I-Actinic keratosis

I-Actinic keratosis yindawo encane, emangele, ephakanyisiwe esikhumbeni sakho. Imvamisa le ndawo iye yavezwa yilanga isikhathi eside.

Amanye ama-keratoses we-actinic angakhula abe uhlobo lomdlavuza wesikhumba.

I-Actinic keratosis ibangelwa ukuvezwa yilanga.

Kungenzeka ukuthi uyithuthukise uma:

• Yiba nesikhumba esifanele, amehlo aluhlaza okwesibhakabhaka noma aluhlaza, noma izinwele ezimhloshana noma ezibomvu
• Ubenenso noma okunye ukufakelwa komzimba
• Thatha imithi ecindezela amasosha omzimba
• Chitha isikhathi esiningi usuku ngalunye elangeni (ngokwesibonelo, uma usebenza ngaphandle)
• Ngibe nokushiswa yilanga okunzima ngisemncane
• Badala

I-Actinic keratosis ivame ukutholakala ebusweni, ekhanda, emuva kwezandla, esifubeni, noma ezindaweni ezivame ukuba selangeni.

• Izinguquko zesikhumba ziqala njengezindawo eziyizicaba nezishubile. Zivame ukuba nesikali esimhlophe noma esiphuzi phezulu.
• Ukukhula kungaba mpunga, kupinki, kubomvu, noma umbala ofanayo nesikhumba sakho. Kamuva, bangaba lukhuni futhi babe njenge-wart noma babe gritty futhi babe rhaba.
• Izindawo ezithintekile kungaba lula ukuzizwa kunokubona.

Umhlinzeki wakho wokunakekelwa kwezempilo uzobheka isikhumba sakho ukuthola lesi simo. I-biopsy yesikhumba ingenziwa ukuze kubonwe ukuthi ngabe ngumdlavuza yini.

Amanye ama-keratoses ama-actinic aba ngumdlavuza wesikhumba oyisigaxa esibucayi. Cela umhlinzeki wakho abuke konke ukukhula kwesikhumba ngokushesha nje lapho uzithola. Umhlinzeki wakho uzokutshela ukuthi kufanele ubaphathe kanjani.

Ukukhula kungasuswa ngu:

• Ukushisa (i-cautery kagesi)
• Ukususa isilonda bese usebenzisa ugesi ukubulala noma yimaphi amaseli asele (abizwa ngokuthi i-curettage ne-electrodeiccation)
• Ukusika isimila ngaphandle bese usebenzisa iziqu zokubuyisela isikhumba ndawonye (esibizwa ngokuthi ukusika)
• Ukuqandisa (i-cryotherapy, eqandisa futhi ibulale amaseli)

Uma unokuningi kwalokhu kukhula kwesikhumba, udokotela wakho angancoma:

• Ukwelashwa okukhethekile okubizwa ngokuthi yi-photodynamic therapy
• Amakhemikhali amakhemikhali
• Okhilimu besikhumba, njenge-5-fluorouracil (5-FU) ne-imiquimod

Inani elincane lalezi zikhumba zesikhumba liphenduka i-squamous cell carcinoma.

Shayela umhlinzeki wakho uma ubona noma uzwa indawo enokhahlo noma enesikhumba esikhunjeni sakho, noma uma ubona olunye ushintsho lwesikhumba.

Indlela engcono yokwehlisa ubungozi be-actinic keratosis nomdlavuza wesikhumba ukufunda ukuthi ungasivikela kanjani isikhumba sakho elangeni naselangeni le-ultraviolet (UV).

Izinto ongazenza ukwehlisa ukukhanya kwakho elangeni zifaka:

• Gqoka izingubo ezinjengezigqoko, amahembe enemikhono emide, iziketi ezinde, noma amabhulukwe.
• Zama ukugwema ukuba selangeni phakathi nemini, lapho ukukhanya kwe-ultraviolet kukhulu kakhulu.
• Sebenzisa ama-sunscreen asezingeni eliphakeme, okungcono ngesilinganiso se-sun protection factor (SPF) okungenani esingu-30. Khetha isivikelo selanga esibanzi esibanzi esivimba ukukhanya kwe-UVA ne-UVB.
• Faka i-sunscreen ngaphambi kokuphuma ungene elangeni, uphinde ufake isicelo kaningi - okungenani njalo emahoreni amabili ngenkathi uselangeni.
• Sebenzisa i-sunscreen unyaka wonke, kufaka phakathi nobusika.
• Gwema amalambu elanga, imibhede yokushuka, nezindawo zokucwala ukushuka.

Ezinye izinto okufanele uzazi ngokushiswa yilanga:

• Ukuvezwa yilanga kunamandla ezindaweni eziseduze noma eziseduze ezibonisa ukukhanya, njengamanzi, isihlabathi, iqhwa, ukhonkolo nezindawo ezipendwe mhlophe.
• Imisebe yelanga iba namandla kakhulu ekuqaleni kwehlobo.
• Isikhumba sisha ngokushesha ezindaweni eziphakeme.

I-keratosis yelanga; Izinguquko zesikhumba ezenziwe ilanga - i-keratosis; I-Keratosis - i-actinic (i-solar); Isikhumba lesion - i-actinic keratosis

• I-Actinic keratosis engalweni
• I-Actinic keratosis - ukusondela
• I-Actinic keratosis ezingalweni zangaphambili
• I-Actinic keratosis ekhanda
• I-Actinic keratosis - indlebe

I-American Academy of Dermatology Association. I-Actinic keratosis: ukuxilongwa nokwelashwa. www.aad.org/public/diseases/skin-cancer/actinic-keratosis-treatment. Kubuyekezwe uFebhuwari 12, 2021. Kufinyelelwe kuFebhuwari 22, 2021.

I-Dinulos JGH. Izicubu zesikhumba zangaphambi kwesifo esibi futhi esibi. Ku: I-Dinulos JGH, ed. IHabif's Clinical Dermatology. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 21.

UGawkrodger DJ, Ardern-Jones MR. Isikhumba. Ku: Gawkrodger DJ, Ardern-Jones MR, abahleli. I-Dermatology: Umbhalo Wemibala Ofanekisiwe. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 42.

ISoyer HP, iRigel DS, iMcMeniman E. Actinic keratosis, i-basal cell carcinoma, ne-squamous cell carcinoma. Ku: Bolognia JL, Schaffer JV, Cerroni L, ama-eds. Isikhumba. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 108.