Ua ʻike anei ʻoe i nā kiko like ʻole e kū mai ana ma kou ʻili? ʻOiai kekahi o lākou i hānau ʻia me ʻoe, ulu aʻe kekahi i ka hala ʻana o ka manawa. ʻIke nui ʻia kēia mau mea he mau moles , i kapa ʻia ma ke ʻano lapaʻau he nevi . No ka mea, he nui ka kānalua e pili ana iā lākou, he mea maʻamau ka hopohopo. Ma Nirogi Lanka, makemake mākou e kōkua iā ʻoe e hoʻomaopopo i ke ʻano o kēia mau kiko a pehea e nānā ai iā lākou no kou olakino.
He aha nā moles, a pehea ko lākou ʻano?
I ka ʻōlelo maʻalahi, he mau ʻōpuʻu nā ʻōpuʻu ma kou ʻili. Hiki iā lākou ke kūlike me kou ʻili maoli a i ʻole e like me nā ʻāpana ʻeleʻele a ʻeleʻele paha. Hiki ke ʻike ʻia nā ʻōpuʻu ma ke ʻano hoʻokahi a i ʻole ma nā hui, a hiki iā lākou ke ulu ma nā wahi āpau o kou kino, me nā membrane mucous e like me kou waha a i ʻole nā maka.
Hoʻomaka pinepine nā ʻōuli e ʻike ʻia i ka wā kamaliʻi , a ulu ka hapa nui i ka makahiki 20. He mea maʻamau loa no kahi pākeke ke loaʻa ma waena o 10 a me 40 mau ʻōuli.
ʻO ka mau pinepine o kahi mole maʻamau ma kahi o 50 mau makahiki. I ka hala ʻana o ka manawa, ulu kēia mau kiko; hiki i kekahi ke piʻi aʻe a ʻālohilohi paha ke kala, a ʻike paha ʻoe i ka ulu ʻana o ka lauoho mai ia mau mea. ʻOiai kekahi e mau ana ka paʻa, hiki i kekahi ke mae mālie.
Aia kekahi mau ʻano mole like ʻole?
ʻAe, aia kekahi mau māhele like ʻole. E nānā kākou i nā ʻano mua:
ʻO ka Nevi maʻamau
ʻO kēia nā kiko ʻili pinepine loa a ʻino ʻole . ʻIke pinepine ʻia lākou he poni, ʻeleʻele, a ʻeleʻele paha me nā lihi ʻokoʻa a wehewehe pono ʻia.
ʻO ka Nevi hānau
He mau ʻōuli kēia i loaʻa i ka wā hānau . Loaʻa i loko o hoʻokahi o kēlā me kēia 100 poʻe, ʻoi aku ka nui o ka pilikia o kēia mau kiko i ka ulu ʻana i ka melanoma (kahi ʻano maʻi ʻili) i hoʻohālikelike ʻia me nā ʻōuli maʻamau. Inā ʻoi aku ka nui o ka ʻōuli hānau ma mua o 8 millimeters, pono ia e nānā pono ʻia e ke kauka.
Nā Nevi Dysplastic
He mau ʻiole ʻano ʻē kēia i ʻoi aku ka nui ma mua o ka mea holoi penikala. He mau kala ʻokoʻa pinepine nā dysplastic nevi —nā kikowaena ʻeleʻele me nā lihi māmā a ʻano ʻē. He mau hoʻoilina pinepine lākou, ʻo ia hoʻi ke holo nei lākou i loko o nā ʻohana. ʻO ka poʻe me kēia mau ʻiole he ʻoi aku ma mua o 100 ma ko lākou kino. Inā loaʻa iā ʻoe ka dysplastic nevi, ʻoi aku ka nui o kou pilikia no ka melanoma . He mea nui e loiloi ʻia kekahi mau loli i kēia mau kiko e kahi dermatologist.
Pehea ka maʻamau o nā moles, a ma hea lākou e ʻike pinepine ʻia ai?
He mea maʻamau loa nā ʻōuli, me ka hapa nui o ka poʻe he ma waena o 10 a me 40. ʻIke pinepine ʻia lākou ma nā wahi i hōʻike ʻia e ka lā o ke kino kahi i ʻoi aku ka ikaika o ka radiation ultraviolet (UV) mai ka lā. Ua ʻike paha ʻoe e ʻike hou ʻia ana nā ʻōuli ma hope o ka hōʻike pinepine ʻana i ka lā.
Nā nīnau maʻamau e pili ana i nā moles
- He laha anei nā ʻiole ?
ʻAʻole, ʻaʻole laha nā ʻō.
- He ʻeha nā ʻōuli?
ʻO ka maʻamau, ʻaʻole. Eia nō naʻe, inā ʻike ʻoe i ka ʻeha a i ʻole ka palupalu i loko o kahi mole, pono ʻoe e kūkākūkā me ke kauka ʻili.
- ʻEneʻeneʻe anei nā ʻiole?
Inā maneʻo kahi mole, he hōʻailona ia e pono ai ka loiloi lapaʻau loea.
- He mea maʻamau anei ke kahe ʻana o ke koko i loko o kahi mole?
ʻAʻole, inā e kahe ana ke koko o kahi mole, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
Ua like anei nā 'ʻeha pigmented' me nā ʻōuli?
ʻO ka pigmented lesion kahi huaʻōlelo lapaʻau maʻamau e pili ana i nā moles maʻamau, nā freckles lā, a me nā kiko makahiki (lentigines). ʻOiai ʻo ka hapa nui he benign, inā he nui kou mau moles a i ʻole nā kiko me kahi ʻano ʻē , he mea nui ka nānā ʻana i ka ʻili maʻamau me kahi dermatologist. ʻAe kēia i ka ʻike mua ʻana i nā loli kānalua. Inā kū mai kahi hopohopo, hiki i ke kauka ke hana i kahi biopsy ʻili.—ke wehe ʻana i kahi hāpana liʻiliʻi no ka nānā ʻana i ka microscope—e hoʻoholo ai inā he maikaʻi ʻole ka lesion a inā he melanoma a i ʻole kekahi ʻano maʻi ʻili ʻē aʻe.
He aha inā loaʻa iaʻu kahi mole hou ma hope o 30 mau makahiki?
Inā ʻoe ma luna o 30 a ʻike ʻoe i kahi mole hou, pono ʻoe e nānā pono iā ia . ʻOiai he mea ʻino ʻole ia, pono mau ʻoe e nānā ʻia e kāu kauka.
No ke aha e loaʻa ai iā mākou nā ʻiole? (Nā kumu)
Hoʻokumu ʻia nā ʻiole ke ulu nā ʻili i kapa ʻia ʻo melanocytes i loko o kahi hui. ʻO kēia mau ʻili ke kuleana no ka hana ʻana i ka melanin, ka pigment e hāʻawi ana i kou ʻili i kona kala. Ke hui pū lākou, hana lākou i kahi ʻiole.
He aha nā mea pilikia no ka hoʻonui ʻana i ka ulu ʻana o nā mole?
ʻO ke kumu nui, ʻo ka nui o ka lā .
No ke aha i ʻeleʻele ai nā ʻōuli?
Hiki i nā ʻōuli ke lilo i mea ʻeleʻele ma muli o ka lā, ka wā ʻōpiopio, a i ʻole ka hāpai ʻana. I ka wā hāpai, hiki i nā loli hormonal ke hana i nā loli like i ka nui a i ʻole ke kala. Eia nō naʻe, inā loli kahi ʻōuli i kekahi ʻaoʻao a i ʻole ma kekahi ʻaoʻao wale nō , pono e nānā ʻia e ke kauka ʻili.
No ke aha e pono ai iaʻu e makaʻala pono i kaʻu mau ʻiole?
ʻO kou ʻili ka ʻōkana nui loa o kou kino. ʻO ia kekahi o nā mea liʻiliʻi hiki iā ʻoe ke nānā pono iā ʻoe iho. He mea nui ka hana mua e pili ana i ke olakino o ka ʻili, ʻoiai inā:
- He ʻili keʻokeʻo loa kou.
- He nui kou mau ʻōuli .
- He moʻolelo ʻohana kou no nā ʻiole he nui, nā nevi atypical, a i ʻole ka maʻi ʻili .
Ma waho aʻe o ka palena ʻana i ka ʻike ʻana i ka lā a me ka hoʻopili ʻana i ka sunscreen i kēlā me kēia lā, ʻo ka nānā mau ʻana i kāu mau moles e hoʻonui i ka manawa kūpono o ka ʻike mua ʻana a me ka mālama pono ʻana i ka melanoma a me nā maʻi ʻili ʻē aʻe.
Paipai nā kauka ʻili e hana i kahi hoʻokolokolo ponoʻī ma ka liʻiliʻi i hoʻokahi manawa i ka mahina . ʻOiai ʻo ka hapa nui o nā moles ʻaʻole maʻi kanesa, inā ʻike ʻoe i kahi loli o ke kala, ke ʻano, a i ʻole ke ʻano, e nīnau aku i ke kauka. Eia kekahi, e hōʻike koke i kekahi kahe koko, ka oozing, ka maneʻo, ka ʻili ʻana, a i ʻole ka ʻeha i kahi loea lapaʻau. Inā loaʻa iā ʻoe kahi pilikia, e ʻoluʻolu e kelepona i ka 911 a i ʻole kāu mau lawelawe pilikia kūloko.
He aha kaʻu e nānā ai i ka nānā ʻana i kaʻu mau moles? (Ke ʻano ABCDE)
ʻAʻohe mea ʻino ka hapa nui o nā mole. Eia nō naʻe, ma ke ʻano lapaʻau, pono ʻoe e makaʻala i nā mole e ʻokoʻa ke ʻano mai ke koena o kāu mau mole (i ʻike ʻia ʻo ka "hōʻailona duckling ʻino") a me nā mole hou e kū mai ma hope o 30 mau makahiki. Inā ʻike ʻoe i kekahi mau loli i ke kala, ka mānoanoa, ka nui, a i ʻole ke ʻano o kahi mole, pono ʻoe e ʻike i kahi dermatologist. Eia kekahi, e makaʻala no nā mole e kahe ana ke koko, kahe, maneʻo, lilo i unahi, a i ʻole e hōʻeha.
E nānā i kou ʻili me ka hoʻohana ʻana i ke aniani a i ʻole e noi i kekahi no ke kōkua. E makaʻala pono i nā wahi i hōʻike pinepine ʻia i ka lā, e like me kou helehelena, nā lima, nā wāwae (ʻoi aku hoʻi no nā wahine), a me kou umauma a me ke kua (ʻoi aku hoʻi no nā kāne).
ʻO nā pae hoʻohālikelike ABCDE ma lalo nei he mau hōʻailona koʻikoʻi e hōʻike ana he hiki i kahi mole ke lilo i maʻi kanesa. Inā hōʻike kāu mole i kekahi o kēia mau hiʻohiʻona, e ʻike koke i kahi kauka ʻili :
- A - Asymmetry: Inā ʻaʻole kūlike kekahi hapalua o kou mole me kekahi. Inā ʻoe e puʻunaue iā ia i ka hapalua, ʻokoʻa ke ʻano o nā ʻaoʻao ʻelua.
- B - Palena: Inā ʻaʻole maopopo, palalulu, a ʻano ʻē paha nā kihi a i ʻole nā palena o ka mole.
- C - Waihoʻoluʻu: Inā ʻaʻole like ke kala a hōʻike i ka hui ʻana o nā kala (e like me ka ʻeleʻele māmā, ʻeleʻele ʻeleʻele, ʻeleʻele, uliuli, keʻokeʻo, a ʻulaʻula paha).
- D - Ke anawaena: Inā ʻoi aku ke anawaena o ka mole ma mua o ka mea holoi penikala (ma kahi o 6mm).
- E - Kiʻekiʻe / Evolution:Inā ua pālahalaha mua kahi mole a piʻi koke aʻe, a inā e loli koke ke ʻano, ka nui, a i ʻole ke ʻano o ka mole i loko o kahi manawa pōkole.
I nā kāne, ulu pinepine ka melanoma ma ke kua. I nā wahine, ʻike pinepine ʻia ma nā wāwae haʻahaʻa. ʻO ka Melanoma kekahi o nā maʻi kanesa maʻamau i nā wahine i piha i nā makahiki 25-29, no laila he mea nui e makaʻala.
He aha ka hana a ke kauka ʻili inā manaʻo lākou he pilikia kahi mole?
ʻAʻole pono e wehe ʻia nā ʻiole maʻamau a maikaʻi ʻole (no ka mea, hiki i ka wehe ʻana ke waiho i kahi ʻeha).
Inā kānalua kāu kauka ʻili i kahi mole, e hana lākou i kahi biopsy ʻili . Pili kēia i ka lawe ʻana i kahi hāpana liʻiliʻi o ka mole e nānā ʻia ma lalo o kahi microscope. Hiki ke hana ʻia kahi hōʻailona i loko o hoʻokahi pule. Inā ua hōʻoia ʻia ka mole he maʻi ʻaʻai, pono e wehe loa ʻia .
Inā manaʻo ʻoe e loli ana kahi ʻōuli a ʻike paha ʻoe i nā hōʻailona kānalua, e ʻoluʻolu e nīnau i ke kauka ʻili e nānā ʻia.
Pono anei e wehe ʻia nā ʻiole? Pehea e wehe ʻia ai?
ʻAʻole pono e wehe ʻia kahi mole maʻamau. Inā koho ʻoe e wehe ʻia no nā kumu hoʻonaninani, e waiho paha ia i kahi ʻeha.
Mai ho'āʻo e wehe i kahi mole iā ʻoe iho. Hoʻāʻo kekahi poʻe e wehe i nā mole a i ʻole nā warts me ka hoʻohana ʻana i nā kirīmi ma luna o ke kūʻai aku, nā mea ʻino, nā pahu hau, a i ʻole nā ʻano hana laser DIY. ʻO ka hana ʻana pēlā, ʻaʻole wale ia e hoʻopilikia i ka maʻi, akā hiki paha iā ʻoe ke hala i kahi manawa kūpono e loaʻa ai kahi maʻi ʻili e like me ka melanoma, hiki ke alakaʻi i nā pilikia koʻikoʻi . Inā ʻaʻole i ʻike mua ʻia ka maʻi ʻili, hiki iā ia ke laha i nā ʻōpū ʻē aʻe. ʻO ka ʻike ʻana i kahi mole maʻamau ʻole ka hana mua i ka pale ʻana. No laila, he mea pono ke aʻo lapaʻau loea .
Hiki iaʻu ke mālama i nā moles ma ka home?
Paipai ikaika nā kauka ʻaʻole e hoʻohana i nā lāʻau lapaʻau home no nā ʻiole . Inā he mau hopohopo kāu, e ʻoluʻolu e kamaʻilio me ke kauka ʻili.
He aha nā pilikia e hiki ke kū mai mai nā moles?
ʻO ka pilikia koʻikoʻi loa, ʻo ia ka hiki i kekahi mau ʻiole ke ulu i melanoma , kahi ʻano maʻi ʻili.
Hiki ke pale ʻia nā ʻiole? Pehea e hiki ai iaʻu ke pale i koʻu ʻili?
He ulu kūlohelohe nā ʻiole i ka ʻili, no laila ʻaʻole hiki ke pale loa ʻia . Eia nō naʻe, hiki iā ʻoe ke hana mua i ka pale ʻana iā ʻoe iho mai ka maʻi ʻili (a i ʻole ka ʻike mua ʻana). Eia ke ʻano:
- E kaupalena i kou kau ʻana i ka lā pololei. E akahele loa i nā hola ikaika loa ma waena o 10 AM a me 4 PM.
- E hoʻohana i ka sunscreen i kēlā me kēia lā (ma ka liʻiliʻi he SPF 30).
- E nānā i kāu mau ʻōuli no nā mea ʻē aʻe ma ka liʻiliʻi i hoʻokahi manawa i ka mahina.
He mea nui kēia mau hana no kou olakino, ʻoiai inā he ʻili keʻokeʻo kou, he nui nā ʻiole, a he moʻolelo ʻohana paha no ka maʻi ʻili.
Pehea e pono ai iaʻu ke hana i kahi hoʻokolokolo ʻili ponoʻī?
E hana i nā hoʻokolokolo ʻili ponoʻī i kēlā me kēia mahina. ʻO ka manawa maikaʻi loa ma hope o ka ʻauʻau ʻana i ka wā e pulu ana kou ʻili.
- Inā hiki, e hoʻohana i ke aniani lōʻihi a me ke aniani lima e ʻike maopopo ai.
- E noi i kekahi lālā o ka ʻohana e kōkua e nānā i nā wahi paʻakikī ke ʻike e like me kou kua.
- E ho'āʻo e hahai i ka hana maʻamau i kēlā me kēia mahina i ʻole ʻoe e poina i kekahi mau wahi.
- E nānā mai ke poʻo a i ka wāwae. E nānā i kēlā me kēia ʻāpana o kou kino (mua, hope, ʻaoʻao, a me nā kui).
- Mai poina i nā wahi "huna" : ma waena o kou mau manamana lima, ma waena o kou mau manamana wāwae , ka ʻāpana ʻūhā, nā kapuwaʻi wāwae, a ma hope o nā kuli.
- E nānā pono i kou poʻo a me kou ʻāʻī .
- E mālama i kahi moʻolelo o nā ʻiole ma kou kino a me ko lākou ʻano. Inā hiki, e kiʻi i kahi kiʻi ma ka ʻaoʻao o kahi lula me ka lā. Kōkua kēia iā ʻoe e ʻike inā e loli ana kahi ʻiole.
- Inā lākouloli i kekahi ʻano (kala, ʻano, nui, palena) a i ʻole inā loaʻa iā ʻoe kahi ʻeha e ho'ōla ʻole ai, e nīnau aku i kahi kauka ʻili . E hōʻike i ke kauka i nā mole hou e hopohopo nei iā ʻoe.
E hoʻomanaʻo, e kānalua mau i kahi ʻiole hou e kū mai ana ma hope o 30 mau makahiki . ʻOiai he nui nā ulu ʻana ma hope o 30 he mea ʻino ʻole a pili i ka makahiki, pono e nānā ʻia kekahi ulu hou e ke kauka. Hiki iā lākou ke nānā iā ia a hana i kahi biopsy ʻili inā pono.
Hiki ke ʻike ʻia nā ʻōuli ma nā wahi āpau ma ka ʻili, a ma nā membrane mucous koʻikoʻi e like me ka waha, nā maka, a i ʻole nā wahi genital. Inā he mōʻaukala melanoma kou (a i ʻole he mōʻaukala ʻohana ikaika), me ka hoʻohui ʻana i nā nānā dermatological maʻamau, he manaʻo maikaʻi e nānā ʻia kēia mau wahi kikoʻī i kēlā me kēia makahiki e kāu kauka niho, kauka maka (ophthalmologist), a me gynecologist .
Leka Lawe-Home
I ka hōʻuluʻulu ʻana, eia nā kumu koʻikoʻi e pono ai ʻoe e hoʻomanaʻo:
- He mea maʻamau loa nā ʻōuli, a no ka hapa nui o nā kānaka, ʻaʻohe mea ʻino loa. Mai hopohopo, no ka mea, he ʻoiaʻiʻo ka hapa nui.
- E kiaʻi pono i nā ʻiole ma kou kino. E nānā iā ʻoe iho ma ka liʻiliʻi hoʻokahi manawa i ka mahina, a i ʻole e noi i kahi kanaka hilinaʻi e kōkua iā ʻoe e nānā i nā wahi āu e ʻike ʻole ai.
- E hoʻomanaʻo i nā pae hoʻohālikelike ABCDE a mākou i kūkākūkā ai. E nānā i kēia mau hōʻailona i loko o kou mau ʻōuli:
- He symmetry (He ʻokoʻa anei kekahi hapalua o ka mole mai kekahi?)
- Kauoha B (He ʻano ʻē paha nā lihi, he haehae, a he palalulu paha?)
- Kala (ʻAʻole like ke kala, me nā aka o ka ʻeleʻele, ʻeleʻele, a i ʻole nā kala ʻē aʻe?)
- Anawaena (ʻOi aku ka nui ma mua o ka mea holoi ma ka penikala?)
- Ka hoʻololi ʻana (Ua loli anei ka nui, ke ʻano, a i ʻole ke kiʻekiʻe, a ua hoʻomaka paha ke kahe ʻana o ke koko?)
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻoluʻolu e nīnau koke aku i ke kauka dermatologist.
- E makaʻala pono i nā ʻiole hou e ʻike ʻia ma hope o 30 mau makahiki.
- Mai ho'āʻo e wehe i kahi ʻiole ma ka home. ʻO ka hana ʻana pēlā e alakaʻi ai i ka maʻi koʻikoʻi, ka ʻeha, a i ʻole ka hala ʻana o nā maʻi.
- E pale i kou ʻili mai ka lā. E hoʻohana i ka sunscreen i kēlā me kēia lā a e kaupalena i kou manawa i ka lā pololei a ʻino.
Inā he hopohopo iki a nīnau paha kāu e pili ana i kāu mau ʻiole, mai hūnā iā ʻoe iho —e kamaʻilio me kahi loea mālama ola kino. ʻO ia ke ala hana maikaʻi loa ma Nirogi Lanka.
Nā huaʻōlelo: Nā ʻiole, nevi, maʻi ʻili, melanoma, dermatology, nā kiko ʻili, ABCDE, nevus, olakino ʻili
