E ʻike kākou e pili ana i nā kiko ʻē ma kou kino? (Dysplastic Nevus / Atypical Moles)

Ua hopohopo paha ʻoe e pili ana i nā ʻiole ma kou kino? Ua ʻike paha ʻoe he ʻokoʻa kekahi mau ʻiole mai nā mea ʻē aʻe, ʻoi aku ka nui, ʻokoʻa ke kala, a ʻaʻohe o lākou ʻano. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā. Kāhea mākou i kēia mau 'ʻiole maʻamau' a i ʻike ʻia ma ke ʻano lapaʻau ʻo `(Dysplastic Nevus)`. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia me ka maʻalahi a ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha kēia mau kiko? He aha ka ʻokoʻa ma waena o nā kiko maʻamau a me nā kiko ʻē?

ʻAe, e nānā mua kākou i ke ʻano o ka mole. Aia kekahi ʻano cell kūikawā e hāʻawi ana i ke kala i ko kākou ʻili, ua kapa ʻia lākou he melanocytes . Hoʻokumu ʻia nā moles ke hōʻuluʻulu kēia mau melanocytes ma kahi hoʻokahi. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kahi mole he nevus . Ke nui nā moles, ua kapa ʻia lākou he nevi .

He maʻamau wale nō nā freckles o ka hapa nui o nā kānaka. He mea maʻamau no kahi pākeke me ka ʻili keʻokeʻo ke loaʻa ma kahi o 40 mau freckles. ʻO kēia mau freckles maʻamau a me nā freckles ʻē aʻe a mākou e kamaʻilio nei i kēia lā e hoʻomaka pinepine e ʻike ʻia i ka wā kamaliʻi a me ka wā ʻōpio.

I kēia manawa, e nānā kākou i ke ʻano o ka dysplastic nevus , a i ʻole he mole maʻamau ʻole . I ka ʻōlelo maʻalahi, he mole ia e ʻokoʻa ke ʻano mai ka mole maʻamau. Loaʻa paha iā ia nā lihi ʻokoʻa, nā waihoʻoluʻu i hui pū ʻia, a ʻike ʻia paha he nui aʻe ma mua o nā mole ʻē aʻe.

ʻO ke ʻano o ka huaʻōlelo 'dysplastic' he mau pūnaewele ʻano ʻē i loko o kahi ʻiʻo. Ua kapa ʻia hoʻi kēia he dysplasia . Akā, mai hopohopo , ʻaʻole kēia mau pūnaewele ʻano ʻē he maʻi kanesa, ʻo ia hoʻi he benign lākou ( ʻaʻole cancerous). Eia naʻe, i kekahi manawa hiki iā lākou ke lilo i cancerous. ʻO ia ke kumu e pono ai ʻoe e hopohopo e pili ana i kēia.

Pehea ka maʻamau o kēia mau wahi ʻokoʻa? Aia maoli anei ka pilikia o ka loaʻa ʻana o ka maʻi kanesa?

ʻOi aku ka maʻamau o kēia mau wahi ʻē ma mua o kou manaʻo. Wahi a nā loea, hoʻokahi o nā ʻAmelika he ʻumi ma ka liʻiliʻi he hoʻokahi wahi ʻē. No laila, hiki ke ʻike ʻia kēia ʻano ma Sri Lanka i kahi nui a liʻiliʻi paha.

ʻO ka nīnau koʻikoʻi loa kēia: Ke kumu nei kēia ʻano maʻi ʻili (Dysplastic Nevus)?

ʻO kaʻoiaʻiʻo, ʻae, aia kahi pilikia. Inā loaʻa iā ʻoe kēia ʻano o nā kiko ʻē, ʻoi aku ka kiʻekiʻe o kou pilikia o ka loaʻa ʻana o kahi ʻano maʻi ʻili koʻikoʻi i kapa ʻia ʻo melanoma ma mua o ke kanaka maʻamau. ʻO ka nui o nā kiko ʻē i loaʻa iā ʻoe, ʻoi aku ka kiʻekiʻe o kou pilikia o kēia maʻi ʻaʻai. E noʻonoʻo, ʻo kekahi me 10 a ʻoi aku paha nā kiko ʻē he ʻumikūmālua manawa ka nui o ka loaʻa ʻana o ka melanoma.

Akā aia kekahi mea ʻē aʻe. ʻAʻole nā ​​​​kānaka a pau me nā kiko ʻē e loaʻa i ka ``(Melanoma)''. E hoʻomanaʻo pū i kēlā. No laila, mai hopohopo pono ʻole.

Wahi a nā loea, hoʻokahi i loko o ʻehā mau hihia o ka melanoma e hoʻomaka me kahi dysplastic nevus mua, kahi mole ʻano ʻē.

He aha nā inoa ʻē aʻe no kēia `(Dysplastic Nevus)`?

Ke kamaʻilio kāu kauka e pili ana i kēia `(Dysplastic Nevus)`, hiki iā ʻoe ke hoʻohana i kēia mau huaʻōlelo:

• ʻIole maʻamau ʻole
• ʻO ka nevi o Clark
• ʻO ka nevus hānau (he ʻano hōʻailona hānau kēia)
• ʻO ka nevus Spitz

No ke aha e ʻike ʻia ai kēia mau kiko like ʻole?

ʻAʻole maopopo loa i nā loea ke kumu o ia mea, akā manaʻoʻiʻo lākou he hui pū ʻana ia o nā kumu hoʻoilina (ʻo ia hoʻi, inā loaʻa i kekahi o kou ʻohana ia mau mea, ʻoi aku ka nui o kou loaʻa ʻana iā lākou) a me nā kumu o ke kaiapuni (ʻoi aku ka ʻike ʻia ʻana i ka mālamalama ultraviolet (UV) mai ka lā) .

He aha nā ala e hele mai ai kēia mālamalama ultraviolet?

Ua ʻike mākou a pau ʻo ka lā ke kumu kūlohelohe nui o nā kukuna `(UV)`. Eia kekahi, ua hana ʻia nā kukuna `(UV)` e:

• ʻO kekahi mau kukui halogen, incandescent, a me nā kukui fluorescent, a me kekahi mau kukuna laser.
• Hoʻohana ʻia ke kukui mahu mercury ma nā wahi ākea e like me nā kahua pāʻani a me nā hale hoʻoikaika kino.
• Nā moena ʻili a me nā kukui lā. Pono ʻoe e noho mamao aku mai kēia mau mea.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia mau wahi ʻokoʻa?

ʻO ka ʻoiaʻiʻo, hiki i kekahi ke loaʻa kēia mau kiko ʻokoʻa, me ka nānā ʻole i ka makahiki, ke kāne, a i ʻole ke kala o ka ʻili. ʻAʻole pale piha ka ʻili ʻeleʻele iā ʻoe mai ka loaʻa ʻana o kēia mau kiko a i ʻole ka maʻi ʻili. Akā hiki ke hoʻemi ʻia ka pilikia i kekahi ʻano.

ʻOi aku ka nui o ka poʻe me nā ʻano e hiki ke loaʻa nā kiko ʻokoʻa:

• ʻIli keʻokeʻo loa, nā freckles, a me nā maka a me ka lauoho ʻālohilohi.
• Inā he mau ʻōuli ʻē ko kekahi o ka ʻohana, ka maʻi ʻili, a i ʻole melanoma.
• Inā he moʻolelo kou o ka nui o ka lā a me ka ʻā ʻana o ka lā, a inā ʻaʻole hiki iā ʻoe ke ʻeleʻele (ʻo ia hoʻi, ʻulaʻula kou ʻili akā ʻaʻole ʻeleʻele ke hōʻike ʻia i ka lā).
• Inā he photosensitivity kou i nā kukuna UV.

Pehea ʻoe e ʻike ai i kēia wahi ʻano ʻē? He aha kona mau ʻano?

Hiki i kahi mole maʻamau ʻole (Dysplastic Nevus) ke loaʻa i hoʻokahi a ʻoi aku paha o kēia mau ʻano. No ke kōkua iā ʻoe e hoʻomanaʻo i kēia mau mea, aia kekahi lula i kapa ʻia ʻo ke kānāwai ABCDE . E hoʻomaopopo kākou iā ia ma ka ʻōlelo Sinhala:

• ʻA - ʻAno like ʻole: Inā māhele ʻia ka mole i ka hapalua, he hiʻohiʻona ʻē ia inā ʻaʻole like ma nā ʻaoʻao ʻelua, ʻo ia hoʻi, ʻokoʻa kekahi ʻaoʻao mai kekahi. ʻO ka mole maʻamau he like ka hapa nui, ʻo ia hoʻi, he poepoe a he oval paha ke ʻano.
• B - Nā palena ʻano ʻē: Inā ʻaʻole maopopo, palalulu, a ʻāwiliwili paha nā kihi o ka mole, e like me ke kahakai ma ka palapala ʻāina, he hōʻailona nō hoʻi ia e nānā ai. He laumania a moakāka pinepine nā kihi o nā mole maʻamau.
• C - Nā Waihoʻoluʻu:He mea kānalua nō hoʻi inā ʻaʻole hoʻokahi kala ka mole, akā he hoʻokahi a ʻoi aku paha nā kala i hui pū ʻia, e like me ka poni, ʻulaʻula, ʻeleʻele māmā, ʻeleʻele ʻeleʻele, a ʻeleʻele paha. I kekahi manawa hiki ke nānā aku e like me ke kala polū. ʻO ka mole maʻamau he kala ʻeleʻele hoʻokahi pinepine.
• D - Ka Nui (Diameter): Inā ʻoi aku ka nui o ka mole ma mua o ka nui o ka mea holoi penikala (ma kahi o 1/4 ʻīniha, a i ʻole ma kahi o 6 milimita), e hoʻolohe pū i kēlā. Eia nō naʻe, hiki i kekahi mau mole maʻamau ke liʻiliʻi ma mua o kēia. Eia kekahi, hiki i kekahi mau mole maʻamau ke ʻoi aku ka nui ma mua o kēia. No laila, ʻaʻole hiki iā ʻoe ke hoʻoholo ma muli o ka nui wale nō, pono ʻoe e nānā iā ia me nā ʻano ʻē aʻe.
• E - E ulu ana: Inā loli ka nui, ke ʻano, a i ʻole ke kala o ka mole i ka hala ʻana o ka manawa, a inā e kahe ke koko o ka mole, maneʻo, ʻeha, a loli paha ka ʻili (e.g., lilo ka mole laumania i ʻoʻoleʻa), he mea nō hoʻi ia e noʻonoʻo pono ʻia.

Eia kekahi, hiki i kahi wahi ʻē ke ʻano pālahalaha, ʻiliʻili ke nānā aku, a i ʻole e hoʻokiʻekiʻe iki ʻia ma luna o ka ʻili.

Ma hea ma ke kino e loaʻa pinepine ai kēia mau kiko ʻokoʻa?

Hiki ke ʻike ʻia kēia mau wahi ʻē ma nā wahi āpau o kou kino, akā ʻike pinepine ʻia lākou ma:

• Ma ka ʻāpana kino (e.g. umauma, ʻōpū, kua)
• A me nā wēlau o nā lima a me nā wāwae
• I loko o ke poʻo
• ʻĀʻī
• Poʻo (Hiki ke nalo kēia mau mea no ka mea aia lākou ma hope o ka lauoho, no laila e hoʻohana i ke aniani a i ʻole e nānā kekahi iā lākou.)

He aha nā pilikia ʻē aʻe e hiki ke hana ma muli o kēia `(Dysplastic Nevi)`?

Ma waho aʻe o ka pilikia o ka melanoma, inā he nui kou mau kiko ʻē, aia nō hoʻi ʻoe i ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai maka (ocular melanoma) . No laila, pono ʻoe e hana i nā hoʻokolohua maka maʻamau.

Pehea e ʻike ai nā kauka i kēia mau kiko ʻē (Dysplastic Nevi)?

Inā kānalua ʻoe he mau kiko ʻē kou, ʻoi aku ka maikaʻi o ke ʻike ʻana i kahi kauka dermatologist, he kauka loea i nā maʻi ʻili. ʻO lākou ka poʻe hiki ke ʻike pololei a mālama i nā kūlana e like me nā maʻi ʻili a me ke kanesa ʻili.

Hiki i kāu kauka ke hana i nā hoʻokolohua e like me kēia:

• Nā hoʻokolohua ʻili: Hoʻokahi a ʻelua paha i ka makahiki, e nānā ʻia kāu mau ʻōuli no nā loli. Inā ua loaʻa kekahi o kou ʻohana i ka melanoma, e noi ʻia paha ʻoe e hana i kēia mau hoʻokolohua i kēlā me kēia ʻekolu a ʻeono mahina.
• Dermoscopy: Pili kēia i ka hoʻohana ʻana i kahi mea hoʻonui kūikawā i kapa ʻia he dermatoscope e nānā i nā ʻano ʻē i loko o ka mole i ʻike ʻole ʻia e ka maka ʻōlohelohe. Ua like ia me ka nānā ʻana i kahi mole ma o kahi microscope. Hiki iā ʻoe ke ʻike maopopo i nā ʻano akahai a me nā kala o ka mole.
• Palapala ʻāina mole:Hoʻohana kēia i kahi kāmela kūikawā (loaʻa iā ia kahi aniani dermatoscopic) e hana i kahi palapala ʻāina kamepiula o kou ʻili a me nā kīnā. He mea maʻalahi kēia e hoʻohālikelike i nā loli o nā kīnā i ka hala ʻana o ka manawa. He mea pono loa kēia no ka poʻe me nā kīnā he nui.

Hiki iā ʻoe ke ʻike i nā loli maʻamau ʻole i nā kiko?

Hiki iā ʻoe ke hana! He mea nui e hana i nā hoʻokolokolo ʻili maʻamau. Inā he mau kiko ʻē aʻe kou a i ʻole nā ​​​​kumu pilikia ʻē aʻe no ka maʻi ʻili, ʻōlelo nā kauka e nānā i kou ʻili ma ka liʻiliʻi hoʻokahi manawa i ka mahina . Hiki iā ʻoe ke kiʻi i nā kiʻi a mālama iā lākou i hiki iā ʻoe ke ʻike i nā loli i kēlā me kēia mahina.

I ka nānā ʻana i nā kiko, e hoʻomanaʻo i ka lula ABCDE a mākou i kamaʻilio ai ma mua.

• A (ʻAʻole like): ʻAʻole like ke ʻano?
• B (Palena): He ʻano ʻē a he palalulu paha nā lihi?
• C (Kala): Ua hui pū ʻia nā kala he nui?
• D (Ke anawaena): ʻOi aku ka nui ma mua o ka mea holoi penikala (ʻoi aku ma mua o 6 mm)?
• E (Evolution): Ke nui aʻe nei ke kiko, ke loli nei ke ʻano, a i ʻole ke kala i ka hala ʻana o ka manawa? Aia kekahi maneʻo, kahe koko, a ʻeha paha?

Inā ʻike ʻoe i kekahi mea ʻē, mai manaʻo wale, "He mea maʻamau wale nō kēia," a e ʻike koke i ke kauka. ʻOiai inā he mea liʻiliʻi ia, ʻoi aku ka maikaʻi o ka nānā ʻana iā ia.

Pehea ʻoe e mālama ai i kēia mau wahi like ʻole?

ʻO ka maʻamau, ʻaʻole pono kahi mole ʻano ʻē i kekahi lāʻau kūikawā, ke ʻole ka biopsy ʻili (kahi hoʻāʻo e lawe i kahi ʻāpana ʻili) e hōʻoia he maʻi kanesa a i ʻole he mau loli pre-cancerous. Inā ʻōlelo kāu kauka he atypical melanocytic hyperplasia a i ʻole dysplastic moderate a koʻikoʻi paha ka biopsy, ʻo ia hoʻi ke kiʻekiʻe ka pilikia o ka maʻi kanesa. I kēlā hihia, e mālama kāu kauka i ka mole me kahi ʻoki ʻē aʻe.

ʻO ka lāʻau lapaʻau no nā mole maʻamau ʻole, ʻo ia ke wehe ʻoki ʻana i ka mole a me kahi ʻili olakino liʻiliʻi a puni. Inā hōʻoia ka biopsy he maʻi kanesa ka mole maʻamau ʻole (melanoma), hiki i kāu kauka ke hana i kahi hana nui aʻe, a i ʻole e hoʻohana paha lākou i kahi hana i kapa ʻia ʻo ke ʻoki ʻana ʻo Mohs . Mālama kēia hana i ka nui o nā ʻiʻo olakino e like me ka hiki.

Hiki iaʻu ke pale aku i ke ʻano o nā kiko ʻē? Pehea e hiki ai iaʻu ke pale aku iaʻu iho mai ka lā?

ʻOiai ʻo ka loaʻa ʻana o nā moles maʻamau ʻole e hoʻonui i ka pilikia o ka melanoma, ʻo ka wehe wale ʻana i nā moles maʻamau ʻaʻole ia e hōʻemi i kēia pilikia.

ʻAʻohe mea hiki iā ʻoe ke hana e pale loa i ke ʻano o nā kiko ʻē, no ka mea, aia kekahi kumu hoʻoilina. Akā inā loaʻa iā ʻoe lākou, he mea nui e pale i kou ʻili mai ka pōʻino o ka lā. Eia kekahi, mai hoʻohana i nā moena tanning.

E hana i kēia mau mea e pale ai i kou ʻili mai ka lā:

• E ho'ēmi i ka hele ʻana i waho i nā hola kiʻekiʻe (maʻamau mai 10 am a 4 pm) i ka hiki.
• Inā ʻoe e hele i waho, e ʻaʻahu i ka pāpale ākea, nā lole lima lōʻihi, a me nā aniani maka.
• E hōʻoia e hoʻohana i kahi sunscreen me ka SPF o 30 a ʻoi aku paha . E kau i 15-30 mau minuke ma mua o ka hele ʻana i waho. E kau hou i kēlā me kēia ʻelua hola inā ʻoe e hou, pulu, a i ʻole e ʻā ana ka lā.
• E pale i ka hōʻike ʻana i nā pēpē (ma lalo o 6 mahina) i ka lā pololei i ka hiki.

He aha ke kūlana olakino o kekahi me ka `(Dysplastic Nevus)`?

He nui ka poʻe i loaʻa nā kiko ʻē (a me nā kiko maʻamau) akā ʻaʻole lākou e loaʻa i ka maʻi ʻili. Eia nō naʻe, he mea nui e nānā mau i kou ʻili no nā loli ʻē. ʻO ka ʻike mua ʻana a me ka mālama ʻana i kahi maʻi e like me ka melanoma hiki ke hoʻopakele i nā ola. No laila he mea nui e makaʻala a ʻaʻole e hopohopo.

He aha ke ʻano o ka 'Atypical Mole Syndrome'?

He nui nā moles o ka poʻe me ka atypical mole syndrome a ua nui ka pilikia o ka loaʻa ʻana o ka melanoma. ʻOiai he maʻamau ka hapa nui o kēia mau moles, he ʻano ʻē kekahi. Hiki i kekahi mau moles ke ʻoi aku ka nui ma mua o ka hapakolu o ka ʻīniha (ma kahi o 8 mm).

Ua kapa ʻia kekahi ʻano maʻi ʻē aʻe ʻo Familial Atypical Multiple Mole Melanoma (FAMMM syndrome) . Hoʻopilikia kēia i nā lālā o ka ʻohana hoʻokahi. Hoʻonui ka hoʻololi ʻana o ka gene i hoʻoilina i ka pilikia o ka loaʻa ʻana o nā moles atypical a me ka melanoma. ʻO ka poʻe me ka FAMMM syndrome he 25 mau manawa ka nui o ka loaʻa ʻana o ka melanoma.

ʻO ka mea hope loa, eia kaʻu e ʻōlelo aku ai iā ʻoe (Leka Lawe-Home)

He nui ka poʻe he mau ʻōuli ʻē ko lākou, akā ʻaʻole loa lākou e ulu i ka melanoma. Akā inā he mau ʻōuli ʻē ko ʻoukou, i kapa ʻia ʻo dysplastic nevi, e hoʻomaʻamaʻa i ka nānā mau ʻana i kou ʻili (nā hoʻokolohua ʻili ponoʻī). Ma kēia ʻano, hiki iā ʻoe ke ʻike koke i nā loli. Hiki i kāu kauka ke aʻo iā ʻoe pehea e hana ai i kēia mau hoʻokolohua ponoʻī a haʻi iā ʻoe i nā loli e makaʻala ai. Hiki iā lākou ke haʻi iā ʻoe e hele mai no nā hoʻokolohua maʻamau, a e nānā i kou mau maka. Inā ʻike ʻoe i kekahi mau loli i kou ʻili, e ʻike koke i kāu kauka. He mea nui ka ʻike mua ʻana. Mai hopohopo, he mea naʻauao ke makaʻala. E mālama i kou ʻili, e noho olakino!

Nā Freckles, Nā Freckles ʻAno ʻē, Dysplastic Nevus, Kanesa ʻIli, Melanoma, Ola Kino ʻIli, Lā