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October 10, 2025
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I-Nonmelanoma skin cancer ibhekisela kuma-skin cancers athuthukela ezicellini ezingaphandle kwe-melanocytes (izicellini ezenza i-pigment). La ma-cancers avame kakhulu kunama-melanoma futhi avame ukukhula kancane, okwenza kube lula ukuwaphatha uma etholakala ngokushesha.
Izinhlobo ezimbili eziyinhloko yi-basal cell carcinoma ne-squamous cell carcinoma, ezihlanganisa ngaphezu kuka-95% yawo wonke ama-skin cancers. Ngisho noma zingabonakala zikhathaza, iningi lama-nonmelanoma skin cancers alivame ukusabalala kwamanye amalungu omzimba futhi linezinga eliphezulu lokululama ngokwelashwa okufanele.
I-Nonmelanoma skin cancer ithuthuka lapho izicellini zesikhumba ziqala ukukhula ngokungavamile nangokungenakulawuleka. Ngokungafani ne-melanoma, eqala ezicellini ze-pigment, la ma-cancers akha ezicutshini zephesheya zesikhumba zakho ezivela ezinhlotsheni ezahlukene zezicellini.
Cabanga ngesikhumba sakho njengoba sinemigqa eminingi, njenge-cake enezigaxa eziningi. Ama-Nonmelanoma cancers avame ukuqala ezicutshini eziphezulu lapho isikhumba sakho sibhekene khona nokukhanya kwelanga nsuku zonke. Kungakho avame ukubonakala ezindaweni ezidwetshwe yilanga njengobuso, intamo, izandla, nezingalo.
Izindaba ezinhle ukuthi la ma-cancers avame ukuhlala endaweni yesikhumba lapho aqale khona. Akukhulu kancane uma kuqhathaniswa namanye ama-cancers, kunika wena nodokotela wakho isikhathi sokuwalungisa ngokuphumelelayo.
Kunezinhlobo ezimbili eziyinhloko ze-nonmelanoma skin cancer, ngayinye inezingqikithi nezenzo ezahlukene. Ukuqonda le miqondo kuzokusiza ukuthi ubone izinkinga ezingase zibe khona ngokushesha.
I-Basal cell carcinoma yilona uhlobo oluvamile, oluhlanganisa cishe u-80% yawo wonke ama-skin cancers. Ithuthuka ezigabeni eziyizisekelo zesikhumba sakho sangaphandle futhi ivame ukubonakala njengobomvu obuncane, obukhanyayo noma isigaxa esiqinile, esiqinile. La ma-cancers cishe awasabalali kwamanye amalungu omzimba, kodwa angabangela umonakalo omkhulu wendawo uma engaqondwa.
I-Squamous cell carcinoma ihlanganisa cishe u-15% yama-skin cancers futhi yakha ezicutshini eziphakathi zesikhumba sakho. Ivame ukubonakala njengesigaxa esiqinile, esiqinile noma isifo esivulekile esingapholi. Ngisho noma isabalala kancane, i-squamous cell carcinoma inenzuzo encane yokusabalala kunesi-basal cell carcinoma.
Izinhlobo ezingavamile zihlanganisa i-Merkel cell carcinoma, i-sebaceous carcinoma, ne-dermatofibrosarcoma protuberans. Lezi zinhlobo ezingavamile zidinga izindlela zokwelapha ezikhethekile nokulandelela okuqonde kakhulu ngenxa yendlela ephikisanayo.
Izimpawu ze-nonmelanoma skin cancer zingase zihluke kuye ngohlobo, kodwa kunezibonakaliso ezibalulekile zokuqapha. Ukutholakala ngokushesha kwenza ukwelashwa kube lula futhi kube nomphumela.
Izibonakaliso ezivamile ezidinga ukunakekelwa zihlanganisa:
Gcina amehlo akho kuzo zonke izinguquko zesikhumba ezihlala isikhathi esingaphezu kwamasonto ambalwa. Ngezinye izikhathi la ma-cancers angase abe mncane kakhulu, abonakala njengokukhathazeka okuncane kwesikhumba okungapheli ngokunakekelwa kwesikhumba okuvamile.
Khumbula ukuthi ama-nonmelanoma skin cancers avame ukukhula kancane ngezinyanga noma iminyaka. Ngokuvamile awabangeli ubuhlungu ekuqaleni, kungakho izinguquko zobuso ziyisibonakaliso sakho esihle sokuqala.
Imbangela eyinhloko ye-nonmelanoma skin cancer yimonakalo oqokelelekile ovela ekukhanyeni kwe-ultraviolet (UV) ngokuhamba kwesikhathi. Lo monakalo uvela kokubili ekukhanyeni kwelanga kwemvelo nasemithonjeni yemishini njenge-tanning beds.
Izicellini zakho zesikhumba zinezinto ze-DNA ezilawula indlela zikhula futhi zihlukanise ngayo. Uma ukukhanya kwe-UV kungena esikhumbeni sakho, kungalimaza lezi zinto ze-genetic. Ekuqaleni, umzimba wakho ungalungisa iningi lalo monakalo, kodwa iminyaka yokukhanya ingase ihlule izindlela zokulungisa isikhumba sakho.
Izici ezithile eziningi zifaka isandla ekukhuleni kwaleli cancer:
Ngokungavamile, ezinye izimo ze-genetic ezingavamile zingase zikhuthaze abantu ekuthuthukiseni la ma-cancers. Ngaphezu kwalokho, ezinye izidakamizwa eziqeda isimiso sakho sokuvikela umzimba zingase zikhulise ingozi yakho ngokunciphisa ikhono lomzimba wakho lokulwa nokukhula kwezicellini ezingavamile.
Nakuba noma ubani angathuthukisa i-nonmelanoma skin cancer, izici ezithile zingase zikhulise kakhulu amathuba akho. Ukuqonda ingozi yakho siqu kuzokusiza ukuthi uthathe izinyathelo zokuvimbela ezifanele.
Izici ezikhuthaza ingozi eziyinhloko zihlanganisa:
Izici zezwe nendlela yokuphila nazo zidlalela indima ebalulekile. Ukuhlala eduze ne-equator, ezindaweni eziphakeme, noma ezindaweni ezinezulu ezinamandla kukhuthaza ingozi. Abantu abasebenza ngaphandle noma abahlanganyela emisebenzini eminingi yokuzilibazisa ngaphandle babhekene namazinga aphezulu okukhanya.
Ukuba nezici eziningi ezikhuthaza ingozi akusho ukuthi uzokuthuthukisa i-skin cancer, kodwa kusho ukuthi kufanele uqaphele kakhulu ngokuvikelwa nokukheka okuvamile kwesikhumba. Ngisho nabantu abanesikhumba esimnyama bangathuthukisa la ma-cancers, nakuba ingozi iphansi kakhulu.
Kufanele ubheke udokotela uma ubona noma yiziphi izinguquko ezintsha, ezihlala ziguquka, noma ezihlala njalo zesikhumba. Ukubheka ngokushesha kuholela ekwelapheni okulula nemiphumela emihle ezimweni eziningi.
Hlela i-appointment ngokushesha uma ubona noma yiziphi izibonakaliso zokuqapha:
Ungalindi uma unemlando womndeni onamandla we-skin cancer noma uma uke waba ne-skin cancer ngaphambili. Ukukheka okuvamile kwe-dermatological kuba kubaluleke kakhulu kulezi zimo.
Cabanga ukuya kubuchwepheshe be-dermatologist minyaka yonke uma unezici eziningi ezikhuthaza ingozi, ngisho noma ungenazo izimpawu ezicacile. Ukukheka kwesikhumba kwabachwepheshe kungathola izinguquko ezingabonakali ezingase zingabonakali ngesikhathi sokuhlola kwakho siqu.
Nakuba ama-nonmelanoma skin cancers angavamile ukuba yingozi eyingozi, angabangela izinhlanganisela eziningi uma engaqondwa. Ukuqonda lezi zinkinga ezingase zibe khona kugcizelela ukubaluleka kokutholakala ngokushesha nokwelashwa.
Izinhlanganisela ezivamile zihlanganisa:
Izinhlanganisela ezingavamile kodwa ezingathi sína zingase zenzeke ngezinhlobo ezithile. I-Squamous cell carcinoma ngezinye izikhathi isabalala ezindaweni eziseduze ze-lymph noma kwamanye amalungu, ikakhulukazi uma ithuthuka ezindaweni ezingozi njengemihlomo, izindlebe, noma izitho zangasese.
Ama-tumors amakhulu noma ajulile angadinga ukuhlinzwa okubanzi, okungase kuhlanganise ukufakwa kwesikhumba noma izinqubo zokwakha kabusha. Kungakho ukwelashwa ngokushesha kuvame ukuletha ukungenelela okulula kakhulu nemiphumela emihle yokubukeka.
Ukuhlonishwa kwe-nonmelanoma skin cancer ngokuvamile kuqala ngokuhlolwa kwamehlo udokotela wakho noma i-dermatologist. Bazobheka endaweni ethathwe ngokucophelela, ngokuvamile basebenzisa idivayisi ekhethekile yokukhulisa ebizwa nge-dermatoscope.
Uma udokotela wakho enesibonakaliso se-cancer, bazokwenza i-biopsy ukuqinisekisa ukuhlonishwa. Lokhu kuhilela ukususa isampula encane yendwangu ethathwe ukuze ihlolwe elabhoratri. I-biopsy ngokuvamile ingenziwa ehhovisi usebenzisa i-anesthesia yendawo.
Izinhlobo eziningi ze-biopsies zingase zisetshenziswe:
Isampula yendwangu iya ku-pathologist oyihlonzayo ngaphansi komkhiqizo ukuze aqinisekise ukuthi izicellini ze-cancer zikhona. Imiphumela ivame ukubuyela ngaphakathi kweviki noma ezimbili.
Uma i-cancer iqinisekiswe, udokotela wakho angase ayalele ukuhlolwa okwengeziwe ukuze aqinisekise ubukhulu besifo, nakuba lokhu kungavamile ukudingeka kuma-nonmelanoma skin cancers amaningi njengoba angavamile ukusabalala.
Ukuphathwa kwe-nonmelanoma skin cancer kuncike kuhlobo, ubukhulu, indawo, nokujula kwe-cancer. Izindaba ezinhle ukuthi amazinga okululama aphezulu kakhulu uma la ma-cancers etholakala ngokushesha.
Izindlela zokwelapha ezivamile zihlanganisa:
Udokotela wakho uzokuncoma indlela engcono kakhulu kuye ngesimo sakho esithile. Izici njengendawo ye-cancer, iminyaka yakho, impilo yonke, nezinto ezikhathazayo zokubukeka konke kuthinta ukukhethwa kokwelashwa.
Iningi lokwelashwa lingenziwa ngaphandle kwesibhedlela nge-anesthesia yendawo. Isikhathi sokuphulukisa sihluka kodwa ngokuvamile singama-days kuya kwamasonto kunokuba kube izinyanga.
Nakuba ukwelashwa kwezokwelapha kubalulekile, ukunakekelwa kwasekhaya okufanele kungasekele ukuphulukisa kwakho futhi kusize ukuvimbela izinhlanganisela. Udokotela wakho uzokunika imiyalo ekhethekile kuye ngohlobo lokwelashwa kwakho.
Imiyalo yokunakekelwa kwasekhaya evamile ihlanganisa:
Uma usebenzisa imithi yokugcoba njenge-imiquimod noma i-5-fluorouracil, linda ukukhathazeka kwesikhumba, ubomvu, nokuqhekeka. Lokhu kuyinto evamile futhi kubonisa ukuthi imithi isebenza. Noma kunjalo, xhumana nodokotela wakho uma isenzo sibe sibi.
Gcina indlela yakho yokunakekelwa kwesikhumba evamile ezindaweni ezingathintekile, kodwa yiba mnene eduze nendawo yokwelashwa. Sebenzisa imikhiqizo emnene, engenamphunga ukuze unciphise ukukhathazeka ngesikhathi senqubo yokuphulukisa.
Ukuvimbela yilona ithuluzi lakho elikhulu kakhulu lokuvikela i-nonmelanoma skin cancer. Njengoba ukukhanya kwe-UV kubangela iningi lale ma-cancers, ukuvikela isikhumba sakho ekukhanyeni kwelanga kunciphisa kakhulu ingozi yakho.
Izindlela zokuvimbela ezisebenzayo zihlanganisa:
Ukuhlola kwakho siqu okuvamile kubalulekile ngokulinganayo ukuze kutholakale ngokushesha. Hlola isikhumba sakho njalo ngenyanga, ubuke ukukhula okusha noma izinguquko kuma-moles noma amaphuzu akhona. Sebenzisa isibuko eside futhi ucele othile ukuba akusize uhlole izindawo ezinzima ukubona.
Cabanga ngokukheka kwesikhumba kwabachwepheshe minyaka yonke, ikakhulukazi uma unezici eziningi ezikhuthaza ingozi. Ukutholakala ngokushesha kuthuthukisa kakhulu imiphumela yokwelashwa futhi kunciphisa isidingo sezindlela ezibanzi.
Ukulungiselela i-appointment yakho kuzokusiza uqinisekise ukuthi uthola ukunakekelwa okuphelele kakhulu futhi yonke imibuzo yakho iphendulwe. Ukuzilungiselela kancane kungenza ukuvakasha kube lula futhi kube nolwazi.
Ngaphambi kwe-appointment yakho, buza ulwazi olubalulekile:
Phakathi kwe-appointment, ungangabazi ukubuza imibuzo mayelana nanoma yini ongayiqondi. Izihloko ezibalulekile zingase zihlanganise izindlela zokwelapha, isikhathi esilindelekile sokuphulukisa, imiphumela emibi engase ibe khona, nezinhlelo zokulandelela isikhathi eside.
Bhala phansi noma ubuze uma ungarekhoda ingxoxo (ngemvume) ukuze ukhumbule imininingwane ebalulekile kamuva. Ukuqonda ukuhlonishwa kwakho nenhlelo yokwelashwa kuzokusiza uzizwe ukhulu futhi uhileleke ekunakekelweni kwakho.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-nonmelanoma skin cancer iyakwelashwa kakhulu, ikakhulukazi uma itholakala ngokushesha. La ma-cancers angavamile ukuba yingozi eyingozi, futhi amazinga okululama adlula u-95% ngokwelashwa okufanele.
Ukuvimbela ngokuvikelwa kwelanga kuhlala kuyindlela yakho engcono kakhulu yokuvikela, kodwa ungesabi uma uthuthukisa izinguquko zesikhumba ezithathwe. Ukutholakala ngokushesha nokwelashwa kuholela kwimiphumela emihle ngomthelela omncane empilweni yakho yansuku zonke.
Hlala uqaphele izinguquko zesikhumba, zivikele ekukhanyeni kwe-UV, futhi ugcine ukukheka okuvamile nabachwepheshe bezempilo. Ngokwazi okufanele nokunakekelwa, ungaphatha impilo yakho yesikhumba ngokuphumelelayo futhi uthole noma yiziphi izinkinga ezingase zibe khona ngokushesha.
Khumbula ukuthi ukuba ne-nonmelanoma skin cancer akusho ukuthi uyini noma ushintsha kakhulu amathuba akho empilweni. Izigidi zabantu ziphumelela ekwelapheni minyaka yonke futhi ziqhubeka ziphila impilo egcwele, enempilo.
Q.1: Ingabe i-nonmelanoma skin cancer ingabuya ngemuva kokwelashwa?
Yebo, i-nonmelanoma skin cancer ingabuya, nakuba amazinga okubuyela ngokuvamile aphansi ngokwelashwa okufanele. Ingozi ihluka kuye ngohlobo lwe-cancer, indlela yokwelapha esetshenzisiwe, nendawo yomkhuhlane wokuqala. Ukuhlinzwa kwe-Mohs kunamazinga aphansi okubuyela, ngokuvamile ngaphansi kuka-5%. I-appointment zokulandela okuvamile nokuhlola kwesikhumba siqu kuyasiza ekutholeni noma yikuphi ukubuyela ngokushesha lapho kulula ukuwelapha.
Q.2: Kuthatha isikhathi esingakanani ukuthuthukisa i-nonmelanoma skin cancer?
Ama-Nonmelanoma skin cancers avame ukukhula kancane ngezinyanga kuya eminyakeni. Ngokungafani namanye ama-cancers aqinile, lawa ngokuvamile awabonakali ngobusuku. Ama-Basal cell carcinomas avame ukukhula kancane kakhulu, ngezinye izikhathi kuthatha iminyaka ukuba abonakale. Ama-Squamous cell carcinomas angase athuthuke ngokushesha kodwa asathuthuka kancane. Lokhu kukhula kancane kuyasiza ngoba kunika isikhathi esanele sokutholakala nokwelashwa.
Q.3: Ingabe i-nonmelanoma skin cancer iyifuywe?
Nakuba iningi lama-nonmelanoma skin cancers liwumphumela wokukhanya kwelanga kunokuba kube yizici ze-genetic, umlando womndeni ungase ukhuthaze ingozi. Ukuba nezihlobo ezine-skin cancer kungase kubonise izici ze-genetic ezifanayo njengesikhumba esimhlophe noma ukungakwazi ukuthuthuka kahle, okwandisa ukubambeka. Izimo ze-genetic ezingavamile njenge-xeroderma pigmentosum zikhuthaza kakhulu ingozi ye-skin cancer. Noma kunjalo, izici zendlela yokuphila njengezindlela zokuvikela ilanga ngokuvamile zibaluleke kakhulu kunama-genetics kubantu abaningi.
Q.4: Ingabe abantu abanesikhumba esimnyama bangathola i-nonmelanoma skin cancer?
Yebo, abantu abanesikhumba esimnyama bangathola i-nonmelanoma skin cancer, nakuba ingozi iphansi kakhulu kunabantu abanesikhumba esimhlophe. Uma la ma-cancers evela kubantu abanesikhumba esimnyama, avame ukubonakala ezindaweni ezingenayo i-pigmentation, njengezandla, izinyawo, noma ngaphansi kwamakhokhonkwane. I-Melanin evikela esikhumbeni esimnyama inikeza ukuvikelwa kwelanga okwemvelo, kodwa ukuqapha nokulondeka kwelanga kuhlala kubalulekile kuwo wonke umuntu.
Q.5: Uyini umehluko phakathi kwe-nonmelanoma skin cancer ne-melanoma?
Umehluko oyinhloko ukhona ohlotsheni lwezicellini zesikhumba ezihilelekile nesenzo sazo. Ama-Nonmelanoma skin cancers athuthukela ezicellini zesikhumba ezingaphandle kwe-melanocytes futhi ngokuvamile ahlala endaweni, akhula kancane ngengozi ephansi yokusabalala. I-Melanoma ithuthukela ezicellini ezenza i-pigment futhi inenzuzo enkulu yokusabalala kwamanye amalungu omzimba uma ingatholakali ngokushesha. Ama-Nonmelanoma skin cancers avame kakhulu kodwa ngokuvamile awabi namandla kakhulu kunama-melanoma.
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