Actinic Keratosis

Zoo Siab

• Dab tsi ua rau actinic keratosis?
• Cov tsos mob ntawm actinic keratosis zoo li cas?
• Yuav kuaj li cas thiaj pom tus mob actinic keratosis?
• Yuav kho tus mob actinic keratosis li cas?
• Kev Muab Tshem Tawm
• Ceev Faj Cov
• Tshuaj Kho Mob
• Cov kev kho mob yooj yim
• Kev Kho Duab
• Koj tuaj yeem tiv thaiv actinic keratosis li cas?

Actinic keratosis yog dab tsi?

Thaum koj laus zuj zus lawm, koj yuav pib pom qhov ntxhib ntxi, muaj pob nyob rau ntawm koj txhais tes, caj npab, lossis ntsej muag. Cov pob no hu ua actinic keratoses, tab sis feem ntau lawv paub tias yog hnub tuaj ncig lossis hnub nyoog me ntsis.

Actinic keratoses feem ntau txhim kho nyob rau hauv cov cheeb tsam uas tau ua puas xyoo los ntawm kev tiv thaiv tshav ntuj. Lawv tsim thaum koj muaj actinic keratosis (AK), uas yog hom tawv nqaij tshwm sim heev.

AK tshwm sim thaum cov hlwb ua ke hu ua keratinocytes pib loj hlob tsis zoo, ua rau rab phom, ua kom cov tawv nqaij. Cov tawv nqaij ua kom tawv nqaij tuaj yeem yog ib qho ntawm cov xim no:

• xim av
• ziab
• txho
• liab dawb

Lawv nyiam tshwm rau ntawm qhov chaw ntawm lub cev uas raug tshav ntuj tshaj plaws, suav nrog cov hauv qab no:

• txhais tes
• caj npab
• ntsej muag
• tawv taub hau
• caj dab

Actinic keratoses tsis mob qog rau lawv tus kheej. Txawm li cas los xij, lawv tuaj yeem nce mus rau squamous cell carcinoma (SCC), txawm hais tias muaj peev xwm tsawg.

Thaum lawv tsis kho, mus txog li 10 feem pua ​​ntawm cov yeeb yam (actinic keratoses) tuaj yeem nce mus rau SCC. SCC yog hom thib ob tshaj plaws ntawm cov tawv nqaij mob ntshav. Vim tias qhov kev pheej hmoo no, cov pob hauv siab yuav tsum tau saib xyuas tsis tu ncua los ntawm koj tus kws kho mob lossis kws kho tsiaj. Nov yog qee yam duab ntawm SCC thiab dab tsi hloov pauv mus saib.

Dab tsi ua rau actinic keratosis?

AK yog feem ntau tshwm sim los ntawm lub sij hawm ntev raug tshav ntuj. Koj muaj feem ntau ntawm tus mob no yog koj:

• twb dhau 60 xyoo lawm
• muaj lub teeb xim tawv nqaij thiab qhov muag xiav
• muaj qhov txaus siab rau tshav ntuj yooj yim
• muaj keeb kwm ntawm sunburns ntxov hauv lub neej
• tau ua rau nquag tiv tshav ntuj tshaj koj lub neej
• muaj tib neeg mob papilloma (HPV)

Cov tsos mob ntawm actinic keratosis zoo li cas?

Actinic keratoses pib tawm ua tuab, scaly, crusty daim tawv nqaij thaj ua rau thaj. Cov ntawv thiav thaj no feem ntau yog kwv yees loj me me ntawm cov xaum qhuav txhuam. Muaj tej zaum nws khaus lossis kub ntawm thaj chaw muaj mob.

Sij hawm dhau mus, cov txhab tawm tuaj yeem ploj mus, ua kom dav ntxiv, nyob rau qhov qub, lossis tsim mus rau hauv SCC. Tsis muaj ib txoj hauv kev uas yuav paub tias cov txhab txhab twg tuaj yeem tsim muaj mob. Txawm li cas los xij, koj yuav tsum tau kuaj xyuas koj cov pob raws li tus kws kho mob sai yog tias koj pom muaj kev txawv txav hauv qab no:

• hardening ntawm qhov txhab
• o
• txoj kev loj hlob sai
• los ntshav
• liab
• ntxuav

Tsis txhob ntshai yog tias muaj mob qog hloov. SCC yog qhov yooj yim heev rau kev kuaj mob thiab kho thaum ntxov.

Yuav kuaj li cas thiaj pom tus mob actinic keratosis?

Koj tus kws kho mob tuaj yeem kuaj tau AK yooj yim los ntawm saib nws nkaus xwb. Tej zaum lawv yuav xav muab lub qhov nqaij tawv nqaij ntawm qhov txhab uas pom qhov tsis txaus ntseeg. Txoj kev siv koob hno tawv nqaij tsuas yog txoj kev ruam uas yuav qhia tau yog tias cov txhab mob tau hloov mus rau hauv SCC.

Yuav kho tus mob actinic keratosis li cas?

AK kuj yuav raug kho ua raws li cov hauv qab no:

Kev Muab Tshem Tawm

Kev zam muaj kev txiav lub qhov txhab ntawm daim tawv nqaij. Koj tus kws kho mob yuav xaiv tshem cov ntaub so ntswg ib ncig lossis hauv lub qhov txhab yog tias muaj kev txhawj xeeb txog mob qog nqaij hlav. Ua raws li qhov loj ntawm kev phais, stitches yuav los yog tsis xav tau.

Ceev Faj Cov

Hauv kev ceev faj, lub qhov txhab raug hlawv nrog hluav taws xob. Qhov no tua tau cov kab mob ntawm daim tawv nqaij.

Tshuaj Kho Mob

Txoj kev kho mob, kuj tseem hu ua cryosurgery, yog ib hom kev kho mob uas qhov mob txhab tau txau nrog cov tshuaj ntxuav pob tshab, xws li kua nitrogen. Qhov no ua kom cov hlwb raws li qhov sib chwv thiab tua lawv. Lub qhov txhab tshwm ntawd yuav huam ntau thiab yuav tawm tuaj li ob peb hnub tom qab kev kuaj mob.

Cov kev kho mob yooj yim

Muaj qee yam kev kho mob xws li 5-fluorouracil (Carac, Efudex, Fluoroplex, Tolak) ua rau mob o thiab rhuav tshem cov qhov txhab. Lwm yam kev kho mob sab saum toj muaj xws li imiquimod (Aldara, Zyclara) thiab ingenol mebutate (Picato).

Kev Kho Duab

• Cov tshuaj tiv thaiv thaum kho, kev daws teeb meem yog thov dhau qhov chaw txhab thiab cov tawv nqaij cuam tshuam. Thaj chaw yog tom qab ntawd kis los ntawm kev sib zog laser lub teeb uas lub hom phiaj thiab tua cov hlwb. Cov kev daws teeb meem uas siv hauv kev kho duab muaj xws li siv tshuaj, xws li aminolevulinic acid (Levulan Kerastick) thiab methyl aminolevulinate cream (Metvix).

Koj tuaj yeem tiv thaiv actinic keratosis li cas?

Txoj hauv kev zoo tshaj plaws los tiv thaiv AK yog kom txo koj qhov tshav ntuj. Qhov no tseem yuav pab txo qis koj qhov mob qog nqaij hlav cancer. Nco ntsoov ua raws li cov hauv qab no:

• Hnav cov kaus mom thiab lub tsho nrog lub tsho ntev ntev thaum koj nyob hauv tshav ntuj kaj.
• Txav mus nraum zoov thaum tav su, thaum lub hnub ci tshaj.
• Tsis txhob tanning txaj.
• Siv tshuaj pleev thaiv hnub txhua lub sijhawm thaum koj nyob nraum zoov. Nws yog qhov zoo tshaj plaws los siv tshuaj pleev thaiv hnub nrog lub hnub tiv thaiv hnub (SPF) ntawm kev ntsuas tsawg kawg 30. Nws yuav tsum thaiv ob qho UV ci thiab UV B (UVB) teeb ci.

Nws tseem yog lub tswv yim zoo los kuaj koj cov tawv nqaij tsis tu ncua. Saib rau kev tsim kho cov tawv nqaij tshiab lossis ib qho pauv hloov ntawm txhua qhov qub:

• ua pob
• lub hom phiaj
• moles
• quav hnav

Nco ntsoov soj ntsuam kev loj hlob ntawm daim tawv nqaij tshiab lossis hloov pauv ntawm cov chaw no:

• ntsej muag
• caj dab
• pob ntseg
• sab saud thiab sab hauv ntawm koj txhais tes thiab txhais tes

Teem sijhawm nrog koj tus kws kho mob kom sai li sai tau yog tias koj muaj kev txhawj xeeb ntawm koj cov tawv nqaij.