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Hiki ke kānalua i ka hele ʻana o ka melanoma malignant e nā hōʻailona he nui: asymmetric, ʻaʻole kūlike a me ka ulu ʻana o nā palena o kahi mole, kahi kala ʻokoʻa, ʻoi aku ke anawaena o 6 mm. Akā i ka wā mua, paʻakikī loa ka ʻike ʻana i ka maʻi ma nā hōʻailona ʻike, ʻoiai ʻo ka melanoma mua e like paha me nā hōʻailona maʻi o kahi nevus atypical. ʻO ka hoʻokomo ʻana o ka dermatoscopy i loko o ka hoʻomaʻamaʻa lapaʻau ua wehe i nā mea hou i hiki i nā kauka ke aʻo i nā kiko puaʻa ma ka ʻili a hiki ke ʻike i ka melanoma malignant i ka wā mua.
No ke aha e pono ai ka dermatoscopy?
ʻO ka Dermoscopy kahi hana non-invasive (me ka ʻole o ka hoʻohana ʻana i nā mea ʻokiʻoki) no ka nānā ʻana i ke kala a me ka microstructure o nā papa ʻili like ʻole (epidermis, dermo-epidermal junction, papillary dermis).
Me kāna kōkua, ua hiki i ka 90% ka pololei o ka hoʻoholo ʻana i ka pae mua o ka melanoma. A he nūhou maikaʻi loa kēia no kākou a pau, no ka mea, ʻo ka maʻi maʻi ʻili ka maʻi maʻi maʻamau loa o ka honua.
ʻOi aku ka maʻamau ma mua o ka maʻi maʻi ʻaʻai, ka umauma a i ʻole ka prostate, a i nā makahiki ʻekolu i hala iho nei, ua piʻi nui ka nui o nā hihia o ka maʻi.
ʻO ka pōʻino o ka melanoma hiki iā ʻoe ke loaʻa iā ia me ka nānā ʻole i ka makahiki a i ʻole ke kala ʻili. Aia ka manaʻo kuhihewa ʻo ka melanoma wale nō ma nā ʻāina wela. ʻO lākou, a me nā mea aloha i nā solariums, a me nā poʻe me ka ʻili maikaʻi, ʻoiaʻiʻo i ka piʻi nui o ka hoʻomohala ʻana i ka maʻi. Akā, ʻaʻohe mea i pale ʻia mai ka maʻi maʻi ʻili, no ka mea, ʻo ka ultraviolet kekahi kumu o ka maʻi, a ʻoi aku ka liʻiliʻi o nā kānaka a pau o ka honua.
Loaʻa i kēlā me kēia kanaka nā mole a me nā hōʻailona hānau, akā i kekahi manawa ua hānau hou lākou a lilo i mea hoʻoweliweli maoli i ke ola kanaka. ʻO ka wānana o ka uluʻana o ka maʻi e pili pono ana i ka manawa kūpono o ka maʻi. A no kēia mea pono e hana i ka dermatoscopy - kahi hoʻokolokolo ʻeha me ka hoʻohana ʻana i kahi dermatoscope.
ʻO ke aʻo ʻana i nā wahi kānalua o ka ʻili, ma ke ʻano he kānāwai, e hana ʻia me ka microscopy māmā. ʻO ia hoʻi, he translucent ka ʻili me kahi mea hana kūikawā me kahi aniani hoʻonui, e hiki ai i ke kauka ke nānā i nā loli ʻaʻole wale ma ka ʻaoʻao o waho o ka epidermis, akā ma nā wahi hohonu. Ke hoʻohana nei i kahi dermatoscope hou, hiki iā ʻoe ke ʻike i nā hoʻololi ʻana mai ka 0,2 microns i ka nui (no ka hoʻohālikelike ʻana: kahi kiko o ka lepo ma kahi o 1 micron).
He aha ka dermatoscope
Unuhi ʻia mai ka ʻōlelo Helene, ʻo ia ka inoa o kēia mea hana "e nānā i ka ʻili." ʻO ka dermatoscope kahi mea dermatological no ka nānā ʻana i nā papa like ʻole o ka ʻili. Loaʻa iā ia kahi aniani hoʻonui 10-20x, kahi pā aniani, kahi kumu kukui non-polarized a me kahi wai wai i ke ʻano o kahi papa gel. Hoʻolālā ʻia ka dermatoscope e nānā i nā mole, nā hōʻailona hānau, nā warts, nā papillomas a me nā ʻano hana ʻē aʻe ma ka ʻili. I kēia mau lā, hoʻohana ʻia ka mea hana no ka hoʻoholo ʻana i nā degenerations ʻili maikaʻi ʻole a me ka biopsy. Akā ʻo ka pololei o ka hōʻoia ʻana me ka hoʻohana ʻana i ka dermatoscopy, e like me ka wā ma mua, e pili ana i ka ʻoihana o ke kauka nāna e hana i ka maʻi.
Ka hoʻohana ʻana i kahi dermatoscope
ʻO ka hoʻohana maʻamau a me ka hoʻohana pinepine ʻana i kahi dermatoscope ʻo ia ka ʻike ʻokoʻa o nā neoplasms ʻili. I kēia manawa, hiki ke hoʻohana ʻia ka mea hana no nā kumu ʻē aʻe. No ka laʻana, e hoʻoholo i ka basalioma, cylindroma, angioma, squamous cell carcinoma, dermatofibroma, keratosis seborrheic a me nā neoplasms ʻē aʻe.
He mea pono ia mea like no ka ike ana:
- nā ʻano maʻi ʻili like ʻole i pili ʻole me ka oncology (eczema, psoriasis, atopic dermatitis, ichthyosis, lichen planus, scleroderma, lupus erythematosus);
- nā maʻi parasitic (pediculosis, demodicosis, scabies);
- nā maʻi ʻili o ke ʻano viral (warts, warts, papillomas);
- kūlana o ka lauoho a me nā kui.
ʻAʻole hiki ke hoʻonui i ka pono o ka dermatoscope inā pono e hoʻoholo i ke ʻano o ka maʻi i hoʻopilikia i ka ʻili ma lalo o ka lauoho. No ka laʻana, hoʻomaʻamaʻa ia i ka ʻike o ka congenital non-tumor nevus, alopecia areata, androgenetic alopecia i nā wahine, Netherton's syndrome.
Hoʻohana ka poʻe Trichologists i kēia hāmeʻa e aʻo i ke ʻano o nā follicles lauoho.
Hiki ke kōkua nui ʻia ka Dermoscopy i ka mālama ʻana i nā ʻano maʻi maʻi maʻi ʻili. No ka laʻana, me ka lentigo malignant, ka basalioma superficial, a i ʻole ka maʻi o Bowen, ʻaʻole kūlike nā ʻāpana o nā wahi ʻili i pohō a pohihihi loa. Kōkua ka dermatoscope magnifier e hoʻoholo pololei i nā outlines o ka ʻili maʻi kanesa, a laila hana i ka hana ma ka wahi i makemake ʻia.
ʻO ka ʻike a me ka hoʻoholo ʻana i ke ʻano o ka mālama ʻana i nā warts ma muli o ka dermatoscope. Hiki i ke kauka ke hoʻoholo wikiwiki a pololei i ke ʻano o ka ulu ʻana a hoʻokaʻawale iā ia, e wānana i ka pilikia o kahi wart hou. A me ke kōkua o nā dermatoscopes kikohoʻe hou, hiki ke loaʻa a mālama ʻia nā kiʻi o nā wahi i ʻike ʻia, he mea pono loa ia no ka nānā ʻana i nā ʻano o ka ʻili.
Kumuhana o ka hana
Ma ka mākeke mea lapaʻau, aia nā ʻano like ʻole o nā dermatoscopes mai nā mea hana like ʻole, akā like ke ʻano o ka hana no kēlā me kēia. Loaʻa i nā Dermatoscopes ke poʻo paʻa i loaʻa hoʻokahi a ʻoi aku paha nā lens e hoʻonui ai i ka ʻili. Aia kahi kumu kukui i loko a i ʻole a puni ke poʻo.
I nā hiʻohiʻona hou, ʻo kēia ka mea pinepine i ke apo o nā LED e hoʻomālamalama pono i ka wahi i nānā ʻia. Inā he dermatoscope manual kēia, a laila hele mau mai ke poʻo mai ke poʻo me nā ʻeke i loko.
No ka nānā ʻana i ka pigmentation, hoʻopili ke kauka i ke poʻo dermatoscope i ka ʻāpana o ka ʻili a nānā i ka lens mai kēlā ʻaoʻao (a i ʻole ke nānā ʻana i ke kiʻi ma ka monitor). I loko o nā dermatoscopes immersion, aia mau kahi papa wai (ʻaila a waiʻona paha) ma waena o ka lens a me ka ʻili. Kāohi ia i ka hoʻopuehu māmā a me ka ʻālohilohi, hoʻomaikaʻi i ka ʻike a me ka mālamalama o ke kiʻi ma ka dermatoscope.
Nā ʻano dermatoscopes
He mamao loa ka Dermatoscopy mai kahi kuhikuhi hou i ka lāʻau lapaʻau. ʻOiaʻiʻo, i ka wā kahiko, ua hoʻohana nā loea i nā mea hana mua e aʻo ai i ke ʻano o ka ʻili ma mua o kēia lā.
ʻO ka "makua" o ka dermatoscope hou he aniani hoʻonui haʻahaʻa haʻahaʻa. I nā manawa ma hope, ua hoʻomohala ʻia nā mea hana kūikawā e like me nā microscopes ma ke kumu o kahi aniani hoʻonui. Hāʻawi lākou i ka hoʻonui nui i ke kūlana o nā papa o ka ʻili. I kēia lā, ʻae nā dermatoscopes iā ʻoe e ʻike i nā hoʻokumu i loaʻa i ka 10x magnification a i ʻole. Hoʻolako ʻia nā hiʻohiʻona hou me nā pūʻulu o nā lens achromatic a me kahi ʻōnaehana kukui LED.
Hiki ke hoʻokaʻawaleʻia nā Dermatoscopes e like me nāʻano likeʻole: ma ka nui, ke kumu o ka hana, ka pono e hoʻohana i ka wai hoʻoheheʻe.
ʻO ke kikohoʻe, a i ʻole ka uila, he kumu hoʻohālike hou i hoʻolako ʻia me ka pale e hōʻike ana i ke kiʻi o ke kūlana ʻili. Hāʻawi ia mau mea i kahi kiʻi pololei loa, pono no ka hana ʻana i kahi hōʻailona.
Me ka hana ʻana o nā dermatoscopes uila, ua hiki ke hoʻokō i nā diagnostics kikohoʻe, kiʻi a hoʻopaʻa i nā wahi ʻili i nānā ʻia i nā faila wikiō no ka mālama hou ʻana i ka ʻike ma ka waihona a me kahi noiʻi ʻoi aku ka maikaʻi.
Hiki ke nānā ʻia nā mea i loaʻa ma kēia ʻano diagnostic me ka hoʻohana ʻana i nā polokalamu kūikawā. ʻO ke kamepiula, "e loiloi" i ke kiʻi i hōʻike ʻia, e hoʻoholo maʻalahi i ke ʻano o nā loli pathological i nā ʻili ʻili. Hoʻopuka ka papahana i kāna "hopena" ma ke ʻano o kahi hōʻailona ma kahi pālākiō, e hōʻike ana i ke kiʻekiʻe o ka pōʻino (keʻokeʻo, melemele, ʻulaʻula).
Wahi a nā ana, hiki ke hoʻokaʻawale ʻia nā dermatoscopes i ʻelua ʻano: stationary a me ka pocket. ʻO nā lako o ka ʻano mua he mea kupanaha i ka nui a ʻoi aku ka pipiʻi, a hoʻohana nui ʻia e nā keʻena lapaʻau kūikawā. ʻO nā dermatoscopes type manual nā mea hana i hoʻohana ʻia e nā dermatologists a me nā cosmetologists i kā lākou hana.
Wahi a ke kumu o ka hana, ʻo ka dermatoscopes ka immersion a me ka polarization. ʻO ka koho mua ʻo ia ka mea i hoʻohana ʻia no ka dermatoscopy contact immersion kuʻuna. ʻO kona ʻano ʻokoʻa ka hoʻohana ʻana i kahi wai immersion i ka wā o ka diagnostics.
Hoʻohana nā mea polarizing i nā kumu māmā me nā hawewe electromagnetic unidirectional a me nā kānana kūikawā. Hoʻopau kēia i ka pono o ka hoʻohana ʻana i ka wai kaiapuni.
I ka wā o ka diagnostics me ke kōkua o ia mea, ʻike maikaʻi ʻia nā loli i nā papa hohonu o ka ʻili. Eia kekahi, hōʻike nā loiloi loea i kēlā mau dermatoscopes e hāʻawi i kahi kiʻi maʻalahi a ma muli o ka hopena, ʻoi aku ka maʻalahi o ka hana ʻana i kahi hōʻailona pololei.
ʻO kahi loiloi pōkole o nā Dermatoscopes maikaʻi loa
ʻO Heine mini 3000 kahi dermatoscope ʻano ʻeke liʻiliʻi. Hiki iā ia ke hana no 10 mau hola me ka hoʻololi ʻole ʻana i nā pā. ʻO ke kumu o ka hoʻomālamalama ʻana he LED.
ʻO kahi hiʻohiʻona o ka mea paʻa lima ʻo Heine Delta 20 hiki iā ia ke hana me ka wai ʻole a me ka wai ʻole (e like me ke kumu o kahi dermatoscope polarizing). Eia kekahi, ua hoʻolako ʻia me kahi papa hoʻopili e hiki ai iā ʻoe ke hoʻopili i ke kāmela. He 10x ka nui o ka lens.
ʻO KaWePiccolightD pocket dermatoscope i hana ʻia ma Kelemania he māmā, paʻa, a ergonomic. Hoʻohana pinepine ʻia e nā dermatologists a me nā cosmetologists no ka ʻike mua ʻana o ka melanoma.
Hoʻokaʻawale ʻia ʻo KaWe Eurolight D30 e nā aniani hoʻopili nui (5 mm ke anawaena), hāʻawi nā lens i ka hoʻonui 10x. Hiki ke hoʻololi ʻia ka mālamalama i hana ʻia e ke kukui halogen. ʻO kekahi pono ʻē aʻe o kēia hāmeʻa he pālākiō e hiki ai iā ʻoe ke hoʻoholo i ke kiʻekiʻe o ka pōʻino o ka pigmentation ma ka ʻili.
ʻO ke kumu kūʻai ʻo Aramosg he mea kūʻai nui, akā ke koi ʻia ma ka mākeke e nā dermatologists, cosmetologists a me trichologists. Ma waho aʻe o nā hana kuʻuna, hiki i ka mea hana ke ana i ke kiʻekiʻe o ka ʻili o ka ʻili, loaʻa nā lens kūikawā e hoʻoholo ai i ka hohonu o nā wrinkles a me kahi kukui ultraviolet i kūkulu ʻia no ka disinfection. ʻO kēia kahi dermatoscope ʻano paʻa me ka hiki ke hoʻopili i kahi kamepiula a i ʻole ka pale. Hoʻoponopono 'akomi 'ia ke kukui hope o ka mea hana.
ʻOi aku ke kumukūʻai o ka mea Ri-derma ma mua o ke kumu hoʻohālike ma mua o ke kumukūʻai, akā ʻoi aku ka palena o ka hana. He dermatoscope ʻano lima lima kēia me nā lens hoʻonui 10x a me ka hoʻomālamalama halogen. Hiki ke holo ma luna o nā ʻaʻa a i ʻole nā pākaukau rechargeable.
ʻO nā koho dermatoscope kaulana ʻē aʻe e pili ana i ka DermLite Carbon a me ka miniature DermLite DL1 hiki ke hoʻopili ʻia i kahi iPhone.
ʻO ka nānā ʻana me kahi dermatoscope he ala ʻeha, wikiwiki, maikaʻi a maʻalahi hoʻi e ʻike ai i nā ʻano hānau maʻamau a me nā mole mai nā neoplasms malignant. ʻO ka mea nui ʻaʻole e hoʻopaneʻe i ka kipa ʻana i kahi dermatologist inā loaʻa ka pigmentation kānalua i ka ʻili.