Melanonychia
Zoo Siab
Txheej txheem cej luam
Melanonychia yog tus mob ntawm cov rau tes los yog cov ntiv taw. Melanonychia yog thaum koj muaj cov xim av lossis xim kab dub ntawm koj cov rau tes. Qhov decolorization feem ntau yog nyob rau hauv ib txoj kab txaij uas pib rau hauv qab ntawm koj tus ntsia thawv txaj thiab txuas ntxiv mus rau sab saum toj. Nws yuav nyob hauv ib qho ntsia hlau los yog ob peb. Cov kab no tuaj yeem ua rau ntuj tshwm sim yog tias koj muaj qhov tsaus muag.
Tsis muaj teeb meem dab tsi ua rau muaj teeb meem, koj yuav tsum muaj tus kws kho mob tas li saib xyuas tus mob melanonychia. Qhov no yog vim tias qee zaum nws tuaj yeem qee zaum kos npe ntawm lwm yam teebmeem kev noj qab haus huv. Melanonychia kuj tseem hu ua melanonychia striata lossis longitudinal melanonychia.
Hom ntawm melanonychia
Nws muaj ob qhov dav ntawm melanonychia:
- Melanocytic kev ua kom zoo. Hom no yog kev nce ntxiv hauv kev tsim khoom thiab kev tso nyiaj ntawm melanin hauv koj tus ntsia thawv, tab sis tsis yog nce ntawm cov hlwb xim.
- Melanocytic hyperplasia. Hom no yog qhov nce ntxiv ntawm cov qe ເມັດ xim hauv koj lub txaj ntsia hlau.
Ua rau
Cov ntsia hlau ntawm koj cov ntiv taw los yog ntiv tes feem ntau yog translucent thiab tsis muaj pigmented. Melanonychia yog tshwm sim thaum lub hlwb xim, hu ua melanocytes, tso nyiaj melanin rau hauv cov ntsia hlau. Melanin yog xim av xim daj. Cov kev tso nyiaj no feem ntau muab sib koom ua ke. Raws li koj cov ntsia hlau loj tuaj, nws ua rau cov txaij lossis xim dub tshwm rau ntawm koj cov ntsia hlau. Cov tso nyiaj melanin no yog tshwm sim los ntawm ob qho txheej txheem thawj theem. Cov txheej txheem no muaj ntau yam sib txawv.
Melanocytic kev ua kom muaj peev xwm tshwm sim los ntawm:
- cev xeeb tub
- haiv neeg kev sib txawv
- kev poob plig
- carpal qhov syndrome
- ntsia thawv tom
- deformity hauv koj txhais ko taw uas ua rau muaj kev sib txhuam nrog koj nkawm khau
- ntsia thawv
- lichen planus
- psoriasis
- amyloidosis
- kis mob cos
- daim tawv nqaij mob cancer
- Addison's disease
- Cushing mob
- hyperthyroidism
- kev loj hlob hormone kawg
- kev saib duab
- ntau hlau
- lupus
- HIV
- kev kho duab
- Xoo hluav taws xob raug
- cov tshuaj tiv thaiv kab mob siab
- kev siv tshuaj kho mob
Melanocytic hyperplasia tuaj yeem tshwm sim los ntawm:
- qhov txhab (feem ntau yog benign)
- moles lossis birthmarks (feem ntau yog benign)
- mob cancer ntawm cov ntsia hlau
Lwm yam ua rau melanonychia dhau ntawm ob hom thawj tuaj yeem suav nrog:
- ib co kab mob
- luam yeeb
- cov plaub hau zas
- Nyiaj nitrate
- henna
Cov neeg ntawm haiv neeg African yog qhov feem ntau muaj kev nyuaj siab melanonychia.
Cov kev kho mob xaiv
Kev kho mob melanonychia nws txawv raws li qhov ua. Yog tias koj tus mob melanonychia yog los ntawm qhov teeb meem benign thiab yog noncancerous, ces ntau zaus, tsis muaj kev kho mob xav tau. Yog tias koj tus mob melanonychia tshwm sim los ntawm kev siv tshuaj, koj tus kws kho mob yuav hloov pauv koj cov tshuaj noj lossis koj tau tsum tsis noj tshuaj rau ib lub sijhawm, yog tias ua tau. Rau cov tshuaj uas koj tsis tuaj yeem tsum tsis noj, melanonychia yuav yog qhov tshwm sim rau koj kom tau siv. Lwm txoj kev kho mob yog nyob ntawm qhov laj thawj thiab yuav suav nrog:
- noj tshuaj tiv thaiv kab mob los yog tshuaj tua kab mob, yog tias muaj kev kis tus kab mob
- kho tus kab mob hauv qab los yog mob kho mob ua rau mob melanonychia
Yog tias koj tus melanonychia yog neeg muaj kabmob lossis qog nqaij hlav, ces cov qog lossis mob qog nqaij hlav yuav tsum tau muab tshem tawm kom tas. Qhov txhais tau tias koj yuav plam tag nrho lossis ib feem ntawm koj tus ntsia thawv. Hauv qee kis, tus ntiv tes lossis ntiv taw uas muaj cov qog yuav tau txiav tawm.
Kev kuaj mob
Kev kuaj mob ntawm cov mob melanonychia yog tau mus txog tom qab kev kuaj mob thiab kuaj mob ntau yam. Koj tus kws kho mob yuav pib kuaj lub cev ntawm tag nrho koj cov rau tes thiab ntiv tes. Qhov kev kuaj lub cev no suav nrog saib seb koj tus ntsia thawv puas txawv hauv txhua txoj kev, muaj pes tsawg tus ntsia thawv muaj melanonychia, ntxiv rau cov xim, cov duab, thiab qhov loj me ntawm koj lub melanonychia. Koj tus kws kho mob tseem yuav saib koj cov keeb kwm kho mob seb koj puas muaj mob uas yuav ua rau mob melanonychia.
Cov kauj ruam tom ntej hauv kev kuaj mob yog kev kuaj mob dermatoscopic uas siv hom tsom iav tsom mus rau qhov ua tib zoo saib ntawm thaj chaw tshem tawm. Koj tus kws kho mob yuav saib xyuas cov cim uas koj tus mob melanonychia yuav muaj mob. Cov tsos mob ntawm tus ntsia thawv melanoma tau yog:
- ntau tshaj ob feem peb ntawm cov ntsia hlau phaj yog cov xim tso tawm
- xim av xim uas tsis xwm yeem
- xim dub los yog grey nrog rau xim av
- granular saib xim
- deformity ntawm tus ntsia thawv
Dhau li nrhiav cov cim ntawm lub melanoma ua tau, koj tus kws kho mob yuav muab cov kev tshawb pom los ntawm ob qho tib si dermoscopy thiab kuaj lub cev kom txiav txim siab txog hom thiab ua rau koj lub melanonychia.
Tom qab ob kauj ruam no, koj tus kws kho mob kuj tseem tuaj kuaj me me ntawm koj cov ntsia hlau. Lub me me tshem tawm ib qho me me ntawm koj cov rau tes thiab cov ntsia hlau rau kev soj ntsuam. Cov kauj ruam no yuav ua tiav rau hauv feem ntau ntawm melanonychia tshwj tsis yog tias tsis muaj qhov tshwm sim muaj mob qog nqaij hlav cancer. Txoj kev siv xyoob mus kuaj yog qhov tseem ceeb rau qhov kev kuaj mob ntawm tus mob melanonychia vim tias nws yuav qhia koj tus kws kho mob yam tseeb tias nws puas ua qog lossis tsis zoo.
Teeb meem
Cov teeb meem uas tsim nyog tau ntawm melanonychia suav nrog rau tus ntsia thawv mob qog noj ntshav, los ntshav hauv qab tus ntsia hlau, cais koj tus ntsia thawv, thiab deformity ntawm koj tus ntsia thawv. Cov ntsia hlau txau kuj tuaj yeem ua rau ntsia hlau tsis zoo vim tias nws tshem tawm ib feem ntawm cov ntsia hlau.
Outlook
Qhov pom ntawm feem ntau rau cov melanonychia benign yog qhov zoo, thiab feem ntau, tsis xav tau kev kho mob. Txawm li cas los xij, feem ntau nws tsis ploj mus ntawm nws tus kheej.
Qhov pom ntawm cov mob melanonychia tsis zoo yuav tsis zoo. Tus mob no yuav tsum tau tshem tawm cov qog uas tseem yuav suav nrog kev txiav tawm ntawm koj cov ntiv tes lossis ntiv taw. Cov kabmob ntawm cov ntsia hlau yog qhov nyuaj rau ntes rau thaum ntxov vim tias nws zoo sib xws rau cov teeb meem benign ntawm melanonychia. Kev tshawb nrhiav tau pom tias ua kev txiav tawm rau feem ntau melanonychia yog txoj kev zoo tshaj plaws kom tau txais kev kuaj mob ua ntej.
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