Page 28 - Dainfern Precinct Living 2 2021
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HEALTH AND WELLNESS



































       with a tendency to spread to the brain  with sunscreen when swimming,    D    Diameter (larger than 6mm)
       via the lymph nodes. Cutaneous       as UV light penetrates water as     E   Elevation (becoming raised and
       melanoma has the highest risk of     well. Sunglasses are important for      more prominent).
       metastasising and, if left unchecked   protecting the eyes too,” he cautions.
       and untreated, will spread to the                                        Any lesion that is crusted, not
       lymph nodes nearest the affected     “Turning 21 does not mean you are   healing, ulcerating or continuously
       lesion, mole or birthmark.           out of the woods when it comes to sun   bleeding should alert you to possible
                                            damage,” adds Dr Pitamber. “Adults   basal or squamous cell carcinoma.
       “From there, it can affect multiple   need to make the conscious effort of
       organs as the cancer starts to spread   applying sunblock daily, even if most of   PREVENTION IS BETTER
       through the body. It is for this reason   the day is spent inside, as forming this   THAN CURE
       that we must try to diagnose skin    habit can save your life. Reapplication   Dr Pitamber recommends these
       cancer as early on as possible, while   of sunblock is necessary every two to   precautions to help prevent skin
       it is still only at the surface. The only   three hours if you are out in the sun,   cancer:
       way to cure skin cancer is to cut it out   for example in the garden or on the   •  Use sunscreen every day, after
       – chemotherapy does not work for     golf course,” says Dr Pitamber.       moisturiser and before make-up, if
       melanoma. There are some targeted                                          you use it.
       therapies and other modalities that   “Finally, checking your body for   •  Choose a sunblock with at least
       can be applied but once the cancer   any unusual pigmented spots or        a sun protection factor (SPF) of
       has started to spread, an oncologist   pointing out any changes you may    30, or a 50+ SPF depending on
       needs to be consulted and further    notice on your loved ones can be      skin type. Look out for sunscreens
       treatment will be advised on a case   the first crucial step. There can    bearing the CANSA Seal of
       by case basis,” says Dr Tshabalala.  be other conditions that mimic        Recognition (CSOR). Reapply
                                            melanoma, for example, and there      liberally every two to three hours.
       According to Dr Pitamber, it is during   can be other reasons for unusual   •  Stay out of the sun between 10:00
       one’s youth when the course for skin   marks on the skin but it is best    and 16:00.
       health is set. As much as 80% of the   to get these checked out quickly,   •  Wear a hat, protective clothing and
       damage that will start to show up later  particularly when it comes to moles   sunglasses when you are outside.
       in life is caused by sun-induced skin   or birthmarks. A malignant melanoma
       damage that occurred by or before    needs to be addressed urgently to   Dr Tshabalala adds that while the
       the age of 18 - 21 years. This is why   prevent spreading, as this can be life-  reporting of skin cancer has improved,
       parents are advised to take extreme   threatening,” cautions Dr Pitamber.  there is room for further improvement.
       precautions in protecting the skin of                                    “It is important for South Africans of
       their children from an early age.    WHAT TO LOOK OUT FOR                all colours to be aware of just how at
                                            Dr Tshabalala and Dr Pitamber       risk we are in this very sunny climate.
       “Sunblock needs to be applied        suggest the ABCDE checklist below   Precautions need to be taken at all
       liberally on all areas of the body that   for moles:                     times and any irregularities in the skin
       are exposed to the sun including the   A   Asymmetry (one half different to   must be checked. It is tragic when
       hands, feet, neck and ears as these        the other half)               something that could so easily have
       areas are often neglected. A hat     B   Border irregularities (scalloped or   been stopped in its tracks is left to
       with a wide brim protecting the back        poorly defined edges)        develop into cancer elsewhere in the
       of the neck as well as the face is a   C  Colour (moles with more than one  body,” she concludes. “Prevention is
       must, and appropriate UV protective     colour, or changes occurring in   better than cure. Rather be safe than
     1. Stay Home by Pedro Ninja
       clothing should be worn together        the colour)                      sorry.”
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