ʻO nevus congenital nunui

ʻO ka nevus pigenital a i ʻole melanocytic nevus kahi waihoʻoluʻu ʻeleʻele, huluhulu pinepine, ʻili o ka ʻili. Aia ia ma ka hānau ʻana a i ʻole hōʻike ʻia i ka makahiki mua o ke ola.

ʻOi aku ka liʻiliʻi o kahi nevus congenital nunui i nā pēpē a me nā keiki, akā hoʻomau mau ka ulu ʻana i ka ulu ʻana o ke keiki. ʻOi aku ka nui o kahi nevus pigment nunui ma mua o 15 ʻīniha (40 centimika) ke pau ka ulu ʻana.

Manaʻo ʻia kēia mau māka e nā pilikia me nā melanocytes ʻaʻole pālahalaha nui i ka ulu ʻana o kahi pēpē i loko o ka ʻōpū. ʻO Melanocytes nā ʻili o ka ʻili e hana i ka melanin, kahi e hāʻawi ai i ka ʻili i kona kala. Loaʻa i kahi nevus kahi nui nui o nā melanocytes.

Kuhi ʻia kēia ʻano e ke kīnā kīnā ʻole.

Kū paha ke ʻano me:

• Ka ulu ʻana o nā hunaola momona
• Neurofibromatosis (kahi maʻi hoʻoilina e pili ana i nā loli o ka ʻili pigment a me nā ʻōuli ʻē aʻe)
• Nā nevi ʻē aʻe (moles)
• Spina bifida (kahi kīnā hānau i ka iwi kuamoʻo)
• Ka komo ʻana o ka membrane o ka lolo a me ka iwi kuamoʻo ke pili ka nevus i kahi wahi nui loa

ʻO ka pigment liʻiliʻi a melanocytic nevi paha ka mea maʻamau i nā keiki a ʻaʻole ia e pilikia i ka hapa nui o ka manawa. Kākaʻikahi ka nevi nui a nunui paha.

E ʻike ʻia kahi nevus ma ke ʻano he wahi waihoʻoluʻu uliuli me kekahi o kēia mau mea:

• Brown i kaʻeleʻele bluish-ʻeleʻele
• Lauoho
• Nā palena maʻamau a kaulike ʻole paha
• Nā wahi i pā liʻiliʻi e kokoke ana i ka nevus nui (maliʻa paha)
• Pālahalaha, kūlike ʻole, a i ʻole ka wart me he ʻili lā

Loaʻa pinepine ʻo Nevi ma nā ʻaoʻao luna a i lalo paha o ke kua a i ʻole ka ʻōpū. E ʻike ʻia lākou ma ka:

• Nā mea kaua
• Nā wāwae
• Waha
• Nā membrane mucus
• Nā pāma a me nā wāwae paha

Pono ʻoe e nānā i nā hānau hānau āpau e kahi mea mālama ola. Pono paha kahi biopsy ʻili e nānā no nā hunaola maʻi ʻaʻai.

Hana ʻia kahi MRI o ka lolo inā ʻo ka nevus ma luna o ka ʻōiwi. Pili paha kahi nevus nunui ma ka iwi kuamoo i nā pilikia lolo.

E ana kāu mea hāʻawi i ka ʻili ʻili ʻeleʻele i kēlā me kēia makahiki a kiʻi paha i nā kiʻi e nānā inā e nui ana ka wahi.

Pono ʻoe e loaʻa i nā hōʻike maʻamau e nānā ai no ka maʻi ʻaʻai ʻili.

Hiki ke hana i ke ʻoki e wehe i ka nevus no nā kumu cosmetic a i ʻole inā manaʻo paha kāu mea hāʻawi e lilo i maʻi ʻaʻai ʻili. Hana ʻia ka hoʻopili ʻana i ka ʻili ke pono. Pono e hemo i nā nevi nui aku i nā hanana he nui.

Nā Lasers a me dermabrasion (ʻānai iā lākou) hiki ke hoʻohana ʻia e hoʻomaikaʻi i ka helehelena. ʻAʻole hiki i kēia mau mālama ke hoʻoneʻe i ka hānau hānau holoʻokoʻa, no laila paʻakikī paha e ʻike i ka maʻi ʻaʻai ʻili (melanoma). E kamaʻilio me kāu kauka e pili ana i nā pōmaikaʻi a me nā maikaʻi ʻole o ke kahakaha ʻana iā ʻoe.

Kōkua paha ka hoʻomaʻamaʻa inā pilikia ka maka i ka hānau hānau ma muli o ke ʻano o kona ʻano.

E ulu paha ka maʻi ʻaʻai ʻili i kekahi poʻe me ka nevi nui a nui paha. ʻOi aku ka kiʻekiʻe o ka maʻi ʻaʻai no nevi i ʻoi aku ka nui i ka nui. Eia naʻe, ʻaʻole ʻike ʻia inā hemo ka nevus e hoʻēmi i kēlā makaʻu.

Ke alakaʻi nei i kahi nevus nunui e alakaʻi iā:

• ʻO ke kaumaha a me nā pilikia ʻano ʻē aʻe inā pili ka nevi i ka helehelena
• Ka maʻi ʻaʻai o ka ʻili (melanoma)

Kuhi ʻia kēia ʻano ma ka wā hānau. E kamaʻilio me kāu mea hāʻawi aku inā loaʻa i kāu keiki kahi wahi pigment nui ma nā wahi āpau o ko lākou ʻili.

Congenital nunui pigment nevus; Nevus huluhulu nunui; Nevus pigment nunui; ʻAuʻau ʻauʻau nevus; Congenital melanocytic nevus - nui

• Nevus Congenital ma ka ʻōpū

ʻO Habif TP. ʻO Nevi a me melanoma malignant. I: Habif TP, hoʻoponopono. Dermatology Lapaʻau. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 22.

Hosler GA, Patterson JW. Lentigines, nevi, a me nā melanomas. I: Patterson JW, hoʻoponopono. ʻO Weedon's Skin Pathology. ʻEhā ed. Piladelapia, PA: Elsevier; 2016: chap 32.