Kansa Yebasal Cell
Pfupiso
Basal cell carcinoma rudzi rwekenza yeruoko. Basal cell carcinoma inotanga mu basal cells — rudzi rwesero mukati meruoko runogadzira masero matsva eruoko sezvo ekare afa.
Basal cell carcinoma kazhinji inoonekwa sesero diki rakajeka paruoko, kunyangwe ichigona kutora mamwe maitiro. Basal cell carcinoma inowanzoitika munzvimbo dzeruoko dzakatarisana nezuva, senge musoro wako nemudumbu.
Kazhinji ye basal cell carcinomas inofungidzirwa kuti yakakonzerwa nekutarisa kwenguva refu ku ultraviolet (UV) radiation kubva kuzuva. Kudzivisa zuva uye kushandisa sunscreen kunogona kubatsira kudzivirira basal cell carcinoma.
Zviratidzo
Basal cell carcinoma inowanzoonekwa munzvimbo dzemuviri wako dzinoonekwa nezuva, kunyanya musoro wako nemudumbu. Zvishoma, basal cell carcinoma inogona kuonekwa munzvimbo dzemuviri dzinovanzochengetedzwa kubva kuzuva, senge nhengo dzepabonde.
Basal cell carcinoma inoonekwa sechichinja paganda, sekukura kana kuvhunduka kunorasikirwa nekurapa. Aya marudzi echichinja paganda (ma lesions) anowanzova nechimwe chezvinhu zvinotevera:
- Bumbiro rinopenya, rine ruvara rweganda rine translucent, zvinoreva kuti unogona kuona zvishoma kuburikidza nepamusoro. Bumbiro rinogona kutaridzika se pearly chena kana pinki paganda jena. Paganda rebrown neBlack, bumbiro rinowanzoonekwa sebrown kana glossy black. Midzi midiki yeropa inogona kuoneka, kunyange zvazvo zvingave zvakaoma kuona paganda rebrown neBlack. Bumbiro rinogona kubuda ropa uye kuve nescab.
- Lesion ye brown, black kana blue — kana lesion ine mavara madiki — ine border yakakwirira, translucent.
- Patch yakati sandara, ine scaly ine edge yakakwirira. Panguva pfupi, aya ma patches anogona kukura zvikuru.
- Lesion chena, waxy, ine chitaridzo chechikwata isina border inonzwisisika.
Nguva yekunoona chiremba
Enda kunachiremba wako kana ukaona kuchinja chitarisiko che ganda rako, sekukura kutsva, kuchinja kukura kwakapfuura kana kuzvimba kunodzokorora.
Zvinokonzera
Kenza ye basal cell carcinoma inoitika kana imwe yema cell e basal eganda ikakura mutation muDNA rayo.
Ma cell e basal anowanikwa pasi pe epidermis — rukoko rweganda rwakanyanya kunze. Ma cell e basal anoita ma cell matsva eganda. Sezvo ma cell matsva eganda achiitwa, anokanda ma cell ekare kuenda kumusoro peganda, uko ma cell ekare anofa uye anobviswa.
Zvinhu zvinokonzera njodzi
Zvinhu zvinoita kuti uve panjodzi yakakura yekenza ye basal cell zvinosanganisira:
- Kuonekwa kwezuva kwenguva refu. Nguva yakawanda yaunopedza uri pazuva - kana mumabhedha ekutsvaira zuva - inowedzera njodzi yekenza ye basal cell. Njodzi yacho inowedzera kana uchigara munzvimbo ine zuva kana iri pamusoro, zvose izvi zvinokuratidza kune ultraviolet (UV) radiation yakawanda. Kutemwa nezuva kwakanyanya kunowedzerawo njodzi yako.
- Kurapwa kwemwaranzi. Kurapwa kwemwaranzi kunorapira acne kana zvimwe zvirwere zve ganda kunogona kuwedzera njodzi yekenza ye basal cell munzvimbo dzakapfuura kurapwa paganda.
- Ganda rakajeka. Njodzi yekenza ye basal cell yakakwira pakati pevanhu vanotsva kana kupisa nyore kana vane ganda rakajeka kwazvo, bvudzi dehenya kana dema, kana maziso akareruka.
- Kuwedzera kwezera. Nekuti kenza ye basal cell kazhinji inotora makumi emakore kuti ibude, kazhinji kenza ye basal cell inoitika kune vakuru. Asi inogona kukanganisawo vakuru vaduku uye iri kuwedzera kuwanda muvanhu vari mumakore avo makumi maviri nemakumi matatu.
- Nhoroondo yemunhu kana yemhuri yekenza yeganda. Kana wakambova nekensa ye basal cell kamwe kana kupfuura, une mukana wakanaka wekuibva zvakare. Kana uine nhoroondo yemhuri yekenza yeganda, ungave une njodzi yakawedzera yekuwana kenza ye basal cell.
- Mishonga inodzora immune system. Kutora mishonga inodzora immune system yako, senge mishonga yekudzivirira inoshandiswa mushure mekuvhiyiwa kwekusimudza, inowedzera zvakanyanya njodzi yako yekenza yeganda.
- Kuonekwa kune arsenic. Arsenic, simbi ine chepfu inowanikwa zvakanyanya munzvimbo, inowedzera njodzi yekenza ye basal cell nezvimwe zvirwere. Munhu wese ane arsenic yakawanda nekuti inoitika zvakasikwa. Asi vamwe vanhu vangave vane kuonekwa kwakawanda kana vakadhakwa nemvura yakasvibiswa kana vane basa rinosanganisira kugadzira kana kushandisa arsenic.
- Zvirwere zvinowanikwa zvinokonzera kenza yeganda. Zvirwere zvisingawanzoitiki zvinogona kuwedzera njodzi yekenza ye basal cell, kusanganisira nevoid basal cell carcinoma syndrome (Gorlin-Goltz syndrome) uye xeroderma pigmentosum.
Matambudziko
Zvinetso zve basal cell carcinoma zvinogona kusanganisira:
- Ngozi yekudzoka. Basal cell carcinomas kazhinji inodzokazve, kunyangwe mushure mekurapwa kwakabudirira.
- Ngozi yakawedzera yemhando dzakasiyana dzekenza yeganda. Nhoroondo ye basal cell carcinoma inogona zvakare kuwedzera mukana wekuvandudza mamwe marudzi ekenza yeganda, senge squamous cell carcinoma.
- Kenza inopararira kunze kwe ganda. Zvisingawanzoitiki, basal cell carcinoma inogona kupararira (metastasize) ku lymph nodes iri pedyo nedzimwe nzvimbo dzemuviri, senge mapfupa nemapapu.
Kudzivirira
Kuti udzivise ngozi yekenza ye basal cell unogona:
- Dzivisa zuva pakati pezuva. Munzvimbo zhinji, mwaranzi yezuva inonyanya kusimba pakati pa10 am na4 pm. Rongedza mabasa ekunze kune dzimwe nguva dzezuva, kunyangwe muchando kana denga riine makore.
- Pfukidza ganda rako gore rose. Shandisa sunscreen yakafara-spectrum ine SPF yeanenge 30, kunyangwe pazuva rine makore. Isa sunscreen zvakawanda, uye udzokere mushure memaawa maviri - kana kazhinji kana uri kushambira kana kupisa.
- Pfeka zvipfeko zvinodzivirira. Fukidza ganda rako nezvipfeko zvakasviba, zvakasungwa zvakasimba zvinofukidza maoko ako nemakumbo, uye chigamba chine rim yakafara, chinodzivirira zvakanyanya kupfuura chigamba chebaseball kana visor. Makambani mamwe anopawo zvipfeko zvinodzivirira. Chiremba wezviganda anogona kukurudzira bhuranda yakakodzera. Usakanganwa magirazi ezuva. Tsvaga ayo anovhara marudzi ese emwaranzi yeUV - ultraviolet A (UVA) uye ultraviolet B (UVB) mwaranzi.
- Dzivisa mibhedha yekuchenesa. Mibhedha yekuchenesa inoburitsa mwaranzi yeUV uye inogona kuwedzera ngozi yako yekenza yeganda.
- Tarisa ganda rako nguva dzose uye uudze chiremba nezvechinja. Tarisa ganda rako kazhinji kutsvaga kukura kwepanyama kana kuchinja mumamole aripo, mafreckles, ma bumps nemabirthmarks. Uchishandisa zvioo, tarisa chiso chako, mutsipa, nzeve ne scalp. Tarisa chipfuva chako ne trunk uye kumusoro nepazasi pemaoko ako nemaoko. Tarisa pamberi nekumashure kwemakumbo ako nemakumbo ako, kusanganisira zviso nepakati pezvigunwe zvako. Tarisawo nzvimbo yako yepabonde nepakati pemabvi ako.
Kuongorora
Kuti aongorore chero kukura kana kuchinja kupi kwepamoyo yenyu, chiremba wenyu kana nyanzvi yezvirwere zve ganda (dermatologist) achaita nhoroondo yekurapa nekuongorora. Chiremba wenyu achaita bvunzo yemuviri wese uye achakubvunza mibvunzo nezvenhoroondo yenyu yekurapa, kuchinja paganda renyu, kana chero zviratidzo zvimwe zvamakawana. Mibvunzo ingasanganisira: Chiremba wenyu haangongotarisi nzvimbo inokonzera hanya paganda renyu chete asiwo muviri wese kuti aone mamwe maronda. Chiremba wenyu angaita biopsy yeganda, iyo inosanganisira kubvisa sampuli duku yemaronde kuti iongororwe murabhoritari. Izvi zvichazarura kana une cancer yeganda, uye kana zvakadaro, rudzi rwei cancer yeganda. Rudzi rwe biopsy yeganda rauchaita ruchaenderana nerudzi nehukuru hwemaronde.
- Wakaziva kukura uku kweganda kana ronda riini kekutanga?
- Kwachinja here kubvira pawakaziva kekutanga?
- Kukura kana ronda kunorwadza here?
- Une mamwe kukura kana maronda anokunetsa here?
- Wakamborwara nekenza yeganda here kare?
- Pane munhu wemhuri yako akamborwara nekenza yeganda here? Rudzii?
- Unochengetedza here kuti usarwara nezuva, sekudzivisa zuva remasikati uye kushandisa sunscreen?
- Unoongorora ganda rako pachako nguva dzose here?
Kurapa
Chinangwa chekurapa basal cell carcinoma ndechekubvisa ganda rekenza zvachose. Kurapa kwakanakira iwe kunoenderana nerudzi, nzvimbo, nehukuru hweganda rako rekenza, pamwe chete nezvaunoda uye kugona kuita zvekutarisa. Kusarudza kurapa kunogona zvakare kuenderana nekunge iyi ndiyo nguva yekutanga kana basal cell carcinoma inodzokorora.
Basal cell carcinoma kazhinji inorapwa nekuvhiya kubvisa ganda rekenza rese uye zvimwe zvinyama zvine hutano zvirimo.
Sarudzo dzinogona kusanganisira:
Kucheka kwepanyama. Muitiro uyu, chiremba wako anocheka ganda rekenza uye chikamu chepasi che ganda rine hutano. Chikamu ichi chinotarwa pasi pe microscope kuve nechokwadi chekuti hapana masero eganda rekenza.
Kucheka kunogona kukurudzirwa kune basal cell carcinomas dzisingawanzo dzokorora, dzakadai sedzinoumba pachipfuva, kumashure, maoko nemakumbo.
Mohs kuvhiya. Panguva yeMohs kuvhiya, chiremba wako anobvisa ganda rekenza zvishoma nezvishoma, achiongorora imwe neimwe pasi pe microscope kusvikira pasisina masero asingawanzo. Izvi zvinoita kuti chiremba ave nechokwadi chekuti kukura kwese kwabviswa uye kudzivirira kutora huwandu hwakawanda hwepasi peganda rine hutano.
Mohs kuvhiya kunogona kukurudzirwa kana basal cell carcinoma yako ine njodzi yakakwirira yekudzoka, sekunge iri hombe, ichikwira zvakadzika muganda kana iri pachiso chako.
Dzimwe nguva kurapwa kwakasiyana kunogona kukurudzirwa mumamiriro ezvinhu akati, sekunge iwe usingakwanisi kuita kuvhiya kana usingadi kuita kuvhiya.
Kurapa kwakasiyana kunosanganisira:
Curettage uye electrodessication (C uye E). Kurapa kwe curettage uye electrodessication (C uye E) kunosanganisira kubvisa pamusoro peganda rekenza nechinhu chinocheka (curet) uye wobva wabika pasi peganda rekenza nembende yemagetsi.
C uye E inogona kuva sarudzo yekurapa basal cell carcinomas diki dzisingawanzo dzokorora, dzakadai sedzinoumba kumashure, chipfuva, maoko nemakumbo.
Radiation therapy. Radiation therapy inoshandisa mabhuru akasimba, akadai se-X-rays ne-protons, kuuraya masero eganda rekenza.
Radiation therapy inoshandiswa dzimwe nguva mushure mekuvhiya kana paine njodzi yakawedzera yekuti ganda rekenza richadzoke. Inogona zvakare kushandiswa kana kuvhiya kusiri sarudzo.
Kufungisa. Kurapa uku kunosanganisira kufungisa masero eganda rekenza ne liquid nitrogen (cryosurgery). Inogona kuva sarudzo yekurapa superficial skin lesions. Kufungisa kunogona kuitwa mushure me kushandisa chinhu chinocheka (curet) kubvisa pamusoro peganda rekenza.
Cryosurgery inogona kufungwa pakuporesa basal cell carcinomas diki uye dzakapfava kana kuvhiya kusiri sarudzo.
Photodynamic therapy. Photodynamic therapy inosanganisa mishonga inonzwa chiedza ne chiedza kurapa superficial skin cancers. Panguva ye photodynamic therapy, mushonga unovava unoita kuti masero eganda rekenza anzwe chiedza unoshandiswa paganda. Gare gare, chiedza chinoparadza masero eganda rekenza chinoshandiswa munzvimbo iyoyo.
Photodynamic therapy inogona kufungwa kana kuvhiya kusiri sarudzo.
Zvisingawanzo, basal cell carcinoma inogona kupararira (metastasize) ku lymph nodes iri pedyo nedzimwe nzvimbo dzemuviri. Zvimwe zvisarudzo zve kurapa munzvimbo iyi zvinosanganisira:
Targeted drug therapy. Mishonga inorwisa ganda rekenza inotarisa pane zvakasimba zviri mumasero eganda rekenza. Nekuvhara zvakasimba izvi, mishonga inorwisa ganda rekenza inogona kuita kuti masero eganda rekenza afe.
Mishonga inorwisa ganda rekenza ye basal cell carcinoma inovhara zviratidzo zvemamorekuru zvinoita kuti ganda rekenza rirambe richikura. Inogona kufungwa mushure mekurapa kwakasiyana kana kurapa kwakasiyana kusina kukwanisika.
Kugadzirira musangano wako
'Mashoko anotevera anogona kukubatsira kugadzirira kuonana nachiremba.\n\nHeano mamwe mibvunzo yekubvunza chiremba wako nezve basal cell carcinoma. Kana paine mimwe mibvunzo inouya panguva yekushanya kwako, usambofunga kukumbira.\n\nChiremba wako angakubvunza mibvunzo yakawanda. Kugadzirira kupindura kunogona kuchengetedza nguva yekufamba-famba pane zvinhu zvaunoda kutaura zvakadzama. Chiremba wako angabvunza kuti:\n\n* Nyora nhoroondo yako yezvokurapa, kusanganisira mamwe mamiriro awakarapwa. Ita shuwa yekubatanidza kurapwa kwema radiation kwawakagamuchira, kunyangwe makore apfuura.\n* Cherechedza nhoroondo chero ipi zvayo yekuzviparadzanisa ne ultraviolet (UV) chiedza chakawanda, kusanganisira chiedza chezuva kana tanning beds. Semuenzaniso, taura nachiremba wako kana wakashanda semuchengeti weupenyu wekunze kana wakapedza nguva yakawanda pagungwa.\n* Gadzira runyorwa rwehama dzako dzepamhuri dzave dzine ganda rekenza, sezvinobvira. Ganda rekenza mubereki, sekuru, tete, baba kana munun'una nhoroondo inokosha yekugovera nachiremba wako.\n* Gadzira runyorwa remishonga yako uye mishonga yemiti. Batanidza chero mishonga inorayirwa kana mishonga isina kurairwa yaunotora, pamwe chete nemavhitamini ese, zvinowedzerwa kana mishonga yemiti.\n* Nyora mibvunzo yekubvunza chiremba wako. Kugadzira runyorwa rwembvunzo dzako usati watanga kunogona kukubatsira kuti uwane nguva yako nechikura wako.\n* Tsvaga nhengo yemhuri kana shamwari inogona kuuya newe pakuonana kwako. Kunyange zvazvo ganda rekenza kazhinji rinorapika zvikuru, kungonzwa shoko rokuti "kenza" kunogona kuita kuti zviome kune vanhu vazhinji kuisa pfungwa pazvinotevera zvichataurwa nachiremba. Tora mumwe munhu anogona kukubatsira kutora ruzivo rwese.\n\n* Ndine ganda rekenza here? Rudzii?\n* Rudzi urwu rweganda rekenza runosiyana sei nerumwe rudzi?\n* Kenza yangu yakapararira here?\n* Ndeipi nzira yekurapa yaunokurudzira?\n* Ndeapi matambudziko anogona kuitika ekurapa uku?\n* Ndichava nechisimba here mushure mekurapwa?\n* Ndine njodzi yekuti mamiriro ezvinhu aya adzokere here?\n* Ndine njodzi yemhando dzakasiyana dzekenza yeganda here?\n* Ndingazova nekuongororwa kwenguva yakareba sei mushure mekunge ndapedza kurapwa?\n* Hama dzangu dzemhuri dziri panjodzi yekenza yeganda here?\n* Kune mabhurocha kana mamwe mapepa andinogona kuenda nawo here? Ndezvipi mawebsite aunokurudzira?\n\n* Wakazviona rini kekutanga kukura kweganda kana kuzvimba?\n* Kwawedzera zvakanyanya kubva pawakariwana kekutanga here?\n* Kukura kana kuzvimba kunorwadza here?\n* Une mamwe kukura kana kuzvimba kunokunetsa here?\n* Wakamborova kenza yeganda here?\n* Munhu ari mumhuri yako akamborova kenza yeganda here? Rudzii?\n* Wakanga uine chiedza chezuva kana tanning beds zvakadii iwe uchiiri mudiki nemuduku?\n* Wakanga uine chiedza chezuva kana tanning beds zvakadii iye zvino?\n* Uri kutora mishonga ipi zvayo, zvinowedzerwa zvekudya kana mishonga yemiti iye zvino?\n* Wakambogamuchira kurapwa kwema radiation here nekuda kwemamiriro ezvokurapa?\n* Wakambotora mishonga inodzora sisitimu yako yekudzivirira muviri here?\n* Ndeapi mamwe mamiriro ezvokurapa akakosha awakarapwa, kusanganisira muhudiki hwako?\n* Unofuma kana wakambofuma here? Zvakawanda sei?\n* Iye zvino une kana wakambava nebasa rinogona kukupa pesticides kana herbicides here?\n* Iye zvino unoshandisa kana wakamboshandisa mvura yemvura semvura yako huru here?\n* Unochengetedza here kuti urambe wakachengeteka zuva, sekudzivisa zuva remasikati uye kushandisa sunscreen?\n* Unoongorora ganda rako pachako nguva dzose here?'