Chirevo chekuvhiya kwepachivara chepachira, marangi, uye mamwe marapirwo
Nonmelanoma ganda rekenza, rakadai sebasal cell carcinoma (BCC) uye squamous cell carcinoma (SCC), ndiyo inowanzosiyana nemhando dzekenza pasi rose. Nenzira yakanaka, iyo ndiyo inonyanya kuporesa, kunyanya kana zviremara zviduku uye zvishoma. Rudzi rwemishonga yakasarudzwa runobva pakukura kwekenza uye kupi kunowanikwa mumuviri.
Heano mhedziso yeimwe nzira dzinowanzosarudzwa (sumo yezvirapa zvinowanzoshandiswa zvinowanikawo):
Excision
Kutsvaga kushandiswa kwakadzika (kusunungura) kunoshandiswa kurapa zvose zvinotyisa uye zvinowanzoitika. Izvo zvinosanganisira kuvhara chirwere uye chimwe chimiro chechivara-chinowanzoonekwa chakakomberedza ("margin"): yebasal cell uye squamous cell carcinomas, mitsara inowanzova 2 kusvika 4 mm. Mishonga inotevera inotevera kuwedzerwa ipo 95% uye 92% yepakutanga BCC neCCC, zvichienderana, uye inobva pane nzvimbo, hukuru, uye muenzaniso wechirwere. Kuchengetedza kunogona kuitika muchipatara kana kuti chirwere chekushaya chirwere zvichienderana nehuwandu hwekenza.
Topical Creams
Kubvira pakugamuchirwa kwayo muna 2004, maitiro ezvirwere zvemuviri anonzi activated imiquimod (anozivikanwawo nezita rokuti Aldara ) ave anowanzogadziriswa (peputi chete) cream nokuda kwechidiki zvishoma uye nodular basal cell carcinomas, pamwe nehutano husati hwave hunoti " actinic" keratosis .
Inopararira pachirwere chechishanu kavhiki, kazhinji kwemavhiki masere, uye inonyatsochenesa ganda rinenge 88% yevarwere kana kupfuura, zvichienderana nemhando chaiyo yekenza. Rimwe kamuti yeBCC yepamusoro ndeye 5-flourouracil (Carac kana Efudex), chemotherapy yemishonga iyo inoshandiswawo mumutambo. Aya maitiro kazhinji haafaniri kusiya zvipembenene, asi anogona kukonzera kurwadziwa kukuru uye kuzvimba sezvavanoshanda.
Mimwe michero yakawanda iri kuongororwa ikozvino, kusanganisira ingenol mebutate (PEP005), iyo inotorwa kubva kumiti inonzi "petty spurge."
Curettage uye Electrodesiccation
Curettage uye electrodesiccation inzira inoratidzika, inokurumidza uye inobudirira yekuparadza zviduku zveasal cell uye squamous cell carcinomas. Mushure mekunyora kuburitsa nechokuita-sechimbo chakafanana-chinonzi curette , chiremba anoshandisa magetsi mashoma kuti aparadze masero ose asina kusimba. Izvi zvinoshandiswa uye zvinogadziriswa zvinowanzodzokidzwa katatu, uye ronda rinotanga kuporesa pasina tsvimbo. Zvakakosha kumusoro, kwete nguva dzose, zvipembenene. Mishonga inoratidzira nzvimbo yacho: nzvimbo dzakakwirira-dzengozi (mhuzha, nzeve, chinwe, muromo) dzine kudzokorora kwe 4% kusvika 18%, zvichienderana nehutu hwekukura. Kudzokorora kunoderera kusvika ku3% pamakumbo panzvimbo dzepamusoro-ngozi dze trunk nemigumo. Pasi pose, chirwere chemakore mashanu chepakutanga BCC neCCC inobatwa neC uye E ndeye 92% ne 96%, zvichienderana.
Mohs Surgery
Nzira yeMohs (inozivikanwawo seMoshs micrographic chirurgic kana kuti kugadziriswa kunoderedzwa kushandiswa) ndiyo nzira yakagadzirwa yakagadzirwa muma1940 naDkt Frederic E. Mohs yekubvisa zvipembenene zvichibva kuBasal kana squamous cell carcinoma.
Inosanganisira kubvisa zvikamu zviduku zvekukura kweganda, kuiswa necheka. Nzira imwe neimwe inotaridzirwa pasi pe microscope, uye kubviswa kwezvikamu zvinopfuurira kusvikira pasina masero anokonzera. Iine chirwere chakakwirira kupfuura chero chepachipiro cheganda reganda uye hachisi kukonzera kupera kwakawanda seimwe nzira. Inonyanya kukosha pakurapa kenza yechirwere inoramba ichidzoka, zviremara zvakakura, tumarara mumakumbo, mazuru, mapumhi, muromo, kana ruoko, mishonga muzviitiko zvinowanzodzoka zvakare, uye sclerotic subtype ye basal cell carcinoma. Ndiyo "chirongwa chegoridhe": Kuchengetwa kwemakore mashanu kunokwana 1% yeBBCC uye 3% yeCCC.
Zvisinei, inodhura, inopedza nguva, uye inoshanda-yakawanda kupinda dzimwe nzira.
> Sources:
> "Kuchengetedza Nonmelanoma Skin Cancer." American Academy of Dermatology.
> "Sei Squamous uye Basal Skin Cancer Inotorwa?" American Cancer Society. June 2008.
> Neville JA, Welch E, DJ Leffell. "Kutungamirirwa kwekenza yemaperembudzi yekunamanoma muna 2007." Nat Clin Pract Oncol 2007 4 (8): 432-469.