So woahyɛ akuru nketenkete kɔkɔɔ ne bruu nsow wɔ wo honam ani? Momma yɛnka angiokeratoma ho asɛm!

So woahu pɛn sɛ akuru nketenkete bi pue mpofirim wɔ wo honam ani, a ne kɔla yɛ kɔkɔɔ, bruu, anaa kɔkɔɔ? Ɛtɔ mmere bi a, ebia wobɛte ehu nka kakra bere a woredwen eyinom ho, ɛnte saa? Enti ɛnnɛ yɛrebɛka asɛmti bi a ɛho hia a ɛsɛ sɛ wohu ho asɛm. Yɛfrɛ tebea yi angiokeratoma. Ma yɛnhwɛ nea ɛyɛ, nea enti a ɛyɛ, ne nea ebetumi ayɛ bio .

Momma yɛnhwɛ nea angiokeratoma yɛ kɛkɛ.

Sɛ yɛbɛka no tiawa a, angiokeratoma yɛ akisikuru ketewaa bi a ɛyɛ den a ɛba wo honam ani. Eyinom fi mogya ntini nketenkete a ɛbɛn wo honam ani a wɔfrɛ no capillaries a ɛyɛ kɛse anaasɛ ɛpae. Eyi ma wo honam ani fã a ɛwɔ soro no yɛ den. Eyi ma saa akuru yi da adi sɛ akuru kɔkɔɔ, bruu, kɔkɔɔ, na ɛtɔ mmere bi a ɛyɛ tuntum wɔ honam ani.

Nanso ade a ɛho hia sen biara a ɛsɛ sɛ meka kyerɛ wo wɔ ha ne sɛ saa akuru a wɔfrɛ no angiokeratomas yi yɛ akisikuru a ɛnyɛ kokoram/a ɛnyɛ hu . Ɛno kyerɛ sɛ wɔnyɛ kokoram, enti nsuro a ɛho nhia.

Nea edin yi asekyerɛ, wɔ Hela kasa mu:

• Angio kyerɛ mogya ntini.
• Kera kyerɛ biribi a ɛyɛ den, te sɛ abɛn.
• Toma kyerɛ sɛ akisikuru.

Enti saa nsɛm yi de tebea no ho adwene ketewaa bi ba, ɛnte saa?

Dɛn ne saa ntini nketenkete yi?

Afei ebia woresusuw nea ɛyɛ saa ntini nketenkete yi ho. Ntini a ɛma mogya tu ne mogya ntini nketenkete a ɛwɔ yɛn mogya a ɛkɔ nipadua no mu no mu. Wɔyɛ nketewa araa ma wɔte sɛ kyerɛwdua ano. Yɛrentumi mfa yɛn ani nhu wɔn gye sɛ yɛde afiri a wɔde hwɛ nneɛma nketenkete mu.

Susuw ho hwɛ, ntini nketenkete a ɛte sɛ eyi bɛyɛ ɔpepepem 10 na ɛwɔ yɛn nipadua mu! Eyinom na ɛka yɛn mogya ntini atitiriw (ntini) ne ntini ahorow bom. Ɛdenam wɔn a ɛka bom so no, saa ntini nketenkete yi boa ma oxygen ne aduannuru fi mogya no mu kɔ nkwammoaa mu wɔ yɛn nipadua nyinaa mu.

So angiokeratoma ahorow bi wɔ hɔ?

Yiw, angiokeratoma ahorow atitiriw pii wɔ hɔ. Eyinom ka yɛn honam ani fã a ɛwɔ mfinimfini (yɛfrɛ no dermis) ne soro fã (epidermis). Momma yɛnhwɛ nea saa ahorow no yɛ:

Angiokeratoma a ɛwɔ Fordyce mu

Saa ɔkwan yi taa wɔ mmarima awotwaa anaa wɔn akyi berɛmo mu . Ɛne sɛ, wɔ mmarima awo nhyehyɛe mu. Nanso, wɔntaa nhu nso wɔ mmea awotwaa mu. Ebia nnipa binom benya akisikuru yi mu biako anaa abien pɛ, na mmom ɔhaha pii.

Angiokeratoma a ɛwɔ Fordyce mu no taa ka nnipa a wɔadi boro mfe 50.Ɛtɔ mmere bi a, akuru a ɛte saa ara (a wɔfrɛ no angiomas) betumi aba mmea a wɔyem anaa wɔn a wɔde hormone awo ano aduru di dwuma no mu.

Angiokeratoma a ɛwɔ Mibelli mu

Saa ɔkwan yi taa ba mmeawa nkumaa so . Saa honam ani akuru yi taa pue wɔ honam ani mpopaho a ɛwɔ nsateaa ntam (wɔ nsa ne anan so). Wotumi pue wɔ nkotodwe, nsateaa, ne nufu nso so. Saa akisikuru ahorow yi taa mogya tu .

Angiokeratoma a ɛwɔ nipadua no mu

Eyi ne bere a wɔwo akokoaa a ne kɔla yɛ tratraa a ɛte sɛ akuru . Bere kɔ so no, saa nsensanee yi betumi adan honam ani a ɛkɔ soro, kɔkɔɔ na ɛyɛ nsensanee. Eyinom nso betumi ama mogya atu. Saa abon yi betumi ayɛ nketewa asen nsateakwaa fã. Nanso ɛntaa mma koraa sɛ wobetumi akata nipadua no fã anan mu biako so.

Wɔtaa hu saa akuru yi wɔ akyi anaa asen no fã biako. Mmofra binom nso betumi anya bi wɔ kɔn, dua, mmadwoa, anaa tɛkrɛma so. This type is very rare , na ɛno nkutoo ne ɔkwan a ɛtaa ba mmeawa so.

Angiokeratoma corporis a ɛwɔ nipadua no mu a ɛtrɛw

Saa ɔkwan yi ba nnipa a wɔwɔ tebea horow te sɛ lysosomal storage nyarewa so . Sɛ nhwɛso no, Fabry yare. Eyinom yɛ nyarewa a wonya fi awo mu a ɛma nipadua no yɛ adwuma. Saa nyarewa yi mma nipadua no ntumi nsɛe nneɛma bi a wɔsɛe no yiye.

Saa honam ani akuru yi taa hu wɔ ɔbarima ne ɔbea nna mu, yafunu mu, ne baabi a yɛfrɛ no "pants area" fi asen kosi nkotodwe so. Ebetumi aba wɔ mmofraase, mmerantebere ne mmabaabere mu, anaa mpanyin afe so mpo.

Saa tebea yi abu so dɛn? Dɛn na ɛde ba?

Angiokeratoma yɛ tebea a ɛntaa nsi ankasa . Sɛ nhwɛso no, wɔ United States no, ɛka nnipa bɛyɛ 0.16%, anaasɛ ennu nnipa 1,000 biara mu 2. Angiokeratomas nyinaa mu bɛyɛ 14% yɛ Fordyce angiokeratomas (aduru a ɛba wɔ mmadwoa so). Eyi nso abu so kɛse wɔ aborɔfo mmarima mu.

Afei ma yɛnhwɛ nea enti a saa angiokeratomas yi hyehyɛ .

Eyinom ba bere a ntini a ɛboa ntini a ɛwɔ ntini no afasu no hwere wɔn ahoɔden (a ɛyɛ mmerɛw) no . Nneɛma pii betumi ama eyi aba:

• Ebia eyi yɛ awosu mu ade .
• Ebia efi nneɛma bi a ɛnteɛ wɔ mogya ntini no mu (vascular malformations).
• Ebia efi nhyɛso a ɛkɔ so bere tenten wɔ mogya ntini ahorow no so.
• Anaasɛ, ebetumi ayɛ bere tenten , ɛyaw ketewaa bi anaasɛ ɛyɛ mmerɛw wɔ honam ani (a ɛyɛ hyew a enni sabea) .

Sɛ eyi ba a, saa ntini nketenkete no yɛ den kakra, ɛho ahonhon, na ɛtɔ mmere bi a ebetumi apae. Ebia woahu nnipa binom a ntini bruu wɔ wɔn nan so, a yɛfrɛ no ``spider veins``. Eyi yɛ ade koro no ara. Nanso wɔ angiokeratoma mu no, nea ɛba ne sɛ capillary a ayɛ kɛse no pia kɔ honam ani, na ɛyɛ akuru a ɛkɔ soro, a ne kɔla sesa, a yɛfrɛ no ``papule``.

Bio nso, tebea horow te sɛ ntini a ɛyɛ mmerɛw wɔ awotwaa mu (varicoceles) anaasɛ inguinal hernias betumi de nhyɛso aba ntini nketenkete no so. Eyi betumi ama obi anya angiokeratoma wɔ awotwaa no mu. Saa ara nso na nhyɛso a ɛba bere a nyinsɛn no betumi ama awotwaa no mu ntini a ɛma mogya tu no ayɛ kɛse.

Ɛtɔ mmere bi a, angiokeratoma akisikuru biako betumi aba wɔ beae pɔtee bi wɔ nipadua no so , mfe pii akyi .

Dɛn ne angiokeratoma ho sɛnkyerɛnne ahorow?

Angiokeratomas betumi ayɛ te sɛ akisikuru kakra . Wotumi pue wɔ nipadua no so baabiara. Saa akuru yi fi ase yɛ kɔkɔɔ, afei bere kɔ so no, ɛdan tuntum anaa kɔkɔɔ, na honam ani hwɛbea a ɛwɔ so no yɛ den. Nanso, ebia nnipa a wɔn honam ani yɛ tuntum renhu wɔn saa.

Sɛ wode wo nsateaa mia saa akuturuku yi biako so a, ɛrensɛe (ɛrenkɔ fitaa). Ebia wowɔ akisikuru biako pɛ (angiokeratoma a ɛyɛ ankonam), anaasɛ ebia wobɛbɔ akisikuru bɛyɛ 100.

Nea edidi so yi ne angiokeratomas ho sɛnkyerɛnne a ɛtaa ba:

• Ɛwɔ nsɛso a ɛte sɛ dome .
• Ɛyɛ den anaasɛ ɛyɛ den sɛ wobɛka.
• Kɔkɔɔ, bruu, kɔkɔɔ anaa tuntum .
• Mpɛn pii no ɛyɛ ketewaa sen nsateakwaa anan mu biako (milimita 5) `(Esua sen nsateakwaa anan mu biako (milimita 5))`.
• Ɛyɛ mmerɛw wɔ soro, na ɛte sɛ abotan anaasɛ ɛyɛ nsensanee na ɛte sɛ nea ɛyɛ mmerɛw .

Hena na ɛda adi sɛ obenya eyinom? (Nneɛma a ɛde asiane ba) .

Obiara betumi anya angiokeratomas, nanso ahorow bi abu so kɛse wɔ mfe a wɔadi ne mmarima ne mmea bi mu.

Sɛ nhwɛso no, mmarima aborɔfo taa nya angiokeratoma a ɛwɔ awotwaa mu (Fordyce). Saa ara nso na nnipa a wɔwɔ lysosomal storage disorders no taa nya angiokeratoma corporis diffusum.

So eyi betumi de nsɛnnennen afoforo aba?

Angiokeratomas ahorow bi yɛ nea mogya tu kɛse sɛ wɔapirapira mpo a . Ebia nnipa binom bɛte nka sɛ wɔn ho nyɛ wɔn dɛ koraa na wɔn bo afuw wɔ saa akuturuku yi ho. Ebia afoforo nso bɛte yaw anaasɛ wɔbɛhyew .

Ade a ɛho hia ne sɛ mogya a ɛyɛ mmerɛw betumi ayɛ wɔ angiokeratomas mu. Nanso mogya a ɛtwetwe yi ne mogya a ɛyɛ hu a esiw mogya a ɛkɔ yɛn nipadua mu (nea ɛde akisikuru ne komayare ba) no nyɛ pɛ. Wɔmfa wo nto asiane mu sɛ wubenya akisikuru anaa komayare. Nanso, mogya a ɛtwetwe yi betumi ama obi ate yaw.

Wobɛyɛ dɛn ahu no yiye sɛ eyi yɛ angiokeratoma? (Nyare a Wɔahu) .

Sɛ wubehu nea tebea yi yɛ ankasa a, ɛsɛ sɛ wokɔ honam ani yare ho oduruyɛfo nkyɛn . Ɔyɛ oduruyɛfo a ɔhwehwɛ honam ani nyarewa na ɔsa.

Ɛwom sɛ angiokeratomas nyɛ honam ani kokoram de, nanso akuru no bi betumi ayɛ te sɛ melanoma, honam ani kokoram a emu yɛ den . Ebia wo duruyɛfo de adwinnade titiriw bi a wɔfrɛ no dermoscope bedi dwuma de ahwɛ akuru no. Ebia wɔbɛfa honam ani fã ketewaa bi nso (honam ani nipadua mu nhwehwɛmu) de ahwɛ ahu sɛ ɛnyɛ kokoram.

So aduru bi wɔ hɔ a wɔde sa eyi? So wobetumi asa no yare?

Angiokeratoma akisikuru no nkɔ kɛkɛ . Ɛtɔ mmere bi a, wotumi yɛ akɛse na wɔdɔɔso.

Nanso mpɛn pii no, angiokeratomas nhia ayaresa titiriw . Nanso, sɛ saa akuturuku yi ma w’ani wu anaasɛ woyɛ wo ho sɛnea ɛte wɔ wo ho, anaasɛ mogya tu, ɛyɛ wo yaw, anaa ɛde ɔhaw afoforo ba a, ebia ɛho behia sɛ wɔsa wo yare.

Wɔyɛ saa ayaresa yi wɔ wo duruyɛfo adwumayɛbea. Ebia wɔbɛma wo aduru bi a wɔde kum wo honam ani na ama wo honam ani ayɛ mmerɛw. Nanso ma ɛntra w'adwenem sɛ angiokeratomas bi betumi ama woanya akuru .

Ebia wo duruyɛfo bɛpaw ayaresa ahorow yi mu biako:

• Cryotherapy: Wɔde awɔw a ano yɛ den yi akisikuru no fi hɔ.
• Electrosurgery anaa fulguration: Ɛsɛe akisikuru no denam ɔhyew a efi anyinam ahoɔden mu a wɔde bɛma so.
• Laser oprehyɛn (ablation): Wɔde hann a ano yɛ den kɛse yi akisikuru no.
• Skin excision: Woyi ntini a asɛe no ka honam ani.

Dɛn ne obi a ɔwɔ angiokeratoma no anidaso?

Angiokeratomas betumi ama nnipa binom adi awerɛhow anaasɛ wɔn ani awu wɔ wɔn honam ani hwɛbea ho. Ɛtɔ mmere bi a saa nkate ahorow yi betumi ama obi anya adwenemhaw anaa dadwen . Ayaresa betumi aboa wo ma woadi nsakrae a ɛba wo honam ani hwɛbea mu yi ho dwuma. Ayaresa ahorow bi mpo tumi yi akuru no fi hɔ koraa.

Ɛwom sɛ angiokeratomas dodow no ara nhia ayaresa de, nanso ɛho hia sɛ wonya yare no mu nhwehwɛmu a edi mu na ama wɔatumi ayi tebea horow a emu yɛ den kɛse afi hɔ .

Nneɛma bɛn na ɛsɛ sɛ wubisa wo duruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɛbɛyɛ papa sɛ wubebisa nsɛm yi:

• Dɛn nti na mewɔ saa angiokeratoma yi?
• Angiokeratoma bɛn na mewɔ?
• So mihia ayaresa?
• Ayaresa ahorow bɛn na mewɔ?
• So ɛsɛ sɛ mehaw me ho wɔ nsɛnnennen ho sɛnkyerɛnne ahorow ho?

So eyi yɛ nna mu yare (STD)? So ɛyɛ honam ani kokoram?

Dabi, angiokeratoma nyɛ yare anaa ɔyare mmoawa a wonya fi nna mu (STD anaa STI) . Worentumi nkyere amfi obi foforo hɔ. Ɛtɔ mmere bi a angiokeratoma akisikuru a ɛba awotwaa anaa awotwaa no so no betumi ayɛ te sɛ ɔbarima ne ɔbea nna mu akisikuru. Ɛno nti na ebia wo duruyɛfo bɛpɛ sɛ ɔhwehwɛ wo honam ani fã ketewaa bi mu na ama woahu yare no yiye no.

Afei nso, sɛnea yɛadi kan aka no, angiokeratoma nyɛ honam ani kokoram . Saa tebea yi a wubenya no mma asiane a ɛwɔ hɔ sɛ wubenya kokoram no nkɔ soro.

Ɛnyɛ nea ɛbɛyɛ yiye sɛ angiokeratomas bɛsan aba wɔ beae koro no ara bere a wɔasa no yare awie no. Nanso, akuru foforo betumi ayɛ wo nipadua no afã afoforo.

Enti, nneɛma bi a ɛsɛ sɛ yɛkae fi nea yɛaka ho asɛm (Take-Home Message) mu ni:

Okay, yɛaka Angiokeratoma ho asɛm pii, ɛnte saa? Nea etwa to no, nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae ni:

• Angiokeratomas yɛ akuru kɔkɔɔ, bruu, kɔkɔɔ, anaa tuntum a ɛba bere a mogya ntini nketenkete (capillaries) a ɛbɛn honam ani no yɛ kɛse anaasɛ ɛpae , na ɛma honam ani yɛ den wɔ so no.
• Eyinom nyɛ kokoram tebea horow .
• Angiokeratomas ahorow pii wɔ hɔ. Ebinom (e.g., Fordyce angiokeratomas) betumi ayɛ te sɛ ɔbarima ne ɔbea nna mu akisikuru efisɛ ɛba wɔ awotwaa no so anaasɛ ɛtwa awotwaa no ho hyia.
• Ɛwom sɛ eyi nhia ayaresa wɔ nsɛm dodow no ara mu de, nanso sɛ ɛnyɛ dɛ wɔ sɛnea ɛte, mogya tu, ɛyaw, anaa ɛma ɛyaw ba a, wobetumi asa.
• Nea ɛho hia sen biara ne sɛ, sɛ wuhu nsakrae a ɛte sɛɛ wɔ wo honam ani a, kɔ oduruyɛfo nkyɛn kɔhwehwɛ nea ɛyɛ ankasa . Saa kwan no so no, wubetumi akwati ehu a ɛho nhia na sɛ ɛho hia a, woanya ayaresa a ɛfata.

Mewɔ anidaso sɛ saa nsɛm yi ho bɛba wo mfaso. Hwɛ wo honam ani yiye, efisɛ honam ani apɔwmuden ho hia na ama woanya asetra a ahoɔden wom!

` angiokeratoma, honam ani akuru, nsensanee kɔkɔɔ, ntini nketenkete, honam ani nyarewa, Fordyce, Fabry yare, honam ani sɛnkyerɛnne, honam ani ayaresa