Actinic keratosis (AK), tshwm sim los ntawm kev tshav ntuj mus sij hawm ntev thiab siv lub txaj tanning, nthuav tawm ib lossis ntau qhov ntxhib, thaj ua rau thaj (AKs) ntawm koj cov tawv nqaij. Vim tias qhov feem pua me me ntawm AKs tsim mus rau hauv daim ntawv mob qog noj ntshav (squamous cell carcinoma), cov kws kho tawv nqaij feem ntau kho cov AKs uas lawv pom ntawm koj. Feem ntau, lawv yuav suav cov phiaj xwm tshem tawm rau AKs nrog rau kev kho dav dav txhawm rau tawm tsam qhov xwm txheej.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Lub Hom Phiaj Rau Ib Leeg AK
Kauj Ruam 1. Xaiv tus kws tshaj lij thiab muaj kev paub txog kab mob dermatologist
Thaum tshem tawm ib qho AK qhov txhab nrog phais phais, kho kom zoo thiab tshem tawm, lossis kho laser, kev txawj ntawm kws kho mob tawv nqaij yog qhov tseem ceeb hauv kev txiav txim siab qhov tshwm sim. Nrhiav kev xa mus los ntawm koj tus kws kho mob thiab koj cov phooj ywg, tshawb fawb qhov tsim nyog ntawm qhov muaj peev xwm xaiv, thiab ntsib nrog cov kws kho mob tawv nqaij ua ntej xaiv ib qho.
Peb cov txheej txheem no tuaj yeem muaj 5-xyoo kho tus nqi ntau dua 95% thaum ua los ntawm kws kho mob tawv nqaij ("kho" ntawm no txhais tau tias tib lub AK tsis rov qab los)
Kauj Ruam 2. Khaws ib rab phom AK nrog cryosurgery
Nrog rau txoj hauv kev no, koj tus kws kho mob tawv nqaij yuav siv kua nitrogen rau AK. Qhov txias heev yuav ua rau lub hlwb puas tsuaj, thiab AK feem ntau yuav ua rau cov hlwv lossis tawv tawv dhau thiab ntog tawm hauv ob peb hnub.
- Cov kua nitrogen tej zaum yuav tau txau nrog lub cryogun lossis thov ncaj qha nrog cov paj rwb.
- Cryosurgery yog nrawm, piv rau tus nqi pheej yig, thiab tsis tshua muaj tshwm sim sab nraud sab nraum thaj chaw.
Kauj Ruam 3. Tshem lub AK ntawm lub cev tshem tawm thiab tshem tawm
Txog txoj hauv kev no, koj tus kws kho mob tawv nqaij yuav txhuam, txhuam, lossis txiav tawm qhov txhab. Tom qab ntawd lawv yuav siv cua sov, hluav taws xob, lossis tshuaj lom neeg txhawm rau txhawm rau txhawm rau qhov txhab thiab tua ib qho AK hlwb uas nyob tom qab hauv qhov chaw ntawd.
- Txoj hauv kev no feem ntau siv rau tob tob hauv AKs, lossis thaum cov hauv paus plaub hau nyob hauv txoj kev.
- Nws yog qhov nrawm thiab ncaj ncees pheej yig zoo li kev phais plab, tab sis muaj qhov pheej hmoo me ntsis ntawm qhov mob hauv zos thiab qhov caws pliav.
Kauj Ruam 4. Vaporize AK nrog phais laser
Hauv cov txheej txheem no, kws kho mob tawv nqaij lub hom phiaj nqaim ntawm lub teeb ntawm AK. Qhov nqaj laser no rhuav tshem AK hlwb tam sim ntawd.
Kev kho laser yuav tsis muaj qhov dav dua li kev phais los yog tshem tawm thiab nqus dej, thiab yuav raug nqi ntau dua
Txoj Kev 2 ntawm 3: Hais Txog Ntau Yam AKs
Kauj Ruam 1. Thov tshuaj pleev cov tshuaj raws li tau hais tseg
Nws ib txwm muaj ntau AKs sib sau ua ke hauv thaj chaw uas tau raug rau ntau xyoo ntawm tshav ntuj, zoo li koj lub pob ntseg, qhov ntswg, tawv taub hau, lossis lub ntsej muag. Hauv cov xwm txheej no, cov tshuaj pleev pleev feem ntau yog thawj qhov kev xaiv rau tshem tawm AKs. Cov no suav nrog:
- 5-fluorouracil, uas feem ntau siv 1-2 zaug ib hnub rau 3-4 lub lis piam.
- Imiquimod, uas feem ntau siv ob zaug hauv ib lub lis piam, lossis txhua hnub rau ob lub hlis sib pauv, rau 16 lub lis piam.
- Diclofenac, uas feem ntau yog siv hmo ntuj rau 2-3 lub hlis.
- Ingenol, uas koj thov txhua hnub tsuas yog 2-3 hnub.
Kauj Ruam 2. Ua raws li koj cov lus qhia thiab saib xyuas rau cov kev mob tshwm sim
Tsis txhob tso ib yam dab tsi ntawm AK tshuaj pleev rau hauv koj lub qhov muag. Koj kuj tseem yuav tsum txwv tsis pub koj raug UV tawg (tshav ntuj) thiab ntxuav koj txhais tes tom qab siv. Yog tias koj muaj AKs thoob plaws, koj tus kws kho mob tawv nqaij kuj tseem yuav txwv koj txoj kev kho rau ib thaj tsam, txhawm rau tshuaj xyuas qhov tsis zoo.
- Kev kho tshuaj pleev tuaj yeem ua rau khaus, liab, tev tawm, nplai, lossis caws pliav. Tham nrog koj tus kws kho mob daim tawv nqaij txog qhov yuav tsum tau ua, thiab tiv toj rau lawv yog tias koj ntsib kev mob lossis tsis xis nyob.
- Imiquimod kuj tseem tuaj yeem ua rau muaj tsos mob zoo li mob khaub thuas, thiab diclofenac yuav tsum zam los ntawm cov uas muaj tshuaj aspirin lossis NSAID.
Kauj Ruam 3. Tua tawm lossis tshem tawm AKs thoob plaws ntiaj teb
Hloov chaw (lossis ntxiv rau) thov kev kho tshuaj nyob hauv tsev, koj tus kws kho mob tawv nqaij tuaj yeem pom zoo kom ua haujlwm kho tom chaw ua haujlwm hla thaj chaw cuam tshuam. Cov no suav nrog:
- Cov tshuaj tua kab mob, uas ua rau txheej txheej saum toj kawg nkaus ntawm koj cov tawv nqaij kom qhuav. Qhov no muaj txiaj ntsig tshaj plaws rau AKs uas tsis tob tob. Cov no tuaj yeem ua rau mob, liab, thiab ua xua.
- Photodynamic therapy (PDT), nyob rau hauv uas lub teeb ua kua nplaum tau thov rau AKs, ua raws los ntawm lub teeb hnyav uas tua AKs. Qhov no tseem tuaj yeem ua rau mob thiab ua rau tawv nqaij, thiab koj yuav tsum zam lub hnub ci yam tsawg 1-2 hnub tom qab.
- Dermabrasion, uas cov tawv nqaij noj qab haus huv thiab AKs zoo ib yam yog qhov tseem ceeb "tshem tawm" los ntawm koj tus kws kho mob tawv nqaij. Qhov no ua rau mob, liab, thiab los ntshav, thiab cuam tshuam tag nrho ntawm kev tshem tawm AKs tsis meej.
Kauj Ruam 4. Xav txog kev sib txuas AK kev kho mob
Piv txwv, piv txwv li, koj muaj ib qho tseem ceeb AK thiab ntau qhov me me nyob tom qab ntawm koj lub caj dab. Koj tus kws kho mob tawv nqaij yuav pom zoo rau chav kawm 5-fluorouracil ua raws li kev phais mob, lossis PDT ua raws li kev kawm ib yam.
- Muaj pov thawj tias qee qhov 2-kev kho mob ua ke nce 5-xyoo kho tus nqi rau AKs dhau ntawm qhov kev kho ib leeg.
- Txawm li cas los xij, kev kho mob ua ke kuj raug nqi ntau dua, thiab tuaj yeem ua rau muaj kev phom sij ntau dua.
Txoj Kev 3 ntawm 3: Tiv Thaiv thiab Txwv AKs
Kauj Ruam 1. Hnav tshuaj pleev thaiv hnub txhua hnub
Txawm hais tias nws yog huab cua nyob rau lub caij ntuj no, koj yuav tsum siv lub dav dav, SPF-30 lossis tshuaj pleev thaiv hnub kom zoo dua rau txhua qhov tawv nqaij (thiab tawv nqaij uas tau npog tsuas yog hnav khaub ncaws hnav). Kuj thov siv daim di ncauj nrog tib yam tshuaj pleev thaiv hnub.
- Yog tias koj twb muaj AKs lawm, nrog koj tus kws kho tawv nqaij tham txog qhov tshuaj pleev thaiv hnub zoo tshaj rau koj.
- Kev tiv thaiv daim tawv nqaij zoo li cov no tuaj yeem pab koj zam AKs hauv thawj qhov chaw, thiab tseem tuaj yeem txwv kev loj hlob ntawm AKs ntxiv lossis nthuav tawm cov uas twb muaj lawm.
Kauj Ruam 2. Txwv koj cov tawv nqaij kom raug tshav ntuj ncaj qha
Sim zam lub hnub nruab hnub (nruab nrab ntawm 10 teev sawv ntxov txog 2 teev tsaus ntuj) thaum twg los tau. Thaum koj tawm mus tshav ntuj, hnav lub kaus mom dav dav, lub ris, thiab lub tsho ntev.
Tsis yog txhua yam khaub ncaws raug tsim sib npaug, txawm li cas los xij. Yog tias koj tuav lub tsho nyob rau pem hauv ntej ntawm lub teeb ci thiab lub teeb ci los ntawm, lub tsho yuav tsis muab kev tiv thaiv tshav ntuj rau koj. Koj yuav tsum hnav tshuaj pleev thaiv hnub hauv qab koj lub tsho thiab
Kauj Ruam 3. Mus ntsib kws kho mob tawv nqaij tam sim yog koj xav tias AKs
Xav tias koj muaj rab phom AK yog tias koj tuaj yeem hnov ntxhib, ua tawv tawv ntawm koj cov tawv nqaij hauv thaj chaw uas tau txais tshav ntuj ntau xyoo. Lub thaj yuav yog xim liab lossis xim av, lossis nws yuav tsis pom txhua. Nws kuj tseem tuaj yeem tawg thiab tom qab ntawd rov tshwm sim ob peb hnub lossis ntau lub lis piam tom qab.
Tsuas yog ib feem me me ntawm AKs ua rau mob qog noj ntshav, tab sis kev kho sai ntawm AKs txo qhov feem pua no mus rau qhov zoo
Kauj Ruam 4. Mus ntsib koj tus kws kho mob tawv nqaij tas li yog tias koj muaj AKs
Thaum koj tau kuaj pom muaj ib lossis ntau AKs, koj yuav tsum tau kuaj xyuas tas li nrog koj tus kws kho mob tawv nqaij. Lawv yuav xav pom koj tsawg kawg ib zaug lossis ob zaug hauv ib xyoos, piv txwv li. Txoj kev no, AKs tshiab lossis rov tshwm tuaj tuaj yeem kuaj pom thiab kho thaum ntxov.
Txawm tias muaj kev kho kom raug thiab ntsuas tiv thaiv hnub, koj tseem tuaj yeem tsim AKs tas mus li hauv koj lub neej. Cov no yuav tsum tau kho tam sim
Lub tswv yim
- Actinic keratosis qee zaum hu ua hnub ci keratosis.
- AKs muaj ntau dua nyob hauv tib neeg tshaj 40 xyoo, thiab cov uas tau ua haujlwm lossis siv sijhawm ntau nyob sab nraud ntau xyoo. Tab sis leej twg tuaj yeem tau txais AKs.
