Pane chimwe chezvishanduko izvi chaunazvo paganda rako here? Ngatidzidzei nezve Squamous Cell Carcinoma!

Wakambonetseka here nezve bundu idzva, chironda chisingapori, kana kuti chivara chitsvuku chine mavanga paganda rako? Pamwe haufungi nezvazvo zvakanyanya. Asi, shanduko idzi dzeganda dzimwe nguva dzinogona kuva chiratidzo chechimwe chinhu chakakomba. Nhasi tichataura nezveimwe mhando yekenza yeganda yakadaro. Inonzi squamous cell carcinoma, kana kuti SCC.

Chii chinonzi squamous cell carcinoma (SCC)? Ngatizvinzwisise zviri nyore!

Zvakanaka, ngationei kuti squamous cell carcinoma chii. Zvichitaurwa zviri nyore, imhando yekenza yeganda. Inotangira paganda redu, epidermis, inonzi squamous cells. Kutaura chokwadi, ndiyo mhando yechipiri inonyanya kuzivikanwa yekenza yeganda. Yekutanga i basal cell carcinoma.

Kazhinji, kenza idzi dzemasero emudumbu dzinokura munzvimbo dzemiviri yedu dzinonyanya kupiswa nezuva. Funga nezvenzvimbo dzakadai semusoro wako, maoko, nemakumbo. Zvisinei, dzimwe nguva kenza idzi dzinogonawo kukura munzvimbo dzemuviri dzine mucous membranes. Kureva, munzvimbo dzakadai semukati memuromo, mapapu, uye rectum.

Ndedzipi mhando huru dzegomarara iri?

Kune mhando dzakasiyana-siyana dze squamous cell carcinoma, zvichienderana nekuti iri kupi mumuviri uye kuti yapararira kusvika papi.

• Kuchekwa: Rudzi urwu rwegomarara runogona kunge rwuri panzvimbo yaro (pamusoro peganda) kana kuti runogona kupararira kupfuura pamusoro peganda.
• Kupararira kwemasero ekenza: Apa ndipo apo kenza inopararira ichienda kune dzimwe nhengo dzemuviri.

Ndiani ari panjodzi huru yekubatwa ne squamous cell carcinoma?

Munhu wese anogona kuwana gomarara iri. Zvisinei, vamwe vanhu vari panjodzi yakakura zvishoma. Ona kana izvi zvichishanda kwauri:

• Kana ganda rako rakakuvara nekuda kwekuratidzwa kwezuva rakasimba kwenguva refu kubva paudiki kana nekuda kwekukuvadzwa nezuva.
• Kana une ganda rakanaka kwazvo, maziso ebhuruu kana egirini, uye bvudzi reblonde kana dzvuku.
• Kana une makore makumi matanhatu nemashanu zvichikwira.
• Kana muviri wako usina simba rekudzivirira chirwere (semuenzaniso, mumwe munhu akamboisirwa nhengo yemuviri).
• Kana wakambosangana nemamwe makemikari (semuenzaniso utsi hwefodya, arsenic).

Varume vane mukana wakapetwa kaviri wekubata gomarara iri kupfuura vakadzi. Kunyangwe richinyanya kuwanda pakati pevanhu vane makore anopfuura makumi mashanu, huwandu hwevanhu vari pasi pemakore makumi mashanu hwave kuwedzera munguva pfupi yapfuura.

Zvinonzi vanhu vanopfuura miriyoni muUnited States chete vanorwara ne squamous cell carcinoma gore rega rega. Zvinonziwo huwandu hwevanhu vanorwara nechirwere ichi hwakawedzera ne200% mumakore makumi matatu apfuura. Saka, zvakakosha kuziva izvi.

Ndezvipi zviratidzo zve squamous cell carcinoma? Unozviziva sei?

Kana ukaona chimwe chezvishanduko izvi paganda rako, ziva. Izvi zvinogona kuva zviratidzo zve squamous cell carcinoma:

• Zvironda zvakakwidzwa kana kuti bundu rakakombama paganda. Izvi zvinogona kuita ganda rakakora uye kubuda ropa .
• Bundu rakasimudzwa pamusoro peganda rakatenderedza uye rinoita segomba riri pakati.
• Ronda risingapore kana ronda rinopora rozodzokazve.
• Chivara chitsvuku chakati sandara, chine makwapa, chinogona kuva masendimita 2.5 kana kupfuura paganda .

Ndezvipi zvimwe zviratidzo zvinogona kuratidza izvi?

Kune zvimwe zviratidzo zvinogona kuratidza kuti ingave kenza yemasero e squamous:

• Bundu kana bundu riri paganda. Rinogona kunge rakaoma, richikwenya , rine mavanga, kana kuti rine ruvara rwakasiyana nerweganda rakaripoteredza. Dambudziko iri rinonziwo "Actinic Keratosis".
• Kana uine ronda pamuromo wako wezasi, ganda rako rakachinja ruvara, rakaoma, uye rakatsemuka . Rinogona kunzwa sekutsva kana ukabuda muzuva. Izvi zvinonziwo `(Cheilitis)`.
• Kana uine mavanga machena kana kuti matema asina kuchena mumuromo mako, parurimi rwako, pamazino, kana pamatama , chirwere ichi chinonzi "Leukoplakia".

Kenza iyi inonyanya kuitika mumuviri kupi?

Kunyange hazvo squamous cell carcinoma ichigona kuitika chero kupi mumuviri, inonyanya kuwanikwa munzvimbo idzi:

• Paganda
• Muromo, rurimi nepahuro (zvinonziwo "Oral Carcinoma")
• Chiso, miromo, mhino, nzeve, tsiye, uye dehenya
• Kansa yemudumbu (inonziwo Esophageal Carcinoma kana kuti Epidermoid Carcinoma)
• Maoko, makumbo
• Nzvimbo yerectal

Sei chirwere ichi che squamous cell carcinoma chichikura? Chii chinokonzera izvi?

Chikonzero chikuru chegomarara iri kuchinja kwejini kunonzi `(p53 gene)` mumasero edu. Chikonzero chikuru chekuchinja uku kwe`(p53 gene)` kuratidzwa nemwaranzi ye ultraviolet (UV rays) kubva kuzuva uye nzira dzekugadzira dzakadai se`(tanning beds)` dzinoisa ganda kumwaranzi ye UV.

Zvichitaurwa zviri nyore, iyi `(p53 gene)` ndiyo inodzora kupatsanurwa kwemasero edu nekuumbwa kwemasero matsva. Izvi zvakafanana nekenza.Zvakafanana nemushonga unodzivisa bundu. Saka, kana jini iri rachinja, masero anotanga kupatsanuka zvakanyanya pasina kudzora. Ndipo panoumbwa zvinhu zvakaita sebundu rekenza nemabundu.

Ko gomarara iri richapararira mumuviri wese here?

Cutaneous Squamous Cell Carcinoma rudzi rwegomarara reganda risingawanzo pararira kune dzimwe nhengo dzemuviri. Kunyangwe rikaitika, rinononoka. Zvisinei, rinogona kuisa hupenyu panjodzi kana rikasarapwa. Saka kana ukaona shanduko paganda rako, zvakanaka kuti uone chiremba nekukurumidza.

Gomarara iri rinoonekwa sei? (Kuongororwa)

Chiremba wako achatanga aongorora nzvimbo ine zviratidzo zvako. Izvi zvinoreva saizi, chimiro, uye nzvimbo yebundu kana ronda. Pamusoro pezvo, vachabvunza mibvunzo kuti vadzidze zvakawanda nezvenhoroondo yako yezvekurapa nezviratidzo. Semuenzaniso:

• "Wakatanga kuona bundu/ronda iri riini?"
• "Saizi yeiyi yakachinja here mushure mekunge waiona kekutanga?"
• "Zvinorwadza here izvi? Zvinokwenya here?"

Ndedzipi mhando dzebvunzo dzinosimbisa izvi?

Mushure mekuongororwa nachiremba, mimwe miedzo inogona kuitwa kusimbisa chirwere ichi:

• Kuongororwa kweganda: Izvi zvinosanganisira kutora chidimbu chidiki chenyama kubva panzvimbo yakakanganiswa wochiongorora uchishandisa maikorosikopu.
• Kuongororwa kwemifananidzo (semuenzaniso, CT scan kana MRI): Izvi zvinoshandiswa kuona kukura kwegomarara pasi peganda uye kana rakapararira kune dzimwe nhengo dzemuviri, kunyanya lymph nodes.

Ndezvipi zvikamu zve squamous cell carcinoma?

Chiremba wako achakupa danho rechirwere kuti aone kuti kenza yapararira kusvika papi mumuviri wako. Danho iri richasarudza kurapwa kwakanakira iwe. Kune matanho mashanu makuru e squamous cell carcinoma:

• Danho 0: Gomarara iri riri pamusoro peganda chete (epidermis). Izvi zvinonziwo Squamous cell carcinoma in situ.
• Danho rekutanga (1): Gomarara iri riri pamusoro nepakati peganda (Epidermis neDermis).
• Danho rechipiri (2): Gomarara iri riri pamusoro nepakati peganda uye rapararira kusvika kutsinga kana kuti pasi peganda (Epidermis, Dermis neSubcutis).
• Danho rechitatu (3): Gomarara rapararira kupfuura ganda kusvika kuma lymph nodes.
• Danho rechina (4): Gomarara rapararira kune dzimwe nhengo dzemuviri nedzemuviri dzakadai sechiropa, mapapu, nehuropi.

Kansa ye squamous cell inorapwa sei?

Chinangwa chikuru chekurapa kubvisa kenza mumuviri. Rudzi rwekurapwa kwaunowana runoenderana nezvinhu zvakaita sehukuru, chimiro, uye nzvimbo yekenza. Heano mamwe emishonga anonyanya kushandiswa:

• Kuvhiya Kunotonhora: Kuomesa nechando uye kuparadza masero ekenza.
• Kurapa nePhotodynamic (PDT):Kenza inobviswa paganda uchishandisa zvinhu zvinonzwa chiedza uye chiedza chebhuruu.
• Kucheneswa Kweganda Nekubviswa Kweganda Nemagetsi: Bundu regomarara rinokweshwa nechinhu chakaita sechipunu chinonzi curette robva rapiswa nemagetsi.
• Kuchekwa: Kuvhiyiwa kunoitwa kubvisa kenza paganda uye kusona ganda pamwe chete.
• Kuvhiyiwa kweMohs: Izvi zvinosanganisira kubvisa ganda rakakanganiswa negomarara. Izvi zvinowanzoitirwa gomarara rinoitika pachiso.
• Systemic Chemotherapy: Mishonga ine simba inopihwa kuparadza masero ekenza mumuviri.

Ndeipi mhando yemishonga inopihwa yegomarara iri?

Dzimwe nguva, kana kenza yapararira zvishoma, kana kuvhiyiwa kubvisa kenza hakusi sarudzo yakanaka kwauri, chiremba wako anogona kukupa mishonga.

• Mafuta eganda ane ``Imiquimod`` kana ``5-Fluorouracil`` anoshandiswa pakurapa squamous cell carcinoma iri pamusoro peganda (epidermis).
• Kurapa kwemuviri kunonzi ``Cemiplimab-rwlc (Libtayo®)`` kunopihwa kune kenza dzemhando yepamusoro dzesquamous cell carcinomas.
• Kurapa kwemuviri kunonzi ``Pembrolizumab (Keytruda®)`` kunopihwa kukenza dzemasero eganda dzisingakwanise kurapwa nekuvhiyiwa.

Pane migumisiro yakaipa here pakurapa uku?

Mhedzisiro inonyanya kuitika ndeyekuchinja kwechitarisiko cheganda mushure mekubviswa kwegomarara, zvakaita semavanga.

Kana uri kutora immunotherapy, taura nachiremba wako nezvemigumisiro yemishonga iyoyo.

Ndichakurumidza sei kupora mushure mekurapwa?

Nguva inotorwa kuti muviri wako upore mushure mekurapwa inosiyana kubva pamunhu nemunhu. Zvinoenderana nezvinhu zvakaita sehukuru, chimiro, uye nzvimbo yekenza. Kazhinji, vanhu vazhinji vanopora mukati memavhiki maviri kusvika mana mushure mekurapwa kuti vabvise kenza. Mavhiki mashoma mushure mekurapwa, chiremba wako achakutarisa zvakare kuti ave nechokwadi chekuti muviri wako uri kupora zvakanaka uye kuti kurapwa kuri kushanda.

Izvi zvinodzivirira sei kubva kukenza yemasero e squamous?

Kunyange zvazvo zvisingabviri kuzvidzivirira zvizere kubva kumarudzi ese ekenza yemasero e squamous, pane zvinhu zvaunogona kuita kuderedza njodzi yako:

• Dzivisa kupiswa nezuva zvakanyanya.
• Dzivisa kushandisa mibhedha yekuchenesa ganda.
• Pfekai magirazi ezuva, ngowani, uye mbatya dzine dziviriro yeUPF kana muri panze. Uyewo, shandisai sunscreen.
• Rega kusvuta.
• Dzivisa kusangana nemakemikari asina michina yekudzivirira.

Chinhu chinonyanya kukosha ndechekuti kana ukaona shanduko itsva paganda rako, bundu, kana ronda risingapore, kana kuti kana usina chokwadi nazvo, enda kuna chiremba kana chiremba weganda nekukasika.

Chii chinoitika kana ndiine squamous cell carcinoma?

Kazhinji, squamous cell carcinomaKana zvikaonekwa nekukasika, pane mukana wakanaka wekuti munhu ararame. Kuonekwa nekurapwa nekukurumidza kunogona kudzivirira kenza kuti isakure uye kukuvadza dzimwe nhengo dzemuviri.

Kunyangwe chiremba wako akakubvisa kenza yako, pane mukana mudiki wekuti ichadzokazve mune ramangwana. Saka ramba uchitaurirana nachiremba wako kuti uve nechokwadi chekuti hauna kenza zvachose. Zvakakoshawo kudzivirira ganda rako kubva kumwaranzi yeUV paunobuda panze.

Ndinofanira kuona chiremba rini?

Muchiitiko chakadaro, unofanira kuona chiremba:

• Kana ukaona chimwe chinhu paganda rako, chakadai sebundu idzva, vara rekuzvarwa naro, ronda risingapore, kana shanduko panzvimbo yagara iripo kwenguva yakareba .
• Kana uchida kuongororwa ganda rako gore rega rega nachiremba weganda.
• Kana paine migumisiro kana matambudziko akadai sekurwadziwa, kubuda ropa, kana kuvaviwa zvine chekuita nekurapwa kwegomarara remasero emudumbu.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

• "Ndine danho ripi rekenza ye squamous cell?"
• "Ndinofanira kuvhiyiwa here kuti ndibvise kenza mumuviri wangu?"
• "Ndinofanira kuona chiremba weganda here?"
• "Pane migumisiro yakaipa here yekurapwa kwacho?"

Ndeupi musiyano uripo pakati pe squamous cell carcinoma (SCC) ne basal cell carcinoma (BCC)?

Squamous cell carcinoma (SCC) uye basal cell carcinoma (BCC) mhando dzese dzegomarara reganda. Dzose dzinokonzerwa nekuratidzwa zvakanyanya nezuva (ultraviolet rays). Dzese idzi dzinokonzerwa nekuwanda kwemasero egomarara kana basal cells. Squamous cell carcinoma, se basal cell carcinoma, inogona kukura muganda. Zvisinei, SCC yakasiyana nekuti inogonawo kukura munzvimbo dzine mucous membranes, dzakadai semukati memuromo, pahuro, mapapu, uye nhengo dzesikarudzi.

Chii chinonzi 'squamous cell carcinoma in situ'?

Kansa yemasero emukati meganda inonziwo chirwere cheBowen . Izwi rekuti "in situ" rinoreva kuti masero ekenza ari pamusoro peganda chete (epidermis). Chirwere cheBowen chinowanzo kuwanikwa paganda rakavhenekerwa nezuva. Zvisinei, dzimwe nguva chinogona kukura paganda rakatenderedza anus nenhengo dzesikarudzi, semuenzaniso, palabia kana vulva (inonziwo vulvar cancer).

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakajairika kuti unzwe kutya kana ukaona bundu idzva paganda rako wobva waona kuti igomarara. Zvisinei, kurapwa kwegomarara re squamous cell carcinoma kunogona kubvisa gomarara mumuviri wako zvinobudirira. Chinhu chakakosha kutora matanho ekuzvidzivirira kubva kuzuva reUV. Kana ukaona mapundu matsva kana shanduko paganda rako, usatambisa nguva uye enda kuna chiremba, vaongorore, uye tora kurapwa nekukurumidza kana zvichidikanwa. Hutano hwako huri mumaoko ako!

` squamous cell carcinoma, kenza yeganda, sc, kenza yeganda, zvirwere zveganda, zviratidzo zvekenza, chiedza chezuva