He ʻiole anei kēia ma kou maka? E kamaʻilio kākou e pili ana i ka Conjunctival Melanoma!

Ua ʻike anei ʻoe i kahi kiko ʻeleʻele a i ʻole kahi puʻupuʻu liʻiliʻi ma ka ʻaoʻao keʻokeʻo o kou maka? ʻAʻole paha ʻoe i ʻike. Akā, ʻaʻole paha e like me ka maʻalahi e like me kou manaʻo. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi ʻaʻai maka kakaʻikahi akā hiki ke weliweli.

He aha ka Conjunctival Melanoma?

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I ka ʻōlelo maʻalahi, he ʻano maʻi ʻaʻai laha ʻole ka conjunctival melanoma e hiki ke ulu i loko o kou maka. Ua kapa pū kekahi poʻe iā ia he "Conjunctival Malignant Melanoma." I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ka "conjunctiva". ʻO ia ka membrane moakaka e uhi ana i loko o kou lihilihi, ka ʻāpana keʻokeʻo o kou maka (i kapa ʻia hoʻi ʻo "sclera") . I ka pololei, ʻo ka hapa nui o ka manawa, ulu kēia melanoma i loko o ka "bulbar conjunctiva", ka membrane mucous e pale ana i ka ʻāpana keʻokeʻo o kou maka.

He ʻano maʻi ʻaʻai maka kēia (ocular melanoma). Hoʻomaka ka Melanoma i ka wā e hoʻomaka ai nā pūnaewele i kapa ʻia ʻo melanocytes e ulu me ke kāohi ʻole ʻia . Hoʻopuka kēia mau melanocytes i ka pigment i kapa ʻia ʻo melanin e hāʻawi ana i ko mākou ʻili, lauoho, a me nā maka i ko lākou kala. Ua lohe paha ʻoe i ka melanoma ʻili, a ʻo ia nō ia. Akā, ʻo kēia kekahi e hoʻopilikia i nā maka. He mea nui e hoʻomanaʻo he hiki i kēia kūlana ke hoʻoweliweli i ke ola i kekahi manawa .

Pehea ka maʻamau o kēia kūlana?

ʻO ka ʻoiaʻiʻo, he maʻi kanesa kakaikahi loa ka conjunctival melanoma. He 2% wale nō ia o nā puʻupuʻu maka āpau. He 0.25% nō hoʻi ia, a i ʻole ma kahi o hoʻokahi hapaha, o nā melanoma āpau. Eia nō naʻe, ua ʻōlelo ʻia ua piʻi iki ka nui o nā hihia i nā makahiki i hala iho nei.

Ma nā ʻāina Komohana, ʻo ka nui o ka maʻi ma waena o 0.2 a me 0.5 no ka miliona o nā kānaka i kēlā me kēia makahiki. Loaʻa pinepine ia i nā poʻe keʻokeʻo ʻaʻole Hispanic. Eia nō naʻe, hiki ke loaʻa i nā poʻe ʻĀkia, ʻeleʻele, a me Hispanic. He mea kākaʻikahi loa ia i nā keiki .

ʻO kekahi mea ʻē aʻe, ʻaʻole kēia conjunctival melanoma he ʻano maʻi maka e like me `retinoblastoma` a i ʻole `intraocular melanoma`. ʻO `Intraocular melanoma` kekahi e kū ana ma ka papa waena o ka maka (`uvea`), a ʻo ia ke ʻano maʻamau o ka maʻi ʻaʻai e kū ana ma ka maka. ʻO `Retinoblastoma` kekahi e kū ana ma ka retina, aia ma ke kua o ka maka.

He aha nā hōʻailona o kēia?

ʻAʻohe paha he mau hōʻailona i nā pae mua o ka ocular melanoma. Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona o ka conjunctival melanoma, hiki iā lākou ke komo pū me:

• He mole pigmented (kala) i loko o ka maka . I kekahi manawa, ʻaʻohe kala o kēia mole. I kēlā hihia, ua kapa ʻia ʻo ia he 'amelanotic Conjunctival Melanoma '. ʻO ke ʻano o 'Amelanotic' ʻo ia hoʻi ka 'nele' o ka melanin.
• Hiki i kēia wahi ke pālahalaha e like me kahi diski a i ʻole e piʻi aʻe e like me kahi puʻu ('nodular').
• Aia kēia i hoʻokahi maka wale nō ('unilateral`).

He aha ke kumu o kēia?

Ma muli o ka laha ʻole o ka conjunctival melanoma, ʻaʻole maopopo i nā kānaka noiʻi ke kumu maoli o ia mea . Hiki i ka genetics ke pāʻani i kahi kuleana, akā ʻaʻole ia e laha a laha paha mai ke kanaka a i ke kanaka.

Eia nō naʻe, ua pili pono ʻelua mau kūlana i ka ulu ʻana o ka conjunctival melanoma. ʻO kēia nā:

• (`Melanosis i Loaʻa mua` – PAM): ʻO kēia ka wā e ulu ai nā kiko i ʻoi aku ka nui ma mua o 1 mm, a hiki ke kala ʻia, ʻaʻole i loaʻa i ka wā hānau. Hiki ke hana ʻia kēia kūlana `PAM` me nā pūnaewele ʻē aʻe a i ʻole me ka ʻole.
• ʻO nā nevi conjunctival: ʻO kēia nā mea a mākou e kapa pinepine ai he mau māka hānau, nā ʻōuli a i ʻole nā ​​freckles.

Aia kekahi mau kumu pilikia ʻē aʻe?

Aia kekahi mau kumu pilikia e kōkua ai i ka ulu ʻana o ka melanoma ocular ma ke ʻano laulā:

• He mau maka polū a ʻōmaʻomaʻo paha.ʻOi aku ka nui o ka poʻe me nā maka māmā e loaʻa i ka melanoma i loko o ka maka ma mua o ka poʻe me nā maka ʻeleʻele.
• ʻOiai he keʻokeʻo. ʻOi aku ka nui o ka poʻe keʻokeʻo e loaʻa i ka melanoma o ka maka ma mua o ka poʻe o nā lāhui ʻē aʻe.
• Ke ʻelemakule nei. Piʻi aʻe kēia pilikia i kou wā ʻelemakule.

Manaʻo nā kānaka ʻepekema he mea pilikia paha ka ʻike ʻana i ka mālamalama ultraviolet .

He aha nā pilikia e hiki ai i kēia ke hana?

Inā ʻaʻole mālama ʻia, hiki i ka melanoma ke hoʻoulu i ka makapō a me ka make .

Pehea ʻoe e ʻike ai i kēia?

Hiki i kāu kauka maka (ophthalmologist) ke ʻike i ka conjunctival melanoma i ka wā o ka nānā maka maʻamau. Inā kānalua lākou, hiki iā lākou ke kauoha i nā hoʻokolohua e like me kēia:

• Hoʻokolokolo ʻana i ka ultrasound ('Ultrasonography').
• Optical Coherence Tomography (OCT): He hoʻāʻo kēia e hoʻohana ana i ka mālamalama laser e ana i ka mānoanoa o ka conjunctiva.
• Hoʻāʻo biopsy.

Inā manaʻo kāu loea maka ua laha paha kēia melanoma conjunctival (metastasized) i nā ʻāpana ʻē aʻe o ke kino, hiki iā ia ke kauoha i nā hoʻokolohua hou aʻe. Eia kekahi laʻana:

• Nā hoʻāʻo koko .
• Nā hoʻāʻo kiʻi ʻē aʻe e like me ka `PET scan`, ka ` CT scan` (`Computed Tomography scan`), a i ʻole ka ` MRI scan` (`Magnetic Resonance Imaging scan`).

He aha ka lāʻau lapaʻau no kēia?

E kamaʻilio kāu kauka me ʻoe a kōkua iā ʻoe e koho i ka lāʻau lapaʻau maikaʻi loa no kou kūlana. Hiki i ka lāʻau lapaʻau ke komo pū me kekahi o kēia mau mea:

• Wehe ʻana i ka ʻeha me ke ʻoki kino.
• Cryotherapy (lāʻau lapaʻau me ka hoʻohana ʻana i ke anu nui).
• ʻO ka radiation therapy a me ka chemotherapy topical he mau lāʻau lapaʻau adjuvant wale nō (ʻo ia hoʻi, ʻaʻole ka lāʻau lapaʻau laina mua). Hiki i ka radiation therapy ke komo pū me ka brachytherapy a me ka radiation therapy beam external.

He aha nā hopena ʻaoʻao a i ʻole nā ​​pilikia o ka lāʻau lapaʻau?

ʻO nā pilikia e hiki mai ana o ke ʻoki ʻana no ka conjunctival melanoma:

• Ka ʻeha o kou cornea.
• Ka maʻi ʻana.
• ʻIke pālua (`Diplopia`).

Nā pilikia e hiki mai ana o ka cryotherapy:

• ʻO ka hōʻeha mau loa a mau loa paha i nā ʻāpana o kou maka, ʻo ia hoʻi ka cornea.
• ʻIritis (ka mumū i loko o kou iris).

Nā pilikia e hiki mai ana o ka chemotherapy topical:

• Ke haehae nei.
• Ka hoʻonāukiuki ʻana o ka maka.
• ʻEha maka.
• ʻO Blepharospasm (ʻūlū ʻana o nā maka).
• Ka ʻeha o ka cornea.

Nā pilikia e hiki mai ana mai ka radiation therapy:

• Nā maka maloʻo.
• Nā ʻeha kornea no ka manawa pōkole.
• Ka nalowale ʻana o nā maka maka.
• Nā cataracts focal.

Inā ʻaʻole holomua kēia mau lāʻau lapaʻau, pono paha i kāu kauka ke wehe i ka maka i hoʻopilikia ʻia .

Pehea ka wikiwiki o koʻu ʻoluʻolu ma hope o ka lāʻau lapaʻau?

ʻO ka wikiwiki o kou manaʻo maikaʻi ʻana ma muli o ke ʻano o ka lāʻau āu e loaʻa ai . E kūkākūkā kāu kauka i kēia me ʻoe i ke koho ʻana i ka lāʻau kūpono iā ʻoe.

Hiki ke pale ʻia ka conjunctival melanoma?

ʻAʻole hiki ke pale loa i ka conjunctival melanoma, akā hiki iā ʻoe ke hana i kekahi mau mea e hōʻemi i kou pilikia.

Pehea e hiki ai iaʻu ke hōʻemi i ka pilikia?

Hiki iā ʻoe ke hōʻemi i kou pilikia o ka loaʻa ʻana o ka conjunctival melanoma ma ke kau ʻana i nā aniani maka maikaʻi a me nā pāpale , ʻoiai ke ʻano lā ma waho. E kōkua kēia i ka pale ʻana iā ʻoe mai nā kukuna UV. He manaʻo maikaʻi paha e kaupalena i kou ʻike ʻana i ka lā.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka conjunctival melanoma?

Inā loaʻa iā ʻoe ka conjunctival melanoma, inā mālama ʻia, maikaʻi ka manaʻolana no ke ola . Eia nō naʻe, hiki iā ʻoe ke ʻike i kekahi pohō ʻike. Inā pālahalaha ka conjunctival melanoma (metastasizes), ʻo ia hoʻi, neʻe i nā ʻāpana ʻē aʻe o ke kino, hiki i ke kūlana ke ʻoi aku ka koʻikoʻi. Inā hana ia, ʻoi aku ka nui o ka laha ʻana i kou mau māmā a me nā lymph nodes .

Pehea wau e mālama ai iaʻu iho?

Eia kekahi mau mea hiki iā ʻoe ke hana e kōkua ai i ka mālama ʻana iā ʻoe iho:

• E hoʻonohonoho a hele i nā manawa me kāu hui lapaʻau i ka manawa kūpono.
• ʻAi maikaʻi.
• Hoʻoikaika kino mau.
• Hoʻemi i ke kaumaha.
• E aʻo e pili ana a komo i nā lawelawe no ka poʻe me ka ʻike haʻahaʻa a me ka ʻike pālua.

Āhea wau e ʻike ai i kaʻu kauka?

Inā ʻike ʻoe i kekahi mea hou a hopohopo paha e pili ana i kou olakino a i ʻole kou ʻike ma waho o kāu mau hālāwai maʻamau, e ʻike koke i ke kauka .

He aha ka ʻokoʻa ma waena o ka conjunctival nevus a me ka conjunctival melanoma?

ʻO ka conjunctival nevus kahi ulu ʻaʻole cancerous (benign) ma kou conjunctiva. Ma nā ʻōlelo lapaʻau ʻole, ua kapa ʻia ka nevus he mole, birthmark, a i ʻole beauty mark. ʻAʻole ka nevus he kanesa, akā aia kekahi mau hihia kahi e hiki ai i ka conjunctival nevus ke lilo i kanesa, i kapa ʻia he conjunctival melanoma .

Inā ʻike ʻoe i kahi kiko hou, mānoanoa, a i ʻole ka ʻino ʻana o kahi kiko mua ma ka ʻaoʻao keʻokeʻo o kou maka, pono ʻoe e ʻike i ke kauka maka . ʻO ka lohe ʻana he conjunctival melanoma paha kou, he ʻano maʻi kanesa, hiki ke lilo i ʻeke hui pū ʻia o nā manaʻo. Eia nō naʻe, ʻoi aku ka maikaʻi o ka loaʻa ʻana o kahi hōʻailona kūpono a hoʻomaka i ka lāʻau lapaʻau i ka wā hikiwawe. E kōkua kēia iā ʻoe e loaʻa ka hopena maikaʻi loa (prognosis).

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

No laila, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi ʻike maikaʻi i ka mea a mākou i kamaʻilio ai, ʻo ka conjunctival melanoma. He ʻōkana koʻikoʻi loa ka maka . No laila, inā ʻike ʻoe i kahi loli liʻiliʻi a i ʻole kekahi mea ʻē i kou maka, mai hoʻowahāwahā iā ia. ʻOi loa aku, e makaʻala i nā kiko hou, nā kiko ʻeleʻele, a me nā puʻupuʻu. He mea nui loa ka ʻike mua ʻana a me ka mālama koke ʻana i ia mau kūlana . No laila, he mea nui loa ka nānā ʻana i ka maka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki. Inā loaʻa iā ʻoe kekahi pilikia, mai kānalua e kamaʻilio me kāu kauka.