Actinic keratosis: nws yog dab tsi, cov tsos mob tseem ceeb thiab yuav kho li cas

Zoo Siab

• Cov tsos mob tseem ceeb
• Cov tseem ceeb ua
• Yuav ua li cas kom paub meej tias kuaj mob
• Yuav kho tus mob li cas
• 1. Kev Siv Tshuaj Kho Duab
• 2. Kev siv tshuaj pleev
• 3. Cov tshuaj kho pob zeb
• 4. Tshuav tshuaj lom neeg
• Dab tsi los tiv thaiv

Actinic keratosis, tseem hu ua actinic keratosis, yog qhov teeb meem benign uas ua rau cov tawv nqaij tawv nqaij daj, muaj ntau qhov sib txawv, ntxaij, ntxhib thiab tawv. Feem ntau nws yog los ntawm kev raug tshav ntuj ntau dhau, ua ntau rau thaj chaw ntawm lub cev xws li ntsej muag, daim di ncauj, pob ntseg, tes, tes thiab tawv taub hau hauv cov neeg mob taub hau.

Txawm hais tias actinic keratosis tuaj yeem tshwm sim ntau xyoo, nws feem ntau tsis muaj tsos mob kom txog rau thaum tom qab 40 xyoo thiab feem ntau tsis nrog lwm cov cim qhia. Feem ntau yuav kho tau qhov mob thiab benign, thiab kho yog kho kom tshem tawm qhov mob txhab. Sai li cov tsos mob tshwm sim, nws yog ib qho tseem ceeb kom mus ntsib kws kho mob tawv nqaij sai li sai tau, vim tias muaj qee tus neeg mob actinic keratosis tuaj yeem dhau los ua qog nqaij hlav.

Qee qhov kev ntsuas tuaj yeem pab tiv thaiv qhov mob txhab ntawm actinic keratosis, xws li siv cov tshuaj pleev thaiv hnub nrog kev tiv thaiv sab saum toj 30, zam kom tsis txhob raug tshav ntuj thaum lub sijhawm siab tshaj thiab kev tshuaj xyuas nws tus kheej ntawm daim tawv.

Cov tsos mob tseem ceeb

Cov tawv nqaij mob tshwm sim los ntawm actinic keratosis tuaj yeem muaj cov yam ntxwv li nram no:

• Cov lus tsis xwm yeem;
• Cov xim liab daj;
• Ntshaw, xws li yog lawv qhuav;
• Cov tawv neeg;
• Kev tiv thaiv tawv nqaij thiab tawv tawv;

Tsis tas li ntawd, qhov mob txhab tuaj yeem ua rau khaus lossis ua pa thiab tom qab qee qhov, lawv qhov mob thiab rhiab los kov. Hauv qee tus neeg, tus neeg mob actinic muaj peev xwm ua mob nrog, los ntshav me thiab zoo li lub qhov txhab uas tsis ua kom zoo.

Cov tseem ceeb ua

Cov laj thawj tseem ceeb ntawm cov tsos ntawm actinic keratosis yog raug rau UV hluav taws xob tsis muaj kev tiv thaiv thiab lub sijhawm ntev, yog li lawv feem ntau tshwm sim rau thaj chaw ntawm daim tawv nqaij uas cuam tshuam nrog lub hnub.

Ntxiv rau ultraviolet sab hnub ntawm lub hnub, cov duab hluav taws xob tso tawm los ntawm lub txaj tanning tuaj yeem nce qhov kev pheej hmoo ntawm kev tsim actinic keratosis thiab txawm tias qee hom mob tawv nqaij, yog li hom kev ua kom zoo nkauj no txwv los ntawm ANVISA.

Qee tus neeg muaj feem ntau yuav raug mob txhab los ntawm actinic keratosis li cov neeg laus dua 40 xyoo, feem ntau ua haujlwm feem ntau tiv tshav ntuj, leej twg muaj tawv nqaij ncaj ncees thiab tus uas tsis tshua muaj kev tiv thaiv vim muaj mob lossis kho tshuaj kho mob.

Yuav ua li cas kom paub meej tias kuaj mob

Kev kuaj mob ntawm tus kab mob actinic keratosis yog ua los ntawm kws kho dermatologist, uas ntsuas qhov yam ntxwv ntawm qhov txhab thiab, yog tias tsim nyog, thov kuaj nqaij tawv. Txoj kev siv tshuaj rau ntawm daim tawv nqaij yog ib txoj kev yooj yim ua nrog rau cov tshuaj loog hauv zos uas muaj qhov tshem me me hauv qhov chaw mob uas tom qab ntawd xa mus rau chav kuaj tshuaj ntsuam xyuas seb nws puas muaj mob hlwb. Tshawb nrhiav kom paub ntau ntxiv txog kev ua li cas ntawm daim tawv nqaij.

Yuav kho tus mob li cas

Cov kev kho rau actinic keratosis yuav tsum ib txwm coj los ntawm kws kho dermatologist thiab pib txoj cai tom qab kuaj mob, vim tias yog tias tsis kho nws yuav hloov mus ua tawv nqaij tawv. Cov hom kev kho mob feem ntau siv rau actinic keratosis yog:

1. Kev Siv Tshuaj Kho Duab

Photodynamic txoj kev kho yog kev kho mob uas cuam tshuam nrog daim ntawv thov ntawm laser ncaj qha mus rau lub qhov txhab ntawm actinic keratosis. Ua ntej txoj kev kho duab photodynamic, nws yog qhov yuav tsum tau siv tshuaj pleev ib ce los yog tau txais tshuaj nyob hauv txoj leeg kom pab tau cov laser ua rau tua cov hlwb hloov pauv.

Cov txheej txheem kav ntev li ntawm 45 feeb thiab tsis ua rau mob lossis tsis xis nyob, tom qab muab cov ntaub qhwv coj los tiv thaiv qhov chaw kom tsis txhob raug kab mob thiab raug mob.

2. Kev siv tshuaj pleev

Qee qhov xwm txheej, kws kho mob dermatologist pom zoo kom siv cov tshuaj pleev los kho tus kab mob actinic keratosis, xws li:

• Fluorouracil: nws yog hom roj pleev uas feem ntau siv rau kev ua yeeb yam (actinic keratosis), nws pab tshem tawm cov hlwb ua rau raug mob;
• Cov lus qhia: nws yog cov tshuaj pleev siv los ua kom lub cev muaj zog, pab tua cov hlwb ntawm lub qhov txhab;
• Ingenol-mebutato: nws yog cov kua pleev hom-gel uas tshem tawm cov kabmob muaj kabmob hauv 2 lossis 3 hnub ntawm kev siv;
• Diclofenac nrog hyaluronic acid: nws tseem yog cov tshuaj pleev ib ce, tab sis nws yog qhov tsawg tshaj plaws siv los kho kev raug mob.

Tus kws kho qhov tawv nqaij yuav qhia cov hom cream raws li cov yam ntxwv ntawm cov tawv nqaij mob, xws li qhov loj me, cov duab thiab thaj chaw. Lub sijhawm ntawm kev siv thiab cov sijhawm uas lawv yuav tsum tau siv yuav txawv ntawm ib tus neeg mus rau lwm tus thiab, yog li ntawd, ib qho yuav tsum hwm cov kws kho mob cov lus qhia.

3. Cov tshuaj kho pob zeb

Kev kho mob Cryotherapy muaj daim ntawv thov ntawm kua nitrogen nrog lub twj zoo li tshuaj tsuag thiaj li yuav khov cov kab mob hlwb uas ua kom qhov txhab ntawm actinic keratosis. Ntau lub sijhawm tau tuav kom tshem tawm qhov mob txhab thiab lub sijhawm ntawm kev kho mob no yog nyob ntawm tus kws kho mob qhov ntsuas.

Hom kev kho no tsis tas yuav ua kom loog, vim tias nws tsis ua rau mob, txawm li cas los xij tom qab kev sib tham nws tau tshwm sim rau thaj av ntawm daim tawv nqaij los ua xim liab thiab o me ntsis.

4. Tshuav tshuaj lom neeg

O tev tawv tshuaj lom neeg yog kev kho mob uas cuam tshuam nrog daim ntawv thov ntawm cov kua qaub, hu ua trichloroacetic, ncaj qha rau cov qhov txhab ntawm actinic keratosis. Nws ua yeeb yam los ntawm tus kws tshaj lij hauv chaw ua haujlwm, nws tsis ua rau mob, tab sis qee zaus nws ua rau lub siab xav hlawv.

Hom kev kho mob no pab tua cov kabmob uas muaj nyob rau ntawm qhov chaw mob thiab tom qab tev tawv tshuaj nws yog ib txwm tsim nyog yuav tsum tau siv tshuaj pleev thaiv hnub vim qhov kev pheej hmoo ntawm hlawv ntawm qhov chaw thov siv cov kua qaub.

Dab tsi los tiv thaiv

Txoj hauv kev zoo tshaj plaws los tiv thaiv actinic keratosis yog siv tshuaj tiv thaiv tshav ntuj, muaj qhov tiv thaiv yam tsawg kawg ntawm 30. Txawm li cas los xij, lwm yam kev ntsuas yuav pab txo kev pheej hmoo ntawm kev tsim cov tshuaj actinic, xws li zam kev tiv thaiv tshav ntuj thaum 10 teev sawv ntxov txog 4 teev tsaus ntuj. nyob rau yav tav su, hnav cov kaus mom los tiv thaiv koj lub ntsej muag los ntawm ultraviolet rays thiab tsis txhob ziab.

Tsis tas li ntawd, nws yog ib qho tseem ceeb kom kuaj tus kheej daim tawv nqaij ntau zaus thiab sib tham nrog kws kho mob tawv nqaij, tshwj xeeb tshaj yog cov neeg muaj tawv nqaij ncaj ncees lossis muaj keeb kwm tsev neeg muaj keeb kwm tawv nqaij.