Isifo sikaBowen: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu zesifo sikaBowen
• Izizathu eziphambili
• Unyango lwenziwa njani

Isifo sika-Bowen, esikwabizwa ngokuba yi-squamous cell carcinoma in situ, luhlobo lwethumba elikhona kulusu olubonakaliswa kukuvela kwamacwecwe abomvu okanye omdaka okanye amabala kulusu kwaye ahlala ekhona nge-crust kunye nenani elikhulu lekeratin, elinokuthi nokuba kungabi namaxolo. Esi sifo sixhaphake kakhulu kwabasetyhini, nangona sinokubakho nakumadoda, kwaye sihlala sibonwa phakathi kweminyaka engama-60 nama-70 ubudala, kuba sinxulumene nokuhlala elangeni ixesha elide.

Isifo sika-Bowen sinokunyangwa ngokulula ngonyango lwe-photodynamic, ukusikwa okanye i-cryotherapy, nangona kunjalo ukuba asinyangwa ngokuchanekileyo kunokubakho ukuqhubela phambili kwi-carcinomas ehlaselayo, enokubangela iziphumo emntwini.

Iimpawu zesifo sikaBowen

Amabala abonisa isifo sikaBowen anokuba awatshatanga okanye aphindaphindeke kwaye anokuvela nakweliphi na ilungu lomzimba elichanabeke elangeni, lixhaphake emlenzeni, entloko nasentanyeni. Nangona kunjalo, banokuchongwa kwizandla, emiphakathini okanye kummandla wesini, ngakumbi kwabasetyhini xa benentsholongwane ye-HPV kwaye, kwimeko yamadoda, kwilungu lobudoda.

Iimpawu eziphambili kunye neempawu zesifo sikaBowen zezi:

• Inkangeleko yamabala abomvu okanye ansundu kulusu olukhula ngokuhamba kwexesha;
• Ukutshiza kwindawo yokulimala;
• Kukho okanye kungabikho ukuxobula;
• Amabala anokufumana ukukhululeka okuphezulu;
• Izilonda zinokubethwa okanye zibe tyaba.

Ukuchongwa kwesifo sikaBowen kuhlala kwenziwa ngugqirha wesikhumba okanye ugqirha ngokubanzi ngokujongwa ekuqwalaselweni kwamabala ngedermatoscopy, eyindlela yokuchonga engafunekiyo apho kuvavanywa khona izilonda kulusu. Ukusuka kwidermoscopy, ugqirha unokubonisa isidingo sokwenza i-biopsy ukukhangela ukuba iiseli zesilonda zinempawu ezinobungozi okanye ezimbi kwaye, ngokusekwe kwisiphumo, olona nyango lufanelekileyo lunokuboniswa.

Ngokusebenzisa i-dermatoscopy kunye ne-biopsy kunokwenzeka ukwahlula isifo sikaBowen kwezinye izifo zesikhumba, ezinje nge-psoriasis, i-eczema, i-basal cell carcinoma, i-actinic keratosis okanye usulelo lokungunda, olwaziwa njenge dermatophytosis. Qonda indlela eyenziwe ngayo idermoscopy.

Izizathu eziphambili

Ukuvela kwesifo sikaBowen kuhlala kunxulunyaniswa nokuvezwa lilanga ixesha elide, kunganyanzelekanga ukuba umntu achithe iiyure elangeni, kodwa kukuvezwa kwemihla ngemihla ngokuzithandela okanye ngokungazibandakanyi.

Nangona kunjalo, esi sifo sinokuthandwa kukuvezwa kwezinto ze-carcinogenic, njengesiphumo sosulelo lwe-virus, ikakhulu i-HIV, ukunciphisa ukusebenza kwamajoni omzimba, ngenxa ye-chemotherapy okanye i-radiotherapy, ukufakelwa komzimba, izifo ezizimeleyo okanye ezinganyangekiyo, umzekelo. Iziphumo zemfuza.

Unyango lwenziwa njani

Unyango lwesifo sikaBowen lumiselwa ngugqirha ngokweempawu zezilonda, ezinje ngendawo, ubungakanani kunye nobungakanani. Ukongeza, kukho umngcipheko wokuqhubela phambili kwesifo ukuya kwii-carcinomas ezingaphezulu.

Ke, unyango lunokwenziwa nge-cryotherapy, ukusikwa, i-radiotherapy, unyango lwe-photodynamic, unyango lwe-laser okanye unyango lwe-laser. Uninzi lwexesha, i-phototherapy isetyenziselwa imeko yezilonda ezininzi kunye nezibanzi, ngelixa utyando lunokucetyiswa kwimeko yezilonda ezincinci kunye nezingatshatanga, apho kususwa lonke ulusu.

Ukongeza, kwimeko apho isifo sikaBowen sivela ngenxa yosulelo lwe-HPV, umzekelo, ugqirha kufuneka abonise unyango losulelo. Kukwacetyiswa ukuba kuthintelwe ukuhlala elangeni ixesha elide ukuthintela ukuqhubela phambili kwesi sifo kunye nokubonakala kweengxaki.

Jonga ukuba lwenziwa njani unyango lwe-carcinoma yolusu.