Une makwapa akakombama paganda rako here? Zvingave Actinic Keratosis!

Wakamboona mavanga madiki, akaomarara, ane mavanga paganda rako here, kunyanya munzvimbo dzinopisa zuva? Dzimwe nguva ungasanyatsoateerera. Zvisinei, mamwe emavanga aya anogona kunge ari chirwere chinonzi Actinic Keratosis . Zvakakosha kuziva izvi. Saka ngatitaure nezvazvo zvishoma nhasi, handiti?

Chii chinonzi Actinic Keratosis?

Zvichitaurwa zviri nyore, actinic keratosis , inozivikanwawo se solar keratosis, rudzi rwechirwere cheganda chinokonzera mavanga akaomarara paganda rako. Izvi zvinowanzokonzerwa nemakore akawanda uchigara uri muzuva.

Chinhu chakakosha ndechekuti, iyi `(Actinic Keratosis)` ikenza isati yatanga . Izvi zvinoreva kuti kana mavara aya akasabatwa zvakanaka, mamwe acho anogona kuchinja kuita `(Squamous Cell Carcinoma)`, rudzi rwekenza yeganda . Musazvidya mwoyo, haasi ese `(Actinic Keratosis)` anozoshanduka kuita kenza. Zvisinei, zvakakosha kungwarira nezvawo nekuti ane njodzi. Kutaura zvazviri, iyi ndiyo inonyanya kukonzera kenza yeganda isati yatanga . Mamiriyoni evanhu pasi rose vane chirwere ichi.

Ndiani ane mukana mukuru wekukura izvi?

Hapana anoda kubata nezvinhu izvi. Zvisinei, vamwe vanhu vane mukana mukuru wekuva ne "Actinic Keratosis". Ona kana uri muchikamu ichi:

• Vanhu vasingadziviriri ganda ravo kubva kuzuva: Ichi ndicho chikonzero chikuru. Vanhu vanogara vari muzuva vasina magirazi ezuva, ngowani, kana mafuta ekudzivirira zuva vari panjodzi huru.
• Vanhu vane ganda rakajeka, bvudzi rebrown kana dzvuku: Vanhu vane maziso ebhuruu kana egirini vari panjodzi huru. Izvi zvinodaro nekuti ganda ravo harina melanin yakawanda, pigment inoridzivirira kubva kuzuva.
• Vanhu vane nhoroondo yekupiswa nezuva kakawanda kana zvakanyanya: Kana wakambopiswa nezuva kubvira paudiki, izvozvo zvinogonawo kuva chikonzero.
• Vanhu vane dziviriro yemuviri isina simba: Dambudziko iri rinowanzoitika kana dziviriro yemuviri isina simba nekuda kwezvirwere zvakasiyana (semuenzaniso, HIV ), kana mishonga yakadai sekurapa kenza, kana mishonga inotorwa mushure mekuisirwa nhengo yemuviri.
• Vanhu vane makore anopfuura makumi mana: Izvi zvinogona kuoneka patinokura nekuda kwemakore akawanda ekugara tichiona zuva richipisa. Zvisinei, vechidiki vanogonawo kuzviwana, kunyanya kana vakapedza nguva yakawanda vari muzuva.

Sei actinic keratosis ichiitika?

Chikonzero chikuru cheizvi imwaranzi ye ultraviolet (UV) muzuva.Ehe, chiedza chezuva chimwe chete ndicho chinotipa isu tese vhitamini D, asi kuwanda kwazvo kunogona kukonzera matambudziko. Mwaranzi yeUV haingobvi kuzuva chete, inobvawo kumwenje wekugadzira senge mibhedha yekupisa ganda iyo vamwe vanhu vanoshandisa kuti ganda ravo ritaridzike zviri nani.

Mwaranzi iyi ye'UV' inogona kukuvadza masero ari pamusoro peganda redu, anonzi 'Keratinocytes'. Kana kukuvara uku kukaramba kuripo nekufamba kwenguva, masero iwayo anotanga kukura zvisina kujairika. Ndipo panoonekwa mavara aya e'Actinic Keratosis'. Kungofanana nemuti unoora kana ukadiridzwa zvakanyanya, ganda redu rinokuvarawo kana rikasangana nemwaranzi ye'UV' zvakanyanya.

Ndezvipi zviratidzo zveizvi? Unozviziva sei?

Kazhinji, chiratidzo chekutanga cheActinic Keratosis ibundu rakakwidzwa kana kuti chivara paganda. Rinogona kunzwika serakakushwa, sejecha kana rikabatwa. Izvi zvinogona kuuya nemavara akasiyana-siyana:

• Ruvara rwegireyi
• Ruvara rwepingi
• Ruvara rutsvuku
• Ruvara rweganda rwakafanana nerwako, asi rwakaomarara.
• Dzimwe nguva panogona kunge paine zvinhu zvakaita semakwande eyero kana brown panzvimbo idzi.

Idzi dzinogona kukura kubva pamamirimita mashoma kusvika pamasendimita maviri . Dzinowanzoonekwa munzvimbo dzinowanzo piswa nezuva, dzakadai sekumeso, nzeve, ganda remusoro, mutsipa, kumashure kwemaoko, uye pahuma .

Panogonawo kuva nezvimwe zviratidzo:

• Kubuda ropa kubva panzvimbo iyoyo (kunyanya kubva munhengo yemukadzi)
• Kupisa, kukwenya, kana kunzwa kwekurutsa munzvimbo iyi
• Miromo yakaoma uye ine maburi (inonziwo `Actinic Cheilitis`)
• Dzimwe nguva unogona kuona ganda richikura ('nyanga yeganda') rinobuda mudenga senyanga yemhuka .
• Kuchinja ruvara rwemiromo
• Marwadzo kana marwadzo munzvimbo iyoyo

Zvakakosha: Kana ukaona nzvimbo itsva, bundu, ruvara rwakachinja, kana chero shanduko panzvimbo iripo (yakadai sekukura, kusviba kweruvara, kana kubuda ropa) paganda rako, usazviregeredza . Enda kuna chiremba nekukasika.

Chiremba anoziva sei kana izvi zviripo?

Kana muine kusava nechokwadi nezve chikosoro chakadai, munogona kuona chiremba wemhuri yenyu kana chiremba weganda .

Chiremba anowanzoita zvinotevera:

1. Kuongorora ganda zvakanaka: Ongorora ganda remuviri wako wese, kunyanya nzvimbo dzinopisa zuva.

2. Kushandisa lenzi inokudza zvinhu: Dzimwe nguva girazi rinokudza zvinhu rinoshandiswa kuona nzvimbo yacho zvakajeka.

3. Kuongororwa kweganda: ChirembaKana paine kusava nechokwadi nezve chikosoro, kana kuti chikaita sechisina kujairika, ganda diki rinotorwa roendeswa kurabhoritari kuti riongororwe nemaikorosikopu. Izvi zviri nyore kwazvo. Zvinosanganisira kubatwa nepfungwa shoma. Izvi ndizvo zvinoita kuti pave nechirwere chakarurama .

Ndezvipi zvinorapwa izvi?

Mashoko akanaka ndeekuti, kune mishonga yeActinic Keratosis! Chiremba wako ndiye achasarudza marapirwo acho zvichienderana nehuwandu hwenzvimbo dzaunadzo, chitarisiko chadzo, uye nzvimbo yadzo.

Kune nzira dzinoverengeka huru dzekurapa:

Kurapwa kwakaitwa kuhofisi yachiremba:

• Maganda emakemikari : Izvi zvakafanana nemasiki echiso emhando yepamusoro. Chiremba wako anoisa kemikari yakakosha paganda rako. Izvi zvinoshanda nekuparadza masero ekunze eganda. Nzvimbo yacho inogona kunge yakatsvuka uye ichirwadza kwemazuva mashoma. Asi ganda parinopora, ganda idzva, rine hutano rinobuda.
• Kurapa neCryotherapy: Nzira iyi inogona kushandiswa kana uine kamukuyu kamwe chete kana maviri madiki. Chiremba anoshandisa chinhu chinotonhora zvikuru, senge nitrogen yemvura, kuti aomese kamukuyu. Mumazuva mashoma, kamukuyu kanoputika, kanooma, uye kanodonha.
• Kubvisa ganda: Mukuita uku, chiremba anotanga abvisa ganda panzvimbo ine chikosoro. Zvadaro, chikosoro chinokweshwa, kana kuchekwa, uye stichi imwe kana mbiri dzinoiswa panzvimbo yacho. Ronda rinopora mumavhiki maviri kusvika matatu.
• Kurapa nePhotodynamic (PDT): Kana uine mavara akawanda, kana kuti akaramba achidzoka pasinei nekurapwa, chiremba wako anogona kukurudzira kurapwa uku. Mukurapa uku, kirimu yakakosha ("photosensitizing agent") inoiswa pamavanga, uye mushure memaawa mashoma, chiedza chakakosha (''chiedza chebhuruu'' kana "chiedza chitsvuku'') chinotariswa paari. Izvi zvinoparadza masero asati abatwa nekenza. Unofanira kudzivirira zuva zvachose kwemazuva mashoma mushure mekurapwa uku.

Kurapa kumba:

Dzimwe nguva, kana uine mavanga akawanda, kana kuti mavanga acho madiki zvekuti haaoneki zvakanyanya, chiremba wako anogona kukupa mafuta ekuzora kana majeli ekushandisa kumba. Izvi zvinoda kuzorwa zuva nezuva kwemwedzi yakati wandei (pamwe kusvika kumwedzi mina).

Heano mimwe mienzaniso:

• `Diclofenac skin gel ( Voltaren ® gel)` – Zvakakosha: Kunyange zvazvo `Voltaren®` gel yava kuwanikwa pasina muripo wekutenga, haufanirwe kuishandisa wega kunze kwekunge chiremba akakurudzira zvakananga `(Actinic Keratosis)`.
• "Fluorouracil, kana kirimu yeganda ye5-FU (Fluorac®)"
• ``Imiquimod skin cream (Aldara® kana Zyclara®)''
• ``Ingenol mebutate topical gel (Picato®)''

Vamwe vanhu vanogona kuona kutsvuka, kutsva, kana kukweshwa kweganda pavanozora mafuta aya. Asi izvozvo chikamu chekurapa. Kana muine kusagadzikana, taurirai chiremba wenyu .

Zvinotora nguva yakareba sei kuti munhu apore mushure mekurapwa? Ndingadzoka here?

Nguva yekupora inosiyana zvichienderana nehuwandu hwemavanga eActinic Keratosis aunawo, saizi yawo, uye kurapwa kwawakaitwa. Kazhinji, mavanga acho anenge apera zvachose mushure memwedzi mitatu yekurapwa.

Kana mavara acho apera, zvakakosha kuti uone chiremba kuti aongororwe kamwe chete kana kaviri pagore . Kana uine masoja emuviri asina simba, ungangoda kuona chiremba weganda kana kashanu pagore.

Ehe, Actinic Keratosis inogona kudzoka, kunyanya kana ukasaramba uchidzivirira ganda rako kubva kuzuva. Saka, zvakakosha kuchengetedza ganda rako kubva kuzuva panguva yekurapwa uye mushure mekurapwa.

Chinonyanya kukosha! Ungadzivirira sei Actinic Keratosis?

Ichi ndicho chikamu chakanakisa chenyaya iyi. Pane zvakawanda zvatinogona kuita kudzivirira kukura kwe `(Actinic Keratosis)`. Chinhu chikuru ndechekuderedza kuratidzwa zvisina kufanira nemwaranzi yeUV.

Heano zvinhu zvaunogona kuita nazvo:

• Isa mafuta ekudzivirira zuva zuva rega rega: Usarega kushandisa mafuta ekudzivirira zuva, kunyangwe mumazuva ane makore kana munguva yechando. Sarudza mafuta ekudzivirira zuva ane SPF 30 (Sun Protection Factor) kana kupfuura, uye ane broad-spectrum (ndiko kuti, anodzivirira kubva kuUVA neUVB rays). Isa maminetsi 15-30 usati wabuda panze, uye isa futi maawa maviri ega ega kana uchidikitira, uchishambira, kana kushambira.
• Dzivisa mwaranzi yezuva yakasimba zvikuru: Mwaranzi yeUV inenge yakasimba zvikuru pakati pa10am na2pm (mune dzimwe nzvimbo, na4pm). Deredza kusviba kwezuva panguva idzi zvakanyanya sezvinobvira.
• Dzivisa chiedza chezuva chekugadzira: Usashandise zvinhu zvakaita se `(Tanning salons)`, `(sun lamps)`, `(tanning beds)`. Zvinoburitsawo mwaranzi ye`UV` inokuvadza.
• Pfeka mbatya dzinodzivirira zuva: Pfeka mbatya dzine maoko marefu, bhurugwa refu, ngowani ine muromo wakafara, uye magirazi ezuva anodzivirira UV zvakanyanya sezvinobvira.

Tinofanira kutya mamiriro ezvinhu aya here?

Actinic Keratosis chirwere chinofanira kufungwa nezvacho, asi hachisi chinhu chekunetseka nacho . Kazhinji, mavara aya anogona kurapwa zvakakwana nekurapwa kwakakodzera. Vanhu vanosvika 90% vane Actinic Keratosis havaiti kenza yeganda.

Asi, yeukai, kenza zhinji dzeganda dzinotanga seActinic Keratosis. Ndosaka tisingafaniri kutora chirwere ichi sechisina basa. Kana chikazivikanwa nekukasika uye chikarapwa, mikana yekuti chizokura kuita kenza hainyanyi kukura.

Ndirini pakanakisisa kuenda kuna chiremba?

Kana ukaona chimwe chezviratidzo izvi paganda rako, iva nechokwadi chekuona chiremba:

• Kana paine chivara paganda chiri kubuda ropa, matumbu, kuzvimba, kana kuvaviwa .
• Kana ukaona bundu paganda rinobuda senyanga yemhuka .
• Kana mavanga matsva, akasimudzwa, matsvuku, kana ane makwapa akaonekwa kana kuti aripo akachinja.

Zvichitaurwa zviri nyore, kana ukaona chimwe chinhu chitsva, shanduko, kana chimwe chinhu chinofungira paganda rako, usazviregeredza.

Ndeipi mibvunzo inokosha yekubvunza chiremba?

Kana ukaona chiremba, usakanganwa kubvunza mibvunzo iyi:

• "Chiremba, sei ndine `(Actinic Keratosis)` iyi?"
• "Ndedzipi nzira dzakanakisisa dzekurapa?"
• "Ndedzipi njodzi kana migumisiro inogona kukonzerwa nemishonga iyi?"
• "Ndeapi matambudziko andinofanira kutarisa?"
• "Ndinofanira kuitei mushure mekurapwa, uye ndinofanira kuzvitarisira sei?"
• "Ndingaitei kuti ndidzivise kuti chinhu chakadai chisaitike zvakare?"

Pakupedzisira, zvinhu zvekurangarira

Zvakanaka, saka, `(Actinic Keratosis)` chirwere cheganda chinoda kurapwa nekutarisirwa nekukurumidza . Kazhinji, izvi zvinogona kurapwa nekuvhiyiwa kana nekuzora. Chinhu chakakosha ndechekudzivirira ganda rako kubva kuzuva nemwaranzi ye`UV` . Ipapo unogona kuderedza zvakanyanya njodzi yechirwere ichi.

Kana uchifunga kuti une Actinic Keratosis, ndapota shanyira chiremba nekukasika kuti akupe mazano . Kana ukakurumidza kutsvaga kurapwa, njodzi yako yekuva nekenza yeganda inoderedza. Chengetedza ganda rako, nekuti ndiro chinhu chako chakakosha!