Ka maʻi ʻaʻai ʻeleʻele Basal

ʻO ka maʻi ʻaʻai basal ke ʻano o ka maʻi ʻaʻai ma United States. ʻO ka hapa nui o nā maʻi ʻili ka maʻi ʻaʻai basal.

ʻO nā ʻano ʻē aʻe o ka maʻi ʻaʻai ʻili ka:

• Kanesa maʻi ʻaʻai squamous
• Melanoma

ʻO ka papa luna o ka ʻili i kapa ʻia ʻo epidermis. ʻO ka papa lalo o ka epidermis ka papa o ka cell basal. Me ka maʻi ʻaʻai basal, ʻo nā hunaola i kēia papa ka mea i lilo i maʻi ʻaʻai. ʻO ka hapa nui o nā maʻi ʻaʻai basal e kū i ka ʻili e hōʻike mau ʻia i ka lā a i ʻole nā ​​radiation ultraviolet.

ʻO kēia ʻano maʻi ʻaʻai ʻili ka mea maʻamau i ka poʻe ma mua o 50 mau makahiki. Akā hiki ke hana ʻia i ka poʻe ʻōpio i loaʻa ka lā nui. ʻAno lohi ka ulu ʻana o ka maʻi ʻaʻai Basal. ʻAʻole pāhola iki i nā ʻāpana ʻē aʻe o ke kino.

E hoʻomohala paha ʻoe i ka maʻi ʻaʻa basal inā loaʻa iā ʻoe:

• Ili uila a i ʻole ʻili freckled
• Blue, ʻōmaʻomaʻo, a me nā maka hina
• ʻO ka lauoho lauoho a ʻulaʻula paha
• Overexposure i nā kukuna x a i ʻole nā ​​ʻano ʻano like o ka pāhawewe
• Mole he nui loa
• ʻO nā hoahānau pili i loaʻa a loaʻa i ka maʻi ʻaʻai ʻili
• ʻO nā lā nui ʻino i ka wā o ke ola
• Ka lōʻihi o ka lā i kēlā me kēia lā (e like me ka puka ʻana o ka lā i loaʻa i ka poʻe e hana ana ma waho)

ʻO nā kumu ʻē aʻe e pili pū me:

• Puhipaka
• Ua nāwaliwali ka ʻōnaehana pale pale, e like me ke kau ʻana i nā lāʻau e kaomi i ka ʻōnaehana paleʻea ma hope o kahi hoʻoliʻiliʻi o nā meaola
• ʻO nā maʻi ʻili i hoʻoilina ʻia, e like me nevoid basal cell carcinoma syndrome
• Loaʻa iā photodynamic therapy

Ulu mālie ʻo ka maʻi ʻaʻai Basal a maʻi ʻole pinepine. ʻAʻole paha ʻokoʻa ke nānā aku i kou ʻili maʻamau. Loaʻa paha iā ʻoe kahi puʻupuʻu a i ʻole ka ulu ʻana:

• ʻO pearly a waxy paha
• ʻĀwī keʻokeʻo a i ʻole māmā
• ʻO kaʻiʻo kikokiko a ʻeleʻele paha
• ʻO kahi ʻulaʻula, wīwī o ka ʻili

I kekahi mau hihia, hoʻokiʻi iki ʻia ka ʻili, a i ʻole pālahalaha.

Loaʻa iā ʻoe:

• He ʻeha ʻeha e maʻalahi ke kahe
• He ʻeha e hoʻōla ʻole ai
• ʻAi a i ʻole nā ​​ʻāpana crusting i kahi ʻeha
• ʻO kahi ʻeha e like me ka maka ʻole me ka hōʻeha ʻole i ka wahi
• Nā kīʻaha koko ʻole ma a i ʻole ma kahi o ka wahi
• ʻO kahi ʻeha me kahi wahi kaumaha (sunken) ma ka waena

E nānā kāu kauka i kou ʻili a nānā i ka nui, ke ʻano, ke kala, a me nā ʻano o nā wahi kānalua.

Inā manaʻo kāu kauka he maʻi ʻaʻai paha kou, e hemo ʻia kahi ʻili. Kāhea ʻia kēia he biopsy ʻili. Hoʻouna ʻia kahi laʻana i kahi lab no ka ninaninau ʻana ma lalo o kahi microscope.

Pono e hana i kahi biopsy ʻili e hōʻoia i ka maʻi ʻaʻai basal a i ʻole nā ​​maʻi ʻili ʻē aʻe.

Pili ka mālama ʻana i ka nui, ka hohonu, a me kahi o ka maʻi ʻaʻai o ka ʻili a me kou olakino holoʻokoʻa. Loaʻa nā pilikia a me nā pono i kēlā me kēia lapaʻau. Hiki iā ʻoe a me kāu kauka ke kūkākūkā i ka lapaʻau kūpono iā ʻoe.

Hiki ke hoʻopili i kekahi o kēia mau mea:

• Excision: Ke ʻoki ʻana i ka maʻi ʻaʻai o ka ʻili a hoʻopaʻa pū i ka ʻili
• Curettage a me electrodessication: Ke kāpae ʻana i nā hunaola maʻi ʻaʻai a me ka hoʻohana ʻana i ka uila e pepehi i nā mea i koe; hoʻohana ʻia e mālama i nā maʻi ʻaʻai ʻaʻole nui a hohonu paha; hoʻohana pinepine ʻia ka curettage me ka uila ʻole
• Cryosurgery: Ke hau ʻana i nā hunaola maʻi ʻaʻai, nāna e pepehi iā lākou; hoʻohana ʻia e mālama i nā maʻi ʻaʻai ʻaʻole nui a hohonu paha
• Lāʻau lapaʻau: ʻO nā kalima ʻili i loaʻa ka lāʻau; hoʻohana ʻia e mālama i nā maʻi ʻaʻai ʻaʻole nui a hohonu paha
• ʻOki kino Mohs: Ke hemo nei i kahi ʻili o ka ʻili a nānā aku iā ia ma lalo koke o kahi microscope, a laila e hemo ana i nā ʻili o ka ʻili a hiki i ka loaʻa ʻole o nā hōʻailona o ka maʻi ʻaʻai. hoʻohana mau ʻia no nā maʻi ʻili ʻili ma ka ihu, pepeiao, a me nā wahi ʻē aʻe o ka maka
• Hoʻoikaika Photodynamic: Ke hoʻohana nei i kahi kemikali i hana maʻalahi e mālama ai i nā maʻi ʻaʻohe nui a hohonu paha
• Hoʻolālā uila: Hiki ke hoʻohana ʻia inā ʻaʻole hiki ke mālama ʻia kahi maʻi ʻaʻa basal me ke ʻoki kino
• Chemotherapy: Hiki ke hoʻohana ʻia i nā hanana kakaikahi o ka maʻi ʻaʻai basal i hoʻolaha ʻia i nā ʻāpana ʻē aʻe o ke kino a i ʻole hiki ʻole ke mālama ʻia me ke ʻoki kino.
• Nā lāʻau lapaʻau biologic (immunotherapies): Nā lāʻau lapaʻau e māka ana a pepehi i ka maʻi ʻaʻai o ka ʻili basal a hoʻohana ʻia ke hana ʻole nā ​​maʻamau maʻamau

Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo maʻi ʻaʻai. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike a me nā pilikia maʻamau e hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.

Hoola ʻia ka hapa nui o kēia mau maʻi ʻalohilohi ke mālama mua ʻia. Hoʻi kekahi o nā maʻi ʻaʻa basal i ka wahi like. ʻAʻole hoʻi liʻiliʻi nā mea liʻiliʻi.

ʻAʻohe o ka palahalaha ʻana o ka maʻi ʻaʻai ʻili basal ma ʻō aku o ka wahi mua. ʻAʻole i mālama ʻia, akā, hoʻolaha paha ia i nā wahi a puni a me nā mea kokoke a me ka iwi.

Kāhea i kahi hālāwai me kāu kahu mālama ola inā loaʻa iā ʻoe kahi ʻeha a wahi paha i kou ʻili e loli i:

• Helehelena
• Waihoʻoluʻu
• Nui
• ʻŌkuene

Kāhea aku hoʻi i kāu mea hāʻawi inā ʻeha a pehu paha kahi kiko, a i ʻole inā hoʻomaka ke kahe a i ʻole ʻāno.

Paipai ka American Cancer Society i kahi mea nāna e nānā i kou ʻili i kēlā me kēia makahiki inā ʻoi aku ʻoe ma mua o 40 a i kēlā me kēia 3 mau makahiki inā he 20 a 40 mau makahiki kou. Pono ʻoe e nānā i kou ʻili iho i hoʻokahi manawa i ka mahina. E hoʻohana i ke aniani lima no nā wahi paʻakikī e ʻike. Kāhea i kāu kauka inā ʻike ʻoe i kahi mea ʻē.

ʻO ke ala ʻoi loa e pale aku ai i ka maʻi ʻaʻai ʻili e hōʻemi i kou hōʻike ʻana i ka lā. E hoʻohana mau i ka pale lā:

• E noi i ka sunscreen me ka pale pale lā (SPF) ma kahi o 30, ʻoiai ʻoe e hele ana i waho no kahi manawa pōkole.
• E noi i kahi nui o ka pale o ka lā ma nā wahi āpau i ʻike ʻia, me nā pepeiao a me nā wāwae.
• E nānā i ka pale lā e pale ai i ke kukui UVA a me UVB.
• E hoʻohana i ka pale aniani pale wai.
• E noi i ka sunscreen ma kahi o 30 mau minuke ma mua o ka hele ʻana i waho. E hāhai i nā ʻōkuhi pūʻolo e pili ana i ka manawa e noi hou ai. E hoʻopili hou ma hope o ka ʻauʻau ʻana a i ʻole ka hou ʻana.
• E hoʻohana i ka sunscreen i ka hoʻoilo a i nā lā ʻōpua pū kekahi.

Nā hana ʻē aʻe e kōkua iā ʻoe e hōʻalo i ka lā lā nui:

• ʻOi aku ka ikaika o ke kukui Ultraviolet ma waena o 10 a 4 mau hola. E hoʻāʻo e pale i ka lā i kēia mau hola.
• Palekana i ka ʻili me ka ʻaʻahu ʻana i nā pāpale ākea, nā pālule lima lōʻihi, nā pālule lōʻihi, a i ʻole ka pālule. Hiki iā ʻoe ke kūʻai i nā lole pale lā.
• Hōʻalo i nā ʻilikai e hōʻike hou i ka mālamalama, e like me ka wai, ke one, ka pōhaku, a me nā wahi i pena keʻokeʻo ʻia.
• ʻO ke kiʻekiʻe ke kiʻekiʻe, ʻo ka wikiwiki o ka wela o kou ʻili.
• Mai hoʻohana i nā kukui lā a me nā moe tanning (salons). ʻO ka hoʻolilo ʻana i 15 a 20 mau minuke i ka hale ʻili hulu manu e like me ka weliweli e like me ka lā i lilo i ka lā.

Carcinoma basal kelepaʻi; Ulcer rodent; Ka maʻi ʻaʻai ʻili - cell basal; Kanesa - ka ʻili - cell basal; Kanesa ʻili Nonmelanoma; Basal aeea NMSC; Basit cell epithelioma

• Ka maʻi ʻaʻai o ka ʻili, carcinoma basal cell - ihu
• Ka maʻi ʻaʻai o ka ʻili, carcinoma basal cell - pigmented
• Ka maʻi ʻaʻai o ka ʻili, ka maʻi ʻaʻa basal cell - ma hope o ka pepeiao
• Ka maʻi ʻaʻai o ka ʻili, carcinoma basal cell - ka hoʻolaha ʻana
• ʻO nā maʻi ʻaʻa basal he nui ma muli o ka x-ray therapy no ka huehue
• Basal Cell Carcinoma - alo
• Carcinoma basal cell - kokoke loa
• Ka maʻi ʻaʻai basal

ʻO Habif TP. ʻO nā tumors ʻili nonmelanoma malignant a me nā maʻi ʻino. I: Habif TP, hoʻoponopono. ʻO Dermatology Haumana: Kahi Alakaʻi Kānana i ka Diagnosis a me ka Therapy. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 21.

Pūnaewele ʻo National Cancer Institute. ʻO ka mālama ʻana i ka maʻi ʻaʻai ʻili (PDQ®) - Mana Mana Mana Ola. www.cancer.gov/types/skin/hp/skin-treatment-pdq#section/_222. Hoʻohou i Kēkēmapa 19, 2019. Loaʻa iā Pepeluali 24, 2020.

Pūnaewele Pūnaewele Manuahi Manuahi. Nā NCCN Clinical Practice Guide in Oncology (NCCN Alakaʻi): Ka maʻi ʻaʻai ʻili o Basal cell. Mana 1.2020. www.nccn.org/professionals/physician_gls/pdf/nmsc.pdf. Hoʻohou ʻia ʻOkakopa 24, 2020. Loaʻa iā Pepeluali 24, 2020.

ʻO ka Pūʻali Hana Hana Hana US, Bibbins-Domingo K, Grossman DC, et al. Ke nānā ʻana no ka maʻi ʻaʻai ʻili: ʻōlelo aʻoaʻo a ka US Preventive Services Task Force. JAMA. 2016; 316 (4): 429-435. PMID 27458948 www.ncbi.nlm.nih.gov/pubmed/27458948.