appropriate treatment plan according to the doctor's advice.
There are three main treatment methods for infantile hemangioma, namely drug treatment, surgical treatment and laser treatment, and generally drug treatment is the main one. For diseases that are resistant to drug therapy, cause organ damage or heart failure, swelling and growth, or are not suitable for surgery, embolization can be considered. When life or function is endangered (such as airway obstruction), or drug treatment is contraindicated or unsuccessful, surgical resection can be considered.
The diagnosis and treatment process is generally determined by factors such as the scope of the lesion and the cumulative depth of the child. In the rapid proliferation period (preferably before 5 weeks old), drug intervention can promote them to enter the regression period as soon as possible, so that the tumor will harden, shrink and complete regression.
I once took care of a 3-month-old child with hemangioma in the ward. He has a red spot about 5 cm on his maxillofacial region. After seeing a doctor, I was injected with drugs for two courses (about one week for each course). At the age of 5, the tumor completely subsided.
Daily nursing care of children with hemangioma;
1. Do a good job of personal hygiene. Often give your child a manicure to avoid scratching the affected area; Wear soft, loose and breathable clothes to avoid rubbing and oppressing the affected area; Keep your child's skin clean, especially avoid being soaked in sweat; Be careful not to rub the affected area when taking a bath to avoid rupture.
2. Review regularly. General 1 2 months review. Especially the younger the month, the higher the frequency of review. After one year old, enter the regression period, wait and see the tumor changes, and check on time according to the doctor's advice to avoid overtreatment.
3. Observe patiently after treatment. After injection in the hospital, the tumor will harden, and then the tumor will be absorbed and gradually dissipated. This process may take months or years, and family members need to wait patiently.