So woahyɛ biribi te sɛ akisikuru ketewaa bi anaa kuru ketewaa bi a ɛwɔ wo honam ani a bere kɔ so no, ɛyɛ kɛse nkakrankakra no nsow pɛn? Ebia ɛbɛyɛ nea ɛhyerɛn anaasɛ ɛyɛ mmerɛw. Eyi ne nea yɛrebɛka ho asɛm nnɛ, basal cell carcinoma, anaa
Basal Cell Carcinoma (BCC) . Mma ɛnhaw wo, eyi yɛ tebea a mpɛn pii no wobetumi asa. Momma yɛnka ho asɛm nkɔ akyiri.
Dɛn ne Basal Cells?
Sɛ yɛbɛka no tiawa a, basal cells yɛ nkwammoaa nketenkete a ɛwɔ yɛn honam ani fã a ɛwɔ soro, honam ani fã a yebetumi ahu na yɛde yɛn nsa aka, wɔ aduruyɛ mu no,
epidermis . Saa nkwammoaa yi na ɛboa ma wɔyɛ honam ani nkwammoaa foforo. Wɔkyekyɛ mu na wɔyɛ nkwammoaa pii te sɛ wɔn ankasa. Bere a wɔreyɛ nkwammoaa foforo no, wɔpia nkwammoaa dedaw kɔ soro, wowuwu, na wohwie fi yɛn nipadua mu. Eyi yɛ adeyɛ a ɛyɛ daa.
Enti dɛn ne Basal Cell Carcinoma (BCC)?
Basal cell carcinoma (BCC) yɛ honam ani kokoram bi a yɛadi kan aka ho asɛm. Ɛyɛ honam ani kokoram
a abu so sen biara . Ɛtaa fi ase sɛ honam ani ketewaa bi a ɛtɔ mmere bi a ɛhyerɛn, ɛyɛ kurukuruwa anaasɛ ɛyɛ mmerɛw. Bere kɔ so no, ɛyɛ kɛse na ɛyɛ kɛse.
So basal cell carcinoma (BCC) ahorow bi wɔ hɔ?
Yiw, ahorow atitiriw anan na ɛwɔ hɔ. Ma yɛnhwɛ nea wɔyɛ:
- Nodular type: Eyi ne BCC a ɛtaa ba . Ɛte sɛ akisikuru kurukuruwa. Ɛtɔ mmere bi a, mogya ntini nketenkete bi wɔ hɔ a wotumi hu pefee atwa ho ahyia. Nnuruyɛfo frɛ eyi ``Telangiectasias``.
- Superficial spreading type: Wɔ saa su yi mu no, nsensanee pue wɔ honam ani. Wɔn kɔla yɛ hare kakra sen honam ani kɔla a ɛyɛ daa no na ɛte sɛ nea ɛnyɛ den. Ebetumi aba wɔ dua no dua, nsa, ne nan so titiriw.
- Sclerosing (anaa Morpheaform) type: Saa nsensanee a kokoram wom yi te sɛ akuru. Nanso, saa akuru yi yɛ kɛse na ɛyɛ kɛse. Wɔtaa hu saa ɔkwan yi wɔ anim. Ɛtɔ mmere bi a, ebetumi afi ase sɛ baabi ketewaa bi a ɛyɛ kɔkɔɔ wɔ honam ani.
- Pigmented type: Eyi yɛ type a ɛntaa nsi kakra . Eyi ne bere a honam ani fã pɔtee bi yɛ tuntum sen honam ani a atwa ho ahyia no, a wɔfrɛ no hyperpigmentation .
Hena na ɛda adi kɛse sɛ obenya basal cell carcinoma (BCC)?
Basal cell carcinoma (BCC)
betumi aba obiara mu ankasa . Nanso, ɛtaa ba nnipa a wɔadi boro mfe 50. Ɛtaa ba
nnipa a wɔn honam ani yɛ fitaa na wɔn ani yɛ hare nso so.Asiane a ɛwɔ hɔ sɛ obi benya saa tebea yi no yɛ kɛse. Obi a wanya BCC pɛnkoro nso wɔ asiane kɛse sɛ obenya honam ani kokoram foforo (a ɛnyɛ melanoma honam ani kokoram) daakye.
Saa tebea yi abu so dɛn?
Basal cell carcinoma ne
kokoram a abu so sen biara wɔ ne nyinaa mu, na ɛno nso ne honam ani kokoram a abu so sen biara . Wɔ ɔman te sɛ Amerika mu no, wɔka sɛ nnipa foforo dodow a wɔbɔ amanneɛ afe biara no boro ɔpepem 4. Wobetumi ahu saa tebea yi wɔ yɛn man yi nso mu.
Dɛn ne basal cell carcinoma ho sɛnkyerɛnne?
Hwɛ sɛ nsakrae yi aba wo honam ani:
- Wora mu akisikuru , akisikuru , akisikuru , akuru a ɛyɛ mmerɛw , anaa nsensanee .
- Ebia saa akuru yi yɛ nea ɛyɛ hann kakra . Ebetumi nso ayɛ kɔla a ɛbɛn wo honam ani kɔla a ɛfata, anaasɛ ebetumi ayɛ fitaa, pink, bruu, tuntum, anaa bruu.
- Ebia akuru no bɛhyerɛn kakra asen honam ani a atwa ho ahyia no, na mogya ntini nketenkete betumi ahu .
- Ebia saa akuru yi bɛyɛ kɛse bere a bere kɔ so no .
- Ebia wobɛte ɛyaw anaa ɛyaw nka wɔ baabi a akuru no wɔ no.
- Akuru no betumi abɛyɛ akuru, nsu a emu da hɔ bɛtu anaasɛ mogya atu bere a wɔde wɔn nsa aka no .
Ɛhe na sɛnkyerɛnne ahorow no taa ba?
Basal cell carcinomas taa nya
nipadua no mmeae a owia bɔ kɛse . Mmeae a wɔtaa yɛ ne:
- Anim
- Ti nhwi (ma wɔn a wonni nhwi wɔ wɔn ti so) .
- Hwene
- Aniwa mu nsu a ɛtɔ
- Nan
- Aso
- Nsa
Dɛn na ɛde basal cell carcinoma ba?
Nea enti titiriw ne sɛ
DNA a ɛwɔ yɛn nkwammoaa mu no sesa . Saa nsakrae yi taa ba bere a yɛn honam ani hwɛbea nya
UV mframa pii a efi owia mu anaasɛ UV mframa a wɔayɛ a efi mpa a wɔde yɛ honam ani hwɛbea mu no . Fa no sɛ yɛn awosu mu nkwaadɔm te sɛ nhoma a ɛkyerɛ yɛn nipadua DNA. Saa akwankyerɛ ahorow yi na ɛma nkwammoaa foforo nyin. Te sɛ bere a wokɔ dan bi mu no, wosɔ kanea no, na nkwammoaa a ɛwɔ ase no yɛ nkwammoaa foforo bere a ɛho hia no. Sɛ wufi dan no mu a, wudum kanea no, na sɛ wunhia bio a, wogyae nkwammoaa foforo a wɔyɛ. Nanso, sɛ nkwaadɔm mu nsakrae bi ba awosu mu nkwaadɔm no mu a,
ɛte sɛ nea wontumi ndum kanea no . Afei basal nkwammoaa no kɔ so yɛ nkwammoaa foforo a ɛho nhia. Eyi ne sɛnea
akisikuru anaa akuru ba honam ani . Ɛntaa mma koraa, .
Basal cell nevus syndrome, anaa Gorlin syndrome, yɛ awosu mu yare a ebetumi ama obi anya BCC wɔ mmofraase. Wobɛyɛ dɛn ahu eyi?
Ɛdenam sɛnea wo mole no te so no, oduruyɛfo betumi asusuw ntɛm ara sɛ ɛyɛ basal cell carcinoma. Nanso, sɛnea ɛbɛyɛ a wubehu no, oduruyɛfo no bɛhwehwɛ wo mu na wabisa wo nsɛm afa wo sɛnkyerɛnne ahorow ho:- Bere bɛn na wuhui sɛ saa akuru/akuru yi wɔ wo honam ani?
- So eyi kɛse sesae?
- So ɛsono sɛnea ɛte mprempren sen bere a edi kan a wuhuu no?
- So eyi yɛ yaw anaasɛ ɛyɛ yaw?
- So woanya honam ani kokoram pɛn?
Sɔhwɛ ahorow bɛn na esi eyi so dua?
Sɛ wɔyɛ nipadua mu nhwehwɛmu wie a, oduruyɛfo no betumi ayɛ nhwehwɛmu ahorow te sɛ eyinom de asi so dua bio sɛ:- Skin biopsy: Eyi hwehwɛ sɛ woyi honam ani fã ketewaa bi fi baabi a adwenem naayɛ wom no na wɔde afiri ketewaa bi hwehwɛ mu hwɛ sɛ kokoram nkwammoaa wɔ hɔ anaa.
- Mfonini a wɔde yɛ nhwehwɛmu: Ɛntaa mma koraa sɛ basal cell carcinoma bɛtrɛw akɔ nipadua no afã afoforo. Nanso, sɛ oduruyɛfo no susuw sɛ wanya bi a, wobetumi ahyɛ sɛ wɔnyɛ MRI scan anaa CT scan de hwɛ sɛ atrɛw akɔ ntini a ɛma mogya tu anaa akwaa a ɛwɔ nipadua no mu no mu anaa.
Oduruyɛfo no de nea efi nhwehwɛmu ahorow yi mu ba no bedi dwuma de ahu baabi a wo yare no te. Eyi bɛka:- Mole/tumor no kɛse ne sɛnea atrɛw akɔ ntini a ɛwɔ honam ani no ase no mu.
- Sɛ́ ebia kokoram ho sɛnkyerɛnne bi wɔ ntini a ɛma mogya tu no mu anaa.
- Sɛ́ ebia kokoram no atrɛw (atrɛw) akɔ nipadua no afã afoforo anaa.
- Mole no kɛse, ne nsɛso, beae a ɛwɔ, ne sɛnea enyin ntɛmntɛm.
Ɔkwan bɛn so na wɔsa?
Wɔnam kokoram no a woyi fi nipadua no mu so sa basal cell carcinoma . Ayaresa ahorow pii wɔ hɔ a wobetumi apaw ama no:- Electrodessication ne curettage: Eyi hwehwɛ sɛ wɔde adwinnade titiriw bi (curette) twitwiw kokoram a ɛyɛ kurukuruwa no na afei wɔde anyinam ahoɔden afiri hyew beae no.
- Oprehyɛn: Wɔde scalpel yi kokoram anaa nsensanee bi fi hɔ. Wɔnam akwan horow a wɔfrɛ no excision anaa Mohs oprehyɛn so na ɛyɛ eyi .
- Cryotherapy anaa cryosurgery: Kokoram akisikuru a woyi fi hɔ denam nwini a wɔde bɛhyɛ mu no so.
- Nnuru a wɔde sa yare: Nnuru a ano yɛ den a wɔde kum kokoram nkwammoaa a ɛwɔ nipadua no mu. Ɛtɔ mmere bi a wɔde eyi gu honam ani sɛ aduru a wɔde yɛ aduru.
- Photodynamic therapy (PDT) a ɛma hann yɛ adwuma:Ɔkwan a ɛsɛe kokoram nkwammoaa denam nsu titiriw bi a ɛma hann nka a wɔde gu honam ani na hann bruu kɔ so no so.
- Laser ayaresa: Wɔde laser mframa (afiri a ahoɔden kɛse wom) bedi dwuma sen sɛ wɔde scalpel bedi dwuma de ayi kokoram afi hɔ.
Wo duruyɛfoɔ bɛgyina nneɛma te sɛ w’akwahosan nyinaa, mfeɛ a woadi, beaeɛ a kokoram no wɔ, ne BCC kɛseɛ so apaw ayaresa a ɛfata wo. Sɛ wɔansa wɔn yare a, dɛn na ɛba?
Sɛ woansa basal cell carcinoma a, honam ani kokoram no betumi anyin na atrɛw akɔ ntini a emu dɔ a ɛwɔ honam ani te sɛ ntini, dompe, ne ntini mu . Afei BCC no betumi ayɛ yaw, mogya atu, na anya ɔyare no. Ɛwom sɛ ɛntaa nsi koraa de, nanso basal cell carcinoma betumi atrɛw akɔ nipadua no afã afoforo na ɛde ɔhaw ahorow a ɛde nkwa to asiane mu aba. Ɛno nti na ɛho hia sɛ wuhu na wosa no ntɛm no.
Dɛn ne nnuru a wɔde yɛ eyi?
Mpɛn pii no, wɔde oprehyɛn anaa ɔkwan foforo so yi kokoram no fi hɔ. Nanso, wɔ tebea horow a ɛntaa nsi mu no, sɛ wo basal cell carcinoma no akɔ anim wɔ mpɔtam hɔ anaasɛ atrɛw akɔ nipadua no afã afoforo (a ɛkɔ mmeae afoforo) a, nnuru ahorow abien na ɛwɔ hɔ a U.S. Aduan ne Nnuru Dwumadibea (FDA) apene so:- Vismodegib: Wɔde ma wɔ mpɔtam hɔ anaa akyirikyiri trɛw (BCC).
- Sonidegib: Wɔde ma BCC a wɔatrɛw mu.
Wɔde saa nnuru yi ma nnipa a wɔmfata sɛ wɔyɛ oprehyɛn anaa mframa a wɔde sa yare. Saa nnuru yi betumi de ɔhaw ahorow te sɛ ntini a ɛtwetwe, nsakrae a ɛba ne dɛ mu, ne ti nhwi a ɛyɛ mmerɛw aba. Ɛsɛ sɛ wokwati sɛ wubenyinsɛn bere a worenom nnuru yi ne asram kakraa bi wɔ ayaresa akyi. So nsunsuanso bɔne bi wɔ oprehyɛn mu?
Oprehyɛn biara gyaw akuru . Asiane a ɛwɔ hɔ sɛ mogya bɛtɔ obi anaasɛ ɔyare mmoawa no sua, nanso ɛwɔ hɔ. Dɛn ne tebea yi ho anidaso?
Nkɔmhyɛ a ɛwɔ hɔ ma nnipa a wɔahu sɛ wɔwɔ basal cell carcinoma (BCC) no ye yiye . Ɛntaa mma koraa sɛ BCC bɛtrɛw akɔ nipadua no afã afoforo na asɛe ade. Nanso, hokwan ketewaa bi wɔ hɔ sɛ BCC bɛsan aba bere a wɔayi afi hɔ awie no. Sɛ wuhu sɛ baabi foforo bi wɔ akuru bi a wɔadi kan ayɛ ho adwuma a, kɔ oduruyɛfo nkyɛn ntɛm ara . Ɔkwan bɛn so na worenya nkwa wɔ eyi mu?
Ɛwom sɛ wontumi nsiw basal cell carcinoma ano koraa de, nanso wubetumi ayɛ nea edidi so yi de atew asiane a ɛwɔ hɔ no so:- Tew owia a wobɛbɔ wɔ anɔpa 10 ne awia 4 ntam no so. Eyi ne bere a owia hann no ano yɛ den sen biara.
- Kwati sɛ wode mpa a wɔde hyɛ wo honam ani hwɛbea bedi dwuma koraa.
- Sɛ wowɔ abɔnten anaasɛ woreyɛ dwumadi ahorow te sɛ asuguare a, hyɛ aduru a ɛbɔ wo ho ban fi owia ho a SPF yɛ 30 anaa nea ɛboro saa da biara. Na san fa gu so nnɔnhwerew abien biara.
- Hyɛ ntade a wɔayɛ sɛ ɛbɛbɔ wo ho ban afi owia ho (a UPF wom), kyɛw akɛse, ne ahwehwɛ a wɔde hwɛ owia.
- Anyɛ yiye koraa no, hwɛ wo honam ani pɛnkoro ɔsram biara.Hwɛ sɛ ebia nsensanee anaa nsensanee foforo bi wɔ hɔ anaa.
- Kɔ honam ani yare ho oduruyɛfo nkyɛn pɛnkoro afe biara ma wɔnhwɛ wo honam ani.
- Sɛ wuhu ɔhaw anaa nsakrae bi wɔ wo honam ani a, kɔ oduruyɛfo nkyɛn ntɛm ara.
- Nhwehwɛmu ahorow bi ada no adi sɛ nicotinamide, vitamin B3 bi miligram 500 a wɔnom mprenu da biara no betumi atew asiane a ɛwɔ hɔ sɛ wobenya honam ani kokoram foforo a wɔfrɛ no squamous cell carcinoma (SCC) ne squamous cell carcinoma (SCC) no so. Wo ne wo duruyɛfo nka eyi ho asɛm.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Ɛho hia sɛ wobɛkɔ oduruyɛfo nkyɛn sɛ wowɔ honam ani haw bi a n’ankasa nkɔ yiye a. Sɛ wuhu sɛ wo honam ani fã foforo anaa akuru bi wɔ wo honam ani, sɛ ɛte sɛ nea akisikuru bi a ɛwɔ hɔ dedaw no reyɛ kɛse, anaasɛ wo honam ani akisikuru a ɛyaw anaa ɛyaw ka ho a, kɔ oduruyɛfo nkyɛn ntɛm ara . Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?
Wubetumi abisa nsɛm te sɛ eyinom:- Mfaso bɛn na me yare no wɔ?
- So kokoram no atrɛw akɔ nipadua no afã afoforo?
- So ɛsɛ sɛ mekɔ oduruyɛfo a ɔhwɛ honam ani yare nkyɛn?
- Dɛn ne ayaresa a wokamfo kyerɛ no mu nsunsuanso bɔne?
Ɔkwan bɛn so na eyi yɛ soronko wɔ honam ani kokoram afoforo ho?
Basal cell carcinoma (BCC) yɛ honam ani kokoram a abu so. Honam ani kokoram ahorow afoforo nso wɔ hɔ:- Squamous cell carcinoma (SCC): Eyi ne honam ani kokoram a ɛto so abien a ɛtaa ba wɔ basal cell carcinoma (BCC) akyi. Ɛnam nkwammoaa a ɛyɛ mmerɛw a ɛdɔɔso dodo wɔ honam ani, na ɛyɛ kokoram a ɛyɛ kurukuruwa nti. Ɛtaa ba mmeae a owia bɔ wɔ ti ne kɔn, dua, ne n’afã horow no.
- Melanoma: Melanoma yɛ honam ani kokoram bi a efi ase wɔ nkwammoaa a ɛma honam ani kɔla a wɔfrɛ no melanocytes . Ɛwom sɛ ɛnyɛ nea abu so te sɛ BCC anaa SCC de, nanso ɛyɛ kokoram a asiane wom a sɛ wɔanhu na wɔansa no ntɛm a, ebetumi atrɛw ntɛmntɛm wɔ nipadua no mu nyinaa .
Dɛn ne kokoram a edi kan?
Actinic keratosis (AK) nyɛ honam ani kokoram. AK yɛ nkwammoaa a enyin wɔ honam ani fã a ɛwɔ soro (epidermis) a efi owia a wɔde di dwuma bere tenten mu ba. Saa tebea yi nyɛ kokoram (i.e. , ɛnyɛ nea asiane biara nni ho ), nanso awiei koraa no ebetumi abɛyɛ honam ani kokoram (titiriw squamous cell carcinoma (SCC) . Wɔtaa hu actinic keratosis wɔ mmeae a owia bɔ wɔ ti ne kɔn mu, aso atifi, anofafa so, ne nsa ne anan so. Awiei koraa no, nneɛma kakraa bi a ɛsɛ sɛ wokae
Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka bere a wuhu sɛ kokoram bi wɔ wo honam ani no. Nanso kae sɛ basal cell carcinoma (BCC) yɛ tebea a ɛtaa ba na wobetumi asa no yiye . Wubetumi asan akɔ w’asetra a na ɛte kan no mu ntɛm.Ade a ɛho hia sen biara ne sɛ wobɛbɔ wo ho ban afi owia ho na woakwati sɛ wode mpa a wɔde hyɛ wo honam ani hwɛbea bedi dwuma. Sɛ wuhu sɛ wo honam ani akisikuru, akisikuru, anaa nsensanee foforo bi wɔ hɔ a , kɔ oduruyɛfo nkyɛn a ntwentwɛn wo nan ase mma wɔnyɛ wo nhwehwɛmu na sɛ ɛho hia a, wobɛsa wo yare . Afei wubetumi anya ahoɔden afi tebea yi mu koraa.
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