Mutevedzeri wevarwere kuBasal Cell Skin Cancer Types, Zviratidzo, uye Kurapa
Basal cell carcinoma ndiyo inonyanya kufanana nekenza pasi rese, inotarisa makumi mapfumbamwe nezana makumi matatu ematambudziko ose echepachira reganda . Kana iwe kana munhu waunoda achangobva kuongororwa ne basal cell carcinoma, izvi zvinokurudzira zvichakubatsira kunzwisisa chirwere chacho uye kuita sarudzo dzakawanda dzekurapa.
Incidence
Kumusoro kwemamiriyoni evanhu vanoonekwa kuti vane basal cell carcinoma (BCC) gore rega rega muUnited States.
Yakambove yakawanika zvikuru pakati pevanhu vepakati kana yekare asi iye zvino yava kuonekwa kakawanda mumazera mashoma. Chiitiko cheBBCC chiri kuwedzera uye ikozvino chinonzi "chirwere" nedzimwe nyanzvi.
Risk Factors
Caucasians, kunyanya avo vane maziso ebhuruu, ruvara rwakanaka, uye rutsvuku, bhuru, kana bvudzi rakachena (Celtic madzitateguru), vane dambudziko guru re BCC. BCC inogoneka asi isingazivikanwi muAfrica-America, Asia, uye Hispanics. Kuenzaniswa neCaucasians, African-Americans vane kuderedzwa kwengozi yeBCC pane nzvimbo dzakaratidzwa zuva, asi chiitiko chakafanana cheCCC chakafukidza ganda. Kune dzimwe dzakawanda zvimwe zvinokonzera njodzi pamwe chete.
Zvinokonzera
Kuwedzeredza kuwedzerwa kwe ultraviolet chiedza kubva zuva kana kuchenesa maroni kunokonzera 80% yeCCC mhosva. Zvisinei, BCC haina kuwirirana kune zuva kusvibiswa kupfuura, semuenzaniso, squamous cell carcinoma , uye inogona kuitika kune dzimwe nzvimbo dzisingasviki kune zuva zvachose, zvakadai sechigamba. Vanhu vanogara muhurumende pedyo neEricator (yakafanana neFlorida), kana nehuwandu hwekushisa kwezuva munguva yehuduku, vanogona kuona maBCC maune mavhesi mumakore avo makumi maviri.
Kunyanya kazhinji, nguva yekudzivirira inotora makore gumi kusvika makumi maviri.
Kuonekwa
A basal cell lesion inowanzotsanangurwa navanachiremba se pearly pepule - "pearly" zvinoreva kuti inopenya zvishoma, zvisingaenzaniswi nechero (kwete-kenza) zvipembenene uye zvinyoro, uye "papule" zvinoreva kuti yakakwirira kumusoro yeganda.
Mishonga yeropa yakawanda inogona kuideredza mumamiriro ezvinhu anonzi telangiectasia . Izvi zvinoratidzirwa zvechirwere chepachiona cheganda zvinoratidza kuti BCC zvipembenene zvinogona kutora pane zvakasiyana-siyana, saka biopsy ndiyo nzira bedzi yekuita tsanangudzo yekujekesa.
Aina
- Nodular : Inenge 60% yeBCCs inogunun'una. Dzinotanga sezvipfeko, zvakanyatsorondedzerwa, uye kazhinji dzinowanzova zviduku zviduku, izvo zvinozopedzisira zvanyura pakati, zvichisiya rhete yakakwira pamuganhu. Yakawanda inogunun'una BCCs iri pachiso uye inogona kujekesa kana isingatarisirwi nokukurumidza.
- Pigmented : Pigmented BCCs yakafanana neshoko re nodular, asi rinogona kunge rine maronda kana madema, ayo anogona kuvhiringidza navo nemamwe marudzi e melanoma.
- Fibrosing kana Sclerotic : Aya BCCs anowanzowanikwa pachiso uye anotarisa akafanana nemavanga. Inowanzosimba, isina kurondedzerwa pamuganhu, yakadzika kana kuti yakaora mwoyo, yakatsvuka mumucheka, uye iyo inowanzova yakajeka uye yakajeka.
- Zvisinganzwisisiki : Rudzi urwu runosanganisira anenge 15% eCBCCs. Vanopararira kunze kubva kune zvitsvuku, zvakanatsanangurwa, zvinyorwa zvinowanikwa, zvinowanzowanikwa padanda nemakumbo. Vanosangana nyore nyore ne psoriasis kana eczema.
- Fibroepithelioma yePinkus : Iri rudzi rwusingazivikanwi rweBBCC. Iyo inowanzova yakasvibirira, yakakwirira, duku shoma inowanikwa kumashure, kumagumo, kugomera, kana kungoita rutsoka. Sezvo iyo isiri nzvimbo dzisati dzave pachena, chirwere ichi hachina kufanana nezuva.
Kuziva
Girazi yeganda ndiyo kubviswa kwechivara cheganda kwekuongororwa pasi microscope nekuda kwekuongororwa. Mhando chaiyo yehupsi inobva mukudzika kwechipembenene ichi kupinda mucheka:
- Shave biopsy inoshandisa chidimbu chinoputika chokuveura ndebvu pamusoro pezvikamu zveganda. Iyi ndiyo nzira inonyanyozivikanwa yekuongorora BCC.
- Punch biopsy inoshandisa rwonzi, tsvina -akacheka-semhando. Iyo inoshandiswa kutora yakadzika yechiratidzo cheganda.
Kurapa
Kurapa kunoenderana nemhando, chiyero, uye nzvimbo yechironda. Kunyange zvazvo BCC isingawanzoparidzirwa kune nhengo dziri kure (metastasize), zvipembenene zvingaguma zvichitadzisa kusununguka uye zvinofanira kubviswa nokukurumidza.
Mushonga unodiwa kuti uabvise uri nyore uye hauzowedzereki kukonzera kuora kukuru kana vari vaduku. Nzira dzakajairika dzekubata BCC dzinosanganisira:
- Curettage uye electrodesiccation
- Kugadziriswa kushandiswa (kubviswa)
- Kuvhiyiwa kweMos (inozivikanwawo se "chirongwa chinonzi micrographic"), kunyanya kana chironda ichi chiri pachiso, chinowanzoitika, chinenge chakakura kupfuura 2 cm, kana chinonzi sclerotic type
- Zvinyorwa zvemashizha zvakadai semayquimod ndeye FDA-inogamuchirwa kuti kurapwa kweBCC isingasviki pachiso, kunyange zvazvo zvidzidzo zvaratidza kuti zvinogona kubudirira kurwisa nodular BCC pamwe chete
Kana basal cell carcinoma yakasara isati yashandurwa, zvipembenene zvinogona kukura kuva masendimita akawanda uye pakupedzisira ulcerate (kupura nepakati peganda) kana kukuvadza mhuka dzakapoteredza kana pfupa. (Pane zviitiko zvakataurwa nezvevanhu vanorasikirwa neziso, mhino, kana nzeve nekuda kwekusatorwa BCC.) Kunyanya kana zvikaitika pachiso, BCCs inofanira kubviswa nokukurumidza kudzivirira kushandiswa kwemapurisa nekuda kwechiremera chairo pachavo kana chirwere. Zvinosuruvarisa, pasinei nokuti chironda chinokurumidza chakabviswa sei, munhu ane nhoroondo yeBCC ane inenge 40% mukana wekuwedzera kwechipiri BCC pane munhu asina nhoroondo.
Basal cell carcinoma ndiyo inonyanya kufanana - asiwo chimwe chezvinhu zvinoporesa - zvevamwe kanzira. Ndapota chiona chiremba wako nokukurumidza kana ukawana chero zvipembenene zvisingawanzoitiki panguva yaunogara uchizviongorora .
Sources:
"Chii chinonzi Basal Cell Carcinoma?" Medical College yeSouth Carolina. 4 Svondo 2008.
"Detailed Guide: Kanzera Kweganda - Basal uye Squamous Cell" American Cancer Society. 5 November 2008.
"Basal uye Squamous Cell Cancers Ganda" National Comprehensive Cancer Network. 5 November 2008.