Chii chinonzi Actinic Keratosis? Zviratidzo, Zvinokonzera, & Kurapa

Actinic keratosis inyaya yakaoma, ine zvidimbu zvinokura paganda rinoratidzwa nezuva mushure memakore ekukuvara kweUV. Aya maitiro asati ava kanesa ndiwo maitiro eganda rako ekuratidza migumisiro yakawanda yekuratidzwa kwezuva nekufamba kwenguva.

Funga nezve actinic keratoses sechiratidzo chekutanga kubva paganda rako. Kunyange zvazvo vasiri kanesa pachavo, vanomiririra nzvimbo dzakakuvadzwa zvakakwana kuti dzikwanise kukura kuva kanesa reganda kana dzisina kurapwa. Mashoko akanaka ndeawo kuti nekutarisirwa kwakakodzera nekurapa, unogona kugadzirisa aya mabvi zvinobudirira.

Ndeapi zviratidzo zve actinic keratosis?

Actinic keratoses kazhinji inoonekwa sezvidimbu zvidiki, zvakaoma zvinonzwa sekasandpaper kana ukamhanya chigunwe chako pamusoro pazvo. Kazhinji zviri nyore kunzwa kupfuura kuona pakutanga, ndosaka vanhu vazhinji vachizviona pavanenge vachishandisa lotion kana kugeza chiso chavo.

Heano zviratidzo zvakajairika zvekuchengetedza:

• Zvidimbu zvakaoma, zvine zvidimbu, kana zvakasviba munzvimbo dzakaratidzwa nezuva
• Mabvi akati sandara kana akakwirira zvishoma anogona kuva pink, tsvuku, kana brown
• Zvidimbu zvinonzwa zvakaoma, zvakaoma, kana zvakasviba pakubata
• Nzvimbo dzinogona kukwenya, kupisa, kana kunzwa kurwadza
• Mabvi anouya anoenda, dzimwe nguva anoita sekunge anorapa wobva adzoka
• Zvidimbu kubva pakukura kwepinhead kusvika pamusoro peinch imwe

Aya mabvi kazhinji anoonekwa pachiso chako, nzeve, mutsipa, scalp, chipfuva, kumashure kwemaoko, maoko, kana miromo. Texture kazhinji ndiyo yakanyanya kuonekwa chimiro - iyo yakasiyana yakaoma, inonzwa sekasandpaper inovasiyanisa neganda rakajairika.

Muimwe nguva, ungacherechedza zviratidzo zvisingawanzoitika senge zviduku zvine mahombekombe zvinokura kubva pachidimbu, kana nzvimbo dzinobuda ropa nyore kana dzikakwenya. Aya marudzi ari mukati mehuwandu hwenguva dzinoonekwa sei actinic keratoses.

Chii chinokonzera actinic keratosis?

Chikonzero chikuru che actinic keratosis ndicho kuunganidzwa kwe ultraviolet (UV) radiation kukuvara kubva pakuratidzwa kwezuva ne tanning beds kwemakore mazhinji. Masero eganda rako anounganidza zvishoma nezvishoma kukuvara uku, pakupedzisira kuchitungamira kune maitiro ekukura asingawanzoitika anogadzira aya mabvi akaoma.

UV radiation inoshanda nekukuvadza DNA mune masero eganda rako, kunyanya munzvimbo yekunze inonzi epidermis. Kana kukuvara uku kukawedzera nekufamba kwenguva, kunogona kukonzera masero kukura uye kuwanda zvisina kujairika, kugadzira zvidimbu zvakaoma zvaunoona uye kunzwa.

Maitiro acho kazhinji anotora makore kuti akure, ndosaka actinic keratoses ichinyanya kuwanikwa muvanhu vane makore anopfuura 40. Nekudaro, kana wakaratidzwa zvakanyanya nezuva kana kushandisa tanning beds nguva dzose, ungazvikura uri mudiki.

Zvinhu zvimwe zvinogona kukurumidza maitiro aya. Kuva neganda rakachena, maziso ane ruvara rwakachena, kana bvudzi rakajeka kana rakapemha kunokuita kuti uve munhu anokurumidza kukuvadzwa nekuti une dziviriro shoma yemunhu kubva ku melanin. Kugara munzvimbo dzinopisa, kushanda kunze, kana kuva nehunyanzvi hwekuvhiringidzika kunowedzera njodzi yako zvakanyanya.

Rini unofanira kuona chiremba we actinic keratosis?

Unofanira kuona chiremba wehutano chero nguva paunoona mabvi matsva, akaoma, kana ane zvidimbu munzvimbo dze ganda rako dzakaratidzwa nezuva. Kuongororwa pakutanga kunobatsira kuve nechokwadi chekurapwa kwakakodzera nekutarisa, kukupa iwe mhinduro dzakanakisa.

Rongedza musangano nekukurumidza kana ukaona chero ichi chinja chinotyisa:

• Chidimbu chinobuda ropa, chinova kurwadza, kana kugadzira ronda rakazaruka
• Kukura nekukurumidza kana kuchinja kukuru kukuru muhukuru, ruvara, kana texture
• Kukura kwehombekombe kubva pachidimbu
• Nzvimbo dzinoita kuti dzive dzakanyanya kurwadza kana kuzvimba
• Zvidimbu zvakawanda zvitsva zvinoonekwa munguva pfupi

Usamirira kana chidimbu chichiita sekunge chakasiyana nemamwe actinic keratoses ako kana chikaita nzvimbo dzakakwirira, dzakasimba. Aya marudzi anogona kuratidza kufambira mberi kuenda kukanser yeganda, uye kuita zvinhu pakutanga nguva dzose kunonyanya kushanda.

Kunyangwe mabvi ako achionekwa akachengeteka, kunyatsa kuongororwa gore rega rega. Dermatologist yako inogona kutevera kuchinja nekufamba kwenguva uye kukurudzira nzira yekurapa yakakodzera mamiriro ako chaiwo.

Ndeapi njodzi dze actinic keratosis?

Zvinhu zvakati wandei zvinoita kuti uve nenjodzi yakawanda yekukura actinic keratoses, nekuratidzwa kwezuva kuri kukuru kwazvo. Kunzwisisa njodzi dzako kunokubatsira kutora matanho ekudzivirira akakodzera uye kuziva rini unofanira kungwarira nezve kuchinja kwe ganda.

Njodzi dzakajairika dzinosanganisira:

• Ganda rakachena, bvudzi rakajeka, uye maziso ane ruvara rwakachena
• Nhoroondo yekuratidzwa kwezuva kazhinji kana kuvhingidzika kwezuva
• Makore anopfuura 40 (kunyange vanhu vaduku vanogona kukanganiswa)
• Kugara munzvimbo dzinopisa kana dziri pamusoro
• Kushanda kunze nguva dzose
• Kushandisa tanning beds kare
• Sisitimu yekudzivirira yakasimba kubva kumishonga kana mamiriro ezvehutano

Mamwe njodzi dzisingawanzoitika asi dzakakosha dzinosanganisira kuva nekutambudzwa kwezvibatanidzwa (izvo zvinodiwa mishonga inodzora immune), mamiriro ezvemagariro anokanganisa pigmentation yeganda, uye radiotherapy kare paganda.

Kana uine njodzi dzakawanda, uri munhu ane njodzi yakawanda yekukura actinic keratoses yakawanda nekufamba kwenguva. Izvi hazvirevi kuti uchazvikura zvechokwadi, asi zvinoreva kuti kuongororwa kwe ganda nguva dzose nekudzivirirwa kwezuva zvinonyanya kukosha kwauri.

Ndeapi matambudziko anogona kuitika e actinic keratosis?

Kunetseka kukuru ne actinic keratosis ndekwekuti mamwe mabvi anogona kufambira mberi kuenda squamous cell carcinoma, rudzi rwekanesa reganda. Nekudaro, kufambira mberi uku kuri kunonoka uye kunoitika muhuwandu hudiki hwenzvimbo - ongororo inoratidza kuti anenge 5-10% ye actinic keratoses isina kurapwa inogona pakupedzisira kuva nekanesa.

Kana kufambira mberi kuchitika, kazhinji kunoitika zvishoma nezvishoma kwemavhiki kana makore panzvimbo pekukurumidza. Izvi zvinokupa iwe nemuongorori wehutano hwako nguva yekutarisa kuchinja uye kuita zvinhu kana zvichidiwa.

Zviratidzo zvekuti actinic keratosis inogona kunge ichifambira mberi zvinosanganisira:

• Kuwedzera kukuru muhukuru kana kunyanya
• Kukura kwenzvimbo dzakasimba, dzakakwirira mukati mechibvi
• Kubuda ropa kwenguva refu kana kuzvimba
• Kuchinja muvara, kunyanya kusimba kana pigmentation isina kujairika
• Kuwedzera kurwadza kana kurwadziwa

Muimwe nguva, vanhu vane actinic keratoses yakawanda vanogona kukura mamiriro anonzi field cancerization, uko nzvimbo huru dzeganda rakakuvadzwa nezuva dzinoita kuti dzive nenjodzi yekukura kanesa yakawanda yeganda. Izvi zvinowanzoitika muvanhu vane kukuvara kukuru kwezuva uye sisitimu yekudzivirira yakasimba.

Migumisiro yemanzwiro haifanirwe kuregererwawo. Vamwe vanhu vanonzwa vachitya kuva nemaitiro asati ava kanesa, nepo vamwe vachinzwa vasingazvizivi nezve mabvi anoonekwa pachiso chavo kana maoko avo. Aya manzwiro akajairika uye anokosha kutaura nachiremba wako.

Actinic keratosis inogona kudzivirirwa sei?

Kudzivirira kunotarisa pakudzivirira ganda rako kubva pakukuvara kweUV, izvo zvinogona kubatsira kudzivirira actinic keratoses itsva kubva pakukura uye kunogona kutobatsira dzakagarapo kuvandudza. Kiyi ndeye tsika, dziviriro yezuva yemazuva ese.

Nzira dzako dzakanakisa dzekudzivirira dzinosanganisira:

• Kushandisa sunscreen yakafara-spectrum ine SPF 30 kana yakakwira zuva rega rega
• Kupfeka nguo dzinodzivirira, ngowani dzine mahombekombe akareba, uye magirazi ezuva
• Kutsvaga mumvuri panguva dzezuva rakakura (10 AM kusvika 4 PM)
• Kudzivisa tanning beds zvachose
• Kuita kuongororwa kwega kwe ganda rako
• Kuita kuongororwa kwe ganda kwakaitwa nachiremba sezvakakurudzirwa nachiremba wako

Shingairira sunscreen zvakawanda paganda rese rakazaruka, kusanganisira nzvimbo dzisingawanzoonekwa senge nzeve dzako, mutsipa, uye kumashure kwemaoko ako. Dzokorora maawa maviri ega ega, kana kazhinji kana uri kushambira kana kuita zvemitambo.

Yeuka kuti UV rays inogona kupinda mukati memafu uye kuita kuti ive yakajeka pamusoro penyika senge mvura, jecha, uye chando, saka dziviriro inokosha kunyangwe pazuva rakafukidzwa kana panguva yemabasa ehuwandu hwechando. Kuita kuti dziviriro yezuva ive tsika yemazuva ese, sekubrush mazino ako, kunokupa iwe mhinduro dzakanakisa dzemazuva ese.

Actinic keratosis inoongororwa sei?

Kuongororwa kazhinji kunotanga nekuongororwa kwemaziso nemuviri nachiremba wako wehutano kana dermatologist. Vachatarisa mabvi uye vanonzwa texture yavo, kazhinji vachishandisa chishandiso chinokura chinonzi dermatoscope kuongorora zvakanyanya.

Mumazhinji ezviitiko, chitarisiko chakasiyana uye texture yakaoma zvinoita kuti actinic keratoses ive nyore kuziva. Chiremba wako achaongorora kukura, ruvara, nzvimbo, uye nhamba yemabvi, pamwe nekubvunza nezvenhoroondo yako yekuratidzwa kwezuva uye chero kuchinja kwaunoona.

Dzimwe nguva chiremba wako anogona kukurudzira biopsy yeganda, kunyanya kana chidimbu chichiita sekusingawanzoitika kana chiine hunhu hunotyisa kukanser yeganda. Panguva ye biopsy, sampuli diki ye ganda rakakanganiswa inobviswa uye inotarwa pasi pe microscope ne pathologist.

Maitiro e biopsy kazhinji anokurumidza uye anoitwa neanesthesia yemunharaunda muhofisi yechiremba wako. Kunyange pfungwa ye biopsy inogona kunzwa ichitya, ichokwadi chishandiso chinobatsira chinopa ruzivo rwakajeka nezviri kuitika mumasero eganda rako.

Chiremba wako anogonawo kushandisa mifananidzo kudokumenti actinic keratoses yako, kugadzira chimiro chekufananidza kwenguva yemberi panguva yekushanya kwekuongorora. Izvi zvinobatsira kutevera kuchinja nekufamba kwenguva uye kuziva chero mabvi anogona kuda kutarisirwa kwakawanda.

Kurapa kwe actinic keratosis ndechii?

Kurapa kunangisa kubvisa masero eganda asingawanzoitika uye kuderedza njodzi yako yekufambira mberi kuenda kukanser yeganda. Chiremba wako achakurudzira nzira yakanakisa zvichienderana nenhamba, kukura, uye nzvimbo yemabvi ako, pamwe nehutano hwako hwese uye zvaunoda.

Sarudzo dzekurapa dzakajairika dzinosanganisira:

• Cryotherapy (kuchando ne liquid nitrogen)
• Mishonga ye topical senge imiquimod, fluorouracil, kana diclofenac
• Photodynamic therapy (kurapa kwakashandiswa nechiedza)
• Chemical peels uchishandisa trichloroacetic acid
• Electrodesiccation ne curettage (kukwenya nekupisa)
• Laser therapy yezviitiko zvakakosha

Cryotherapy imwe yekurapa kwakajairika, kunyanya kune mabvi emuviri. Chiremba wako anoshandisa liquid nitrogen kuvhara masero asingawanzoitika, anobva awira pasi sezvo ganda rako richirapa. Unganzwa kurwadziwa panguva yekurapa uye kuzvimba kwenguva pfupi kana kubuda mvura mushure meizvozvo.

Mishonga ye topical inoshanda zvakanaka kana uine mabvi mazhinji kana uchida kurapa nzvimbo yakakura. Aya makisi kana gels anoshandiswa kumba kwemavhiki mazhinji, achibvisa zvishoma nezvishoma masero akakuvadzwa. Iwe unganzwa kuzvimba, kuputika, uye kukuvadzwa panguva yekurapa, izvo zvakajairika uye zvinoratidza kuti mushonga uri kushanda.

Kune actinic keratoses yakawanda, chiremba wako anogona kukurudzira kurapwa kwakabatana kana nzira dzekurapa dzenharaunda dzinoita kuti dzive dzakakura dzeganda rakakuvadzwa nezuva panguva imwe chete. Chinangwa ndechekugadzirisa kwete mabvi anoonekwa chete asiwo kukuvara kwakutanga kwakanga kusati kava pachena.

Nzira yekutarisira sei actinic keratosis kumba?

Kutarisira kumba kunotarisa pakutsigira kurapwa kwako kwakapihwa, kudzivirira ganda rako, uye kutarisa kuchinja. Kunyange zvazvo usingakwanisi kurapa actinic keratoses nemishonga yekumba chete, kutarisirwa kwakanaka kwega kunobatsira kuvandudza mhinduro dzako dzekurapa.

Panguva yekurapa, chengetedza nzvimbo dzakakuvadzwa dzakachena uye dzakanyorova kunze kwekunge chiremba wako akakurudzira zvimwe. Zvinhu zvinyorerwa zvinonhuwira uye zvinonhuhwirira zvakanakisa, sezvo ganda rakarapwa rinogona kuva rakasimba kupfuura zvakajairika.

Dzivirira nzvimbo dzakarapwa kubva pakuratidzwa kwezuva, sezvo ganda rako richave rakasimba panguva yekurapa. Pfeka nguo dzinodzivirira uye shandisa sunscreen zvakawanda, kunyangwe pazuva rakafukidzwa. Mishonga yek topical inogona kuita kuti ganda rako rive rakasimba zvakanyanya, saka dziviriro yakawedzerwa yezuva inokosha.

Tarisa ganda rako nguva dzose kune mabvi matsva kana kuchinja mune akagarapo. Tora mifananidzo kana zvichikubatsira kutevera kuchinja nekufamba kwenguva, uye cherechedza chero nzvimbo dzinoita kuti dzive dzakanyanya kurwadza, kubuda ropa, kana kutaridzika zvakasiyana nemamwe actinic keratoses ako.

Tarisa migumisiro yekurapa nekutevera mirairo chaiyo yechiremba wako. Kana uri kushandisa mishonga ye topical, tarisira kuzvimba nekuputika - izvi zvinoreva kuti kurapa kuri kushanda. Nekudaro, taura nachiremba wako kana ukaona kurwadziwa kwakanyanya, zviratidzo zvehutachiona, kana kuita zvinhu zvinoita sekunge zviri kupfuura zvavakarondedzera sezvakajairika.

Unofanira kugadzirira sei musangano wako nachiremba?

Kugadzirira kunobatsira kuve nechokwadi chekuti unowana zvakanyanya kubva kumusangano wako uye kuti chiremba wako ane ruzivo rwose rwaunoda kuti ape kutarisirwa kwakanakisa. Tanga nekugadzira runyorwa rwezvinetso zvako ne mibvunzo usati wasvika.

Unganidza ruzivo nezviratidzo zvako, kusanganisira paunotanga kuona mabvi, chero kuchinja kwaunoona, uye kana zvinokonzera kusagadzikana. Cherechedza kuti ndedzipi nzvimbo dzemuviri wako dzakakuvadzwa uye kana wakacherechedza chero mabvi matsva munguva pfupi yapfuura.

Gadzira nhoroondo yako yezvehutano, kusanganisira kurapwa kwe ganda kare, nhoroondo yemhuri yekanser yeganda, mishonga yaunotora, uye chero mamiriro esisitimu yekudzivirira. Usakanganwa kutaura nhoroondo yako yekuratidzwa kwezuva, kusanganisira kuvhingidzika kwezuva kwevana, kushandisa tanning bed, uye kuratidzwa kwezuva kwakaitwa nebasa.

Nyora mibvunzo yaunoda kubvunza, senge:

• Kurapa kupi kwaunokurudzira uye nei?
• Chii chandinofanira kutarisira panguva uye mushure mekurapa?
• Kazhinji sei ndinofanira kuva nemisangano yekutarisa?
• Kuchinja kupi kwandinofanira kutarisa kumba?
• Ndingadzivirira sei ganda rangu zviri nani zvichienda mberi?

Funga kukoka shamwari yakavimbika kana nhengo yemhuri kuti ikubatsire yeuka ruzivo rwakataurwa panguva yemusangano. Vanogonawo kupa rutsigiro kana uri kunzwa uchitya nezve kuongororwa kana sarudzo dzekurapa.

Chii chinonyanya kukosha nezve actinic keratosis?

Actinic keratoses inyaya yakajairika, inorapika yeganda inokura inokura kubva pakukuvara kwezuva kwenguva refu. Kunyange zvazvo shoko rokuti "precancerous" rinogona kunzwa richitya, yeuka kuti aya mabvi anogona kutarisirwa zvakanyanya nekutarisirwa kwakakodzera nekutarisa.

Chinhu chakakosha kunzwisisa ndechekuti kuongororwa pakutanga nekurapa zvinokupa iwe mhinduro dzakanaka. Mazhinji actinic keratoses anopindura zvakanaka pakurapa, uye nekudzivirirwa kwakakodzera kwezuva, unogona kudzivirira itsva kubva pakukura uye kubatsira dzakagarapo kuvandudza.

Funga nezve kuva ne actinic keratoses seyeuchidzo yekutarisira ganda rako zvakanyanya zvichienda mberi. Izvi zvinoreva kuita kuti dziviriro yezuva ive tsika yemazuva ese, kuita kuongororwa kwega kwe ganda, uye kuchengetedza kuongororwa nguva dzose nachiremba wako.

Usarega kunetseka nezve actinic keratoses kuchivhara matanho akanaka aunogona kutora. Nemishonga yekurapa yemazuva ano uye kuzvipira kwako pakudzivirirwa kwezuva, unogona kutarisira mamiriro aya zvinobudirira uchiramba uchifarira mabasa ekunze zvakachengeteka.

Mibvunzo inowanzo bvunzwa nezve actinic keratosis

Actinic keratoses inogona kuenda pachayo here?

Mamwe actinic keratoses anogona kupera kana kupera kwenguva pfupi, kunyanya nekudzivirirwa kwezuva kwenguva dzose, asi kazhinji anodzoka kana kukuvara kwezuva kwakavanzika kusina kugadziriswa. Zviri nani kuvaongorora uye kurapwa panzvimbo pekutarisira kuti vachapera pachavo, sezvo izvi zvinokupa iwe mhinduro dzakanakisa dzemazuva ese.

Actinic keratoses inoshanduka sei kukanser yeganda nekukurumidza?

Kufambira mberi kubva ku actinic keratosis kuenda kukanser yeganda kazhinji kunonoka zvikuru, kunoitika kwemavhiki kusvika kumakore panzvimbo pevhiki. Anenge 5-10% chete ye actinic keratoses isina kurapwa inogona kuva nekanesa, uye kufambira mberi uku kunokupa iwe nguva yakawanda yekutsvaga kurapa kana kuchinja kuchitika.

Actinic keratoses inotapuriranwa here?

Kwete, actinic keratoses haitapuriranwi zvachose. Zvinokonzerwa nekukuvara kwezuva kwenguva refu kumasero eganda rako pachako nekufamba kwenguva, kwete kubva kune chero hutachiona, mabhakitiriya, kana imwe mumiriri wehutachiona. Haukwanisi kuzvibata kubva kune mumwe munhu kana kuaparadzira kune vamwe.

Ndingagara ndiri muzuva here kana ndine actinic keratoses?

Hongu, unogona kuramba uchifarira mabasa ekunze, asi dziviriro yezuva nguva dzose inonyanya kukosha. Shandisa sunscreen yakafara-spectrum ine SPF 30 kana yakakwira, pfeka nguo dzinodzivirira ne ngowani, uye tsvaga mumvuri panguva dzezuva rakakura. Chinangwa ndechekudzivirira kukuvara kwakawanda uchiramba uchirarama hupenyu hwako zvizere.

Insurance ichafukidza kurapwa kwe actinic keratosis here?

Mazhinji mapurani e insurance anofukidza kurapwa kwe actinic keratosis sezvo aya ari maitiro asati ava kanesa anoda kutarisirwa kwezvechiremba. Nekudaro, kufukidzwa kunogona kusiyana zvichienderana nepurani yako chaiyo uye rudzi rwekurapa rwakakurudzirwa. Zvinokosha kubvunza nemugoveri wako we insurance nezve kufukidzwa kwako usati watanga kurapwa.