Ingabe izindebe zakho zishisiwe yilanga futhi zishintshile umbala? Ingabe yi-Actinic Cheilitis?

Ingabe izindebe zakho zivame ukuzizwa zomile, ziqhekekile, futhi ngezinye izikhathi ziqhekeka? Ingabe ngezinye izikhathi uzizwa sengathi lesi simo siba sibi kakhulu uma uphuma elangeni? Khona-ke lokhu kuyinto engaba yinto ebalulekile kuwe. Namuhla, sizokhuluma nge-'Actinic Cheilitis', isimo esenzeka eduze kwezindebe futhi esidinga ukunakwa okuncane.

Kalula nje, iyini i-actinic cheilitis?

I-Actinic Cheilitis yisimo esingaphambi komdlavuza . Lokhu kusho ukuthi uma ingelashwa kahle, ingaba umdlavuza wesikhumba esikhathini esizayo. Lesi simo sibangelwa kakhulu ukuchayeka isikhathi eside elangeni kwezindebe, ikakhulukazi imisebe yelanga eyingozi ye-ultraviolet. Sivame ukubonwa kakhulu endebeni engezansi. Kungenzeka ukuthi uke wabona abanye abantu izindebe zabo ezibe ziqinile, ziqhekeka, futhi zishintsha umbala. Lezi yizimpawu ezifanayo ezibonakala kulesi simo.

Lokhu kubizwa ngamanye amagama, isibonelo:

• I-Actinic Cheilosis
• Umlomo Womlimi
• Umlomo Womkhumbi
• I-Solar Cheilitis

Igama elithi "Cheilitis" lisho "ukuvuvukala kwezindebe." I-Actinic cheilitis uhlobo lwesimo esibizwa ngokuthi i-actinic keratosis. I-Actinic keratosis yisimo esingaphambi komdlavuza esingakhula noma kuphi esikhumbeni. Ngokuhamba kwesikhathi, lokhu kungakhula kube uhlobo lomdlavuza wesikhumba olubizwa ngokuthi i-squamous cell carcinoma (SCC) . Yingakho kubalulekile ukuqaphela lokhu.

Ubani okungenzeka kakhulu ukuthi athole lesi simo?

Manje ake sibone ukuthi ubani ongase abe nalesi simo esibizwa ngokuthi i-Actinic Cheilitis. Empeleni, noma ubani angasithola. Kodwa-ke, abanye abantu basengozini enkulu kancane.

• Kulabo abanesikhumba esikhanyayo: Uma ibala lesikhumba sakho lihle kakhulu, okusho ukuthi une-melanin encane, umbala onikeza isikhumba sakho umbala waso, izindebe zakho cishe ziyozwela kakhulu elangeni.
• Kwabesilisa: Njengoba amadoda evame ukusebenza ngaphandle (cabanga ngomlimi, isisebenzi sasechwebeni, isisebenzi sokwakha), athola ilanga eliningi. Amathuba amancane okusebenzisa i-lip balm ene-sunscreen ukuvikela izindebe zawo emisebeni yelanga.
• Abantu abangaphezu kweminyaka engama-65: Abantu balobu budala nabo basengozini enkulu ngenxa yokuchayeka elangeni impilo yabo yonke.
• Kulabo abasebenza ngaphandle: Njengoba kushiwo ngaphambili, abantu abafana namatilosi, abalimi, abaqaphi bokuphila, kanye nalabo abasebenza emkhakheni wokwakha bahlala bechayeke elangeni.
• Kulabo abahlala eduze kwenkabazwe noma ezindaweni eziphakeme zezintaba: Imisebe yelanga inamandla kakhulu kulezi zindawo.
• Abantu abanezinkinga zokushintsha umbala wesikhumba: Isibonelo, abantu abanesimo sokuzalwa esibangela ukungafani kokushintsha umbala wesikhumba, njenge-albinism, nabo basengozini.

Kungani lokhu kwenzeka? Iyini imbangela?

Kulungile, manje ake sibone ukuthi kungani kwenzeka le-actinic cheilitis. Isizathu esiyinhloko nesiwukuphela kwalokhu yimisebe ye-ultraviolet eyingozi evela elangeni, okungukuthi, `(imisebe ye-UV)`. Ngenxa yale misebe, amangqamuzana esikhumba ezindebeni zethu angofuzo `(umonakalo wofuzo)`.

Ubuwazi ukuthi isikhumba ezindebeni sincane kakhulu kunesikhumba somzimba wethu wonke? Futhi, inani le-melanin esikhumbeni ezindebeni lincane. Lo mbala uvikela amangqamuzana elangeni. Ngakho-ke ngenxa yalezi zizathu , izindebe ziba nomuzwa omkhulu elangeni. Ukuchayeka njalo kwezindebe elangeni isikhathi eside kuyimbangela eyinhloko yalesi simo. Njengoba nje ithonsi lamanzi eliwela endaweni efanayo liguga ngisho netshe ngokuphindaphindiwe. Ngakho-ke, uma usebenza elangeni noma ungumuntu ovame ukuba selangeni, kufanele futhi ucabange ngezindebe zakho.

Ziyini izimpawu zalokhu? Uzizwa kanjani?

Manje ake sibone ukuthi yiziphi izimpawu ongazibona futhi uzizwe ezindebeni zakho ngalesi simo esibizwa ngokuthi i-Actinic Cheilitis. Lezi zimpawu zingabonakala endebeni eyodwa noma kuzo zombili izindebe.

• Izindebe ezihlala zizwakala ziqhekekile: Kungakhathaliseki ukuthi uphuza noma udla kangakanani, izindebe zakho zizwakala ziqhekekile futhi zomile.
• Iqhekekile: Imifantu emincane ingabonakala ezindebeni.
• I-Crusty: Ingahlubuka njenge-peel eyomile, futhi ngezinye izikhathi ingakha i-crust.
• Ukushintsha kombala: Izindebe zingase zibe namabala amhlophe noma aphuzi. Noma izindebe zingase zibe bomvu kakhulu kunokujwayelekile.
• Ukoma: Ukuzizwa sengathi izindebe zakho zomile kungakhathaliseki ukuthi uphuza amanzi angakanani.
• Igoqwe ngamabala: Ezinye izindawo zezindebe zingase zibonakale zigoqwe.
• Ubulukhuni njengephepha lesihlabathi: Uma uthinta izindebe zakho, zingase zizwakale zilukhuni njengephepha lesihlabathi.
• I-Scaly: Ingase ibukeke futhi izwakale sengathi inama-scales amancane, njengama-scales enhlanzi.
• Ukuvuvukala: Izindebe zingase zibonakale zivuvukile kancane.
• Zincane noma zibuthakathaka: Izindebe zincane kangangokuthi zizizwa sengathi zingalimala ngisho noma zithintwa kancane.

Futhi, umngcele obomvana, umngcele ophakathi kwengxenye ebomvu yezindebe kanye nesikhumba sonke, ungafiphala. Abanye besifazane bathi lo mngcele awucacile lapho befaka izindebe zomlomo, okwenza kube nzima ukuwusebenzisa kahle.

Esikhathini esiningi, i-actinic cheilitis ayibuhlungu. Kodwa-ke, abanye abantu bangase babhekane nalokhu okulandelayo:

• Ukushisa
• Ukuba ndikindiki
• Ubuhlungu
• Ubuhlungu lapho uthinta izindebe, ubuhlungu lapho ucindezelwa
• Ubumnene

Uma unesinye noma ngaphezulu salezi zimpawu, ungakuthathi njengento elula.

Udokotela ukuxilonga kanjani lokhu ngqo?

Kulungile, uma unalezi zimpawu, kufanele nakanjani ubonane nodokotela. Udokotela wesikhumba ungcono kakhulu. Udokotela uzokuxilonga bese ebona ukuthi unazo yini lezi zimpawu:

• Ingabe udebe oluqhekekile nje, noma ukuvuvukala okuvamile kwezindebe (i-Cheilitis) okungabeki ingozi yomdlavuza?
• Kuyini i-Actinic Cheilitis?
• Ingabe uhlobo lomdlavuza wesikhumba olubizwa ngokuthi i-squamous cell carcinoma (SCC)?
• Noma ingabe esinye isifo?

Thola kahle.

Udokotela uxilonga isimo se-Actinic Cheilitis ngokusekelwe kulokhu okulandelayo:

• Ukuhlolwa ngokomzimba kwezindebe zakho: Udokotela uzobheka izindebe zakho ngokucophelela, azithinte, bese ehlola noma yiziphi izinguquko nokuthi zisakazeke kangakanani.
• Ngokubuza imibuzo mayelana nendlela yakho yokuphila: Isibonelo, uchitha isikhathi esingakanani ngaphandle, ingabe usebenzisa noma yini ukuze uzivikele elangeni, ingabe ukhona emndenini wakho owake waba nomdlavuza, futhi ingabe uyabhema?
• Ukuhlolwa Kwesikhumba: Ngezinye izikhathi, uma udokotela esola, uzothatha ingxenye encane kakhulu yesikhumba emlonyeni ayithumele elabhorethri ukuze ihlolwe nge-microscope. Lokhu kungabona izinguquko ezingeni lamaseli. Lokhu kungasetshenziswa ukuthola ukuthi isimo singumdlavuza noma singaphambi komdlavuza.

Yiziphi izindlela zokwelapha lokhu?

Ngenxa yokuthi i-actinic cheilitis iyisimo esingaba umdlavuza, kufanele nakanjani ukhulume nodokotela mayelana nezinketho zakho zokwelashwa. Udokotela wakho uzoncoma ukwelashwa okufanele. Kuzoncika ebunzimeni besimo sakho, ukuthi sisakazeke kangakanani, kanye nempilo yakho iyonke.

Umgomo oyinhloko wokwelashwa ukunciphisa ingozi yokuthi lesi simo sibe yi-squamous cell carcinoma (SCC). Izinketho zokwelapha zingafaka:

• Izinhlobo Zokhilimu: Kunezinhlobo ezikhethekile zokhilimu ezinqunywe odokotela. Isibonelo:
• Okhilimu abaqukethe ama-retinoids.
• Ukhilimu oqukethe umuthi obizwa ngokuthi i-5- Fluorouracil . Lokhu kulawula ukukhula kwamaseli omdlavuza.
• Ukhilimu we-Imiquimod. Lokhu kuvuselela amasosha omzimba ukuze kusize ekubhubhiseni amangqamuzana angajwayelekile.
• Ukwelashwa nge-cryotherapy: Lokhu kuhilela ukusebenzisa into ebanda kakhulu, njenge-nitrogen ewuketshezi, ukuze kuvinjwe futhi kubhujiswe amangqamuzana angavamile. Kufana nokushaywa yiqhwa.
• I-Electrocautery: Lokhu kusebenzisa ukushisa okuvela kugesi ukuze kubhubhise izicubu ezingavamile.
• Ukususwa Kwe-Laser:Lokhu kuhilela ukusebenzisa imisebe ye-laser ukususa amaseli angajwayelekile ngokukhetha.
• Ukwelashwa Nge-Photodynamic (PDT): Lena indlela yokwelapha ekhethekile. Lapha, kufakwa umuthi okhethekile emzimbeni, bese kukhanya okukhethekile kuqondiswa kulezo zindawo ukuze kubhujiswe amangqamuzana ayingozi.
• Ukususwa kwe-Vermilion: Lena inqubo yokuhlinzwa. Uma isimo sibi kakhulu, sihilela ukususa ingxenye noma wonke umngcele we-vermilion owonakele ngokuhlinzwa.

Udokotela wakho uzonquma ukuthi yikuphi kwalokhu kwelashwa okukulungele.

Singasinda kanjani kulokhu?

Ngakho-ke, yini esingayenza ukuze sizivikele ku-solar cheilitis (elinye igama le-actinic cheilitis) kanye ne-squamous cell carcinoma (SCC)? Into engcono kakhulu ongayenza ukuvikela izindebe zakho emisebeni yelanga eyingozi unyaka wonke.

• Faka njalo i-lip balm equkethe i-sunscreen. Kungcono ukusebenzisa okungenani ene -SPF 30 (Sun Protection Factor 30) . Khumbula ukuphinda ufake phakathi nosuku, hhayi nje uma uselangeni, kodwa ikakhulukazi ngemva kokudla noma ukuphuza.
• Nciphisa isikhathi sakho elangeni. Ikakhulukazi ngezikhathi zomsebenzi omatasa kakhulu, kusukela ngo-10 ekuseni kuya ku-4 ntambama, lapho ilanga linamandla kakhulu. Nciphisa isikhathi sakho ngaphandle phakathi nalezo zikhathi. Hlala emthunzini ngaphansi kwesihlahla, noma sebenzisa isambulela.
• Gqoka isigqoko esibanzi esimboza izindebe zakho. Lokhu kuzokunikeza umthunzi ebusweni bakho kanye nasezindebeni zakho.

Kubalulekile ukuthi abantu abane-actinic cheilitis bahlolwe njalo ngodokotela ukuze bahlole izinguquko ezingaba yizimpawu zokuqala zomdlavuza. Odokotela besikhumba bavame ukuncoma ukuthi kuhlolwe isikhumba okungenani kanye ngonyaka.

"Okunye futhi, uma ubhema, kufanele uyeke ukubhema. Ukubhema kungenza lesi simo sibe sibi kakhulu futhi kwandise ingozi yomdlavuza. Uma udinga usizo lokuyeka ukubhema, buza udokotela wakho. Kunezindlela eziningi zokwenza lokho manje."

Lesi simo sizoqhubeka kanjani?

Manje ake sibheke umbono womuntu one-actinic cheilitis. Uma uqhubeka nokuvikela izindebe zakho elangeni futhi ulandela imiyalelo kadokotela wakho, ungalawula lesi simo.

Kodwa-ke, uma uqhubeka nokuvezwa elangeni futhi ungayelaphi, usengozini enkulu yokuthola i-squamous cell carcinoma (SCC). Lokhu kungaba yingozi empilweni. Ngokwezibalo, phakathi kuka-6% no-10% wabantu abane-actinic cheilitis bazoba ne-SCC. Futhi, i-SCC eqala ezindebeni inamathuba amaningi okusabalala (i-metastasize) kwezinye izingxenye zomzimba kune-SCC eqala kwenye indawo esikhumbeni. Ngakho akuyona into okufanele ithathwe kalula.

Ingabe ngidinga ukubona udokotela futhi ngemva kokwelashwa?

Yebo, impela. Uma utholakale une-Actinic Cheilitis futhi uthola ukwelashwa kwayo, kufanele uqhubeke nokuhlolwa okuvamile. Ngokuvamile kubalulekile ukubona udokotela njalo ezinyangeni eziyisithupha noma okungenani kanye ngonyaka, njengoba kunconywa udokotela wakho. Ngemuva kwalokho, uma kukhona ushintsho, uma isimo siphinde sibuye, noma uma kunezimpawu zomdlavuza, ungasheshe ubone futhi uqale ukwelashwa.

Yiziphi izinto ezibaluleke kakhulu okufanele sizithathe ekhaya kule ndaba?

Kalula nje, i-actinic cheilitis yisimo sezindebe esingaphambi komdlavuza esibangelwa ukuchayeka elangeni isikhathi eside. Lawa mabala aqinile, anamabala avame ukuvela endebeni engezansi. Uma ubona noma yiziphi izinguquko ezintsha esikhumbeni sakho noma ezindebeni, njengebala, isilonda esingeke siphole, ukoma okuqhubekayo, noma ukuqhekeka, sicela ungakushayi indiva bese ubona udokotela.

Kubaluleke kakhulu ukuthola ukuxilongwa okunembile nokuthatha izinyathelo ezidingekayo zokuvimbela lesi simo ukuthi singabi umdlavuza wesikhumba. Khumbula, indlela engcono kakhulu yokugwema lokhu ukuzivikela elangeni. Lokho kusho ukusebenzisa i-lip balm ene-SPF, ukugqoka izigqoko, nokugwema ilanga. Nakekela izindebe zakho. Kubaluleke kakhulu empilweni yakho.

I- Actinic Cheilitis, Umdlavuza wezindebe, Ukuqhekeka kwezindebe, Ukukhanya kwelanga, Umdlavuza wesikhumba, i-SCC, i-Squamous Cell Carcinoma, imisebe ye-UV, i-Dermatology, umdlavuza wezindebe, ukuchayeka elangeni, umdlavuza wesikhumba, ukunakekelwa kwezindebe, Izindebe zomlimi, Izindebe zikaSailor