Ake sithole ngamabala angajwayelekile emzimbeni wakho? (I-Dysplastic Nevus / Ama-Atypical Moles)

Wake wakhathazeka ngama-moles emzimbeni wakho? Kungenzeka ukuthi uqaphele ukuthi amanye ama-moles ahlukile kwamanye, makhulu, ahlukile ngombala, futhi awanayo imilo. Yilokho esizokhuluma ngakho namuhla. Sibiza lawa ngokuthi 'ama-moles angavamile' noma aziwa ngokwezokwelapha ngokuthi `(Dysplastic Nevus)`. Ungakhathazeki, sizokhuluma ngalokhu kalula nangendlela ongayiqonda.

Ziyini lezi zindawo? Uyini umehluko phakathi kwezindawo ezivamile nezindawo ezingavamile?

Kulungile, ake siqale sibheke ukuthi iyini i-mole. Kukhona uhlobo olukhethekile lweseli olunikeza umbala esikhumbeni sethu, lubizwa ngokuthi ama-melanocytes . Ama-moles akheka lapho la ma-melanocytes ehlangana endaweni eyodwa. Ngokwezokwelapha, i-mole ibizwa ngokuthi i-nevus . Uma kune-moles eziningi, zibizwa ngokuthi i-nevi .

Iningi labantu limane linezimbobo ezivamile . Kujwayelekile ukuthi umuntu omdala onesikhumba esikhanyayo abe nezimbobo ezingaba ngu-40. Zombili lezi zimbobo ezivamile kanye nezimbobo ezingavamile esikhuluma ngazo namuhla zivame ukuqala ukubonakala ngesikhathi sobuntwana kanye nokuthomba.

Manje ake sibone ukuthi iyini i-nevus ene-dysplastic , noma i-mole engavamile . Kalula nje, yi-mole ebukeka ihlukile kune-mole evamile. Ingase ibe nemiphetho engajwayelekile, imibala exubile, futhi ingase ibonakale inkulu kunezinye i-mole.

Igama elithi 'dysplastic' lisho ukuthi kukhona amangqamuzana angajwayelekile esicutshini. Lokhu kubizwa nangokuthi i-dysplasia . Kodwa ungakhathazeki , lawa maseli angajwayelekile awawona umdlavuza, okusho ukuthi anempilo ( awanawo umdlavuza). Kodwa-ke, ngezinye izikhathi angaba umdlavuza. Yingakho kudingeka ukhathazeke ngalokhu.

Zivame kangakanani lezi zindawo ezingavamile? Ingabe ikhona ngempela ingozi yokuba nomdlavuza?

Lezi zindawo ezingavamile zivame kakhulu kunalokho ongase ucabange. Ngokusho kochwepheshe, oyedwa kwabayishumi baseMelika unendawo eyodwa engavamile okungenani. Ngakho-ke, lesi simo singabonakala eSri Lanka ngezinga elikhulu noma elincane.

Manje umbuzo obaluleke kakhulu: Ingabe lokhu `(Dysplastic Nevus)` kubangela umdlavuza wesikhumba?

Uma ngikhuluma iqiniso, yebo, kukhona ingozi. Uma unalezi zinhlobo zamabala angavamile, ingozi yakho yokuthola uhlobo olubi lomdlavuza wesikhumba olubizwa ngokuthi i-melanoma iphakeme kunomuntu ojwayelekile. Uma unawo amabala angavamile, kulapho ingozi yakho yokuthola lo mdlavuza iphakama khona. Cabanga nje, umuntu onezindawo ezingavamile eziyi-10 noma ngaphezulu unamathuba aphindwe kabili okuthola i-melanoma.

Kodwa kukhona okunye. Akuwona wonke umuntu onezindawo ezingavamile ozoba ne-"(Melanoma)". Khumbula nalokho futhi. Ngakho ungakhathazeki ngokungadingekile.

Ochwepheshe bathi cishe oyedwa kwabane abane-melanoma uqala nge-nevus engasebenzi kahle, i-mole engavamile.

Yimaphi amanye amagama ale `(Dysplastic Nevus)`?

Uma udokotela wakho ekhuluma ngalokhu (i-Dysplastic Nevus)`, ungasebenzisa la magama futhi:

• I-mole engavamile
• I-nevi kaClark
• I-Congenital nevus (lolu uhlobo lophawu lokuzalwa)
• I-Spitz nevus

Kungani kuvela lezi zindawo ezingavamile?

Ochwepheshe abasazi kahle ukuthi yini ebangela lokhu, kodwa bakholelwa ukuthi kuyinhlanganisela yezici zofuzo (okusho ukuthi uma othile emndenini wakho enazo, nawe unamathuba amaningi okuzithola) kanye nezici zemvelo (ikakhulukazi ukuchayeka ekukhanyeni kwe-ultraviolet (UV) okuvela elangeni) .

Yiziphi izindlela okuphuma ngazo lokhu kukhanya kwe-ultraviolet?

Sonke siyazi ukuthi ilanga liwumthombo wemvelo oyinhloko wemisebe ye-`(UV)`. Ngaphezu kwalokho, imisebe ye-`(UV)` ikhiqizwa ngokwenziwa yi:

• Ezinye izibani ze-halogen, i-incandescent, kanye ne-fluorescent, kanye nezinye izibani ze-laser.
• Ukukhanyisa ngomusi we-mercury kusetshenziswa ezindaweni ezinkulu njengezinkundla zemidlalo kanye nezindawo zokuzivocavoca.
• Imibhede yokushiswa kwesikhumba kanye nezibani zelanga. Kufanele nakanjani uzigweme lezi zinto.

Ubani osengozini enkulu yokuthola lezi zindawo ezingavamile?

Eqinisweni, noma ubani angaba nalezi zindawo ezingavamile, kungakhathaliseki ubudala, ubulili, noma umbala wesikhumba. Ukuba nesikhumba esimnyama akukuvikeli ngokuphelele ekutholeni lezi zindawo noma umdlavuza wesikhumba. Kodwa ingozi ingancishiswa ngezinga elithile.

Abantu abanezimpawu ezilandelayo banamathuba amaningi okuthola izindawo ezingavamile:

• Isikhumba esikhanyayo kakhulu, amabala anombala, namehlo nezinwele ezikhanyayo.
• Uma kukhona emndenini onezimpukane ezingavamile, umdlavuza wesikhumba, noma i-melanoma.
• Uma unomlando wokuchayeka kakhulu elangeni kanye nokushiswa yilanga, noma uma ungakwazi ukunsunduza (okusho ukuthi isikhumba sakho siba bomvu kodwa hhayi sibe mnyama uma sichayeke elangeni).
• Uma unesifo sokukhanya kwelanga emisebeni ye-UV.

Uyibona kanjani le ndawo engavamile? Yiziphi izici zayo?

I-mole engavamile (i-Dysplastic Nevus) ingaba nesinye noma ngaphezulu salezi zici. Ukuze sikusize ukhumbule lezi, kunomthetho obizwa ngokuthi umthetho we-ABCDE . Masiwuqonde ngesiSinhala:

• A - Ukuma okungalingani: Uma i-mole ihlukaniswe phakathi, kuyisici esingavamile uma ingafani nhlangothi zombili, okusho ukuthi uhlangothi olulodwa luhlukile kolunye. I-mole evamile ivame ukuba nobukhulu obulinganayo, okusho ukuthi iyindilinga noma i-oval ngesimo.
• B - Imingcele engajwayelekile: Uma imiphetho ye-mole ingacacile, ifiphele, noma ilukhuni, igobile, njengogu lolwandle emephini, lokho futhi kuyisibonakaliso okufanele usibheke. Imiphetho ye-mole evamile ivame ukuba bushelelezi futhi icacile.
• C - Imibala:Kuyasolisa futhi uma i-mole ingeyona umbala owodwa, kodwa inombala owodwa noma ngaphezulu exutshwe ndawonye, ​​njengopinki, obomvu, onsundu okhanyayo, onsundu omnyama, noma omnyama. Ngezinye izikhathi ingabukeka njengombala oluhlaza okwesibhakabhaka. I-mole evamile ivame ukuba umbala owodwa onsundu.
• D - Usayizi (Ububanzi): Uma i-mole inkulu kunosayizi we-eraser yepensela (cishe i-1/4 intshi, noma cishe amamilimitha ayi-6), naka nalokho futhi. Kodwa-ke, amanye ama-moles angajwayelekile angaba mancane kunalawa. Futhi, amanye ama-moles ajwayelekile angaba makhulu kunalawa. Ngakho-ke, awukwazi ukunquma ngokusekelwe kusayizi wodwa, udinga ukuwubheka kanye nezinye izici.
• E - Ukuguquka: Uma usayizi, ukuma, noma umbala we-mole ushintsha ngokuhamba kwesikhathi, noma uma i-mole iphuma igazi, iluma, ibuhlungu, noma izinguquko ebusweni (isb., i-mole ebushelelezi iba lukhuni), lokho futhi kuyinto okufanele icatshangelwe nakanjani.

Ngaphezu kwalokho, indawo engavamile ingaba nokubukeka okuyisicaba, okunamatshe amancane, noma ingaphakama kancane ebusweni.

Kukuphi emzimbeni lapho lezi zindawo ezingavamile zivame kakhulu khona?

Lezi zindawo ezingavamile zingavela noma kuphi emzimbeni wakho, kodwa zivame ukubonakala ku:

• Endaweni yesiqu (isib. isifuba, isisu, umhlane)
• Futhi imikhawulo yezingalo nemilenze
• Ekhanda
• Intamo
• Isikhumba sekhanda (Lezi zingaphuthelwa ngoba zingemuva kwezinwele, ngakho sebenzisa isibuko noma ucele omunye umuntu azihlole.)

Yiziphi ezinye izinkinga ezingaba khona ngenxa yale `(Dysplastic Nevi)`?

Ngaphezu kwengozi ye-melanoma, uma unezindawo eziningi ezingavamile, usengozini yokuba nomdlavuza wamehlo (i-melanoma yamehlo) . Ngakho-ke, kuzodingeka uhlolwe amehlo njalo.

Odokotela bazibona kanjani lezi zindawo ezingavamile (i-Dysplastic Nevi)?

Uma usola ukuthi unamabala angajwayelekile, kungcono ukubona udokotela wesikhumba, udokotela ogxile ezifweni zesikhumba. Yibo abangakwazi ukuxilonga nokwelapha ngokunembile izimo ezifana nezifo zesikhumba nomdlavuza wesikhumba.

Udokotela wakho angenza izivivinyo ezifana nalezi:

• Ukuhlolwa kwesikhumba: Kanye noma kabili ngonyaka, ama-moles akho azohlolwa ukuthi awanazo yini izinguquko. Uma othile emndenini wakho eke waba ne-melanoma, ungase ucelwe ukuthi wenze lokhu kuhlolwa njalo ezinyangeni ezintathu kuya kweziyisithupha.
• I-dermoscopy: Lokhu kuhilela ukusebenzisa ithuluzi elikhethekile lokukhulisa elibizwa ngokuthi i-dermatoscope ukuze kubhekwe izinkinga ku-mole ezingabonakali ngeso lenyama. Kufana nokubuka i-mole nge-microscope. Lokhu kukuvumela ukuthi ubone amaphethini angabonakali nemibala ye-mole ngokucacile.
• Ukumapha kwe-Mole:Lokhu kusebenzisa ikhamera ekhethekile (enayo nelensi yesikhumba) ukudala imephu yekhompyutha yesikhumba sakho kanye namabala. Lokhu kwenza kube lula ukuqhathanisa izinguquko kumabala ngokuhamba kwesikhathi. Lokhu kuwusizo ikakhulukazi kubantu abanezibala eziningi.

Ungakwazi yini ukubona izinguquko ezingavamile ezindaweni?

Ungakwenza nakanjani! Kubalulekile ukuzihlola isikhumba njalo. Uma unezindawo ezingavamile noma ezinye izinto eziyingozi zomdlavuza wesikhumba, odokotela batusa ukuhlola isikhumba sakho okungenani kanye ngenyanga . Ungathatha nezithombe uzigcine ukuze ubone noma yiziphi izinguquko inyanga nenyanga.

Uma uhlola izindawo, khumbula umthetho we-ABCDE esikhulume ngawo ngaphambili.

• A (Asymmetrical): Ingabe ukuma akulingani?
• B (Umngcele): Ingabe imiphetho ayijwayelekile noma ayicacile?
• C (Umbala): Ingabe imibala engaphezu kowodwa ixubile?
• D (Ububanzi): Ingabe usayizi mkhulu kune-eraser yepensela (ngaphezu kuka-6 mm)?
• E (Ukuvela): Ingabe indawo iyakhula, ishintsha isimo, noma umbala ngokuhamba kwesikhathi? Ingabe kukhona ukulunywa, ukopha, noma ubuhlungu?

Uma ubona noma yini engavamile, ungacabangi nje ukuthi, "Lokhu kuyiphutha nje," bese ubona udokotela ngokushesha. Ngisho noma kuyinto encane, kungcono njalo ukuyihlola.

Uziphatha kanjani lezi zindawo ezingavamile?

Ngokuvamile, i-mole engavamile ayidingi ukwelashwa okukhethekile, ngaphandle kokuthi i-biopsy yesikhumba (ukuhlolwa okuthatha ucezu lwesikhumba) kuqinisekisa ukuthi inomdlavuza noma inezinguquko zangaphambi komdlavuza. Uma udokotela wakho ethi i-biopsy iyi -atypical melanocytic hyperplasia noma i-dysplastic elinganiselayo kuya kwenzima , lokhu kusho ukuthi ingozi yomdlavuza iphezulu. Kuleso simo, udokotela wakho uzoyelapha i-mole ngokuhlinzwa okunye.

Ukwelashwa kwama-moles angajwayelekile ukususa i-moles ngokuhlinzwa kanye nesikhumba esincane esinempilo esizungezile. Uma i-biopsy iqinisekisa ukuthi i-moles engajwayelekile inomdlavuza (i-melanoma), udokotela wakho angenza ukuhlinzwa okukhulu, noma angase asebenzise inqubo ebizwa ngokuthi ukuhlinzwa kukaMohs . Le nqubo igcina izicubu eziningi ezinempilo ngangokunokwenzeka.

Ngingakuvimbela yini ukubonakala kwamabala angajwayelekile? Ngingazivikela kanjani elangeni?

Nakuba ukuba nama-moles angavamile kwandisa ingozi ye-melanoma, ukususa ama-moles avamile akunciphisi le ngozi.

Akukho lutho ongakwenza ukuvimbela ngokuphelele ukubonakala kwamabala angajwayelekile, njengoba kukhona nezici zofuzo. Kodwa uma unawo, kubalulekile ukuvikela isikhumba sakho ekulimaleni yilanga. Futhi, ungalokothi usebenzise imibhede yokushiswa kwesikhumba.

Yenza lezi zinto ukuze uvikele isikhumba sakho elangeni:

• Nciphisa ukuphuma ngesikhathi sezikhathi ezimatasa (ngokuvamile kusukela ngo-10 ekuseni kuya ku-4 ntambama) ngangokunokwenzeka.
• Uma uphuma ngaphandle, gqoka isigqoko esibanzi, izingubo ezinemikhono emide, kanye nezibuko zelanga.
• Qiniseka ukuthi usebenzisa isithako sokuvikela ilanga esine-SPF engama-30 noma ngaphezulu . Faka imizuzu eyi-15-30 ngaphambi kokuya ngaphandle. Phinda ufake njalo emahoreni amabili uma ujuluka, umanzi, noma ushiswa yilanga.
• Gwema ukubeka izinsana (ezingaphansi kwezinyanga eziyisithupha) elangeni eliqondile ngangokunokwenzeka.

Sinjani isimo sempilo somuntu one-`(Dysplastic Nevus)`?

Abantu abaningi banamabala angajwayelekile (ngisho namabala ajwayelekile) kodwa awabi nomdlavuza wesikhumba. Kodwa-ke, kubalulekile ukuhlola isikhumba sakho njalo ukuthola noma yiziphi izinguquko ezingavamile. Ukutholwa kusenesikhathi kanye nokwelashwa kwesimo esifana ne-melanoma kungasindisa izimpilo. Ngakho-ke kubalulekile ukuqaphela hhayi ukwethuka.

Iyini 'i-Atypical Mole Syndrome'?

Abantu abane-atypical mole syndrome banenani elikhulu lama-moles futhi basengozini enkulu yokuthola i-melanoma. Nakuba iningi lala ma-moles livamile, amanye awavamile. Amanye ama-moles angaba ngaphezu kwengxenye yesithathu ye-intshi (cishe amamilimitha angu-8).

Isimo esihlukile sibizwa ngokuthi i-Familial Atypical Multiple Mole Melanoma (i-FAMMM syndrome) . Lokhu kuthinta amalungu omndeni ofanayo. Ukuguqulwa kwezakhi zofuzo okuzuzwe njengefa kwandisa ingozi yokuthola ama-moles angavamile kanye ne-melanoma. Abantu abane-FAMMM syndrome banamathuba aphindwe ka-25 okuthola i-melanoma.

Ekugcineni, yilokhu engikushoyo kini (Umyalezo Wokuya Ekhaya)

Abantu abaningi banezimpukane ezingavamile, kodwa abakaze babe ne-melanoma. Kodwa uma unezimpukane ezingavamile, ezibizwa ngokuthi i-dysplastic nevi, yenza umkhuba ukuhlola isikhumba sakho njalo (ukuzihlola isikhumba). Ngale ndlela, ungabona noma yiziphi izinguquko ngokushesha. Udokotela wakho angakufundisa ukuthi ungazihlola kanjani lezi zivivinyo futhi akutshele ukuthi yiziphi izinguquko okufanele uziqaphele. Bangase futhi bakutshele ukuthi uze uzohlolwa njalo, futhi uhlolwe amehlo akho. Uma ubona noma yiziphi izinguquko esikhumbeni sakho, bona udokotela wakho ngokushesha. Ukutholwa kusenesikhathi kubalulekile. Ungesabi, kuwukuhlakanipha ukuqaphela. Nakekela isikhumba sakho, uhlale uphilile!

Ama - Freckles, Amabala Angavamile, I-Dysplastic Nevus, Umdlavuza Wesikhumba, I-Melanoma, Impilo Yesikhumba, Ukukhanya Kwelanga