Isifo sikaBowen: siyini, izimpawu nokwelashwa

-Delile

• Izimpawu zesifo sikaBowen
• Izimbangela eziyinhloko
• Yelashwa kanjani

Isifo sikaBowen, esaziwa nangokuthi i-squamous cell carcinoma in situ, luhlobo lwesimila esikhona esikhunjeni esibonakala ngokuvela kwamacwecwe abomvu noma ansundu noma amabala esikhunjeni futhi esivame ukuletha ama-crust nenani elikhulu le-keratin, kungaba noma hhayi scaly. Lesi sifo sivame kakhulu kubantu besifazane, yize singenzeka nakwabesilisa, futhi sikhonjwa kaningi phakathi kweminyaka engama-60 nengama-70, ngoba sihlobene nokuchayeka isikhathi eside elangeni.

Isifo sikaBowen singelashwa kalula ngokusebenzisa i-photodynamic therapy, ukukhipha isisu noma i-cryotherapy, kepha-ke uma singelashwa kahle kungahle kube nokuqhubekela phambili kuma-carcinomas angenasifo, okungaba nemiphumela kumuntu.

Izimpawu zesifo sikaBowen

Amabala akhombisa isifo sikaBowen angaba awodwa noma amaningi futhi angavela kunoma iyiphi ingxenye yomzimba evezwe yilanga, evame kakhulu emlenzeni, ekhanda nasentanyeni. Kodwa-ke, zingakhonjwa nasezintendeni zezandla, emgodini noma esithweni sangasese, ikakhulukazi kwabesifazane uma benegciwane le-HPV futhi, endabeni yamadoda, ethangeni.

Izimpawu nezimpawu eziyinhloko zesifo sikaBowen yilezi:

• Ukubukeka kwamabala abomvu noma ansundu esikhunjeni esikhula ngokuhamba kwesikhathi;
• Ukulunywa esizeni sokulimala;
• Kungahle kube khona noma kungabi khona ukuhluza;
• Amabala angakhululeka kakhulu;
• Izilonda zingase ziqolwe noma zibe yipuleti.

Ukuxilongwa kwesifo sikaBowen kuvame ukwenziwa ngudokotela wesikhumba noma udokotela ojwayelekile osuselwa ekubhekeni kwamabala ngokusebenzisa i-dermatoscopy, okuyindlela yokuhlola engahlaseli lapho izilonda ezikhona esikhumbeni zihlolwa. Kusuka ku-dermoscopy, udokotela angakhombisa isidingo sokwenza i-biopsy ukuze ahlole ukuthi amaseli wesilonda anezici ezinobungozi noma ezimbi futhi, ngokuya ngomphumela, ukwelashwa okufanele kakhulu kungakhonjiswa.

Ngokusebenzisa i-dermatoscopy kanye ne-biopsy kungenzeka ukuhlukanisa isifo sikaBowen kwezinye izifo zesikhumba, njenge-psoriasis, i-eczema, i-basal cell carcinoma, i-actinic keratosis noma ukutheleleka kwefungal, okwaziwa nge-dermatophytosis. Qonda ukuthi kwenziwa kanjani i-dermoscopy.

Izimbangela eziyinhloko

Ukutholakala kwesifo sikaBowen kuvame ukuhlotshaniswa nokuchayeka isikhathi eside elangeni le-ultraviolet, hhayi ukuthi umuntu uchitha amahora amaningi elangeni, kepha ngokuvezwa nsuku zonke ngokuzithandela noma ngokungazibandakanyi.

Kodwa-ke, lesi sifo singathandwa futhi ngokuchayeka ezintweni ezibanga i-carcinogenic, njengomphumela wokutheleleka ngegciwane, ikakhulukazi i-HIV, kunciphise ukusebenza kwamasosha omzimba, ngenxa ye-chemotherapy noma i-radiotherapy, ukufakelwa kabusha, izifo ezizimele noma izifo ezingalapheki, isibonelo., Noma umphumela wezici zofuzo.

Yelashwa kanjani

Ukwelashwa kwesifo sikaBowen kunqunywa udokotela ngokusho kwezici zezilonda, ezifana nendawo, usayizi nobungako. Ngaphezu kwalokho, kunengozi yokwanda kwesifo kuma-carcinomas amaningi angenayo.

Ngakho-ke, ukwelashwa kungenziwa nge-cryotherapy, ukusika, i-radiotherapy, ukwelashwa kwe-photodynamic, i-laser therapy noma i-curettage. Isikhathi esiningi, i-phototherapy isetshenziswa esimweni sezilonda eziningi futhi ezibanzi, kuyilapho ukuhlinzwa kunganconywa esimweni sezilonda ezincane nezingashadile, lapho kususwa khona sonke isilonda.

Ngaphezu kwalokho, uma kwenzeka ukuthi isifo sikaBowen senzeka ngenxa yokutheleleka nge-HPV, isibonelo, udokotela kufanele akhombise ukwelashwa kwesifo. Kuyanconywa futhi ukugwema ukuvezwa isikhathi eside elangeni ukuvimbela ukuqhubeka kwesifo nokubukeka kwezinkinga.

Bona ukuthi ukwelashwa kwesikhumba i-carcinoma kwenziwa kanjani.