Wakamboona chimwe chinhu chakaita semapundu madiki kana ronda diki paganda rako rinokura zvishoma nezvishoma nekufamba kwenguva? Rinogona kupenya kana kutsemuka. Izvi ndizvo zvatichataura nezvazvo nhasi, basal cell carcinoma, kana
Basal Cell Carcinoma (BCC) . Usazvidya moyo, ichi chirwere chinogona kurapwa kazhinji. Ngatitaurei nezvazvo zvakadzama.
Chii chinonzi Basal Cells?
Zvichitaurwa zviri nyore, masero epasi ndiwo masero madiki anowanikwa pamusoro peganda redu, chikamu cheganda chatinogona kuona nekubata, chinonzi
epidermis . Masero aya anobatsira kugadzira masero matsva eganda. Anopatsanurana uye anoita masero akawanda akafanana nawo. Sezvo masero matsva achigadzirwa, masero ekare anosundidzirwa kumusoro, anofa, uye anodururwa kubva mumiviri yedu. Iyi inzira yakajairika.
Saka chii chinonzi Basal Cell Carcinoma (BCC)?
Basal cell carcinoma (BCC) imhando yegomarara reganda ratakataura nezvaro kare. Ndiyo
mhando yegomarara reganda rinowanzoonekwa . Rinowanzo tanga riri kaganda kadiki, dzimwe nguva kanopenya, kane mapundu kana kuti kane makwande. Nekufamba kwenguva, rinokura zvakanyanya.
Kune mhando dzekenza yemasero emukati (BCC) here?
Ehe, kune mhando huru ina. Ngationei kuti ndedzipi:
- Rudzi rwemabundu: Iyi ndiyo mhando yeBCC inonyanya kuwanikwa . Inotaridzika sepundu rakatenderera. Dzimwe nguva panenge paine mitsipa midiki yeropa inoonekwa zvakajeka yakaipoteredza. Vanachiremba vanodana izvi kuti ``Telangiectasias```.
- Rudzi rwekupararira kweganda: Murudzi urwu, mavara anoonekwa pamusoro peganda. Akajeka zvishoma pane ruvara rweganda rwemazuva ose uye haana kudzika. Anogona kuitika kunyanya pahunde, maoko, nemakumbo.
- Rudzi rweSclerosing (kana Morpheaform): Mavara aya egomarara anoita semavanga. Zvisinei, mavanga aya anowedzera kukura. Rudzi urwu runowanzoonekwa pachiso. Dzimwe nguva runogona kutanga seruvara rutsvuku paganda.
- Rudzi rweruvara rwepigment: Rudzi urwu runowanzoonekwa zvishoma. Izvi zvinoitika kana imwe nzvimbo yeganda yasviba kupfuura ganda rakaripoteredza, iyo inonzi hyperpigmentation .
Ndiani ane mukana mukuru wekuwana basal cell carcinoma (BCC)?
Kansa yeBasal cell (BCC)
inogona kuitika kune chero munhu . Zvisinei, inonyanya kuitika kuvanhu vane makore anopfuura makumi mashanu. Inowanzoonekwawo
kune vanhu vane ganda rakajeka uye maziso akajeka.Njodzi yekubatwa nechirwere ichi yakakura. Munhu akambobatwa neBCC anewo mukana wakakura wekubatwa nerumwe rudzi rwekenza yeganda (nonmelanoma skin cancer) mune ramangwana.
Dambudziko iri rakajairika zvakadii?
Kansa yeBasal cell ndiyo
inonyanya kuwanikwa mukenza, uye ndiyo inonyanya kuwanikwa mukenza yeganda . Munyika yakaita seAmerica, zvinonzi huwandu hwevanhu vanobatwa nekenza itsva gore rega rega hunopfuura mamiriyoni mana. Dambudziko iri rinogona kuonekwawo munyika medu.
Ndezvipi zviratidzo zve basal cell carcinoma?
Tarisa kana ganda rako riine chimwe chezvizvi:
- Mapundu paganda, mapundu , mapundu , maronda anotsemuka, kana mavanga .
- Bundu iri rinogona kunge richipenya zvishoma . Rinogonawo kunge riri ruvara rwakafanana neruvara rweganda rako rwemazuva ese, kana kuti ringave jena, pingi, brown, dema, kana bhuruu.
- Bundu rinogona kunge richipenya zvishoma kupfuura ganda rakatenderedza, uye mitsipa midiki yeropa inogona kuonekwa .
- Bundu iri rinogona kukura nekufamba kwenguva .
- Unganzwa kuvaviwa kana kurwadziwa panzvimbo yebundu.
- Bundu rinogona kuita chironda, richibuda mvura yakachena kana kubuda ropa kana rikabatwa .
Zviratidzo zvinonyanya kuonekwa kupi?
Basal cell carcinomas inowanzoonekwa
munzvimbo dzine zuva mumuviri . Nzvimbo dzinonyanya kuonekwa ndeidzi:
- Chiso
- Dehenya (kune avo vasina bvudzi mumisoro yavo)
- Mhino
- Madonhwe eziso
- Makumbo
- Nzeve
- Maoko
Chii chinokonzera basal cell carcinoma?
Chikonzero chikuru ndechekuti
DNA iri mumasero edu inochinja . Kuchinja uku kunowanzoitika kana ganda redu rikasangana
nemwaranzi yeUV yakawandisa kubva kuzuva kana kuti mwaranzi yeUV yakagadzirwa kubva kumibhedha yetanning . Funga nezvazvo sekuti majini edu akafanana nebhuku remirairo yeDNA yemuviri wedu. Mirairo iyi ndiyo inoita kuti masero matsva akure. Sezvaunopinda mukamuri, unobatidza chiedza, uye masero e basal anogadzira masero matsva kana zvichidikanwa. Paunobuda mukamuri, unodzima chiedza, uye kana usingachaadi, anomira kugadzira masero matsva. Zvisinei, kana paine shanduko mumajini,
zvinoita sekunge switch yemwenje haigone kudzimwa . Ipapo masero e basal anoramba achigadzira masero matsva zvisina kufanira. Aya ndiwo
maitiro anoita bundu kana maronda paganda . Kashoma,
Basal cell nevus syndrome, kana kuti Gorlin syndrome, chirwere chinogara nhaka chinogona kukonzera BCC muhudiki. Unozviziva sei izvi?
Zvichienderana nechitarisiko cheganda rako, chiremba anogona kufungidzira kuti ikenza yeganda re basal cell. Zvisinei, kuti ave nechokwadi, chiremba achakuongorora uye achakubvunza mibvunzo nezvezviratidzo zvako:- Wakaona bundu/nzvimbo iyi riini paganda rako?
- Saizi yeizvi yakachinja here?
- Zvava kutaridzika zvakasiyana here iye zvino pane zvazvaive pawakatanga kuzviona?
- Izvi zvinorwadza here kana kuti zvinokwenya?
- Wakambova nekenza yeganda here?
Ndedzipi mhando dzebvunzo dzinosimbisa izvi?
Mushure mekuongororwa kwemuviri, chiremba anogona kuita bvunzo dzakadai kuti asimbise zvimwe:- Kuongororwa kweganda: Izvi zvinosanganisira kutora ganda diki kubva panzvimbo inofungirwa woriongorora uchishandisa maikorosikopu kuti uone kana masero ekenza aripo.
- Kuongororwa kwemifananidzo: Kashoma kuti basal cell carcinoma ipararire kune dzimwe nhengo dzemuviri. Zvisinei, kana chiremba akafungidzira kuti yapararira, vanogona kuraira MRI scan kana CT scan kuti vaone kana yapararira kuma lymph nodes kana nhengo dzemukati.
Chiremba achashandisa mhedzisiro yebvunzo idzi kuti aone danho rechirwere chako. Izvi zvinosanganisira:- Kukura kwebundu/gomarara uye kudzika kwaro munyama dziri pasi peganda.
- Kana paine zviratidzo zvegomarara muma lymph nodes.
- Kana kenza yapararira (yakapararira) kune dzimwe nhengo dzemuviri.
- Saizi, chimiro, nzvimbo yemota, uye mwero wainokura nawo.
Inorapwa sei?
Kansa yeBasal cell inorapwa nekubvisa kenza mumuviri . Kune nzira dzakasiyana-siyana dzekurapa nayo:- Kubvisa ganda nemagetsi: Izvi zvinosanganisira kubvisa bundu rine kenza uchishandisa chinhu chakakosha (curette) wozobvisa nzvimbo yacho nechinhu chemagetsi.
- Kuvhiya: Kubviswa kwebundu kana nzvimbo ine kenza uchishandisa scalpel. Izvi zvinoitwa nenzira dzinonzi excision kana Mohs surgery .
- Kurapa nekukasira kana kuvhiya: Kubvisa bundu rekenza nekuriisa mufiriji.
- Kurapa nemakemikari: Kushandiswa kwemishonga ine simba yekuparadza masero ekenza mumuviri. Dzimwe nguva iyi inoiswa paganda sekirimu.
- Kurapa ne Photodynamic (PDT):Nzira inoparadza masero egomarara nekuisa mvura chaiyo inonzwa chiedza paganda uye kutungamira chiedza chebhuruu pariri.
- Kurapa neLaser: Kushandisa laser rays (mwaranzi ine simba rakawanda) pachinzvimbo chescalpel kubvisa kenza.
Chiremba wako achasarudza mushonga wakakodzera iwe zvichienderana nezvinhu zvakaita sehutano hwako, zera, nzvimbo yekenza, uye saizi yeBCC. Chii chinoitika kana chikasarapwa?
Kana ukasarapa basal cell carcinoma, kenza yeganda inogona kukura nekupararira kune nyama dzakadzika pasi peganda, dzakadai semhasuru, mapfupa, uye cartilage . BCC inogona kubva yatanga kurwadziwa, kubuda ropa, uye kutapukirwa. Kunyangwe zvisingawanzoitiki, basal cell carcinoma inogona kupararira kune dzimwe nhengo dzemuviri uye inogona kukonzera migumisiro inouraya. Ndosaka zvichikosha kuiziva nekurapa nekukurumidza.
Mishonga yeizvi ndeipi?
Kazhinji, kenza inobviswa nekuvhiyiwa kana neimwe nzira. Zvisinei, mune dzimwe nguva dzisingawanzoitiki, kana basal cell carcinoma yako yakura munharaunda kana kuti yapararira kune dzimwe nhengo dzemuviri (yakapararira), kune mhando mbiri dzemishonga inotenderwa neU.S. Food and Drug Administration (FDA):- Vismodegib: Yenzvimbo kana kuti iri kure (BCC).
- Sonidegib: YeBCC yakaparadzirwa.
Mishonga iyi inopiwa kuvanhu vasingakodzeri kuvhiyiwa kana kurapwa nemwaranzi. Mishonga iyi inogona kukonzera migumisiro yakadai sekugwinha kwetsandanyama, kuchinja kwekuravira, uye kutetepa kwebvudzi. Unofanira kudzivirira kubata pamuviri paunenge uchitora mishonga iyi uye kwemwedzi mishoma mushure mekurapwa. Pane migumisiro yakaipa here kubva pakuvhiyiwa?
Kuvhiyiwa kupi zvako kunosiya vanga . Njodzi yekubuda ropa kana kutapukirwa yakaderera, asi iripo. Tariro yemamiriro ezvinhu aya ndeipi?
Kufanotaura kwevanhu vanoonekwa vaine basal cell carcinoma (BCC) kwakanaka kwazvo . Kashoma kuti BCC ipararire kune dzimwe nhengo dzemuviri uye ikonzere kukuvara. Zvisinei, pane mukana mudiki wekuti BCC ichadzoka mushure mekunge yabviswa. Kana ukaona nzvimbo itsva yakatenderedza vanga rakamborapwa, enda kuna chiremba nekukasika . Uri kupona sei izvi?
Kunyange hazvo basal cell carcinoma isingadzivirirwe zvachose, unogona kuita zvinotevera kuderedza njodzi yako:- Deredza kusvikwa nezuva pakati pa10 a.m. na4 p.m. Apa ndipo panonyanya kupenya chiedza chezuva.
- Dzivisa kushandisa mibhedha yekuchenesa ganda zvachose.
- Kana uri panze kana kuti uchiita zvinhu zvakaita sekushambira, pfeka mafuta ekudzivirira zuva ane SPF ye30 kana kupfuura zuva rega rega. Uye dzokorora kushandisa maawa maviri ega ega.
- Pfeka mbatya dzakagadzirirwa kudzivirira kubva kuzuva (neUPF), ngowani hombe, uye magirazi ezuva.
- Tarisa ganda rako kanenge kamwe chete pamwedzi.Tarisa kana paine mapundu matsva kana mavanga.
- Enda kuna chiremba weganda kamwe chete pagore kuti anoongororwa ganda rako.
- Kana ukaona matambudziko kana shanduko paganda rako, enda kuna chiremba nekukasika.
- Dzimwe ongororo dzakaratidza kuti kutora 500 milligrams ye nicotinamide, rudzi rwevhitamini B3, kaviri pazuva, kunogona kuderedza njodzi yekubatwa nekenza itsva dzeganda dzinonzi squamous cell carcinoma (SCC) uye squamous cell carcinoma (SCC). Taura nachiremba wako nezveizvi.
Ndinofanira kuona chiremba rini?
Zvakakosha kuona chiremba kana uine dambudziko reganda risiri kupera roga. Kana ukaona nzvimbo itsva kana bundu paganda rako, kana chikosoro chiripo chichiratidza kukura, kana kuti uine mapundu paganda anoperekedzwa nekurwadziwa kana kuvaviwa, enda kuna chiremba nekukasika . Mibvunzo ipi yaunofanira kubvunza chiremba?
Unogona kubvunza mibvunzo yakaita seiyi:- Chirwere changu chiri padanho ripi?
- Ko gomarara iri rapararira kune dzimwe nhengo dzemuviri here?
- Ndinofanira kuona chiremba weganda here?
- Ndezvipi migumisiro yekurapa kwaunopa?
Izvi zvakasiyana sei nedzimwe kenza dzeganda?
Basal cell carcinoma (BCC) imhando yegomarara reganda yakajairika. Kune mamwe marudzi egomarara reganda:- Squamous cell carcinoma (SCC): Iyi ndiyo mhando yechipiri inonyanya kuwanikwa yekenza yeganda mushure me basal cell carcinoma (BCC). Inokonzerwa nekuwanda kwemasero e squamous muganda, zvichiita mapundu ekenza. Inowanzoitika munzvimbo dzine zuva mumusoro nemutsipa, muhudyu, uye makumbo.
- Melanoma: Melanoma rudzi rwegomarara reganda rinotanga mumasero anopa ganda ruvara rwaro, anonzi melanocytes . Kunyangwe risingawanzoitiki seBCC kana SCC, igomarara rine njodzi rinogona kupararira nekukurumidza mumuviri wese kana rikasaonekwa uye rikarapwa nekukurumidza.
Chii chinonzi precancer?
Actinic keratosis (AK) haisi kenza yeganda. AK kukura kwemasero pamusoro peganda (epidermis) kunokonzerwa nekuratidzwa kwezuva kwenguva refu. Chirwere ichi hachisi chekenza (kureva kuti , hachina njodzi ), asi chinogona kuzopedzisira chakura kuita kenza yeganda (kunyanya squamous cell carcinoma (SCC) . Actinic keratosis inowanzoonekwa munzvimbo dzine zuva mumusoro nemutsipa, pamusoro pezeve, pamiromo, uye pamaoko nemakumbo. Pakupedzisira, zvinhu zvishoma zvekurangarira
Zvakajairika kuti unzwe kutya kana ukaona bundu rekenza paganda rako. Asi yeuka, basal cell carcinoma (BCC) chirwere chinowanzoitika uye chinogona kurapwa zvinobudirira . Unogona kudzokera kuhupenyu hwako hwemazuva ese munguva pfupi.Chinhu chinonyanya kukosha ndechekuzvidzivirira kubva kuzuva uye kudzivirira kushandisa mibhedha yekupisa. Kana ukaona bundu idzva, maronda, kana chivara paganda rako , enda kuna chiremba nekukurumidza kuti akuongorore uye, kana zvichidikanwa, kurapwa . Ipapo unogona kupora zvachose kubva padambudziko iri.
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