ʻEcklili maka
Anter
- He aha nā kumu i nā freckles maka?
- Conjunctival nevus
- Iris nevus
- ʻO Choroidal nevus
- He aha nā hōʻailona ʻē aʻe e hele pū me ka freckle o ka maka?
- Hiki i nā freckles maka ke kumu i nā pilikia?
- Pono i nā freckles maka e mālama?
- He aha ke kuanaʻike no ka freckle maka?
Hōʻike Overview
Kamaʻāina paha ʻoe me nā freckles ma kou ʻili, akā ua ʻike anei ʻoe hiki iā ʻoe ke kiʻi pū i kou mau maka i kou maka? Kāhea ʻia kahi freckle maka he nevus ("nevi" ka plural), a hiki i nā ʻano freckles like ʻole ke hana ma nā ʻāpana like ʻole o ka maka.
ʻOiai ʻaʻole maʻa mau, pono lākou e kiaʻi ʻia e ke kauka no ka mea aia kahi manawa liʻiliʻi e hiki ai ke lilo i ʻano ʻano maʻi ʻaʻai i kapa ʻia ʻo melanoma.
He aha nā kumu i nā freckles maka?
Nui nā ʻano o nā freckles o ka maka. He mea nui e nānā i nā freckles e ke kauka maka e hōʻoia i ka ʻike kūpono a me ka hoʻolālā lapaʻau.
ʻOiai hiki iā ʻoe ke hānau ʻia me ka freckle maka, hiki iā ʻoe ke hoʻomohala i hoʻokahi ma hope i kou ola. E like me nā freckles ma ka ʻili, hoʻokumu ʻia kēia mau mea e nā melanocytes (nā hunaola i piha nā pigment) i ʻōpala pū ʻia.
Conjunctival nevus
ʻO kahi nevus conjunctival kahi liona pigmented ma ka ʻāpana keʻokeʻo o ka maka, i ʻike ʻia ʻo ka conjunctiva. Hana ʻia kēia mau nevi ma mua o ka hapalua o nā lesion conjunctival āpau a ʻike pinepine ʻia i ka wā kamaliʻi.
Iris nevus
Ke kū ka maka o ka maka i ka iris (ka ʻāpana kala o ka maka), ua kapa ʻia he iris nevus. Ma kahi o 6 i 10 mau poʻe i hoʻokahi.
Ua pili ka noiʻi ʻana i ka hoʻonui ʻia o ka lā i ka hoʻokumu ʻia o neis hou, akā e pono e hana hou i nā noiʻi. Pālahalaha mau lākou a mai kau i kahi makaʻu. ʻOkoʻa kēia mau mea mai ka hānai lehulehu ma ka iris a i ʻole iris melanoma.
ʻO Choroidal nevus
Ke haʻi aku kahi kauka iā ʻoe he lesion maka kou e pono ai e ukali, e kuhikuhi paha lākou i kahi nevus choroidal. He lesion pigmented pālahalaha kēia e benign (noncancerous) a aia ma ka hope o ka maka.
Wahi a ka Ocular Melanoma Foundation, ma kahi o 1 i ka 10 mau kānaka i loaʻa i kēia ʻano, ʻo ia hoʻi ka hōʻiliʻili o nā hunaola pigment. ʻOiai noncancerous ʻo choroidal nevi, aia kahi liʻiliʻi liʻiliʻi e hiki ai iā lākou ke lilo i maʻi ʻaʻai, ʻo ia ke kumu e ukali ai lākou e ke kauka.
He aha nā hōʻailona ʻē aʻe e hele pū me ka freckle o ka maka?
Hōʻike pinepine ʻia ka nevi Conjunctival ma ke ʻano he freckle ʻike ʻia ma ka ʻāpana keʻokeʻo, me ka ʻole o nā ʻōuli ʻē aʻe. Kūleʻa lākou e kūpaʻa, akā hiki iā lākou ke hoʻololi i ke kala i ka manawa, keu hoʻi i ka wā ʻōpio a i ʻole hāpai.
Hiki ke kuhihewa ke kala ʻeleʻele no ka ulu ʻana, no laila he mea nui ia e nānā pono ʻia kēia ʻano nevi.
Hiki ke ʻike pinepine ʻia ʻo Iris nevi ma o nā hoʻāʻo ʻana o ka maka, keu hoʻi inā loaʻa iā ʻoe kahi iris pouli. Kū pinepine lākou i nā poʻe me nā maka polū a ʻike maʻalahi ʻia i kēia mau kānaka.
ʻO ka neuro Choroidal he mau asymptomatic, ʻoiai e kulu paha ka wai a hele pū ʻia paha me ka ulu ʻana o ke kīʻaha koko.
I kekahi manawa kumu kēia i kahi retina hemo a i ʻole ka nalo ʻana o ka hihi, ʻo ia ke kumu he mea nui e nānā i kēia ʻano nevi. Ma muli o ke kumu ʻole o nā hōʻailona, ʻike pinepine ʻia lākou i ka wā o kahi hōʻike fundoscopic maʻamau.
Hiki i nā freckles maka ke kumu i nā pilikia?
ʻOiai ka hapanui o nā freckles maka e noho noncancerous, he mea nui e nānā kauka kauka iā lākou. Aia kahi manawa liʻiliʻi e hiki ai iā lākou ke hoʻomōhala i melanoma maka. ʻIke mua ʻoe e hoʻomaka ana kahi nevus e loli, ʻo ka hiki koke ke mālama ʻia - ma mua o ka lilo ʻana i mea ʻoi aku ke koʻikoʻi.
ʻO ka nānā ākea ke kī i ka ʻike ʻana i nā loli cancerous kūpono a me ka hopu ʻana i ka metastasis hiki wawe. Pono kāu kauka maka e nānā i ka nevus i kēlā me kēia 6 a 12 mau mahina, e hoʻomaopopo ana i ka nui, ke kinona, a inā he kiʻekiʻe paha.
Kākaʻikahi wale, hiki i kekahi mau leona ke haʻi i nā kūlana ʻē aʻe. ʻO ka loaʻa ʻana o nā leona pigment ma nā hoʻāʻo fundoscopic i nā maka ʻelua hiki ke hōʻike i kahi kūlana i kapa ʻia ʻo hypertrophy congenital o ka epithelium pigment retinal (CHRPE), ʻo ia ka asy asytomatik. Inā ʻo CHRPE i nā maka ʻelua, hiki i kēia ke hōʻailona o kahi ʻano hoʻoilina i kapa ʻia ʻo familial adenomatous polyposis (FAP).
Kākaʻikahi loa ʻo FAP. Hoʻokumu ia i ka 1 pakeneka o nā maʻi ʻaʻai kala hou i kēlā me kēia makahiki. ʻOiai paʻakikī, loaʻa i ka poʻe me FAP ka 100 pākēneka manawa kūpono e hoʻomohala i ka maʻi ʻaʻai kala i ka makahiki 40 inā ʻaʻole lawe ʻia kā lākou kolona.
Inā kuhi kahi kauka maka iā CHRPE, e kamaʻilio me kāu kauka e pili ana i nā pilikia a me nā pono o ka hoʻāʻo genetika.
Paipai paha lākou iā ʻoe e ʻike i kahi loea e kūkākūkā i kāu koho.
Pono i nā freckles maka e mālama?
ʻO ka hapa nui o nā freckles maka he benign, akā inā he hoʻokahi kāu, pono e nānā ʻia e ke kauka maka me nā hōʻike pinepine, maʻamau i kēlā me kēia ʻeono mahina a hoʻokahi makahiki, e palapala i ka nui, ke ʻano, a me nā hoʻololi kala o ka freckle.
ʻOiai aia nā hui ma waena o nevi (ʻo ia hoʻi ʻo choroidal a me iris) a me ke kukui UV, pono e hana hou i kahi noiʻi e wehewehe i ka hana o ka hope. Eia nō naʻe, kōkua i nā aniani aniani i waho e kōkua i ka hōʻemi ʻana i ka pilikia o nā pilikia me ka nevi.
Inā pono e hemo kahi nevus ma muli o nā pilikia, melanoma, a i ʻole kānalua o melanoma, hana ʻia kēia me ke ʻoki kino. Kaukaʻi ʻia i ke kūlana o kēlā me kēia kūlana, hiki ke koho ʻia i kahi kūloko.
He aha ke kuanaʻike no ka freckle maka?
Inā he maka maka kou, ʻaʻohe mea hopohopo kēia. I nā manawa he nui, ʻike ʻia kēia ma ka hoʻokolohua maka, ʻo ia ke kumu he mea nui ia e kiʻi i nā loiloi maʻamau.
I ka manawa e hōʻoia ʻia ka freckle, e kamaʻilio me kāu kauka e pili ana i kahi papa manawa o ka nānā ʻana mai ka mea e pono e nānā pono ʻia e hōʻalo ai i nā pilikia kūpono.
Inā he maka maka kou i nā maka ʻelua, e nīnau i kāu kauka e pili ana iā CHRPE a me FAP e ʻike i ka mea a lākou e ʻōlelo ai ma ke ʻano he pae hou aʻe.