ʻike, melanoma: Nā Papahana, hōʻike manaʻo

Ke kumu no ka holomua lapaau ana i ka maʻi - kona 'eleuʻike. No keia olelo ua hoaponoia ka wāʻeho pathologies, kahi literally na lua o ka helu. One ua pilikia ka melanoma. O na makahiki ia mea he cancerous maʻi kaikaina wale. Ka mua ke kauka e e hiki ke kuhikuhi i ia, i ke kiekie o ka manawa o ka maikaʻi prognosis. I kēia lā i ka 'atikala i nui au mamuli o ka nui ano o diagnosing melanoma, a wehewehe i nā nā kinolau o kona nohoʻana.

Lapaʻau palapala

Melanoma - he malignant ano o kaʻeho e hoʻomōhala ana i loko o ka ili'aʻaʻa hakina. Ua Ua hana mai melanocytes - keena kuleana no ke koho ana o ka pigment ma nā'ōlelo o kēia hehee ai. Ua ike mau loa kūlana mau mea o ke kino i mea hiki ole e hoʻopale ai i ku e ultraviolet pāhawewe. Mākou e kamaʻilio e pili ana i ka maka, kumu a me nāʻaoʻao. Melanoma hiki e ua loaʻa ma-paena mālama '-na nevus a hohola iho la i ka pono ola epithelial koena ai.

An nui hiʻona o ka pathological kaʻina hana o ka kokoke piha ka nele o ka'ōnaehana paleʻea pane. No laila, i kaʻeho e hoʻomōhala ana i hoʻomaka koke, a piʻi pū me ka nui. Kela a me keia makahiki ka mea, ua diagnosed i loko o kahi o 100.000 kanaka. I ko kakou aina, he mea i ka welelau o ia ka hoomahuahua i morbidity. Ma keia hihia, melanoma loa pinepine e loli ai kanaka ma waena o nā makahiki o ka 75 a hiki i 85 makahiki. Ua me ka nui loa ho'ēmi i kā ka lōʻihi like 'ole o ke ola a me ka hiki ke alakai i ka make.

E like me ke 'inikua' ikepili helu, ma kahi o 75% o ka hihia e mea hiki, e huai ae i ka maʻi ma ka kakahiaka kahua o ka? Acaeoey. Kēia mea hiki ole wale no i ka loa lapaʻau kiʻi. A kūlana ma ke kaʻina hana o ka 'ike e pili ana i kakahiakaʻike, o ka melanoma. E maopopo ia mai nā 'ano o ka ili maʻi' aʻai hiki ke visualized. Eia naʻe, no ka mea, o ka unuhi i o ka lapaʻau papahana pono e ike e pili ana i kaʻeho like ka ike. Mea i hoʻoholo 'apono' e hoʻoholo i ka nui a me ke kahua o ka pathological kaʻina e kilokilo, loaʻa metastasis, a no laila, ma luna o. D. Eia hou au mamuli o kona nui nā kinolau.

anamnesis

Lapaʻau o mōʻaukala - o ka iniiaiie kahua o kaʻike, aʻaneʻane pau pathologies. He ninau ma ke ao o ka hoʻomanawanui ka 'inikua mōʻaukala a me ka' ike 'ohi'. E like me ka hopena o ka anamanaʻo hoʻomalu ano hiki e i ka muaʻike, a me ka haawi aku i ka hopena hoonoho hou ninaninau.

Melanoma hoʻoili oncologist. Ma ka? Eaia mua oia mau poo i ka hoʻomanawanui e pili ana i kona pīhoihoi ihola ko lākou symptoms. E möakäka hou i ka lapaʻau oncologist ke noi aku i ka helu o ka clarifying nīnau: ka wā ma laila i ka pulakaumaka o ka li nui, i ka hopena o kekahi kumumea mua kona ulu ana, a pela aku ...

Diagnosing melanoma i komo ai i ke ao o aaiaoe predisposition. Ke kauka mea nui e ike, na hihia e like maʻi i loko o nā 'ohana i hoʻopaʻa ma laila. Ka mea mea i loa oncological pathologies mai he hereditary külana.

Helu ninaninau

Ma ka papa o ka piha study o ka lapaʻau hoikeana o kaʻeho hoʻomalu hoʻolako i ka qualitative auhau o kona walaʻauʻana kiko'î:

• ka nui;
• mall maʻiʻo;
• mokuna;
• he ano pigment;
• 'ilikai hionapāʻili.

Nō hoʻi, ke kauka hanaʻia palpation o ka inguinal, axillary a me cervical lymph aka wahi. I ka melanoma hohola, kona pathological lesions kuhikuhi, e halii mai i kokoke lymph aka wahi. An mahuahua i loko o lākou ka nui - he maopopo symptom o ka maʻi 'aʻai.

I oncology kēia malignant ana ua kuhi OAXA PalekanaEND_LINK study a me ka ninaninau ana i na kino wahi, kahi like oihana mua i e noho ai. Lākou alo aku, he nui loa nā mea maʻi i ole i ka ike. E like me ka haumāna neoplasm, i ka wepa i ole hoike kekahi symptoms a mai e hoopilikia. Mau pathological lesions - he mau 'ano o kēiaʻano o ka maʻi' aʻai.

dermoscopy

'O kēia kekahi ole-invasive iaoia no kaʻike, o ka melanoma. He mea loa painless, no laila, mai mai e makau i 'inikua manipulations.

Iloko o ke kaʻina hana, ke kauka e launa mai i ka 'ike e pili ana i ka mānoanoa o kaʻeho, i maopopo ai kona nui kūikawā hoʻopololei - he micrometer. ʻimi loa i ka lewa i hooleiiaʻi mawaho, a hiki uuku ho okumu, i ka nui o ka i mea ole oi aku 1 mm o.

Ka Ikepili o venous a me ka capillary koko

Oe ke aʻo i ka hailonaʻana e pili ana i ka moku'āina o ke kino ma ke koko hōʻike. All Ka maʻi 'aʻai keena paka kekahi nā polokina. O ka poe i kaheaiaʻeho hōʻailona. I ola kānaka, ka mea, ua i loaʻa.

Ma ka hihia o melanoma i loko o ke keʻena hoʻokolohua, e hooholo i ka pā lonoaʻili onkomarkery kumuʻiʻo S-100. Kona kiʻekiʻe lehulehu i loko o ke koko i ka 'ole wale i ka pono i ka ka muaʻike, akā, i loko o ka Holomua o ka pathological kaʻina. Mākou e kamaʻilio e pili ana i ke alo o metastases i loko o ke kino i ka loli ana ma nā maloko hui, nenoai. I ka anu u'āpana hana e hoʻohana 'ana i ia Ka Ikepili Kauka E kaha makau i ka pono o ke koho tactical Inc, kona degere o ka hoʻokōʻana.

I ko kakou aupuni i kaʻike, o ka melanoma ma ka hoomaopopo ana i ka lehulehu i loko o ke koko o kaʻeho hōʻailona mea wale kauoha. Nana kāki Ua kiʻekiʻe lawa i hoaponoia kokoke 100% pololei result.

Ka hoʻohana a radioactive phosphorus

Palena pauʻike, o ka melanoma hana e kū'ē phosphorus. Ua Ua nānā ma luna o ka ona ma luna o ka pathological waena disubstituted paʻakai posapahate 'ae' ia me ka radioactive phosphorus ke keʻena. Hoʻomanawanui kauka paipai e inu i ka lāʻau i loko o ke kakahiaka, a me ka manawa ma luna o ka nele'ōpū. A laila, ma ka papa lehulehu hoʻoholo ma ka radiometry isotopes sila IIeEeAIEUAA ciia. Level "o ka malignancy ana" no ka melanoma ua manaoia e ia he ekolu-pa i koe o ka uptake ma luna o kaʻeho, ina kakou e hoakaka aku keia kii me ka mau o ola ili.

confocal microscopy

Kēia 'ole-invasiveʻike, o ka ili melanoma hōʻoia e leie aku oe e kuhikuhi i ka pilikia ma ka kakahiaka kahua o kona ulu ana. Ua Ua lawe mai ka hoʻohana confocal microscopy nakeke me ka haahaa lehulehu o ka welaʻula Ray fluxes. Hoʻohana 'ia ka pāhawewe mahele lāʻau mea uuku loa, no laila, ka mea hiki ole i ka hewa a hiki i ka kanaka kino. Microscope kaupaona i nā ka mea ma waho a me loko papa o ka epithelial a hiki manaoia he iaono? Ienoai hoʻokolohua o kaʻike kamepiula biopsy.

MRI a HI

An ka hoʻokahuli i loko o ke kaua e kū'ē i kekahi maʻi 'aʻai mai i kakahiaka nui ka loaʻaʻana o nā metastases. Ka mea o ia ka mea, ua hohola iho la ma ke kino lesions pinepine maoli ka likelihood o recurrence, a ho'ēmi i kā i 'Aʻohe kēla no ka māmā ke ola. No keia hopena, i keia la hoʻohana MRI a me ka HI.

ʻume mākenēki resonance kiʻi nui ma luna o ka hoʻohana 'ana o nā mākēneki ikaika a me ka radioactive nalu a pele. Manawa a hiki i keia ia mea hiki ke kiʻi i kekahi kiʻi i loko o nā ka lonikū a me ka transverse kūlana. Me tomography kekahi hōʻike i ke alo o metastases. Naʻe, i kona kōkua ua ana io i ke kahua i ka mea mahuʻi i ka oiaio o ke kūkākūkā o lesions ua,ʻaʻole i hoʻopaʻa ma ke kino.

biopsy

I ke kakahiaka nui ke kahua melanoma mea ole, e huai ae visually. Biopsy apono 'oe, e makaikai i na kumu o ka hikoko, a me ka hoʻoholo' ana i ka degere o kona malignancy. Iloko o ke kaʻina hana, ke kauka i ka pa o kaʻeho keena, a laila, huli ia ma lalo o ka microscope. I kekahi manawa e pono ai e wehe i ka hana kupua 'āpana o ka ili loa.

Inā malignancy ua hookupaa iho la ia, malalo no o ka wehe 'ana o ole wale ka melanoma, akā, i ka mea e pili'aʻaʻa. A hiki aku ka mānoanoa aku i 1 mm o, ke akahele lawe kanaka kiaʻi wahi dissection. Oia hale a kamaʻilioʻana i ka metastasize. Ke pathological kaʻina hoʻomaka i loko o ka poʻe kiaʻi huahelu. Ka mea, i kekahi malalo iho o keia hookolokolo ana ma lalo o ka microscope. Inā maʻi 'aʻai aeee i ole he akamai i loko o kēia mau loaa,ʻike, lymphatic nenoaiu manawa piha. I ole ia, e hāʻawi hou ohe. (E laʻa me, chemotherapy).

Akomi ka loaʻaʻana o ka maʻi

I ka papa hana o ka hoʻoponopono-diagnosing melanoma hiki ole ke noʻonoʻo me ka ike loea ala, e kuhikuhi i ka maʻi. Ma ka kekahi lima, 'aʻole e lawe i loko o no ia mea no hoi e pono. Ana ka mālamaʻana o ke ola kūlana kūpono o ka likelihood o kakahiaka ka loaʻaʻana o ka pilikia.

Cancer ke ike i ke kaʻina hana ma nā kēia symptoms:

1. Keʻano hou makahiki kiko a iole ma ke kino o.
2. Ke ano loli o ka nevus, ka hanana o ka maneo.
3. Discoloration o ka pigment - he ano hoailona o ke kelepona hele mutation.
4. Hoʻololi iole mokuna. Ka mea, e pau ka liu o ko lakou oi, a lilo i ka heluheluʻana a me ka haoʻa.

Kakahiakaʻike, o melanoma o ke ki i ka holomua lapaau. No laila, i ke ano o kekahi a oi o ka symptoms helu 'ia ma luna aʻe e koke imi i ke kōkua o ke dermatologist. Inā he ohana mōʻaukala o ka maʻi i ua diagnosed, ia mea e pono ai me ka nānā 'ana i ke ano o ka ili.

Views o nā mea maʻi

He aha hana maoli hoʻomanawanui iki mai o kaʻike, o ka melanoma? Reviews o kēia kaʻina hana, he mea likeʻole. Ma kēia 'atikala wale helu pū' ia nāʻaoʻao loa, he pono ole, e huai ae maʻi. Ke koho ana o kekahi mau Lolina o ka anamanaʻo mea mau i ke kauka.

Noke pane i pili me ka 'ole-invasive' ana i kūpono. Ma keia hihia, e hoomanawanui i mai i ka mahina discomfort, akā, i nā kaʻina hana lākou i loa painless. Eia naʻe, ka mea e informative i ka loiloi mua ke kahua o ka maʻi ulu wale.

Noke manaʻo kamaʻilioʻana, e ana ma hope o ka biopsy. Ua, keia mea heʻawaʻawa loa kaʻina hana i ua hana ma lalo o kekahi mau anesthesia. Ma ka kekahi lima, ka mea hiki ke hoʻohana 'ia reliably hooholo i ka degere o ka malignancy o ke kaʻina.

paipai lapaʻau

A me kaʻike, a me ka hana o ka melanoma E ole e waiho unattended. Ma hope e hookupaa aku ana neoplasms lakou e ike koke hoʻomaka lapaau. Lapaʻau kou akamai hilinaʻi nui ma luna o ke kahua o ka pathological kaʻina. No ka laʻana, ka mea hana ua lawe mai i kekahi kakahiaka nui ke kahua. Maʻoki kino, i ke kauka e lawe aku oe melanoma, e pili ana i ka mamao o ka 1-3 knm o ka'aʻaʻa a me subcutaneous momona. Cryodestruction hana i loko o keia maʻi ua i pili.

Inā metastases i 'akomi i hope lapaau i ka? Aaieou no kaʻike, o ka melanoma, lapaʻau mea e lawe mai i ka irradiation a me ka loaa ana chemotherapy ( "Tamoxifen", "Carmustine"). He Heʻanoʻawahia hope, akā, hiki ole ke hana me kā lākou hana. Ma ia laua, OAXA paa immunotherapy.

Pehea e pale aku i ka maʻi?

Kāohiʻana o kekahi maʻi 'aʻai ua manaʻoi hoʻokoe' akomi i. International Day o kaʻike, o ka melanoma ua paʻa ka makahiki ma 23 May. Ma ka mokuna o ko mākou'āina i loko o ka hapanui o nā kūlanakauhale uku nui noonoo ia mea. No ka laʻana, i kēia lā, e hiki ke lawe i ka noa ana o ka nevi a iole ma ke kino, e aʻo e pili ana i ke degere o ka malignancy. Eia hou, ma na mea he nui hana kūikawā 'inikua-oaio? A alakai halawai me nā kauka, a ololi hoʻomalu, ka mea i kamailio e pili ana i ka maʻi a me ka pane nīnau mai o ka hoolohe.

Kū kaʻawale ole i ka ulu o ka melanoma mea,ʻaʻole pēlā mea. Kauka nonoi aku nei i loko o ke kauwela, e hoʻohana aiiay lako a pan no kaʻili, a ua ālai 'ka anal o UV kukuna. Mai sunbathing E e haalele i loko o ka manawa mai ka 12 a hiki i 16 hola. He mea pono e uku hou noonoo ia lakou iho. OʻAʻole e hōʻike hou ho okumu ia ma kaʻili, a kanaka hoʻoponopono i ke kūlana o na iole paakiki papa'āweʻaweʻa kemika nana kino.

Inā ma ka kanalua, maikaʻi, e kipa i ka dermatologist a oncologist. No hoi e ole e hoopoina ana ma May 23 - i ka lā o kaʻike, o ka melanoma ka wā ka mea hiki i ka noa loiloi. E like me nā hualoaʻa, a me wale i ka wa e pono ai hana kūikawā 'Oihana mau kii no ka hou ninaninau.