Khansa yapakhungu lama cell squamous

Khansa ya squamous cell ndi mtundu wachiwiri wofala kwambiri wa khansa ku United States.

Mitundu ina yodziwika bwino ya khansa yapakhungu ndi iyi:

• Khansara yayikulu yama cell
• Khansa ya pakhungu

Khansa ya khungu la squamous cell imakhudza khungu, khungu lokwera kwambiri.

Khansa ya squamous cell imatha kupezeka pakhungu losawonongeka. Zitha kukhalanso pakhungu lomwe lavulala kapena lotupa. Khansa yambiri yama squamous imapezeka pakhungu lomwe nthawi zambiri limakhala ndi dzuwa kapena ma radiation ena a ultraviolet.

Mtundu woyamba wa khansa ya squamous cell umatchedwa Bowen matenda (kapena squamous cell carcinoma in situ). Mtunduwu sungafalikire kumatumba oyandikana nawo, chifukwa akadali pakatikati pakhungu.

Actinic keratosis ndi khungu lotsogola lomwe limatha kukhala khansa yayikulu yama cell. (Chotupa ndi vuto pakhungu.)

Keratoacanthoma ndi mtundu wofatsa wa khansa yama cell squamous yomwe imakula mwachangu.

Zowopsa za khansa ya squamous cell ndi monga:

• Kukhala ndi khungu loyera, buluu kapena maso obiriwira, kapena tsitsi lakuda kapena lofiira.
• Kutalika, kutentha kwa dzuwa tsiku ndi tsiku (monga anthu omwe amagwira ntchito kunja).
• Kutentha kwakukulu kwakukulu kumayambiriro kwa moyo.
• Ukalamba.
• Kukhala ndi ma x-ray ambiri.
• Kutulutsa mankhwala, monga arsenic.
• Chitetezo chofooka chamthupi, makamaka mwa anthu omwe adasinthidwa.

Khansa ya squamous cell imapezeka kumaso, makutu, khosi, manja, kapena mikono. Zitha kuchitika m'malo ena.

Chizindikiro chake chachikulu ndi bampu yomwe ikukula yomwe imatha kukhala yolimba, yopanda minyewa komanso yamagulu ofiira ofiira.

Fomu yoyambirira (squamous cell carcinoma in situ) imatha kuwoneka ngati chigamba chofewa, chotupa, komanso chofiira kwambiri chomwe chimatha kukhala chachikulu kuposa mainchesi 2.5.

Chironda chomwe sichichira chingakhale chizindikiro cha khansa yayikulu yama cell. Kusintha kulikonse kwa nkhwangwa, mole, kapena zotupa zina pakhungu zitha kukhala chizindikiro cha khansa yapakhungu.

Dokotala wanu amayang'ana khungu lanu ndikuyang'ana kukula, mawonekedwe, utoto, ndi kapangidwe ka malo aliwonse okayikira.

Ngati dokotala akuganiza kuti mwina muli ndi khansa yapakhungu, khungu limachotsedwa. Izi zimatchedwa biopsy khungu. Chitsanzocho chimatumizidwa ku labu kukayesedwa ndi microscope.

Kuyesa khungu kuyenera kuchitidwa kuti mutsimikizire khansa yapakhungu yama cell kapena khansa ina yapakhungu.

Chithandizo chimadalira kukula ndi malo a khansa yapakhungu, kutalika komwe kwafalikira, komanso thanzi lanu lonse. Ena mwa khansa yapakhungu yama cell amakhala ovuta kuchiza.

Chithandizo chitha kukhala:

• Chisangalalo: Kudula khansa yapakhungu ndikulumikiza khungu limodzi.
• Mankhwala ndi maelekitirodi: Kupukuta maselo a khansa ndikugwiritsa ntchito magetsi kupha zilizonse zomwe zatsala. Amagwiritsidwa ntchito pochiza khansa yomwe siikulu kwambiri kapena yakuya.
• Cryosurgery: Kuzizira ma cell a khansa, omwe amawapha. Izi zimagwiritsidwa ntchito pa khansa yaying'ono komanso yopanda pake (osati yakuya).
• Mankhwala: Mafuta akhungu okhala ndi imiquimod kapena 5-fluorouracil a khansa yayikulu kwambiri yama cell.
• Mohs: Kuchotsa khungu limodzi ndikuyang'ana pomwepo pansi pa microscope, ndikuchotsa khungu mpaka sipadzakhala zizindikiro za khansa, yomwe imagwiritsidwa ntchito khansa yapakhungu pamphuno, m'makutu, ndi madera ena akumaso.
• Chithandizo cha Photodynamic: Chithandizo chogwiritsa ntchito kuwala chitha kugwiritsidwa ntchito pochiza khansa yapamwambamwamba.
• Thandizo la radiation: Litha kugwiritsidwa ntchito ngati squamous cell khansa yafalikira ku ziwalo kapena ma lymph node kapena ngati khansa singathe kuchiritsidwa ndi opaleshoni.

Mutha kuchepetsa nkhawa zamankhwala ndikulowa nawo gulu lothandizira khansa. Kugawana ndi ena omwe akumana ndi mavuto omwe akukumana nawo kungakuthandizeni kuti musamve nokha.

Momwe munthu amachitila bwino zimadalira zinthu zambiri, kuphatikiza momwe khansa yapezeka posachedwa, malo ake, komanso ngati muli ndi chitetezo chamthupi chofooka kapena ayi. Khansa yambiri imachiritsidwa ikamachiritsidwa msanga.

Ena khansa ya squamous cell imatha kubwerera. Palinso chiopsezo kuti khansa yapakhungu yama cell yotayika imafalikira mbali zina za thupi.

Itanani kuti mukakumane ndi wokuthandizani ngati muli ndi zilonda kapena malo pakhungu lanu omwe amasintha:

• Maonekedwe
• Mtundu
• Kukula
• Kapangidwe

Komanso itanani ndi omwe amakupatsani ngati malo akupweteka kapena kutupa kapena ngati ayamba kutuluka magazi kapena kuyabwa.

American Cancer Society ikulimbikitsa kuti wothandizira azitha kuyesa khungu lanu chaka chilichonse ngati muli ndi zaka zopitilira 40 komanso zaka zitatu zilizonse ngati muli ndi zaka 20 mpaka 40. Ngati mwakhalapo ndi khansa yapakhungu, muyenera kumakuwunikani pafupipafupi kuti dokotala azikuwunika.

Muyeneranso kuyang'ana khungu lanu kamodzi pamwezi. Gwiritsani ntchito galasi lamanja m'malo ovuta kuwona.Itanani dokotala wanu ngati muwona china chilichonse chachilendo.

Njira yabwino yopewera khansa yapakhungu ndikuchepetsa kuchepa kwanu padzuwa. Nthawi zonse gwiritsani ntchito zoteteza ku dzuwa:

• Gwiritsani ntchito zoteteza ku dzuwa ndi zoteteza ku dzuwa (SPF) zosachepera 30, ngakhale mutapita panja kwakanthawi kochepa.
• Ikani mafuta oteteza ku dzuwa ochulukirapo m'malo onse owonekera, kuphatikiza makutu ndi mapazi.
• Fufuzani zotchinga dzuwa zomwe zimatchinga kuwala kwa UVA ndi UVB.
• Gwiritsani ntchito zoteteza ku dzuwa zosagwira madzi.
• Ikani mafuta oteteza ku dzuwa osachepera mphindi 30 musanatuluke. Tsatirani malangizo phukusi zamomwe mungagwiritsire ntchito kangati. Onetsetsani kuti mudzayikenso mukatha kusambira kapena kutuluka thukuta.
• Gwiritsani ntchito zotchingira dzuwa m'nyengo yozizira komanso masiku amvula, inunso.

Njira zina zokuthandizani kupewa kupezeka padzuwa:

• Kuwala kwa ultraviolet kumakhala kwakukulu pakati pa 10 koloko ndi 4 koloko masana. Chifukwa chake yesetsani kupewa dzuwa nthawi imeneyi.
• Tetezani khungu mwa kuvala zipewa zazitali, malaya ataliatali, masiketi atali, kapena mathalauza. Muthanso kugula zovala zoteteza dzuwa.
• Pewani malo owala kwambiri, monga madzi, mchenga, konkriti, ndi malo omwe amapaka utoto woyera.
• Kutalika kwambiri, khungu lanu limayaka mwachangu.
• Musagwiritse ntchito nyali zowala ndi mabedi osenda (ma salon). Kuwononga mphindi 15 mpaka 20 pamalo oyeretsera ngozi ndi koopsa ngati tsiku logwiritsidwa ntchito padzuwa.

Khansa - khungu - squamous cell; Khansa yapakhungu - khungu losokonekera; Khansa Nonmelanoma khungu - squamous khungu; NMSC - squamous cell; Khansa squamous khungu; Squamous cell carcinoma pakhungu

• Matenda a Bowen ali padzanja
• Keratoacanthoma
• Keratoacanthoma
• Khansa yapakhungu, squamous cell - kutseka
• Khansa yapakhungu - khungu losalala m'manja
• Squamous cell carcinoma - yovuta
• Cheilitis - actinic
• Khansa ya squamous cell

Khalani TP. Zotupa zamatenda owopsa a nonmelanoma. Mu: Habif TP, mkonzi. Clinical Dermatology: Buku Lopangira Kuzindikira ndi Chithandizo. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2016: mutu 21.

Tsamba la National Cancer Institute. Chithandizo cha khansa yapakhungu (PDQ®) - Health Professional Version. www.cancer.gov/types/skin/hp/skin-treatment-pdq#section/_222. Idasinthidwa pa Disembala 17, 2019. Idapezeka pa February 24, 2020.

Tsamba la National Comprehensive Cancer Network. Malangizo a NCCN Achipatala mu Oncology (NCCN Guidelines): Khansa yapakhungu yapakhungu. Mtundu 1.2020. www.nccn.org/professionals/physician_gls/pdf/nmsc.pdf. Idasinthidwa pa Okutobala 24, 2019. Idapezeka pa February 24, 2020.

Gulu Lankhondo Laku US Lodzitchinjiriza, Bibbins-Domingo K, Grossman DC, et al. Kuunikira khansa yapakhungu: Ndemanga yothandizidwa ndi US Preventive Services Task Force. JAMA. 2016; 316: (4) 429-435. PMID: 27458948 www.ncbi.nlm.nih.gov/pubmed/27458948. (Adasankhidwa)