Momma yɛnhwehwɛ nsensanee a ɛyɛ nwonwa a ɛwɔ wo nipadua so no ho asɛm? (Dysplastic Nevus / Nwansena a Ɛnyɛ Nea Wɔtaa Yɛ) .

So nwansena a ɛwɔ wo nipadua so no haw wo pɛn? Ebia woahyɛ no nsow sɛ ɛsono nwansena bi wɔ afoforo ho, ɛsõ, ɛsono ne kɔla, na enni nsɛso biara. Ɛno na yɛrebɛka ho asɛm nnɛ. Yɛfrɛ eyinom ‘annormal moles’ anaasɛ wɔfrɛ no aduruyɛ mu sɛ `(Dysplastic Nevus)`. Mma ɛnhaw wo, yɛbɛka eyi ho asɛm tiawa ne ɔkwan a wubetumi ate ase so.

Dɛn ne saa nsensanee yi? Nsonsonoe bɛn na ɛda nsensanee a ɛteɛ ne nsensanee a ɛnteɛ ntam?

Okay, di kan ma yɛnhwɛ nea mole yɛ. Nkwammoaa soronko bi wɔ hɔ a ɛma yɛn honam ani kɔla, wɔfrɛ no melanocytes . Bere a saa melanocytes yi boaboa wɔn ho ano wɔ baabi biako no, moles ba. Wɔ aduruyɛ mu no, wɔfrɛ akisikuru nevus . Sɛ nwansena pii wɔ hɔ a, wɔfrɛ wɔn nevi .

Nnipa dodow no ara wɔ freckles a ɛfata ara kwa . Ɛyɛ ade a ɛfata sɛ ɔpanyin a ne honam ani yɛ fitaa benya nsensanee bɛyɛ 40. Saa nsensanee a ɛyɛ daa yi ne nsensanee a ɛnteɛ a yɛreka ho asɛm nnɛ no nyinaa taa fi ase pue wɔ mmofraase ne mmerantebere ne mmabaabere mu.

Afei ma yɛnhwɛ nea dysplastic nevus yɛ, anaasɛ mole a ɛnyɛ ne kwan so . Sɛ yɛbɛka no tiawa a, ɛyɛ mole a ne hwɛbea yɛ soronko wɔ mole a ɛyɛ daa ho. Ebia ɛwɔ anoano a ɛnkɔ pɛpɛɛpɛ, kɔla ahorow a adi afra, na ebetumi ayɛ te sɛ nea ɛsõ sen nwansena afoforo.

Asɛmfua ‘dysplastic’ kyerɛ sɛ nkwammoaa a ɛnyɛ ne kwan so wɔ ntini bi mu. Wɔsan frɛ eyi sɛ dysplasia . Nanso mma ɛnhaw wo , saa nkwammoaa a ɛnteɛ yi nyɛ kokoram, a ɛkyerɛ sɛ ɛnyɛ bɔne ( ɛnyɛ kokoram). Nanso, ɛtɔ mmere bi a wobetumi abɛyɛ kokoram. Ɛno nti na ɛsɛ sɛ wodwen eyi ho no.

Saa nsensanee a ɛyɛ soronko yi abu so dɛn? So asiane wɔ hɔ ankasa sɛ obi benya kokoram?

Saa nsensanee a ɛyɛ soronko yi abu so sen sɛnea ebia wubesusuw. Sɛnea abenfo kyerɛ no, anyɛ yiye koraa no, Amerikafo du biara mu biako wɔ baabi biako a ɛyɛ soronko. Enti, wobetumi ahu tebea yi wɔ Sri Lanka kɛse anaa ketewaa bi.

Afei asɛmmisa a ɛho hia sen biara: So eyi `(Dysplastic Nevus)` de honam ani kokoram ba?

Sɛ yɛbɛka nokware a, yiw, asiane bi wɔ hɔ. Sɛ wowɔ saa nsensanee a ɛyɛ soronko yi a, asiane a ɛwɔ hɔ sɛ wubenya honam ani kokoram a emu yɛ den a wɔfrɛ no melanoma no dɔɔso sen onipa a ɔte saa. Dodow a wowɔ mmeae a ɛyɛ soronko no, dodow no ara na asiane a ɛwɔ hɔ sɛ wubenya kokoram yi yɛ kɛse. Fa no sɛ, obi a ɔwɔ nsensanee 10 anaa nea ɛboro saa a ɛyɛ soronko no betumi anya melanoma bɛyɛ mpɛn dumien.

Nanso biribi foforo nso wɔ hɔ. Ɛnyɛ obiara a ɔwɔ nsensanee a ɛyɛ soronko na obenya ``(Melanoma)''. Ma ɛno nso ntra w’adwenem. Enti mma ɛnhaw wo a ɛho nhia.

Abenfo ka sɛ bɛyɛ nnipa baanan biara mu biako fi ase wɔ dysplastic nevus a na ɛwɔ hɔ dedaw, a ɛyɛ akisikuru a ɛnyɛ ne kwan so.

Edin afoforo bɛn na wɔde frɛ saa `(Dysplastic Nevus)` yi?

Sɛ wo duruyɛfoɔ ka saa `(Dysplastic Nevus)` yi ho asɛm a, wobɛtumi nso de nsɛmfua yi adi dwuma:

• Mole a ɛnyɛ nea wɔtaa yɛ
• Clark ne nevi a ɔyɛ
• Congenital nevus (eyi yɛ awo agyiraehyɛde bi) .
• Spitz nevus a ɛwɔ nipadua no mu

Dɛn nti na saa nsensanee a ɛyɛ soronko yi pue?

Abenfo da so ara nnim nea ɛde ba ankasa, nanso wogye di sɛ ɛyɛ awosu mu nneɛma a wɔaka abom (a ɛkyerɛ sɛ sɛ obi wɔ w’abusua mu a, ɛda adi sɛ wo nso wubenya bi) ne nneɛma a atwa yɛn ho ahyia (titiriw, hann a ano yɛ den (UV) a efi owia mu ba) .

Akwan bɛn na hann a ano yɛ den yi fa so ba?

Yɛn nyinaa nim sɛ owia ne abɔde mu fibea titiriw a ɛma `(UV)` hann ba. Bio nso, `(UV)` mframa no yɛ nea wɔde nsa ayɛ denam:

• Halogen, incandescent, ne fluorescent akanea bi, ne laser hann bi nso.
• Wɔde mercury vapor kanea di dwuma wɔ mmeae akɛse te sɛ agumadibea ne apɔw-mu-teɛteɛ adan.
• Mpa a wɔde tanning ne owia akanea. Akyinnye biara nni ho sɛ ɛsɛ sɛ wotwe wo ho fi eyinom ho.

Hena na ɔwɔ asiane kɛse mu sɛ obenya saa nsensanee a ɛyɛ soronko yi?

Nokwarem no, obiara betumi anya saa nsensanee a ɛyɛ soronko yi, a mfe a wadi, ɔbarima anaa ɔbea, anaa honam ani kɔla mfa ho. Sɛ wowɔ honam ani tuntum a, ɛmmɔ wo ho ban koraa na woanya saa nsensanee yi anaa honam ani kokoram. Nanso asiane no betumi atew akodu baabi.

Nnipa a wɔwɔ su ahorow a edidi so yi taa nya nsensanee a ɛyɛ soronko:

• Honam ani hwɛbea a ɛyɛ fitaa yiye, nsensanee, ne aniwa ne ti nhwi a ɛyɛ kɔla a ɛyɛ hare.
• Sɛ abusua no mu biara wɔ akisikuru a ɛyɛ soronko, honam ani kokoram, anaa melanoma a.
• Sɛ wowɔ abakɔsɛm a ɛkyerɛ sɛ woanya owia a ɛboro so na woahyew owia, anaasɛ wuntumi nyɛ wo honam ani hwɛbea (a ɛkyerɛ sɛ wo honam ani yɛ kɔkɔɔ nanso ɛnyɛ tuntum bere a wode wo ho ahyɛ owia mu no).
• Sɛ wowɔ hann a ɛma wotumi te UV mframa nka a.

Wobɛyɛ dɛn ahu beae a ɛyɛ soronko yi? Dɛn ne ne su ahorow?

Ebia mole a ɛnyɛ ne kwan so (Dysplastic Nevus) benya saa su ahorow yi biako anaa nea ɛboro saa. Nea ɛbɛboa wo ma woakae eyinom no, mmara bi wɔ hɔ a wɔfrɛ no ABCDE mmara . Momma yɛnte ase wɔ Sinhala kasa mu:

• A - Asymmetrical shape: Sɛ wɔkyekyɛ mole no mu mmienu a, ɛyɛ ade a ɛnyɛ ne kwan so sɛ ɛnyɛ pɛ wɔ afã abien no nyinaa a, ɛkyerɛ sɛ ɔfã biako yɛ soronko wɔ ɔfã foforo no ho. Mole a ɛteɛ no dodow no ara yɛ symmetrical, a ɛkyerɛ sɛ ne nsusuwii yɛ kurukuruwa anaasɛ ɛyɛ kurukuruwa.
• B - ahye a enni so: S3 mole no anoano ntumi nkyere, 3y3 nwuma, anaase 3y3 toro, 3y3 nsensanee, te s3 mpoano a ewo asase mfonini so a, eno nso y3 nsenkyerennee a s3 s3 hwehw. Mpɛn pii no, moles a ɛteɛ no anoano yɛ torotoro na emu da hɔ.
• C - Kɔla ahorow: .Ɛyɛ adwenem naayɛ nso sɛ mole no nyɛ kɔla biako, na mmom ɛwɔ kɔla biako anaa nea ɛboro saa a wɔadi afra te sɛ pink, kɔkɔɔ, bruu a ɛyɛ hann, bruu tuntum, anaa tuntum. Ɛtɔ da mpo a, ebetumi ayɛ te sɛ kɔla bruu. Mpɛn pii no, mole a ɛyɛ daa no yɛ kɔla biako a ɛyɛ bruu.
• D - Kɛseɛ (Diameter): Sɛ mole no sõ sene pɛnsere a wɔde popa nneɛma (bɛyɛ nsateakwaa 1/4, anaa bɛyɛ milimita 6) a, hwɛ saa nso yie. Nanso, nwansena bi a ɛnyɛ ne kwan so betumi ayɛ nketewa asen eyi. Afei nso, moles a ɛteɛ no bi betumi ayɛ akɛse asen eyi. Enti, wuntumi nnyina ne kɛse nkutoo so nsi gyinae, ɛsɛ sɛ wohwɛ no ka su afoforo ho.
• E - Evolving: Sɛ mole no kɛse, ne nsɛso, anaa ne kɔla sesa bere a bere kɔ so no, anaasɛ sɛ mole no mogya tu, ɛyɛ no yaw, ɛyɛ yaw, anaasɛ ɛsakra ne soro (e.g., mole a ɛyɛ torotoro no bɛyɛ mmerɛw) a, ɛno nso yɛ biribi a akyinnye biara nni ho sɛ ɛsɛ sɛ wosusuw ho.

Bio nso, baabi a ɛnyɛ ne kwan so betumi ayɛ tratraa na ɛyɛ abotan, anaasɛ ebetumi akɔ soro kakra wɔ soro.

Ɛhe na nsensanee a ɛyɛ soronko yi abu so kɛse wɔ nipadua no so?

Saa nsensanee a ɛyɛ soronko yi betumi apue ankasa wɔ wo nipadua no baabiara, nanso wɔtaa hu no kɛse wɔ:

• Wɔ dua no fã (i.e. koko, yafunu, akyi) .
• Na nsa ne anan no anoano
• Wɔ ti no mu
• Kɔn
• Ti nhwi (Eyinom betumi ayera efisɛ ɛwɔ ti nhwi no akyi, enti fa ahwehwɛ anaa ma obi foforo nhwɛ mu.)

Nsɛnnennen afoforo bɛn na ebetumi aba esiane saa `(Dysplastic Nevi)` yi nti?

Wɔ asiane a ɛwɔ hɔ sɛ wubenya melanoma akyi no, sɛ wowɔ nsensanee a ɛyɛ soronko pii a, asiane wom sɛ wubenya aniwa mu kokoram (ocular melanoma) nso . Enti, ebehia sɛ woyɛ w’ani mu nhwehwɛmu daa.

Ɔkwan bɛn so na nnuruyɛfo hu saa nsensanee a ɛnyɛ ne kwan so yi (Dysplastic Nevi)?

Sɛ wususuw sɛ wowɔ nsensanee a ɛyɛ soronko a, ɛbɛyɛ papa sɛ wobɛkɔ honam ani yare ho oduruyɛfo, oduruyɛfo a ne ho akokwaw wɔ honam ani nyarewa ho. Wɔn na wobetumi ahu tebea horow te sɛ honam ani nyarewa ne honam ani kokoram pɛpɛɛpɛ na wɔasa.

Ebia wo duruyɛfo bɛyɛ nhwehwɛmu te sɛ eyinom:

• Wo honam ani nhwehwɛmu: Pɛnkoro anaa mprenu afe biara, wɔbɛhwɛ wo honam ani hwɛbea mu sɛ nsakrae bi wɔ hɔ anaa. Sɛ obi a ɔwɔ w’abusua mu anya melanoma a, ebia wɔbɛka akyerɛ wo sɛ wɔnyɛ nhwehwɛmu yi asram abiɛsa kosi asia biara.
• Dermoscopy: Nea ɛka eyi ho ne sɛ wɔde adwinnade titiriw bi a ɛma nneɛma yɛ kɛse a wɔfrɛ no dermatoscope bedi dwuma de ahwehwɛ nneɛma a ɛnteɛ wɔ mole no mu a aniwa ntumi nhu. Ɛte sɛ nea wode afiri a wɔde hwɛ nneɛma nketenkete rehwɛ mole. Eyi ma wuhu sɛnea mole no yɛ anifere kwan so ne ne kɔla ahorow no pefee.
• Mole map a wɔde yɛ:Eyi de mfoninitwa afiri titiriw bi (a ɛno nso wɔ ahwehwɛ a ɛhwɛ honam ani hwɛbea) di dwuma de yɛ wo honam ani mfonini a wɔde kɔmputa ayɛ a ɛkyerɛ wo honam ani ne nkekae. Eyi ma ɛyɛ mmerɛw sɛ wɔde nsakrae a ɛba nkekae mu bere tenten atoto ho. Eyi ho wɔ mfaso titiriw ma nnipa a nkekae pii wɔ wɔn ho.

So wubetumi ahu nsakrae soronko a ɛba nsensanee mu?

Akyinnye biara nni ho sɛ wubetumi ayɛ! Ɛho hia sɛ woyɛ wo ho nhwehwɛmu daa . Sɛ wowɔ nsensanee a ɛyɛ soronko anaa nneɛma afoforo a ɛde honam ani kokoram ba a, nnuruyɛfo kamfo kyerɛ sɛ anyɛ yiye koraa no, hwɛ wo honam ani pɛnkoro ɔsram biara . Wubetumi nso atwa mfonini na wode asie sɛnea ɛbɛyɛ a wubetumi ahu nsakrae biara a ɛbɛba ɔsram biara.

Sɛ worehwɛ sɛ mmeae bi wɔ hɔ a, kae ABCDE mmara a yɛadi kan aka ho asɛm no.

• A (Asymmetrical): So nsusuwii no nhyia?
• B (Border): So anoano no nyɛ pɛpɛɛpɛ anaasɛ ɛyɛ kusuu?
• C (Kɔla): So kɔla bɛboro biako na wɔadi afra?
• D (Diameter): So ne kɛse sõ sen pɛnsere a wɔde popa nneɛma (boro mm 6)?
• E (Evolving): So beae no reyɛ kɛse, ɛresakra ne nsusuwii, anaa ne kɔla bere a bere kɔ so no? So ɛyaw, mogya tu, anaa ɛyaw wɔ hɔ?

Sɛ wuhu biribi a ɛyɛ soronko a, nsusuw kɛkɛ sɛ, "Eyi yɛ asɛm a ɛbae ara kwa," na kɔ oduruyɛfo nkyɛn ntɛm ara. Sɛ ɛyɛ ade ketewaa mpo a, ɛyɛ papa bere nyinaa sɛ wobɛma wɔahwɛ mu.

Ɔkwan bɛn so na wosa saa nsensanee a ɛyɛ soronko yi?

Mpɛn pii no, ɛho nhia sɛ wɔsa akisikuru a ɛnyɛ ne kwan so yare titiriw biara, gye sɛ honam ani nipadua mu nhwehwɛmu (sɔhwɛ a wɔfa honam ani fã bi) si so dua sɛ ɛyɛ kokoram anaasɛ nsakrae ba ansa na kokoram aba. Sɛ wo duruyɛfo ka sɛ biopsy no yɛ atypical melanocytic hyperplasia anaasɛ moderately to severely dysplastic , eyi kyerɛ sɛ asiane a ɛwɔ hɔ sɛ wubenya kokoram no yɛ kɛse. Sɛ ɛba saa a, wo duruyɛfo no de oprehyɛn foforo bɛsa akisikuru no.

Ayaresa a wɔde sa akisikuru a ɛnyɛ ne kwan so ne sɛ wɔbɛyɛ oprehyɛn ayi akisikuru no ne honam ani apɔwmuden kakraa bi a atwa ho ahyia no afi hɔ. Sɛ nipadua mu nhwehwɛmu no si so dua sɛ akisikuru a ɛnyɛ ne kwan so no yɛ kokoram (melanoma) a, ebia wo duruyɛfo no bɛyɛ oprehyɛn kɛse, anaasɛ wɔde ɔkwan bi a wɔfrɛ no Mohs oprehyɛn bedi dwuma . Saa adeyɛ yi ma ntini a ɛte apɔw pii kora hɔ sɛnea ɛbɛyɛ yiye biara.

So metumi asiw nsensanee a ɛnteɛ a ɛbɛba no ano? Mɛyɛ dɛn abɔ me ho ban afi owia ho?

Ɛwom sɛ sɛ obi nya akisikuru a ɛnyɛ ne kwan so a, ɛma asiane a ɛwɔ hɔ sɛ obenya melanoma no yɛ kɛse de, nanso sɛ woyi akisikuru a ɛfata fi hɔ ara kwa a, ɛntew asiane yi so.

Biribiara nni hɔ ankasa a wubetumi ayɛ de asiw nsensanee a ɛnyɛ ne kwan so a ɛbɛba no ano koraa, efisɛ awosu mu ade bi nso wɔ hɔ. Nanso sɛ wowɔ bi a, ɛho hia sɛ wobɔ wo honam ani ho ban fi owia a ɛbɛsɛe no ho. Afei nso, mfa mpa a wɔde hyɛ wo honam ani hwɛbea nni dwuma da.

Yɛ saa nneɛma yi de bɔ wo honam ani ho ban fi owia ho:

• Tew abɔnten a wobɛkɔ wɔ nnɔnhwerew a nnipa pii kɔ mu (mpɛn pii no anɔpa 10 kosi awia 4) so ​​sɛnea wubetumi biara.
• Sɛ wokɔ abɔnten a, hyɛ kyɛw a ɛtrɛw, ntade a nsa tenten, ne ahwehwɛ a wɔde hwɛ owia.
• Hwɛ hu sɛ wode aduru a ɛbɔ wo ho ban fi owia ho a SPF yɛ 30 anaa nea ɛboro saa bedi dwuma . Fa gu so simma 15-30 ansa na woakɔ abɔnten. Sɛ wo ho fifiri, wo ho yɛ nwini, anaasɛ owia hyehye wo a, san fa gu so nnɔnhwerew abien biara.
• Kwati sɛ wode nkokoaa (a wonnii asram 6) bɛto owia hann tẽẽ mu sɛnea wubetumi biara.

Obi a ɔwɔ `(Dysplastic Nevus)` akwahosan tebea te dɛn?

Nnipa pii wɔ nsensanee a ɛyɛ soronko (ne nsensanee a ɛteɛ mpo) nanso wonnya honam ani kokoram. Nanso, ɛho hia sɛ wohwɛ wo honam ani daa sɛ nsakrae biara a ɛyɛ soronko wɔ hɔ anaa. Sɛ wohu tebea bi te sɛ melanoma ntɛm na wɔsa no a, ebetumi agye nnipa nkwa. Enti ɛho hia sɛ wohu na wommɔ hu.

Dɛn ne ‘Atypical Mole Syndrome’?

Nnipa a wɔwɔ atypical mole syndrome no wɔ moles dodow bi na asiane kɛse wom sɛ wobenya melanoma. Bere a saa nwansena yi mu dodow no ara yɛ nea ɛfata no, ebinom yɛ nea ɛnteɛ. Nwansena bi betumi ayɛ kɛse asen nsateakwaa nkyem abiɛsa mu biako (bɛyɛ mm 8).

Wɔfrɛ tebea foforo bi a wɔfrɛ no Familial Atypical Multiple Mole Melanoma (FAMMM syndrome) . Eyi ka abusua koro mufo. Awosu mu nkwaadɔm mu nsakrae a wonya fi awo mu no ma asiane a ɛwɔ hɔ sɛ wobenya akisikuru a ɛnyɛ nea wɔtaa yɛ ne melanoma no yɛ kɛse. Nnipa a wɔwɔ FAMMM yare no betumi anya melanoma bɛyɛ mpɛn 25.

Awiei koraa no, eyi ne nea ɛsɛ sɛ meka kyerɛ wo (Take-Home Message) .

Nnipa pii wɔ akisikuru a ɛyɛ soronko, nanso wonnya melanoma da. Nanso sɛ wowɔ akisikuru a ɛyɛ soronko, a wɔfrɛ no dysplastic nevi a, fa yɛ wo su sɛ wobɛhwɛ wo honam ani daa (wohonam ani nhwehwɛmu). Saa kwan yi so no, wubetumi ahu nsakrae biara ntɛm. Wo duruyɛfo betumi akyerɛ wo sɛnea wobɛyɛ wo ho nhwehwɛmu yi na waka nsakrae a ɛsɛ sɛ wohwɛ yiye wɔ ho akyerɛ wo. Ebia wɔbɛka akyerɛ wo nso sɛ bra mu nkɔhwɛ wo daa, na wɔmma wɔnhwɛ w’ani. Sɛ wuhu nsakrae bi wɔ wo honam ani a, kɔ wo duruyɛfo nkyɛn ntɛm ara. Sɛ́ wobehu no ntɛm no yɛ ade titiriw. Mma wo ho nnyɛ wo hu, nyansa wom sɛ wobɛma w’ani ada hɔ. Hwɛ wo honam ani yiye, tra apɔwmuden!

` Nwansena, Nsõ a Ɛnyɛ ne kwan so, Dysplastic Nevus, Wora Kokoram, Melanoma, Wora Akwahosan, Owia Hann