Kua āwangawanga koe mō ngā mole i tō tinana? Kua kite pea koe he rerekē ētahi mole i ētahi atu, he nui ake, he rerekē te tae, ā, kāore he āhua. Koinei tā tātou e kōrero ai i tēnei rā. Ka karangatia ēnei e tātou he 'mole rerekē', e mōhiotia ana rānei i te taha hauora ko `(Dysplastic Nevus)`. Kaua e manukanuka, ka kōrerohia tēnei e tātou i roto i te huarahi māmā noa iho, ā, i roto i te huarahi e mārama ai koe.
He aha ēnei ira? He aha te rerekētanga i waenga i ngā ira noa me ngā ira rerekē?
Āe, tuatahi, me titiro tātou ki te aha te mokomoko. He momo pūtau motuhake tēnei e homai ana i te tae ki tō tātou kiri, ko ngā melanocytes te ingoa. Ka puta ngā mokomoko ina huihui ēnei melanocytes ki te wāhi kotahi. I roto i te reo hauora, ka kiia te mokomoko he nevus . Ina he maha ngā mokomoko, ka kiia rātou he nevi .
He iraira noa iho te nuinga o te tangata. He mea noa mō te pakeke he kiri mā, kia 40 pea ngā iraira. Ko ēnei iraira noa me ngā iraira rerekē e kōrerohia nei e tātou i tēnei rā ka tīmata te puta mai i te wā tamarikitanga me te taiohitanga.
Nā, kia titiro tātou he aha te dysplastic nevus , te mole rerekē rānei. He kupu ngāwari, he mole rerekē te āhua i te mole noa. Tērā pea he taha koretake, he tae whakaranu, ā, tera pea he nui ake te āhua i ētahi atu mole.
Ko te tikanga o te kupu 'dysplastic' he pūtau rerekē kei roto i te kiko. Ka kiia hoki tēnei ko te dysplasia . Kaua e manukanuka , ehara ēnei pūtau rerekē i te mate pukupuku, arā, he pai ( kāore he mate pukupuku). Heoi, i ētahi wā ka huri hei mate pukupuku. Koia te take me āwangawanga koe mō tēnei.
He pēhea te noa o ēnei ira rerekē? He tūponotanga tūturu kei te pāngia koe e te mate pukupuku?
He nui ake te kitea o ēnei wāhi rerekē i tō whakaaro. E ai ki ngā tohunga, kotahi i roto i te tekau o ngā Amerikana he wāhi rerekē tōna. Nō reira, ka kitea pea tēnei āhuatanga i Sri Lanka i ētahi wā, i ētahi wā rānei.
Ko te pātai nui inaianei: Ka puta te mate pukupuku kiri i tēnei `(Dysplastic Nevus)`?
Ki te pono, āe, he tūponotanga kei reira. Mena kei a koe ēnei momo ira rerekē, he nui ake tō tūponotanga ki te whakawhanake i tētahi momo mate pukupuku kiri kino e kiia nei ko te melanoma i te tangata noa. Ko te nui ake o ō ira rerekē, ko te nui ake o tō tūponotanga ki tēnei mate pukupuku. Whakaarohia, ko te tangata he 10, neke atu rānei ngā ira rerekē, e tekau mā rua ngā wā ka nui ake te tūponotanga ki te whakawhanake i te melanoma.
Engari, tērā tētahi atu mea. Kāore e pāngia te katoa e ngā ira rerekē. Kia maumahara ki tēnā. Nō reira, kaua e manukanuka nui.
E ai ki ngā tohunga, tata ki te kotahi i roto i te whā o ngā take melanoma ka tīmata mai i tētahi dysplastic nevus kua tīariari i mua, arā, he mole rerekē.
He aha ētahi atu ingoa mō tēnei `(Dysplastic Nevus)`?
Ina kōrero tō tākuta mō tēnei `(Dysplastic Nevus)`, ka taea hoki e koe te whakamahi i ēnei kupu:
- Mole rerekē
- Te nevi o Clark
- Nevus whānau (he momo tohu whānau tēnei)
- Spitz nevus
He aha i puta mai ai ēnei ira rerekē?
Kāore anō kia tino mōhiotia e ngā tohunga te take, engari e whakapono ana rātou he huinga o ngā āhuatanga ira (arā, ki te pāngia tētahi o tō whānau e tēnei mate, ka nui ake te tūponotanga ka pāngia koe) me ngā āhuatanga taiao (ina koa ko te pānga ki te hihi ultraviolet (UV) mai i te rā) .
He aha ngā ara e puta mai ai tēnei hihi ultraviolet?
E mōhio ana tātou katoa ko te rā te pūtake tūturu matua o ngā hihi `(UV)`. Hei tāpiri, ko ngā hihi `(UV)` ka hangaia ā-hangai e:
- Ko ētahi rama halogen, rama incandescent, me ngā rama fluorescent, tae atu ki ētahi hihi laser.
- E whakamahia ana ngā rama kohu mercury i ngā wāhi nunui pērā i ngā papa tākaro me ngā whare takaro tinana.
- Ngā moenga whakamākūkū kiri me ngā rama rā. Me karo rawa koe i ēnei.
Ko wai kei te nui ake te mōrearea ki te whakawhanake i ēnei ira rerekē?
Ina hoki, ka taea e te tangata te pāngia e ēnei ira rerekē, ahakoa te pakeke, te ira tangata, te tae kiri rānei. Kāore te kiri mangu e tiaki katoa i a koe mai i te pāngia e ēnei ira, i te mate pukupuku kiri rānei. Engari ka taea te whakaiti i te mōrearea ki tētahi taumata.
Ko te hunga whai āhuatanga e whai ake nei ka nui ake te tūponotanga ka puta he ira rerekē:
- He kiri mā, he iraira, he kanohi me he makawe mārama te tae.
- Mena he mole rerekē tō tetahi o te whānau, he mate pukupuku kiri, he melanoma rānei.
- Mena he hītori tōu o te nui rawa o te pānga o te rā me te werawera i te rā, ki te kore rānei koe e kaha ki te parauri (arā, ka whero tō kiri engari kāore e mangu ina pāngia e te rā).
- Mena he aro nui tōu ki ngā hihi UV.
Me pēhea e mōhio ai koe ki tēnei wāhi rerekē? He aha ōna āhuatanga?
Tērā pea kei tētahi mole rerekē (Dysplastic Nevus) tētahi, ētahi rānei o ēnei āhuatanga. Hei āwhina i a koe ki te maumahara ki ēnei, he ture kei reira e kiia nei ko te ture ABCDE . Kia mārama tātou ki tēnei i te reo Sinhala:
- A - Āhua kore taurite: Mena ka wehea te ira kia rua, he āhuatanga rerekē mena kāore i te ōrite ngā taha e rua, arā, he rerekē tetahi taha i tetahi. Ko te ira noa he āhua taurite te nuinga, arā, he porowhita, he porowhita rānei te āhua.
- B - Ngā rohe koretake: Mena he mārama, he pōuriuri, he taratara, he kōpikopiko ngā taha o te ira, pērā i te takutai moana i runga i te mapi, he tohu anō tēnā hei tirotiro. He maeneene, he mārama hoki ngā taha o ngā ira noa.
- C - Ngā Tae:He mea whakapae anō hoki mēnā ehara te mole i te tae kotahi, engari he kotahi, he maha rānei ngā tae e konatunatua ana, pērā i te māwhero, te whero, te parauri mārama, te parauri pouri, te mangu rānei. I ētahi wā ka rite ki te kikorangi. He parauri kotahi te tae o te mole noa.
- D - Rahi (Diameter): Mena he nui ake te ira i te rahi o te ūkui pene (tata ki te 1/4 inihi, tata ki te 6 mirimita rānei), kia aro atu hoki ki tēnā. Heoi, ko ētahi ira rerekē ka iti ake i tēnei. Waihoki, ko ētahi ira noa ka nui ake i tēnei. Nō reira, kāore e taea te whakatau i runga i te rahi anake, me titiro koe ki tēnā me ētahi atu āhuatanga.
- E - Te Whanaketanga: Mena ka rerekē te rahi, te āhua, te tae rānei o te mole i roto i te wā, ka toto te mole, ka mākūkū, ka mamae, ka rerekē rānei te mata (hei tauira, ka taratara te mole maeneene), he mea anō hoki tēnā me whai whakaaro.
Hei tāpiri, tera pea he papatahi, he kirikiri te āhua o tētahi ira rerekē, he paku teitei ake rānei i te mata.
Kei hea o te tinana e tino kitea ai ēnei ira rerekē?
Ka puta pea ēnei ira rerekē ki ngā wāhi katoa o tō tinana, engari ko te nuinga o te wā ka kitea i:
- I te rohe o te tinana (arā, te uma, te puku, te tuara)
- Me ngā pito o ngā ringa me ngā waewae
- I roto i te upoko
- kaki
- Te tumuaki (Tērā pea ka ngaro ēnei nā te mea kei muri i te makawe, nō reira whakamahia he whakaata, me tono rānei kia tirohia e tētahi atu.)
He aha atu ngā raruraru ka puta mai i tēnei `(Dysplastic Nevi)`?
Haunga te mōrearea o te melanoma, ki te mea he maha ō ira rerekē, ka mōrearea anō hoki koe ki te pāngia e te mate pukupuku kanohi (melanoma kanohi) . Nō reira, me tirotiro tonu koe i ō kanohi.
Me pēhea te tautuhi a ngā tākuta i ēnei ira rerekē (Dysplastic Nevi)?
Ki te whakapae koe he rerekē ngā ira kei a koe, he pai ake te toro atu ki tētahi tākuta kiri, he tākuta tohunga ki ngā mate kiri. Ko rātou te hunga ka taea te tātaritanga tika me te rongoā i ngā āhuatanga pēnei i ngā mate kiri me te mate pukupuku kiri.
Ka taea e tō tākuta te whakahaere i ngā whakamātautau penei:
- Ngā whakamātautau kiri: Kotahi, e rua rānei i te tau, ka tirohia ō mole mō ngā huringa. Mena kua pangia tētahi o tō whānau e te melanoma, ka tonoa pea koe kia tirotirohia ēnei i ia toru ki te ono marama.
- Dermoscopy: Ko te whakamahi i tētahi taputapu whakanui motuhake e kiia nei ko te dermatoscope hei rapu i ngā āhuatanga rerekē o te mole kāore e kitea e te kanohi tahanga. He rite ki te titiro ki tētahi mole mā te karuārai. Mā tēnei ka taea e koe te kite mārama i ngā tauira me ngā tae ngawari o te mole.
- Te mahere ira:Ka whakamahia he kāmera motuhake (he karu tirotiro kiri anō hoki) hei hanga i tētahi mahere rorohiko o tō kiri me ngā ira. Mā tēnei ka māmā ake te whakataurite i ngā huringa o ngā ira i roto i te wā. He tino whai hua tēnei mō te hunga he maha ngā ira.
Ka taea e koe te kite i ngā huringa rerekē o ngā ira?
Ka taea e koe! He mea nui kia tirotirohia tō kiri i ia wā. Mena he rerekē ō ira, he take mōrearea rānei mō te mate pukupuku kiri, ka tūtohu ngā tākuta kia tirohia tō kiri i te iti rawa kotahi i te marama . Ka taea hoki e koe te tango whakaahua me te pupuri kia kite ai koe i ngā huringa i ia marama.
I a koe e tirotiro ana mō ngā ira, kia maumahara ki te ture ABCDE i kōrerotia e tātou i mua ake nei.
- A (Kāore i te ōrite): He āhua ōrite kore rānei?
- B (Rohe): He koretake, he pōuri rānei ngā taha?
- C (Tae): He maha atu i te kotahi ngā tae kua konatunatua?
- D (Diameter): He nui ake te rahi i te ūkui pene (neke atu i te 6 mm)?
- E (Te Whanaketanga): Kei te nui haere te ira, kei te huri te āhua, kei te huri rānei te tae i roto i te wā? Kei te mākūkū, kei te toto, kei te mamae rānei?
Ki te kite koe i tētahi mea rerekē, kaua e whakaaro noa, "He mea noa iho tēnei," engari me toro atu ki te tākuta tonu. Ahakoa he mea iti noa iho, he pai tonu kia tirohia.
Me pēhea te rongoā i ēnei ira rerekē?
I te nuinga o te wā, kāore he maimoatanga motuhake e hiahiatia ana mō tētahi mole rerekē, ki te kore e whakaūtia e te koiora kiri (he whakamātautau e tango ana i tētahi wahi kiri) he mate pukupuku, he huringa rānei i mua i te mate pukupuku. Mēnā ka kī tō tākuta he melanocytic hyperplasia rerekē te koiora, he dysplastic āhua-waenga ki te tino kino rānei , ko te tikanga he nui te mōrearea o te mate pukupuku. Mēnā koinā, ka rongoā tō tākuta i te mole mā tētahi atu pokanga.
Ko te rongoā mō ngā more rerekē ko te tango pokanga i te more me te iti o te kiri hauora e karapoti ana. Mena ka whakaūtia e te koiora he mate pukupuku te more rerekē (melanoma), ka mahi pea tō tākuta i tētahi pokanga nui ake, ka whakamahi rānei i tētahi tikanga e kiia nei ko te pokanga Mohs . Ka tiakina e tēnei tikanga te nui o ngā kiko hauora e taea ana.
Ka taea e au te ārai i te putanga mai o ngā ira rerekē? Me pēhea taku tiaki i a au mai i te rā?
Ahakoa ka piki ake te mōrearea o te melanoma mēnā he mole rerekē tō te kiri, kāore te tango noa i ngā mole noa e whakaiti i tēnei mōrearea.
Kāore rawa he mea e taea e koe te mahi hei ārai katoa i te putanga mai o ngā ira rerekē, nā te mea he āhuatanga ira anō hoki. Engari ki te mea kei a koe ēnei ira, he mea nui kia tiakina tō kiri mai i ngā kino o te rā. Kaua rawa hoki e whakamahi i ngā moenga tanning.
Mahia ēnei mea hei tiaki i tō kiri mai i te rā:
- Whakaitihia te haere ki waho i ngā wā tino pukumahi (mai i te 10 i te ata ki te 4 i te ahiahi).
- Ki te haere koe ki waho, mauria he pōtae whānui, he kākahu ringaringa roa, me he mōhiti kanohi.
- Kia tino whakamahia he hinu ārai-rā me te SPF o te 30, neke atu rānei . Tāpirihia mō te 15-30 meneti i mua i te haerenga ki waho. Tāpirihia anō i ia rua hāora mēnā ka werawera koe, ka mākū, ka werawera rānei.
- Kaua e tukua ngā pēpi (kei raro iho i te 6 marama) ki te rā tika i ngā wā katoa e taea ana.
He aha te āhua hauora o te tangata e pāngia ana e te `(Dysplastic Nevus)`?
He maha ngā tāngata he ira rerekē ō rātou (tae atu ki ngā ira noa) engari kāore e pāngia e te mate pukupuku kiri. Heoi, he mea nui kia tirohia tō kiri i ia wā mō ngā huringa rerekē. Mā te kitenga wawe me te rongoā i tētahi mate pēnei i te melanoma ka taea te whakaora i ngā oranga. Nō reira he mea nui kia tūpato, kaua hoki e mataku.
He aha te 'Atypical Mole Syndrome'?
He nui ngā mole o te hunga whai mate mole rerekē, ā, he nui ake te tūponotanga ki te pāngia e te melanoma. Ahakoa he noa te nuinga o ēnei mole, he rerekē ētahi. Ka nui ake ētahi mole i te hautoru o te inihi (tata ki te 8 mm).
Ko tētahi atu āhuatanga e kiia ana ko te Familial Atypical Multiple Mole Melanoma (FAMMM syndrome) . Ka pā tēnei ki ngā mema o te whānau kotahi. Ka whakanui ake te mōrearea o te whakawhanake i ngā mole atypical me te melanoma nā te whakarerekētanga ira tuku iho. E 25 ngā wā ka nui ake te tūponotanga o te hunga whai mate FAMMM ki te whakawhanake i te melanoma.
Hei whakamutunga, koinei taku e mea atu nei ki a koe (Karere hei tango ki te kāinga)
He maha ngā tāngata he mole rerekē ō rātou, engari kāore e pāngia e te melanoma. Engari ki te mea he mole rerekē ōu, e kiia nei ko te dysplastic nevi, me whakarite kia tirohia tonutia tō kiri (he whakamātautau kiri-whaiaro). Mā tēnei, ka taea e koe te kite wawe i ngā huringa. Ka taea e tō tākuta te ako i a koe me pēhea te mahi i ēnei whakamātautau-whaiaro me te kī atu ki a koe he aha ngā huringa hei tirotiro māu. Tērā pea ka kī atu rātou kia haere mai koe ki te tirotiro auau, kia tirohia hoki ō kanohi. Ki te kite koe i ētahi huringa i roto i tō kiri, me toro atu ki tō tākuta tonu. Ko te kitenga wawe te mea nui. Kaua e mataku, he mea whakaaro nui kia tūpato. Tiakina tō kiri, kia ora tonu!
` Ngā iraira, Ngā ira rerekē, Ngā ira dysplastic, Matepukupuku kiri, Melanoma, Hauora kiri, Rā











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