Ese iminwa yawe yatwitswe n'izuba kandi yahinduye ibara? Ese ni Actinic Cheilitis?

Ese iminwa yawe ikunze kumva yumye, yacitse, ndetse rimwe na rimwe igakura? Ese hari igihe wumva iyi ndwara irushaho gukomera iyo ugiye ku zuba? Ubwo rero iki ni ikintu gishobora kuba ingenzi kuri wewe. Uyu munsi, turaganira kuri 'Actinic Cheilitis', indwara ibera hafi y'iminwa kandi isaba kwitabwaho gato.

Mu magambo make, actinic cheilitis ni iki?

Actinic Cheilitis ni indwara itera kanseri . Ibi bivuze ko iyo idavuwe neza, ishobora kuvamo kanseri y'uruhu mu gihe kizaza. Iyi ndwara iterwa ahanini no kumara igihe kinini iminwa ihura n'izuba, cyane cyane imirasire y'izuba yangiza. Ikunze kugaragara ku munwa wo hasi. Ushobora kuba warabonye abantu iminwa yabo yahindutse imikara, irabyimba, kandi ihinduka ibara. Ibi ni bimwe bigaragara muri iki kibazo.

Ibi byitwa n'andi mazina, urugero:

• Actinic Cheilosis
• Umunwa w'umuhinzi
• Umunwa w'umusare
• Cheilitis y'izuba

"Cheilitis" bisobanura "kubyimba iminwa." Actinic cheilitis ni ubwoko bw'indwara yitwa actinic keratosis. Actinic keratosis ni indwara itera kanseri ishobora kugaragara ahantu hose ku ruhu. Uko igihe kigenda gihita, ishobora guhinduka kanseri y'uruhu yitwa squamous cell carcinoma (SCC) . Niyo mpamvu ari ngombwa kubimenya.

Ni nde ushobora kugira iyi ndwara kurusha abandi?

Noneho reka turebe abashobora kurwara iyi ndwara yitwa Actinic Cheilitis. Mu by'ukuri, umuntu wese ashobora kuyirwara. Ariko, hari abantu bafite ibyago byinshi byo kurwara iyi ndwara.

• Ku bafite uruhu rwiza: Niba uruhu rwawe rufite ibara ryiza cyane, bivuze ko ufite melanin nke, ibara rituma uruhu rwawe rugira ibara ryarwo, iminwa yawe ishobora kwanga izuba.
• Ku bagabo: Kubera ko abagabo bakunze gukorera hanze (tekereza ku muhinzi, umukozi wo ku cyambu, umukozi w’ubwubatsi), bahura n’izuba ryinshi. Nanone kandi, ntibakunze gukoresha amavuta yo kwisiga ku minwa yabo hamwe n’imirasire y’izuba kugira ngo birinde iminwa yabo imirasire y’izuba.
• Abantu barengeje imyaka 65: Abantu bari muri iki kigero nabo bari mu kaga gakomeye bitewe no kwibasirwa n'izuba ubuzima bwabo bwose.
• Ku bakorera hanze: Nkuko byavuzwe mbere, abantu nk'abasare, abahinzi, abashinzwe kurinda ubuzima, n'abakora mu bwubatsi bahora bahura n'izuba.
• Ku batuye hafi y’umubumbe w’isi cyangwa mu misozi miremire: Imirasire y’izuba iba ikomeye cyane muri utu duce.
• Abantu bafite ibibazo byo kutagira ibara ry’uruhu: Urugero, abantu bafite ikibazo cyo kuvukana ibara ry’uruhu kidatera ibara ry’uruhu rinini cyane, nk’ubuswa bw’uruhu, nabo bari mu kaga.

Kuki ibi bibaho? Impamvu ni iyihe?

Noneho reka turebe impamvu iyi actinic cheilitis ibaho. Impamvu nyamukuru kandi yonyine ibitera ni imirasire ya ultraviolet ituruka ku zuba, ni ukuvuga `(imirasire ya UV)`. Kubera iyo mirasire, uturemangingo tw'uruhu ku minwa yacu ni `(kwangirika kwa genetiki)`.

Ese wari uzi ko uruhu rwo ku minwa ari rworoshye cyane ugereranyije n'uruhu rwo ku mubiri wacu wose? Nanone, ingano ya melanin mu ruhu rwo ku minwa ni nto. Iyi pigment irinda uturemangingo ku zuba. Kubera izo mpamvu , iminwa iba yoroshye cyane ku zuba. Guhora ureba izuba igihe kirekire ni yo mpamvu nyamukuru itera iyi ndwara. Nk'uko igitonyanga cy'amazi kigwa ahantu hamwe gikomeza kwangiza n'ibuye. Kubwibyo, niba ukora ku zuba cyangwa uri umuntu ukunda kuba ku zuba, ugomba no gutekereza ku minwa yawe.

Ni ibihe bimenyetso by'ibi? Ubyumva ute?

Noneho reka turebe ibimenyetso ushobora kubona no kumva ku minwa yawe ufite iyi ndwara yitwa Actinic Cheilitis. Ibi bimenyetso bishobora kugaragara ku munwa umwe cyangwa ku minwa yombi.

• Iminwa ihora yumva yacitse: Uko wanywa cyangwa warya kose, iminwa yawe yumva yacitse kandi yumye.
• Yacitse: Uduce duto dushobora kugaragara ku minwa.
• Ifite uruhu: Ishobora gushwanyagurika nk'igishishwa cyumye, kandi rimwe na rimwe ishobora gukora uruhu.
• Ibara ry'iminwa: Iminwa ishobora kugira ibibara by'umweru cyangwa umuhondo. Cyangwa iminwa ishobora gutukura kurusha uko bisanzwe.
• Kuma: Kumva iminwa yawe yumye uko waba unywa amazi angana kose.
• Uduce duto: Hari uduce tw'iminwa dushobora kugaragara nk'aho duto.
• Ubukana nk'umusenyi: Iyo ukoza ku minwa yawe, ishobora kumvikana nk'umusenyi.
• Inyamaswa: Ishobora kugaragara kandi ikumva isa n'aho ifite impumuro nto, nk'impumuro y'ifi.
• Kubyimba: Iminwa ishobora kugaragara nk'aho yabyimbye gato.
• Umunwa muto cyangwa woroshye: Iminwa ni mito cyane ku buryo yumva ko ishobora gukomeretswa no gukoraho gato.

Nanone, umupaka w'umutuku, umupaka uri hagati y'igice gitukura cy'iminwa n'ikindi gice cy'uruhu, ushobora guhinduka ibara ry'uruhu. Bamwe mu bagore bavuga ko uyu mupaka udasobanutse neza iyo urimo gusiga lipstick, bigatuma bigorana kuyisiga neza.

Akenshi, actinic cheilitis ntibabaza. Ariko, hari abantu bashobora guhura n'ibi bikurikira:

• Gutwika
• Gucika intege
• Ububabare
• Kubabara iyo ukoze ku minwa, ububabare iyo ukandagiye
• Ubugwaneza

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ntukabifate nk'ikintu cyoroshye.

Ni gute muganga asuzuma ibi neza?

Niba ufite ibi bimenyetso, ugomba kujya kwa muganga. Inzobere mu by'uruhu ni yo nziza kurusha izindi. Muganga azagusuzuma arebe niba ufite:

• Ese ni umunwa ucitsemo ibice gusa, cyangwa ni indwara isanzwe yo kubyimba iminwa (Cheilitis) idatera kanseri?
• Actinic Cheilitis ni iki?
• Ese ni ubwoko bwa kanseri y'uruhu yitwa squamous cell carcinoma (SCC)?
• Cyangwa ni indi ndwara?

Shaka neza.

Umuganga asuzuma indwara ya Actinic Cheilitis akurikije ibi bikurikira:

• Gusuzuma iminwa yawe: Muganga azareba iminwa yawe neza, ayikoreho, kandi arebe niba hari impinduka iyo ari yo yose ndetse n'aho yakwirakwiriye.
• Mu kubaza ibibazo bijyanye n'imibereho yawe: Urugero, ni igihe kingana iki umara hanze, ni ikihe kintu ukoresha kugira ngo wirinde izuba, hari umuntu wo mu muryango wawe wigeze arwara kanseri, kandi unywa itabi?
• Isuzuma ry'uruhu: Hari igihe, iyo muganga agize amakenga, afata agace gato cyane k'uruhu ku munwa akakohereza muri laboratwari kugira ngo gasuzumwe hifashishijwe mikorosikopi. Ibi bishobora kugaragaza impinduka ku rwego rw'uturemangingo. Ibi bishobora gukoreshwa mu kumenya niba indwara ari kanseri cyangwa itaravuka.

Ni ubuhe buryo bwo kuvura ibi?

Kubera ko actinic cheilitis ari indwara ishobora gutera kanseri, ugomba kuvugana na muganga ku bijyanye n'uburyo bwo kuvura. Muganga wawe azagusaba uburyo bwo kuvura bukwiye. Bizaterwa n'uburemere bw'indwara yawe, uburyo yakwirakwiriye, ndetse n'ubuzima bwawe muri rusange.

Intego nyamukuru yo kuvura ni ukugabanya ibyago byo kuba iyi ndwara yahinduka kanseri y’urusenda rwa squamous (SCC). Uburyo bwo kuvura bushobora kuba burimo:

• Ubwoko bw'amavuta yo kwisiga: Hari ubwoko bwihariye bw'amavuta yo kwisiga yanditswe n'abaganga. Urugero:
• Amavuta arimo retinoide.
• Amavuta arimo umuti witwa 5- Fluorouracil . Ibi bigenzura ikura ry'uturemangingo twa kanseri.
• Amavuta ya Imiquimod. Ibi bitera imbaraga ubudahangarwa bw'umubiri kugira ngo bifashe mu gusenya uturemangingo tudasanzwe.
• Cryotherapy: Ibi bikubiyemo gukoresha ikintu gikonje cyane, nka azote y'amazi, kugira ngo uhagarike kandi usenye uturemangingo tudasanzwe. Ni nko gukubitwa n'urubura.
• Electrocautery: Ibi bikoresha ubushyuhe buturuka ku muyoboro w'amashanyarazi kugira ngo byangize ingirabuzimafatizo zidasanzwe.
• Kugabanya imitsi hakoreshejwe laser:Ibi bikubiyemo gukoresha imirasire ya laser kugira ngo ukureho uturemangingo tudasanzwe mu buryo bwihariye.
• Ubuvuzi bushingiye ku mirasire y'izuba (PDT): Ubu ni uburyo bwihariye bwo kuvura. Aha ngaha, umuti wihariye ushyirwa mu mubiri cyangwa ugaterwa, hanyuma urumuri rwihariye rukerekeza muri utwo duce kugira ngo rwangize uturemangingo twangiza.
• Guca inzoka zo mu nda: Ubu ni uburyo bwo kubaga. Iyo indwara ikomeye, iba ikubiyemo kubagwa no gukuraho igice cyangwa impande zose z'uruhu rwo mu nda zangiritse.

Muganga wawe ni we uzaguhitiramo uburyo bwo kuvura bukubereye.

Ni gute twarokoka ibi?

None se, ni iki twakora kugira ngo twirinde indwara ya solar cheilitis (irindi zina rya actinic cheilitis) na squamous cell carcinoma (SCC)? Ikintu cyiza cyo gukora ni ukurinda iminwa yawe imirasire y'izuba yangiza umwaka wose.

• Buri gihe siga amavuta yo kwisiga ku minwa arimo amavuta akingira izuba. Ni byiza gukoresha amwe afite nibura SPF 30 (Sun Protection Factor 30) . Wibuke kongera kuyasiga umunsi wose, atari igihe uri ku zuba gusa, ahubwo cyane cyane nyuma yo kurya cyangwa kunywa.
• Gabanya igihe cyawe cyo ku zuba. Cyane cyane mu masaha y'akazi kenshi, ni ukuvuga kuva saa yine za mu gitondo kugeza saa yine z'umugoroba, igihe izuba riba rikaze cyane. Gabanya igihe cyawe cyo hanze muri ayo masaha. Guma mu gicucu munsi y'igiti, cyangwa ukoreshe umutaka.
• Ambara ingofero nini ipfutse iminwa yawe. Ibi bizaguha igicucu mu maso hawe ndetse no ku minwa yawe.

Ni ngombwa ko abantu barwaye actinic cheilitis bajya kwisuzumisha kwa muganga buri gihe kugira ngo barebe niba hari impinduka zishobora kuba ibimenyetso bya kanseri. Abaganga b'uruhu bakunze gutanga inama yo kwisuzumisha uruhu nibura rimwe mu mwaka.

"Ikindi kintu kimwe, niba uri umunywi w'itabi, ugomba kureka kunywa itabi. Kunywa itabi bishobora gutuma iyi ndwara irushaho kuba mbi no kongera ibyago byo kurwara kanseri. Niba ukeneye ubufasha bwo kureka kunywa itabi, baza muganga wawe. Hari uburyo bwinshi bwo kubikora ubu."

Ibi bizagenda bite mu gihe kizaza?

Noneho reka turebe uko bizagenda ku muntu urwaye actinic cheilitis. Niba ukomeje kurinda iminwa yawe izuba kandi ugakurikiza amabwiriza ya muganga wawe, ushobora kuyirinda.

Ariko, niba ukomeje kwibasirwa n'izuba nturyivure, uba uri mu kaga ko kurwara kanseri y'urusenda rwa squamous (SCC). Ibi bishobora gushyira ubuzima mu kaga. Imibare igaragaza ko hagati ya 6% na 10% by'abantu barwaye actinic cheilitis bazarwara SCC. Nanone, SCC itangirira ku minwa ishobora gukwirakwira (metastasize) mu bindi bice by'umubiri kurusha SCC itangirira ahandi ku ruhu. Rero si ikintu cyo gufatwa nk'ikintu cyoroshye.

Ese nkeneye kongera kubonana na muganga nyuma yo kuvurwa?

Yego rwose. Niba waranduye Actinic Cheilitis kandi ukaba uri kuvurwa, ugomba gukomeza kwisuzumisha buri gihe. Ubusanzwe ni ngombwa kujya kwa muganga buri mezi atandatu cyangwa nibura rimwe mu mwaka, nk'uko muganga wawe yabigusabye. Hanyuma, niba hari impinduka, niba indwara yongeye kugaruka, cyangwa niba hari ibimenyetso bya kanseri, ushobora kumenya vuba no gutangira kuvurwa.

Ni ibihe bintu by'ingenzi tugomba kujyana mu nkuru?

Muri make, actinic cheilitis ni indwara itera kanseri y'iminwa iterwa no kumara igihe kinini umuntu aryamye ku zuba. Utu duce duto kandi dufite ibibyimba dukunze kugaragara ku munwa wo hasi. Niba ubonye impinduka nshya ku ruhu rwawe cyangwa ku minwa yawe, nk'ikizinga, igisebe kidakira, kuma kidakira, cyangwa kwangirika, ntubyirengagize ahubwo ushakishe umuganga.

Ni ingenzi cyane kubona isuzuma nyaryo no gufata ingamba zikenewe kugira ngo wirinde ko iyi ndwara yahinduka kanseri y'uruhu. Wibuke ko uburyo bwiza bwo kwirinda ibi ari ukwirinda izuba. Ibyo bivuze gukoresha amavuta yo kwisiga ku minwa hamwe na SPF, kwambara ingofero, no kwirinda izuba. Wite ku minwa yawe. Ni ingenzi cyane ku buzima bwawe.

Actinic Cheilitis, Kanseri y'iminwa, Gucika kw'iminwa, Imirasire y'izuba, Kanseri y'uruhu, SCC, Kanseri ya Squamous Cell, Imirasire ya UV, Ubuvuzi bw'uruhu, Kanseri y'iminwa, kwibasirwa n'izuba, kanseri y'uruhu, kwita ku minwa, Iminwa y'umuhinzi, Iminwa ya Sailor