Ngabe ungasuswa ama-moles ngenkathi ukhulelwe? . ukususwa kwemvukuzane ngenkathi ukhulelwe.
Bangu amacala kuphi ochwepheshe bayeluleka owesifazane ukususa imvukuzane . Naka lezo zikhathi: Imvukuzane ngokuzumayo umbala oshintshiwe , waba okuphawuleka kakhulu , noma waqala wopha . Kubhekwa futhi njengophawu olungajabulisi lwe ukulunywa endaweni yemvukuzane. Kulokhu, kungcono uku thintana nodokotela wesikhumba ngoba ukuxilongwa nokubonisana.
Ku- amacala amaningi , izenzakalo ezinjalo azisho lutho kuyingozi , kodwa kunjalo hhayi ubuhlungu ukuhlola . Kumele kuqashelwe ukuthi ukuguqulwa kwenani lezimvukuzane noma umbala wazo akuthinti inkambo yokukhulelwa, kanye nempilo kamama ne-fetus.
Naphezu kokungenabungozi okuhlobene nezimvukuzane , kusekhona i- ingozi izifo ezibucayi. Ngokwezibalo, kokunye kwabangu-100,000, ukwabiwa kwezimvukuzane akuyona ingozi kepha kukhombisa ukukhula kwesifo somdlavuza, i-melanoma . Lesi sifo singaholela ekufeni. Ukuze ungabeki impilo yakho engcupheni, kuyadingeka ukuqapha izinguquko kuma-moles wakho .
Uma uchwepheshe ehlonza i- isimo sangaphambi komdlavuza amangqamuzana esikhumba, imvukuzane izoba isusiwe ; nokho, lokhu kungenziwa ngemuva kokuzalwa kwengane. Uma icala lifakazelwa okubucayi futhi imvukuzane kufanele ibe isuswe ngokushesha , owesifazane okhulelwe uzocelwa sayina amaphepha ngamanye , ezomxwayisa ngokungenzeka ingozi yokukhulelwa , ngemuva kwalokho imvukuzane izoba isuswe ngokuhlinzwa .
Zisuswa kanjani izinsumpa ngesikhathi sokukhulelwa?
Ukususwa kweMole ngenkathi ukhulelwe. Uma, ngemuva ukuxilongwa ngokucophelela , uchwepheshe usanquma ukuthi imvukuzane kufanele isuswe, ungethuki ngokushesha . Amandla we ukuhlinzwa kwanamuhla vumela wena susa imvukuzane ngokushesha futhi ngaphandle kobuhlungu , futhi lokhu ngokuvamile kwenziwa ngaphansi kwe-anesthesia yendawo. Ukususa izicubu emzimbeni namuhla ngezindlela eziningana:
- Indlela yokuhlinza yezimvukuzane;
- ukusebenzisa i-laser;
- ukusebenzisa i-cryotherapy - i-nitrogen ewuketshezi namazinga okushisa aphansi;
- ukwelashwa kwe-wave wave;
- I-Electrocoagulation: Kulokhu, amaza aphezulu asebenza kumvukuzane.
Inketho efaneleke kakhulu kwabesifazane abakhulelwe ukususwa kwe-nevus nge laser . Le nketho ifanela cishe wonke umuntu. Kukhona okuhlukile okumbalwa. Uma ukususwa komaki wokuzalwa kwenzeka ngokushesha, kuzosuswa ngokuhlinzwa. Ukukhishwa kuphela lapho kungasuswa yonke indawo ethintekile.
Inzuzo yokukhipha i-laser ukuthi le nqubo iyi engenabuhlungu ngokuphelele futhi kuyenziwa ngaphandle kokusebenzisa i-anesthesia . Indlela yokuhlinza yokuhlinzwa ivame ukusetshenziswa kufayela le- izimo ezimbi kakhulu lapho kunemininingwane eqinisekisiwe mayelana nokuba khona kwe- amaseli amabi .
Kuyaphawuleka ukuthi ukuzisusa kwezimvukuzane noma ukufuna usizo kubelaphi kungaba nemiphumela emibi. Uma kunamaseli amabi emvukuzaneni, kufanele asuswe ngokuphelele. Futhi, ngemuva kokususwa, uchwepheshe wenza izifundo ezengeziwe futhi unquma ukwelashwa. Ubungozi bempilo yakho akufanele; kungcono ukuphendukela kochwepheshe.
Izimvukuzane nokukhulelwa: okufanele ukubuke nokuthi ungakwenza kanjani
Enye yezinto ekhathaza iziguli zami zesifazane ezinama-moles amaningi ukuthi ngabe ukukhulelwa kungakushintsha ukubukeka noma ukuvela kwezimvukuzane zazo ngendlela eyingozi. Ukubuyekezwa okuphelele ngalolu daba kusanda kushicilelwa ku- Ijenali yeAmerican Academy of Dermatology .
1. Izinguquko ze-Hormonal ngesikhathi sokukhulelwa zingashintsha i-pigmentation zezinye izindawo zesikhumba sowesifazane (i-chloasma yobuso, umugqa wesisu se-alba, ama-mammary areolas), futhi kwesinye isikhathi lokhu kuguqulwa kungathinta nezimvukuzane ezithile.
2. Izinguquko ngosayizi wezimvukuzane zingabhekana nokuhlukaniswa kwesikhumba ezindaweni ezithile (isisu, amabele), futhi kwesinye isikhathi futhi nge ukukhula okungaphakathi kwezimvukuzane ezithile kunoma iyiphi indawo, ikakhulukazi yezimvukuzane eziphakanyisiwe zokubukeka okunesibindi noma kwepapillomatous. Uma lezi zimvukuzane zingakhombisi noma iyiphi idatha ye-atypical clinical noma ye-dermoscopic, imvamisa asikho isizathu sokukhathazeka. Uma imvukuzane efana nale ikhathaza (ukulunywa, ubuhlungu) noma yopha, kufanele kuboniswane nayo ngokushesha , yize kuvame ukuphela kube ngumphumela wokuhlukumezeka okuthile okungaqondiwe, hhayi ukulimala kwayo.
3. Ezinye izinsumpa zingaba mnyama ngesikhathi sokukhulelwa, yize izifundo ezihlelekile zikhombisile ukuthi lesi isehlakalo esingajwayelekile. Kokuhlangenwe nakho kwami, kuneqembu elincane labesifazane lapho leli qiniso libonakala khona kakhulu, kwesinye isikhathi liqondana nombala oshayayo kuma-mamolas amabele kanye nasesiswini sasesiswini. Leli qiniso kufanele libhekwe ngokuqapha uma lithinta kuphela imvukuzane ehlukanisiwe hhayi ezinye izinso ezinokuvela kokuqala okufanayo.
Izinguquko ezenziwa ngasikhathi sinye futhi ezifanayo kuma-moles ahlukahlukene ngokusobala zithanda inqubo esebenzayo futhi enobungozi. Izinguquko eziphawuleka kakhulu emvukuzaneni engayodwa zisolisa kakhulu. Ukuzimela ukuqapha ngesikhathi sokukhulelwa kusizwa isisekelo izilawuli zezithombe nangokuthi izithandani ngokwazo . Bangakwazi ukwenza lula ukubonwa kwezinguquko ezingaba yinkinga, lapho-ke kufanele kuthintwe udokotela wesikhumba ngaphandle kokulibala.
4. Izinguquko zomtholampilo zivame ukuhambisana kahle nokuguqulwa kwesikhumba, futhi ezimweni ezingabazisayo, i-dermoscopy yedijithali isisiza ukuqapha ukuvela kwenyanga ethile ukhonkolo ngesikhathi sokukhulelwa noma ngemuva kwezinyanga zako, ukunquma ukuthi ngabe kukhona yini inkomba yokususa imvukuzane. Ukwenza mnyama kwezimvukuzane ezicabalele ngesikhathi sokukhulelwa kuvame ukudlula futhi kwehle ezinyangeni ezimbalwa ngemuva kokubeletha.
5. I-Digital dermoscopy isebenzisa ukukhanya okwehlukaniswe yidiode ezintweni zakamuva, ezingenabungozi kumuntu okhulelwe noma kumbungu. Isivivinyo kungenziwa ngaphandle kwezinkinga ngesikhathi sokukhulelwa . Ezigulini zami ekulandeleni ama-moles amaningi akhulelwayo, sincoma ukubuyekezwa okuphelele kwezimvukuzane zazo ngenyanga yesihlanu noma yesithupha yokukhulelwa, lapho ukuhlolwa kusengakhathazi owesifazane okhulelwe (ngenxa yokuthi une ukushintsha izikhundla ku-stretcher njengoba sihlola izindawo ezahlukahlukene zomzimba).
Ukuhlolwa kusitshela ukuthi kunokuthambekela kokungazinzi ezinyangeni zakho nokuthi uma kuvela ngokuvela okuyinkinga kokuvela kwemvelo. Vele, nginikeza ngokushesha ukuqokwa futhi nganoma yisiphi isikhathi uma isiguli sibona noma yiluphi ushintsho olubonakala lungabaza emvukuzaneni (yize, empeleni, lokhu ngikwenza kuzo zonke iziguli zami, kungakhathalekile ukuthi kukhona yini ukukhulelwa okubandakanyekile).
Ubudlelwano phakathi kokukhulelwa ne-melanoma buphikisana kakhulu, yize imininingwane etholakalayo njengamanje iqinisekisa kakhulu kunalokho ebesibhekene nakho emashumini ambalwa eminyaka adlule.
Ukunakekelwa kwesikhumba ngesikhathi sokukhulelwa
Ukukhulelwa kuyisigaba esihle empilweni yomuntu wesifazane, kodwa kunjalo kudinga ukunakekelwa okuyisisekelo okuqondile ukuvimbela izinkinga ezitholakala ekuguqulweni kwesikhumba, izinwele, nezipikili ezingenzeka ngesikhathi sokukhulelwa.
Ku- Abesifazane abakhulelwe abangama-90%, ukuvela kwesikhumba kube mnyama ezindaweni ezahlukahlukene (isisu, intamo, izingono, ama-areolas, izitho zangasese, amakhwapha, ubuso), okuvame kakhulu kwabesifazane abanesikhumba esimnyama. Ezimweni eziningi, le pigmentation inyamalala kancane kancane ngemuva kokubeletha kepha ingahle ivele ekuqaleni kokukhulelwa kamuva. Lezi zindawo zingumphumela wokwanda kwamahomoni athile ashukumisayo ama-melanocyte, okungamaseli anika umbala esikhunjeni.
Ukuvimbela ukwanda kwalezi zindawo, kubalulekile ukufeza i-photoprotection eyanele ngesikhathi sonke sokukhulelwa. Ngaphezu kwalokho, ukukhishwa kwesithunzi izinto ezihambisana nokukhulelwa zingasetshenziswa ukunciphisa noma ukuvimbela.
Imvamisa, izindawo ezikhathaza kakhulu iziguli yilezo ezisebusweni, okuyi ivela ku-trimester yesibili kuma-75% wabesifazane abakhulelwe futhi ingaqhubeka ngaphezulu kwamacala angama-30%. Lezi zindawo, ezibizwa nge-chloasma, ziphendula kahle ekwelashweni kwe-hydroquinone ne-tretinoin ngemuva kokukhulelwa.
I- izimpawu zokwelula avela cishe kubo bonke abesifazane ngesikhathi sokukhulelwa, ikakhulukazi esiswini, ezinqeni, emabeleni, emathangeni, naseNgilandi. Imvamisa kukhona ukuthambekela komndeni, futhi kungancishiswa ngokugwema ukuzuza kwesisindo okungazelelwe, ukufuthisa isikhumba ngendlela efanele, nokugcoba okhilimu ngezithako zikavithamini A ngemuva kokubeletha.
Izinwele nezinzipho nakho kungashintsha ngesikhathi sokukhulelwa. I- izinwele ezanda zomzimba kujwayelekile ngesikhathi sokukhulelwa kepha kuyanyamalala ngemuva kokubeletha. Ngendlela efanayo, ngemuva kwezinyanga eziyi-1-5 zokubeletha, a izinwele ezinkulu ukulahleka kungavela ekhanda lokho kungahlala unyaka owodwa. Ibizwa ngokuthi i-telogen effluvium, futhi ibuyiselwa emuva ngokuphelele.
Kusukela ku-trimester yokuqala, ubu-ethe-ethe obukhulu, ama-grooves, nama-stretch marks kanye nokwanda kwezinga lokukhula kungabonakala ku izinzipho . Konke lokhu kuyathuthuka uma ukuthintwa okweqile kwezipikili noketshezi kugwenywa, futhi ukufuthwa okwanele kwenziwa ngamafutha akhanyayo.
I- ukukhula kwe-nevi noma i-moles , kanye nokuvela kwezilonda ezintsha, kuvame kakhulu ngesikhathi sokukhulelwa. Kunconywa ukuya kudokotela wesikhumba nganoma yikuphi ukulimala okuveza izimpawu zokuxwayisa njengokuluma, ukopha, ubuhlungu, ukushintsha kombala, noma ukukhula ngokweqile.
Yini ebalulekile okufanele uyikhumbule?
Izimvukuzane zingakha ezindaweni ezahlukahlukene , kufaka phakathi ulwelwesi lwamafinyila. Kwesinye isikhathi abesifazane baba nezimvukuzane ezinkulu endaweni yangasese, okungaba yisithiyo esikhulu ekusebenzeni kwabasebenzi. Ezimweni ezinjalo, ukususwa kwezimpawu zokuzalwa kuyadingeka ngesikhathi sokukhulelwa. Ukugwema izinguquko ezinsumeni, kanye nokuvela okusha, abesifazane abakhulelwe kufanele balandele izincomo ezithile:
- Kufanele wenqabe ukuhlala isikhathi eside elangeni nokuvakashela i-solarium.
- Uma ngesikhathi sokubeletha, isikhumba siqale ukuqhuma futhi siluma, kufanele ukhethe insipho enhle yokuthambisa.
- Izimvukuzane ezingase zivezwe ekucindezelekeni kwemishini kufanele ziqashwe.
- Landela izincomo zikadokotela owelaphayo futhi uqiniseke ukuthi uthatha amavithamini.
Kodwa-ke, awudingi ukukhathazeka kakhulu ngesikhathi sokukhulelwa ngenxa yama-moles, futhi akufanele ukhohlwe ngokuphelele ngabo. Ngezikhathi ezithile, isimo sayo kufanele sihlolwe, futhi uma kwenzeka izinto ezisolisayo, kungcono ukubonisana nodokotela ngokushesha.
Izinkomba:
- Buza uchwepheshe: Izimvukuzane ezibuhlungu. (ng).
- blog.skincancer.org/2018/01/24/ask-expert-painful-moles/
- Ungayibona kanjani imvukuzane engajwayelekile. (2019).
- skincancer.org/skin-cancer-information/atypical-moles/welling-signs-and-images
- I-Melanoma. (ng).
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