ʻO Marjolin Ulcer

Anter

• Pehea e ulu ai?
• Pehea ia ʻike?
• Pehea e mālama ʻia ai?
• Hiki paha ke pale ʻia?
• Noho me kahi ulcer Marjolin

He aha ka maʻi maʻi ʻo Marjolin?

ʻO ka ulcer Marjolin kahi ʻano laha ʻole a ʻino hoʻi o ka maʻi ʻaʻai ʻili e ulu aʻe mai nā wela, nā ʻili, a i ʻole nā ​​hōʻeha hōʻino maikaʻi ʻole. Piʻi mālie ia, akā i ka hala ʻana o ka manawa hiki ke pālahalaha i nā ʻāpana ʻē aʻe o kou kino, e like me kou lolo, ka ake, nā māmā, a me nā puʻupaʻa.

I nā wā mua, e puhi ka ʻeha o ka ʻili i ka ʻino, a me ka blister. A laila, e hana ʻia kahi ʻeha hamama hou i hoʻopiha ʻia me nā puʻupuʻu paʻakikī a puni ka wahi ʻeha. I ka hapanui o nā hihia, pālahalaha nā ulcer Marjolin me nā kihi i hāpai ʻia.

Ma hope o nā ʻano ʻeha, ʻike paha ʻoe:

• pilau ʻaʻala ʻaʻala
• ʻeha ʻeha loa
• kahe ana ke koko
• palaoa

Hiki i nā marjolin ulcer ke pani a wehe hou, a hoʻomau lākou e ulu ma hope o nā ʻano ʻeha mua.

Pehea e ulu ai?

Ulu ʻo Marjolin ulcer mai ka ʻili i hōʻino ʻia, pinepine i kahi o ka ʻili i puhi ʻia. Hoʻolālā ʻia ma kahi o 2 pākēneka o nā welu ahi e hoʻomohala iā Marjolin ulcer.

Hiki iā lākou ke hoʻomohala mai:

• maʻi maʻi iwi
• ʻo nā maʻi hāmama nā kumu o ka lawa ʻole o ka venous
• nā ʻeha puʻe i hoʻokumu ʻia i ka noho ʻana ma kahi kūlana no nā wā lōʻihi
• scars lupus
• hau
• kumu ʻoki
• nā paʻa o ka ʻili
• ʻĀpana i mālama ʻia e ka radiation
• scars hoʻoweliweli

ʻAʻole maopopo nā kauka no ke aha e hoʻohuli ai i kēia mau wahi o ka ʻeha i ka maʻi ʻaʻai. Eia nō naʻe, aia ʻelua mau manaʻo nui:

• Luku ka ʻeha i nā kīʻaha koko a me nā kīʻaha lymphatic i ʻāpana o ka pale pale o kou kino, e paʻakikī ana i kou ʻili e hakakā i ka maʻi ʻaʻai.
• Hoʻonāukiuki ka manawa lōʻihi i nā ʻili o ka ʻili e hoʻoponopono mau iā lākou iho. I kēia hana hou, lilo kekahi mau ʻili ʻili i maʻi ʻaʻai.

ʻEkolu mau manawa ka hoʻomohala ʻana o nā kāne i kahi ulcer Marjolin, e like me ka noiʻi e kū nei. ʻOi aku ka maʻamau o ka marjolin ulcer i nā poʻe i piha i ko lākou mau makahiki he 50 a i ʻole e noho ana i nā ʻāina kūkulu me ka loaʻa ʻole o ka mālama ʻeha.

Ua ʻike pū kēia 2011 loiloi i ka ulu pinepine ʻana o ka ulcer Marjolin ma nā wāwae a me nā wāwae. Hiki iā lākou ke hōʻike ma ka ʻāʻī a me ke poʻo.

ʻO ka hapa nui o Marjolin ulcer he maʻi ʻaʻai squamous. ʻO ia ka mea i hana i nā hunaola squamous i nā papa luna o kou ʻili. Eia nō naʻe, i kekahi manawa he mau puʻupuʻu basal cell, i hana i nā papa hohonu o kou ʻili.

Pehea ia ʻike?

Lohi mālie ʻo Marjolin ulcer, e hana maʻamau a lilo i maʻi ʻaʻai. I kekahi mau hihia, hiki iā lākou ke lawe i 75 mau makahiki e hoʻomohala. Lawe wale ia hoʻokahi Marjolin ulcer e hōʻino i ke kino.

Inā loaʻa iā ʻoe kahi ʻeha a ʻeha paha i hoʻōla ʻole ma hope o ʻekolu mau mahina, e kuhikuhi paha kāu kauka iā ʻoe i kahi dermatologist ma hope o kahi hōʻike o kou ʻili. Inā manaʻo ka dermatologist hiki i ka ʻeha ke lilo i maʻi ʻaʻai, e hana paha lākou i kahi biopsy. E hana i kēia, e hoʻoneʻe lākou i kahi mea kiko liʻiliʻi mai ka ʻeha a hoʻāʻo iā ia no ka maʻi ʻaʻai.

Hiki iā lākou ke wehe i kahi lymph node kokoke i ka ʻeha a hoʻāʻo iā ia no ka maʻi ʻaʻai e ʻike inā ua laha. ʻIke ʻia kēia ma ke ʻano he biopsy lymph node sentinel.

Kaukaʻi ʻia i nā hopena o ka biopsy, hoʻohana paha kāu kauka i kahi scan CT a i ʻole MRI scan e ʻike ʻaʻole i pālahalaha ʻia i kou mau iwi a i ʻole nā ​​mea ʻē aʻe.

Pehea e mālama ʻia ai?

Hoʻopili maʻamau ka hoʻomaʻamaʻa i ke ʻoki e wehe i ka tumo. Hiki i kāu kauka lāʻau ke hoʻohana i kekahi mau ʻano ʻokoʻa e hana i kēia, me:

• Excision. Pili kēia hana i ka ʻoki ʻana i ka tumo a me kekahi o nā mea a puni iā ​​ia.
• ʻOki kino Mohs. Hana ʻia kēia ʻoki i nā pae. ʻO ka mea mua, e hoʻoneʻe kāu mea lapaʻau i kahi papa o ka ʻili a nānā iā ia ma lalo o kahi microscope ke kali ʻoe. Hana hou ʻia kēia hana a hiki i ka loaʻa ʻole o nā hunaola maʻi ʻea.

Ma hope o ke kahakaha ʻana, pono ʻoe i kahi hoʻopili o ka ʻili e uhi i ka wahi kahi i lawe ʻia ai ka ʻili.

Inā ua pālahalaha ka maʻi ʻaʻai i nā wahi kokoke, pono paha iā ʻoe:

• chemotherapy
• lāʻau pāhawewe
• ʻoki ʻana

Ma hope o ka hoʻomaʻamaʻa, pono ʻoe e ukali pinepine me kāu kauka e hōʻoia i ka hoʻi ʻole o ka maʻi ʻaʻai.

Hiki paha ke pale ʻia?

Inā loaʻa iā ʻoe kahi ʻeha hāmama ākea a i ʻole ʻā nui hoʻi, e hōʻoia e loaʻa iā ʻoe kahi lāʻau lapaʻau olakino. Hiki i kēia ke kōkua e hōʻemi i kou makaʻu i ka hoʻomohala ʻana i kahi ulcer Marjolin a i ʻole maʻi maʻi nui. Eia kekahi, e haʻi pono aku i kāu kauka e pili ana i nā ʻeha a i ʻole nā ​​ʻāʻā e like me ka mea e hōʻola ʻole ana ma hope o ʻelua a ʻekolu paha pule.

Inā loaʻa iā ʻoe kahi ʻalā kuni kahiko e hoʻomaka ana e ulu i kahi ʻeha, e haʻi koke i kāu kauka. Pono ʻoe i kahi ʻili pili i ka ʻili e pale ai i ka wahi mai ka hoʻomohala ʻana i kahi ulcer Marjolin.

Noho me kahi ulcer Marjolin

Nui a koʻikoʻi ʻo Marjolin ulcer a make i kekahi hihia. Pili kāu hopena i ka nui o kāu tumo a me kona ʻano kolohe. ʻO ka helu ola ʻelima mau makahiki no kahi ulcer Marjolin mai. ʻO ia ka 40 pākēneka a i ka 69 pākēneka o ka poʻe i ʻike ʻia me ka maʻi maʻi Marjolin e ola nei ʻelima mau makahiki ma hope o ka ʻike ʻia.

Eia hou, hiki i nā Marjolin ulcer ke hoʻi, ʻoiai ma hope o ka hemo ʻana o lākou. Inā loaʻa mua iā ʻoe kahi ulcer Marjolin, e hōʻoia e ukali mau ʻoe me kāu kauka a haʻi iā lākou e pili ana i nā hoʻololi āu e ʻike ai a puni ka wahi i hoʻopilikia ʻia.