Ọrịa Bowen: ihe ọ bụ, mgbaàmà na ọgwụgwọ

Ndinaya

• Ihe mgbaàmà nke ọrịa Bowen
• Isi ihe kpatara ya
• Otu esi eme ọgwụgwọ ahụ

Ọrịa Bowen, nke a makwaara dị ka carcinoma cell squamous na situ, bụ ụdị akpụ dị na anụ ahụ nke na-acha uhie uhie ma ọ bụ aja aja aja ma ọ bụ ntụpọ na akpụkpọ ahụ na nke na-adịkarị na crusts na nnukwu keratin, nke nwere ike abụ ma ọ bụghị scaly. Ọrịa a na-arịakarị ụmụ nwanyị, ọ bụ ezie na ọ nwekwara ike ịdaba na ụmụ nwoke, a na-amatakarị ya site na 60 ruo 70 afọ, ebe ọ bụ na ọ metụtara metụtara ogologo oge na anyanwụ.

Enwere ike ịgwọ ọrịa Bowen n'ụzọ dị mfe site na ọgwụgwọ photodynamic, excision ma ọ bụ cryotherapy, agbanyeghị ma ọ bụrụ na agwọghị ya nke ọma enwere ike ịga n'ihu na carcinomas na-emerụ ahụ karị, nke nwere ike ịkpata nsonaazụ maka onye ahụ.

Ihe mgbaàmà nke ọrịa Bowen

Ebe ndị na-egosi ọrịa Bowen nwere ike ịbụ otu ma ọ bụ buru ibu ma nwee ike ịpụta n'akụkụ ọ bụla nke ahụ ekpughere anyanwụ, na-adịkarị na ụkwụ, isi na n'olu. Agbanyeghị, enwere ike ịmata ha n'ọbụ aka, ukwu ma ọ bụ mpaghara nwoke na nwanyị, ọkachasị na ụmụ nwanyị mgbe ha nwere nje HPV yana, n'ihe banyere ụmụ nwoke, na amụ.

Ihe ịrịba ama kachasị nke ọrịa Bowen bụ:

• Ọdịdị na-acha uhie uhie ma ọ bụ agba aja aja na akpụkpọ ahụ na-eto eto n'oge oge;
• Itching na saịtị nke mmerụ ahụ;
• Enwere ike ịghapụ ma ọ bụ ghara ịdị;
• Ihe ntụpọ ahụ nwere ike ịdị na nnukwu enyemaka;
• Ndị ọnya nwere ike scabbed ma ọ bụ ewepụghị.

Nchoputa nke oria Bowen bu nke onye na-achoputa ya ma obu onye okacha amara na-adabere na nchoputa nke ntupo site na dermatoscopy, nke bu usoro nyocha nke na-adighi aru agha nke a na-enyocha onwa di na akpụkpọ ahu. Site na dermoscopy, dọkịta nwere ike igosi mkpa ọ dị ịme biopsy iji chọpụta ma mkpụrụ ndụ nke ọnya ahụ nwere àgwà ọjọọ ma ọ bụ nke ọjọọ na, dabere na nsonaazụ ya, enwere ike igosi ọgwụgwọ kacha mma.

Site na dermatoscopy na biopsy ọ dịkwa ike ịkọwa ọdịiche nke ọrịa Bowen na ọrịa ndị ọzọ na-arịa ọrịa, dị ka psoriasis, eczema, basal cell carcinoma, actinic keratosis ma ọ bụ ọrịa fungal, nke a maara dị ka dermatophytosis. Ghọta otu esi eme dermoscopy.

Isi ihe kpatara ya

A na - ejikọtakarị ọrịa Bowen na ogologo oge na - enwu n’anyanwụ ultraviolet, ọ bụchaghị na onye na - etinye ọtụtụ awa n’anyanwụ, kama yana ekpughere ya kwa ụbọchị na afọ ofufo ma ọ bụ n’adabereghị.

Agbanyeghị, enwere ike ịkwado ọrịa a site na ikpughe ihe ndị na-akpata ọrịa carcinogenic, n'ihi nsonaazụ nke nje nje, ọkachasị nje HIV, belatara ọrụ nke usoro ahụ ji alụso ọrịa ọgụ, n'ihi chemotherapy ma ọ bụ rediotherapy, transplantation, autoimmune ma ọ bụ ọrịa na-adịghị ala ala, dịka ọmụmaatụ., Ma ọ bụ bụrụ ihe si na mkpụrụ ndụ ihe nketa.

Otu esi eme ọgwụgwọ ahụ

Dọkịta kpebiri ọgwụgwọ ọrịa Bowen site na njirimara nke ọnya ndị ahụ, dịka ọnọdụ, nha na oke. Na mgbakwunye, enwere ihe egwu nke ọrịa na-aga n'ihu na carcinomas na-emerụ ahụ.

Ya mere, enwere ike ịme ọgwụgwọ site na cryotherapy, excision, radiotherapy, photodynamic therapy, laser therapy or curettage. Ọtụtụ oge, a na-eji phototherapy mee ihe n'ọtụtụ ọnya na ọtụtụ ọnya, ebe a na-atụ aro ịwa ahụ n'ihe gbasara obere na otu ọnya, nke ewepụrụ ọnya ahụ niile.

Na mgbakwunye, ọ bụrụ na ọrịa Bowen emee n'ihi ọrịa HPV, dịka ọmụmaatụ, dọkịta ga-egosi ọgwụgwọ maka ọrịa ahụ. A na-atụ aro ka ị zere ogologo oge ruo na anyanwụ iji gbochie ọganihu nke ọrịa na ọdịdị nke nsogbu.

Hụ otu esi eme ọgwụgwọ maka carcinoma akpụkpọ.