Yintoni iKeratoacanthoma?
I-Keratoacanthoma (KA) yi-tumor yesikhumba ejolise kwiikhowe zeenwele kwaye ibonakaliswa kukukhula kwayo ngokukhawuleza. Ibonakala ngokubanzi njenge-nodule enomphakamo ophakathi, onombala wesikhumba, onomphakathi ophakathi ogcwele i-keratin, ibonelela ngombono ophawulekayo ofana ne-volcano. I-Keratoacanthomas ivame ukwenzeka kwiindawo zesikhumba ezibekwe elangeni kubantu abadala, ngakumbi ebusweni, ezandleni, nasezandleni. Ubudlelwane be-tumor ne-squamous cell carcinoma buhlala bujolise kumphakathi wokuxilonga, kwaye abaninzi beengcali bacinga ukuba i-KA yi-variant ephantsi ye-squamous cell carcinoma kunokuba ibe yinto engathandekiyo.

Umjikelo Wokukhula Oyingqayizivele
Enye yeempawu eziphawulekayo ze-keratoacanthoma ngumjikelo wayo wokukhula ophawulekayo wezigaba ezintathu. Ngexesha lezigaba zokukhula, elihlala iiveki ezimbini ukuya kwezi four, i-tumor ikhula ngokukhawuleza, ngamanye amaxesha ifikelela kwi-1 ukuya kwi-2 centimeters ububanzi. Oku kulandela ngexesha lokuphucula okanye lokuma apho ukukhula kuhlala kumgangatho ophakathi kwaye i-lesion igcina umphakamo ophawulekayo onomphakathi ophakathi ogcwele i-keratin. Kwimeko ezininzi, umjikelo wokuhla okungxamisekileyo ulandela, ngexesha apho i-tumor ihla kancinci kwaye ingase iphele ngokupheleleyo kwiinyanga ezininzi, ihlale ikhulisa umgca ophantsi.

Izizathu kunye Nezinto Ezithintela
Umngcipheko ophambili wokuphuhlisa i-keratoacanthoma kukuchaphazeleka kwe-ultraviolet radiation, oku kuchaza ukuba kutheni ibonakale kwiindawo ezibekwe elangeni zomzimba. Le meko ivame ukwenzeka kubantu abaninzi abaninzi abaninzi abaphezulu kweminyaka engama-50, kwaye amadoda aphazamiseka ngaphezulu kunabafazi. Ukuncipha kwemiphunga, nokuba kusemva kwemithi efana nezo zithathwa ngabantu abathathwe kwi-organ transplant okanye kwiimeko ezifana ne-HIV, kukhuphula umngcipheko kakhulu. Ezinye izinto ezinxulumene nazo ziquka ukuchaphazeleka kwiikhemikhali ezithile, iindawo zokulimala okanye zokuhlinzwa, kunye nokutheleleka kwe-human papillomavirus.

I-Keratoacanthoma vs. I-Squamous Cell Carcinoma
Umehluko phakathi kwe-keratoacanthoma kunye ne-squamous cell carcinoma yenye yeengxaki ezinzima zokuxilonga kwi-dermatopathology. Zombini i-tumor zingavela ngokufana kakhulu kwiimeko zempilo kunye ne-microscopy, kwaye abanye abahluli bepathology babeka i-KA njenge-subtype ye-squamous cell carcinoma ehlukeneyo kunokuba ibe yinto ehlukileyo. Umahluko ophambili wezempilo kukukhula: i-keratoacanthomas ivame ukukhula ngokukhawuleza ngakumbi kwaye ingase ibuyisele emuva, ngelixa i-squamous cell carcinomas ikhula kancinci kwaye ngokukhawuleza. Ngokubona ukuba akukhona konke okukhona ukwahlula phakathi kwazo ngokuqinisekileyo, abaninzi beengcali ze-dermatology bacebisa ukwelapha i-keratoacanthoma njengoko bekuya kwi-squamous cell carcinoma ukuze kugwenywe umngcipheko wokuba i-cancer engeneleli ingashiywa ingalapheki.!!

Uhlolo
Uhlolo lwe-keratoacanthoma ludinga kokubili ukuhlolwa kweklinikhi kunye nokuhlolwa kwehistopathological. Ukukhula okukhawulezayo, umfanekiso we-dome, kunye ne-crater ye-keratin ephakathi kubonelela ngamaqhosha abalulekileyo, kodwa i-biopsy ibalulekile ukuze kuqinisekiswe. I-biopsy yokukhupha ebandakanya ubunzulu bayo bonke kunye ne-architecture ye-lesion iyafuneka, njengoko i-biopsy encinci ye-punch ingase ingafumani isikhumba esaneleyo sokwahlula i-KA kwi-squamous cell carcinoma. Umphandi ubheka iimpawu ezithile ze-architecture ezibandakanya umfanekiso we-crateriform okanye we-cup-shaped, i-squamous cells ezahlukeneyo, kunye ne-plug ye-keratin ephakathi.

Iindlela Zokwelapha
Nangona kukho amathuba okuba kube nokuhla okungazenzekelayo, uninzi lwezithunywa zempilo lukhuthaza ukwelashwa okusebenzayo kwe-keratoacanthoma kunokulinda.!! Ukukhupha ngesikhumba kukhulu kwaye kuqinisekisiwe, kubonelela ngokuqhawula ngokupheleleyo kunye nesikhumba sokuhlola. Ubugcisa be-Mohs micrographic bunokusebenzisa kwi-lesions kwiindawo ezibucayi zokubukeka ezifana nobuso, njengoko kuvumela ukugcina isikhumba esininzi ngelixa kuqinisekiswa ukuhluza ngokupheleleyo. Iindlela zokwelapha ezahlukeneyo zabaguli abangakwazi ukungena kwi-surgery ziquka i-intralesional injections ze-methotrexate okanye i-5-fluorouracil, iindlela zokwelapha eziphathekayo, kunye ne-radiation therapy.

Uphando kunye neMiphumela
Uphando lwe-keratoacanthoma luhlala luhle kakhulu xa i-lesion iphathwa ngokufanelekileyo. Ukukhupha ngesikhumba kunenqanaba eliphezulu lokuphola, kwaye ukuphinda kubonakale emva kokukhupha ngokupheleleyo akuvamile. Nokuba ngaphandle kokwelashwa, i-keratoacanthomas ezininzi ziya kuhluma zodwa, nangona le nkqubo ingathatha iinyanga kwaye ingashiya umgubo omkhulu. Iimeko ezixhalabisayo zihlala zixhomekeke kwi-perineural invasion okanye kwiindlela zokukhula ezinamandla, ezinokuziphatha ngakumbi njenge-squamous cell carcinoma ejolise kumphumo omkhulu.

Ukwahlula kunye nokuBona iSkin
Abantu abaye bahlala ne-keratoacanthoma banomngcipheko ophakamileyo wokuphuhlisa i-lesions ezongezelelweyo kunye nezinye iintlobo ze-cancer yesikhumba, okwenza ukuba ukujolisa okuqhubekayo kubaluleke kakhulu. Ukuhlolwa kwekhono lesikhumba rhoqo kunye nokukhusela ilanga ngokucokisekileyo kuyacetyiswa kubo bonke abaneembali ze-KA. I-Skinscanner ingaba yithuluzi elixabisekileyo lokulandela ukukhula okutsha okanye okutshintshayo kwesikhumba phakathi kwee-vizit ze-dermatology, ikunceda uqaphele umjoliso wokukhula okukhawulezayo okuchaziweyo kwe-keratoacanthoma. Nanyani i-nodule yesikhumba ekhula ngokukhawuleza kufuneka ibangele ukuvakashelwa ngokukhawuleza kumphandi wezempilo ukuze kuhlolwe, njengoko ukungenelela kwangoko kuholela kwiimiphumo ezilungileyo zokubukeka kunye nezempilo.

