I taksaa hmun mak tak tak awmte chu i zawng chhuak ang u? (Dysplastic Nevus / Atypical Moles) te hi a tha hle a ni.

I taksaa moles awmte hi i ngaihtuah ngai em? Mole thenkhat chu a dang aiin a danglam a, a lian zawk a, a rawng pawh a inang lo va, a pianzia pawh a inang lo tih i hre tawh mai thei. Chu chu vawiinah kan sawi dawn a ni. Hengte hi ‘abnormal moles’ emaw, damdawi lama `(Dysplastic Nevus)` tia hriat emaw kan ti a. Ngaihtuah buai suh, he thu hi awlsam tak leh i hriatthiam theih tur angin kan sawi dawn a ni.

Heng spot te hi engte nge ni? Spot pangngai leh spot pangngai lo hi eng nge an danglamna?

Okay, a hmasa berin mole chu eng nge a nih tih hi han en ila. Kan vun rawng pe thei cell chi khat bik a awm a, chu chu melanocytes an ti a ni. Heng melanocyte te hi hmun khata an inkhawm hian mole a lo awm thin. Damdawi lam hawi chuan mole chu nevus . Mole tam tak a awm chuan nevi an ti thin.

Mi tam zawk chuan freckles pangngai chauh an nei . Puitling vun dum nei tan chuan freckles 40 vel a awm hi thil pangngai a ni. Heng normal freckles leh tunlaia kan sawi mek freckles pangngai lo te hi naupan lai leh tleirawl lai atang hian a lo lang tan tlangpui.

Tunah chuan dysplastic nevus chu eng nge a nih, a nih loh leh mole pangngai lo . A awlsam zawngin sawi ila, mole pangngai aia danglam deuh mole a ni. A sir mumal lo, rawng inang lo tak tak a nei thei a, mole dang aiin a lian zawkin a lang thei bawk.

‘Dysplastic’ tih thumal hian tissue pakhatah hian cell pangngai lo a awm tihna a ni. Hei hi dysplasia an ti bawk . Mahse lungngai suh , heng cell pangngai lo te hi cancer an ni lo va, chu chu benign ( non-cancerous) an ni tihna a ni. Mahse, a chang chuan cancer vei an ni thei . Chuvang chuan he thil hi i ngaihtuah a ngai a ni.

Heng hmun danglam tak takte hi engtiang chiahin nge an awm? Cancer vei theihna a awm tak tak em?

Heng hmun danglam tak takte hi i ngaihtuah aiin a tam zawk. Mithiamte sawi dan chuan American mi sawm zinga pakhat hian hmun danglam tak pakhat tal a nei a ni. Chuvangin, he dinhmun hi Sri Lanka-ah hian a tam emaw a tlem emaw pawhin hmuh theih a ni.

Tunah chuan zawhna pawimawh ber chu: He `(Dysplastic Nevus)` hian vun cancer a thlen em?

Dik tak chuan, a ni, risk a awm. Hetiang hmun danglam tak tak i neih chuan vun cancer chi khat na tak, melanoma tih hi mi pangngai aiin i vei theihna a sang zawk. Spot danglam tak tak i neih tam poh leh he cancer hi i vei theihna a sang zawk. Ngaihtuah teh, mi pakhatin hmun danglam 10 emaw a aia tam emaw nei chu melanoma vei theihna chu a let sawm leh pahnih velin a sang zawk a ni.

Mahse thil dang a awm. Spot danglam tak nei zawng zawng hian ``(Melanoma)'' an nei vek dawn lo. Chu pawh chu hre reng ang che. Chuvangin tul lova lungngai suh.

Mithiamte chuan melanoma vei pali zinga pakhat vel chu a hmaa awm tawh dysplastic nevus, mole pangngai lo atanga intan niin an sawi.

He `(Dysplastic Nevus)` hming dang hi eng nge ni?

I doctor-in he `(Dysplastic Nevus)` chungchang a sawi hian heng thute hi i hmang thei bawk ang:

• Atypical mole chu a awm lo
• Clark-a chuan a nevi
• Congenital nevus (hei hi pianpui chhinchhiahna chi khat a ni) .
• Spitz nevus a ni

Engvangin nge heng hmun danglam tak takte hi a lo lang?

Mithiamte chuan eng nge a thlen tih chiang takin an la hre lo a, mahse , genetic factors (i chhungkuaa mi pakhatin a neih chuan nang pawhin i vei tam zawk tihna a ni) leh environment factors (a bik takin ni atanga ultraviolet (UV) light i hmuh) te inzawmkhawm niin an ngai .

He ultraviolet light lo chhuahna kawngte chu engte nge ni?

Ni hi `(UV)` rays awmna natural source ber a ni tih kan hre vek. Chu bakah, `(UV)` rays hi artificial takin hetiang hian siam chhuah a ni bawk:

• Halogen, incandescent leh fluorescent light thenkhat, laser beam thenkhat te pawh a awm bawk.
• Mercury vapor lighting hi hmun zau tak tak, stadium leh gym-ah te hman a ni.
• Tanning bed leh sunlamp te a awm bawk. Hengte hi i hlat tur a ni ngei ang.

Heng hmun danglam tak takte hi tute nge lo awm theihna chance sang zawk?

Dik tak chuan, tu pawhin kum, mipa leh hmeichhia, leh vun rawng eng pawh ni se, heng hmun danglam tak takte hi an nei thei a ni. Vun dum neih hian heng spots emaw vun cancer emaw i neih loh nan a venghim kim lo. Mahse a hlauhawmna chu eng emaw chen chu a tlahniam thei a ni.

A hnuaia mizia nei te hian spot danglam tak tak an nei tam zawk:

• Vun dum tak, freckles, leh mit leh sam rawng hring.
• Chhungkaw zingah tu pawhin moles danglam tak, vun cancer, melanoma emaw an neih chuan.
• Ni zung tam lutuk leh ni zung kang tawhna history i neih chuan, emaw, tan theih lohna i neih chuan (chu chu ni chhuahnaah i vun a sen a, mahse a dum lo tihna a ni).
• UV rays laka photosensitivity i neih chuan.

Engtin nge he hmun danglam tak hi i hriat theih? A mizia chu engte nge ni?

Mole pangngai lo (Dysplastic Nevus) hian heng mizia pakhat emaw a aia tam emaw a nei thei. Hengte hi i hriat reng theih nan ABCDE rule tih dan pakhat a awm a. Sinhala tawngin i hrethiam ang u:

• A - Asymmetrical shape: Mole chu a chanvea then a nih chuan a sir lehlamah a inang lo a nih chuan thil danglam tak a ni a, chu chu a sir khat leh a sir dang a danglam tihna a ni. Mole pangngai chu a tam zawk chu symmetrical a ni a, chu chu a pianzia chu round emaw oval emaw a ni tihna a ni.
• B - Borders that are irregular: Mole kilte chu a chiang lo, a blurry, a rough, jagged, map-a coastline ang maia a awm chuan chu pawh chu zawn tur chhinchhiahna a ni. Mole pangngai kilte chu a hrual a, a fiah fo bawk.
• C - A rawng hrang hrang:Mole chu rawng pakhat ni lovin, rawng pakhat emaw a aia tam emaw inzawmkhawm, pink, red, light brown, dark brown emaw black emaw a nih chuan rinhlelh awm tak a ni bawk. A châng chuan rawng dum ang pawhin a lang thei. Mole pangngai chu a rawng dum pakhat a ni fo thin.
• D - Size (Diameter): Mole chu pencil eraser size aia lian (inch 1/4 vel, emaw millimeter 6 vel) a nih chuan chu pawh chu ngaihven rawh. Mahse, moles pangngai lo thenkhat chu hei aia te zawk an ni thei. Tin, mole pangngai thenkhat chu hei aia lian pawh a ni thei bawk. Chuvangin, a lian leh te chauh atanga thutlukna siam theih a ni lo va, mizia dang nen i en a ngai a ni.
• E - Evolving: Hun kal zelah mole lian leh te, a pianzia emaw, a rawng emaw a inthlak a, emaw, mole chu thisen chhuak, a hnim, a na, a chunglam a inthlak (e.g., mole hrual chu a hrual) a nih chuan, chu pawh chu ngaihtuah tel ngei tur thil a ni.

Chu bâkah, hmun danglam tak chu a hring hring, lungpui ang maia lang a ni thei a, a chung lamah pawh a sang deuh thei bawk.

Taksaah khawiah nge heng hmun danglam tak takte hi a tam ber?

Heng hmun danglam tak takte hi i taksa khawi hmunah pawh a lang thei tak tak a, mahse:

• Trunk area (i.e. rilru, pum, hnungzang) ah .
• Tin, kut leh ke tawp lam pawh
• Lu ah chuan
• Nghawng
• Scalp (Hengte hi sam hnung lama an awm avangin hmuh loh theih a ni a, chuvangin darthlalang hmang la, midang enfiah tir rawh.)

He `(Dysplastic Nevi)` avang hian eng harsatna dang nge awm thei?

Melanoma vei theihna bakah hian hmun danglam tak tak i neih chuan mit cancer (ocular melanoma) vei theihna a awm bawk . Chuvangin mit endikna mumal tak neih a ngai dawn a ni.

Engtin nge doctor-te hian heng hmun pangngai lo (Dysplastic Nevi) te hi an hriat theih?

Spot danglam tak tak i neih nia i rinhlelh chuan dermatologist, vun natna lama specialist doctor pan a tha ber. Vun natna leh vun cancer ang chi dinhmun dik taka hriatchhuah leh enkawl theitu an ni.

I doctor hian hetiang test hi a ti thei ang:

• Vun enfiah: Kum khatah vawi khat emaw vawi hnih emaw i moles te chu a danglam leh awm loh enfiah a ni ang. I chhungkuaa mi tu emaw chuan melanoma a vei tawh a nih chuan thla thum atanga thla ruk danah heng exam te hi nei turin an ti mai thei che a ni.
• Dermoscopy: Hei hi dermatoscope an tih magnifying instrument bik hmanga mole-a thil danglam, mit hmuh theih loh zawng chhuah a ni. Microscope hmanga mole en ang mai a ni. Hei hian mole-a pattern leh rawng fiah lo tak takte chu chiang takin a hmu thei a ni.
• Mole mapping siam dan:Hei hian camera bik (dermatoscopic lens a nei bawk) hmangin i vun leh i vun bawlhhlawh te computerized map a siam a ni. Hei hian hun kal zelah blemishes inthlak danglamna tehkhin a awlsam phah hle. Hei hi bawlhhlawh tam tak nei tan chuan a tangkai hle.

Spot hrang hranga inthlak danglamna danglam tak chu i hre thei em?

I ti thei ngei ang! Skin self-exams neih fo a pawimawh . Spot danglam tak emaw, vun cancer vei theihna tur dang emaw i neih chuan doctor-te chuan thla khatah vawi khat tal i vun enfiah turin an fuih a ni . Thlalak i la thei bawk a, i dah thei bawk a, chutiang chuan thla tin inthlak danglamna eng pawh i hmu thei ang.

Spot check dawnin a hmaa kan sawi tawh ABCDE rule kha hre reng ang che.

• A (Asymmetrical): A pianzia chu a asymmetrical em?
• B (Border): A sir lam chu a mumal lo em ni a, a fiah lo em ni?
• C (Color): Color pakhat aia tam a inhmeh em?
• D (Diameter): Pencil eraser (6 mm aia tam) aiin a size a lian zawk em?
• E (Evolving): Hun kal zelah spot chu a lian chho zel em, a pianzia a danglam zel em, a rawng pawh a danglam zel em? Itching, thisen chhuak, natna a awm em?

Thil danglam tak i hmuh chuan "Hei hi thil thleng mai mai a ni," ti mai mai suh, doctor hmu nghal mai suh. Thil tenawm tak ni mahse, check out tir hi a tha ber fo.

Heng hmun danglam tak takte hi engtin nge i enkawl?

A tlangpuiin mole pangngai lo chu enkawlna bik a ngai lo va, vun biopsy (vun chi khat lakna test) hmanga cancer a nih thu emaw, cancer hmaa inthlak danglamna a neih emaw a nih loh chuan. I doctor chuan biopsy chu atypical melanocytic hyperplasia emaw moderately to severely dysplastic , a tih chuan cancer vei theihna a sang tihna a ni. Chutiang a nih chuan i doctor chuan mole chu operation dang hmangin a enkawl leh ang.

Mole pangngai lo enkawlna chu operation hmanga mole leh a chhehvel vun hrisel tlemte lakchhuah hi a ni. Biopsy-in mole pangngai lo chu cancer (melanoma) a nih thu a finfiah chuan i doctor chuan operation lian zawk a ti thei a, a nih loh leh Mohs surgery tih ang chi procedure an hmang thei bawk. Hetiang tih hian tissue hrisel tam thei ang ber a humhim a ni.

Spot pangngai lo lang tur hi ka veng thei ang em? Engtin nge ni laka ka inven theih ang?

Moles pangngai lo neih hian melanoma vei theihna a tipung a, mahse moles pangngai lak chhuah mai mai hian he hlauhawmna hi a ti tlem lo.

Thil danglam tak tak lo lang tur venna tur engmah i ti thei lo tak zet a, genetic factor pawh a awm bawk. Mahse i neih chuan ni zung chhiatna laka i vun venhim a pawimawh. Tin, tanning bed hmang ngai suh.

Ni laka i vun ven nan hengte hi ti rawh:

• Peak hour (a tlangpuiin zing dar 10 atanga tlai dar 4)-a chhuah chu a theih ang anga tihtlem.
• Pawn lama i chhuah chuan lukhum hrual zau tak, kawr sei tak, leh sunglass ha la.
• SPF 30 aia sang sunscreen hmang ngei ang che . Pawn chhuah hmain minute 15-30 vel hnawih thin ang che. I thawmhnaw a chhuah emaw, i hnim emaw, ni a kang emaw chuan darkar hnih danah hnawih leh thin ang che.
• Nausen (thla 6 hnuai lam) chu a theih ang anga ni êng direct-a dah loh tur.

`(Dysplastic Nevus)` vei mi pakhat hriselna dinhmun chu eng nge ni?

Mi tam tak chuan spot danglam tak tak (leh spot pangngai pawh) nei mahse vun cancer an nei lo. Mahse, i vun hi thil danglam bik a awm leh awm loh enfiah fo a pawimawh. Melanoma ang chi natna hi a hmaa hriatchhuah leh enkawl chuan nunna a chhanhim thei a ni. Chuvangin fimkhur a pawimawh a, hlauthawng lo ila.

‘Atypical Mole Syndrome’ tih hi eng nge ni?

Atypical mole syndrome vei te hian mole an nei tam hle a, melanoma vei theihna an sang hle. Heng mole tam zawk hi chu a pangngai a nih laiin, a then chu a pangngai lo. Mole thenkhat chu inch hmun thuma ṭhena hmun khat (8 mm vel) aia lian pawh a ni thei.

A natna danglam tak chu Familial Atypical Multiple Mole Melanoma (FAMMM syndrome) an ti a. Hei hian chhungkaw khata awmte a nghawng a ni. Inherited gene mutation hian atypical moles leh melanoma vei theihna a tipung a ni. FAMMM syndrome vei te hi a let 25 velin melanoma an vei tam zawk a ni.

A tawp berah chuan hei hi ka sawi tur che u a ni (Take-Home Message) .

Mi tam tak chuan moles danglam tak tak an nei a, mahse melanoma an nei ngai lo. Mahse, moles danglam tak tak, dysplastic nevi an tih i neih chuan i vun enfiah fo thin (skin self-exams) kha tih danah siam rawh. Chutiang chuan, a danglamna eng pawh chu i hmu nghal thei ang. I doctor chuan heng self-exams tih dan tur a zirtir thei che a, eng inthlak danglamna nge fimkhur tur tih a hrilh thei bawk che. Checkup pangngai nei turin lo lut turin an ti thei bawk che a, i mit pawh enfiah tir turin an ti thei bawk. I vunah danglamna i hmuh chuan doctor pan nghal rawh. Hrilhfiah hmasak hi a pawimawh hle. Hlauthawng suh, fimkhur a finthlak. I vun enkawl la, hrisel takin awm rawh!

` Freckles, Abnormal Spots, Dysplastic Nevus, Vun Cancer, Melanoma, Vun hriselna, Ni eng