I-Papilloma (Isikhumba Esiphakanyisiweyo): Ukuqonda Ukukhula Okuthambileyo Okuphakanyisiweyo kwiindawo Zokuxhaphaza

AmaSkin tags — aziswe ngokomthetho njenge-acrochordons, ama-fibroepithelial polyps, okanye ama-fibromas athambileyo — ziindawo ezincinci, ezithambileyo, ezine-peduncle (ezixhonywe ngentambo encinci) ezikhula eziphezulu zesikhumba. Ziyindawo ezivamile kakhulu kwiimeko zesikhumba kubantu abadala, zichaphazela malunga ne-46% yabantu bonke, kwaye ukuvela kwazo kuyanda ngokuhamba kwexesha. AmaSkin tags ajolise kwi-1 ukuya kwi-5 millimeters ububanzi, nangona angakhula abe mkhulu, afike kwi-1 ukuya kwi-2 centimeters okanye ngaphezulu.

Zithambile xa zixhathiswa, zinemibala ye-flesh ukuya kancinci emnyama kunezikhumba ezijolise kuyo, kwaye zixhonywe ngentambo encinci yesikhumba. Ezinye i-skin tags zincinci kangangokuba zifana neebhampu ezincinci eziphakanyisiweyo, ngelixa ezinye zixhonywe ngokucacileyo kwaye zingabanjwa phakathi kwezandla. Iindawo eziphawulekayo zamaSkin tags ziindawo zokuphosa isikhumba kunye neendawo zokuphosa — umqala, i-axillae (iimpundu), iindawo eziphantsi kweemithambo (phantsi kweemithambo), umgama kunye neendawo eziphantsi, iimpumlo, kunye neendawo eziphantsi.

Le mikhwa ibonisa iimpawu ezivamile zokufudumala, umswakama, kunye nokuphosa isikhumba okanye ukuxhoma isikhumba. AmaSkin tags awanabungozi — awanayo imfuno yokuba abe yingozi kwaye awayi kuguquka abe yi-hay cancer. Ziyinkxalabo ye-cosmetic kuphela kwaye ngamanye amaxesha zisebenza, zikhupha ukungonwabi xa zifakwa kwiimpahla, iimpahla, okanye kwiindawo zokuhlala. Ngaphandle kokungonwabi kwazo, amaSkin tags angumthombo omncinci wokuba abaninzi beze kwi-ofisi ye-dermatology, kuxhamla kwiingxaki ze-cosmetic kwaye ngamanye amaxesha ngenxa yokukhathazeka okungafanelekanga malunga ne-cancer.

Ukwakhiwa kwamaSkin tags kuvela kumjikelo wokuphosa, iimeko ze-metabolic, ukuxhomekeka kwezakhi zofuzo, kunye nemiphumo ye-hormonal. Ukuphosa okuphindaphindiweyo phakathi kweendawo zesikhumba eziphikisanayo yinto ebonakalayo kakhulu — oku kuchaza ukhetho oluqhelekileyo lwezikhumba eziphosa kunye neendawo zokuphosa. Ukuphindaphinda kokuphosa kuqinisekisa ukukhula kwe-fibroblast kunye nokuhlanganiswa kwe-tissue ethambileyo, kuvelisa le mveliso ethambileyo, ye-polypoid.

Nangona kunjalo, ukuphosa kuphela akuchazanga ukuba kutheni abanye abantu bephosa amaSkin tags amaninzi ngelixa abanye bephosa akukho. Uxhulumaniso phakathi kwamaSkin tags kunye noxanduva lwe-insulin luyinto ephawulekayo kakhulu kwiingxelo ze-dermatology kwi-skrini yeempilo ze-sistim. Istudyo ezininzi zibonisile ukuxhoma okuqinileyo phakathi kwenani lamaSkin tags kunye nokufumaneka kokuxhomekeka kwe-insulin, i-prediabetes, i-type 2 diabetes mellitus, kunye ne-metabolic syndrome.

I-insulin yinto yokukhula eqhuba ukukhula kwe-fibroblast kunye nokukhula kwe-epidermal — i-levels ze-insulin eziphakanyisiweyo (hyperinsulinemia), nangona i-glucose ye-gazi ingabi yinto engalunganga, zikhuthaza ukwakhiwa kwamaSkin tags. Istudyo zifumene ukuba abaninzi abaneSkin tags banama-levels aphezulu e-insulin, i-HOMA-IR (umlinganiso wokuxhomekeka kwe-insulin), kunye nokuphindaphinda okuphezulu kokungabikho kokunyamezela i-glucose xa kuthelekiswa neenkcukacha ezihambelanayo ezingenamaSkin tags. Imiphumo ye-clinical ibalulekile: ukuveliswa kwamaSkin tags amaninzi, ngakumbi kubantu abatsha, kufuneka kube nomjikelo wokuhlola iimeko ze-metabolic kubandakanya i-glucose yokuphosa, i-hemoglobin A1c, i-insulin yokuphosa, kunye ne-lipid panel.!!

Ukukhuluphala kuhlotshaniswa ngokuzimeleyo nokukhula kwamaSkin tags, mhlawumbi ngenxa yokuphosa okwandisiweyo kwesikhumba kunye nemiphumo ye-metabolic ye-adiposity eyengezelelweyo. Ukukhulelwa kukhuthaza ukukhula kwamaSkin tags ngenxa yeenguqu ze-hormonal, ukwanda kwesisindo, kunye nokuphosa okwandisiweyo kwesikhumba. Iimpawu zofuzo zichaza ukuxhomekeka komntu, amaSkin tags avame ukuhlanganiswa kwiimfamilies.

Nangona amaSkin tags engumthombo ophambili wezikhumba ezincinci, ezixhonyiweyo, ezinye iimeko zingafana nokubukeka kwazo kwaye zifanele ukuxhathiswa. I-seborrheic keratoses ingakha umphumo we-pedunculated (owexhonyiweyo), ngakumbi kwiindawo zokuphosa, ifana kakhulu namaSkin tags. Nangona kunjalo, i-seborrheic keratoses ikhulisa umphumo onobunzima, onobuhlanga kwaye ingabonisa ubume obuphawulekayo bokubamba i-waxy kunye ne-horn cysts ezihlukanisa kwi-smooth, ethambileyo ye-skin tags.

I-neurofibromas ziintlungu ezingenabungozi ezibangelwa yi-nerve sheath ezingenza zibonakale njengezikhumba ezithambileyo, ezine-peduncle, ezinemibala yesikhumba naphi na emzimbeni. I-neurofibromas ezisoloko zikhona azinabungozi, kodwa i-neurofibromas ezininzi — ngakumbi ukuba zixhaswe ziindawo ze-cafe-au-lait — zingabonisa i-neurofibromatosis type 1, imeko yezoqoqosho efuna ukulawulwa kwempilo. I-buttonhole sign, apho i-neurofibroma ingabekwa kwi-skin ngengcambu, inceda ukuhlukanisa phakathi kwayo kunye ne-skin tag.

Iifiliform warts ziindawo ezincinci, ezide ze-viral ezibangelwa yi-human papillomavirus (HPV) ezingenza zifane namaSkin tags, ngakumbi ebusweni nasemqaleni. Zinephawu ezinzima, eziphakanyisiweyo umazi xa kuthelekiswa ne-smooth stalk kunye ne-bulbous tip ye-skin tag. I-molluscum pendulum ngokuqhelekileyo igama elinye le-skin tag.

I-nipples ezongezelelweyo (i-nipples ezongezelelweyo) kumgca we-milk zingaxhathiswa namaSkin tags kwi-axillary okanye kumgca. I-basal cell carcinoma, nangona ikhuliswa ngokujolise kwi-nodule ye-pearly, ingakha umphumo we-pedunculated. Nayiphi na i-skin tag enezinto ezingaqhelekanga — ngakumbi ubunzima, i-ulceration, ukukhula okukhawulezayo, okanye ukuhamba — kufuneka ibiyopsywe kungekhona ukuba ibonakale ingabungozi.!!

Ngaphandle kokuhlangana okukhankanyiweyo kwe-insulin, amaSkin tags ahlukeneyo ahambelana nezinye iimeko zempilo ezibenza babe neempembelelo ezibalulekileyo ngaphezu kokuphosa kwabo. I-metabolic syndrome — echazwe ngokuhlangana kokukhuluphala kwendawo, i-dyslipidemia, i-hypertension, kunye nokungaphumeleli kokuphosa i-glucose — ihlukeneyo kakhulu neSkin tags ezininzi. Istudyo zifumene ukuba abaninzi abaneSkin tags banokuphindaphinda okuphezulu kwezakhiwo zempilo ye-metabolic xa kuthelekiswa neenkcukacha.

Le miphumo iyasebenza ngokomthetho kuba i-metabolic syndrome ikhulisa kakhulu umngcipheko we-cardiovascular, kwaye amaSkin tags angaba yindawo ebonakalayo, elula yokufumanisa evusa ukuxilongwa kwe-metabolic. I-polysystic ovary syndrome (PCOS) kwiingcuka ibhiyozela amaSkin tags ngokusebenzisa umjikelo ofanayo we-insulin kunye ne-hyperandrogenism. Iingcuka ezikhulayo amaSkin tags kunye nezinye iimpawu ze-androgen excess — i-acne, i-hirsutism, i-menstruation engalunganga — kufuneka zihlolwe kwi-PCOS.

I-dyslipidemia (i-cholesterol engalunganga kunye ne-levels ze-triglyceride) ikhululekile ngokuzimeleyo namaSkin tags kwi-studies ezininzi, ikhulisa umjikelo we-metabolic. I-acanthosis nigricans — iindawo ezimnyama, ezithambileyo zesikhumba kwiindawo zomzimba, enye into yokukhumbuza ye-insulin — ihlukeneyo kakhulu neSkin tags kwi-patients abaninzi, kwaye le ndibano ibonisa umphumo ophawulekayo we-hyperinsulinemia. Uxhulumaniso phakathi kwamaSkin tags kunye ne-colonic polyps wawuphakanyisiwe kwi-studies zokuqala kodwa akuxhaswanga ngokuqhelekileyo kwi-research elandelayo, kwaye ukuxilongwa kwe-colonoscopy ngokuxhomekeka kwiSkin tags akukhethwanga ngoku. I-human papillomavirus (HPV) DNA ifunyenwe kwiSkin tags, kodwa indima yayo ayiqinisekisiwe — i-HPV ingaba yinto efumanekayo kunokuba ibe yinto ebangela.

Ukukhupha i-skin tag yinkqubo elula enezindlela ezininzi ezisebenzayo, kodwa kufuneka yenziwe ngugqirha wezempilo kunokuba yenziwe ekhaya. Ukusika (scissor excision) yindlela edumileyo nekhawulezayo yokukhupha i-skin tags ezincinci. I-tag ibanjwa ngama-forceps kwaye isikwe emzimbeni wayo ngamasiko afanelekileyo okanye umphunga.

Kwi-tag ezincinci kakhulu, i-anesthesia ingadingeki; kwi-tag ezinkulu, umjelo omncinci we-anesthetic yendawo uyakwenza ukuba le ndawo ibande. I-hemostasis ifezwa nge-aluminium chloride solution, silver nitrate, okanye i-electrocautery light ukuba kuyafuneka. Le nkqubo ikhawulezayo, esebenzayo ikhipha i-tag ngokupheleleyo ngaphandle kokuphazamiseka okukhulu kunye neziphumo ezilungileyo zokubukeka.

I-cryotherapy ene-nitrogen liquid ibanda kwaye idiliza i-skin tag, eyokuthi ihlulelwe phakathi kweveki enye ukuya kwezimbini. I-cryotherapy iyasebenza kwi-skin tags ezininzi ezincinci kodwa ingabangela ukungaboni kakuhle okwesikhashana kwaye ingashiya imiqondiso ye-hypopigmented, ngakumbi kwiithoni zesikhumba ezimnyama. I-electrocautery (electrodesiccation) isebenzisa i-probe ye-electrical encinci ukutshisa i-skin tag emzimbeni wayo, ibangela ukujolisa komphunga kunye nokwenza i-tag ibande kwaye ihlulelwe.

Le ndlela ibonelela ngexesha elinye i-hemostasis kwaye iyasebenza kwi-skin tags eziphakathi. I-ligation ibandakanya ukuvala umgca omncinci okanye umgca ngokuqinileyo emzimbeni we-skin tag, ukusika umphunga wayo kwaye ibangele ukuba ibhujiswe kwaye ihlulelwe kwiintsuku ezithile. Iindlela zokukhupha ekhaya ezijolise kakhulu kwi-intanethi — ukuvalela umgca kwi-skin tags, ukusika ngamasiko, ukufaka i-apple cider vinegar okanye i-tea tree oil — zikhuthazwa kakhulu ngenxa yeengozi zokukhupha okungaphelelanga, ukutheleleka, i-scarring, kunye nokopha.

Okubaluleke kakhulu, ukuzenzela ukukhupha kuthetha ukuba isikhumba asihlolwanga ngokwe-pathology, kungenzeka ukuba kuphuthwe iimeko ezinqabileyo ezifana. Ukhuseleko lwezempilo lokukhupha i-skin tag luhlukile — iimeko zempilo ezifana ne-symptomatic, irritated, okanye i-tag ezikophayo zihlala zikhuthazwa ngakumbi kunokukhupha okungokubukeka kuphela.

Xa uqaphela ukukhula okutsha okuhamba kwi-skin yakho, umbuzo wakho wokuqala ngokuqhelekileyo ngu ukuba ingaba ayinabungozi. I-Skinscanner ibonelela ngohlalutyo olukhawulezayo olusekelwe kwi-AI xa uthatha umfanekiso we-skin growth ye-pedunculated, ihlola iimpawu zayo — ubuncinane vs ubukhulu, ubukhali vs ubukhuni beph surface, umgca omncinci vs umgca obanzi, indawo kwiindawo ezijolise kumphunga — ukuze kuqinisekiswe ukuba ihambelana ne-presentation ye-skin tag engalunganga okanye ibonisa iimpawu eziphakamisa ukuxilongwa okwahlukileyo. Oku kubalulekile kakhulu ekuhlukaniseni i-skin tags kwi-filiform warts, i-pedunculated seborrheic keratoses, i-neurofibromas, kunye nezinye iindawo ezihambayo ezifunekayo ukuba ziqhutywe ngeendlela ezahlukeneyo.

Kubantu abaphuhlisa i-skin tags ezininzi, i-Skinscanner isebenza njengomkhumbuzo wokucinga ngemicimbi ye-metabolic — i-app ingabonelela ngolwazi lwezemfundo malunga nexhoba ye-insulin resistance kwaye iphakamise iingxoxo ezifanelekileyo zokuhlola impilo kunye nogqirha wakho. Le mbono yezeMpilo yenza i-skin tags zibe ngaphezu kwengxaki yokubukeka kwaye igxininisa ixabiso lokujolisa kwiimpawu ezibonakalayo zomzimba wakho. Ukulandelela ukuphuhliswa kwe-skin tag ngokuhamba kwexesha ngokuskena rhoqo kunganceda ukurekhoda ukuba i-tag ezintsha ziqhamuka, ezingenakuhambelana neenguqu eziphakathi. I-Skinscanner ayithathi indawo yokuhlola ngugqirha — nayiphi na i-skin growth enezimpawu ezingaqhelekanga kufuneka ihlolwe kwaye mhlawumbi ibhijwe — kodwa ibonelela ngesiqondiso esifikelelekayo, esikhawulezayo kwiimeko ezivamile zokuhlola ukukhula okutsha kwi-skin yakho.