Kānene Pūtau Papatahi O Te Kiri

Ko ngā wāhi o te kiri e pā ana ki te rā, pēnei i ngā ngutu me ngā taringa, he tino tūpono ake te whanake i te karsinoma pūtau papatahi o te kiri.

Ko te karsinoma pūtau papatahi o te kiri he momo mate pukupuku e tīmata ana hei tipu o ngā pūtau i runga i te kiri. Ka tīmata i ngā pūtau e kiia nei ko ngā pūtau papatahi. Ko ngā pūtau papatahi te hanganga o ngā paparanga waenganui me ngā paparanga o waho o te kiri. He momo mate pukupuku kiri noa te karsinoma pūtau papatahi.

Ehara i te mea mate kino te karsinoma pūtau papatahi o te kiri. Engari ki te kore e whakaorahia, ka taea e te karsinoma pūtau papatahi o te kiri te nui ake te tipu, te horapa atu rānei ki ētahi atu wāhanga o te tinana. Ka taea e te tipu o te mate pukupuku te whakaeke i ngā raruraru nui.

Ko te nuinga o ngā karsinoma pūtau papatahi o te kiri i puta mai i te nui rawa o te pā o te rahi ultraviolet (UV). Ka puta mai te rahi UV i te rā, i ngā moenga tākuta rānei, i ngā rama rānei. Ko te tiaki i tō kiri i te mārama UV ka āwhina i te whakaiti i te tūpono o te karsinoma pūtau papatahi o te kiri me ētahi atu momo mate pukupuku kiri.

Ka taea te kite i ngā karsinoma pūtau papatahi i nga wahi katoa o te kiri. I roto i te hunga e ngawari ana te tahuna, ka kitea te mate pukupuku i ngā wāhi o te kiri kua maha te pā o te rā. I roto i te hunga kiri pango me te kiri parauri, he tino nui ake te tūpono o te karsinoma pūtau papatahi ki te kiri kaore i te pā ki te rā, pēnei i ngā ira tangata.

Ko te mate pūngāwerewere papatahi o te kiri te nuinga o te wā ka puta ki te kiri e wera ana i te rā. Kei roto i ēnei te pūkahukahu, ngā pū o ngā ringa, ngā taringa, ngā ngutu rānei. Engari ka taea te puta ki hea atu ki te tinana. Ka taea tonu te puta ki roto i te waha, ki raro o ngā waewae, ki ngā ure rānei. Ki te puta te mate pūngāwerewere papatahi o te kiri ki ngā tāngata pū-kākāriki me te kiri parauri, ka puta ngā wāhi kaore i wera i te rā.

Ko ētahi o ngā tohu o te mate pūngāwerewere papatahi o te kiri:

• He pūngāwerewere pakari kei runga i te kiri, e kiia nei he pūngāwerewere. Ka rite pea te tae o te pūngāwerewere ki te kiri, ā, ka rerekē pea te ahua. Ka taea te tae whero, whero, pango, parauri rānei, kei runga i te tae o te kiri.
• He mate pūngāwerewere papatahi me te kiri kākā.
• He mate pūngāwerewere hou, he wāhi kake rānei kei runga i te toka tawhito, he mate pūngāwerewere rānei.
• He papatahi kākā, kākā kei runga i te ngutu ka puta pea hei mate pūngāwerewere tuwhera.
• He mate pūngāwerewere, he papatahi kākā rānei kei roto i te waha.
• He papatahi kake, he mate pūngāwerewere rite ki te whewhe rānei kei runga, kei roto rānei i te tara, kei runga rānei i ngā ure.

Whakakōrero ki te kaimahi hauora mō te whara mamae, te kiri pakaru ranei e kore e ora i roto i te rua marama pea, te wahi papatahi o te kiri tautau ranei e kore e ngaro. Ohauru kore utu ka whiwhi koe i te aratohu hohonu ki te whakahaere i te mate pukupuku, me ngā korero whai hua e pā ana ki te whiwhi i tētahi atu whakaaro. Ka taea e koe te whakakore i tō ohaurunga i tetahi wā. Ka tae mai tō aratohu hohonu mō te whakahaere i te mate pukupuku ki tō pouakaroto i roto i ngā wa poto. Ka

Ka tīmata te mate pūngāwerewere i ngā pūtau e hanga ana i te paparanga o waho o te kiri, e kiia nei ko te epidermis. Ko tētahi momo mate pūngāwerewere e kiia nei ko te basal cell carcinoma ka tīmata i ngā pūtau basal. Ka hanga e ngā pūtau basal ngā pūtau kiri e pupuri ana i te pehi i ngā pūtau tawhito ki runga. I te neke haere o ngā pūtau hou, ka riro hei pūtau squamous. Ko te mate pūngāwerewere e tīmata ana i ngā pūtau squamous e kiia nei ko te squamous cell carcinoma o te kiri. Ko te melanoma, tētahi atu momo mate pūngāwerewere, ka puta mai i ngā pūtau tae, e kiia nei ko ngā melanocytes.

Ka puta te squamous cell carcinoma o te kiri ina whiwhi ngā pūtau squamous i roto i te kiri i ngā huringa i roto i tō rātou DNA. Ko te DNA o ngā pūtau kei roto ngā tohutohu e kōrero ana ki ngā pūtau me mahi. Ka korero ngā huringa ki ngā pūtau squamous kia tere te tupu. Ka mau tonu te ora o ngā pūtau ina mate ngā pūtau hauora hei wāhanga o tō rātou huringa ora.

Ka puta tēnei i te nui rawa o ngā pūtau. Ka taea e ngā pūtau te whakaeke me te whakangaro i ngā kiko tinana hauora. I te wa, ka taea e ngā pūtau te motu me te horapa ki ētahi atu wāhanga o te tinana.

Ko te radiation ultraviolet (UV) te take o te nuinga o ngā huringa DNA i roto i ngā pūtau kiri. Ka taea te tiki i te radiation UV mai i te rā, ngā rama tāne me ngā moenga tāne.

Engari ka taea hoki te tupu o ngā mate pūngāwerewere i runga i te kiri kaore i te noho i te rā. Ko te tikanga tenei he maha atu ngā take ka taea te tāpiri ki te tūponotanga o te mate pūngāwerewere. Ko tētahi take penei ko te whai i tētahi āhuatanga e whakawaiwai ana i te pūnaha ārai.

Ko ētahi take ka piki ai te tūponotanga o te mate pūngāwerewere karaka o te kiri:

• Te kiri ngāwari ki te tahutahu i te rā. Ka taea e te tangata o te tae kiri te whiwhi i te mate pūngāwerewere karaka o te kiri. Engari he maha atu i roto i te hunga he iti te melanin i roto i to rātou kiri. Ko te melanin he mea e hoatu ana te tae ki te kiri. Ka āwhina hoki ki te tiaki i te kiri i te pānga o te rā. He nui ake te melanin o te hunga kiri pango, pango parauri atu i te hunga kiri mā.

  Ko te tūponotanga o te mate pūngāwerewere karaka teitei rawa atu i roto i te hunga he huruhuru whero, he kanohi mā, he whewhe, he ngāwari ki te tahutahu i te rā.

• Te noho roa rawa i te rā. Ka piki ake te tūponotanga o te mate pūngāwerewere karaka o te kiri nā te pānga o te rā. Ka taea te whakaiti i te tūponotanga mā te hipoki i te kiri ki ngā kakahu, ki te whakamarumaru rā rānei.

• Te whakamahi i ngā moenga whakatanu. Kei te piki ake te tūponotanga o te mate pūngāwerewere karaka o te kiri i te hunga e whakamahi ana i ngā moenga whakatanu i roto.

• Te hītori o te tahutahu i te rā. Ko te whiwhi i tetahi tahutahu rā, tahutahu rā atu rānei i whakapakari i ngā whewhe i te tamarikitanga, i te tauira rānei ka piki ake te tūponotanga o te whanaketanga o te mate pūngāwerewere karaka o te kiri i te pakeketanga. He take tūponotanga hoki ngā tahutahu rā i te pakeketanga.

• Te hītori o ngā whara kiri i mua i te mate pūngāwerewere. Ka taea e etahi momo whara kiri te huri hei mate pūngāwerewere kiri. Hei tauira, ko te actinic keratosis, ko te mate a Bowen rānei. Ko te whiwhi i tetahi o ēnei āhuatanga ka piki ake te tūponotanga o te mate pūngāwerewere karaka.

• Te hītori o te mate pūngāwerewere kiri. He tino nui ake te tūponotanga o te hunga kua whiwhi i te mate pūngāwerewere karaka o te kiri kia whiwhi ano.

• Te pūnaha ārai mate ngoikore. Kei te piki ake te tūponotanga o te mate pūngāwerewere kiri i te hunga he pūnaha ārai mate ngoikore. Kei roto i ēnei te hunga he leukemia, he lymphoma rānei. Kei roto hoki te hunga e inu ana i ngā rongoā hei whakahaere i te pūnaha ārai mate, pēnei i te hunga kua whakawhiti whekau.

• Te whiwhi i te mate tuku iho onge. Kei te piki haere te tūponotanga o te whanaketanga o te mate pūngāwerewere kiri i te hunga he xeroderma pigmentosum, e puta ai te tino ngawari ki te rā.

• Te whiwhi i te mate huaketo papilloma tangata (HPV). Ka piki ake te tūponotanga o te mate pūngāwerewere karaka o te kiri i tēnei mate tuku iho noa e tukuna ana mā te hononga taangata.

• Te whiwhi i ngā tohu, i ngā whara roa rānei i te kiri. Ka taea te hanga i te mate pūngāwerewere karaka o te kiri i roto i ngā tohu, i ngā tahuna, i ngā whewhe rānei kaore e ora.

Ka taea e te karsinoma pūtau papatahi o te kiri kaore i te rongoā te whakangaro i ngā kiko hauora e tata ana. Ka taea te horapa ki ngā ngota lymph, ki ētahi atu rānei o ngā whekau. Ā, ka mate pea, ahakoa ehara i te mea noa.

Ka piki pea te tūponotanga o te horapa o te karsinoma pūtau papatahi o te kiri ki te:

• Tupu nui rawa atu rānei te hohonu.
• Kei roto i ngā kiri kiri, pēnei i ngā ngutu.
• Kei te tangata he pūnaha ārai mate ngoikore. Ko ētahi tauira o ngā mea ka pāngia ai te pūnaha ārai mate ngoikore, ko te whai leukemia roa, te tango rongoā rānei hei whakahaere i te pūnaha ārai mate i muri i te whakawhiti whekau.

Ko te nuinga o ngā mate pūngāwerewere papatahi o te kiri ka taea te aukati. Hei tiaki i a koe:

• Kaua e noho ki te rā i te waenganui o te rā. Mō te nuinga o Te Tai Tokerau o Amerika, he kaha rawa te rā i waenga i te 10 am me te 3 pm. Whakaritehia ngā mahi i waho i ētahi atu wā o te rā, ahakoa i te takurua, i te mea kapua rānei te rangi. I te wā kei waho, noho ki te atarangi āta.
• Kakahu whakamarumaru i te tau katoa. Whakamahia he whakamarumaru whānui-whanui me te SPF o te 30 noa atu rānei, ahakoa i ngā rā kapua. Tāpirihia te whakamarumaru nui. Tāpirihia anō i ngā haora rua, i te maha atu rānei mena kei te kauhoe koe, kei te wera rānei.
• Kakahu kakahu whakamarumaru. Kakahu kakahu pouri, whatu-pūmau e hipoki ana i ngā ringa me ngā waewae. Kakahu potae whā-pūmau e whakamarumaru ana i tō mata me ō taringa. Kaua e wareware ki ngā karāhe. Rapua ngā mea e aukati ana i ngā momo radiation UV e rua, ngā hihi UVA me UVB.
• Kaua e whakamahi i ngā moenga whakatanu. Ka tukuna e ngā rama i roto i ngā moenga whakatanu te radiation UV. Ko te whakamahinga o ngā moenga whakatanu ka piki ake te tūponotanga o te mate pūngāwerewere kiri.
• Tirohia ou kiri i te maha me te ripoata i ngā huringa ki tō rōpū tiaki hauora. Tirohia ou kiri i te maha mō ngā tipu hou. Rapua ngā huringa i ngā taonga, ngā ira, ngā pūngāwerewere me ngā tohu whānau. Whakamahia ngā whakaata hei tirotiro i tō mata, i tō kaki, i ō taringa me tō pūkau. Tirohia tō uma me tō pouaka me ngā pito o runga me raro o ō ringa. Tirohia te mua me te muri o ō waewae me ō waewae. Tirohia te raro o ngā waewae me ngā wāhi i waenganui i ō maihao. Tirohia hoki tō wāhi ira tangata me waenganui i ō turi. Tirohia ou kiri i te maha me te ripoata i ngā huringa ki tō rōpū tiaki hauora. Tirohia ou kiri i te maha mō ngā tipu hou. Rapua ngā huringa i ngā taonga, ngā ira, ngā pūngāwerewere me ngā tohu whānau. Whakamahia ngā whakaata hei tirotiro i tō mata, i tō kaki, i ō taringa me tō pūkau. Tirohia tō uma me tō pouaka me ngā pito o runga me raro o ō ringa. Tirohia te mua me te muri o ō waewae me ō waewae. Tirohia te raro o ngā waewae me ngā wāhi i waenganui i ō maihao. Tirohia hoki tō wāhi ira tangata me waenganui i ō turi.

Ko ngā whakamātautau me ngā tukanga e whakamahia ana hei whakatau i te mate pūngāwerewere papatipu o te kiri ko ēnei:

• Tirohanga tinana. Ka ui te mema o tō rōpū hauora ki ō hītori hauora, ā, ka titiro ki tō kiri mō ngā tohu o te mate pūngāwerewere papatipu o te kiri.
• Tango i te tauira o te kiko hei whakamātautau, e kiia nei ko te tātaritanga kiko. He tukanga te tātaritanga kiko hei tango i te tauira o te kiko hei whakamātautau i roto i te taiwhanga. Ka whakamahi te mema o tō rōpū hauora i te taputapu hei tapahi, hei whakakore rānei, hei pupuhi rānei i ētahi wāhanga o te kiri e kore e rite te ahua. Ka whakamātautauhia te tauira i roto i te taiwhanga kia kitea ai he mate pūngāwerewere rānei.

Ko te nuinga o ngā karcinoma pūtau squamous o te kiri ka taea te tango mā te pokanga iti. Ko ētahi ka tangohia mā te rongoā e tāpaia ana ki te kiri. Ko te maimoatanga e whakamahere ana ki te wāhi o te mate pukupuku, tōna rahi, tōna tere tipu me ngā mea e pai ana koe. Ki te iti te mate pukupuku kiri, kāore i te hohonu ki te kiri, e kiia nei he superficial, ā, he iti te tūponotanga o te hora, ko ētahi atu whiringa maimoatanga iti-whakauru e whai ake nei:

• Te tautuhi me te electrodessication. Ko te maimoatanga nei e whakauru ana i te tango i te tihi o te mate pukupuku kiri mā te taputapu keri e kiia nei he curet. Katahi ka whakamahia he ngira hiko hei tahu i te turanga o te mate pukupuku.
• Te rongoā laser. Ko te maimoatanga nei e whakamahi ana i te rama kaha o te mārama hei whakangaro i ngā tipu. Ko te tikanga he iti te pakaru o ngā kōpū tata. Ā, he iti ake te tūponotanga o te toto, te pupū me te tohu.
• Te makariri. Ko te maimoatanga nei, e kiia nei he cryosurgery, e whakauru ana i te makariri i ngā pūtau mate pukupuku mā te hau konutai wai. Ka taea te mahi makariri i muri i te whakamahinga o te taputapu keri, e kiia nei he curet, hei tango i te mata o te mate pukupuku kiri.
• Te rongoā photodynamic. I te wā o te rongoā photodynamic, ka tāpaia he rongoā wai e whakapakari ana i ngā pūtau mate pukupuku ki te mārama ki te kiri. I muri mai, ka whakamahia he mārama hei whakangaro i ngā pūtau mate pukupuku kiri ki te rohe. Ka taea te whakamahi i tēnei maimoatanga me te pokanga, me ētahi atu maimoatanga. Ka taea te tūtohutia ngā maimoatanga whakauru-nui ake mō ngā karcinoma pūtau squamous nui ake me ngā mea e haere ana ki te hohonu o te kiri. Ko ētahi atu whiringa pea:
• Te tango ngāwari. Ko te tikanga tenei te tapahi i te mate pukupuku me te taha o te kiri hauora e karapoti ana. I etahi wa ka tangohia atu te kiri atu i te mate pukupuku, e kiia nei he tango whānui.
• Te pokanga Mohs. Ko te pokanga Mohs e whakauru ana i te tango i te mate pukupuku paparanga i te paparanga, me te tirotiro i ia paparanga i raro i te microscope kia kore ra ano ngā pūtau mate pukupuku. Ma tenei ka taea e te taote te tango i te tipu katoa kaore e tango i te nui o te kiri hauora e karapoti ana.
• Te rongoā radiation. Ko te rongoā radiation e whakamahi ana i ngā rama kaha o te kaha hei whakamate i ngā pūtau mate pukupuku. Ko te rongoā radiation i etahi wā ka whakamahia i muri i te pokanga ina he nui ake te tūponotanga ka hoki mai te mate pukupuku. He whiringa pea ano hoki mō te hunga kaore e taea te mahi pokanga, kāore rānei e hiahia ki te pokanga. Ina horapa te karcinoma pūtau squamous ki ētahi atu wāhanga o te tinana, ka taea te tūtohutia ngā rongoā, tae atu ki:
• Te chemotherapy. Ko te chemotherapy e whakamahi ana i ngā rongoā kaha hei whakamate i ngā pūtau mate pukupuku. Ki te horapa te karcinoma pūtau squamous ki ngā ngota lymph, ki ētahi atu wāhanga rānei o te tinana, ka taea te whakamahi i te chemotherapy anake, i te whakamahi rānei me ētahi atu maimoatanga, pēnei i te rongoā whāinga me te rongoā radiation.
• Te rongoā whāinga. Ko te rongoā whāinga e whakamahi ana i ngā rongoā e whakaeke ana i ngā matū motuhake i roto i ngā pūtau mate pukupuku. Mā te aukati i ēnei matū, ka taea e ngā maimoatanga whāinga te whakamate i ngā pūtau mate pukupuku. Ko te tikanga ka whakamahia te rongoā whāinga me te chemotherapy.
• Te immunotherapy. Ko te immunotherapy he maimoatanga me te rongoā e āwhina ana i te pūnaha ārai mate o te tinana ki te whakamate i ngā pūtau mate pukupuku. Ko te pūnaha ārai mate e whawhai ana i ngā mate mā te whakaeke i ngā huaketo me ētahi atu pūtau kāore e tika ana kei roto i te tinana. Ko ngā pūtau mate pukupuku e ora ana mā te huna i te pūnaha ārai mate. Ko te immunotherapy e āwhina ana i ngā pūtau pūnaha ārai mate ki te kimi me te whakamate i ngā pūtau mate pukupuku. Mō te karcinoma pūtau squamous o te kiri, ka taea te whakaaro ki te immunotherapy ina whanake te mate pukupuku, kāore hoki ētahi atu maimoatanga hei whiringa. Te immunotherapy. Ko te immunotherapy he maimoatanga me te rongoā e āwhina ana i te pūnaha ārai mate o te tinana ki te whakamate i ngā pūtau mate pukupuku. Ko te pūnaha ārai mate e whawhai ana i ngā mate mā te whakaeke i ngā huaketo me ētahi atu pūtau kāore e tika ana kei roto i te tinana. Ko ngā pūtau mate pukupuku e ora ana mā te huna i te pūnaha ārai mate. Ko te immunotherapy e āwhina ana i ngā pūtau pūnaha ārai mate ki te kimi me te whakamate i ngā pūtau mate pukupuku. Mō te karcinoma pūtau squamous o te kiri, ka taea te whakaaro ki te immunotherapy ina whanake te mate pukupuku, kāore hoki ētahi atu maimoatanga hei whiringa. Ohauru kore utu ka whiwhi i te aratohu hohonu ki te whakahaere i te mate pukupuku, me ngā korero whai hua mo te whiwhi i tetahi atu whakaaro. Ka taea e koe te whakakore i te ohaurunga i te hononga whakakore i te īmēra.Ka tae mai tō aratohu hohonu ki te whakahaere i te mate pukupuku ki tō pouakaroto i te wa poto. Ka whiwhi ano koe ki

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