Koj puas tau muaj ib qho me me, ntxhib, thiab tawv tawv ntawm koj lub ntsej muag, tes, lossis caj dab? Nws yog ib qho me me uas ntxhib zoo li ntawv xuab zeb, qee zaum tawv, qee zaum liab. Muaj ntau tus neeg xav tias nws tsuas yog kev loj hlob xwb, thiab tsis nco qab txog nws, xav tias nws yuav kho tau hauv ob peb hnub. Tab sis qee zaum qhov me me no tuaj yeem yog ib qho cim ntawm qee yam loj dua li peb xav. Qhov ntawd yog qhov peb yuav tham txog hnub no.
Hauv lwm lo lus, actinic keratosis yog dab tsi?
Actinic Keratosis yog ib yam mob ntawm daim tawv nqaij uas tshwm sim thaum peb daim tawv nqaij raug tshav ntuj ntev heev. Lwm lub npe rau qhov no yog Solar Keratosis. 'Sola' txhais tau tias muaj feem cuam tshuam nrog lub hnub. Yog li, raws li lub npe qhia, qhov no yog ib yam dab tsi muaj feem cuam tshuam nrog lub hnub.
Qhov no yog thaum peb daim tawv nqaij, tshwj xeeb tshaj yog nyob rau hauv cov cheeb tsam uas raug tshav ntuj ntau zaus, tsim cov pob me me, tawv nqaij tawv, thiab qee zaum ua pob. Cov no tsis tsim tag nrho ib zaug. Lawv tsim cov kev puas tsuaj los ntawm tshav ntuj ntau xyoo.
Qhov tseem ceeb tshaj plaws, cov kws kho mob suav tias qhov mob no yog "precancer." Qhov no txhais tau tias nws tsis yog mob qog noj ntshav lub sijhawm no, tab sis yog tias tsis kho, muaj feem ntau uas qee qhov ntawm cov chaw no yuav hloov mus ua ib hom mob qog noj ntshav ntawm daim tawv nqaij, tshwj xeeb tshaj yog squamous cell carcinoma .
Tiamsis tsis txhob txhawj! Qhov zoo tshaj plaws yog nrhiav pom qhov mob no ua ntej nws dhau los ua mob qog noj ntshav thiab tau txais kev kho mob tsim nyog. Yog vim li ntawd nws thiaj li tseem ceeb heev uas yuav tsum paub txog qhov no.
Cov pob no feem ntau tshwm sim qhov twg?
Xav txog qhov chaw uas koj tau txais lub hnub ntau tshaj plaws thaum koj tawm mus rau hauv lub hnub. Cov chaw ntawd yog cov chaw uas koj pom cov chaw no ntau tshaj plaws.
- Taub hau (ntawm cov uas muaj me ntsis los yog tsis muaj plaub hau)
- Lub ntsej muag (hauv pliaj, qhov ntswg, sab plhu, pob ntseg)
- Daim di ncauj (tshwj xeeb tshaj yog daim di ncauj qis)
- Caj dab
- Tes (tshwj xeeb tshaj yog sab saud ntawm tes)
- Tes saum lub hauv pliaj
- Lub hauv siab sab saud
Cov neeg ua haujlwm hauv teb, ua haujlwm ntawm txoj kev, lossis ua si kis las tsis tu ncua lawv daim tawv nqaij raug tshav ntuj, yog li lawv muaj feem yuav mob no ntau dua.
Cov tsos mob thiab yam ntxwv ntawm cov pob no yog dab tsi?
Cov chaw no yuav txawv me ntsis ntawm ib qho mus rau lwm qhov. Tab sis muaj qee yam ntxwv uas koj yuav pom. Tej zaum koj yuav muaj ib lossis ntau yam ntawm cov yam ntxwv no.
| Yam ntxwv | Piav qhia yooj yim |
|---|---|
| Qhov xwm txheej qhuav, ntxhib | Zoo li koj tab tom txhuam ntawv xuab zeb rau saum nws. Qee zaum nws zoo li zoo dua li nws zoo li. |
| Ua pob zeb coral | Tej zaum koj yuav pom tej yam me me, tawv, lossis tawv nyob rau saum qhov chaw ntawd. Qee zaum, thaum koj khawb cov no tawm, lawv yuav loj hlob rov qab los. |
| Hloov xim | Nws yuav yog xim liab, xim liab, xim av, lossis xim grey dua li koj cov xim tawv nqaij ib txwm. |
| Khaus los yog kub hnyiab | Qee zaum thaj chaw uas cov pob no khaus, lossis koj yuav hnov me ntsis kub hnyiab lossis mob. Koj yuav tsis xis nyob txawm tias koj hnav khaub ncaws los xij. |
| Los ntshav | Qee zaum yuav muaj ntshav me ntsis tawm thaum khawb qhov chaw ntawd, lossis tsuas yog khawb xwb. |
| daim di ncauj tawg | Yog tias qhov mob no tshwm sim rau ntawm daim di ncauj qis, daim di ncauj yuav qhuav, tawg, dawb, thiab zoo li qhov txhab uas tsis kho. |
Thaum xub thawj, nws yuav zoo li pob khaus lossis qhov txhab me me uas yuav tsis kho. Yog li ntawd, nws yog ib qho kev txhawj xeeb yog tias koj pom qhov kev hloov pauv no hauv koj daim tawv nqaij.
Vim li cas peb thiaj muaj tus mob no? Yog vim li cas?
Qhov laj thawj tseem ceeb thiab tsuas yog vim muaj cov teeb ci ultraviolet (UV).Kev raug tshav ntuj UV ntau dhau. Peb tau txais cov tshav ntuj UV no feem ntau los ntawm lub hnub, uas yog, los ntawm lub hnub. Tsis tas li ntawd xwb, cov tshav ntuj phem no kuj raug tso tawm los ntawm cov khoom xws li teeb roj cuav (txaj tanning) uas siv los ua kom daim tawv nqaij tan.
Hauv lus yooj yim, qhov no yog qhov tshwm sim:
Peb daim tawv nqaij muaj ntau lab lub hlwb me me. Txhua lub hlwb no muaj ib qho chaw tswj hwm hu ua DNA. Cov DNA no muaj tag nrho cov ntaub ntawv hais txog seb lub hlwb yuav tsum ua haujlwm li cas thiab nws yuav tsum faib li cas.
Thaum cov teeb UV los ntawm lub hnub ci tuaj rau peb daim tawv nqaij, lawv tuaj yeem ua rau cov DNA hauv cov cell uas ua rau txheej sab saud ntawm peb daim tawv nqaij (keratinocytes). Peb lub cev tuaj yeem kho qhov kev puas tsuaj no, tab sis dhau sijhawm, ntau xyoo ntawm kev raug tshav ntuj, qhov kev kho no yuav tsis zoo. Tom qab ntawd, cov cell uas muaj cov DNA puas tsuaj pib faib tsis zoo thiab tsis tuaj yeem tswj tau. Thaum ntawd ntau cov cell tsis zoo no los ua ke thiab tsim cov pob khaus, tawv nqaij.
Leej twg muaj feem yuav mob no tshaj?
Txawm hais tias leej twg los xij tuaj yeem muaj tus mob no, qee tus neeg muaj kev pheej hmoo siab dua.
- Cov Neeg Uas Muaj Tawv Nqaij Dawb: Cov neeg uas muaj tawv nqaij dawb, xws li dawb thiab xim av dawb, muaj melanin tsawg dua, cov xim uas tiv thaiv lawv ntawm lub hnub. Yog li ntawd, cov teeb UV yuav ua rau lawv daim tawv nqaij puas tsuaj ntau dua.
- Cov neeg hnub nyoog tshaj 40 xyoo: Qhov kev pheej hmoo nce ntxiv nrog hnub nyoog, vim yog muaj hnub nyoog ntau dua thoob plaws lub neej.
- Txiv neej: Feem ntau cov txiv neej ua haujlwm nyob rau hauv lub hnub ntau dua li cov poj niam, thiab tej zaum yuav tsis tshua txhawj txog kev tiv thaiv lawv cov tawv nqaij.
- Cov neeg uas lub cev tiv thaiv kab mob tsis muaj zog: Cov neeg uas lub cev tiv thaiv kab mob tsis muaj zog vim muaj mob lossis cov tshuaj uas lawv noj (piv txwv li, cov tshuaj uas tau muab rau cov neeg uas tau hloov cev) tuaj yeem yooj yim muaj tus mob no.
- Cov neeg uas muaj keeb kwm mob qog nqaij hlav ntawm daim tawv nqaij: Qhov kev pheej hmoo siab dua yog tias koj lossis ib tus neeg hauv koj tsev neeg tau mob qog nqaij hlav ntawm daim tawv nqaij yav dhau los.
- Cov neeg nyob hauv thaj chaw uas muaj hnub ci ntsa iab heev: Vim tias cov teb chaws nyob ze rau ntawm kab zauv zoo li peb lub teb chaws muaj hnub ci ntsa iab heev txhua xyoo puag ncig, peb txhua tus yuav tsum txhawj xeeb txog qhov no.
- Cov neeg ua haujlwm sab nraum zoov: Cov neeg ua haujlwm ua liaj ua teb, nuv ntses, tsim kev, tsim kho, thiab ua si sab nraum zoov kuj muaj kev pheej hmoo ntau dua.
Qhov kev ntshai loj tshaj plaws ... Qhov no puas yog mob qog noj ntshav?
Qhov no yog lo lus nug loj tshaj plaws uas txhua tus muaj. Yog lawm, raws li tau hais ua ntej lawm, Actinic Keratosis tsis yog mob qog noj ntshav, tab sis nws yog ib qho ua ntej mob qog noj ntshav.
Yog tias tsis kho, kwv yees li 10% ntawm cov pob no thaum kawg tuaj yeem hloov mus ua ib hom mob qog nqaij hlav hu ua squamous cell carcinoma. Txawm hais tias qhov ntawd yuav zoo li tsis ntau, yog tias koj muaj ntau cov pob no, qhov muaj feem yuav ua rau ib qho ntawm lawv hloov mus ua mob qog nqaij hlav ntau ntxiv.
Qhov tseem ceeb yog tias yog qhov no raug kuaj pom thiab kho thaum ntxov, qhov kev pheej hmoo ntawm nws hloov mus ua mob qog noj ntshav yuav luag raug tiv thaiv tag nrho. Yog li ntawd, qhov zoo tshaj plaws ua yog mus ntsib kws kho mob sai li sai tau thaum koj pom qhov kev hloov pauv ntawm koj daim tawv nqaij.
Tus kws kho mob paub qhov no li cas?
Thaum koj mus ntsib kws kho mob, tshwj xeeb yog kws kho mob tawv nqaij, thawj qhov uas nws ua yog kuaj xyuas koj daim tawv nqaij kom zoo.
- Kev kuaj lub cev: Tus kws kho mob yuav ua tib zoo kuaj qhov chaw uas muaj tus kab mob no. Qee zaum yuav siv lub cuab yeej tshwj xeeb hu ua dermatoscope los ua kom daim tawv nqaij loj dua. Qhov kev kuaj no tsis mob.
- Kev Kuaj Mob Tawv Nqaij: Qee zaum, yog tias muaj kev tsis ntseeg txog qhov xwm txheej ntawm lub mole, tus kws kho mob yuav txhaj tshuaj me me rau hauv thaj chaw thiab muab ib daim tawv nqaij me me thiab xa mus rau chav kuaj mob. Qhov no yuav pab txiav txim siab seb nws puas yog Actinic Keratosis lossis lwm yam, thiab seb puas muaj cov hlwb qog noj ntshav.
Cov kev kho mob rau qhov no yog dab tsi?
Muaj ntau txoj kev kho mob rau qhov mob no. Koj tus kws kho mob yuav txiav txim siab seb yuav kho qhov twg zoo tshaj plaws rau koj raws li pes tsawg lub pob uas koj muaj, lawv qhov chaw nyob, thiab lawv tus cwj pwm.
Cov Txheej Txheem Haujlwm Hauv Chaw Ua Haujlwm
Feem ntau cov no yog cov kev kho mob me me uas tuaj yeem ua tau ntawm chaw kho mob lossis tsev kho mob.
- Kev Kho Mob Txias: Qhov no suav nrog kev siv cov kua txias heev hu ua kua nitrogen los "khov" lub mole. Yog xav kom meej, thaj chaw ntawd yuav khov. Tom qab ob peb hnub, yuav muaj ib lub pob me me tshwm sim rau ntawm qhov chaw ntawd thiab qhov caws pliav yuav tev tawm. Qhov no yog ib txoj kev zoo heev yog tias muaj ib lossis ob lub mole.
- Kev Kho Mob Photodynamic: Hauv qhov no, ib qho tshuaj pleev tshwj xeeb raug siv rau cov pob, thiab tom qab ob peb teev, ib lub teeb tshwj xeeb raug ci rau ntawm cov pob. Cov tshuaj pleev ua rau cov hlwb tsis zoo rhiab rau lub teeb thiab rhuav tshem lawv. Qhov no yog kev kho mob zoo rau cov neeg uas muaj ntau cov pob.
- Kev Kho Mob Laser: Cov duab laser siv los hlawv cov tawv nqaij sab saud uas puas lawm.
- (Chemical Peel): , . , .
- Kev Kho Mob: Siv ib lub cuab yeej me me los khawb cov tawv nqaij uas puas lawm. Qee zaum qhov chaw ntawd kuj yuav kub hnyiab thiab.
- (Surgical Excision): , , , , .
Cov Tshuaj Siv Rau Sab Nraud
Qee zaum koj tus kws kho mob yuav sau ntawv kom siv cov tshuaj pleev lossis cov gel tshwj xeeb hauv tsev. Tej zaum yuav tsum tau siv cov no rau ob peb lub lis piam mus rau ob peb lub hlis.
- 5-fluorouracil tshuaj pleev: Qhov no ua haujlwm los ntawm kev txwv tsis pub cov hlwb tsis zoo loj hlob thiab rhuav tshem lawv.
- Imiquimod tshuaj pleev: Qhov no ua haujlwm los ntawm kev txhawb nqa koj lub cev lub cev tiv thaiv kab mob kom pab rhuav tshem cov hlwb tsis zoo.
- Diclofenac Sodium Gel: Txawm hais tias qhov no yog tshuaj loog mob, nws kuj siv los kho qhov mob no.
Thaum siv cov tshuaj pleev no, koj daim tawv nqaij yuav liab, tawv nqaij tawg, lossis o. Qhov no yog ib txwm muaj. Txawm li cas los xij, koj tus kws kho mob yuav qhia koj txog qhov no ua ntej. Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li nws cov lus qhia kom meej.
Tom qab kho tas lawm, yuav muaj dab tsi tshwm sim? Puas yuav loj hlob rov qab tau?
Feem ntau, cov pob no yuav zoo li qub tom qab kho tau ob peb lub lis piam. Txawm li cas los xij, nws muaj peev xwm rov qab los. Vim tias koj daim tawv nqaij twb raug puas tsuaj los ntawm lub hnub, cov pob tshiab tuaj yeem tsim tau.
Yog vim li ntawd,
1. Nws yog ib qho tseem ceeb heev uas yuav tsum tiv thaiv koj cov tawv nqaij ntawm lub hnub thaum lub sijhawm thiab tom qab kev kho mob.
2. Txawm tias cov pob khaus zoo lawm los xij, nws tseem yog ib lub tswv yim zoo kom koj tus kws kho mob kuaj koj daim tawv nqaij ib lossis ob zaug hauv ib xyoos.
3. Yog koj muaj ib qho chaw tshiab tshwm sim, lossis pom tias muaj kev hloov pauv ntawm qhov chaw qub (xws li loj zuj zus lossis los ntshav), mus ntsib kws kho mob sai li sai tau.
Yuav ua li cas thiaj tiv thaiv koj tus kheej ntawm qhov xwm txheej no? (Kev tiv thaiv)
Kev tiv thaiv yeej ib txwm zoo dua li kev kho. Txoj hauv kev zoo tshaj plaws los ua qhov no yog tiv thaiv koj daim tawv nqaij ntawm lub hnub, tshwj xeeb yog cov teeb UV.
- Tsis txhob raug tshav ntuj kub heev: Thaum twg ua tau, txo qhov kev raug tshav ntuj kub heev ntawm 10 teev sawv ntxov thiab 4 teev tsaus ntuj.
- Hnav khaub ncaws tiv thaiv: Thaum mus sab nraud, hnav khaub ncaws uas npog lub cev, xws li tsho tes ntev thiab ris ntev.
- Hnav lub kaus mom: Hnav lub kaus mom dav dav uas npog koj lub taub hau, lub ntsej muag, pob ntseg, thiab caj dab.
- Siv tshuaj pleev thaiv hnub: Qhov no tseem ceeb heev. Siv tshuaj pleev thaiv hnub uas muaj SPF 30 lossis siab dua txhua hnub. Txawm tias hnub uas muaj huab cua tsaus ntuj los, lub hnub tseem muaj cov teeb UV. Yog li, thov siv rau txhua qhov chaw uas raug tshav ntuj (lub ntsej muag, caj dab, tes) li 20 feeb ua ntej tawm mus sab nraud. Thov dua txhua ob teev yog tias koj tawm hws lossis ua haujlwm hauv dej.
- Tsis txhob siv cov teeb cuav: Tsum tsis txhob siv cov txaj tanning, uas siv los tan koj daim tawv nqaij.
Tsis txhob tsuas yog tsis quav ntsej qhov tawv nqaij ntawm koj txhais tes lossis qhov tawv nqaij tawv ntawm koj lub ntsej muag. Tej zaum nws yog koj daim tawv nqaij qhia koj tias, "Kuv raug tshav ntuj ntau dhau, kuv raug mob." Thaum koj mus ntsib kws kho mob, lawv tuaj yeem paub meej tias nws yog dab tsi thiab muab kev kho mob zoo rau koj. Nco ntsoov, peb daim tawv nqaij yog lub cev tseem ceeb tshaj plaws hauv peb lub cev. Yog tias koj saib xyuas nws tam sim no, koj tuaj yeem ua kom nws noj qab nyob zoo rau ntau xyoo tom ntej.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Actinic Keratosis yog ib hom tawv nqaij ntxhib, tawv nqaij tawv uas tshwm sim los ntawm kev raug tshav ntuj ntev.
- Txawm hais tias qhov no tsis yog mob qog noj ntshav los xij, muaj kev pheej hmoo ntawm kev loj hlob mus ua mob qog noj ntshav ntawm daim tawv nqaij (precancer) yog tias tsis kho.
- Cov no feem ntau pom nyob rau hauv cov cheeb tsam uas raug tshav ntuj ntau zaus, xws li lub ntsej muag, lub taub hau, tes, thiab caj dab.
- Yog koj pom ib qho chaw ntawm koj daim tawv nqaij uas tsis zoo, ntxhib, tsis muaj xim, lossis los ntshav, nrhiav kev pab kho mob sai li sai tau.
- Muaj cov kev kho mob zoo heev rau tus mob no, uas tuaj yeem tiv thaiv kev pheej hmoo ntawm mob qog noj ntshav.
- Qhov tseem ceeb tshaj plaws yog kev tiv thaiv. Tsis txhob raug tshav ntuj ncaj qha, hnav khaub ncaws tiv thaiv, thiab siv tshuaj pleev thaiv hnub SPF 30+ txhua hnub yog qhov tseem ceeb heev.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus