ʻO ka maʻi o Bowen: he aha ia, nā ʻōuli a me nā lāʻau
Anter
ʻO ka maʻi o Bowen, i ʻike ʻia ʻo ka squamous cell carcinoma ma kahi, kahi ʻano tumo i loaʻa ma ka ʻili e ka helehelena o nā ʻulaʻula a ʻulaʻula a i ʻole nā kiko ma ka ʻili a e hōʻike mau ʻia me nā crust a me ka nui o ka keratin, hiki ke mai makaʻu ʻole. ʻOi aku ka maʻamau o kēia maʻi i nā wahine, ʻoiai hiki iā ia ke hana i nā kāne, a ʻike pinepine ʻia ma waena o 60 a me 70 mau makahiki, no ka mea pili ia i ka hoʻolōʻihi ʻana i ka lā.
Hiki ke mālama maʻalahi ʻia i ka maʻi o Bowen e nā photodynamic therapy, excision a i ʻole cryotherapy, akā inā ʻaʻole mālama pono ʻia aia paha he holomua i nā carcinomas invasive hou aʻe, a ʻo ia ka hopena e hopena i ka hopena o ke kanaka.
Nā maʻi maʻi o Bowen
ʻO nā kiko e hōʻike nei i ka maʻi o Bowen hiki ke lilo i hoʻokahi a i ʻole ʻokoʻa a hiki ke ʻike ʻia ma nā ʻāpana o ke kino i hōʻike ʻia i ka lā, pinepine i ka wāwae, ke poʻo a me ka ʻāʻī. Eia nō naʻe, hiki ke ʻike ʻia lākou ma nā poho lima, ʻūlū a i ʻole ʻāpana genital, keu hoʻi i nā wahine ke loaʻa iā lākou ka maʻi HPV a, i ka hihia o nā kāne, i ka peni.
ʻO nā hōʻailona nui a me nā hōʻailona o ka maʻi o Bowen:
- ʻO ka helehelena o nā ʻulaʻula a ʻeleʻele paha i ka ʻili e ulu ana i ka manawa;
- Ka ʻume ma ke kahua o nā ʻeha;
- Maliʻa paha ʻaʻole paha ka ʻiliʻili;
- Hiki i nā kiko ke hoʻomaha i ke kiʻekiʻe;
- Pālehu a pālahalaha paha nā leona.
ʻO ka hōʻailona o ka maʻi o Bowen e hana maʻamau ʻia e ka dermatologist a i ʻole ka mea hana maʻamau e pili ana i ka nānā ʻana i nā kiko ma o dermatoscopy, kahi ʻano diagnostic non-invasive kahi e loiloi ʻia ai nā maʻi i loaʻa ma ka ʻili. Mai ka dermoscopy, hiki i ke kauka ke hōʻike i ka pono e hana i kahi biopsy e nānā ai inā he ʻano maikaʻi a hewahewa paha nā ʻāpana o ka liona a, ma muli o ka hopena, hiki ke hōʻike ʻia ka lapaʻau kūpono loa.
Ma o dermatoscopy a me biopsy hiki nō ke hoʻokaʻawale i ka maʻi o Bowen mai nā maʻi dermatological ʻē aʻe, e like me psoriasis, eczema, carcinoma basal cell, keratosis actinic a i ʻole maʻi fungal, i ʻike ʻia ʻo dermatophytosis. Hoʻomaopopo pehea e hana ai ka dermoscopy.
Nā kumu nui
Hoʻohui pinepine ʻia ka maʻi o Bowen me ka hoʻolōʻihi ʻia i ka lā ultraviolet, ʻaʻole pono me ke kanaka e hoʻolilo ana i nā hola i hōʻike ʻia i ka lā, akā me ka hōʻike ʻana i kēlā me kēia lā ma ke kumu manawaleʻa a me ka manawaleʻa ʻole paha.
Eia nō naʻe, hiki ke aloha ʻia kēia maʻi e ka hōʻike ʻana i nā mea carcinogenic, ma muli o nā maʻi viral, ʻo ka hapanui o ka maʻi HIV, hoʻemi i ka hana o ka ʻōnaehana pale, no ka chemotherapy a i ʻole radiotherapy, transplantation, autoimmune a i ʻole nā maʻi mau, e laʻa., A i ʻole ka hopena o nā kumu kūlohelohe.
Pehea e hana ai i ka lāʻau
Hoʻoholo ʻia ka mālama ʻana i ka maʻi o Bowen e ke kauka e like me nā ʻano o nā leona, e like me ka wahi, ka nui a me ka nui. Eia hou, aia ka makaʻu o ka holomua o ka maʻi i nā carcinomas invasive hou aku.
No laila, hiki ke hana i ka lapaʻau ma o ka cryotherapy, excision, radiotherapy, photodynamic therapy, laser therapy a i ʻole curettage. ʻO ka hapanui o ka manawa, hoʻohana ʻia ka phototherapy i ka hihia o nā leona he nui a ākea, ʻoiai ke koi ʻia ke ʻoki ʻana i ka hihia o nā liona liʻiliʻi a hoʻokahi, kahi e hemo ai ka leona holoʻokoʻa.
Eia hou, i ka hanana o ka maʻi ʻo Bowen ma muli o ka hopena o ka maʻi HPV, no ka laʻana, pono ke kauka e hōʻike i ka lāʻau no ka maʻi. Paipai ʻia hoʻi e hōʻalo i ka hoʻolōʻihi ʻana i ka lā e pale ai i ka holomua o ka maʻi a me ke ʻano o nā pilikia.
E ʻike pehea e hana ai i ka lāʻau no ka maʻi maʻi ʻili.
Nā Hale HōʻIkeʻIke Nui
MRI a me kaʻeha haʻahaʻa
