Qee zaum peb muaj tej qhov me me, pob, lossis qhov mob ntawm peb daim tawv nqaij uas tsis kho, puas yog? Feem ntau ntawm peb tsis quav ntsej txog lawv. Peb xav tias, "Tej zaum nws tsuas yog ib yam me me xwb," thiab peb tsis nco qab txog lawv. Tab sis qee zaum, txawm tias qhov kev hloov pauv me me zoo li no tuaj yeem yog ib qho cim qhia ntxov ntawm tus mob hnyav uas peb yuav tsum tau them sai sai rau. Yog li, peb yuav tsum paub, thiab hnub no peb yuav tham txog ib hom mob qog nqaij hlav uas pom ntau heev. Ntawd yog Squamous Cell Carcinoma, uas peb hu ua SCC luv.
Hais yooj yim xwb, Squamous Cell Carcinoma (SCC) yog dab tsi?
Kab mob qog nqaij hlav Squamous Cell Carcinoma (SCC) yog ib hom mob qog nqaij hlav ntawm daim tawv nqaij. Nws yog hom mob qog nqaij hlav thib ob uas pom ntau tshaj plaws hauv Sri Lanka thiab thoob plaws ntiaj teb.
Yuav kom nkag siab qhov no, cia peb xub saib seb peb daim tawv nqaij ua li cas. Txheej sab saud ntawm peb daim tawv nqaij hu ua epidermis . Cov hlwb tiaj tiaj hauv txheej no hu ua squamous cells . Cov hlwb no tau muab tso rau saum ib leeg, zoo li cov vuas ntawm phab ntsa. Yog li, thaum cov hlwb squamous no pib loj hlob tsis zoo thiab tsis tswj tau, SCC tshwm sim.
Hom mob qog noj ntshav no feem ntau tshwm sim rau ntawm cov cheeb tsam ntawm peb lub cev uas raug tshav ntuj. Piv txwv li:
- Lub ntsej muag
- Pob txha taub hau (tshwj xeeb tshaj yog rau cov neeg taub hau daj)
- Cov ntsaws pob ntseg
- Daim di ncauj
- Tes thiab ceg
Txawm li cas los xij, tus mob qog noj ntshav no kuj tseem tuaj yeem tshwm sim rau hauv cov chaw uas lub hnub tsis ci. Tsis yog li ntawd xwb, tab sis hom mob qog noj ntshav no kuj tseem tuaj yeem tshwm sim rau cov chaw uas muaj cov ntaub so ntswg, xws li hauv peb lub qhov ncauj, lub ntsws, thiab lub qhov quav.
Cov hom mob qog noj ntshav no yog hom twg?
Mob qog noj ntshav SCC muaj ob hom loj nyob ntawm nws qhov chaw nyob hauv lub cev thiab nws kis tau li cas.
1. Cutaneous SCC: Qhov no yog hom mob uas pom ntau tshaj plaws. Hauv qhov no, mob qog nqaij hlav tsuas yog nyob hauv daim tawv nqaij xwb. Qhov no kuj muaj ob hom mob me.
- Nyob rau hauv qhov chaw (Theem 0): Ntawm no, cov qog nqaij hlav tsuas yog nyob rau hauv txheej sab saud ntawm daim tawv nqaij (epidermis). Lawv tsis tau kis mus tob dua. Qhov no kuj hu ua kab mob Bowen . Yog tias kuaj pom thaum ntxov, nws tuaj yeem kho tau tag nrho.
- Nkag Mus Rau Hauv: Ntawm no, cov qog nqaij hlav tau kis mus dhau txheej sab saud ntawm daim tawv nqaij thiab mus rau hauv cov txheej hauv qab.
2. SCC kis mus rau lwm qhov chaw: Qhov no yog ib qho mob hnyav dua. Qhov uas tshwm sim ntawm no yog tias tus mob qog nqaij hlav uas nyob hauv daim tawv nqaij tau kis mus rau lwm yam kabmob, piv txwv li, cov qog ntshav hauv lub ntsws, lub siab, thiab lwm yam. Tab sis qhov xov xwm zoo yog tias muaj feem pua me me ntawm cov mob qog nqaij hlav SCC kis mus rau txoj kev no. Yog tias kuaj pom thiab kho thaum ntxov, qhov kev pheej hmoo no tuaj yeem txo qis heev.
Cov tsos mob thiab cov cim qhia ntawm mob qog noj ntshav SCC yog dab tsi? Yuav ua li cas thiaj paub txog lawv?
Qhov no yog qhov tseem ceeb tshaj plaws. Nws yog ib qho tseem ceeb heev uas yuav tsum tau ua tib zoo saib xyuas koj daim tawv nqaij. Vim tias thawj cov cim qhia ntawm tus mob qog noj ntshav no tshwm sim ua cov kev hloov me me ntawm daim tawv nqaij. Cov cim no tuaj yeem sib txawv ntawm ib tus neeg mus rau ib tus neeg.
Qhov tseem ceeb tshaj plaws yog kom koj mus ntsib kws kho mob yog tias koj xav tias muaj tej qhov tshiab, pob, lossis qhov txhab ntawm koj daim tawv nqaij uas tsis ploj mus tom qab ib lossis ob lub hlis, loj dua, los ntshav, lossis hloov pauv duab.
Lub rooj hauv qab no teev qee cov tsos mob uas pom tau hauv SCC mob qog noj ntshav.
| Kos npe/tshuaj ntsuam | Ib qho lus piav qhia yooj yim |
|---|---|
| Ib qho chaw ntxhib, tawv lossis pob | Qee zaum nws yuav liab. Nws tuaj yeem ua ib daim tawv nqaij rau saum, thiab thaum nws tawm los, nws tuaj yeem los ntshav. Nws zoo li ib qho khawb me me uas yuav tsis kho. |
| Ib qho qhov txhab uas tsis kho | Ib qho mob uas tau muaj ntau lub hlis, nws zoo lawm thiab tom qab ntawd rov tshwm sim dua. Qee zaum nws tuaj yeem tawm cov kua dej. |
| Ib lub qog los yog qog nqaij hlav | Ib lub pob tawv nqaij uas tsa siab, qee zaum me ntsis nqes hauv nruab nrab. Qhov no yuav maj mam loj zuj zus. |
| Kev hloov pauv ntawm daim di ncauj | Yog tias daim tawv nqaij, tshwj xeeb tshaj yog ntawm daim di ncauj qis, qhuav, tawg, thiab dawb, nws yuav yog ib qho mob ua ntej mob qog noj ntshav hu ua cheilitis . Koj kuj tseem yuav hnov mob kub hnyiab thaum raug tshav ntuj. |
| Cov pob dawb los yog liab hauv qhov ncauj | Cov pob dawb uas tsim sab hauv lub qhov ncauj ntawm sab plhu, tus nplaig, lossis cov pos hniav uas tsis tuaj yeem so tawm (leukoplakia)Los yog cov pob liab, uas yuav yog ib qho cim qhia txog mob qog noj ntshav SCC. |
Leej twg muaj feem yuav mob qog noj ntshav no ntau dua?
Txhua tus neeg tuaj yeem mob qog noj ntshav SCC, tab sis qee tus neeg muaj feem yuav mob qog noj ntshav ntau dua me ntsis.
- Cov neeg raug tshav ntuj ntau dhau: Cov neeg uas ua haujlwm hauv tshav ntuj, ua liaj ua teb, lossis mus rau ntug hiav txwv, nrog rau cov neeg uas siv sijhawm ntau hauv tshav ntuj txij li thaum lawv tseem hluas, muaj kev pheej hmoo ntau dua.
- Cov neeg uas muaj daim tawv nqaij dawb: Melanin, cov xim uas muab nws cov xim rau daim tawv nqaij, tiv thaiv peb ntawm lub hnub ci. Cov neeg uas muaj daim tawv nqaij dawb muaj melanin tsawg dua, yog li lawv muaj kev phom sij ntau dua rau kev puas tsuaj los ntawm lub hnub. Cov neeg uas muaj qhov muag xiav/ntsuab thiab cov plaub hau liab lossis daj muaj kev pheej hmoo ntau dua.
- Cov neeg hnub nyoog tshaj 50 xyoo: Thaum koj laus zuj zus, qhov kev pheej hmoo ntawm kev mob qog nqaij hlav ntawm daim tawv nqaij yuav nce ntxiv vim yog kev puas tsuaj rau daim tawv nqaij dhau sijhawm.
- Cov neeg uas lub cev tiv thaiv kab mob tsis muaj zog: Cov neeg uas tau hloov cov noob caj noob ces, muaj tus kab mob HIV, lossis noj tshuaj uas ua rau lub cev tiv thaiv kab mob tsis muaj zog yog cov neeg uas muaj feem yuav mob ntau dua.
- Cov Neeg Haus Luam Yeeb: Kev haus luam yeeb yog ib qho ua rau mob qog noj ntshav SCC, tshwj xeeb tshaj yog cov ntawm daim di ncauj thiab qhov ncauj.
- Cov neeg raug tshuaj lom neeg: Kev raug tshuaj lom neeg xws li arsenic kuj yog ib qho kev pheej hmoo.
- Cov neeg uas tau muaj mob qog nqaij tawv ua ntej lawm.
Vim li cas tus mob qog noj ntshav no thiaj li loj hlob tuaj? Dab tsi yog qhov ua rau?
Zaj dab neeg no nyuaj me ntsis. Hais yooj yim xwb ces zoo li no. Hauv peb lub hlwb muaj tej yam hu ua noob caj noob ces. Cov noob caj noob ces no yog cov uas qhia cov hlwb yuav ua haujlwm li cas, yuav faib thaum twg, thiab yuav tuag thaum twg.
Peb muaj ib tug noob tshwj xeeb hauv peb lub cev hu ua p53 . Nws zoo li tus thawj saib xyuas hauv lub hoobkas. Nws txoj haujlwm yog tswj kev faib cell. Vim tias nws tiv thaiv ntau lub cell kom tsis txhob tsim, peb hu nws ua noob tiv thaiv qog noj ntshav .
Txawm li cas los xij, thaum raug rau lub hnub ci UV ntev ntev, tus gene saib xyuas no hu ua p53 tuaj yeem puas tsuaj. Peb hu nws ua kev hloov pauv gene. Qhov tshwm sim yog tias qhov kev tswj hwm ntawd ploj mus. Cov hlwb squamous tsis tau txais cov lus kom "tsis txhob faib tam sim no." Yog li lawv pheej faib tsis tuaj yeem tswj tau, sib sau ua ke, thiab tsim cov qog nqaij hlav. Qhov no yog qhov ua rau mob qog nqaij hlav SCC.
Tus kws kho mob yuav kuaj mob SCC li cas kom raug?
Thaum koj qhia rau tus kws kho mob txog qhov chaw txawv txawv ntawm koj daim tawv nqaij, thawj qhov uas nws ua yog kuaj xyuas nws kom zoo zoo. Nws yuav saib tej yam xws li qhov loj me, duab, xim, thiab cov qauv. Tom qab ntawd nws yuav nug koj ob peb lo lus nug.
- "Txij thaum twg koj pom qhov no?"
- "Nws puas loj dua li yav dhau los?"
- "Nws puas khaus? Nws puas mob? Nws puas los ntshav?"
Tom qab ntawd, kom paub meej tias qhov kev kuaj mob 100%, feem ntau nrog kev kuaj tawv nqaij.Kuv xav kom koj ua ib qho.
Kev Kuaj Tawv Nqaij Yog Dab Tsi?
Qhov no suav nrog kev ua kom thaj chaw ntawd tsis muaj zog, tshem ib daim tawv nqaij me me ntawm thaj chaw uas muaj qhov txawv txav, thiab xa mus rau chav kuaj mob kom kuaj hauv qab lub tshuab microscope. Qhov no ua rau peb pom tseeb tias puas muaj cov qog nqaij hlav hauv nws.
Yog tias tus mob qog nqaij hlav loj lossis yog tias muaj kev xav tias nws tau kis mus tob, kev kuaj xws li CT scan lossis MRI scan yuav ua tau. Qhov no tuaj yeem pab txiav txim siab seb tus mob qog nqaij hlav tau kis mus deb npaum li cas.
Cov kev kho mob rau mob qog noj ntshav SCC yog dab tsi?
Muaj ntau txoj kev kho mob rau mob qog noj ntshav SCC. Koj tus kws kho mob yuav txiav txim siab seb txoj kev kho mob twg zoo tshaj plaws rau koj. Qhov no yuav nyob ntawm ntau yam, suav nrog qhov loj me, qhov chaw, qhov tob ntawm tus mob qog noj ntshav, thiab koj txoj kev noj qab haus huv tag nrho.
Cov xov xwm zoo tshaj plaws yog tias ntau dua 95% ntawm cov mob qog nqaij hlav SCC kho tau tag nrho, tshwj xeeb tshaj yog tias kuaj pom thaum ntxov!
Nov yog qee txoj kev kho mob tseem ceeb:
- Kev rho tawm: Qhov no yog kev kho mob uas siv ntau tshaj plaws. Lub qog nqaij hlav, nrog rau me ntsis ntawm daim tawv nqaij noj qab nyob zoo nyob ib puag ncig nws, raug txiav tawm thiab tshem tawm, thiab daim tawv nqaij raug xaws rov qab ua ke.
- Kev Phais Mob Mohs: Qhov no yog ib txoj kev phais tshwj xeeb. Nws yog siv tshwj xeeb rau cov mob qog nqaij hlav hauv cov cheeb tsam rhiab heev xws li lub ntsej muag, qhov ntswg, thiab pob ntseg. Ntawm no, cov mob qog nqaij hlav raug txiav tawm ua cov txheej nyias nyias, ib txheej dhau ib txheej, thiab txhua txheej raug kuaj xyuas tam sim ntawd hauv qab lub tshuab microscope. Qhov no ua tiav kom txog thaum nws paub tseeb tias tsis muaj cov hlwb qog nqaij hlav ntxiv lawm. Qhov no cawm tau ntau daim tawv nqaij noj qab haus huv li sai tau.
- Kev Txiav thiab Kev Siv Hluav Taws Xob Los Txiav: Qhov no suav nrog kev khawb cov qog nqaij hlav tawm nrog lub cuab yeej zoo li diav thiab tom qab ntawd siv hluav taws xob los txiav thaj chaw ntawd. Qhov no feem ntau ua rau cov qog nqaij hlav me me, sab nraud.
- Kev phais mob cryosurgery: Ib txoj kev tua cov qog nqaij hlav los ntawm kev khov lawv siv cov tshuaj txias heev, xws li cov kua nitrogen.
- Kev Kho Mob Hluav Taws Xob: Kev kho mob no yog siv rau hauv cov xwm txheej uas phais tsis tau, lossis los rhuav tshem cov hlwb qog nqaij hlav uas tseem tshuav tom qab phais.
- Kev Kho Mob Siv Tshuaj thiab Kev Tiv Thaiv Kab Mob: Hauv cov mob hnyav uas mob qog noj ntshav tau kis mus rau lwm qhov ntawm lub cev (metastatic), kev kho mob nrog cov tshuaj uas muab rau hauv daim ntawv ntawm cov tshuaj txhaj lossis cov tshuaj ntsiav yuav tsum tau ua.
Peb puas tuaj yeem tiv thaiv peb tus kheej ntawm mob qog noj ntshav SCC?
Yog, yeej muaj tseeb tiag. Muaj ntau yam uas peb ua tau los tiv thaiv peb tus kheej ntawm tus mob qog noj ntshav no. Qhov tseem ceeb tshaj plaws yog ua kom cov no ua ib tus cwj pwm.
- Tiv thaiv koj tus kheej ntawm lub hnub: Tsis txhob raug lub hnub kub heev ntau li ntau tau, tshwj xeeb tshaj yog ntawm 10 teev sawv ntxov thiab 4 teev tsaus ntuj.
- Siv tshuaj pleev thaiv hnub: Thaum tawm mus rau hauv lub hnub, ib txwm siv cov tshuaj pleev thaiv hnub dav dav (tiv thaiv tau ob qho tib si UVA thiab UVB) uas muaj SPF ntawm 30 lossis siab dua. Siv ntau rau ntawm koj lub ntsej muag, caj dab, thiab tes.
- Hnav khaub ncaws tiv thaiv: khaub ncaws tes ntev, ris ntev, lub kaus mom dav, thiab tsom iav uas tiv thaiv tau UV.
- Tsis txhob siv cov txaj tanning: Cov khoom siv no uas ua rau daim tawv nqaij tanning yog qhov txaus ntshai heev.
- Tsis txhob haus luam yeeb: Kev tso tseg haus luam yeeb tuaj yeem txo qhov kev pheej hmoo ntawm mob qog noj ntshav hauv qhov ncauj thiab daim di ncauj.
- Tshawb xyuas koj daim tawv nqaij tsis tu ncua: Yam tsawg kawg ib hlis ib zaug, sawv ntawm daim iav thiab tshawb xyuas tag nrho koj lub cev txij ntawm lub taub hau mus rau ko taw. Nrhiav cov pob tshiab, cov cim yug me nyuam uas hloov pauv, thiab cov qhov txhab uas yuav tsis kho.
Yog koj pom muaj tej yam txawv txawv ntawm koj daim tawv nqaij, thov tsis txhob tsis quav ntsej. Tsis txhob ntshai. Mus ntsib kws kho mob sai li sai tau kom tau lus qhia. Vim tias thaum koj pom tej yam no ntxov, ces yuav muaj feem ntau dua uas koj yuav rov zoo los ntawm kev kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Squamous Cell Carcinoma (SCC) yog ib hom mob qog nqaij hlav ntawm daim tawv nqaij uas feem ntau pom thiab kho tau zoo yog tias kuaj pom ntxov.
- Tsis txhob tsis quav ntsej txog tej pob tshiab, pob me me, lossis qhov txhab ntawm koj daim tawv nqaij uas tsis kho lossis hloov pauv cov duab lossis qhov loj.
- Kev raug tshav ntuj ntau dhau yog qhov ua rau mob qog noj ntshav SCC. Ib txwm tiv thaiv koj tus kheej ntawm lub hnub nrog cov tshuaj pleev thaiv hnub, lub kaus mom, thiab cov khaub ncaws tiv thaiv.
- Yog koj pom muaj kev hloov pauv txawv txawv ntawm koj daim tawv nqaij, tsis txhob ntshai lossis ncua sijhawm, tab sis nrhiav kev pab kho mob tam sim ntawd. Kev kuaj pom thaum ntxov tuaj yeem pab cawm tau neeg txoj sia.
- Kev tso kev haus luam yeeb tuaj yeem txo qhov kev pheej hmoo ntawm mob qog noj ntshav SCC ntawm lub qhov ncauj thiab daim di ncauj.
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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