I mit ah hian hetiang mole hi i nei em? Conjunctival Melanoma chungchang hi han sawi ila!

I mit var laiah hian brown spot emaw, lump te tak te emaw i hmu ngai em? I hre lo mai thei. Mahse, i ngaihtuah angin a awlsam lo mai thei. Vawiin hian mit cancer hmuh tur awm lo mahse hlauhawm thei tak chungchang kan sawi dawn a ni.

Conjunctival Melanoma hi eng nge ni?

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A awlsam zawngin sawi ila, conjunctival melanoma hi cancer chi khat, i mit chhunga lo awm thei a ni. Mi thenkhat chuan ``Conjunctival Malignant Melanoma'' an ti bawk.Tunlai hian ``conjunctiva'' hi eng nge ni tih i ngaihtuah mai thei. I mitmeng chhungril, i mit var (``sclera'' tia koh bawk) khuh tu membrane chiang tak a ni. A dik tak chuan a tam zawkah chuan he melanoma hi ``bulbar conjunctiva'', i mit hmun var vengtu mucous membrane-ah a lo awm thin.

Hei hi a takah chuan mit cancer (ocular melanoma) chi khat a ni. Melanoma hi cells melanocytes an tih te chu thunun theih loha an lo thang lian tan atang hian a intan thin . Heng melanocyte te hian kan vun, kan sam leh kan mit rawng pe theitu melanin an tih pigment an siam chhuak thin. Skin melanoma tih hi i hre tawh mai thei a, chu chu a ni. Mahse hei hi mit tichhe thei pakhat a ni. Hetiang dinhmun hi a chang chuan nunna atana hlauhawm thei a ni tih hriat reng a pawimawh .

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan, conjunctival melanoma hi cancer hmuh tur awm lo tak a ni . Mit tumor zawng zawng zinga 2% chauh a ni. Tin, melanoma zawng zawng zinga 0.25%, a nih loh leh hmun li a\anga hmun khat vel a ni bawk. Amaherawhchu, tun hnaiah hri kai an pung deuh niin an sawi.

Khawthlang ramah chuan kum khatah mi maktaduai khatah 0.2 leh 0.5 inkar a ni. Hispanic ni lo mipa hring zingah a awm tam ber. Mahse, Asian, mipa hring leh Hispanic mite zingah pawh a awm thei bawk. Naupangah chuan a tlem hle .

Thil dang pakhat chu, he conjunctival melanoma hi mit cancer chi khat `retinoblastoma` emaw `intraocular melanoma` emaw ang chi a ni lo. `Intraocular melanoma` hi mit layer layer (`uvea`)-a awm a ni a, mit chhunga cancer chi hrang hrang awm tam ber a ni. `Retinoblastoma` hi mit hnung lama awm, mit hnung lama awm, mit hnung lama awm thin a ni.

Hei hi eng symptoms nge ni?

Ocular melanoma hi a tir lamah chuan symptoms a awm lo thei . Mahse, conjunctival melanoma symptoms i neih chuan hengte hi a ni thei:

• Mit chhunga pigmented (colored) mole . A châng chuan he mole hi rawng nei lo a ni thei bawk. Chutiang a nih chuan `amelanotic Conjunctival Melanoma` an ti a ni. `Amelanotic` tih awmzia chu melanin ` tlakchham` tihna a ni.
• He hmun hi disc ang maia flat emaw, lump (`nodular`) ang maia sang emaw pawh a ni thei .
• Hei hi mit pakhat (`unilateral`) ah chauh a awm .

Hei hi eng nge a chhan?

Conjunctival melanoma hi a tlem em avangin, zirchiangtute chuan eng nge a thlen tak tak tih an la hre chiang lo . Genetics hian chanvo a nei thei a, mahse a kai thei lo va, mi pakhat atanga mi dangah a darh lo.

Mahse, conjunctival melanoma lo awm theihna nen hian condition pahnih hi a inzawm chiang hle. Chungte chu:

• (`Primary Acquired Melanosis` – PAM): Hei hi i pian tirh laia awm lo, 1 mm aia lian, leh rawng nei thei, i lo neih hian a ni. He `PAM` dinhmun hi cell pangngai lo nei emaw awm lo emaw pawh nise a awm thei.
• Conjunctival nevi: Hengte hi birthmark, moles emaw freckles emaw kan tih tlangpui a ni.

Risk factor dang a awm em?

A tlangpuiin ocular melanoma lo awm chhan tur risk factor engemaw zat a awm a:

• Mit blue emaw green emaw nei.Mit rawng hring nei te hian mit sen nei te aiin mit lamah melanoma an vei tam zawk.
• Mihring var nih. Mihring varte hian hnam dang aiin mit melanoma an vei tam zawk.
• Kum upa lam deuh. He risk hi i upat deuh deuh chuan a pung zel a ni.

Scientist-te chuan ultraviolet light-a inhriat pawh hi a hlauhawm thei niin an ngai.

Hei hian eng harsatna nge a thlen theih?

Melanoma enkawl loh chuan mitdelna leh thihna thlengin a thlen thei a ni .

Engtin nge hei hi i hriat chian?

I mit enkawltu (ophthalmologist) chuan mit enfiahna pangngaiah conjunctival melanoma a hmu thei a ni. An rinhlelh chuan hetiang test hi an order thei ang:

• Ultrasound hmanga enfiah (`Ultrasonography`) hmanga enfiah a ni.
• Optical Coherence Tomography (OCT): Hei hi laser light hmanga mitmeng thickness tehna test a ni.
• Biopsy test a ni.

I mit specialist chuan he conjunctival melanoma hi taksa hmun dangah a darh (metastasized) mai thei niin a ngai a nih chuan test dang neih belh turin a ti thei ang. Entir nan:

• Thisen test neih a ni .
• Imaging test dang `PET scan`, ` CT scan` (`Computed Tomography scan`), emaw ` MRI scan` (`Magnetic Resonance Imaging scan`) te pawh a awm thei.

Hei hi eng enkawl dan nge ni ang?

I doctor chuan a bia ang che a, i dinhmun enkawlna tha ber thlang turin a pui ang che. Enkawlnaah hian a hnuaia mi hi a tel thei a ni:

• Surgery hmanga a hliam chu lakchhuah a ni.
• Cryotherapy (khawsik nasa tak hmanga enkawlna).
• Radiation therapy leh topical chemotherapy hi adjuvant treatment chauh a ni (i.e., first-line treatment ni lo). Radiation therapy ah hian brachytherapy leh external beam radiation therapy te pawh a tel thei .

Enkawlna avanga side effect emaw complication emaw awm thei chu engte nge ni?

Conjunctival melanoma vanga operation avanga harsatna awm thei te chu:

• I mit (cornea) ah hliam a awm.
• Kaichhawng.
• Hmuh theihna pahnih (`Diplopia`).

Cryotherapy avanga harsatna awm thei te:

• I mit hmun thenkhat, mitmeng (cornea) thlengin hun eng emaw chen emaw, a awm reng emaw a tichhia.
• Iritis (i iris-a natna awm).

Topical chemotherapy hmanga harsatna awm thei:

• A tear chhuak.
• Mit nasat lutuk.
• Mit na a na.
• Blepharospasm (mitmeh hring hring) a awm.
• Corneal scarring a awm.

Radiation therapy avanga harsatna awm thei te:

• Mit a vawt.
• Hun eng emaw chen atan mit (corneal abrasions) a awm.
• Mitmeng hloh.
• Focal cataract a awm thin.

Heng enkawlnate hi a hlawhtling lo a nih chuan i doctor chuan mit natna chu a la chhuak pawh a ngai mai thei .

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Engtiang chiahin nge i dam thuai tih chu i enkawlna chi hrang hrangah a innghat a ni . I doctor chuan i tana tha tur enkawlna a thlan hunah hei hi a sawipui ang che.

Conjunctival melanoma hi ven theih a ni em?

Conjunctival melanoma hi pumpelh kim theih a ni lo a , mahse i hlauhawmna tihziaawm nan thil engemaw zat i ti thei bawk.

Engtin nge risk hi ka tihtlem theih ang?

I conjunctival melanoma vei theihna chu i tihziaawm thei a , sunglass leh lukhum tha tak i ha a , a bik takin pawn lama ni a chhuah lai hian. Hei hian UV rays lakah a venghim thei ang che. Ni chhuahna hmuna i awm lohna tur tihtlem pawh a tha mai thei bawk.

Conjunctival melanoma ka neih chuan eng nge ka beisei theih ang?

Conjunctival melanoma i neih chuan, enkawl a nih chuan, damchhuahna tur ruahmanna a tha . Mahse, mitdelna engemaw zat i nei thei. Conjunctival melanoma hi a darh (metastasis), chu chu taksa hmun dangah a kal a nih chuan a natna chu a na zawk thei a ni. A awm chuan i lung leh lymph node-ah a darh a rinawm ber .

Engtin nge ka in enkawl ang?

Mahni in enkawl tura pui turin i tih theih thenkhat chu hetiang hi a ni:

• I medical team nen appointment neih hun tur ruahman la, a hun takah kal rawh.
• Chaw ei tha.
• Exercise neih fo thin.
• Stress tihziaawmna.
• Mitdelna leh mitdel pahnih nei te tan service hrang hrang zir leh hmuh theih.

Engtikah nge ka doctor ka hmuh ang?

I appointment pangngai pawn lama i hriselna emaw, i mit hmuhna emaw chungchangah thil thar emaw, ngaihtuahawm emaw i hmuh chuan doctor pan nghal rawh .

Conjunctival nevus leh conjunctival melanoma hi eng nge an danglamna?

Conjunctival nevus hi i mitmeng (conjunctiva )-a cancer ni lo (benign) a lo thang lian a ni. Damdawi lam ni lo chuan nevus hi mole, birthmark, emaw beauty mark emaw an ti bawk. Nevus hi cancer a ni lo va, mahse conjunctival nevus chu cancer a nih theihna tur a awm a, chu chu conjunctival melanoma an ti a ni .

I mit var laiah hmun thar, a thim emaw, a lo awm tawhna hmun chu a chhe zual emaw i hmuh chuan mit doctor i pan ngei tur a ni . Cancer chi khat, conjunctival melanoma i nei thei tih hriat hi rilru natna inzawmkhawm a ni thei. Mahse, diagnosis dik tak neih a, a rang thei ang bera enkawl tan a tha ber. Hei hian result tha ber (prognosis) i neih theih nan a pui ang che.

A tawp berah chuan thil hriat reng tur

Chuvangin, tunah chuan kan sawi tawh, conjunctival melanoma hi hriatthiamna tha tak in neih ka beisei. Mit hi taksa peng sensitive tak a ni . Chuvangin, i mitmengah inthlak danglamna tenau emaw, thil danglam bik emaw i hmuh chuan ngaihthah suh. A bik takin, hmun thar, hmun dum, leh lumps te lakah fimkhur rawh. Chutiang dinhmunah chuan a hmaa hriatchhuah leh enkawl vat a pawimawh hle . Chuvangin kum khatah vawi khat tal mit enfiah a pawimawh hle. Harsatna i neih chuan Doctor nen inbiakna neih hreh suh.