Giant kobadwa nako nevus

Chibadwa chobala cha pigment kapena melanocytic nevus ndi khungu lakuda, nthawi zambiri laubweya, khungu. Ilipo pakubadwa kapena imawonekera mchaka choyamba cha moyo.

Vuto lalikulu lobadwa nalo ndi laling'ono mwa makanda ndi ana, koma limapitilizabe kukula mwana akamakula. Vuto lalikulu la pigmented nevus limakhala lalikulu kuposa masentimita 40 likaleka kukula.

Zizindikirozi zimaganiziridwa kuti zimayambitsidwa ndi mavuto a melanocyte omwe samafalikira mofanana mwana akamakula m'mimba. Ma Melanocyte ndi khungu la khungu lomwe limatulutsa melanin, yomwe imapatsa khungu mtundu wake. Nevus ali ndi melanocytes ambiri modabwitsa.

Vutoli limaganiziridwa kuti limayambitsidwa ndi vuto la majini.

Izi zitha kuchitika ndi:

• Kukula kwa maselo amafuta
• Neurofibromatosis (matenda obadwa nawo ophatikiza kusintha kwa khungu khungu ndi zizindikilo zina)
• Nevi zina (timadontho)
• Spina bifida (vuto lobadwa nalo msana)
• Kuphatikizidwa kwa nembanemba za ubongo ndi msana pamene nevus imakhudza dera lalikulu kwambiri

Zocheperako kobadwa nako pigmented kapena melanocytic nevi ndizofala mwa ana ndipo sizimayambitsa mavuto nthawi zambiri. Nevi wokulirapo kapena wamkulu ndi wosowa.

Nevus idzawoneka ngati chigamba chakuda ndi izi:

• Brown mpaka utoto wakuda
• Tsitsi
• Malire okhazikika kapena osagwirizana
• Madera ang'onoang'ono omwe akhudzidwa pafupi ndi nevi yayikulu (mwina)
• Kosalala, kosasinthasintha, kapena khungu ngati khungu

Nevi amapezeka kwambiri kumtunda kapena kumunsi kwenikweni kumbuyo kapena pamimba. Amathanso kupezeka pa:

• Zida
• Miyendo
• Pakamwa
• Mamina akhungu
• Kanjedza kapena pansi

Muyenera kukhala ndi zizindikilo zonse zobadwa poyang'aniridwa ndi wothandizira zaumoyo. Kufufuza khungu kumafunikira kuti muwone ngati pali khansa.

MRI yaubongo itha kuchitidwa ngati nevus ili pamwamba pa msana. Vuto lalikulu pamsana limatha kulumikizidwa ndi mavuto amubongo.

Wothandizira anu amayesa khungu lakuda chaka chilichonse ndipo amatha kujambula zithunzi kuti awone ngati malowo akukula.

Muyenera kukhala ndi mayeso pafupipafupi kuti muwone ngati ali ndi khansa yapakhungu.

Kuchita opaleshoni kuti muchotse nevus kumatha kuchitidwa pazodzikongoletsa kapena ngati omwe akukupatsani akuganiza kuti atha kukhala khansa yapakhungu. Kulumikiza khungu kumachitidwanso pakufunika kutero. Nevi yayikulu ingafunike kuchotsedwa magawo angapo.

Lasers ndi dermabrasion (kuzipukuta) zitha kugwiritsidwanso ntchito kukonza mawonekedwe. Mankhwalawa sangachotse chizindikiro chonse chobadwira, chifukwa chake kumatha kukhala kovuta kupeza khansa yapakhungu (khansa ya pakhungu). Lankhulani ndi dokotala wanu za zabwino ndi zoyipa za opaleshoni yomwe mungapangire.

Chithandizo chitha kukhala chothandiza ngati chizindikirocho chimayambitsa mavuto am'malingaliro chifukwa cha momwe amawonekera.

Khansa yapakhungu imatha kukhala ndi anthu ena omwe ali ndi nevi yayikulu kapena yayikulu. Chiwopsezo cha khansa ndichokwera kwa nevi chomwe chimakhala chokulirapo. Komabe, sizikudziwika ngati kuchotsa nevus kumachepetsa chiopsezo.

Kukhala ndi nevi yayikulu kungapangitse kuti:

• Kukhumudwa ndi zovuta zina zam'mutu ngati nevi imakhudza mawonekedwe
• Khansa yapakhungu (khansa ya pakhungu)

Vutoli limapezeka nthawi yobadwa. Lankhulani ndi wothandizira mwana wanu ngati mwana wanu ali ndi malo akuluakulu amitundu iliyonse pakhungu lawo.

Kobadwa nako chimphona pigmented nevus; Vuto lalikulu laubweya; Giant pigmented nevus; Kusamba thunthu nevus; Kobadwa nako melanocytic nevus - lalikulu

• Kobadwa nako neus pamimba

Khalani TP. Nevi ndi khansa ya khansa ya pakhungu. Mu: Habif TP, mkonzi. Matenda Opatsirana Matenda. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2016: chap 22.

Hosler GA, Patterson JW. Lentigines, nevi, ndi melanomas. Mu: Patterson JW, mkonzi. Matenda a Khungu la Weedon. Wolemba 4. Philadelphia, PA: Elsevier; 2016: chap 32.