Chiratidzo chekutanga chekenza yeganda chinhu chitsva, chinoshungurudza chinonzi cheonon ganda rako. Nenzira yakanaka, hapana chikonzero chekutya, sezvo maganda akawanda echepachiri asina kenza, asi chirwere cheganda rekuongorora chinotofanira kuitwa kuti chive nechokwadi.
Kuti uone kana chironda chacho chiri chirwere chekenza kana kwete, chiremba kana mukoti kazhinji anotanga kukurukura nhoroondo yako yezvokurapa kuti asarudze mungozi yako, kusanganisira nhoroondo yekenza yenguruve mumhuri yako uye nhamba yekutanga kwezuva.
Kuongorora kweganda kuchazotevera , panguva iyo chiremba achacherechedza ukuru, chimiro, ruvara, uye kugadzirwa kweruzhinji. Iye achazoongorora majekiseni ako kuti aongorore kuzvimba, chiratidzo chinogona kenza.
Biopsy
Nzira imwe chete yekunyatsoziva kuti mhando dzakasiyana dzekenza yepachirwere ndeyekuti biopsy zvinokonzera kushungurudza. Mashoko anobatsira, akadai sechirwere zvakadzika, anogona kungowanikwa nehupsy. Nzira dzechikoro dzinosanganisira:
- Shave biopsy: Chiremba anoshandisa tsvuku, yakapinza kuti ave nekuveura kwekusava nekuwedzera. Ichi ndicho chimiro chakajairika chebiopsy apo chiremba anokanganisa basal cell carcinoma kana squamous cell carcinoma.
- Punch biopsy: Chiremba anoshandisa chidimbu chakakosha, chakavhara kubvisa denderedzwa rezvisikwa kubva munzvimbo isingawaniki.
- Incisional biopsy: Chiremba anoshandisa scalpel kubvisa chikamu chekukura.
- Chisarudzo chisingadikanwi: Chiremba anoshandisa scalpel kuti abvise kukura kwose uye mamwe mavara anenge akaipoteredza. Cherechedza kuti kusanganisa biopsy ndiyo yakakodzera kusarudza biopsy apo chiremba anokanganisa melanoma. Zvichienderana nehukuru kana nzvimbo yechiremera, zvisinei, chiitiko chekunyadzisa chinogona kunge chisingaiti nguva dzose.
Iyi nzira inoitwa pasi peanesthesia yechipatara mune hofisi yechiremba kana mune imwe kliniki yekurapa. Muenzaniso wacho unoenda kubasa apo chiremba anoongorora iyo pasi pekroscope.
Kana chiremba ari kukanganisa metastoma ye melanoma, zvimwe zvishandiso zvekuongororwa uye kushambadzira zvinogona kusanganisira kuongorora ropa kweLDH (lactate dehydrogenase) mazinga kana zvidzidzo zvekufungidzira zvakadai sebhokisi X-ray, CT (computed tomography), MRI (magnetic resonance imaging), uye PET (positron emission tomography) inoongorora.
Chiremba angadawo kutora sampuli yemakirini ako ekushandisa uchishandisa nzira dzakadai se sentinel lymph node mapping kana yakanaka yekuda tsono.
Staging
Kana bhiopsy inoratidza kuti iwe une melanoma, chiremba wako anofanira kuziva kufara (chirwere) chechirwere kuti uronga zvirongwa zvako zvakanaka. Maererano neNational Institutes of Health, danho racho rinotarisana nezvinhu zvitatu izvi:
- Kukura kwekukura
- Iyo yakakura zvikuru sei pasi pepamusoro peganda
- Zvingave zvakapararira kune lymph nodes iri pedyo kana kune dzimwe nhengo dzomuviri
Nenguva pfupi, zvikamu zve melanoma zvinotevera:
- Nhanho 0: Mucheche unongowanikwa nechepamusoro peganda. Iyo inonzi " melanoma in situ" .
- Nhanho I: Kukura kunopfuura mabhirimita maviri zvakadzika.
- Chikamu II: Kukura kunopfuura mamita maviri mamita yakadzika.
- Chikamu chechitatu: Kanzera yakapararira pasi peganda kusvika kumaronda, musimba, bone, kana kune lymph nodes iri pedyo. Hauna kupararira kune dzimwe nzvimbo mumuviri.
- Nhanho IV: Kanzera yakapararira kune dzimwe nzvimbo mumuviri.
Izvi zvinozivikanwa seTMM system yekugadzira. Chiremba wako anogonawo kupa Clark neBreslow nhamba-mamiriro ekurwara kwepachiviri uye kuwanda, maererano-kuti uwedzere maranoma yako uye uone kuti iwe unofunga sei. Kuisa danho danho rakakosha sezvo rinotarisa nzira dzako dzokurapa .
Kuti uve nechokwadi chekuongorora zvakajeka, funga kuwana imwe pfungwa kubva kune imwe nyanzvi yakafanana nedermatologist.
Sources:
"Zvaunoda Kuziva Nekenza Yeganda." National Cancer Institute. July 2002.
"Zvose Nekenza Yeganda - Melanoma." American Cancer Society. July 2008.