Malo atsopano pakhungu lanu? Chilonda chomwe sichingachiritse? Tiyeni tidziwe za Squamous Cell Carcinoma (SCC), khansa ya pakhungu!

Nthawi zina timapeza madontho ang'onoang'ono, ziphuphu, kapena zilonda pakhungu lathu zomwe sizichira, sichoncho? Ambiri aife sitimazisamala kwambiri. Timaganiza kuti, "Mwina ndi zazing'ono chabe," ndipo timaziiwala. Koma nthawi zina, ngakhale kusintha kochepa ngati kumeneku kungakhale chizindikiro choyamba cha vuto lalikulu lomwe tiyenera kulisamala. Chifukwa chake, tifunika kudziwa, ndipo lero tikambirana za khansa ya pakhungu yofala kwambiri. Imeneyo ndi Squamous Cell Carcinoma, yomwe mwachidule timaitcha SCC.

Mwachidule, kodi Squamous Cell Carcinoma (SCC) ndi chiyani?

Squamous Cell Carcinoma (SCC) ndi mtundu wa khansa ya pakhungu. Ndi mtundu wachiwiri wofala kwambiri wa khansa ya pakhungu ku Sri Lanka ndi padziko lonse lapansi.

Kuti timvetse izi, choyamba tiyeni tiwone momwe khungu lathu limapangidwira. Gawo lapamwamba la khungu lathu limatchedwa epidermis . Maselo athyathyathya mu gawoli amatchedwa maselo a squamous . Maselo awa amaunikidwa pamwamba pa wina ndi mnzake, ngati matailosi pakhoma. Chifukwa chake, maselo a squamous awa akayamba kukula modabwitsa komanso mosalamulirika, SCC imachitika.

Mtundu uwu wa khansa nthawi zambiri umapezeka m'malo ena a thupi lathu omwe amawotchedwa ndi dzuwa. Mwachitsanzo:

• Nkhope
• Chigaza (makamaka mwa anthu oda)
• Zomangirira m'makutu
• Milomo
• Manja ndi miyendo

Komabe, khansa iyi imathanso kufalikira m'malo omwe dzuwa silikuwala. Sikuti kokha, komanso khansa yamtunduwu imathanso kuchitika m'malo omwe muli ma mucous membranes, monga mkamwa mwathu, m'mapapo, ndi m'matumbo.

Kodi mitundu ikuluikulu ya khansa iyi ndi iti?

Khansa ya SCC ingagawidwe m'magulu awiri akuluakulu kutengera komwe ili m'thupi komanso momwe yafalikira.

1. Matenda a khungu: Uwu ndi mtundu wofala kwambiri. Pano, khansa imapezeka pakhungu lokha. Ilinso ndi mitundu iwiri.

• Mu malo (Gawo 0): Pano, maselo a khansa ali pamwamba pa khungu (epidermis). Sanafalikire mozama. Izi zimatchedwanso matenda a Bowen . Ngati atapezeka msanga, amatha kuchiritsidwa kwathunthu.
• Zowononga: Pano, maselo a khansa afalikira kupitirira pamwamba pa khungu mpaka m'zigawo zapansi.

2. Matenda a Metastatic SCC: Uwu ndi matenda oopsa kwambiri. Chomwe chimachitika apa ndi chakuti khansa yomwe inali pakhungu yafalikira ku ziwalo zina, mwachitsanzo, ma lymph nodes, mapapo, chiwindi, ndi zina zotero. Koma nkhani yabwino ndi yakuti khansa ya SCC yochepa kwambiri imafalikira motere. Ngati yapezeka ndikuchiritsidwa msanga, chiopsezochi chingachepe kwambiri.

Kodi zizindikiro ndi zizindikiro za khansa ya SCC ndi ziti? Kodi mungazizindikire bwanji?

Ichi ndi gawo lofunika kwambiri. Ndikofunikira kwambiri kusamala khungu lanu nthawi zonse. Chifukwa zizindikiro zoyamba za khansa iyi zimawonekera ngati kusintha pang'ono pakhungu. Zizindikirozi zimatha kusiyana malinga ndi munthu.

Gome ili m'munsimu likuwonetsa zizindikiro zina zomwe zimawoneka mu khansa ya SCC.

Ndani ali pachiwopsezo chachikulu chotenga khansa iyi?

Aliyense akhoza kudwala khansa ya SCC, koma anthu ena ali pachiwopsezo chachikulu.

• Anthu omwe ali ndi dzuwa lochuluka: Anthu omwe amagwira ntchito padzuwa, akulima, kapena amapita kugombe, komanso omwe amakhala nthawi yayitali padzuwa kuyambira ali aang'ono, ali pachiwopsezo chachikulu.
• Anthu okhala ndi khungu lopepuka: Melanin, utoto womwe umapatsa khungu mtundu wake, umatiteteza ku kuwala kwa dzuwa. Anthu okhala ndi khungu lopepuka amakhala ndi melanin yochepa, kotero amakhala pachiwopsezo chachikulu cha kuwonongeka ndi dzuwa. Anthu omwe ali ndi maso abuluu/obiriwira komanso tsitsi lofiira kapena lachikasu ali pachiwopsezo chachikulu.
• Anthu azaka zopitirira 50: Mukakula, chiopsezo chotenga khansa ya pakhungu chimawonjezeka chifukwa cha kuwonongeka kwa khungu pakapita nthawi.
• Anthu omwe ali ndi chitetezo chamthupi chofooka: Anthu omwe adasamutsidwa ziwalo zina, omwe ali ndi kachilombo ka HIV, kapena omwe akumwa mankhwala oletsa chitetezo chamthupi ali pachiwopsezo chachikulu.
• Osuta: Kusuta fodya ndi chifukwa chachikulu cha khansa ya SCC, makamaka ya milomo ndi pakamwa.
• Anthu omwe ali pachiwopsezo cha mankhwala enaake: Kukumana ndi zinthu monga arsenic ndi chiopsezo.
• Anthu omwe kale anali ndi khansa ya pakhungu.

N’chifukwa chiyani khansa imeneyi imayamba? Kodi chifukwa chake n’chiyani?

Nkhani iyi ndi yovuta pang'ono. Mwachidule, ili motere. Mkati mwa maselo athu muli zinthu zotchedwa majini. Majini amenewa ndi omwe amauza maselo momwe angagwirire ntchito, nthawi yogawa, komanso nthawi yoti afe.

Tili ndi jini yapadera m'thupi mwathu yotchedwa p53 . Ili ngati woyang'anira fakitale. Ntchito yake ndikuwongolera kugawikana kwa maselo. Chifukwa imaletsa maselo ambiri kupanga, timaitcha jini yoletsa chotupa .

Komabe, ikakumana ndi kuwala koopsa kwa dzuwa kuchokera ku dzuwa kwa nthawi yayitali, jini yoyang'anira iyi yotchedwa p53 imatha kuwonongeka. Timaitcha kuti kusintha kwa majini. Chomwe chimachitika ndichakuti ulamuliro umenewo umatayika. Maselo a squamous sapeza uthenga woti "asiye kugawa tsopano." Choncho amapitiriza kugawa mosalamulirika, kusonkhana pamodzi, ndikupanga chotupa cha khansa. Ichi ndiye chifukwa chachikulu cha khansa ya SCC.

Kodi dokotala amazindikira bwanji matenda a SCC molondola?

Mukauza dokotala za malo okayikitsa pakhungu lanu, chinthu choyamba chimene amachita ndikuwunika mosamala. Iye adzayang'ana zinthu monga kukula kwake, mawonekedwe ake, mtundu wake, ndi kapangidwe kake. Kenako adzakufunsani mafunso angapo.

• "Kuyambira liti unawona izi?"
• "Kodi yakula kuposa kale?"
• "Kodi kuyabwa? Kodi kukupweteka? Kodi kukutuluka magazi?"

Kenako, kuti atsimikizire matendawa 100%, nthawi zambiri ndi biopsy ya khungu.Ndikupangira kuchita chimodzi.

Kodi Kufufuza Khungu ndi Chiyani?

Izi zikuphatikizapo kuchotsa khungu laling'ono kwambiri pamalo okayikitsa, ndikulitumiza ku labotale kuti likayang'aniridwe pogwiritsa ntchito maikulosikopu. Izi zimatithandiza kuona ngati pali maselo a khansa kapena ayi.

Ngati khansa ndi yayikulu kapena ngati pali kukayikira kuti yafalikira kwambiri, mayeso monga CT scan kapena MRI scan angachitike. Izi zingathandize kudziwa momwe khansayo yafalikira.

Kodi mankhwala a khansa ya SCC ndi ati?

Pali njira zingapo zochizira khansa ya SCC. Dokotala wanu adzasankha chithandizo chomwe chili chabwino kwa inu. Izi zidzadalira zinthu zambiri, kuphatikizapo kukula, malo, kuzama kwa khansa, ndi thanzi lanu lonse.

Nkhani yabwino kwambiri ndi yakuti khansa ya SCC yoposa 95% imachiritsidwa kwathunthu, makamaka ngati yapezeka msanga!

Nazi zina mwa njira zazikulu zochizira:

• Kudula: Iyi ndi njira yodziwika kwambiri yothandizira. Chotupa cha khansa, pamodzi ndi khungu laling'ono labwino lozungulira, chimadulidwa ndikuchotsedwa, ndipo khungu limasokedwa pamodzi.
• Opaleshoni ya Mohs: Iyi ndi njira yapadera yochitira opaleshoni. Imagwiritsidwa ntchito makamaka pa khansa m'malo ovuta monga nkhope, mphuno, ndi makutu. Pano, khansa imadulidwa m'magawo oonda kwambiri, chimodzi ndi chimodzi, ndipo gawo lililonse limayesedwa nthawi yomweyo pansi pa maikulosikopu. Izi zimachitika mpaka zitatsimikizika kuti palibe maselo ena a khansa. Izi zimapulumutsa khungu labwino momwe zingathere.
• Kuchotsa khansa ndi Kuchotsa Ma Electrodesiccation: Izi zimaphatikizapo kupukuta khansa ndi chida chonga supuni kenako ndikuyika pamalopo ndi mphamvu yamagetsi. Izi nthawi zambiri zimachitika pa khansa zazing'ono, zosaoneka bwino.
• Kuchiza ndi Kuchiritsa: Njira yowonongera maselo a khansa powazizira pogwiritsa ntchito chinthu chozizira kwambiri, monga nayitrogeni yamadzimadzi.
• Chithandizo cha Radiation: Chithandizochi chimagwiritsidwa ntchito ngati opaleshoni siingatheke, kapena kuwononga maselo aliwonse a khansa omwe angakhalepo pambuyo pa opaleshoni.
• Chemotherapy ndi Immunotherapy: Pa milandu yoopsa pamene khansa yafalikira ku ziwalo zina za thupi (yomwe yafalikira kwambiri), chithandizo cha mankhwala operekedwa monga jakisoni kapena mapiritsi chingakhale chofunikira.

Kodi tingadziteteze ku khansa ya SCC?

Inde, ndithudi. Pali zinthu zambiri zomwe tingachite kuti tidziteteze ku khansa iyi. Chofunika kwambiri ndikukhala ndi chizolowezi chochita izi.

• Dzitetezeni ku dzuwa: Pewani dzuwa loopsa kwambiri momwe mungathere, makamaka pakati pa 10 koloko m'mawa ndi 4 koloko madzulo.
• Gwiritsani ntchito mafuta oteteza ku dzuwa: Mukapita padzuwa, nthawi zonse gwiritsani ntchito mafuta oteteza ku dzuwa omwe ali ndi mphamvu ya SPF ya 30 kapena kuposerapo. Pakani kwambiri pankhope panu, pakhosi, ndi m'manja.
• Valani zovala zodzitetezera: zovala za manja aatali, mathalauza aatali, chipewa chachikulu, ndi magalasi a dzuwa otetezedwa ndi UV.
• Pewani malo opaka utoto: Zipangizozi zomwe zimapaka utoto pakhungu mwadala ndizoopsa kwambiri.
• Pewani kusuta: Kusiya kusuta kungachepetse kwambiri chiopsezo cha khansa ya mkamwa ndi milomo.
• Yesani khungu lanu nthawi zonse: Kamodzi pamwezi, imani patsogolo pa galasi ndikuyang'ana thupi lanu lonse kuyambira kumutu mpaka kumapazi. Yang'anani mawanga atsopano, zizindikiro zobadwa nazo zomwe zimasintha, ndi zilonda zomwe sizingachiritsidwe.

Ngati muwona kusintha kulikonse kokayikitsa pakhungu lanu, chonde musanyalanyaze. Musachite mantha. Pitani kwa dokotala woyenerera mwamsanga kuti akupatseni upangiri. Chifukwa mukazindikira zinthuzi msanga, mwayi wochira kwathunthu umakula ndi chithandizo.