Iliso Freckle

Umxholo

• Zeziphi iimeko ezibangela ukuhla kwamehlo?
• Ukudibana nevus
• Iris nevus
• I-nevus yeChoroidal
• Zeziphi ezinye iimpawu ezinokuthi zihambe kunye nokubonakala kwamehlo?
• Ngaba ukungaboni ngamehlo kunokubangela iingxaki?
• Ngaba i-eye freckles ifuna unyango?
• Ithini imbonakalo yokuxubana kwamehlo?

Ushwankathelo

Ngaba uqhelene namabala amfiliba kulusu lwakho, kodwa ubusazi ukuba unokufumana amabala akwiliso lakho? Ukuqhuma kwamehlo kubizwa ngokuba yi-nevus (“nevi” sisininzi), kwaye iintlobo ezahlukeneyo zamabala ziyavela kumacala ahlukeneyo esiso.

Ngelixa zihlala zingenabungozi, kufuneka zijongwe ngugqirha kuba kukho ithuba elincinci lokuba babe luhlobo lomhlaza obizwa ngokuba yi-melanoma.

Zeziphi iimeko ezibangela ukuhla kwamehlo?

Kukho iintlobo ezininzi zamehlo. Kubalulekile ukuba i-freckles ihlolwe ngugqirha wamehlo ukuqinisekisa ukuxilongwa okufanelekileyo kunye nocwangciso lonyango.

Ngelixa ungazalwa unamaqhuqhuva wamehlo, unokukhulisa umntu kamva ebomini. Njengamabala amnyama kulusu, ezi zibangelwa zii-melanocyte (iiseli ezinombala) ezidityanisiweyo.

Ukudibana nevus

I-conjunctival nevus sisilonda sombala kwindawo emhlophe yamehlo, eyaziwa ngokuba sisihlanganisi. Ezi nevi zenza ngaphezulu kwesiqingatha sazo zonke izilonda zokudibana kwaye zihlala zibonakala ebuntwaneni.

Iris nevus

Xa i-eye freckle ikwi-iris (icandelo elinombala wamehlo), ibizwa ngokuba yi-iris nevus. Phantse abantu aba-6 kwali-10 banenye.

Uphando luye lwanyusa ukwanda kwelanga ekwenziweni kwe-iris nevi entsha, kodwa kufuneka kwenziwe izifundo ezingaphezulu. Zihlala zihlala zithe tyaba kwaye azibeki mngcipheko. Oku kwahlukile kwimimandla ephakanyisiweyo kwi-iris okanye iris melanoma.

I-nevus yeChoroidal

Xa ugqirha ekuxelela ukuba unesilonda samehlo ekufuneka silandelwe, kusenokwenzeka ukuba babhekisa kwi-choroidal nevus. Esi sisilonda sombala esithe tyaba esisesona singenabungozi (singenabisi) kwaye sibekwe ngasemva kweliso.

Ngokwe-Ocular Melanoma Foundation, phantse umntu omnye kwabali-10 unale meko, okusisiseko sokuqokelelwa kweeseli ezinombala. Ngelixa i-choroidal nevi ihlala ingenawo umhlaza, kukho amandla amancinci anokuba ngumhlaza, yiyo loo nto kufuneka ilandelwe ngugqirha.

Zeziphi ezinye iimpawu ezinokuthi zihambe kunye nokubonakala kwamehlo?

I-nevi ye-Conjunctival ihlala ibonakala njenge-freckle ebonakalayo kwicandelo elimhlophe, ngaphandle kwezinye iimpawu. Bahlala behlala bezinzile, kodwa banokutshintsha umbala ekuhambeni kwexesha, ngakumbi ngexesha lokufikisa okanye lokukhulelwa.

Umbala omnyama unokuphosakela ukukhula, yiyo loo nto kubalulekile ukuba olu hlobo lwe-nevi lujongwe ngokusondeleyo.

Iris nevi ihlala ibonwa ngokuhlolwa kwamehlo, ngakumbi ukuba une-iris emnyama. Zenzeka ngokuxhaphakileyo kubantu abanamehlo aluhlaza kwaye zibonwa ngokulula kwaba bantu.

I-nevi ye-Choroidal ihlala ingenasifo, nangona inokuvuza okanye ihambisane nokukhula kwenqanawa yegazi ngokungaqhelekanga.

Ngamanye amaxesha oku kubangela i-retina engacacanga okanye ukulahleka kombono, yiyo loo nto kubaluleke kakhulu ukubeka esweni ezi ntlobo ze-nevi. Ngenxa yokuba azibangeli zimpawu, zihlala zifunyanwa ngexesha lovavanyo oluqhelekileyo lwe-fundoscopic.

Ngaba ukungaboni ngamehlo kunokubangela iingxaki?

Ngelixa uninzi lwamaqhuqhuva wamehlo ahlala engenamhlaza, kubalulekile ukuba ugqirha wamehlo uwajonge. Kukho ithuba elincinci lokuba baphuhle babe yimelanoma yamehlo. Kwangoko uqaphela ukuba i-nevus iqala ukutshintsha, ngokukhawuleza inokunyangwa - ngaphambi kokuba ibe yinto enzulu ngakumbi.

Vala ukujonga kubaluleke kakhulu ekufumaneni naluphi na utshintsho olunokuba ngumhlaza kunye nokubamba i-metastasis enokwenzeka kwangethuba. Ugqirha wamehlo wakho kufuneka ahlole i-nevus rhoqo kwiinyanga ezi-6 ukuya kwezi-12, eqaphela ubungakanani, imilo, kunye nokuba kukho na ukuphakama.

Rhoqo, ezinye izilonda zinokuxela ezinye iimeko. Ukuba nezilonda zombala kwiimviwo ze-fundoscopic emehlweni omabini kunokubonisa imeko ebizwa ngokuba yi-hypertrophy ye-congenital ye-retinal pigment epithelium (CHRPE), engacacanga kwaphela. Ukuba i-CHRPE imehlweni omabini, oku kunokuba luphawu lwemeko yelifa ebizwa ngokuba yintsapho ye-adenomatous polyposis (FAP).

I-FAP inqabile kakhulu. Kubangela iipesenti ezi-1 zomhlaza omtsha ongqongqo ngonyaka. Nangona kunqabile, abantu abane-FAP banethuba le-100 leepesenti lokufumana umhlaza we-colorectal abaneminyaka engama-40 ukuba ikholoni yabo ayisuswanga.

Ukuba ugqirha wamehlo ufumanisa i-CHRPE, thetha nogqirha wakho malunga nobungozi kunye nezibonelelo zovavanyo lwemfuzo.

Banokucebisa ukuba ubone ingcali ukuze uxoxe ngokhetho lwakho.

Ngaba i-eye freckles ifuna unyango?

Uninzi lwamabala amdaka alungile, kodwa ukuba unayo, kufuneka ibekwe esweni ngugqirha wamehlo aneemviwo rhoqo, ngesiqhelo rhoqo kwiinyanga ezintandathu ukuya kunyaka, ukubhala ubungakanani, imilo, kunye naluphi na utshintsho lombala.

Ngelixa kukho indibaniselwano phakathi kwe-nevi (ngakumbi i-choroidal kunye ne-iris) kunye nokukhanya kwe-UV, uphando oluthe kratya kufuneka lwenziwe ukucacisa indima yokugqibela. Nangona kunjalo, ukunxiba iiglasi zangaphandle ngaphandle kunokunceda ukunciphisa umngcipheko weengxaki kunye nevi.

Ukuba i-nevus ifuna ukususwa ngenxa yazo naziphi na iingxaki, i-melanoma, okanye ukukrokrela i-melanoma, oku kwenziwa ngotyando. Kuxhomekeka kwimeko nganye, ukhetho olunokubakho (kusetyenziswa iblade encinci) okanye iargon laser photoablation (usebenzisa i-laser ukususa izicwili) zinokukhethwa.

Ithini imbonakalo yokuxubana kwamehlo?

Ukuba une-eye freckle, oku akukho nto inokukhathaza ngayo. Amaxesha amaninzi, ezi zibonwa kuvavanyo lwamehlo, yiyo loo nto ke kubalulekile ukuba uhlolwe rhoqo.

Nje ukuba i-freckle ifunyenwe, thetha nogqirha wakho malunga neshedyuli yokujonga kuba kufuneka ijongwe ngononophelo ukuthintela naziphi na iingxaki ezinokubakho.

Ukuba unamehlo amnyama emehlweni omabini, buza ugqirha wakho malunga ne-CHRPE kunye ne-FAP ukuze ubone ukuba bacebisa ntoni njengenyathelo elilandelayo.