Puas muaj ib lub qog tshiab ntawm koj daim tawv nqaij? Cia peb kawm txog qhov txaus ntshai ntawm melanoma nodular.

Koj puas tau pom ib lub pob lossis qhov chaw txawv txawv ntawm koj daim tawv nqaij uas loj zuj zus tuaj? Los yog tej zaum koj tau pom ib qho kev hloov pauv ntawm koj tus phooj ywg daim tawv nqaij. Hnub no peb yuav tham txog ib hom mob qog nqaij hlav ntawm daim tawv nqaij uas txaus ntshai me ntsis, tab sis tuaj yeem tswj tau yog tias paub thaum ntxov. Qhov no hu ua nodular melanoma . Hnov lub npe no tuaj yeem ua rau ntshai me ntsis, tab sis yog tias peb paub txog nws, peb tuaj yeem tiv thaiv peb tus kheej ntawm nws thiab tau txais kev kho mob raws sijhawm.

Melanoma nodular yog dab tsi?

Hais yooj yim xwb, mob qog nqaij hlav melanoma yog ib hom mob qog nqaij hlav ntawm daim tawv nqaij hu ua melanoma . Nws txawv me ntsis ntawm lwm hom mob qog nqaij hlav ntawm daim tawv nqaij vim nws loj hlob sai heev . Xav txog seb, tsis pub dhau ob peb lub lis piam, lossis ob peb lub hlis, lub qog no tuaj yeem loj hlob thiab kis mus rau lwm qhov.

Qhov tshwj xeeb ntawm qhov no yog tias nws loj hlob ntsug, tsis yog rau ntawm daim tawv nqaij xwb, tab sis kuj nyob hauv qab daim tawv nqaij . Nws zoo li lub iceberg ntab hauv hiav txwv. Peb tuaj yeem pom ib feem me me ntawm nws saum toj no, tab sis qhov loj tshaj plaws yog nyob hauv qab dej. Ib yam li ntawd, hauv nodular melanoma, feem ntau ntawm cov qog nqaij hlav nyob hauv qab daim tawv nqaij. Qhov no yog vim li cas nws tuaj yeem ua rau muaj kev phom sij me ntsis, vim nws feem ntau mus tob sai.

Cov theem mob qog noj ntshav no yog dab tsi?

Zoo, tam sim no cia peb saib cov theem sib txawv ntawm tus mob qog noj ntshav no hu ua Nodular Melanoma. Cov kws kho mob faib nws ua ntau ntu, nyob ntawm qhov kis thiab qhov tob ntawm tus mob qog noj ntshav. Nws yog ib qho tseem ceeb kom paub txog theem no, vim tias kev kho mob raug txiav txim siab raws li qhov no.

Theem 0 (Theem 0 - Melanoma nyob rau hauv qhov chaw)

Qhov no yog theem thaum ntxov tshaj plaws . Qhov no yog thaum cov qog nqaij hlav tsuas yog nyob rau hauv txheej sab nraud ntawm daim tawv nqaij (epidermis) . Qhov no txhais tau tias nws tsis tau kis mus dhau qhov chaw uas nws pib thawj zaug. Qhov no yog lub sijhawm zoo tshaj plaws los nrhiav nws, vim tias nws yuav zoo dua los kho kom zoo nrog kev kho mob.

Theem I

Nyob rau theem no, tus mob qog noj ntshav suav tias yog qhov muaj kev pheej hmoo tsawg . Qhov no txhais tau tias tsis muaj pov thawj tias nws tau kis mus rau lwm qhov. Nws kuj tseem me heev , feem ntau tsawg dua 2 millimeters tuab.

Theem II

Nyob rau theem no, cov qog melanoma nodular tuaj yeem tuab tshaj 2 millimeters . Qhov no txhais tau tias nws muaj kev pheej hmoo siab ntawm kev rov tshwm sim . Txawm li cas los xij, nws tseem tsis tau kis mus rau lwm qhov ntawm lub cev.

Theem III

Qhov no yog qhov loj dua me ntsis. Ntawm no, tus mob qog noj ntshav tej zaum yuav tau kis mus rau cov qog ntshav ze lossis mus rau lwm qhov ntawm daim tawv nqaij ze . Cov qog ntshav zoo li cov lim dej me me hauv peb lub cev uas pab tiv thaiv kev kis kab mob. Yog tias cov qog ntshav nkag mus rau hauv cov no, nws txhais tau tias tus mob qog noj ntshav tau pib kis mus.

Theem IV

Qhov no yog theem hnyav tshaj plaws thiab dav dav.Ntawm no, melanoma nodular tuaj yeem kis mus rau cov qog ntshav deb, lwm qhov chaw deb ntawm daim tawv nqaij, lossis txawm tias cov kabmob sab hauv xws li lub siab, lub ntsws, thiab lub hlwb .

Leej twg yuav muaj feem ntau dua los tsim qhov no?

Nodular Melanoma tuaj yeem tshwm sim rau txhua tus neeg, tab sis qee tus neeg muaj kev pheej hmoo siab dua me ntsis.

• Qhov kev pheej hmoo no siab dua rau cov txiv neej , tshwj xeeb tshaj yog cov neeg hnub nyoog tshaj 50 xyoo .
• Yog tias koj tau muaj mob qog nqaij hlav ua ntej .
• Yog tias ib tug neeg hauv koj tsev neeg tau muaj mob qog nqaij hlav ntawm daim tawv nqaij (tej zaum yuav muaj kev sib txuas ntawm caj ces).
• Cov neeg uas muaj daim tawv nqaij dawb uas yooj yim raug tshav kub . Txawm tias peb daim tawv nqaij tsaus ntuj los xij, muaj kev pheej hmoo ntawm kev raug tshav kub.
• Cov neeg uas siv sijhawm ntau nyob hauv lub hnub , tshwj xeeb tshaj yog cov neeg uas siv sijhawm ntau nyob hauv lub hnub yam tsis muaj kev tiv thaiv.

Qhov no feem ntau tshwm sim li cas?

Melanoma nodular yog hom melanoma thib ob uas pom ntau tshaj plaws . Nws suav txog 15% txog 20% ​​ntawm tag nrho cov melanomas uas kuaj pom. Nws kuj tau hais tias yog lub luag haujlwm rau kwv yees li 50% ntawm kev tuag ntsig txog melanoma. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.

Melanoma nodular cuam tshuam li cas rau lub cev?

Tus mob qog noj ntshav no tuaj yeem tshwm sim txhua qhov chaw ntawm lub cev, tab sis feem ntau nws tshwm sim hauv cov cheeb tsam uas raug tshav ntuj ntau tshaj plaws . Ntawd yog:

• Tes
• Taub hau (cheeb tsam taub hau)
• Ceg
• Lub cev

Feem ntau cov qog melanoma nodular loj dua lwm cov qog ntawm koj daim tawv nqaij. Lawv feem ntau loj dua 1 centimeter hauv txoj kab uas hla (kwv yees li qhov ntev ntawm lub stapler), thiab siab dua 6 millimeters (kwv yees li qhov siab ntawm 60 daim ntawv).

Cov tsos mob yog dab tsi?

Nws yog ib qho tseem ceeb kom paub txog cov tsos mob ntawm tus mob qog noj ntshav no, vim tias thaum paub sai npaum li cas, kev kho mob yuav ua tiav ntau npaum li ntawd.

• Daim tawv nqaij yuav zoo li ib lub pob tuab, tsa, thiab kheej kheej .
• Cov xim yuav txawv . Nws yuav yog xim liab, xim liab dawb, xim av, xim dub, xiav-dub. Qee zaum nws tuaj yeem yog tib xim li koj daim tawv nqaij.
• Qhov nto ntawm cov khoom noj no yuav txawv . Nws yuav du, tawv, lossis ntxhib zoo li paj noob hlis.
• Tej zaum yuav muaj los ntshav . Tej zaum tsuas yog los ntshav xwb, lossis tej zaum yuav los ntshav thaum koj khawb.
• Tej zaum yuav khaus .
• Tej zaum koj yuav hnov ​​​​​​mob kub hnyiab lossis mob .

Tseem Ceeb: Yog tias koj pom ib lub pob tshiab, ib qho chaw tshiab, lossis ib qho kev hloov pauv ntawm ib qho chaw uas twb muaj lawm ntawm koj daim tawv nqaij, tsis txhob nkim sijhawm thiab mus ntsib kws kho mob tam sim ntawd .

Qhov no puas zoo li cov ntshav tawm?

Yog, qee zaum ib qho melanoma nodular yuav zoo li ib lub hlwv ntshav . Ib lub hlwv ntshav tshwm sim thaum daim tawv nqaij raug nias nruj. Lub hlwv no tshwm sim thaum cov ntshav sau los ntawm cov hlab ntsha tawg. Nws tuaj yeem yog xim av, liab, lossis dub. Yog li, yog tias koj muaj ib qho "hlwv ntshav" tshiab uas tsis kho sai, txhawj txog qhov ntawd thiab.

Puas yog Nodular Melanoma los ntshav?

Yog, yog koj khawb lub pob caus no, nias nws, lossis maj mam kov nws, nws tuaj yeem los ntshav. Qee zaum , txawm tias koj tsis ua dab tsi los xij, nws tuaj yeem los ntshav .

Cov pob caus no puas nruj los yog xoob?

Melanoma Nodular Ib lub pob feem ntau yuav tawv thiab khov thaum kov.

Vim li cas ho ua li no?

Qhov tseem ceeb tshaj plaws uas ua rau muaj mob melanoma nodular yog kev raug lub teeb ultraviolet (UV) ntau dhau . Tshwj xeeb, kev kub hnyiab yog qhov txaus ntshai tshaj plaws.

Peb daim tawv nqaij muaj ib hom cell hu ua melanocytes . Cov cell no tsim cov xim hu ua melanin . Nws yog cov melanin no uas muab nws cov xim rau peb daim tawv nqaij. Yog li, thaum peb raug rau cov teeb UV los ntawm lub hnub lossis cov txaj tanning, cov DNA ntawm cov melanocytes no tuaj yeem raug puas tsuaj thiab hloov pauv. Cov cell no ces loj hlob thiab faib tsis tuaj yeem tswj tau, thiab pib nkag mus rau hauv cov ntaub so ntswg ib puag ncig (malignancy) . Ntawd yog thaum mob qog noj ntshav tshwm sim.

Qhov no puas kis tau?

Tsis yog, mob qog nqaij hlav nodular melanoma tsis yog ib yam kab mob sib kis tau . Koj yuav kis tsis tau nws los ntawm lwm tus, thiab koj yuav kis tsis tau rau lwm tus.

Koj paub qhov no li cas?

Thaum koj mus ntsib kws kho mob uas muaj ib lub pob txawv txawv ntawm koj daim tawv nqaij, thawj qhov uas nws yuav ua yog kuaj xyuas lub pob kom zoo zoo. Nws kuj tseem yuav kov daim tawv nqaij ncig lub pob thiab koj cov qog ntshav. Tom qab ntawd, lawv yuav nug koj ob peb lo lus nug.

• "Koj thawj zaug pom lub pob caus no thaum twg?"
• Qhov no puas loj dua los yog nws puas zoo ib yam?
• "Puas mob thaum kuv kov qhov no?"
• "Qhov no puas tau hloov xim?"
• Qhov no puas khaus, puas mob?
• "Qhov no puas los ntshav?"
• Koj puas tau muaj mob qog nqaij hlav ua ntej lawm?
• Puas muaj leej twg hauv koj tsev neeg muaj mob qog nqaij hlav ntawm daim tawv nqaij?

Koj cov lus teb rau cov lus nug no yuav pab tus kws kho mob kom nkag siab txog tus kab mob.

Cov kev ntsuam xyuas twg tab tom ua?

Tom qab kuaj lub cev, yog tias tus kws kho mob xav tias nws yog ib qho melanoma nodular, nws feem ntau yuav txiav txim siab ua qhov biopsy . Kev kuaj biopsy suav nrog kev tshem tawm ib daim me me ntawm lub qog, lossis tag nrho lub qog, nyob rau hauv qhov xwm txheej loog thiab tsis mob, thiab xa mus rau chav kuaj mob kom kuaj xyuas cov hlwb qog noj ntshav . Cov txiaj ntsig tuaj yeem siv sijhawm ob txog kaum hnub kom rov qab los.

Yuav kho li cas?

Kev kho mob rau nodular melanoma nyob ntawm theem ntawm tus mob qog noj ntshav thiab koj txoj kev noj qab haus huv tag nrho . Lub hom phiaj tseem ceeb yog kho tus mob qog noj ntshav. Cov kws kho mob kuj tseem tsom mus rau kev tiv thaiv tus mob qog noj ntshav kom tsis txhob rov qab los thiab ua kom koj daim tawv nqaij zoo li qub.

Kev kho mob ntawm theem pib ntawm melanoma nodular

Thaum pib mob, thaum mob qog tseem tsis tau kis mus rau lwm qhov, txoj kev kho mob tseem ceeb yog phais tshem lub qog . Tej zaum koj yuav ua tau qhov no thaum koj tseem tsaug zog, tsuas yog siv tshuaj loog hauv zos xwb. Los yog, qee zaum, koj yuav tau txais tshuaj loog dav dav los ua qhov phais. Kws kho mob tawv nqaij lossis kws phais yuav siv rab riam ntse (scalpel) los tshem lub qog thiab me ntsis ntawm daim tawv nqaij noj qab nyob zoo nyob ib puag ncig nws.

Kev kho mob ntawm cov mob melanoma uas kis tau los ntawm cov qog nqaij hlav

Thaum tus mob qog noj ntshav tau kis mus rau lwm qhov (theem kawg), ntxiv rau kev phais tshem tawm lub qog, ib lossis ntau yam kev kho mob ntxiv yuav raug ua ke.

• Kev phais tshem cov qog ntshav tawm (lymphadenectomy): Yog tias tus mob qog ntshav tau kis mus rau cov qog ntshav ze ntawm lub cev, yuav muaj kev phais kom tshem tawm cov qog ntshav ntawd. Qhov no tuaj yeem tiv thaiv tus mob qog ntshav kom tsis txhob kis mus ntxiv.
• Kev Phais Mob Rau Cov Kab Mob Sab Hauv: Yog tias mob qog noj ntshav tau kis mus rau ib qho kab mob sab hauv, qhov uas cuam tshuam ntawm cov kab mob ntawd tuaj yeem raug phais tshem tawm.
• Kev Kho Mob Tiv Thaiv Kab Mob: Qhov no ua haujlwm los ntawm kev txhawb nqa koj lub cev lub cev tiv thaiv kab mob kom tsim ntau cov hlwb uas tawm tsam cov hlwb qog noj ntshav.
• Kev kho mob qog noj ntshav uas tsom rau cov neeg mob: Hauv qhov no, cov tshuaj tshwj xeeb tsuas yog siv los tua cov qog noj ntshav xwb. Qhov no ua rau muaj kev puas tsuaj tsawg dua rau cov qog noj ntshav zoo.
• Kev kho mob qog noj ntshav: Hauv qhov no, cov tshuaj raug muab rau tua cov hlwb qog noj ntshav thiab tiv thaiv lawv kom tsis txhob loj hlob.

Yuav siv sijhawm ntev npaum li cas thiaj rov zoo tom qab kho tas?

Qhov no yuav txawv nyob ntawm seb koj tau txais kev kho mob li cas.

• Tom qab phais mob , nws yuav siv sijhawm li ib mus rau peb lub lis piam rau daim tawv nqaij kom zoo.
• Tom qab chemotherapy thiab kev kho mob qog nqaij hlav targeted , feem ntau cov kev mob tshwm sim yuav ploj mus thaum kev kho mob raug tso tseg.

Yuav ua li cas thiaj txo tau qhov kev pheej hmoo?

Txawm hais tias kev loj hlob ntawm nodular melanoma tsis tuaj yeem tiv thaiv tau tag nrho, muaj tej yam uas peb tuaj yeem ua tau los txo qhov kev pheej hmoo.

• Tsis txhob mus rau qhov chaw uas muaj hnub ci ntsa iab thiab nrhiav qhov chaw ntxoov ntxoo . Lub hnub ci ntsa iab tshwj xeeb tshaj yog thaum 10 teev sawv ntxov thiab 4 teev tsaus ntuj.
• Tsis txhob siv cov txaj pw tanning . Hloov chaw, siv ib yam dab tsi zoo li tshuaj tsuag tanning.
• Hnav cov kaus mom dav dav, tsom iav dub, khaub ncaws tes ntev, thiab ris ntev thaum twg ua tau.
• Siv cov tshuaj pleev thaiv hnub uas muaj SPF (Skin Protection Factor) txog li 30 lossis siab dua . Yog koj tawm hws lossis ua luam dej, rov siv dua ntau zaus.
• Thaum siv tshuaj pleev di ncauj, xaiv ib qho uas muaj tshuaj pleev thaiv hnub.
• Ua tib zoo saib xyuas koj daim tawv nqaij . Yog tias koj pom cov pob tshiab, cov qhov me me, lossis kev hloov pauv ntawm qhov chaw uas twb muaj lawm, mus ntsib kws kho mob tam sim ntawd.

Yuav ua li cas yog tias koj muaj melanoma nodular?

Kev kuaj mob thaum ntxov yog qhov tseem ceeb heev rau cov mob melanoma nodular. Yog tias kuaj pom thaum ntxov, koj qhov kev kwv yees yuav zoo heev.

Txawm li cas los xij, melanoma nodular tuaj yeem ua rau tuag taus yog tias kuaj pom thaum kawg vim nws loj hlob sai . Yog li ntawd, qhov sai dua uas kuaj pom thiab tshem tawm nws, qhov zoo dua uas koj yuav muaj feem rov zoo tag nrho .

Tus nqi ntawm kev ciaj sia nyob li cas?

Qhov no yog feem pua ​​ntawm cov neeg uas tseem muaj sia nyob tsib xyoos tom qab raug kuaj pom thiab kho mob rau mob melanoma nodular.

• Theem 0, I thiab II: 98.4%
• Theem III: 63.6%
• Theem IV: 22.5%

Saib cov ntaub ntawv no, koj tuaj yeem pom tias nws muaj nqis npaum li cas los nrhiav kom paub sai sai, puas yog?

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj muaj ib qho ntawm cov tsos mob hauv qab no, mus ntsib kws kho mob.

• Muaj ib lub pob tshiab tawv tawv tshwm sim rau ntawm daim tawv nqaij.
• Kev hloov pauv ntawm qhov loj me, xim, lossis cov duab ntawm ib qho mole lossis qhov chaw uas twb muaj lawm.
• Khaus los yog los ntshav ntawm ib lub pob.
• Yog tias koj tau muaj mob qog nqaij hlav ua ntej .
• Yog tias muaj leej twg hauv koj tsev neeg muaj mob qog nqaij hlav .
• Yog tias koj muaj keeb kwm raug tshav ntuj hnyav .

Koj yuav tsum nug tus kws kho mob li cas?

Thaum koj mus ntsib koj tus kws kho mob, nws yog ib qho tseem ceeb heev uas yuav tsum nug cov lus nug zoo li no kom nkag siab meej txog koj tus mob.

• "Koj yuav paub li cas yog tias kuv muaj melanoma nodular?"
• Kuv muaj theem twg ntawm Nodular Melanoma?
• "Tus mob melanoma no loj npaum li cas?"
• Qhov no nkag mus tob npaum li cas rau hauv kuv daim tawv nqaij lawm?
• "Tus mob qog no puas tau kis mus rau lwm qhov ntawm kuv lub cev?"
• Koj pom zoo kom muaj kev kho mob twg?
• Cov kev mob tshwm sim tag nrho ntawm txhua txoj kev kho mob yog dab tsi?
• "Muaj feem yuav muaj mob melanoma no rov qab los li cas?"
• Kuv yuav ua li cas thiaj li txo tau kuv txoj kev pheej hmoo ntawm kev mob melanoma nodular dua yav tom ntej?

Puas muaj peev xwm tshem tau cov nodular melanoma los ntawm kev khawb nws tawm?

Qhov no yeej tsis yog ib qho zoo ua.Tej zaum ib txhia neeg yuav xav tias, "Auj, nws tsuas yog ib lub pob me me xwb, tsuas yog khawb nws xwb." Tiam sis, ua li ntawd yuav tsis kho tau tus mob qog noj ntshav no. Qhov tseeb, tus mob qog noj ntshav tuaj yeem kis mus ntxiv . Tsis tas li ntawd, kev khawb tuaj yeem ua rau raug mob thiab kis kab mob . Yog li ntawd, tsis txhob ua li ntawd. Qhov tseem ceeb tshaj plaws yog mus ntsib kws kho mob thiab kho kom zoo.

Thaum kawg, tej yam uas yuav tsum nco ntsoov

Nws yog ib qho ib txwm muaj kev ntshai thiab poob siab thaum koj tau txais kev kuaj mob tias muaj nodular melanoma. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum saib xyuas koj daim tawv nqaij. Qhov no tseem ceeb heev yog tias koj muaj daim tawv nqaij dawb lossis raug tshav ntuj ntau.

Yog koj pom muaj tej yam hloov tshiab, tej pob txawv txawv, lossis tej daim me me ntawm koj daim tawv nqaij, tsis txhob nkim sijhawm thiab mus ntsib kws kho mob tam sim ntawd . Nws tuaj yeem piav qhia seb koj xav tau kev kho mob dab tsi thiab koj yuav tsum xav tau dab tsi. Qhov no tuaj yeem txo koj qhov kev ntshai thiab kev ntxhov siab. Nco ntsoov, kev kuaj pom thaum ntxov yog txoj hauv kev zoo tshaj plaws los cawm ib tug neeg txoj sia!

` Mob qog nqaij hlav ntawm daim tawv nqaij, melanoma, nodular melanoma, cov qog nqaij hlav ntawm daim tawv nqaij, cov hnub ci, cov hnub ci UV, cov tsos mob ntawm mob qog nqaij hlav, kev kho mob qog nqaij hlav ntawm daim tawv nqaij