Umhlaza wesikhumba esine squamous

Umhlaza weseli e-squamous lolona hlobo lwesibini luqhelekileyo lomhlaza e-United States.

Ezinye iintlobo eziqhelekileyo zomhlaza wolusu zezi:

• Umhlaza wesiseko osisiseko
• Melanoma

Umhlaza wesikhumba esine squamous uchaphazela i-epidermis, umaleko ophezulu wesikhumba.

Umhlaza weseli squamous unokwenzeka kulusu olungonakalanga. Inokwenzeka kwakhona kulusu olonzakeleyo okanye oludlamkileyo. Uninzi lomhlaza wesisele esine squamous lwenzeka kulusu oluhlala lubonakaliswe kukukhanya kwelanga okanye enye imitha yelanga.

Uhlobo lokuqala lomhlaza wesisele esibizwa ngokuba sisifo i-Bowen (okanye squamous cell carcinoma in situ). Olu hlobo alusasazeki kwizicubu ezikufuphi, kuba lusekwinqanaba elingaphezulu lolusu.

I-Actinic keratosis sisilonda sesikhumba esisengaphambi kokuba sibe sisifo somhlaza weseli. (Isilonda yindawo yengxaki kulusu.)

I-keratoacanthoma luhlobo oluncinci lomhlaza weseli ekhula ngokukhawuleza.

Iingozi zesifo somhlaza weseli zibandakanya:

• Ukuba nesikhumba esikhanyayo, umbala ohlaza okwesibhakabhaka okanye oluhlaza, okanye iinwele ezimhlophe okanye ezibomvu.
• Ixesha elide, ukuvezwa lilanga yonke imihla (njengabantu abasebenza ngaphandle).
• Uninzi lokutshiswa lilanga kwasebutsheni.
• Ukwaluphala.
• Ukuba ne-x-ray ezininzi.
• Ukuvezwa kwemichiza, njenge-arsenic.
• Amajoni omzimba abuthathaka, ngakumbi kubantu abafakelwe amalungu omzimba.

Umhlaza weseli squamous uhlala uvela ebusweni, ezindlebeni, entanyeni, ezandleni, okanye kwiingalo. Inokwenzeka nakwezinye iindawo.

Olona phawu luphambili kukukhula okunokuba nobuso oburhabaxa, obunamaxolo kunye namachaphaza abomvu abomvu.

Ifom yokuqala (squamous cell carcinoma in situ) inokubonakala njengesiqwengana esinamaxolo, esikrwitshiweyo, nesibomvu esikhulu esinokuba sikhulu kune-intshi enye (2.5 cm).

Isilonda esingapholiyo sinokuba luphawu lomhlaza wesisele esibi. Naluphi na utshintsho kwiintsumpa esele zikho, imole okanye olunye ulusu lwesikhumba lunokuba luphawu lomhlaza wolusu.

Ugqirha wakho uya kujonga ulusu lwakho kwaye ajonge ubungakanani, imilo, umbala, kunye nokuthungwa kwayo nayiphi na indawo ekrokrisayo.

Ukuba ugqirha wakho ucinga ukuba unokuba nomhlaza wolusu, isiqwenga sesikhumba siyakususwa. Oku kubizwa ngokuba yi-biopsy yolusu. Isampulu ithunyelwa kwilebhu yoviwo phantsi kwemicroscope.

Kufuneka kwenziwe i-biopsy yolusu ukuze kuqinisekiswe ukuba unesifo somhlaza weseli esibuhlungu okanye eminye imihlaza yolusu.

Unyango luxhomekeke kubungakanani kunye nomhlaza womhlaza wolusu, ukuba sele usasazeke kangakanani, kunye nempilo yakho iyonke. Ezinye iiseli zomhlaza weseli ezinokubanzima kunokuba nzima ukuzinyanga.

Unyango lunokubandakanya:

• Ukuzonwabisa: Ukusika umhlaza wolusu kunye nokuthunga ulusu kunye.
• Unyango kunye nokusetyenziswa kombane: Ukukhutshwa kweeseli zomhlaza kunye nokusebenzisa umbane ukubulala nayiphi na eseleyo. Isetyenziselwa ukunyanga ii-cancer ezingenkulu kakhulu okanye ezinzulu.
• I-Cryosurgery: Ukuqanda iiseli zomhlaza, ezibabulala. Oku kusetyenziselwa umhlaza omncinci kwaye ongaphezulu (hayi nzulu kakhulu).
• Amayeza: Iikhrim zesikhumba eziqukethe imiquimod okanye i-5-fluorouracil yomhlaza weseli ongaphezulu.
• Utyando lwe-Mohs: Ukususa umaleko wesikhumba kwaye ujonge kuyo kwangoko phantsi kwemicroscope, emva koko ususe ulusu kude kungabikho zimpawu zomhlaza, zihlala zisetyenziselwa umhlaza wolusu empumlweni, ezindlebeni nakwezinye iindawo zobuso.
• Unyango olusebenzisa ukukhanya lunokusetyenziselwa ukunyanga ii-cancer ezingaphezulu.
• Unyango ngemitha: lunokusetyenziswa ukuba umhlaza weseli egudileyo usasazekile kwizitho okanye i-lymph node okanye ukuba umhlaza awunakunyangwa ngoqhaqho.

Ungaluphelisa uxinzelelo lokugula ngokujoyina iqela lokuxhasa umhlaza. Ukwabelana nabanye abanamava afanayo kunye neengxaki kunokukunceda ungaziva ulilolo.

Ukusebenza kakuhle komntu kuxhomekeke kwizinto ezininzi, kubandakanya ukuba umhlaza wafunyaniswa msinyane kangakanani, indawo ekuyo, nokuba unawo na amajoni omzimba abuthathaka. Uninzi lwale mihlaza luyanyangeka xa lunyangwe kwangoko.

Ezinye iiseli zomhlaza zeseli ezinokubuya. Kukwakho nomngcipheko wokuba umhlaza wesikhumba esibi unganwenwela kwamanye amalungu omzimba.

Biza ukuqeshwa kunye nomboneleli wakho wokhathalelo lwempilo ukuba unesifo okanye ibala kulusu lwakho olutshintsha:

• Inkangeleko
• Umbala
• Ubungakanani
• Uluhlu

Fowunela umnikezeli wakho ukuba indawo iba buhlungu okanye idumbile okanye ukuba iyaqala ukopha okanye urhawuzelele.

Umbutho waseMelika woMhlaza ucebisa ukuba umboneleli ahlole ulusu lwakho minyaka le ukuba umdala kuneminyaka engama-40 kunye nayo yonke iminyaka emi-3 ukuba uneminyaka engama-20 ukuya kwengama-40 ubudala. Ukuba unomdlavuza wolusu, kuya kufuneka uhlolwe rhoqo ukuze ugqirha akhangele ulusu lwakho.

Kufuneka ujonge nolusu lwakho kube kanye ngenyanga. Sebenzisa isipili esineendawo ekunzima ukuzibona.Biza ugqirha wakho ukuba ubona nantoni na engaqhelekanga.

Eyona ndlela yokuthintela umhlaza wolusu kukunciphisa ukubonakala kwakho elangeni. Soloko usebenzisa i-sunscreen:

• Faka isicelo se-sunscreen ngento ekhusela ilanga (SPF) ubuncinci engama-30, nokuba sowuphuma ngaphandle ixesha elifutshane.
• Faka isixa esikhulu se-sunscreen kuzo zonke iindawo eziveziweyo, kubandakanya iindlebe neenyawo.
• Khangela i-sunscreen ethintela ukukhanya kwe-UVA kunye ne-UVB.
• Sebenzisa i-sunscreen enganyangekiyo ngamanzi.
• Faka i-sunscreen ubuncinci kwimizuzu engama-30 ngaphambi kokuba uphume. Landela imiyalelo yephakheji malunga nokuba ungaphinda ufake isicelo kangaphi. Qiniseka ukuba uphinde ufake isicelo emva kokubhukuda okanye ukubila.
• Sebenzisa i-sunscreen ebusika kunye neentsuku ezinamafu, kananjalo.

Amanye amanyathelo okukunceda uphephe ukubonakaliswa lilanga kakhulu:

• Ukukhanya kwe-ultraviolet kunzima kakhulu phakathi kwe-10 ekuseni no-4 ntambama Ke zama ukuphepha ilanga ngezi yure.
• Khusela ulusu ngokunxiba iminqwazi ebanzi, iihempe ezinemikhono emide, iziketi ezinde, okanye iblukhwe. Unokuthenga iimpahla zokukhusela ilanga.
• Gwema imiphezulu ebonisa ukukhanya ngakumbi, njengamanzi, isanti, ikhonkrithi, kunye neendawo ezinombala omhlophe.
• Ukuphakama kokuphakama, ngokukhawuleza isikhumba sakho sitshisa.
• Sukusebenzisa izibane zelanga kunye neebhedi zokwenza isikhumba (iisalon). Ukuchitha imizuzu eli-15 ukuya kwengama-20 kwi-salon yolusu kuyingozi njengosuku olichithe elangeni.

Umhlaza - ulusu - squamous cell; Umhlaza wolusu - iseli egudileyo; Umhlaza wolusu Nonmelanoma - iseli squamous; I-NMSC - iseli eligudileyo; Umhlaza wolusu squamous; I-squamous cell carcinoma yolusu

• Isifo sikaBowen esandleni
• I-Keratoacanthoma
• I-Keratoacanthoma
• Umhlaza wolusu, squamous cell-close-up
• Umhlaza wolusu-iseli ebambekayo esezandleni
• Squamous cell carcinoma - intsholongwane
• Cheilitis - actinic
• Umhlaza weseli squamous

IHabif TP. Izidumba zesikhumba zangaphambi kwesifo kunye nesifo esibi. Ku: Habif TP, ed. I-Clinical Dermatology: Isikhokelo sombala wokufumanisa isifo kunye nonyango. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2016: isahluko 21.

Kwiwebhusayithi yeZiko loMhlaza weSizwe. Unyango lomhlaza wolusu (PDQ®) -Unguqulelo lwezeMpilo. www.cancer.gov/types/skin/hp/ unyango-olusu-pdq#section/_222. Ukuhlaziywa ngoDisemba 17, 2019. Kufikeleleke ngoFebruwari 24, 2020.

Iwebhusayithi yeNethiwekhi yeCancer epheleleyo yoMhlaza. Izikhokelo ze-NCCN zoKwenziwa kweZonyango kwi-Oncology (Izikhokelo ze-NCCN): Umhlaza wesifo somhlaza wesiseko. Inguqulelo 1.2020. www.nccn.org/professionals/physician_gls/pdf/nmsc.pdf. Ukuhlaziywa ngo-Okthobha 24, 2019. Kufikeleleke ngoFebruwari 24, 2020.

Umsebenzi we-US Preventive Services Task Force, i-Bibbins-Domingo K, iGrossman DC, et al. Ukuvavanywa komhlaza wolusu: I-US Preventive Services Task Force statement. JAMA. Ngo-2016; 316: (4) 429-435. IINKCUKACHA: 27458948 www.ncbi.nlm.nih.gov/pubmed/27458948.