Kodi munayamba mwaonapo chinthu china monga chilonda chaching'ono kapena bala laling'ono pakhungu lanu lomwe limakula pang'onopang'ono pakapita nthawi? Likhoza kukhala lowala kapena losalimba. Izi ndi zomwe tikambirane lero, basal cell carcinoma, kapena
Basal Cell Carcinoma (BCC) . Musadandaule, iyi ndi vuto lomwe nthawi zambiri limatha kuchiritsidwa. Tiyeni tikambirane mwatsatanetsatane.
Kodi Maselo a Basal ndi chiyani?
Mwachidule, maselo oyambira ndi maselo ang'onoang'ono omwe amapezeka pamwamba pa khungu lathu, gawo la khungu lomwe tingathe kuwona ndi kukhudza, lomwe limatchedwa
epidermis . Maselo amenewa amathandiza kupanga maselo atsopano a khungu. Amagawanika ndikupanga maselo ambiri ofanana nawo. Maselo atsopano akapangidwa, maselo akale amakankhidwira mmwamba, amafa, ndipo amatuluka m'matupi athu. Iyi ndi njira yachibadwa.
Ndiye kodi Basal Cell Carcinoma (BCC) ndi chiyani?
Khansa ya pakhungu ya basal cell (BCC) ndi mtundu wa khansa ya pakhungu yomwe tidakambirana kale. Ndi
mtundu wofala kwambiri wa khansa ya pakhungu. Nthawi zambiri imayamba ngati khungu laling'ono, nthawi zina lowala, lokhala ndi ziphuphu kapena zipsera. Pakapita nthawi, limakula kwambiri.
Kodi pali mitundu ya khansa ya basal cell (BCC)?
Inde, pali mitundu inayi ikuluikulu. Tiyeni tiwone zomwe zili:
- Mtundu wa nodular: Uwu ndi mtundu wofala kwambiri wa BCC . Umaoneka ngati chiphuphu chozungulira. Nthawi zina pamakhala mitsempha yamagazi yaying'ono yomwe imawonekera bwino mozungulira. Madokotala amatcha izi ``Telangiectasias```.
- Mtundu wofalikira pamwamba: Mu mtundu uwu, madontho amaonekera pamwamba pa khungu. Mtundu wake ndi wopepuka pang'ono kuposa mtundu wamba wa khungu ndipo ndi wosaya kwambiri. Amapezeka makamaka pa thunthu, manja, ndi miyendo.
- Mtundu wa Sclerosing (kapena Morpheaform): Madontho a khansa awa amaoneka ngati zipsera. Komabe, zipsera izi zimakula kwambiri. Mtundu uwu nthawi zambiri umapezeka pankhope. Nthawi zina ungayambe ngati kadontho kakang'ono kofiira pakhungu.
- Mtundu wa pigment: Uwu ndi mtundu wosowa kwambiri . Apa ndi pamene dera linalake la khungu limakhala lakuda kuposa khungu lozungulira, lomwe limatchedwa hyperpigmentation .
Ndani ali ndi mwayi waukulu wopeza khansa ya basal cell (BCC)?
Khansa ya basal cell (BCC)
imatha kufalikira mwa aliyense . Komabe, imapezeka kwambiri mwa anthu azaka zopitilira 50. Imapezekanso kwambiri
kwa anthu omwe ali ndi khungu loyera komanso maso owala.Chiwopsezo chotenga matendawa n'chokwera kwambiri. Munthu amene wadwalapo BCC nthawi ina alinso pachiwopsezo chachikulu chotenga khansa ya pakhungu ya mtundu wina (nonmelanoma skin cancer) mtsogolo.
Kodi vutoli ndi lofala bwanji?
Khansa ya basal cell ndiyo
khansa yofala kwambiri padziko lonse, komanso mtundu wofala kwambiri wa khansa ya pakhungu . M'dziko ngati America, akuti chiwerengero cha milandu yatsopano yomwe imanenedwa chaka chilichonse ndi yoposa 4 miliyoni. Vutoli limapezekanso kwambiri m'dziko lathu.
Kodi zizindikiro za khansa ya basal cell ndi ziti?
Yang'anani kusintha kumeneku pakhungu lanu:
- Matumbo a pakhungu, matuza , ziphuphu , zilonda zotupa, kapena mawanga .
- Chotupachi chingakhale chowala pang'ono . Chingakhalenso mtundu wofanana ndi mtundu wa khungu lanu wamba, kapena chingakhale choyera, pinki, bulauni, chakuda, kapena chabuluu.
- Chotupacho chingakhale chowala pang'ono kuposa khungu lozungulira, ndipo mitsempha yamagazi ing'onoing'ono ingawonekere .
- Chotupa ichi chingakule pakapita nthawi .
- Mungamve kuyabwa kapena kupweteka pamalo pomwe pali chotupa.
- Chotupacho chingakhale chilonda, chomwe chimatuluka madzi oyera kapena kutuluka magazi chikakhudzidwa .
Kodi zizindikiro zake zimapezeka kuti kwambiri?
Matenda a basal cell carcinoma nthawi zambiri amapezeka
m'malo omwe thupi limakumana ndi dzuwa . Malo omwe amapezeka kwambiri ndi awa:
- Nkhope
- Chigaza (kwa iwo omwe alibe tsitsi pamutu pawo)
- Mphuno
- Madontho a m'maso
- Miyendo
- Makutu
- Manja
Kodi n’chiyani chimayambitsa khansa ya basal cell?
Chifukwa chachikulu ndichakuti
DNA m'maselo athu imasintha . Kusinthaku kumachitika nthawi zambiri khungu lathu likakumana ndi
kuwala kwa UV kochuluka kuchokera ku dzuwa kapena kuwala kwa UV kopangidwa kuchokera ku malo opaka utoto . Taganizirani ngati majini athu ali ngati buku la malangizo a DNA ya thupi lathu. Malangizo awa ndi omwe amapangitsa maselo atsopano kukula. Monga momwe mumalowera m'chipinda, mumayatsa kuwala, ndipo maselo oyambira amapanga maselo atsopano akafunika. Mukatuluka m'chipindamo, mumazimitsa kuwala, ndipo mukasawafunanso, amasiya kupanga maselo atsopano. Komabe, ngati pali kusintha kwa majini,
zimakhala ngati chosinthira kuwala sichingazimitsidwe . Kenako maselo oyambira amapitiliza kupanga maselo atsopano mosafunikira. Umu ndi momwe
zotupa kapena zilonda zimapangikira pakhungu . Kawirikawiri,
Matenda a basal cell nevus, kapena Gorlin syndrome, ndi matenda obadwa nawo omwe angayambitse BCC ali mwana. Kodi mumazindikira bwanji izi?
Kutengera ndi mawonekedwe a chipolopolo chanu, dokotala angaganize nthawi yomweyo kuti ndi basal cell carcinoma. Komabe, kuti nditsimikizire, dokotalayo adzakuyesani ndikukufunsani mafunso okhudza zizindikiro zanu:- Kodi munaona liti chotupa/malovu pakhungu lanu?
- Kodi kukula kwa izi kwasintha?
- Kodi tsopano zikuwoneka mosiyana ndi momwe zinalili poyamba?
- Kodi izi zimapweteka kapena zimayabwa?
- Kodi munakhalapo ndi khansa ya pakhungu kale?
Ndi mayeso amtundu wanji omwe amatsimikizira izi?
Pambuyo pofufuza thupi, dokotala angachite mayeso ngati awa kuti atsimikizire zina:- Kuyeza khungu: Izi zimaphatikizapo kutenga khungu laling'ono kuchokera pamalo okayikitsa ndikuliyang'ana pansi pa maikulosikopu kuti muwone ngati pali maselo a khansa .
- Mayeso ojambulira: Sizofala kwambiri kuti basal cell carcinoma ifalikire mbali zina za thupi. Komabe, ngati dokotala akukayikira kuti yafalikira, angapemphe MRI scan kapena CT scan kuti aone ngati yafalikira ku ma lymph nodes kapena ziwalo zamkati.
Dokotala adzagwiritsa ntchito zotsatira za mayesowa kuti adziwe siteji ya matenda anu. Izi ziphatikizapo:- Kukula kwa molu/chotupa ndi kuzama kwake komwe kwafalikira m'minofu yomwe ili pansi pa khungu.
- Kaya pali zizindikiro za khansa m'malo olumikizirana mafupa.
- Kaya khansa yafalikira (yafalikira) ku ziwalo zina za thupi.
- Kukula, mawonekedwe, malo a mole, ndi liwiro lomwe limakula.
Kodi imachiritsidwa bwanji?
Khansa ya basal cell imachiritsidwa pochotsa khansa m'thupi . Pali njira zingapo zochizira khansa iyi:- Kuchotsa chotupa ndi electrodesication: Izi zimaphatikizapo kuchotsa chotupa cha khansa ndi chipangizo chapadera (curette) kenako n’kuchiwotcha ndi chipangizo chamagetsi.
- Opaleshoni: Kuchotsa chotupa cha khansa kapena banga pogwiritsa ntchito scalpel. Izi zimachitika kudzera mu njira zotchedwa excision kapena opaleshoni ya Mohs .
- Kuchiza ndi kuchiritsa kapena kuchiritsa ndi kuchiritsa: Kuchotsa chotupa cha khansa pochizizira.
- Chemotherapy: Kugwiritsa ntchito mankhwala amphamvu owononga maselo a khansa m'thupi. Nthawi zina izi zimagwiritsidwa ntchito pakhungu ngati kirimu.
- Chithandizo cha Photodynamic (PDT):Njira yowononga maselo a khansa poika madzi apadera omwe amamva kuwala pakhungu ndikuwongolera kuwala kwa buluu.
- Chithandizo cha laser: Kugwiritsa ntchito laser rays (magetsi amphamvu kwambiri) m'malo mwa scalpel kuti muchotse khansa.
Dokotala wanu adzasankha chithandizo choyenera kwambiri kwa inu kutengera zinthu monga thanzi lanu lonse, zaka, komwe khansa ili, ndi kukula kwa BCC. Kodi chimachitika ndi chiyani ngati sichikuchiritsidwa?
Ngati simuchiza khansa ya basal cell, khansa ya pakhungu imatha kukula ndikufalikira ku minofu yakuya pansi pa khungu, monga minofu, mafupa, ndi cartilage . BCC imatha kupweteka, kutuluka magazi, komanso kutenga kachilomboka. Ngakhale kuti khansa ya basal cell ndi yosowa kwambiri, imatha kufalikira ku ziwalo zina za thupi ndikuyambitsa zotsatirapo zoopsa. Ichi ndichifukwa chake ndikofunikira kuzindikira ndikuchiza msanga.
Kodi mankhwala a izi ndi ati?
Kawirikawiri, khansa imachotsedwa ndi opaleshoni kapena njira ina. Komabe, nthawi zina, ngati khansa yanu ya basal cell yakula kwambiri kapena yafalikira ku ziwalo zina za thupi (yomwe yafalikira m'thupi), pali mitundu iwiri ya mankhwala ovomerezedwa ndi U.S. Food and Drug Administration (FDA):- Vismodegib: Yofalikira m'malo amodzi kapena kutali (BCC).
- Sonidegib: Kwa BCC yofalitsidwa.
Mankhwalawa amaperekedwa kwa anthu omwe sali oyenera opaleshoni kapena chithandizo cha radiation. Mankhwalawa angayambitse mavuto ena monga kugwedezeka kwa minofu, kusintha kwa kukoma, komanso kuchepetsa tsitsi. Muyenera kupewa kutenga mimba mukamamwa mankhwalawa komanso kwa miyezi ingapo mutalandira chithandizo. Kodi pali zotsatirapo zilizonse zomwe zimachitika chifukwa cha opaleshoni?
Opaleshoni iliyonse imasiya chilonda . Chiwopsezo cha kutuluka magazi kapena matenda ndi chochepa, koma chilipo. Kodi chiyembekezo cha vutoli n'chiyani?
Matenda a khansa ya basal cell carcinoma (BCC) kwa anthu omwe apezeka ndi khansa ya basal cell carcinoma (BCC) ndi abwino kwambiri . N'zosowa kwambiri kuti BCC ifalikire mbali zina za thupi ndikuwononga. Komabe, pali mwayi wochepa woti BCC ibwererenso ikachotsedwa. Ngati muwona malo atsopano ozungulira chilonda chomwe mudalandira kale, pitani kwa dokotala nthawi yomweyo . Kodi mukupulumuka bwanji izi?
Ngakhale kuti khansa ya basal cell singathe kupewedwa kotheratu, mungachite izi kuti muchepetse chiopsezo chanu:- Chepetsani kukhudzana ndi dzuwa pakati pa 10 koloko m'mawa ndi 4 koloko madzulo. Apa ndiye pamene kuwala kwa dzuwa kumakhala kwamphamvu kwambiri.
- Pewani kugwiritsa ntchito mipanda yopaka utoto kwathunthu.
- Ngati muli panja kapena mukuchita zinthu monga kusambira, valani mafuta oteteza ku dzuwa okhala ndi SPF ya 30 kapena kuposerapo tsiku lililonse. Ndipo perekaninso maola awiri aliwonse.
- Valani zovala zodzitetezera ku dzuwa (ndi UPF), zipewa zazikulu, ndi magalasi adzuwa.
- Yesani khungu lanu kamodzi pamwezi.Yang'anani ngati pali ziphuphu kapena mawanga atsopano.
- Pitani kwa dokotala wa khungu kamodzi pachaka kuti akakupimeni khungu lanu.
- Ngati muwona vuto lililonse kapena kusintha kulikonse pakhungu lanu, pitani kwa dokotala nthawi yomweyo.
- Kafukufuku wina wasonyeza kuti kumwa mamiligalamu 500 a nicotinamide, mtundu wa vitamini B3, kawiri patsiku, kungachepetse chiopsezo chotenga khansa yatsopano ya pakhungu yotchedwa squamous cell carcinoma (SCC) ndi squamous cell carcinoma (SCC). Lankhulani ndi dokotala wanu za izi.
Kodi ndiyenera kupita kwa dokotala liti?
Ndikofunikira kukaonana ndi dokotala ngati muli ndi vuto la pakhungu lomwe silikuchira lokha. Ngati mwawona malo atsopano kapena chotupa pakhungu lanu, ngati chipolopolo chomwe chilipo chikuoneka kuti chikukulirakulira, kapena ngati muli ndi ziphuphu pakhungu zomwe zimayenderana ndi ululu kapena kuyabwa, pitani kwa dokotala nthawi yomweyo . Ndi mafunso ati omwe muyenera kufunsa dokotala?
Mungathe kufunsa mafunso monga awa:- Kodi matenda anga ali pamlingo wotani?
- Kodi khansa yafalikira ku ziwalo zina za thupi?
- Kodi ndiyenera kupita kwa dokotala wa khungu?
- Kodi zotsatirapo zake za chithandizo chomwe mukulangiza ndi ziti?
Kodi izi zikusiyana bwanji ndi khansa zina za pakhungu?
Khansa ya pakhungu ya basal cell (BCC) ndi mtundu wofala wa khansa ya pakhungu. Palinso mitundu ina ya khansa ya pakhungu:- Khansa ya khungu la squamous (SCC): Iyi ndi khansa yachiwiri yofala kwambiri ya pakhungu pambuyo pa khansa ya basal cell (BCC). Imayamba chifukwa cha kuchuluka kwa maselo a squamous pakhungu, zomwe zimapangitsa kuti pakhale ziphuphu za khansa. Kawirikawiri imapezeka m'malo omwe ali ndi dzuwa pamutu ndi pakhosi, thunthu, ndi miyendo.
- Melanoma: Melanoma ndi mtundu wa khansa ya pakhungu yomwe imayamba m'maselo omwe amapatsa khungu mtundu wake, otchedwa melanocytes . Ngakhale kuti si yofala kwambiri monga BCC kapena SCC, ndi khansa yoopsa yomwe ingafalikire mwachangu m'thupi lonse ngati siidziwika ndikuchiritsidwa msanga.
Kodi khansa isanafike nthawi yobereka n’chiyani?
Actinic keratosis (AK) si khansa ya pakhungu. AK ndi kukula kwa maselo pamwamba pa khungu (epidermis) komwe kumachitika chifukwa chokhala padzuwa kwa nthawi yayitali. Vutoli si khansa (kutanthauza kuti ndi losaopsa ), koma pamapeto pake limatha kukhala khansa ya pakhungu (makamaka squamous cell carcinoma (SCC) . Actinic keratosis imapezeka kwambiri m'malo omwe ali ndi dzuwa pamutu ndi pakhosi, pamwamba pa makutu, pamilomo, komanso m'manja ndi miyendo. Pomaliza, zinthu zingapo zoti muzikumbukira
Ndizachilendo kuchita mantha mukapeza chotupa cha khansa pakhungu lanu. Koma kumbukirani, basal cell carcinoma (BCC) ndi vuto lofala ndipo lingathe kuchiritsidwa bwino . Mutha kubwerera ku moyo wanu watsiku ndi tsiku posachedwa.Chofunika kwambiri ndikudziteteza ku dzuwa komanso kupewa kugwiritsa ntchito malo opaka utoto. Ngati muwona chilonda chatsopano, matuza, kapena banga pakhungu lanu , pitani kwa dokotala nthawi yomweyo kuti akufufuzeni ndipo ngati pakufunika, mulandire chithandizo . Mukatero mutha kuchira kwathunthu ku vutoli.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu