Ese urimo kwishimagura ufite ahantu hadasanzwe ku ruhu rwawe? Bishobora kuba ari indwara ya Extramammary Paget (EMPD)!

Ese wigeze ubona agace gatukura, gafite ibibyimba, rimwe na rimwe gafite ibibyimba ku ruhu rwawe, cyane cyane mu kibuno, mu kwaha, cyangwa mu myanya ndangagitsina? Gasa nkaho gakura buhoro buhoro, rimwe na rimwe kakarya, sibyo? Noneho rero uyu munsi tugiye kuvuga ku ndwara yihariye y'uruhu nk'iyo. Abaganga bayita indwara ya Extramammary Paget , cyangwa EMPD mu magambo ahinnye. Ni gake cyane, ariko ni ngombwa kubyitondera.

Indwara ya Extramammary Paget (EMPD) ni iki?

Mu magambo make, EMPD ni indwara y'uruhu idakunze kugaragara. Hari igihe ishobora kujyana n'ubundi bwoko bwa kanseri. Ariko si ko bigenda buri gihe. Ni indwara aho uruhu rwawe ruhinduka umutuku, rukamera nk'ibicurane, cyangwa rukamera nk'ibicurane maze rukakura. Hari igihe ishobora kutamenyekana nyuma y'imyaka myinshi indwara itangiye.

Yiswe "Indwara ya Paget" ikomoka kuri Sir James Paget, umuganga w'umuhanga wo mu kinyejana cya 19 w'Umwongereza. Izina rye ryakoreshejwe ku bundi bwoko butandukanye bwa kanseri kubera uruhare yagize mu bijyanye n'indwara. Ijambo "extramammary" risobanura "hanze y'ibere." Ibi ntibikwiye kwitiranywa n'indwara ya Paget y'ibere.

Bivugwa ko hagati ya 7% na 40% by'abantu barwaye indwara ya Extramammary Paget bashobora kuba bafite kanseri y'inyuma . Ariko, nk'uko nabivuze mbere, EMPD si ikimenyetso cy'indi ndwara buri gihe. Guvurwa hakiri kare bishobora kugabanya ibimenyetso no kumenya kanseri y'inyuma.

Ni ubuhe bwoko bw'ingenzi bwa EMPD?

Hari ubwoko bubiri bw'ingenzi bwa EMPD:

1. EMPD y'ibanze: Iyi ni indwara y'uruhu ibaho mu buryo butunguranye. Itangira ku ruhu nta kindi kintu kibitera.

2. EMPD ya kabiri: Ibi biterwa na kanseri iri mu gice cy’umubiri.

Ni nde ufite amahirwe menshi yo kurwara EMPD?

Umuntu wese ashobora kugira EMPD, ariko ikunze kugaragara cyane mu matsinda akurikira:

• Abantu bari hagati y'imyaka 50 na 80 .
• Bikunze kugaragara mu bagore .
• Bishobora no kugaragara mu bagabo bo muri Aziya .
• Abazungu .

Ariko ni ngombwa kwibuka ko iyi ari indwara idasanzwe.

Kuki iyi EMPD ibaho?

Ni iki gitera EMPD y'ibanze?

Mu by'ukuri, abaganga ntibaramenya neza icyatera EMPD y'ibanze. Bakeka ko ishobora gutangirira mu bwoko bumwe na bumwe bw'uturemangingo mu mibiri yacu. Muri ubwo bwoko bw'uturemangingo harimo:

• Uturemangingo tw’imiyoboro y’imyakura ya Apocrine: Utu ni uduce tw’ibyuya kandi tuba hafi y’udusatsi.
• Uturemangingo twa keratinocyte: Utu ni uturemangingo dufasha gusana uruhu.
• Uturemangingo twa Toker: Utu ni uturemangingo tuboneka mu ruhu (`uturemangingo tw'igitsina`) dukikije ibere n'umwobo w'igitsina gore.

Ni iki gitera EMPD ya kabiri?

EMPD ya kabiri iterwa na kanseri ahandi mu mubiri. Kanseri yo mu maraso bivugwa ko ari yo itera hafi kimwe cya gatatu cy'abarwayi ba EMPD. Byongeye kandi, hari ubundi bwoko bwa kanseri bushobora gutera EMPD ya kabiri:

• Kanseri y'ikibuno
• Kanseri y'uruhago
• Kanseri y'inkondo y'umura
• Kanseri y'intanga ngore
• Kanseri ya porositate
• Kanseri yo mu mura

Ni ibihe bimenyetso bya EMPD?

Ikimenyetso nyamukuru cya EMPD ni uduheri tw’uruhu gisa n’izuba . Ubushakashatsi bwagaragaje ko ku barwayi bagera kuri 65% ba EMPD, biba hafi y’aho umuntu atuye , naho ku 20%, biba hafi y’aho umuntu atuye .

Ushobora kubona uduce ku ruhu rwawe dufite ibi bikurikira:

• Nk'agatsima (`Krusty`)
• Yahindutse umutuku (`Umutuku`)
• Igikakaye

Utudomo duto duto twongera kwiyongera, kandi dushobora kugira impande zitameze neza. Uko EMPD ikomeza kwiyongera, ibisebe byimbitse cyangwa uduheri dushobora kuvuka. Ibindi bimenyetso birimo:

• Kumva ubushyuhe
• Uruhu ruratukura kandi rukumva rurarakaye .
• Kuryarya
• Birababaza cyangwa birababaza
• Uruhu rubyimbye (edema)

EMPD ikunze kugaragara mu bice aho imisemburo yawe y'ibyuya (cyane cyane imisemburo y'uruhu rwa apocrine) iherereye. Ikunze kugaragara hafi y'umwenge w'igitsina gore. Ishobora no kugaragara muri ibi bice:

• Hafi y'ikibuno (`Anus`)
• Imboro
• Perineum
• Igituba cy'inyuma

Ni gake cyane, EMPD ishobora no kugaragara mu bindi bice by'umubiri, nko:

• Inda
• Kwaha
• Igitonyanga cy'inda
• Amatako
• Ugutwi, imboni, isura cyangwa umutwe
• Igituza cyo hasi
• Ivi cyangwa ikibuno

Ni ngombwa kumenya ko hafi 10% by'abantu barwaye indwara ya Paget yo hanze y'amabere nta bimenyetso na bimwe bagaragaza .

Iyi ndwara ya EMPD ipimwa ite?

Ubwa mbere, umuganga azakubaza ibimenyetso byawe hanyuma agukorere isuzuma ry’umubiri. Niba bakeka ko ufite EMPD, baza:Bisipu y'uruhu irakorwa. Bisipu ikubiyemo gufata icyitegererezo gito cy'uruhu rwawe no kugisuzuma hifashishijwe mikorosikopi.

Iyo arebye akoresheje mikorosikopi, inzobere mu ndwara zireba uturemangingo twihariye, tunini kandi tudasanzwe twitwa "Paget cells." Nanone bamenya utwo turemangingo bareba uko twakira imiti itandukanye (immunohistochemistry).

Wamenya ute ko urwaye kanseri iterwa na EMPD?

Nyuma yo gupimwa EMPD, muganga wawe azakora ibindi bipimo kugira ngo arebe niba hari kanseri iri mu mubiri wawe. Ibi bipimo bishobora kuba birimo:

• Gupima hakoreshejwe ikoranabuhanga rya Ultrasound (`Ultrasound`)
• Gusuzuma amabere (mammogram)
• Gupima pap smear
• Inkororangingo cyangwa proktoskopiya
• gupima CT (CT scan)
• Cystoscopy (isuzuma ry'uruhago)
• Isuzuma rya prostate
• Pyelogram ya Retrograde (isuzuma ry'impyiko n'inzira y'inkari)
• Isuzuma rya Ultrasound cyangwa inshinge zo gusuzuma imiyoboro ya lymph
• Endoskopi yo hejuru (isuzuma ry'umuhogo, umwobo, n'igifu)

Ni ubuhe buryo bwo kuvura EMPD?

Ubusanzwe abaganga bavura indwara ya Paget yo hanze y'amabere bakoresheje uburyo bwo kubaga.

• Kubaga Mohs: Muri ubu buryo, umuganga akuraho uruhu rwangiritse ku rundi, agakomeza kubungabunga uruhu rukikije.
• Gukata igice kinini cy'umubiri: Muri ubu buryo, umuganga ubaga akuraho agace ka EMPD hamwe n'uturemangingo twiza tuyikikije. Hanyuma impande z'igikomere zirasukwa.

Hari igihe abaganga baba bagomba gukuraho igice kinini cy'uruhu n'izindi ngingo. Bamwe mu bantu bafite EMPD hafi y'igitsina bashobora gukenera gukurwaho igice cyangwa igice cyose cy'igitsina ('vulvectomy').

Tekereza kuri ibi: Niba udashobora kubagwa bitewe n'indi ndwara cyangwa ubuzima bubi, muganga wawe ashobora kukugira inama y'ubundi buryo bwo kuvura nko:

• Ubudahangarwa bw'umubiri
• Gutunganya uruhu hakoreshejwe laser
• Ubuvuzi bw'ifotodinamike (PDT)
• Ubuvuzi bushingiye ku mirasire
• Imiti ikoreshwa mu kuvura kanseri (imiti ivura kanseri)

Igikuru ni uko niba hari kanseri y’inyuma, igomba no kuvurwa ukwayo.

Ese hari uburyo bwo kugabanya ibyago byo kurwara EMPD?

Ikibabaje ni uko nta kintu na kimwe twakora kugira ngo tugabanye ibyago byo kurwara EMPD.

Ni ubuhe buryo bw'ejo hazaza umuntu ufite EMPD yakwitega?

Nyuma yo kuvurwa na EMPD, uzakenera kujya kwa muganga wawe nyuma yo kumusura. Ibi bizaterwa n'aho EMPD yari iri. Ni ibisanzwe ko EMPD yongera kugaruka mu gace kamwe cyangwa hafi yako aho yavurirwaga mbere. Kubwibyo, ni ngombwa cyane gukomeza gukurikiza amabwiriza ya muganga wawe.

Indwara ya Extramammary Paget ni gake cyane aho ikwirakwira (ikwirakwira) mu bindi bice by'umubiri. Ariko, rimwe na rimwe ishobora gukwirakwira mu tunyangingo tw'amaraso cyangwa mu bindi bice by'umubiri. Muganga wawe ashobora gusobanura neza icyo bishoboka kuri wewe.

Ese EMPD ishobora kugaruka imaze gukira?

Yego, EMPD ni indwara ishobora kugaruka nubwo yavurwa igakira, ndetse na nyuma y'imyaka myinshi. Hari igihe ishobora kugaruka nyuma y'imyaka irenga 15. Niyo mpamvu abaganga basaba ko umuntu akurikiranwa igihe kirekire kandi agasuzumwa buri gihe.

Niba mfite EMPD, nitwara nte?

Ikintu cyiza wakora ni ugukomeza kujya kwa muganga wawe kugira ngo agukurikirane buri gihe. Mu gihe muganga wawe abonye ibimenyetso by'uko EMPD igarutse, ashobora guhita atangira kuvurwa.

Ni ryari ngomba kujya kwa muganga?

Niba ubonye ibimenyetso bishya bya EMPD, cyangwa niba ugaragaje ibimenyetso bishya, hita ubonana na muganga.

Ni ibisanzwe kumva ufite ubwoba, isoni, kandi ubabaye iyo ubonye uduheri cyangwa ikibyimba mu gice cy’umubiri wawe cy’umubiri, nko mu myanya ndangagitsina yawe. Iyi ndwara, yitwa Extramammary Paget Disease (EMPD), rimwe na rimwe ishobora kwitiranywa n’izindi ndwara z’uruhu, bityo bishobora gufata igihe kugira ngo umuntu amenye neza indwara ye. Iyo hari kanseri y’inyuma, EMPD ishobora kuba mbi kurushaho.

Ariko, inkuru nziza ni uko abantu benshi barwaye EMPD babaho ubuzima busanzwe kandi bwuzuye nyuma yo kuvurwa. EMPD ikunze kuvurwa no kubagwa. Iyo hari kanseri y’inyuma, nayo izakenera kuvurwa. Kubera ko indwara ya Extramammary Paget ishobora kugaruka, kwisuzumisha buri gihe kwa muganga wawe bishobora kugufasha kuyimenya hakiri kare iyo igarutse.

Ibintu by'ingenzi ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

• EMPD ni indwara idakunze kugaragara y'uruhu ishobora kuba ifitanye isano na kanseri.
• Itondere uruhu urwo ari rwo rwose rufite umutuku, ibibyimba, ubukonje, cyangwa imiterere y'uruhu, cyane cyane hafi y'igitsina, mu kwaha, cyangwa mu kibuno. Ibimenyetso bishobora kuba birimo kuribwa, gushya, no kubabara.
• Nubona ikimenyetso nk'iki , ntugire isoni cyangwa ngo ugire ubwoba, ahubwo hita ubonana na muganga.
• EMPD ipimwa hakoreshejwe uburyo bwa biopsy y'uruhu.
• Kubaga ni bwo buryo bukunze kugaragara cyane bwo kuvura.
• Ni ngombwa gukomeza kwisuzumisha kwa muganga, kuko EMPD ishobora kongera kugaruka.
• Ntugahangayike, abantu benshi barwaye EMPD babaho neza nyuma yo kuvurwa. Icy'ingenzi ni ukwisuzumisha hakiri kare no kuvurwa neza.

Niba ufite ikindi kibazo kuri ibi, vugana na muganga wawe. Ashobora kuguha inama ikubereye.

Indwara ya Paget yo hanze y'amabere , EMPD, indwara z'uruhu, kanseri y'uruhu, uturemangingo twa Paget, uduheri tw'uruhu, kuribwa, igitsina, agace k'inyuma, indwara z'uruhu, kubagwa kwa Mohs