Ðe teƒe siwo le ƒuƒlu le wò ŋutigbalẽ ŋua? Ate ŋu anye Actinic Keratosis!

Ðe nède dzesi teƒe suesuesue siwo le ƒuƒlu, siwo me ʋuʋudedi le le wò ŋutigbalẽ ŋu, vevietɔ le teƒe siwo ŋdɔ ʋuna le kpɔa? Ɣeaɖewoɣi la, ɖewohĩ màlé to ɖe wo ŋu boo o. Gake teƒe siawo dometɔ aɖewo ate ŋu anye dɔléle aɖe si woyɔna be Actinic Keratosis . Ele vevie be nànya esia. Eyata mina míaƒo nu tso eŋu vie egbea, alo?

Nukae nye Actinic Keratosis?

Kpuie ko la, actinic keratosis , si wogayɔna be solar keratosis, nye ŋutigbalẽ ƒe dɔléle ƒomevi aɖe si nana wò ŋutigbalẽ ƒe akpa siwo le ƒuƒlu, siwo me ʋuʋudedi le. Zi geɖe la, ƒe geɖe ƒe ɣe ƒe keklẽ gbɔe nusiawo tsona.

Nu vevitɔe nye be, `(Actinic Keratosis)` sia nye nusi do ŋgɔ na kansa . Esia fia be ne womewɔ atike na teƒe siawo nyuie o la, wo dometɔ aɖewo ate ŋu atrɔ azu `(Squamous Cell Carcinoma)`, si nye ŋutigbalẽ me kansa ƒomevi aɖe . Mègatsi dzi o, menye `(Actinic Keratosis)` katãe atrɔ azu kansa o. Ke hã, ele vevie be míaɖɔ ŋu ɖo le wo ŋu elabena afɔku le wo me. Le nyateƒe me la, esiae nye ŋutigbalẽ ƒe dɔléle si bɔ wu do ŋgɔ na kansa . Dɔléle sia le ame miliɔn geɖe ŋu le xexeame godoo.

Amekae ate ŋu axɔ nusia wu?

Ame aɖeke medi be yeakpɔ nusiawo gbɔ o. Ke hã, ame aɖewo ate ŋu axɔ ``Actinic Keratosis'' wu. Kpɔe ɖa be èdze le hatsotso sia me hã:

• Ame siwo mekpɔa woƒe ŋutigbalẽ ta tso ɣea me o: Esia koŋ tae. Ame siwo nɔa ŋdɔ me ɣesiaɣi ɣe ƒe ŋkumewu, kposɔ, kple ɣe ƒe keklẽŋusẽtike manɔmee la le afɔku gã aɖe me.
• Ame siwo ƒe ŋutigbalẽ le ɣie, woƒe ɖa le blɔ alo biã: Ame siwo ƒe ŋkuwo le blɔ alo amadede dzẽ hã le afɔku me wu. Esia le alea elabena melanin, si nye amadede si kpɔa eta tso ɣea me la mesɔ gbɔ ɖe woƒe ŋutigbalẽ me o.
• Ame siwo ŋdɔkutsu ɖum enuenu alo vevie: Ne ŋdɔkutsu dzatsɛ na wò tso ɖevime ke la, ema hã ate ŋu anye nusi gbɔ wòtso.
• Ame siwo ƒe dɔlélenutsiŋutete gbɔdzɔ : Nɔnɔme sia ate ŋu adzɔ ne dɔlélenutsiŋutete gbɔdzɔ le dɔléle aɖewo ta (e.g., HIV ), alo atikewɔwɔ abe dɔlélenutsiŋutete ƒe dɔdamɔnu na kansa, alo atike siwo wozãna le ŋutinuwo dodo vɔ megbe.
• Ame siwo xɔ wu ƒe 40: Esiawo ate ŋu adze ne míele tsitsim le ƒe geɖe ƒe ɣe ƒe keklẽ si míeƒo ƒu ta. Ke hã, sɔhɛwo hã ate ŋu axɔ wo, vevietɔ ne wozãa ɣeyiɣi geɖe le ŋdɔ me.

Nukatae actinic keratosis dzɔna?

Nusi koŋ gbɔ esia tsonae nye ultraviolet (UV) keklẽ si le ɣea me.Ẽ, ɣe ƒe keklẽ ɖeka ma ke naa vitamin D mí katã, gake eƒe agbɔsɔsɔ fũ ate ŋu ahe kuxiwo vɛ. Menye ɣea koe UV keklẽwo tsona o, ke etso kekeli ƒe mɔ̃ siwo wowɔ abe lãgbalẽŋudɔwɔnu siwo ame aɖewo zãna tsɔ naa woƒe ŋutigbalẽ dzena nyuie wu hã me.

`UV` keklẽ siawo ateŋu agblẽ nu le lãmenugbagbevi siwo le míaƒe ŋutigbalẽ ƒe akpa si le etame, si woyɔna be `Keratinocytes`. Ne nugbegblẽ sia yi edzi le ɣeyiɣi aɖe megbe la, lãmenugbagbevi mawo dzea tsitsi gɔme le mɔ si mesɔ o nu. Ɣemaɣie `Actinic Keratosis` ƒe teƒe siawo dzena. Abe alesi numiemie gblẽna ne wode tsii fũ ene la, míaƒe ŋutigbalẽ hã gblẽna ne wodo go `UV` keklẽ fũ akpa.

Nukae nye esia ƒe dzesiwo? Aleke nèwɔ dea dzesii?

Zi geɖe la, Actinic Keratosis ƒe dzesi gbãtɔe nye ƒoƒoe si le ƒuƒlu, si kɔ alo teƒe si le ŋutigbalẽa ŋu. Ate ŋu ase le eɖokui me be ele ƒuƒlu, abe sandpaper ene ne woka asi eŋu. Esiawo ate ŋu anɔ amadede vovovowo me:

• Amadede ɣi
• Amadede pink
• Amadede dzĩ
• Ŋutilã ƒe amadede sɔ kple tɔwò, gake eƒe ŋutigbalẽ le ƒuƒlu wu.
• Ɣeaɖewoɣi la, nane ate ŋu anɔ teƒe siawo abe aŋɔ ɣi alo aŋutiɖiɖi ene.

Esiawo ƒe lolome ate ŋu atso milimeta ʋɛ aɖewo va ɖo abe sentimeta eve ene . Wokpɔa wo zi geɖe le teƒe siwo ŋdɔ ʋuna le enuenu, abe mo, to, ta, kɔ, asiwo ƒe megbe, kple ŋgonu ene .

Dzesi bubuwo hã ate ŋu anɔ eŋu:

• Ʋu si dona le teƒea (vevietɔ tso nyɔnu ƒe vidzidɔ me) .
• Dzobibi, ʋuʋudedi, alo ʋuʋudedi ƒe seselelãme le teƒea
• Nuyi siwo ƒu eye wole ƒuƒuie (si woyɔna hã be `Actinic Cheilitis`) .
• Ɣeaɖewoɣi la, àte ŋu akpɔ ŋutigbalẽ ƒe tsitsi (`lãgbalẽ ƒe dzo`) si dona ɖe dzi abe lã ƒe dzo ene .
• Nuyi ƒe amadede ƒe tɔtrɔ
• Vevesese alo vevesese le teƒe ma

Vevietɔ: Ne ède dzesi teƒe yeye aɖe, ƒunukpeƒetetedɔ, amadede ƒe tɔtrɔ, alo tɔtrɔ aɖe le teƒe aɖe si li xoxo (abe wò ŋutigbalẽ ƒe lolome, amadede ƒe tɔtrɔ, alo ʋu ƒe dodo ene) ŋu la, mègaŋe aɖaba ƒu edzi o. Kpɔ ɖɔkta enumake.

Aleke ɖɔkta awɔ anya kple kakaɖedzi nenye be esia li?

Ne ɖikeke aɖe le mewò le ʋuʋudedi si le abe esia ene ŋu la, àte ŋu ayi wò ƒomea ƒe ɖɔkta alo ŋutigbalẽŋutinunyala gbɔ .

Zi geɖe la, ɖɔkta wɔa:

1. Ŋutilã me dzodzro tsitotsito: Dzro wò ŋutilã bliboa ƒe ŋutigbalẽ me, vevietɔ teƒe siwo ŋdɔ ʋuna le.

2. Nukpɔnu si lolona zazã: Ɣeaɖewoɣi la, wozãa nukpɔkpɔ si lolona tsɔ kpɔa teƒea nyuie.

3. Ŋutilãmelãwo Ŋuti Numekuku: ÐɔktaNe ɖikeke aɖe le mole la ŋu, alo ne edze abe ɖe wòto vovo ene la, woɖea ŋutigbalẽ sue aɖe heɖonɛ ɖe nudokpɔƒe be woatsɔ nusuekpɔmɔ̃ akpɔe. Esia le bɔbɔe ŋutɔ. Ebia be woawɔ nuvevi ame vie. Esiae na woate ŋu akpɔ dɔlélea nyuie .

Nukawoe nye atike siwo wozãna na esia?

Nya nyuiae nye be, atike aɖewo li na Actinic Keratosis! Wò ɖɔkta anɔ te ɖe teƒe agbɔsɔsɔme si le ŋuwò, woƒe dzedzeme, kple afisi wole dzi atso nya me le atikewɔwɔa ŋu.

Atikewɔwɔmɔnu vevi geɖewo li:

Dɔdamɔnu siwo wowɔna le ɖɔkta ƒe dɔwɔƒea:

• Atikewo ƒe lãgbalẽ: Esia le abe modzakaɖenu si wozãna le atikewɔwɔ me ene. Wò ɖɔkta tsɔa atike tɔxɛ aɖe dea wò ɖiƒoƒoa ŋu. Esia wɔa dɔ to ŋutigbalẽmenugbagbevi siwo le gota wu la tsɔtsrɔ̃ me. Teƒea ate ŋu abiã eye wòave ŋkeke ʋɛ aɖewo. Gake ne ŋutigbalẽa le hayahayam la, ŋutigbalẽ yeye si le lãmesẽ me dona.
• Cryotherapy: Woate ŋu azã mɔnu sia ne ʋuʋudedi sue ɖeka alo eve le ŋuwò. Ðɔktaa zãa nusi fa miamiamia ŋutɔ, abe nitrogen si nye tsi ene, tsɔ naa ʋuʋudedi la tsia tsikpe me. Le ŋkeke ʋɛ aɖewo megbe la, ʋuʋudedi la avuvu, aƒu, eye wòadze anyi.
• Eɖeɖe: Le dɔ sia wɔwɔ me la, ɖɔktaa naa teƒe si ʋuʋudedia le la tsia dzodzodzoe gbã. Emegbe, woɖea mole la ɖa, alo lãnɛ, eye wotsɔa aŋe ɖeka alo eve dana ɖe teƒea. Abi la hayana le kwasiɖa eve va ɖo etɔ̃ me.
• Photodynamic therapy (PDT): Ne teƒe geɖe le ŋuwò, alo ne wogatrɔna gbɔna togbɔ be wowɔ atike na wò hã la, wò ɖɔkta ate ŋu akafu atike sia na wò. Le atikewɔwɔ sia me la, wotsɔa kreme tɔxɛ aɖe (si nye ``pletosensitizing agent``) dea teƒeawo, eye le gaƒoƒo ʋee aɖewo megbe la, wotsɔa akaɖi tɔxɛ aɖe (``blue light`` alo ``red light``) ɖoa wo ŋu. Esia tsrɔ̃a lãmenugbagbevi siwo do ŋgɔ na kansa. Ele be nàƒo asa na ɣea keŋkeŋ ŋkeke ʋɛ aɖewo le atikewɔwɔ sia megbe.

Aƒeme atikewɔwɔ:

Ɣeaɖewoɣi la, ne teƒe geɖe le ŋuwò, alo ne teƒeawo le sue ale gbegbe be womete ŋu dzena tututu o la, wò ɖɔkta ate ŋu aŋlɔ atike siwo wotsɔna tsia lãme na ame alo gelũhɛwo na wò be nàzã le aƒeme. Ele be woatsɔ esiawo awɔ dɔe gbesiagbe hena ɣleti geɖe (ɖewohĩ vaseɖe ɣleti 4).

Kpɔɖeŋu aɖewoe nye esi:

• `Diclofenac skin gel ( Voltaren ® gel)` – Vevietɔ: Togbɔ be `Voltaren®` gel li fifia le atikedzraƒe hã la, mele be nàzãe le ɖokuiwò si o negbe ɖe ɖɔkta aɖe kafui koŋ na `(Actinic Keratosis)`.
• ``Fluorouracil, alo 5-FU ŋutigbalẽtike (Fluorac®)''.
• ``Imiquimod ŋutigbalẽtike (Aldara® alo Zyclara®)''.
• ``Ingenol mebutate ƒe atike si wotsɔna ƒoa ƒui (Picato®)''.

Ame aɖewo ƒe ŋutigbalẽ ate ŋu abiã, abi, alo avuvu ne wole atike siawo zãm. Gake ema nye atikewɔwɔa ƒe akpa aɖe. Ne vevesese aɖe le ŋuwò la, gblɔe na wò ɖɔkta .

Ɣeyiɣi didi kae wòxɔna hafi wòhayana le atikewɔwɔ vɔ megbe? Ðe mate ŋu atrɔ ava?

Ɣeyiɣi si woatsɔ ada dɔe la ato vovo le Actinic Keratosis ƒe teƒeteƒewo ƒe xexlẽme si le ŋuwò, woƒe lolome, kple atike si wowɔ na wò nu. Zi geɖe la, teƒeawo nu ayi keŋkeŋ kloe le abe ɣleti 3 ene le atikewɔwɔ vɔ megbe.

Ne teƒeawo bu vɔ la, ele vevie ŋutɔ be woayi ɖɔkta gbɔ be woado ye kpɔ zi ɖeka alo zi eve le ƒea me . Ne dɔlélenutsiŋutete gbɔdzɔ la, ahiã be nàyi ŋutigbalẽŋutinunyala gbɔ zi ene alo zi atɔ̃ le ƒea me.

Ẽ, Actinic Keratosis ate ŋu atrɔ ava, vevietɔ ne mèyi edzi le wò ŋutigbalẽ ta kpɔm tso ɣea me o. Eyata ele vevie be nàkpɔ wò ŋutigbalẽ ta tso ŋdɔkutsu dzatsɛ me le atikewɔwɔ me kple le atikewɔwɔ vɔ megbe.

Vevietɔ wu la! Aleke woawɔ aƒo asa na Actinic Keratosis?

Esiae nye ŋutinya sia ƒe akpa nyuitɔ kekeake. Nu geɖewo li míate ŋu awɔ atsɔ axe mɔ ɖe `(Actinic Keratosis)` ƒe dzɔdzɔ nu. Nu vevitɔe nye be woaɖe `UV` keklẽ siwo mehiã o dzi akpɔtɔ.

Nusiwo nàte ŋu awɔ kpliie nye esi:

• De ɣe ƒe keklẽŋusẽtike gbesiagbe: Mègadzo le ɣe ƒe keklẽŋusẽtikewo zazã dzi o, le ŋkeke siwo dzi alilikpowo le dodom alo le dzomeŋɔli gɔ̃ hã. Tia ɣe ƒe keklẽŋusẽtike si ƒe SPF 30 (Ɣe Takpɔnu) alo esi wu nenema ya teti, kple esi ƒe dɔwɔwɔ keke ta (si fia be ekpɔa ame ta tso UVA kple UVB keklẽ siaa me). Tsɔe de eme aɖabaƒoƒo 15-30 hafi nàdo go, eye nàgatsɔe asisi gaƒoƒo eve ɖesiaɖe ne èle fifia, èle tsi ƒum, alo nèle tsi ƒum.
• Ƒo asa na ɣe ƒe keklẽ sesẽtɔ kekeake: UV keklẽ sesẽtɔ kekeake nɔa ŋdi ga 10 kple ŋdɔ ga 2 dome (le teƒe aɖewo la, fiẽ ga 4). Ðe wò ɣe ƒe keklẽ dzi kpɔtɔ le gaƒoƒo siawo me alesi nàte ŋui.
• Ƒo asa na ɣe ƒe keklẽ si wowɔ kple asi: Mègazã nusiwo le abe `(Tanning salons)`, `(ɣe ƒe akaɖiwo)`, `(tanning beds)` o. Woɖea `UV` keklẽ siwo gblẽa nu le ame ŋu hã dona.
• Do awu siwo kpɔa ɣe ƒe keklẽ ta: Do awu siwo ƒe abɔwo didi, pantalon legbe, kposɔ si ƒe nugbɔ keke, kple ɣe ƒe ŋkumewu si kpɔa UV ta alesi nàte ŋui.

Ðe wòle be míavɔ̃ nɔnɔme sia?

Actinic Keratosis nye dɔléle si ŋu wòle be woabu, gake menye nusi ŋu woatsi dzi ɖo o . Zi geɖe la, woate ŋu ada teƒe siawo keŋkeŋ ne woda wo nyuie. Ame siwo ŋu Actinic Keratosis le la dometɔ siwo ade 90% mexɔa ŋutigbalẽ me kansa o.

Gake, ɖo ŋku edzi be ŋutigbalẽ me kansa akpa gãtɔ dzea egɔme abe Actinic Keratosis ene. Esia tae mele be míabu nɔnɔme sia nu tsɛe o. Zi alesi wokpɔe dze sii kaba hedae la, zi nenemae wòate ŋu azu kansa o.

Ɣekaɣie wòanyo wu be nàyi ɖɔkta gbɔ?

Ne ède dzesi dzesi siawo dometɔ aɖe le wò ŋutigbalẽ ŋu la, kpɔ egbɔ be yeyi ɖɔkta gbɔ:

• Ne ʋu le dodom le ŋutigbalẽa ŋu, ʋuʋudedi le eŋu, abi le eŋu, alo le ʋuʋum .
• Ne èkpɔ tsitsi aɖe le ŋutigbalẽa ŋu si do ɖe gota abe lã ƒe dzo ene .
• Ne teƒe yeye, kɔkɔ, dzĩ, alo ʋuʋudedi do alo ne esiwo li xoxo trɔ.

Kpuie ko la, ne ède dzesi nu yeye aɖe, tɔtrɔ aɖe, alo nane si ŋu ɖikeke le le wò ŋutigbalẽ ŋu la, mègaŋe aɖaba ƒu edzi o.

Nya vevi kawoe wòle be míabia ɖɔktaa?

Ne èyi ɖɔkta gbɔ la, mègaŋlɔ be be yeabia nya siawo o:

• “Ðɔkta, nukatae `(Actinic Keratosis)` sia le ŋunye?”
• “Amekawoe nye atikewɔmɔnu nyuitɔwo kekeake nam?”
• “Afɔku alo nugbegblẽ kawoe atikewɔmɔnu siawo ate ŋu ahe vɛ?”
• “Kuxi kawo ŋue wòle be makpɔ nyuie le?”
• "Nukae wòle be mawɔ le atikewɔwɔ vɔ megbe, eye aleke wòle be malé be na ɖokuinye?"
• "Nukae wòle be mawɔ be nane si le abe esia ene nagadzɔ ake o?"

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Enyo, eyata, `(Actinic Keratosis)` nye ŋutigbalẽ ƒe dɔléle si hiã atikewɔwɔ kple beléle kaba . Zi geɖe la, woate ŋu atsɔ amekoko alo atsyɔ̃ɖonuwo ada amesiawo. Nu vevitɔe nye be nàkpɔ wò ŋutigbalẽ ta tso ɣe ƒe keklẽ kple `UV` keklẽ me . Ekema àte ŋu aɖe nɔnɔme sia ƒe afɔkua dzi akpɔtɔ ŋutɔ.

Ne èsusu be Actinic Keratosis le ye ŋu la, taflatse yi ɖɔkta gbɔ enumake hena aɖaŋuɖoɖo . Zi alesi nèdi atike kaba la, zi nenemae wò ŋutigbalẽ me kansa xɔxɔ ƒe afɔkua dzi ɖena kpɔtɔnae. Lé be na wò ŋutigbalẽ, elabena eyae nye wò nunɔamesi vevitɔ kekeake!