Squamous cell carcinoma: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili kunye neempawu
• Izizathu ezinokubangela
• Unyango lwenziwa njani
• 1. Utyando lwe-Mohs
• 2. Utyando olukhethekileyo
• 3. Curettage kunye ne-electrodissection
• 4. ICryosurgery
• 5. Unyango ngemitha
• 6. Unyango lwe-Photodynamic
• 7. Utyando lweLaser
• Ngubani osengozini enkulu

I-squamous cell carcinoma lolona hlobo lwesibini luqhelekileyo lomhlaza wolusu, nolwenzeka kwelona liso liphezulu lolusu, kwaye elihlala livela kwimimandla yomzimba ovelele elangeni, njengobuso, intamo, iingalo okanye imilenze. .

Olu hlobo lomhlaza lunokuba nzima ukuwuchonga, kodwa luhlala lubonakala njengombala obomvu krwe okanye omdaka onokuthi ukhule ngobukhulu ngokuhamba kwexesha okanye ubangele ukubonakala kwenxeba elingapholiyo, umzekelo.

Ukhetho kunyango lwahlukile kwaye luxhomekeke kubungakanani, indawo kunye nobunzulu besisu, ubudala bomntu kunye neemeko zempilo ngokubanzi. Yiyo loo nto kucetyiswa ukuba uqhagamshelane nogqirha wesikhumba nanini na xa kuchongwa indawo ebingafakwanga esikhumbeni, ekhula ngokuhamba kwexesha okanye ebangela uhlobo oluthile lweempawu, ezinjengentlungu okanye ukurhawuzelela.

Iimpawu eziphambili kunye neempawu

Iimpawu kunye neempawu ezinokubonisa ubukho be-squamous cell carcinoma zezi:

• Iqhuqhuva eqinileyo nebomvu;
• Inxeba nge-crust crust;
• Intlungu kunye noburhabaxa kwisikhewu esidala okanye isilonda.

I-squamous cell carcinoma idla ngokwenzeka kulusu olubonakaliswe elangeni, njenge-scalp, izandla, iindlebe okanye imilebe.

Ukongeza, indawo erhabaxa, enamaxolo emlonyeni inokukhula ibe sisilonda esivulekileyo, isilonda esibomvu okanye isilonda esibuhlungu ngaphakathi emlonyeni okanye ukubonakala kwesilonda esifana ne-wart kwi-anus okanye kwilungu lobuni.

Izizathu ezinokubangela

Oonobangela abaxhaphakileyo besquamous cell carcinoma eluswini kukungabikho kwelanga rhoqo, ukusetyenziswa rhoqo kweebhedi zokutshisa ulusu kunye namanxeba elusu, kuba umhlaza unokuvela ngokutsha, izilonda, izilonda, amanxeba amadala kunye neendawo zomzimba ezaziveliswe ngaphambili kwiX- imitha okanye ezinye iikhemikhali.

Ukongeza, inokuvela nakwizifo ezingapheliyo kunye nokudumba kolusu okanye kubantu abane-HIV, izifo ezizimelayo okanye abantu abaphantsi okanye abafumene i-chemotherapy kunye namayeza athile enza amajoni omzimba abe buthathaka, anciphise izifo ezichasayo kwaye andise umngcipheko ukukhula komhlaza wolusu.

Unyango lwenziwa njani

Ukuba ichongiwe kwangethuba, i-squamous cell carcinoma yolusu inokunyangeka, kungenjalo ezi tumors zinokuhlasela izicwili ezijikeleze umhlaza kwaye zonakalise ulusu, kwaye zinokudala imastastase kwaye zifikelele kwamanye amalungu.

Unyango kufuneka lutshintshwe kuhlobo, ubungakanani, indawo kunye nobunzulu besisu, ubudala bomntu kunye neemeko zempilo ngokubanzi, kwaye kukho iindlela zonyango ezininzi ezinokusetyenziswa:

1. Utyando lwe-Mohs

Obu buchule buqulathe ukususwa kwenxalenye ebonakalayo yethumba, evavanywa phantsi kwemicroscope, kwaye inkqubo iyaphindaphindwa de isicwili sokugqibela sisuswe simahla kwiiseli zethumba. Emva kokususwa, inxeba liyakwazi ukuphola ngokwesiqhelo okanye lakhiwe ngoqhaqho lweplastiki.

2. Utyando olukhethekileyo

Ngale nkqubo, zonke izicubu zomhlaza ziyasuswa, kunye nomda wolusu ojikeleze isilonda, njengomda wokhuseleko. Inxeba livaliwe ngemithungo kwaye izicwili ezisusiweyo zithunyelwa uhlalutyo ukuqinisekisa ukuba zonke iiseli zomhlaza zisusiwe.

3. Curettage kunye ne-electrodissection

Kule nkqubo, umhlaza ukhutshiwe ngesixhobo esibizwa ngokuba yi-curette, emva koko kusetyenziswa inaliti ye-electro cauterizing etshabalalisa iiseli ezinobungozi kunye nokulawula ukopha. Le nkqubo ihlala iphindaphindwa, ukuqinisekisa ukuba zonke iiseli zomhlaza ziyapheliswa.

Le nkqubo ayithathwa njengesebenzayo kwi-carcinomas ehlaselayo okanye enoburharha okanye yomhlaza kwiindawo ezibaluleke kakhulu, ezinjengeenkophe, amalungu esini, imilebe kunye neendlebe.

4. ICryosurgery

Kwi-cryosurgery, ithumba litshatyalaliswa ngokubanda izicubu nge-nitrogen engamanzi, ngaphandle kwesidingo sokusikwa okanye i-anesthesia. Inkqubo inokufuneka iphindaphindwe amaxesha amaninzi, ukuze zonke iiseli ezinobungozi zitshatyalaliswe.

Le ndlela ayisetyenziswanga ngokubanzi ukunyanga imihlaza engaphaya, njengoko ingasebenzi kwimimandla enzulu yethumba.

5. Unyango ngemitha

Kule nkqubo, ii-X-reyi zisetyenziswa ngqo kwisilonda, kwaye i-anesthesia okanye ukusika nako akuyomfuneko, nangona kunjalo, kubalulekile ukwenza uthotho lonyango, olulawulwa amatyeli aliqela kwisithuba esingangenyanga enye.

I-Radiotherapy iboniswa ngamathumba ekunzima ukunyanga ngoqhaqho okanye kwiimeko ezingacetyiswanga.

6. Unyango lwe-Photodynamic

Unyango lwe-Photodynamic luqhele ukusetyenziswa kubantu abanomhlaza okhula ebusweni okanye entlonzeni. Kule nkqubo, i-5-aminolevulinic acid iyasetyenziswa, ethi isetyenziswe kwizilonda kwaye kusuku olulandelayo kusetyenziswe ukukhanya okuqinileyo. Olu nyango lutshabalalisa iiseli ze-carcinoma ngaphandle kokubangela ukonakala kwizicubu eziqhelekileyo.

7. Utyando lweLaser

Kule ndlela, i-laser isetyenziselwa ukususa umaleko ongaphandle kwesikhumba kunye namaxabiso ahlukeneyo kulusu olunzulu, ngaphandle kokopha. Umngcipheko wokuqhekeka kunye nokulahleka kombala uphakame kancinci kunezinye iindlela, kwaye amaqondo okuphindaphinda afana nalawo onyango lwe-photodynamic.

Ngubani osengozini enkulu

Nangona kukholelwa ukuba olu hlobo lomhlaza lunokuba lilifa kwaye lubonakale ngokuzenzekelayo, iimeko apho kukho utyekelo olukhulu lokuphuhlisa i-squamous cell carcinoma zezi:

• Unesikhumba esikhanyayo kunye neenwele okanye luhlaza okwesibhakabhaka, luhlaza okanye ngwevu amehlo
• Ukuchaphazeleka rhoqo elangeni, ngakumbi kwiiyure ezishushu kakhulu;
• Unembali ye-basal cell carcinoma;
• Ukuba nesifo esibizwa ngokuba yi-xeroderma pigmentosum. Funda nzulu ngesi sifo;
• Ukuba ngaphezulu kweminyaka engama-50 ubudala;

Ukongeza, esi sifo sixhaphake emadodeni kunabafazi.