Masifumanise ngamabala angaqhelekanga emzimbeni wakho? (I-Dysplastic Nevus / Ii-Atypical Moles)

Ngaba wakha wakhathazeka ngee-moles emzimbeni wakho? Usenokuba uqaphele ukuba ezinye ii-moles zahlukile kwezinye, zinkulu, zahlukile ngombala, kwaye azinamilo. Yiloo nto siza kuthetha ngayo namhlanje. Ezi sizibiza ngokuba 'zii-moles ezingaqhelekanga' okanye ezaziwa ngokwezonyango ngokuba yi-`(Dysplastic Nevus)`. Ungakhathazeki, siza kuthetha ngale nto ngokulula nangendlela onokuyiqonda.

Zithini ezi ndawo? Yintoni umahluko phakathi kweendawo eziqhelekileyo kunye neendawo ezingaqhelekanga?

Kulungile, masiqale sijonge ukuba yintoni i-mole. Kukho uhlobo oluthile lweseli olunika umbala kulusu lwethu, lubizwa ngokuba yi-melanocytes . Ii-Moles zenziwa xa ezi melanocytes ziqokelelana kwindawo enye. Ngokwezonyango, i-mole ibizwa ngokuba yi-nevus . Xa kukho ii-moles ezininzi, zibizwa ngokuba yi-nevi .

Uninzi lwabantu lunee-freckles eziqhelekileyo . Kuqhelekile ukuba umntu omdala onolusu olukhanyayo abe nee-freckles ezimalunga nama-40. Zombini ezi freckles ziqhelekileyo kunye nee-freckles ezingaqhelekanga esithetha ngazo namhlanje zihlala ziqala ukubonakala ngexesha lobuntwana kunye nokufikisa.

Ngoku makhe sibone ukuba yintoni i-dysplastic nevus , okanye i-mole engaqhelekanga . Ngamafutshane, yi-mole ebonakala yahlukile kwi-mole eqhelekileyo. Isenokuba nemiphetho engahambelaniyo, imibala exutyiweyo, kwaye inokubonakala inkulu kunezinye ii-mole.

Igama elithi 'dysplastic' lithetha ukuba kukho iiseli ezingaqhelekanga kwithishu. Oku kukwabizwa ngokuba yi-dysplasia . Kodwa ungakhathazeki , ezi seli ezingaqhelekanga azingomhlaza, oko kuthetha ukuba azinabungozi ( azinamhlaza). Nangona kunjalo, ngamanye amaxesha zinokuba ngumhlaza. Yiyo loo nto kufuneka ukhathazeke ngale nto.

Zixhaphake kangakanani ezi ndawo zingaqhelekanga? Ngaba ikho ngokwenene ingozi yokuba nomhlaza?

Ezi ndawo zingaqhelekanga zixhaphake kakhulu kunokuba unokucinga. Ngokutsho kweengcali, umntu omnye kwabalishumi baseMelika unendawo enye engaqhelekanga ubuncinane. Ngoko ke, le meko inokubonwa eSri Lanka ngokubanzi okanye kancinci.

Ngoku umbuzo obaluleke kakhulu: Ngaba le `(Dysplastic Nevus)` ibangela umhlaza wolusu?

Ukuthetha inyani, ewe, kukho umngcipheko. Ukuba unezi ntlobo zamabala angaqhelekanga, umngcipheko wakho wokuba nomhlaza wolusu onzima obizwa ngokuba yi -melanoma uphezulu kunomntu oqhelekileyo. Okukhona unawo amabala angaqhelekanga, kokukhona umngcipheko wakho wokuba nalo mhlaza uphezulu. Khawucinge nje, umntu oneendawo ezili-10 nangaphezulu unamathuba aphindwe kabini okuba nomhlaza we-melanoma.

Kodwa kukho enye into. Asinguye wonke umntu onamabala angaqhelekanga oza kuba ne-"(Melanoma)". Khumbula loo nto. Ngoko ke ungakhathazeki ngokungeyomfuneko.

Iingcali zithi malunga nesinye kwiziganeko ezine ze-melanoma siqala nge-nevus esele ikhona, i-mole engaqhelekanga.

Ngawaphi amanye amagama ale `(Dysplastic Nevus)`?

Xa ugqirha wakho ethetha ngale `(Dysplastic Nevus)`, ungasebenzisa la magama:

• I-mole engaqhelekanga
• I-nevi kaClark
• I-Congenital nevus (olu luhlobo lophawu lokuzalwa)
• I-Spitz nevus

Kutheni le nto kuvela la mabala angaqhelekanga?

Iingcali azikayazi kakuhle into ebangela oku, kodwa zikholelwa ukuba yindibaniselwano yezinto ezibangelwa yimfuza (oko kuthetha ukuba ukuba umntu kusapho lwakho unazo, nawe unokuba nazo) kunye nezinto ezisingqongileyo (ingakumbi ukuchatshazelwa kukukhanya kwe-ultraviolet (UV) okuvela elangeni) .

Ziziphi iindlela eziphuma ngazo olu kukhanya kwe-ultraviolet?

Sonke siyazi ukuba ilanga ngumthombo wendalo oyintloko wemitha ye-`(UV)`. Ukongeza, imitha ye-`(UV)` iveliswa ngokwenziwa yi:

• Ezinye izibane ze-halogen, i-incandescent, kunye ne-fluorescent, kunye nezinye izibane ze-laser.
• Ukukhanyisa ngomphunga weMercury kusetyenziswa kwiindawo ezinkulu ezifana neenkundla zemidlalo kunye neendawo zokuzilolonga.
• Iibhedi zokuthambisa ilanga kunye nezibane zelanga. Ngokuqinisekileyo kufuneka uziphephe ezi zinto.

Ngubani osengozini enkulu yokufumana la mabala angaqhelekanga?

Enyanisweni, nabani na angafumana la mabala angaqhelekanga, kungakhathaliseki ubudala, isini, okanye umbala wolusu. Ukuba nolusu olumnyama akukukhuseli ngokupheleleyo ekufumaneni la mabala okanye umhlaza wolusu. Kodwa umngcipheko ungancitshiswa ngandlela ithile.

Abantu abaneempawu ezilandelayo banamathuba amaninzi okuba namabala angaqhelekanga:

• Ulusu oluhle kakhulu, amabala, namehlo neenwele ezikhanyayo.
• Ukuba kukho umntu kusapho one-moles engaqhelekanga, umhlaza wolusu, okanye i-melanoma.
• Ukuba unembali yokuchama kakhulu elangeni nokutsha lilanga, okanye ukuba awukwazi ukuthambisa isikhumba sakho (oko kuthetha ukuba ulusu lwakho luba bomvu kodwa lungabi mnyama xa luchama lilanga).
• Ukuba une-photosensitivity kwi-UV ray.

Uyibona njani le ndawo ingaqhelekanga? Zithini iimpawu zayo?

I-mole engaqhelekanga (i-Dysplastic Nevus) inokuba nenye okanye ngaphezulu kwezi mpawu. Ukuze kukuncede ukhumbule ezi zinto, kukho umthetho obizwa ngokuba ngumthetho we-ABCDE . Masiwuqonde ngesiSinhala:

• A - Imilo engalinganiyo: Ukuba i-mole yahlulwe phakathi, luphawu olungaqhelekanga ukuba ayifani kumacala omabini, oko kuthetha ukuba icala elinye lahlukile kwelinye. I-mole eqhelekileyo isoloko ilingana, oko kuthetha ukuba ingqukuva okanye imile okweqanda.
• B - Imida engangqalanga: Ukuba imiphetho ye-mole ayicacanga, ayicacanga, okanye irhabaxa, ijijekile, njengonxweme olukwimephu, olo luphawu olufanele lujongwe. Imiphetho ye-mole eqhelekileyo idla ngokuba bushelelezi kwaye icacile.
• C - Imibala:Kuyathandabuzeka nokuba i-mole ayingombala mnye, kodwa inombala omnye okanye ngaphezulu oxutywe kunye, njengopinki, obomvu, onsundu okhanyayo, onsundu obumnyama, okanye omnyama. Ngamanye amaxesha inokufana nombala oluhlaza okwesibhakabhaka. I-mole eqhelekileyo idla ngokuba ngumbala omnye onsundu.
• Ubukhulu (Ububanzi): Ukuba i-mole inkulu kunobukhulu be-pensile eraser (malunga ne-1/4 intshi, okanye malunga neemilimitha ezi-6), nika ingqalelo nako. Nangona kunjalo, ezinye ii-moles ezingaqhelekanga zinokuba ncinci kunezi. Kwakhona, ezinye ii-moles eziqhelekileyo zinokuba nkulu kunezi. Ke ngoko, awunakukhetha ngokusekwe kubukhulu bodwa, kufuneka ubujonge kunye nezinye iimpawu.
• E - Ukuguquka: Ukuba ubungakanani, imilo, okanye umbala we-mole uyatshintsha ngokuhamba kwexesha, okanye ukuba i-mole iyopha, iyarhawuzelela, ibuhlungu, okanye utshintsho kumphezulu (umz., i-mole egudileyo iba rhabaxa), loo nto nayo yinto ekufuneka iqwalaselwe ngokuqinisekileyo.

Ukongeza, indawo engaqhelekanga inokuba nembonakalo ethe tyaba, enamaqhekeza amancinci, okanye iphakame kancinci phezu komphezulu.

Ziphi iindawo ezingaqhelekanga ezixhaphake kakhulu emzimbeni?

Ezi ndawo zingaqhelekanga zinokuvela naphi na emzimbeni wakho, kodwa zibonakala kakhulu apha:

• Kwindawo yesiqu (umz. esifubeni, esiswini, emqolo)
• Nemiphetho yeengalo nemilenze
• Entlokweni
• Intamo
• Intloko yentloko (Ezi zisenokungabonwa kuba zisemva kweenwele, ngoko sebenzisa isipili okanye ucele omnye umntu azijonge.)

Ziziphi ezinye iingxaki ezinokubakho ngenxa yale `(Dysplastic Nevi)`?

Ukongeza kumngcipheko we-melanoma, ukuba unamabala amaninzi angaqhelekanga, usengozini yokuba nomhlaza wamehlo (i-melanoma yamehlo) . Ngoko ke, kuya kufuneka uhlolwe amehlo rhoqo.

Oogqirha bazichonga njani ezi ndawo zingaqhelekanga (iDysplastic Nevi)?

Ukuba ukrokrela ukuba unamabala angaqhelekanga, kungcono ukubona ugqirha wesikhumba, ugqirha ogxile kwizifo zolusu. Ngabo banokuxilonga ngokuchanekileyo baze banyange iimeko ezifana nezifo zolusu kunye nomhlaza wolusu.

Ugqirha wakho angenza iimvavanyo ezifana nezi:

• Ukuhlolwa kolusu: Kanye okanye kabini ngonyaka, ii-moles zakho ziya kuhlolwa ukuba azinatshintsho na. Ukuba kukho umntu kusapho lwakho oye waba ne-melanoma, ungacelwa ukuba wenze olu vavanyo rhoqo kwiinyanga ezintathu ukuya kwezintandathu.
• I-Dermoscopy: Oku kuquka ukusebenzisa isixhobo esikhethekileyo sokukhulisa esibizwa ngokuba yi-dermatoscope ukujonga iingxaki kwi-mole ezingabonakaliyo ngeliso lenyama. Kufana nokujonga i-mole nge-microscope. Oku kukuvumela ukuba ubone iipateni ezingabonakaliyo kunye nemibala ye-mole ngokucacileyo.
• Imephu yeemole:Oku kusebenzisa ikhamera ekhethekileyo (enelensi yesikhumba) ukwenza imephu yekhompyutha yolusu lwakho kunye namabala. Oku kwenza kube lula ukuthelekisa utshintsho kumabala ngokuhamba kwexesha. Oku kuluncedo ngakumbi kubantu abaneebala ezininzi.

Ngaba uyakwazi ukubona utshintsho olungaqhelekanga kwiindawo ezithile?

Ngokuqinisekileyo ungakwenza! Kubalulekile ukuzihlola ulusu rhoqo. Ukuba unamabala angaqhelekanga okanye ezinye izinto ezinokubangela umhlaza wolusu, oogqirha bacebisa ukuba ujonge ulusu lwakho ubuncinane kanye ngenyanga . Ungathabatha iifoto uze uzigcine ukuze ubone naluphi na utshintsho inyanga nenyanga.

Xa ujonga iindawo, khumbula umthetho we-ABCDE esithethe ngawo ngaphambili.

• A (Asymmetrical): Ngaba imo ayilingani?
• B (Umda): Ngaba imiphetho ayilunganga okanye ayicacanga?
• C (Umbala): Ngaba kuxutywe imibala engaphezu komnye?
• D (Ububanzi): Ngaba ubukhulu bukhulu kune-raser yepensile (ngaphezulu kwe-6 mm)?
• E (Ukuvela): Ingaba indawo iya isiba nkulu, itshintsha imo, okanye umbala ngokuhamba kwexesha? Ngaba kukho ukurhawuzelela, ukopha, okanye intlungu?

Ukuba ubona into engaqhelekanga, musa ukucinga nje ukuba, "Le yimpazamo nje," uze ubone ugqirha ngoko nangoko. Nokuba yinto encinci, kungcono ukuyihlola.

Uziphatha njani ezi ndawo zingaqhelekanga?

Ngokwesiqhelo, i-mole engaqhelekanga ayifuni naluphi na unyango olukhethekileyo, ngaphandle kokuba i-skin biopsy (uvavanyo oluthatha iqhekeza lesikhumba) iqinisekisa ukuba inomhlaza okanye ineenguqu zangaphambi komhlaza. Ukuba ugqirha wakho uthi i-biopsy yi -atypical melanocytic hyperplasia okanye i-dysplastic ephakathi ukuya kweyona inzima , oku kuthetha ukuba umngcipheko womhlaza uphezulu. Kwimeko enjalo, ugqirha wakho uza kuyinyanga i-mole ngotyando olunye.

Unyango lwee-moles ezingaqhelekanga kukususa i-moles ngotyando kunye nolusu oluncinci oluphilileyo oluyijikelezileyo. Ukuba i-biopsy iqinisekisa ukuba i-moles engaqhelekanga inomhlaza (i-melanoma), ugqirha wakho unokwenza utyando olukhulu, okanye angasebenzisa inkqubo ebizwa ngokuba yi -Mohs surgery . Le nkqubo igcina izicubu ezinempilo kangangoko kunokwenzeka.

Ndingakwazi na ukuthintela ukubonakala kwamabala angaqhelekanga? Ndingazikhusela njani elangeni?

Nangona ukuba nee-moles ezingaqhelekanga kwandisa umngcipheko we-melanoma, ukususa nje ii-moles eziqhelekileyo akunciphisi lo mngcipheko.

Akukho nto unokuyenza ukuthintela ngokupheleleyo ukubonakala kwamabala angaqhelekanga, njengoko kukwakho nefuthe lemfuza. Kodwa ukuba unawo, kubalulekile ukukhusela ulusu lwakho ekonakaleni lilanga. Kwakhona, ungaze usebenzise iibhedi zokutshisa ilanga.

Yenza ezi zinto ukuze ukhusele ulusu lwakho elangeni:

• Nciphisa ukuphuma ngexesha leeyure ezixakekileyo (ngesiqhelo ukusuka nge-10 kusasa ukuya kwi-4 emva kwemini) kangangoko unako.
• Ukuba uphuma phandle, nxiba umnqwazi obanzi, impahla enemikhono emide, kunye neeglasi zelanga.
• Qiniseka ukuba usebenzisa i-sunscreen ene-SPF engama-30 nangaphezulu . Faka imizuzu eli-15-30 ngaphambi kokuba uphume phandle. Phinda ufake rhoqo emva kweeyure ezimbini ukuba uyabila, uyamanzi, okanye utshiswe lilanga.
• Kuphephe ukuveza iintsana (ezingaphantsi kweenyanga ezi-6) elangeni ngqo kangangoko kunokwenzeka.

Injani imeko yempilo yomntu one-`(Dysplastic Nevus)`?

Abantu abaninzi banamabala angaqhelekanga (kwaye namabala aqhelekileyo) kodwa ababi nomhlaza wolusu. Nangona kunjalo, kubalulekile ukujonga ulusu lwakho rhoqo ukuze ubone naluphi na utshintsho olungaqhelekanga. Ukufunyanwa kwangoko kunye nonyango lwemeko efana ne-melanoma kunokusindisa ubomi. Ngoko ke kubalulekile ukuba uqaphele kwaye ungoyiki.

Yintoni i-'Atypical Mole Syndrome'?

Abantu abane-atypical mole syndrome banenani elikhulu lee-moles kwaye basengozini enkulu yokuba ne-melanoma. Nangona uninzi lwezi moles ziqhelekile, ezinye aziqhelekanga. Ezinye ii-moles zinokuba nkulu kune-intshi enye (malunga ne-8 mm).

Imeko eyahlukileyo ibizwa ngokuba yiFamilial Atypical Multiple Mole Melanoma (FAMMM syndrome) . Oku kuchaphazela amalungu osapho olunye. Ukuguqulwa kwezakhi zofuzo okuzuzwe njengelifa kwandisa umngcipheko wokufumana ii-moles ezingaqhelekanga kunye ne-melanoma. Abantu abane-FAMMM syndrome banamathuba angama-25 okuba ne-melanoma.

Okokugqibela, nantsi into endifuna ukuyithetha kuwe (Umyalezo Wokubuyela Ekhaya)

Abantu abaninzi bane-moles ezingaqhelekanga, kodwa abaze babe ne-melanoma. Kodwa ukuba une-moles ezingaqhelekanga, ezibizwa ngokuba yi-dysplastic nevi, yenza umkhwa wokujonga ulusu lwakho rhoqo (uvavanyo lolusu ngokwakho). Ngale ndlela, unokubona naluphi na utshintsho ngokukhawuleza. Ugqirha wakho angakufundisa indlela yokwenza ezi ziviwo zobuqu aze akuxelele ukuba loluphi utshintsho omele uluqaphele. Banokukuxelela nokuba uze rhoqo ukuze uhlolwe, kwaye uhlolwe amehlo akho. Ukuba ubona naluphi na utshintsho kulusu lwakho, bona ugqirha wakho ngoko nangoko. Ukufumanisa kwangoko kubalulekile. Musa ukoyika, bubulumko ukuba uqaphele. Nyamekela ulusu lwakho, uhlale usempilweni!

Amaqhuqhuva , Amaqhuqhuva Angaqhelekanga, iDysplastic Nevus, umhlaza wolusu, iMelanoma, impilo yolusu, ukukhanya kwelanga