Dzidza kuti ndeupi mutsa wakanaka kune basal cell, squamous cell, uye melanoma
Kana uine nzvimbo inoshusha paganda rako, chiremba wako anogona kukurudzira biopsy kutarisa kenza yeganda . Izvi zvingaunza mupfungwa mibvunzo yakawanda. Ndeapi mapepa epachirwere anonyanya kugadziriswa anogona kugadzirwa, uye nei maitiro akasiyana-siyana anofanirwa kutaridzirwa zvipembenene zvakasiyana? Zvichakuvadza here? Ndeupi ruzivo ruchapiwa nachiremba kubva kunechiremba uye chii chichava matanho anotevera?
Tsvaga mamwe mashoko pamusoro pekenza yepachirwere chechirwere, pasi apa.
Chii Chirwere Cheputi Chinoputika?
Kenza yemukati yeropa inoshandiswa kuona kana ganda risina kuchena paganda rako raigona kuva nekenza. Kenza yechuti inowanzoshamisa, inoparadza vanhu vanopfuura mamiriyoni gore rimwe nerimwe muUnited States.
Mhando dzeCancer Cancer
Iko kune mitatu yakakosha yemukenza weganda, uye rudzi rwekenza yepachirwere yaunayo ichaona kuti ndeupi rudzi rwechirwere chepachirwere cheganda rinoshandiswa.
- Chirwere chepachifu cheganda reScamous : Squamous cell carcinoma yeganda dzimwe nguva inotanga se actinic keratosis , chirwere chinonzi scaly chinonzi tsvuku tsvuku iyo inobatana nekudzivirira kwezuva. Iyi ndiyo yechipiri inowanzosiyana nekenza yenguruvara.
- Basal cell carcinoma yeganda: Basal cell carcinoma ndiyo inonyanya kufanana nekenza yemaperembudzi, inotarisirwa kumapfumbamwe makumi mapfumbamwe ematatu emakumbo aya. Kuonekwa kwebhasial cell carcinoma inowanzoita pearly uye chironda chinowanzotanga sechiganda paganda chinozopedzisira chaora mwoyo mukati-kati (segomo.)
- Melanoma : Melanoma ndiyo inonyanya kukosha yekenza yemaperembudzi uye inotungamirira vazhinji vorufu kubva pachirwere. Kubvira pakarongerwa maranoma (iyo inobata chirongwa chekurapa uye kufara kwako) kunotsanangura nekunyatsojekesa kubwinya kwechirwere, rudzi rwekenza yepachirwere iyo chiremba wako anosarudza ichava iyo inochengetedza tumarara sezvakanakira.
Squamous cell uye basal cell carcinomas inoonekwa se "non-melanoma" kanzira yeganda uye inowanzopararira. Nzvimbo dzakawanda dzeganda bhiopsy dzinogona kushandiswa kuongororwa idzi kenza, asi zvimwe chetezvo hazvisi zvechokwadi ne melanoma.
Mhando dzeCancer Cancer Biopsies
- Shave biopsy: Kuveura ndebvu ndeyechirwere chepachirwere chepachirwere chinonyatsojeka chinonyanya kufanana nekuita kwaungave chiso chako kana makumbo ako, kunyange wakadzika. Iyo ndiyo inowanzoitwa yakasiyana-siyana yebiopsy, uye inoshanda zvakanaka nezviremera zvinokurudzirwa. Icho chimiro chebiopsy chinobvisa epidermal chando cheganda uye chikamu chepamusoro chedermis . Nyeredzi yehudziro haifaniri kuitwa kana melanoma ichifungidzirwa (mamwe maitiro ebiopsy anofanirwa kutaridzirwa sezvipembenene zvine mavara). Inowanzoita nzira inoshandiswa yekuongorora zvipembenene zveganda kune netsoka sezvo zvisiri kutakura ngozi yekuparadzanisa uye kubuda ropa mushure mekuita. Mushure mokunge biopsy inotorwa, nzvimbo iyo ganda raibviswa rinogona kuiswa cauterized kudzivirira kubuda ropa nealuminium hydroxide solution kana sirivha nitrate (kunyange izvi zvinogona kukonzera ganda). Nzvimbo yacho inofanira kuchengetwa yakachena uye yakasviba kwevhiki kuitira kuti kuderedzwa kupera.
- Punch biopsy: Chirwere chinoputika chinogadzirwa nenzira inofanana nepapa punch kana cookie cutter, uye inobvisa chikamu chechimiro chemiviri. Kusiyana kwakasiyana-siyana kwechikwata chezvipikisi zvinoshandiswa zvinowanika uye chiremba wako achasarudza hukuru hunokwanisa kubvisa mukana wakanakisisa nehuwandu hwekucheka. Nharaunda inoshandiswa kugadziriswa inosarudzwa uye samuenzaniso inowanikwa nekufambisa chigadzirwa. Chirwere chechirwere chinogona kushandiswa kutora samuenzaniso weiyi yepisheni (kana kuti dzimwe nguva bvisa chikonduru chose kana chiri chiduku). Chirwere chinopisa chinotora samuyo yakadzika kupfuura inopera mvere, kubvisa epidermis, dermis, uye zvishoma zviduku zviduku (kana subcutis). Nharaunda yacho inowanzovharwa ne suture. Mhando yakasiyana yebiopsy inofanira kufungidzirwa kana melanoma ichifungidzirwa.
- Incisional uye excisional biopsies: Inoshandiswa uye kusanganisa biopsies zvose zviri kuitwa nevhavharo yekuvhiya. Misiyano ndeyokuti kusagadzikana kwebiopsy (yakakurudzirwa kana melanoma inofungidzirwa) inobviswa kubvisa chigunwe chose, asi chisingaiti chinonzi incisional chinosunungura chikamu chega chekuongorora. Inonzi elliptical incision inowanzoitwa kuitira kuti ibatsire nekuvhara tsvina mushure mokunge maviri acho abviswa.
Kusarudza Zvakanaka Maitiro
Nhengo yekuveura ndebvu kana kuvhara bhiopsy inogona kuonekwa kana chironda chinenge chichifungidzirwa nebhasal cell kana squamous cell skin cancer, asi kusanganisa biopsy (kunyanya kushandiswa kwakanyanya kunokonzera bhiopsy) kunofanira kuitwa kana melanoma ichifungidzirwa.
Pasinei nemitemo yakagadzwa neAmerican Academy of Dermatology, izvi zvinorayirwa hazvifambidzwi zvakanyatsotevera. Muna 2016, zvakawanikwa kuti paiva nekusiyana kwakasiyana-siyana umo US dermatologists yaitevera mazano. Somuenzaniso, pakasvika ma melanomas mune chimwe chidzidzo:
- 35 kubva muzana vakanga vaonekwa nokuveura ndebvu
- 11 kubva muzana vakaonekwa nechinangwa chechipiri
- Pamusoro pemaranomas iyo yakanyatsogadziriswa nechinangwa chekunyanyisa, 31 muzana yakabviswa nechisungo chiduku, panzvimbo yekurudzirwa kwakanyanya
Kunyange zvazvo zvidzidzo zvitsva zvisinganzwisisi kuti rudzi rwechirwere chepachirwere cheganda rinokonzera kusiyana kukuru mukupona sezvakambofungidzirwa munguva yakapfuura, biopsy yakakodzera inowedzera kukodzera kwekuongororwa uye kugadzirwa kwekenza, izvo zvinokurudzira maitiro ako ekurapa uye kufungidzira.
Chirwere chezviwanikwa izvi ndechokuti iwe unoda kuva mutauriri ane ruzivo kana zvasvika pakutsvaga kwako. Bvunza mibvunzo, nyatsosarudza vashumiri vako, uye usazeza kuwana mhinduro yechipiri.
Izvozvo Zvichakuvadza Here?
Pamberi pekenza yemaperembudzi biopsy inogadzirwa, chiremba wako achapedza ganda, kazhinji kuburikidza nekujova lidocaine munharaunda yacho kuti ive yakagadzirwa. Kune avo vanonyanya kunetseka kurwadziwa, nzvimbo yacho inogona kutanga yakabatanidzwa ne-topical lidocaine iyo inoshandiswa kwemaminitsi makumi maviri kana makumi matatu isati yaiswa mujeri ye lidocaine. Kutevedzera chidimbu, iwe unofanirwa kunge uine marwadzo.
Kuporesa
Hazvina mhosva kuti mhando ipi yekenza yepachirwere yakashandura iwe, zvakakosha kuchengetedza kusanganisa kwako kana nzvimbo yehupsysi yakachena. Hapana nzira yekudzivirira kuparara kana bhiopsy yaitwa, asi iwe unogona kuderedza kusvuta nekuchengetedza nzvimbo yacho yakachena kudzivirira zvirwere (izvo zvinogona kuwedzera kuora) uye nokudzivisa kushungurudza nzvimbo yakasikwa.
Matambudziko
Matambudziko haana kujairika neganda rinopisa asi rinogona kusanganisira kubuda ropa uye utachiona. Kana uine chirwere chekubuda ropa kana pane chero mishonga inowedzera kubuda ropa, taura nachiremba wako. Ramba uchiyeuka kuti mamwe mishonga inowedzera inogona kuwedzera kubuda ropa zvakare.
Pathology
Zvinowanzotora mazuva mashomanana kuti chiremba wako atore mushumo wehutano kubva kubasa. Izvi zvinotarisa kuti kana ganda racho harina kenza here kana kuti kwete. Bvunza chiremba wako apo iye anotarisira kuwana ripoti uye aone kana iye achange achikushevedza nemigumisiro kana kana uchida kuronga sarudzo yekuzotevera.
Kana ganda rako rinopararira rinoratidzira melanoma, mamwe maitiro anokwanisa kuitwa kuti aongorore lymph nodes munzvimbo iri pedyo nechirwere. Dzidza zvakawanda pamusoro pezvakawanda uye zvinopera zve lymph node dissection ne melanoma.
The Bottom Line
Kana iwe uri kuva nekenza yepachirwere chepachirwere chechirwere chisina kujairika paganda rako, iwe unenge uchinzwa uchizvidya mwoyo. Hazvibatsiri apo vanhu vanoratidza kuti inogona "kungova" kenza yeganda. Chero chero rudzi rwekenza rinotyisa uye zvinowanzoita kuti unzwe uchitya. Mashoko akanaka ndeokuti apo kenza yeganda inobatwa uye inorapwa munguva pfupi, inoporesa, saka nguva dzose kuona dermatologist yekuongorora-chenguva nguva dzose iri pfungwa yakanaka.
Zvichida kana kwete mhinduro dzako dzinoratidzira kenza, tora nguva yekudzidza pamusoro pekuchengetedzwa kwekenza yeganda . Kupfeka zuva rose rezuva nezuva-kunyanya kana uchifanira kuva kunze kwenguva refu-zvinokosha, pamwe nekugara mumba mukati mezuva, kutsvaga mumvuri, nekupfekedza zvipfeko zvezuva zvakadai sekumhanya kwevarindi , hats, uye magirazi.
> Sources:
> Farber, A., uye D. Rigel. A Kuenzaniswa Kwezvino Maitiro Maitiro eSouth US Dermatologists Versus Zvinyorwa Zvabudiswa zveBhiopsy, Initial Management, nekutevera Kwevarwere vane Melanoma Primary Cutaneous. Nyaya yeAmerican Academy yeDermatology . 2016. 75 (6): 1193-1197.
> Kasper, Dennis, Anthony Fauci, Stephen Hauser, Dan Longo, naJames Jameson. Harrison's Principles of Internal Medicine. New York: McGraw-Hill Dzidzo, 2015. Print.
> Madu, F., Wouters, M., naA van Akkooi. Sentinel Node Chirwere muMelanoma: Mhirizhonga Yemazuva Ano Yakasimbiswa. European Journal of Oncology Surgery . 2016 Aug 24. (Epub mberi kwekudhinda).
> US National Library of Medicine. Chironda cheganda Chine tsvina. Updated 12/02/14. https://medlineplus.gov/ency/article/003840.htm