Melanoma ee isha
Melanoma ee isha waa kansar ka dhaca qaybaha kala duwan ee isha.
Melanoma waa nooc aad u daran oo kansar ah oo si dhakhso leh ugu faafi kara. Badanaa waa nooc ka mid ah kansarka maqaarka.
Melanoma ee isha waxay saameyn ku yeelan kartaa dhowr qaybood oo isha ah, oo ay ku jiraan:
- Choroid
- Jirka jilicsan
- Isku-xirka
- Indhaha
- Iris
- Wareeg
Lakabka choroid waa goobta ugu badan ee melanoma ee isha. Kani waa lakabka xididdada dhiigga iyo unugyada isku xira inta u dhexeysa caddaanka isha iyo isha (isha dambe).
Kansarku wuxuu ku dhici karaa isha oo keliya. Ama, wuxuu ku faafi karaa (metastasize) meel kale oo jirka ah, badiyaa beerka. Melanoma sidoo kale waxay ku bilaaban kartaa maqaarka ama xubnaha kale ee jirka waxayna ku fidi kartaa isha.
Melanoma waa nooca ugu badan ee burada indhaha ee dadka waaweyn. Sidaas oo ay tahay, melanoma ee isha ka bilaabata waa dhif iyo naadir.
Soo-gaadhista badan ee iftiinka qorraxda ayaa muhiim u ah halista melanoma. Dadka leh indho-caddaan iyo indho buluug ah ayaa inta badan saameeya.
Calaamadaha melanoma ee isha waxaa ka mid noqon kara mid ka mid ah kuwan soo socda:
- Indhaha soo baxa
- Ku beddel midabka iris
- Aragtida oo liidata hal il
- Casaan, isha xanuun badan
- Cillad yar oo ku taal iris ama conjunctiva
Xaaladaha qaarkood, ma jiri karaan calaamado.
Baadhitaanka indhaha oo leh indho fiiqis ayaa laga yaabaa inuu muujiyo hal wareeg ama buro oval ah (buro) isha ku jirta.
Tijaabooyinka la dalban karo waxaa ka mid ah:
- Maskaxda CT ama MRI si loo eego faafitaanka (metastasis) maskaxda
- Ultrasound indhaha
- Cad ka-qaadista maqaarka haddii ay jirto meel uu ku yaal maqaarka
Melanomas yaryar ayaa lagu daaweyn karaa:
- Qalliinka
- Laser
- Daaweynta shucaaca (sida Gamma Knife, CyberKnife, brachytherapy)
Qalliin si looga saaro isha (enucleation) ayaa loo baahan karaa.
Daaweynta kale ee loo isticmaali karo waxaa ka mid ah:
- Daaweynta kiimikada, haddii kansarku ku faafay isha
- Immunotherapy, oo u adeegsata daawooyinka ka caawiya habka difaaca jirkaaga la dagaallanka melanoma
Waad yareyn kartaa diiqada jirrada adoo ku biiraya kooxda taageerta kansarka. La wadaagida dadka kale ee leh khibradaha guud iyo dhibaatooyinka ayaa kaa caawin kara inaadan kali dareemin.
Natiijada melanoma ee isha waxay kuxirantahay cabirka kansarka markii la ogaado. Dadka intooda ugu badan waxay noolaadaan ugu yaraan 5 sano laga bilaabo waqtiga cudurka haddii kansarka uusan ku faafin isha banaanka.
Haddii kansarku ku faafay isha dibedda, fursadda badbaadada muddada-dheer aad bay u yar tahay.
Dhibaatooyinka ka imaan kara melanoma ee isha darteed waxaa ka mid ah:
- Dhalanrog ama aragga oo luma
- Go'itaanka isha
- Ku faafidda burada meelaha kale ee jirka
Ballan wac wac bixiyahaaga daryeelka caafimaadka haddii aad leedahay astaamaha melanoma ee isha.
Habka ugu muhiimsan ee looga hortagi karo melanoma ee isha waa in laga ilaaliyo indhaha iftiinka qoraxda, gaar ahaan inta u dhaxeysa 10ka subaxnimo iyo 2da duhurnimo, marka falaadhaha qorraxdu ay aad u kacsan yihiin. Xidho muraayadaha indhaha oo leh ilaalada ultraviolet.
Imtixaanka indhaha ee sanadlaha ah ayaa lagula talinayaa.
Melanoma malignant - choroid; Melanoma halis ah - isha; Burada indhaha; Melanoma indhaha
- Isha
Augsburger JJ, Correa ZM, Berry JL. Cudurka neoplasms-ka ee xun. Gudaha: Yanoff M, Duker JS, eds. Indhaha. 5aad. Philadelphia, PA: Elsevier; 2019: cutubka 8.1.
Websaydhka Machadka Kansarka Qaranka. Intraocular (uveal) daaweynta melanoma (PDQ) - nooca xirfadlaha caafimaadka. www.cancer.gov/types/eye/hp/intraocular-melanoma-treatment-pdq. La cusbooneysiiyay Maarso 24, 2019. La helay Ogosto 2, 2019.
Seddon JM, McCannel TA. Cudurka faafa ee melanoma gadaal uveal. Gudaha: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, eds. Ryan's Retina. 6aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 143.
Gaashaanka CL, Gaashaanka JA. Dulmarka guud ee maareynta maqaarka dambe ee melanoma. Gudaha: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, eds. Ryan's Retina. 6aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 147.