Mek wi fain out abaut di strenj spot dem fo yu bodi? (Displastik Nɛvus / Atipik Mɔl dɛn)

Yu dɔn ɛva wɔri bɔt di mɔl dɛn we de na yu bɔdi? Yu go dɔn notis se sɔm mol dɛn difrɛn frɔm ɔda wan dɛn, dɛn big, dɛn gɛt difrɛn kɔlɔ, ɛn dɛn nɔ gɛt shep. Na dat wi go tok abaut tide. wi kכl dεn ya 'abnכmal mol dεm' כ dεn kכl dεm na mεdikal kכl `(Dysplastic Nevus)`. Nɔ wɔri, wi go tɔk bɔt dis simpul wan ɛn di we we yu go ɔndastand.

Wetin na dɛn spat dɛn ya? Wetin na di difrɛns bitwin nɔmal spat ɛn abnɔmal spat?

Okay, fɔs lɛ wi luk wetin na mol. Wan spɛshal kayn sɛl de we de gi wi skin kɔlɔ, dɛn kɔl dɛn melanosayt . di mol dεm de fכm we dεn melanosayt dεm ya gεt na wan ples. We wi de tɔk bɔt mɛrɛsin, dɛn kin kɔl wan mol nevus . We bɔku mol dɛn de, dɛn kin kɔl dɛn nevi .

Bɔku pipul dɛn jɔs gɛt nɔmal frek . I nɔmal fɔ mek big pɔsin we gɛt fayn fayn skin gɛt lɛk 40 frek. Dɛn nɔmal frɛk ya ɛn di abnɔmal frek we wi de tɔk bɔt tide kin bigin fɔ apia we dɛn smɔl ɛn we dɛn de yɔŋ.

Naw lɛ wi si wetin na dysplastic nevus , ɔ wan abnɔmal mol . Fɔ tɔk am simpul wan, na mol we luk difrɛn frɔm nɔmal mol. I kin gɛt ed dɛn we nɔ de ɔltɛm, in kɔlɔ dɛn kin miks, ɛn i kin tan lɛk se i big pas ɔda mol dɛn.

di wod ‘dysplastic’ min se abnכmal sεl dεm de insay wan tisu. Dɛn kin kɔl dis bak displasia . Bɔt nɔ wɔri , dɛn abnɔmal sɛl ya nɔto kansa, we min se dɛn na benign ( nɔ gɛt kansa). Bɔt sɔntɛnde, dɛn kin gɛt kansa. Na dat mek yu nid fɔ wɔri bɔt dis.

Aw kɔmɔn tin dɛn ya we nɔ kɔmɔn? Yu tink se rili risk de fɔ mek pɔsin gɛt kansa?

Dɛn say dɛn ya we nɔ kɔmɔn kin bɔku pas aw yu go tink. Masta sabi bukman dɛn se wan pan ɛvri tɛn pipul dɛn na Amɛrika gɛt wan ples we nɔ kɔmɔn. So, yu kin si dis kɔndishɔn na Sri Lanka to big ɔr smɔl.

Naw di kwɛshɔn we impɔtant pas ɔl: Dis `(Dysplastic Nevus)` de mek pɔsin gɛt kansa na di skin?

Fɔ tɔk tru, yes, risk de. If yu gɛt dɛn kayn spat ya we nɔ kɔmɔn, yu risk fɔ gɛt wan siriɔs kayn kansa na yu skin we dɛn kɔl melanoma pas di avɛrej pɔsin. Di mɔ yu gɛt spat dɛn we nɔ kɔmɔn, na di mɔ yu go gɛt dis kansa. Imajin, pɔsin we gɛt 10 ɔ mɔ say dɛn we nɔ kɔmɔn kin gɛt mɛlanoma lɛk twɛlv tɛm so.

Bɔt ɔda tin de. Nɔto ɔlman we gɛt ɔnusual spat go divɛlɔp ``(Melanoma)''. Yu fɔ mɛmba dat bak. So nɔ wɔri we yu nɔ nid fɔ wɔri.

Masta sabi bukman dɛn se lɛk wan pan ɛvri 4 pipul dɛn we gɛt mɛlanoma kin bigin wit wan dysplastic nevus we bin dɔn de bifo, we na wan mɔl we nɔmal.

Wetin na ɔda nem fɔ dis `(Dysplastic Nevus)`?

We yu dɔktɔ tɔk bɔt dis `(Dysplastic Nevus)`, yu kin yuz dɛn wɔd ya bak:

• Atypical mol
• Klak in nevi
• Congenital nevus (dis na wan kayn mak we pɔsin kin bɔn) .
• Spitz nevus we de na di bɔdi

Wetin mek dɛn say dɛn ya we nɔ kɔmɔn kin apia?

Di masta sabi pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek i apin, bɔt dɛn biliv se na wan kɔmbaynshɔn pan di jenɛtik tin dɛn (we min se if pɔsin na yu famili gɛt dɛn, yu kin gɛt dɛn bak) ɛn tin dɛn we de apin na di say we yu de (espɛshali we yu gɛt ɔltra vayolɛt (UV) layt we de kɔmɔt na di san) .

Wetin na di rod dɛn we dis ɔltra vayolɛt layt kin pas?

Wi ɔl no se di san na di men natura sɔs fɔ `(UV)` rayt. apat frכm dat, `(UV)` rayt dεm de mek dεn artificially prodyuz bay:

• Sɔm halogen, inkandescent, ɛn fluorescent layt dɛn, ɛn sɔm laser bim dɛn bak.
• Dɛn kin yuz mɛkkyuri vaypa layt na big ples dɛn lɛk stediɔm ɛn jim.
• Tanning bed ɛn sanlamp dɛn. Yu fɔ rili de fa frɔm dɛn tin ya.

Udat de pan risk fɔ gɛt dɛn kayn spat ya we nɔ kɔmɔn?

Infakt, ɛnibɔdi kin gɛt dɛn kayn spat ya we nɔ kɔmɔn, ilɛksɛf i ol, ilɛksɛf na man ɔ uman, ɔ if i gɛt kɔlɔ. If yu gɛt dak skin, dat nɔ de protɛkt yu ɔl fɔ mek yu nɔ gɛt dɛn spat ya ɔ kansa na yu skin. Bɔt di risk kin ridyus to sɔm mak.

Pipul wae gɛt dɛn kayn tin ya kin gɛt sɔm kayn spat wae nɔr kin izi fɔ dɛn:

• I gɛt fayn fayn skin, i gɛt frek, ɛn i gɛt layt kɔlɔ yay ɛn ia.
• If ɛnibɔdi na di famili gɛt mɔl we nɔ kɔmɔn, kansa na in skin, ɔ melanoma.
• If yu gɛt histri fɔ de pan san pasmak ɛn bɔn yu san, ɔ if yu nɔ ebul fɔ tan (we min se yu skin kin tɔn rɛd bɔt nɔ kin blak we yu de na di san).
• If yu gɛt fotosɛnsitiviti to UV rayt.

Aw yu no dis ples we nɔ kɔmɔn? Wetin na di kwaliti dɛn we i gɛt?

wan abnכmal mol (Dysplastic Nevus) kin gεt wan כ mכr pan dεn kכntribyushכn ya. Fɔ ɛp yu fɔ mɛmba dɛn tin ya, wan lɔ de we dɛn kɔl di ABCDE lɔ . Lɛ wi ɔndastand am insay Sinhala:

• A - Asimεtrik shep: if dεn divayd di mol insay haf, na abnכmal fכm if i nכ di sem na di tu say dεm, we min se wan sayd difrεn frכm di כda wan. Nɔmal mol na mɔst simɛtrik, we min se i gɛt rawnd ɔ oval in shep.
• B - Bɔda dɛn we nɔ de ɔltɛm: If di ed dɛn na di mol nɔ klia, blɔk, ɔ rɔf, jag, lɛk kɔstlayn na map, dat na sayn bak fɔ luk fɔ. di ed dεm fכ nכmal mol dεm kin sכft εn klia.
• C - Kɔlɔ dɛn: .I kin sɔprayz bak if di mol nɔto wan kɔlɔ, bɔt i gɛt wan ɔ mɔ kɔlɔ dɛn we miks togɛda, lɛk pink, rɛd, layt brawn, dak brawn, ɔ blak. Sɔntɛnde, i kin ivin tan lɛk blu kɔlɔ. Bɔku tɛm, nɔmal mol na wan brawn kɔlɔ.
• D - Sayz (Dayamita): If di mol big pas di sayz fɔ pensil iras (lɛk 1/4 inch, ɔ lɛk 6 milimita), pe atɛnshɔn to dat bak. Bɔt sɔm abnɔmal mol dɛn kin smɔl pas dis. Dɔn bak, sɔm nɔmal mol dɛn kin big pas dis. So, yu nɔ go ebul fɔ disayd bay di saiz nɔmɔ, yu nid fɔ luk am wit ɔda kwaliti dɛn.
• E - we de evolv: if di saiz, shep, כ kכla fכ di mol chenj ova tεm, כ if di mol de bכn, it, i de pen, כ chenj in sכfa (e.g., wan sכft mol de rכf), dat na sכmtin bak we dεn fכ rili tek in kכnsidεreshכn.

Apat frɔm dat, wan say we nɔmal kin gɛt flat, lɛk ston, ɔ i kin rayz smɔl na di say we i de.

Usay dɛn nɔmal spat ya kin bɔku na di bɔdi?

Dɛn nɔmal spat ya kin rili apia ɛnisay na yu bɔdi, bɔt dɛn kin si dɛn mɔ pan:

• na di trכnk εria (i.e. chεst, bεlε, bak) .
• Ɛn di say dɛn we de nia di an ɛn leg dɛn
• Na di ed
• Nɛk
• Skalp (Dεn kin mis dεn tin ya biכs dεn de bihayn di ia, so yuz miro כ mek כda pכsin chεk dεm.)

Us ɔda kɔmplikɛshɔn dɛn kin apin bikɔs ɔf dis `(Dysplastic Nevi)`?

Apat frɔm di risk fɔ gɛt melanoma, if yu gɛt bɔku bɔku say dɛn we nɔ kɔmɔn, yu kin gɛt risk bak fɔ gɛt ay kansa (ocular melanoma) . So, yu go nid fɔ de chɛk yu yay ɔltɛm.

Aw dɔktɔ dɛn kin no dɛn abnɔmal spat ya (Dysplastic Nevi)?

If yu tink se yu gɛt spat dɛn we nɔ kɔmɔn, i go fayn fɔ go to dɔktɔ we de mɛn yu skin, dɔktɔ we spɛshal pan sik dɛn we de ambɔg yu skin. Na dɛn wan ya kin ebul fɔ no ɛn trit tin dɛn lɛk sik dɛn na di skin ɛn kansa na dɛn skin kɔrɛkt wan.

Yu dɔktɔ kin du tɛst dɛn lɛk dɛn wan ya:

• Fɔ chɛk yu skin: Wan ɔ tu tɛm insay di ia, dɛn go chɛk yu mɔl fɔ si if dɛn chenj. If pɔsin na yu famili dɔn gɛt melanoma, dɛn kin aks yu fɔ mek dɛn du dɛn ɛgzam dɛn ya ɛvri tri to siks mɔnt.
• Dεmכskopi: Dis na fכ yuz wan spεshal instrכmεnt we dεn kכ l dεmכskop fכ luk fכ abnכmal tin dεm na di mol we dεn nכ de si wit yu yay. I tan lɛk se yu de luk wan mol tru maykroskɔp. Dis kin mek yu si di smɔl smɔl patɛns ɛn kɔlɔ dɛn we di mol gɛt klia wan.
• Mol map we dɛn de mek: .Dis kin yuz spɛshal kamɛra (we gɛt bak dɛmatoscopic lens) fɔ mek kɔmpyuta map fɔ yu skin ɛn blemishes. Dis kin mek am izi fɔ kɔmpia di chenj dɛn we de apin na di blemishes as tɛm de go. Dis kin fayn mɔ fɔ pipul dɛn we gɛt bɔku bɔku blemishes.

Yu kin no di chenj dɛn we nɔ kɔmɔn na di spat dɛn?

Yu go mɔs ebul fɔ du am! I impɔtant fɔ de chɛk yusɛf ɔltɛm na yu skin . If yu gɛt say dɛn we nɔ kɔmɔn ɔ ɔda tin dɛn we kin mek yu gɛt kansa na yu skin, dɔktɔ dɛn kin se yu fɔ chɛk yu skin wan tɛm insay di mɔnt . Yu kin tek foto dɛn bak ɛn kip dɛn so dat yu go si ɛni chenj mɔnt afta mɔnt.

We yu de chɛk fɔ spat, mɛmba di ABCDE lɔ we wi bin dɔn tɔk bɔt bifo tɛm.

• A (Asymmetrical): Di shep asimmetrical?
• B (Bɔda): Di ed dɛn nɔ de ɔltɛm ɔ dɛn nɔ klia?
• C (Kɔlɔ): I pas wan kɔlɔ we dɛn miks?
• D (Dayamita): Di sayz big pas pensil iras (mɔ pas 6 mm)?
• E (Evolving): Di spat de big, de chenj shep, ɔ in kɔlɔ as tɛm de go? I de it, blɔd, ɔ pen?

If yu notis ɛnitin we nɔ kɔmɔn, nɔ jɔs tink se, "Dis na jɔs fluk," ɛn go to dɔktɔ wantɛm wantɛm. Ivin if na smɔl tin, i bɛtɛ ɔltɛm fɔ mek dɛn chɛk am.

Aw yu kin trit dɛn say dɛn ya we nɔ kɔmɔn?

Bɔku tɛm, wan mɔl we nɔ nɔmal nɔ nid ɛni spɛshal tritmɛnt, pas nɔmɔ if dɛn tek di skin bayɔpsi (tɛst we dɛn kin tek wan pat pan di skin) fɔ sho se i gɛt kansa ɔ i gɛt chenj dɛn bifo i gɛt kansa. If yu dɔktɔ se di bayɔpsi na atypical melanocytic hyperplasia ɔ moderately to severely dysplastic , dis min se di risk fɔ gɛt kansa de bɔku. If na so i bi, yu dɔktɔ go trit di mol wit ɔda ɔpreshɔn.

di tritmεnt fכ abnכmal mol dεm na fכ כpכt fכ pul di mol εn sכm hεlth skin we de rawnd am. If di bayɔpsi sho se di mɔl we nɔ de na di bɔdi gɛt kansa (melanoma), yu dɔktɔ kin du big ɔpreshɔn, ɔ dɛn kin yuz wan we we dɛn kɔl Mohs ɔpreshɔn . dis prosidur de kip bכku hεlty tisu dεm as i posbul.

A kin mek di say dɛn we nɔmal nɔ de apin? Aw a go protɛkt misɛf frɔm di san?

Pan ɔl we fɔ gɛt abnɔmal mol dɛn kin mek di risk fɔ gɛt mɛlanoma bɔku, fɔ jɔs pul di nɔmal mol dɛn nɔ kin ridyus dis risk.

Natin nɔr de fɔ rili du fɔ mek yu nɔr gɛt abnɔmal spat dɛn kpatakpata, as i gɛt bak wan jɛnɛtik factor. Bɔt if yu gɛt dɛn, i impɔtant fɔ protɛkt yu skin fɔ mek di san nɔ pwɛl yu. Dɔn bak, nɔ ɛva yuz bed fɔ tan.

Du dɛn tin ya fɔ protɛkt yu skin frɔm di san:

• Minimiz fɔ go na do di tɛm we pipul dɛn kin bɔku (bɔku tɛm frɔm 10 oklɔk to 4 oklɔk na nɛt) as mɔ as yu ebul.
• If yu go na do, wɛr hat we gɛt wayd brim, klos we gɛt lɔng sliv, ɛn sanglas.
• Mek shɔ se yu yuz sanskrin we gɛt SPF we na 30 ɔ pas dat . Put am 15-30 minit bifo yu go na do. Put am bak ɛvri tu awa if yu de swet, wet, ɔ yu gɛt san.
• Nɔ put pikin dɛn (we nɔ rich 6 mɔnt) pan dairekt san layt as yu ebul.

Wetin na di wɛlbɔdi stet fɔ pɔrsin wae gɛt `(Dysplastic Nevus)`?

Bɔrku pipul kin gɛt sɔm kayn spat wae nɔr kin fayn (ɛn ivin nɔrmal spat) bɔt dɛn nɔr kin gɛt kansa na dɛn skin. Bɔt i impɔtant fɔ chɛk yu skin ɔltɛm fɔ si ɛni chenj we nɔ kɔmɔn. If yu no ɛn trit wan sik lɛk mɛlanoma kwik kwik wan, dat kin sev pipul dɛn layf. So i impɔtant fɔ no ɛn nɔ panik.

Wetin na ‘Atypical Mole Syndrome’?

Pipul dεm wae gεt atypical mol syndrome gεt bכku nכmba כf mol dεm εn dεn kin de pan risk fכ gεt melanoma. Pan ɔl we bɔku pan dɛn mol ya nɔmal, sɔm nɔ nɔmal. sכm mol dεm kin big pas wan tכd pan wan inch (lεk 8 mm).

Wan difrɛn tin we dɛn kɔl Familial Atypical Multiple Mole Melanoma (FAMMM syndrome) . Dis kin afɛkt pipul dɛn we de na di sem famili. wan inhεrit jin mכtεshכn de inkrεs di risk fכ divεlכp atypical mol dεm εn melanoma. Pipul dεm wae gεt FAMMM sεndrכm kin gεt melanoma lεk 25 tεm.

Fɔ dɔn, dis na wetin a gɛt fɔ tɛl una (Take-Home Message)

Bɔku pipul dɛn kin gɛt mɔl we nɔ kɔmɔn, bɔt dɛn nɔ kin ɛva gɛt melanoma. Bɔt if yu gɛt mɔl dɛn we nɔ kɔmɔn, we dɛn kɔl dysplastic nevi, mek am yu abit fɔ de chɛk yu skin ɔltɛm (skin self-exams). Dis we ya, yu kin si ɛni chenj kwik kwik wan. Yu dɔktɔ kin tich yu aw fɔ du dɛn sɛlf-ɛgzam ɛn tɛl yu wetin chenj fɔ wach fɔ. Dɛn kin tɛl yu bak fɔ kam insay fɔ mek dɛn chɛk yu ɔltɛm, ɛn mek dɛn chɛk yu yay. If yu notis ɛni chenj na yu skin, go to yu dɔktɔ wantɛm wantɛm. Fɔ no am kwik kwik wan na di men tin. Nɔ panik, i fayn fɔ mek yu no. Tek kia of yu skin, stay helti!

` Frεkshכn, Abnכmal Frεkshכn, Displastik Nεvus, Skin Kεnsar, Melanoma, Skin Wεlth, San Layt