Actinic Keratosis

Litaba

• Ke eng e bakang actinic keratosis?
• Ke matšoao afe a actinic keratosis?
• Actinic keratosis e fumanoa joang?
• Actinic keratosis e tšoaroa joang?
• Ho khahla
• Tlhokomelo
• Cryotherapy
• Kalafo ea lihlooho tsa bongaka
• Phototherapy
• U ka thibela actinic keratosis joang?

Actinic keratosis ke eng?

Ha u ntse u tsofala, u ka 'na ua qala ho bona matheba a makhakhapha, a makhakhapha a hlaha matsohong, matsohong kapa sefahlehong. Mabala ana a bitsoa actinic keratoses, empa a tsejoa e le matheba a letsatsi kapa matheba a lilemo.

Actinic keratoses hangata e hlaha libakeng tse sentsoeng ke lilemo tsa ho pepesehela letsatsi. Li theha ha u na le actinic keratosis (AK), e leng boemo bo tloaelehileng haholo ba letlalo.

AK e etsahala ha lisele tsa letlalo tse bitsoang li-keratinocyte li qala ho hola ka mokhoa o sa tloaelehang, li etsa makhakhapha, mabala a soeufetseng. Matlalo a letlalo e ka ba efe kapa efe ea mebala ena:

• sootho
• letlalo
• putsoa
• pinki

Li tloaetse ho hlaha likarolong tsa 'mele tse fumanang ho chesoa ha letsatsi haholo, ho kenyelletsa tse latelang:

• matsoho
• matsoho
• sefahleho
• letlalo la hlooho
• molala

Actinic keratoses ha e na mofetše ka bobona. Leha ho le joalo, ba ka hatela pele ho squamous cell carcinoma (SCC), leha menyetla e le tlase.

Ha li tloheloa li sa alafshoe, ho fihla ho liperesente tse 10 tsa actinic keratoses li ka fetela ho SCC. SCC ke mofuta oa bobeli o tloaelehileng oa mofets'e oa letlalo. Ka lebaka la kotsi ena, matheba a lokela ho lula a behiloe leihlo ke ngaka kapa dermatologist. Litšoantšo tsa SCC ke tsena le liphetoho life tseo u lokelang ho li ela hloko.

Ke eng e bakang actinic keratosis?

AK e bakoa haholo ke ho pepesehela khanya ea letsatsi nako e telele. U na le kotsi e kholo ea ho ba le boemo bona haeba u:

• ba ka holimo ho lilemo tse 60
• na le letlalo le 'mala o khanyang le mahlo a maputsoa
• ba le tloaelo ya ho chesoa ke letsatsi habonolo
• na le nalane ea ho chesoa ke letsatsi pejana bophelong
• o 'nile oa pepesetsoa letsatsi khafetsa nakong ea bophelo ba hau
• na le virus ea papilloma ea motho (HPV)

Ke matšoao afe a actinic keratosis?

Li-keratoses tsa Actinic li qala joaloka letlalo le teteaneng, le makhakhapha, le letlalo le letlalo. Hangata lipapatso tsena li ka ba boholo ba phumula pentšele e nyane. Ho ka ba le ho hlohlona kapa ho cha sebakeng se amehileng.

Ha nako e ntse e ea, liso li ka nyamela, tsa holisa, tsa lula li tšoana, kapa tsa fetoha SCC. Ha ho na mokhoa oa ho tseba hore na ke liso life tse ka bang mofets'e. Leha ho le joalo, o lokela ho hlahlojoa matheba a hau ke ngaka hanghang ha o hlokomela liphetoho tse latelang:

• ho thatafala ha leqeba
• ho ruruha
• katoloso e potlakileng
• ho tsoa madi
• bokhubedu
• liso

Se ke oa tšoha haeba ho na le liphetoho tse nang le mofetše. SCC e batla e le bonolo ho e fumana le ho e alafa maemong a eona a pele.

Actinic keratosis e fumanoa joang?

Ngaka ea hau e kanna ea tseba ho fumana AK ka ho e sheba feela. Ba kanna ba batla ho nka biopsy ea letlalo la liso tse shebahalang li belaella. Biopsy ea letlalo ke eona feela tsela e se nang kelello ea ho tseba hore na liso li fetohile SCC.

Actinic keratosis e tšoaroa joang?

AK e ka alafshoa ka litsela tse latelang:

Ho khahla

Ho khaola ho kenyelletsa ho khaola leqeba letlalong. Ngaka ea hau e kanna ea khetha ho tlosa lisele tse eketsehileng ho potoloha kapa tlasa leqeba haeba ho na le lipelaelo ka mofets'e oa letlalo. Ho ipapisitse le boholo ba sehiloeng, litokiso li kanna tsa hlokahale kapa ha li hlokahale.

Tlhokomelo

Ka cauterization, leqeba le chesoa ka motlakase. Sena se bolaea lisele tsa letlalo tse amehileng.

Cryotherapy

Cryotherapy, eo hape e bitsoang cryosurgery, ke mofuta oa kalafo moo leqeba le fafalitsoeng ka tharollo ea li-cryosurgery, joalo ka naetrojene ea metsi. Sena se hoamisa lisele ha li kopana le ho li bolaea. Leqeba le tla hlaba 'me le oe matsatsing a' maloa kamora ts'ebetso.

Kalafo ea lihlooho tsa bongaka

Mefuta e meng ea kalafo ea lihlooho tse kang 5-fluorouracil (Carac, Efudex, Fluoroplex, Tolak) e baka ho ruruha le ho senya liso. Mefuta e meng ea kalafo ea lihlooho li kenyelletsa imiquimod (Aldara, Zyclara) le ingenol mebutate (Picato).

Phototherapy

• Nakong ea phototherapy, tharollo e sebelisoa holim'a leqeba le letlalo le amehileng. Sebaka seo se pepesetsoa leseli le matla la laser le shebileng le ho bolaea lisele. Litharollo tse tloaelehileng tse sebelisoang phototherapy li kenyelletsa litlhare tse fanoang ke ngaka, joalo ka aminolevulinic acid (Levulan Kerastick) le methyl aminolevulinate cream (Metvix).

U ka thibela actinic keratosis joang?

Mokhoa o motle oa ho thibela AK ke ho fokotsa ho pepesehela khanya ea letsatsi. Sena se tla thusa ho fokotsa menyetla ea ho tšoaroa ke mofetše oa letlalo. Hopola ho etsa tse latelang:

• Apara likatiba le lihempe tse nang le matsoho a malelele ha u le letsatsing le khanyang.
• Qoba ho tsoela kantle motšehare, ha letsatsi le chabile haholo.
• Qoba libethe tsa letlalo.
• Kamehla sebelisa setlolo se sireletsang letlalo letsatsing ha u le kantle. Ho molemo ho sebelisa setlolo se sireletsang letlalo letsatsing se nang le lintlha tse sireletsang letsatsi (SPF) bonyane 30. E lokela ho thibela khanya ea ultraviolet A (UVA) le ea ultraviolet B (UVB).

Hape ke khopolo e ntle ho hlahloba letlalo la hau khafetsa. Batla nts'etsopele ea kholo ea letlalo kapa liphetoho tse teng ho tsohle tse teng.

• maqhubu
• matswalo
• moles
• malinyane

Etsa bonnete ba hore o hlahloba makhopho a macha a letlalo kapa liphetoho libakeng tsena:

• sefahleho
• molala
• litsebe
• bokaholimo le bokatlase ba matsoho le matsoho

Etsa kemiso ea kopano le ngaka ea hau kapele kamoo ho ka khonehang haeba u na le libaka tse tšoenyang letlalong la hao.