Ingabe kukhona indawo engavamile esikhumbeni sakho? Ingabe kungaba yi-Spitzoid Melanoma?

Uke waphawula ngokuzumayo indawo entsha esikhumbeni sakho ebukeka ihlukile kancane? Noma mhlawumbe uke waphawula i-mole ekhula noma eshintsha umbala, futhi ukhathazekile kancane, akunjalo? Ngezinye izikhathi lezi zinto aziyona into okufanele ukhathazeke ngayo. Kodwa-ke, ngezinye izikhathi zingaba uphawu lomdlavuza wesikhumba . Namuhla sizokhuluma ngohlobo olulodwa lomdlavuza wesikhumba okufanele ukhathazeke ngalo kancane. Leyo yi-Spitzoid Melanoma.

Kuyini i-Spitzoid Melanoma?

Kalula nje, i-Spitzoid Melanoma uhlobo lomdlavuza wesikhumba. Ivame ukuvela njengebala elincane, elipinki, elinombala wesikhumba. Cabanga ngeqhubu elipinki elivele ngokungazelelwe engalweni yakho obungenalo ngaphambili bese likhula kancane kancane. Yilokho okuyikho. Kodwa ngezinye izikhathi lingavela nasemibala yesikhumba emnyama njengonsundu noma omnyama. Kungenzeka kakhulu ukuthi livele ezingalweni zakho, emilenzeni, noma ebusweni.

Uyini umehluko phakathi kwe-Spitz nevus kanye ne-Spitzoid melanoma?

Manje ungase ucabange, "O... ingabe leli lilinye lalawo mabala abomvu ovame ukuwabona?" Yebo, i-Spitzoid Melanoma kanye ne-mole engenangozi ebizwa ngokuthi i-Spitz nevus ngokuvamile kungabukeka okufanayo. Yileyo inkinga. Kodwa-ke, i-Spitzoid Melanoma ingumdlavuza. Amaseli omdlavuza awuhlobo lweseli elingakhula lingalawuleki futhi lisakazeke kwezinye izingxenye zomzimba. Kodwa-ke, i-Spitz nevus iyi-mole engenangozi, engenamdlavuza. Lawa avame ukuba pinki noma abomvu kakhulu kunensundu noma emnyama. Ngakho-ke, yize lawa amabili ebukeka afana, elinye linomdlavuza kanti elinye alinangozi. Yingakho kubalulekile ukuwabona kahle.

Ubani othinteka kakhulu yilesi simo?

Eqinisweni, noma ubani angaba ne-Spitzoid Melanoma. Kodwa-ke, abanye abantu basengozini enkulu kancane. Ake sibheke ukuthi bangobani:

• Uma othile emndenini wakho eke waba nomdlavuza wesikhumba ngaphambili: Uma umama wakho, ubaba wakho, noma izingane zakini bake baba nomdlavuza wesikhumba, nawe usengozini enkulu.
• Kulabo abanesikhumba esikhanyayo: Okusho ukuthi, labo abane-melanin encane esikhumbeni sabo .
• Kulabo abachayeke elangeni isikhathi eside: Le ngozi iphakeme kulabo abasebenza noma abadlala elangeni.

Njengazo zonke izinhlobo zomdlavuza wesikhumba, abantu abadala banamathuba amaningi okuba nawo. Kodwa, ngokumangazayo, uhlobo olulodwa lwe-melanoma oluvame kakhulu ezinganeni lubizwa ngokuthi i-Spitzoid Melanoma. Ngakho-ke uma ubona i-mole entsha noma ehlukile esikhumbeni somntwana omncane, kuwumqondo omuhle ukukhathazeka ngayo.

Ziyini izimpawu ze-Spitzoid melanoma?

I-Spitzoid melanoma ivame ukubukeka njengechashaza elincane.Njengoba kushiwo ngaphambili, kuvame ukwenzeka ezingalweni, emilenzeni, nasebusweni. Uma kuqhathaniswa nezinye izinhlobo ze-melanoma, le melanoma ye-spitzoid ivame ukuba yindilinga ngesimo futhi inombala ofanayo. Okusho ukuthi, lonke ibala lingaba nombala ofanayo, kunokuba libe mnyama endaweni eyodwa bese likhanya kwenye.

Lo mdlavuza ungaqala endaweni osuvele unayo esikhumbeni sakho. Noma, ungavela njengendawo entsha lapho kwakungekho ndawo ngaphambili. Ngakho-ke, kubalulekile ukunaka izindawo zakho ezikhona kanye nanoma yiziphi izindawo ezintsha ezivelayo.

Yini ebangela lokhu?

I-Spitzoid Melanoma ibangelwa izinguquko ku-DNA (deoxyribonucleic acid) emaseli esikhumba sakho. Lezi zinguquko zibangela ukuthi amaseli abe nomdlavuza futhi akhule ngendlela engalawuleki. Imbangela eyinhloko yalezi zinguquko ze-DNA ukuchayeka isikhathi eside emisebeni ye-ultraviolet (UV). Sithola le misebe ye-UV elangeni, kanye nasemibhedeni yokushiswa kwesikhumba, okuyimibhede yokwenziwa yelanga esetshenziswa abanye abantu.

Akuvamile kakhulu ukuthi uthole ifa lokuguqulwa kwezakhi zofuzo okwandisa ingozi yakho ye-melanoma. Isibonelo, abantu abanesimo sezakhi zofuzo esibizwa ngokuthi i-Xeroderma Pigmentosum (XP) banenkinga yokulungisa i-DNA yabo ngemva kokuchayeka emisebeni ye-UV. Lokhu kubenza babe namathuba amaningi okuthuthukisa i-melanoma.

I-Spitzoid Melanoma itholakala kanjani?

Uma unebala noma iqhubu elisolisayo esikhumbeni sakho, into yokuqala udokotela angayenza ukulihlola ngokucophelela. Bese, ukuze athole ukuthi ngabe yi-Spitzoid Melanoma, bazokwenza i-biopsy yesikhumba. I-biopsy ihilela ukususa ingxenye encane yesikhumba esolisayo bese iyithumela elabhorethri. Elabhorethri, isazi sezifo, udokotela ogxile ekuhlaziyweni kwezicubu, ubheka isampula yesikhumba ngaphansi kwe-microscope ukuze abone ukuthi inamangqamuzana omdlavuza yini.

Cabanga nje, uma une-mole entsha engalweni yakho, bese uya kudokotela, udokotela ufaka umuthi omncane wokuqeda izinhlungu e-mole, anqume ingxenye encane, bese eyithumela ukuze iyohlolwa. Yilokho okushiwo yi-biopsy.

Ukuhlolwa okusetshenziselwa ukunquma isiteji

Uma ukuhlolwa kwegazi kuqinisekisa ukuthi une-Spitzoid Melanoma, isinyathelo esilandelayo ukuthola ukuthi umdlavuza ususakazeke kangakanani, okuyisigaba somdlavuza . Lokhu kuzodinga ukuhlolwa okwengeziwe.

Amacala omdlavuza ngokuvamile ahlukaniswa kanje:

• Isigaba 0: Umdlavuza usengqimbeni ephezulu yesikhumba kuphela.
• Isigaba 1: Umdlavuza ususakazeke ngaphansi kwengqimba engaphezulu kwesikhumba, kodwa usengaphansi kuka-1 mm ubukhulu.
• Isigaba sesi-2: Umdlavuza awukasabalali kakhulu, kodwa ubukhulu bawo bungaphezu kwemilimitha elilodwa.
• Isigaba sesi-3: Umdlavuza usuqhubeke kakhulu. Ususabalele kuma-lymph node noma ezicutshini ezizungezile.
• Isigaba 4: Umdlavuza ususabalale ngokwanele futhi usuthinte nezinye izitho ezikude emzimbeni.

Kungenziwa izivivinyo ezengeziwe ukuze kutholakale lesi simo esiqondile. Isibonelo:

• Ukuskena kwe-CT (ukuskena kwe-CT - Ukuskena kwe-Computed Tomography)
• Izikeni ze-MRI (i-MRI - Ukufanekisa i-Magnetic Resonance)
• Ukuskena kwe-PET (ukuskena kwe-Positron Emission Tomography)
• Ukuhlolwa kwama-node e-sentinel - Lokhu kuhlola ukuthi umdlavuza ususakazekele yini kuma-lymph node aseduze.
• Izikrini ze-Ultrasound

Yiziphi izindlela zokwelapha i-Spitzoid Melanoma?

Uhlelo lokwelashwa olutholayo luzoncika esigabeni somdlavuza wakho. Ngokuvamile, olunye noma ngaphezulu kwalokhu kwelashwa lungasetshenziswa ndawonye.

• Ukuhlinzwa: Ukwelashwa okuvame kakhulu kwe-spitzoid melanoma ukuhlinzwa ukususa indawo yesikhumba equkethe amangqamuzana anomdlavuza. Udokotela uzosusa lonke iqhubu elinomdlavuza, kanye nesikhumba esincane esinempilo esizungezile. Uma umdlavuza ujiyile kancane, okusho ukuthi ungene esikhumbeni, ama-lymph node azungezile nawo angasuswa ukuze kubonakale ukuthi umdlavuza usakazeke yini.
• Ukwelashwa ngemisebe: Lokhu kusebenzisa imithamo ephezulu yemisebe ukunciphisa noma ukubulala amangqamuzana omdlavuza. Uma umdlavuza ususakazekele ezindaweni ezingenakukwazi ukususwa ngokuhlinzwa, udokotela wakho angase akuncome ukwelashwa ngemisebe. Ukwelashwa ngemisebe nakho kusetshenziselwa ukuvimbela umdlavuza ukuthi ungabuyi.
• Ukwelashwa nge-immunotherapy: Lokhu kuhilela ukunikeza umzimba wakho imithi evuselela amasosha omzimba wakho, enikeza umzimba wakho amandla engeziwe okulwa nomdlavuza.
• Ukwelashwa okuqondiwe: Lokhu kuhilela ukunikeza imithi eqondisa amangqamuzana omdlavuza noma amangqamuzana asiza amangqamuzana omdlavuza ukuba akhule. Lokhu kungavimba ukusabalala kwe-melanoma.
• Ukwelashwa ngamakhemikhali: Lokhu kusebenzisa imithi ehlasela amangqamuzana akhula ngokushesha (kufaka phakathi amangqamuzana omdlavuza). Kodwa-ke, ukwelashwa ngamakhemikhali akusetshenziswa kaningi kumdlavuza wesikhumba.

Ingabe i-Spitzoid Melanoma iyisimo esibucayi?

Ngokuvamile, i-Spitzoid Melanoma ayinamandla kangako kunezinye izinhlobo ze-melanoma. Kodwa-ke, izinga lokukhula kwalezi zindawo ngezinye izikhathi lingashesha kancane. Into ebaluleke kakhulu ukuthi,Kubalulekile ukuthola noma yiluphi uhlobo lwe-melanoma kusenesikhathi. Uma wenza kanjalo, amathuba okwelashwa okuphumelelayo aphezulu kakhulu. Ngakho-ke, uma ubona noma yiziphi izinguquko esikhumbeni sakho, ungakuzibi. Kungcono ukubona udokotela ngokushesha okukhulu.

Ungazivikela kanjani ku-Spitzoid Melanoma?

Ungazivikela hhayi kuphela ku-Spitzoid Melanoma, kodwa nakuzo zonke ezinye izinhlobo zomdlavuza wesikhumba, uma uvikela isikhumba sakho emisebeni ye-UV. Ngakho-ke, kunezinto ezimbalwa ongazenza ukuze uvikele isikhumba sakho:

• Faka isithako sokuvikela ilanga esibanzi, esingangeni manzi okungenani esine-SPF (Sun Protection Factor) engu-30 nsuku zonke.
• Yeka ukusebenzisa imibhede yokushiswa kwesikhumba ngokuphelele. Kutholakale ukuthi uma umuntu ongaphansi kweminyaka engu-35 esebenzisa umbhede wokushiswa kwesikhumba, ingozi yokuthola i-melanoma iyanda cishe ngo-75%.
• Hlola isikhumba sakho kahle njalo ngenyanga. Bheka amaqhubu amasha, amabala, noma izinguquko kwalawo akhona.
• Nciphisa isikhathi sakho ngaphandle phakathi kuka-10 ekuseni no-4 ntambama, lapho imisebe yelanga inamandla kakhulu.
• Hlola isikhumba sakho kudokotela wesikhumba okungenani kanye ngonyaka.
• Uma uphuma elangeni, gqoka izingubo ezinemikhono emide, ibhulukwe, nesigqoko esibanzi ukuze umboze isikhumba sakho.

Iyini i-prognosis kumuntu one-Spitzoid Melanoma? (Isibikezelo)

Ukubikezela komuntu one-Spitzoid Melanoma kuncike ezintweni eziningana. Okubaluleke kakhulu yisigaba somdlavuza. Ucwaningo olulodwa luthole ukuthi izinga lokusinda kweminyaka emihlanu kubantwana abaneminyaka ephakathi kokuzalwa kanye neminyaka eyi-10 abane-Spitzoid Melanoma esakazeke (esakazeke kakhulu) kwezinye izingxenye zomzimba licishe libe ngu-88%. Amathuba okwelashwa aphezulu kakhulu uma umdlavuza utholakala futhi welashwa kusenesikhathi, ngaphambi kokuba usakazeke. Yingakho ukutholakala kusenesikhathi kubaluleke kangaka.

Imibuzo okufanele uyibuze udokotela wakho

Uma une-Spitzoid Melanoma, noma usola ukuthi unayo, kuwumqondo omuhle ukubuza udokotela wakho imibuzo efana nale:

• Yini engaba yimbangela enkulu yokuba ngibe ne-Spitzoid melanoma?
• Yiziphi izimpawu zokuqala ze-Spitzoid melanoma?
• Yiziphi izivivinyo okufanele ngizenze ukuze ngazi ngokuqinisekile ukuthi lokhu kuyi-Spitzoid melanoma?
• Yiziphi izindlela zokwelapha enginazo?
• Yini engingayenza ukuze ngivimbele lokhu ukuthi kungenzeki futhi?

Khumbula njengesifinyezo (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke, ngithemba ukuthi usuyitholile ukuqonda okungcono i-Spitzoid Melanoma kulokho esikuxoxile.

Khumbula, i-spitzoid melanoma uhlobo lomdlavuza wesikhumba. Ngokuvamile ibukeka njengebala elincane, elinombala ofanayo. Ngokuvamile lipinki, libomvu, noma linombala wesikhumba. Kodwa-ke, ngezinye izikhathi lingaba nsundu noma libe mnyama, njenge-mole yendabuko. Ngokungafani nezinye izinhlobo ze-melanoma, livame ukuba nobukhulu obulinganayo, okusho ukuthi izinhlangothi zombili zinobukhulu nombala ofanayo.

Uma une-melanoma ye-spitzoid, udokotela wakho cishe uzoncoma ukuhlinzwa ukuze kususwe iqhubu lesikhumba. Into ebaluleke kakhulu ukuxilonga lesi simo ngokushesha okukhulu. Uma wenza kanjalo, unethuba elingcono kakhulu lokuthola umphumela omuhle.

Ngakho-ke, uma ubona indawo entsha, iqhubu, noma ushintsho endaweni ekhona (njengokukhula, ukushintsha kombala, ukushintsha kwesimo, ukulunywa, noma ukuphuma kwegazi) esikhumbeni sakho, ungakushayi indiva. Bheka udokotela ngokushesha ukuze uthole iseluleko. Kuyinto engcono kakhulu ongazenzela yona.

I- Spitzoid melanoma, umdlavuza wesikhumba, amabala, ukukhanya kwelanga, imisebe ye-UV, izifo zesikhumba, izimpawu zomdlavuza, i-Spitz nevus, i-biopsy, impilo yesikhumba