I-Basal Cell Carcinoma: I-Cancer 'Enhle' Esiqhubeka Iphula Ubuso

I-basal cell carcinoma (BCC) iyinhlobo evamile kakhulu ye-cancer emhlabeni jikelele, ibamba cishe u-80% wezifo zesikhumba ezingezona i-melanoma. 6 million cases zihlolwa minyaka yonke, futhi ukuvela kwazo kuqhubeka kukhula ngenxa yokuguga kwabantu, ukwanda kokukhanya kwelanga, nokutholwa okuthuthukisiwe. I-BCC ithuthukiswa kumaseli e-basal—amaseli ajikelezayo aphansi kwe-epidermis akhiqiza amaseli esikhumba amasha njengoba amadala efile.

Lezi zifo zivame ukuvela ezindaweni ezithintekile yilanga: ubuso (ikakhulukazi ikhanda), izindlebe, umphimbo, isikhumba sekhanda, amahlombe, kanye nemuva. Nansi indlela i-BCC evame ukubizwa ngayo njenge-'cancer enhle': ikhula kancane, ivame ukungashintshi (ingabi nezinye izitho), futhi uma itholakala kusenesikhathi, iyakwazi ukwelashwa kahle ngezimpumelelo ezinhle zokubukeka. Izinga lokuphila eminyakeni emihlanu le-BCC lingama-100% uma iphathwa kahle.

Kodwa nansi iqiniso elingathandeki elithinta ulimi lwe-'cancer enhle': nakuba i-BCC ingavami ukubulala, iyaphula. Uma ingaphathwanga, i-BCC ikhula ijulile futhi ibanzi, ingena ezindaweni zendawo kufaka phakathi i-cartilage nebhone. I-BCC encane ekhanda ingaphula isakhiwo se-nasal, idinga ukuhlinzwa kokwakha okungase kungabuyisi ukubukeka noma umsebenzi.

I-BCC eduze kweso ingena kwi-orbit, kungenzeka ibangele ukulahlekelwa ukubona noma idinge ukususa iso. I-BCC yendlebe ingaphula isakhiwo se-external ear sonke. I-BCC yesikhumba sekhanda ingena kwi-skull.

Lezi akuzona izimo ezimbi ezivamile—ziyindlela yemvelo yokugula engaphathwanga. Unyaka nonyaka wokulibazisa uvumela i-cancer ikhule ibe nkulu, ingene ijulile, futhi idinge ukuhlinzwa okukhulu nokungahambi kahle. Umehluko phakathi kokuhlinzwa kwehhovisi okuthatha imizuzu engu-15 nokuhlinzwa kokwakha ubuso okukhulu kuvame ukuba yizinyanga noma iminyaka embalwa yokungayinaki le ndawo 'engalungile'.

' Phakathi kwalokho, i-cancer iyakhula ngokuthula, ihlela ukuhlinzwa kokwakha ubuso bakho. Thumela isithombe bese uthola imiphumela ngemizuzwana ngaphambi kokuba le ndawo ibe yingozi yokuhlinzwa.

I-basal cell carcinoma iyinhloko yokufihla, ivela ngezindlela eziningi ezihlukene abantu bavame ukuziphatha njengezimo ezingenabungozi. I-Nodular BCC, uhlobo oluvamile, ivela njengokuphuma okukhanyayo noma okukhanyayo, ivame ukuba nezitho ze-blood ezibonakalayo (telangiectasias) phezulu. Iphuma ngombala wesikhumba, ipinki, noma ibhaki elincane, ivame ukuba ne-dome-shaped, futhi ingase ibe nokuhlangana okuphakathi noma ukopha okuphuma kalula futhi kungalulami.

Abantu bavame ukuyiphatha njengephuphu eliqhubekayo. I-Superficial BCC ivela njengendawo ephinki noma ebomvu enezinhlamvu, ivame ukuba nomkhawulo ophakeme kancane, ivame ukuba emzimbeni nasemalungeni. Ibukeka kakhulu njenge-eczema noma i-psoriasis futhi ivame ukungahlolwa kahle noma ukungayinaki iminyaka.

I-Morpheaform (sclerosing) BCC iyinhlobo engcono kakhulu—ivela njengendawo emhlophe noma ephuzi efana nesikhumba esingaphansi, enezinhlamvu ezimbi. Kulula ukuyiphatha njengezikhumba ezivela kumonakalo omncane, kodwa empeleni iyinhlobo ye-BCC ethuthuke kakhulu engena ngaphansi kwesikhumba esibonakala sengathi asikho ubungozi. I-Pigmented BCC iqukethe i-melanin futhi ibonakala ibhaki, iluhlaza, noma imnyama, ivame ukudideka ne-moles noma i-melanoma.

I-Fibroepithelial BCC ibonakala njengokuphuma okuqinile, okukhanyayo noma okubomvu, ivame ukuba emuva. Izimpawu ezixwayisayo: noma yikuphi ukukhula okusha esikhumbeni esithintekile yilanga, ikakhulukazi ubuso, izindlebe, umphimbo, noma isikhumba sekhanda; isilonda esiphuza, esiphuma, esiqhume, noma esingalulami phakathi kwezinsuku ezimbalwa; ukuphuma okukhanyayo, okukhanyayo, noma okukhanyayo; ukukhula okuphinki okunezinhlamvu eziphakeme kanye nokuhlangana okuphakathi; indawo emhlophe noma ephuzi efana nesikhumba esivela ngaphandle kokulimala kwangaphambili; indawo ekhula kancane eshintsha phakathi kwezinyanga kuya eminyakeni. Igama eliyinhloko liqhubeka—i-BCC ayiveli futhi iyashintsha njengezikhumba noma izikhumba.

Iphakathi khona nsuku zonke, inyanga ngenyanga, ikhula kancane. Le ndawo obukade uyibheka iminyaka eyisithupha? Idinga ukuhlolwa manje.

Le 'phuphu' engalulami? Ayiyona iphuphu. Iphuphu ukuthi bangaki abantu abanemifanekiso ekhombisa i-BCC encane, elula ukuyilungisa iminyaka ngaphambi kokuthi bafune ukwelashwa, ngaleso sikhathi kudingeka ukuhlinzwa okukhulu. Ungalindi—ukutholwa kwangaphambili kuvikela ubuso.

Nakuba noma ubani angathola i-basal cell carcinoma, ezinye izici zandisa kakhulu ingozi yakho. Ukukhanya kwelanga okwandile empilweni yakho kuyimbangela eyinhloko—i-BCC empeleni iyisifo sokulimala kokukhanya kwelanga. Ukushisa kwelanga, isikhathi esisodwa sokukhanya kwelanga okungavikelwe, kuqoqwa emmemori yesikhumba sakho, kukhuphule ingozi ye-cancer.

Abantu abanokukhanya kwesikhumba okulula ukujova nokuhlala kancane bahlala bephakathi kwengozi ephezulu—labo abanoboya obuphuzi noma obomvu, amehlo aluhlaza noma aluhlaza, kanye nesikhumba esiphansi bahlala bephakathi kwengozi. Kodwa abantu abanesikhumba esinsundu abavikelekile; bathola i-BCC kancane kodwa bavame ukuvela ezikhathini ezinzima ngezindawo ezinkulu. Ukuhlala ezindaweni ezikhanyayo noma ezindaweni eziphakeme lapho ukukhanya kwe-UV kukhulu kakhulu kukhuphula ingozi.

Imisebenzi yangaphandle nezinto zokuzijabulisa ezihlinzeka ngokuqhubekayo kokukhanya kwelanga—ukulima, ukuhamba, ukwakha, ukudlala, ukuhamba ngesikebhe—all kukhuphula ingozi ye-BCC kakhulu. Ukusebenzisa izikhumba zokutshala ngaphakathi kukhuphula ingozi kakhulu, nezinye izifundo zikhombisa ukukhuphuka okungama-50% noma ngaphezulu kulabo abasebenzisa izikhumba zokutshala ngaphambi kweminyaka engu-35. Umlando wangaphambili we-cancer yesikhumba ungumkhombandlela onamandla: uma usuke uthole i-BCC eyodwa, unama-40% amathuba okuthola enye phakathi kweminyaka emihlanu.

Abantu abanama-BCC amaningi bavame ukuwathola kaningi empilweni. Ukwelashwa kwe-radiation kwezinye izimo kukhuphula ingozi ye-BCC ezindaweni eziphathwe, imvamisa eminyakeni eminingi kamuva. Izilonda eziphakeme nezikhumba, ikakhulukazi izikhumba zokushisa, zingathola i-BCC.

Ukuthola i-arsenic (historically from contaminated well water or certain occupational exposures) kukhuphula ingozi. Ukunciphisa amandla ngenxa yemithi (abamukeli bezinhlaka) noma izifo (i-HIV, i-chronic lymphocytic leukemia) kukhuphula kakhulu ukuvela kwe-BCC—abantu abamukeli banama-10 times ingozi. Izimo zezakhi zofuzo ezihlanganisa i-basal cell nevus syndrome (i-Gorlin syndrome) zenza ama-BCC angama-1000 aqala ebuncaneni noma ebusheni, adinga ukuhlolwa njalo nokwelashwa okuphindaphindiwe.

I-Xeroderma pigmentosum, isifo esingajwayelekile sezakhi zofuzo esithinta ukulungiswa kwe-DNA ngemuva kokulimala kwe-UV, sikhuthaza kakhulu ukuvela kwe-cancer yesikhumba. Umlando womndeni ubonisa ukuvela kwezakhi zofuzo ngisho nangaphandle kwezimo ezitholakele. Ukuguga okuthuthukile kuhlobene nokukhuphuka kwengozi ngenxa yokukhanya kwelanga okwandile empilweni.

Iqiniso elibuhlungu: uma ufunda lokhu futhi ungena ku-40 ngemuva kokuthola ukukhanya kwelanga, unengozi. Le ndawo oyinaki ingase ibe i-BCC yakho yokuqala. Isikhumba sakho sikhuluma indaba. Vumela i-AI iyifunde.

Izindaba ezinhle mayelana ne-basal cell carcinoma yizinketho ezihlukahlukene zokwelashwa ezisebenzayo, ukukhetha kuye ngesisindo se-BCC, indawo, uhlobo, kanye nomlando wakho wezokwelapha. Ukwelashwa kokuhlinzwa kuyisilinganiso esiyigugu se-BCC eziningi—i-tumor iyasikwa kanye nomkhawulo wesikhumba esijwayelekile ukuze kuqinisekiswe ukususwa okuphelele, bese isilonda sithungwa sivalwa. Lokhu kuhlinzeka ngempahla yesikhumba yokuhlola ye-pathologic eqinisekisa ukususwa okuphelele.

Izinga lokwelashwa lidlula u-95% kuma-BCC aphakeme. Ukuhlinzwa kwe-Mohs micrographic kuyindlela enembile futhi esebenzayo yokwelashwa, enezinga lokwelashwa elingaphezu kuka-99% kuma-BCC aphakeme. Ikakhulukazi ibalulekile kuma-BCC ebusweni, ezindlebe, nasemazweni abalulekile ngokubukeka noma umsebenzi; kuma-BCC amakhulu noma anobungozi; kuma-BCC aphindaphindiwe; nase-BCC enezinhlamvu ezimbi.

Le ndlela ibandakanya ukususa i-cancer ngamasu, ihlola ngokushesha i-layer ngayinye ngaphansi kwe-microscope, futhi iyama kuphela uma imikhawulo icacile. Lokhu kugcina inani elikhulu lesikhumba esinempilo ngenkathi kuqinisekiswa ukususwa okuphelele kwe-cancer—kubalulekile uma yonke imilimitha yesikhumba ibalulekile ekwakheni nasekubukekeni. I-Electrodesiccation ne-curettage (ED&C) ibandakanya ukususa i-cancer nge-curette bese uphonsa indawo nge-needle ye-electrocautery.

Kulungele ama-BCC amancane, aphakeme ezindaweni eziphansi kodwa unama-recurrence rates aphezulu (5-15%) kune-excision noma ukuhlinzwa kwe-Mohs. I-Cryotherapy isebenzisa i-nitrogen liquid ukuze iqhube futhi ibhujise i-cancer, efanele ama-BCC amancane, aphakeme kodwa enezinga elilinganiselwe lokuqinisekisa ukususwa okuphelele kanye nama-recurrence rates angama-5-10%. Ukwelashwa kwe-radiation kusetshenziswa uma ukuhlinzwa kungasebenzi ngenxa yezempilo yomuntu, indawo ye-tumor, noma ukukhetha komuntu, noma njengokwelashwa okwenziwe ngemuva kokuhlinzwa ngezici eziphakeme.

Kudinga ukwelashwa okuningi ezinsukwini futhi kunemibuzo yokubukeka yesikhathi eside kanye nengozi ye-cancer yesikhumba eyenziwe ngemuva kweminyaka eminingi. Imithi yokwelapha efaka i-imiquimod cream (umsebenzi wokuphendula komzimba) kanye ne-5-fluorouracil cream (chemotherapy) izinketho zama-BCC aphakeme ezindaweni eziphansi, efakwa ezinsukwini kuya ezinyangeni. Zivimbela ukuhlinzwa kodwa zine-recurrence rates eziphezulu futhi zidinga ukuhambisana komuntu nezifundo ezinzima ezibangela ububomvu, ukucasuka, nokuhlangana.

I-Photodynamic therapy (PDT) isebenzisa umkhiqizo ophilayo ofakwa esikhumbeni kulandela ukukhanya ukuze ibhujise amaseli e-cancer, isetshenziswa kuma-BCC aphakeme. Into ebaluleke kakhulu ekwelashweni kwe-BCC yikuphelele—ukususa okungaphelele kuholela ekuphindeni, imvamisa ngendlela ethuthuke kakhulu edinga ukuhlinzwa okukhulu. Lokhu kungukuthi ukuhlinzwa kwe-Mohs, nakuba kubiza kakhulu futhi kuthatha isikhathi, kuthandwa kakhulu kuma-BCC ebusweni lapho kokubili ukwelashwa nokubukeka kubalulekile.

Imilimitha ngayinye yokulahleka kwesikhumba engadingeki ekhanda lakho, emlonyeni, noma emehlweni ithinta ukubukeka kwakho phakade. Ungaqiniseki ukuthi kubalulekile? Vumela i-AI ibheke.

Imibhalo yezokwelapha isebenzisa ulimi lwezokwelapha olufana ne-'locally invasive' kanye 'nokudinga ukuhlinzwa kokwakha,' kodwa ake sibe sobala ngalokho i-basal cell carcinoma engaphathwanga noma enganaki empeleni. I-BCC ekhanda—indawo evamile kakhulu—iqala njengokuphuma okuncane okukhanyayo noma isilonda esingalulami. Ngaphezu kwezinyanga kuya eminyakeni, iyakhula, ekugcineni ibhujisa isikhumba.

Njengoba iqhubeka ikhula, ingena kwi-cartilage enikeza ikhanda lakho isakhiwo. Ekugcineni, ingase ibhujise ngokuphelele ikhanda, idala umgodi lapho i-cartilage nesikhumba esake sikhona. Ukuhlinzwa kudinga ukuhlinzwa kwezakhi ezivela kwezinye izindawo zomzimba—ikhanda, indlebe, noma i-cartilage ye-rib—ukwakha isakhiwo se-nasal.

Ngisho nasekuhlinzweni kwe-plastic, ikhanda alikaze libe nesimo noma lisebenze ngendlela efanayo. Ukuphefumula kungase kube nzima. Umthelela we-psychological wokungahambi kahle okukhulu kobuso ubuhlungu.

I-BCC yendlebe ilandela indlela efanayo, ekugcineni ibhujisa isakhiwo se-external ear. Ama-BCC asanda kuvela endlebeni kulula ukuwakhupha ngezimpumelelo ezinhle zokubukeka. Ama-BCC anganaki adinga ukususwa ngokwengxenye noma ngokuphelele kwendlebe kulandela ukuhlinzwa okukhulu noma ama-prosthetic ears.

I-BCC eduze kweso ibalulekile—ingena kwi-orbit, idinga i-exenteration (ukususa iso nezicubu ezizungezile) ezimweni ezinzima. Ngisho nama-BCC angathuthukile eduze kweso adinga ukuhlinzwa okucophelela lapho ukugcina isikhumba kubalulekile ukuze kusebenze kahle. Ama-BCC esikhumbeni sekhanda angena kwi-skull futhi angangena ngaphakathi kwe-bone ukuze afinyelele ebuchosheni ezimweni ezinzima—lezi yizimo zokuhlinzwa nezokwelapha.

Ubuhlungu ukuthi lokhu kungahambi kahle kungenziwa ngokuphelele. I-BCC ethathwe ngesikhathi esingu-5mm idinga ukusikwa okulula nokuphuma okuncane. I-cancer efanayo evunyelwe ukukhula ibe ngu-20mm idinga ukuhlinzwa kwe-Mohs, mhlawumbe ukuhlinzwa kokwakha kwendawo, futhi ishiyela izikhumba ezinkulu.

Ngama-40mm, kungase kudinge ukuhlinzwa okwakha okukhulu nezikhumba eziningi. Ngaleso sikhathi ibhujisa i-cartilage ne-bone, umgibeli ubhekene nokungahambi kahle okuphakade naphezu kwemizamo yokuhlinzwa. Imifanekiso ye-BCC ethuthukile iyashaqisa—izithombe ezizokwenza ube nesizungu uma zikhonjiswa lapha kodwa wonke umuntu ongena endaweni engalungile kufanele abone.

Lezi akuzona izimo ezimbi ezivela ezweni elithuthukayo elingenayo imithombo yokwelapha; zenzeka e-United States nakwezinye izizwe ezithuthukile lapho abantu belibazisa ukwelashwa ngenxa yokwesaba, ukwenqaba, ukungabi ne-inshurensi, noma ukulibazisa nje. Njengoba wonke umuntu ongena endaweni engalungile uqala ngendawo encane engase ibelungiswa emsebenzini wehhovisi wemizuzu engu-15. Thatha imizuzu engu-30 ukuze uhlole—kungavikela ubuso bakho.

Uma usuthole i-basal cell carcinoma, ubudlelwano bakho nokuhlolwa kwe-cancer yesikhumba buphenduke phakade. Ukuba ne-BCC eyodwa kusho ukuthi unengozi eyandisiwe yokuthola ama-BCC angeziwe—cishe u-40% wabantu abatholwe ne-BCC bathola enye phakathi kweminyaka emihlanu. Abanye abantu bathola ama-BCC angama-10 noma ngaphezulu empilweni yabo, edinga ukwelashwa okuphindaphindiwe nokuhlolwa okucophelela.

Izizathu zokukhuphuka kwengozi zicacile: izici ezifanayo (ukukhanya kwelanga, uhlobo lwesikhumba, izakhi zofuzo) ezidalile i-BCC yakho yokuqala ziqhubeka zithinta yonke indawo yesikhumba sakho; ukulimala kokukhanya kwelanga kukhulu ngisho noma indawo eyodwa kuphela ithuthuke ibe yi-cancer; ukuvela kwezakhi zofuzo kusho ukuthi isikhumba sakho sithinteka ekutholeni lezi zifo. Ngemuva kokutholwa kwe-BCC nokwelashwa, udinga ukuhlolwa kwesikhumba okuphelele njalo—imvamisa njalo ezinyangeni eziyi-6-12 ekuqaleni, mhlawumbe ukunciphisa kube minyaka yonke uma uqhubeka uclear iminyaka eminingi. Lezi zihlolo zihlola ama-BCC amasha kanye nokuphindaphinda kwe-BCC eziphathwe.

I-BCC ephindaphindiwe ibhujisa kakhulu kune-BCC eyinhloko, ivame ukuba yohlobo lwe-infiltrative noma morpheaform, futhi idinga ukwelashwa okukhulu. Izinga lokuphindaphinda lincike ekwenzeni kahle kokwelashwa kokuqala: ukuhlinzwa kwe-Mohs kunezinga lokuphindaphinda eliphansi (ngaphansi kuka-1% kwe-BCC eyinhloko, u-5% we-BCC ephindaphindiwe), kanti i-ED&C nezokwelapha eziphezulu zine-recurrence rates eziphezulu. Ukuhlola ngokwakho kuba isiko lempilo: ukuhlola kwesikhumba okuphelele njalo kubheka ukukhula okusha noma izinguquko ezindaweni ezikhona.

Ukuthatha izithombe zesikhumba sakho kudala isikhumbuzo sokuthola izinguquko ezincane. Ukuvikelwa kokukhanya kwelanga kuba okungavunyelwe: usuku nosuku i-SPF 30+ sunscreen kumasikhumba wonke athintekile, izingubo zokuvikela ezikhanyayo, amakhanda amakhulu, ukufuna umthunzi, nokugwema ukukhanya kwelanga phakathi nosuku (10 AM kuya ku-4 PM lapho i-UV ikhulu kakhulu). Bheka imithi yakho: ezinye izidakamizwa, ama-antibiotics, ama-diuretics, nezinye izidakamizwa zikhuthaza ukuzwa, zikhuphula ukulimala kokukhanya kwelanga ngesikhathi sokusebenzisa.

Kubantu abanesikhumba esiphakeme (umlando we-BCC eziningi, ukunciphisa amandla, izimo zezakhi zofuzo), i-chemoprevention nge-nicotinamide (uhlobo lwe-vitamin B3) ibonakale ithokozisa ekunciphiseni ukuvela kwe-cancer yesikhumba. Ukuhlolwa kwe-dermatologic okujwayelekile kuthola ama-cancer amasha kusenesikhathi lapho engatholakala kalula. Ukuhlola ngokwakho kukuvumela ukuthi uthole izilonda eziphawulekayo phakathi nezihlolo zomprofessional.

Ukufundisa izingane izindlela zokuvikela ilanga kudala izindlela zokuphila—ukukhanya kwelanga okukhulu kwenzeka ngaphambi kweminyaka engu-18, okwenza ukuvikelwa kwelanga ebuncaneni kubaluleke kakhulu. Umqondo wokuthi 'ngivele ngibe nokulimala kokukhanya kwelanga, ngakho ukuvikelwa manje akusizi' awulungile. Usuku nosuku lokukhanya kwelanga okungavikelwe lukhuphula ingozi yakho.

Usuku nosuku lokuvikela lunciphisa ingozi yesikhathi esizayo. Ukuvikelwa ngeke kususe ingozi yakho ye-BCC uma usukhona, kodwa kuzokwehlisa inani lama-cancer yesikhathi esizayo owatholayo futhi kuvimbe ukuvela kwawo. Kubantu abake bathola i-BCC, ukuvikelwa kuhlobene nokwehlisa ukuhamba kwe-cancer yesikhathi esizayo kusuka emfuleni kube yiphuphu.

Isikhumba sakho sikhuluma indaba. Vumela i-AI iyifunde.

I-basal cell carcinoma iyaphathwa kahle uma itholakala kusenesikhathi kodwa ingase ibhujise uma inganakiwe. Inselelo ukuhlole ukuthi yiziphi izindawo ezidinga ukuhlolwa kochwepheshe nokuthi yiziphi ezingenabungozi. I-Skinscanner iyisixazululo sokuqala sokuvikela, inikeza ukuhlaziywa okusheshayo kwezilonda eziphawulekayo phakathi nezikhathi zokuhlolwa kwe-dermatology.

I-AI yethu ifundiswe ngezithombe eziningi zama-BCC nezilonda ezingenabungozi, ifunda ukuhlonza izici ezincane ezihlukanisa i-cancer nezindawo ezingalungile. Thumela isithombe nganoma yisiphi ukukhula okuphawulekayo usebenzisa i-smartphone yakho, bese i-AI yethu iyahlaziya ngaphakathi kwemizuzwana, ibonisa izici ezithakazelisayo futhi iphakamisa ukuthi ukuhlolwa kochwepheshe kuyadingeka. Kubantu abanesikhumba esiphakeme—ukutholwa kwe-BCC kwangaphambili, isikhumba esikhanyayo, umlando omkhulu wokukhanya kwelanga—i-Skinscanner ivumela ukuhlolwa njalo kwendawo yesikhumba sakho yonke.

Indlela ephakanyisiwe: thumela isithombe nganoma yisiphi isikhala esisha noma esishintshayo njalo ngenyanga, udale isikhathi sokubuka esenza izinguquko ezincane zicace. I-AI ingakwazi ukuhlonza izici ezithakazelisayo ezifana nemikhawulo ekhanyayo, i-telangiectasias, ukungena okuphakathi, noma ukubukeka okufana nezikhumba ezihlukene ezihlukene zama-BCC. Lokhu kubalulekile kakhulu ekuhloleni izindawo ezinzima ukufinyelela ezifana nesikhumba sekhanda, izindlebe, nemuva lapho ama-BCC avame ukuvela kodwa ukuhlola ngokwakho kunzima.

Kubantu abake bathola ukwelashwa kwe-BCC, i-AI iyasiza ekuhloleni ukuphindaphinda ezindaweni eziphathwe ngaphambili—noma yikuphi ukukhula okusha noma indawo engalulami eduze kwe-BCC yangaphambili kufanele ihlolwe ngokushesha njengoba ama-BCC aphindaphindiwe ethuthuka kakhulu. I-Skinscanner ayithathi indawo yokuhlolwa kochwepheshe kwe-dermatology nokuhlolwa—ukutholwa kwe-BCC okuqinisekisiwe kudinga ukuhlolwa kwe-pathologic kwesikhumba—kodwa iyithuluzi elitholakalayo lokuhlola elithola izimpawu ezibomvu kusenesikhathi, mhlawumbe ezinyangeni noma eminyakeni ngaphambi kokuthi ungathola ukuhlolwa. Cabanga ngayo njenge-detector yokuthola umusi: ikwazisa ngengozi ukuze uthathe isinyathelo ngaphambi kokuba kube nenhlekelele.

Umehluko phakathi kokuthola i-BCC engu-3mm ne-15mm ungaba umehluko phakathi kokuphuma okuncane nokuhlinzwa okukhulu. Kubantu abane-akhawunti encane yokufinyelela ku-dermatologists ngenxa yokuhlala, inshurensi, noma ukutholakala, i-Skinscanner iyasiza ukuhlola ukuthi yiziphi izilonda ezidinga ukuhlolwa kochwepheshe ngokuphuthumayo nokuthi yiziphi ezingase zihlolwe. Inani lokuthula likhulu: esikhundleni sokukhathazeka ngazo zonke izindawo, ungathola ukuhlaziywa kwe-AI okungokoqobo ngaphakathi kwemizuzwana.

Usuku nosuku lubalulekile ekutholeni i-cancer yesikhumba. Ukutholwa kwangaphambili kuvikela ukungahambi kahle, kunciphisa ubunzima bokwelashwa, futhi kunikeza ukuthula kwengqondo. Hlola isikhumba sakho manje nge-scan ye-AI yamahhala futhi unikeze ithuba lokutholwa kwangaphambili.

Le ndawo ephawulekayo ngeke iphelelwe yisikhathi, kodwa ngokwelashwa okusheshayo, ingaxazululwa ngaphambi kokuba idinge ukuhlinzwa okushintsha ubuso bakho phakade. Ungalindi kuze kube sekupheleni.

I-basal cell carcinoma iyagwema uma ibonwa kusenesikhathi kodwa ingaholela ekubukeni okungalungile uma inganakiwe. Inselelo iwukubona ukuthi yiziphi izindawo ezidinga ukuhlolwa ngochwepheshe nokuthi yiziphi ezingenasici. I-Skinscanner iyinsika yakho yokuqala yokuvikela, ihlinzeka ngocwaningo oluphuthumayo lwezindawo eziphawulekayo phakathi nezikhathi zokuhlangana nodokotela bezesikhumba.

Ubuhlakani bethu bokwenziwa buphumelele ekufundeni ezithombeni eziningi ze-BCCs nezindawo ezingenasici, kufunda ukubona izici ezincane ezihlukanisa umdlavuza ezindaweni ezingalungile. Thatha isithombe nganoma iyiphi ukukhula okuphawulekayo usebenzisa i-smartphone yakho, bese ubuhlakani bethu bokwenziwa buyahlola ngaphakathi kwemizuzwana, bukhombisa izici ezikhathazayo futhi buhlinzeka ngokuqonda ukuthi ukuhlolwa kodokotela bezesikhumba kuyadingeka. Kulabo abanesikhumba esiphakeme—ukuxilongwa kwe-BCC okwakudlulelwe, isikhumba esifanele, umlando omkhulu wokub exposure—i-Skinscanner ivumela ukuqapha njalo komhlaba wonke wesikhumba sakho.

Indlela ehlongozwayo: thina isithombe nganoma yiziphi izindawo ezintsha noma ezishintshayo njalo ngenyanga, udala umfanekiso wesikhathi owenza izinguquko ezincane zibe sobala. Ubuhlakani bokwenziwa bungakwazi ukubona izici ezikhathazayo ezifana nemingcele ye-pearly, i-telangiectasias, i-ulceration ephakathi, noma ukubukeka okufana nezibazi okukhombisa izinhlobo ezahlukene ze-BCC. Lokhu kubalulekile kakhulu ekuqapheni izindawo ezinzima ezifana nekhanda, izindlebe, kanye nemuva lapho i-BCC ivame ukuvela kodwa ukuhlola ngokwakho kunzima.

Kulabo abake bahlolwa nge-BCC, ubuhlakani bokwenziwa busiza ukuqapha ukuphindaphinda ezindaweni ezake zahlolwa—noma yikuphi ukukhula okusha noma indawo engapholi eduze kwe-BCC yangaphambilini kufanele kuhlolwe ngokushesha njengoba i-BCC ephindaphindayo ivame ukuba namandla. I-Skinscanner ayifuni ukuhlolwa kochwepheshe bezesikhumba nokuhlolwa kwe-biopsy—ukuxilongwa kwe-BCC okuqondile kudinga ukuhlolwa kwe-pathologic kwesikhumba—kodwa iyithuluzi lokuhlola elitholakalayo elibamba izimpawu ezibomvu kusenesikhathi, kungenzeka izinyanga noma iminyaka ngaphambi kokuthi ube nezinye izindlela. Cabanga ngayo njengomshini wokwazisa: ikwazisa ngesimo esibi ukuze uthathe isinyathelo ngaphambi kokuba kube nenhlekelele.

Umehluko phakathi kokubamba i-BCC engu-3mm ne-BCC engu-15mm ungaba umehluko phakathi kwesibazi esincane nokwakhiwa okukhulu kobuso. Kubantu abane-access encane kubodokotela bezesikhumba ngenxa yokuhlala, umshwalense, noma ukutholakala, i-Skinscanner isiza ukuhlela ukuthi yiziphi izindawo ezidinga ukuhlolwa ngochwepheshe ngokuphuthumayo nokuthi yiziphi ezingenziwa ukuqapha. Inani lokuthula kwengqondo likhulu: esikhundleni sokukhathazeka ngazo zonke izindawo, ungathola ukuhlaziywa okujwayelekile kwe-AI ngaphakathi kwemizuzwana.

Usuku nosuku lubalulekile ekuhloleni umdlavuza wesikhumba. Ukuhlola kusenesikhathi kuvimba ukungabukeki, kwehlisa ubunzima bokwelashwa, futhi kunikeza ukuthula kwengqondo. Hlola isikhumba sakho manje nge-scan ye-AI yamahhala futhi unikeze ithuba lokuhlola kusenesikhathi.

Le ndawo ephawulekayo ngeke iphelelwe yisikhathi, kodwa ngokwelashwa ngesikhathi, ingaxazululwa ngaphambi kokuthi kudingeke ukuhlinzwa okushintsha ubuso bakho phakade. Ungalindi kuze kube sekupheleni kokuthi ungayithandi. Thatha isinyathelo manje ngenkathi ukwelashwa kulula futhi imiphumela ikhululekile.