Ukuthi yini iSquamous Cell Carcinoma? Izimpawu, Izimbangela, Nokwelashwa

ISquamous cell carcinoma uhlobo lwesibili oluvamile kakhulu lomdlavuza wesikhumba oluthuthukela ezicellini eziqhele, ezincinyane ebusweni besikhumba sakho. Cabanga ngakho njengokukhula okungalungile kwezisele okuvela lapho lezi zisele zebuso ziqala ukuphindaphinda ngokungapheli, ngokuvamile ngenxa yokukhanya kwelanga okuningi isikhathi eside.

Nakuba lokhu kungase kuzwakale kuyesabekayo, nansi izindaba eziduduzayo: uma kubanjwe ngokushesha, iSquamous cell carcinoma iyakwelashwa kakhulu futhi ayivame ukuya kwezinye izingxenye zomzimba wakho. Izigameko eziningi zingaphiliswa ngokuphelele ngezinqubo ezilula zezokwelapha, futhi izigidi zabantu ziqhubeka ziphila impilo evamile, enempilo ngemuva kokwelashwa.

Zithini izimpawu zeSquamous cell carcinoma?

ISquamous cell carcinoma ngokuvamile ibonakala njengenguquko esikhumbeni sakho ongayibona futhi uyizwe. Okubalulekile ukuthi wazi ukuthi yini okufanele uyifune ukuze ukwazi ukuyibamba ngokushesha lapho ukwelashwa kusebenza kangcono.

Nazi izimpawu ezivamile ongaziqaphela:

• Isigamu esikhrohlekile, esiqinile esizwa njengengubo yengubo futhi asiphulukisi
• Ukuqhuma okuphakanyisiwe noma ukukhula okungase kube nomgodi ebukhwini
• Ihlazo elivulekile eliphuza igazi, libe nomqondo, bese livula kabusha ngokuphindaphindiwe
• Ukukhula okufana ne-wart okuzwakala kuqinile uma kuthintwa
• Ibala elibomvu, eliqhele eliba likhulu kancane kancane ngokuhamba kwesikhathi

Lokhu kukhula ngokuvamile kuvela ezindaweni ezidwetshwe yilanga njengobuso bakho, izindlebe, intamo, izindebe, namashu ezandleni zakho. Noma kunjalo, iSquamous cell carcinoma ingathuthuka nakwezinye izindawo ezingabonakali njengomlomo wakho, izitho zangasese, noma ngaphansi kwamakhokhonkwane akho.

Okwenza lo mhlaza ube nzima kancane ukuthi ngezinye izikhathi ubonakala njengezinye izimo zesikhumba ezingenangozi. Uphawu olukhulu ngokuvamile ukuthi ibala aliphulukisi njengokuqhekeka okuvamile noma ukucasuka, ngisho nangemva kwamasonto ambalwa okunakekelwa okuthambile.

Zithini izinhlobo zeSquamous cell carcinoma?

Odokotela bahlukanisa iSquamous cell carcinoma ngezinhlobo ezahlukene ngokusekelwe ekutheni izisele zibonakala kanjani ngaphansi komkhiqizo futhi lapho zithuthukela khona. Ukuqonda lezi zinhlobo kusiza iqembu lakho lokukhathalela impilo likhethe indlela yokwelapha engcono kakhulu kuwe.

Izinhlobo eziyinhloko zihlanganisa:

• ISquamous cell carcinoma evamile: Uhlobo oluvamile kakhulu olukhula kancane futhi oluvamile ukuya kwezinye izingxenye zomzimba
• Keratoacanthoma: Uhlobo olukhula ngokushesha oluvamile ukubukeka njengolwandle olunezindawo ezikhulu ebukhwini
• Spindle cell carcinoma: Uhlobo olungavamile lapho izisele zibonakala zide ngaphansi komkhiqizo
• Adenosquamous carcinoma: Uhlobo olungavamile olunezici zezisele zesquamous nezeglandular

Kukhona nezinye izinhlobo ezingavamile, ezinamandla kakhulu odokotela bakho abazoxoxa nawe uma kufanele. Iningi lezigameko luhlobo oluvamile, oluphendula kahle ekwelapheni uma kubanjwe ngokushesha.

Udokotela wakho uzokunquma ukuthi yiluphi uhlobo olukhona nge-biopsy, lapho bathatha khona isampula encane yethishu ukuze ihlalutye e-laboratory. Lolu lwazi lubasiza ukuba bakhe uhlelo lokwelapha oluphumelelayo olufanele isimo sakho.

Yini ebangela iSquamous cell carcinoma?

Imbangela eyinhloko yeSquamous cell carcinoma yingozi ku-DNA yesikhumba sakho evela e-ultraviolet radiation, ikakhulukazi evela ekukhanyeni kwelanga eminyakeni eminingi. Cabanga ngakho njengesikhumba sakho sigcina irekhodi lawo wonke ama-sunburn nanolibo lusuku oluchithwe elangeni ngaphandle kokukhuselwa.

Nansi into evame ukubangela lo mhlaza ukuthi uthuthuke:

• Ukukhanya kwelanga okuningi, ikakhulukazi uma usebenza ngaphandle noma uhlala ezindaweni ezilanga
• Umlando wama-sunburns aqinile, ikakhulukazi ngesikhathi sobuntwana neminyaka yobusha
• Ukusetshenziswa njalo kwamabhedi okuqhekeza noma izibani zelanga
• Isikumba esimhlophe esiqhekeka kalula futhi esingathuthuki kahle
• Isimilo somzimba esibuthakathaka esivela emithi noma ezimweni zezokwelapha
• Ukudwetshwa yizinto ezithile ezikhemikhali njenge-arsenic noma i-coal tar
• Izindlela zokwelapha zangaphambili zokwelashwa ngomgogodla
• Ukutheleleka kwesikhumba okuningi noma amahluleko avulekile isikhathi eside

Abanye abantu bathuthukisa iSquamous cell carcinoma ezindaweni ezingavamile ukubona ukukhanya kwelanga. Kulezi zimo, ezinye izinto njengokucasuka okuningi, ukutheleleka okuthile, noma izimo zezakhiwo zingase zidlale indima.

Izindaba ezimnandi ukuthi ukuqonda lezi zimbangela kukunika amandla okwenza ukuzivikela wena nabathandekayo bakho. Imikhuba yansuku zonke elula njengokugqoka i-sunscreen nokuqina kokugqoka inganciphisa kakhulu ingozi yakho.

Nini okufanele ubheke udokotela ngeSquamous cell carcinoma?

Kufanele ubheke udokotela noma nini lapho uqaphela khona noma yikuphi ukuguquka kwesikhumba okukukhathazayo, ikakhulukazi uma kungaphuli ngaphakathi kwamasonto ambalwa. Ukutholwa ngokushesha kwenza umehluko omkhulu empumelelweni yokwelashwa nokuthula kwengqondo.

Hlela i-aphoyintimenti uma uqaphela:

• Noma yikuphi ukukhula okusha noma ibala elivela futhi elingapheli ngemuva kwamasonto angu-2-3
• I-mole noma ibala elikhona elizama ngobukhulu, umbala, isakhiwo, noma isakhiwo
• Ihlazo eliphuza igazi ngokuphindaphindiwe noma elingaphuli kahle
• Isigamu esikhrohlekile, esiqinile esizwa ngokuhlukile kunesikhumba sakho esivamile
• Noma yikuphi ukukhula okuzwakala buhlungu, okukhathazayo, noma okubangela ukungakhululeki

Ungalindi uma unemlando wakho siqu womdlavuza wesikhumba noma uma amalungu amaningi omndeni wakho ebe nawo. Kulezi zimo, kuwukuhlakanipha ukwenza ukuhlolwa kwesikhumba njalo ngisho nalapho konke kubukeka kuvame kuwe.

Khumbula, izinguquko eziningi zesikhumba zivela ziyizinto ezingenangozi ngokuphelele. Kodwa ukubahlola kukunika ukuthula kwengqondo noma ithuba lokuthola into ngokushesha lapho ukwelashwa kupumelela kakhulu.

Zithini izinto ezingozi zeSquamous cell carcinoma?

Nakuba noma ubani angathuthukisa iSquamous cell carcinoma, izinto ezithile zikhuphula amathuba akho okuyithola. Ukuqonda ingozi yakho siqu kukusiza uthathe izinyathelo zokukhuselwa ezifanele futhi wazi ukuthi nini okufanele uqaphele ngokwengeziwe ngezinguquko zesikhumba.

Izinto ezingozi ezibaluleke kakhulu zihlanganisa:

• Isikumba esimhlophe esiqhekeka kalula kunokuthuthuka
• Amehlo aluhlaza okwesibhakabhaka, aluhlaza, noma amhlophe
• Umbala wezinwele ezibomvu noma ezimhlophe
• Iminyaka engaphezu kuka-50, njengoba ukonakala kuqoqana ngokuhamba kwesikhathi
• Ubulili besilisa, mhlawumbe ngenxa yamathuba aphezulu omsebenzi wangaphandle nokukhanya kwelanga
• Ukuhlala ezindaweni ezilanga, eziphakeme, noma eziseningizimu
• Umlando womndeni womdlavuza wesikhumba
• Umlando siqu womdlavuza wesikhumba noma izifo ezingaphambili zomdlavuza

Ezinye izimo zezokwelapha nezindlela zokwelapha zikhuphula ingozi, kuhlanganise ukuthatha imithi yokucindezela imitha emva kokutshalwa kwezitho, ukuba nezinye izimo zezakhiwo, noma ukwelashwa ngomgogodla ngenxa yeminye imidlavuza.

Uma unezinto eziningi ezingozi, ungesabi. Esikhundleni salokho, sebenzisa lolu lwazi ukuze ube nomdlandla ngokuzivikela nokubanjwa ngokushesha. Abantu abaningi abanezingozi eziphezulu abathuthuki umdlavuza wesikhumba, kanti abanye abanezingozi ezimbalwa ngezinye izikhathi bayenza.

Zithini izinhlanganisela ezingase zibe khona zeSquamous cell carcinoma?

Iningi leSquamous cell carcinomas liyaphiliswa ngempumelelo ngaphandle kwanoma yiziphi izinhlanganisela zesikhathi eside. Noma kunjalo, kuwusizo ukuqonda ukuthi yini engase ibe khona uma umdlavuza ungabanjwa futhi awelashwa ngokushesha.

Izinkathazo eziyinhloko zihlanganisa:

• Ukubhebhetheka kwendawo ezicellini eziseduze, imisipha, noma imithambo uma kushiywa ingalashwa
• Ukuhileleka kwe-lymph node, lapho izisele zomdlavuza ziya khona ezindaweni eziseduze ze-lymph nodes
• Ukuhamba okude, nakuba lokhu kungavamile futhi ngokuvamile kwenzeka kuphela ngezimo eziphambili kakhulu
• Ukuphindaphinda endaweni efanayo uma kungasuswa ngokuphelele
• Ukwenza ama-scars noma ukuguquka kokubukeka ekuwelapheni, kuye ngendawo nobukhulu

Izinto ezithile zenza izinhlanganisela zibe namathuba amaningi, njengezinhlanzi ezinkulu kunama-sentimitha angu-2, imidlavuza ethuthukela ezicathulweni noma ezindebeni noma ezindlebeni, nezigameko zabantu abanesimilo somzimba esibuthakathaka.

Iningi labantu abatholwa ukwelashwa okufanele banemiphumela emihle kakhulu. Ngisho noma izinhlanganisela zenzeka, ngokuvamile kunezindlela ezisebenzayo zokuzilawula ngokuqondisa kweqembu lakho lokukhathalela impilo.

ISquamous cell carcinoma ingavikeleka kanjani?

Izindaba ezinhle ukuthi iSquamous cell carcinoma ingavikeleka ngokuphelele ngezinyathelo zokukhuselwa zansuku zonke ezilula. Njengoba ukukhanya kwelanga kubangela izingxenye eziningi, ukuvikela isikhumba sakho e-UV radiation yilona ikhuselwa lakho elihle kakhulu.

Nazi izindlela zokuvimbela ezisebenzayo kakhulu:

• Faka i-sunscreen ebanzi-spectrum ene-SPF 30 noma ngaphezulu nsuku zonke, ngisho nasezinsukwini ezimnyama
• Gqoka izingubo zokukhuselwa njengezingubo ezinde, amabhulukwe, neziqalo ezibanzi uma ungaphandle
• Funani isithunzi phakathi kwamahora elanga aphezulu, ngokuvamile phakathi kwama-10 ekuseni nama-4 ntambama
• Gwema amabhedi okuqhekeza nezibani zelanga ngokuphelele
• Yenza ukuhlolwa kwakho siqu njalo ngenyanga ukuze uhlole izindawo ezintsha noma eziguqukayo
• Hlela ukuhlolwa kwesikhumba njalo nodokotela wesikhumba, ikakhulukazi uma unesingozi ephakeme
• Vikela isikhumba sezingane ngokucophelela, njengoba ukonakala kwelanga kwasekuqaleni kukhuphula ingozi yempilo yonke

Uma usebenza ngaphandle noma uchitha isikhathi esiningi elangeni, cabanga ngalezi zinyathelo ezengeziwe: izingubo zokukhuselwa kwe-UV, i-zinc oxide yezindawo ezinzima njengaphansi kwempumulo nezindebe, kanye nokuphumula njalo ezindaweni ezithunzini.

Khumbula, akusikho isikhathi sokuba uqale ukuvikela isikhumba sakho. Ngisho noma uke waba nokukhanya kwelanga okuningi esikhathini esidlule, ukuthatha izinyathelo zokukhuselwa manje kusenganciphisa ingozi yakho yesikhathi esizayo.

ISquamous cell carcinoma ihlonishwa kanjani?

Ukuhlolwa kweSquamous cell carcinoma ngokuvamile kuqala ngokuhlolwa okulula kwamehlo udokotela wakho noma udokotela wesikhumba. Bazobheka indawo engathandeki eduze, ngokuvamile basebenzisa ithuluzi elikhulu elikhethekile elibizwa nge-dermatoscope ukubona imininingwane engabonakali ngamehlo angabonakali.

Uma udokotela wakho engabaza umdlavuza, bazokwenza i-biopsy ukuze bathole impendulo eqinisekile. Lokhu kuhilela ukwenza indawo ibe buthuntu nge-anesthetic yendawo nokususa ingxenye encane yethishu ukuze ihlalutye e-laboratory.

Inqubo ye-biopsy ngokuvamile ihlanganisa:

• Ukuhlanza nokwenza indawo ibe buthuntu ngesijeziso esincane
• Ukususa ithishu usebenzisa i-punch biopsy, i-shave biopsy, noma i-excisional biopsy
• Ukuthumela isampula ku-pathologist ohlola ngaphansi komkhiqizo
• Ukuthola imiphumela phakathi kwezinsuku ezimbalwa kuya kwesonto

Uma umdlavuza uqinisekiswa, udokotela wakho angase ayalele ukuhlolwa okwengeziwe ukuze aqinisekise ukuthi uya kwezinye izingxenye zomzimba. Lokhu kungase kuhlanganise ukuhlola ama-lymph nodes aseduze noma, ezimweni ezingavamile, ukuhlola izithombe njenge-CT scans.

Inqubo yonke yokuhlola yenzelwe ukuba ibe lula ngangokunokwenzeka ngenkathi inika iqembu lakho lokukhathalela impilo ulwazi oluyidingayo ukuba likhethe ukwelashwa okuhle kakhulu kuwe.

Yikuphi ukwelashwa kweSquamous cell carcinoma?

Ukwelashwa kweSquamous cell carcinoma ngokuvamile kulula futhi kupumelela kakhulu, ikakhulukazi uma umdlavuza ubanjwa ngokushesha. Udokotela wakho uzokhetha indlela engcono kakhulu ngokusekelwe ebukhulu, indawo, nezici zomdlavuza wakho othile.

Izinketho zokwelapha ezivamile kakhulu zihlanganisa:

• Ukususa ngokusebenza: Ukusika umdlavuza kanye nomda omncane wethishu enempilo
• Ukuhlinzwa kweMohs: Indlela eqondile esusa umdlavuza uhlangothi ngohlangothi ngenkathi igcina ithishu enempilo
• I-Curettage ne-electrodesiccation: Ukukhipha izisele zomdlavuza nokusebenzisa amandla kagesi ukubhubhisa izisele ezisele
• I-Cryotherapy: Ukugqwala umdlavuza nge-liquid nitrogen yezinhlanzi ezincane, ezingase zithuthuke
• Ukwelashwa ngomgogodla: Ukusebenzisa imisebe yomgogodla egxile, ngokuvamile kubantu abangakwazi ukuhlinzwa

Kubantu abaningi, ukwelashwa kuhilela inqubo elula yokwelapha yangaphandle ethatha ngaphansi kwehora elilodwa. Uzothola i-anesthesia yendawo ukugcina ukhululekile, futhi ngokuvamile ungaya ekhaya ngosuku olufanayo.

Udokotela wakho uzoqondisa ukuthi yiluphi ukhetho olufanele isimo sakho, ucabangele izinto njengendawo yomdlavuza, iminyaka yakho nempilo, kanye nezifiso zakho siqu ngokwenza ama-scars nesikhathi sokuphulukisa.

Indlela yokuphatha ukwelashwa ekhaya ngesikhathi sokuphulukisa iSquamous cell carcinoma

Ngemva kokwelashwa kwakho, ukunakekelwa okuhle kwama-wounds kusiza ukuqinisekisa ukuphulukisa okuhle nomphumela omuhle kakhulu wokubukeka. Abantu abaningi bathola inqubo yokuphulukisa ilula kunalokho ababekulindele, ikakhulukazi ngokulungiselela okulungile nokunakekelwa.

Nansi indlela yokunakekela wena ekhaya:

• Gcina indawo yokwelashwa ihlanzekile futhi yomile njengoba uqondiswe udokotela wakho
• Faka noma yimiphi imithi yokugcoba ye-antibiotic noma izembozo zama-wounds ezibhalwe
• Gwema imisebenzi enzima engase iphazamise ukuphulukisa izinsuku ezimbalwa zokuqala
• Vikela indawo ekukhanyeni kwelanga ngezingubo noma i-sunscreen uma iphulukile
• Thatha imithi yokunciphisa ubuhlungu engaphezulu kokuthengwa uma kuyadingeka ngenxa yokungakhululeki okuncane
• Qaphela izimpawu zokutheleleka njengokukhula kobomvu, ukushisa, noma ukopha

Abantu abaningi babhekana nokungakhululeki okuncane usuku noma amabili ngemuva kokwelashwa. Ungase uqaphele ukukhula, ukulunywa, noma ukubopha eduze kwendaweni ewelashwe, okuvamile ngokuphelele.

Ungangabazi ukuthintana nodokotela wakho uma unemibuzo mayelana nokuphulukisa noma uqaphela noma yini ekukhathazayo. Bafuna ukukusekela kuyo yonke inqubo yokuphulukisa.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola okuningi ngesikhathi sakho nodokotela futhi uqonde zonke izinkathazo zakho. Ukuzilungiselela kancane kungasiza futhi kunciphisa ukukhathazeka okungase ube nakho ngokuya ekuhambeni.

Ngaphambi kwe-aphoyintimenti yakho:

• Bhala phansi ukuthi nini uqale ukuqaphela ukuguquka kwesikhumba nokuthi luye lwakhuphuka kanjani
• Bala yonke imithi, izithasiselo, namavithamini owaqala ukuwathatha
• Lungiselela imibuzo mayelana nezinketho zokwelapha, isikhathi sokuphulukisa, nokunakekelwa okulandelayo
• Cabanga ukuletha ilungu lomndeni noma umngani ukusekela nokusiza ukukhumbula ulwazi
• Gwema ukufaka i-makeup noma ama-lotions endaweni ofuna ukuyihlanza
• Gqoka izingubo ezanelisayo ezivumela ukufinyelela okulula endaweni yesikhumba ebuzwayo

Ungangabazi ukubuza imibuzo ngesikhathi sokuya kwakho. Udokotela wakho ufuna ukukusiza uqonde isimo sakho futhi uzizwe uqinisekile ngohlelo lwakho lokwelapha.

Khumbula, izinkathazo eziningi zesikhumba zivela ziyizinto ezincane ezilula ukwelashwa. Ukuya e-aphoyintimenti yakho kuyisinyathelo esihle sokunakekela impilo yakho.

Yini eyinhloko ebalulekile mayelana neSquamous cell carcinoma?

ISquamous cell carcinoma uhlobo oluwelashwa kakhulu lomdlavuza wesikhumba uma kubanjwa ngokushesha, ngemiphumela yokwelapha engaphezu kuka-95% yezigameko eziningi. Nakuba ukuxilongwa kungase kuzwakale kuyesabekayo ekuqaleni, khumbula ukuthi izigidi zabantu ziphumelela ekunqobeni lo mhlaza unyaka nonyaka futhi ziqhubeka ziphila impilo evamile ngokuphelele.

Izinto ezibalulekile kakhulu okumele uzikhumbule ukuthi ukutholwa ngokushesha kwenza ukwelashwa kube lula futhi kupumelele kakhulu, ukuvikelwa kwelanga kungavimbela izingxenye eziningi, kanye nokuhlolwa kwesikhumba njalo kusiza ukubamba izinkinga lapho zilungiswa kakhulu.

Iqembu lakho lokukhathalela impilo lilapho ukukukhokhela kuzo zonke izinyathelo, kusukela ekutholweni kuze kube ukwelashwa nokunakekelwa okulandelayo. Ungangabazi ukubuza imibuzo, ubonise ukukhathazeka, noma ufuna ukusekelwa uma ukudinga.

Ukuthatha isinyathelo ngokuya kudokotela ngezinguquko zesikhumba ezingathandeki kuhlale kuyikhetho elifanele. Kungakhathaliseki ukuthi kuvela kuyimilaza noma into engenangozi, uzothola ukuthula kwengqondo nomphumela omuhle kakhulu.

Imibuzo evamile ebuzwayo mayelana neSquamous cell carcinoma

UMbuzo 1. ISquamous cell carcinoma isakazeka ngokushesha kangakanani?

Iningi leSquamous cell carcinomas likhula kancane ngezinyanga noma iminyaka futhi alivame ukuya kwezinye izingxenye zomzimba. Uma kubanjwa ngokushesha, umdlavuza ngokuvamile uhlala ezindaweni zesikhumba lapho uqale khona. Noma kunjalo, ezinye izinhlobo ezinamandla zingakhula ngokushesha, kungakho kubalulekile ukungalihlisi ukwelashwa uma sekuxilongwe.

UMbuzo 2. Ingabe ngizodinga i-chemotherapy yeSquamous cell carcinoma?

Iningi labantu abaneSquamous cell carcinoma abadingi i-chemotherapy. Izigameko eziningi ziyaphiliswa ngokuphelele ngezinqubo ezilula zokusebenza. I-Chemotherapy ngokuvamile icatshangelwa kuphela ezimweni ezingavamile lapho umdlavuza usuke usakazeke kakhulu noma kubantu abangakwazi ukuhlinzwa.

UMbuzo 3. Ingabe iSquamous cell carcinoma ingabuya emuva kokwelashwa?

Ukuphindaphinda akukuvamile lapho umdlavuza usususiwe ngokuphelele ngemida ecacile. Udokotela wakho uzohlela i-aphoyintimenti yokulandelela njalo ukuze ahlole indawo ewelashwe futhi ahlole noma yikuphi ukuguquka okusha kwesikhumba. Abantu abaningi abane ukwelashwa okufanele nokunakekelwa okulandelayo abazange baphindaphinda.

UMbuzo 4. Ingabe iSquamous cell carcinoma iyifa?

Nakuba ukuba namalungu omndeni abane-skin cancer kungakhuphula kancane ingozi yakho, iSquamous cell carcinoma ibangelwa ikakhulukazi izinto zokuzungezile njengokukhanya kwelanga kunokuba yi-genetics. Noma kunjalo, ezinye izimo zezakhiwo ezingavamile zingakhuphula ingozi yomdlavuza wesikhumba, odokotela bakho abangaxoxa nawe uma kufanele.

UMbuzo 5. Kuthatha isikhathi esingakanani ukuphulukisa ekuwelapheni kweSquamous cell carcinoma?

Isikhathi sokuphulukisa siye ngendlela yokwelapha nendawo, kodwa abantu abaningi bayaphuli ngaphakathi kwamasonto angu-2-4. Ukususa okulula ngokuvamile kuphulukisa ngesonto eli-1-2, kanti izinqubo eziningi zingase zithathe isikhathi eside. Udokotela wakho uyonika amathemba athile ngokusekelwe ohlelweni lwakho lokwelapha, futhi abantu abaningi babuyela emisebenzini evamile ngaphakathi kwezinsuku.