I-Actinic keratosis (AK), ebizwa nangokuthi i-solar keratosis, yimeko enqabileyo yesikhumba ebonakalayo njengomile owomile, obangelwa yixesha elide eliphindaphindiweyo nokuphindaphindiweyo. Phantse ama-10 e-AKs ekugqibeleni abe ngumhlaza, kwaye phantse isiqingatha sazo zonke i- squamous cell carcinomas ziqala nje nge-AKs engaphendulwanga.
Izinyathelo zokwelapha zangoku ziquka i-cryosurgery (i-frost), i-curettage (i-scraping), ukunyanzeliswa kokutshatyalaliswa (ukususwa), unyango lwe-laser, iipilisi zamakhemikhali, unyango lwe-photodynamic , kunye neengqungquthela (ezisetyenziselwa isikhumba kuphela) njenge-imiquimod, i-fluorouracil kunye ne-Solaraze (i-diclofenac , i-diclofenac i-3% yegel, i-diclofenac sodium).
Qaphela: Le ngcaciso ayikwazi ukujonganisa zonke iindlela zokukhusela, ukusebenzisana okanye iziphumo ezimbi ezi ziza kusebenza kule nkunkuma. Ukuba unayo nayiphi na imibuzo malunga naluphi na isicatshulwa othabathayo, jonga ngophando lwakho lwezempilo.
Ukwelapha i-Actinic Keratosis Nge-Solaraze
Ukuqhawula i-gel kukusetyenziswa kwesikhumba kuphela (isicatshulwa) iyeza zonyango ezisetyenziselwa ukuphatha i-actinic keratosis kuzo zonke iindawo zomzimba. Nangona indlela echanekileyo isebenza ngayo ayayiqondwa ngokupheleleyo, ikwahlulelwa njenge-nonsteroidal anti-inflammatory drug (NSAID), njenge-aspirin kunye ne-ibuprofen. Ii-NSAID zivimbela i-molecule emzimbeni obizwa ngokuba yi-cyclo-oxygenase-2 (COX-2), ekunciphiseni ukuhlanganiswa kwezinto ezifana ne-hormone ebizwa ngokuthi i-prostaglandin. Umonakalo welanga kunye nee-AK zidibaniswe ne-prostaglandin ephakanyisiweyo kwesikhumba.
Izilingo ezintathu zonyango zaqhutyelwa ukuvunyelwa kwe-gel ye-diclofenac yi-Food and Drug Administration (FDA). Iigulane ezingama-427 ezinezilwanyana ezinhlanu okanye ngaphezulu ze-AK kwi-scalp yabo, ebunzini, ubuso, iphambili okanye isandla baphathwa nge-diclofenac okanye i-gum (i-placebo) gel iinyanga ezintathu.
Kwiintsuku ezingamashumi amathathu emva kokuphela kwonyango, iipesenti ezingama-30 ukuya kuma-50 e-AK izilonda zacinywa ngokupheleleyo, ziphindwe kabini okanye kathathu inani elibonwe kwiqela le-gel. Iziphumo ezigqwesileyo zibonwe nge-AK ebusweni.
Uphononongo olutshanje luvavanye umphumo we-diclofenac kwi-AK eyayisele iphathwa nge-cryosurgery (iqhwa).
Iziphumo zilunge ngakumbi: iipesenti ezingama-46 zezigulane zibone zonke izigulane zabo zeA AK zicatshulwa ngokupheleleyo, xa kuthelekiswa neepesenti ezingama-21 kuphela zezigulane ezingazange zitholwe i-diclofenac emva kwe-cryosurgery.
Ukulalisa akusiyo wonke umntu. Tshela umboneleli wakho wezempilo malunga nazo zonke izifo zonyango ngaphambi kokuqala ukusebenzisa i-gel ye-diclofenac, kuquka ukuba:
- Yiba nesilonda esishukumisayo
- Iingxaki zesibindi
- Iingxaki zeengtso
- Kuye kwenzeka ukuba uphendule kakubi kwi-aspirin, ibuprofen okanye ezinye i-NSAID
Indlela yokusebenzisa iDiclofenac
Ukucola i-gel kufuneka ihlanjwe ngobumnene kwizilonda zakho kabini ngosuku. Inani elifunekayo lixhomekeke kubukhulu besilonda, kodwa qiniseka ukuba okwaneleyo isetyenziselwa ukumboza ngokwaneleyo isilonda ngasinye. Ugqirha wakho unokuncoma ukuba uphathe indawo ebanzi ngokuHlalisa, kunokuba nje izilonda ezithile, ezinokukunceda ukucima izilonda ezingabonakali.
Ugqirha wakho uya kukucebisa ukuba usebenzise ukulungiswa kweentsuku ezingama-60 ukuya kwiintsuku ezingama-90. Nangona kunjalo, izilonda zakho azikwazi ukuphilisa ngokupheleleyo kwiintsuku ezingama-30 emva kokuyeka ukuyisebenzisa. Ukuba ubona ukuba ezinye izilonda aziphenduli kwijel, jonga ugqirha wakho.
Iziphumo eziPhakathi kunye nezilumkiso
Kwiimvavanyo zesikliniki, iimpendulo eziqhelekileyo zibikwe zibandakanya ulusu kwaye ngokuqhelekileyo zincinci zize zenzeke ngokuthe ngqo.
Ezi ziquka:
- Ukugqithisa
- Isikhumba esomileyo
- Ukukhupha isikhumba
- Ubomvu
Uninzi lwezi mpendulo zaphela xa unyango luye lwayeka. Kubalulekile ukuba ugweme ilanga kunye nezithambiso zokuqhawula xa usebenzisa i-gel ye-diclofenac kuba ibangela ukuvakala kokwanda kwelanga. Akufanele isetyenziswe ukuvula izilonda zesikhumba, izifo okanye ezinye iingxaki zesikhumba, okanye ungadibana namehlo akho. Abantwana akufanele bathathe i-diclofenac, kwaye musa ukusebenzisa le mveliso ukuba ukhulelwe okanye unesi.
> Imithombo:
Berlin JM, Rigel DS. I-Diclofenac sodium 3% i-gel ekhatyweni kwe-actinic keratoses postcryosurgery. J Izidakamizwa zeDermatol . 2008 7 (7): 669-73.
UNelson CG, u-Spencer J, uNelson CG Jr. Ingalo enye, i-label evulekileyo kunye nokunyamezela ukufundisisa i-diclofenac ye-3% ye-gel ekwenzeni i-actinic keratosis yomlomo ophezulu nangaphantsi. J Izidakamizwa zeDermatol . 2007 6 (7): 712-717.
INewman MD, Weinberg JM. Ulwaphulo lweengongoma ekwenzeni unyango lwe-actinic keratosis kunye ne-basal cell carcinoma. Cutis . 2007 79 (I-Suppl ye-4): 18-28.
"Gcoba iGel Ukubhalwa Ulwazi." PharmaDerm.