I taksaah, i kawr, i hnungzang, a nih loh leh i hmaiah te pawh a sen hring te te i nei em? Tlemte an sang a, waxy hmel an nei a, vunah thil inkhung ang maiin an lang... Mi tam tak chuan hengte hi an hmuh hian an hlau a, vun cancer a ni em tih an ngaihtuah thin. Mahse lungngai suh, hengte hi thil awm dan tlangpui leh hlauhawm lo tak a ni. Vawiin hian he ‘Seborrheic Keratosis’ mi tam takin an neih thin chungchang kan sawi dawn a ni.
Seborrheic Keratosis hi eng nge ni?
A awlsam zawngin sawi ila, vunah benign growth, birthmark ang maia lang a ni. Mi tam zawk chuan an nunah engtik lai pawhin pakhat an nei thin. Kum chanve velah an tam ber. I upat deuh deuh chuan an pung thei a ni. An pawi lo va, enkawl ngai an awm lo. Mahse, an tibuai che emaw, mi hmuhnawm lo anga an inhriat tir che emaw chuan i paihsak thei a ni.
A châng chuan doctor-te chuan hengte hi ‘epidermal tumors’ an ti ṭhin. Chu hming chuan hlauthawng suh. Cancer a ni tihna a ni lo. Moles leh warts ang chi thil kan hriatte pawh hi he category-ah hian an tel ve bawk. Kan vun chunglam (epidermis)-a cell thenkhat chu an inzawm khawm a, thanna tlemte an siam tihna mai a ni. Hei hi vun cancer vei theihna tur risk factor anga ngaih a ni lo.
Heng spot te hi eng ang nge an nih?
Hengte hi a tlangpuiin a zung emaw, oval emaw a ni a, vunah a innghat ang maiin a lang. Mi thenkhat chuan waxy emaw coral ang emaw angin an sawi. Vun chunglam atanga chawi sang an ni. A châng chuan an flat a, mahse i kut zungtang hmanga i khawih chuan a danglamna chu i hre thei.
A tam zawkah chuan hengte hi a rawng chu brown an ni. Mahse a châng chuan a dum, a sen hring, a sen, a sen, a var emaw pawh a ni thei. Vawi tam tak chu vawi khatah pakhat aia tam hmuh theih a ni.
Heng spot te chunglam hi protein pakhat keratin an tih atanga siam a ni. Hei hi kan kut zungtang leh rannung ki siamtu material tho a ni. Chuvangin an texture rough tak tak an nei a ni. Spot thenkhat chu a chhungah bubble te emaw cyst te ang maiin a lang. Ṭhenkhat chu crust emaw, wart emaw ang maiin an lang. Mi dangte chu thluak chunga wrinkles ang mai an ni.
| Mihring ziarang | Hrilhfiahna |
|---|---|
| Riruang | Round emaw oval emaw a ni thei |
| Landan | Stuck-on hmel, waxy, scaly ang maia lang |
| Rawng | A tlangpuiin a sen a, mahse a dum, a sen hring, a sen, a sen, a var a ni thei |
| Nihphung | Vun atanga rawn chhuak a ni a, i kut zungtang hmangin i hre thei. |
Hengte hi tuin nge siam?
Hengte hi tu chungah pawh a thleng thei a, mahse a bik takin a hnuaia mite zingah hian a awm fo thin:
- Kum 50 chunglam: Hengte hi kum chanve vel atanga lo lang tan a ni tlangpui. Tleirawl zawkte chuan an nei tlem hle. Mi 30% velin kum 40 an tlin chuan pakhat an nei a, kum 70 an tlin chuan 75% velin an nei bawk.
- Chhungkaw chanchin nei mite: I nu, i pa, a nih loh leh i unaute hian heng natna hi an neih chuan i vei theihna a sang zawk. Hei hian genetic influence a awm thei tihna a ni.
- Vun dum nei te: Hengte hi vun dum nei te zingah a tam zawk. Mahse, vun natna chi khat, mahse a danglam deuh deuh ``Dermatosis Papulosa Nigra'' tih hi vun dum nei, African emaw Asian hnam chhuak te zingah a tam zawk a ni.
Eng thilin nge hengte hi a thlen?
Hengte hi a chhan dik tak hriat a la ni lo. Mahse, tar nêna inzawm an ni tih kan hria. Zirna thenkhatah chuan ni chhuahna pawh hi an thanlenna tur a ni thei tih an sawi. Chhungkaw pakhata an tlan duh avangin genetic component a awm bawk.
A pawimawh ber chu hengte hi virus emaw bacteria emaw avanga lo awm a ni lo. Chuvangin hri kai theih an ni lo va , mi pakhat atanga mi dangah an darh lo.
Heng spot te hi a tlangpuiin a lo thang zawi zawi hle. Mahse hun rei lote chhunga i taksa pum puiah heng hmun tam tak i hmuh thut chuan ngaihtuahawm tak a ni. A tlem hle a, hei hi taksa chhunga cancer chhinchhiahna a ni thei. Doctor-te chuan hei hi ‘Sign of Leser-Trélat’ an ti a. Mahse he inzawmna hi a la finfiah lo. Mahse hetiang thil hi i hmuh chuan i doctor chuan test dang engemaw zat a rawt ang.
Heng spot te hian symptom dang a thlen em?
A tam zawkah chuan symptoms a awm lo a, mahse mi thenkhat chuan hetiang hi an report thin:
- Itching a ni
- Thawmhnaw inbel avanga vun sen leh natna
- A chang chuan hliam tenau te chuan thisen a chhuah tir thin.
Heng symptoms te hian a tibuai che a nih chuan he hmun hi paih chhuah i ngaihtuah mai thei.
Engtin nge hengte hi cancer natna atanga thliar hran theih ang?
Hei hi a pawimawh ber a ni. A chhan chu vun cancer chi thenkhat chu `Seborrheic Keratosis` nen a inang thei a ni. Chuvang chuan a danglamna chiang taka hriat a pawimawh hle.
Seborrheic Keratosis leh Actinic Keratosis Inthlauhna
`Actinic Keratosis` hi vun cancer chi khat a ni bawk a, kum upat deuh deuhin a lang a, coral ang maiin a lang bawk. Mahse, `Seborrheic Keratosis` angin a pawi lo. `Actinic Keratosis` hi vun ni chhuahna avanga lo awm a ni. Tin, vun cancer a nih theihna chance tlemte (5%-10%) a nei bawk. Chuvang chuan an inthlauhna hi hriat chian a pawimawh hle. `Actinic Keratosis` hi a tlangpuiin flat, rough, ni chhuahna hmunah a awm tam ber.
Seborrheic Keratosis leh Melanoma (vun cancer) inthlauhna chu .
Seborrheic Keratosis hi vun cancer na tak Melanoma an tih ah a lo chang ngai lovang. Mahse, Melanoma cancer thenkhat chu Seborrheic Keratosis ang deuhin a lang thei. Chuvângin, heng inthlâk danglamnate hi hre reng ang che.
| Mihring ziarang | Seborrheic Keratosis (a hlauhawm lo) . | Melanoma (cancer) natna a ni. |
|---|---|---|
| A zat | Vawi tam tak chu pakhat aia tam a thleng thin. | Vawi tam tak chu pakhat chu a mah chauhin a lo thang lian thin. |
| Surface texture a ni | Waxy, scaly, rough tak a ni | Vawi tam tak chu a smooth |
| Kotlang | Edge chiang tak, chiang taka sawifiah a awm bawk | Fuzzy, drawn, irregular edge a nei thei bawk |
| A rawng leh a pianzia | A pianzia inang, a rawng inang a nei. | A pianzia chu asymmetrical a ni a, rawng hrang hrang a awm thei. |
| Thang | A danglam nasa hle. | A thang chak thei a, a pianzia/ rawng a thlak thei bawk |
I taksaa mole awm chungchangah rinhlelhna i neih chuan doctor hnenah entir nghal la, a bik takin dermatologist hnenah entir nghal rawh. Mahni inhriatthiamna nei suh.
Engtin nge doctor hian hei hi a hriat chian?
- Visual examination: Dermatologist chuan hei hi Seborrheic Keratosis a nih leh nih loh a en mai maiin a hre thei tlangpui.
- Dermoscopy: Ringhlelna a awm chuan doctor chuan kut lens te tak te ang maia hmanraw bik (`dermascope`) hmangin a hmun chu a ti lian ang.
- Biopsy: Engti kawng pawhin cancer rinhlelh a nih chuan doctor chuan a hliam te tak te (a nih loh leh a paih vek) chu a la ang a, lab-ah test turin a thawn ang. Hei hi biopsy an ti a.
Enkawl dan leh lakchhuah dan tur
A hmasa berin hei hi a pawi lo va, enkawl ngai a ni lo tih hre reng ang che. Mahse, i hrual, thawmhnaw i hnawih emaw, a lan danah i lungawi lo emaw a nih chuan i paih thei a ni. Doctor office-ah ngei pawh tih theih awlsam tak tak a awm.
- Cryotherapy: Thil lum tak, liquid nitrogen an tih chu mole chu freeze nan an hmang thin. Kar tlemte hnuah a mah chauhin a tla thla ang.
- Electrodessication/Curettage: Mole chu electric current hmangin hal a ni a, chutah chuan hmanraw bik hmangin an scrape chhuak thin.
- Shave Excision: Hetiang method hi biopsy thawn duh tan hman a ni. Numbing damdawi an inject a, mole chu uluk takin an scrape chhuak thin.
- Laser hmanga enkawlna:Laser beam hian a kang a, mole chu a paih chhuak ta a ni.
- Prescription Hydrogen Peroxide: Hei hi enkawlna thar zawk a ni. Doctor chuan hydrogen peroxide solution concentrated sang tak chu a hmunah a hnawih a.
Pawimawh: In lamah hengte hi nangmah ngeiin cut, scrape, lakchhuah tum ngai suh. Hei hian infection leh scarring a thlen thei a ni.
Take-Home Thuchah a ni
- Seborrheic Keratosis hi vun thang tha lo tak a ni a, kan tar chhoh zel chuan a lo awm fo thin.
- Hengte hi cancer an ni lo va, cancer an ni lo ang.
- Skin cancer chi hlauhawm thenkhat chu hengte nen hian a inang thei a, chuvangin i vunah hmun thar emaw, danglam emaw i rinhlelh chuan doctor pan ngei ngei tur a ni.
- Hengte hi enkawl a ngai lo. An paih chhuah chuan cosmetic vang chauh emaw, itching ang chi harsatna vang emaw chauh a ni.
- Hengte hi doctor rawn hmasa lovin nangmah ngeiin enkawl emaw, paih emaw tum suh.
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