Actinic keratosis (AK), iyo inonziwo solar keratosis, inowanzochengetedza ganda rinenge rakaoma, rinonzi scaly lesion rinokonzerwa nekugara kwenguva refu uye kudzokorora zuva. Inenge 10 kubva muzana yeAA inoguma eine kenza, uye inenge hafu yezvese squamous cell carcinomas inotanga seisina AK.
Ikozvino maitiro anoita keratosis maitiro anosanganisira zvinoshandiswa pakuchengetedza (kubisa), kuporesa (kupora), chirwere chekuvhiya (kubviswa), laser therapy, chemicals peels, kupotodynamic therapy , uye remisoro yepamusoro (inoshandiswa paganda chete) zvidimbu zvakadai sememiquimod, fluorouracil, uye Solaraze (diclofenac , diclofenac 3 muzana gel, diclofenac sodium).
Cherechedza: Tsanangudzo iyi haifaniri kuvhara zvose zvinogona kutarisirwa, kusangana kana kuipa kwechirwere ichi. Kana uine mibvunzo pamusoro pemishonga ipi zvayo yaunotora, chengeta nemutano wako wehutano.
Kurapa Actinic Keratosis Nechiedza
Kushandisa gel ganda-rinoshandiswa chete ((inopikisa) mishonga yemishonga inoshandiswa kurapa actinic keratosis panzvimbo dzose dzomuviri. Kunyange zvazvo nzira chaiyo inoshanda isinganzwisiswi zvachose, inorondedzerwa se-nonsteroidal anti-inflammatory drug (NSAID), sa aspirin uye ibuprofen. NSAID inodzivisa molecule mumuviri unonzi cyclo-oxygenase-2 (COX-2), iyo inobatsirawo kuderedza kushandiswa kwezvinhu zvinonzi hormone-zvinonzi prostaglandin. Kuora kwezuva uye AKs zvakabatanidzwa nekumutswa kwe prostaglandin mukati meganda.
Zvirwere zvitatu zvemakiriniki zvakatungamirirwa zvakatungamirira kugamuchirwa kwejeri reDiclofenac neDain and Drug Administration (FDA). Avhareji 427 vane varwere vashanu kana kupfuura AK pamakumbo avo, piso, chiso, forearm kana ruoko vakabata pamwe neve diclofenac kana dummy (placebo) gel kwemwedzi mitatu.
Mazuva makumi matatu mushure mekupera kwekurapwa, 30 kubva kuzana kusvika 50 kubva muzana zveA AK zvisikwa zvakabviswa zvachose, kaviri kana katatu nhamba inowanikwa mu dummy gel boka. Zvakanakisisa zvawanikwa zvakaratidzwa neA AK pane chiso.
Chimwe chekuongorora kwenguva pfupi chakaedza kuitika kwei diclofenac kune AKs yakanga yatotapurirwa ne-cryosurgery (kufisa).
Zvigumisiro zvaive zviri nani zvakare: 46 kubva muzana yevarwere vakaona zvose zveA AK zvipembenene zvacho zvakacheneswa zvachose, zvichienzaniswa ne 21% chete yevarwere vasina kugamuchira diclofenac mushure mekugadzirwa kwemagashira.
Solaraze haisi yevose. Taurira mushandi wako wehutano nezvehutano hwako hwose usati watanga kushandisa diclofenac gel, kusanganisira kana iwe:
- Iva nechirwere chinoshanda
- Iva nematambudziko eropa
- Iva nezvinetso zvepfungwa
- Wakave wakamboita zvakaipa zvakashata kune aspirin, ibuprofen kana dzimwe NSAIDs
Nzira Yokushandisa Diclofenac
Solaraze gel rinofanira kunge rakanyatsogadziriswa pamaronda ako kaviri pazuva. Mari inodiwa inoenderana nekukura kwechironda, asi iva nechokwadi chokuti zvakakwana zvinoshandiswa kuti zvive zvakakwana kufukidza chironda chega chega. Chiremba wako anogona kukurudzira kuti ubate nzvimbo yakawanda neSolaraze, pane kungoita zvipembenene zvakananga, izvo zvinogona kubatsira kubvisa zvipembenene zvisati zvaonekwa.
Chiremba wako angangokurudzira kuti ushandise Solaraze kwemazuva makumi matanhatu kusvika kumazuva makumi mapfumbamwe. Zvisinei, zvipembenene zvako hazvigoni kuporesa zvachose kusvikira mazuva makumi matatu mushure mekunge warega kuishandisa. Kana iwe ukaona kuti zvimwe zvipembenene hazvisi kupindura kune gel, ona chiremba wako.
Migumisiro Yechipfuva uye Manyevero
Mumakiriniki, miitiro yakawanda inonzi yakasanganiswa neganda uye yaiwanzoita zvishoma kusvika pakuenzanisa.
Izvi zvaisanganisira:
- Itchy rash
- Danda rakasviba
- Ganda rinotarisa
- Rufu
Zvakawanda zvezviitiko izvi zvakabva zvaenda apo chirwere chacho chadziviswa. Zvakakosha kudzivisa zuva uye matumba ekuchenesa paunenge uri kushandisa diclofenac gel sezvo inokonzera kuwedzera kwekunzwa kwezuva. Haifaniri kushandiswa kuzarura mavanga eganda, zvirwere kana zvimwe zvinetso zveganda, kana kupinda mushure maziso ako. Vana havafaniri kutora diclofenac, uye usashandise chigadzirwa ichi kana uri pamuviri kana mukoti.
> Sources:
Berlin JM, Rigel DS. Diclofenac sodium 3% gel mukurapa actinic keratoses postcryosurgery. J Zvinodhaka Dermatol . 2008 7 (7): 669-73.
Nelson CG, Spencer J, Nelson CG Jr. Simba rimwe chete, rakashama-ruzha runoshanda uye kushivirira kunodzidza diclofenac sodium 3% gel kuitira kurapa kwe actinic keratosis yepamusoro uye yakadzika muromo. J Zvinodhaka Dermatol . 2007 6 (7): 712-717.
Newman MD, Weinberg JM. Mishonga yepamusoro mukurapa kwe actinic keratosis uye basal cell carcinoma. Cutis . 2007 79 (4 Suppl): 18-28.
"Gurisa Gel Kunyora Mashoko." PharmaDerm.