Ngaba unamabala arhabaxa eluswini lwakho? Isenokuba yi-Actinic Keratosis!

Ngaba wakha waphawula amabala amancinci, arhabaxa, anamaxolo eluswini lwakho, ingakumbi kwiindawo ezichatshazelwe lilanga? Ngamanye amaxesha usenokungawahoyi kangako. Nangona kunjalo, amanye ala mabala anokuba yimeko ebizwa ngokuba yi -Actinic Keratosis . Kubalulekile ukuqaphela oku. Ngoko ke masithethe ngayo kancinci namhlanje, akunjalo?

Yintoni i-Actinic Keratosis?

Ngamafutshane, i-actinic keratosis , eyaziwa ngokuba yi-solar keratosis, luhlobo lwesifo solusu esibangela amabala arhabaxa nolusu lwakho. Ezi zihlala zibangelwa kukukhanya kwelanga iminyaka emininzi.

Into ebalulekileyo kukuba, le `(Actinic Keratosis)` yimeko yomhlaza wangaphambi komhlaza . Oku kuthetha ukuba ukuba la mabala awanyangwa ngokufanelekileyo, amanye awo anokuguquka abe yi`(Squamous Cell Carcinoma)`, uhlobo lomhlaza wolusu . Ungakhathazeki, ayizizo zonke `(Actinic Keratosis)` eziya kujika zibe ngumhlaza. Nangona kunjalo, kubalulekile ukuba uzilumkele kuba ziyingozi. Enyanisweni, le yeyona meko yolusu ixhaphakileyo ngaphambi komhlaza . Izigidi zabantu kwihlabathi liphela zinale meko.

Ngubani onokuthi aphuhlise oku ngakumbi?

Akukho mntu ufuna ukujongana nezi zinto. Nangona kunjalo, abanye abantu banamathuba amaninzi okufumana i-"Actinic Keratosis". Jonga ukuba uwela kolu luhlu:

• Abantu abangakhuseli ulusu lwabo elangeni: Le yeyona sizathu siphambili. Abantu abahlala elangeni bengenazo iiglasi zelanga, iminqwazi, okanye ii-sunscreen basengozini enkulu.
• Abantu abanesikhumba esikhanyayo, iinwele ezimdaka okanye ezibomvu: Abantu abanamehlo aluhlaza okanye aluhlaza nabo basengozini enkulu. Oku kungenxa yokuba ulusu lwabo alunayo i-melanin eninzi, umbala olukhusela elangeni.
• Abantu abanembali yokutsha rhoqo okanye kakhulu lilanga: Ukuba ubutshiswe lilanga ukususela ebuntwaneni, oko kungaba yimbangela.
• Abantu abane -immune system ebuthathaka: Le meko inokwenzeka kakhulu xa i-immune system ibuthathaka ngenxa yezifo ezithile (umz., i-HIV ), okanye unyango olufana ne -immunotherapy yomhlaza, okanye amayeza athathwe emva kokufakelwa ilungu.
• Abantu abangaphezu kwama-40: Oku kunokubonakala njengoko sikhula ngenxa yeminyaka emininzi yokuchatshazelwa lilanga. Nangona kunjalo, abantu abancinci nabo banokuba nakho, ingakumbi ukuba bachitha ixesha elininzi elangeni.

Kutheni i-actinic keratosis isenzeka?

Eyona nto ibangela oku yimitha ye-ultraviolet (UV) elangeni.Ewe, lilanga elifanayo elisinika sonke i-vitamin D, kodwa ukuba ininzi kakhulu kunokubangela iingxaki. Imitha ye-UV ayiveli elangeni kuphela, ikwavela kwizixhobo zokukhanya ezenziweyo ezifana neebhedi zokuthambisa ezisetyenziswa ngabanye abantu ukwenza ulusu lwabo lubukeke lungcono.

Le mitha ye-'UV' ingonakalisa iiseli ezikwindawo ephezulu yolusu lwethu, ezibizwa ngokuba yi-'Keratinocytes'. Xa lo monakalo uqhubeka ngokuhamba kwexesha, ezo seli ziqala ukukhula ngendlela engaqhelekanga. Kulapho kuvela khona la mabala e-'Actinic Keratosis'. Kanye njengokuba isityalo sibola xa sinkcenkceshelwa kakhulu, ulusu lwethu nalo luyabola xa luvezwa kakhulu yimitha ye-'UV'.

Zithini iimpawu zoku? Uzibona njani?

Amaxesha amaninzi, uphawu lokuqala lwe-Actinic Keratosis luqhuma okanye ibala elirhabaxa eluswini. Lisenokuvakala lirhabaxa, njengephepha lesanti xa lichukunyiswa. Ezi zinokuba nemibala eyahlukeneyo:

• Umbala ongwevu
• Umbala opinki
• Umbala obomvu
• Ulusu lufana nolwakho, kodwa lurhabaxa ngakumbi.
• Ngamanye amaxesha kunokubakho into efana namaxolo atyheli okanye amdaka kula mabala.

Ezi zinokuhluka ngobukhulu ukusuka kwiimilimitha ezimbalwa ukuya kwiisentimitha ezimbini . Zibonakala kakhulu kwiindawo ezihlala zichatshazelwa lilanga, njengobuso , iindlebe, intloko yentloko, intamo, umva wezandla, kunye nebunzi .

Kusenokubakho nezinye iimpawu:

• Ukopha okuvela kwindawo leyo (ingakumbi kwilungu lobufazi)
• Ukutsha, ukurhawuzelela, okanye ukurhawuzelela kwindawo leyo
• Imilebe eyomileyo neqhekekileyo (ekwabizwa ngokuba yi-'Actinic Cheilitis')
• Ngamanye amaxesha ungabona ukukhula kolusu (`uphondo lwesikhumba`) oluphuma lubheke phezulu njengophondo lwesilwanyana .
• Ukutshintsha kombala wemilebe
• Intlungu okanye ukurhawuzelelwa kuloo ndawo

Kubalulekile: Ukuba ubona indawo entsha, iqhuma, umbala otshintshileyo, okanye naluphi na utshintsho kwindawo ekhoyo (njengokukhula, umbala otshintshileyo, okanye ukopha) eluswini lwakho, musa ukuyityeshela loo nto. Bona ugqirha ngoko nangoko.

Ugqirha uyazi njani ngokuqinisekileyo ukuba oku kukho?

Ukuba unamathandabuzo malunga ne-mole efana nale, ungabonana nogqirha wosapho lwakho okanye ugqirha wesikhumba .

Ugqirha udla ngokwenza oku:

1. Ukuhlolwa kolusu ngokupheleleyo: Hlola ulusu lomzimba wakho wonke, ingakumbi iindawo ezichatshazelwe lilanga.

2. Ukusebenzisa ilensi yokukhulisa: Ngamanye amaxesha kusetyenziswa iglasi yokukhulisa ukuze kubonakale kakuhle indawo leyo.

3. I-Biopsy yolusu: UgqirhaUkuba kukho amathandabuzo malunga ne-mole, okanye ukuba ibonakala ingaqhelekanga, kuthathwa iqhekeza elincinci lesikhumba lithunyelwe kwilebhu ukuze lijongwe nge-microscope. Oku kulula kakhulu. Kubandakanya ukudakumba okuncinci. Yile nto ivumela ukuxilongwa ngokuchanekileyo .

Zithini iindlela zonyango zoku?

Iindaba ezimnandi zezokuba, kukho unyango lwe-Actinic Keratosis! Ugqirha wakho uya kugqiba ngonyango oluya kuxhomekeke kwinani lamabala onawo, imbonakalo yawo, kunye nendawo akuyo.

Kukho iindlela ezininzi eziphambili zonyango:

Unyango olwenziwe eofisini kagqirha:

• Iikhemikali ezikhupha amaxolo : Oku kufana nemaski yobuso yodidi lwezonyango. Ugqirha wakho ufaka ikhemikhali ekhethekileyo kwibala lakho. Oku kusebenza ngokutshabalalisa umaleko ongaphandle weeseli zolusu. Indawo inokuba bomvu kwaye ibuhlungu kangangeentsuku ezimbalwa. Kodwa njengoko ulusu luphola, kuvela ulusu olutsha nolusempilweni.
• Unyango lweCryotherapy: Le ndlela ingasetyenziswa ukuba une-moles enye okanye ezimbini ezincinci. Ugqirha usebenzisa into ebandayo kakhulu, efana ne -nitrogen engamanzi, ukuze aqandise i-moles. Kwiintsuku ezimbalwa, i-moles iya kuqhuma, yome, ize iwe.
• Ukususwa kwenxeba: Kule nkqubo, ugqirha uqala ngokuyivala indawo apho kukho i-mole. Emva koko, i-mole iyakhuhlwa, okanye isikwe, kwaye kufakwa umthungo omnye okanye emibini kuloo ndawo. Inxeba liyaphola kwiiveki ezimbini ukuya kwezintathu.
• Unyango lwe-Photodynamic (PDT): Ukuba unamabala amaninzi, okanye ukuba ahlala ebuya nangona unyango luqhubeka, ugqirha wakho unokucebisa olu nyango. Kolu nyango, kufakwa ikhrimu ekhethekileyo (i-"photosensitizing agent") kumabala, kwaye emva kweeyure ezimbalwa, kufakwa ukukhanya okukhethekileyo ("ukukhanya okuluhlaza okwesibhakabhaka" okanye "ukukhanya okubomvu") kuwo. Oku kutshabalalisa iiseli ezingaphambi komhlaza. Kufuneka uphephe ilanga ngokupheleleyo kangangeentsuku ezimbalwa emva kolu nyango.

Unyango lwasekhaya:

Ngamanye amaxesha, ukuba unamabala amaninzi, okanye ukuba amabala mancinci kangangokuba awabonakali lula, ugqirha wakho unokukunika iikhrimu okanye iijeli zokusebenzisa ekhaya. Ezi kufuneka zisetyenziswe imihla ngemihla kangangeenyanga eziliqela (mhlawumbi ukuya kuthi ga kwiinyanga ezi-4).

Nantsi eminye imizekelo:

• Ijeli yesikhumba yeDiclofenac (ijeli yeVoltaren ®)` – Kubalulekile: Nangona ijeli yeVoltaren®` ngoku ifumaneka ngaphandle kwekhawuntara, akufanele uyisebenzise wedwa ngaphandle kokuba ugqirha uyicebise ngokukodwa kwi-`(Actinic Keratosis)`.
• ``Fluorouracil, okanye ikhrimu yolusu ye-5-FU (Fluorac®)''
• ``I-Imiquimod skin cream (Aldara® okanye iZyclara®)''
• ``Ingenol mebutate topical gel (Picato®)''

Abanye abantu banokufumana ukubomvu, ukutsha, okanye ukuxobuka kolusu xa befaka ezi cream. Kodwa oko kuyinxalenye yonyango. Ukuba unengxaki yokungakhululeki, xelela ugqirha wakho .

Kuthatha ixesha elingakanani ukuchacha emva konyango? Ndingabuya?

Ixesha lokuphiliswa liya kwahluka ngokuxhomekeke kwinani lamabala e-Actinic Keratosis onawo, ubungakanani bawo, kunye nonyango olufumeneyo. Ngokwesiqhelo, la mabala aya kuba sele ephelile phantse emva kweenyanga ezi-3 emva konyango.

Emva kokuba amabala ephelile, kubaluleke kakhulu ukubona ugqirha ukuze ahlolwe kanye okanye kabini ngonyaka . Ukuba unenkqubo yomzimba yokuzikhusela ebuthathaka, kunokufuneka ubonane nogqirha wesikhumba amaxesha amane okanye amahlanu ngonyaka.

Ewe, i-Actinic Keratosis ingabuya, ingakumbi ukuba awuqhubeki nokukhusela ulusu lwakho elangeni. Ke ngoko, kubalulekile ukukhusela ulusu lwakho elangeni ngexesha nasemva konyango.

Okona kubaluleke kakhulu! Ungayiphepha njani i-Actinic Keratosis?

Le yeyona nxalenye ibalaseleyo kweli bali. Zininzi izinto esinokuzenza ukuthintela uphuhliso lwe-`(Actinic Keratosis)`. Eyona nto iphambili kukunciphisa ukuvezwa ngokungeyomfuneko kwimitha ye-`UV`.

Nazi izinto onokuzenza ngayo:

• Faka i-sunscreen yonke imihla: Musa ukulibala ukusebenzisa i-sunscreen, nokuba kukwiimini ezinamafu okanye ebusika. Khetha i-sunscreen ene -SPF 30 ubuncinane (Sun Protection Factor) okanye ngaphezulu, kunye ne-wide-spectrum (oko kukuthi, ekhusela kwi-UVA kunye ne-UVB ray). Faka imizuzu eli-15-30 ngaphambi kokuba uphume ngaphandle, kwaye uphinde ufake i-sunscreen rhoqo emva kweeyure ezimbini ukuba ubila, udada, okanye udada.
• Ziphephe iimitha zelanga eziqinileyo: iimitha ze-UV zinamandla kakhulu phakathi kwentsimbi ye-10 kusasa kunye neye-2 emva kwemini (kwezinye iindawo, ngentsimbi yesi-4 emva kwemini). Nciphisa ukuvezwa kwakho elangeni ngezi yure kangangoko unako.
• Kuphephe ukukhanya kwelanga okwenziweyo: Musa ukusebenzisa izinto ezifana ne `(iisaluni zelanga)`, `(izibane zelanga)`, `(iibhedi zelanga)`. Zikwakhupha imisebe ye-`UV` eyingozi.
• Nxiba impahla ekhusela ilanga: Nxiba impahla enemikhono emide, ibhulukhwe ende, umnqwazi obanzi, kunye neeglasi zelanga ezikhusela i-UV kangangoko unako.

Ngaba sifanele soyike le meko?

I-Actinic Keratosis yimeko ekufuneka iqwalaselwe, kodwa ayisiyonto yokukhathazeka ngayo . Kwiimeko ezininzi, la mabala anokunyangwa ngokupheleleyo ngonyango olufanelekileyo. Malunga nama-90% abantu abane-Actinic Keratosis ababi nomhlaza wolusu.

Kodwa, khumbula, uninzi lwemihlaza yolusu iqala njenge-Actinic Keratosis. Yiyo loo nto singafanele siyithathe lula le meko. Okukhona iqatshelwa kwaye inyangwa ngokukhawuleza, kokukhona amathuba okuba ikhule ibe ngumhlaza.

Kunini apho kungcono ukubona ugqirha?

Ukuba ubona naziphi na ezi mpawu eluswini lwakho, qiniseka ukuba ubona ugqirha:

• Ukuba kukho indawo eluswini ephuma igazi, eqhumayo, evuvukileyo, okanye erhawuzelelayo .
• Ukuba ubona iqhuma eluswini eliphuma njengophondo lwesilwanyana .
• Ukuba kuvela amabala amatsha, aphakanyisiweyo, abomvu, okanye anamaxolo okanye ukuba akhoyo ayatshintsha.

Ngamafutshane, ukuba ubona into entsha, utshintsho, okanye into ekrokrisayo eluswini lwakho, musa ukuyityeshela.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Xa ubona ugqirha, ungalibali ukubuza le mibuzo:

• "Gqirha, kutheni ndinayo le `(Actinic Keratosis)`?"
• "Zeziphi iindlela zonyango ezilungileyo kum?"
• "Zeziphi iingozi okanye iziphumo ebezingalindelekanga ezinokubakho ngolu nyango?"
• "Zeziphi iingxaki ekufuneka ndiziqaphele?"
• "Ndingenza ntoni emva konyango, kwaye ndingazinyamekela njani?"
• "Ndingenza ntoni ukuthintela into efana nale ukuba ingaphindi yenzeke?"

Okokugqibela, izinto ekufuneka uzikhumbule

Kulungile, ngoko ke, `(Actinic Keratosis)` yimeko yesikhumba efuna unyango olukhawulezileyo kunye nokhathalelo . Kwiimeko ezininzi, ezi zinokunyangwa ngotyando okanye ngobuhle. Eyona nto ibalulekileyo kukukhusela ulusu lwakho elangeni nakwimitha ye-`UV` . Emva koko unokunciphisa kakhulu umngcipheko wale meko.

Ukuba ucinga ukuba une-Actinic Keratosis, nceda ubone ugqirha ngokukhawuleza ukuze ufumane ingcebiso . Okukhona ufuna unyango ngokukhawuleza, kokukhona umngcipheko wakho wokuba nomhlaza wolusu uyancipha. Lukhathalele ulusu lwakho, kuba lolona xabiso lubalulekileyo kuwe!