I-Actinic keratosis: yintoni, iimpawu eziphambili kunye nendlela yokunyanga

Umxholo

• Iimpawu eziphambili
• Izizathu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Unyango lwenziwa njani
• 1. Unyango lwe-Photodynamic
• 2. Ukusetyenziswa kweekhrim
• 3. ICryotherapy
• 4. Ukukhupha imichiza
• Kufuneka wenze ntoni ukuthintela

I-Actinic keratosis, ekwabizwa ngokuba yi-actinic keratosis, sisifo esibi esibangela izilonda ezibomvu zimdaka ngolusu, ezinobukhulu obahlukeneyo, ukukala, ukurhabaxa nokuqina. Inokubangelwa kukuzibeka elangeni ngokugqithileyo, kuqhelekile kwiindawo zomzimba ezifana nobuso, imilebe, iindlebe, iingalo, izandla kunye nentloko kubantu abaneenkqayi.

Nangona i-actinic keratosis inokukhula kwisithuba seminyaka eliqela, ihlala ingazibonakalisi iimpawu kude kube semva kweminyaka engama-40 kwaye ihlala ingahambi nezinye iimpawu. Uninzi lweziganeko ziyanyangeka kwaye zilungile, kwaye unyango lwenziwa ukuphelisa izilonda. Ngokukhawuleza emva kokuvela kweempawu, kubalulekile ukubona ugqirha wesikhumba ngokukhawuleza, kuba kukho iimeko apho i-actinic keratosis inokuba ngumhlaza wolusu.

Amanyathelo athile anokunceda ukukhusela izilonda ze-actinic keratosis, njengokusebenzisa i-sunscreen enento yokhuselo engaphezulu kwe-30, ukunqanda ukubekwa elangeni ngexesha leeyure eziphezulu kunye nokuzihlola rhoqo kwesikhumba.

Iimpawu eziphambili

Izilonda zolusu ezibangelwa yi-actinic keratosis zinokuba nezi zinto zilandelayo:

• Ubungakanani obungaqhelekanga;
• Umbala obomvu omdaka;
• I-dequamative, ngokungathi yomile;
• Kubi;
• Ukuqhubela phambili kwesikhumba kwaye kuqiniswe;

Ukongeza, izilonda zinokubangela ukurhawuzelela okanye ukutsha kwaye kwezinye iimeko, zibuhlungu kwaye zibuthathaka ekuphathweni. Kwabanye abantu, i-actinic keratosis inokutsha, yophe kancinci kwaye ijongeka njengesilonda esingapholiyo.

Izizathu eziphambili

Oyena nobangela uphambili wokubonakala kwe-keratosis ye-actinic kukuvezwa yimitha ye-ultraviolet ngaphandle kokukhuselwa kunye nexesha elide, ke zihlala zibonakala kwiindawo zolusu ezichazwe ngakumbi elangeni.

Ukongeza kwimitha yelanga yelanga, imitha ekhutshwa ziibhedi zokushuka inokonyusa umngcipheko wokuba ne-actinic keratosis kunye nezinye iintlobo zomhlaza wolusu, ke olu hlobo lwenkqubo yobuhle aluvumelekanga yi-ANVISA.

Abanye abantu basemngciphekweni omkhulu wokukhula kwezilonda kwi-actinic keratosis njengabantu abangaphezulu kwama-40, abasebenza ixesha elininzi elangeni, abanolusu olukhanyayo nabanomkhuhlane omncinci ngenxa yokugula okanye unyango lwe-chemotherapy.

Indlela yokuqinisekisa ukuxilongwa

Ukuxilongwa kwe-actinic keratosis kwenziwa ngugqirha wesikhumba, ovavanya iimpawu zezilonda kwaye, ukuba kukho imfuneko, acele i-biopsy yolusu. Ulusu lwe-biopsy yinkqubo elula eyenziwa nge-anesthesia yendawo enokususa isampulu encinci yesilonda esithunyelwa elebhu ukuze kuhlolwe ukuba inazo na iiseli zomhlaza. Fumana ngakumbi malunga nokuba kwenziwa njani i-biopsy yolusu.

Unyango lwenziwa njani

Unyango lwe-actinic keratosis kufuneka luhlale lukhokelwa ngugqirha wesikhumba kwaye luqale kanye emva koxilongo, kuba ukuba luyekwanga lunganyangwa lunokujika lube ngumhlaza wolusu. Iindidi zonyango ezisetyenziswa kakhulu kwi-actinic keratosis zezi:

1. Unyango lwe-Photodynamic

Unyango lwe-Photodynamic lunyango olubandakanya ukusetyenziswa kwe-laser ngqo kwisilonda se-actinic keratosis. Phambi kweseshoni yonyango lwe-photodynamic, kufuneka uthambise amafutha okanye ufumane iyeza emthanjeni ukunceda i-laser ibulale iiseli eziguqulweyo.

Inkqubo ihlala i-avareji yemizuzu engama-45 kwaye ayibangeli zintlungu okanye ukungathandeki, emva koko ibhandeji libekwa ukukhusela isiza kukosuleleka kunye nokwenzakala.

2. Ukusetyenziswa kweekhrim

Kwezinye iimeko, ugqirha wesikhumba ucebisa ukuba kusetyenziswe iikhrimu ukunyanga i-actinic keratosis, enje:

• Fluorouracil: luhlobo lwamafutha asetyenziswa kakhulu kwi-actinic keratosis, iyanceda ekupheliseni iiseli ezibangela ukwenzakala;
• Imiquimod: ngamafutha asetyenziselwa ukomeleza amajoni omzimba, ukunceda ukubulala iiseli zesilonda;
• Ingenol-mebutato: ngamafutha e-gel asusa iiseli ezinesifo kwiintsuku ezi-2 okanye ezi-3 zokusetyenziswa;
• Diclofenac nge hyaluronic acid: ikwayioli yejeli, kodwa yeyona isetyenziselwa ukunyanga ukwenzakala.

Idermatologist iya kucebisa uhlobo lwekhrimu ngokweempawu zesikhumba, njengobungakanani, imilo kunye nendawo. Ixesha lokusetyenziswa kunye nenani lamaxesha ekufuneka zisetyenzisiwe zinokwahluka ukusuka komnye umntu ukuya komnye, kwaye ke, umntu kufuneka ahloniphe imiyalelo kagqirha.

3. ICryotherapy

I-Cryotherapy inokusetyenziswa kwe-nitrogen engamanzi ngesixhobo esifana nesi tshiza Ukuze umkhenkce iiseli onesifo ezibangela izilonda keratosis actinic. Iiseshoni ezininzi zibanjelwe ukuphelisa izilonda kunye nexesha lolu hlobo lonyango luxhomekeke kugqirha.

Olu hlobo lonyango aludingi kubulawa, kuba alubangeli zintlungu, nangona kunjalo emva kweseshoni kuyinto eqhelekileyo ukuba ummandla wolusu ube bomvu kwaye udumbe kancinane.

4. Ukukhupha imichiza

O uyaxobuka Imichiza lunyango olubandakanya ukufakwa kweasidi, ebizwa ngokuba yi-trichloroacetic, ngqo kwizilonda ze-actinic keratosis. Yenziwa ngugqirha wesikhumba eofisini, ayibangeli zintlungu, kodwa ngamanye amaxesha ibangela ukutsha.

Olu hlobo lonyango lusebenzela ukubulala iiseli eziguqulweyo ezikhoyo kwizilonda nasemva kokuba uyaxobuka Imichiza ihlala ifuna ukusebenzisa i-sunscreen ngenxa yomngcipheko wokutsha kwindawo efakwe i-asidi.

Kufuneka wenze ntoni ukuthintela

Eyona ndlela yokuthintela i-actinic keratosis kukusebenzisa i-sunscreen, ubuncinci bokhuseleko kwi-30. Nangona kunjalo, amanye amanyathelo anokunceda ukunciphisa umngcipheko wokuba ne-actinic keratosis, njengokuthintela ukubekwa elangeni phakathi kwe-10 kusasa kunye ne-4 pm emva kwemini, nxiba iminqwazi ukukhusela ubuso bakho kwimitha yelanga kwaye uphephe ukutshintsha ulusu.

Ukongeza, kubalulekile ukuba uhlolisise ulusu rhoqo kwaye ujonge rhoqo kugqirha wesikhumba, ngakumbi abantu abanolusu olufanelekileyo okanye abanembali yosapho yomhlaza wolusu.