Isifo sikaBowen (i-cutaneous squamous cell carcinoma in situ)
Uhlolo
Iimfuno ezingavami
Iqela leminyaka
Abantu abadala & Abadala
Uphuhliso
I-chronic
Uhlanga
Hayibo
Isifo sikaBowen luhlobo lokuqala, olungahlaseli lwesifo somhlaza wesikhumba se-squamous cell apho iiseli ezingaqhelekanga zikhawulelwe kumaleko aphezulu esikhumba. Ibonakala njengepatch ebomvu, enesikali ekhula kancinci okanye ipleyiti engaphilisi kwaye inokuthi ekugqibeleni ibe ngumhlaza wesikhumba ohlaselayo ukuba ayinyangwa.
Le ngcaciso ijolise kumphakathi. Ngokuhlola, uya kufumana uhlolo oluchanekileyo, olwenziwe ngokwakho — kubandakanya uhlolo lwezingozi, ukulandela umkhondo, kunye nezenzo ezikhuthazwayo.
Akukho sizathu sicacileyo esinye sesifo sikaBowen, kodwa ukuvezwa lilanga ixesha elide, imitha, iikhemikhali ezithile, ukwenzakala kwesikhumba esingapheliyo, ezinye izifo zesikhumba ezinqabileyo, kwaye mhlawumbi i-human papillomavirus (HPV) zonke zonyusa umngcipheko. Ngokuqhelekileyo uninzi lwezi zinto zisebenza kunye kwiminyaka emininzi.
Isifo sikaBowen ngokwaso asisasazeki kuba sikhawulelwe kumaleko aphezulu esikhumba, kodwa sinokuthi sibe ngumhlaza ohambayo we-squamous cell carcinoma ukuba awunyangwa. Abantu abanesifo sikaBowen banethuba eliphezulu lokuphuhlisa eminye imihlaza yesikhumba, ngoko ke ukubeka iliso ixesha elide kubalulekile.
Unyango oluphambili lwesifo sikaBowen kukususa ngokupheleleyo inxeba, ngokuqhelekileyo ngokusikwa ngokuhlinzwa kunye nomda wokhuseleko wesikhumba esiqhelekileyo. Kwezinye iimeko, ngakumbi kwi-lesions ezincinci okanye apho ukuhlinzwa kunzima khona, unyango lwe-radiotherapy olucwangcisiweyo okanye olunye unyango lwasekhaya lunokusetyenziswa phantsi kolawulo lweengcali.
Unganciphisa umngcipheko wakho wesifo sikaBowen kunye nokuqhubela phambili kwaso ngokukhusela ulusu lwakho kwi-UV, ukuphepha ukwenzakala kwesikhumba esingapheliyo kunye neekhemikhali eziyingozi, kunye nokulandela imigaqo yokhuseleko emsebenzini. Ukuhlolwa rhoqo ngokwakho, usebenzisa izixhobo ezifana nohlalutyo lwethu lwe-AI lwesikhumba, kunye neendwendwe ezikhawulezileyo kugqirha we-dermatologist kwiindawo ezitshintshayo kubalulekile.
Ukuba uqaphela ipatch ebomvu, enesikali engapheliyo okanye ipleyiti ekhula kancinci kwaye ingaphilisi, kufuneka ubone ugqirha we-dermatologist okanye oncologist ukuze ujonge umntu kwaye mhlawumbi uthathe i-biopsy. Uhlalutyo lwethu lwe-AI lwesikhumba lunceda ekubekeni iliso, kodwa kuphela ugqirha onokuqinisekisa isifo sikaBowen kwaye ayinyange ngokufanelekileyo.
Isifo sikaBowen asiyongxamiseko, kodwa kufuneka sihlolwe kwaye sinyangwe ngugqirha we-dermatologist okanye oncologist kwiiveki ezimbalwa ukuya kwiinyanga ezimbalwa ukuthintela ukuqhubela phambili kumhlaza wesikhumba ohambayo.
Ulwazi olunikezelwe apha lwenziwe ngeenjongo zemfundo kuphela kwaye aluqhubekisi isikhokelo sezonyango esisebenzayo. Ngokuqhelekileyo, cela umphathiswa wezonyango okanye udokotela ukuba unayo nayiphi na imiba.
I-Lentigo melanoma luhlobo lwe-melanoma oluhlala lukhula esikhunjeni esonakele lilanga ebusweni kubantu abadala, rhoqo phezu kwephatshi elide elinsundu elibizwa ngokuba yi-lentigo maligna (Dubreuilh melanosis). Ihlala ikhula kancinci phezu komphezulu iminyaka, kodwa xa iqala ukukhula ngaphakathi iba nobundlobongela, inokusasazeka kumaseli omzimba angaphakathi, kwaye ihlala ifuna unyango olukhawulezileyo lochwephesha.
IMelanoma ngumhlaza wesikhumba onobungozi othuthukayo ovela kumaseli akhiqiza umbala abizwa ngokuba ngama-melanocyte. Ihlala ivela esikhumbeni kodwa inokuthi ivele kwiso, kumambrini amuncu, okanye phantsi kwezipikili. Ukufumanisa kwangoko kunye nokususwa ngokupheleleyo kokuhlinzwa kuphucula kakhulu amathuba okuphila.
I-Actinic keratosis yindawo enobukhali, enezikali esikhunjeni esivezwe lilanga ebangelwa umonakalo we-UV wesikhathi eside. Iqwalaselwa njengotshintsho olungaphambi komhlaza kuba inxalenye encinci ingaba yi-squamous cell carcinoma ngokuhamba kwexesha, ngoko ke ukuhlolwa rhoqo kunye nonyango kuvame ukucetyiswa.
I-Keratoacanthoma ngumhlaza wesikhumba okhula ngokukhawuleza ovame ukuvela kwiindawo ezichaphazelekayo lilanga kubantu abadala abaphakathi naphakathi nabadala. Ibonakala njengobumba olujikelezileyo olunomgogodla we-keratin (into eqinile) kwaye ngamanye amaxesha ingancipha ngokwayo, kodwa kunzima ukuyahlula kwi-squamous cell carcinoma, ngoko oogqirha bahlala beyiphatha njengento enokuthi ibe yingozi.
