He mokomoko pēnei kei tō kanohi? Me kōrero tātou mō te Conjunctival Melanoma!

Kua kite koe i tētahi ira parauri, i tētahi puku iti rānei i te wāhanga mā o tō kanohi? Kāore pea koe i kite. Engari, kāore pea i te ngāwari pērā i tō whakaaro. I tēnei rā ka kōrero tātou mō tētahi mate pukupuku kanohi onge engari he tino morearea.

He aha te Melanoma o te Conjunctival?

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He whakarāpopototanga noa iho, he momo mate pukupuku onge te conjunctival melanoma ka puta i roto i tō kanohi. E kiia ana hoki e ētahi ko te "Conjunctival Malignant Melanoma." Tērā pea kei te whakaaro koe he aha te "conjunctiva". Ko te kiriuhi mārama e kapi ana i te taha o roto o tō kamo, te wāhanga mā o tō kanohi (e kiia ana ko te "sclera") . Hei whakamārama, i te nuinga o te wā, ka puta tēnei melanoma i roto i te "bulbar conjunctiva", te kiriuhi mucous e tiaki ana i te wāhanga mā o tō kanohi.

He momo mate pukupuku kanohi tēnei (kanohi melanoma). Ka tīmata te mate pukupuku ina tīmata te tipu haere o ngā pūtau e kiia nei ko ngā melanocytes . Ka whakaputahia e ēnei melanocytes te tae e kiia nei ko te melanin e homai ana te tae ki ō tātou kiri, makawe, me ngā kanohi. Kua rongo pea koe i te mate pukupuku kiri, ā, koinā te mate. Engari he mate tēnei e pā ana ki ngā kanohi. He mea nui kia mahara he mate pea tēnei i ētahi wā .

E hia te auau o tēnei āhuatanga?

Ina hoki, he mate pukupuku tino onge te conjunctival melanoma. E 2% noa iho o ngā pukupuku kanohi katoa e kitea ana. E 0.25% anō hoki, arā, tata ki te hauwhā, o ngā melanoma katoa. Heoi, e kiia ana kua paku piki ake te maha o ngā kēhi i ngā tau tata nei.

I ngā whenua o te Hauāuru, ko te auau kei waenga i te 0.2 me te 0.5 mō ia miriona tāngata ia tau. Ko te nuinga o te wā ka pā ki ngā tāngata mā ehara i te hunga Pāniora. Heoi, ka pā anō hoki ki ngā tāngata Āhia, mangu, me ngā tāngata Pāniora. He tino onge tēnei i roto i ngā tamariki .

Tētahi atu mea, ehara tēnei mate pukupuku kanohi i te momo mate pukupuku kanohi pērā i te retinoblastoma, i te intraocular melanoma rānei. Ko te intraocular melanoma tētahi e puta ana i te paparanga waenga o te kanohi (uvea), ā, koinei te momo mate pukupuku e tino kitea ana i roto i te kanohi. Ko te Retinoblastoma tētahi e puta ana i roto i te retina, kei muri o te kanohi.

He aha ngā tohu o tēnei?

Kāore pea he tohu i ngā wāhanga tōmua o te ocular melanoma. Heoi, ki te puta mai ngā tohu o te conjunctival melanoma, ko ēnei pea:

• He mole tae (he tae) kei roto i te kanohi . I ētahi wā, kāore he tae o tēnei mole. I taua wā, ka kiia ko 'amelanotic Conjunctival Melanoma' . Ko te tikanga o 'Amelanotic' he 'ngaro' te melanin.
• Ka taea e tēnei ira te papatahi pērā i te kōpae, te ara ake rānei pērā i te puku (nodular).
• Kotahi anake te kanohi e pā ana ki tēnei ('unilateral').

He aha te take mō tēnei?

Nā te mea he tino onge te mate kiriuhi kanohi, kāore anō kia tino mārama ngā kairangahau he aha te tino take . Tērā pea he pānga o ngā ira, engari kāore e pangia, e horapa rānei mai i te tangata ki te tangata.

Heoi anō, e rua ngā āhuatanga kua hono mārama ki te whanaketanga o te conjunctival melanoma. Ko ēnei:

• (Melanosis Matua i Whiwhi – PAM): Koinei te wā ka puta he ira nui atu i te 1 mm, ā, he tae pea, kāore i te kitea i te whānautanga. Ka puta pea tēnei āhuatanga PAM me ngā pūtau rerekē, kāore rānei.
• Ngā tohu whānau o te kanohi: Koinei ngā mea e kīia ana e tātou he tohu whānau, he ira, he ira rānei.

He ētahi atu āhuatanga mōrearea anō kei reira?

He maha ngā āhuatanga mōrearea e whai wāhi ana ki te whanaketanga o te melanoma kanohi whānui:

• He kanohi kikorangi, he kanohi kākāriki rānei.Ko te hunga he kanohi mārama te tae, he nui ake te tūponotanga ka pāngia e te mate melanoma kanohi i te hunga he kanohi parauri.
• He Pākehā. He nui ake te tūponotanga o te hunga Pākehā ki te pāngia e te mate pukupuku kanohi i ngā tāngata o ētahi atu iwi.
• Te koroheketanga. Ka piki ake tēnei mōrearea i a koe e pakeke haere ana.

E whakaaro ana ngā kaipūtaiao he take mōrearea anō hoki te pānga o te hihi ultraviolet .

He aha ngā raruraru ka pā mai i tēnei?

Ki te kore e rongoatia, ka taea e te melanoma te whakapouri, tae atu ki te mate .

Me pēhea koe e mōhio ai ki tēnei?

Ka taea e tō tākuta kanohi te kite i te mate pukupuku o te kanohi i te wā e tirotirohia ana te kanohi. Mēnā kei te whakapae rātou, ka tonoa pea e rātou ēnei whakamātautau:

• Whakamātautau Ultrasonography ('Ultrasonography').
• Tomography Whārite Ātaahua (OCT): He whakamātautau tēnei e whakamahi ana i te mārama taiaho hei ine i te matotoru o te conjunctiva.
• Whakamātautau koiora.

Ki te whakaaro tō tohunga kanohi kua horapa pea tēnei mate kiriuhi kanohi (metastasized) ki ētahi atu wāhanga o te tinana, ka tonoa pea e ia ētahi atu whakamātautau. Hei tauira:

• Ngā whakamātautau toto .
• Ko ētahi atu whakamātautau whakaahua pērā i te matawai PET, te matawai CT (matawai Tomography Rorohiko), te matawai MRI rānei (matawai Whakaahua Resonance Aukume).

He aha te rongoā mō tēnei?

Ka kōrero tō tākuta ki a koe, ā, ka āwhina i a koe ki te whiriwhiri i te maimoatanga pai rawa atu mō tō āhua. Tērā pea ka uru atu ki te maimoatanga tētahi o ēnei e whai ake nei:

• Te tango pokanga o te whara.
• Te rongoā kiri mā te whakamahi i te makariri nui.
• He maimoatanga āwhina noa iho te rongoā irahiko me te rongoā matū kiriuhi (arā, ehara i te maimoatanga tuatahi). Tērā pea kei roto i te rongoā irahiko te rongoā irahiko me te rongoā irahiko hihi o waho.

He aha ngā pānga taha, ngā raruraru rānei o te maimoatanga?

Ko ngā raruraru pea o te pokanga mō te melanoma conjunctival ko:

• Te whara o tō kornea.
• Te mate urutā.
• Te tirohanga takirua ('Diplopia').

Ngā raruraru pea o te cryotherapy:

• He kino rangitahi, he kino tuturu rānei ki ētahi wāhanga o tō kanohi, tae atu ki te kornea.
• Iritis (mumura i roto i tō āiri).

Ngā raruraru pea o te chemotherapy ā-papa:

• Te haehae.
• Te riri o te kanohi.
• Mamae kanohi.
• Te wiri o te kamo (blepharospasm).
• Ngā whara o te kornea.

Ngā raruraru ka puta mai i te rongoā irahiko:

• Ngā kanohi maroke.
• Ngā pakaru o te kornea rangitahi.
• Te ngaronga o ngā kamo.
• Ngā katarata arotahi.

Mena kāore ēnei maimoatanga e angitu, me tango pea e tō tākuta te kanohi e pāngia ana .

Kia pēhea te tere o taku pai ake i muri i te maimoatanga?

Ko te tere o tō oranga ake ka whakawhirinaki ki te momo maimoatanga ka whiwhi koe . Ka kōrerohia tēnei e tō tākuta ki a koe ina whiriwhiria e koe te maimoatanga e tika ana māu.

Ka taea te ārai i te melanoma conjunctival?

Kāore e taea te ārai katoa i te mate pukupuku kiriuhi kanohi, engari ka taea e koe te mahi i ētahi mea hei whakaiti i tō mōrearea.

Me pēhea taku whakaiti i te mōrearea?

Ka taea e koe te whakaiti i tō tupono ki te pāngia e te conjunctival melanoma mā te mau i ngā mōhiti kanohi me ngā pōtae pai , inā koa i te wā e paki ana i waho. Mā tēnei ka āwhina i a koe ki te tiaki i a koe mai i ngā hihi UV. He mea pai hoki kia whakawhāitihia tō pānga ki te rā.

He aha ngā mea ka taea e au te tumanako mēnā he mate pukupuku kiri tōku?

Mena kei a koe te mate pukupuku kanohi, ki te rongoatia, he pai te tumanako ka ora koe . Heoi, tera pea ka ngaro te tirohanga. Mena ka horapa te mate pukupuku kanohi (metastasizes), arā, ka neke ki ētahi atu wāhanga o te tinana, ka nui ake te kino o te mate. Mena ka horapa, tera pea ka horapa ki ō pukahukahu me ō kōpū lymph .

Me pēhea taku tiaki i ahau anō?

Anei ētahi mea ka taea e koe te mahi hei āwhina i a koe ki te tiaki i a koe anō:

• Whakaritea, ā, haere ki ngā wā whakarite me tō tīma hauora i te wā tika.
• Te kai pai.
• Te whakakorikori tinana i ia wā, i ia wā.
• Te whakaiti i te ahotea.
• Akohia, ā, uru atu ki ngā ratonga mō te hunga he iti te tirohanga me te hunga he tirohanga takirua.

Āhea ahau me toro atu ki taku tākuta?

Ki te kite koe i tētahi mea hou, i tētahi mea rānei e āwangawanga ana mō tō hauora, mō tō tirohanga rānei, i tua atu i ō wā tirotiro noa, me toro atu ki te tākuta tonu .

He aha te rerekētanga i waenga i te conjunctival nevus me te conjunctival melanoma?

Ko te nevus conjunctival he tipu kore-matepukupuku (pai) i runga i tō conjunctiva. I roto i ngā kupu kore-hauora, ka kiia hoki te nevus he mole, he tohu whānau, he tohu ataahua rānei. Ehara te nevus i te matepukupuku, engari tera ētahi wā ka taea e te nevus conjunctival te huri hei matepukupuku, e kiia nei ko te melanoma conjunctival .

Ki te kite koe i tētahi ira hou, i te matotoru, i te kino haere rānei o tētahi ira kua tīariari i te wāhanga mā o tō kanohi, me toro atu koe ki tētahi tākuta kanohi . He raruraru pea te rongonga kei a koe te conjunctival melanoma, he momo matepukupuku. Heoi, he pai ake te kimi i tētahi tātaritanga tika me te tīmata wawe i te maimoatanga. Mā tēnei ka āwhina i a koe kia whiwhi i te putanga pai rawa atu (matapae).

Hei whakamutunga, ngā mea hei maumahara

Nō reira, ko tāku tumanako kua mārama pai koe ki tā tātou i kōrero ai, arā, te conjunctival melanoma. He okana tino tairongo te kanohi . Nō reira, ki te kite koe i tētahi panoni iti, i tētahi mea rerekē rānei i roto i tō kanohi, kaua e warewarehia. Kia tūpato rawa ki ngā ira hou, ki ngā ira pōuri, me ngā puku. He mea tino nui te kite wawe me te maimoatanga tere i roto i ēnei āhuatanga . Nō reira, he mea tino nui kia tirotirohia ō kanohi i te iti rawa kotahi i te tau. Ki te pā mai he raruraru, kaua e mangere ki te kōrero ki tō tākuta.