Koj tus menyuam puas muaj cim yug los? Cia peb tham txog nws!

Ua ib leej niam, nws yog ib qho ib txwm muaj uas yuav txhawj me ntsis thaum koj pom ib qho me me lossis xim tsis zoo ntawm koj tus menyuam daim tawv nqaij, puas yog? Feem ntau, cov no yog yam peb hu ua 'birthmarks'. Txawm hais tias qee qhov ntawm lawv tsuas ploj mus, muaj qee lub sijhawm uas koj yuav tsum txhawj me ntsis txog lawv. Yog li, cia peb tham txog cov cim yug no hnub no hauv txoj kev yooj yim uas koj tuaj yeem nkag siab, puas yog?

Cov cim yug los yog dab tsi?

Hais yooj yim xwb, lub cim yug me nyuam yog ib qho chaw lossis qhov tsis zoo uas tshwm sim rau ntawm daim tawv nqaij, thaum tus menyuam tseem nyob hauv plab lossis tom qab yug los. Lawv muaj ntau yam duab, xim, thiab qhov loj me. Qee qhov nyob rau tib theem li daim tawv nqaij, thaum lwm tus tsa. Qee qhov muaj ntug du, thaum lwm tus muaj ntug tsis sib xws. Tib yam li ntawd rau xim; lawv tuaj yeem yog xim av, xim av daj, dub, thiab xiav daj mus rau xim liab, liab, thiab ntshav. Qhov tseem ceeb yog tias feem ntau cov cim yug me nyuam tsis muaj teeb meem. Feem ntau yuav ploj mus lossis ntsws zuj zus raws sijhawm. Txawm li cas los xij, tsis tshua muaj, qee cov cim yug me nyuam tuaj yeem cuam tshuam nrog lwm yam teeb meem kev noj qab haus huv. Yog vim li cas nws thiaj li tseem ceeb kom paub txog cov cim yug me nyuam no.

Vim li cas cov cim yug no thiaj tshwm sim?

Tam sim no tej zaum koj yuav xav tias, "Ua cas qhov no thiaj tshwm sim rau kuv tus menyuam? Kuv puas tau ua qee yam tsis raug thaum cev xeeb tub?" Tsis txhob cia qhov ntawd dag koj. Qhov tseeb yog, cov kws kho mob tseem tsis tau paub qhov tseeb ua rau feem ntau ntawm cov cim yug menyuam. Lawv tsis tuaj yeem tiv thaiv tau. Lawv tsis yog los ntawm txhua yam koj tau ua lossis tsis tau ua thaum cev xeeb tub. Lawv tsis yog los ntawm kev raug mob me me lossis kev raug mob rau daim tawv nqaij thaum koj muaj menyuam. Qee hom cim yug menyuam feem ntau khiav hauv tsev neeg, tab sis tseem tsis tau pom qhov ua rau caj ces tshwj xeeb. Yog li, tsis txhob txhawj txog nws, nws tsis yog koj qhov txhaum.

Cov cim qhia txog kev yug me nyuam tseem ceeb yog dab tsi?

Cov cim yug me nyuam muaj ob hom loj. Lawv txawv ntawm seb lawv tsim li cas, thiab yog li ntawd, lawv txawv ntawm yam ua rau muaj cov cim no.

• Cov Cim Yug Los Ntawm Cov Ntshav : Cov no yog tshwm sim los ntawm cov hlab ntsha me me hauv peb lub cev tsis tsim kom zoo. Yog tias muaj ntau cov hlab ntsha sib sau ua ke hauv ib qho chaw, lossis lawv dav dua thiab loj dua li qub.
• Cov Cim Yug Me Nyuam Uas Muaj Xim: Cov no yog tshwm sim los ntawm cov hlwb uas muab xim rau peb daim tawv nqaij (cov hlwb xim) loj hlob ntau dhau hauv ib qho chaw, uas yog, sib sau ua ke.

Tam sim no cia peb tham txog txhua hom no kom meej me ntsis.

Cia peb xub tham txog cov cim yug los ntawm cov hlab ntsha.

Cov hom cim yug menyuam uas pom ntau tshaj plaws yog macular stains, hemangiomas, thiab port-wine stains. Cia peb saib seb txhua yam no yog dab tsi.

Cov xim macular los yog 'salmon patches'

Ib txhia neeg kuj hu cov no ua 'salmon patches', 'angel kisses' lossis 'stork bites'. Cov no yog hom cim yug menyuam uas feem ntau cuam tshuam nrog cov hlab ntsha. Lawv yog xim liab dawb, qee zaum xim liab. Feem ntau pom lawv ntawm lub hauv pliaj, saum lub qhov muag, tom qab lub caj dab (tseem hu ua crow's feet), saum lub qhov ntswg, ntawm daim di ncauj sab saud lossis tom qab lub taub hau. Nco ntsoov tias cov chaw no yuav tsaus dua thaum tus menyuam quaj lossis siv zog me ntsis. Tsis txhob ntshai qhov no. Feem ntau, cov chaw no yuav ploj mus thaum tus menyuam muaj ib lossis ob xyoos. Qee cov chaw ntawm tom qab lub caj dab yuav kav ntev me ntsis, tej zaum txog thaum laus. Tab sis lawv tsis yog teeb meem.

Hemangiomas los yog 'strawberry marks'

Hemangiomas yog ib hom cim yug uas qee tus neeg hu ua 'strawberry marks' vim tias lawv zoo li txiv pos nphuab thaum lawv nyob rau ntawm daim tawv nqaij. Lawv hu ua "superficial hemangioma" thaum lawv nyob rau ntawm daim tawv nqaij, "deep hemangioma" thaum lawv nyob tob hauv qab daim tawv nqaij, thiab qee zaum "compound hemangioma" thaum lawv nyob hauv ob txheej. Hemangioma yog ib daim tawv nqaij me me, uas tuaj yeem liab tsaus. Xav txog nws zoo li ib daim txiv pos nphuab me me. Feem ntau lawv tsis tshwm sim txog ob peb hnub lossis ob peb lub lis piam tom qab yug los, thiab tom qab ntawd lawv tshwm sim. Deep hemangiomas, uas nyob tob hauv qab daim tawv nqaij, yuav tshwm sim xiav vim tias lawv txuas nrog cov hlab ntsha hauv cov txheej tawv nqaij tob dua. Ib qho tseem ceeb txog hemangiomas yog tias lawv loj hlob sai heev thaum 6 lub hlis thawj zaug ntawm tus menyuam lub neej. Cov niam ntshai thaum lawv pom nws. Tiam sis, tom qab ntawd, feem ntau lawv yuav ntsws, me dua, thiab ploj mus tag thaum muaj hnub nyoog 5 thiab 10 xyoo. Txawm li cas los xij, qee cov hemangiomas loj, thaum lawv ntsws, tuaj yeem tawm qhov tsos tsis zoo li qub ntawm daim tawv nqaij, uas yog, ib qho caws pliav me me. Yog tias tsim nyog, qhov no tuaj yeem kho tau tom qab nrog kev phais me me. Lwm tus tawm cov xim liab hauv daim tawv nqaij, uas tuaj yeem pab tau nrog kev kho mob laser tshwj xeeb. Txawm hais tias lawv tuaj yeem tshwm sim txhua qhov chaw ntawm lub cev, lawv feem ntau pom ntawm lub taub hau lossis caj dab. Txawm li cas los xij, yog tias lawv nyob ze ntawm lub qhov muag, qhov ntswg, lossis qhov ncauj, lawv qee zaum tuaj yeem cuam tshuam rau tej yam xws li kev pom, kev ua pa, thiab kev noj mov. Yog tias qhov ntawd tshwm sim, tus kws kho mob yuav kho nws.

Cov xim av ntawm cov cawv txiv hmab Port-wine

Cov no yog cov pob uas zoo li ib tug cawv liab me me uas tau nchuav rau qhov twg ntawm lub cev. Yog li ntawd lawv thiaj li tau txais lawv lub npe. Feem ntau lawv pom ntawm lub ntsej muag, caj dab, caj npab, lossis ceg. Cov xim av cawv no tuaj yeem yog qhov loj me, los ntawm ib lub me me mus rau ib lub loj. Tab sis muaj qee yam tshwj xeeb txog lawv,Cov no tsuas loj zuj zus thaum tus me nyuam loj hlob tuaj, uas yog, nrog tus me nyuam txoj kev loj hlob. Raws li lub sijhawm dhau mus, lawv yuav tsaus dua, thiab yog tias tsis kho, thaum muaj hnub nyoog nruab nrab, lawv yuav ntxhib thiab txawm tias zoo li pob zeb me me. Cov no yuav tsis ploj mus ntawm lawv tus kheej, thiab nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov qhov ntawd. Cov kws kho mob txhawj xeeb tshwj xeeb txog cov xim av cawv ze ntawm lub qhov muag, kom pom tias lawv puas ua rau muaj teeb meem nrog lub qhov muag. Yog tias cov chaw no nyob rau ntawm qee qhov ntawm lub ntsej muag, lawv yuav tsum ua lwm yam kev kuaj mob, xws li kev ntsuas MRI, kom pom tias puas muaj kev cuam tshuam rau lub hlwb.

Tam sim no cia peb saib cov cim yug me nyuam pigmented.

Cov cim yug los ntawm hom no feem ntau, uas tshwm sim los ntawm cov hlwb uas muab xim rau daim tawv nqaij, yog cov pob 'Café-au-lait', cov pob 'Mongolian', thiab cov uas peb feem ntau hu ua moles, uas hauv kev kho mob hu ua 'congenital nevi'.

Cov khw kas fes

Cov no yog cov chaw uas pom ntau heev. Lub npe txhais tau tias "kas fes nrog mis nyuj," vim yog xim ntawm cov chaw. Lawv tuaj yeem tshwm sim txhua qhov chaw ntawm lub cev. Qee zaum, thaum koj tus menyuam loj hlob tuaj, cov chaw no tuaj yeem nce ntxiv. Nws zoo kom muaj ib lossis ob qho chaw. Txawm li cas los xij, yog tias koj tus menyuam muaj rau (6) lossis ntau dua cov chaw café-au-lait, uas loj dua li cov roj hmab cwj mem (rau tus menyuam me) lossis loj dua ib feem plaub (rau tus menyuam loj dua me ntsis), nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txog lawv. Vim tias, nco ntsoov, muaj ntau cov chaw no tuaj yeem yog ib qho cim ntawm tus mob caj ces hu ua neurofibromatosis. Tus mob no ua rau cov hlwb hlab ntsha loj hlob tsis zoo. Yog vim li cas nws thiaj li tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob yog tias koj pom ntau cov chaw no.

Cov chaw Mongolian

Cov no yog cov pob tiaj tiaj, xiav-grey. Txawm hais tias lawv zoo li cov qhov txhab, lawv tsis yog cov qhov txhab. Feem ntau pom lawv ntawm lub pob tw lossis nraub qaum qis. Lawv feem ntau pom rau cov menyuam yaus uas muaj daim tawv nqaij tsaus ntawm cov neeg Esxias, Asmeskas Isdias, African, Hispanic, thiab Southern European. Muaj ntau tus menyuam hauv peb lub tebchaws kuj muaj lawv. Lawv tsis tas yuav kho dab tsi, thiab lawv feem ntau ploj mus tag thaum lawv muaj hnub nyoog kawm ntawv, thiab lawv tsis ua rau muaj kev phom sij.

Cov Moles/Congenital nevi

Feem ntau peb hu cov pob 'birthmarks' ua cov xim av, raws li kev kho mob hu ua 'nevi' (plural) lossis 'nevus' (singular). Feem ntau cov neeg muaj cov pob no thaum twg los tau hauv lawv lub neej. Cov pob uas muaj thaum yug los hu ua 'congenital nevus', thiab cov no yuav nyob mus ib txhis. Txawm hais tias cov no feem ntau tsis muaj teeb meem dab tsi los xij, cov pob loj heev lossis loj heev uas loj npaum li xib teg, yuav muaj feem ntau dua los ua 'melanoma', uas yog mob qog nqaij hlav ntawm daim tawv nqaij, tom qab ntawd.Txawm li cas los xij, txawm tias qhov kev pheej hmoo ntawd me me xwb los xij. Tej zaum yuav muaj kev pheej hmoo me me los ntawm cov pob me me uas yug los, tab sis qhov ntawd kuj me me heev. Cov pob no tuaj yeem yog xim av daj, xim av tsaus, lossis dub; lawv tuaj yeem tiaj lossis tsa; qee zaum lawv yuav muaj cov plaub hau loj hlob tawm ntawm lawv.

Yuav kho cov cim yug me nyuam li cas?

Tam sim no tej zaum koj yuav xav paub seb puas yuav tsum tau kho tag nrho cov chaw no. Tsis yog, lawv tsis ua. Cov xim av ntawm lub qhov muag, lossis cov xim ntses salmon, feem ntau ploj mus ntawm lawv tus kheej. Cov uas nyob tom qab ntawm lub caj dab yuav kav ntev, tab sis lawv tsis pom tseeb heev thiab tsis yog teeb meem. Feem ntau lwm cov cim yug me nyuam uas cuam tshuam nrog cov hlab ntsha tuaj yeem kho tau yog tias tsim nyog. Cov xim av ntawm lub qhov muag thiab qee cov hemangiomas tuaj yeem cuam tshuam rau cov menyuam yaus lub siab vim tias lawv cuam tshuam rau lawv qhov tsos, tshwj xeeb tshaj yog tias lawv nyob ntawm lub ntsej muag. Cov hemangiomas me me hauv cov chaw uas tsis pom tseeb feem ntau tsis xav tau kev kho mob. Vim tias, raws li peb tau hais ua ntej, feem ntau ntawm lawv yuav ntsws ntawm lawv tus kheej thaum tus menyuam muaj 10 xyoo. Txawm li cas los xij, cov kws kho mob kho cov hemangiomas uas loj thiab pom tseeb. Qee cov tshuaj (xws li propranolol thiab steroids) raug txhaj ncaj qha rau hauv hemangioma, qee qhov raug muab rau hauv cov hlab ntsha (los ntawm IV), thiab qee qhov raug noj los ntawm qhov ncauj. Cov menyuam yaus uas muaj cov xim av ntawm lub qhov muag yuav tau txais txiaj ntsig los ntawm kev kho laser. Qhov no cuam tshuam nrog kev siv lub teeb ci ntsa iab (laser) los ua kom cov xim ntawm cov xim sib dua. Muaj ntau cov xim av uas yuav ua rau dawb dua tom qab siv ntau zaus nrog ib hom laser hu ua pulsed-dye laser. Qee cov xim av yuav rov tshwm sim dua, thiab yuav tsum tau kho ntxiv. Kev kho laser feem ntau pib thaum tus menyuam tseem hluas, feem ntau yog ob peb lub hlis. Qhov no yog vim tias cov xim av thiab cov hlab ntsha tseem me me, yog li cov txiaj ntsig zoo. Cov xim av ntawm lub taub hau thiab caj dab teb tau zoo rau kev kho laser. Kev pleev xim tshwj xeeb, lossis tshuaj pleev ib ce, tuaj yeem npog ib ntus ntawm cov xim av port-wine. Cov cim yug me nyuam feem ntau tsis kho thiab cia kom loj hlob. Txawm li cas los xij, cov moles yug los, tshwj xeeb tshaj yog cov loj, thiab qee zaum cov pob café-au-lait, uas peb tau tham ua ntej, raug kho. Cov kws kho mob tuaj yeem tshem tawm cov cim yug los no nrog kev phais, tshwj xeeb tshaj yog cov nevi loj lossis loj. Txawm li cas los xij, kev tshem tawm cov loj dua tuaj yeem nyuaj dua, thiab yuav tsum tau ntau txoj kev kho mob. Txawm hais tias cov pob café-au-lait tuaj yeem tshem tawm nrog kev kho laser, lawv tuaj yeem rov qab los.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Qhov no tseem ceeb heev. Zoo tshaj plaws yog qhia koj tus kws kho mob thaum koj pom nws thawj zaug ntawm koj tus menyuam lub cev kom paub seb nws yog hom twg, xav tau kev saib xyuas dab tsi, thiab seb nws puas xav tau kev kho mob. Tsis tas li ntawd,

Ntshav los ntawm ib qho cim yug losYog tias nws ntws tawm, mob, khaus, lossis liab, o, lossis kua tawm , koj yuav tsum mus ntsib kws kho mob tam sim ntawd.

Ib yam li cov qhov txhab uas los ntshav, ntxuav qhov txhab nrog xab npum thiab dej, siv daim ntaub qhwv huv, thiab nias kom txog thaum cov ntshav tsis ntws. Yog tias cov ntshav tsis ntws, hu rau kws kho mob. Qee zaum hemangiomas tuaj yeem tsim cov qhov txhab qhib hauv qee qhov chaw, uas tuaj yeem kis kab mob. Cov cim yug me nyuam muaj xim tsis tshua muaj. Txawm li cas los xij, cov moles ib txwm muaj, tshwj xeeb tshaj yog cov nevi yug los, yuav tsum tau saib xyuas seb puas muaj kev hloov pauv ntawm qhov loj me, xim, duab, thiab qhov siab thoob plaws hauv lub neej. Yog tias koj pom muaj kev hloov pauv tseem ceeb, qhia rau koj tus kws kho mob .

Koj xav paub dab tsi ntxiv?

Thaum koj pom ib lub cim yug me nyuam ntawm ib tug me nyuam mos, tshwj xeeb tshaj yog tias nws loj lossis ntawm qhov chaw pom zoo li lub ntsej muag, koj yuav xav tsis thoob thiab tu siab me ntsis thaum xub thawj. Qhov ntawd yog qhov ib txwm muaj. Yog tias lub cim yug me nyuam nyob rau hauv qhov chaw pom, qee tus neeg yuav nug cov lus nug txog nws thiab saib nws txawv txawv. Nws tuaj yeem ua rau mob me ntsis. Thaum lub sijhawm zoo li no, nws yuav pab koj muaj ib lo lus teb yooj yim hauv siab los muab rau lawv. Cov neeg feem coob tsis ua nws tawm ntawm kev chim siab, lawv tsuas yog xav paub xwb. Txawm li cas los xij, yog tias lawv hla txoj kab thiab nug cov lus nug, lossis yog tias lawv mob siab, koj muaj cai qhia rau lawv qhov ntawd hauv txoj kev zoo. Nco ntsoov, txij li thaum yau, cov menyuam yaus saib seb lawv niam lawv txiv daws cov xwm txheej zoo li cas thiab lawv hais li cas. Qhov ntawd yog li cas lawv kawm daws lwm tus neeg cov kev xav. Kev tham nrog cov menyuam yaus txog lub cim yug me nyuam yooj yim thiab qhib siab pab lawv lees txais nws ua ib feem ntawm lawv tus kheej, ib yam li lawv cov xim plaub hau lossis xim qhov muag. Yog tias ib tug neeg nug txog nws, muab ib lo lus teb yooj yim rau lawv. Piv txwv li, ib yam dab tsi zoo li, "Qhov no tsuas yog lub cim yug me nyuam xwb. Kuv yug los nrog nws." Tsis tas li ntawd xwb, muaj ib tug me nyuam nyob ib puag ncig los ntawm tsev neeg thiab cov phooj ywg uas saib lawv zoo li ib txwm muaj, hlub lawv, thiab txhawb nqa lawv yog qhov tseem ceeb heev rau kev noj qab haus huv ntawm lub hlwb thiab kev ntseeg siab rau tus kheej ntawm tus me nyuam.

Yog li ntawd, cov lus tseem ceeb twg uas peb yuav tsum tau kawm los ntawm zaj dab neeg no?

Zoo, cia peb rov qab nco txog cov ntsiab lus tseem ceeb tshaj plaws los ntawm qhov peb tau tham txog.

• Feem ntau cov cim yug me nyuam tsis muaj teeb meem dab tsi, thiab ntau yam yuav ploj mus ntawm lawv tus kheej. Yog li ntawd, tsis txhob txhawj yam tsis tsim nyog.
• Feem ntau tsis paub meej tias yog vim li cas thiaj muaj cov cim yug me nyuam, thiab peb yeej tiv thaiv tsis tau. Tsis txhob xav tias koj muaj txim.
• Muaj ob hom cim yug me nyuam tseem ceeb: vascular thiab pigmented. Hauv txhua hom, muaj lwm hom me me.
• Nws yog ib qho tseem ceeb heev uas yuav tsum qhia txhua lub cim yug me nyuam ua ntej, txawm tias nws me me los xij, rau kws kho mob thiab nrhiav kev qhia.
• Qee qhov chaw, xws li hemangiomas thiab port-wine stains, yuav xav tau kev kho mob, tshwj xeeb tshaj yog tias lawv cuam tshuam rau qhov tsos, qhov muag pom (yog tias nyob ze lub qhov muag), noj mov (yog tias nyob ze lub qhov ncauj), lossis ua pa (yog tias nyob ze lub qhov ntswg).
• Yog tias koj muaj ntau tshaj 6 lub pob café-au-lait, yog tias lawv loj, lossis yog tias koj pom qhov hloov pauv ntawm qhov loj me, xim, lossis cov duab ntawm cov moles uas yug los, nco ntsoov qhia rau kws kho mob.
• Qhov tseem ceeb tshaj plaws yog muab kev hlub, kev txhawb nqa, thiab ib puag ncig zoo li qub rau ib tug menyuam uas muaj lub cim yug.

Vam tias qhov no teb tau koj cov lus nug txog cov cim yug me nyuam. Yog tias koj muaj lus nug ntxiv, tsis txhob yig nug koj tus kws kho mob hauv tsev neeg lossis kws kho mob menyuam yaus.

---

Cov Cim Yug Me Nyuam, Tawv Nqaij Me Nyuam, Cov Pob Tawv Nqaij, Hemangioma, Kev Kho Mob Laser