I-squamous cell carcinoma: kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu nezimpawu eziyinhloko
• Izimbangela ezingaba khona
• Yelashwa kanjani
• 1. Ukuhlinzwa kwe-Mohs
• 2. Ukuhlinzwa okumangazayo
• 3. I-curettage ne-electrodissection
• 4. ICryosurgery
• 5. I-Radiotherapy
• 6. Ukwelashwa kwe-Photodynamic
• 7. Ukuhlinzwa nge-Laser
• Ubani osengozini enkulu

I-squamous cell carcinoma wuhlobo lwesibili lomdlavuza wesikhumba oluvame kakhulu, olwenzeka kusendlalelo esikha phezulu kwesikhumba, futhi esivame ukuvela ezifundeni zomzimba ezivezwe kakhulu yilanga, njengobuso, intamo, izingalo noma imilenze .

Lolu hlobo lomdlavuza kungaba nzima ukuwukhomba, kepha luvamise ukubonakala njengendawo ebomvu enombala obomvu noma onsundu engakhula ngosayizi ngokuhamba kwesikhathi noma ibangele ukuvela kwesilonda esingapholi, ngokwesibonelo.

Izinketho zokwelashwa ziyahlukahluka futhi zincike kubukhulu, indawo nokujula kwesimila, iminyaka yomuntu nezimo zempilo ezijwayelekile. Ngakho-ke, kunconywa ukuthi uthintane nodokotela wesikhumba noma nini lapho kutholakala khona indawo ebingakabikho esikhunjeni, ekhula ngokuhamba kwesikhathi noma ebangela uhlobo oluthile lwesifo, njengobuhlungu noma ukuncinza.

Izimpawu nezimpawu eziyinhloko

Izimpawu nezimpawu ezingakhombisa ukuba khona kwe-squamous cell carcinoma yilezi:

• Iqhubu eliqinile nelibomvu;
• Isilonda nge-crust crust;
• Ubuhlungu nokuqina kusibazi esidala noma isilonda.

I-squamous cell carcinoma ivame ukwenzeka esikhunjeni esikhanyiswe yilanga, njengesikhumba, ikhanda, izindlebe noma izindebe.

Ngaphezu kwalokho, indawo ekhukhumezayo, enesikhala eludebeni ingaqhamuka engaqhamuka ibe yisilonda esivulekile, isilonda esibuhlungu noma esibuhlungu ngaphakathi emlonyeni noma ukuvela kwesilonda esifana nesensumpa endunu noma esithweni sangasese.

Izimbangela ezingaba khona

Izimbangela ezivame kakhulu ze-squamous cell carcinoma yesikhumba ukuvezwa okungapheli yilanga, ukusetshenziswa kaningi kwemibhede yokushuka kanye namanxeba esikhumba, njengoba umdlavuza ungavela ngokusha, izibazi, izilonda, izilonda ezindala nasezingxenyeni zomzimba ezazivezwe ku-X phambilini. imisebe noma amanye amakhemikhali.

Ngaphezu kwalokho, ingakhula futhi ibe nezifo ezingalapheki nokuvuvukala esikhunjeni noma kubantu abane-HIV, izifo ezizimele noma abantu abenza noma abathola ukwelashwa ngamakhemikhali kanye nemithi ethile eyenza amasosha omzimba abe buthakathaka, anciphise izifo zokumelana nokukhulisa ubungozi ukuthuthukisa umdlavuza wesikhumba.

Yelashwa kanjani

Uma sitholakale kusenesikhathi, i-squamous cell carcinoma yesikhumba iyelapheka, uma kungenjalo lezi zicubu zingangena ezicutshini ezizungeze umdlavuza futhi zonakalise isikhumba, futhi zingadala imastastase futhi zifinyelele kwezinye izitho.

Ukwelashwa kufanele kushintshwe nohlobo, ubukhulu, indawo nokujula kwesimila, ubudala bomuntu nezimo zezempilo ezijwayelekile, futhi kunezindlela zokwelapha eziningana ezingasetshenziswa:

1. Ukuhlinzwa kwe-Mohs

Le ndlela iqukethe ukususa ingxenye ebonakalayo yesimila, ehlolwa ngaphansi kwesibonakhulu, futhi inqubo iyaphindwa kuze kube yilapho isicubu sokugcina sisuswa singenawo amangqamuzana e-tumor. Ngemuva kokususwa, isilonda singaphola ngokujwayelekile noma sakhiwe kabusha ngokuhlinzwa kwepulasitiki.

2. Ukuhlinzwa okumangazayo

Ngale nqubo, zonke izicubu ezinomdlavuza ziyasuswa, kanye nomngcele wesikhumba ozungeze isilonda, njengomugqa wokuphepha. Isilonda sivalwe ngemithungo nezicubu ezisusiwe zithunyelwa ukuyohlolwa ukuqinisekisa ukuthi wonke amaseli omdlavuza asusiwe.

3. I-curettage ne-electrodissection

Kule nqubo, umdlavuza uyasuswa ngensimbi ebizwa ngokuthi yi-curette, bese kusetshenziswa inaliti ye-electro cauterizing ebulala amangqamuzana amabi futhi ilawule ukopha. Le nqubo ivame ukuphindaphindwa kaningi, ukuqinisekisa ukuthi wonke amangqamuzana omdlavuza asusiwe.

Le nqubo ayithathwa njengeyimpumelelo kuma-carcinomas angenasibindi nangolaka noma umdlavuza ezindaweni ezibucayi, njengamajwabu amehlo, izitho zangasese, izindebe nezindlebe.

4. ICryosurgery

E-cryosurgery, isimila sibhujiswa ngokuqandisa izicubu nge-nitrogen ewuketshezi, ngaphandle kwesidingo sokusikwa noma i-anesthesia. Inqubo kungadingeka iphindwe kaningana, ukuze wonke amaseli amabi abhujiswe.

Le ndlela ayisetshenziswanga kabanzi ukwelapha umdlavuza owengeziwe, ngoba awusebenzi ezindaweni ezijulile zesimila.

5. I-Radiotherapy

Kule nqubo, ama-X-ray asetshenziswa ngqo ku-lesion, futhi i-anesthesia noma ukusika nakho akudingekile, kodwa-ke, kuyadingeka ukwenza uchungechunge lwezindlela zokwelapha, ezinikezwa kaningana esikhathini esiyinyanga eyodwa.

I-Radiotherapy iboniswa ngamathumba okunzima ukuwelapha ngokuhlinzwa noma ngezimo lapho kunganconyiwe khona.

6. Ukwelashwa kwe-Photodynamic

Ukwelashwa kwe-Photodynamic kuvame ukusetshenziswa kakhulu kubantu abanomdlavuza ovela ebusweni noma ekhanda. Kule nqubo, i-5-aminolevulinic acid isetshenziswa, esetshenziselwa izilonda futhi ngosuku olulandelayo kusetshenziswe ukukhanya okuqinile. Lokhu kwelashwa kubulala amangqamuzana e-carcinoma ngaphandle kokubangela ukulimala kwezicubu ezijwayelekile.

7. Ukuhlinzwa nge-Laser

Kule ndlela, i-laser isetshenziselwa ukususa ungqimba olungaphandle lwesikhumba namanani ahlukahlukene esikhumba esijulile, ngaphandle kokopha. Izingozi zokushoda nokulahleka kombala ziphakeme kancane kunezinye izindlela, futhi amazinga okuphinda afane nalawo okwelashwa kwe-photodynamic.

Ubani osengozini enkulu

Yize kunenkolelo yokuthi lolu hlobo lomdlavuza lungazalwa njengefa futhi luvele ngokuzenzekelayo, amacala lapho kunokuthambekela okukhulu kokuthuthukisa i-squamous cell carcinoma yile:

• Unesikhumba esikhanyayo nezinwele noma amehlo aluhlaza okwesibhakabhaka, aluhlaza noma ompunga;
• Ukutholakala kaningi elangeni, ikakhulukazi ngezikhathi ezishisa kakhulu;
• Unomlando we-basal cell carcinoma;
• Ukuba nesifo esibizwa nge-xeroderma pigmentosum. Funda kabanzi ngalesi sifo;
• Ukuba ngaphezulu kweminyaka engama-50;

Ngaphezu kwalokho, lesi sifo sivame kakhulu emadodeni kunabesifazane.