Ðe dzigbedzesiwo le ŋuwòa? (Dzigbedzesiwo) Mina míaƒo nu tso esia ŋu!

Ðe nède dzesi teƒe sue aɖe alo amadede ƒe tɔtrɔ le wò ŋutigbalẽ ŋu, alo le viwò suea ƒe ŋutigbalẽ ŋu kpɔa? Zi geɖe la, esiawo nyea nusiwo míeyɔna be ‘dzigbedzesiwo’. Wobɔ ŋutɔ, eye woƒe nɔnɔme kple lolome le vovovo. Abe alesi ŋkɔa ɖee fia ene la, wonɔa anyi zi geɖe le wo dzidzi me. Wo dometɔ aɖewo nu yina ne ame tsi, gake bubuwo ya anɔ anyi le agbe me katã, vaseɖe esime nàtso nya me be yeaɖe wo ɖa.

Ðe afɔku le vidzidzi ƒe dzesiwo mea? Ðe wòle be matsi dzia?

Enyo, eyata fifia ɖewohĩ èle eŋu bum nenye be afɔku le dzigbedzesi siawo me loo alo ɖe wòle be nàtsi dzi ɖe wo ŋu hã. Vidzidzi ƒe dzesi akpa gãtɔ megblẽa nu le ame ŋu o eye womehea vevesese aɖeke vɛ o. Gake vidzidzi ƒe dzesi ƒomevi aɖewo li, le kpɔɖeŋu me, ʋuʋudedi ƒomevi aɖewo (congenital nevi), si ate ŋu ana wò ŋutigbalẽ me kansa xɔxɔ ƒe afɔkua nadzi ɖe edzi ɣeaɖewoɣi. Eyata ne ède dzesi tɔtrɔ aɖe le wò dzigbedzesi ŋu – abe eƒe lolome alo eƒe amadede ƒe tɔtrɔ ene la – anyo wu be nàyi ɖɔkta gbɔ.

Nukawoe nye vidzidzi ƒe dzesi ƒomevi veviwo?

Kpuie ko la, woate ŋu ama dzigbedzesiwo ɖe hatsotso vevi eve me. Esiawoe nye:

• Vascular birthmarks : Ʋukawoe nye esiawo. Teƒe siawo dzɔna ne ʋukawo mewɔ nyuie le fugboea ƒe ɣeyiɣia me o. Wogayɔa wo be ‘dzidzidzesi dzĩwo’ elabena teƒea ƒe amadede tsoa ʋuka siwo le ŋutigbalẽa me gbɔ. Esiawo ate ŋu anɔ anyi ɣeaɖewoɣi le vidzidzi me, alo woate ŋu adze le vidzidzi megbe ŋkeke ʋɛ aɖewo.
• Dzidzimedzesi siwo me amadede le: Esiawo dzɔna to amadede ƒe lãmenugbagbeviwo (melanocyte cells) ƒe ƒuƒoƒo me . Lãmenugbagbevi siawoe naa míaƒe ŋutigbalẽ ƒe amadede nɔa eŋu. Eyata dzigbedzesi siawo ƒe amadede to vovo na wò ŋutigbalẽ ƒe akpa mamlɛa. Woate ŋu anye blɔ, yibɔ, alo blɔ gɔ̃ hã.

Azɔ, ɖe míaƒo nu tso ƒomevi eve siawo ŋu tsitotsito viea?

Ʋukawo ƒe dzigbedzesiwo

Enyo, gbã la, mina míakpɔ nusiwo nye ʋukawo me dzidzidzesi siawo ɖa. Esiawo hã ƒomevi vovovowo li.

• Strawberry hemangiomas : Wogayɔnae be nevus vascularis, ʋumenugbagbeviɣidɔ, alo ʋumenugbagbeviɣidɔ si me ʋu sina tona. Woate ŋu adze le ŋutilã ƒe akpa sia akpa, gake wobɔ ɖe mo, ta, akɔta, alo akɔta wu. Ʋuka suesuesue siwo ƒo ƒu ɖekae ye wotsɔ wɔ woe. Ɣeaɖewoɣi la, womedzena le wo dzidzi me o eye woate ŋu adze le kwasiɖa ʋɛ aɖewo megbe. Zi geɖe la, wotsina kabakaba, woƒe lolome nɔa ɖeka hena ɣeyiɣi aɖe, eye emegbe wova nu yina. Zi geɖe la, strawberry hemangiomas nu yina ne ɖevi xɔ abe ƒe 9 ene. Gake ɣeaɖewoɣi la, ŋutigbalẽ si me ʋetsuvi la nɔ la ƒe amadede ate ŋu atrɔ alo avuvu vie.

• Ʋumenugbagbeviɣidɔ siwo le dowo me: Wogayɔa esiawo be `(Angioma cavernosum)` alo `(Cavernoma)`. Esiawo sɔ kple strawberry hemangiomas, gake wogena ɖe ŋutigbalẽa te vie. Woate ŋu adze abe ƒumebɔbɔ si ƒe amadede nye blɔ dzĩ, si nye lãkusi si me ʋu yɔ fũu ƒe ƒuƒoƒo ene. Teƒe siawo ƒomevi aɖewo nu yi le wo ɖokui si, zi geɖe la, kaka viwòa natsi ate ŋu adze suku gɔme.

• Port-wine stain : Esiawo nye dzigbedzesi siwo le gbadzaa, siwo ƒe amadede nye aŋutiɖiɖi. Ʋuka siwo keke le ŋutigbalẽa me gbɔe wotsona. Wokpɔa wo le mo wu eye woate ŋu alolo ɖesiaɖe. Port-wine ƒe ɖiwo nɔa anyi ɖaa ne womewɔ atike na wo o. Woate ŋu ado viviti ahanɔ ʋeʋẽm le ɣeyiɣi aɖe megbe. Eyata ne wodzena le ŋutilã me, vevietɔ le mo dzi la, ame aɖewo ate ŋu ase le wo ɖokui me be yewole yewo ɖokui ŋu vie le yewoƒe dzedzeme ŋu.

• Salmon patches : Wogayɔa esiawo be ‘stork bites’ alo ‘angel kiss birthmarks’. Wogblɔ be wodzɔna le vidzĩ yeyewo ƒe 30% va ɖo 50% me. Le nyateƒe me la, esiawo nye ʋuka suesuesuewo (capillaries) siwo wokpɔna to vidzĩa ƒe ŋutigbalẽ me. Wokpɔa wo zi geɖe le ŋgonu, ŋkumeʋuʋu tame, nuyi si le etame, ŋkumeɖobolo dome, kple kɔ megbe. Teƒe siawo nu yina vivivi ne vidzĩa le tsitsim.

Dzigbedzesi siwo ŋu amadede le

Azɔ mina míalé ŋku ɖe dzigbedzesi siwo tso amadede ƒe lãmenugbagbeviwo (`(Melanocyte cells)`) gbɔ ŋu. Esiawo hã to vovo.

• Dermal melanocytosis : Tsã la, woyɔa esiawo be ‘Mongoliatɔwo ƒe teƒeteƒewo’. Zi geɖe la, esiawo ƒe amadede nyea blɔ eye wodzena abe abi ene. Wokpɔa wo zi geɖe le akɔta kple/alo akɔta ƒe akpa si le anyime. Gake woate ŋu adze le titina alo abɔwo hã dzi. Esiawo menye naneke si ŋu woatsi dzi ɖo o, eye zi geɖe la, wo nu yina ne ɖevia le tsitsim.

• Pigmented nevi (moles) : Esiawoe míeyɔna zi geɖe be moles. Wodzena abe ʋuʋudedi siwo kɔ ɖe dzi le ŋutigbalẽa ŋu ene. Woate ŋu anye amadede si sɔ kple wò ŋutigbalẽ, alo woate ŋu anye blɔ alo yibɔ. Moles ate ŋu adze le ŋutilãa ƒe akpa ɖesiaɖe, woawo ɖeɖe alo le ƒuƒoƒo me.

• Congenital nevi : Esiawo nye ʋuʋudedi siwo nɔa anyi le vidzidzi me. Wogblɔ be ame ɖeka le 100 ɖesiaɖe me dzi ɖeka alo esi wu nenema. Afɔku sue aɖe le dzidzidzesi siawo, le woƒe lolome nu, be woava zu ŋutigbalẽ me kansa. Nevi siwo wodzina siwo lolo wu sentimeta 20 ate ŋu axɔ ŋutigbalẽ me kansa wu esiwo le sue wu. Eyata ele be ɖɔkta nado nevi siwo katã wodzina la kpɔ. Azɔ hã, ne tɔtrɔ aɖe (amadede, lolome, nɔnɔme) va le dzigbedzesi siawo ŋu la, ele be woana ɖɔktaa nanya.

• Café-au-lait teƒewo: Esiawo nye teƒe siwo ƒe amadede nye aŋutiɖiɖi, si sɔ kple kɔfi ƒuƒu ƒe amadede. Zi geɖe la, woƒe nɔnɔme nɔa abe oval ene. Woate ŋu anɔ anyi le vidzidzi me, alo woate ŋu adze le ɖevi ƒe agbenɔƒe ƒe ʋɛ gbãtɔwo me. Café-au-lait teƒe ɖeka pɛ ko ƒe amesinɔnɔ menye nusi ŋu nàtsi dzi ɖo o. Gake ne teƒe geɖe siwo lolo wu gaku ƒe lolome le ŋuwò la, ate ŋu anye nɔnɔme aɖe si le ŋuwò abe ahɔhɔ̃mekawo ƒe dɔléle ene ƒe dzesi. Eyata anyo be nàkpɔ ɖɔkta ne ède dzesi nusiawo dometɔ aɖe.

Ðe dzigbedzesiwo le amesiame ŋua?

Èsusu be dzigbedzesiwo le amesiame ŋua? Le nyateƒe me la, vidzidzi ƒe dzesiwo bɔ ŋutɔ, gake menye amesiamee wòle o. Le akɔntabubuwo nu la, vidzĩ siwo wodzi le xexeame katã ƒe 10% lɔƒo ƒe dzesi ƒomevi aɖe koŋ le wo si si woyɔna be ``Hemangioma''.

Aleke dzidzidzesiwo dzenae?

Dzigbedzesiwo dzena le mɔ vovovowo nu na amesiame. Agbɔsɔsɔ, nɔnɔme, amadede – esiawo katã ateŋu ato vovo. Nɔnɔme siwo bɔ ɖe dzigbedzesi ŋu dometɔ aɖewoe nye esi:

• Teƒe aɖe si le wò ŋutigbalẽ ŋu si ate ŋu anɔ gbadzaa alo akɔ vie.
• Teƒe sia ƒe lolome ate ŋu atso pin ƒe nugbɔ va ɖo wò asibidɛ ƒe lolome dzi.
• Mole ƒe amadede to vovo na ŋutigbalẽ si ƒo xlãe ƒe amadede (pink, red, purple, light brown, dark brown, alo black).

Dzigbedzesi siwo me amadede le ate ŋu alolo eye woƒe amadede atrɔ ne èle tsitsim. Tɔtrɔ siawo ate ŋu ade dzesii vevietɔ ne èle ŋdɔkutsu ɖum alo le ɣeyiɣi siwo me lãmetsiŋusẽ ƒe tɔtrɔ le ŋuwò (abe le fufɔfɔ alo sɔhɛmenɔɣi ene). Woate ŋu avuvu ɣeaɖewoɣi eye ʋu ate ŋu ado le wo me ne èƒo wo.

Nukae hea vidzidzidzesiwo vɛ?

Nya si ame geɖe bianae nye be, ‘Nukatae dzidzidzesi siawo dzɔna?’ Le nyateƒe me la, womekpɔ nusi tututu gbɔ vidzidzidzesiwo tsona haɖe o. Gake woxɔe se be ɣeaɖewoɣi la, nusiwo abe:

• Ʋukawo medzɔna abe alesi wokpɔ mɔe ene le fugboe ƒe afɔɖeɖea me o (si gbɔ ``Vascular birthmarks'' tso).
• Melanocyte cells (lãmenugbagbevi siwo naa ŋutigbalẽ ƒe amadede) tsina ɖekae le hatsotsowo me (si gbɔ vidzidzi ƒe dzesi siwo me amadede le gbɔ).
• Ne vidzidzidzesi ƒomevi aɖewo le ƒomewo me la, ate ŋu anye domenyiŋusẽfianu ƒe nɔnɔme.
• Atikewɔwɔ ƒe nɔnɔme aɖewo siwo le ete hã ate ŋu ahe vidzidzi ƒe dzesiwo vɛ. Le kpɔɖeŋu me, nɔnɔmewo abe Nevus sebaceous syndrome, ŋutigbalẽ me kansa, alo Neurofibromatosis ene.

Nu vevitɔe nye be menye naneke si vidada wɔ alo mewɔ le fufɔɣi gbɔe vidzidzi ƒe dzesiwo tsona o. Wonye nusi dzɔna le dzɔdzɔme nu.

Ðe vidzidzi ƒe dzesiwo ate ŋu ahe kuxiwo vɛa?

Zi geɖe la, vidzidzi ƒe dzesiwo menye kuxi gã aɖeke o. Gake kuxi aɖewo ate ŋu ado mo ɖa ne vidzidzi ƒe dzesi siwo me amadede le. Vevietɔ ne dzigbedzesi la le teƒe si le abe mo ene la, ate ŋu akpɔ ŋusẽ ɖe susu dzi.Esia ate ŋu anye susu si ta nàse le ɖokuiwò me be yeƒe dzedzeme ate ɖe dziwò eye màgaka ɖe ɖokuiwò dzi o.

Tsɔ kpe ɖe eŋu la, abe alesi megblɔe va yi ene la, vidzidzi ƒe dzesi aɖewo siwo me amadede le ate ŋu ana wò ŋutigbalẽ me kansa xɔxɔ ƒe afɔkua nadzi ɖe edzi vie. Eyata ne ède dzesii be wò alo dzigbedzesi bubu ƒe amadede, lolome, alo eƒe nɔnɔme trɔ la, ele be nàkpɔ ɖɔkta godoo. Ne vidzidzidzesi aɖe le veve sem, ʋu le dodom le eŋu, eƒoe, alo vuvu la, yi ɖɔkta gbɔ enumake.

Aleke woawɔ ade dzesi dzigbedzesiwo?

Zi geɖe la, dzesidede vidzidzi ƒe dzesi menye nu gã aɖeke na ɖɔkta o. Woado wò ŋutigbalẽ kpɔ nyuie. Emegbe woate ŋu anya nenye be enye dzigbedzesi kple ƒomevi si wònye.

Gake ɣeaɖewoɣi la, ne ʋuʋudedi la goglo ŋutɔ la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ MRI (magnetic resonance imaging) scan, ultrasound, alo computed tomography scan atsɔ aɖo kpe dɔlélea dzi. Ne wò lãkusi ƒe lolome alo nɔnɔme trɔ la, ate ŋu anye ŋutigbalẽ me kansa ƒe dzesi, eyata ahiã be woatsɔ ŋutigbalẽ ƒe akpa sue aɖe adoe kpɔ (ŋutilã ƒe lãmenugbagbeviwo ɖeɖe).

Aleke nàwɔ aɖe dzigbedzesi aɖe ɖa?

Ne alesi wò dzigbedzesi dzenae medzɔ dzi na wò o eye nèdi be woaɖee ɖa la, àte ŋu aƒo nu tso eŋu na ɖɔkta. Mègadze agbagba gbeɖe be ye ŋutɔ yeaɖe dzigbedzesi aɖe ɖa le aƒeme o, elabena ate ŋu anye afɔku.

Ɣeaɖewoɣi la, ne èsusu be afɔku gã aɖe le ye ŋu be yeaxɔ ŋutigbalẽ me kansa la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàɖe vidzidzidzesi aɖewo ɖa.

Atikewɔwɔ vovovowo li wozãna tsɔ ɖea dzigbedzesi ɖa:

• Cryotherapy : Atikewɔwɔ si zãa vuvɔ si nu sẽ ŋutɔ.
• Laser ɖeɖeɖa (`(Laser ɖeɖeɖa)`) .
• Amekoko ƒe nuɖeɖe (`(Amekoko ƒe ɖeɖeɖa)`) .
• Cortisone injections : Wozãa esiawo na ƒomevi aɖewo.

Ðɔktaa alé ŋku ɖe wò dzigbedzesi ŋu eye wòagblɔ atikewɔwɔ si nyo na wò na wò. Zi geɖe la, wodaa vidzidzidzesiwo le ɖevia ƒe ƒe 6 xɔxɔ vɔ megbe. Gake ne dzidzi ƒe dzesia gblẽ nu le ŋutinu veviwo abe ŋku alo gbɔgbɔ ene ƒe dɔwɔwɔ ŋu la, woate ŋu awɔ atike nɛ do ŋgɔ.

Ðe atikewɔwɔa ƒe nugbegblẽ aɖewo lia?

Ne amekoko ɖe vidzidzidzesi aɖe ɖa la, afɔku ate ŋu anɔ eme be abi nadze eŋu. Gake amekolawo kpɔa egbɔ etɔxɛe be abi ƒe afɔkua dzi naɖe akpɔtɔ. Afɔku hã li be wòaxɔ dɔlékui ne woɖe vidzidzidzesi la ɖa. Be nàƒo asa na afɔku siawo la, bia wò amekola alo ɖɔkta bubu tso alesi nàlé be na wò ŋutigbalẽ le atikewɔwɔ vɔ megbe esime wòle hayahayam.

Ðe woate ŋu axe mɔ ɖe vidzidzi ƒe dzesiwo nua?

Mɔ aɖeke meli si dzi woato axe mɔ na dzidzidzesiwo be woagadzɔ o. Wonye dzɔdzɔmenu si dzɔna zi geɖe. Gake àte ŋu aɖe afɔku si li be wò dzigbedzesiwo ƒe amadede natrɔ alo azu ŋutigbalẽ me kansa le ŋdɔkutsu dzatsɛ ta dzi akpɔtɔ. Àte ŋu awɔ esia ne èkpɔ wò ŋutigbalẽ ta tso ɣe ƒe keklẽ sesẽ si nye ultraviolet si me. Do ɣe ƒe keklẽŋusẽtike ne èle gota, do awu siwo tsyɔ wò ŋutilã dzi, eye nàɖo seɖoƒe na ɣe ƒe keklẽ le ŋkekea ƒe gaƒoƒo siwo me amewo sɔa gbɔ ɖo wu me – le ŋdi ga 10 kple fiẽ ga 4 dome.

Nukae nàwɔ ne dzigbedzesiwo le ŋuwò?

Vidzidzi ƒe dzesi akpa gãtɔ megblẽa nu le ame ŋu o eye atsyɔ̃ɖoɖo koe wotsi dzi ɖo. Ɣeaɖewoɣi la, woyɔa wo be ‘atsyɔ̃ɖoɖo ƒe dzesiwo’ elabena wotsɔa nu tɔxɛ aɖe kpena ɖe wò dzedzeme ŋu. Zi geɖe la, mehiã be woada vidzidzidzesiwo o. Moles abe salmon ƒe akpa aɖewo kple strawberry hemangiomas ene nu ayi le ɣeyiɣi aɖe megbe. Vidzidzidzesi ƒomevi bubuwo anɔ ŋuwò le wò agbemeŋkekewo katã me vaseɖe esime nàtso nya me be woaɖe wo ɖa.

Gake ɣeaɖewoɣi la, ʋetsuvi gãwo, vevietɔ esiwo le teƒe si woate ŋu akpɔ, ate ŋu akpɔ ŋusẽ ɖe bubudede ɖokuiwò ŋu. Ne èse le ɖokuiwò me be yeƒe dzedzeme mevo o la, àte ŋu awɔ nusiawo:

• Ƒo nu kple susumedɔdala aɖe tso nusi le susu me na wò ŋu.
• Ƒo nu kple ɖɔkta tso vidzidzidzesi la ɖeɖeɖa ŋu.
• Zã makeup nàtsɔ aɖe dzigbedzesi la ƒe dzedzeme dzi akpɔtɔ.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne ède dzesi tɔtrɔ aɖewo le vidzidzidzesi aɖe si li xoxo ŋu, alo ne ède dzesi ŋutigbalẽ ƒe teƒe yeyewo la, yi ɖɔkta gbɔ. Nya tɔtrɔwo abe esiawo ene etɔxɛe:

• Ʋudodo (`(Ʋudodo)`) .
• Vevesese (`(Vevesese)`) .
• Ʋuʋudedi (`(Aɖuɖɔtoe)`) .
• Dɔlékui ƒe dzesiwo (abe abibi, vuvu, ʋuʋudedi) .
• Agbɔsɔsɔme ƒe dzidziɖedzi (`(Agbɔsɔsɔme ƒe dzidziɖedzi)`)
• Dzedzeme si mesɔ o (e.g., nugbɔ siwo mesɔ o, amadede vovovowo ƒe dzedzeme) .

Nya kawoe wòle be mabia nye ɖɔkta?

Ne èyi ɖɔkta gbɔ la, àte ŋu abia nya siawo tɔgbe:

• "Dzidzidzesi ka ƒomevie le asinye?"
• "Tiatia kawoe le asinye be maɖe dzigbedzesi sia ɖa?"
• "Nukae nye vidzidzi ƒe dzesi aɖe ɖeɖeɖa ƒe nugbegblẽ le ame ŋu?"
• "Ðe nye dzigbedzesi sia nu ayi le eɖokui sia?"

Ðo ŋku edzi kpuie.

Enyo, eyata esiawo nye nusiwo dzi wòle be míaɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe me.

Dzigbedzesiwo nye dzesi siwo le wò ŋutigbalẽ ŋu siwo zi geɖe megblẽa nu le ame ŋu o. Menye naneke si vidada wɔ alo mewɔ le fufɔɣi gbɔe wotso o. Wonye nane si nana wò dzedzeme kpena ɖe eŋu le dzɔdzɔme nu. Wo dometɔ aɖewo ate ŋu anɔ dzedzem alo womate ŋu akpɔ wo o.

Ne ale si wò ʋetsuvi le la medzɔ dzi na wò o la, àte ŋu aƒo nu kple ɖɔkta be woaɖee ɖa, eye naneke meli nàvɔ̃ o. Mole aɖewo trɔna le ɣeyiɣi aɖe megbe, eye ƒã ŋutɔ la, ɖewo ate ŋu atrɔ azu ŋutigbalẽ me kansa gɔ̃ hã. Eyata ne ède dzesi tɔtrɔ aɖewo le wò lãmetutudɔa ŋu la, nunya anɔ eme be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

` Dzigbedzesiwo, ŋutigbalẽ ƒe dzesiwo, ŋutigbalẽdɔlélewo, ʋumenugbagbeviɣiwo, ʋuʋudedi, ŋutigbalẽ me kansa, vidzĩ ƒe teƒeteƒewo