isifo sikaBowen (i-carcinoma ye-squamous cell esikhumbeni esingakahlaseli)
Imvamisa
Ezingajwayelekile
Iqembu Leminyaka
Abantu Abadala & Abadala
Intuthuko
Chronic
Kuyasabalala
Cha
Isifo sikaBowen siyisigaba sokuqala, esingakahlaseli somdlavuza wesikhumba we-squamous lapho amaseli angajwayelekile engahlali kuphela ungqimba olungaphezulu lwesikhumba. Kubonakala njengendawo ebomvu, enezikali ekhula kancane noma ipuleki engapholi futhi ingagcina isiphenduka umdlavuza wesikhumba ohlelekile uma ingelashwa.
Lena ulwazi jikelele. Ngehlolo uzothola ukuhlaziywa okunembile, okwenziwe ngokwezifiso â kuhlanganise nokuhlola ingcuphe, ukulandelela intuthuko nezinyathelo eziphakanyisiwe.
Ayikho imbangela ecacile yesifo sikaBowen, kodwa ukuvezwa isikhathi eside yilanga, imisebe, amakhemikhali athile, ukulimala kwesikhumba okungapheli, ezinye izifo zesikhumba ezingavamile, kanye ne-human papillomavirus (HPV) kungenzeka kwandise ingozi. Ngokuvamile izici eziningana zisebenza ndawonye iminyaka eminingi.
Isifo sikaBowen ngokwaso asisabalali ngoba sivaleleke ungqimba olungaphezulu lwesikhumba, kodwa singaphenduka umdlavuza wesikhumba ohlelekile uma singelashwa. Abantu abanesifo sikaBowen nabo banethuba eliphakeme lokuthola eminye imidlavuza yesikhumba, ngakho ukuhlolwa kwesikhathi eside kubalulekile.
Ukwelashwa okuyinhloko kwesifo sikaBowen ukususa ngokuphelele isilonda, ngokuvamile ngokuhlinzwa ngokusika nomkhawulo wokuphepha wesikhumba esijwayelekile. Kwezinye izimo, ikakhulukazi ezilondeni ezincane noma lapho ukuhlinzwa kunzima khona, i-radiotherapy ehleliwe kahle noma ezinye izindlela zokwelapha zendawo zingasetshenziswa ngaphansi kokuqondiswa kochwepheshe.
Unganciphisa ingozi yakho yesifo sikaBowen nokuqhubeka kwaso ngokuvikela isikhumba sakho ku-UV, ugweme ukulimala kwesikhumba okungapheli namakhemikhali ayingozi, futhi ulandele imithetho yokuphepha emsebenzini. Ukuhlolwa kwesikhumba njalo, usebenzisa amathuluzi afana nokuhlaziywa kwesikhumba kwe-AI yethu, kanye nezivakashi ezisheshayo kudokotela wesikhumba zezindawo ezishintshayo kubalulekile.
Uma ubona indawo ebomvu, enezikali engapheli noma ipuleki ekhula kancane futhi engapholi, kufanele ubone udokotela wesikhumba noma umelaphi ukuze uhlolwe mathupha futhi kungenzeka uhlole isilonda. Ukuhlaziywa kwesikhumba kwe-AI yethu kuyasiza ekulandeleleni, kodwa udokotela kuphela ongakwazi ukuqinisekisa isifo sikaBowen futhi asilaphe kahle.
Isifo sikaBowen asiyona into ephuthumayo, kodwa kufanele sihlolwe futhi silashwe udokotela wesikhumba noma umelaphi phakathi namaviki kuya ezinyangeni ezimbalwa ukuvimbela ukuqhubeka kube umdlavuza wesikhumba ohlelekile.
Ulwazi olunikezwe lapha lukhona ngenhloso yokufundisa kuphela futhi alukhulumi iseluleko sezokwelapha esifanele. Ngaso sonke isikhathi xhumana nodokotela wezokwelapha noma udokotela uma unokukhathazeka.
I-Actinic keratosis iyindawo enobukhali, enezikali esikhunjeni esivezwe yilanga ebangelwa umonakalo we-UV wesikhathi eside. Kubhekwa njengoshintsho olungaphambi komdlavuza ngoba ingxenye encane ingashintsha ibe yi-squamous cell carcinoma ngokuhamba kwesikhathi, ngakho-ke ukuhlolwa okuvamile nokwelashwa kuvame ukunconywa.
I-Lentigo melanoma iwuhlobo lwe-melanoma evamise ukuthuthuka esikhunjeni esonakele ilanga ebusweni kubantu abadala, ngokuvamile phezu kwepheshana elinsundu elibizwa ngokuthi i-lentigo maligna (Dubreuilh melanosis). Ivame ukukhula kancane ebusweni iminyaka, kodwa uma isiqala ukukhula ijule iba nobudlova, ingasakazeka kumaseli omzimba angaphakathi, futhi ihlale idinga ukwelashwa ngokushesha kochwepheshe.
IMelanoma ngumdlavuza wesikhumba ononya othuthuka kusuka kumaseli akhiqiza umbala abizwa ngokuthi ama-melanocyte. Ivame ukuvela esikhumbeni kodwa ingavela futhi esweni, kumambrani amuncu, noma ngaphansi kwezinzipho. Ukutholwa kusenesikhathi nokususwa ngokuphelele kokuhlinzwa kuthuthukisa kakhulu amathuba okwelashwa.
I-Keratoacanthoma iwumdlavuza wesikhumba okhula ngokushesha ovame ukuvela ezindaweni ezithintekile yilanga kubantu abadala abaphakathi naphakathi nabadala. Ibonakala njengobhampa oyindilinga onomgogodla we-keratin (okuyinto eqinile) futhi kwesinye isikhathi ingancipha ngokwayo, kodwa kunzima ukuyihlukanisa ne-squamous cell carcinoma, ngakho odokotela bavame ukuyiphatha njengento engase ibe yingozi.
