He mea maʻamau ke makaʻu iki i ka wā e ʻike koke ai ʻoe i kahi wahi hou, malia paha he pehu liʻiliʻi, ma ka ʻili o kāu keiki liʻiliʻi, ʻeā? ʻOi loa aku hoʻi i ka wā e ʻokoʻa iki ai kona ʻano, a ke noʻonoʻo nei ʻoe, 'He aha kēia?' I ia manawa, hoʻokahi nīnau e hiki mai ana i kou manaʻo ʻo ia kēia maʻi (Spitz Nevus).
He aha ka (Spitz Nevus)?
I ka ʻōlelo maʻalahi, he hōʻailona hānau ʻaʻole maʻi kanesa (benign) ka Spitz Nevus, ʻo ia hoʻi, ʻaʻole ia he mea weliweli . Eia nō naʻe, ʻike pinepine ʻia kēia mau mea i nā keiki ʻōpio. ʻIke pinepine lākou e like me kahi puʻupuʻu poni, piʻi iki. Eia nō naʻe, hiki i kekahi manawa ke pālahalaha, ʻāwili, a i ʻole he mau kala ʻē aʻe e like me ka uliuli, ʻeleʻele, a ʻeleʻele paha. I kekahi manawa kapa pū nā kauka iā lākou ʻo Epithelioid Nevus a i ʻole Spindle-cell Nevus.
Hiki ke hopohopo nui ka ʻike ʻana i kahi Spitz Nevus ma ka ʻili o kāu keiki. I kekahi manawa hiki iā lākou ke like me kahi ʻano maʻi ʻili weliweli i kapa ʻia ʻo melanoma . Akā ʻo ka nūhou maikaʻi, ʻaʻole kahi Spitz Nevi (ʻo ia ka plural o Spitz Nevus) he maʻi ʻili.
He mea kākaʻikahi ka Spitz Nevus akā ʻaʻohe mea e hopohopo ai. Eia nō naʻe, he mea nui e ʻike i ke kauka e ʻike pono i ke ʻano o ia mea a loaʻa kahi hōʻailona kūpono. ʻAʻole pono ka hapa nui o nā keiki me ka Spitz Nevus i kekahi lāʻau lapaʻau. Eia nō naʻe, inā hoʻomaka ka Spitz Nevus o kāu keiki e loli i ke ʻano a i ʻole ka nui, hiki i kāu kauka ke hoʻoholo e wehe iā ia.
He aha ke ʻano o ka inoa (Spitz Nevus)?
ʻO Spitz Nevus kahi inoa lapaʻau i hāʻawi ʻia i kahi ʻano kikoʻī o ka hōʻailona hānau .
- (Spitz): Ua kapa ʻia kēia inoa no ka hoʻohanohano ʻana iā Kauka Sophie Spitz, he kauka maʻi ʻAmelika nāna i aʻo i kēia mau māka hānau ma nā keiki ʻōpio i ka hopena o nā makahiki 1940.
- (Nevus): ʻO kēia ka huaʻōlelo lapaʻau no kahi hōʻailona hānau. Hoʻokumu ʻia nā hōʻailona hānau ke hui pū nā pūnaewele i kapa ʻia ʻo (Melanocytes) i loko o ko mākou ʻili (ʻo ia nā pūnaewele e hāʻawi i ke kala o ko mākou ʻili), e hoʻololi ana i ke kala o ka ʻili ma ia wahi.
Pehea ka maʻamau o nā Spitz Nevi?
Loaʻa i ka hapa nui o nā kānaka kekahi mau māka hānau maʻamau (i kapa ʻia hoʻi he mau mole i loaʻa). Hiki ke ʻike ʻia kēia mau māka hānau ʻino ʻole i kēlā me kēia manawa o ke ola. Hiki i kekahi poʻe ʻili keʻokeʻo ke loaʻa a hiki i 40 mau māka hānau maʻamau.
Eia nō naʻe, he kakaikahi loa nā Spitz nevi. Hoʻokahi wale nō% o nā māka hānau āpau i wehe ʻia ma ke ʻoki ʻana (biopsied) lākou.
He aha ke kumu o ka hoʻokumu ʻana (Spitz Nevus)?
ʻAʻole ʻike nā loea i ke kumu pololei o Spitz nevi. Ua manaʻo ʻia he loli genetic paha kekahi poʻe e hoʻonui ai i ko lākou pilikia o ka loaʻa ʻana o kēia mau māka hānau.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka ulu ʻana (Spitz Nevi)?
Hiki ke ulu nā māka hānau ma luna o kekahi, me ka nānā ʻole i ka makahiki, ke kāne, a i ʻole ke kala o ka ʻili. Eia nō naʻe, ʻoi aku ka nui o ka poʻe me ka ʻili keʻokeʻo e loaʻa iā Spitz Nevi. Hāʻule ka hapa nui o Spitz Nevi i loko o ka māhele o Acquired Moles, a i ʻole nā māka hānau maʻamau, ʻo ia hoʻi ke ʻike ʻia ma hope o ka hānau ʻana.
(Spitz Nevi) hiki ke ʻike ʻia i kēlā me kēia manawa o ke ola. Ma ke ʻano kikoʻī, ma kahi o ka hapakolu o kēia mau hihia e kū mai ana i kēlā me kēia hui makahiki:
- 10 makahiki i hala.
- Ma waena o 10 a me 20 mau makahiki.
- Ma hope o 20 mau makahiki.
ʻOiai he mea kakaikahi loa, hiki ke loaʻa kahi Spitz Nevus i ka wā hānau (kapa mākou ia he Congenital Birthmark).
Pehea ke ʻano o ka (Spitz Nevus)?
ʻO ka maʻamau, ʻano like ka Spitz Nevus me kahi puʻupuʻu poni a ʻulaʻula paha, he ʻano oval. Hiki iā lākou ke pālahalaha, uliuli, ʻeleʻele, ʻalani, ʻeleʻele uliuli, a ʻeleʻele paha.
Hoʻokahi wale nō Spitz Nevus i ka hapa nui o nā kānaka, akā i kekahi manawa hiki iā lākou ke hana i loko o nā puʻu.
ʻO nā hiʻohiʻona i ʻike pinepine ʻia o Spitz Nevi:
- Hiki ke like me kahi wart.
- Ulu mālie ia i ka nui aʻe i loko o kekahi mau mahina, a hiki i ke anawaena o hoʻokahi kenimika (ma kahi o ka hapalua ʻīniha).
- I kekahi manawa aia paha ke kahe ʻana o ke koko, ke kahe ʻana o ke koko, a i ʻole ka maneʻo .
- Ma hope o kekahi mau makahiki, hiki iā ia ke emi a palahalaha. I kekahi manawa nalo loa ia.
Pehea ke ʻano o ka melanoma i loko o kahi keiki?
ʻO kaʻoiaʻiʻo, he mea kākaʻikahi loa ka loaʻa ʻana o ka melanoma i kahi keiki. ʻOiai ma ʻAmelika Hui Pū ʻIa, ʻoi aku ka liʻiliʻi ma mua o 400 mau hihia o ka melanoma kamaliʻi i hōʻike ʻia i kēlā me kēia makahiki. Akā inā loaʻa i kahi keiki ka melanoma, hiki ke like pinepine me ka Spitz Nevus. ʻO kēia ka mea e hopohopo iki ai mākou.
Hiki i nā hōʻailona o ka melanoma ke komo pū me:
- He ʻano oval, e like me kahi puʻu a puʻupuʻu paha.
- Ua ʻike koke ʻia kēia puʻupuʻu , ulu koke, a loli koke.
- ʻO ka hapa nui o ka manawa, ʻo ia ke kala like, ʻulaʻula, poni, poni, a i ʻole ke kala like me kou ʻili.
- He manaʻo ʻānai kona .
- Hoʻokahe ke koko, ho'ōla ia a laila hoʻomaka hou ke kahe koko ((hana hou)).
ʻO ka mea nui loa: Inā ʻike ʻoe i kahi mole hou a i ʻole ka puʻupuʻu ma ka ʻili o kāu keiki, hiki ke paʻakikī ke ʻike iā ʻoe iho inā he Spitz Nevus a he Melanoma paha. No laila e ʻike koke i kahi kauka ʻili .
Ma hea e hana pinepine ʻia ai (Spitz Nevi)?
Hiki i kahi Spitz Nevus ke ulu aʻe ma nā wahi āpau o ke kino, akā ʻo nā wahi maʻamau:
- Maka
- ʻĀʻī
- ʻōpū (kikowaena)
- Nā lima
- Nā wāwae
Pehea e ʻike ʻia ai ka Spitz Nevi?
Inā ʻike ʻoe i kahi mole hou, kiko, a i ʻole kahi loli i loko o kahi mea i loaʻa ma kou ʻili a i ʻole ka ʻili o kāu keiki , e ʻike pono i kahi kauka ʻili . He mea nui kēia no ka mea hiki i ka Spitz Nevus a me ka Melanoma ke nānā like.
E nānā ke kauka i ka puʻupuʻu. E nīnau ʻo ia iā ʻoe i ka manawa āu i ʻike ai a inā ua loli koke ia. Eia kekahi, hiki i ke kauka ke hana i kekahi mau hoʻokolohua, e like me:
- Dermoscopy: Pili kēia i ka hoʻohana ʻana i kahi aniani hoʻonui kūikawā (dermatoscope) e nānā pono i kāu mole no kekahi mau mea ʻē. Ua like ia me ka nānā ʻana ma o kahi telescope liʻiliʻi.
- Palapala ʻāina mole: Pili kēia i ka hoʻohana ʻana i kahi kāmela kūikawā (i hoʻopili ʻia i kahi aniani dermatoscopic) e nānā i nā loli i ke ʻano, ka nui, a me ke kala o nā mole. Kōkua kēia i ka hahai ʻana i nā loli i ka hala ʻana o ka manawa.
- Biopsy ʻili: ʻO ke ala wale nō e ʻike pono ai inā he maʻi kanesa ka mole, ʻo ia ka loaʻa ʻana o kahi biopsy ʻili. E lawe kāu kauka ʻili i kahi ʻāpana liʻiliʻi o ka ʻiʻo ʻili mai ka mole a hoʻāʻo iā ia i loko o kahi keʻena hoʻokolohua e ʻike inā he mau hōʻailona o ka maʻi kanesa .
Pehea e mālama ʻia ai nā Spitz Nevi?
ʻAʻole pono paha kekahi lāʻau lapaʻau i ka poʻe me nā Spitz nevi he nui. Eia nō naʻe, hiki i kāu kauka ke paipai i nā hoʻokolohua ʻili makahiki a me ka palapala ʻāina mole e nānā i nā loli maʻamau ʻole i kāu mau mole.
Eia nō naʻe, i nā hihia aʻe, hiki i ke kauka ʻili ke hoʻoholo e wehe i ka Spitz Nevus a me kahi ʻili liʻiliʻi a me nā ʻiʻo e hoʻopuni ana:
- Inā ʻaʻohe ʻano like o ka hōʻailona hānau a i ʻole he ʻano/ʻano kūpono ʻole .
- Inā he kahe koko, ka ʻūlū ʻana, a i ʻole ka ʻūlū ʻana.
- Inā ʻoi aku ke anawaena ma mua o hoʻokahi kenimika (hapalua ʻīniha) .
Hiki ke pale ʻia ke kūkulu ʻia ʻana o (Spitz Nevus)?
Hoʻomohala ʻia nā māka hānau no nā kumu i ʻike ʻole ʻia i kēia manawa. ʻAʻohe mea hiki iā ʻoe ke hana e pale aku iā ʻoe iho a i ʻole kāu keiki mai ka ulu ʻana o kahi Spitz Nevus.
Pehea e hiki ai ke pale ʻia ka maʻi ʻili?
Loaʻa i nā kānaka a pau ka pilikia no ka maʻi ʻili . Hiki iā ʻoe ke hana i kēia mau hana e pale ai i kou ʻili mai ka pōʻino o ka lā:
- E hoʻohana i kahi sunscreen ākea me ka liʻiliʻi he SPF 30 i kēlā me kēia lā.– ʻOiai ʻoe i loko o ka hale.
- Mai hoʻohana i nā kukui lā a i ʻole nā moena tanning.
- E ho'āʻo e hana i ka nui o nā hana waho e like me ka hiki ma mua o ka hola 10 am a ma hope paha o ka hola 4 pm, no ka mea, ʻaʻole ikaika loa nā kukuna o ka lā i kēlā manawa.
- Inā pono ʻoe e noho i waho i kēlā manawa , e noho i kahi me ka malu maikaʻi.
- E ʻaʻahu i nā lole pale lā i ka wā e hele ai i waho. E ʻaʻahu i ka pāpale nui a me nā aniani maka nui .
Pehea e ʻike ai i nā loli ʻili ʻē?
Pono ʻoe e nānā mau i kou ʻili ponoʻī a me ka ʻili o kāu mau keiki no nā loli o ka ʻili a me nā ʻiole. Manaʻo nā kauka inā ua loaʻa kekahi o kou ʻohana i ka maʻi ʻili, pono ʻoe e nānā i kou ʻili ma ka liʻiliʻi hoʻokahi manawa i ka mahina. Hiki iā ʻoe ke kiʻi i nā kiʻi o nā ʻiole i hiki iā ʻoe ke ʻike maʻalahi i nā loli.
Hiki i ke kānāwai ABCDE ke kōkua iā ʻoe e ʻike i ka maʻi ʻili. E nānā i kēia mau hōʻailona:
- A – ʻAʻohe ʻano like: E nānā inā he ʻano like ʻole a ʻano ʻē paha ke ʻano. (ʻO ia hoʻi, inā ʻoe e māhele i ka ʻāpana i ka hapalua, ʻaʻole like nā ʻaoʻao ʻelua.)
- B - Nā Palena: E nānā inā he moakāka, ʻokiʻoki, a ʻāʻā paha nā lihi.
- C - Nā Waihoʻoluʻu: E nānā i ka hui pū ʻana o nā waihoʻoluʻu, e like me ka ʻeleʻele, ʻeleʻele, ʻulaʻula, a me ka uliuli. (Akā e hoʻomanaʻo, ʻo ka melanoma i loko o ke keiki he waihoʻoluʻu hoʻokahi pinepine ia, hiki ke ʻulaʻula, poni, poni, a i ʻole ke kala o ka ʻili.)
- D - Ke anawaena: E nānā inā ʻoi aku ka nui ma mua o ka mea holoi penikala (ma kahi o hoʻokahi ʻīniha).
- E - E ulu ana: E nānā i nā loli e like me ka nui ʻana o ke kiko, ka loli ʻana o ke ʻano a i ʻole ke kala, ke kahe ʻana o ke koko, a i ʻole ka maneʻo.
He aha ka manaʻo no kekahi me ka (Spitz Nevus)?
ʻAʻole pono ka hapa nui o nā keiki me Spitz nevi i ke ʻoki kino. Eia nō naʻe, inā loaʻa i kāu keiki kahi biopsy ʻili a i ʻole ke ʻoki kino e wehe i ka hōʻailona hānau, hiki ke waiho ʻia kahi ʻeha. He mea kākaʻikahi loa, hiki i ka Spitz nevi ke hoʻi hou mai ma hope o ka wehe ʻana. No laila, pono ʻoe e nānā pinepine i ka ʻili o kāu keiki a me ka ʻeha. Inā ʻike ʻoe i kahi puʻupuʻu a i ʻole kahi loli ʻili ʻē aʻe, e ʻike i ke kauka.
Āhea ʻoe e ʻike ai i ke kauka?
Inā ʻike ʻoe i nā māka hānau hou, nā loli o ka ʻili, ʻoiai nā hōʻailona ABCDE a mākou i kamaʻilio ai ma mua, e ʻike koke i kāu kauka.
He aha kaʻu e nīnau aku ai i ke kauka?
Ke ʻike ʻoe i kāu kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:
- ʻEhia pinepine e pono ai kaʻu keiki e hele mai i ke keʻena lapaʻau o ke kauka no ka nānā ʻana i kona ʻili?
- ʻEhia pinepine e pono ai iaʻu e nānā i ka ʻili o koʻu a me kaʻu keiki ma ka home?
- Pono anei au i ke ʻoki kino e wehe i ka (Spitz Nevus) o kaʻu keiki?
- He aha kaʻu e hana ai e hōʻemi i ka pilikia o ka maʻi ʻaʻai ʻili i loko o koʻu ʻohana?
He aha ka ʻokoʻa ma waena o kahi (Spitz Nevus) a me kahi (Spitzoid Melanoma)?
He mea kākaʻikahi loa, hiki i ke kauka ke kuhi hewa i kahi hōʻailona hānau he Spitz Nevus, ʻoiai he Melanoma maoli nō ia. Ke kapa nei kekahi mau kauka i kēia hōʻailona maʻi kanesa hou he Spitzoid Melanoma a he Spitz Nevus ʻino paha. Hōʻike kēia i ke koʻikoʻi o kahi biopsy, ʻeā?
Hiki i kahi (Spitz Nevus) ke lilo i maʻi kanesa?
ʻAʻole e lilo ka mole i ʻike pololei ʻia he Spitz Nevus i ka maʻi ʻili. Loaʻa iā ʻoe kahi mole benign (Spitz Nevus) a i ʻole melanoma. Inā manaʻo kāu kauka he maʻi ʻaʻai ka mole, e hana maoli lākou i kahi biopsy ʻili e hōʻoia.
He mea maʻamau ka hopohopo ke ʻike ʻoe i kahi ulu ʻili hou, ʻoiai he mole e like me ka Spitz Nevus, kahi mea like loa me ka melanoma. ʻOiai he mea kakaikahi ka loaʻa ʻana o ka maʻi ʻili i kahi keiki, he mea nui e ʻimi i ke kōkua lapaʻau no kekahi mau loli ʻili ʻē. Inā loaʻa i kāu keiki kahi Spitz Nevus, pono ʻoe e nānā mau i ko lākou ʻili e nānā i nā loli. E nīnau i kāu kauka pehea e nānā ai i kou ʻili ma ka home no ʻoe iho a me kāu keiki.
Leka Lawe-Home
ʻAe, i kēia manawa ua ʻoi aku kou maopopo i ka mea a mākou i kamaʻilio ai (Spitz Nevus). Eia kekahi mau mea nui e hoʻomanaʻo ai:
- ʻO ka Spitz Nevus kahi hōʻailona hānau ʻaʻole ia he maʻi kanesa e loaʻa pinepine i nā keiki ʻōpio .
- I kekahi manawa hiki iā lākou ke nānā aku e like me ke kanesa ʻili weliweli (melanoma), no laila e ʻike pono i kahi kauka dermatologist no kahi hōʻoia kūpono.
- ʻAʻole pono ka mālama ʻana i ka hapa nui o nā Spitz nevi.
- E makaʻala i nā kiko ʻili hou a me nā loli i nā kiko e kū nei (ʻoi aku hoʻi nā hōʻailona ABCDE).
- E hahai i nā hana palekana i ka lā e pale aku iā ʻoe iho mai ka maʻi ʻili.
- Inā kānalua, mai makaʻu e ʻimi i ke aʻo lapaʻau. ʻO ia ka mea naʻauao loa e hana ai.
Ke makemake nei iā ʻoe a me kou ʻohana i ke olakino maikaʻi!











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