Actinic keratosis: chii icho, chikuru zviratidzo uye maitiro ekurapa

Zvemukati

• Zviratidzo zvikuru
• Zvinokonzera
• Maitiro ekusimbisa kuongororwa
• Kurapwa kunoitwa sei
• 1. Photodynamic kurapa
• 2. Kushandiswa kwemafuta
• 3. Cryotherapy
• 4. Kutarisa kemikari
• Zvekuita kudzivirira

Actinic keratosis, inozivikanwawo sekuti actinic keratosis, chirwere chebenign chinokonzeresa maronda akatsvukuruka eganda, ehukuru hwakasiyana, kukura, kuomarara uye kuomarara. Inonyanya kukonzerwa nekuratidzwa kwakanyanya kuzuva, ichijairika munzvimbo dzemuviri senge kumeso, miromo, nzeve, maoko, maoko uye ganda remusoro mune vanhu vane mhanza.

Kunyangwe actinic keratosis inogona kukura pamusoro pemakore akati wandei, kazhinji hairatidze zviratidzo kusvika mushure memakore makumi mana ekuberekwa uye kazhinji haina kuperekedzwa nezvimwe zviratidzo. Kazhinji kesi dzinorapika uye dzakanaka, uye kurapwa kunoitwa kubvisa maronda. Kana zviratidzo zvangoonekwa, zvakakosha kuti uone dermatologist nekukurumidza sezvazvinogona, sezvo paine zviitiko umo actinic keratosis inogona kuve cancer yeganda.

Dzimwe nhanho dzinogona kubatsira kudzivirira maronda eactinic keratosis, senge kushandiswa kwescreen yegirazi ine chinhu chinodzivirira chinopfuura makumi matatu, kudzivirira kusangana nezuva panguva yepamusoro uye kuzviongorora nguva nenguva kweganda.

Zviratidzo zvikuru

Zvironda zveganda zvinokonzerwa neactinic keratosis inogona kuve nehunhu hunotevera:

• Saizi dzakaenzana;
• Ruvara rutsvuku rwe brownish;
• Desquamative, sekunge vaoma;
• Rough;
• Kufambisa pamusoro peganda uye kuomesa;

Uye zvakare, maronda anogona kukonzera kuchenesa kana kutsva uye mune zvimwe zviitiko, zvinorwadza uye zvinonzwisisika kubata. Mune vamwe vanhu, actinic keratosis inogona kuzvimba, iine ropa shoma uye rinotaridzika seronda risingarape.

Zvinokonzera

Chikonzero chikuru chekuonekwa kweactinic keratosis kuratidzwa kumwaranzi yeultraviolet isina kudzivirirwa uye kwenguva yakareba, saka inowanzoonekwa munzvimbo dzeganda dzinowonekera pazuva.

Pamusoro peiyo ultraviolet mwaranzi yezuva, iwo maranzi anoburitswa nemabhedha ekuchenesa anogona kuwedzera njodzi yekuita actinic keratosis uye kunyangwe mamwe marudzi ekenza yeganda, saka rudzi urwu rwemaitiro ekurapa runorambidzwa neAVISA.

Vamwe vanhu vari panjodzi huru yekubatwa nemaronda kubva kuactinic keratosis sevanhu vane makore anodarika makumi mana, vanoshanda nguva zhinji vachionekwa nezuva, vane ganda rakanaka uye vane hutachiona hwakaderera nekuda kwekurwara kana kurapwa kwemakemikari.

Maitiro ekusimbisa kuongororwa

Kuongororwa kweactinic keratosis kunoitwa nachiremba weshumba, uyo anoongorora hunhu hwezvironda uye, kana zvichidikanwa, anokumbira biopsy yeganda. Ganda biopsy inzira yakapusa inoitwa neanesthesia yemuno inosanganisira kubvisa kamuenzaniso kemuronda kacho kanobva katumirwa murabhoritari kuitira kuti tiongorore kana iine masero egomarara. Tsvaga zvakawanda pamusoro pekuti ganda rinoputika sei.

Kurapwa kunoitwa sei

Mushonga weactinic keratosis inofanirwa kugara ichitungamirwa na dermatologist uye ikatanga chaipo mushure mekuongororwa, nekuti ikasiiwa isina kurapwa inogona kushanduka kuita gomarara reganda. Mhando dzekurapa dzinonyanya kushandiswa kweactinic keratosis ndeiyi:

1. Photodynamic kurapa

Photodynamic kurapa kurapwa uko kunosanganisira kuiswa kwe laser zvakananga kune lesion yeactinic keratosis. Pamberi pesimba remuchina wekufotokota, unofanirwa kuzora mafuta kana kugamuchira mushonga mutsinga kubatsira laser kuuraya maseru akachinjwa.

Maitiro acho anotora avhareji yemaminetsi makumi mana nemashanu uye haakonzere kurwadziwa kana kusagadzikana, mushure meizvozvo bhandeji rinoiswa kuchengetedza saiti kubva kuzvirwere nekukuvara.

2. Kushandiswa kwemafuta

Mune zvimwe zviitiko, dermatologist inokurudzira kushandiswa kwemafuta ekurapa actinic keratosis, senge:

• Fluorouracil: ndiyo mhando yechizoro chinonyanya kushandiswa kune actinic keratosis, zvinobatsira kubvisa maseru anokonzera kukuvara;
• Imiquimod: chizoro chinoshandiswa kusimbisa immune system, ichibatsira kuuraya maseru echironda;
• Ingenol-mebutato: izoro remhando yegel rinobvisa maseru ane chirwere mumazuva maviri kana matatu ekushandisa;
• Diclofenac ine hyaluronic acid: ino zvakare chizoro chejelisi, asi ndicho chidiki chinoshandiswa pakurapa kukuvara.

Iyo dermatologist inokurudzira mhando yekrimu zvinoenderana nehunhu hweganda reganda, senge saizi, chimiro uye nzvimbo. Iyo nguva yekushandisa uye nhamba yenguva dzavanofanira kuiswa dzinogona kusiyana kubva pamunhu kuenda kumunhu uye, nekudaro, munhu anofanirwa kugara achiremekedza rairo dzachiremba.

3. Cryotherapy

Cryotherapy inosanganisira kuiswa kwemvura senitrogen ine chishandiso senge pfapfaidza kuitira kuomesa maseru anorwara anokonzeresa maronda eactinic keratosis. Masangano akati wandei anoitwa kubvisa maronda uye nekureba kwerudzi urwu rwekurapa kunoenderana nechiratidzo chechiremba.

Rudzi urwu rwekurapa harudi anesthesia, sezvo isingakonzere kurwadziwa, zvisinei mushure memasangano zvakajairika kuti dunhu reganda riite rakatsvuka uye kuzvimba zvishoma.

4. Kutarisa kemikari

O peeling kemikari kurapwa kunosanganisira kuiswa kweacid, inonzi trichloroacetic, yakanangana nemaronda eactinic keratosis. Inoitwa nedermatologist muhofisi, haina kukonzera marwadzo, asi dzimwe nguva inokonzeresa kutsva kwekunzwa.

Rudzi urwu rwekurapa runoshanda kuuraya akachinjika maseru aripo muzvironda uye mushure meiyo peeling kemikari zvinogara zvichikosha kushandisa sunscreen nekuda kwenjodzi yekupisa munzvimbo yakashandiswa acid.

Zvekuita kudzivirira

Nzira yakanakisa yekudzivirira actinic keratosis ndeyekushandisa sunscreen, ine dziviriro diki ye30. Zvisinei, dzimwe nhanho dzinogona kubatsira kudzikisa njodzi yekubata actinic keratosis, sekudzivirira kusvibiswa nezuva pakati pegumi kusvika na4 dzemanheru masikati, pfeka ngowani kudzivirira chiso chako kubva kumagetsi anonzi ultraviolet uye dzivisa kusukutika.

Uye zvakare, zvakakosha kuti uzviongorore ganda nguva zhinji uye nguva dzose ubvunze dermatologist, kunyanya vanhu vane ganda rakanaka kana vane nhoroondo yemhuri yekenza yeganda.