He laina ʻeleʻele ʻē kou ma kou kui? E aʻo hou kākou e pili ana i ka Subungual Melanoma.

Ua ʻike anei ʻoe i kahi laina ʻeleʻele a ʻeleʻele paha ma kou manamana lima a i ʻole kou manamana wāwae? Me he mea lā ua kaha wale ʻia me ka peni. Manaʻo ka poʻe he nui he palapū wale nō ia a he maʻi liʻiliʻi paha. Eia naʻe, ʻaʻole paha e like me ka maʻalahi e like me kā mākou e manaʻo nei. He ʻano maʻi ʻili paha ia i kapa ʻia ʻo Subungual Melanoma , kahi e ulu ana ma lalo o nā kui. No laila e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, no ka mea, he mea nui loa ka ʻike ʻana i kēia.

No laila, he aha kēia (Subungual Melanoma)?

I ka ʻōlelo maʻalahi, ʻo Subungual Melanoma kahi ʻano maʻi ʻili e ulu ana ma lalo o kou kui . I ka pololei, he maʻi ʻili ia. ʻIke pinepine ʻia ia ma ke ʻano he laina ʻeleʻele, kū pololei e holo ana mai luna a lalo ma ke kui. ʻO Subungual Melanoma kahi ʻano maʻi ʻili kakaikahi akā weliweli loa . Ua kapa ʻia e nā kauka he "Acral Lentiginous Melanoma." He ʻano maʻi ʻili ia i ʻoi aku ka ikaika a hiki ke laha koke. ʻAʻole e like me nā maʻi ʻili ʻē aʻe, ʻaʻole i hana ʻia ka Subungual Melanoma e ka lā . ʻOi aku ka nui o ka ulu ʻana ma nā kui o kou manamana wāwae nui, manamana wāwae nui, a i ʻole ka manamana lima kuhikuhi.

Hoʻomaka kēia maʻi ʻaʻai kui ma kahi e ulu ai ke kui, i kapa ʻia ʻo ka matrix kui . ʻO ka matrix kui ka ʻāpana o kou moena kui (ka ʻiʻo poni ma lalo o ke kui) aia ma lalo pono o ka ʻili. Loaʻa pū kekahi i nā aʻalolo, nā kīʻaha koko, a me nā lymph node. ʻOiai e hoʻomaka ana nā maʻi ʻaʻai ʻili ʻē aʻe ma ka ʻili o ka ʻili, hoʻomaka ke maʻi ʻaʻai kui i loko o nā pūnaewele kūikawā i kapa ʻia ʻo melanocytes . Hoʻopuka kēia mau melanocytes i ka pigment i kapa ʻia ʻo melanin e hāʻawi ana i ko mākou ʻili i kona kala. Ke hoʻāla ʻia kēia mau pūnaewele no kekahi kumu, hoʻonui ʻia ka hana ʻana o ka melanin. Ua kapa ʻia kēia he hyperpigmentation . ʻO ia ka manawa e ʻike ʻia ai kēlā mau laina kū pololei ma lalo o ke kui.

Manaʻo ka poʻe he nui ke loli ke kala o ke kui, no ka mea ua pā ʻia ka wāwae i kekahi wahi, a i ʻole no kekahi maʻi. No laila, ʻike pinepine ʻia kēia maʻi kanesa kui ma hope o nā maʻi kanesa ʻē aʻe. No ka mea, ʻaʻole ʻike ka poʻe i nā hōʻailona hōʻike o kēia. No laila, ʻo ka ʻike ʻana i nā hōʻailona o kēia maʻi kanesa kui e kōkua iā ʻoe e loaʻa ka lāʻau i ka wā hikiwawe. Inā ʻike mua ʻia (Subungual Melanoma) (ʻo ia hoʻi, ma mua o ka laha ʻana o ke kanesa), ʻoi aku ka kiʻekiʻe o ka manawa e hoʻōla ai .

Pehea ke ʻano o kēia? He aha nā ʻano?

ʻIke pinepine ʻia ka Subungual Melanoma. Wahi a kekahi poʻe me he mea lā ua kaha kekahi i kahi laina ma ke kui me kahi māka ʻeleʻele a ʻeleʻele paha. Me he laina ʻeleʻele lā e holo ana mai lalo o ke kui a luna. He liʻiliʻi paha kēia laina i ka wā mua, akā i ka hala ʻana o ka manawa hiki ke ulu a uhi i ke kui holoʻokoʻa a hoʻolōʻihi i ka cuticle.ʻAʻole like kēia hoʻololi kala, akā hiki ke ʻano like ʻole o ka ʻeleʻele a me ka brown.

ʻO ka maʻamau, ʻo ka laulā o kahi laina kala hoʻokahi he emi ma mua o 3 milimita (e like me ka laulā o ʻelua mau peni i paʻi ʻia), akā hiki ke ākea i ka hala ʻana o ka manawa. Hiki i nā laina ke hoʻonui i ka helu a lilo i mea nui. Hoʻomaka pinepine ka ākea o ka laina ma ke kumu o ke kui. I kekahi mau hihia (Subungual Melanoma), ʻaʻole loli ke kala o ke kui. Akā, hiki ke hana ʻia kahi puʻupuʻu liʻiliʻi, ʻano ʻē (`nodule`) e piʻi aʻe ma luna o ke kui a hōʻino paha i ke kui ma nā ʻano ʻē aʻe.

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

Hiki i kekahi ke loaʻa i ka melanoma subungual. Eia nō naʻe, inā ʻoe ma waena o 50 a me 70 mau makahiki a he ʻeleʻele kou ʻili , ʻoi aku kou pilikia o ka loaʻa ʻana o kēia maʻi kanesa ma lalo o ke kui. ʻOi aku ka maʻamau i nā poʻe o ka lāhui ʻApelika-ʻAmelika, ʻĀsia, a i ʻole Hispanic.

Pehea ka maʻamau o kēia ʻano?

He maʻi laha ʻole ka Subungual Melanoma, ʻo ia hoʻi ma waena o 0.7% a me 3.5% o nā maʻi kanesa melanoma āpau i hōʻike ʻia ma ka honua holoʻokoʻa.

He aha nā hōʻailona o ke kanesa kui?

ʻO ka hōʻailona nui o ka subungual melanoma he laina kala ʻole e kū mai ana ma ke kui . He ʻeleʻele a ʻeleʻele paha ke kala o kēia, a holo pololei mai luna a lalo. I kekahi manawa, hiki i kēia laina ke ʻano ʻē a hiki ke hoʻonui i ka lōʻihi a me ka laulā i ka hala ʻana o ka manawa.

Inā loaʻa iā ʻoe ka Subungual Melanoma, penei paha ke ʻano o kou kui:

• Hiki i ke kui ke māhele, māwae, a loli paha ke ʻano.
• ʻAno ʻē paha ka pigment (ʻo ia hoʻi, ʻaʻole i hoʻolaha like ʻia ke kala).
• Aia paha he pehu a mumū paha.
• Hiki i ke kui ke hāpai ʻia mai kahi moe.
• Hiki ke ulu aʻe kahi ʻeha, kahi puʻupuʻu, a i ʻole e hoʻomaka paha ke kahe ʻana o ke koko.
• Hiki ke loli ke kala o ka ʻili a puni ke kui (ua kapa ʻia kēia ʻo ka hōʻailona Hutchinson).

I kekahi manawa, ʻaʻohe loli iki o ke kala o ke kui. No laila he mea nui e hoʻolohe i nā mea ʻē a ʻokoʻa paha e pili ana i kou kui, ʻoiai inā ʻaʻole ʻoe e hoʻomanaʻo i ka paʻi ʻana a i ʻole ka hōʻeha ʻana iā ia ma kekahi wahi.

Hiki ke huikau maʻalahi ʻia ka Subungual Melanoma me ka maʻi kui a i ʻole ka palapū, no laila inā ʻike ʻoe i kahi mea ʻē ma lalo a ma luna paha o kou kui, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka e nānā ʻia.

E ʻike i ke kauka inā ʻike ʻoe i kekahi o kēia mau loli i kou mau kui:

• Inā loli ke kala.
• Inā loli ke ʻano.
• Inā hoʻomaka ia e hāpai i luna, e pakele.
• Inā loli ka mānoanoa.
• Inā ʻike koke ʻia e like me nā lua.

No ke aha e hana ai kēia (Subungual Melanoma)? He aha nā kumu?

(Subungual Melanoma) e ulu anaʻAʻole ʻike ʻia ke kumu pololei. Ua ʻike nā loea lapaʻau he mea maʻamau ia i ka poʻe ʻelemakule me nā ʻili ʻeleʻele. ʻAʻole like me nā ʻano melanoma he nui, ʻaʻole ia i hana ʻia e ka lā. ʻO ka ʻeha a i ʻole ka trauma i ke kui he mea pilikia paha. Hiki i nā kumu genetic, ka mōʻaukala ʻohana o kēia ʻano maʻi kanesa, a me nā ʻiole ʻili ke kōkua i ke kūlana.

Pehea e hoʻomaka ai ka melanoma? Pehea ka wikiwiki o kona laha ʻana?

Hoʻomaka pinepine ka Subungual Melanoma ma ke ʻano he wahi liʻiliʻi a ʻeleʻele ma lalo o ke kui . I ka hala ʻana o ka manawa, hiki i kēia hoʻololi ʻana ke lilo i mea ākea a ʻano ʻē. Hoʻopōʻino pinepine ʻia ke kui, e like me ka nahā a i ʻole ka ʻili ʻana. I ka wā e ʻoi aku ka ʻino o ke kanesa, hiki ke hoʻomaka ke kahe koko.

Hiki i kēia maʻi ʻaʻai kui ke hala i kekahi mau mahina e ulu ai. ʻAʻole ia e hana i ka pō hoʻokahi. E ʻike paha ʻoe iā ia, a laila poina iā ia, a laila ʻike hou iā ia i kekahi mau pule ma hope.

Pehea e ʻike pono ai inā loaʻa iaʻu (Subungual Melanoma)?

E hoʻoholo kāu kauka inā loaʻa iā ʻoe ka subungual melanoma ma ka nānā ʻana i kou kui a me ka nānā ʻana i kāu mōʻaukala olakino. E nānā lākou inā like kou kui me ka subungual melanoma a inā paha ʻoe i ka piʻi ʻana o ka pilikia o ka loaʻa ʻana o ke ʻano.

ʻO ka mea nui loa, ʻaʻole e hoʻowahāwahā i nā loli i kou mau kui. Inā he kānalua kāu, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka no ka ʻōlelo aʻo.

He aha nā ʻano hoʻokolohua e hana ʻia e hōʻoia i kēia?

Aia nā palena i ka nānā wale ʻana i kou kui me kou mau maka. Hiki ke huikau me nā kūlana ʻē aʻe a i ʻole kahi ʻeha. No laila, hiki i kāu kauka ke hana i kahi "Dermoscopy" (hoʻokolokolo ʻili) a i ʻole "Biopsy" (hoʻokolokolo ʻana i nā ʻiʻo ola) .

• ʻO ka dermoscopy ka wā e nānā ai ke kauka i kou kui me kahi microscope kūikawā (i kapa ʻia he dermascope). ʻAe kēia iā lākou e ʻike i ka ʻāpana me nā kikoʻī hou aku.
• Hiki i kahi biopsy ke haʻi maopopo inā he maʻi kanesa. Pili kēia i ka lawe ʻana i kahi hāpana ʻiʻo mai ka wahi a hoʻāʻo iā ia no ka melanoma. Hoʻohana ke kauka i kahi mea hana e like me ka paipu e lawe i kahi ʻāpana liʻiliʻi o ka ʻiʻo.

Hiki ke hana ʻia nā hoʻokolohua ʻē aʻe e ʻike ai inā ua pālahalaha ke kanesa i nā wahi ʻē aʻe.

He aha nā lāʻau lapaʻau no ka Subungual Melanoma?

I ka wā ma mua, ʻo ke ʻoki ʻana i ka manamana lima i hoʻopilikia ʻia (ʻo ia hoʻi ka ʻoki ʻana i ka manamana lima i hoʻopilikia ʻia (ʻo ia hoʻi ka amputation), akā i kēia manawa , hana ʻia ia ma ke ʻano he koho hope loa .

ʻO ke ʻoki kino ka lāʻau lapaʻau nui no ka subungual melanoma . E hana kāu kauka i ke ʻoki kino e wehe i ka melanoma, a pinepine hoʻi i kou kui holoʻokoʻa.

E like me nā ʻano maʻi ʻē aʻe, hiki i ke kanesa kui ke laha i nā ʻōpū a me nā ʻiʻo ʻē aʻe. ʻO kāu kaukaHiki paha iā lākou ke hana i kahi mea i kapa ʻia ʻo "Sentinel Node Biopsy" (nānā kēia i nā lymph nodes kahi e pālahalaha nui ai ke kanesa). Hiki paha iā lākou ke paipai i nā lāʻau lapaʻau ʻē aʻe no ke kanesa, e like me "Immunotherapy" a i ʻole "Radiation Therapy" . Hana ʻia kēia mau mea a pau e hāʻawi iā ʻoe i nā hopena maikaʻi loa.

Hiki i kēia maʻi ʻaʻai kui ke laha?

ʻAe, hiki i ka (Subungual Melanoma) ke laha , ʻoi aku hoʻi i ka ʻili a puni ke kui. No laila, he mea nui loa ia e makaʻala i nā loli ʻē aʻe i kou kui a i ʻole ka ʻili a puni. ʻO ke ala maikaʻi loa e pale aku ai i ka (Subungual Melanoma) mai ka laha ʻana, ʻo ia ka ʻike mua ʻana .

He aha ka nui o ka ho'ōla inā loaʻa iā ʻoe (Subungual Melanoma)?

He kiʻekiʻe loa ka nui o ke ola ʻana o (Subungual Melanoma) inā ʻike mua ʻia . Inā ʻike mua ʻia a mālama koke ʻia, ma kahi o 95% ka nui o ke ola ʻana. Eia nō naʻe, inā ʻike hope ʻia (Subungual Melanoma) a ua pālahalaha ke kanesa, hiki ke emi ka nui o ke ola ʻana ma kahi o 15% . Ke ʻike nei ʻoe i ka waiwai o ka ʻike mua ʻana?

He aha nā kumu pilikia no ka hoʻomohala ʻana i ka Subungual Melanoma?

ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī o ka melanoma kui, manaʻoʻiʻo nā kauka e hiki i kēia mau mea ke hoʻonui i ka pilikia:

• Ka ʻeleʻele ʻana o ka ʻili.
• Ua loaʻa i kekahi o kou ʻohana a i ʻole ʻoe iho ka melanoma ma mua.
• ʻOiai ma luna o 50 mau makahiki.

ʻOiai ʻaʻole i hoʻokumu pololei ʻia ka subungual melanoma e ka lā a i ʻole ka ʻike ʻana i nā mea ʻino, he mea paʻakikī iki ke pale aku. ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke makaʻala iā ia a nānā mau i kou mau kui no kekahi ʻano ʻeleʻele a i ʻole nā ​​​​hōʻino ʻē.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Inā ua ʻike ʻia ʻoe he melanoma, nui paha kāu mau nīnau. He mea maʻamau ia. Hiki iā ʻoe ke nīnau i nā nīnau e like me:

• Hiki ke ho'ōla ʻia ka Subungual Melanoma?
• He aha nā mea e hiki ai ke hoʻi hou mai ka Subungual Melanoma?
• Pono anei iaʻu ka chemotherapy a i ʻole ka radiation therapy?
• Aia kekahi pilikia o ka melanoma i loko o koʻu ʻohana?
• Aia kekahi mea hiki iaʻu ke hana e pale aku ai i kēia mai ka hana hou ʻana?

He aha ka ʻokoʻa ma waena o kahi hematoma subungual a me kahi melanoma subungual?

ʻO ka hematoma subungual kahi hōʻiliʻili koko ma lalo o kou kui . Hana pinepine kēia i ka wā e loaʻa ai iā ʻoe kahi ʻeha a i ʻole e ʻaʻahu i nā kāmaʻa paʻa. ʻIke ʻia ka melanoma subungual e like me kahi laina ʻeleʻele, ʻoiai ʻo ka hematoma e like me kahi palapū ʻeleʻele a i ʻole kahi kiko ma lalo o kou kui.Hiki ke kahe ke koko o ka hematoma ke ʻoki ʻoe i kou kui, a i ʻole e piʻi mai ke koko me ke kui a nalowale. ʻIke koke ʻia kahi hematoma, ma hope koke iho o ka ʻeha a i ʻole i loko o kekahi mau hola. Hoʻomohala mālie ka melanoma.

Eia nō naʻe, i kekahi manawa hiki ke like me ka hematoma. Inā he kānalua kou a ʻike paha i kahi mea ʻē ma lalo o kou kui, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka .

No laila he aha nā mea nui loa e pono ai kākou e hoʻomanaʻo mai kēia? (Leka Lawe-Home)

ʻO ka ʻike ʻana i nā hōʻailona o ka Subungual Melanoma ka mea maikaʻi loa hiki iā ʻoe ke hana no kēia ʻano maʻi ʻili. Inā ʻike ʻoe i kahi laina ʻeleʻele a i ʻole kahi loli ʻē aʻe i kou kui, e ʻike pono i ke kauka. E hoʻomanaʻo, hoʻōla ka hapa nui o ka poʻe inā ʻike ʻia ka melanoma a mālama ʻia i ka wā mua. Inā loaʻa iā ʻoe ka Subungual Melanoma, e kamaʻilio me kāu kauka e pili ana i kāu lāʻau lapaʻau a me nā mea e manaʻo ai. Aia kāu mau kauka ma laila e kōkua iā ʻoe a hoʻolohe i kou mau hopohopo i kēia manawa paʻakikī. Mai hopohopo, ʻo ka mea nui ka hoʻomaopopo ʻia a hana i ka manawa kūpono.

ʻO ka Melanoma Subungual, Kanesa Kui, Kanesa ʻIli, Nā Hōʻailona Kui, Melanoma, ʻEleʻele Kui, Nā Hōʻailona Kanesa