Basal Sero kenza ganda: Zviratidzo, nechirwere, Treatment

Mumakore achangopfuura, kazhinji kenza kuva chikonzero chikuru mukuru mwero wokufa kwevanhu pakati yevagari. Masero kenza anogona kukanganisa zvachose chero zvinyama mumuviri womunhu, zvichikonzera dzakasiyana-siyana pathological kwendangariro. Ngatimboongororai zvakadzama chii chinoumba basal muchitokisi kenza ganda, chii chinoita uye inogona arapwe chirwere ichi.

Chii ichi mhando kenza

Izvi rworudzi kenza Anonziwo basal muchitokisi carcinoma. Kakawanda inokudziridza kumeso, mutsipa kana mhino. It anosarudza kurova varume vakawanda nemakore anopfuura 40 okuberekwa. It akacherechedza kuti vamiririri pakati Mongoloid rudzi uye Negro haisi kubatwa ichi mhando kenza.

The zita "basal sero carcinoma" rinobva pakuti kenza masero vanotanga kukura kwavo kubva basal paiva ganda, riri zvakadzama kupfuura vazhinji.

Zvinokonzera kenza ganda

Panguva ino harisati kugadziriswa zvizere nyaya histogenesis (akaisa pamusoro pezvakaitwa zvichiita kuti paumbwe) chirwere. Vazhinji vari pfungwa kuti basal kenza sero ganda hwapedyo kubva epithelial masero pluripotent. Kusiyanisa kunogona kuitika kwakasiyana-siyana. Hezvino zvimwe zvikonzero izvo, maererano nenyanzvi dzakawanda, anogona kutsamwisa kukura zvokurwara ichi:

• Genetic kubatwa.
• Abnormalities iri zvirwere.
• External kugarotamba nematambudziko zvinhu.
• Development pamusoro colour kubva actinic keratosis, radiodermatita, lupus, psoriasis.

Basal Sero carcinoma ganda (mufananidzo unoratidza izvozvo) rinowanikwa kakawanda muna Epiderme e bvudzi follicles. Inokura zvishoma nezvishoma uye kashoma metastasizes. Vamwe vanachiremba funga Bazalii haana kufanana kenza kana benign namamota, uye bundu kukura pamwe mestnodestruktivnym.

Kazhinji nokupesvedzera simba carcinogens, akadai maekisirei, basal kenza sero ganda ichichinja Karz.

provocateurs ose basal muchitokisi carcinoma

Zvinhu ngozi chirwere ichi vazhinji:

1. The zvakakura chinhu provocateur ultraviolet irradiation.
2. Male chechikadzi. It akacherechedza kuti vamiririri vake vari nyore zvikuru nechirwere ichi.
3. Kuvapo ganda chiedza. It vakawana kuti vanhu vane ganda rima hakuiti kutambura chirwere ichi.
4. Vanzveri ganda kuzova sunburn.
5. Shanda pachena zuva kwenguva refu. Sezvo kuswedera neequator kakawanda uyu chirwere inowedzera. Kakawanda kuva basal Sero carcinoma ganda kana mutsipa.
6. A guru Kuwanda Arsenic mumvura yokunwa. Avo vane kushanda ichi zvinhu, zviri pangozi.
7. Polycyclic Kwezvinonhuhwirira Inogadzirwa nemasiridzi anobuda mumiti kukonzerawo kukura chirwere. Vangave ine marasha tara, shale, dema.
8. kushandiswa Long-rokuti immunosuppressants.
9. Vamwe nhaka zvirwere, zvakadai albinism uye xeroderma pigmentosum.
10. Chisingaperi maronda.
11. Thermal kutsva.
12. Ionizing nemwaranzi.

Vakawanawo kuti kunyanya zuva kuona (kugara chezuva) pauduku anogona gare gare kutungamirira chii pachava hepatocellular carcinoma.

kupatsanura pakati basal muchitokisi carcinoma

Kana tikafunga histology, zvokurwara uyu semhosva undifferentiated uye kusiyaniswa kenza. chikamu chokutanga zvinosanganisira:

• basalts chikukutu;
• ruvara;
• morfeapodobnuyu;
• pemvura.

Kusiyaniswa akakamurwa:

• keratoticheskuyu basalts;
• cystic;
• adenoidnuju.

Maererano dzakawanda kupatsanura, pane zvinotevera nzira kuti kenza ganda:

1. Solid basal muchitokisi carcinoma. chimiro ichi kunoitika kakawanda uye inomiririra tambo uye masero, izvo dziri yakabatana isiri. Masero Basaloid panguva imwe chete vasina miganhu yakajeka, iri pakati, vanogona kuva chinopedza kuchinja uye cystic in.
2. Pigmented basal Sero carcinoma ganda (mufananidzo unogona kuzviona munyaya) kunoratidzwa diffuse pigmentation nokuda rwe-melanin tigutsikane.
3. Zvachero nekenza kazhinji rinoumbwa vakawanda foci. Kuitazve anogona kuitika mushure pakurapa vanga miganhu.
4. Sklerodermopodobny kunoratidzwa nesimba kusimudzira connective zvinyama, iyo, sezvo vakanga midzi tambo pakati epithelial masero basal. Vanogona pinda mukatikati, kusvikira subcutaneous tishu.
5. Akaipa bundu pamwe glandular Kusiyanisa, anonziwo adenoid. Hazvina anokudzwa kwete chete nokuvapo nzvimbo huru, asi yakamanikana epithelial tambo, iyo ine zvakawanda mitsara masero dzichiumbwa alveolar kana tubular mamiriro.
6. Basal Sero carcinoma ganda rwerudyi dama pamwe tsiloidnoy Kusiyanisa. Inozivikanwa nokuva cornified maronda pamwe nzvimbo wakakomberedzwa masero dzakafanana chipingamupinyi.
7. Kenza pamwe sebaceous Kusiyanisa hariwanikwi.
8. Fibroepithelial mhando - isingawanzowanikwi kwazvo basal muchitokisi carcinoma mhando. Kazhinji richiparadzirwa munyika lumbar nharaunda uye sacrum. Akaora anogona kufanana fibropapillomu.

Mhando basal sero carcinoma pamusoro vakaratidza mhando

Pane kupatsanura chirwere ichi uye mhando kuratidza. Pane zvinotevera mhando nayo:

1. Nodular basal Sero carcinoma, peptic urikanwi. Funga basal kenza ichi sero ganda. Initial Danho (mufananidzo unosimbisa) kuti raiva pedyo nebundu dzinoratidzwa chitarisiko pamusoro lids, ari makona muromo. Skin kumativi pingi kana yakatsvukuruka ruvara ane matte kana vaima penyika. Kwapera nguva fundo iri kuchinjwa kuva urikanwi ane zara mafuta ikabatwa. Papera nguva zvinoita sokuti pamusoro pemvura vascular afoot, nemaronda akafuka goko, uye micheto akaumba chisimbiso. Zvishoma nezvishoma urikanwi anotanga kubudisa ropa uye kukura kupinda zvakadzika akaturikidzana ganda, asi regai kuumba metastases.
2. Kana pakati urikanwi zarubtsovyvaetsya, uye pamusoro yehombodo nokuwedzera mberi, tiri kutaura pamusoro atrophic cicatricial basal muchitokisi carcinoma.
3. Perforating basal Sero carcinoma hwapedyo kakawanda munzvimbo kuti zvinowanzotaurwa pachena kuti kukuvara. Very akafanana nodular-maronda chimiro, asi vanova chepamusoro zvikuru zvazvingava.
4. Warty chimiro kenza chitarisiko chavo chinoratidza konifurawa.
5. Nodular mhando - ndiwo chete nodule kuti ave kumusoro uye makabuda pamusoro pemvura ganda.

Chete pashure achazviisa ne chimiro uye mhando maperembudzi, chiremba achasarudza sei kurapa basal. About chero dzokuzvirapa Chokwadi, haagoni kunzi.

symptomatology chirwere

Kazhinji, kana pane basal musero carcinoma ganda, kuchava kutanga kwekupwanyiwa (mufananidzo uchapupu) kuchiitika zvachose pasina zviratidzo. Mune zvisingawanzoitiki Muzviitiko, zvimwe kungava kubuda ropa.

Varwere anganyunyuta kuti ganda akazviratidza ari urikanwi, iyo zvishoma nezvishoma chinowedzera kukura duku, asi zviri zvachose nyarara, dzimwe nguva kuvava.

Basal Sero carcinoma zvekuchipatara zvinozonzi kuvimba chimiro bundu yayo nzvimbo. Rakajairika ndiyo nodular basal muchitokisi carcinoma. Zviri hemispherical ungano ine mvere pamusoro vaaleanpunainen ruvara pakati riri diki rusesi. Raiva pedyo nebundu inokura zvishoma nezvishoma uye chakafanana parera.

Kana kenza pamusoro chimiro rinowanika Dombo unopinza mativi, uye wakati amutswa ceraceous kupenyerera mucheto. dhayamita Its zvingava 1 kusvika 30 mm. Inokura zvishoma nezvishoma.

Kana basal musero carcinoma ganda racho chimiro, zvinoita sokunge munhu sandara vanga grayish-blue, mukati zvishoma kupinda ganda. Micheto vanomutswa uye pearly nomumvuri. Pamuganhu pane Kuparara dzidzo akafukidza noruoko Pink mashava goko. Panguva chimiro ichi kenza pane nguva apo hunodzorwa scarring uye anozoumbiridzwazve zvishomanana kana vasiri aripo.

Maronda chimiro basal sero carcinoma inozivikanwa nokuparadzwa nyoro nyama nemapfupa, izvo dziri pedyo bundu. Nemaronda vari irregularly zvakaumbwa, avo pasi akafuka goko vachena-dema ruvara, kakawanda vanomutswa, uye akamutsa kumicheto.

Nenzira, zviso uye basal kenza sero ganda iri katsi (chepuraimari vakawanda). On muviri mhuka panguva iyoyowo unogona kuona yakawanda basaliomas, kunze kune chirwere chepfungwa kuti kuratidza kukodzera maitiro, kunze nekukudziridza skeletal zvokurwara. mhando iyi kenza kunoratidzwa kunonoka kukura, kudzika lesion uye ngozi kuitazve ruchabudirira saizi yayo, nzvimbo, sero maitiro, mamiriro kutapata.

Muvanhu, ngozi huru iri basal kenza sero ganda. Treatment muchiitiko ichi kuti nani kuoma. Zvokurwara kakawanda vemunyika pachiso, ganda kumativi maziso uye mhuno.

Skleropodobnaya chimiro basalioma kunoisawo munhu pangozi huru kuvanhu. Asi pigmented basal kenza foni ganda ane zvakanaka fungidziro. chimiro ichi kurapa anongokurukurwa zvakanaka.

Ndingaita sei rokuongorora chirwere

Kuitira kuti kuongororwa zvakarurama, dzimwe nguva zvakakwana ruzivo kutarira murwere. Clinical kuratidzwa ichi mhando kenza rakanyatsojeka maitiro uye matambudziko chirwere regai simuka. Pamusoro pemvura, kazhinji chiremba anoona kuroorwa kana vakawanda foci mikroerozy izvo pamusoro unhani zviri nyore patsanurika svuura.

Varwere kazhinji kana anoona matambudziko kurapwa pachishandiswa dermatologist, asi kurapwa mune iyi vanofanira kubata pamwe oncologist. Kana isu nyatsoongorora zodzera skarifikat pamwe erosive nzvimbo, vanenge 100% nyaya inoshandiswa kusimbisa chirwere.

Kana cytological uye histological bvunzo kunokonzera chero mubvunzo, murwere kuita biopsy pamusoro node nodes.

Zvakakosha kusiyanisa nechirwere pamusoro basal lupus, melanoma, psoriasis kana keratosis. Mushure ose bvunzo kana nechirwere akatsinhira, chiremba anosarudza kurapa ndekwokuda nomumwe. In chirwere ichi hakuna mishonga zvakayenzana varwere vose zvakaipa.

zvokurwara kurapa

Mushure akasimbisa zvokuongorora kuti "basal muchitokisi kenza ganda", kurapwa vanofanira kutanga pakarepo. The anowanzodanwa kushandiswa nzira yokubata zvokurwara ichi:

• electrocoagulation uye curettage;
• cryotherapy;
• nemwaranzi kurapa;
• Moz nzira randinogara mune excising mapundu pamwe intraoperative microscopy pamusoro yakagwamba nechando chinjikira zvidimbu kuti kukwanisa kuona chitsama kukasaitwa kuvhiyiwa.

Pakusarudza marapirwo nzira kunobva zvachose nzvimbo bundu, ayo size, zvinhu uye kuitika chinzvimbo murwere. Kazhinji Dermatologists vaida pakutanga yokurapa kushandisa electrocoagulation. Asi zvinofanira kurangarirwa kuti nzira iyi yokurapa unoshanda kana pane mapundu diki, uye vari riri dzisiri ngozi nzvimbo.

Kana uchida histological kuongororwa, izvozvo vakaungana kuti nzira excision. Zvinonzi zvinowanzoshandiswa pamberi namamota chebundu kosi uye akaisa munzvimbo dzine ngozi, dzakadai kumeso kana musoro. With zvinobvira kuwana zvakanaka zvizorwa mugumisiro.

Radiation jekiseni pamberi basal sero carcinoma haawanzopiwi kushandiswa, asi kana vavhiyiwa hazvibviri, ipapo zviri nyore irreplaceable. Vanachiremba vanobvuma kuti inobudirira. Pasina ekisiposha haagoni kuita, uye rurefu mwero malignancy. Zvinofanira kuva vasingafariri nemwaranzi mishonga muvarwere vaduku mukuru pangozi yokuita mwaranzi Kutemeswa dermatitis uye nyanyisa anomera.

Kana tikafunga nzira Mosa, izvozvo kunoita kuti tichengetedze tishu utano. Nzira Iri vanobudirira idzokororo namamota, hombe kukura uye ngozi nzvimbo. Kana uine kuti excision yacho fungiro, uyewo kuita nzira yokurapa.

Kana kenza bundu iri paganda kuumbwa zvikuru yapfuura, zviri nani kushandisa pedyo-chikuru X-ray mishonga. In kwazvo zviitiko zvinonzi pamwe pakuvhiya.

Kwakapararira bundu cryoablation nzira, i.e. ayo kubviswa mura senitrogen. nzira iyi Zvinotora shoma nguva uye zvachose nyarara kuti murwere. Zvisinei, mumwe drawback: yakanaka mugumisiro kunogona kuwanikwa chete kana bundu iri zvechipameso uye asingauyi kukanganisa chakadzama akaturikidzana ganda.

Kana nzvimbo basal sero carcinoma kumeso kazhinji vanoguma vava kuita kubviswa yaro Laser. Zvinokuchengetedzai uye nyarara, mushure kupindira, kazhinji kwenguva pfupi vapore uye kwazvo zvizorwa kushanda.

Kana paine basal musero carcinoma nechepasi mhando, ushandiswe kukamura uchishandisa mishonga ruomba "Fluorouracil". Recently tsvakurudzo pamusoro kubudirira ichi zvinodhaka majekiseni munzvimbo lesion. Kana kenza iri paganda zvinoratidzika nguva yokutanga uye ane nzvimbo diki, kushandisa interferon majekiseni.

Kuvhiya Mabatirwo basal muchitokisi carcinoma

Kuvhiya Kubviswa basal sero carcinoma zvakanyanya mu padariro rokutanga kurapwa. Uye kana paine kuitazve, kana bundu kukura ndepana nzvimbo vanga. Munguva oparesheni bundu rakabvisirwa, asi nzira iyi yokurapa ndiko chisingadiwi kushandisa kana paine maronda kumeso.

The oparesheni rinoitwa pasi omunzvimbo yokutindivadza, bundu chinobviswa nomuganhu masero vane rakavimbika kunyange zvishoma achivabata.

Migumisiro basal muchitokisi kenza ganda

Mhando kenza ganda, pane zvakawanda, uye zvichienderana ichi, mararamiro uye fungidziro pamusoro pathologies zvinogona kunge zvakasiyana. Kana isu kutaura nezvemigumisiro basal muchitokisi carcinoma, zvinokosha kufunga kuti bundu kazhinji ane tsindirana urongwa, chinopinda mukati uye kashoma rinokanganisa node nodes.

Asi kana kumhanya ari muchimiro kenza mumusoro uye mutsipa, muitiro nerokuparadzwa munyama zvikamu izvi yemuviri inotanga. Zvinogona ruchasvika mapfupa, tsandanyama nemarunda.

Vose mhando kenza ganda kupfuura cosmetically kusingafadzi uye anononoka-aifamba. Asi iye, kusanganisira chafariz danho anogona kukundwa kuvhiyiwa. Naizvozvo, kana chiremba wako kubata rinokurudzira pokuvhiyiwa, usatya, tinobvumirana. Pasinei kwayo kuipa, asi anotsanangurwa mhando kenza ganda rinopa varwere mukana wokugadzirisa kunyange zvikuru kwazvo kacho.

matanho

Avo kamwe nematambudziko basal kenza sero ganda, inofanira kubatwa nokungwarira zvikuru kudzivirira wava kusvutazve. Mushure kurapwa, basal sero carcinoma vanofanira kutevedza nachiremba audzwa:

• Panguva zuva basa, ndiko, muzhizha, zvakakodzera kuti dzisanyanya kuona pomugwagwa maawa 11 uye kusvikira 17. Panguva iyi, iyo ultraviolet nemwaranzi inonyanya nehasha, saka zvinokosha kuti kudzivisa zvachinokonzera. Kana pane vanoda kubuda, zvinokosha kushandisa kuti ganda rinokosha sunscreen uye kushandiswa neheti uye Sunglasses.
• Pasina kudya zvinovaka muviri hazvibviri kuti urambe zvirwere panguva yakakodzera chechetere. Zvakakodzera kushomeka uwandu mapuroteni mhuka, zvinokwanisika kutsiva chirimwa, somuenzaniso nzungu, bhinzi.
• The Kudya inofanira kuva miriwo nemichero.
• Kana ganda mavanga wakura, zvakakodzera kutora matanho kudzivirira zvavo zvinokuvadza.
• maronda All uye maronda paganda inofanira kubatwa nenzira nenguva nenzira. Kana avanotarisira kuporesa havaratidzi, unofanira bvunza chiremba wako.
• Kana basa rako rinosanganisira kuonana namafuta, anofanira kunyanya kungwarira kuti nguva dzose kushandisa dziviriro.

Kenza chero chimiro uye mhando ndiyo chirwere ane ngozi. Zviri nani kusabvumira kukura kwayo, asi hazvisi nguva nesimba redu. Kana kunyange izvi zvaitika, haufaniri kurega uye kugadzirira zvikuru. Mazuvano mushonga afambira mberi kwazvo, uye dzimwe nguva pane zvishamiso zvikuru kwazvo kacho.

Nezvemashoko utano hwako, uye ipapo zvose zvichava zvakanaka.