Ese ufite ibizinga ku ruhu rwawe? Bishobora kuba ari Actinic Keratosis!

Ese wigeze ubona utudomo duto, dukomeye kandi dufite ibibyimba ku ruhu rwawe, cyane cyane ahantu hagaragara izuba? Hari igihe ushobora kutyitaho cyane. Ariko, bimwe muri ibi bidomo bishobora kuba indwara yitwa Actinic Keratosis . Ni ngombwa kubimenya. Reka tubiganireho gato uyu munsi, si byo se?

Actinic Keratosis ni iki?

Mu magambo make, actinic keratosis , izwi kandi nka solar keratosis, ni ubwoko bw'indwara y'uruhu itera uduce duto kandi dufite ibisebe ku ruhu rwawe. Ibi akenshi biterwa n'imyaka myinshi umaze uri ku zuba.

Igikuru ni uko iyi `(Actinic Keratosis)` ari kanseri ibanziriza kanseri . Ibi bivuze ko iyo utu duce tudavuwe neza, bimwe muri byo bishobora guhinduka `(Squamous Cell Carcinoma)`, ubwoko bwa kanseri y'uruhu . Ntugahangayike, si `(Actinic Keratosis)` yose izahinduka kanseri. Ariko, ni ngombwa kubyitondera kuko ari indwara ishobora guteza akaga. Mu by'ukuri, iyi ni yo ndwara ikunze kugaragara cyane ku ruhu ibanziriza kanseri . Abantu babarirwa muri za miriyoni ku isi bafite iyi ndwara.

Ni nde ufite amahirwe menshi yo kubyiteza imbere?

Nta muntu ushaka guhangana n'ibi bintu. Ariko, hari abantu bashobora kurwara "Actinic Keratosis". Reba niba uri muri iki cyiciro:

• Abantu badakingira uruhu rwabo izuba: Iyi ni yo mpamvu nyamukuru. Abantu bahora ku zuba badafite indorerwamo z'izuba, ingofero, n'imyambaro yo kwisiga bafite ibyago byinshi.
• Abantu bafite uruhu rwera, umusatsi w'umukara cyangwa umutuku: Abantu bafite amaso y'ubururu cyangwa icyatsi kibisi nabo bafite ibyago byinshi. Ibi biterwa nuko uruhu rwabo rufite melanin nke, ibara rimurinda izuba.
• Abantu bafite amateka yo gutwikwa n'izuba kenshi cyangwa bikomeye: Niba watwitswe n'izuba kuva mu bwana, nabyo bishobora kuba impamvu.
• Abantu bafite ubudahangarwa bw'umubiri budakomeye: Iyi ndwara ikunze kubaho iyo ubudahangarwa bw'umubiri bugabanutse bitewe n'indwara zimwe na zimwe (urugero, virusi itera SIDA ), cyangwa imiti nk'iy'ubudahangarwa bw'umubiri ku ndwara za kanseri, cyangwa imiti ifatwa nyuma yo guterwa urugingo rw'umubiri.
• Abantu barengeje imyaka 40: Ibi bishobora kugaragara uko tugenda dusaza bitewe n'imyaka myinshi yo kwibasirwa n'izuba. Ariko, abakiri bato nabo bashobora kubikuramo, cyane cyane iyo bamara igihe kinini ku zuba.

Kuki actinic keratosis ibaho?

Impamvu nyamukuru ibitera ni imirasire ya ultraviolet (UV) mu zuba.Yego, ni urumuri rw'izuba rumwe ruduha vitamine D twese, ariko iyo irenze urugero ishobora guteza ibibazo. Imirasire ya UV ntabwo ituruka ku zuba gusa, ahubwo inaturuka ku bikoresho by'urumuri rw'ubukorano nk'ibitanda byo gusiga ibara ry'uruhu bamwe bakoresha kugira ngo uruhu rwabo rugaragare neza.

Iyi mirasire ya `UV` ishobora kwangiza uturemangingo two hejuru y'uruhu rwacu, twitwa `Keratinocytes`. Iyo uku kwangirika gukomeje uko igihe kigenda gihita, utwo turemangingo dutangira gukura mu buryo budasanzwe. Ni bwo utu duce twa `Actinic Keratosis` tugaragara. Nk'uko ikimera kibora iyo kinyotewe amazi menshi, uruhu rwacu narwo rurangirika iyo ruhuye n'imirasire ya `UV` cyane.

Ni ibihe bimenyetso by'ibi? Ubimenya ute?

Akenshi, ikimenyetso cya mbere cya Actinic Keratosis ni ikibyimba cyangwa ikizinga ku ruhu. Bishobora kumera nk'ibicurane iyo bikozweho. Ibi bishobora kuza mu mabara atandukanye:

• Ibara ry'ikijuju
• Ibara ry'umutuku
• Ibara ritukura
• Ibara ry'uruhu ni rimwe n'iryawe, ariko rirakomeye kurushaho.
• Hari igihe hashobora kubaho ikintu kimeze nk'ibihumyo by'umuhondo cyangwa umukara kuri ibi bice.

Izi zishobora kuba ingano kuva kuri milimetero nke kugeza kuri santimetero ebyiri . Zikunze kugaragara mu bice bikunze kugerwaho n'izuba, nko mu maso, mu matwi, mu mutwe, mu ijosi, mu mugongo w'amaboko, no mu gahanga .

Hashobora kandi kuba hari ibindi bimenyetso:

• Kuva amaraso mu mwanya wabyo (cyane cyane mu gitsina)
• Kumva ubushye, gushyuha, cyangwa kwishimagura muri ako gace
• Iminwa yumye kandi ipfutse (yitwa kandi `Actinic Cheilitis`)
• Hari igihe ushobora kubona uruhu rukura (`ihembe ry'uruhu`) ruzamuka nk'ihembe ry'inyamaswa .
• Guhindura ibara ry'iminwa
• Ububabare cyangwa ububabare muri ako gace

Icy'ingenzi: Niba ubonye ahantu hashya, ikibyimba, ibara ryahindutse, cyangwa impinduka iyo ari yo yose ku hantu hasanzwe (nk'ubwiyongere, ibara ryahindutse, cyangwa kuva amaraso) ku ruhu rwawe, ntubyirengagize . Shaka muganga ako kanya.

Ni gute umuganga amenya neza niba ibi bihari?

Niba ufite gushidikanya ku ndwara nk'iyi, ushobora kubonana na muganga w'umuryango wawe cyangwa umuganga w'uruhu .

Ubusanzwe umuganga akora ibi bikurikira:

1. Gusuzuma uruhu neza: Suzuma uruhu rw'umubiri wawe wose, cyane cyane ahantu hagaragara izuba.

2. Gukoresha lenzi ikuza: Hari igihe ikirahure gikuza kikoreshwa kugira ngo kibone neza aho hantu.

3. Gupima uruhu: UmugangaIyo hari gushidikanya ku ifu, cyangwa niba isa n'idasanzwe, agace gato k'uruhu karafatwa kakoherezwa muri laboratwari kugira ngo kasuzumwe hifashishijwe mikorosikopi. Ibi biroroshye cyane. Bisaba gucika intege gato. Ibi nibyo bituma umuntu amenya neza .

Ni ubuhe buryo bwo kuvura ibi?

Inkuru nziza ni uko hari uburyo bwo kuvura Actinic Keratosis! Muganga wawe azagufatira icyemezo cy'uburyo uzavura bitewe n'umubare w'utudomo ufite, uko tumeze, n'aho duherereye.

Hari uburyo bwinshi bw'ingenzi bwo kuvura:

Uburyo bwo kuvura bukorerwa kwa muganga:

• Ibishishwa bya shimi : Ibi bimeze nk'agapfukamunwa ko mu maso gakoreshwa mu rwego rw'ubuvuzi. Muganga wawe ashyiramo imiti yihariye ku kirahure cyawe. Ibi bikora mu gusenya uturemangingo tw'inyuma tw'uruhu. Aho hantu hashobora kuba hatukura kandi hakagira ububabare mu minsi mike. Ariko uko uruhu rugenda rukira, uruhu rushya kandi rufite ubuzima bwiza ruragaragara.
• Cryotherapy: Ubu buryo bushobora gukoreshwa niba ufite uduheri duto duto. Muganga akoresha ikintu gikonje cyane, nka azote y'amazi, kugira ngo akonjeshe agaheri. Mu minsi mike, agaheri kazaturika, kakuma, hanyuma kakagwa.
• Gukata: Muri ubu buryo, muganga abanza gukata agace k'aho agakoko kari. Hanyuma, agakoko karakurwaho, cyangwa kagacibwa, hanyuma agashyirwamo umushongi umwe cyangwa ibiri. Igikomere gikira mu byumweru bibiri cyangwa bitatu.
• Ubuvuzi bwa Photodynamic (PDT): Niba ufite uduce twinshi, cyangwa se tugakomeza kugaruka nubwo wavuwe, muganga wawe ashobora kukugira inama yo kuvurwa. Muri ubu buvuzi, amavuta yihariye ("umuti utuma uruhu rusa neza") ashyirwa kuri utwo duce, hanyuma nyuma y'amasaha make, urumuri rwihariye ("urumuri rw'ubururu" cyangwa "urumuri rutukura") rukagaragara kuri two. Ibi byangiza uturemangingo twa mbere y'uko turwara kanseri. Ugomba kwirinda izuba burundu mu minsi mike nyuma y'ubu buvuzi.

Uburyo bwo kuvura mu rugo:

Hari igihe, niba ufite utudomo twinshi, cyangwa niba utudomo ari duto cyane ku buryo tutagaragara neza, muganga wawe ashobora kukwandikira amavuta yo kwisiga cyangwa jeli zo gukoresha mu rugo. Ibi bigomba gusigwa buri munsi mu gihe cy'amezi menshi (wenda kugeza ku mezi 4).

Dore ingero zimwe na zimwe:

• `Diclofenac skin gel ( Voltaren ® gel)` – Icy'ingenzi: Nubwo `Voltaren®` gel ubu iboneka ku giciro cya muganga, ntugomba kuyikoresha wenyine keretse muganga yabigusabye by'umwihariko kuri `(Actinic Keratosis)`.
• "Fluorouracil, cyangwa amavuta yo kwisiga 5-FU (Fluorac®)"
• `` Imiquimod cream cream (Aldara® cyangwa Zyclara®) ''
• "Ingenol mebutate gel yo mu bwoko bwa topical (Picato®)"

Hari abantu bashobora kugira ububobere, ubushye, cyangwa gushwanyagurika k'uruhu iyo basiga ayo mavuta. Ariko ibyo ni bimwe mu bigize uburyo bwo kuvura. Niba ufite ikibazo, bwira muganga wawe .

Bifata igihe kingana iki kugira ngo kire nyuma yo kuvurwa? Ese nshobora kugaruka?

Igihe cyo gukira kizatandukana bitewe n'umubare w'uduheri twa Actinic Keratosis ufite, ingano yatwo, n'ubuvuzi wahawe. Ubusanzwe, uduheri tuba hafi ya twose nyuma y'amezi atatu nyuma yo kuvurwa.

Nyuma y'uko ibyo byatsi bishize, ni ngombwa cyane kujya kwa muganga kugira ngo agusuzumwe rimwe cyangwa kabiri mu mwaka . Niba ufite ubudahangarwa bw'umubiri budakomeye, ushobora gukenera kujya kwa muganga w'uruhu inshuro enye cyangwa eshanu mu mwaka.

Yego, Actinic Keratosis ishobora kugaruka, cyane cyane iyo udakomeje kurinda uruhu rwawe izuba. Kubwibyo, ni ngombwa kurinda uruhu rwawe izuba mu gihe cyo kuvurwa na nyuma yaho.

Icy'ingenzi kurushaho! Ni gute wakwirinda Actinic Keratosis?

Iki ni cyo gice cyiza cy'iyi nkuru. Hari byinshi dushobora gukora kugira ngo hirindwe ko habaho `(Actinic Keratosis)`. Ikintu cy'ingenzi ni ukugabanya kwibasirwa n'imirasire ya 'UV' bitari ngombwa.

Dore ibintu ushobora gukorana na byo:

• Siga amavuta akingira izuba buri munsi: Ntukirengagize gukoresha amavuta akingira izuba, ndetse no mu minsi y'ibicu cyangwa mu gihe cy'itumba. Hitamo amavuta akingira izuba afite nibura SPF 30 (Sun Protection Factor) cyangwa irenga, hamwe n'umusemburo mugari (ni ukuvuga urinda imirasire ya UVA na UVB). Siga iminota 15-30 mbere yo kujya hanze, kandi wongere uyasige buri masaha abiri niba wuzuye ibyuya, woga cyangwa woga.
• Irinde imirasire y'izuba ikomeye cyane: imirasire ya UV iba iri ku rugero rwo hejuru cyane hagati ya saa yine za mu gitondo na saa mbiri z'umugoroba (hari aho igera saa yine z'umugoroba). Gabanya igihe cyo kwibasirwa n'izuba muri aya masaha uko bishoboka kose.
• Irinde imirasire y'izuba y'ubukorano: Ntugakoreshe ibintu nka `(Salons zo gukaraba)`, `(amatara y'izuba)`, `(amatara yo gukaraba)`. Nanone bisohora imirasire yangiza ya `UV`.
• Ambara imyenda irinda izuba: Ambara imyenda y'amaboko maremare, ipantaro ndende, ingofero nini, n'indorerwamo z'izuba zirinda imirasire y'izuba uko bishoboka kose.

Ese twagombye gutinya iki kibazo?

Actinic Keratosis ni indwara ikwiye kwitabwaho, ariko si ikintu cyo guhangayikishwa na yo . Akenshi, ibi bisebe bishobora gukira burundu iyo bivuwe neza. Abantu bagera kuri 90% barwaye Actinic Keratosis ntibarwara kanseri y'uruhu.

Ariko, ibuka ko kanseri nyinshi z'uruhu zitangirira kuri Actinic Keratosis. Niyo mpamvu tudakwiye gufata iki kibazo nk'ikintu cyoroshye. Uko kimenyekanye vuba kandi kikavurwa, niko amahirwe yo kugikuramo kanseri aba make.

Ni ryari byaba byiza kujya kwa muganga?

Niba ubonye kimwe muri ibi bimenyetso ku ruhu rwawe, menya neza ko wagiye kwa muganga:

• Iyo hari ikintu kiri ku ruhu kirimo kuva amaraso, guturika, kubyimba, cyangwa gushya .
• Niba ubonye ikibyimba ku ruhu kimeze nk'ihembe ry'inyamaswa .
• Iyo hagaragaye uduce dushya, twazamutse, dutukura, cyangwa dufite ibibyimba cyangwa niba hari ibyari bihari byahindutse.

Mu magambo make, niba ubonye ikintu gishya, impinduka, cyangwa ikintu giteye amakenga ku ruhu rwawe, ntukirengagize.

Ni ibihe bibazo by'ingenzi ugomba kubaza muganga?

Iyo ugiye kwa muganga, ntukibagirwe kubaza ibi bibazo:

• "Muganga, kuki mfite iki `(Actinic Keratosis)`?"
• "Ni ubuhe buryo bwiza bwo kuvura kuri njye?"
• "Ni izihe ngaruka cyangwa ingaruka mbi ubu buryo bushobora gutera?"
• "Ni izihe ngorane nkwiye kwitondera?"
• "Nkwiye gukora iki nyuma yo kuvurwa, kandi nkwiye kwiyitaho nte?"
• "Nkore iki kugira ngo ngire icyo kintu nk'iki kitazongera kubaho?"

Amaherezo, ibintu byo kwibuka

Yego, `(Actinic Keratosis)` ni indwara y'uruhu ikenera kuvurwa no kwitabwaho byihuse . Kenshi na kenshi, ibi bishobora gukira hakoreshejwe kubagwa cyangwa amavuta yo kwisiga. Ikintu cy'ingenzi ni ukurinda uruhu rwawe imirasire y'izuba n'imirasire ya 'UV' . Hanyuma ushobora kugabanya cyane ibyago byo kurwara iyi ndwara.

Niba ubona ko ufite Actinic Keratosis, nyamuneka gana muganga vuba kugira ngo akugire inama . Uko ugiye kuvurwa vuba, niko ibyago byo kurwara kanseri y'uruhu bigabanuka. Wite ku ruhu rwawe, kuko ari rwo mutungo wawe w'agaciro kanini!