Bowenoid papulosis: izimbangela futhi ukwelashwa

Bowenoid papulosis - isifo ezingavamile ngocansi ngokuhlangana ngokocansi futhi mhlawumbe okubangelwa Human Papillomavirus uhlobo 16. zokugula libhekene ukubukeka izilonda zendawo ezithweni zangasese zamadoda nabesifazane. Neoplasms ungase ube iba nsundu ngokubomvu noma onsomi. Njengomthetho, they attain usayizi encane, ezinde phezu kwesikhumba futhi kwezinye izimo babonakale njengabakhulekeli Velvety uma uyithinta.

Izimpawu nezinkomba

Lezii kubangelwa lesi sifo ezingavamile ungahamba bebodwa emasontweni ambalwa, Nokho, it is hhayi Kunconywa ukuba silahle Ukuvakashela udokotela. Kukhona amacala lapho izimila akazange makehle iminyaka embalwa. papulosis Bowenoid kwabesifazane kungenziwa akhiwe ngaphakathi esithweni sowesifazane, phezu clitoris, kule labia ezinkulu kanye nezincane, kule ingquza. In amadoda, izilonda zitholakala ekhanda umzimba ijwabu wenduku kanye ingquza. Neoplasms ngokuvamile ulalisa ulimi, ngezinye izikhathi Velvety; e abesifazane banalo umbala mnyama.

Iziguli eziningi nge kokutshelwa ngokukhubazeka kwengane ahlupheke kokubili kusuka kwamanye izifo ezibangelwa amagciwane sibandulele ukuthuthukiswa Bowenoid papulosis. izibonelo Abaningi bazizwa njengodade herpes simplex virus, abantu papilloma virus futhi HIV. Lapho eseyinsizwa efundela ezomthetho izimila ezincane isakhiwo libukeka indwangu preinvasive-squamous cell carcinoma (umdlavuza cell hlobo). Kwezinye izimo Bowenoid papulosis lukhumuzeka zibe umdlavuza.

izizathu

Lokhu zokugula kuyisifo, ezithathelwana ngobulili, nasemishadweni mhlawumbe okubangelwa Human Papillomavirus uhlobo 16. Ukuba khona kwamanye izifo ezibangelwa amagciwane, oluhambisana izivikeli mzimba buthaka kungase kube nomthelela kwengozi yokuthola lesi sifo esithathelwana ngobulili.

isiguli isilinganiso

Lesi sifo amadoda (Kusho yobudala engu-30) futhi abesifazane (isilinganiso seminyaka yobudala engu-32), ukuphila impilo ocansini esebenzayo. Esikhathini izincwadi zezokwelapha ezisekelwe ekwazisweni, ungathola izibonelo ekuxilongweni zokugula e kusukela kwabaneminyaka engamashumi 3 kuya ku-80. Okwamanje, Lesifo sisakazeka kancane kancane ukumboza wonke amazwekazi kanye namazwe.

Indlela yokubona isifo

Kuvele owelapha emsebenzini ngesipiliyoni umxhwele uyakwazi ukuxilonga Bowenoid papulosis picture yayo ejwayelekile emtholampilo. Qinisekisa uphethwe kokuqala kusiza izinqubo ezifana dermoscopy nesikhumba biopsy. A biopsy nalo wabonisa ngenxa ukuthola-squamous cell carcinoma.

ukuxilongwa umehluko

Izimpawu lezi zifo kungase kube khona ukufana izici Bowenoid papulosis. Cabangela izici ngokuqhathanisa ukuhlukanisa omunye komunye egunjini lokuhlolwa kwezifo.

• yisifo sikaBowen (we-lenticular wangakwesokunxele dyskeratosis discoid) simele ukubonakala precancerous, kancane ezikhulayo isikhumba komdlavuza. The main isici - uqweqwe endaweni sinombala-bomvu, olungaqinile noma ezomile embozwe esikhumbeni ukuthi sifana ukubukeka psoriasis noma dermatitis. Ngokuphambene yokuphula ezifana Bowenoid papulosis, yisifo sikaBowen livela kuzo zonke izingxenye zomzimba, esikhumbeni noma nolwelwesi lwamafinyila.
• Warts - ezivamile ezithathelwanayo isifo Venereal okubangelwa abantu papilloma virus futhi kuthinta umzimba ngokuthintana ngocansi ngqo. Warts ayisibonelo salezi lokhu ukutheleleka, ivele isikhumba, ukufinyelela ubukhulu elincane, abe umbala obomvu noma pink. Ngesikhathi touch of zokwakheka ezifana, soft futhi olumanzi. Bangase babonakale bobabili esikhumbeni futhi nolwelwesi lwamafinyila we umthondo, umlomo, ididi noma ingemuva. Ezimweni eziningi warts yakha izinyanda.
• Lichen planus (ulele Wilson) - a ukuvuvukala yansukuzonke silume kwesikhumba, lapho kukhona amancane, zizimele kusukela kwenye izindawo emincane ukuthi angajoyina ndawonye bese bakha izindawo ezinkulu anolaka, ebusweni olungaqinile. Nakuba Bowenoid papulosis kubantu besilisa nakubantu besifazane zenzeka kaningi ngokulinganayo, ezimise okwama-tile obomvu ezimweni eziningi kuthinta ubulili bubuhle. Lezii ngokuvamile atholakala kweyesi emphethweni izihlakala nezinyawo, kanye phezu esifubeni, amalaka, umthondo kanye nolwelwesi lwamafinyila emlonyeni esithweni sakho sangasese.

ukwelashwa okujwayelekile

Uma usola wena Bowenoid papulosis (isithombe izilonda ejwayelekile zingatholakala at izinkundla yezokwelapha), kufanele kube ukuthi ubona udokotela professional umehluko ukuxilongwa kanye nokuqapha eside ngokushesha ngangokunokwenzeka. Njengomthetho, izazi zaqala ukuphawula kwenziwe zokuqapha ngokucophelela nesineke. Ngezinye izikhathi lesi sifo ngokuzumayo, ngokwalo, akudingi aphoyintimenti yokwelapha. Ngokuya ocansini kumele zincishiswe ukuze ugweme yokudlulisela kwabanye abantu ngesikhathi sesigaba ezithathelwanayo lesi sifo.

Uma kudingeka, odokotela linqume electrosurgery, cryotherapy (umnkantsha izicubu liquid nitrogen) kanye / noma ukuhlinzwa laser ukususa izimila. Ngokufanayo iphathwa warts ezibangelwa amagciwane.

Ezimweni kuqhathaniswa omnene esanele ukusebenzisa "5-Fluorouracil" - a ikhemikhali evimbela cell division futhi kanjalo aqede Bowenoid papulosis. Izibuyekezo ngaye okuhle nokubi hlangothi - okuningi kuncike degree ukutheleleka. Umuthi kuyatholakala abathengi ngesimo amafutha ajwayelekile.

electrosurgery

Electrosurgery isetshenziswa nezesikhumba ukuze kunqandwe ukopha nokushabalalisa normal isikhumba neziqu. Phakathi nale nqubo, imvamisa eliphezulu kushintshana kagesi of voltage ezahlukene sidlula isikhumba ukwakha ukushisa. Lokhu kudinga kwamandla kanye nedivayisi ekhethekile eyodwa noma ngaphezulu electrode:

• Elektrofulguratsiya (spray-coagulation) bome ebusweni indwangu.
• Electrocoagulation uyayeka ukopha ngokuzibeka okubangela igazi ekunqandeni izitsha lilimele.
• amaningi Electric kuhilela asike izidumbu zabantu kwezicubu.
• Thermocoagulation futhi ngokuthi cauterization.

cryosurgery

Shono esinye sezifo yingozi dermatological kubhekwe Bowenoid papulosis. Ukwelashwa ngokuvamile encishisiwe kuya cryosurgery inqubo, noma zeqhwa neziqu sokugembula phezu kwesikhumba.

Ukuze ususe isici lezy kuphazamiseka dermatological laba basebenzi cryogenic asetshenziswa:

• liquid nitrogen (indlela esetshenziswa kakhulu kabanzi);
• ezomile ice-carbon dioxide (ezinye indlela yisikhathi);
• dimethyl ether ne-propane.

Cryosurgery siyasebenza ngokumelene lezi zifo ezilandelayo:

• Bowenoid papulosis;
• keratosis actinic;
• warts viral;
• keratosis seborrheic.

ngezinye izikhathi dermatologists Professional ebekiwe komdlavuza encane okokuqandisa - isb, yisifo sikaBowen Nokho, le ndlela akusho ngaso sonke isikhathi ukunikeza umphumela omuhle, futhi ngenxa yalokho sidinga zokuqapha ngokucophelela isiguli ngemva kokuhlinzwa.

Okwamanje, okokuqandisa kuyindlela ezivame kakhulu yokusiza abantu bahlukane nazo ezihlukahlukene lezy phezu kwesikhumba. Cryosurgery kuqhathaniswa ezishibhile, iphephile futhi ivikelekile. Nokho, kufanele uqiniseke ukuthi uphethwe ilungile. Ngisho ngaphansi kwaziphi izimo akufanele zivaliwe futhi iyiphi melanoma akubonakali esikhunjeni izilonda abanesifiso ube ne-melanoma lapho.