Mukuda nkhawa ndi mawanga okwinya pakhungu lanu? Tiyeni tikambirane za Actinic Keratosis

Kodi munayamba mwakhalapo ndi kadontho kakang'ono, kolimba, kokhala ndi mamba pankhope panu, m'manja, kapena pakhosi? Ndi kadontho kakang'ono komwe kamakhala kolimba ngati sandpaper, nthawi zina kokhala ndi mamba, nthawi zina kofiira. Anthu ambiri amaganiza kuti ndi chotupa chabe, ndipo amaiwala za icho, poganiza kuti chidzachira m'masiku ochepa. Koma nthawi zina kadontho kakang'ono aka kangakhale chizindikiro cha chinthu china chachikulu kuposa momwe timaganizira. Ndicho chimene tikambirane lero.

Mwachidule, kodi actinic keratosis ndi chiyani?

Actinic Keratosis ndi matenda a pakhungu omwe amapezeka khungu lathu likakumana ndi kuwala kwa dzuwa kwa nthawi yayitali. Dzina lina la izi ndi Solar Keratosis. 'Sola' amatanthauza zokhudzana ndi dzuwa. Chifukwa chake, monga momwe dzinalo likusonyezera, izi ndi zinthu zokhudzana ndi dzuwa.

Apa ndi pamene khungu lathu, makamaka m'malo omwe nthawi zambiri amawotchedwa ndi dzuwa, limakhala ndi mawanga, ziphuphu, ndipo nthawi zina mabala ang'onoang'ono otupa. Izi sizimakula nthawi imodzi. Zimayamba kuwonongeka pang'onopang'ono patatha zaka zambiri.

Chofunika kwambiri, madokotala amaona kuti vutoli ndi "kansa isanafike." Izi zikutanthauza kuti si khansa pakadali pano, koma ngati silinalandire chithandizo, pali mwayi waukulu kuti mawanga enawa pamapeto pake adzasanduka khansa ya pakhungu, makamaka squamous cell carcinoma .

Kodi madontho amenewa nthawi zambiri amawonekera kuti?

Ganizirani komwe mumapeza dzuwa lochuluka mukapita kunja. Malo amenewo ndi omwe mumawona malowa kwambiri.

• Mutu (wa omwe ali ndi tsitsi lochepa kapena opanda)
• Nkhope (mphuno, mphuno, masaya, makutu)
• Milomo (makamaka mlomo wapansi)
• Khosi
• Manja (makamaka gawo lapamwamba la dzanja)
• Manja pamwamba pa mphumi
• Chifuwa chapamwamba

Anthu omwe amagwira ntchito m'minda, panjira, kapena kuchita masewera olimbitsa thupi nthawi zonse amakhala ndi khungu lawo lomwe limawotchedwa ndi dzuwa, kotero ali pachiwopsezo chachikulu chotenga matendawa.

Kodi zizindikiro ndi mtundu wa mawanga awa ndi ziti?

Madontho awa amatha kusiyana pang'ono kuchokera pa chinthu chimodzi kupita pa china. Koma pali makhalidwe ena ofanana omwe mungawone. Mutha kukhala ndi chimodzi kapena zingapo mwa makhalidwe awa.

Poyamba, zingawoneke ngati ziphuphu kapena bala laling'ono lomwe silingachiritsidwe. Choncho ndi bwino kuda nkhawa ngati muwona kusintha kwamtunduwu pakhungu lanu.

N’chifukwa chiyani tili ndi vutoli? Chifukwa chake n’chiyani?

Chifukwa chachikulu komanso chokhacho cha izi ndi kuwala kwa ultraviolet (UV).Kukhudzidwa kwambiri ndi kuwala kwa UV. Timapeza kuwala kwa UV kumeneku makamaka kuchokera ku dzuwa, kutanthauza kuchokera ku dzuwa. Kuphatikiza apo, kuwala koopsa kumeneku kumachokeranso ku zinthu monga nyali zopangidwira (mabedi opaka utoto) zomwe zimagwiritsidwa ntchito kupukuta khungu.

Mwachidule, izi ndi zomwe zimachitika:

Khungu lathu limapangidwa ndi mamiliyoni a maselo ang'onoang'ono. Selo lililonse lili ndi malo owongolera otchedwa DNA. DNA iyi ili ndi chidziwitso chonse chokhudza momwe selo liyenera kugwirira ntchito komanso momwe liyenera kugawikira.

Pamene kuwala kwa dzuwa kochokera ku dzuwa kukagunda pakhungu lathu, kumatha kuwononga DNA m'maselo omwe amapanga pamwamba pa khungu lathu (keratinocytes). Matupi athu amatha kukonza kuwonongeka kumeneku, koma pakapita nthawi, pakakhala dzuwa kwa zaka zambiri, mphamvu yokonzansoyi imachepa. Kenako, maselo omwe ali ndi DNA yowonongeka amayamba kugawikana modabwitsa komanso mosalamulirika. Pamenepo ndi pomwe maselo ambiri osazolowerekawa amasonkhana ndikupanga chigamba cholimba, chotupa.

Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?

Ngakhale kuti aliyense akhoza kukhala ndi vutoli, anthu ena ali pachiwopsezo chachikulu.

• Anthu okhala ndi khungu loyera: Anthu okhala ndi khungu loyera, monga loyera ndi lofiirira, ali ndi melanin yochepa, utoto womwe umawateteza ku dzuwa. Chifukwa chake, kuwala kwa UV kumatha kuwononga khungu lawo.
• Anthu opitirira zaka 40: Chiwopsezochi chimawonjezeka ndi ukalamba, chifukwa cha kuchuluka kwa dzuwa pa moyo wawo wonse.
• Amuna: Amuna nthawi zambiri amagwira ntchito padzuwa kuposa akazi, ndipo sangasamale kwambiri za kuteteza khungu lawo.
• Anthu omwe ali ndi chitetezo chamthupi chofooka: Anthu omwe ali ndi chitetezo chamthupi chofooka chifukwa cha matenda kapena mankhwala omwe amamwa (monga mankhwala omwe amaperekedwa kwa anthu omwe adasinthidwa ziwalo) amatha kudwala mosavuta vutoli.
• Anthu omwe ali ndi mbiri ya khansa ya pakhungu: Chiwopsezo chimakhala chachikulu ngati inu kapena wina m'banja mwanu adadwalapo khansa ya pakhungu.
• Anthu okhala m'madera omwe dzuwa limawala kwambiri: Popeza mayiko omwe ali pafupi ndi equator monga dziko lathu ali ndi dzuwa lowala kwambiri chaka chonse, tonsefe tiyenera kuda nkhawa ndi izi.
• Anthu ogwira ntchito panja: Anthu omwe amagwira ntchito zaulimi, usodzi, kumanga misewu, zomangamanga, ndi masewera akunja nawonso ali pachiwopsezo chachikulu.

Mantha akulu kwambiri... Kodi iyi ingakhale khansa?

Ili ndi funso lalikulu lomwe aliyense ali nalo. Inde, monga tanenera kale, Actinic Keratosis si khansa, koma ndi chiyambi cha khansa.

Ngati sanalandire chithandizo, pafupifupi 10% ya madonthowa amatha kukhala khansa ya pakhungu yotchedwa squamous cell carcinoma. Ngakhale kuti sizingawoneke ngati zambiri, ngati muli ndi madontho ambiriwa, mwayi woti limodzi mwa iwo likhale khansa umawonjezeka.

Kodi dokotalayo amazindikira bwanji izi?

Mukapita kwa dokotala, makamaka dokotala wa khungu, chinthu choyamba chimene amachita ndi kufufuza khungu lanu mosamala.

• Kuyezetsa thupi: Dokotala adzayang'ana mosamala malo omwe pali molu. Nthawi zina chipangizo chapadera chotchedwa dermatoscope chimagwiritsidwa ntchito kukulitsa khungu. Kuyezetsa kumeneku sikupweteka.
• Kufufuza Khungu: Nthawi zina, ngati pali kukayikira kulikonse za mtundu wa molu, dokotala amaika mankhwala ochepa oletsa dzanzi m'derali ndikutenga khungu laling'ono kwambiri ndikulitumiza ku labu. Izi zithandiza kudziwa ngati ndi Actinic Keratosis kapena china chake, komanso ngati pali maselo a khansa.

Kodi mankhwala ochizira izi ndi otani?

Pali njira zingapo zochizira vutoli. Dokotala wanu adzasankha chithandizo choyenera kwambiri kwa inu kutengera kuchuluka kwa malo omwe muli, komwe ali, komanso mtundu wawo.

Njira Zogwirira Ntchito ku Ofesi

Izi nthawi zambiri zimakhala mankhwala ang'onoang'ono omwe angachitike kuchipatala kapena kuchipatala.

• Kuchiritsa ndi Kuchiritsa: Izi zimaphatikizapo kugwiritsa ntchito madzi ozizira kwambiri otchedwa liquid nitrogen kuti "azimitse" mole. Kunena zoona, malowo amazizira. Patatha masiku angapo, chilonda chaching'ono chimapangika pamalopo ndipo chilondacho chimachoka. Iyi ndi njira yothandiza kwambiri ngati pali mole imodzi kapena ziwiri.
• Chithandizo cha Photodynamic: Mu izi, kirimu wapadera amapaka pa madontho, ndipo patatha maola ochepa, kuwala kwapadera kumawala pa madonthowo. Kirimuyo imapangitsa maselo osazolowereka kukhala omasuka ku kuwala ndipo amawawononga. Iyi ndi njira yabwino yothandizira anthu omwe ali ndi madontho ambiri.
• Chithandizo cha Laser: Laser ray imagwiritsidwa ntchito kuwotcha ndikuchotsa khungu lowonongeka pamwamba.
• Kuchotsa Mankhwala: Mankhwala apadera amapakidwa pakhungu, kutsika pamwamba pa khungu lowonongeka. Khungu latsopano, lathanzi limapangidwa mkati mwa masiku ochepa.
• Curettage: Chida chaching'ono chimagwiritsidwa ntchito kukanda khungu lowonongeka. Nthawi zina malowo amathanso kutenthedwa.
• Kuchotsa Khansa: Ngati khansa ya m'mawere ndi yaikulu kapena ngati pali kukayikira kuti ikhoza kukhala khansa, dokotala adzachotsa khungu la m'mawere, kudula khungu la m'mawere pamodzi ndi minofu yozungulira, kenako n’kulisoka.

Mankhwala Opangira Pakhungu

Nthawi zina dokotala wanu angakulembereni mafuta apadera kapena ma gels kuti mugwiritse ntchito kunyumba. Izi zingafunike kugwiritsidwa ntchito kwa milungu ingapo mpaka miyezi ingapo.

• Kirimu wa 5-fluorouracil: Izi zimagwira ntchito poletsa kukula kwa maselo osazolowereka ndikuwononga.
• Kirimu wa Imiquimod: Izi zimagwira ntchito polimbikitsa chitetezo cha mthupi lanu kuti chithandize kuwononga maselo osazolowereka.
• Diclofenac Sodium Gel: Ngakhale kuti iyi ndi gel yochepetsa ululu, imagwiritsidwanso ntchito pochiza vutoli.

Kodi chimachitika ndi chiyani mukalandira chithandizo? Kodi chingabwererenso?

Nthawi zambiri, mawangawa amachira patatha milungu ingapo kuchokera pamene chithandizo chachitika. Komabe, n'zotheka kuti abwererenso. Popeza khungu lanu lawonongeka kale ndi dzuwa, mawanga atsopano amatha kupangidwa.

Ndichifukwa chake,

1. Ndikofunikira kuteteza khungu lanu ku dzuwa panthawi ya chithandizo komanso pambuyo pake.

2. Ngakhale mabalawo akuchira, ndi bwino kukayezetsa khungu lanu ndi dokotala kamodzi kapena kawiri pachaka.

3. Ngati mwapeza malo atsopano, kapena mwaona kusintha kwa malo akale (monga kukula kapena kutuluka magazi), pitani kwa dokotala nthawi yomweyo.

Kodi mungadziteteze bwanji ku vutoli? (Kupewa)

Kupewa nthawi zonse kumakhala bwino kuposa kuchiza. Njira yabwino yochitira izi ndikuteteza khungu lanu ku dzuwa, makamaka kuwala kwa UV.

• Pewani dzuwa lotentha: Ngati n'kotheka, chepetsani kukhudzana ndi dzuwa lotentha pakati pa 10 koloko m'mawa ndi 4 koloko madzulo.
• Valani zovala zodzitetezera: Mukatuluka panja, valani zovala zophimba thupi, monga malaya a manja aatali ndi mathalauza aatali.
• Valani chipewa: Valani chipewa chachikulu chomwe chimaphimba mutu wanu, nkhope, makutu, ndi khosi.
• Gwiritsani ntchito mafuta oteteza ku dzuwa: Izi ndizofunikira kwambiri. Gwiritsani ntchito mafuta oteteza ku dzuwa okhala ndi SPF ya 30 kapena kuposerapo tsiku lililonse. Ngakhale masiku a mitambo, dzuwa limakhalabe ndi kuwala kwa UV. Choncho, pakani kwambiri pamalo onse owonekera (nkhope, khosi, m'manja) pafupifupi mphindi 20 musanatuluke panja. Pakaninso maola awiri aliwonse ngati mukutuluka thukuta kapena mukugwira ntchito m'madzi.
• Pewani nyali zopanga: Siyani kugwiritsa ntchito mabedi opaka utoto, omwe amagwiritsidwa ntchito kupukuta khungu lanu.

Musangonyalanyaza chigamba cholimba chomwe chili padzanja lanu kapena chigamba cholimba pankhope panu. Chingakhale khungu lanu likukuuzani kuti, "Ndakhala ndi dzuwa lambiri, ndawonongeka." Mukapita kwa dokotala, amatha kudziwa bwino lomwe ndikukupatsani chithandizo choyenera. Kumbukirani, khungu lathu ndiye chiwalo chamtengo wapatali kwambiri m'thupi lathu. Ngati mutachisamalira tsopano, mutha kuchisunga bwino kwa zaka zambiri zikubwerazi.