Actinic keratosis: ndi chiyani, zizindikiro zazikulu ndi momwe mungachiritsire

Zamkati

• Zizindikiro zazikulu
• Zoyambitsa zazikulu
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira
• 1. Mankhwala a Photodynamic
• 2. Kugwiritsa ntchito mafuta
• 3. Cryotherapy
• 4. Kusenda mankhwala
• Zomwe muyenera kupewa

Actinic keratosis, yomwe imadziwikanso kuti actinic keratosis, ndi matenda oopsa omwe amayambitsa zilonda zofiirira zofiirira, zamitundu yosiyana, kukula, zolimba komanso zolimba. Amayamba makamaka chifukwa chokhala padzuwa mopitilira muyeso, kukhala wamba m'mbali za thupi monga nkhope, milomo, makutu, mikono, manja ndi khungu kumutu kwa anthu dazi.

Ngakhale actinic keratosis imatha kupitilira zaka zingapo, nthawi zambiri sawonetsa zizindikilo mpaka atakwanitsa zaka 40 ndipo nthawi zambiri samatsatira zizindikilo zina. Matenda ambiri amachiritsika komanso owopsa, ndipo mankhwala amathandizidwa kuti athetse zilondazo. Zizindikiro zikangowonekera, ndikofunikira kuti muwone dermatologist posachedwa, chifukwa pamakhala milandu yomwe actinic keratosis imatha kukhala khansa yapakhungu.

Zina mwazinthu zitha kuthandiza kupewa zotupa za actinic keratosis, monga kugwiritsa ntchito zoteteza ku dzuwa ndi chitetezo choposa 30, kupewa kupezeka padzuwa nthawi yayitali komanso kudziyesa khungu pafupipafupi.

Zizindikiro zazikulu

Zilonda pakhungu zoyambitsidwa ndi actinic keratosis zitha kukhala ndi izi:

• Makulidwe osasamba;
• Mtundu wofiirira wa brownish;
• Kufotokozera, ngati kuti anali owuma;
• Zoyipa;
• Kutuluka pakhungu ndikuumitsa;

Kuphatikiza apo, zotupazo zimatha kuyambitsa kuyatsa kapena kutentha ndipo nthawi zina, zimapweteka komanso zimakhudza kukhudza. Kwa anthu ena, actinic keratosis imatha kutupa, ndikutuluka magazi pang'ono ndikuwoneka ngati chilonda chosachira.

Zoyambitsa zazikulu

Choyambitsa chachikulu cha actinic keratosis ndikuwonetsedwa ndi cheza cha ultraviolet popanda chitetezo komanso kwa nthawi yayitali, chifukwa chake nthawi zambiri zimawoneka m'malo akhungu omwe amapezeka padzuwa.

Kuphatikiza pa kuwala kwa dzuwa, kuwala komwe kumatulutsidwa ndi mabedi owotchera khungu kumatha kuwonjezera chiopsezo chokhala ndi actinic keratosis komanso mitundu ina ya khansa yapakhungu, chifukwa chake njira yokometsera iyi imaletsedwa ndi ANVISA.

Anthu ena ali pachiwopsezo chachikulu chotenga zilonda kuchokera ku actinic keratosis monga anthu opitilira 40, omwe amagwira ntchito nthawi yayitali padzuwa, omwe ali ndi khungu loyera komanso omwe ali ndi chitetezo chokwanira chifukwa chodwala kapena kulandira mankhwala a chemotherapy.

Momwe mungatsimikizire matendawa

Kuzindikira kwa actinic keratosis kumapangidwa ndi dermatologist, yemwe amawunika momwe zilondazo zilili ndipo, ngati kuli koyenera, amafunsira khungu. Skin biopsy ndi njira yosavuta yochitidwa ndi mankhwala oletsa ululu am'deralo omwe amakhala ndi kuchotsa pang'ono pachilondacho chomwe chimatumizidwa ku labotale kuti chifufuze ngati chili ndi maselo a khansa. Pezani zambiri za momwe khungu limayendera.

Momwe mankhwalawa amachitikira

Chithandizo cha actinic keratosis nthawi zonse chimayenera kutsogozedwa ndi dermatologist ndipo chimayamba atangomupeza, chifukwa ngati sichichiritsidwa sichitha khansa yapakhungu. Mitundu yamankhwala omwe amagwiritsidwa ntchito kwambiri kwa actinic keratosis ndi awa:

1. Mankhwala a Photodynamic

Thandizo la Photodynamic ndi mankhwala omwe amaphatikiza kugwiritsa ntchito laser molunjika ku zotupa za actinic keratosis. Asanapange gawo lazithandizo zamagetsi, m'pofunika kuthira mafuta kapena kulandira mankhwala mumtsinje kuti athandize laser kupha maselo omwe asintha.

Njirayi imakhala pafupifupi mphindi 45 ndipo siyimayambitsa kupweteka kapena kusowa mtendere, pambuyo pake amaikidwa bandeji yoteteza tsambalo ku matenda ndi kuvulala.

2. Kugwiritsa ntchito mafuta

Nthawi zina, dermatologist imalimbikitsa kugwiritsa ntchito mafuta ochizira actinic keratosis, monga:

• Zamgululi: ndi mtundu wa mafuta omwe amagwiritsidwa ntchito kwambiri kwa actinic keratosis, amathandizira kuthetsa maselo omwe amachititsa kuvulala;
• Zamgululi Ndi mafuta omwe amagwiritsidwa ntchito kulimbikitsa chitetezo cha mthupi, kuthandiza kupha maselo a chotupa;
• Ingenol-mebutato: ndi mafuta amtundu wa gel omwe amachotsa maselo omwe ali ndi matenda masiku awiri kapena atatu agwiritsidwe ntchito;
• Diclofenac ndi asidi hyaluronic: Komanso ndi mafuta odzola, koma ndi omwe sagwiritsidwa ntchito pochiza ovulala.

Dermatologist amalimbikitsa mtundu wa zonona kutengera mawonekedwe a khungu, monga kukula, mawonekedwe ndi malo. Nthawi yogwiritsira ntchito komanso kuchuluka kwa nthawi zomwe akuyenera kugwiritsidwa ntchito zimatha kusiyanasiyana pamunthu ndi munthu, chifukwa chake, munthu ayenera kulemekeza malangizo a dokotala nthawi zonse.

3. Cryotherapy

Cryotherapy imakhala ndi kugwiritsa ntchito madzi a nayitrogeni ndi chida chonga utsi kuti ateteze maselo omwe amayambitsa zilonda za actinic keratosis. Magawo angapo amachitika kuti athetse zilondazo komanso kutalika kwa chithandizo chamtunduwu zimadalira zomwe dokotala akunena.

Chithandizo chamtunduwu sichifuna opaleshoni, chifukwa sichimapweteka, komabe pambuyo pamagawo kumakhala kofala kuti dera la khungu likhale lofiira komanso lotupa pang'ono.

4. Kusenda mankhwala

O khungu mankhwala ndi mankhwala omwe amaphatikiza kugwiritsa ntchito asidi, wotchedwa trichloroacetic, molunjika ku zotupa za actinic keratosis. Amachitidwa ndi dermatologist muofesi, sizimapweteka, koma nthawi zina zimayambitsa zotentha.

Chithandizo chamtunduwu chimathandizira kupha ma cell omwe asintha omwe amapezeka mu zotupazo komanso pambuyo pa khungu mankhwala nthawi zonse amafunikira kugwiritsa ntchito zoteteza ku dzuwa chifukwa chowopsa kuwotcha pamalo omwe agwiritsa ntchito asidi.

Zomwe muyenera kupewa

Njira yabwino yopewera actinic keratosis ndikugwiritsa ntchito zoteteza ku dzuwa, ndizotetezera osachepera 30. Komabe, njira zina zitha kuthandizira kuchepetsa chiopsezo chokhala ndi actinic keratosis, monga kupewa kupezeka padzuwa pakati pa 10 koloko mpaka 4 koloko masana masana, valani zipewa kuti muteteze nkhope yanu ku cheza cha ultraviolet komanso kupewa khungu.

Kuphatikiza apo, ndikofunikira kudzipenda khungu pafupipafupi komanso pafupipafupi kukaonana ndi dermatologist, makamaka anthu omwe ali ndi khungu loyera kapena omwe ali ndi mbiri ya banja ya khansa yapakhungu.