Koj puas muaj ib lub qhov muag zoo li no ntawm koj lub qhov muag? Cia peb tham txog Conjunctival Melanoma!

Koj puas tau pom ib qho xim av lossis ib lub pob me me ntawm qhov dawb ntawm koj lub qhov muag? Tej zaum koj yuav tsis tau pom nws. Tab sis, nws yuav tsis yooj yim li koj xav. Hnub no peb yuav tham txog ib qho mob qog nqaij hlav ntawm lub qhov muag uas tsis tshua muaj tab sis muaj peev xwm ua rau muaj kev phom sij.

Melanoma ntawm daim tawv muag yog dab tsi?

Melanoma - Grosinger, Spigelman & Gray" decoding="async" height="533" loading="lazy" src="https://www.eyemichigan.com/wp-content/uploads/2020/10/Grosinger-Spigelman-Grey-Conjunctival-Melanoma.jpg" width="800"/>

Hais yooj yim xwb, conjunctival melanoma yog ib hom mob qog noj ntshav uas tsis tshua muaj neeg paub uas tuaj yeem tshwm sim hauv koj lub qhov muag. Ib txhia neeg kuj hu nws tias "Conjunctival Malignant Melanoma." Tam sim no koj yuav xav paub tias "conjunctiva" yog dab tsi. Nws yog daim nyias nyias uas npog sab hauv ntawm koj lub qhov muag, qhov dawb ntawm koj lub qhov muag (tseem hu ua "sclera") . Yuav kom meej meej, feem ntau, melanoma no tshwm sim hauv "bulbar conjunctiva", daim nyias nyias uas tiv thaiv qhov dawb ntawm koj lub qhov muag.

Qhov no yog ib hom mob qog noj ntshav ntawm qhov muag (ocular melanoma). Melanoma pib thaum cov hlwb hu ua melanocytes pib loj hlob tsis tuaj yeem tswj tau . Cov melanocytes no tsim cov xim hu ua melanin uas muab peb cov tawv nqaij, plaub hau, thiab qhov muag lawv cov xim. Tej zaum koj yuav tau hnov ​​​​​​txog melanoma ntawm daim tawv nqaij, thiab qhov ntawd yog qhov nws yog. Tab sis qhov no yog ib qho uas cuam tshuam rau qhov muag. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias qhov mob no qee zaum tuaj yeem ua rau tuag taus .

Qhov teeb meem no feem ntau tshwm sim li cas?

Qhov tseeb, conjunctival melanoma yog ib hom mob qog nqaij hlav uas tsis tshua muaj . Nws tsuas yog suav txog 2% ntawm tag nrho cov qog nqaij hlav ntawm qhov muag. Nws kuj suav txog 0.25%, lossis kwv yees li ib feem plaub, ntawm tag nrho cov melanomas. Txawm li cas los xij, lawv hais tias tus lej ntawm cov neeg mob tau nce me ntsis hauv xyoo tas los no.

Nyob rau hauv cov teb chaws sab hnub poob, qhov tshwm sim yog ntawm 0.2 thiab 0.5 ib lab tus tib neeg hauv ib xyoos. Nws feem ntau tshwm sim rau cov neeg dawb uas tsis yog Hispanic. Txawm li cas los xij, nws kuj tuaj yeem tshwm sim rau cov neeg Esxias, dub, thiab Hispanic. Nws tsis tshua muaj rau cov menyuam yaus .

Lwm yam ntxiv, tus mob melanoma conjunctival no tsis yog hom mob qog noj ntshav ntawm qhov muag zoo li 'retinoblastoma' lossis 'intraocular melanoma'. 'Intraocular melanoma' yog ib qho uas tshwm sim hauv txheej nruab nrab ntawm lub qhov muag ('uvea'), thiab nws yog hom mob qog noj ntshav feem ntau tshwm sim hauv lub qhov muag. 'Retinoblastoma' yog ib qho uas tshwm sim hauv retina, uas nyob tom qab ntawm lub qhov muag.

Cov tsos mob ntawm qhov no yog dab tsi?

Tej zaum yuav tsis muaj tsos mob thaum pib mob melanoma ntawm lub qhov muag. Txawm li cas los xij, yog tias koj muaj cov tsos mob ntawm conjunctival melanoma, lawv yuav suav nrog:

• Ib lub qhov muag uas muaj xim . Qee zaum lub qhov muag no yuav tsis muaj xim. Yog li ntawd, nws hu ua 'amelanotic Conjunctival Melanoma '. 'Amelanotic' txhais tau tias 'tsis muaj' melanin.
• Qhov chaw no yuav tiaj tus zoo li lub disc los yog tsa siab zoo li lub pob ('nodular').
• Qhov no tsuas yog nyob rau hauv ib lub qhov muag ('unilateral').

Vim li cas ho ua li no?

Vim tias mob conjunctival melanoma tsis tshua muaj, cov kws tshawb fawb tseem tsis tau paub tseeb tias yog dab tsi ua rau nws . Tej zaum caj ces yuav ua lub luag haujlwm, tab sis nws tsis sib kis lossis kis tau ntawm ib tus neeg mus rau lwm tus.

Txawm li cas los xij, muaj ob yam mob uas tau pom tseeb tias muaj feem cuam tshuam rau kev loj hlob ntawm conjunctival melanoma. Cov no yog:

• ('Primary Acquired Melanosis' - PAM): Qhov no yog thaum koj tsim cov pob uas loj dua 1 hli, thiab tej zaum yuav muaj xim, uas tsis tau muaj thaum yug los. Qhov mob 'PAM' no tuaj yeem tshwm sim nrog lossis tsis muaj cov hlwb tsis zoo.
• Conjunctival nevi: Cov no yog yam peb feem ntau hu ua birthmarks, moles lossis freckles.

Puas muaj lwm yam uas ua rau muaj kev pheej hmoo?

Muaj ntau yam ua rau muaj kev pheej hmoo uas ua rau muaj mob melanoma hauv qhov muag feem ntau:

• Muaj ob lub qhov muag xiav los yog ntsuab.Cov neeg uas muaj ob lub qhov muag xim dawb yuav muaj feem mob melanoma hauv lub qhov muag ntau dua li cov neeg uas muaj ob lub qhov muag xim av.
• Ua neeg dawb. Cov neeg dawb muaj feem yuav mob melanoma ntawm lub qhov muag ntau dua li cov neeg ntawm lwm haiv neeg.
• Laus zuj zus. Qhov kev pheej hmoo no nce ntxiv thaum koj laus zuj zus.

Cov kws tshawb fawb xav tias kev raug lub teeb ultraviolet kuj tseem yuav yog qhov ua rau muaj kev pheej hmoo.

Qhov no ua rau muaj teeb meem dab tsi?

Yog tias tsis kho, melanoma tuaj yeem ua rau dig muag thiab tuag tau .

Koj paub qhov no li cas?

Koj tus kws kho qhov muag (kws kho qhov muag) tuaj yeem kuaj pom cov kab mob conjunctival melanoma thaum lub sijhawm kuaj qhov muag tas li. Yog tias lawv xav tias muaj, lawv tuaj yeem xaj kev kuaj mob zoo li no:

• Kev kuaj mob ultrasound ('Ultrasonography').
• Optical Coherence Tomography (OCT): Qhov no yog kev kuaj uas siv lub teeb laser los ntsuas qhov tuab ntawm lub conjunctiva.
• Kev kuaj nqaij.

Yog koj tus kws kho qhov muag xav tias tus mob melanoma no tau kis mus rau lwm qhov ntawm lub cev lawm, nws yuav kom kuaj ntxiv. Piv txwv li:

• Kev kuaj ntshav .
• Lwm yam kev kuaj duab xws li 'PET scan', ' CT scan' ('Computed Tomography scan'), lossis ' MRI scan' ('Magnetic Resonance Imaging scan').

Yuav kho qhov no li cas?

Koj tus kws kho mob yuav nrog koj tham thiab pab koj xaiv txoj kev kho mob zoo tshaj plaws rau koj tus mob. Kev kho mob yuav suav nrog ib qho ntawm cov hauv qab no:

• Kev phais tshem tawm qhov mob.
• Cryotherapy (kev kho mob siv cua txias heev).
• Kev kho mob siv hluav taws xob thiab tshuaj kho mob siv rau sab nraud tsuas yog kev kho mob ntxiv xwb (piv txwv li, tsis yog kev kho mob thawj kab). Kev kho mob siv hluav taws xob yuav suav nrog kev siv brachytherapy thiab kev kho mob siv hluav taws xob sab nraud.

Cov kev mob tshwm sim lossis teeb meem ntawm kev kho mob yog dab tsi?

Tej yam teeb meem ntawm kev phais rau conjunctival melanoma muaj xws li:

• Kev mob ntawm koj lub cornea.
• Kev kis kab mob.
• Pom kev ob sab ('Diplopia').

Tej yam teeb meem uas yuav tshwm sim los ntawm kev kho mob cryotherapy:

• Kev puas tsuaj ib ntus lossis mus tas li rau qee qhov ntawm koj lub qhov muag, txawm tias lub cornea.
• Iritis (mob o ntawm koj lub qhov muag).

Tej yam teeb meem uas yuav tshwm sim los ntawm kev siv tshuaj kho mob sab nraud:

• Ntshai.
• Qhov muag khaus.
• Mob qhov muag.
• Blepharospasm (twisting ntawm daim tawv muag).
• Kev mob ntawm lub qhov muag.

Cov teeb meem uas tuaj yeem tshwm sim los ntawm kev kho mob hluav taws xob:

• Qhov muag qhuav.
• Kev puas tsuaj ntawm lub qhov muag ib ntus.
• Poob ntawm cov plaub muag.
• Cov kab mob cataracts focal.

Yog tias cov kev kho mob no tsis ua tiav, koj tus kws kho mob yuav tsum tau tshem tawm qhov muag uas cuam tshuam .

Kuv yuav zoo dua sai npaum li cas tom qab kho tas?

Koj yuav zoo sai npaum li cas nyob ntawm seb koj tau txais hom kev kho mob li cas . Koj tus kws kho mob yuav tham txog qhov no nrog koj thaum xaiv txoj kev kho mob uas zoo rau koj.

Puas tiv thaiv tau qhov muag melanoma?

Nws tsis yog ib qho ua tau kom tiv thaiv tau tag nrho cov kab mob conjunctival melanoma, tab sis koj tuaj yeem ua qee yam los txo koj qhov kev pheej hmoo.

Kuv yuav ua li cas thiaj txo tau qhov kev pheej hmoo?

Koj tuaj yeem txo koj txoj kev pheej hmoo ntawm kev mob melanoma conjunctival los ntawm kev hnav cov tsom iav zoo thiab lub kaus mom , tshwj xeeb tshaj yog thaum muaj hnub ci sab nraum zoov. Qhov no yuav pab tiv thaiv koj ntawm cov teeb UV. Nws kuj tseem yuav yog lub tswv yim zoo los txwv koj txoj kev raug tshav ntuj.

Yog tias kuv muaj mob melanoma ntawm daim tawv muag (conjunctival melanoma) kuv yuav tsum tau tos txais dab tsi?

Yog tias koj muaj mob conjunctival melanoma, yog tias kho tau, qhov kev cia siab rau kev ciaj sia yog qhov zoo . Txawm li cas los xij, koj yuav pom qee qhov tsis pom kev. Yog tias mob conjunctival melanoma kis mus rau lwm qhov ntawm lub cev (metastasizes), uas yog, txav mus rau lwm qhov ntawm lub cev, qhov mob yuav hnyav dua. Yog tias nws kis mus rau koj lub ntsws thiab cov qog ntshav .

Kuv yuav saib xyuas kuv tus kheej li cas?

Nov yog qee yam uas koj ua tau los pab saib xyuas koj tus kheej:

• Teem sijhawm thiab mus ntsib koj pab neeg kho mob raws sijhawm.
• Noj mov zoo.
• Ua si nawv tsis tu ncua.
• Txo kev ntxhov siab.
• Kawm txog thiab nkag mus rau cov kev pabcuam rau cov neeg uas pom kev tsis meej thiab pom ob sab.

Kuv yuav tsum mus ntsib kuv tus kws kho mob thaum twg?

Yog koj pom muaj dab tsi tshiab los yog txhawj xeeb txog koj txoj kev noj qab haus huv lossis qhov muag sab nraum koj qhov kev teem caij tsis tu ncua, mus ntsib kws kho mob tam sim ntawd .

Qhov txawv ntawm conjunctival nevus thiab conjunctival melanoma yog dab tsi?

Ib qho conjunctival nevus yog ib qho kev loj hlob uas tsis yog mob qog noj ntshav (benign) ntawm koj lub conjunctiva. Hauv cov lus tsis yog kev kho mob, ib qho nevus kuj tseem hu ua mole, birthmark, lossis beauty mark. Ib qho nevus tsis yog mob qog noj ntshav, tab sis muaj qee kis uas conjunctival nevus tuaj yeem dhau los ua mob qog noj ntshav, hu ua conjunctival melanoma .

Yog koj pom ib qho chaw tshiab, tuab zuj zus, lossis qhov chaw uas twb muaj lawm ntawm qhov dawb ntawm koj lub qhov muag zuj zus tuaj, koj yuav tsum mus ntsib kws kho qhov muag . Hnov tias koj muaj mob conjunctival melanoma, ib hom mob qog noj ntshav, tuaj yeem ua rau muaj kev xav sib xyaws. Txawm li cas los xij, nws yog qhov zoo tshaj plaws kom tau txais kev kuaj mob kom zoo thiab pib kho sai li sai tau. Qhov no yuav pab koj tau txais qhov tshwm sim zoo tshaj plaws (kev kwv yees).

Thaum kawg, tej yam uas yuav tsum nco ntsoov

Yog li, kuv vam tias koj tam sim no nkag siab zoo txog qhov peb tau tham txog, conjunctival melanoma. Lub qhov muag yog ib lub cev rhiab heev . Yog li ntawd, yog tias koj pom ib qho kev hloov me me lossis ib yam dab tsi txawv txawv hauv koj lub qhov muag, tsis txhob tsis quav ntsej nws. Tshwj xeeb, ceev faj txog cov pob tshiab, cov pob tsaus, thiab cov qog. Kev kuaj pom thaum ntxov thiab kev kho mob sai yog qhov tseem ceeb heev rau cov xwm txheej zoo li no . Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tau kuaj qhov muag tsawg kawg ib xyoos ib zaug. Yog tias koj muaj teeb meem dab tsi, tsis txhob yig los tham nrog koj tus kws kho mob.