Amelanotic Melanoma

Anter

• Nā ʻōuli
• Nā kumu a me nā kumu pilikia
• Lapaʻau
• Kāohi
• ʻO ke ola a me ka wānana
• Nā pilikia a me ka nānā

Hōʻike Overview

ʻO Amelanotic melanoma kahi ʻano o ka maʻi ʻaʻai ʻili e hoʻohua ʻole i kāu melanin. ʻO Melanin kahi pigment e hāʻawi i kou ʻili i kona kala.

Hiki i kahi loli i kou kala melanin ke hōʻike pinepine e ulu nei ka melanoma i kou ʻili. Me ka melanoma amelanotic, ʻaʻohe hiki ke ʻike ʻia kahi loli kala i kahi e hana nei ka melanoma. ʻO kahi e hoʻomohala ai he ʻulaʻula ʻulaʻula a ʻulaʻula paha. ʻAʻohe o nā waihoʻoluʻu o ia wahi. Hiki i kekahi ʻano melanoma amelanotic ke hui pū me ke koena o kou ʻili.

Maʻalahi e nalo i kēia ʻano melanoma no ka nele o ke kala. ʻO ka ʻike pehea e ʻike ai i ka melanoma amelanotic hiki ke kōkua i ka pale ʻana i ka melanoma mai ka hoʻomohala hou aʻe.

Nā ʻōuli

Hoʻomaopopo loa ʻia ka melanoma amelanotic e kona ʻulaʻula, ʻulaʻula, a me ke ʻano ʻane waihoʻoluʻu ʻole. ʻIke paha ʻoe i kahi ʻāpana o ka ʻili kūpono ʻole akā ʻaʻole ka ʻeleʻele ʻeleʻele ʻeleʻele a i ʻole ʻeleʻeleʻeleʻele e hōʻike maʻamau i ka melanoma.

ʻO kekahi o nā hōʻailona maopopo loa o ka amelanotic melanoma (a me nā ʻano melanoma ʻē aʻe) kona helehelena hikiwawe i kou kino ma mua o ka mua. Ulu nā wahi o melanoma i ka hala ʻana o ka manawa a hoʻololi paha i ke kinona.

Ma ka laulā, e hoʻomanaʻo i nā leka ABCDE ʻoiai ʻoe e nānā i nā mole a i ʻole nā ​​ulu ulu ʻole ma kou ʻili e ʻike inā he melanoma lākou. ʻOi aku ka maikaʻi o kēia hōʻike no ka melanoma i kala ʻia a i ʻole ka maʻalahi o ka ʻike ʻana, akā ʻo kekahi o kēia mau pae hoʻohālikelike hiki ke kōkua iā ʻoe e ʻike i ka melanoma amelanotic.

• Akinona kinona: ʻO nā mole e hōʻike ana i ka melanoma he ʻelua mau hapalua i like ʻole ka nui, ke ʻano, a me ke kumu.
• ʻO Bkauoha: ʻO nā mole e hōʻike ana i ka melanoma maʻa mau ʻaʻohe palena ʻokoʻa ma waena o ka wahi o ka mole a me ka ʻili e hoʻopuni ana iā ia.
• Ckau i ke kala: ʻO nā mole e hōʻike ana i ka melanoma e hoʻololi maʻamau i ke kala i ka manawa. ʻO nā mole ʻino ʻole kekahi kala paʻa, e like me ka mea eleele.
• Diameter: ʻO nā mole e hōʻike ana i ka melanoma ma kahi o ka hapahā o ka ʻīniha (6 millimeter) ka nui a ulu i ka manawa.
• ʻEhaʻalulu: ʻO nā mole e kuhikuhi i ka melanoma e hoʻololi i ka nui, ke ʻano, a me ke kala i ka hala ʻana o ka manawa.

Ke kānalua ka mole, pono ʻoe e ʻimi i ke kōkua mai kāu kauka. E kuhikuhi paha lākou iā ʻoe i kahi dermatologist, he loea ʻili. Hana paha ka dermatologist i kahi biopsy o ka mole e hōʻoia a hōʻole paha i ka hiki ʻana o melanoma.

Nā kumu a me nā kumu pilikia

Hana ʻo Melanoma ke hōʻino ʻia ka DNA i loko o kāu ʻili o ka ʻili. Ke hōʻino ʻia ka DNA ʻili, hiki i nā ʻili ke ulu aʻe mai ka kaohi a lilo i maʻi ʻaʻa. ʻAʻole maopopo nā kauka i ka loli ʻana o ka DNA huna o ka ʻili i melanoma. Hoʻohui pū ʻia nā mea i loko a ma waho o kou kino.

ʻO ka hōʻike ʻana i nā kukuna ultraviolet (UV) mai ka lā no nā wā lōʻihi e hiki ke hōʻino i nā huna o kou ʻili. Hoʻonui kēia mea hōʻino i kou makaʻu i ka hoʻomohala ʻana i nā ʻano melanoma āpau. Hiki ke makaʻu loa ke kū ʻana o ka lā inā maʻalahi a ʻaʻa paha ʻoe i ka lā a loaʻa maʻalahi i nā freckles a i ʻole ka sunburn.

ʻO ka hana maʻamau ʻana i nā salona hana humuhumu, nā moena, a me nā ʻauʻau ʻoiai ʻoi aku kou ʻōpio ma mua o 30 mau makahiki e hoʻonui i kou makaʻi o melanoma. Hoʻonui ka nui o kāu makaʻu inā ʻoe e moe i kahi moe hulina no 30 mau minuke a ʻoi aku i ka manawa.

Loaʻa ka loaʻa o kahi melanin haʻahaʻa i kou ʻili hiki ke hoʻonui i kou makaʻu pū kekahi. ʻO ka hanauna ʻEulopa a i ʻole he albinism (ʻaʻohe pigment i kou ʻili āpau) he ʻelua mau pilikia nui no ka melanoma. ʻO ka loaʻa ʻana o ka moʻolelo ʻohana o melanoma hiki ke hoʻonui i kou makaʻu.

ʻO nā kumu pilikia ʻē aʻe e pili pū me:

• me ka nui o nā mole ma kou kino, keu hoʻi he 50 a ʻoi paha
• ka loaʻa ʻana o kahi ʻōnaehana pale nāwaliwali mai kahi kūlana e kū nei a i ʻole ka hana hou

Lapaʻau

ʻO ka hoʻomaʻamaʻa maʻamau no kahi melanoma pae mua ka ʻoki kino. E lawe aku kāu kauka i kahi i hoʻopili ʻia e melanoma a i kekahi manawa i kahi ʻili o ka ʻili a puni ia. ʻO ka wikiwiki o kēia ʻoki a hiki ke hana ʻia i hoʻokahi lā me ka ʻole e hoʻolōʻihi i kahi manawa lōʻihi i ka haukapila.

Hiki i ka Melanoma ke pālahalaha i kāu mau lymph node. ʻO kēia nā hale liʻiliʻi i kou kino e waiho ana i nā hunaola pale a kōkua i ka hoʻomaʻemaʻe ʻana i nā mea ʻino mai kou kino. Pono paha ʻoe e lawe i kāu mau lymph node me ka melanoma inā kū kēia.

Pono e mālama ʻia ʻo melanoma holomua me ka chemotherapy. I ka chemotherapy, hāʻawi ʻia nā lāʻau iā ʻoe e ka waha a i ʻole ma o kou mau uaua e kōkua ai i ka luku ʻana i nā hunaola maʻi ʻaʻai. Pono paha ʻoe i ka radiation radiation. I ka radiation radiation, kuhikuhi ʻia ka ikehu radiation i kou mau maʻi maʻi a make.

ʻO nā ʻano lāʻau maʻamau no ka melanoma:

• ka lāʻau olaola, a i ʻole nā ​​lāʻau e kōkua i kou ʻōnaehana pale i ka luku ʻana i nā hunaola maʻi ʻaʻai, e like me pembrolizumab (Keytruda) a me ipilimumab (Yervoy)
• hoʻomākaukau hoʻomālama ʻia, a i ʻole nā ​​lāʻau e kōkua i ka hoʻonāwaliwali ʻana i nā hunaola maʻi ʻaʻai, me trametinib (Mekinist) a me vemurafenib (Zelboraf)

Kāohi

Eia kekahi mau ʻōlelo aʻoaʻo no ka pale ʻana i ka melanoma amelanotic:

• E noi i ka sunscreen i kēlā me kēia manawa āu e hele ai i waho no 30 mau minuke a ʻoi aku paha. He mea nui loa kēia inā ʻoe e hoʻolālā i ka lā o ka lā.
• E hoʻohana i ka pale lā a hiki i nā lā ʻōpua. Hiki i nā kukuna UV ke hele ma waena o nā ao.
• E ʻaʻahu i nā kapa pale i kou mau lima a me kou mau wāwae. He mea nui loa kēia inā ʻoe e hoʻolālā i waho ma waho no kekahi manawa.
• Hōʻalo i nā salning a me nā moena.

E hōʻoia pinepine i kou kino holoʻokoʻa no nā mole hou. Ma ka liʻiliʻi i hoʻokahi manawa i kēlā me kēia mahina, e nānā i nā ʻili o ka ʻili i nānā kikokiko ʻole ʻia, kala ʻia, a i hoʻohālikelike ʻia me ka hoʻohana ʻana i ka hōʻike ABCDE. Hiki i nā melanomas amelanotic ke metastasize (hohola i nā ʻāpana ʻē aʻe o kou kino) ʻoi aku ka wikiwiki ma mua o nā ʻano melanoma ʻē aʻe.

ʻO ke ola a me ka wānana

ʻO ke kau mua (pae 1, mai loko mai o 4 mau pae kūpono) ʻoi aku ka maʻalahi o ka melanoma amelanotic ma mua o ka melanoma holomua. Inā hopu mua ʻoe iā ia, malia hiki iā ʻoe ke mālama i ka maʻi ʻaʻai a hoʻomau i ka noho ʻana me ka ʻole o nā pilikia. Hiki paha i ka maʻi ʻaʻai e hoʻi a i ʻole no kahi ʻāpana melanoma hou aʻe.

Hiki i ka Melanoma ke lilo i mea paʻakikī e mālama i ka wā e holomua ai. Koi paha ʻoe i kahi lāʻau lapaʻau lōʻihi loa a i ʻole ʻoki ʻana e hoʻopau loa i ka maʻi ʻaʻai mai kou kino. Loaʻa iā ʻoe ma kahi o 50 pākēneka ka manawa kūpono o ke ola piha ʻana e like me ka neʻe ʻana o melanoma i nā pae 2 a me 3. Hiki ke hāʻule maikaʻi kou mau manawa o ka hoʻihoʻi piha ma lalo o 50 pākēneka i ka neʻe ʻana o melanoma i ka pae 4 a pālahalaha.

Nā pilikia a me ka nānā

ʻAʻole koʻikoʻi loa ka melanoma amelanotic pae a hiki ke mālama ʻia me ka ʻole o nā pilikia. Ke hele nei i mua o melanoma, hiki i nā pilikia ke lilo i koʻikoʻi a paʻakikī hoʻi e mālama, keu hoʻi inā e pāhola ka maʻi ʻaʻai i kāu nā loko o loko. ʻO ka Chemotherapy a me ka radiation radiation hiki iā ʻoe ke hoʻoluhi a luhi. Hiki ke make ke melanoma i hana ʻole ʻia.

ʻO ka hopu ʻana i ka melanoma i kona wā mua e hiki ke pale i ka ulu hou ʻana o nā hunaola maʻi ʻaʻai a e hoʻomau i kou ola ʻana me ka ʻole o nā pilikia. E mālama i ka nui a me ka ulu ʻana o nā mole ma kou kino a ʻike i kāu kauka e kōkua iā ʻoe e ʻike i ka melanoma ma mua.