Koj puas muaj cov pob khaus ntawm koj daim tawv nqaij? Tej zaum nws yog Actinic Keratosis!

Koj puas tau pom cov pob me me, ntxhib, thiab tawv ntawm koj daim tawv nqaij, tshwj xeeb tshaj yog nyob rau thaj chaw uas raug tshav ntuj? Tej zaum koj yuav tsis tau ua tib zoo saib xyuas lawv. Txawm li cas los xij, qee cov pob no yuav yog ib qho mob hu ua Actinic Keratosis . Nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov no. Yog li cia peb tham txog nws me ntsis hnub no, puas yog?

Actinic Keratosis yog dab tsi?

Hais yooj yim xwb, actinic keratosis , tseem hu ua solar keratosis, yog ib hom mob ntawm daim tawv nqaij uas ua rau koj daim tawv nqaij ntxhib thiab tawv. Cov no feem ntau yog tshwm sim los ntawm ntau xyoo raug tshav ntuj.

Qhov tseem ceeb yog, qhov "(Actinic Keratosis)" no yog ib qho ua ntej mob qog noj ntshav . Qhov no txhais tau tias yog tias cov pob no tsis raug kho kom zoo, qee qhov ntawm lawv tuaj yeem hloov mus ua "(Squamous Cell Carcinoma)," ib hom mob qog noj ntshav ntawm daim tawv nqaij . Tsis txhob txhawj, tsis yog txhua yam "(Actinic Keratosis)" yuav hloov mus ua mob qog noj ntshav. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum ceev faj txog lawv vim tias lawv muaj kev pheej hmoo. Qhov tseeb, qhov no yog qhov mob tawv nqaij ua ntej mob qog noj ntshav feem ntau . Ntau lab tus tib neeg thoob ntiaj teb muaj qhov mob no.

Leej twg yuav muaj feem ntau dua los tsim qhov no?

Tsis muaj leej twg xav ntsib tej yam no. Txawm li cas los xij, qee tus neeg yuav muaj feem ntau dua rau qhov "Actinic Keratosis". Saib seb koj puas poob rau hauv pawg no:

• Cov neeg uas tsis tiv thaiv lawv daim tawv nqaij ntawm lub hnub: Qhov no yog qhov laj thawj tseem ceeb. Cov neeg uas nyob hauv lub hnub tas li yam tsis muaj tsom iav dub, kaus mom, thiab tshuaj pleev thaiv hnub muaj feem yuav raug tshav ntuj ntau dua.
• Cov neeg uas muaj daim tawv nqaij dawb, plaub hau xim av lossis liab: Cov neeg uas muaj qhov muag xiav lossis ntsuab kuj muaj feem yuav mob pob khaus ntau dua. Qhov no yog vim lawv daim tawv nqaij muaj melanin tsawg dua, cov xim uas tiv thaiv nws ntawm lub hnub.
• Cov neeg uas muaj keeb kwm ntawm kev kub hnyiab ntau zaus lossis hnyav heev: Yog tias koj tau kub hnyiab txij li thaum yau, qhov ntawd kuj tuaj yeem yog ib qho tseem ceeb.
• Cov neeg uas lub cev tiv thaiv kab mob tsis muaj zog: Qhov mob no yuav tshwm sim ntau dua thaum lub cev tiv thaiv kab mob tsis muaj zog vim yog qee yam kab mob (piv txwv li, HIV ), lossis kev kho mob xws li kev kho mob qog noj ntshav, lossis cov tshuaj noj tom qab hloov pauv lub cev.
• Cov neeg hnub nyoog tshaj 40 xyoo: Cov no tuaj yeem tshwm sim thaum peb laus zuj zus vim yog ntau xyoo ntawm kev raug tshav ntuj. Txawm li cas los xij, cov neeg hluas kuj tuaj yeem tshwm sim lawv, tshwj xeeb tshaj yog tias lawv siv sijhawm ntau nyob rau hauv lub hnub.

Vim li cas actinic keratosis thiaj tshwm sim?

Qhov ua rau qhov no yog cov teeb ultraviolet (UV) hauv lub hnub.Yog lawm, nws yog tib lub hnub ci uas muab vitamin D rau peb txhua tus, tab sis ntau dhau ntawm nws tuaj yeem ua rau muaj teeb meem. Cov duab UV tsis yog los ntawm lub hnub xwb, lawv kuj los ntawm cov khoom siv teeb pom kev zoo xws li cov txaj tanning uas qee tus neeg siv los ua kom lawv cov tawv nqaij zoo dua.

Cov 'UV' rays no tuaj yeem ua rau cov cell hauv txheej sab saud ntawm peb daim tawv nqaij puas tsuaj, hu ua 'Keratinocytes'. Thaum qhov kev puas tsuaj no txuas ntxiv mus raws sijhawm, cov cell ntawd pib loj hlob tsis zoo. Thaum ntawd cov 'Actinic Keratosis' cov pob tshwm sim. Ib yam li cov nroj tsuag lwj thaum nws raug dej ntau dhau, peb daim tawv nqaij kuj raug puas tsuaj thaum nws raug rau 'UV' rays ntau dhau.

Cov tsos mob ntawm qhov no yog dab tsi? Koj paub nws li cas?

Feem ntau, thawj qhov cim qhia ntawm Actinic Keratosis yog ib lub pob lossis qhov chaw ntxhib, tsa rau ntawm daim tawv nqaij. Nws yuav zoo li ntxhib, zoo li ntawv xuab zeb thaum kov. Cov no tuaj yeem muaj ntau yam xim:

• Xim grey
• Xim liab dawb
• Xim liab
• Xim tawv nqaij zoo li koj li, tab sis ntxhib dua.
• Qee zaum yuav muaj qee yam zoo li cov nplai daj lossis xim av ntawm cov chaw no.

Cov no muaj qhov loj txij li ob peb millimeters mus txog li ob centimeters . Feem ntau pom lawv nyob rau hauv cov cheeb tsam uas raug tshav ntuj ntau zaus, xws li lub ntsej muag, pob ntseg, taub hau, caj dab, nraub qaum tes, thiab hauv pliaj .

Tej zaum yuav muaj lwm cov tsos mob:

• Los ntshav ntawm qhov chaw (tshwj xeeb tshaj yog los ntawm qhov chaw mos)
• Kev kub hnyiab, tingling, lossis khaus khaus hauv thaj chaw ntawd
• Daim di ncauj qhuav thiab tawg (tseem hu ua 'Actinic Cheilitis')
• Qee zaum koj tuaj yeem pom ib daim tawv nqaij loj hlob (ib lub 'cutaneous horn') uas tawm los rau saum toj zoo li lub horn tsiaj .
• Kev hloov xim ntawm daim di ncauj
• Mob los yog mob nqaij hauv thaj chaw ntawd

Tseem Ceeb: Yog tias koj pom ib qho chaw tshiab, pob, xim tsis zoo, lossis muaj kev hloov pauv ntawm qhov chaw uas twb muaj lawm (xws li loj hlob, xim tsis zoo, lossis los ntshav) ntawm koj daim tawv nqaij, tsis txhob tsis quav ntsej nws. Mus ntsib kws kho mob tam sim ntawd.

Tus kws kho mob yuav paub tseeb li cas tias qhov no muaj?

Yog tias koj muaj kev tsis ntseeg txog tus mole zoo li no, koj tuaj yeem mus ntsib koj tsev neeg tus kws kho mob lossis tus kws kho mob tawv nqaij .

Feem ntau tus kws kho mob ua:

1. Kev kuaj xyuas daim tawv nqaij kom huv si: Tshawb xyuas daim tawv nqaij ntawm koj lub cev tag nrho, tshwj xeeb tshaj yog cov cheeb tsam uas raug tshav ntuj.

2. Siv lub tsom iav loj: Qee zaum siv lub iav loj los pom qhov chaw kom meej.

3. Kev Kuaj Tawv Nqaij: Kws Kho MobYog tias muaj kev tsis ntseeg txog tus mole, lossis yog tias nws zoo li txawv txawv, ib daim tawv nqaij me me raug coj mus rau chav kuaj mob kom saib hauv qab lub tshuab microscope. Qhov no yooj yim heev. Nws yuav tsum tau ua kom loog me ntsis. Qhov no yog qhov ua rau kev kuaj mob raug .

Cov kev kho mob rau qhov no yog dab tsi?

Qhov xov xwm zoo yog, muaj kev kho mob rau Actinic Keratosis! Koj tus kws kho mob yuav txiav txim siab txog kev kho mob raws li pes tsawg lub pob uas koj muaj, lawv cov tsos, thiab lawv qhov chaw nyob.

Muaj ntau txoj kev kho mob tseem ceeb:

Cov kev kho mob ua nyob rau ntawm chaw ua haujlwm ntawm tus kws kho mob:

• Kev tev tawv nqaij los ntawm tshuaj lom neeg : Qhov no zoo li lub npog ntsej muag uas siv tau rau kev kho mob. Koj tus kws kho mob yuav siv tshuaj tshwj xeeb rau koj cov tawv nqaij. Qhov no ua haujlwm los ntawm kev rhuav tshem cov hlwb tawv nqaij sab nraud tshaj plaws. Thaj chaw ntawd yuav liab thiab mob rau ob peb hnub. Tab sis thaum daim tawv nqaij kho tau zoo, daim tawv nqaij tshiab thiab noj qab nyob zoo yuav tshwm sim.
• Kev Kho Mob Txias: Txoj kev no siv tau yog tias koj muaj ib lossis ob lub qhov me me. Tus kws kho mob siv cov tshuaj txias heev, xws li cov kua nitrogen, los khov lub qhov. Hauv ob peb hnub, lub qhov yuav hlwv, qhuav, thiab poob tawm.
• Kev txiav tawm: Hauv txoj kev kho mob no, tus kws kho mob yuav xub ua kom lub qhov txhab loog. Tom qab ntawd, yuav khawb lossis txiav lub qhov txhab tawm, thiab muab ib lossis ob txoj xov xaws rau hauv qhov txhab. Lub qhov txhab yuav kho tau hauv ob mus rau peb lub lis piam.
• Kev kho mob Photodynamic (PDT): Yog tias koj muaj ntau cov pob, lossis yog tias lawv rov qab los txawm tias kho mob lawm los xij, koj tus kws kho mob yuav pom zoo kom siv txoj kev kho no. Hauv kev kho mob no, ib qho tshuaj pleev tshwj xeeb (ib qho "photosensitizing agent") raug siv rau cov pob, thiab tom qab ob peb teev, ib lub teeb tshwj xeeb ("lub teeb xiav" lossis "lub teeb liab") raug tsom mus rau lawv. Qhov no rhuav tshem cov hlwb ua ntej mob qog noj ntshav. Koj yuav tsum zam lub hnub tag nrho rau ob peb hnub tom qab kev kho mob no.

Kev kho mob hauv tsev:

Qee zaum, yog tias koj muaj ntau qhov chaw, lossis yog tias cov chaw me me uas lawv tsis pom tseeb, koj tus kws kho mob yuav sau ntawv kom siv cov tshuaj pleev lossis cov gels rau sab nraud ntawm daim tawv nqaij kom siv hauv tsev. Cov no yuav tsum tau siv txhua hnub rau ob peb lub hlis (tej zaum txog li 4 lub hlis).

Nov yog qee cov piv txwv:

• `Diclofenac daim tawv nqaij gel ( Voltaren ® gel)` – Tseem ceeb: Txawm hais tias `Voltaren®` gel tam sim no muaj nyob ntawm daim ntawv yuav tshuaj, koj yuav tsum tsis txhob siv nws koj tus kheej tsuas yog tus kws kho mob tau pom zoo tshwj xeeb rau `(Actinic Keratosis)`.
• "Fluorouracil, los yog 5-FU tshuaj pleev tawv nqaij (Fluorac®)"
• ``Imiquimod daim tawv nqaij cream (Aldara® lossis Zyclara®)
• Tshuaj pleev Ingenol mebutate (Picato®)

Thaum siv cov tshuaj pleev no, ib txhia neeg yuav muaj tawv nqaij liab, kub hnyiab, lossis tawv tawv tawv. Tiam sis qhov ntawd yog ib feem ntawm kev kho mob. Yog tias koj muaj kev tsis xis nyob, qhia rau koj tus kws kho mob .

Tom qab kho tas, yuav siv sijhawm ntev npaum li cas mam li rov zoo? Kuv puas rov qab tau?

Lub sijhawm kho yuav txawv nyob ntawm seb koj muaj pes tsawg cov pob Actinic Keratosis, lawv qhov loj me, thiab kev kho mob uas koj tau txais. Feem ntau, cov pob yuav ploj mus tag li ntawm 3 lub hlis tom qab kev kho mob.

Tom qab cov pob khaus ploj mus lawm, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob kom kuaj xyuas ib lossis ob zaug hauv ib xyoos . Yog tias koj lub cev tiv thaiv kab mob tsis muaj zog, koj yuav tsum mus ntsib kws kho mob tawv nqaij plaub lossis tsib zaug hauv ib xyoos.

Yog, Actinic Keratosis tuaj yeem rov qab los, tshwj xeeb tshaj yog tias koj tsis txuas ntxiv tiv thaiv koj daim tawv nqaij ntawm lub hnub. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tiv thaiv koj daim tawv nqaij ntawm lub hnub thaum lub sijhawm thiab tom qab kev kho mob.

Qhov tseem ceeb tshaj plaws! Yuav ua li cas kom tsis txhob muaj Actinic Keratosis?

Qhov no yog qhov zoo tshaj plaws ntawm zaj dab neeg no. Muaj ntau yam uas peb ua tau los tiv thaiv kev loj hlob ntawm '(Actinic Keratosis)'. Qhov tseem ceeb tshaj plaws yog kom txo qhov kev raug rau 'UV' rays tsis tsim nyog.

Nov yog tej yam koj ua tau nrog nws:

• Siv tshuaj pleev thaiv hnub txhua hnub: Tsis txhob tso tseg siv tshuaj pleev thaiv hnub, txawm tias thaum hnub huab lossis thaum lub caij ntuj no. Xaiv cov tshuaj pleev thaiv hnub uas muaj tsawg kawg yog SPF 30 (Sun Protection Factor) lossis siab dua, thiab muaj ntau yam tshuaj (uas yog, ib qho uas tiv thaiv tau ob qho tib si UVA thiab UVB). Siv 15-30 feeb ua ntej tawm mus sab nraud, thiab rov siv dua txhua ob teev yog tias koj tawm hws, ua luam dej, lossis ua luam dej.
• Tsis txhob raug tshav ntuj kub tshaj plaws: Cov hnub ci UV kub tshaj plaws yog thaum 10 teev sawv ntxov txog 2 teev tav su (qee qhov chaw, 4 teev tav su). Tsis txhob raug tshav ntuj kub ntau dhau thaum lub sijhawm no.
• Tsis txhob siv lub hnub ci cuav: Tsis txhob siv cov khoom zoo li `(Tanning salons)`, `(lub teeb hnub)`, `(txaj tanning). Lawv kuj tso tawm cov teeb `UV` uas ua rau mob.
• Hnav khaub ncaws tiv thaiv hnub: Hnav khaub ncaws tes ntev, ris ntev, lub kaus mom dav, thiab tsom iav tiv thaiv UV ntau li ntau tau.

Peb puas yuav tsum ntshai qhov xwm txheej no?

Actinic Keratosis yog ib qho mob uas yuav tsum tau xav txog, tab sis nws tsis yog ib yam dab tsi uas yuav tsum txhawj txog . Feem ntau, cov pob no tuaj yeem kho tau tag nrho nrog kev kho mob kom zoo. Kwv yees li 90% ntawm cov neeg uas muaj Actinic Keratosis tsis mob qog nqaij hlav.

Tiam sis, nco ntsoov, feem ntau cov mob qog nqaij hlav ntawm daim tawv nqaij pib ua Actinic Keratosis. Yog vim li ntawd peb thiaj yuav tsum tsis txhob saib qhov mob no yooj yim. Thaum twg paub thiab kho sai npaum li cas, ces yuav tsis muaj feem yuav mob qog nqaij hlav.

Thaum twg zoo tshaj mus ntsib kws kho mob?

Yog koj pom ib qho ntawm cov cim no ntawm koj daim tawv nqaij, nco ntsoov mus ntsib kws kho mob:

• Yog tias muaj ib qho chaw ntawm daim tawv nqaij los ntshav, ua pob liab, kub hnyiab, lossis khaus .
• Yog koj pom ib qho kev loj hlob ntawm daim tawv nqaij uas tawm los zoo li tus tsiaj lub pob tw .
• Yog tias muaj cov pob tshiab, tsa, liab, lossis tawv tshwm sim lossis yog tias cov uas twb muaj lawm hloov pauv.

Hais yooj yim xwb, yog tias koj pom ib yam dab tsi tshiab, kev hloov pauv, lossis ib yam dab tsi txawv txawv ntawm koj daim tawv nqaij, tsis txhob tsis quav ntsej nws.

Cov lus nug tseem ceeb uas yuav nug tus kws kho mob yog dab tsi?

Thaum koj mus ntsib kws kho mob, tsis txhob hnov ​​qab nug cov lus nug no:

• "Kws kho mob, vim li cas kuv thiaj muaj qhov '(Actinic Keratosis)' no?"
• Cov kev kho mob twg zoo tshaj plaws rau kuv?
• Cov kev kho mob no yuav ua rau muaj kev pheej hmoo lossis cov teeb meem dab tsi?
• "Kuv yuav tsum ceev faj txog tej teeb meem twg?"
• Tom qab kho mob tas, kuv yuav tsum ua li cas, thiab kuv yuav tsum saib xyuas kuv tus kheej li cas?
• Kuv yuav tsum ua li cas thiaj li tiv thaiv tau qhov teeb meem zoo li no kom tsis txhob tshwm sim dua?

Thaum kawg, tej yam uas yuav tsum nco ntsoov

Zoo, yog li ntawd, '(Actinic Keratosis)' yog ib qho mob ntawm daim tawv nqaij uas xav tau kev kho mob sai thiab kev saib xyuas . Feem ntau, cov no tuaj yeem kho tau los ntawm kev phais lossis kev pleev kom zoo nkauj. Qhov tseem ceeb tshaj plaws yog tiv thaiv koj daim tawv nqaij ntawm lub hnub ci thiab 'UV' rays . Ces koj tuaj yeem txo qhov kev pheej hmoo ntawm tus mob no.

Yog koj xav tias koj muaj mob Actinic Keratosis, thov mus ntsib kws kho mob tam sim ntawd kom tau txais kev qhia . Thaum koj nrhiav kev kho mob sai npaum li cas, koj txoj kev pheej hmoo ntawm kev mob qog nqaij hlav yuav tsawg dua. Saib xyuas koj daim tawv nqaij, vim nws yog koj cov khoom muaj nqis tshaj plaws!