ʻO Keratosis Actinic
Anter
- He aha ke kumu o ka keratosis actinic?
- He aha nā hōʻailona o ka keratosis actinic?
- Pehea e ʻike ʻia ai ka keratosis actinic?
- Pehea e mālama ʻia ai ka keratosis actinic?
- Excision
- Cauterization
- ʻO Cryotherapy
- ʻO ka lāʻau lapaʻau kumuhana
- Phototherapy
- Pehea e hiki ai iā ʻoe ke pale i ke keratosis actinic?
He aha ka keratosis actinic?
Ke hele a makua ʻoe, hoʻomaka paha ʻoe e ʻike i nā wahi ʻino a wīwī e ʻike ʻia ma kou mau lima, nā lima, a me ke alo. Kapa ʻia kēia mau kiko i nā keratoses actinic, akā ʻike ʻia lākou he mau sunspots a i ʻole nā kiko makahiki.
Hoʻokumu maʻamau nā keratoses Actinic i nā wahi i hōʻino ʻia e nā makahiki o ka puka ʻana o ka lā. Kū lākou ke loaʻa iā ʻoe ke keratosis actinic (AK), kahi ʻano ʻili maʻamau loa.
ʻIke ʻia ʻo AK i ka hoʻomaka ʻana o nā ʻili ʻili i kapa ʻia he keratinocytes e ulu kino ʻole, e hana ana i nā wahi scaly, discolored. Hiki i nā paʻi o ka ʻili kekahi o kēia mau kala:
- palaunu
- ʻili
- Hinahina
- ākala
Kū lākou i nā ʻāpana o ke kino e loaʻa ka hapanui o ka lā, e like me kēia:
- lima
- lima
- alo
- ʻili poʻo
- ʻāʻī
ʻAʻole maʻi maʻi ʻo nā keratoses Actinic iā lākou iho. Eia nō naʻe, hiki iā lākou ke holomua i ka squamous cell carcinoma (SCC), ʻoiai haʻahaʻa ka likelihood.
Ke waiho a mālama ʻole ʻia lākou, a hiki i ka 10 pākēneka o nā keratoses actinic hiki ke holomua i SCC. ʻO SCC ka lua o ka ʻano maʻamau o ka maʻi ʻaʻai ʻili. Ma muli o kēia makaʻu, pono e nānā mau ʻia nā kiko e kāu kauka a dermatologist paha. Eia kekahi o nā kiʻi o SCC a me nā mea e loli ai ke nānā aku.
He aha ke kumu o ka keratosis actinic?
Hoʻokumu nui ʻia ʻo AK e ka hōʻike lōʻihi i ka lā. Nui aʻe kāu makaʻu i ka hoʻomohala ʻana i kēia ʻano inā ʻoe:
- ma luna o 60 mau makahiki
- he ʻili keʻokeʻo a me nā maka polū
- loaʻa ka maʻalahi o ka sunburn maʻalahi
- i ka mōʻaukala o ka sunburns ma mua o ke ola
- ua hōʻike pinepine ʻia i ka lā ma luna o kou ola
- loaʻa ka maʻi papilloma kanaka (HPV)
He aha nā hōʻailona o ka keratosis actinic?
Hoʻomaka ka keratoses Actinic ma ke ʻano he mānoanoa, scaly, crusty pākuʻi ʻili. ʻO kēia mau pākuʻi e pili mau ana i ka nui o ka peni peni peni liʻiliʻi. Aia paha he ʻili a ʻā paha i ka wahi i pā.
I ka hala ʻana o ka manawa, hiki i nā lehelehe ke nalo, hoʻonui, noho like, a i ʻole hoʻomōhala i SCC. ʻAʻohe ala o ka ʻike ʻana i nā leona e lilo i maʻi ʻaʻai. Eia nō naʻe, pono e nānā koke ʻia kāu mau kiko e ke kauka inā ʻike ʻoe i kekahi o kēia mau loli.
- ʻoʻoleʻa o ka leona
- pehu
- hoʻonui hoʻonui
- kahe ana ke koko
- ʻulaʻula
- ulceration
Mai makaʻu inā loaʻa nā loli maʻi ʻaʻai. Maʻalahi maʻalahi ʻo SCC e hōʻoia a mālama i kāna mau hanana mua.
Pehea e ʻike ʻia ai ka keratosis actinic?
Hiki paha i kāu kauka ke kuhikuhi pono iā AK wale nō ma ka nānā ʻana iā ia. Makemake paha lākou e lawe i kahi biopsy o ka ʻili o nā leona e ʻano kānalua. ʻO kahi biopsy ʻili kahi ala lapuwale wale nō e haʻi inā ua loli nā liona i SCC.
Pehea e mālama ʻia ai ka keratosis actinic?
Hiki ke mālama ʻia ʻo AK ma nā ʻano aʻe:
Excision
Hoʻopili ka Excision i ka ʻoki ʻana i ka leona mai ka ʻili. Koho paha kāu kauka e hemo i nā kiko keu a puni a i ʻole ma lalo o ka liona inā aia kekahi hopohopo e pili ana i ka maʻi ʻaʻai ʻili. Kaukaʻi ʻia i ka nui o ka ʻokiʻoki, pono a ʻaole paha pono nā humuhumu.
Cauterization
I ka cauterization, puhi ʻia ka leona me ke au uila. Pepehi kēia i nā hunaola ʻili i hoʻopili ʻia.
ʻO Cryotherapy
ʻO Cryotherapy, i kapa ʻia hoʻi ʻo cryosurgery, kahi ʻano lapaʻau e pīpī ʻia ai ka maʻi ʻino me kahi hopena cryosurgery, e like me ka nitrogen wai. Hoʻopaʻahau kēia i nā hunaola ma ka hoʻopili ʻana a make iā lākou. E palupalu ka liona a hāʻule i loko o kekahi mau lā ma hope o ke kaʻina hana.
ʻO ka lāʻau lapaʻau kumuhana
ʻO kekahi mau mālama kumuhana e like me 5-fluorouracil (Carac, Efudex, Fluoroplex, Tolak) ke kumu o ka hoʻowahāwahā ʻana a me ka luku ʻana i nā leona. ʻO nā mālama kumuhana ʻē aʻe e pili ana i ka ʻimiquimod (Aldara, Zyclara) a me ingenol mebutate (Picato).
Phototherapy
- Duringphototherapy, hoʻopili ʻia kahi hopena ma luna o ka leona a me ka ʻili i hoʻopili ʻia. Hōʻike ʻia kēia wahi i ka mālamalama laser ikaika e māka ana a make i nā hunaola. Hoʻohana ʻia nā hāʻina maʻamau i ka phototherapy me nā lāʻau i kuhikuhi ʻia, e like me ka aminolevulinic acid (Levulan Kerastick) a me ka methyl aminolevulinate cream (Metvix).
Pehea e hiki ai iā ʻoe ke pale i ke keratosis actinic?
ʻO ke ala maikaʻi e pale aku ai iā AK e hōʻemi i kou ʻike ʻana i ka lā. E kōkua pū kēia i ka hōʻemi ʻana i kou makaʻu o ka maʻi ʻaʻai ʻili. E hoʻomanaʻo e hana i kēia mau mea:
- E komo i nā pāpale a me nā pālule me nā pūlima lōʻihi ke kū ʻoe i ka lā mālamalama.
- Hōʻalo i ka hele ma waho i ke awakea, ke ʻālohilohi ka lā.
- Hōʻalo i nā moena ʻili.
- E hoʻohana mau i ka pale lā ke hele ʻoe ma waho. ʻOi aku ka maikaʻi o ka hoʻohana ʻana i ka pale lā me kahi helu pale pale lā (SPF) ma ka liʻiliʻi he 30. Pono ia e pale i nā kukui ultraviolet A (UVA) a me nā kukui ultraviolet B (UVB).
He mea maikaʻi pū kekahi e nānā pinepine i kou ʻili. E nānā i ka hoʻomohala ʻana i nā ulu o ka ʻili hou a i ʻole nā hoʻololi i nā mea āpau.
- puʻupuʻu
- nā hānau hānau
- mole
- nā freckles
E nānā pono i nā ulu o ka ʻili hou a i ʻole nā loli i kēia mau wahi.
- alo
- ʻāʻī
- pepeiao
- nā poʻo a me lalo o kou mau lima a me kou mau lima
E hoʻonohonoho i kahi manawa me kāu kauka i ka wā e hiki ai inā loaʻa nā wahi hoprisome i kou ʻili.