me me ntawm daim tawv nqaij ntawm txhua tus neeg feem ntau tsis ua teeb meem ntau. Tab sis yuav ua li cas thaum moles loj hlob, hloov lawv cov xim thiab cov duab? Kuv yuav tsum hu rau tus kws kho mob twg thiab yog vim li cas rau kev loj hlob thiab kev hloov pauv video hauv nevi?
Ntau hom moles ntawm lub cev
Me nyuam mos yug los tsis muaj nevi, tus me nyuam loj hlob mole tom qab nws muaj 3 xyoos. Raws li lawv loj hlob tuaj, qee cov moles yuav loj tuaj, tab sis tsuas yog me ntsis xwb.
Ntawm tib neeg lub cev, lawv tuaj yeem ua tau ntawm cov duab sib txawv, xim thiab duab. Lawv tuaj yeem muab faib ua hom hauv qab no:
- hnav khaub ncaws thiab hnav tsis zoo uas tsis teb rau UV raug;
- birthmarks, uas tseem hu ua epidermal-dermal moles;
- complex nevi (lawv convex ntau thiab muaj xim tsaus);
- dysplastic (lawv yog cov noob caj noob ces, feem ntau asymmetric, ncav cuag 1.2 cm inch);
- xiav (txawv txawv thiab tsawg heev, tuab heev, tab sis du);
- intradermal moles uas tshwm sim ntawm lub ntsej muag (lawv txoj kab uas hla tuaj yeemsib txawv ntawm 2 mus rau 20 hli, xws li lub ntsej muag nevi, uas coj tsis xis nyob rau ib tug neeg, yuav tau yooj yim tshem tawm yam tsis muaj txim).
Tsis tas li ntawd, pigmentation ntawm tib neeg lub cev tuaj yeem muab faib ua me me (txog 150 mm), nruab nrab (txog 10 cm), loj (ntau tshaj 10 cm) thiab loj, uas npog thaj tsam ntawm tib neeg. daim tawv nqaij.
Puas moles loj tuaj?
feem coob ntawm cov menyuam mos yug los tsis muaj lub cim yug. Qee tus yuav muaj lawv thaum yug los, feem ntau ntawm lub taub hau, ob txhais ceg thiab caj npab, tab sis tsis ntau tshaj ib lub kaum os. Hauv cov menyuam yaus, moles loj hlob thaum lawv muaj hnub nyoog 3 xyoos. Raws li tus me nyuam loj hlob tuaj, lawv cov lej tuaj yeem nce ntau hauv lub cev. Qhov no feem ntau txuas mus txog hnub nyoog 35.
Raws li txoj cai, cov neeg uas muaj tawv nqaij zoo nkauj muaj ntau dua nevi ntawm lawv lub cev dua li cov tawv nqaij tawv. Tej zaum lawv yuav nce me ntsis thoob plaws lub neej, tab sis tsis txhob hloov lawv qhov ntxoov ntxoo thiab zoo li.
Yog tias mole tshwm thiab loj tuaj, qhov no qhia tau tias qee qhov mob hnyav uas tshwm sim hauv tib neeg lub cev lossis ua haujlwm tsis zoo ntawm qee yam kabmob. Pom ib tus kws kho mob tshwj xeeb hauv qhov xwm txheej no yuav tsis yog superfluous.
Yog vim li cas thiaj loj hlob
Nws tsim nyog paub tias moles uas tshwm sim ntawm tib neeg lub cev thaum yau los yog hluas hluas tsis tshua muaj kev loj hlob mus rau ib yam dab tsi loj dua. Tab sis yog hais tias ib tug nevus tshwm sim ntawm daim tawv nqaij tom qab 35 xyoo, ntxiv mus, kev loj hlob tshwm sim nyob rau hauv ib tug luv luv lub sij hawm ntawm lub sij hawm, qhov no yog xam tau tias yog tej zaum yuav txaus ntshai.
Vim li casloj hlob moles ntawm lub cev?
kev puas tsuaj (yog tias lub nevi ntawm tib neeg lub cev nyob rau hauv qhov chaw tas li rub tawm (qhov no tuaj yeem nyob hauv qab ntawm caj npab, hauv qhov chaw shaving lossis qhov chaw uas tus poj niam hnav lub tsho hauv qab), feem ntau lawv tuaj yeem raug mob, puas., uas tuaj yeem ua rau lawv txoj kev loj hlob)
Yog ib tug neeg kov tus mole los ntawm kev sib tsoo, uas ua rau los ntshav me ntsis, ces qhov txhab yuav tsum tau kho nrog tshuaj tua kab mob. Txawm li cas los xij, nws tsim nyog nco ntsoov tias qhov mob tuaj yeem tshwm sim, uas yuav ua rau cov ntaub so ntswg degeneration.
- hloov pauv hauv cov tshuaj hormonal (moles loj hlob feem ntau thaum lub sij hawm xeeb tub los yog cev xeeb tub hauv cov poj niam, nrog rau thaum hluas);
- raug tshav ntuj (qhov no, pigmentation ntawm daim tawv nqaij tshwm vim qhov nce ntawm melanin, feem ntau cov neeg uas muaj tawv nqaij ncaj ncees thiab cov plaub hau liab raug cuam tshuam, qhov no yog qhov tseem ceeb rau kev siv tshuaj pleev thaiv hnub hauv lub hnub);
- txo qis kev tiv thaiv (tsis yog warts tuaj yeem tshwm sim, tab sis nevi tuaj yeem loj hlob);
- ua haujlwm tsis zoo ntawm cov thyroid caj pas thiab daim siab;
- kev hloov pauv;
- ua xua thiab cov txheej txheem mob ntev ntawm daim tawv nqaij ntawm qhov chaw ntawm mole;
- kev ntxhov siab tsis tu ncua uas txo cov haujlwm tiv thaiv ntawm lub cev.
Thaum tsis txhob txhawj?
Nws tsis tas yuav tshem tag nrho cov moles ntawm lub cev. Feem ntau, lawv muaj kev nyab xeeb kiag li rau tib neeg. Tsis txhob txhawj thaum lub nevus yog txawm, tsis convex, muaj ib tug uniform ntxoov ntxoo, lub nyem yog zoo tib yam rau ntawm daim tawv nqaij thiab los ntawm nws.plaub hau hlob.
Yog tus me nyuam mole loj hlob, yuav ua li cas rau qhov no, tsuas yog ib tug kws tshwj xeeb yuav qhia rau koj. Tus me nyuam yuav tsum tau qhia rau tus kws kho mob yog hais tias lub nevus tau ua convex thiab o, contours, symmetry tau hloov, los yog nws tsoo lub mole. Lwm qhov xwm txheej, koj tsuas yog yuav tsum tau saib xyuas cov tawv nqaij ntawm tus menyuam thiab tus neeg laus, thiab yog tias lawv tsis hloov mus ntev, ces koj yuav tsum tsis txhob txhawj.
Cov moles tuaj yeem loj hlob nrog hnub nyoog thiab puas txaus ntshai?
Ua kom muaj kev loj hlob ntawm nevi, uas los ntawm lawv qhov xwm txheej yog benign neoplasms, tuaj yeem ua tau ntau yam, xws li kev ntxhov siab thiab raug rau ultraviolet hluav taws xob thiab xaus nrog genetic predisposition.
Nrog rau hnub nyoog, cov pob yuav hloov me ntsis, tab sis yog cov plaub hau loj hlob los ntawm mole, qhov no txhais tau tias kev tsim tsis yog malignant. Hanging nevi, tsis hais qhov chaw twg, yuav tsum raug tshem tawm, vim lawv tuaj yeem raug mob thiab tom qab ntawd txhim kho mus rau qee yam hnyav dua. Txawm li cas los xij, txawm tias ib qho mole uas tshwm sim thaum ntxov yuav tsum tau saib xyuas thoob plaws hauv lub neej. Ib qho kev hloov me me yog vim li cas thiaj nrhiav kev kho mob.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Cov kws tshaj lij tuaj nrog cov ntawv luv luv hauv qab no hu ua AKORD (Asymmetry, Ntug, Xim, Loj, Dynamics). Yog tias tsawg kawg ib qho kev hloov pauv, ces koj yuav tsum tau sab laj nrog kws kho mob kom muaj tswv yim thiab kuaj mob.
Yuav tsum ceeb toomcov duab hauv qab no:
- hloov kho cov qauv thiab cov npoo ntawm lub cim yug;
- xim tsis sib xws (los ntawm tsaus rau lub teeb ntxoov ntxoo, thiab tag nrho cov no ntawm ib tus mole);
- pob lossis o ntawm thaj chaw nevus;
- ntxhiab lossis tawg;
- yog cov plaub hau loj hlob ntawm mole, tab sis nws pib poob;
- kub hnyiab, mob lossis tsis xis nyob hauv thaj tsam ntawm nevus.
Yog tias muaj kev hloov pauv, mus ntsib kws kho mob uas yuav kuaj xyuas thiab saib xyuas qhov muaj zog. Cov kev kuaj mob muaj xws li tsis tsuas yog kev kuaj pom, tab sis kuj cov txheej txheem xws li dermatoscopy thiab biopsy (feem ntau yog excisional), thaum ib feem ntawm tus kab mob mole raug coj mus kuaj tom ntej.
Kuv yuav tsum mus rau tus kws tshwj xeeb twg?
Yog tias koj pom tias mole loj hlob, nws txhais tau tias koj yuav tsum sab laj nrog tus kws tshaj lij. Tab sis leej twg tig mus? Ua ntej ntawm tag nrho cov, nws yog tsim nyog mus rau kev sab laj nrog ib tug dermatologist. Nws yuav tsum ua kev tshawb fawb thiab, yog tias tsim nyog, tuaj yeem xa mus kuaj ntxiv mus rau tus kws kho mob oncologist lossis kws phais. Tus kws phais tsis kho, nws tshem tawm cov chaw cuam tshuam, tab sis tsuas yog tom qab kuaj.
Yog tias kev loj hlob ntawm moles hauv ib tus neeg cuam tshuam nrog kev hloov pauv hauv cov tshuaj hormones, ces lawv raug xa mus rau kev kho mob mus rau tus kws kho mob endocrinologist. Yog hais tias moles loj hlob los yog hloov nyob rau hauv ib tug me nyuam, koj yuav tsum tau mus ntsib ib tug kws kho mob uas twb yuav muab xa mus rau ib tug tshwj xeeb.
Ib txhia mus rau beautician, tab sis nyob rau hauv cov ntaub ntawv no cov moles yuav tsum tsis txhob hloov. Tom qab tag nrho, cosmetologist tsis kho, tab sis tsuas yog tshem tawm cov speck tsis nkag siabnws keeb kwm thiab xwm, uas yuav ua rau lwm yam teeb meem kev noj qab haus huv. Thawj qhov, nws tuaj yeem ua rau muaj kab mob xws li melanoma.
Diagnosis
Kev kuaj pom thawj zaug ntawm mole loj hlob yog ua los ntawm kws kho mob dermatologist. Qhov no tuaj yeem yog tus kws kho menyuam yaus lossis tus neeg laus tshwj xeeb uas ua haujlwm ntawm cov kab mob ntawm daim tawv nqaij.
Txhawm rau kuaj mob, cov kev siv hauv qab no tuaj yeem ua tau:
- dermatoscopy (lub nevus tau them nrog cov tshuaj tshwj xeeb, thiab tom qab ntawd tus kws kho mob tshuaj xyuas qhov mob lossis qhov cuam tshuam nrog lub dermatoscope txhawm rau txheeb xyuas cov xim, xim thiab tawg me me);
- histology (cov ntaub so ntswg me ntawm mole yog coj thiab xa mus rau kev tshawb fawb uas tuaj yeem txiav txim siab seb cov qog nqaij hlav cancer puas muaj);
- biopsy (khoom siv kuj tau siv cov cuab yeej tshwj xeeb thiab hauv qab tshuaj loog rau kev kuaj);
- kev kuaj mob hauv computer (txoj kev zoo ib yam li dermatoscopy, tab sis qhov no, kev tshuaj xyuas yog ua los ntawm kev siv lub koob yees duab video uas ntes txhua qhov kev hloov pauv ntawm daim tawv nqaij ntawm mole thiab qhov chaw nyob ib puag ncig nws).
Feem ntau, tus kws kho mob tshwj xeeb tsis txwv rau ib txoj kev kuaj mob, tab sis ua ob peb zaug ib zaug. Qhov no tso cai rau koj los txiav txim qhov kev kuaj mob kom raug thiab sau cov kev kho mob uas tsim nyog.
Puas loj hlob moles raug tshem tawm?
Ntau tus neeg muaj lus nug, thaum mole loj hlob, yuav ua li cas thiab tshem tawm? Yog tias qhov no yog qhov loj hlob neoplasm, nws yog qhov zoo dua los tshem nws, vimib qho benign nevus tuaj yeem txhim kho mus rau qhov tsis zoo.
Kev tshem tawm tsis yog ua nrog SARS, nce lub cev kub lossis mob hlwb. Thaum cev xeeb tub, moles raug tshem tawm tsuas yog thaum lawv loj hlob sai kom tsis txhob muaj kev loj hlob ntawm melanoma.
Yog moles loj tuaj, lawv tuaj yeem raug tshem tawm hauv cov hauv qab no:
- Cryodestruction, thaum thaj chaw muaj kev cuam tshuam rau cov kua nitrogen (qhov no tsis tshua siv, vim qhov tob ntawm kev tshem tawm tsis tswj, thiab yog tias txhua yam tsis tuaj yeem tshem tawm hauv paus, ces lub nevus yuav rov pib nws txoj kev loj hlob).
- Electrocoagulation lossis tshem tawm nrog tam sim no (ua raws li tshuaj loog hauv zos, tom qab ntawd cov khoom xa mus rau histology).
- Laser txoj kev kho (txoj kev ceev tshaj plaws thiab tsis mob tshaj plaws los hlawv qhov chaw cuam tshuam, tab sis qhov no, cov ntaub so ntswg tsis tuaj yeem kuaj xyuas).
- Xov tooj cua yoj kho mob (tus txheej txheem ntev tshaj plaws, ib qho mole tuaj yeem raug tshem tawm mus txog 20 feeb).
- Kev cuam tshuam kev phais (qhov no tuaj yeem raug txiav tawm ntawm ob qho tag nrho thiab ib feem ntawm qhov mob nevus, tab sis cov nti tseem nyob tom qab kev ua haujlwm zoo li no).
Txawm hais tias txoj kev tshem tawm, cov txheej txheem rov qab yuav tsum txuas ntxiv rau ob lub lis piam. Nws yog ib qho tseem ceeb uas yuav tsum tau ntxuav qhov chaw nrog tshuaj tua kab mob, tsis txhob raug ultraviolet lub teeb thiab dej ntawm thaj tsam cuam tshuam.
