Ðe teƒe suesuesue siwo le dzo dam le wò ŋutilã ŋu, ɖewohĩ le wò kɔ, akɔta, alo mo dzia? Wokɔ ɖe dzi vie, woƒe dzedzeme le abe wax ene, eye wodzena abe nane si lé ɖe ŋutigbalẽ ŋu ene... Ame geɖe vɔ̃na ne wokpɔ esiawo, wobiaa wo ɖokui be ɖe ŋutigbalẽ me dɔdzẽe wonye hã. Gake mègatsi dzi o, nɔnɔme siawo bɔ ŋutɔ eye womegblẽa nu le ame ŋu o. Egbea míele nu ƒom tso ‘Seborrheic Keratosis’ sia si ame geɖe xɔna ŋu.
Nukae nye Seborrheic Keratosis?
Kpuie ko la, enye tsitsi nyui aɖe si le ŋutigbalẽa dzi si le abe dzigbedzesi ene. Ame akpa gãtɔ tua ɖeka ɖo le woƒe agbemeɣeyiɣi aɖe me. Wobɔ ɖe ƒe titinatɔwo me wu. Woate ŋu adzi ɖe edzi ne èle tsitsim. Womegblẽa nu le ame ŋu o eye mehiã be woawɔ atike na wo o. Ke hã, ne woɖe fu na wò alo na nèse le ɖokuiwò me be yeƒe nu medzea ame ŋu o la, àte ŋu ana woaɖe wo ɖa.
Ɣeaɖewoɣi la, ɖɔktawo yɔa esiawo be ‘epidermal tumors’. Mègana ŋkɔ ma navɔ̃ o. Mefia be kansae o. Nuwo abe ʋuʋudedi kple ʋuʋudedi ene siwo ŋu míenya nu tsoe hã le hatsotso sia me. Ðeko wòfia be lãmenugbagbevi aɖewo siwo le míaƒe ŋutigbalẽ ƒe akpa si le etame (epidermis) la ƒo ƒu eye wowɔ tsitsi sue aɖe. Womebua esia be enye afɔku na ŋutigbalẽ me kansa o.
Aleke teƒe siawo le?
Zi geɖe la, esiawo ƒe nɔnɔme nɔa goglo alo oval, eye wodzena abe ɖe wobla ɖe ŋutigbalẽa ŋu ene. Ame aɖewo gblɔna tso wo ŋu be wole abe waxy alo abe koral ene. Wokɔ wo ɖe dzi wu ŋutigbalẽa. Woate ŋu anɔ gbadzaa ɣeaɖewoɣi, gake àte ŋu ase vovototoa gɔme ne ètsɔ asibidɛ ka wo ŋu.
Zi geɖe la, esiawo ƒe amadede nyea aŋutiɖiɖi. Gake ɣeaɖewoɣi la, woate ŋu anye ameyibɔ, aŋutiɖiɖi, pink, ɣi, alo ɣi. Zi geɖe la, woate ŋu akpɔ nusiwo wu ɖeka le ɣeyiɣi ɖeka me.
Protein aɖe si woyɔna be keratin ye wotsɔ wɔa teƒe siawo ƒe anyime. Esia nye nu ma ke si wɔa míaƒe asibidɛwo kple lãwo ƒe dzowo. Esia tae woƒe nɔnɔme le ƒuƒlu etɔxɛe ɖo. Teƒe aɖewo le abe kuɖɔ suesuesuewo alo ʋuʋudedi ene le eme. Wo dometɔ aɖewo le abe ƒunukpeƒetetedɔ alo ʋuʋudedi ene. Bubuwo le abe ahɔhɔ̃mekawo ƒe ʋuʋudedi ene.
| Nɔnɔme si le ame ŋu | Nuɖᴐɖᴐ |
|---|---|
| Dzedzeme | Goglo alo gogloeƒe |
| Dzedzeme | Dzedzeme si lé ɖe eŋu, si le abe waxy ene, si me ʋuʋudedi le |
| Amadede | Zi geɖe la, eƒe amadede nyea aŋutiɖiɖi, gake ate ŋu anye yevu, aŋutiɖiɖi, ɣi, pink, alo ɣi |
| Dzᴐdzᴐme | Edo go tso ŋutigbalẽa me, àte ŋu atsɔ wò asibidɛ ase egɔme. |
Amekae wɔa esiawo?
Esiawo ate ŋu adzɔ ɖe ame sia ame dzi, gake wobɔ ɖe ame siwo gbɔna me koŋ:
- Ame siwo xɔ wu ƒe 50: Zi geɖe la, amesiawo dzea dzedze gɔme le ƒe titina. Sɔhɛwo mate ŋu axɔ wo o. Ame siwo ade 30% xɔa ɖeka ne woxɔ ƒe 40, eye abe 75% ene ne woxɔ ƒe 70.
- Ame siwo ƒe ƒome ŋutinya le: Ne dɔléle siawo le dawò, fofowò, alo nɔviwòwo ŋu la, anɔ eme be nàxɔ wo. Esia fia be domenyiŋusẽfianu ate ŋu akpɔ ŋusẽ ɖe ame dzi.
- Ame siwo ƒe ŋutigbalẽ le ɣie: Esiawo bɔ ɖe amesiwo ƒe ŋutigbalẽ le ɣie me wu. Ke hã, ŋutigbalẽ ƒe nɔnɔme si sɔ gake wòto vovo vie si woyɔna be ``Dermatosis Papulosa Nigra'' bɔ ɖe amesiwo ƒe ŋutigbalẽ biã, abe amesiwo tso Afrika alo Asia ene me wu.
Nukae na nusiawo dzɔna?
Womenya nusi tututu gbɔ nusiawo tso o. Gake míenyae be wodo ƒome kple tsitsi. Numekuku aɖewo ɖee fia be ɣe ƒe keklẽ hã ate ŋu anye nusi nana woƒe tsitsi. Domenyiŋusẽfianu hã li, elabena wodina be yewoaƒu du le ƒomewo me.
Nu vevitɔe nye be menye dɔlékui alo dɔlékui aɖe gbɔe nusiawo tsona o. Eyata womexɔa ame o eye womekakana tso ame ɖeka me yia ame bubu gbɔ o.
Zi geɖe la, teƒe siawo tsina blewu ŋutɔ. Gake ne kasia nèkpɔ teƒe siawo geɖe le wò ŋutilã katã ŋu le ɣeyiɣi kpui aɖe me la, ke enye nusi ŋu wòle be nàtsi dzi ɖo. Ƒã ŋutɔ hafi esia ate ŋu anye kansa ƒe dzesi le ŋutilãa me. Ðɔktawo yɔa esia be ‘Leser-Trélat ƒe Dzesi’. Gake womeɖo kpe kadodo sia dzi haɖe o. Gake ne èkpɔ nane si le abe esia ene la, wò ɖɔkta aɖo aɖaŋu na wò be nàwɔ dodokpɔ bubu aɖewo.
Ðe teƒe siawo hea dzesi bubuwo vɛa?
Zi geɖe la, dzesi aɖeke menɔa eŋu o, gake ame aɖewo gblɔa nusiwo le abe:
- Ʋuʋudedi
- Ŋutilã ƒe dzobibi kple dzikudodo si awudodo hena vɛ
- Ɣeaɖewoɣi la, abi sue aɖe nana ʋu dona.
Ne dzesi siawo ɖe fu na wò la, àte ŋu abu teƒe sia ɖeɖeɖa ŋu.
Aleke woate ŋu ade vovototo nusiawo kple kansa ƒe nɔnɔmewo domee?
Esiae nye akpa vevitɔ kekeake. Elabena ŋutigbalẽ me kansa ƒomevi aɖewo ateŋu aɖi `Seborrheic Keratosis`. Eya ta ele vevie ŋutɔ be míanya vovototo si tututu le wo dome.
Vovototo Si Le Seborrheic Keratosis Kple Actinic Keratosis Dome
`Actinic Keratosis` hã nye ŋutigbalẽ me kansa ƒomevi aɖe si dzena ne èle tsitsim, eye wòdzena abe koral ene. Ke hã, megblẽa nu abe `Seborrheic Keratosis` ene o. `Actinic Keratosis` tso ŋutigbalẽ ƒe ɣe ƒe keklẽ gbɔ. Afɔku sue aɖe hã le eŋu (5%-10%) be wòazu ŋutigbalẽ me dɔdzẽ. Eya ta ele vevie be míanya vovototo si le wo ame evea dome. Zi geɖe la, `Actinic Keratosis` nyea gbadzaa, ƒuƒlu, eye wòdzɔna zi geɖe le teƒe siwo ŋdɔ ʋuna le.
Vovototo si le Seborrheic Keratosis kple Melanoma (ŋutilã me kansa) dome .
Seborrheic Keratosis mava zu ŋutigbalẽ me kansa sesẽ si woyɔna be Melanoma gbeɖe o. Gake Melanoma kansa aɖewo ate ŋu adze abe Seborrheic Keratosis ene. Eyata nya tɔtrɔ siawo.
| Nɔnɔme si le ame ŋu | Seborrheic Keratosis (si megblẽa nu le ame ŋu o) . | Melanoma (kansa) . |
|---|---|---|
| Xexlẽdzesi | Zi geɖe la, nusiwo wu ɖeka dzɔna. | Zi geɖe la, ame aɖe tsina le eɖokui si. |
| Anyigba ƒe nɔnɔme | Waxy, scaly, ƒuƒuiƒe | Zi geɖe la, ewɔa nu blɔ |
| To | Nugbɔ aɖe si me kɔ, si me kɔ nyuie la li | Ate ŋu anye be eƒe nugbɔ si me mekɔ o, si wota, si mesɔ o |
| Amadede kple nɔnɔme | Eƒe nɔnɔme le ɖeka, eƒe amadede sɔ. | Nɔnɔmea mesɔ o, eye amadede vovovowo ate ŋu anɔ eme. |
| Tsitsi | Etrɔna ŋutɔ. | Ate ŋu atsi kabakaba, atrɔ nɔnɔme/amadede |
Ne ɖikeke aɖe le ŋuwò le ʋuʋudedi aɖe si le wò ŋutilã ŋu ŋu la, taflatse tsɔe fia ɖɔkta enumake, vevietɔ ŋutigbalẽŋutinunyala. Mègakpɔ dɔlélea le ɖokuiwò si o.
Aleke ɖɔkta awɔ anya esia?
- Nukpɔkpɔ me dodokpɔ: Zi geɖe la, ŋutigbalẽŋutinunyala ate ŋu anya nenye be Seborrheic Keratosis ye nye esia ne elé ŋku ɖe eŋu ko.
- Dermoscopy: Ne ɖikeke aɖe li la, ɖɔkta azã dɔwɔnu tɔxɛ aɖe (`dermascope`) si le abe asi ƒe ŋkumekpɔnu sue aɖe ene atsɔ adzi teƒea ɖe edzi.
- Biopsy: Ne wosusu be kansa le mɔ aɖe nu la, ɖɔktaa axɔ abi la ƒe akpa sue aɖe (alo aɖee ɖa keŋkeŋ) eye wòaɖoe ɖe dodokpɔxɔa me be woadoe kpɔ. Woyɔa esia be biopsy.
Atikewɔwɔ kple eɖeɖe ɖa ƒe mɔnuwo
Gbã la, ɖo ŋku edzi be esia megblẽa nu le ame ŋu o eye mehiã be woawɔ atike nɛ o. Gake ne ʋuʋudedi, awuwo tutu ɖe fu na wò, alo alesi wòdzenae meɖea fu na wò o la, àte ŋu aɖee ɖa. Mɔnu bɔbɔe ʋɛ aɖewo li siwo nàte ŋu awɔ le wò ɖɔkta ƒe dɔwɔƒe tututu.
- Cryotherapy: Wozãa nusi fa miamiamia ŋutɔ si woyɔna be liquid nitrogen tsɔ naa ʋuʋudedi la tsia tsikpe me. Adze anyi le eɖokui si le kwasiɖa ʋɛ aɖewo megbe.
- Electrodessication/Curettage: Wozãa elektrikŋusẽ tsɔ tɔa dzo mole la eye emegbe wotsɔa mɔ̃ tɔxɛ aɖe ƒoae ɖa.
- Shave Excision: Wozãa mɔnu sia ne èdi be yeaɖo biopsy ɖa. Wodoa atike si naa ame ƒe lãme gbãna eye woɖea ʋuʋudedi la ɖa nyuie.
- Laser-dɔdamɔnu:Laser-ya la fiãna eye wòɖea mole la ɖa.
- Hydrogen Peroxide si woŋlɔ na ame: Esia nye atike yeye si wozãna. Ðɔkta aɖe tsɔa haidrodzin peroxide si me wodea amii ŋutɔ la dea teƒea.
Vevietɔ: Mègadze agbagba gbeɖe be ye ŋutɔ yeatso nusiawo, atutu wo, alo aɖe wo ɖa le aƒeme o. Esia ate ŋu ana ame naxɔ dɔlékuiwo eye wòaxɔ abi.
Gbedasi si Wotsɔ Yi Aƒeme
- Seborrheic Keratosis nye ŋutigbalẽ ƒe tsitsi si megblẽa nu le ame ŋu o si dzɔna zi geɖe ne míele tsitsim.
- Esiawo menye kansa o, eye womazu kansa hã o.
- Ŋutilã me kansa ƒomevi aɖewo siwo me afɔku le ate ŋu aɖi esiawo, eyata ne èke ɖi le teƒe yeye alo teƒe aɖe si le tɔtrɔm le wò ŋutigbalẽ ŋu la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.
- Mehiã be woawɔ atike na amesiawo o. Ne woɖe wo ɖa la, atsyɔ̃ɖoɖo ta ko alo kuxiwo abe ʋuʋudedi ene tae.
- Mègadze agbagba be ye ŋutɔ yeada nusiawo alo aɖe wo ɖa ne mèbia ɖɔkta o.
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