Aia kekahi wahi ʻē ma kou ʻili? He Spitzoid Melanoma paha ia?

Ua ʻike koke anei ʻoe i kahi kiko hou ma kou ʻili i ʻano ʻokoʻa iki? A i ʻole ua ʻike paha ʻoe i kahi mole e ulu nui ana a i ʻole e loli ana ke kala, a hopohopo iki ʻoe, ʻeā? I kekahi manawa ʻaʻole kēia mau mea he mea e hopohopo ai. Eia nō naʻe, i kekahi manawa hiki iā lākou ke lilo i hōʻailona o ka maʻi ʻili . I kēia lā e kamaʻilio mākou e pili ana i hoʻokahi ʻano maʻi ʻili āu e hopohopo iki ai. ʻO ia ka Spitzoid Melanoma.

He aha ka Spitzoid Melanoma?

I ka ʻōlelo maʻalahi, ʻo Spitzoid Melanoma kahi ʻano maʻi ʻili. ʻIke pinepine ʻia ia he wahi liʻiliʻi, poni, a me ke kala o ka ʻili. E noʻonoʻo i kahi puʻupuʻu poni e ʻike koke ʻia ma kou lima i loaʻa ʻole iā ʻoe ma mua a laila e ulu mālie aʻe. ʻO ia ke ʻano. Akā i kekahi manawa hiki ke ʻike ʻia ma nā ʻili ʻeleʻele e like me ka brown a ʻeleʻele paha. ʻOi aku ka nui o ka ulu ʻana ma kou mau lima, nā wāwae, a i ʻole ke alo.

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

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "ʻAuē... ʻo kēia kekahi o kēlā mau kiko ʻulaʻula āu e ʻike ai i kekahi manawa?" ʻAe, hiki i ka Spitzoid Melanoma a me kahi mole ʻino ʻole i kapa ʻia ʻo Spitz nevus ke nānā like. ʻO ia ka pilikia. Eia naʻe, he maʻi kanesa ka Spitzoid Melanoma. ʻO nā hunaola kanesa kahi ʻano hunaola e hiki ke ulu ma waho o ke kaohi a laha i nā ʻāpana ʻē aʻe o ke kino. Eia naʻe, he mole ʻino ʻole ka Spitz nevus, ʻaʻole kanesa. ʻOi aku ka poni a ʻulaʻula paha kēia mau mea ma mua o ka ʻeleʻele a ʻeleʻele paha. No laila, ʻoiai ua like kēia mau mea ʻelua, he kanesa kekahi a ʻo kekahi he mea ʻino ʻole. ʻO ia ke kumu he mea nui e ʻike pololei iā lākou.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

ʻOiaʻiʻo, hiki i kekahi ke loaʻa i ka Spitzoid Melanoma. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe. E nānā kākou iā lākou:

• Inā ua loaʻa i kekahi o kou ʻohana ka maʻi ʻili ma mua: Inā ua loaʻa i kou makuahine, kou makuakāne, a i ʻole kou mau kaikaina ka maʻi ʻili, ʻoi aku kou pilikia.
• No ka poʻe me ka ʻili keʻokeʻo: ʻO ia hoʻi, ʻo ka poʻe me ka melanin emi i loko o ko lākou ʻili .
• No ka poʻe i hōʻike ʻia i ka lā no ka manawa lōʻihi: ʻOi aku ke kiʻekiʻe o kēia pilikia no ka poʻe e hana a pāʻani paha i ka lā.

E like me nā ʻano maʻi ʻili āpau, ʻoi aku ka nui o ka poʻe mākua e loaʻa iā ia. Akā, he mea kupanaha, ʻo kekahi ʻano melanoma i maʻamau i nā keiki i kapa ʻia ʻo Spitzoid Melanoma. No laila, inā ʻike ʻoe i kahi mole hou a ʻokoʻa paha ma ka ʻili o kahi keiki ʻōpio, he manaʻo maikaʻi e hopohopo no ia mea.

He aha nā hōʻailona o ka Spitzoid melanoma?

ʻIke pinepine ʻia ka spitzoid melanoma me kahi wahi liʻiliʻi.E like me ka mea i ʻōlelo ʻia ma mua, ʻike pinepine ʻia ia ma nā lima, nā wāwae, a me ka maka. Ke hoʻohālikelike ʻia me nā ʻano melanoma ʻē aʻe, ʻo kēia spitzoid melanoma he ʻano poepoe a like ke kala. ʻO ia hoʻi, ʻo ke kala holoʻokoʻa paha he like, ma mua o ka ʻeleʻele ma kekahi wahi a me ka mālamalama ma kekahi.

Hiki i kēia maʻi ʻaʻai ke hoʻomaka ma kahi wahi i loaʻa mua iā ʻoe ma kou ʻili. A i ʻole, hiki ke ʻike ʻia ma ke ʻano he wahi hou kahi i loaʻa ʻole ai kahi wahi ma mua. No laila, he mea nui e makaʻala i kāu mau wahi e kū nei a me nā wahi hou e ʻike ʻia.

He aha ke kumu o kēia?

Hoʻokumu ʻia ka Spitzoid Melanoma e nā mutations i loko o ka DNA (deoxyribonucleic acid) i loko o kou mau ʻili. ʻO kēia mau loli ke kumu o nā ʻili e lilo i maʻi kanesa a ulu me ke kāohi ʻole ʻia. ʻO ke kumu nui o kēia mau loli DNA, ʻo ia ka lōʻihi o ka hoʻohana ʻana i nā kukuna ultraviolet (UV). Loaʻa iā mākou kēia mau kukuna UV mai ka lā, a me nā moena tanning, ʻo ia hoʻi nā moena sun artificial a kekahi poʻe e hoʻohana ai.

He mea kākaʻikahi loa, hiki iā ʻoe ke hoʻoilina i kahi hoʻololi gene e hoʻonui ai i kou pilikia o ka melanoma. No ka laʻana, ʻo ka poʻe me kahi maʻi genetic i kapa ʻia ʻo Xeroderma Pigmentosum (XP) e paʻakikī i ka hoʻoponopono ʻana i kā lākou DNA ma hope o ka hōʻike ʻana i nā kukuna UV. ʻO kēia ka mea e ʻoi aku ai ka maʻalahi o ka loaʻa ʻana o ka melanoma.

Pehea e ʻike ʻia ai ka Spitzoid Melanoma?

Inā he wahi kānalua a puʻupuʻu paha kou ma kou ʻili, ʻo ka mea mua a ke kauka e hana ai, ʻo ia ke nānā pono iā ia. A laila, no ka ʻike pono inā he Spitzoid Melanoma ia, e hana lākou i kahi biopsy ʻili. ʻO ka biopsy e pili ana i ka wehe ʻana i kahi ʻāpana liʻiliʻi o ka ʻili kānalua a hoʻouna iā ia i kahi keʻena hoʻokolohua. Ma ka keʻena hoʻokolohua, nānā kahi pathologist, he kauka loea i ka nānā ʻana i nā ʻiʻo, i ka hāpana ʻili ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa.

E noʻonoʻo, ke loaʻa iā ʻoe kahi mole hou ma kou lima, a hele ʻoe e ʻike i ke kauka, hoʻopili ke kauka i kahi lāʻau hoʻomānoino i ka mole, ʻokiʻoki i kahi ʻāpana liʻiliʻi, a hoʻouna aku no kahi hoʻāʻo. ʻO ia ke ʻano o kēia biopsy.

Nā hoʻokolohua i hoʻohana ʻia e hoʻoholo i ke kahua o ka hoʻokolohua

Inā hōʻoia ka biopsy ua loaʻa iā ʻoe ka Spitzoid Melanoma, ʻo ka hana aʻe e hoʻoholo i ka mamao o ka laha ʻana o ke kanesa, ʻo ia ke kahua o ke kanesa . Pono kēia i ka hoʻāʻo hou aku.

Ma keʻano laulā, ua hoʻokaʻawale ʻia nā hihia kanesa e like me kēia:

• Pae 0: Aia ke kanesa ma ka papa luna o ka ʻili wale nō.
• Pae 1: Ua pālahalaha ke kanesa ma lalo o ka papa o ka ʻili, akā ʻaʻole i emi iho ma mua o 1 mm ka mānoanoa.
• Pae 2: ʻAʻole i pālahalaha nui ke kanesa, akā ʻoi aku ka mānoanoa ma mua o 1 milimita.
• Pae 3: Ua ʻoi aku ka holomua o ke kanesa. Ua pālahalaha ia i nā lymph nodes a i ʻole nā ​​​​ʻiʻo a puni.
• Pae 4: Ua pālahalaha nui ke kanesa a ua hoʻopilikia i nā ʻōpū mamao ʻē aʻe o ke kino.

Hiki ke hana ʻia nā hoʻokolohua hou aʻe e hoʻoholo ai i kēia kūlana pololei. Eia kekahi laʻana:

• Nā scan CT (nā scan CT - nā scan Tomography i hoʻopili ʻia)
• Nā kiʻi MRI (MRI - Magnetic Resonance Imaging)
• Nā scan PET (nā scan Tomography Hoʻokuʻu Positron)
• Nā biopsies o ke kīpoʻo Sentinel - Nānā kēia e ʻike inā ua pālahalaha ke kanesa i nā kīpoʻo lymph kokoke.
• Nā scan ultrasound

He aha nā lāʻau lapaʻau no ka Spitzoid Melanoma?

ʻO ka hoʻolālā lapaʻau āu e loaʻa ai e hilinaʻi ia i ke kahua o kou maʻi ʻaʻai. I ka manawa pinepine, hiki ke hoʻohana pū ʻia kekahi a ʻoi aku paha o kēia mau lāʻau lapaʻau.

• ʻO ke ʻoki kino: ʻO ka lāʻau lapaʻau maʻamau no ka spitzoid melanoma ʻo ia ke ʻoki kino e wehe i ka ʻāpana o ka ʻili i loaʻa nā hunaola kanesa. E wehe ke kauka i ka puʻupuʻu kanesa holoʻokoʻa, a me kahi ʻili olakino liʻiliʻi a puni. Inā ʻoi aku ka mānoanoa o ke kanesa, ʻo ia hoʻi ua komo i loko o ka ʻili, hiki ke wehe ʻia nā lymph node a puni e ʻike inā ua laha ke kanesa.
• Lapaʻau radiation: Hoʻohana kēia i nā nui kiʻekiʻe o ka radiation e hoʻēmi a pepehi paha i nā hunaola kanesa. Inā ua pālahalaha ke kanesa i nā wahi i hiki ʻole ke wehe ʻia me ke ʻoki ʻana, hiki i kāu kauka ke ʻōlelo aku i ka radiation therapy. Hoʻohana ʻia ka radiation therapy e pale aku i ke kanesa mai ka hoʻi hou ʻana mai.
• Immunotherapy: ʻO kēia ka hāʻawi ʻana i kou kino i nā lāʻau lapaʻau e hoʻoulu ai i kāu ʻōnaehana pale, e hāʻawi ana i kou kino i ka mana hou aʻe e hakakā i ka maʻi kanesa.
• Lapaʻau i kuhikuhi ʻia: ʻO kēia ka hāʻawi ʻana i nā lāʻau lapaʻau e kuhikuhi ana i nā hunaola kanesa a i ʻole nā ​​hunaola e kōkua ana i ka ulu ʻana o nā hunaola kanesa. Hiki i kēia ke pale i ka laha ʻana o ka melanoma.
• Chemotherapy: Hoʻohana kēia i nā lāʻau lapaʻau e hoʻouka i nā cell e ulu wikiwiki ana (me nā cell cancer). Eia nō naʻe, ʻaʻole hoʻohana pinepine ʻia ka chemotherapy no ka maʻi kanesa ʻili.

He maʻi koʻikoʻi anei ka Spitzoid Melanoma?

Ma keʻano laulā, ʻoi aku ka liʻiliʻi o ka huhū o Spitzoid Melanoma ma mua o nā ʻano melanoma ʻē aʻe. Eia nō naʻe, hiki i ka wikiwiki o ka ulu ʻana o kēia mau kiko ke wikiwiki iki i kekahi manawa. ʻO ka mea nui loa,He mea nui e ʻike i kekahi ʻano melanoma i ka wā hikiwawe loa. Inā ʻoe e hana pēlā, ʻoi aku ka kiʻekiʻe o ka manawa kūpono o ka mālama ʻana. No laila, inā ʻike ʻoe i kekahi mau loli i kou ʻili, mai hoʻowahāwahā iā ia. ʻOi aku ka maikaʻi o ka ʻike ʻana i ke kauka i ka wā hikiwawe loa.

Pehea e pale ai iā ʻoe iho mai ka Spitzoid Melanoma?

Hiki iā ʻoe ke pale iā ʻoe iho mai ka Spitzoid Melanoma wale nō, akā, mai nā ʻano maʻi ʻili ʻē aʻe a pau, inā ʻoe e pale i kou ʻili mai nā kukuna UV. No laila, aia kekahi mau mea hiki iā ʻoe ke hana e pale i kou ʻili:

• E hoʻopili i kahi mea pale lā ākea a kūpaʻa i ka wai me ka liʻiliʻi he SPF (Sun Protection Factor) 30 i kēlā me kēia lā.
• E ho'ōki loa i ka ho'ohana 'ana i nā moena tanning. Ua 'ike 'ia inā ho'ohana kekahi ma lalo o 35 makahiki i kahi moena tanning, pi'i ka pilikia o ka loa'a 'ana o ka melanoma ma kahi o 75%.
• E nānā pono i kou ʻili i kēlā me kēia mahina. E nānā i nā puʻupuʻu hou, nā kiko, a i ʻole nā ​​​​loli i nā mea i hala.
• E kaupalena i kou manawa ma waho ma waena o 10 am a me 4 pm, i ka wā e ikaika loa ai nā kukuna o ka lā.
• E nānā ʻia kou ʻili e ke kauka dermatologist ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki.
• I ka wā e hele ai i waho i ka lā, e ʻaʻahu i nā lole lima lōʻihi, nā lole komo, a me ka pāpale ākea e uhi i kou ʻili.

He aha ka wānana no kekahi me Spitzoid Melanoma? (Prognosis)

ʻO ka wānana no kekahi me Spitzoid Melanoma e pili ana i kekahi mau kumu. ʻO ka mea nui loa, ʻo ia ke kahua o ke kanesa. Ua ʻike ʻia kekahi noiʻi ʻo ka nui o ke ola ʻana o nā keiki ma waena o ka hānau ʻana a me 10 mau makahiki me Spitzoid Melanoma i laha (metastasized) i nā ʻāpana ʻē aʻe o ke kino ma kahi o 88%. ʻOi aku ka kiʻekiʻe o ka manawa e ho'ōla ʻia ai inā ʻike ʻia a mālama ʻia ke kanesa i ka wā mua, ma mua o ka laha ʻana. No laila he mea nui ka ʻike mua ʻana.

Nā nīnau e nīnau aku ai i kāu kauka

Inā loaʻa iā ʻoe ka Spitzoid Melanoma, a i ʻole ke manaʻo nei ʻoe he loaʻa iā ʻoe, he mea maikaʻi ke nīnau i kāu kauka i nā nīnau e like me kēia:

• He aha paha ke kumu kūpono loa no koʻu loaʻa ʻana i ka Spitzoid melanoma?
• He aha nā hōʻailona mua o ka Spitzoid melanoma?
• He aha nā hoʻokolohua e pono iaʻu e hana e ʻike pono ai inā he Spitzoid melanoma kēia?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• He aha kaʻu e hana ai e pale aku i kēia mai ka hana hou ʻana?

E hoʻomanaʻo ma ke ʻano he hōʻuluʻulu manaʻo (Leka Lawe-Home)

ʻAe, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi ʻike maikaʻi aʻe e pili ana i ka Spitzoid Melanoma mai nā mea a mākou i kūkākūkā ai.

E hoʻomanaʻo, he ʻano maʻi ʻili ka spitzoid melanoma. ʻIke pinepine ʻia ia he wahi liʻiliʻi, like ke kala. He pinepine ia he poni, ʻulaʻula, a i ʻole ke kala o ka ʻili. Eia naʻe, i kekahi manawa hiki ke ʻeleʻele a ʻeleʻele paha, e like me ka mole kuʻuna. ʻAʻole e like me nā ʻano melanoma ʻē aʻe, he ʻano like ia, ʻo ia hoʻi, ua like ka nui a me ke kala o nā ʻaoʻao ʻelua.

Inā loaʻa iā ʻoe kahi spitzoid melanoma, e ʻōlelo paha kāu kauka i ke ʻoki ʻana e wehe i ka puʻupuʻu ʻili. ʻO ka mea nui loa, ʻo ia ka ʻike ʻana i ke kūlana i ka wā hikiwawe loa. Inā hana ʻoe, ʻoi aku ka maikaʻi o kou manawa e loaʻa ai kahi hopena maikaʻi.

No laila, inā ʻike ʻoe i kahi kiko hou, puʻupuʻu, a i ʻole kahi loli i kahi kiko e kū nei (e like me ka hoʻonui ʻia ʻana, ka loli o ke kala, ka loli o ke ʻano, ka maneʻo, a i ʻole ke kahe ʻana o ke koko) ma kou ʻili, mai hoʻowahāwahā iā ia. E ʻike koke i ke kauka no ka ʻōlelo aʻo. ʻO ia ka mea maikaʻi loa hiki iā ʻoe ke hana nou iho.

ʻO ka melanoma spitzoid, ka maʻi ʻili, nā kiko, ka lā, nā kukuna UV, nā maʻi ʻili, nā hōʻailona kanesa, Spitz nevus, biopsy, olakino ʻili