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Sebaceous carcinoma rudzi rwakasiyana-siyana rwekenza yeruoko inokura mumaglands anoburitsa mafuta paruoko rwako. Kunyange zvazvo zvinganzwa zvichitya, kunzwisisa mamiriro ezvinhu uku kunogona kukubatsira kuziva zviratidzo zvechinyamiso nekukurumidza uye kutsvaga kurapwa kwakakodzera. Kenza iyi kazhinji inoonekwa kumativi emaziso, asi inogona kukura chero kupi muviri wako kwamamiriro e sebaceous glands aripo.
Sebaceous carcinoma chirwere chinokura mu sebaceous glands dzako, idzo ndidzo diki diki dzinoburitsa mafuta paruoko rwako. Maglands aya kazhinji anobatsira kuchengetedza ganda rako rakanyorova uye rakachengetedzwa. Kana masero ari mumaglands aya akaita kenza, anogona kukura uye kupararira kumatishu ari pedyo.
Rudzi urwu rwekenza runomiririra pasi pe 1% yezvose kenza yeruoko, zvichiita kuti ive isingawanzoitiki. Zvisinei, inofungwa kuva yakasimba kupfuura mamwe marudzi ekenza yeruoko nekuti inogona kupararira kuma lymph nodes nemamwe mativi emuviri kana isina kurapwa nekukurumidza. Mashoko akanaka ndeawo kuti kana yakawanikwa nekukurumidza, migumisiro yekurapa inowanzova yakanaka.
Mamiriro ezvinhu kazhinji anoita kuti maziso ave nekenza, kunyanya maziso epamusoro, nekuti nzvimbo iyi ine huwandu hwakawanda hwe sebaceous glands. Zvisinei, inogonawo kuitika pane dzimwe nzvimbo dzomuviri wako, kunyanya kumeso, musoro, mutsipa, uye trunk kwaari maglands aya.
Zviratidzo zve sebaceous carcinoma zvinogona kuva zvishoma pakutanga, ndosaka dzimwe nguva zvichifungidzirwa kuti zvimwe zvirwere zvakajairika. Kana kenza iyi ikakura kumativi emaziso ako, unogona kuona kuchinja kunoratidzika sekusagadzikana kwemaziso pakutanga.
Heano zviratidzo zvakajairika zvekuchengetedza:
Kana sebaceous carcinoma ikaitika pane dzimwe nzvimbo dzemuviri wako, unogona kuona bumb yakasimba, isina kurwadza inowedzera zvishoma nezvishoma kukura. Kukura uku kunogona kuoneka kwemaruva, pink, kana tsvuku, uye kunogona kuva nemafuta kana greasy texture.
Zvinokosha kucherechedza kuti mamiriro ezvinhu aya kazhinji anoita semamwe mamiriro ezvinhu asingakuvadzi se chalazion, blepharitis, kana chronic conjunctivitis. Kufanana uku kunogona kutungamirira pakuzorodza kuongororwa, ndosaka chero kuchinja kwenguva refu kweyelid kunofanira kuongororwa nachiremba.
Chikonzero chaicho che sebaceous carcinoma hachizivisike zvizere, asi vatsvakurudzi vakaziva zvinhu zvakati wandei zvinogona kuita kuti zvikure. Kufanana nekenza zhinji, zvinogona kubva pakusanganiswa kwezvinhu zvemajini nezvemararamiro.
Zvinhu zvinokonzera njodzi zvinonyanya kukosha zvinosanganisira:
Zvakataurwa izvozvo, zvakakosha kunzwisisa kuti sebaceous carcinoma inogona kukura kunyangwe pasina zvinhu izvi zvinokonzera njodzi. Dzimwe nguva, masero anongoita shanduko dzisingatarisirwi dzinotungamira pakukura kwenzara, uye hapana chikonzero chaicho chinogona kuzivikanwa.
Mumazuva mashoma, vanhu vane Muir-Torre syndrome vane mukana mukuru wekukura sebaceous carcinoma pamwe chete nemamwe marudzi etumors. Mamiriro ezvinhu ejini anoita kuti muviri usakwanise kugadzirisa kukuvara kweDNA, zvichiita kuti masero ave nyore kukura kenza.
Unofanira kuona chiremba kana ukaona chero kuchinja kwenguva refu mumaziso ako kana ganda risina kuvandudzwa mukati memavhiki mashoma. Kuonekwa nekukurumidza kwakakosha kuti uwane migumisiro yakanaka yekurapa, saka usambofa wakakurumidza kutsvaga rubatsiro rwezvokurapa nezviratidzo zvinotyisa.
Rongedza musangano nekukurumidza kana ukaona:
Kana uine nhoroondo yemhuri yeMuir-Torre syndrome kana wakagamuchira radiation therapy kumusoro kana mutsipa wako kare, taura izvi kuchiremba wako. Zvinhu izvi zvinogona kubatsira kutungamira kuongororwa kwavo uye kuona kana kuongororwa kwakasarudzika kunodiwa.
Rangarira, kuchinja kwakawanda kwemaziso neganda kunowanzova kwakanaka, asi chiremba chete ndiye anogona kuita kuongororwa kwakanyatsojeka. Zvakanaka nguva dzose kuve nechokwadi chekuti chimwe chinhu chakanyatsoongororwa uye kuwana kuti hachina njodzi pane kumirira uye zvichida kukanganisa mikana yekurapa nekukurumidza.
Kunzwisisa zvinhu zvinokonzera njodzi ye sebaceous carcinoma kunogona kukubatsira kuziva zviri nani nhanho yako yenjodzi. Kunyange zvazvo kuva nezvinhu izvi hazvirevi kuti iwe uchava nekukura kwenzara iyi, zvinoita kuti uve nemukana mukuru kupfuura vanhu vakawanda.
Zvinhu zvinokonzera njodzi huru zvinosanganisira:
Vakadzi vanoita sekukura kenza yemaziso ye sebaceous carcinoma zvishoma kupfuura varume, kunyange zvazvo zvikonzero zvekusiyana uku hazvina kujeka zvizere. Vamwe vatsvakurudzi vanofunga kuti zvinhu zvehormonal zvinogona kuita basa, asi tsvakurudzo yakawanda inodiwa kunzwisisa hukama uhu.
Zvakakosha kucherechedza kuti vanhu vakawanda vane zvinhu izvi zvinokonzera njodzi havambofi vakakura sebaceous carcinoma, nepo vamwe vasina zvinhu zvakajeka zvinokonzera njodzi vanoita. Kusanganiswa kwemajini, mararamiro, uye mukana zvinoita kuti zvisava nyore kufanotaura nechokwadi kuti ndiani achakura mamiriro ezvinhu aya.
Kunyangwe sebaceous carcinoma ichirapika kana yakawanikwa nekukurumidza, inogona kutungamirira kumatambudziko akakomba kana isina kurapwa kana kuongororwa kwakawedzerwa. Kunzwisisa matambudziko aya anogona kuitika kunosimbisa kukosha kwekutsvaga rubatsiro rwezvokurapa nekukurumidza nezviratidzo zvinotyisa.
Matambudziko anotyisa zvikuru anosanganisira:
Mashoko akanaka ndeawo kuti kana sebaceous carcinoma yakawanikwa uye yakarapwa nekukurumidza, njodzi yematambudziko aya inoderedzwa zvikuru. Vanhu vakawanda vanowana kurapwa kwakakodzera vane migumisiro yakanaka ine zvishoma zvinokonzerwa nehupenyu hurefu.
Mumazuva mashoma, vanhu vane mamiriro ezvinhu akaoma seMuir-Torre syndrome vanogona kukura sebaceous carcinomas akawanda kana mamwe marudzi ekenza. Ndosaka kuongororwa kwenguva dzose uye kuongororwa kwenguva dzose kwakakosha kune vanhu vane njodzi yemajini.
Kuongorora sebaceous carcinoma kunoda kuongororwa kwakanyatsojeka nachiremba, kazhinji kunoteverwa nemiedzo chaiyo yekusimbisa kuongororwa. Maitiro acho anowanzo tanga nachiremba wako achitora nhoroondo yakadzama uye achiongorora nzvimbo inotyisa.
Chiremba wako achaita sekutanga nekubvunza nezviratidzo zvako, kuti wakazviona kwenguva yakareba sei, uye chero nhoroondo yemurapa yakakosha. Vachazoita kuongororwa kwemuviri, vachiona zvakanaka nzvimbo yakakanganisika uye vachiona chero lymph nodes dzakura dzinosanganisira kupararira kwenzara.
Kuongororwa kwakakwana kunoda biopsy, kwaunobviswa sampuli diki yematishu uye kuongororwa pasi pe microscope. Kune marudzi akasiyana e biopsies chiremba wako anogona kukurudzira:
Kana migumisiro ye biopsy ikasimbisa sebaceous carcinoma, chiremba wako anogona kukurudzira miedzo yakawedzerwa kuti aone kana kenza yakapararira. Izvi zvinogona kusanganisira kuongororwa kwemifananidzo senge CT scans kana MRI, kunyanya kana tumor ikakura kana uine zviratidzo zvinoratidza kupararira kune dzimwe nzvimbo.
Pathologist achaongororawo sampuli ye biopsy kuti aone hunhu hunobatsira kutungamira sarudzo dzekurapa, senge kuti masero ekenza anoita sei uye kana ane mamwe ma molecular markers.
Kurapa kwe sebaceous carcinoma kazhinji kunosanganisira kuvhiya kubvisa kenza zvizere. Nzira chaiyo inotsamira pakukura nekugara kwetumor, kana yakapararira, uye mamiriro ako ezvinhu ehutano.
Sarudzo huru dzekurapa dzinosanganisira:
Mohs surgery kazhinji ndiyo kurapa kwakasarudzwa kweyelid sebaceous carcinomas nekuti inobvumira chiremba kubvisa kenza ichichengetedza matishu akawanda ane hutano sezvinobvira. Izvi zvakakosha zvikuru munzvimbo yemaziso ine hunyoro kwaari kuchengetedza basa uye chitarisiko zvakakosha.
Kana kenza yakapararira ku lymph nodes, timu yako yekurapa inogona kukurudzira kurapwa kwakawedzerwa senge radiation therapy kana, mumamiriro ezvinhu mashoma, chemotherapy. Sarudzo yekurapa kwakawedzerwa inotsamira pakupararira uye zvimwe zvinhu zvemunhu.
Mushure mekurapa, uchada misangano yekutevera nguva dzose kuti uone chero zviratidzo zvekupera kwenzara. Kuongororwa uku kwakakosha nekuti sebaceous carcinoma inogona dzimwe nguva kudzoka, kunyanya kana kurapa kwekutanga kusina kubvisa masero ese ekenza.
Kutarisira iwe pachako panguva yekurapa kwe sebaceous carcinoma kunosanganisira zvese zvemuviri nemweya. Mashoko akanaka ndeawo kuti vanhu vakawanda vanotsungirira kurapa zvakanaka uye vanogona kuchengetedza mabasa avo akajairwa nemamwe marongero.
Heano mamwe mazano ekutarisira pachako akakosha:
Kana uri kugamuchira radiation therapy, unogona kuona kunetseka kwepasi munzvimbo yakarapwa. Chikwata chako chehutano chichapa mirairo chaiyo yekutarisira izvi, izvo kazhinji zvinosanganisira kushandisa moisturizers nyoro, isina kunhuhwirira uye kudzivisa masoseji akaoma kana makemikari.
Zvakakoshawo kutarisira hutano hwako hwepfungwa panguva yekurapa. Kuongororwa kwenzara kunogona kuva kunotyisa, kunyangwe kana zvinotarisirwa zvakanaka. Usambofa wakakurumidza kusvika kushamwari, mhuri, kana vanokurudzira nyanzvi kuti vawane rutsigiro kana uchinzwa wakaneta.
Kunyangwe pasina nzira yakavimbika yekudzivirira sebaceous carcinoma, unogona kutora matanho ekuderedza njodzi yako. Matanho aya ekudzivirira anotarisa pakuchengetedza ganda rako kubva pakukuvara uye kuchengetedza hutano hwakanaka hwese.
Nzira dzinoshanda zvikuru dzekudzivirira dzinosanganisira:
Kana uine Muir-Torre syndrome kana mamwe mamiriro ezvinhu ejini anowedzera njodzi yako yekenza, shanda nechikwata chako chehutano kuti ubudirire chirongwa chekuongorora chakagadzirirwa. Izvi zvinogona kusanganisira kuongororwa kwakawanda kwe ganda uye kuongororwa kwemamwe marudzi ekenza.
Rangarira kuti kudzivirira kunorevawo kuziva kuchinja paganda rako uye kutsvaga rubatsiro rwezvokurapa nekukurumidza kana ukaona chimwe chinhu chisingawanzoitiki. Kuonekwa nekukurumidza nekurapa zvinowedzera migumisiro ye sebaceous carcinoma.
Kugadzirira musangano wako nachiremba kunogona kubatsira kuve nechokwadi chekuti unowana kuongororwa kwakanyatsojeka nekurapa kwakakodzera. Kutorwa kwenguva yekuronga pfungwa dzako neruzivo usati watanga kuita kuti shanyo ive yakabudirira zvikuru.
Usati wasvika kumusangano wako, funga kugadzirira zvinotevera:
Zvinobatsira kuuya neshamwari yepedyo kana nhengo yemhuri newe, kunyanya kana uchinzwa uine hanya nezve musangano. Vanogona kukubatsira kuyeuka ruzivo rwakakosha uye kupa rutsigiro rwepfungwa.
Kana zvichibvira, tora mifananidzo yenzvimbo yaunonetseka nezvayo usati wasvika kumusangano. Izvi zvinogona kubatsira chiremba wako kuona kuti mamiriro ezvinhu akachinja sei nekufamba kwenguva, izvo zviri ruzivo rwakakosha rwekuongorora.
Usatya kubvunza mibvunzo panguva yemusangano wako. Kunzwisisa mamiriro ako ezvinhu nesarudzo dzekurapa kuchatsigira kuti unzwe wakavimbika uye wakabatana mune zvisarudzo zvako zvehutano.
Chinhu chinonyanya kukosha chekuyeuka nezve sebaceous carcinoma ndechekuti kunyangwe iri rudzi rwakasiyana-siyana rwekenza yeruoko, inorapika zvikuru kana yakawanikwa nekukurumidza. Vanhu vakawanda vanowana kurapwa kwakakodzera nekukurumidza vane migumisiro yakanaka ine zvishoma zvinokonzerwa nehupenyu hurefu.
Mamiriro ezvinhu aya kazhinji anokura zvishoma nezvishoma uye pakutanga anogona kufanana nezvirwere zvakajairika, zvisina njodzi zvemaziso. Zvisinei, chero kuchinja kwenguva refu mumaziso ako kana ganda risina kuvandudzwa mukati memavhiki mashoma rinoda kutarisirwa kwezvokurapa. Kuonekwa nekukurumidza kunonyanya kuita musiyano mukuru mukubudirira kwekurapa.
Kana wakazivikanwa ne sebaceous carcinoma, rangarira kuti hausi wega mu rwendo urwu. Chikwata chako chehutano chiripo kukutungamira mukati mekurapa nekudzorera, uye zvinotarisirwa zvinowanzova zvakanaka kana kenza yakawanikwa uye yakarapwa nenzira yakakodzera.
Kiyi ndeyekuramba uchiri kuziva kuchinja paganda rako, uzvidzivirire kubva pakuonekwa kwenguva refu kwezuva, uye kuchengetedza kuongororwa kwenguva dzose nevanopa utano hwako. Matanho aya ari nyore anogona kubatsira kuwana chero matambudziko nekukurumidza uye kukuchengetedza uine hutano kwemakore mazhinji ari kuuya.
Hongu, sebaceous carcinoma nekutaura kwacho rudzi rwekenza. Zvisinei, zvakakosha kunzwisisa kuti mabumb akawanda emaziso nekukura kwepasi haisi sebaceous carcinoma zvachose. Zvikamu zvakawanda zvemaziso zvinowanzova mamiriro asingakuvadzi senge chalazions, cysts, kana mamwe kukura asina kenza. Chiremba chete ndiye anogona kuona kana kukura kuri sebaceous carcinoma kuburikidza nekuongorora kwakakodzera uye, kana zvichidiwa, biopsy.
Sebaceous carcinoma kazhinji inokura zvishoma nezvishoma kwemavhiki kana makore, ndosaka dzimwe nguva ichionekwa pakutanga. Nzira yekukura zvishoma nezvishoma inoreva kuti ungasaziva kuchinja kukuru zuva nezuva, asi kwemavhiki kana mwedzi, kukura kunogona kuva kwakajeka. Kukura uku kwenguva refu kunobatsira nekuti kazhinji kunoita kuti pave nenguva yekuongorora nekurapa usati waenda kenza.
Hongu, sebaceous carcinoma inogona kupararira kune dzimwe nzvimbo dzemuviri kana isina kurapwa, kunyange zvazvo izvi zvinowanzoitika ne tumors hombe kana dzave dziripo kwenguva yakareba. Kenza inogona kutanga kupararira ku lymph nodes iri pedyo uye, mumamiriro ezvinhu akakomba, kuenda kune zvikamu zvakare. Zvisinei, kana yakawanikwa uye yakarapwa nekukurumidza, zvikamu zvakawanda zve sebaceous carcinomas zvinorapwa usati waenda kupararira.
Kudiwa kwe kuvhiya kwemugadziri kunotsamira pakukura nekugara kwe sebaceous carcinoma yako uye rudzi rwekurapa runodiwa. Tumors diki dzakawanda dzinogona kubviswa nemigumisiro shoma pachitarisiko, kunyanya kana dzakarapwa nenzira senge Mohs surgery. Kana kuvhiya kwemugadziri kuchidiwa, kazhinji kunoitirwa nekukurumidza mushure mekubviswa kwenzara, uye migumisiro inowanzova yakanaka, kunyanya munzvimbo yemaziso ine hunyoro.
Sebaceous carcinoma inokura kubva kuma glands anoburitsa mafuta mumaziso ako, nepo mamwe marudzi ekenza yemaziso senge basal cell carcinoma kana squamous cell carcinoma ichikura kubva kumasero akasiyana-siyana eganda. Sebaceous carcinoma inowanzova yakasimba kupfuura basal cell carcinoma asi kazhinji ine prognosis iri nani kupfuura melanoma kana yakawanikwa nekukurumidza. Nzira dzekurapa dzakafanana, ichitarisa pakubviswa kwakazara kwekuvhiya, asi nzira chaiyo inogona kusiyana zvichienderana nerudzi rwekenza.