Aia kekahi puʻupuʻu hou ma kou ʻili? E aʻo kākou e pili ana i ka nodular melanoma weliweli.

Ua ʻike anei ʻoe i kahi puʻupuʻu a kiko paha ma kou ʻili e ulu koke ana? A i ʻole ua ʻike paha ʻoe i kahi loli i ka ʻili o kāu hoaaloha. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano maʻi ʻili e hopohopo iki ana, akā hiki ke kāohi ʻia inā ʻike mua ʻia. Ua kapa ʻia kēia he nodular melanoma . Hiki ke hopohopo iki ka lohe ʻana i kēia inoa, akā inā ʻike mākou, hiki iā mākou ke pale iā mākou iho mai ia mea a loaʻa ka lāʻau lapaʻau i ka manawa kūpono.

He aha ka Nodular Melanoma?

I ka ʻōlelo maʻalahi, ʻo ka nodular melanoma kahi ʻano maʻi ʻili i kapa ʻia ʻo melanoma . He ʻokoʻa iki ia mai nā ʻano maʻi ʻili ʻē aʻe no ka mea ulu wikiwiki loa ia. E noʻonoʻo, i loko o kekahi mau pule, a i ʻole kekahi mau mahina, hiki i kēia puʻupuʻu ke ulu a pālahalaha.

ʻO ke ʻano kūikawā o kēia, ʻo ia kona ulu ʻana ma luna, ʻaʻole wale ma ka ʻili o ka ʻili, akā ma lalo hoʻi o ka ʻili . Ua like ia me ka hau hau e lana ana i ke kai. Hiki iā mākou ke ʻike i kahi ʻāpana liʻiliʻi o ia mea ma luna, akā ʻo ka ʻāpana nui loa ma lalo o ka wai. Pēlā nō, ma ka nodular melanoma, aia ka hapa nui o ke kanesa ma lalo o ka ʻili. ʻO ia ke kumu e hiki ai ke lilo i mea weliweli iki, no ka mea, e komo koke ana i loko.

He aha nā pae o kēia maʻi kanesa?

ʻAe, e nānā kākou i nā pae like ʻole o kēia maʻi kanesa i kapa ʻia ʻo Nodular Melanoma. Ua māhele nā ​​kauka iā ia i kekahi mau ʻāpana, ma muli o ka laha a me ka hohonu o ke kanesa. He mea nui e ʻike i kēia pae, no ka mea, ua hoʻoholo ʻia ka lāʻau lapaʻau ma muli o kēia.

Pae 0 (Pae 0 - Melanoma ma kahi)

ʻO kēia ke kahua mua loa . ʻO kēia ka wā e noho wale ai nā hunaola kanesa ma ka papa waho loa o ka ʻili (ka epidermis) . ʻO ke ʻano kēia, ʻaʻole ia i laha ma waho o kahi i hoʻomaka mua ai. ʻO kēia ka manawa kūpono loa e loaʻa ai, no ka mea, ʻoi aku ka maʻalahi o ka ho'ōla piha ʻia me ka lāʻau lapaʻau.

Kahua I

I kēia pae, ua manaʻo ʻia ka maʻi kanesa he haʻahaʻa ka pilikia . ʻO ke ʻano kēia, ʻaʻohe hōʻike e hōʻike ana ua laha. He liʻiliʻi loa nō hoʻi, ʻaʻole i ʻoi aku ma mua o 2 milimita ka mānoanoa.

Pae II

I kēia pae, hiki i ka nodular melanoma ke ʻoi aku ma mua o 2 milimita ka mānoanoa . ʻO ke ʻano kēia he kiʻekiʻe kona pilikia o ka hoʻi hou ʻana . Eia naʻe, ʻaʻole i laha i nā ʻāpana ʻē aʻe o ke kino.

Pae III

He ʻoi aku ka koʻikoʻi o kēia. Maanei, ua laha paha ke kanesa i nā lymph node kokoke a i ʻole i nā ʻāpana ʻē aʻe o ka ʻili kokoke . Ua like nā lymph node me nā kānana liʻiliʻi i loko o ko mākou kino e kōkua ana i ke kaua ʻana i ka maʻi. Inā komo nā hunaola kanesa i loko o kēia mau mea, ʻo ia hoʻi ua hoʻomaka ke kanesa e laha.

Pae IV

ʻO kēia ke kahua koʻikoʻi loa a laha loa.Maanei, hiki i ka nodular melanoma ke pālahalaha i nā lymph nodes mamao, nā ʻāpana mamao ʻē aʻe o ka ʻili, a i ʻole nā ​​​​​​ʻōpū kūloko e like me ke akepaʻa, nā māmā, a me ka lolo .

ʻO wai ka mea i ʻoi aku ka paʻakikī ke hoʻomohala i kēia?

Hiki i ka Nodular Melanoma ke ulu i loko o kekahi kanaka, akā aia kekahi poʻe i kahi pilikia kiʻekiʻe iki aʻe.

• ʻOi aku ke kiʻekiʻe o kēia pilikia no nā kāne , ʻoi aku hoʻi ka poʻe ma luna o 50 mau makahiki .
• Inā ua loaʻa iā ʻoe ka maʻi ʻili ma mua .
• Inā ua loaʻa kekahi o kou ʻohana i ka maʻi ʻili (aia paha kahi loulou hoʻoilina).
• ʻO ka poʻe me ka ʻili keʻokeʻo e maʻalahi ka wela o ka lā . ʻOiai inā ʻeleʻele ke kala o ko mākou ʻili, aia ka pilikia o ka wela o ka lā.
• ʻO ka poʻe e hoʻolilo i ka manawa nui i ka lā , ʻoiai ka poʻe e hoʻolilo i ka manawa nui i ka lā me ka ʻole o ka pale.

Pehea ka maʻamau o kēia?

ʻO ka nodular melanoma ka lua o ke ʻano melanoma maʻamau . He 15% a 20% ia o nā melanomas āpau i ʻike ʻia. Ua ʻōlelo ʻia hoʻi ke kuleana no kahi o 50% o nā make e pili ana i ka melanoma. No laila, he mea nui loa ka makaʻala i kēia.

Pehea ka hopena o ka nodular melanoma i ke kino?

Hiki i kēia maʻi ʻaʻai ke ulu ma nā wahi āpau o ke kino, akā ulu pinepine ia ma nā wahi i hōʻike nui ʻia i ka lā . ʻO ia hoʻi:

• Nā lima
• Poʻo (wahi poʻo)
• Nā wāwae
• Kino

ʻOi aku ka nui o nā nodular melanomas ma mua o nā mole ʻē aʻe ma kou ʻili. ʻOi aku lākou ma mua o 1 kenimika ke anawaena (e like me ka lōʻihi o kahi stapler), a ʻoi aku ma mua o 6 millimeters ke kiʻekiʻe (e like me ke kiʻekiʻe o 60 mau pepa pepa).

He aha nā hōʻailona?

He mea nui e ʻike i nā hōʻailona o kēia maʻi kanesa, no ka mea, ʻo ka wikiwiki o ka ʻike ʻia ʻana, ʻo ka nui aʻe o ka holomua o ka lāʻau.

• Hiki ke ʻike ʻia ka ʻili me he puʻu poepoe mānoanoa, i hāpai ʻia .
• Hiki ke ʻokoʻa ke kala . Hiki ke ʻulaʻula, poni, ʻeleʻele, ʻeleʻele, uliuli-ʻeleʻele. I kekahi manawa hiki ke like ke kala me kou ʻili.
• Hiki ke ʻokoʻa ke ʻano o ka ʻili . Hiki ke laumania, ʻōpala, a ʻāpiki paha e like me ka cauliflower.
• He kahe koko paha. He kahe koko wale nō paha, a i ʻole he kahe koko paha ke kahakaha ʻoe.
• Aia paha ka maneʻo .
• Hiki paha iā ʻoe ke manaʻo i ke kuni a i ʻole ka ʻeha .

Mea nui: Inā ʻike ʻoe i kahi puʻupuʻu hou, kiko, a i ʻole kahi loli i kahi kiko ma kou ʻili, mai hoʻonele i ka manawa a e ʻike koke i ke kauka .

Hiki paha i kēia ke like me kahi pehu koko?

ʻAe, i kekahi manawa hiki i kahi nodular melanoma ke like me kahi pehu koko . Hoʻokumu ʻia kahi pehu koko ke ʻomi paʻa ʻia ka ʻili. Hoʻokumu ʻia ka pehu ke hōʻiliʻili ke koko mai nā kīʻaha koko i haki. Hiki ke ʻeleʻele, ʻulaʻula, a ʻeleʻele paha. No laila, inā he "pehu koko" hou kāu ʻaʻole e ho'ōla koke, e hopohopo hoʻi no kēlā.

Ke kahe nei ke koko o ka Nodular Melanoma?

ʻAe, inā ʻoe e kahakaha i kēia puʻupuʻu, ʻomi iā ia, a hoʻopā mālie paha iā ia, hiki ke kahe ke koko. I kekahi manawa , ʻoiai inā ʻaʻole ʻoe e hana i kekahi mea, hiki ke kahe wale ke koko .

Ua paʻa a wehe paha kēia mau puʻupuʻu?

Nodular Melanoma ʻO ka maʻamau, paʻakikī a paʻa hoʻi kahi puʻupuʻu ke hoʻopā ʻia.

He aha nā kumu no kēia?

ʻO ke kumu nui o ka pilikia no ka hoʻomohala ʻana i ka nodular melanoma ʻo ia ka nui o ka ʻike ʻia ʻana i ka mālamalama ultraviolet (UV) . ʻO ka mea nui loa, ʻo nā ʻeha o ka lā ka mea ʻino loa.

Aia i loko o ko kākou ʻili kahi ʻano cell i kapa ʻia ʻo melanocytes . Hoʻopuka kēia mau cell i kahi pigment i kapa ʻia ʻo melanin . ʻO kēia melanin ka mea e hāʻawi i ko kākou ʻili i kona kala. No laila, ke hōʻike ʻia kākou i nā kukuna UV mai ka lā a i ʻole nā ​​moena tanning, hiki ke hōʻino ʻia a hoʻololi ʻia ka DNA o kēia mau melanocytes. A laila ulu a māhelehele kēia mau cell me ke kāohi ʻole ʻia, a hoʻomaka e hoʻouka i nā ʻiʻo a puni (malignancy) . ʻO ia ka manawa e kū mai ai ka maʻi kanesa.

He mea laha anei kēia?

ʻAʻole, ʻaʻole he maʻi lele ka nodular melanoma . ʻAʻole hiki iā ʻoe ke loaʻa mai kekahi mea ʻē aʻe, ʻaʻole hoʻi hiki iā ʻoe ke hoʻolaha iā ia i kekahi.

Pehea ʻoe e ʻike ai i kēia?

Ke ʻike ʻoe i ke kauka me kahi puʻupuʻu ʻē ma kou ʻili, ʻo ka mea mua āna e hana ai , ʻo ia ke nānā pono i ka puʻupuʻu. E pāpaʻi pū ʻo ia i ka ʻili a puni ka puʻupuʻu a me kou mau lymph node. A laila, e nīnau paha lākou iā ʻoe i kekahi mau nīnau.

• "I ka manawa hea ʻoe i ʻike mua ai i kēia puʻupuʻu?"
• "Ua nui aʻe anei kēia a i ʻole ua like nō?"
• "He ʻeha anei ke hoʻopā aku au i kēia?"
• "Ua loli anei ke kala o kēia?"
• "He ʻāneʻane kēia, he ʻeha anei?"
• "Ke kahe nei ke koko?"
• "Ua loaʻa anei iā ʻoe ka maʻi ʻili ma mua?"
• "Aia kekahi o kou ʻohana i loaʻa i ka maʻi ʻili?"

ʻO kāu mau pane i kēia mau nīnau e kōkua i ke kauka e loaʻa kahi manaʻo no ka maʻi.

He aha nā hoʻokolohua e hana ʻia nei?

Ma hope o ka hoʻokolokolo kino ʻana, inā manaʻo ke kauka he nodular melanoma paha ia, e hoʻoholo pinepine ʻo ia e hana i kahi biopsy . ʻO ka biopsy e pili ana i ka wehe ʻana i kahi ʻāpana liʻiliʻi o ka puʻupuʻu, a i ʻole ka puʻupuʻu holoʻokoʻa, ma lalo o nā kūlana mae a ʻeha ʻole, a hoʻouna ʻia i kahi keʻena hoʻokolohua e nānā i nā hunaola kanesa . Hiki i nā hopena ke hala i ʻelua a ʻumi mau lā e hoʻi mai ai.

Pehea e mālama ʻia ai?

ʻO ka mālama ʻana no ka nodular melanoma e pili ana i ke kahua o ke kanesa a me kou olakino holoʻokoʻa . ʻO ka pahuhopu nui ka ho'ōla ʻana i ke kanesa. Manaʻo pū nā kauka e pale i ka hoʻi hou ʻana mai o ke kanesa a e mālama i kou ʻili i ka maikaʻi e like me ka hiki.

Ka mālama ʻana i ka nodular melanoma mua

I nā pae mua, i ka wā ʻaʻole i laha ka maʻi ʻaʻai, ʻo ka lāʻau nui ka wehe ʻana i ka puʻupuʻu me ke ʻoki ʻana . Hiki paha iā ʻoe ke hana i kēia i kou ala ʻana, me ka hoʻohana ʻana i ka anesthesia kūloko wale nō. A i ʻole, i kekahi mau hihia, hiki ke hāʻawi ʻia iā ʻoe ka anesthesia laulā e hana i ke ʻoki ʻana. E hoʻohana kekahi kauka ʻili a kauka ʻoki paha i kahi pahi ʻoi (scalpel) e wehe i ka puʻupuʻu a me kahi ʻili olakino liʻiliʻi a puni ia.

Ka mālama ʻana i ka melanoma nodular disseminated

Ke pālahalaha ke kanesa (ke kahua hope), me ka wehe ʻana i ka puʻupuʻu ma ke ʻoki kino, hiki ke hui pū ʻia kekahi a ʻoi aku paha nā lāʻau lapaʻau ʻē aʻe.

• Lymphadenectomy: Inā ua pālahalaha ke kanesa i nā lymph nodes kokoke, hiki ke hana ʻia ke ʻoki kino e wehe i kēlā mau lymph nodes. Hiki i kēia ke pale i ka laha hou ʻana o ke kanesa.
• ʻO ke ʻoki kino ma nā ʻōpū o loko: Inā ua pālahalaha ke kanesa i kahi ʻōpū o loko, hiki ke wehe ʻia ka ʻāpana i hoʻopilikia ʻia o kēlā ʻōpū ma ke ʻoki kino.
• Immunotherapy: Hana kēia ma ka hoʻoulu ʻana i ka ʻōnaehana pale ponoʻī o kou kino e hana i nā pūnaewele hou aʻe e hakakā ana i nā pūnaewele kanesa.
• Lapaʻau maʻi kanesa i kuhikuhi ʻia: Ma kēia, hoʻohana ʻia nā lāʻau lapaʻau kikoʻī e hoʻouka wale i nā hunaola kanesa. Hoʻemi kēia i ka hōʻino ʻana i nā hunaola olakino.
• Chemotherapy: Ma kēia ʻano, hāʻawi ʻia nā lāʻau lapaʻau e pepehi i nā hunaola kanesa a kāohi iā lākou mai ka hoʻonui ʻana.

ʻEhia ka lōʻihi e hoʻōla ai ma hope o ka lāʻau lapaʻau?

E loli kēia ma muli o ka lāʻau lapaʻau āu e loaʻa ai.

• Ma hope o ke ʻoki ʻana , hiki ke hala ma kahi o hoʻokahi a ʻekolu mau pule no ka ho'ōla ʻana o ka ʻili.
• Ma hope o ka chemotherapy a me ka lāʻau lapaʻau maʻi kanesa i kuhikuhi ʻia , nalo ka hapa nui o nā hopena ʻaoʻao ke hoʻōki ʻia ka lāʻau.

Pehea e hōʻemi ai i ka pilikia?

ʻOiai ʻaʻole hiki ke pale loa ʻia ka ulu ʻana o ka nodular melanoma, aia nā mea hiki iā mākou ke hana e hōʻemi i ka pilikia.

• E pale i ka lā ʻino a e ʻimi i ka malu . He ikaika loa nā kukuna o ka lā ma waena o 10 am a me 4 pm.
• Mai hoʻohana i nā moena ʻili . Akā, e hoʻohana i kahi mea e like me ka ʻaila pīpī.
• E ʻaʻahu i nā pāpale ākea, nā aniani maka, nā lole lima lōʻihi, a me nā lole lōʻihi i nā manawa hiki.
• E hoʻohana i kahi sunscreen ākea me ka SPF (Skin Protection Factor) o 30 a ʻoi aku paha . E hoʻopili pinepine inā ʻoe e hou a ʻauʻau paha.
• I ka hoʻohana ʻana i ka lip balm, koho i hoʻokahi me ka sunscreen.
• E makaʻala i kou ʻili . Inā ʻike ʻoe i nā kiko hou, nā ʻiole, a i ʻole nā ​​loli i kahi kiko e kū nei, e ʻike koke i ke kauka.

He aha ka mea e hana ai inā loaʻa iā ʻoe ka nodular melanoma?

He mea nui loa ka ʻike mua ʻana no ka nodular melanoma. Inā ʻike mua ʻia, maikaʻi loa kāu prognosis.

Eia nō naʻe, hiki i ka nodular melanoma ke hoʻoweliweli i ke ola inā ʻike ʻia i ka wā hope no ka mea ulu koke ia . No laila, ʻo ka wikiwiki o ka ʻike ʻia a wehe ʻia, ʻoi aku ka maikaʻi o kou manawa e hoʻōla piha ai .

Pehea ka nui o ke ola?

ʻO kēia ka pakeneka o ka poʻe e ola nei i ʻelima mau makahiki ma hope o ka ʻike ʻia ʻana a me ka mālama ʻia no ka nodular melanoma.

• Nā Pae 0, I a me II: 98.4%
• Pae III: 63.6%
• Pae IV: 22.5%

Ke nānā nei i kēia mau helu helu, hiki iā ʻoe ke ʻike i ka waiwai o ka ʻike koke ʻana, ʻeā?

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, e ʻike pono i ke kauka.

• Ke ʻano o kahi puʻupuʻu paʻakikī hou ma ka ʻili.
• Ka loli ʻana o ka nui, ke kala, a i ʻole ke ʻano o kahi mole a kiko paha e kū nei.
• Ka maneʻo a i ʻole ke kahe ʻana o ke koko mai kahi puʻupuʻu.
• Inā ua loaʻa iā ʻoe ka maʻi ʻili ma mua .
• Inā loaʻa kekahi o kou ʻohana i ka maʻi ʻili .
• Inā he moʻolelo kou no ka hōʻike nui ʻana i ka lā .

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke ʻike ʻoe i kāu kauka, he mea nui loa e nīnau i nā nīnau e like me kēia e loaʻa ai kahi ʻike maopopo o kou kūlana.

• "Pehea ʻoe e ʻike ai inā he nodular melanoma koʻu?"
• "I ke kahua hea o ka Nodular Melanoma iaʻu?"
• "Pehea ka nui o kēia nodular melanoma?"
• "Pehea ka hohonu o kēia i komo ai i loko o koʻu ʻili?"
• "Ua laha anei kēia maʻi ʻaʻai i nā wahi ʻē aʻe o koʻu kino?"
• "He aha nā lāʻau lapaʻau āu e paipai nei?"
• "He aha nā hopena ʻaoʻao piha o kēlā me kēia lāʻau lapaʻau?"
• "He aha nā kūlana o ka hoʻi hou ʻana mai o kēia nodular melanoma?"
• "Pehea e hiki ai iaʻu ke hōʻemi i koʻu pilikia o ka loaʻa hou ʻana o ka nodular melanoma i ka wā e hiki mai ana?"

Hiki ke wehe ʻia ka nodular melanoma ma ke kahakaha ʻana?

ʻAʻole loa kēia he mea maikaʻi e hana ai.Manaʻo paha kekahi poʻe, "ʻAuē, he puʻupuʻu liʻiliʻi wale nō ia, e ʻōniʻoniʻo wale." Akā, ʻaʻole e ho'ōla kēia maʻi kanesa i ka hana ʻana pēlā. ʻOiaʻiʻo, hiki i ke kanesa ke pālahalaha hou aku . Eia kekahi, hiki i ke ʻōniʻoniʻo ke hōʻeha a me ka maʻi . No laila, mai hana ʻoe i kēlā. ʻO ka mea nui loa, ʻo ia ke ʻike i ke kauka a loaʻa ka lāʻau kūpono.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

He mea maʻamau ka makaʻu a me ka hoka ke loaʻa iā ʻoe kahi hōʻailona o ka nodular melanoma. Eia nō naʻe, he mea nui e mālama i kou ʻili. He mea nui loa kēia inā he ʻili keʻokeʻo kou a i ʻole ua hōʻike nui ʻia i ka lā.

Inā ʻike ʻoe i kekahi mau loli hou, nā puʻupuʻu ʻē, a i ʻole nā ​​kiko ma kou ʻili, mai hoʻonele i ka manawa a e ʻike koke i ke kauka . Hiki iā ia ke wehewehe i ke ʻano o ka lāʻau āu e pono ai a me nā mea āu e manaʻo ai. Hiki i kēia ke hōʻemi nui i kou makaʻu a me kou hopohopo. E hoʻomanaʻo, ʻo ka ʻike mua ʻana ke ala maikaʻi loa e hoʻopakele ai i ke ola!

ʻO ke kanesa ʻili, melanoma, nodular melanoma, nā nodules ʻili, nā kukuna lā, nā kukuna UV, nā hōʻailona kanesa, ka mālama ʻana i ke kanesa ʻili