Created at:1/16/2025
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Ko te basal cell carcinoma te momo mate pūngāwerewere kiri tino noa, e pā ana ki te miriona o te iwi puta noa te ao ia tau. Ka whanake tenei mate pūngāwerewere ngāwari i roto i ngā pūtau basal e hanga ana i te paparanga raro o te mata o tō kiri.
Ko te rongo pai, kaore e horapa te basal cell carcinoma ki ētahi atu wāhanga o tō tinana, ā, ka taea te whakaora pai ina kitea wawe. Ka tumanako te nuinga o te hunga e whanake ana i tēnei āhuatanga ki ngā hua pai me te tiaki hauora tika.
Ka hanga te basal cell carcinoma ina pakaru te DNA i roto i ngā pūtau basal o tō kiri, i te nuinga mai i te whakamārama o te rā. Kei te raro o tō epidermis ēnei pūtau, te paparanga o waho o te kiri.
Ina tipu kino ēnei pūtau, ka hanga e rātou ngā pūngāwerewere iti, ngā wahi ranei i runga i tō kiri e kore e ora pai. Kāore i rite ki ētahi atu mate pūngāwerewere, ka tipu tino ngāwari te basal cell carcinoma, ā, ka noho noa i tētahi wāhi i te horahanga puta noa i tō tinana.
Ko te momo mate pūngāwerewere kiri tēnei e puta mai ana i ngā wāhi e whakamāramahia ana e te rā. Ko tō mata, kaki, ringa, me ō ringaringa ngā wāhi noa e kitea ai e koe ngā huringa.
Ka taea e te basal cell carcinoma te puta mai i ngā huarahi rerekē i runga i tō kiri. Ko te mea nui ko te mohio ki ngā huringa hei titiro i roto i ō tirotiro kiri noa.
Ko ēnei ngā tohu tino noa ka kitea pea e koe:
Ko ētahi whakaaturanga kaore i te noa he lesion parauri, pango ranei, he wāhi ranei e rite ana ki te eczema, engari kaore e whakautu ki ngā maimoatanga noa. Ka taea e ēnei rerekētanga te whakaiti i te whakatau, koia te take i nui ai te aromatawai ngaio.
Ko te mea nui kia mahara ko te basal cell carcinomas kaore i te mamae, i te ngau ranei. Kaore pea koe e rongo i te kore pai, ka nui ake te uara o ngā tirotiro kiri tirohanga noa.
Ka puta mai te basal cell carcinoma i ngā ahua rerekē, ia ia me tōna ahua me te tauira tipu ake. Ka taea e te mārama ki ēnei momo te awhina i a koe ki te mohio ki ngā take pea i runga i tō kiri.
Ko te momo tino noa ko te basal cell carcinoma nodular, e puta ana hei pūngāwerewere porowhita, peari. Ka tipu haere tenei ahua, ā, ko te mea ngāwari ki te kite na tōna ahua kanapa motuhake.
Ka puta te basal cell carcinoma superficial hei wahi papatahi, whero, tautau e rite ana ki te eczema, ki te psoriasis ranei. Ka horapa tenei momo ki waho i runga i te mata o te kiri i te tipu hohonu, ka ngāwari ake te whakaora.
Ko te morpheaform basal cell carcinoma, ko te infiltrative basal cell carcinoma ranei e rite ana ki te wāhi waxy, rite ki te toka me ngā rohe kaore i te mārama. Ka uaua ake te whakaora i tēnei momo na te mea ka tipu hohonu ki te kiri, ā, he rohe koretake.
Kei roto i te basal cell carcinoma pigmented te melanin, e hoatu ana he tae parauri, pango ranei e whakaarohia ana he toka. Ko te momo tēnei e noa ana i ngā tāngata he tae kiri pouri.
Ko te take matua o te basal cell carcinoma ko te pakaru o te DNA o tō kiri mai i te radiation ultraviolet. Ka hangaia tēnei pakaru i roto i ngā tau maha o te whakamārama o te rā.
Ko ēnei ngā mea e āwhina ana ki tēnei mate pūngāwerewere kiri:
Ka taea hoki e ētahi take ira te whai wāhi. Ki te whai koe i ētahi āhuatanga kua oti te whakawhiwhi penei i te Gorlin syndrome, i te xeroderma pigmentosum ranei, ka nui haere tō tūponotanga na te kaha iti o tō tinana ki te whakatika i te pakaru DNA.
Ko te whakamārama ki ētahi matū penei i te arsenic, te ngoikore ranei o te pūnaha mate pūtau mai i ngā rongoā, i ngā āhuatanga hauora ranei, ka taea te āwhina ki tō tūponotanga. Ka taea e ngā maimoatanga whakaora radiation o mua te whakanui ake i ō tūponotanga ki te whanake i te basal cell carcinoma i te wāhi i whakaorahia i muri i ngā tau.
Me kite koe i te taakuta ina kite koe i te tipu hou i runga i tō kiri, i ngā huringa ranei ki tētahi waahi kei reira. Ka nui ake te whai hua o te kite wawe, ā, ka iti ake te whakauru.
Whakahaere rāhui ki te kite koe i te mamae kaore e ora i roto i ngā wiki torutoru, inā koa ki te toto, ki te pakaru ranei, ki te tuwhera anō. Ko tetahi pūngāwerewere hou, wahi ranei e tipu haere ana i te wā e tika ana kia arotakehia e te tangata ngaio.
Tātai atu ki ngā huringa i ngā wāhi e whakamāramahia ana e te rā. Ki te kite koe i tetahi mea e kore e rite ki tō mata, taringa, kaki, ringa, ringaringa ranei, he mea tika kia tirohia.
Kaua e tatari ki te whai koe i ngā take tūponotanga maha mō te mate pūngāwerewere kiri. Ka nui ake te hiranga o ngā tirotiro kiri noa ki te whai koe i te kiri mā, he hītori o te whakamārama o te rā, he whānau ranei kua whai mate pūngāwerewere kiri.
Ka taea e ngā take maha te whakanui ake i tō tūponotanga ki te whanake i te basal cell carcinoma. Ka taea e te mārama ki tō tūponotanga whaiaro te awhina i a koe ki te whakatau i ngā whakatau e pā ana ki te aukati me te tirotiro.
Ko ēnei ngā take tūponotanga tino nui:
Ko ētahi take tūponotanga kaore i te noa, engari he mea nui te ngoikore o te pūnaha mate pūtau mai i ngā rongoā whakawhiti whekau, i ētahi āhuatanga hauora ranei. Ko te hunga he mate ira onge penei i te albinism, i te xeroderma pigmentosum ranei e tūpono ana ki ngā tūponotanga nui ake.
Ko te whakaora radiation o mua, te whakamārama ki te arsenic, te maha ranei o ngā toka ka taea te whakanui ake i ō tūponotanga. Ahakoa he maha ngā take tūponotanga, kia mahara ko te basal cell carcinoma ka taea te whakaora pai ina kitea wawe.
Ahakoa kaore i te mate kino te basal cell carcinoma, ka taea e te kore whakaora te arahi ki ngā raruraru maha. Ko te rongo pai ko te nuinga o ēnei take ka taea te aukati me te maimoatanga tika.
Ko te raruraru tino noa ko te kino o te kiko rohe i te mea ka tipu haere te mate pūngāwerewere. I te wā, ka taea e te basal cell carcinoma kaore i te whakaora te whakangaro i te kiri, te uaua, te wheua ranei i te wāhi e pā ana.
Ko ēnei ngā hua pea me mōhio koe:
I roto i ngā take onge rawa, ka taea e ētahi momo basal cell carcinoma kaha te horapa ki ngā lymph nodes tata, ki ētahi atu wāhanga ranei o te tinana. Ka puta mai tēnei i raro i te 1% o ngā take, ā, i te nuinga o te wā i ngā pūngāwerewere kua warewarehia mo ngā tau maha.
Kaua hoki e warewarehia te pānga hinengaro. Ka taea e ngā huringa e kitea ana ki tō ahua te pā ki tō whakawhirinaki me te kounga o tō oranga, ka nui ake te uara o te maimoatanga wawe.
Ko te huarahi pai ki te aukati i te basal cell carcinoma ko te tiaki i tō kiri mai i te radiation UV puta noa i tō oranga. Ka taea te aukati i te nuinga o ngā take me ngā tikanga haumaru rā tonu.
Ko ēnei ngā rautaki aukati tino whai hua:
Kia mahara ko ngā mahi aukati e paingia ana e koe i tetahi tau. Ahakoa kua whai wāhi nui koe ki te whakamārama o te rā i mua, ko te tiaki i tō kiri inaianei ka taea te aukati i te kino atu, te whakaiti ranei i tō tūponotanga ki ngā mate pūngāwerewere kiri o muri.
Ko te whakaako i ngā tamariki mō te haumaru rā e hanga ana i ngā tikanga ora e whakaiti nui ana i tō rātou tūponotanga. Na te mea ko te nuinga o te kino e arahi ana ki te mate pūngāwerewere kiri e puta ana i te tamarikitanga me te taitamarikitanga, ka puta he rerekētanga roa te whakaako wawe.
Ko te whakatau i te basal cell carcinoma e tīmata ana i te tirotiro tirohanga e tō taakuta, dermatologist ranei. Ka titiro tata rātou ki ētahi waahi whakapae, ka uiui hoki ki ngā huringa kua kitea e koe.
Ki te whakaaro tō taakuta he basal cell carcinoma, ka whakahaere rātou i te biopsy kiri hei whakau i te whakatau. Kei roto i tēnei te tango i tetahi wāhanga iti o te kiko whakapae hei tirotiro i raro i te microscope.
Ko te tukanga biopsy i te nuinga o te wā he tere, he ngāwari. Ka whakahaere tō taakuta i te wāhi me te anesthetic rohe, ka tangohia he tauira iti mā te whakamahi i tētahi o ngā tikanga maha kei runga i te rahi me te wāhi o te lesion.
I roto i te nuinga o ngā take, ka hoatu e te biopsy punch ngāwari, te shave biopsy ranei te kiko nui mō te whakatau. Ka tirotiro te pathologist i te tauira hei whakau mena kei reira ngā pūtau mate pūngāwerewere, ā, ka whakatau i te momo basal cell carcinoma.
Ka puta mai ngā hua i roto i te wiki, rua ranei. Ki te whakau te biopsy i te basal cell carcinoma, ka kōrero tō taakuta i ngā kōwhiringa maimoatanga kei runga i te rahi, te wāhi, me te momo mate pūngāwerewere i kitea.
Ko te maimoatanga mō te basal cell carcinoma e whakawhirinaki ana ki ngā take maha tae atu ki te rahi, te wāhi, me te momo mate pūngāwerewere. Ko te whāinga tonu ko te tango i ngā pūtau mate pūngāwerewere katoa i te tiaki i te kiko hauora me te mahi.
Mō te nuinga o ngā basal cell carcinomas, ko te tango pokanga te maimoatanga pai. Ko te excision ngāwari kei roto te tapahi i te pūngāwerewere me te iti o te kiko hauora hei whakarite kua tangohia ngā pūtau mate pūngāwerewere katoa.
Ko ēnei ngā kōwhiringa maimoatanga matua ka tūtohutia pea e tō taakuta:
Ka hoatu e te pokanga Mohs te reiti whakaora teitei na te mea ka tirotiro te taote i ngā tauira kiko i te wā o te tukanga hei whakarite kua tangohia katoa. He mea nui tēnei tikanga mō ngā pūngāwerewere i runga i te mata, i ētahi atu wāhi ranei kei reira te mea nui te tiaki i te kiko hauora.
Mō ngā take tino nui, onge ranei kua horapa, ka whakaarohia pea ngā rongoā rongoā whai pūtau, immunotherapy ranei. Heoi, he onge ēnei āhuatanga i te mea ka taea te whakaora pai te basal cell carcinoma ina kitea wawe.
Ahakoa he mea nui te maimoatanga hauora ngaio mō te basal cell carcinoma, ka taea e te tiaki kāinga tika te tautoko i tō whakaora me tō mārire i te wā o te maimoatanga. Ko tō aro nui ko te tiaki i te wāhi maimoatanga me te whai i ngā tohutohu motuhake a tō taakuta.
I muri i tetahi tukanga pokanga, kia ma, kia maroke te whara penei i te tohutohu. Ka hoatu e tō taakuta ngā tohutohu tiaki whara motuhake, e whakauru ana i te horoi ngāwari me te whakamahi i ngā hinu, i ngā kakahu ranei kua tohua.
Koinei te huarahi ka taea e koe te tautoko i tō whakaora i te kāinga:
Ki te whakamahi koe i ngā maimoatanga topical penei i te imiquimod, kia tumanako ki tetahi mamae kiri hei wāhanga o te whakautu noa. Ka whakamārama tō taakuta te mea me tumanako, me te wā ki te whakapiri atu ki a rātou mō ngā pānga.
Ko te whakahaere mamae i te nuinga o te wā he ngāwari ki ngā rongoā-kāinga. Ko te nuinga o te iwi e kite ana he ngawari te kore pai, ā, ka taea te whakahaere me te acetaminophen, te ibuprofen ranei penei i te tūtohutia e tō taakuta.
Ko te whakarite mō tō hui e āwhina ana ki te whakarite ka whiwhi koe i te hua nui mai i tō haerenga, ā, ka hoatu ki tō taakuta ngā korero nui. Ka taea e te whakarite iti te whakahaere pai ake, te whānui ake hoki o te kōrero.
I mua i tō hui, hanga he rārangi o ētahi huringa kiri kua kitea e koe, tae atu ki te wā i puta tuatahi ai rātou me te āhua o te huringa i te wā.
Kohikohia ngā korero mō tō hītori hauora, tae atu ki ētahi atu mate pūngāwerewere kiri, te whakamārama o te rā nui, te hītori whānau ranei o te mate pūngāwerewere kiri. Ka hiahia tō taakuta ki te mohio ki ngā rongoā kei te tango koe, ki ētahi atu maimoatanga kua whiwhi koe ranei.
Tuhia ngā pātai e hiahia ana koe ki te ui kia kaua e wareware i te wā o te hui. Ko ngā pātai noa pea ko ngā kōwhiringa maimoatanga, te wā whakaora e tumanakohia ana, me ngā whakaritenga tiaki whakarite.
Kaua e whakamahi i te whakapaipai, hinu, i ētahi atu hua ranei ki te wāhi e hiahia ana koe ki te tirotiro. Kakahu kakahu e taea ai te uru ngāwari ki ētahi waahi e awangawanga ana koe.
Ko te basal cell carcinoma he momo mate pūngāwerewere kiri ka taea te whakaora pai ina kitea wawe, ā, ka whakaorahia wawe. Ko te reiti whakaora neke atu i te 95% mō te nuinga o ngā take, ka tino uaua te aro ki ngā huringa kiri whakapae.
Ko te aukati mā te tiaki rā tonu te tiaki pai rawa atu mō te whanake i te basal cell carcinoma. Ko te whakamahinga o ia rā o te sunscreen, te kakahu tiaki, te karo ranei i ngā moenga whakamārama rā ka taea te whakaiti nui i tō tūponotanga.
Ko ngā whakamātautau whaiaro kiri noa me ngā tirotiro ngaio e āwhina ana ki te hopu i ētahi raruraru wawe ina tino whai hua te maimoatanga. Kaua e whakaroa ki te tirotiro i ngā waahi whakapae, ahakoa he iti te ahua.
Kia mahara ko te whai i te basal cell carcinoma kaore e whakatau i tō oranga hauora o muri. Me te maimoatanga tika me te tiaki kiri haere tonu, ka haere te nuinga o te iwi ki te noho ora noa, hauora.
Ka taea te hoki mai o te basal cell carcinoma i te wāhi kotahi ki te kore i tangohia katoa ngā pūtau mate pūngāwerewere i te wā o te maimoatanga. He iti rawa te reiti hoki mai me te maimoatanga pokanga tika, i raro i te 5% me te excision noa, ā, he iti ake me te pokanga Mohs.
Ko te whai i te basal cell carcinoma kotahi e whakanui ana i tō tūponotanga ki te whanake i ētahi hou i ētahi atu wāhi. Koinei te take i nui ake ai te tiaki rā tonu me ngā tirotiro kiri noa i muri i tō maimoatanga tuatahi.
Ahakoa kaore i te oti te whakawhiwhi tika te basal cell carcinoma, ka taea e ngā take ira te awe i tō tūponotanga. Ko te kiri mā, ngā kanohi marama, te uaua ki te whakamārama he āhuatanga kua oti te whakawhiwhi e whakanui ana i te tūponotanga ki te kino UV.
Ko ētahi āhuatanga ira onge penei i te Gorlin syndrome e whakanui nui ana i te tūponotanga basal cell carcinoma. Heoi, mō te nuinga o te iwi, ko te whakamārama o te rā tonu te take tūponotanga matua i te ira anake.
Ko te basal cell carcinoma e tipu haere ana i te wā roa i roto i ngā marama, i ngā tau ranei. Ko tēnei tipu ngāwari tētahi o ngā take ka taea te whakaora pai, na te mea ka hoatu he wā ki a koe ki te kite i ngā huringa me te rapu maimoatanga.
Ka taea te rerekē o te tere tipu kei runga i te momo me te wāhi. Ka taea e ētahi momo superficial te horapa atu ki waho, ā, ko ngā momo nodular e tipu haere ana i te wā roa, i te whakatau.
Ka taea te whakaora i ētahi momo basal cell carcinoma me ngā tikanga kore-pokanga penei i ngā rongoā topical, cryotherapy, whakaora radiation ranei. Heoi, ko te pokanga tonu te paerewa koura na te mea ka taea te tango katoa.
Ko ngā maimoatanga kore-pokanga e whakawhiwhia ana ki ngā basal cell carcinomas superficial i ngā wāhi motuhake, ki ngā manawanui ranei kaore i te pai te pokanga. Ka tūtohu tō taakuta i te huarahi pai kei runga i tō āhuatanga motuhake.
Ka haere tonu te tipu o te basal cell carcinoma kaore i te whakaora, ā, ka taea te whakarahi i te kino o te kiko rohe. Ahakoa kaore e horapa ki ētahi atu wāhanga o te tinana, ka taea te whakangaro i te kiri, te uaua, te wheua ranei i te wā roa.
Ko te rongo pai ko te basal cell carcinoma ka taea te whakaora i te nuinga o te wā, ahakoa kua roa te wā. Heoi, ko te maimoatanga wawe e hua ana i ngā hua ataahua pai ake me ngā tukanga iti ake.