Mea Kākau: Roger Morrison
Lā O Ka Hana: 17 Kepakemapa 2021
HōʻAno Hou I Ka Lā: 1 Mei 2024
Anonim
Squamous Cell Carcinoma, Actinic Keratosis, and Seborrheic Keratosis: a Dermatology Lecture
Wikiō: Squamous Cell Carcinoma, Actinic Keratosis, and Seborrheic Keratosis: a Dermatology Lecture

Anter

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.

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