Keratosis Actinic

Ko te keratosis actinic (ak-TIN-ik ker-uh-TOE-sis) he wahi kiri kē, pūwhewhe e puta mai ana i ngā tau o te whakamātau a te rā. Ka kitea pea i te mata, ngutu, taringa, ringa, pūkahukahu, kaki, te tuara rānei o ngā ringa.

Kei te rerekē te ahua o ngā keratinō o te actinic. Kei roto i ngā tohu:

• Papatahi kiri maroke, kēkē rānei, te nuinga o te wā he iti iho i te 1 inihi (2.5 henimita) te whānuitanga
• Papatahi papatahi, he iti teitei rānei, kei runga i te paparanga o runga o te kiri
• I ētahi wā, he mata pakeke, rite ki te whewhe
• Ngā rerekētanga tae, tae atu ki te pīnk, whero, kākāriki rānei
• Te ngau, te tahuna, te toto rānei, te kirikiri
• Ngā papatahi hou, ngā pupuku rānei kei ngā wāhi o te tinana e pā ana ki te rā, penei i te ūtū, te kaki, ngā ringa me ngā ringa

He uaua pea te wehewehe i waenga i ngā pūngāwerewere kore-mate pūngāwerewere me ngā pūngāwerewere mate pūngāwerewere. No reira, he pai kia arotakehia ngā huringa kiri hou e te kaiwhakarato hauora—inā, ki te mau tonu te pūngāwerewere tautau, te tipu, te toto rānei.

Ko te keratosis actinic he mate pūtau kiri e puta mai ana i te maha o ngā wā roa rānei te kaha o te rā, te UV rānei, mai i te rā, i ngā moenga tāne rānei.

Ka taea e te tangata tetahi te whanake i ngā keratinō o te actinic. Engari kei te nui ake te tūponotanga ki a koe mena ka:

• He whero, he karaka rānei ou makawe, ā, he kikorangi, he mā rānei ō kanohi
• He hītori nui tōu i te rā, te tahunga rānei
• He maha ngā pūpū, kā te tahunga rānei ina pā te rā
• He 40 tau neke atu tōu tau
• E noho ana koe i tētahi wāhi rā nui
• E mahi ana koe i waho
• He ngoikore tōu pūnaha ārai mate

Mēnā ka tukatukahia i te wā, ka taea te whakakorekore rānei te tango i te keratosis actinic. Ki te kore e tukatukahia, ka piki pea etahi o ēnei pūngāwerewere ki te karsinoma pūtau squamous. Ko tēnei te momo mate pukupuku kaore e mate ai te tangata i te nuinga o te wā, ki te kitea, ā, ki te tukatukahia i te wā.

Ko te tiaki i te rā e āwhina ana i te aukatinga i ngā keratosis actinic. Whakamahia ēnei kaupae hei tiaki i tō kiri i te rā:

• Whakaitihia tō wā i te rā. Āta whakakahoretia te wā i te rā i waenganui i te 10 am me te 2 pm. Ā, kia kaua e noho roa rawa i te rā kia tahuna ai tō kiri, kia whero ai rānei.
• Whakamahia te kirirakau whakamarumaru rā. I mua i te noho i waho, tāpirihia he kirirakau whakamarumaru rā whānui-āhuatanga, ā-wai, he tohu tiaki rā (SPF) o te 30 noa atu rānei, kia rite ki te tūtohutanga a te American Academy of Dermatology. Me mahi ēnei ahakoa he kapua te rangi. Whakamahia te kirirakau whakamarumaru rā ki ngā kiri katoa e kitea ana. Ā, whakamahia te para hinu-waha he kirirakau whakamarumaru rā kei runga i ō ngutu. Tāpirihia te kirirakau whakamarumaru rā i te 15 meneti i mua i te haere ki waho, ā, whakahokia anō i ngā rua haora – i te maha atu rānei mena kei te kauhoe koe, kei te wera rānei. Kāore i tūtohutia te kirirakau whakamarumaru rā mō ngā pēpi kei raro iho i te 6 marama. Engari, kia pupurihia rātou i waho o te rā ki te taea. Rānei tiakina rātou ki te āti, ngā potae, me ngā kakahu e hipoki ana i ngā ringa me ngā waewae.
• Hipoki. Mō te tiaki atu i te rā, kakahuria ngā kakahu i honoa rawa e hipoki ana i ō ringa me ō waewae. Kakahuria hoki he potae whānui-taha. Ka whakawhiwhia tēnei i te tiaki nui atu i te potae poi rānei, te potae kōwhiti rānei.
• Kaua e whakamahi i ngā moenga whakatanu. Ko te whakamahinga UV mai i te moenga whakatanu ka taea te whakarahi i te kino o te kiri rite tonu ki te tan mai i te rā.
• Tirohia tō kiri i ia wā, ā, whakamōhiotia ngā huringa ki tō kaiwhakarato hauora. Tirohia tō kiri i ia wā, kia titiro ai ki te whanaketanga o ngā tipu kiri hou, ki ngā huringa rānei i ngā taonga, ngā ira, ngā pupuku me ngā tohu whānau. Mā te awhina o ngā whakaata, tirohia tō mata, tō kaki, tō taringa me tō pane. Tirohia ngā pito me ngā raro o ō ringa me ō ringaringa.

Ka taea pea e tō kaiwhakarato hauora te whakatau mena kei a koe te keratosis actinic mā te titiro noa ki tō kiri. Ki te whai whakaaro ke, ka taea pea e tō kaiwhakarato hauora te mahi i ētahi atu whakamātautau, pēnei i te tātaritanga kiri. I te wā o te tātaritanga kiri, ka tangohia he tauira iti o te kiri hei tātaritanga i roto i te taiwhanga. Ka taea te mahi i te tātaritanga i te pokapū hauora i muri i te whakauru i te rongoā whakahaumaru.

Ahakoa muri i te maimoatanga mō te keratosis actinic, ka taea pea e tō kaiwhakarato hauora te kī kia tirohia tō kiri i te kotahi tau ia tau hei kimi i ngā tohu o te mate pūngāwerewere kiri.

Ka ngaro pea te keratosis actinic i a ia ano, engari ka hoki mai pea i muri i te nui o te rā. He uaua ki te kī he aha ngā keratosis actinic ka whanake hei mate pūngāwerewere, no reira ka tangohia rātou hei tiaki.

Ki te maha ō keratosis actinic, ka taea pea e tō kaiwhakarato hauora te whakahau i te kirikiri rongoa, hei tango i ētahi atu rongoā, pēnei i te fluorouracil (Carac, Efudex me ētahi atu), imiquimod (Aldara, Zyclara) tetahi rānei diclofenac. Ka pāngia pea ēnei hua i te kiri mumura, te tauraki, te tahuna rānei mō ngā wiki.

He maha ngā tikanga e whakamahia ana hei tango i te keratosis actinic, tae atu ki:

• Te whakakore (cryotherapy). Ka taea te tango i ngā keratosis actinic mā te whakakore i a rātou ki te hau konutai wai. Ka whakamahi tō kaiwhakarato hauora i te matū ki te kiri e pāngia ana, ka puta he pupuhi, te wehewehe rānei. I te ora o tō kiri, ka ngaro ngā pūtau i pakaru, ka puta mai he kiri hou. Ko te cryotherapy te maimoatanga tino noa. Ka torutoru noa ngā meneti, ā, ka taea te mahi i roto i te tari o tō kaiwhakarato hauora. Ko ngā pānga kino pea ko ngā pupuhi, te tohu, ngā huringa ki te āhua o te kiri, te mate, me ngā huringa i te tae o te kiri o te wāhi e pāngia ana.
• Te keri (curettage). I roto i tēnei tukanga, ka whakamahi tō kaiwhakarato hauora i te taputapu e kiia nei he curet hei keri i ngā pūtau i pakaru. Ka whai pea te keri i te electrosurgery, i te wā e whakamahia ana he taputapu pene-āhua hei tapahi me te whakangaro i te kiko e pāngia ana mā te hiko. Ka hiahiatia tēnei tukanga te mate whakakore wāhi. Ko ngā pānga kino pea ko te mate, te tohu, me ngā huringa i te tae o te kiri o te wāhi e pāngia ana.
• Te rongoā laser. Kei te whakamahia atu tēnei hangarau hei whakaora i te keratosis actinic. Ka whakamahi tō kaiwhakarato hauora i te taputapu laser ablative hei whakangaro i te wahi, ka puta mai he kiri hou. Ko ngā pānga kino pea ko te tohu me te kore tae o te kiri e pāngia ana.
• Te rongoā photodynamic. Ka taea pea e tō kaiwhakarato hauora te whakamahi i te otinga matū whakaiti-marama ki te kiri e pāngia ana, ka whakatāria ki te mārama motuhake ka whakangaro i te keratosis actinic. Ko ngā pānga kino pea ko te kiri mumura, te pupuhi, me te tahuna i te wā o te rongoā.

Kaore he uauatanga