Kodi muli ndi mawanga okwinya pakhungu lanu? Zingakhale Actinic Keratosis!

Kodi munayamba mwaonapo mawanga ang'onoang'ono, okwinya, komanso otupa pakhungu lanu, makamaka m'malo omwe amawotchedwa ndi dzuwa? Nthawi zina simungawasamale kwambiri. Komabe, ena mwa mawangawa akhoza kukhala vuto lotchedwa Actinic Keratosis . Ndikofunikira kudziwa izi. Tiyeni tikambirane pang'ono lero, sichoncho?

Kodi Actinic Keratosis ndi chiyani?

Mwachidule, actinic keratosis , yomwe imadziwikanso kuti solar keratosis, ndi mtundu wa vuto la khungu lomwe limayambitsa mawanga owuma komanso otupa pakhungu lanu. Izi nthawi zambiri zimachitika chifukwa cha kukhala padzuwa kwa zaka zambiri.

Chofunika ndichakuti, `(Actinic Keratosis)` iyi ndi khansa isanafike . Izi zikutanthauza kuti ngati madonthowa sanachiritsidwe bwino, ena mwa iwo akhoza kusanduka `(Squamous Cell Carcinoma)`, mtundu wa khansa ya pakhungu . Musadandaule, si `(Actinic Keratosis)` yonse yomwe idzasanduka khansa. Komabe, ndikofunikira kusamala nawo chifukwa ndi oopsa. Ndipotu, uwu ndi matenda ofala kwambiri a pakhungu asanafike khansa . Anthu mamiliyoni ambiri padziko lonse lapansi ali ndi vutoli.

Ndani amene ali ndi mwayi waukulu wopeza izi?

Palibe amene akufuna kuthana ndi zinthuzi. Komabe, anthu ena ali ndi mwayi waukulu wokhala ndi "Actinic Keratosis". Onani ngati muli m'gulu ili:

• Anthu omwe sateteza khungu lawo ku dzuwa: Ichi ndi chifukwa chachikulu. Anthu omwe nthawi zonse amakhala padzuwa opanda magalasi a dzuwa, zipewa, kapena mafuta oteteza ku dzuwa ali pachiwopsezo chachikulu.
• Anthu omwe ali ndi khungu loyera, tsitsi lofiirira kapena lofiira: Anthu omwe ali ndi maso abuluu kapena obiriwira nawonso ali pachiwopsezo chachikulu. Izi zili choncho chifukwa khungu lawo lili ndi melanin yochepa, utoto womwe umateteza khungu ku dzuwa.
• Anthu omwe ali ndi mbiri ya kupsa ndi dzuwa pafupipafupi kapena kwambiri: Ngati mwapsa ndi dzuwa kuyambira muli ana, zimenezo zingakhalenso chifukwa chake.
• Anthu omwe ali ndi chitetezo chamthupi chofooka: Matendawa amapezeka nthawi zambiri pamene chitetezo chamthupi chafooka chifukwa cha matenda ena (monga HIV ), kapena mankhwala monga chithandizo cha matenda a khansa, kapena mankhwala omwe amatengedwa atapatsidwa chiwalo china.
• Anthu opitirira zaka 40: Izi zingawonekere tikamakalamba chifukwa cha zaka zambiri zomwe timakhala padzuwa. Komabe, achinyamata nawonso akhoza kudwala, makamaka ngati amakhala nthawi yayitali padzuwa.

Nchifukwa chiyani actinic keratosis imachitika?

Chifukwa chachikulu cha izi ndi kuwala kwa ultraviolet (UV) komwe kumachitika padzuwa.Inde, ndi kuwala kwa dzuwa komweko komwe kumatipatsa tonse vitamini D, koma kuchuluka kwake kungayambitse mavuto. Kuwala kwa dzuwa sikungochokera ku dzuwa lokha, komanso kumachokera ku zipangizo zopangira kuwala monga mabedi opaka utoto omwe anthu ena amagwiritsa ntchito kuti khungu lawo liwoneke bwino.

Miyezo ya `UV` iyi imatha kuwononga maselo omwe ali pamwamba pa khungu lathu, otchedwa `Keratinocytes`. Kuwonongeka kumeneku kukapitirira pakapita nthawi, maselo amenewo amayamba kukula modabwitsa. Pamenepo ndi pomwe mawanga a `Actinic Keratosis` awa amaonekera. Monga momwe chomera chimawola chikathiridwa madzi ambiri, khungu lathu limawonongekanso likakhala ndi `UV` yambiri.

Kodi zizindikiro za izi ndi ziti? Kodi mumazindikira bwanji?

Kawirikawiri, chizindikiro choyamba cha Actinic Keratosis ndi zilonda zokwawa, zokwezeka kapena banga pakhungu. Zingamveke ngati zokwawa, ngati sandpaper zikakhudzidwa. Izi zitha kukhala zamitundu yosiyanasiyana:

• Mtundu wa imvi
• Mtundu wa pinki
• Mtundu wofiira
• Khungu lanu ndi lofanana ndi lanu, koma lolimba.
• Nthawi zina pamakhala zinthu ngati mamba achikasu kapena abulauni pa mawanga awa.

Izi zimatha kukula kuyambira mamilimita angapo mpaka pafupifupi masentimita awiri . Zimapezeka kwambiri m'malo omwe nthawi zambiri amawotchedwa ndi dzuwa, monga nkhope, makutu, khungu la mutu, khosi, kumbuyo kwa manja, ndi pamphumi .

Pakhoza kukhalanso zizindikiro zina:

• Kutuluka magazi kuchokera pamalopo (makamaka kuchokera kumaliseche)
• Kuwotcha, kuyabwa, kapena kuyabwa m'derali
• Milomo youma komanso yopyapyala (yomwe imatchedwanso `Actinic Cheilitis`)
• Nthawi zina mumatha kuona kukula kwa khungu ('nyanga ya khungu') yomwe imatuluka mmwamba ngati nyanga ya nyama .
• Kusintha kwa mtundu wa milomo
• Ululu kapena kupweteka m'dera limenelo

Chofunika: Ngati muwona malo atsopano, chotupa, kusintha kwa mtundu, kapena kusintha kulikonse pa malo omwe alipo (monga kukula, kusintha kwa mtundu, kapena kutuluka magazi) pakhungu lanu, musanyalanyaze . Pitani kwa dokotala nthawi yomweyo.

Kodi dokotala angadziwe bwanji ngati izi zili choncho?

Ngati muli ndi kukayikira kulikonse za chipolopolo ngati ichi, mutha kuwonana ndi dokotala wa banja lanu kapena dokotala wa khungu .

Dokotala nthawi zambiri amachita izi:

1. Kuyang'ana khungu bwino: Kuyang'ana khungu la thupi lanu lonse, makamaka malo omwe ali ndi dzuwa.

2. Kugwiritsa ntchito lenzi yokulitsa: Nthawi zina galasi lokulitsa limagwiritsidwa ntchito kuti liwone bwino malowo.

3. Kufufuza Khungu: DokotalaNgati pali kukayikira kulikonse za molu, kapena ngati ikuwoneka yachilendo, khungu laling'ono limatengedwa ndikutumizidwa ku labu kuti likayang'aniridwe pansi pa maikulosikopu. Izi n'zosavuta kwambiri. Zimaphatikizapo kupangitsa kuti munthu asamve bwino. Izi ndi zomwe zimathandiza kuti munthu adziwe bwino matendawa .

Kodi mankhwala ochizira izi ndi otani?

Nkhani yabwino ndi yakuti, pali mankhwala a Actinic Keratosis! Dokotala wanu adzasankha chithandizocho kutengera kuchuluka kwa mawanga omwe muli nawo, mawonekedwe awo, ndi komwe ali.

Pali njira zingapo zazikulu zochizira:

Mankhwala operekedwa ku ofesi ya dokotala:

• Mapeyala a mankhwala : Izi zili ngati chigoba cha nkhope chapamwamba. Dokotala wanu amapaka mankhwala apadera pa chilema chanu. Izi zimagwira ntchito powononga maselo akunja a khungu. Malowa akhoza kukhala ofiira komanso opweteka kwa masiku angapo. Koma khungu likachira, khungu latsopano komanso lathanzi limatuluka.
• Cryotherapy: Njira iyi ingagwiritsidwe ntchito ngati muli ndi tinthu tating'onoting'ono kamodzi kapena kawiri. Dokotala amagwiritsa ntchito chinthu chozizira kwambiri, monga nayitrogeni wamadzimadzi, kuti aziziritse tinthu tating'onoting'ono. Pakatha masiku ochepa, tinthu tating'onoting'ono timatuluka matuza, timauma, kenako timagwa.
• Kuchotsa: Mu njira iyi, dokotala amayamba wachotsa khungu pamalo pomwe pali chipolopolo. Kenako, chipolopolocho chimachotsedwa, kapena kudulidwa, ndipo chimayikidwa soketi imodzi kapena ziwiri pamalopo. Chilondacho chimachira pakatha milungu iwiri kapena itatu.
• Chithandizo cha Photodynamic (PDT): Ngati muli ndi mawanga ambiri, kapena ngati akubweranso ngakhale mutalandira chithandizo, dokotala wanu angakulangizeni chithandizochi. Pa chithandizochi, kirimu wapadera (chomwe chimathandiza kuchiritsa mawanga) amapakidwa pa mawangawo, ndipo patatha maola ochepa, kuwala kwapadera (``kuwala kwabuluu`` kapena ``kuwala kofiira``) kumayikidwa pa iwo. Izi zimawononga maselo omwe anali asanakumane ndi khansa. Muyenera kupewa dzuwa kwathunthu kwa masiku angapo mutalandira chithandizochi.

Chithandizo cha kunyumba:

Nthawi zina, ngati muli ndi madontho ambiri, kapena ngati madonthowo ndi ang'onoang'ono kwambiri moti sakuoneka bwino, dokotala wanu angakulembereni mafuta odzola kapena ma gels kuti mugwiritse ntchito kunyumba. Izi ziyenera kupakidwa tsiku lililonse kwa miyezi ingapo (mwina mpaka miyezi inayi).

Nazi zitsanzo zina:

• `Diclofenac skin gel ( Voltaren ® gel)` – Chofunika: Ngakhale kuti `Voltaren®` gel tsopano ikupezeka pa kauntala, simuyenera kuigwiritsa ntchito nokha pokhapokha ngati dokotala wakupatsani malangizo apadera a `(Actinic Keratosis)`.
• "Fluorouracil, kapena kirimu wa khungu wa 5-FU (Fluorac®)"
• ``Imiquimod skin cream (Aldara® kapena Zyclara®)''
• ``Ingenol mebutate topical gel (Picato®)``

Anthu ena amatha kufiira, kupsa, kapena kutuluka khungu akamagwiritsa ntchito mafuta awa. Koma zimenezo ndi mbali ya chithandizo. Ngati muli ndi vuto lililonse, uzani dokotala wanu .

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa chithandizo? Kodi ndingabwererenso?

Nthawi yochira imasiyana malinga ndi kuchuluka kwa mabala a Actinic Keratosis omwe muli nawo, kukula kwawo, ndi chithandizo chomwe mudalandira. Nthawi zambiri, mabalawo amatha pafupifupi miyezi itatu mutalandira chithandizo.

Madontho akatha, ndikofunikira kwambiri kupita kwa dokotala kuti akakuwoneni kamodzi kapena kawiri pachaka . Ngati muli ndi chitetezo chamthupi chofooka, mungafunike kupita kwa dokotala wa khungu kanayi kapena kasanu pachaka.

Inde, Actinic Keratosis ikhoza kubwereranso, makamaka ngati simupitiliza kuteteza khungu lanu ku dzuwa. Chifukwa chake, ndikofunikira kuteteza khungu lanu ku dzuwa panthawi ya chithandizo komanso pambuyo pake.

Chofunika kwambiri! Kodi mungapewe bwanji Actinic Keratosis?

Iyi ndi gawo labwino kwambiri la nkhaniyi. Pali zinthu zambiri zomwe tingachite kuti tipewe kukula kwa `(Actinic Keratosis)`. Chofunika kwambiri ndikuchepetsa kukhudzana ndi kuwala kwa `UV` kosafunikira.

Nazi zinthu zomwe mungachite nazo:

• Pakani mafuta oteteza ku dzuwa tsiku lililonse: Musasiye kupaka mafuta oteteza ku dzuwa, ngakhale masiku a mitambo kapena m'nyengo yozizira. Sankhani mafuta oteteza ku dzuwa omwe ali ndi SPF 30 (Sun Protection Factor) kapena kuposerapo, komanso broad-spectrum (ndiko kuti, yomwe imateteza ku kuwala kwa UVA ndi UVB). Pakani mphindi 15-30 musanatuluke panja, ndipo pakaninso maola awiri aliwonse ngati mutuluka thukuta, kusambira, kapena kusambira.
• Pewani kuwala kwa dzuwa koopsa kwambiri: kuwala kwa UV kumakhala koopsa kwambiri pakati pa 10 koloko m'mawa ndi 2 koloko masana (m'malo ena, 4 koloko masana). Chepetsani kukhudzana ndi dzuwa nthawi imeneyi momwe mungathere.
• Pewani kuwala kwa dzuwa kochita kupanga: Musagwiritse ntchito zinthu monga `(ma salon opaka utoto)`, `(ma nyali a dzuwa)`, `(mabedi opaka utoto)`. Amatulutsanso kuwala koopsa kwa `UV`.
• Valani zovala zoteteza ku dzuwa: Valani zovala za manja aatali, mathalauza aatali, chipewa chachikulu, ndi magalasi oteteza ku dzuwa momwe mungathere.

Kodi tiyenera kuopa izi?

Actinic Keratosis ndi vuto lomwe liyenera kuganiziridwa, koma si chinthu chodetsa nkhawa . Nthawi zambiri, mawanga awa amatha kuchiritsidwa kwathunthu ndi chithandizo choyenera. Pafupifupi 90% ya anthu omwe ali ndi Actinic Keratosis sadwala khansa ya pakhungu.

Koma kumbukirani kuti khansa zambiri za pakhungu zimayamba ngati Actinic Keratosis. Ndicho chifukwa chake sitiyenera kuziona mopepuka. Matendawa akadziwika msanga ndikuchiritsidwa, m'pamenenso sangakhale khansa.

Kodi ndi liti pamene kuli bwino kupita kwa dokotala?

Ngati muwona zizindikiro izi pakhungu lanu, onetsetsani kuti mwawonana ndi dokotala:

• Ngati pali banga pakhungu lomwe likutuluka magazi, kutupa, kutupa, kapena kuyabwa .
• Ngati muwona chotupa pakhungu chomwe chimatuluka ngati nyanga ya nyama .
• Ngati pali mawanga atsopano, okwezeka, ofiira, kapena okhala ndi mamba kapena ngati omwe alipo asintha.

Mwachidule, ngati muwona chinthu chatsopano, kusintha, kapena chinthu chokayikitsa pakhungu lanu, musachinyalanyaze.

Kodi ndi mafunso otani ofunika kufunsa dokotala?

Mukapita kwa dokotala, musaiwale kufunsa mafunso awa:

• "Dokotala, nchifukwa chiyani ndili ndi `(Actinic Keratosis)` iyi?"
• "Ndi njira ziti zabwino kwambiri zochiritsira zomwe ndingagwiritse ntchito?"
• "Ndi zoopsa kapena zotsatirapo ziti zomwe mankhwala awa angayambitse?"
• "Ndi mavuto ati omwe ndiyenera kusamala nawo?"
• "Ndiyenera kuchita chiyani nditalandira chithandizo, ndipo ndiyenera kudzisamalira bwanji?"
• "Ndiyenera kuchita chiyani kuti chinthu chonga ichi chisachitikenso?"

Pomaliza, zinthu zoti muzikumbukira

Chabwino, ndiye kuti `(Actinic Keratosis)` ndi vuto la pakhungu lomwe limafuna chithandizo ndi chisamaliro mwachangu . Nthawi zambiri, izi zimatha kuchiritsidwa ndi opaleshoni kapena zodzoladzola. Chofunika kwambiri ndikuteteza khungu lanu ku kuwala kwa dzuwa ndi kuwala kwa `UV` . Mukatero mutha kuchepetsa kwambiri chiopsezo cha vutoli.

Ngati mukuganiza kuti muli ndi Actinic Keratosis, chonde pitani kwa dokotala nthawi yomweyo kuti akupatseni upangiri . Mukafuna chithandizo mwachangu, chiopsezo chanu chotenga khansa ya pakhungu chimachepetsa. Samalirani khungu lanu, chifukwa ndi chinthu chamtengo wapatali kwambiri kwa inu!