Ngaba unomgca omnyama ongaqhelekanga ezinzipheni zakho? Masifunde ngakumbi ngeSubungual Melanoma.

Ngaba wakha waphawula umgca omnyama okanye omdaka ongaqhelekanga kwizipho zakho okanye ezinzwaneni? Isenokubonakala ngathi idwetshwe ngepeni nje. Abantu abaninzi bacinga ukuba yimvuthuluka nje okanye usulelo oluncinci. Nangona kunjalo, isenokungabi lula njengoko sicinga. Isenokuba luhlobo lomhlaza wolusu olubizwa ngokuba yiSubungual Melanoma , olukhula phantsi kweenzipho. Ngoko masithethe ngale nto ngokweenkcukacha namhlanje, kuba kubaluleke kakhulu ukuyiqonda le nto.

Ngoko ke, yintoni le (i-Subungual Melanoma)?

Ngamafutshane, i-Subungual Melanoma luhlobo lomhlaza wolusu olukhula phantsi kweenzipho zakho . Ngokuchanekileyo, ngumhlaza wezinzipho. Ihlala ibonakala njengomgca omnyama, othe nkqo ohamba ukusuka phezulu ukuya ezantsi ecaleni kweenzipho. I-Subungual Melanoma luhlobo lomhlaza wolusu olungaqhelekanga kodwa oluyingozi kakhulu . Oogqirha bayibiza ngokuba yi-"Acral Lentiginous Melanoma." Luhlobo lomhlaza wolusu olunobundlongondlongo kwaye lunokusasazeka ngokukhawuleza. Ngokungafaniyo neminye imihlaza yolusu, i-Subungual Melanoma ayibangelwa kukukhanya kwelanga . Inokwenzeka kakhulu ukuba ikhule kwizinzipho zonyawo lwakho olukhulu, unyawo olukhulu, okanye umnwe wokukhomba.

Lo mhlaza wezinzipho ukhula kwindawo apho uzipho lukhula khona, olubizwa ngokuba yi-nail matrix . I-nail matrix yinxalenye yebhedi yakho yezinzipho (izicubu ezipinki phantsi kozipho) engaphantsi nje kolusu. Ikwanayo nemithambo-luvo, imithambo yegazi, kunye nee-lymph nodes. Ngelixa eminye imiphunga yolusu iqala phezu kolusu, umhlaza wezinzipho uqala kwiiseli ezikhethekileyo ezibizwa ngokuba yi-melanocytes . Ezi melanocytes zivelisa umbala obizwa ngokuba yi-melanin onika ulusu lwethu umbala walo. Xa ezi seli zisebenza ngesizathu esithile, ukuveliswa kwe-melanin kuyanda. Oku kubizwa ngokuba yi-hyperpigmentation . Kulapho loo migca ithe nkqo phantsi kozipho ibonakala khona.

Abantu abaninzi bacinga ukuba xa umbala weenzipho utshintsha, kungenxa yokuba unyawo lubetheke ndaweni ithile, okanye ngenxa yosulelo oluthile. Ngenxa yoko, lo mhlaza weenzipho udla ngokufunyanwa emva kwexesha kunezinye iintlobo zomhlaza. Ngenxa yokuba, abantu abazi iimpawu zokulumkisa oku. Ngenxa yoko, ukwazi ukuba zeziphi iimpawu zalo mhlaza weenzipho kuya kukunceda ufumane unyango ngokukhawuleza. Ukuba (i-Subungual Melanoma) ifunyanwa kwangethuba (oko kukuthi, ngaphambi kokuba umhlaza usasazeke), amathuba okuchacha aphezulu kakhulu .

Ijongeka njani le nto? Zithini iimpawu zayo?

I-Subungual Melanoma idla ngokubonakala yahlukile kakhulu. Abanye abantu bathi kubonakala ngathi umntu uzobe umgca kwisikhonkwane ngophawu olumnyama okanye olumdaka. Ibonakala njengomgca omnyama oqala ezantsi kwesikhonkwane ukuya phezulu. Lo mgca usenokuba mncinci ekuqaleni, kodwa ngokuhamba kwexesha unokukhula ugqume lonke uzipho uze udlulele kwi-cuticle.Olu tshintsho lombala alufani, kodwa lunokuba nemibala eyahlukeneyo emnyama nemdaka.

Ngokwesiqhelo, umgca omnye onombala ungaphantsi kweemilimitha ezi-3 ububanzi (malunga nobubanzi beepeni ezimbini ezicinezelweyo), kodwa unokwanda ngokuhamba kwexesha. Imigca inokwanda ngenani ize ibe nkulu. Ukwanda komgca kudla ngokuqala ezantsi kwesikhonkwane. Kwezinye iimeko (i-Subungual Melanoma), umbala wesikhonkwane awutshintshi. Endaweni yoko, iqhuma elincinci, elingalinganiyo (`nodule`) linokuvela elinokuphakama ngaphezu kwesikhonkwane okanye isikhonkwane singonakaliswa ngezinye iindlela.

Ngubani onokuthi aphuhlise oku ngakumbi?

Nabani na unokuba ne-subungual melanoma. Nangona kunjalo, ukuba uphakathi kweminyaka engama-50 ukuya kwengama-70 kwaye unesikhumba esimnyama , usemngciphekweni omkhulu wokufumana lo mhlaza phantsi kweenzipho. Uqheleke kakhulu kubantu abamnyama baseMelika, baseAsia, okanye baseHispanic.

Ixhaphake kangakanani le meko?

I-Subungual Melanoma yimeko engaqhelekanga kakhulu , ebalelwa phakathi kwe-0.7% kunye ne-3.5% yazo zonke iintlobo zomhlaza we-melanoma ezixelwe kwihlabathi liphela.

Zithini iimpawu zomhlaza wezinzipho?

Uphawu oluphambili lwe-subungual melanoma ngumgca onombala obonakala ezinzipheni . Lo mgca uhlala umdaka okanye umnyama ngombala, kwaye uhamba ngokuthe nkqo ukusuka phezulu ukuya ezantsi. Ngamanye amaxesha, lo mgca unokuba nomzimba ongaqhelekanga kwaye unokwanda ngobude nobubanzi ngokuhamba kwexesha.

Ukuba une-Subungual Melanoma, uzipho lwakho lunokubonakala ngolu hlobo:

• Uzipho lunokuqhekeka, luqhekeke, okanye lutshintshe imilo.
• I-pigment isenokuba ayiqhelekanga (oko kuthetha ukuba umbala awusasazwanga ngokulinganayo).
• Kusenokubakho ukudumba okanye ukudumba.
• Uzipho lunokuphakanyiswa ebhedini.
• Inxeba, iqhuma lisenokuvela, okanye lingaqala ukopha.
• Ulusu olujikeleze uzipho lunokutshintsha umbala (oku kubizwa ngokuba luphawu lweHutchinson).

Ngamanye amaxesha, akukho tshintsho kumbala weenzipho konke konke. Yiyo loo nto kubalulekile ukuqaphela nantoni na engaqhelekanga okanye eyahlukileyo malunga neenzipho zakho, ingakumbi ukuba awukhumbuli ukuba uzibethe okanye uzilimaze ndaweni ithile.

I-Subungual Melanoma inokubhidaniswa lula nosulelo lwezinzipho okanye ukukrweleka, ngoko ke ukuba ubona into engaqhelekanga phantsi okanye kwinzipho zakho, kungcono ukubona ugqirha ukuze ayihlole.

Bona ugqirha ukuba ubona naluphi na utshintsho kwezi zinzipho zakho:

• Ukuba umbala uyatshintsha.
• Ukuba imo iyatshintsha.
• Ukuba iqala ukuphakama, ukubaleka.
• Ukuba ubukhulu buyatshintsha.
• Ukuba ngequbuliso ibukeka njengemingxuma.

Kutheni le nto (i-Subungual Melanoma) isenzeka? Zithini izizathu?

(I-Subungual Melanoma) iyakhulaIsizathu esichanekileyo asikaziwa. Iingcali zonyango ziyazi ukuba sixhaphake kakhulu kubantu abadala abanesikhumba esimnyama. Ngokungafaniyo neentlobo ezininzi ze-melanoma, asibangelwa kukukhanya kwelanga. Ukulimala okanye ukwenzakala kwizipho kunokuba yinto ebangela umngcipheko. Izinto ezibangela ufuzo, imbali yosapho yolu hlobo lomhlaza, kunye nee-skin moles nazo zinokuba negalelo kule meko.

Iqala njani i-melanoma? Isasazeka ngokukhawuleza kangakanani?

I-Subungual Melanoma idla ngokuqala njengebala elincinci, elimnyama phantsi kweenzipho . Ekuhambeni kwexesha, olu tshintsho lombala lunokuba banzi kwaye lungahambelani. Uzipho ludla ngokonakala, njengokuqhekeka okanye ukuxobuka. Njengoko umhlaza usiya usiba mandundu, unokuqala ukopha.

Lo mhlaza wezinzipho ungathatha iinyanga ezininzi ukuba uvele. Awenzeki ngobusuku obunye. Usenokuwubona, uze uwulibale, uze uwubone kwakhona emva kweeveki ezimbalwa.

Ndingaqiniseka njani ukuba ndine (Subungual Melanoma)?

Ugqirha wakho uza kufumanisa ukuba unayo na i-subungual melanoma ngokuhlola uzipho lwakho aze ahlole imbali yakho yezonyango. Baza kujonga ukuba uzipho lwakho lufana na ne-subungual melanoma na nokuba usemngciphekweni omkhulu wokuba nale meko.

Eyona nto ibalulekileyo kukungalubethi ngoyaba naluphi na utshintsho olukwizinzipho zakho. Ukuba unamathandabuzo, kungcono ukubona ugqirha ukuze akunike ingcebiso.

Luhlobo luni lovavanyo olwenziwayo ukuqinisekisa oku?

Kukho imida yokujonga nje uzipho lwakho ngamehlo akho. Oku kungadidaniswa nezinye iimeko okanye ukwenzakala. Ngenxa yoko, ugqirha wakho angenza i-"Dermoscopy" (uvavanyo lolusu) okanye i-"Biopsy" (uvavanyo lwezicubu eziphilayo) .

• I-dermoscopy kuxa ugqirha ehlola uzipho lwakho nge-microscope ekhethekileyo (ebizwa ngokuba yi-dermascope). Oku kumenza abone indawo ngokweenkcukacha.
• I-biopsy inokubonisa ngokuqinisekileyo ukuba kukho umhlaza. Oku kuquka ukuthatha isampuli yethishu kuloo ndawo kunye nokuyivavanya ukuba ayinayo i-melanoma. Ugqirha usebenzisa isixhobo esifana netyhubhu ukuthatha iqhekeza elincinci lethishu.

Kunokwenziwa olunye uvavanyo ukuze kubonwe ukuba umhlaza usasazeke na kwezinye iindawo.

Ziziphi iindlela zonyango ze-Subungual Melanoma?

Ngaphambili, unyango oluqhelekileyo lwe-subungual melanoma yayikukunqumla umnwe ochaphazelekayo (`ukunqunyulwa`), kodwa ngoku kwenziwa kuphela njengesisombululo sokugqibela .

Unyango oluphambili lwe-subungual melanoma lutyando . Ugqirha wakho uya kwenza utyando lokususa i-melanoma, kwaye rhoqo uzipho lwakho lonke.

Njengezinye iintlobo zomhlaza, umhlaza wezinzipho unokusasazeka uye kwamanye amalungu omzimba kunye nezicubu zomzimba. Ugqirha wakhoBanokwenza into ebizwa ngokuba yi-"Sentinel Node Biopsy" (oku kujonga ii-lymph nodes apho umhlaza usasazeka khona). Basenokucebisa nezinye iindlela zonyango lomhlaza, ezifana ne- "Immunotherapy" okanye "Radiation Therapy" . Konke oku kwenzelwa ukukunika iziphumo ezilungileyo.

Ngaba lo mhlaza wezinzipho ungasasazeka?

Ewe, (i-Subungual Melanoma) inokusasazeka , ngakumbi kulusu olujikeleze uzipho. Ngoko ke, kubaluleke kakhulu ukuqaphela naluphi na utshintsho olungaqhelekanga kwinzipho zakho okanye kulusu olujikelezileyo. Eyona ndlela ilungileyo yokuthintela (i-Subungual Melanoma) ukuba ingasasazeki kukuyibona kwangethuba .

Lingakanani izinga lokunyangwa xa unesifo (i-Subungual Melanoma)?

(I-Subungual Melanoma) inezinga eliphezulu kakhulu lokusinda xa ifunyenwe kwangethuba . Ukuba ifunyenwe kwangethuba kwaye inyangwa ngokukhawuleza, izinga lokusinda limalunga ne-95% . Nangona kunjalo, ukuba (i-Subungual Melanoma) ifunyenwe kade kwaye umhlaza usasazekile, izinga lokusinda linokuba liphantsi njenge-15% . Ngaba uyayibona ixabiso lokufunyanwa kwangethuba?

Ziziphi izinto ezibangela umngcipheko wokuphuhlisa i-Subungual Melanoma?

Nangona unobangela ochanekileyo we-nail melanoma ungaziwa, oogqirha bakholelwa ukuba ezi zinto zinokunyusa umngcipheko:

• Ukuba mnyama kwesikhumba.
• Omnye umntu kusapho lwakho okanye wena ngokwakho ukhe waba ne-melanoma ngaphambili.
• Ukuba uneminyaka engaphezu kwama-50 ubudala.

Ekubeni i-subungual melanoma ingabangelwa ngokuthe ngqo kukukhanya kwelanga okanye ukuchatshazelwa zizinto eziyingozi, kunzima ukuyithintela. Eyona nto ingcono onokuyenza kukwazi oku kwaye ujonge iinzipho zakho rhoqo ukuba azinawo umbala okanye umonakalo ongaqhelekanga.

Ndingayibuza yiphi imibuzo ugqirha?

Ukuba ufunyaniswe une-melanoma, unokuba nemibuzo emininzi. Yinto eqhelekileyo leyo. Ungabuza imibuzo efana nale:

• Ngaba i-Subungual Melanoma inokunyangeka?
• Zithini amathuba okuba i-Subungual Melanoma iphinde ivele?
• Ngaba ndifuna unyango lwe-chemotherapy okanye i-radiation?
• Ngaba kukho umngcipheko we-melanoma kusapho lwam?
• Ngaba kukho into endinokuyenza ukuthintela oku ukuba kungenzeki kwakhona?

Yintoni umahluko phakathi kwe-subungual melanoma kunye ne-subungual hematoma?

I-subungual hematoma yingqokelela yegazi phantsi kweenzipho zakho . Oku kwenzeka rhoqo xa unesilonda okanye unxibe izihlangu eziqinileyo. I-subungual melanoma ibonakala njengomgca omnyama, ngelixa i-hematoma ibonakala njengenxeba elimnyama okanye indawo ephantsi kweenzipho zakho.I-hematoma isenokuphuma igazi xa usika uzipho lwakho, okanye igazi lisenokuphuma nozipho lize lihambe. I-hematoma ibonakala ngokukhawuleza, nokuba emva nje kokwenzakala okanye kwiiyure ezimbalwa. I-melanoma ikhula kancinci .

Nangona kunjalo, ngamanye amaxesha ingabonakala ngathi yi-hematoma. Ukuba unamathandabuzo okanye uqaphela into engaqhelekanga phantsi kweenzipho zakho, kungcono ukubona ugqirha .

Ngoko ke zeziphi izinto ezibalulekileyo ekufuneka sizikhumbule koku? (Umyalezo Wokubuyela Ekhaya)

Ukwazi iimpawu zeSubungual Melanoma yeyona nto ingcono onokuyenza kolu hlobo lomhlaza wesikhumba. Ukuba ubona umgca omnyama okanye olunye utshintsho olungaqhelekanga kwizipho zakho, qiniseka ukuba ubona ugqirha. Khumbula, uninzi lwabantu luyaphola ukuba i-melanoma ifunyenwe kwaye inyangwa kwangethuba. Ukuba uneSubungual Melanoma, thetha nogqirha wakho malunga nonyango lwakho kunye nento onokuyilindela. Oogqirha bakho bakhona ukukunceda nokumamela iingxaki zakho ngeli xesha linzima. Musa ukoyika, into ebalulekileyo kukwaziswa kwaye uthathe inyathelo ngexesha elifanelekileyo.

I- Subungual Melanoma, Umhlaza Weenzipho, Umhlaza Wesikhumba, Iimpawu Zeenzipho, I-Melanoma, Ukuba Mnyama Kweenzipho, Iimpawu Zomhlaza