Ingaba imilebe yakho itshiswe lilanga kwaye inombala otshintshileyo? Ingaba yi-Actinic Cheilitis leyo?

Ngaba imilebe yakho idla ngokuvakala yomile, iqhekekile, kwaye ngamanye amaxesha iyaxobuka? Ngaba ngamanye amaxesha uziva ngathi le meko iba mandundu xa uphuma elangeni? Ngoko ke le yinto enokuba yinto ebalulekileyo kuwe. Namhlanje, siza kuthetha nge-'Actinic Cheilitis', imeko eyenzeka ngeenxa zonke zemilebe kwaye efuna ingqalelo encinci.

Ngamafutshane, yintoni i-actinic cheilitis?

I-Actinic Cheilitis yimeko engaphambi komhlaza . Oku kuthetha ukuba ukuba ayinyangwa kakuhle, inokuba ngumhlaza wolusu kwixesha elizayo. Le meko ibangelwa kakhulu kukuvezwa kwemilebe ixesha elide elangeni, ingakumbi imisebe yelanga eyingozi ye-ultraviolet. Ihlala ibonakala kumlebe ongezantsi. Usenokuba ukhe wabona abanye abantu imilebe yabo irhabaxa, ixobuka, kwaye inombala omdaka. Ezi ziimpawu ezifanayo ezibonwayo kweli tyala.

Oku kubizwa ngamanye amagama, umzekelo:

• I-Actinic Cheilosis
• Umlebe woMlimi
• Umlomo woMkhokeli
• I-Solar Cheilitis

Igama elithi "Cheilitis" lithetha "ukudumba kwemilebe." I-Actinic cheilitis luhlobo lwemeko ebizwa ngokuba yi-actinic keratosis. I-Actinic keratosis yimeko engaphambi komhlaza enokuvela naphi na eluswini. Ekuhambeni kwexesha, ezi zinokukhula zibe luhlobo lomhlaza wesikhumba obizwa ngokuba yi-squamous cell carcinoma (SCC) . Yiyo loo nto kubalulekile ukuqaphela oku.

Ngubani onokuthi abe nale meko?

Ngoku makhe sibone ukuba ngubani onokuthi abe nale meko ibizwa ngokuba yi-Actinic Cheilitis. Enyanisweni, nabani na angayifumana. Nangona kunjalo, abanye abantu basengozini enkulu kancinci.

• Kwabo banesikhumba esikhanyayo: Ukuba ulusu lwakho lunombala okhanyayo, oko kuthetha ukuba une-melanin encinci, umbala onika ulusu lwakho umbala walo, imilebe yakho inokuba novakalelo olukhulu elangeni.
• Kumadoda: Ekubeni amadoda edla ngokusebenza ngaphandle (cinga ngomlimi, umsebenzi wezibuko, umsebenzi wokwakha), achaphazeleka kakhulu lilanga. Amathuba okuba asebenzise i-lip balm ene-sunscreen ukukhusela imilebe yawo kwimitha yelanga.
• Abantu abangaphezu kweminyaka engama-65: Abantu abakule minyaka nabo basengozini enkulu ngenxa yokuchatshazelwa lilanga ubomi babo bonke.
• Kwabo basebenza ngaphandle: Njengoko bekutshiwo ngaphambili, abantu abafana noomatiloshe, abalimi, abahlanguli, kunye nabo basebenza kwicandelo lokwakha bahlala bechatshazelwa lilanga.
• Kwabo bahlala kufutshane ne-ikhweyitha okanye kwiindawo eziphakamileyo zeentaba: Imitha yelanga inamandla ngakumbi kwezi ndawo.
• Abantu abaneengxaki zombala wesikhumba: Umzekelo, abantu abaneengxaki zokuzalwa ezibangela ukuba umbala wesikhumba ube mncinane kakhulu, njenge-albinism, nabo basengozini.

Kutheni oku kusenzeka? Yintoni unobangela?

Kulungile, ngoku masibone ukuba kutheni le actinic cheilitis isenzeka. Isizathu esiphambili nesikuphela kwaso yimitha ye-ultraviolet eyingozi evela elangeni, oko kukuthi, `(imisebe ye-UV)`. Ngenxa yale mitha, iiseli zolusu emilebeni yethu zi-`(umonakalo wemfuza)` ngokwemfuza.

Ubusazi na ukuba ulusu lwemilebe luncinci kakhulu kunolusu olusemzimbeni wethu wonke? Kwakhona, ubungakanani be-melanin eluswini olusemilebeni buncinci. Le pigment ikhusela iiseli elangeni. Ngenxa yezi zizathu , imilebe iba novelwano kakhulu elangeni. Ukuvezwa rhoqo kwemilebe elangeni ixesha elide yeyona nto ibangela le meko. Kanye njengethontsi lamanzi eliwela kwindawo enye liphinda liguge nelitye. Ke ngoko, ukuba usebenza elangeni okanye ungumntu ohlala elangeni, kufuneka ucinge nangemilebe yakho.

Zithini iimpawu zoku? Uziva njani?

Ngoku makhe sibone ukuba zeziphi iimpawu onokuzibona nozivayo emilebeni yakho xa unesi sifo sibizwa ngokuba yi-Actinic Cheilitis. Ezi mpawu zinokubonakala kumlomo omnye okanye kuyo yomibini imilebe.

• Imilebe ehlala ivakala ngathi iqhekekile: Nokuba usela okanye utya kangakanani na, imilebe yakho ivakala ngathi iqhekekile kwaye yomile.
• Iqhekekile: Iimfanta ezincinci zingabonakala emilebeni.
• I-Crosty: Ingaxobuka njengexolo elomileyo, kwaye ngamanye amaxesha ingenza i-crust.
• Umbala otshintshileyo: Imilebe isenokuba namabala amhlophe okanye amthubi. Okanye imilebe inokuba bomvu ngakumbi kunesiqhelo.
• Ukoma: Ukuziva ngathi imilebe yakho yomile nokuba usela amanzi angakanani na.
• Igobile ibe ngamabala: Ezinye iindawo zemilebe zinokubonakala zigobile.
• Uburhabaxa njengephepha lokugquma: Xa uchukumisa imilebe yakho, isenokuvakala ngathi irhabaxa njengephepha lokugquma.
• I-Scaly: Isenokubonakala kwaye ivakale ngathi inamaxolo amancinci, njengamaxolo entlanzi.
• Ukudumba: Imilebe isenokubonakala idumbile kancinci.
• Ibhityile okanye ibuthathaka: Imilebe ibhityile kangangokuba ivakalelwa kukuba inokwenzakala nokuba kukuchukunyiswa okuncinci.

Kwakhona, umda obomvana, umda ophakathi kwenxalenye ebomvu yemilebe kunye nolusu lonke, unokuba lufiphale. Abanye abafazi bathi lo mda awucaci xa ufaka ilipstick, nto leyo eyenza kube nzima ukuyisebenzisa ngokufanelekileyo.

Uninzi lwexesha, i-actinic cheilitis ayibuhlungu. Nangona kunjalo, abanye abantu banokufumana oku kulandelayo:

• Ukutsha
• Ukuba ndindisholo
• Intlungu
• Ubuhlungu xa uchukumisa imilebe, intlungu xa ucinezelwe
• Ububele

Ukuba unenye okanye ngaphezulu kwezi mpawu, musa ukuyithatha njengento elula.

Ugqirha uyifumanisa njani le nto kanye kanye?

Kulungile, ukuba unale mpawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Ugqirha wesikhumba yeyona ilungileyo. Ugqirha uza kukuxilonga aze abone ukuba unayo na:

• Ingaba ngumlebe nje oqhekekileyo, okanye kukudumba okuqhelekileyo kwemilebe (iCheilitis) okungabangeli mngcipheko womhlaza?
• Yintoni i-Actinic Cheilitis?
• Ingaba luhlobo lomhlaza wesikhumba olubizwa ngokuba yi-squamous cell carcinoma (SCC)?
• Okanye sisifo esinye?

Fumana ngokuchanekileyo.

Ugqirha uxilonga imeko ye-Actinic Cheilitis ngokusekelwe koku kulandelayo:

• Ukuhlolwa kwemilebe yakho ngokwasemzimbeni: Ugqirha uza kuyijonga ngononophelo imilebe yakho, ayichukumise, aze ajonge naluphi na utshintsho kunye nokuba isasazeke kangakanani.
• Ngokubuza imibuzo malunga nendlela ophila ngayo: Umzekelo, lingakanani ixesha olichitha ngaphandle, ngaba usebenzisa nantoni na ukuzikhusela elangeni, ngaba kukho umntu kusapho lwakho owakha waba nomhlaza, kwaye ngaba uyatshaya?
• I-Biopsy yoLusu: Ngamanye amaxesha, ukuba ugqirha unesikrokro, uza kuthatha iqhekeza elincinci kakhulu lolusu emlonyeni aze alithumele kwilebhu ukuze lihlolwe ngemicroscope. Oku kunokuchonga utshintsho kwinqanaba leeseli. Oku kungasetyenziselwa ukufumanisa ukuba imeko inesifo somhlaza okanye ingaphambi komhlaza.

Zithini iindlela zonyango zoku?

Ngenxa yokuba i-actinic cheilitis yimeko enokuba ngumhlaza, ngokuqinisekileyo kuya kufuneka uthethe nogqirha malunga neendlela zonyango lwakho. Ugqirha wakho uya kukucebisa unyango olufanelekileyo. Kuya kuxhomekeka kubukhali bemeko yakho, ukuba isasazeke kangakanani, kunye nempilo yakho iyonke.

Eyona njongo yonyango kukunciphisa umngcipheko wokuba imeko ibe yi-squamous cell carcinoma (SCC). Iindlela zonyango zingabandakanya:

• Iintlobo zeekhrimu: Kukho iintlobo ezikhethekileyo zeekhrimu ezimiselwe ngoogqirha. Umzekelo:
• Iikhrimu eziqulethe ii-retinoids.
• Ikhrimu equlethe iyeza elibizwa ngokuba yi-5- Fluorouracil . Oku kulawula ukukhula kweeseli zomhlaza.
• Ikhrimu ye-Imiquimod. Oku kuvuselela amajoni omzimba ukuze ancede ekutshabalaliseni iiseli ezingaqhelekanga.
• I-Cryotherapy: Oku kuquka ukusebenzisa into ebanda kakhulu, efana ne-nitrogen engamanzi, ukuvala nokutshabalalisa iiseli ezingaqhelekanga. Kufana nokubethwa ngumkhenkce.
• I-Electrocautery: Oku kusebenzisa ubushushu obuvela kumbane ukutshabalalisa izicubu ezingaqhelekanga.
• Ukususwa kweLaser:Oku kuquka ukusebenzisa imisebe yelaser ukususa iiseli ezingaqhelekanga ngokukhetha.
• Unyango lwePhotodynamic (PDT): Le yindlela ekhethekileyo yonyango. Apha, kufakwa okanye kufakwe iyeza elithile emzimbeni, kuze kuvele ukukhanya okukhethekileyo kwezo ndawo ukuze kutshatyalaliswe iiseli ezinobungozi.
• I-Vermilionectomy: Le yinkqubo yotyando. Ukuba imeko imbi kakhulu, ibandakanya ukususa inxalenye okanye yonke imida ye-vermilion eyonakeleyo ngotyando.

Ugqirha wakho uya kugqiba ukuba loluphi unyango olulungele wena.

Singasinda njani koku?

Ngoko ke, yintoni esinokuyenza ukuze sizikhusele kwi-solar cheilitis (elinye igama le-actinic cheilitis) kunye ne-squamous cell carcinoma (SCC)? Eyona nto ingcono onokuyenza kukukhusela imilebe yakho kwimitha yelanga eyingozi unyaka wonke.

• Soloko ufaka i-lip balm equlethe i-sunscreen. Kungcono ukusebenzisa enye ene -SPF 30 ubuncinane (Sun Protection Factor 30) . Khumbula ukuphinda uyifake imini yonke, kungekuphela nje xa uselangeni, kodwa ngakumbi emva kokutya okanye ukusela.
• Nciphisa ixesha lakho elangeni. Ingakumbi ngamaxesha okusebenza kakhulu, ukusuka ngentsimbi ye-10 kusasa ukuya kweyesi-4 emva kwemini, xa ilanga linamandla kakhulu. Nciphisa ixesha lakho ngaphandle ngaloo maxesha. Hlala emthunzini phantsi komthi, okanye sebenzisa isambrela.
• Nxiba umnqwazi obanzi ogquma imilebe yakho. Oku kuya kubonelela ngomthunzi ebusweni bakho nakwimilebe yakho.

Kubalulekile ukuba abantu abane-actinic cheilitis bahlolwe rhoqo ngugqirha ukuze bajonge utshintsho olunokuba ziimpawu zokuqala zomhlaza. Iingcali zesikhumba zihlala zicebisa ukuba ulusu luhlolwe ubuncinane kanye ngonyaka.

"Enye into, ukuba ungumtshayi, ngokuqinisekileyo kufuneka uyeke ukutshaya. Ukutshaya kungayenza le meko ibe mandundu kwaye konyuse umngcipheko womhlaza. Ukuba ufuna uncedo lokuyeka ukutshaya, buza ugqirha wakho. Zininzi iindlela zokwenza oko ngoku."

Iza kuqhubeka njani le meko?

Ngoku makhe sijonge imeko yomntu one-actinic cheilitis. Ukuba uyaqhubeka nokukhusela imilebe yakho elangeni kwaye ulandela imiyalelo kagqirha wakho, ungayilawula le meko.

Nangona kunjalo, ukuba uqhubeka ujongene nelanga kwaye ungayinyangi, usengozini enkulu yokuba ne-squamous cell carcinoma (SCC). Oku kunokuba yingozi ebomini. Ngokwezibalo, phakathi kwe-6% kunye ne-10% yabantu abane-actinic cheilitis baya kuba ne-SCC. Kwakhona, i-SCC eqala emilebeni inokwenzeka ukuba isasazeke (i-metastasize) kwezinye iindawo zomzimba kune-SCC eqala kwenye indawo eluswini. Ngoko ke asiyonto ifanele ithathwe lula.

Ngaba kufuneka ndiphinde ndibone ugqirha emva konyango?

Ewe, ngokuqinisekileyo. Ukuba ufunyaniswe une-Actinic Cheilitis kwaye ufumana unyango lwayo, kufuneka uqhubeke nokuhlolwa rhoqo. Ngokuqhelekileyo kubalulekile ukubona ugqirha rhoqo emva kweenyanga ezintandathu okanye ubuncinane kanye ngonyaka, njengoko ugqirha wakho ecebisa. Emva koko, ukuba kukho naluphi na utshintsho, ukuba imeko iphinda ivele, okanye ukuba kukho iimpawu zomhlaza, ungayibona ngokukhawuleza kwaye uqale unyango.

Zeziphi izinto ezibalulekileyo esifanele sizithathele ekhaya kweli bali?

Ngamafutshane, i-actinic cheilitis yimeko yemilebe engaphambi komhlaza ebangelwa kukukhanya kwelanga ixesha elide. La mabala arhabaxa, anamaxolo adla ngokubonakala kwimilebe esezantsi. Ukuba ubona naluphi na utshintsho olutsha kulusu okanye kwimilebe yakho, njengebala, isilonda esingapholiyo, ukoma okungapheliyo, okanye ukuqhekeka, nceda ungayityesheli kwaye ubone ugqirha.

Kubaluleke kakhulu ukufumana uxilongo oluchanekileyo nokuthatha amanyathelo afunekayo ukuthintela le meko ukuba ingakhuli ibe ngumhlaza wolusu. Khumbula, eyona ndlela ilungileyo yokuphepha oku kukuzikhusela elangeni. Oko kuthetha ukusebenzisa i-lip balm ene-SPF, ukunxiba iminqwazi, kunye nokuhlala kude nelanga. Nyamekela imilebe yakho. Ibaluleke kakhulu kwimpilo yakho.

I- Actinic Cheilitis, umhlaza wemilebe, ukuqhekeka kwemilebe, ukukhanya kwelanga, umhlaza wesikhumba, i-SCC, i-Squamous Cell Carcinoma, imisebe ye-UV, i-Dermatology, umhlaza wemilebe, ukuvezwa lilanga, umhlaza wesikhumba, ukhathalelo lwemilebe, imilebe yomlimi, imilebe kaSailor