Nsõ foforo bi a ɛwɔ wo honam ani? Kuru a ɛrensa? Momma yɛnhu Squamous Cell Carcinoma (SCC), honam ani kokoram!

Ɛtɔ mmere bi a, yenya nsensanee nketenkete, akisikuru, anaa akuru wɔ yɛn honam ani a ɛnsa, ɛnte saa? Yɛn mu dodow no ara mfa yɛn adwene nsi wɔn so kɛse. Yɛdwene sɛ, "Ɛbɛyɛ sɛ ɛyɛ biribi ketewaa bi kɛkɛ," na yɛn werɛ fi wɔn. Nanso ɛtɔ mmere bi a, nsakrae ketewaa bi mpo te sɛ eyi betumi ayɛ tebea bi a emu yɛ den a ɛsɛ sɛ yɛhwɛ so ho sɛnkyerɛnne ntɛm. Enti, akyinnye biara nni ho sɛ ɛsɛ sɛ yehu, na ɛnnɛ yɛrebɛka honam ani kokoram bi a abu so yiye ho asɛm. Ɛno ne Squamous Cell Carcinoma, a yɛfrɛ no SCC tiawa no.

Sɛ yɛbɛka no tiawa a, dɛn ne Squamous Cell Carcinoma (SCC)?

Squamous Cell Carcinoma (SCC) yɛ honam ani kokoram bi. Ɛyɛ honam ani kokoram a ɛto so abien a abu so wɔ Sri Lanka ne wiase nyinaa.

Sɛ yɛbɛte eyi ase a, ma yenni kan nhwɛ sɛnea wɔyɛ yɛn honam ani. Wɔfrɛ yɛn honam ani fã a ɛwɔ soro no epidermis . Wɔfrɛ nkwammoaa a ɛyɛ tratraa a ɛwɔ saa ɔfa yi mu no sɛ squamous cells . Wɔaboaboa nkwammoaa yi ano asisi wɔn ho wɔn ho so, te sɛ nnua a wɔde ayɛ ɔfasu. Enti, sɛ saa nkwammoaa a ɛyɛ squamous yi fi ase nyin wɔ ɔkwan a ɛnteɛ so na wontumi nni so a, SCC ba.

Mpɛn pii no, kokoram a ɛte sɛɛ no ​​taa ba yɛn nipadua no mmeae a owia bɔ no. Nhwɛsoɔ:

• Anim
• Ti nhwi (titiriw wɔ nnipa a wɔn ti nhwi ayɛ fitaa mu) .
• Nneɛma a wɔde hyɛ aso mu
• Anofafa
• Nsa ne nan

Nanso, saa kokoram yi betumi anya wɔ mmeae a owia nhyerɛn nso. Ɛnyɛ ɛno nko, na mmom kokoram a ɛte sɛɛ betumi aba wɔ mmeae a ntini a ɛwɔ yɛn ano, te sɛ yɛn ano, yɛn ahurututu, ne yɛn akyi berɛmo mu nso.

Dɛn ne kokoram yi ahorow atitiriw?

Wobetumi akyekyɛ SCC kokoram mu ayɛ no ahorow atitiriw abien a egyina beae a ɛwɔ wɔ nipadua no mu ne sɛnea atrɛw so.

1. Cutaneous SCC: Eyi ne nea ɛtaa ba. Ɛha yi, kokoram no wɔ honam ani nkutoo. Eyi nso wɔ subtypes abien.

• In situ (Stage 0): Ɛha yi, kokoram nkwammoaa no wɔ honam ani fã a ɛwɔ soro (epidermis) nkutoo. Wɔntrɛw nkɔ akyiri. Wɔsan frɛ eyi Bowen yare . Sɛ wohu ntɛm a, wobetumi asa no koraa.
• Invasive: Ɛha no, kokoram nkwammoaa atrɛw akɔ akyiri asen honam ani fã a ɛwɔ soro no na akɔ honam ani fã a ɛwɔ ase no mu.

2. Metastatic SCC: Eyi yɛ tebea a emu yɛ den kɛse. Nea ɛkɔ so wɔ ha ne sɛ kokoram a na ɛwɔ honam ani no atrɛw akɔ akwaa afoforo mu, sɛ nhwɛso no, ntini a ɛma mogya tu, ahurututu, mmerɛbo, ne nea ɛkeka ho Nanso asɛmpa no ne sɛ SCC kokoram no mu kakraa bi pɛ na ɛtrɛw saa kwan yi so. Sɛ wohu na wɔsa no ntɛm a, asiane yi betumi atew kɛse.

Dɛn ne SCC kokoram ho sɛnkyerɛnne ne nsɛnkyerɛnne? Ɔkwan bɛn so na yebetumi ahu wɔn?

Eyi ne ɔfã a ɛho hia sen biara. Ɛho hia yiye sɛ wobɛma w’ani aku wo honam ani bere nyinaa. Efisɛ kokoram yi ho sɛnkyerɛnne a edi kan no da adi sɛ nsakrae nketenkete a ɛba honam ani. Saa nsɛnkyerɛnne yi betumi ayɛ soronko wɔ onipa biara ho.

Wɔakyerɛw sɛnkyerɛnne ahorow bi a ɛtaa ba a wobetumi ahu wɔ SCC kokoram mu wɔ pon a ɛwɔ ase ha no so.

Hena na ɔwɔ asiane kɛse mu sɛ obenya kokoram yi?

Obiara betumi anya SCC kokoram, nanso nnipa binom wɔ asiane mu kakra.

• Nnipa a owia bɔ kɛse: Nnipa a wɔyɛ adwuma wɔ owia mu, wɔyɛ kua, anaa wɔkɔ mpoano, ne wɔn a wɔde bere pii tra owia mu fi wɔn mmofraase no wɔ asiane kɛse mu.
• Nnipa a wɔn honam ani yɛ hare: Melanin, aduru a ɛma honam ani yɛ kɔla no bɔ yɛn ho ban fi owia hann ho. Nnipa a wɔn honam ani yɛ hare no nni melanin pii, enti ɛyɛ mmerɛw sɛ owia bɛsɛe wɔn. Nnipa a wɔn ani yɛ bruu/ahabammono na wɔn ti nhwi yɛ kɔkɔɔ anaa bruu no wɔ asiane kɛse mu.
• Nnipa a wɔadi boro mfe 50: Bere a worenyin no, asiane a ɛwɔ hɔ sɛ wubenya honam ani kokoram no yɛ kɛse esiane ɔsɛe a ɛboaboa ano wɔ honam ani bere kɔ so no nti.
• Nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw: Nnipa a wɔde wɔn akwaa a wɔde si ananmu, wɔanya HIV, anaa wɔrenom nnuru a esiw nipadua no mu tumi a ɛko tia nyarewa ano no wɔ asiane kɛse mu.
• Sigaretnomfo: Sigaretnom yɛ ade titiriw a ɛde SCC kokoram ba, titiriw anofafa ne ano de no.
• Nnipa a wɔde nnuru bi di dwuma: Nneɛma te sɛ arsenic a wɔde wɔn ho hyɛ mu nso yɛ asiane.
• Nnipa a wɔadi kan anya honam ani kokoram.

Dɛn nti na kokoram yi nya? Dɛn na ɛde ba?

Eyi yɛ asɛm a ɛyɛ den kakra. Sɛ yɛbɛka no tiawa a, ɛte sɛ eyi. Nneɛma a wɔfrɛ no awosu mu nkwaadɔm wɔ yɛn nkwammoaa mu. Saa awosu mu nkwaadɔm yi na ɛkyerɛ sɛnea nkwammoaa bɛyɛ adwuma, bere a ɛsɛ sɛ ɛpaapae, ne bere a ɛsɛ sɛ wowu.

Yɛwɔ awosu mu abɔde titiriw bi wɔ yɛn nipadua mu a wɔfrɛ no p53 . Ɛte sɛ adwuma sohwɛfo a ɔwɔ adwumayɛbea bi. N’adwuma ne sɛ ɛbɛhwɛ nkwammoaa mu mpaapaemu so. Esiane sɛ esiw nkwammoaa pii ano nti, yɛfrɛ no tumor suppressor gene .

Nanso, sɛ wɔde UV mframa a epira a efi owia mu di dwuma bere tenten a, saa ɔhwɛfo awosu mu abɔde a wɔfrɛ no p53 yi betumi asɛe. Yɛfrɛ no awosu mu nkwaadɔm mu nsakrae. Nea ɛba ne sɛ saa tumidi no yera. Squamous cells nnya nkrasɛm a ɛne sɛ "gyae mpaapaemu mprempren." Enti wɔkɔ so mu paapae a wontumi nni so, boaboa wɔn ho ano, na wɔyɛ kokoram akisikuru. Eyi ne ade titiriw a ɛde SCC kokoram ba.

Ɔkwan bɛn so na oduruyɛfo hu SCC pɛpɛɛpɛ?

Sɛ woka baabi a ɛyɛ adwenem naayɛ wɔ wo honam ani ho asɛm kyerɛ oduruyɛfo a, ade a edi kan a ɔyɛ ne sɛ ɔbɛhwehwɛ mu yiye. Ɔbɛhwɛ nneɛma te sɛ ne kɛse, ne nsusuwii, ne kɔla, ne sɛnea ɛte. Afei obebisa wo nsɛm kakraa bi.

• "Efi bere bɛn na wuhuu eyi?"
• "So ɛyɛɛ kɛse sen sɛnea na ɛte kan no?"
• "So ɛyɛ yaw? Ɛyɛ yaw? So mogya tu?"

Afei, sɛnea ɛbɛyɛ a wobesi yare no so dua 100%, mpɛn pii no wɔde honam ani nipadua mu nhwehwɛmu.Mekamfo kyerɛ sɛ yɛ biako.

Dɛn ne Skin Biopsy?

Nea ɛka eyi ho ne sɛ wɔbɛma beae no ayɛ mmerɛw, ayi were ketewaa bi afi baabi a ɛyɛ hu no, na wɔde akɔ aduruyɛdan mu ma wɔde afiri a wɔde hwɛ nneɛma nketenkete ahwɛ mu. Eyi ma yetumi hu pɛpɛɛpɛ sɛ ebia kokoram nkwammoaa wɔ mu anaasɛ enni mu.

Sɛ kokoram no sõ anaasɛ wosusuw sɛ atrɛw akɔ akyiri a, wobetumi ayɛ nhwehwɛmu te sɛ CT scan anaa MRI scan . Eyi betumi aboa ma wɔahu baabi a kokoram no atrɛw akodu.

Dɛn ne ayaresa ahorow a wɔde sa SCC kokoram?

Ayaresa ahorow pii wɔ hɔ a wɔde sa SCC kokoram. Wo duruyɛfo na obesi ayaresa a eye ma wo ho gyinae. Eyi begyina nneɛma pii so, a nea ɛka ho ne kokoram no kɛse, beae a ɛwɔ, emu dɔ, ne w’akwahosan nyinaa.

Asɛmpa a eye sen biara ne sɛ wobetumi asa SCC kokoram bɛboro 95% koraa, titiriw sɛ wohu ntɛm a!

Akwan titiriw a wɔfa so sa yare no bi ni:

• Twitwa: Eyi ne ayaresa a wɔtaa yɛ. Wotwa akuru a kokoram wom no, ne honam ani fã ketewaa bi a ɛte apɔw a atwa ho ahyia no na woyi fi hɔ, na wɔsan pam were no.
• Mohs Oprehyɛn: Eyi yɛ oprehyɛn titiriw bi. Wɔde di dwuma titiriw ma kokoram a ɛwɔ mmeae a ɛyɛ mmerɛw te sɛ anim, hwene, ne aso. Ɛha yi, wotwitwa kokoram no mu nketenkete paa, mmiako mmiako, na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ nea ɛwɔ mu biara mu ntɛm ara. Wɔyɛ eyi kosi sɛ wobesi so dua sɛ kokoram nkwammoaa biara nni hɔ bio. Eyi ma honam ani hwɛbea a ɛwɔ apɔwmuden pii nsɛe sɛnea ɛbɛyɛ yiye biara.
• Curettage ne Electrodesiccation: Eyi hwehwɛ sɛ wɔde adwinnade a ɛte sɛ nsenia twitwiw kokoram no na afei wɔde anyinam ahoɔden hyew beae no. Wɔtaa yɛ eyi ma kokoram nketewa a ɛwɔ soro no.
• Cryosurgery: Ɔkwan a wɔfa so sɛe kokoram nkwammoaa denam ade a ɛyɛ nwini yiye te sɛ nitrogen a ɛyɛ nsu a wɔde gu nwini so.
• Radiation Therapy: Wɔde saa ayaresa yi di dwuma wɔ nsɛm a wontumi nyɛ oprehyɛn mu, anaasɛ wɔde sɛe kokoram nkwammoaa biara a ebetumi aka wɔ oprehyɛn akyi.
• Nnuru ne Nkwammoaa a Ɛko Tia Nyarewa Ho Ayaresa: Wɔ tebea horow a emu yɛ den a kokoram no atrɛw akɔ nipadua no afã afoforo (a ɛtrɛw) mu no, ebia ɛho behia sɛ wɔde nnuru a wɔde ma wɔ nnuru a wɔde twitwiw nipadua mu anaa nnuru a wɔde kum nipadua no mu sa.

So yebetumi abɔ yɛn ho ban afi SCC kokoram ho?

Yiw, koraa. Nneɛma pii wɔ hɔ a yebetumi ayɛ de abɔ yɛn ho ban afi kokoram yi ho. Nea ɛho hia sen biara ne sɛ wobɛma eyinom ayɛ wo su.

• Bɔ wo ho ban fi owia ho: Kwati owia a ano yɛ den no sɛnea wubetumi biara, titiriw wɔ anɔpa 10 kosi awia 4 ntam.
• Fa aduru a ɛbɔ wo ho ban fi owia ho di dwuma: Sɛ worekɔ owia mu a, fa aduru a ɛbɔ wo ho ban fi owia ho a ɛtrɛw (ɛbɔ ho ban fi UVA ne UVB nyinaa ho) a SPF yɛ 30 anaa nea ɛboro saa di dwuma bere nyinaa. Fa ayamye bɔ ​​w’anim, wo kɔn, ne wo nsa so.
• Hyɛ ntade a ɛbɔ wo ho ban: ntade a nsa tenten, pantan atenten, kyɛw a ano trɛw, ne ahwehwɛ a ɛbɔ wo ho ban wɔ UV ho.
• Kwati mpa a wɔde hyɛ wo honam ani hwɛbea: Saa mfiri a wɔde ayɛ honam ani hwɛbea yi pira kɛse.
• Kwati sigaretnom: Sigaretnom a wugyae no betumi atew asiane a ɛwɔ hɔ sɛ wubenya ano ne anofafa kokoram no so kɛse.
• Hwɛ wo honam ani daa: Anyɛ yiye koraa no, pɛnkoro ɔsram biara, gyina ahwehwɛ anim na hwehwɛ wo nipadua nyinaa mu fi wo ti kosi wo nan ase. Hwehwɛ nsensanee foforo, awo agyiraehyɛde a ɛresakra, ne akuru a ɛrensa.

Sɛ wuhu nsakrae bi a ɛyɛ adwenem naayɛ wɔ wo honam ani a, yɛsrɛ sɛ mmu w’ani ngu so. Mma wo ho nnyɛ wo hu. Hwɛ oduruyɛfo a ɔfata ntɛm ara na woanya afotu. Efisɛ dodow a wuhu saa nneɛma yi ntɛm no, dodow no ara na hokwan a ɛwɔ hɔ sɛ wo ho bɛtɔ wo koraa bere a woasa wo yare no yɛ kɛse.