Squamous cell carcinoma (SCC) ndiyo yechipiri inowanzosiyana nekenza yenguruve. Izvo zvinowanzoitika kakawanda mumarume kupfuura vakadzi pane chikwata che2: 1. Chiitiko che squamous cell carcinoma pakati peCaucasians muUnited States .1-.15% pagore. Chiitiko ichi chinowedzera nezera uye chiitiko chepamusoro chepachirwere cheganda iri pane makore 66. Nharaunda yacho inowedzerawo nechepamusoro kwemaitiro akadai sekumaodzanyemba kweUnited States neAustralia.
Chii Chinonzi Squamous Cell Carcinoma?
Squamous cell carcinoma inomuka mukati meganda rekunze kweganda, epidermis , zvichikonzera kuchinja mumasero anonzi keratinocytes. UVB yemazuva ano yakakosha kuti kuiswa kwechirwere cheganda chinokanganisa DNA uye kugadzirisa kwayo, uye kunokonzera kuchinja kwemaitiro ekudzivirira-maitiro. Masero aya akachinjwa akapararira zvikuru uye anoita kuti kuonekwa kweganda kuchinje. Kana masero akachinjwa akapinda mudermisi, njodzi yemasastasis inowedzera.
Njodzi Zviitiko zveScamous Cell Carcinoma
Zvimwe zvinowanzoitika zvinokonzera kukanganisa keconous cell carcinoma zvinosanganisira:
- Kuchengetedza kwezuva kusingaperi kunyanya kune UVB rayation asi zvakare UVA
- Chiitiko chekutanga chinonzi actinic keratosis kana solar keratosis
- A immune system system
- HIV chirwere
- Misiyamu ineoni inoshandiswa muhuni muma1940
- Ganda rakanaka
- Kusvuta fodya
Zvimwe zvisingaitiki zvinokonzerwa nehutachiona checotoma zvinosanganisira:
- Kuisa pachena kune arsenic
- Kunyorerana nemhepo inopisa inokonzerwa nemakrocarboni mu tar, soot, kana shale
- Ganda rakasvibiswa kana rave raparara, kunyanya kuora kwemavara
- Kutapukirwa nemafuta epapillomavirus 6, 11, 16, uye 18
- Chinhu chisingawanzo chivi chinonzi xeroderma pigmentosa
Kuonekwa kweScamous Cell Carcinoma
Kushanduka kweganda kunokonzerwa ne squamous cell carcinoma kazhinji inoratidzika seganda. Ikoko kunogona kuva nehupamhi, hunoenderana nehupamhi, tsvina yakasvibiswa.
Kazhinji ganda rinonyanya kuporesa mukati memavhiki maviri. Zvisinei, squamous cell carcinoma hairi kuporesa uye inogona kubuda mukati. Sezvo inopararira mukati memvura, kenza iyi yeganda inogona kuonekwa sechironda ine zvakaoma, yakasimudzirwa kumativi. Nzvimbo dzakawanda dzinowanzoitwa squamous cell carcinoma inowanikwa munzvimbo dzakasvike-sara dzakadai sedzose rechanza, cheputi, muromo, uye chikamu chepamusoro chenzeve.
Mifananidzo yeScamous Cell Carcinoma
Mifananidzo inotevera inoratidza zvirwere zvakasiyana-siyana zve squamous cell carcinoma:
- Pedyo-up of squamous cell carcinoma paruoko
- Squamous cell carcinoma pamaoko maviri
- Squamous cell carcinoma pameso
Kuongororwa kweScamous Cell Carcinoma
Nzira chete yekuziva nayo squamous cell carcinoma ndeyekuti biopsy inoshungurudza zvironda zvakatarisa. Rudzi rwakasarudzwa rwebiopsy runonzi inonzi shave biopsy umo chironda chacho chinovezwa nechisvo chinoshandiswa. Zvichienderana nehuwandu hwechigunwe, chimwe chigadziro chinonzi biopsy ndechokuwedzera chechi. Mashoko anobatsira akadai sokuti bundu rakazara rakabviswa uye kuputika kwechirwere kunogona kuwanikwa chete nehupsy.
Kurapa kweScamous Cell Carcinoma
Kurapa kwekenza iyi yepachirwere kunoenderana nemashoko anotsvaga kubva mubiopsy.
Electrodessication uye curettage - Iyi nzira inosanganisira kuparadza kenza yeganda nemichina ye electrocautery ipapo ichichera nzvimbo yacho nechirwere.
Kazhinji kacho chirwere chinorwara chinogona kusiyaniswa kubva kune zvisikwa zvakasvibiswa nehutano hwakanzwika paunenge uchitsvaga. Izvi zvinodzokororwa kazhinji kuti zvive nechokwadi chekubviswa kwakakwana kwekenza yenguruve. Iyi nzira inobatsira pamakumbo maduku mashoma 1 cm kana pasi pepamusoro pamutsipa, trunk, maoko, kana makumbo. Zvisinei, inowanzosiya chikara.
Kurongeka kwakadzika - Iyi nzira inosanganisa kusarudzwa kwekenza yenguruve inosanganisira chirwere cheganda rinowanzoitika. Pamakumbo e2 cm kana pasi, marita e 4 mm yakakwana; nokuda kwemamota> 2 cm, yakanakisisa marita 6 mm. Kubudirira kwekurapa uku ndokwekuti inokurumidza uye isingadhuri.
Zvisinei, musiyano pakati pezvisikwa zvinoenderana nekenza unofanirwa kutongwa neusingaoni.
Kuvhiyiwa kweMahgraphic micrographic - Iyi nzira inofanirwa kuitwa nechiremba chiremba weMehs. Inosanganisira kusagadzikana kwekenza yepachiona uye nokukurumidza kuongororwa kwemaviri pasi pe microscope kuti uone margins. Kana chero kenza yemucheche yakasara yakasara, inogona kuve yakarongedzwa uye inofara pakarepo. Nzira yekugadziriswa uye kuongorora kwemashure kunogona kudzokorora kazhinji. Kubudirira kwemuitiro uyu ndeyekuti kazhinji kacho kunogadzirisa uye kwave kunzi kuve nehuwandu hwekudzoka kwepamusoro pane dzimwe nzira dzokurapa. Kuvhiringidza ndiyo nguva uye mari inobatanidzwa.
Radiation therapy - Iyi nzira inosanganisira nzira yehutachiona hwehutachiona kusvika kumarara. Panguva ino, zvakadaro, kune huwandu husina kukwana hwokuti mazairo mushure mekuvhiyiwa anovandudza kuwandisa kwenhamba ye squamous cell carcinoma. Inogonawo kuva nemigumisiro yenguva refu yekucheka, kusuruvara, nekuonda kweganda.
Chemotherapy - Mhando yemakemikari inoshandiswa ndeye 13-cis-Retinoic acid uye interferon-2A. Chemotherapy inoshandiswa pamatanho epamusoro e squamous cell carcinoma.
Cryotherapy - Iyi nzira inosanganisira kuparadza mavara kuburikidza nekuipisa nemhepo ine nitrogen. Izvi zvingave zvinobudirira kune zviduku, zvinorondedzerwa zvakajeka zvekenza yeganda. Inoshandiswawo zvakajeka pakurapa kwe actinic keratosis, chimiro chekutanga. Iyi nzira isingadhuri uye yakagadzirisa nguva asi inogona kushandiswa chete mune imwe nhamba yematambudziko.
Kudzivirira kweScamous Cell Carcinoma
Dzivisa kuvhara kweVV kubva pakubuda kwezuva - Dzivisa masikati masikati, shandisa zvipfeko zvekudzivirira , uye shandisa chekudzivirira kwezuva neSSPF ye-15. Izvi zvinonyanya kukosha kuvana.
Dzivisa michero yefodya - Izvi zvinosanganisira makidhi, fodya, fodya yekucheka, uye fodya. Sezvo zvigadzirwa izvi zvinowedzera njodzi squamous cell carcinoma pamuromo nemuromo, kushandiswa kwavo kunofanira kuderedzwa kana kudonhedzwa zvachose.
Dzivisa polycyclic hydrocarboni - Mabasa anoda kubatana nemakemikari aya anorongedzwa zvikuru. Shandisa gadziviriro nguva dzose paunenge uchishanda nemishonga iyi.
Iva nemhosva yezvipembenene zvakarongedzwa kunze - Kana une mubvunzo, ita kuti iongorore. Kurapa zvipembenene zvinotapira zvinodzivirira kushanduka kwavo kuva mutezo wekenza weganda.