Iyini i-Actinic Keratosis, Ngokuqondile?

-Delile

• Iyini i-actinic keratosis?
• Yini ebangela i-actinic keratosis?
• Ingabe i-actinic keratosis iyingozi?
• Ngabe i-actinic keratosis ingaphenduka umdlavuza?
• Kuhlanganisani ukwelashwa kwe-actinic keratosis?
• Buyekeza kwe-

Izimo eziningi ezivamile zesikhumba laphaya — cabanga ukuthi izikhumba, ama-cherry angiomas, i-keratosis pilaris — azibukeki futhi ziyacasula ukubhekana nazo, kodwa, ekupheleni kosuku, azibeki engcupheni enkulu yempilo. Leyo yinto eyodwa enkulu eyenza i-actinic keratosis yehluke.

Le nkinga ejwayelekile inamandla okuba yinkinga enkulu kakhulu, okungukuthi, umdlavuza wesikhumba. Kodwa lokho akusho ukuthi kufanele ukhathazeke uma unesinye salezi ziqephu zesikhumba.

Yize kuthinta abantu baseMelika abangaphezu kwezigidi ezingama-58, amaphesenti ayi-10 kuphela ama-actinic keratoses azoba nomdlavuza, ngokusho kweThe Skin Cancer Foundation. Ngakho, donsa umoya kakhulu. Ngaphambili, odokotela besikhumba bachaza konke odinga ukukwazi mayelana ne-actinic keratosis, kusukela kuzimbangela kuya ekwelashweni.

Iyini i-actinic keratosis?

I-Actinic keratosis, i-solar keratosis, uhlobo lokukhula ngaphambi komdlavuza olubonakala njengamabala amancane esikhumba esikhanyayo, kusho uKautilya Shaurya, MD, udokotela wesikhumba eSchweiger Dermatology Group eNew York City. Lezi zimeshi — iningi lazo elingaphansi kwesentimitha elilodwa ububanzi, yize zingakhula ngokuhamba kwesikhathi — zingaba mhloshana noma zibe nsundu ngokugqamile. Kaningi, noma kunjalo, abomvana noma abomvu, ngokusho kwesazi sasesikhumba esizinze eChicago u-Emily Arch, MD, obuye akhombise ukuthi ushintsho ekubunjweni kwesikhumba luyisici esichazayo. "Izikhathi eziningi ungazizwa lezi zilonda kalula kunokuba ungazibona. Zizwakala zilukhuni uma uzithinta, njenge-sandpaper, futhi zingaba nama-scaly," esho. (Okuhlobene: Izizathu Zokukwenza Ube Nesikhumba Esimangelengele nesinamaqhuqhuva)

Yize kufana kuwo womabili amagama (i-keratosis) nokubukeka (oku-rough, brown-ish), i-actinic keratosis, noma i-AK, hhayi ngokufana ne-seborrheic keratosis, okuwukukhula kwesikhumba okuvamile okuphakama kancane futhi okunokuthungwa okuthe xaxa, ngokusho kwe-American Academy of Dermatology.

Yini ebangela i-actinic keratosis?

Ilanga. (Khumbula: kubizwa nangokuthi ilanga i-keratosis.)

"Ukuchayeka ngokwengeziwe emisebeni ye-UV, kokubili i-UVA ne-UVB, kubangela i-actinic keratosis," kusho uDkt Arch. "Uma umuntu echayeka isikhathi eside ekukhanyeni kwe-UV futhi uma lokho kuchayeka kakhulu, kuyanda ingozi yokuba ne-actinic keratoses." Yingakho kuvame ukubonwa ezigulini ezindala ezinesikhumba esifanele, ikakhulukazi labo abahlala ezindaweni ezishisayo noma ezinomsebenzi ongaphandle noma izinto zokuzilibazisa, uveza. Ngokufanayo, zivame ukuvela ezingxenyeni zomzimba ezichayeke njalo elangeni, njengobuso, iziqongo zezindlebe, isikhumba sezinwele, nemihlane yezandla noma izingalo, kusho uDkt. (Okuhlobene: Yini Ebangela Konke Lokho Ukubomvu Kwesikhumba?)

Imisebe ye-UV iholela ekulimaleni okuqondile kwe-DNA yamangqamuzana esikhumba, futhi ngokuhamba kwesikhathi, umzimba wakho awukwazi ukulungisa i-DNA ngokuphumelelayo, kuchaza uDkt. Shaurya. Futhi kulapho uqala ukugcina ngoshintsho olungajwayelekile ekubunjweni kwesikhumba nombala.

Ingabe i-actinic keratosis iyingozi?

Ngokwayo, i-actinic keratosis imvamisa ayibeki ubungozi bezempilo ngokushesha. Kepha-ke can ziba nezinkinga ngokuzayo. "I-Actinic keratosis ingaba yingozi uma iyekwa ingelashwa ngoba iyisandulela somdlavuza wesikhumba," kuxwayisa uDkt Shaurya. Kulelo phuzu ...

Ngabe i-actinic keratosis ingaphenduka umdlavuza?

Yebo, futhi ikakhulukazi, i-actinic keratosis ingaphenduka i-squamous cell carcinoma, eyenzeka kumaphesenti ayishumi ezilonda ze-actinic keratosis, kusho uDkt Arch. Ukungasho ukuthi ingozi yokuba i-AK ibe nomdlavuza futhi inyusa ama-keratoses ama-actinic owengeziwe. Ezindaweni ezinokulimala okungapheli kwelanga, njengangemuva kwezandla, ubuso, nesifuba, kuvame ukuba nenqwaba yamachashazi e-actinic keratosis, okwandisa ubungozi bokuthi noma yimuphi wabo aphenduke umdlavuza wesikhumba, uyachaza. Futhi, "ukuba ne-actinic keratoses kusho ukukhanya okukhulu kwe-UV, okwandisa ubungozi bakho nakwamanye umdlavuza wesikhumba," kuphawula uDkt. (Siyaxolisa ukuba ngumphathi wezindaba ezimbi, kepha ama-citrus nawo angawakhuphula amathuba akho omdlavuza wesikhumba.)

Kuhlanganisani ukwelashwa kwe-actinic keratosis?

Okokuqala nokubaluleke kakhulu, qiniseka ukudlala umdlalo wokuvikela futhi usebenzise i-sunscreen ebanzi ebanzi okungenani nge-SPF 30 day-in and day-out, ngokwe-American Academy of Dermatology (AAD). Lesi sinyathelo esilula sokunakekelwa kwesikhumba kuyindlela elula futhi engcono kakhulu yokugwema ama-actinic keratoses nazo zonke izinhlobo zezinye izinguquko zesikhumba (cabanga ngama-sunspots, imibimbi), kepha futhi wehlisa kakhulu ingozi yokuba nomdlavuza wesikhumba. (Linda, usadinga ukugqoka isikrini selanga uma uchitha usuku lonke usendlini?)

Kepha uma ucabanga ukuthi une-actinic keratosis, bona i-derm, stat. Ngeke nje kuphela akwazi ukulihlola futhi aqiniseke ukuthi litholakala ngendlela efanele, kodwa bazokwazi nokuncoma ukwelashwa okusebenzayo, kusho uDkt Shaurya. (Futhi cha, akukho nakancane i-DIY, ukwelashwa kwe-actinic keratosis yasekhaya, ngakho-ke ungakucabangi nokukucabanga—noma ku-Google.)

Inani lezilonda, indawo elikuyo emzimbeni, kanye nalokho okuthandwa yisiguli konke kudlala indima ekunqumeni ukuthi yiluphi uhlobo lokwelashwa olungcono kakhulu, kusho uDkt. Isiqephu esisodwa sesikhumba esinolaka ngokuvamile simisiwe nge-liquid nitrogen (okuthi, btw, nayo isetshenziselwe ukuqeda izinsumpa). Le nqubo iyashesha, iyasebenza, futhi ayibuhlungu. Kepha uma unezilonda eziningi ezihlanganiswe endaweni eyodwa, ochwepheshe bavame ukuncoma ukwelashwa okungabhekana nendawo yonke futhi kumboze inani elikhulu lesikhumba, uyachaza. Lokhu kuhlanganisa okhilimu abanikezwa udokotela, amapeel amakhemikhali—imvamisa icwecwe elijule ngokumaphakathi elibuye lisetshenziswe ngendlela yobuhle ukusiza ukuthuthukisa imigqa nemibimbi—noma iseshini eyodwa kuya kwezimbili zokwelashwa kwe-photodynamic—okuhlanganisa ukusebenzisa ukukhanya okuluhlaza okwesibhakabhaka noma okubomvu ukubulala amangqamuzana kuma-actinic keratoses. Ngokuvamile, konke lokhu kuyindlela yokwelashwa esheshayo futhi elula enesikhathi sokuphumula esincane futhi kufanele isuse i-actinic keratosis ngokuphelele ukuze ungabe usayibona. (Okuhlobene: Le Ukwelashwa Kwezimonyo Kungalimaza Umdlavuza Wesikhumba Wasekuqaleni)

Kuyavunywa, ngoba kubangelwa ukuchayeka elangeni, kubalulekile ukukhuthala ngohlelo lwakho lwe-SPF lwansuku zonke; lokho kuyisinyathelo esingcono kakhulu sokuvimbela ongazithatha, kusho uDkt. Arch. Ngaphandle kwalokho, i-actinic keratosis ingaphinde yenzeke, futhi iphinde ibe namandla okuphenduka umdlavuza wesikhumba-ngisho nasendaweni eyayilashwa phambilini.

Uma ngasizathu simbe ukwelashwa kungasusi ngokuphelele i-actinic keratosis noma i-lesion inkulu, iphakanyiswe kakhulu, noma ibukeka yehlukile kune-keratosis yendabuko ye-actinic, idokodo lakho lingayiphinda futhi liyicubungule ukuqinisekisa ukuthi ayikaze iphenduke umdlavuza wesikhumba. Uma kwenzeka ukuthi sesivele siphenduke umdlavuza, udokotela wesikhumba wakho uzobe esexoxa ngezindlela ezingcono zokwelashwa (ezihlukile kokungenhla) kuwe, ngokuya ngokuxilongwa kwakho ngakunye.

Ekupheleni kosuku, “uma i-actinic keratoses yelashwa kusenesikhathi, umdlavuza wesikhumba ungavinjelwa,” kusho uDkt. Shaurya. Ngakho-ke uma une-actinic keratosis patch, noma ucabanga ukuthi ungaba nayo, zenzele i-derm, ASAP. (Ukungasho, kufanele uvakashele i-derm yakho ukuze uhlole isikhumba njalo.)

Buyekeza kwe-