Ua ʻike anei ʻoe i kahi mea e like me ka pehu liʻiliʻi a i ʻole kahi ʻeha liʻiliʻi ma kou ʻili e ulu mālie ana i ka hala ʻana o ka manawa? Hiki ke ʻālohilohi a palupalu paha. ʻO kēia ka mea a mākou e kamaʻilio ai i kēia lā, ʻo ka basal cell carcinoma, a i ʻole
Basal Cell Carcinoma (BCC) . Mai hopohopo, he ʻano kēia e hiki ke ho'ōla pinepine ʻia. E kamaʻilio kākou e pili ana i nā kikoʻī.
He aha nā Kelepona Basal?
I ka ʻōlelo maʻalahi, ʻo nā pūnaewele basal nā pūnaewele liʻiliʻi i loaʻa ma ka papa luna o ko mākou ʻili, ka ʻāpana o ka ʻili e hiki iā mākou ke ʻike a hoʻopā, i kapa ʻia
ʻo epidermis ma ke ʻano lapaʻau. Kōkua kēia mau pūnaewele i ka hana ʻana i nā pūnaewele ʻili hou. Māhele lākou a hana i nā pūnaewele hou aʻe e like me lākou iho. I ka hana ʻia ʻana o nā pūnaewele hou, hoʻokuke ʻia nā pūnaewele kahiko i luna, make, a hoʻokahe ʻia mai ko mākou kino. He hana maʻamau kēia.
No laila he aha ka Basal Cell Carcinoma (BCC)?
ʻO ka basal cell carcinoma (BCC) kahi ʻano maʻi ʻili a mākou i kamaʻilio ai ma mua. ʻO ia
ke ʻano maʻamau o ka maʻi ʻili. Hoʻomaka pinepine ia me kahi ʻāpana ʻili liʻiliʻi, i kekahi manawa ʻālohilohi, puʻupuʻu a unahi paha. I ka hala ʻana o ka manawa, e nui aʻe ana ia.
Aia kekahi mau ʻano o ka basal cell carcinoma (BCC)?
ʻAe, ʻehā mau ʻano nui. E nānā kākou i ke ʻano o lākou:
- ʻAno nodular: ʻO kēia ke ʻano maʻamau o ka BCC . Ua like ia me kahi pimple poepoe. I kekahi manawa aia nā kīʻaha koko liʻiliʻi e ʻike maopopo ʻia a puni. Ua kapa nā kauka i kēia he "Telangiectasias".
- ʻAno pālahalaha ma luna: Ma kēia ʻano, ʻike ʻia nā kiko ma ka ʻili o ka ʻili. He māmā iki ko lākou kala ma mua o ke kala ʻili maʻamau a he pāpaʻu. Hiki ke ʻike ʻia ma ke kino, nā lima, a me nā wāwae.
- ʻAno Sclerosing (a i ʻole Morpheaform): Ua like kēia mau kiko kanesa me nā ʻōpala. Eia naʻe, e nui aʻe ana kēia mau ʻōpala. ʻIke pinepine ʻia kēia ʻano ma ka maka. I kekahi manawa hiki ke hoʻomaka ma ke ʻano he wahi ʻulaʻula liʻiliʻi ma ka ʻili.
- ʻAno Pigmented: He ʻano kakaikahi kēia. ʻO kēia ka wā e lilo ai kahi ʻāpana o ka ʻili i ʻeleʻele ma mua o ka ʻili a puni, i kapa ʻia ʻo hyperpigmentation .
ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o ka basal cell carcinoma (BCC)?
Hiki i ka basal cell carcinoma (BCC) ke ulu maoli i loko o kekahi . Eia nō naʻe, ʻoi aku ka maʻamau i ka poʻe ma luna o 50 mau makahiki. ʻOi aku ka maʻamau
i ka poʻe me ka ʻili keʻokeʻo a me nā maka mālamalama.Kiʻekiʻe ka pilikia o ka loaʻa ʻana o kēia maʻi. ʻO ke kanaka i loaʻa i ka BCC i hoʻokahi manawa, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kekahi ʻano maʻi ʻili ʻē aʻe (ka maʻi ʻili nonmelanoma) i ka wā e hiki mai ana.
Pehea ka maʻamau o kēia ʻano?
ʻO ka basal cell carcinoma
ke ʻano maʻamau o ka maʻi kanesa ma ke ʻano holoʻokoʻa, a ʻo ia hoʻi ke ʻano maʻamau o ka maʻi kanesa ʻili . Ma kahi ʻāina e like me ʻAmelika, ua ʻōlelo ʻia ʻoi aku ka nui o nā hihia hou i hōʻike ʻia i kēlā me kēia makahiki ma mua o 4 miliona. Hiki ke ʻike pinepine ʻia kēia ʻano ma ko mākou ʻāina.
He aha nā hōʻailona o ka basal cell carcinoma?
E nānā inā loaʻa i kou ʻili kekahi o kēia mau loli:
- Nā puʻupuʻu ʻili, nā pehu , nā pimples , nā ʻeha ʻōpala, a i ʻole nā kiko .
- Hiki ke ʻano moakaka iki kēia puʻupuʻu . Hiki paha ke like me ke kala o kou ʻili maʻamau, a i ʻole he keʻokeʻo, poni, ʻeleʻele, ʻeleʻele, a polū paha.
- ʻOi aku ka ʻālohilohi o ka puʻupuʻu ma mua o ka ʻili a puni, a ʻike ʻia paha nā kīʻaha koko liʻiliʻi .
- Hiki ke nui aʻe kēia puʻupuʻu i ka hala ʻana o ka manawa .
- Hiki paha iā ʻoe ke manaʻo i ka maneʻo a i ʻole ka ʻeha ma kahi o ka puʻu.
- Hiki i ka puʻupuʻu ke lilo i ʻōpū palapū, e kahe ana ka wai maopopo a i ʻole ke kahe koko ke hoʻopā ʻia .
ʻAuhea nā hōʻailona i ʻike pinepine ʻia?
ʻO ka hapa nui o nā maʻi carcinoma basal cell e ulu
ma nā wahi o ke kino i hōʻike ʻia e ka lā . ʻO nā wahi maʻamau:
- Maka
- Iwi poʻo (no ka poʻe me ka lauoho ʻole ma ko lākou mau poʻo)
- Ihu
- Nā kulu maka
- Nā wāwae
- Nā pepeiao
- Nā lima
He aha ke kumu o ka maʻi carcinoma cell basal?
ʻO ke kumu nui, ʻo ia
ka loli ʻana o ka DNA i loko o kā mākou mau cell . Hoʻomaka pinepine kēia loli ke hōʻike ʻia ko mākou ʻili i ka nui
o nā kukuna UV mai ka lā a i ʻole nā kukuna UV artificial mai nā moena tanning . E noʻonoʻo e like me kā mākou mau genes e like me kahi puke kuhikuhi no ka DNA o ko mākou kino. ʻO kēia mau kuhikuhi ka mea e hoʻoulu ai i nā cell hou. E like me kou komo ʻana i loko o kahi lumi, hoʻā ʻoe i ke kukui, a hana nā cell basal i nā cell hou i ka wā e pono ai. Ke haʻalele ʻoe i ka lumi, hoʻopau ʻoe i ke kukui, a i ka wā ʻaʻole pono hou iā lākou, hoʻōki lākou i ka hana ʻana i nā cell hou. Eia nō naʻe, inā he mutation i loko o nā genes,
me he mea lā ʻaʻole hiki ke pio ke kuapo kukui . A laila hoʻomau nā cell basal i ka hana ʻana i nā cell hou me ke kumu ʻole. Penei ke
ʻano o nā tumors a i ʻole nā lesions ma ka ʻili . Kākaʻikahi loa,
ʻO ka maʻi basal cell nevus, a i ʻole Gorlin syndrome, he maʻi hoʻoilina ia e hiki ai ke hoʻoulu i ka BCC i ka wā kamaliʻi. Pehea ʻoe e ʻike ai i kēia?
Ma muli o ke ʻano o kou ʻili mole, hiki i ke kauka ke manaʻo koke he basal cell carcinoma ia. Eia naʻe, i mea e maopopo ai, e nānā ke kauka iā ʻoe a nīnau iā ʻoe e pili ana i kāu mau hōʻailona:- I ka manawa hea ʻoe i ʻike ai i kēia puʻupuʻu/kiko ma kou ʻili?
- Ua loli anei ka nui o kēia?
- He ʻokoʻa anei kona ʻano i kēia manawa ma mua o kou ʻike mua ʻana?
- He ʻeha kēia a he maneʻo paha?
- Ua loaʻa anei iā ʻoe ka maʻi ʻili ma mua?
He aha ke ʻano o nā hoʻokolohua e hōʻoia i kēia?
Ma hope o ka hoʻokolokolo kino, hiki i ke kauka ke hana i nā hoʻokolohua e like me kēia e hōʻoia hou aku ai:- ʻO ka biopsy ʻili: Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻili mai kahi kānalua a nānā iā ia ma lalo o kahi microscope e ʻike inā loaʻa nā hunaola kanesa .
- Nā hoʻāʻo kiʻi: He mea kākaʻikahi loa ka laha ʻana o ka basal cell carcinoma i nā ʻāpana ʻē aʻe o ke kino. Eia nō naʻe, inā manaʻo ke kauka ua loaʻa, hiki iā lākou ke kauoha i kahi MRI scan a i ʻole CT scan e ʻike inā ua laha i nā lymph nodes a i ʻole nā ʻōpū o loko.
E hoʻohana ke kauka i nā hopena o kēia mau hoʻokolohua e hoʻoholo ai i ke kahua o kou maʻi. E komo pū ana kēia me:- ʻO ka nui o ka mole/puʻupuʻu a me ka hohonu o kona pālahalaha ʻana i loko o nā ʻiʻo ma lalo o ka ʻili.
- Inā paha he mau hōʻailona o ka maʻi kanesa ma nā lymph nodes.
- Inā ua pālahalaha ke kanesa (metastasized) i nā ʻāpana ʻē aʻe o ke kino.
- Ka nui, ke ʻano, kahi o ka mole, a me ka wikiwiki o kona ulu ʻana.
Pehea e mālama ʻia ai?
Hoʻōla ʻia ka maʻi kanesa cell basal ma ka wehe ʻana i ke kanesa mai ke kino . Aia kekahi mau koho lapaʻau no ia:- Electrodessication a me ka curettage: Pili kēia i ke kahakaha ʻana i ka puʻupuʻu kanesa me kahi mea hana kūikawā (curette) a laila e hoʻopau i ka wahi me kahi mea uila.
- ʻOki kino: Ka wehe ʻana i kahi puʻupuʻu a i ʻole kahi kiko kanesa me kahi scalpel. Hana ʻia kēia ma o nā ʻano i kapa ʻia ʻo excision a i ʻole ke ʻoki kino Mohs .
- Cryotherapy a i ʻole cryosurgery: Ka wehe ʻana i kahi puʻupuʻu kanesa ma ka hoʻopaʻahau ʻana.
- Chemotherapy: Ka hoʻohana ʻana i nā lāʻau ikaika e luku i nā hunaola kanesa i loko o ke kino. I kekahi manawa hoʻopili ʻia kēia i ka ʻili ma ke ʻano he kirīmi.
- Hoʻōla lāʻau photodynamic (PDT):He ʻano hana e hoʻopau ai i nā hunaola kanesa ma ke kau ʻana i kahi wai kūikawā e pili ana i ka mālamalama i ka ʻili a kuhikuhi i ka mālamalama polū iā ia.
- Lapaʻau Laser: Ke hoʻohana nei i nā kukuna laser (nā kukuna ikehu kiʻekiʻe) ma kahi o ka scalpel e wehe ai i ka maʻi kanesa.
E koho kāu kauka i ka lāʻau lapaʻau kūpono loa nāu ma muli o nā mea e like me kou olakino holoʻokoʻa, ka makahiki, kahi o ke kanesa, a me ka nui o ka BCC. He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?
Inā ʻaʻole ʻoe e mālama i ka basal cell carcinoma, hiki i ka maʻi ʻili ke ulu a laha i nā ʻiʻo hohonu ma lalo o ka ʻili, e like me ka ʻiʻo, ka iwi, a me ke cartilage . A laila hiki i ka BCC ke lilo i ʻeha, kahe ke koko, a lilo i maʻi. ʻOiai he mea kakaikahi loa, hiki i ka basal cell carcinoma ke laha i nā ʻāpana ʻē aʻe o ke kino a hoʻoulu i nā hopena ʻaoʻao e hoʻoweliweli i ke ola. No laila he mea nui e ʻike a mālama iā ia i ka wā mua.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka maʻamau, wehe ʻia ke kanesa me ke ʻoki ʻana a i ʻole kekahi ʻano hana ʻē aʻe. Eia nō naʻe, i nā hihia kakaikahi, inā ua holomua kou basal cell carcinoma a ua pālahalaha paha i nā ʻāpana ʻē aʻe o ke kino (metastasized), aia ʻelua ʻano lāʻau lapaʻau i ʻāpono ʻia e ka U.S. Food and Drug Administration (FDA):- Vismodegib: No ka hoʻolaha kūloko a mamao paha (BCC).
- Sonidegib: No ka BCC hoʻolaha ʻia.
Hāʻawi ʻia kēia mau lāʻau i nā poʻe kūpono ʻole no ke ʻoki kino a i ʻole ka radiation therapy. Hiki i kēia mau lāʻau ke hana i nā hopena ʻaoʻao e like me ka ʻūlū ʻana o nā ʻiʻo, nā loli o ka ʻono, a me ka lahilahi o ka lauoho. Pono ʻoe e pale i ka hāpai ʻana i ka wā e lawe ana i kēia mau lāʻau a no kekahi mau mahina ma hope o ka mālama ʻana. Aia kekahi mau hopena ʻaoʻao mai ke ʻoki kino?
Waiho kekahi ʻoki kino i kahi ʻeha . Haʻahaʻa ka pilikia o ke kahe ʻana o ke koko a i ʻole ka maʻi, akā aia nō ia. He aha ka manaʻolana no kēia kūlana?
He maikaʻi loa ka wānana no ka poʻe i ʻike ʻia me ka basal cell carcinoma (BCC). He mea kākaʻikahi loa ka laha ʻana o ka BCC i nā ʻāpana ʻē aʻe o ke kino a hōʻino. Eia nō naʻe, aia kahi manawa liʻiliʻi e hoʻi hou mai ai ka BCC ma hope o ka wehe ʻia ʻana. Inā ʻike ʻoe i kahi wahi hou a puni kahi ʻeha i mālama mua ʻia, e ʻike koke i ke kauka . Pehea ʻoe e ola nei i kēia?
ʻOiai ʻaʻole hiki ke pale loa ʻia ka basal cell carcinoma, hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i kou pilikia:- E hōʻemi i ka ʻike ʻana i ka lā ma waena o 10 a.m. a me 4 p.m. ʻO ia ka manawa e ikaika loa ai nā kukuna o ka lā.
- E pale loa i ka hoʻohana ʻana i nā moena tanning.
- Inā ʻoe ma waho a i ʻole e hana ana i nā hana e like me ka ʻauʻau ʻana, e kau i kahi pale lā me ka SPF o 30 a ʻoi aku paha i kēlā me kēia lā. A e hoʻopili hou i kēlā me kēia ʻelua hola.
- E ʻaʻahu i nā lole i hana ʻia e pale mai ka lā (me ka UPF), nā pāpale nui, a me nā aniani maka.
- E nānā i kou ʻili ma ka liʻiliʻi i hoʻokahi manawa i ka mahina.E nānā i nā puʻupuʻu a i ʻole nā kiko hou.
- E ʻike i ke kauka dermatologist i hoʻokahi manawa i ka makahiki e nānā i kou ʻili.
- Inā ʻike ʻoe i kekahi mau pilikia a i ʻole nā loli i kou ʻili, e ʻike koke i ke kauka.
- Ua hōʻike kekahi mau noiʻi e hiki i ka lawe ʻana i 500 milligrams o ka nicotinamide, kahi ʻano o ka huaora B3, ʻelua manawa i ka lā, ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i nā maʻi ʻili hou i kapa ʻia ʻo squamous cell carcinoma (SCC) a me squamous cell carcinoma (SCC). E kamaʻilio me kāu kauka e pili ana i kēia.
Āhea wau e ʻike ai i ke kauka?
He mea nui e ʻike i ke kauka inā loaʻa iā ʻoe kahi pilikia ʻili ʻaʻole e hoʻomaikaʻi wale. Inā ʻike ʻoe i kahi kiko hou a puʻupuʻu paha ma kou ʻili, inā ʻike ʻia kahi mole e ulu nui ana, a inā he ʻulaʻula ʻili kou e hele pū me ka ʻeha a i ʻole ka maneʻo, e ʻike koke i ke kauka . He aha nā nīnau āu e nīnau ai i ke kauka?
Hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:- I ke kahua hea koʻu maʻi?
- Ua laha anei ke kanesa i nā ʻāpana ʻē aʻe o ke kino?
- Pono anei au e ʻike i ke kauka ʻili?
- He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau āu e paipai nei?
Pehea ka ʻokoʻa o kēia mai nā maʻi ʻili ʻē aʻe?
He ʻano maʻamau ka maʻi ʻili ka maʻi kanesa cell basal (BCC). Aia kekahi mau ʻano maʻi ʻili ʻē aʻe:- ʻO ka maʻi kanesa cell squamous (SCC): ʻO kēia ka lua o ke ʻano maʻi kanesa ʻili maʻamau ma hope o ka basal cell carcinoma (BCC). Hoʻokumu ʻia ia e ka hana nui ʻana o nā cell squamous i loko o ka ʻili, e hana ana i nā puʻupuʻu kanesa. ʻO ka hapa nui, ʻike pinepine ʻia ia ma nā wahi i hōʻike ʻia e ka lā o ke poʻo a me ka ʻāʻī, ke kino, a me nā lālā.
- Melanoma: ʻO ka Melanoma kahi ʻano maʻi ʻili e hoʻomaka ana i loko o nā pūnaewele e hāʻawi ana i kona kala i ka ʻili, i kapa ʻia ʻo melanocytes . ʻOiai ʻaʻole ia he mea maʻamau e like me BCC a i ʻole SCC, he maʻi ʻili weliweli ia e hiki ke laha koke i loko o ke kino inā ʻaʻole ʻike ʻia a mālama ʻia i ka wā mua.
He aha ka precancer?
ʻAʻole ʻo Actinic keratosis (AK) he maʻi ʻili. ʻO AK kahi ulu ʻana o nā cell ma ka papa luna o ka ʻili (epidermis) i hoʻokumu ʻia e ka hoʻolōʻihi ʻana i ka lā. ʻAʻole kēia ʻano he maʻi ʻili (ʻo ia hoʻi , he benign ), akā hiki iā ia ke lilo i maʻi ʻili (ʻo ia hoʻi ka squamous cell carcinoma (SCC) . ʻIke pinepine ʻia ka Actinic keratosis ma nā wahi i hōʻike ʻia e ka lā o ke poʻo a me ka ʻāʻī, ma luna o nā pepeiao, ma nā lehelehe, a ma nā lima a me nā wāwae. ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai
He mea maʻamau ke makaʻu i ka wā e ʻike ai ʻoe i kahi puʻupuʻu kanesa ma kou ʻili. Akā e hoʻomanaʻo, he maʻi maʻamau ka basal cell carcinoma (BCC) a hiki ke mālama pono ʻia . Hiki iā ʻoe ke hoʻi koke i kou ola maʻamau.ʻO ka mea nui loa, ʻo ia ke pale iā ʻoe iho mai ka lā a pale i ka hoʻohana ʻana i nā moena tanning. Inā ʻike ʻoe i kahi puʻupuʻu hou, pehu, a i ʻole kahi kiko ma kou ʻili , e ʻike koke i ke kauka no ka hoʻokolokolo ʻana a, inā pono, ka lāʻau lapaʻau . A laila hiki iā ʻoe ke hoʻōla piha mai kēia ʻano.
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