Ède dzesi ƒuƒu suesuesue siwo biã kple blɔ le wò ŋutigbalẽ ŋua? Mina míaƒo nu tso angiokeratoma ŋu!

Ède dzesii kpɔ be ʋuʋudedi suesuesuewo do ɖe wò ŋutigbalẽ dzi zi ɖeka, siwo ƒe amadede nye dzĩ, blɔ, alo aŋutiɖiɖia? Ɣeaɖewoɣi la, àte ŋu avɔ̃ vie ne èle nusiawo ŋu bum, alo? Eyata egbea míele nu ƒom tso nyati vevi aɖe si ŋu wòle be nànya nu tsoe ŋu. Míeyɔa nɔnɔme sia be angiokeratoma. Na míakpɔ nusi wònye, nusita wòdzɔna, kple nu bubu siwo wòate ŋu awɔ.

Mina míalé ŋku ɖe nusi angiokeratoma nye ŋu ko.

Kpuie ko la, angiokeratoma nye ƒu sue aɖe si sesẽ ƒomevi aɖe si dzɔna ɖe wò ŋutigbalẽ ƒe gowo dzi. Ʋuka suesuesue siwo te ɖe wò ŋutigbalẽ ŋu, siwo woyɔna be ʋuka siwo me ʋu sina tona, siwo lolona alo wogbãna gbɔe esiawo tsona. Esia nana wò ŋutigbalẽ ƒe akpa si le etame la ƒoa ƒu. Esia wɔnɛ be ƒunukpeƒetetedɔ siawo dzena abe ƒuƒu dzĩ, blɔ, aŋutiɖiɖi, kple ɣeaɖewoɣi yibɔ ene le ŋutigbalẽa te.

Gake nu vevitɔ kekeake si magblɔ na wò le afisiae nye be ƒunukpeƒetetedɔ siawo siwo woyɔna be angiokeratomas nye dɔdzẽ siwo menye kansa o/dɔdzẽ siwo me dɔlékui aɖeke mele o . Ema fia be menye kansae wonye o, eyata mègavɔ̃ madzemadzee o.

Gɔmesese si le ŋkɔ sia ŋu, le Helagbe me:

• Angio gɔmee nye ʋukawo.
• Kera gɔmee nye nu sesẽ aɖe, abe kpẽ ene.
• Toma gɔmee nye dɔdzẽ.

Eyata nɔnɔmea ŋuti nukpɔsusu vi aɖe hã kpena ɖe nya siawo ŋu, alo?

Nukae nye ʋuka siawo?

Fifia ɖewohĩ ànɔ nusi nye ʋuka siawo ŋu bum. Ʋuka siwo me ʋu sina tonae nye ʋuka suetɔ kekeake le míaƒe ʋukawo me. Wole sue ale gbegbe, wole abe nuŋlɔti ƒe nugbɔ ene. Míate ŋu akpɔ wo kple ŋku dzro ko o negbe to nusuekpɔmɔ̃ dzi ko.

Bu eŋu kpɔ ko, ʋuka siwo me ʋu sina tona abe biliɔn 10 ene ye le míaƒe ŋutilã me! Esiawoe doa ka kple míaƒe ʋuka veviwo (ʋukawo) kple ʋukawo ɖe wo nɔewo ŋu. To wo kadodo me la, ʋuka sue siawo kpena ɖe ame ŋu be oxygen kple nunyiamewo tso ʋua me yia lãmenugbagbeviwo me le míaƒe ŋutilã katã me.

Ðe angiokeratoma ƒomevi aɖewo lia?

Ẽ, angiokeratoma ƒomevi vevi geɖewo li. Esiawo kpɔa ŋusẽ ɖe míaƒe ŋutigbalẽ ƒe titina (míeyɔnɛ be dermis) kple etame (epidermis) dzi. Mina míalé ŋku ɖe nusiwo ƒomevi mawo nye ŋu:

Angiokeratoma si nye Fordyce ƒe dɔléle

Ŋutsuwo ƒe vidzidɔ alo ŋutsu ƒe vidzinu mee wokpɔa esia ƒomevi wu . Eyae nye be le ŋutsu ƒe vidzidzi ƒe ɖoɖoa me. Gake ƒã hafi woate ŋu akpɔe le nyɔnuwo ƒe vidzidɔ hã me. Menye ƒunukpeƒetetedɔ siawo dometɔ ɖeka alo eve koe ate ŋu axɔ ame aɖewo o, ke boŋ wo dometɔ alafa geɖe.

Fordyce ƒe ʋukawo me ʋu ƒe sisi dzea amesiwo xɔ wu ƒe 50 dzi wu.Abi mawo tɔgbe (siwo woyɔna be angiomas) ate ŋu adzɔ ɣeaɖewoɣi le funɔwo alo amesiwo zãa lãmetsiŋusẽ ƒe vidzidzinutsitikewo ŋu.

Angiokeratoma si le Mibelli ƒe ʋukawo me

Nyɔnuvi suewo mee esia ƒomevi bɔ ɖo wu . Zi geɖe la, ŋutigbalẽ ƒe abi siawo dzena le ŋutigbalẽa ƒe akpa siwo le asibidɛwo dome (le asiwo kple afɔwo dzi). Woate ŋu adze le klowo, abɔta, kple no hã dzi. Anɔ bɔbɔe be ʋu nado le ʋuʋudedi siawo ƒomevi me wu .

Angiokeratoma ƒe ƒuƒoƒo si woyɔna be circumscriptum

Esiae nye ne wodzi vidzĩ kple teƒe gbadza siwo ƒe amadede trɔ, siwo le abe abi ene . Le ɣeyiɣi aɖe megbe la, teƒe siawo ate ŋu atrɔ azu ŋutigbalẽ ƒe akpa siwo kɔ, siwo biã, siwo me ʋuʋudedi le. Esiawo hã ate ŋu ado ʋu. Akɔta siawo ate ŋu anɔ sue wu sentimeta afã. Gake ƒã ŋutɔ la, woate ŋu atsyɔ ŋutilãa ƒe akpa enelia dzi.

Zi geɖe la, wokpɔa ƒunukpeƒetetedɔ siawo le akɔta alo ata ƒe akpa ɖeka. Ðevi aɖewo ate ŋu axɔ wo le kɔ, akɔta, vidzidɔ, alo aɖe hã dzi. This type is very rare , eye eya koe nye ƒomevi si bɔ ɖe nyɔnuviwo me wu.

Angiokeratoma corporis si kaka ɖe lãme na ame

Esia ƒomevi dzɔna le amesiwo ŋu nɔnɔmewo abe lysosomal storage diseases ene le ŋu . Le kpɔɖeŋu me, Fabry ƒe dɔléle. Esiawo nye lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe dɔléle siwo ƒe dome wonyi. Dɔléle siawo xea mɔ na ŋutilãa be wòate ŋu agbã gbeɖuɖɔ aɖewo nyuie o.

Zi geɖe la, wokpɔa ŋutigbalẽ ƒe abi siawo ƒomevi le vidzinuwo ƒe akpa, ƒodo, kple teƒe si míeyɔna be "pants area" tso akɔta va ɖo klowo dzi. Woate ŋu adzɔ le ɖevime, ƒewuiwo, alo ame tsitsi gɔ̃ hã me.

Aleke gbegbee nɔnɔme sia bɔe? Nukawoe gbɔ wòtsona?

Le nyateƒe me la , angiokeratoma nye dɔléle si mebɔ kura o . Le kpɔɖeŋu me, le United States la, edzea ame siwo ade 0.16% dzi, alo mede ame 2 le ame 1,000 ɖesiaɖe me o. Angiokeratomas katã ƒe 14% lɔƒo nye Fordyce ƒe angiokeratomas (si ƒomevi dzɔna ɖe vidzidɔa dzi). Esia bɔ ɖe yevu ŋutsuwo hã me wu.

Azɔ mina míalé ŋku ɖe nusita angiokeratomas siawo dzɔna ŋu .

Esiawo dzɔna ne lãkusi siwo léa ʋukawo ƒe gliwo ɖe te la megate ŋu trɔna ɖe wo nɔewo ŋu o (womegate ŋu trɔna ɖe nɔnɔmewo ŋu o) . Nu geɖe ate ŋu atso esia gbɔ:

• Ðewohĩ domenyiŋusẽfianue nye esia .
• Ate ŋu atso ʋukawo ƒe dɔmawɔmawɔ nyuie (ʋukawo ƒe dɔmawɔmawɔ nyuie) gbɔ.
• Ate ŋu atso ʋukawo ƒe tete ɣeyiɣi didi gbɔ.
• Alo, ate ŋu anye ɣeyiɣi didi , ʋuʋudedi sue aɖe alo ʋuʋudedi le ŋutigbalẽa ŋu (dzikudodo atraɖii) .

Ne edzɔ alea la, ʋuka mawo sesẽna vie, wovuvuna, eye ɣeaɖewoɣi la, woate ŋu agbã. Ðewohĩ èkpɔ ame aɖewo siwo ƒe afɔwo ƒe ʋukawo le blɔ, si míeyɔna be ``spider veins``. Esia hã nye nu ɖeka ma ke. Gake le angiokeratoma me la, nusi dzɔna enye be ʋuka si lolo la ƒoa xlã ŋutigbalẽa, eye wòwɔa ʋuʋudedi si kɔ, si ƒe amadede trɔ, si míeyɔna be ``papule``.

Gakpe ɖe eŋu la, nɔnɔmewo abe ʋuka siwo me ʋu sina tona le vidzidɔ me (varicoceles) alo ʋuka siwo me ʋu sina tona ate ŋu ade ʋuka siwo me ʋu sina tona me. Esia ate ŋu ahe ʋuka siwo me ʋu sina tona le vidzidɔa me vɛ. Nenema ke nyaƒoɖeamenu si dona le fufɔɣi ate ŋu ahe ʋuka siwo me ʋu sina tona le vidzidɔa me vɛ.

Ɣeaɖewoɣi la, angiokeratoma ƒe ƒu ɖeka ate ŋu adze le teƒe aɖe koŋ le ŋutilãa dzi , le ƒe geɖe megbe .

Nukawoe nye angiokeratoma ƒe dzesiwo?

Angiokeratomas ate ŋu adze abe ʋuʋudedi ene vie . Woate ŋu adze le ŋutilãa ƒe akpa sia akpa. Kpe siawo dzea egɔme biã, emegbe wozua yibɔ alo aŋutiɖiɖi le ɣeyiɣi aɖe megbe, eye ŋutigbalẽ si le wo dzi la ƒoa ke ɖe to. Gake ɖewohĩ ame siwo ƒe ŋutigbalẽ le ɣie la made dzesi wo nenema gbegbe o.

Ne ètsɔ asibidɛ te fli siawo dometɔ ɖeka la, mavuvu o (azu ɣie). Ðewohĩ ƒunukpeƒetetedɔ ɖeka koe le ŋuwò (angiokeratoma ɖeka kolia), alo ƒoƒoe siwo ade 100 ate ŋu anɔ ŋuwò.

Nusiwo gbɔnae nye angiokeratomas ƒe dzesi siwo bɔ:

• Eƒe nɔnɔme le abe dome ene .
• Sesẽ alo sesẽ be woaka asi eŋu.
• Dzĩ, blɔ, aŋutiɖiɖi alo yibɔ .
• Zi geɖe la, enɔa sue wu inch enelia (milimeta 5) `(Ele sue wu inch enelia (milimeta 5))`.
• Eƒe gogloƒe le gbadzaa, eye eƒe nɔnɔme kple dzedzeme le abe kpe gbadzɛ alo ʋuʋudedi ene .

Amekae ate ŋu atu nusiawo ɖo wu? (Afɔku siwo ate ŋu ahe ame) .

Amesiame ate ŋu axɔ angiokeratomas, gake ƒomevi aɖewo bɔ ɖe ƒexɔxɔ kple ŋutsu alo nyɔnu aɖewo me wu.

Le kpɔɖeŋu me, yevu ŋutsuwo ate ŋu axɔ angiokeratoma of the scrotum (Fordyce). Nenema ke amesiwo ŋu lysosomal storage disorders le hã ate ŋu axɔ angiokeratoma corporis diffusum.

Ðe esia ate ŋu ahe kuxi bubuwo vɛa?

Angiokeratomas ƒomevi aɖewo te ŋu ʋuna ne woƒoe gɔ̃ hã . Ame aɖewo ate ŋu ase le wo ɖokui me be yewomevo le yewo ɖokui me kura o eye woado dziku le ƒoƒo siawo ta. Ame bubuwo ate ŋu akpɔ ʋuʋudedi alo dzobibi .

Nu vevitɔe nye be ʋu ƒe sisi ate ŋu adzɔ le angiokeratomas me. Gake ʋuka siawo mesɔ kple ʋuka siwo me afɔku le siwo xea mɔ na ʋu ƒe sisi le míaƒe ŋutilã me (esiwo hea ʋusɔgbɔdɔ kple dzidɔ vɛ) o. Womedea wò afɔku me be nàxɔ ʋusɔgbɔdɔ alo dzidɔ o. Ke hã, ʋuka siawo ate ŋu ana ame nase veve.

Aleke nàwɔ anya kple kakaɖedzi be ʋuka siwo me ʋu sina tona ƒe dɔlélee nye esia? (Dɔléle ƒe dzesi) .

Be nànya nusi tututu nɔnɔme sia nye la, ele be nàyi ŋutigbalẽŋutinunyala gbɔ . Enye ɖɔkta si dea dzesi ŋutigbalẽdɔlélewo hedaa wo.

Togbɔ be angiokeratomas menye ŋutigbalẽ me kansa o hã la, ʋuʋudedi aɖewo ate ŋu adze abe melanoma, si nye ŋutigbalẽ me kansa ƒomevi aɖe si nu sẽ ene . Wò ɖɔkta ate ŋu azã dɔwɔnu tɔxɛ aɖe si woyɔna be dermoscope atsɔ alé ŋku ɖe ʋuʋudediawo ŋu. Woate ŋu atsɔ ŋutigbalẽ sue aɖe hã (ŋutilã ƒe lãmenugbagbeviwo ɖeɖe) atsɔ akpɔ egbɔ be menye kansae o.

Ðe atike aɖe li na esia? Ðe woate ŋu adaea?

Menye ɖeko angiokeratoma ƒe ʋuʋudediwo nu yina ko o . Ɣeaɖewoɣi la, wote ŋu lolona eye wosɔa gbɔ ɖe edzi.

Gake zi geɖe la, angiokeratomas mehiã be woawɔ atike tɔxɛ na wo o . Gake ne ƒunukpeƒetetedɔ siawo nana ŋu kpea wò alo nèbua ɖokuiwò ŋu le wò dzedzeme ŋu, alo ne ʋu le dodom le ŋuwò, ʋuʋu, alo he kuxi bubuwo vɛ la, ate ŋu ahiã be woawɔ atike na wò.

Wowɔa atikewɔwɔ sia le wò ɖɔkta ƒe dɔwɔƒe. Woate ŋu ana atike si naa alɔ̃dɔdɔ wò le teƒea be wòana wò ŋutigbalẽ natsi. Gake nenɔ susu me na wò be angiokeratomas aɖewo ate ŋu ana abi nadze ame dzi .

Wò ɖɔkta ate ŋu atia atikewɔmɔnu siawo dometɔ ɖeka:

• Cryotherapy: Woɖea dɔdzẽa ɖa to vuvɔ si nu sẽ zazã me.
• Elektrikŋusẽdɔwɔwɔ alo fulguration: Dɔdzẽa tsɔtsrɔ̃ to dzoxɔxɔ si tso elektrikŋusẽ me zazã me.
• Laser amekoko (ablation): Woɖea dɔdzẽa ɖa to kekeli ƒe keklẽ sesẽwo zazã me.
• Ŋutilã ɖeɖe ɖa: Ʋuka siwo gblẽ la ɖeɖe ɖa kpe ɖe ŋutigbalẽa ŋu.

Nukae nye amesi ŋu angiokeratoma le ƒe mɔkpɔkpɔ?

Angiokeratomas ate ŋu ana ame aɖewo nalé blanui alo ŋu nakpe wo le woƒe dzedzeme ta. Seselelãme siawo ate ŋu ana ame nalé blanui alo atsi dzimaɖi ɣeaɖewoɣi . Atikewɔwɔ ate ŋu akpe ɖe ŋuwò nàkpɔ tɔtrɔ siawo siwo va le wò dzedzeme me gbɔ. Dɔdamɔnu aɖewo ate ŋu aɖe ƒunukpeƒewo ɖa keŋkeŋ gɔ̃ hã.

Togbɔ be mehiã be woawɔ atike na angiokeratomas akpa gãtɔ o hã la, ele vevie be woakpɔ dɔlélea nyuie be woaɖe dɔléle siwo nu sẽ wu ɖa .

Nu kawoe wòle be nàbia wò ɖɔkta?

Ne èyi ɖɔkta gbɔ la, anyo be nàbia nya siawo:

• Nukatae ʋuka me ʋu ƒe sisi sia le ŋunye?
• Angiokeratoma ƒomevi ka ƒomevie le ŋunye?
• Ðe mehiã atikewɔwɔa?
• Atikewɔwɔmɔnu kawoe le asinye?
• Ðe wòle be matsi dzi ɖe kuxiwo ƒe dzesiwo ŋua?

Ðe esia nye gbɔdɔdɔ ƒe dɔléle (STD)a? Ðe wònye ŋutigbalẽ me dɔdzẽa?

Ao, angiokeratoma menye gbɔdɔdɔ ƒe dɔléle alo dɔlékui (STD alo STI) o . Màte ŋu alée tso ame bubu gbɔ o. Angiokeratoma ƒe ƒu siwo dona le akɔta alo akɔta ate ŋu adze abe vidzinuwo ƒe ʋuʋudedi ene ɣeaɖewoɣi. Esia tae wò ɖɔkta adi be yeado wò ŋutigbalẽ ƒe akpa sue aɖe kpɔ be yeakpɔ dɔlélea nyuie.

Azɔ hã, abe alesi míegblɔe va yi ene la, angiokeratoma menye ŋutigbalẽ me kansa o . Nɔnɔme sia ƒe amesinɔnɔ medzia kansa xɔxɔ ƒe afɔkua ɖe edzi o.

Manya wɔ be angiokeratomas magadzɔ ake le teƒe ma ke le atikewɔwɔ vɔ megbe o. Gake ƒunukpeƒe yeyewo ate ŋu ado ɖe wò ŋutilã ƒe akpa bubuwo.

Eyata, nusiwo dzi wòle be míaɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe me (Take-Home Message) dometɔ aɖewoe nye esi:

Enyo, míeƒo nu geɖe tso Angiokeratoma ŋu, alo? Mlɔeba la, nu vevitɔ kekeake siwo dzi wòle be nàɖo ŋkui lae nye esi:

• Angiokeratomas nye ʋuʋudedi dzĩ, blɔ, aŋutiɖiɖi, alo yibɔ siwo dzɔna ne ʋuka sue siwo te ɖe ŋutigbalẽa ŋu (capillaries) lolo alo gbã , si wɔnɛ be ŋutigbalẽa ƒoa ƒu ɖe wo dzi.
• Esiawo menye kansa ƒe nɔnɔmewo o .
• Angiokeratomas ƒomevi vovovowo li. Wo dometɔ aɖewo (e.g., Fordyce ƒe angiokeratomas) ateŋu adze abe vidzinuwo ƒe ʋuʋudedi ene elabena wowɔa wo ɖe vidzidɔa dzi alo ƒoa xlã lãkusiwo.
• Togbɔ be esia mehiã be woawɔ atike nɛ le go geɖe me o hã la, woate ŋu adae ne eƒe dzedzeme mefa o, ʋu le dodom le eŋu, eƒe ƒoƒo, alo wòhea vevesese.
• Nu vevitɔe nye be ne ède dzesi tɔtrɔ sia tɔgbe le wò ŋutigbalẽ ŋu la, yi ɖɔkta gbɔ be nànya nusi tututu wònye . To mɔ sia dzi la, àte ŋu aƒo asa na vɔvɔ̃ madzemadzee eye nàkpɔ atike si sɔ ne ehiã.

Mele mɔ kpɔm be nyatakaka sia aɖe vi na wò. Lé be na wò ŋutigbalẽ, elabena ŋutigbalẽ si le lãmesẽ me le vevie na agbe nyui nɔnɔ!

` angiokeratoma, ŋutigbalẽ ƒe ƒuƒoƒo, teƒe dzĩwo, ʋuka siwo me ʋu sina tona, ŋutigbalẽ ƒe dɔlélewo, Fordyce, Fabry dɔléle, ŋutigbalẽ ƒe dzesiwo, ŋutigbalẽ ƒe atikewɔwɔ