Ingabe kukhona indawo entsha esikhumbeni sengane yakho? Ingabe kungaba yi-Spitz Nevus? Ake sixoxe!

Kuvamile ukuzizwa wesaba kancane uma ngokuzumayo ubona indawo entsha, mhlawumbe i-blister encane, esikhumbeni somntwana wakho, akunjalo? Ikakhulukazi uma ibukeka ihlukile kancane, bese uzibuza, 'Kuyini lokhu?' Ngaleso sikhathi, umbuzo owodwa ofika engqondweni yakho yilesi simo (i-Spitz Nevus).

Kuyini (i-Spitz Nevus)?

Kalula nje, i-Spitz Nevus iwuphawu lokuzalwa olungenalo umdlavuza (olungenabungozi), okusho ukuthi aluyona ingozi . Kodwa-ke, lokhu kuvame ukubonakala ezinganeni ezincane. Ngokuvamile zibukeka njengeqhubu elipinki, eliphakanyisiwe kancane. Kodwa-ke, ngezinye izikhathi zingaba ziyisicaba, zibe ziqinile, noma zibe neminye imibala efana nohlaza okwesibhakabhaka, omnyama, noma onsundu. Ngezinye izikhathi odokotela baphinde bazibize ngokuthi i-Epithelioid Nevus noma i-Spindle-cell Nevus.

Ukubona i-Spitz Nevus esikhumbeni sengane yakho kungaba yinto ekhathazayo ngempela. Ngezinye izikhathi ingabukeka njengohlobo oluyingozi lomdlavuza wesikhumba olubizwa ngokuthi i-melanoma . Kodwa izindaba ezinhle ukuthi i-Spitz Nevi (okungubuningi be-Spitz Nevus) akuyona umdlavuza wesikhumba.

I-Spitz Nevus ayivamile kodwa akukho okufanele ukhathazeke ngakho. Kodwa-ke, kubalulekile ukubona udokotela ukuze uthole ukuthi iyini ngempela futhi uthole ukuxilongwa okufanele. Iningi lezingane ezine-Spitz Nevus azidingi ukwelashwa. Kodwa-ke, uma i-Spitz Nevus yengane yakho iqala ukushintsha ngesimo noma usayizi, udokotela wakho angase anqume ukuyisusa.

Lisho ukuthini igama elithi (Spitz Nevus)?

I-Spitz Nevus igama lezokwelapha elinikezwa uhlobo oluthile lophawu lokuzalwa .

• (Spitz): Leli gama livela ekuhlonipheni uDkt. Sophie Spitz, isazi sezifo saseMelika esafunda lezi zimpawu zokuzalwa ezinganeni ezincane ngasekupheleni kwawo-1940.
• (Nevus): Leli igama lezokwelapha lophawu lokuzalwa. Izimpawu zokuzalwa zakhiwa lapho amaseli abizwa ngokuthi (ama-Melanocytes) esikhumbeni sethu (lawa amaseli anikeza umbala wesikhumba sethu) ehlangana ndawonye, ​​okubangela ushintsho embala wesikhumba kuleyo ndawo.

Zivame kangakanani i-Spitz Nevi?

Iningi labantu linezimpawu zokuzalwa eziningana ezivamile (ezibizwa nangokuthi ama-acquired moles). Lezi zimpawu zokuzalwa ezingenangozi zingavela nganoma yisiphi isikhathi empilweni. Abanye abantu abanesikhumba esimhlophe bangaba nezimpawu zokuzalwa ezivamile ezingafika ku-40.

Kodwa-ke, ama-nevi e-Spitz awavamile kakhulu . Angu-1% kuphela wazo zonke izimpawu zokuzalwa ezisuswa ngokuhlinzwa (ezihlotshiswe nge-biopsy).

Yini ebangela ukwakheka kwe-(Spitz Nevus)?

Ochwepheshe abakayazi imbangela eqondile ye-Spitz nevi. Kucatshangwa ukuthi abanye abantu bangase babe noshintsho lwezakhi zofuzo olwandisa ingozi yabo yokuthola lezi zimpawu zokuzalwa.

Ubani osengozini enkulu yokutheleleka yilesi sifo (i-Spitz Nevi)?

Ama-birthmark angavela kunoma ubani, kungakhathaliseki ubudala, ubulili, noma umbala wesikhumba. Kodwa-ke, abantu abanesikhumba esikhanyayo banamathuba amaningi okuthola i-Spitz Nevi. Iningi le-Spitz Nevi liwela esigabeni sama-Acquired Moles, noma ama-birthmark avamile, okusho ukuthi avela ngemva kokuzalwa.

(Spitz Nevi) ingavela nganoma yisiphi isikhathi empilweni. Uma sikhuluma nje, cishe ingxenye yesithathu yalezi zimo zenzeka eqenjini ngalinye leminyaka:

• Eminyakeni eyi-10 edlule.
• Phakathi kweminyaka eyi-10 nengama-20 ubudala.
• Ngemva kweminyaka engama-20.

Nakuba kungavamile kakhulu, i-Spitz Nevus ingaba khona lapho izalwa (siyibiza ngokuthi i-Congenital Birthmark).

Ibukeka kanjani i-(Spitz Nevus)?

I-Spitz Nevus ivame ukubukeka njengeqhubu elipinki noma elibomvu, elimise okweqanda. Lingaba futhi liyisicaba, libe luhlaza okwesibhakabhaka, libe nsundu, libe nombala ophuzi, libe nsundu, noma libe mnyama.

Iningi labantu linenye kuphela (i-Spitz Nevus), kodwa ngezinye izikhathi ingakheka ngamaqoqo.

Izici ezivame ukubonakala ze-Spitz Nevi yilezi:

• Kungase kufane ne-wart.
• Ikhula kancane kancane ezinyangeni eziningana, ifinyelela ububanzi obuyisentimitha elilodwa (cishe ingxenye yesentimitha).
• Ngezinye izikhathi kungase kube nokukhishwa kwamanzi, ukuphuma kwegazi, noma ukulunywa .
• Ngemva kweminyaka embalwa, ingancipha futhi ibe yizicaba. Ngezinye izikhathi iyanyamalala ngokuphelele.

I-melanoma ibonakala kanjani enganeni encane?

Eqinisweni, akuvamile kakhulu ukuthi ingane ibe ne-melanoma. Ngisho nase-United States, kubikwa amacala angaphansi kuka-400 e-melanoma yobuntwana minyaka yonke. Kodwa uma ingane iba ne-melanoma, ivame ukubukeka ifana ne-Spitz Nevus. Yilokhu okusikhathazayo kancane.

Izimpawu ze-melanoma zingafaka:

• Isimo esimise okweqanda, njengesigaxa noma iqhubu.
• Leli qhubu lavela ngokuzumayo, lakhula ngokushesha, futhi lashintsha ngokushesha.
• Esikhathini esiningi, kuba nombala ofanayo, ngokuvamile obomvu, opinki, onsomi, noma ngisho nombala ofanayo nowesikhumba sakho.
• Inomuzwa wokuluma .
• Iyopha, iyaphola bese iqala ukopha futhi ((iyaphinda)).

Okubaluleke kakhulu: Uma ubona i-mole entsha noma iqhubu esikhumbeni sengane yakho, kungaba nzima ukusho ukuthi ngabe yi-Spitz Nevus noma i-Melanoma. Ngakho-ke bonana nodokotela wesikhumba ngokushesha .

Ngokuvamile zakheka kuphi (i-Spitz Nevi)?

I-Spitz Nevus ingakhula noma kuphi emzimbeni, kodwa izindawo ezivame kakhulu yilezi:

• Ubuso
• Intamo
• Isiqu (isisu)
• Izandla
• Imilenze

I-Spitz Nevi itholakala kanjani?

Uma ubona i-mole entsha, ibala, noma ushintsho esikhumbeni sakho noma sengane yakho , qiniseka ukuthi ubona udokotela wesikhumba . Lokhu kubalulekile ngoba i-Spitz Nevus kanye ne-Melanoma kungafana.

Udokotela uzohlola iqhubu. Uzokubuza ukuthi ulibonile nini nokuthi lishintshile yini muva nje. Ngaphezu kwalokho, udokotela angenza nokuhlolwa okuthile, okufana nalokhu:

• I-dermoscopy: Lokhu kuhilela ukusebenzisa ilensi ekhethekile yokukhulisa (i-dermatoscope) ukuhlola ngokucophelela i-mole yakho ukuze kutholakale noma yikuphi ukukhubazeka. Kufana nokubuka nge-telescope encane.
• Ukuhlela ama-mole mapping: Lokhu kuhilela ukusebenzisa ikhamera ekhethekile (enamathiselwe kulensi yesikhumba) ukuqapha izinguquko esimweni, usayizi, nombala wama-mole. Lokhu kusiza ukulandelela izinguquko ngokuhamba kwesikhathi.
• Ukuhlolwa kwesikhumba: Okuwukuphela kwendlela yokwazi ngokuqinisekile ukuthi i-mole inomdlavuza yini ukwenza ukuhlolwa kwesikhumba. Udokotela wakho wesikhumba uzothatha isampula encane yezicubu zesikhumba ezivela ku-mole bese eyihlola elabhorethri ukuze abone ukuthi ayinazo yini izimpawu zomdlavuza .

Iphathwa kanjani i-Spitz Nevi?

Abantu abane-nevi eminingi ye-Spitz bangase bangadingi ukwelashwa. Kodwa-ke, udokotela wakho angase ancome ukuhlolwa kwesikhumba minyaka yonke kanye nokuhlolwa kwama-mole ukuze kuqashwe noma yiziphi izinguquko ezingavamile kuma-moles akho.

Kodwa-ke, ezimweni ezilandelayo, udokotela wesikhumba anganquma ukususa i-Spitz Nevus ngokuhlinzwa kanye nenani elincane lesikhumba nezicubu ezizungezile:

• Uma uphawu lokuzalwa lungelingani noma lunesimo/iphethini engajwayelekile .
• Uma kukhona ukopha, ukuphuma kwamanzi, noma ukuqhekeka.
• Uma ububanzi bukhulu kunesentimitha elilodwa (isigamu sesentimitha) .

Ingabe ukwakheka kwe-(Spitz Nevus) kungavinjelwa?

Izimpawu zokuzalwa zikhula ngezizathu ezingaziwa okwamanje. Akukho lutho ongakwenza ukuvimbela wena noma ingane yakho ekutholeni i-Spitz Nevus.

Ungavinjelwa kanjani umdlavuza wesikhumba?

Wonke umuntu usengozini yokuthola umdlavuza wesikhumba . Ungathatha lezi zinyathelo ukuvikela isikhumba sakho ekulimaleni yilanga:

• Sebenzisa isivikelo selanga esibanzi okungenani esine-SPF 30 nsuku zonke.– Ngisho noma ungaphakathi endlini.
• Ungasebenzisi imibhede yokushiswa kwesikhumba noma izibani zelanga.
• Zama ukwenza umsebenzi wangaphandle omningi ngangokunokwenzeka ngaphambi kuka-10 ekuseni noma ngemva kuka-4 ntambama, ngoba imisebe yelanga ayinamandla kangako ngaleso sikhathi.
• Uma kufanele ube ngaphandle ngaleso sikhathi , hlala endaweni enethunzi elihle.
• Gqoka izingubo ezivikela ilanga uma uphuma ngaphandle. Gqoka isigqoko esikhulu nezibuko zelanga ezinkulu .

Ungazibona kanjani izinguquko zesikhumba ezingavamile?

Kufanele uhlole isikhumba sakho kanye nesikhumba sezingane zakho njalo ukuze ubone izinguquko esikhumbeni kanye nasezinkopheni. Odokotela batusa ukuthi uma othile emndenini wakho eke waba nomdlavuza wesikhumba, kufanele uhlole isikhumba sakho okungenani kanye ngenyanga. Ungaphinde uthathe izithombe zezinkophe ukuze ukwazi ukubona izinguquko kalula.

Umthetho we-ABCDE ungakusiza ukuthi ubone umdlavuza wesikhumba. Qaphela lezi zimpawu:

• A – Ayilingani: Bheka ukuthi isimo asilingani noma asilingani. (Lokhu kusho ukuthi uma uhlukanisa isiqephu phakathi, izinhlangothi ezimbili azifani.)
• B - Imingcele: Hlola ukuthi imiphetho icacile, igobile, noma iqinile.
• C – Imibala: Funa inhlanganisela yemibala, njengonsundu, omnyama, obomvu, noluhlaza okwesibhakabhaka. (Kodwa khumbula, i-melanoma enganeni ivame ukuba umbala owodwa, ovame ukuba bomvu, opinki, onsomi, noma onombala wesikhumba.)
• D – Ububanzi: Bheka ukuthi inkulu yini kune-eraser yepensela (cishe i-intshi).
• E - Ukuguquka: Bheka izinguquko njengokuthi indawo iyakhula yini, ishintsha isimo noma umbala, ukuphuma kwegazi, noma ukulunywa.

Uyini umbono womuntu one-(Spitz Nevus)?

Iningi lezingane ezine-Spitz nevi azidingi ukuhlinzwa. Kodwa-ke, uma ingane yakho ihlinzwa nge-biopsy yesikhumba noma ihlinzwa ukuze kususwe uphawu lokuzalwa, isibazi singase sishiywe ngemuva. Akuvamile kakhulu, i-Spitz nevi ingabuya ngemva kokususwa. Ngakho-ke kufanele uhlole isikhumba nesiba sengane yakho njalo. Uma ubona iqhubu noma olunye ushintsho lwesikhumba, bona udokotela.

Kufanele ubonane nini nodokotela?

Uma ubona izimpawu zokuzalwa ezintsha, izinguquko zesikhumba, ikakhulukazi izimpawu ze-ABCDE esikhulume ngazo ngaphambili, bona udokotela wakho ngokushesha.

Yini okufanele ngiyibuze udokotela?

Uma ubona udokotela wakho, ungabuza imibuzo efana nale:

• Kukangaki ingane yami idinga ukuza emtholampilo kadokotela ukuze ihlolwe isikhumba?
• Kufanele ngihlole kangaki isikhumba sami nesengane yami ekhaya?
• Ingabe ngidinga ukuhlinzwa ukuze kususwe ingane yami (i-Spitz Nevus)?
• Yini engingayenza ukuze nginciphise ingozi yomdlavuza wesikhumba emndenini wami?

Uyini umehluko phakathi kwe-(Spitz Nevus) kanye ne-(Spitzoid Melanoma)?

Akuvamile kakhulu ukuthi udokotela angase athole uphawu lokuzalwa olungalungile njenge-Spitz Nevus, kuyilapho empeleni kuyi-Melanoma. Abanye odokotela baze babize lokhu kuxilongwa okusha komdlavuza ngokuthi i-Spitzoid Melanoma noma i-Spitz Nevus enobungozi. Lokhu kubonisa ukubaluleka kwe-biopsy, akunjalo?

Ingabe i-(Spitz Nevus) ingaba nomdlavuza?

I-mole ehlonzwe kahle njenge-Spitz Nevus ayiguquki ibe umdlavuza wesikhumba. Une-mole engeyinhle (Spitz Nevus) noma i-melanoma. Uma udokotela wakho esola ukuthi i-mole inomdlavuza, nakanjani uzokwenza i-biopsy yesikhumba ukuqinisekisa.

Kuvamile ukukhathazeka uma ubona ukukhula kwesikhumba okusha, ikakhulukazi i-mole efana ne-Spitz Nevus, ebukeka ifana kakhulu ne-melanoma. Nakuba kungavamile ukuthi ingane ibe nomdlavuza wesikhumba, kubalulekile ukufuna usizo lwezokwelapha nganoma yiziphi izinguquko zesikhumba ezingavamile. Uma ingane yakho ine-Spitz Nevus, kuzodingeka uhlole isikhumba sayo njalo ukuze uqaphe izinguquko. Buza udokotela wakho ukuthi ungasihlola kanjani isikhumba sakho ekhaya wena nengane yakho.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, manje usuqonda kangcono lokho ebesikhuluma ngakho (i-Spitz Nevus). Nazi ezinye izinto ezibalulekile okufanele uzikhumbule:

• I-Spitz Nevus uphawu lokuzalwa olungeyona umdlavuza oluvame ukuvela ezinganeni ezincane .
• Ngezinye izikhathi zingabonakala njengomdlavuza wesikhumba oyingozi (i-melanoma), ngakho qiniseka ukuthi ubona udokotela wesikhumba ukuze uthole ukuxilongwa okufanele.
• Iningi le-nevi ye-Spitz alidingi ukwelashwa.
• Qaphela amabala esikhumba amasha kanye nezinguquko kumabala akhona (ikakhulukazi izimpawu ze-ABCDE).
• Landela izindlela zokuvikela ilanga ukuze uzivikele emdlavuza wesikhumba.
• Uma ungabaza, ungesabi ukufuna iseluleko sezokwelapha. Yilokho okuhlakaniphe kakhulu ongakwenza.

Ngikufisela impilo enhle wena nomndeni wakho!