Matenda a Bowen: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro za matenda a Bowen
• Zoyambitsa zazikulu
• Momwe mankhwalawa amachitikira

Matenda a Bowen, omwe amadziwikanso kuti squamous cell carcinoma in situ, ndi mtundu wa chotupa chomwe chimapezeka pakhungu lomwe limadziwika ndi zikwangwani zofiira kapena zofiirira kapena mawanga pakhungu ndipo nthawi zambiri amakhala ndi zotupa komanso keratin yambiri, yomwe imatha musakhale osawuma. Matendawa amapezeka kwambiri mwa amayi, ngakhale amatha kuchitika mwa amuna, ndipo nthawi zambiri amadziwika pakati pa zaka 60 ndi 70 zakubadwa, chifukwa chimakhudzana ndi kukhala padzuwa nthawi yayitali.

Matenda a Bowen amatha kuchiritsidwa mosavuta pogwiritsa ntchito mankhwala a photodynamic, excision kapena cryotherapy, komabe ngati sakuchiritsidwa moyenera pakhoza kukhala kupita patsogolo kwa ma carcinomas owopsa, omwe atha kubweretsa zotsatira zake kwa munthu.

Zizindikiro za matenda a Bowen

Mawanga omwe amawonetsa matenda a Bowen amatha kukhala osakwatira kapena angapo ndipo amatha kuwonekera mbali iliyonse ya thupi lomwe limawombedwa ndi dzuwa, nthawi zambiri limakhala mwendo, mutu ndi khosi. Komabe, amatha kudziwikanso pazikhatho, kubuula kapena dera loberekera, makamaka azimayi akakhala ndi kachilombo ka HPV ndipo, mwa amuna, mbolo.

Zizindikiro zazikulu za matenda a Bowen ndi awa:

• Mawonekedwe ofiira kapena ofiira pakhungu lomwe limakula pakapita nthawi;
• Kuyabwa pamalo ovulala;
• Pakhoza kukhala kapena kusenda;
• Mawanga akhoza kukhala omasuka kwambiri;
• Zilondazo zimatha kukhomedwa kapena kupindika.

Matenda a Bowen nthawi zambiri amapangidwa ndi dermatologist kapena wothandizira potengera momwe mawonedwe amapezekera kudzera mu dermatoscopy, yomwe ndi njira yodziwitsa yomwe zilonda za pakhungu zimayesedwa. Kuchokera ku dermoscopy, adokotala amatha kuwonetsa kufunikira kolemba biopsy kuti awone ngati ma cell a chotupacho ali ndi zoyipa kapena zoyipa ndipo, potengera zotsatira, chithandizo choyenera kwambiri chitha kuwonetsedwa.

Kudzera mu dermatoscopy ndi biopsy ndizotheka kusiyanitsa matenda a Bowen ku matenda ena a dermatological, monga psoriasis, eczema, basal cell carcinoma, actinic keratosis kapena matenda a mafangasi, omwe amadziwika kuti dermatophytosis. Mvetsetsani momwe dermoscopy yachitidwira.

Zoyambitsa zazikulu

Kupezeka kwa matenda a Bowen nthawi zambiri kumalumikizidwa ndikuwonetsedwa ndi kuwala kwa dzuwa kwa nthawi yayitali, osati ndi munthu amene amakhala maola ambiri padzuwa, koma ndikuwonekera tsiku lililonse mwaufulu kapena mosachita kufuna.

Komabe, matendawa amathanso kuthandizidwa chifukwa chokhala ndi zinthu zomwe zimayambitsa khansa, chifukwa cha matenda opatsirana, makamaka kachilombo ka HIV, kuchepa kwa chitetezo cha mthupi, chifukwa cha chemotherapy kapena radiotherapy, kumuika, autoimmune kapena matenda opatsirana, mwachitsanzo., Kapena zotsatira za majini.

Momwe mankhwalawa amachitikira

Chithandizo cha matenda a Bowen chimatsimikiziridwa ndi dokotala molingana ndi mawonekedwe azilonda, monga malo, kukula ndi kuchuluka kwake. Kuphatikiza apo, pali chiopsezo chotenga matenda kupita ku ma carcinomas owopsa.

Chifukwa chake, chithandizo chitha kuchitidwa kudzera mu cryotherapy, excision, radiotherapy, photodynamic therapy, laser therapy kapena curettage. Nthawi zambiri, phototherapy imagwiritsidwa ntchito ngati zilonda zingapo komanso zazikulu, pomwe opaleshoni imatha kulimbikitsidwa ngati pali zotupa zazing'ono komanso zazimodzi, momwe zilonda zonse zimachotsedwa.

Kuphatikiza apo, matenda a Bowen akachitika chifukwa cha matenda a HPV, mwachitsanzo, adokotala ayenera kuwonetsa chithandizo cha matendawa. Ndikulimbikitsanso kupewa kupezeka padzuwa kwanthawi yayitali kuti tipewe kupitilira kwa matendawa komanso kuwonekera kwa zovuta.

Onani momwe mankhwala a khungu la khansa amachitikira.