Ðe ʋuʋudedi si le abe esia ene le wò ŋku ŋua? Mina míaƒo nu tso Conjunctival Melanoma ŋu!

Ðe nède dzesi teƒe si le blɔ alo ƒu sue aɖe le wò ŋku ƒe akpa ɣia ŋu kpɔa? Ðewohĩ mède dzesii o. Gake, ɖewohĩ manɔ bɔbɔe abe alesi nèsusui ene o. Egbea míele nu ƒom tso ŋkume kansa si mebɔ o gake ate ŋu anye afɔku na ame ŋu.

Nukae Nye Ŋku ƒe Dɔléle?

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Kpuie ko la, ŋkumeʋuʋu nye kansa ƒomevi aɖe si mebɔ o si ate ŋu adze wò ŋku dzi. Ame aɖewo hã yɔnɛ be ``Conjunctival Malignant Melanoma.'' Fifia àte ŋu anɔ eŋu bum be nukae nye ``conjunctiva'' hã. Enye lãkusi si me kɔ si tsyɔa wò ŋku ƒe akpa si le eme, wò ŋku ƒe akpa ɣi (si woyɔna hã be ``sclera'') . Ne míagblɔe tututu la, zi geɖe la, melanoma sia dzɔna le ``bulbar conjunctiva'', si nye lãkusi si kpɔa wò ŋku ƒe akpa ɣia ta.

Le nyateƒe me la, esia nye ŋkume kansa ƒomevi aɖe (ocular melanoma). Melanoma dzea egɔme ne lãmenugbagbevi siwo woyɔna be melanocytes dze tsitsi gɔme le mɔ si dzi womate ŋu aɖu o nu . Melanocyte siawo wɔa amadede si woyɔna be melanin si naa míaƒe ŋutigbalẽ, taɖa, kple ŋkuwo ƒe amadede nɔa wo ŋu. Ðewohĩ èse ŋutigbalẽ me melanoma ŋu nya kpɔ, eye nenemae wòle. Gake esia nye esi gblẽa nu le ŋkuwo ŋu. Ele vevie be míaɖo ŋku edzi be nɔnɔme sia ate ŋu ade ame ƒe agbe afɔku me ɣeaɖewoɣi .

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, ŋkumeʋuʋu nye kansa si mebɔ kura o . 2% koe wònye le ŋku ƒe dɔdzẽwo katã me. Ewɔa 0.25% hã, alo abe akpa enelia ene, le melanomawo katã me. Gake wogblɔ be dɔlékuiawo ƒe xexlẽme dzi ɖe edzi vie le ƒe ʋɛ siwo va yi me.

Le Ɣetoɖoƒedukɔwo me la, edzɔna le ame miliɔn ɖeka me tso 0.2 va ɖo 0.5 ƒe sia ƒe. Zi geɖe la, edzɔna ɖe yevu siwo menye Hispaniatɔwo o dzi. Gake ate ŋu adzɔ le Asiatɔwo, ameyibɔwo, kple Hispaniatɔwo hã me. Ƒã ŋutɔ le ɖeviwo me .

Nu bubu, ŋkume ƒe ʋuʋudedi sia menye ŋkume kansa ƒomevi aɖe abe `retinoblastoma` alo `intraocular melanoma` ene o. `Intraocular melanoma` nye esi dzɔna le ŋku ƒe titina (`uvea`), eye eyae nye kansa ƒomevi si bɔ wu si dzɔna le ŋku me. `Retinoblastoma` nye esi dzɔna le ŋku ƒe ŋkume, si le ŋku ƒe megbe.

Nukae nye esia ƒe dzesiwo?

Ðewohĩ dzesi aɖeke manɔ ŋkume ƒe ʋumenugbagbeviɣidɔ ƒe gɔmedzedze o. Gake ne ŋkumeʋuʋu ƒe dzesiwo dze le ŋuwò la, woate ŋu anye:

• Mole si me amadede le (amadede) si le ŋkua me . Ɣeaɖewoɣi la, amadede aɖeke mate ŋu anɔ mole sia ŋu o. Le nɔnɔme ma me la, woyɔnɛ be `amelanotic Conjunctival Melanoma` . `Amelanotic` gɔmee nye `melanin si mele` o.
• Teƒe sia ateŋu anye gbadzaa abe disk ene alo akɔ ɖe dzi abe ƒuƒoƒo ene (`nodular`).
• Esia le ŋku ɖeka ko me (`axa ɖeka`).

Nuka tae wòle alea ɖo?

Esi wònye be ŋkumeʋuʋu mebɔ o ta la, numekulawo meka ɖe nusi tututu gbɔ wòtsona dzi haɖe o . Domenyiŋusẽfianu ate ŋu awɔ akpa aɖe, gake mexɔa ame alo kaka tso ame gbɔ yi ame bubu gbɔ o.

Gake wokpɔe kɔte be nɔnɔme eve do ƒome kple ŋkume ƒe dɔléle si nye conjunctival melanoma ƒe dzɔdzɔ. Esiawoe nye:

• (`Primary Acquired Melanosis` – PAM): Esia nye ɣeyiɣi si me nèxɔ teƒe siwo lolo wu milimeta 1, eye woate ŋu anye amadede, siwo menɔ anyi le vidzidzi me o. `PAM` nɔnɔme sia ateŋu adzɔ kple lãmenugbagbevi siwo mesɔ o alo wo manɔmee.
• Conjunctival nevi: Esiawoe nye nusiwo míeyɔna zi geɖe be dzigbedzesiwo, ʋuʋudedi alo ʋuʋudedi.

Ðe afɔku bubuwo hã lia?

Afɔku geɖe li siwo nana ŋku ƒe ʋumenugbagbeviɣidɔ dzea ame dzi le goawo katã me:

• Ŋku blɔ alo amadede dzẽ ƒe amesinɔnɔ.Amesiwo ƒe ŋkuwo ƒe amadede le keklẽm la ate ŋu axɔ ŋkume ƒe dɔléle wu amesiwo ƒe ŋkuwo le blɔ.
• Yevu nyenye. Yevuwo ate ŋu axɔ ŋku ƒe dɔléle si nye melanoma wu to bubu me tɔwo.
• Ame tsitsi. Afɔku sia dzina ɖe edzi ne èle tsitsim.

Dzɔdzɔmeŋutinunyalawo susui be keklẽ si me wodea amii hã ate ŋu anye afɔku.

Kuxi kawoe esia ate ŋu ahe vɛ?

Ne womewɔ atike na melanoma o la, ate ŋu ana ame nakpɔ nu nyuie o eye wòaku gɔ̃ hã .

Aleke nèwɔ de dzesi esia?

Wò ŋkudɔdala (ŋkudɔdala) ate ŋu ade dzesi ŋkumeʋuʋu le ŋkumekpɔkpɔ edziedzi me. Ne wosusui la, woate ŋu adɔ dodokpɔwo abe esiawo ene:

• Ultrasound dodokpɔ (`Ultrasonography`).
• Optical Coherence Tomography (OCT): Esia nye dodokpɔ si me wozãa laser ƒe keklẽ tsɔ dzidzea ŋkume ƒe titrime.
• Biopsy dodokpɔ.

Ne wò ŋkuŋutinunyala susu be ɖewohĩ ŋkumeʋuʋu sia kaka (kaka) ɖe ŋutilã ƒe akpa bubuwo la, ate ŋu aɖe gbe be woagawɔ dodokpɔ bubuwo. Le kpɔɖeŋu me:

• Ʋudodokpɔwo .
• Nɔnɔmetata dodokpɔ bubuwo abe `PET scan`, ` CT scan` (`Computed Tomography scan`), alo ` MRI scan` (`Magnetic Resonance Imaging scan`).

Nukae nye esia ƒe atikewɔwɔ?

Wò ɖɔkta aƒo nu kpli wò eye wòakpe ɖe ŋuwò nàtia atike nyuitɔ kekeake na wò dɔlélea. Atikewɔwɔ ate ŋu anye nusiwo gbɔna dometɔ ɖesiaɖe:

• Amekoko ƒe abi la ɖeɖeɖa.
• Cryotherapy (atikewɔwɔ to vuvɔ si nu sẽ zazã me).
• Kekelidɔdada kple atikewɔmɔnu si wozãna ɖe ŋutilã ŋu nye atike siwo kpena ɖe ame ŋu ko (i.e., menye atikewɔwɔ gbãtɔ o). Kekeli ƒe atikewɔwɔ ate ŋu anye brachytherapy kple gotagome keklẽŋusẽ ƒe atikewɔwɔ .

Nukawoe nye atikewɔwɔa ƒe nugbegblẽ le ame ŋu alo kuxi siwo dona tso eme?

Kuxi siwo ate ŋu ado tso amekoko na ŋkume ƒe ʋuka me dɔlékuiwo dometɔ aɖewoe nye:

• Abi si le wò ŋkume ƒe ŋkume ƒe ŋkume ŋu.
• Dɔdzedze.
• Nukpɔkpɔ eve (`Diplopia`).

Kuxi siwo ate ŋu ado tso cryotherapy me:

• Wò ŋku ƒe akpa aɖewo, ŋkume ƒe ŋkumeʋuʋu gɔ̃ hã, ƒe gbegblẽ hena ɣeyiɣi aɖe alo tegbee.
• Iritis (dɔdzẽ si le wò ŋkume ƒe ŋkume).

Kuxi siwo ate ŋu ado tso atike siwo wozãna ɖe lãme na ame me:

• Aɖatsi ƒoƒo.
• Ŋku ƒe dzikudodo.
• Ŋku ƒe vevesese.
• Blepharospasm (ŋku ƒe ʋuʋu).
• Ŋku ƒe ŋkume ƒe abi.

Kuxi siwo ate ŋu ado mo ɖa le keklẽŋusẽdɔdamɔnu me:

• Ŋku ƒuƒu.
• Ŋku ƒe ŋkume ƒe ʋuʋu hena ɣeyiɣi aɖe.
• Ŋku ƒe ɖa ƒe bu.
• Ŋku ƒe ʋuʋu le teƒe ɖeka.

Ne atikewɔwɔ siawo medze edzi o la, ate ŋu ahiã gɔ̃ hã be wò ɖɔkta naɖe ŋku si ŋu dɔlélea le la ɖa .

Aleke gbegbee nye lãme asẽ kaba le atikewɔwɔ vɔ megbe?

Alesi nàse le ɖokuiwò me be yeƒe lãme sẽ kabae nɔ te ɖe atike si ƒomevi woawɔ na wò dzi . Wò ɖɔkta adzro nya sia me kpli wò ne ele atike si sɔ na wò tiam.

Ðe woate ŋu axe mɔ ɖe ŋkumeʋuʋu nua?

Manya wɔ be woaxe mɔ ɖe ŋkumeʋuʋu nu keŋkeŋ o , gake àte ŋu awɔ nanewo atsɔ aɖe wò afɔkua dzi akpɔtɔ.

Aleke mawɔ aɖe afɔkua dzi akpɔtɔ?

Àte ŋu aɖe ŋkumeʋuʋu ƒe afɔkua dzi akpɔtɔ ne èdo ɣe ƒe ŋkumewu nyuiwo kple kposɔfu , vevietɔ ne ŋdɔ ʋu le gota. Esia akpe ɖe ŋuwò nàkpɔ ta tso UV keklẽ me. Ate ŋu anyo hã be nàɖe wò ŋdɔkutsu dzatsɛ dzi akpɔtɔ.

Nukae mate ŋu akpɔ mɔ na ne ŋkumeʋuʋu le ŋunye?

Ne ŋkumeʋuʋu le ŋuwò, ne wodae la, agbetsitsi ƒe mɔkpɔkpɔ nyo . Ke hã, àte ŋu akpɔ nu aɖe si megakpɔa nu nyuie o. Ne ŋkumeʋuʋu kaka (ekaka ɖe teƒe bubuwo), si fia be eʋu yi ŋutilã ƒe akpa bubuwo la, nɔnɔmea ate ŋu asẽ wu. Ne edzɔ la, anɔ eme godoo be akaka ɖe wò lãkusiwo kple ʋukawo me .

Aleke malé be na ɖokuinye?

Nu aɖewo siwo nàte ŋu awɔ atsɔ akpe asi ɖe ɖokuiwò dzi kpɔkpɔ ŋue nye esi:

• Wɔ ɖoɖo ɖe wò atikewɔlawo ƒe ƒuƒoƒoa ƒe kpekpewo ŋu eye nàde wo ɖe game dzi.
• Nuɖuɖu nyuie.
• Kamedede edziedzi.
• Nuteɖeamedzi dzi ɖeɖe kpɔtɔ.
• Srɔ̃ nu tso dɔwɔnawo ŋu eye nàkpɔ wo na amesiwo ƒe ŋkuwo mekpɔa nu nyuie o eye wokpɔa nu zi eve.

Ɣekaɣie wòle be makpɔ nye ɖɔkta?

Ne ède dzesi nu yeye aɖe alo si ɖea fu na wò le wò lãmesẽ alo nukpɔkpɔ ŋu le wò ɣeyiɣi siwo nèwɔna edziedzi godo la, yi ɖɔkta gbɔ enumake .

Vovototo kae le ŋkumeʋuʋu kple ŋkumeʋuʋu dome?

Ŋku ƒe ʋuʋudedi nye tsitsi si menye kansa o (si menyo o) le wò ŋkume. Le nya siwo menye atikewɔwɔ o nu la, woyɔa nevus hã be mole, dzigbedzesi, alo atsyɔ̃ɖoɖo ƒe dzesi. Menye kansae nye nevus o, gake nɔnɔme aɖewo li siwo me ŋkumeʋuʋu ate ŋu azu kansa, si woyɔna be conjunctival melanoma .

Ne ède dzesi teƒe yeye aɖe, teƒe aɖe si nɔ wò ŋku ƒe akpa ɣia do ŋgɔ la le ƒoƒom ɖe edzi, alo le gbegblẽm ɖe edzi la, ele be nàyi ŋkudɔdala gbɔ godoo . Ne èse be ɖewohĩ ŋkumeʋuʋu, si nye kansa ƒomevi aɖe, le ŋuwò la, ate ŋu anye seselelãme siwo tsaka. Gake anyo wu be woakpɔ dɔlélea nyuie eye woadze atikewɔwɔ gɔme kaba ale si nàte ŋui. Esia akpe ɖe ŋuwò nàkpɔ emetsonu nyuitɔ kekeake (nyagblɔɖi).

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Eyata, mele mɔ kpɔm be èse nusi ŋu míeƒo nu tsoe, si nye ŋkume ƒe ʋuka si nye conjunctival melanoma gɔme nyuie azɔ. Ŋku nye ŋutinu si sea nu gɔme ŋutɔ . Eyata ne ède dzesi tɔtrɔ sue aɖe alo nane si mebɔ o le wò ŋku me la, mègaŋe aɖaba ƒu edzi o. Vevietɔ, kpɔ nyuie le teƒe yeyewo, teƒe siwo do viviti, kple ƒunukpeƒewo ŋu. De dzesii kaba kple atikewɔwɔ kaba le vevie ŋutɔ le nɔnɔme mawo me . Eyata ele vevie ŋutɔ be woado ŋku kpɔ zi ɖeka ya teti le ƒea me. Ne kuxi aɖewo le fu ɖem na wò la, mègahe ɖe megbe le nuƒoƒo kple wò ɖɔkta me o.