Koj puas tau pom ib yam dab tsi zoo li ib lub pob me me lossis ib qho qhov txhab me me ntawm koj daim tawv nqaij uas maj mam loj zuj zus mus? Nws yuav ci ntsa iab lossis ua pob. Qhov no yog qhov peb yuav tham txog hnub no, basal cell carcinoma, lossis
Basal Cell Carcinoma (BCC) . Tsis txhob txhawj, qhov no yog ib qho mob uas feem ntau tuaj yeem kho tau. Cia peb tham txog nws kom meej.
Cov Cell Basal yog dab tsi?
Hais yooj yim xwb, cov hlwb basal yog cov hlwb me me uas pom nyob rau hauv txheej sab saud ntawm peb daim tawv nqaij, qhov ntawm daim tawv nqaij uas peb pom thiab kov tau, hauv kev kho mob hu ua
epidermis . Cov hlwb no pab tsim cov hlwb tawv nqaij tshiab. Lawv faib thiab ua ntau cov hlwb zoo li lawv tus kheej. Thaum cov hlwb tshiab raug tsim, cov hlwb qub raug thawb mus rau saum, tuag, thiab raug tshem tawm ntawm peb lub cev. Qhov no yog ib qho txheej txheem ib txwm muaj.
Yog li ntawd, Basal Cell Carcinoma (BCC) yog dab tsi?
Kab mob qog nqaij hlav basal cell carcinoma (BCC) yog ib hom mob qog nqaij hlav ntawm daim tawv nqaij uas peb tau tham txog ua ntej lawm. Nws yog
hom mob qog nqaij hlav ntawm daim tawv nqaij uas feem ntau pom . Feem ntau nws pib ua ib daim tawv nqaij me me, qee zaum ci ntsa iab, ua pob lossis ua pob khaus. Raws sijhawm, nws loj zuj zus.
Puas muaj hom mob qog nqaij hlav basal cell carcinoma (BCC)?
Yog, muaj plaub hom tseem ceeb. Cia peb saib seb lawv yog dab tsi:
- Hom pob khaus nodular: Qhov no yog hom BCC uas feem ntau pom . Nws zoo li pob khaus puag ncig. Qee zaum muaj cov hlab ntsha me me pom tseeb nyob ib puag ncig nws. Cov kws kho mob hu qhov no "Telangiectasias"
- Hom kab mob kis mus rau saum npoo av: Hom kab mob no, cov pob khaus tshwm sim rau ntawm daim tawv nqaij. Lawv muaj xim sib dua li cov xim tawv nqaij ib txwm thiab tsis tob. Lawv tuaj yeem tshwm sim tshwj xeeb tshaj yog rau ntawm lub cev, caj npab, thiab ceg.
- Hom Sclerosing (lossis Morpheaform): Cov pob khaus no zoo li cov qhov txhab. Txawm li cas los xij, cov qhov txhab no loj zuj zus. Hom no feem ntau pom ntawm lub ntsej muag. Qee zaum nws tuaj yeem pib ua ib qho me me liab ntawm daim tawv nqaij.
- Hom xim: Qhov no yog hom tsis tshua muaj . Qhov no yog thaum ib cheeb tsam ntawm daim tawv nqaij tsaus dua li daim tawv nqaij ib puag ncig, uas hu ua hyperpigmentation .
Leej twg muaj feem yuav mob qog nqaij hlav basal cell carcinoma (BCC) ntau dua?
Kab mob qog nqaij hlav basal cell carcinoma (BCC)
yeej muaj peev xwm tshwm sim rau txhua tus neeg . Txawm li cas los xij, nws feem ntau tshwm sim rau cov neeg hnub nyoog tshaj 50 xyoo. Nws kuj tseem tshwm sim ntau dua
rau cov neeg uas muaj daim tawv nqaij dawb thiab qhov muag dawb.Qhov muaj feem yuav mob no siab heev. Ib tug neeg uas tau mob BCC ib zaug lawm kuj muaj feem yuav mob lwm hom mob qog nqaij hlav (mob qog nqaij hlav uas tsis yog melanoma) yav tom ntej.
Tus mob no feem ntau tshwm sim li cas?
Kab mob qog nqaij hlav basal cell carcinoma yog
hom mob qog nqaij hlav uas pom ntau tshaj plaws, thiab kuj yog hom mob qog nqaij hlav tawv nqaij uas pom ntau tshaj plaws . Hauv lub tebchaws zoo li Asmeskas, lawv hais tias muaj ntau tus neeg mob tshiab txhua xyoo ntau dua 4 lab tus. Tus mob no kuj pom tau ntau hauv peb lub tebchaws thiab.
Cov tsos mob ntawm cov qog nqaij hlav basal cell carcinoma yog dab tsi?
Xyuas seb koj daim tawv nqaij puas muaj ib qho ntawm cov kev hloov pauv no:
- Cov tawv nqaij ua pob , cov hlwv , cov pob me me , cov qhov txhab tawg, lossis cov pob me me .
- Lub pob no tej zaum yuav pom tseeb me ntsis . Nws kuj tseem yuav muaj xim ze li koj cov xim tawv nqaij ib txwm muaj, lossis nws yuav yog dawb, liab dawb, xim av, dub, lossis xiav.
- Lub pob ntawd yuav ci dua li daim tawv nqaij ib puag ncig, thiab tej zaum yuav pom cov hlab ntsha me me .
- Lub pob no yuav loj zuj zus raws sijhawm .
- Tej zaum koj yuav khaus lossis mob ntawm qhov chaw uas muaj pob.
- Lub pob ntawd yuav dhau los ua ib lub qhov txhab, tawm cov kua dej ntshiab los yog los ntshav thaum kov .
Cov tsos mob feem ntau tshwm sim qhov twg?
Cov qog nqaij hlav basal cell carcinoma feem ntau tshwm sim
rau ntawm cov cheeb tsam uas raug tshav ntuj ntawm lub cev . Cov cheeb tsam uas pom ntau tshaj plaws yog:
- Lub ntsej muag
- Pob txha taub hau (rau cov neeg tsis muaj plaub hau ntawm lawv lub taub hau)
- Qhov ntswg
- Cov tshuaj qhov muag
- Ceg
- Pob ntseg
- Tes
Dab tsi ua rau muaj mob qog nqaij hlav basal cell carcinoma?
Qhov laj thawj tseem ceeb yog vim tias
cov DNA hauv peb cov cell hloov pauv . Qhov kev hloov pauv no feem ntau tshwm sim thaum peb daim tawv nqaij raug rau ntau dhau
ntawm lub hnub lossis cov teeb UV dag los ntawm cov txaj tanning . Xav txog nws zoo li peb cov noob caj noob ces zoo li phau ntawv qhia rau peb lub cev DNA. Cov lus qhia no yog yam ua rau cov cell tshiab loj hlob. Ib yam li thaum koj mus rau hauv chav, koj qhib lub teeb, thiab cov cell basal ua cov cell tshiab thaum xav tau. Thaum koj tawm hauv chav, koj kaw lub teeb, thiab thaum koj tsis xav tau lawv lawm, lawv tsis ua cov cell tshiab. Txawm li cas los xij, yog tias muaj kev hloov pauv hauv cov noob caj noob ces,
nws zoo li lub teeb hloov tsis tuaj yeem kaw . Tom qab ntawd cov cell basal txuas ntxiv ua cov cell tshiab yam tsis tsim nyog. Qhov no yog li cas
cov qog lossis cov qhov txhab tsim rau ntawm daim tawv nqaij . Tsis tshua muaj,
Kab mob basal cell nevus, lossis Gorlin syndrome, yog ib yam mob uas los ntawm noob caj ces uas tuaj yeem ua rau muaj BCC thaum yau. Koj paub qhov no li cas?
Nyob ntawm seb koj daim tawv nqaij zoo li cas, tus kws kho mob yuav xav tias nws yog basal cell carcinoma. Txawm li cas los xij, kom paub tseeb, tus kws kho mob yuav kuaj koj thiab nug koj cov lus nug txog koj cov tsos mob:- Koj pom lub pob/qhov chaw no ntawm koj daim tawv nqaij thaum twg?
- Qhov loj ntawm qhov no puas tau hloov?
- Puas zoo li txawv tam sim no dua li thaum koj pom thawj zaug?
- Qhov no puas mob los yog khaus?
- Koj puas tau muaj mob qog nqaij tawv ua ntej lawm?
Cov kev kuaj mob twg thiaj lees paub qhov no?
Tom qab kuaj lub cev tas, tus kws kho mob yuav ua cov kev kuaj mob xws li no kom paub tseeb ntxiv:- Kev kuaj tawv nqaij: Qhov no suav nrog kev rho ib daim tawv nqaij me me los ntawm thaj chaw uas muaj kev txhawj xeeb thiab kuaj nws hauv qab lub tshuab microscope kom pom tias puas muaj cov hlwb qog noj ntshav .
- Kev kuaj duab: Nws tsis tshua muaj mob qog nqaij hlav basal cell carcinoma kis mus rau lwm qhov ntawm lub cev. Txawm li cas los xij, yog tias tus kws kho mob xav tias nws kis, lawv yuav hais kom kuaj MRI lossis CT scan kom pom tias nws puas tau kis mus rau cov qog ntshav lossis cov kabmob sab hauv.
Tus kws kho mob yuav siv cov txiaj ntsig ntawm cov kev kuaj no los txiav txim siab txog theem ntawm koj tus kab mob. Qhov no yuav suav nrog:- Qhov loj ntawm tus mole/qog thiab nws tau kis mus tob npaum li cas rau hauv cov nqaij hauv qab daim tawv nqaij.
- Seb puas muaj cov cim qhia txog mob qog noj ntshav hauv cov qog ntshav.
- Seb tus mob qog noj ntshav puas tau kis mus rau lwm qhov ntawm lub cev (metastasized).
- Qhov loj me, cov duab, qhov chaw ntawm lub mole, thiab qhov nrawm uas nws loj hlob.
Yuav kho li cas?
Kev kho mob qog nqaij hlav basal cell carcinoma yog los ntawm kev tshem tawm cov qog nqaij hlav ntawm lub cev . Muaj ntau txoj kev xaiv kho rau nws:- Electrodessication thiab curettage: Qhov no suav nrog kev khawb lub qog nqaij hlav nrog lub cuab yeej tshwj xeeb (curette) thiab tom qab ntawd cauterizing thaj chaw nrog lub cuab yeej hluav taws xob.
- Kev Phais Mob: Siv rab riam phais mob los tshem tawm ib lub qog lossis ib qho chaw mob qog. Qhov no ua tiav los ntawm cov txheej txheem hu ua kev phais mob lossis kev phais mob Mohs .
- Cryotherapy lossis cryosurgery: Tshem tawm cov qog nqaij hlav los ntawm kev khov nws.
- Kev kho mob qog noj ntshav: Kev siv cov tshuaj muaj zog los rhuav tshem cov hlwb qog noj ntshav hauv lub cev. Qee zaum qhov no siv rau ntawm daim tawv nqaij ua tshuaj pleev.
- Kev kho mob photodynamic (PDT):Ib txoj kev uas rhuav tshem cov hlwb qog noj ntshav los ntawm kev siv cov kua tshwj xeeb uas rhiab rau lub teeb rau ntawm daim tawv nqaij thiab xa lub teeb xiav rau nws.
- Kev kho mob siv laser: Siv cov teeb laser (cov teeb muaj zog siab) es tsis txhob siv rab riam phais mob kom tshem tawm cov qog nqaij hlav.
Koj tus kws kho mob yuav xaiv txoj kev kho mob uas haum rau koj tshaj plaws raws li tej yam xws li koj txoj kev noj qab haus huv tag nrho, hnub nyoog, qhov chaw mob qog noj ntshav, thiab qhov loj ntawm BCC. Yog tias tsis kho ces yuav ua li cas?
Yog tias koj tsis kho cov mob qog nqaij hlav basal cell carcinoma, tus mob qog nqaij hlav ntawm daim tawv nqaij tuaj yeem loj hlob thiab kis mus rau cov nqaij tob dua hauv qab daim tawv nqaij, xws li cov leeg nqaij, pob txha, thiab cov pob txha mos . Tom qab ntawd BCC tuaj yeem ua rau mob, los ntshav, thiab kis kab mob. Txawm hais tias tsis tshua muaj mob los, mob qog nqaij hlav basal cell carcinoma tuaj yeem kis mus rau lwm qhov ntawm lub cev thiab ua rau muaj kev phiv tshuaj uas ua rau tuag taus. Yog vim li ntawd nws thiaj li tseem ceeb kom paub thiab kho nws thaum ntxov.
Cov tshuaj no siv rau qhov no yog dab tsi?
Feem ntau, tus mob qog noj ntshav raug tshem tawm nrog kev phais lossis lwm txoj kev. Txawm li cas los xij, qee zaum tsawg, yog tias koj tus mob qog noj ntshav basal cell carcinoma nyob rau theem siab lossis tau kis mus rau lwm qhov ntawm lub cev (metastasized), muaj ob hom tshuaj uas tau pom zoo los ntawm U.S. Food and Drug Administration (FDA):- Vismodegib: Rau qhov chaw lossis qhov deb ntawm kev sib kis (BCC).
- Sonidegib: Rau kev faib tawm BCC.
Cov tshuaj no yog muab rau cov neeg uas tsis haum rau kev phais lossis kev kho mob hluav taws xob. Cov tshuaj no tuaj yeem ua rau muaj kev phiv xws li cov leeg nqaij co, hloov pauv saj, thiab cov plaub hau nyias. Koj yuav tsum tsis txhob xeeb tub thaum noj cov tshuaj no thiab ob peb lub hlis tom qab kev kho mob. Puas muaj tej yam tshwm sim los ntawm kev phais?
Txhua qhov kev phais mob yuav tso ib qho caws pliav . Qhov kev pheej hmoo ntawm kev los ntshav lossis kev kis kab mob yog tsawg, tab sis nws yeej muaj. Qhov xwm txheej no muaj kev cia siab li cas?
Cov neeg uas kuaj pom tias muaj mob basal cell carcinoma (BCC) muaj kev kwv yees zoo heev . Nws tsis tshua muaj BCC kis mus rau lwm qhov ntawm lub cev thiab ua rau puas tsuaj. Txawm li cas los xij, muaj feem me me uas BCC yuav rov qab los tom qab nws raug tshem tawm. Yog tias koj pom ib qho chaw tshiab nyob ib puag ncig qhov caws pliav uas tau kho ua ntej, mus ntsib kws kho mob tam sim ntawd . Koj ua li cas thiaj dim qhov no?
Txawm hais tias basal cell carcinoma tsis tuaj yeem tiv thaiv tau tag nrho, koj tuaj yeem ua cov hauv qab no kom txo koj qhov kev pheej hmoo:- Txo qhov kev raug tshav ntuj ntawm 10 teev sawv ntxov thiab 4 teev tsaus ntuj. Qhov no yog thaum lub hnub ci muaj zog tshaj plaws.
- Tsis txhob siv cov txaj pw tanning kiag li.
- Yog koj nyob sab nraum zoov lossis ua si xws li ua luam dej, hnav tshuaj pleev thaiv hnub uas muaj SPF 30 lossis siab dua txhua hnub. Thiab rov pleev dua txhua ob teev.
- Hnav cov khaub ncaws uas tsim los tiv thaiv lub hnub (nrog UPF), cov kaus mom loj, thiab cov tsom iav dub.
- Tshawb xyuas koj daim tawv nqaij tsawg kawg ib hlis ib zaug.Tshawb xyuas seb puas muaj pob tshiab lossis cov chaw tshiab.
- Mus ntsib kws kho mob tawv nqaij ib xyoos ib zaug kom kuaj xyuas koj daim tawv nqaij.
- Yog koj pom muaj teeb meem lossis kev hloov pauv ntawm koj daim tawv nqaij, mus ntsib kws kho mob tam sim ntawd.
- Qee qhov kev tshawb fawb tau qhia tias kev noj 500 milligrams ntawm nicotinamide, ib hom vitamin B3, ob zaug hauv ib hnub, yuav txo qhov kev pheej hmoo ntawm kev tsim cov qog nqaij hlav tshiab hu ua squamous cell carcinoma (SCC) thiab squamous cell carcinoma (SCC). Tham nrog koj tus kws kho mob txog qhov no.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob yog tias koj muaj teeb meem ntawm daim tawv nqaij uas tsis zoo dua qub. Yog tias koj pom ib qho chaw tshiab lossis ib lub qog tshiab ntawm koj daim tawv nqaij, yog tias ib qho mole uas twb muaj lawm zoo li loj zuj zus, lossis yog tias koj muaj pob khaus tawv nqaij uas nrog mob lossis khaus, mus ntsib kws kho mob tam sim ntawd . Koj yuav tsum nug tus kws kho mob li cas?
Koj tuaj yeem nug cov lus nug zoo li no:- Kuv tus kab mob nyob rau theem twg lawm?
- Tus mob qog noj ntshav puas tau kis mus rau lwm qhov ntawm lub cev?
- Kuv puas yuav tsum mus ntsib kws kho mob tawv nqaij?
- Cov kev mob tshwm sim ntawm kev kho mob uas koj pom zoo yog dab tsi?
Qhov no txawv ntawm lwm yam mob qog nqaij hlav li cas?
Kab mob qog nqaij hlav basal cell carcinoma (BCC) yog ib hom mob qog nqaij hlav ntawm daim tawv nqaij uas pom ntau. Kuj tseem muaj lwm hom mob qog nqaij hlav ntawm daim tawv nqaij:- Kab mob qog nqaij hlav plaub hau (SCC): Qhov no yog hom mob qog nqaij hlav tawv nqaij thib ob uas pom ntau tshaj plaws tom qab kab mob qog nqaij hlav plaub hau (BCC). Nws yog tshwm sim los ntawm kev tsim cov qe ntshav dawb ntau dhau hauv daim tawv nqaij, ua rau muaj cov qog nqaij hlav. Nws feem ntau tshwm sim rau ntawm thaj chaw raug tshav ntuj ntawm lub taub hau thiab caj dab, lub cev, thiab txhais ceg.
- Melanoma: Melanoma yog ib hom mob qog nqaij hlav ntawm daim tawv nqaij uas pib hauv cov hlwb uas muab nws cov xim rau daim tawv nqaij, hu ua melanocytes . Txawm hais tias nws tsis tshua muaj ntau npaum li BCC lossis SCC, nws yog ib qho mob qog nqaij hlav txaus ntshai uas tuaj yeem kis tau sai thoob plaws lub cev yog tias tsis paub thiab kho thaum ntxov.
Mob ua ntej mob qog noj ntshav yog dab tsi?
Actinic keratosis (AK) tsis yog mob qog nqaij hlav ntawm daim tawv nqaij. AK yog kev loj hlob ntawm cov hlwb hauv txheej sab saud ntawm daim tawv nqaij (epidermis) uas tshwm sim los ntawm kev raug lub hnub ntev. Qhov mob no tsis yog mob qog nqaij hlav (piv txwv li , nws yog mob tsis muaj teeb meem ), tab sis thaum kawg nws tuaj yeem hloov mus ua mob qog nqaij hlav ntawm daim tawv nqaij (tshwj xeeb tshaj yog squamous cell carcinoma (SCC) . Actinic keratosis feem ntau pom ntawm thaj chaw raug tshav ntuj ntawm lub taub hau thiab caj dab, saum pob ntseg, ntawm daim di ncauj, thiab ntawm caj npab thiab ceg. Thaum kawg, ob peb yam uas yuav tsum nco ntsoov
Nws yog ib qho ib txwm muaj uas yuav ntshai thaum koj pom ib lub qog mob qog ntawm koj daim tawv nqaij. Tab sis nco ntsoov tias, basal cell carcinoma (BCC) yog ib qho mob uas pom ntau thiab tuaj yeem kho tau zoo . Koj tuaj yeem rov qab mus rau koj lub neej ib txwm sai sai no.Qhov tseem ceeb tshaj plaws yog tiv thaiv koj tus kheej ntawm lub hnub thiab tsis txhob siv cov txaj pw tanning. Yog tias koj pom ib lub pob tshiab, hlwv, lossis cov xim tshiab ntawm koj daim tawv nqaij , mus ntsib kws kho mob sai sai kom kuaj xyuas thiab, yog tias tsim nyog, kho . Ces koj tuaj yeem rov zoo tag nrho ntawm qhov mob no.
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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