Types/skin/patient/skin-treatment-pdq

ʻIli maʻi ʻaʻai ʻili

ʻO ka ʻike ākea e pili ana i ka maʻi ʻaʻai ʻili

NA MANA KUNI

• He maʻi ka maʻi ʻaʻai ma kahi e kū ai nā hunaola (maʻi ʻaʻai) i loko o nā ʻili o ka ʻili.

• Hoʻomaka nā ʻano like ʻole o ka maʻi ʻaʻai i ka ʻili.

• ʻO ke kala o ka ʻili a me ka hōʻike ʻia i ka lā e hiki ke hoʻonui i ka makaʻu o ka carcinoma basal cell a me ka carcinoma squamous cell o ka ʻili.

• Basal cell carcinoma, squamous cell carcinoma o ka ʻili, a me ka keratosis actinic e hōʻike pinepine ʻia ma ke ʻano he hoʻololi i ka ʻili.

• Hoʻohana ʻia nā hoʻokolohua a me nā kaʻina hana e nānā i ka ʻili e ʻike (loaʻa) a ʻike ʻia ka maʻi puʻuwai basal cell a me ka carcinoma squamous cell o ka ʻili.

• Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.

He maʻi ka maʻi ʻaʻai ma kahi e kū ai nā hunaola (maʻi ʻaʻai) i loko o nā ʻili o ka ʻili.

ʻO ka ʻili ke kino nui o ke kino. Pale ia i ka wela, ka lā, ka ʻeha, a me ka maʻi. Kōkua pū ka ʻili i ka mālama ʻana i ka mahana o ke kino a mālama i ka wai, momona, a me ka wikamina D. He mau ʻāpana ko ka ʻili, akā ʻo nā ʻāpana nui ʻelua ʻo ia ka epidermis (ma luna a ma waho paha) a me nā dermis (papa ma lalo a i loko). Hoʻomaka ka maʻi ʻaʻai o ka ʻili i ka epidermis, i hana ʻia i ʻekolu ʻano keena.

• Nā pūnaewele squamous: lahilahi, nā pūnaewele pālahalaha e hana i ka papa luna o ka epidermis.

• Nā kele basal: Nā kolo āpau ma lalo o nā hunaola squamous.

• Melanocytes: Nā pūnaewele e hana melanin a loaʻa i ka ʻaoʻao haʻahaʻa o ka epidermis. ʻO Melanin ka pigment e hāʻawi i kaʻili i kona kala maoli. Ke hōʻike ʻia ka ʻili i ka lā, hana nā melanocytes i nā pigment hou aʻe a pouli ka ʻili.

ʻO Anatomy o ka ʻili e hōʻike ana i ka epidermis (me ka squamous cell a me nā ʻāpana basal cell), nā dermis, nā ʻāpana subcutaneus, a me nā ʻāpana ʻē aʻe o ka ʻili.

Hiki ke loaʻa ka maʻi ʻaʻai ʻele ma nā wahi āpau o ke kino, akā ʻo ka mea maʻamau i ka ʻili e hōʻike pinepine ʻia i ka lā, e like me ka maka, ka ʻāʻī, a me nā lima.

Hoʻomaka nā ʻano like ʻole o ka maʻi ʻaʻai i ka ʻili.

Hiki ke hana i ka maʻi ʻaʻai ʻili i nā hunaola basal a i ʻole nā ​​hunaola squamous. ʻO ka maʻi puʻupuʻu basal a me ka maʻi kanesa squamous ka maʻi maʻamau o ka maʻi ʻaʻai. Kapa ʻia lākou he maʻi ʻaʻai nonmelanoma. ʻO ka keratosis Actinic kahi ʻano ʻili i kekahi manawa e lilo i ka carcinoma sima squamous.

ʻOi aku ka liʻiliʻi o ka melanoma ma mua o ka carcinoma basal cell a i ʻole ke kinikini cell squamous. ʻOi aku paha ia e lele i nā kino kokoke a hohola i nā ʻāpana ʻē aʻe o ke kino.

ʻO kēia hōʻuluʻulu e pili ana i ka carcinoma basal cell, ka maʻi puʻupuʻu squamous o ka ʻili, a me ka keratosis actinic. E ʻike i nā hōʻuluʻulu e hiki mai ana no ka ʻike e pili ana i ka melanoma a me nā ʻano maʻi ʻaʻai ʻē aʻe e hoʻopili i ka ʻili.

• Mālama ʻo Melanoma

• Mycosis Fungoides (Me Sézary Syndrome) lapaʻau

• Hoʻomaʻo Kaposi Sarcoma

• Mālama ʻo Merkel Cell Carcinoma

• Nā Cancers Kūpono ʻole o ka Hoʻōla Pēpē

• Nā genetics o ka maʻi ʻaʻai ʻili

ʻO ke kala o ka ʻili a me ka hōʻike ʻia i ka lā e hiki ke hoʻonui i ka makaʻu o ka carcinoma basal cell a me ka carcinoma squamous cell o ka ʻili.

ʻO nā mea āpau e hoʻonui i kou manawa e loaʻa ai kahi maʻi i kapa ʻia he kumu weliweli. ʻO ka loaʻa ʻana o kahi mea pilikia ʻaʻole ia he kumu e loaʻa ʻoe i ka maʻi ʻaʻai. ʻaʻohe o nā kumu pilikia ʻaʻole ia he kumu ʻaʻole ʻoe e loaʻa i ka maʻi ʻaʻai. E kamaʻilio me kāu kauka inā manaʻo ʻoe ua makaʻu paha ʻoe.

ʻO nā kumu pilikia no ka carcinoma basal cell a me ke kinikini cell squamous o ka ʻili e like me kēia:

• Ke hōʻike ʻia nei i ka lā kūlohelohe a i ʻole ka lā kukulu (e like me mai nā moe waihoʻoluʻu) i nā manawa lōʻihi.

• Loaʻa i kahi helehelena maikaʻi, e hoʻopili me kēia:

• ʻO ka ʻili maikaʻi e freckles a wela ka wela, ʻaʻole e tan, a ʻaʻole maikaʻi ʻole ke kani.

• Blue, ʻōmaʻomaʻo, a i ʻole nā ​​maka ʻulaʻula māmā.

• ʻO ka lauoho ʻulaʻula a blond paha.

ʻOiai ʻo ka loaʻa ʻana o ka ʻili kūpono kahi mea pilikia no ka maʻi ʻaʻai ʻili, hiki i nā poʻe o nā ʻili āpau ke loaʻa i ka maʻi ʻaʻai ʻili.

• Ke loaʻa nei i kahi moʻaukala o ka lā.

• Ke loaʻa nei i kahi moʻolelo pilikino a ʻohana paha o ka carcinoma basal cell, ka maʻi puʻupuʻu squamous o ka ʻili, keratosis actinic, syndrome nevus dysplastic ʻohana, a me nā mole ʻano ʻole.

• Loaʻa i kekahi mau hoʻololi i nā genes a i ʻole nā ​​hoʻoilina hoʻoilina, e like me ka basal cell nevus syndrome, e pili ana i ka maʻi ʻaʻai.

• Loaʻa ka mumū o ka ʻili i lōʻihi no nā manawa lōʻihi.

• Loaʻa i kahi ʻōnaehana pale nāwaliwali.

• Ke hōʻike ʻia nei i ka arsenic.

• Ka hana i hala me ka radiation.

ʻO nā makahiki ʻelemakule ka pilikia nui o ka nui o nā maʻi ʻaʻai. Hoʻonui ka manawa o ka loaʻa ʻana i ka maʻi ʻaʻai i kou ʻelemakule ʻana.

Basal cell carcinoma, squamous cell carcinoma o ka ʻili, a me ka keratosis actinic e hōʻike pinepine ʻia ma ke ʻano he hoʻololi i ka ʻili.

ʻAʻole nā ​​loli āpau i ka ʻili kahi hōʻailona o ka maʻi puʻupuʻu basal cell, ka maʻi maʻi o ka ʻili squamous o ka ʻili, a i ʻole keratosis actinic. E launa me kāu kauka inā ʻike ʻoe i nā loli i kou ʻili.

ʻO nā ʻōuli o ka maʻi puʻupuʻu basal a me ka maʻi kanalā o ka ʻili squamous o ka ʻili e like me kēia:

• He ʻeha e hoʻōla ʻole ai.

• Nā ʻāpana o ka ʻili i:

• Hoʻokiʻekiʻe, laumania, ʻōlinolino, a nānā momi.

• Kūpaʻa a nānā e like me ka ʻili, a keʻokeʻo paha, melemele, a i ʻole waxy.

• Hoʻokiʻekiʻe a ʻulaʻula a ʻulaʻula ʻulaʻula paha.

• Pālehu, hoʻokahe, a i ʻole crusty.

ʻO ka maʻi puʻupuʻu Basal a me ka maʻi make o ka ʻili squamous o ka ʻili e hana pinepine ʻia i nā wahi o ka ʻili i kū i ka lā, e like me ka ihu, nā pepeiao, nā lehelehe lalo, a i ʻole luna o nā lima.

ʻO nā hōʻailona o ka keratosis actinic i kēia mau mea:

• Pākuʻi, ʻulaʻula, a ʻulaʻula, a ʻulaʻula, kahakaha ma ka ʻili i pālahalaha a hāpai ʻia paha.

• ʻO ka haki ʻana a i ʻole ka ʻili ʻana o ka lehelehe lalo i kōkua ʻole ʻia e ka lehelehe lehelehe a i ʻole ka ʻaila petroleum.

Kū pinepine ka keratosis Actinic i ka maka a i ʻole ka luna o nā lima.

Hoʻohana ʻia nā hoʻokolohua a me nā kaʻina hana e nānā i ka ʻili e ʻike (loaʻa) a ʻike ʻia ka maʻi puʻuwai basal cell a me ka carcinoma squamous cell o ka ʻili.

Hiki ke hoʻohana ʻia nā kaʻina hana penei:

• ʻO ka hoʻāʻo kino a me ka mōʻaukala: kahi hōʻike o ke kino e nānā i nā hōʻailona laulā o ke olakino, e like me ka nānā ʻana i nā hōʻailona o ka maʻi, e like me nā puʻupuʻu a i ʻole nā ​​mea ʻē aʻe e ʻano ʻē. E lawe ʻia kahi moʻolelo o nā ʻano olakino o ka mea maʻi a me nā maʻi i hala a me nā mālama ʻana.

• ʻImi ʻili : He hoʻokolohua o ka ʻili no nā puʻupuʻu a i ʻole nā ​​kiko e nānā keu i ke kala, ka nui, ke ʻano, a me ke ʻano.

• ʻO ka biopsy o ka ʻili: ʻokiʻoki āpau ʻia a ʻāpana paha o ka ulu maʻamau ʻole i ka ʻili a nānā ʻia ma lalo o kahi microscope e kahi pathologist e nānā i nā hōʻailona o ka maʻi ʻaʻai. ʻEhā ʻano nui o nā biopsies o ka ʻili:

• ʻO kahi biopsy e kahiʻu: Hoʻohana ʻia kahi pahi kahiumi e "kahiʻumi" i ka ulu ʻike ʻole.

• Punch biopsy: Hoʻohana ʻia kahi mea hana kūikawā i kapa ʻia he punch a i ʻole trephine e wehe ai i kahi pōʻai o nā mea mai ka ulu ʻike ʻole ʻia.

Kīʻī biopsy. Hoʻohana ʻia kahi hollow, scalpel āpau e ʻoki ai i kahi leona ma ka ʻili. Huli ʻia ka mea kani i ka uaki a me ka ʻaoʻao ʻoki e ʻoki ma kahi o 4 millimeter (mm) i ka papa o nā mea momona ma lalo o ka dermis. Lawe ʻia kahi ʻōpana liʻiliʻi o ke kiko e nānā ʻia ma lalo o kahi microscope. ʻOkoʻa ka mānoanoa o ka ʻili ma nā ʻāpana like ʻole o ke kino.

• Biopsy incisional: hoʻohana ʻia kahi scalpel e wehe i kahi ʻāpana o kahi ulu.

• Biopsy kūikawā: Hoʻohana ʻia kahi scalpel e wehe i ka ulu holoʻokoʻa.

Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.

ʻO ka wānana (ka manawa kūpono o ka hoʻōla hou) no ka maʻi kanalā o ka ʻili squamous o ka ʻili ka hapanui o ka mea aʻe:

• ʻO ke kahua o ka maʻi ʻaʻai.

• Inā pale pale ʻia ka mea maʻi.

• E hoʻohana paha ka mea maʻi i ka paka.

• ʻO ke olakino olakino o ka mea maʻi.

ʻO nā koho lapaʻau no ka maʻi puʻupuʻu basal a me ka maʻi kanalā o ka ʻili squamous o ka ʻili kaukaʻi ʻia i ka mea aʻe:

• Ke ʻano o ka maʻi ʻaʻai.

• ʻO ke kahua o ka maʻi ʻaʻai, no ka maʻi kanesa squamous cell.

• Ka nui o ka tumo a me ka ʻāpana o ke kino e hoʻopili ai.

• ʻO ke olakino olakino o ka mea maʻi.

Nā pae o ka maʻi ʻaʻai ʻili

NA MANA KUNI

• Ma hope o ka ʻike ʻia ʻana o ka maʻi ʻaʻai maʻi squamous o ka ʻili, hana ʻia nā hoʻokolohua e ʻike inā ua hoʻolaha ʻia nā hunaola maʻi ʻino i loko o ka ʻili a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino.

• ʻEkolu ala e hoʻolaha ai ka maʻi ʻaʻai i loko o ke kino.

• E laha paha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i nā ʻāpana ʻē aʻe o ke kino.

• ʻO ke kū ʻana no ka maʻi puʻukū basal a me ka maʻi kanesa squamous o ka ʻili kaukaʻi ʻia ma kahi o ka maʻi ʻaʻai.

• Hoʻohana ʻia nā pae aʻe no ka carcinoma basal cell a me ka carcinoma squamous cell o ka ʻili ma ke poʻo a i ʻole ka ʻāʻī akā ʻaʻole ma ka eyelid:

• Kahua 0 (Carcinoma ma Situ)

• Ke kahua I

• Kahua II

• Kahua III

• Kahua IV

• Hoʻohana ʻia nā pae i lalo no ka carcinoma basal cell a me ka carcinoma squamous cell o ka ʻili ma ka lihilihi maka:

• Kahua 0 (Carcinoma ma Situ)

• Ke kahua I

• Kahua II

• Kahua III

• Kahua IV

• Pili ka mālama ʻana i ke ʻano o ka maʻi ʻaʻai ʻili a i ʻole ke ʻano ʻili ʻē aʻe i ʻike ʻia.

• Ka maʻi kanesa basal

• Ka maʻi kanesa puʻukū

• Keratosis maoli

Ma hope o ka ʻike ʻia ʻana o ka maʻi ʻaʻai maʻi squamous o ka ʻili, hana ʻia nā hoʻokolohua e ʻike inā ua hoʻolaha ʻia nā hunaola maʻi ʻino i loko o ka ʻili a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino.

ʻO ke kaʻina hana e ʻike inā ua pālahalaha ka maʻi ʻaʻai i loko o ka ʻili a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino i kapa ʻia he staging. ʻO ka ʻikepili i hōʻiliʻili ʻia mai ke kaʻina hana e hoʻoholo ai i ka pae o ka maʻi. He mea nui ia e ʻike i ke kahua i mea e hoʻolālā ai i ka mālama ʻana no ka maʻi kanulau squamous o ka ʻili.

ʻAʻohe pālahalaha iki ʻia ka maʻi basal cell o ka ʻili i nā ʻāpana ʻē aʻe o ke kino. ʻO nā hoʻokolohua hoʻonohonoho e nānā ai inā pālahalaha ka maʻi basal cell o ka ʻili i makemake pinepine ʻia.

Hiki ke hoʻohana ʻia nā hoʻokolohua a me nā kaʻina hana i ke kaʻina hana no ka carcinoma squamous cell o ka ʻili.

• CT scan (CAT scan): Kahi hana e hana ai i ka moʻo o nā kiʻi kikoʻī o nā wahi i loko o ke kino, e like me ke poʻo, ka ʻāʻī, a me ka umauma, i lawe ʻia mai nā ʻaoʻao ʻokoʻa. Hana ʻia nā kiʻi e kahi kamepiula i hoʻopili ʻia i kahi mīkini x-ray. Hoʻokomo ʻia paha ke kala i loko o ke aa a i ʻole ale ʻia e kōkua i nā ʻōpū a i ʻole nā ​​kino i hōʻike hou aku me ka maopopo. Kāhea ʻia kēia kaʻina hana he tomography i helu ʻia, kamepiula tomography, a i ʻole he tomography axial computerized.

• ʻO ke kukui x: kahi x-ray o nā mea a me nā iwi i loko o ka umauma. ʻO ka x-ray kahi ʻano kukuna ikehu e hiki ke hele ma waena o ke kino a ma ke kiʻi ʻoniʻoni, e hana ana i kiʻi o nā wahi i loko o ke kino.

• PET scan (positron emission tomography scan): kahi hana e loaʻa ai nā puʻupuʻu tumo malignant i loko o ke kino. Hoʻokomo ʻia kahi liʻiliʻi o ka glucose radioactive (kō) i loko o kahi aa koko. Hoʻopili ka scanner PET a puni ke kino a hana i kahi kiʻi o kahi e hoʻohana ʻia ai ka glucose i loko o ke kino. Hōʻike ka mālamalama o nā ʻōpiko tumal i ke kiʻi no ka mea ʻoi aku ka hana a lawe i ka glucose ma mua o ka hana ʻana o nā hunaola maʻamau. I kekahi manawa hana ʻia ka scan PET a me ka scan CT i ka manawa like.

• ʻO ka hoʻāʻo ʻana o Ultrasound: kahi kaʻina hana e kipaku ʻia ai nā nalu kani ikaika (ultrasound) mai nā pūnaewele o loko, e like me nā lymph node, a i ʻole nā ​​ʻokanika a hana i nā leo. Hoʻokumu nā leo i kahi kiʻi o nā kino o ke kino i kapa ʻia he sonogram. Hiki ke paʻi ʻia ke kiʻi e nānā ma hope. Hiki ke hana ʻia kahi hoʻokolohua ultrasound o nā lymph node āpana no ka carcinoma basal cell a me ka carcinoma squamous cell o ka ʻili.

• ʻO ka hoʻāʻo ʻana o ka maka me ka haumāna i hoʻomāhuahua ʻia : ʻO kahi hoʻokolohua o ka maka kahi e hoʻonui ʻia ai ka haumāna (wehe ākea) me nā kulu maka lāʻau e hiki ai i ke kauka ke nānā aku ma o nā aniani a me nā haumāna i ka retina a me nā aʻa optic. Nānā ʻia ka loko o ka maka, me ka retina a me ke aʻalolo optic, me kahi kukui.

• ʻO ka biopsy Lymph node: Ka lawe ʻana o nā mea āpau a ʻāpana paha o kahi kōpona lymph. ʻIke kahi pathologist i ke kiko o ka lymph node ma lalo o kahi microscope e nānā ai i nā hunaola maʻi ʻaʻai. Hiki ke hana ʻia kahi biopsy lymph node no ka maʻi kanalā o ka ʻili squamous.

ʻEkolu ala e hoʻolaha ai ka maʻi ʻaʻai i loko o ke kino.

Hiki ke pālahalaha ʻia ka maʻi ʻaʻai ma o nā meaola, ka ʻōnaehana lymph, a me ke koko.

• Kāpena. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ka ulu ʻana i nā wahi kokoke.

• ʻŌnaehana Lymph. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ke komo ʻana i ka ʻōnaehana lymph. Hele ka maʻi ʻaʻai ma o nā kīʻaha lymph i nā ʻāpana ʻē aʻe o ke kino.

• Koko. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ke komo ʻana i ke koko. Hele ka maʻi ʻaʻai ma o nā kīʻaha koko i nā ʻāpana ʻē aʻe o ke kino.

E laha paha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i nā ʻāpana ʻē aʻe o ke kino.

Ke pālahalaha ʻia ka maʻi ʻaʻai i kekahi ʻāpana o ke kino, ua kapa ʻia ia ʻo metastasis. E haki nā hunaola maʻi 'aʻai mai kahi a lākou i hoʻomaka ai (ka tumo mua) a hele i loko o ka ʻōnaehana lymph a i ʻole ke koko.

• ʻŌnaehana Lymph. Komo ka maʻi ʻaʻai i loko o ka ʻōnaehana lymph, hele ma waena o nā kīʻaha lymph, a hana i kahi tumo (tumo metastatic) i kekahi ʻāpana o ke kino.

• Koko. Komo ke kanesa i loko o ke koko, hele ma waena o nā kīʻaha koko, a hana i kahi tumo (tumo metastatic) i kekahi ʻāpana o ke kino.

ʻO ka tumo metastatic ka ʻano like o ke kanesa me ka tumo mua. ʻO kahi laʻana, inā pālahalaha ka maʻi ʻaʻai ʻili i ka akemāmā, ʻo nā hunaola maʻi ʻaʻai i loko o ka akemāmā he mau pūnaʻi maʻi ʻaʻai ʻili. ʻO ka maʻi maʻi maʻi ʻaʻai metastatic, ʻaʻole ka maʻi ʻaʻa maʻi.

ʻO ke kū ʻana no ka maʻi puʻukū basal a me ka maʻi kanesa squamous o ka ʻili kaukaʻi ʻia ma kahi o ka maʻi ʻaʻai.

ʻO ka hoʻonohonoho ʻana no ka maʻi puʻukū basal a me ka maʻi puʻupuʻu squamous o ka eyelid ʻokoʻa ia mai ka hoʻonohonoho ʻana no ka maʻi puʻupuʻu basal a me ka maʻi puʻupuʻu squamous i loaʻa ma nā wahi ʻē aʻe o ke poʻo a me ka ʻāʻī. ʻAʻohe ʻōnaehana hoʻonohonoho no ka carcinoma basal cell a i ʻole ke kinikini cell squamous i loaʻa ʻole ma ke poʻo a me ka ʻāʻī.

Hana ʻia ke ʻoki e wehe i ka tumo mua a me nā lymph node ʻē aʻe i hiki ai ke hoʻopaʻa ʻia nā laʻana kikoʻī ma lalo o kahi microscope. Kāhea ʻia kēia pathologic staging a hoʻohana ʻia nā mea i loaʻa no ke kau ʻana e like me ia i hōʻike ʻia ma lalo nei. Inā hana ʻia ke kau ʻana ma mua o ke kaha ʻana e wehe i ka tumo, ua kapa ʻia ia ʻo ke kahua hoʻokino. ʻOkoʻa ka pae lapaʻau mai ka pae pathologic.

Hoʻohana ʻia nā pae aʻe no ka carcinoma basal cell a me ka carcinoma squamous cell o ka ʻili ma ke poʻo a i ʻole ka ʻāʻī akā ʻaʻole ma ka eyelid:

Kahua 0 (Carcinoma ma Situ)

I ke kahua 0, ʻike ʻia nā hunaola ʻino i loko o ka cell squamous a i ʻole ka basal cell layer o ka epidermis. Hiki i kēia mau ʻino ʻino ke lilo i maʻi ʻaʻai a hohola ʻia i loko o nā kiko maʻamau. Kāhea ʻia ka pae 0 carcinoma in situ.

Ke kahua I

I ke kahua I, ua hoʻokumu ʻia ka maʻi ʻaʻai a ʻo ka tumo he 2 kenimika a ʻoi iki paha.

Kahua II

I ke kahua II, ʻoi aku ka nui o ka tumo ma mua o 2 centimetres akā ʻaʻole i ʻoi aku ka nui ma mua o 4 centimetera.

Kahua III

I ke kahua III, loaʻa kekahi o kēia mau mea:

• ʻoi aku ka nui o ka tumo ma mua o 4 kenimika, a i ʻole pālahalaha ʻia ka iwi i ka iwi a liʻiliʻi iki ka pōʻino o ka iwi, a i ʻole ua pālahalaha ʻia ka maʻi ʻaʻai e uhi ana i nā ʻalalā ma lalo o ka dermis, a ua hohola paha ma lalo o ka mea subcutaneety. Ua pālahalaha ʻia paha ka maʻi ʻaʻai i hoʻokahi pūnana lymph ma ka ʻaoʻao like o ke kino e like me ka tumo a ʻo ka piko he 3 kenimika a ʻoi iki paha; a i ʻole

• ʻo ka tumo he 4 kenimika a ʻoi iki paha. Ua pālahalaha ʻia ka maʻi ʻaʻai i hoʻokahi pūnana lymph ma ka ʻaoʻao like o ke kino e like me ka tumo a ʻo ka piko he 3 kenimika a ʻoi iki paha.

Kahua IV

I ke kahua IV, loaʻa kekahi o kēia mau mea:

• ʻo ka tumo kekahi nui a ua pālahalaha ʻia ka maʻi ʻaʻai i ka iwi a liʻiliʻi iki ka pōʻino o ka iwi, a i ʻole nā ​​ʻiʻo e uhi ana i nā ʻalalā ma lalo o ka dermis, a i ʻole ma lalo o ka mea subcutaneety. Ua pālahalaha ʻia ka maʻi ʻaʻai i nā lymph nodes penei:

• hoʻokahi pūnana lymph ma ka ʻaoʻao like o ke kino e like me ka tumo, ʻo ka piko i loli ʻia he 3 kenimika a ʻoi aku paha, a ua pālahalaha ʻia ka maʻi ʻaʻai ma waho o ka piko lymph; a i ʻole

• hoʻokahi pūnana lymph ma ka ʻaoʻao like o ke kino e like me ka tumo, ʻoi aku ka nui o ka pona i 3 kenimika akā ʻaʻole ʻoi aku ka nui ma mua o 6 kenimika, a ʻaʻole pālahalaha ka maʻi ʻaʻai ma waho o ka lymph node; a i ʻole

• ʻoi aku ma mua o hoʻokahi node lymph ma ka ʻaoʻao like o ke kino e like me ke tumo, ʻo nā piko ʻeha he 6 kenimika a ʻoi aku paha, a ʻaʻole hoʻolaha ʻia ka maʻi ʻaʻai ma waho o nā lymph node; a i ʻole

• hoʻokahi a ʻoi paha mau lymph node ma ka ʻaoʻao ʻē aʻe o ke kino e like me ke tumo a i ʻole nā ​​ʻaoʻao ʻelua o ke kino, ʻo nā pona i hoʻopili ʻia he 6 kenimika a ʻoi iki paha, a ʻaʻole hoʻolaha ʻia ka maʻi ʻaʻai ma waho o nā lymph node.

ʻo ka tumo kekahi nui a ua pālahalaha ʻia ka maʻi ʻaʻai i ka pale e uhi ana i nā ʻalalā ma lalo o ka dermis a i ʻole ma lalo o ka ʻāpana subcutaneous a i ʻole ka iwi iwi a i ʻole ka iwi, me ka lalo o ka iwi poʻo. Eia kekahi:

• ua pālahalaha ka maʻi ʻaʻai i hoʻokahi pūnana lymph i ʻoi aku ka nui ma mua o 6 kenimika a ʻaʻole i pālahalaha ka maʻi ʻaʻai ma waho o ka lymph node; a i ʻole

• ua pālahalaha ʻia ka maʻi ʻaʻai i hoʻokahi pūnana lymph ma ka ʻaoʻao like o ke kino e like me ka tumo, ʻoi aku ka nui o ka pona i 3 kenimika, a ua pālahalaha ʻia ka maʻi ʻaʻai ma waho o ka lymph node; a i ʻole

• ua pālahalaha ʻia ka maʻi ʻaʻai i hoʻokahi pūnana lymph ma ka ʻaoʻao ʻē aʻe o ke kino e like me ke tumo, ua like ka nui o ka pona pili, a ua pāhola ʻia ka maʻi ʻaʻai ma waho o ka pona lymph; a i ʻole

• Ua pālahalaha ʻia ka maʻi ʻaʻai ma mua o hoʻokahi kōpona lymph ma hoʻokahi a i ʻole ʻelua ʻaoʻao o ke kino a ua pāhola ka maʻi ʻaʻai ma waho o nā lymph node.

• ka nui o ka tumo a ua pāhola ka maʻi ʻaʻai i ka iwi o ka iwi a i ka iwi paha, me ka lalo o ka iwi poʻo, a ua hōʻino ʻia ka iwi. Ua pāhola paha ka maʻi ʻaʻai i nā lymph node; a i ʻole

• ua pālahalaha ʻia ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino, e like me ka akemāmā.

Hoʻohana ʻia nā pae i lalo no ka carcinoma basal cell a me ka carcinoma squamous cell o ka ʻili ma ka lihilihi maka:

Kahua 0 (Carcinoma ma Situ)

I ke kahua 0, ʻike ʻia nā hunaola ʻino ma ka epidermis, ma ka maʻa mau i ka papa cell basal. Hiki i kēia mau ʻino ʻino ke lilo i maʻi ʻaʻai a hohola ʻia i loko o nā kiko maʻamau. Kāhea ʻia ka pae 0 carcinoma in situ.

Ke kahua I

I ke kahua I, ua hoʻokumu ʻia ka maʻi ʻaʻai. Māhele ʻia ka pae I i nā pae IA a me IB.

• ʻO ke kahua IA: ʻO ka tumo he 10 milimika a ʻoi aku paha a ua pāhola paha i ka lihi o ka maka i kahi o nā lūlū, i nā mea hoʻopili i ka maka maka, a i ʻole ka mānoanoa piha o ka eyelid.

• ʻOihana IB: ʻOi aku ka nui o ka tumo ma mua o 10 millimeter akā ʻaʻole i ʻoi aku ka nui ma mua o 20 millimeter a ʻaʻole i pālahalaha ka tumo i ka lihi o ka eyelid kahi o nā lihi, a i ʻole nā ​​mea hoʻopili i ka eyelid.

Kahua II

Māhele ʻia ka pae II i nā pae IIA a me IIB.

• I ke kahua IIA, loaʻa kekahi o kēia mau mea:

• ʻoi aku ka nui o ka tumo ma mua o 10 millimeter akā ʻaʻole ʻoi aku ka nui ma mua o 20 millimeter a ua pālahalaha ʻia i ka lihi o ka eyelid kahi o nā lihi, i nā mea hoʻopili i ka eyelid, a i ʻole ka mānoanoa piha o ka eyelid; a i ʻole

• ʻoi aku ka nui o ka tumo ma mua o 20 millimeter akā ʻaʻole ʻoi aku ka nui ma mua o 30 millimeter a ua pāhola paha i ka lihi o ka lihilihi kahi o nā lūlū, i nā mea hoʻopili i ka eyelid, a i ʻole ka mānoanoa piha o ka eyelid.

• I ke kahua IIB, he nui paha ka tumo a ua pālahalaha aʻe i ka maka, nā maka o ka maka, nā sinus, nā waimaka, a i ʻole ka lolo, a i ʻole nā ​​aʻa e kākoʻo i ka maka.

Kahua III

Māhele ʻia ka pae III i nā pae IIIA a me IIIB.

• ʻO ke kahua IIIA: He nui paha ka tumo a ua pālahalaha ʻia paha i ka lihi o ka lihilihi kahi o nā lika, i nā mea hoʻopili i ka maka maka, a i ʻole ka mānoanoa o ka maka maka, a i ʻole i ka maka, ka maka o ka maka, sinus , nā puka waimaka, a i ʻole ka lolo, a i ʻole nā ​​aʻa e kākoʻo i ka maka. Ua pālahalaha ʻia ka maʻi ʻaʻai i hoʻokahi pūnana lymph ma ka ʻaoʻao like o ke kino e like me ka tumo a ʻo ka piko he 3 kenimika a ʻoi iki paha.

• Kahua IIIB: He nui paha ka tumo a ua pālahalaha ʻia paha i ka lihi o ka lihilihi kahi o nā lika, i nā mea hoʻopili i ka maka maka, a i ʻole ka mānoanoa piha o ka eyelid, a i ʻole i ka maka, ka maka o ka maka, sinus , nā puka waimaka, a i ʻole ka lolo, a i ʻole nā ​​aʻa e kākoʻo i ka maka. Ua pālahalaha ʻia ka maʻi ʻaʻai i nā pūnana lymph penei:

• hoʻokahi pūnana lymph ma ka ʻaoʻao like o ke kino e like me ka tumo a ʻoi aku ka nui o ke pona ma mua o 3 centimita; a i ʻole

• ʻoi aku ma mua o hoʻokahi node lymph ma ka ʻaoʻao ʻaoʻao o ke kino e like me ke tumo a i ʻole nā ​​ʻaoʻao ʻelua o ke kino.

Kahua IV

I ke kahua IV, ua pālahalaha ka tumo i nā ʻāpana ʻē aʻe o ke kino, e like me ka hū a me ke akepaʻa.

Pili ka mālama ʻana i ke ʻano o ka maʻi ʻaʻai ʻili a i ʻole ke ʻano ʻili ʻē aʻe i ʻike ʻia.

Ka maʻi kanesa basal

Ka maʻi kanesa basal. ʻO kahi liona kanesa ʻili e nānā ʻulaʻula ʻulaʻula a hoʻāliʻi iki ʻia (ʻaoʻao hema) a me kahi ʻāʻī kanesa ʻili e like me ka ʻeha hāmama me ka ʻāpana momi (ʻaoʻao ʻākau).

ʻO Basal cell carcinoma ka ʻano maʻamau o ka maʻi ʻaʻai. Hana ʻia ia ma nā wahi o ka ʻili i ka lā, pinepine ka ihu. ʻIke pinepine kēia kanesa ma ke ʻano he puʻupuʻu i hāpai ʻia e nānā mālie a me ka momi. ʻO kahi ʻano liʻiliʻi e like me ka ʻili a pālahalaha paha a paʻa paha i ka ʻili, melemele, a me ka waxy. Basal cell carcinoma hiki e laha i nāʻaʻa puni i ka maʻi ʻaʻai, akā ʻaʻole ia e pāhola maʻamau i nā ʻāpana ʻē aʻe o ke kino.

Ka maʻi kanesa puʻukū

Ka maʻi kanesa puʻukū. ʻO kahi leona ʻili maʻi ʻili ma ka maka e nānā a hāpai a crusty (ʻaoʻao hema) a me kahi ʻāʻī kanesa ʻili ma ka ʻūhā e nānā a ʻālohilohi a hoʻāla ʻia (ʻaoʻao ʻākau).

Kū ka maʻi kanesa squamous i nā wahi o ka ʻili i hōʻino ʻia e ka lā, e like me nā pepeiao, lehelehe lalo, a me ka hope o nā lima. Hiki ke ʻike ʻia ka carcinoma ʻōpala squamous ma nā wahi o ka ʻili i puhi ʻia e ka lā a i ʻole hōʻike ʻia i nā kemika a i ʻole nā ​​radiation. ʻO ka manawa pinepine kēia kanesa e like me ka ʻulaʻula paʻa paʻa. ʻIke paha ka tumo i ka scaly, kahe, a i ʻole hana i kahi pā. Hiki ke pālahalaha nā ʻōpala cell squamous i nā node lymph kokoke. ʻO ka maʻi kanesa squamous cell ʻaʻole i hohola hiki ke hoʻōla maʻamau.

Keratosis maoli

ʻO ka keratosis Actinic kahi ʻano ʻili ʻaʻole maʻi ʻaʻai, akā hoʻololi i kekahi manawa i ka carcinoma squamous cell. Hoʻokahi a ʻoi aku paha nā liona i nā wahi i hōʻike ʻia i ka lā, e like me ka maka, ke kua o nā lima, a me ka lehelehe lalo. Me he mea lā, ʻulaʻula, ʻulaʻula, a i ʻole nā ​​ʻili scaly brown ma ka ʻili i pālahalaha a hāpai ʻia paha, a i ʻole me kahi lehelehe haʻahaʻa a ʻili hoʻi i kōkua ʻole ʻia e ka lehelehe lipole a i ʻole ka petrole jelly. E nalo paha ke keratosis Actinic me ka mālama ʻole ʻia.

Laulā Manaʻo Option Oponopono

NA MANA KUNI

• Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me ka maʻi puʻupuʻu basal cell, ka maʻi puʻupaʻa squamous o ka ʻili, a me ka keratosis actinic.

• Hoʻohana ʻia ʻewalu mau ʻano o ka maʻamau maʻamau:

• ʻOki kino

• Lapaʻau hoʻomākala

• ʻO Chemotherapy

• Hoʻoikaika Photodynamic

• Immunotherapy

• Pahuhopu kau ʻia

• ʻIli kemika

• Laau lāʻau ʻē aʻe

• Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.

• ʻO ka mālama ʻana no ka maʻi ʻaʻai ʻili ke kumu o nā hopena.

• Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana.

• Hiki i nā mea maʻi ke komo i nā hoʻokolohua hoʻokolohua ma mua, i ka wā, a ma hope paha o ka hoʻomaka ʻana i kā lākou mālama maʻi ʻaʻai.

• Pono paha nā hoʻokolohua ukali.

Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me ka maʻi puʻupuʻu basal cell, ka maʻi puʻupaʻa squamous o ka ʻili, a me ka keratosis actinic.

Loaʻa nā ʻano lapaʻau like ʻole no nā mea maʻi me ka maʻi puʻupuʻu basal, ka maʻi maʻi o ka ʻili squamous o ka ʻili, a me ka keratosis actinic. Kūlana maʻamau kekahi mau hōʻailona (ʻo ka lāʻau i hoʻohana ʻia i kēia manawa), a ʻo kekahi e hoʻāʻo ʻia nei i nā hoʻokolohua hoʻokolohua. ʻO kahi hoʻokolohua hoʻokolohua lapaʻau kahi noiʻi noiʻi i manaʻo ʻia e kōkua i ka hoʻomaikaʻi ʻana i nā mālama ʻana i kēia manawa a i ʻole loaʻa ka ʻike e pili ana i nā mālama hou no nā maʻi me ka maʻi ʻaʻai. Ke hōʻike nā hoʻokolohua hoʻokolohua ʻoi aku ka maikaʻi o kahi lapaʻau hou ma mua o ka maʻamau maʻamau, lilo paha ka lāʻau hou i ka lapaʻau maʻamau. Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana. ʻO kekahi mau hoʻokolohua hoʻokolohua e hāmama wale i nā mea maʻi i hoʻomaka ʻole i ka lāʻau.

Hoʻohana ʻia ʻewalu mau ʻano o ka maʻamau maʻamau:

ʻOki kino

Hiki ke hoʻohana ʻia i hoʻokahi a ʻoi paha o nā kaʻina hana e mālama ai i ka carcinoma basal cell, ka maʻi puʻuwai squamous o ka ʻili, a i ʻole keratosis actinic:

• ʻO ka hoʻowahāwahā maʻalahi: ʻO ka tumo, a me kekahi o nā pūnaewele maʻamau a puni ona, ʻokiʻoki ʻia mai ka ʻili.

• ʻOki kino Mohs: ʻoki ʻia ka tumo mai ka ʻili i nā papa lahilahi. I ke kaʻina hana, ʻike ʻia nā kihi o ka tumo a me kēlā me kēia papa o ka tumo ma o ka microscope e nānā ai i nā hunaola maʻi ʻaʻai. Hoʻoneʻe mau ʻia nā papa a hiki i ka ʻike ʻole ʻia ʻana o nā hunaola maʻi ʻino.

Lawe kēia ʻano ʻoki e like me ka liʻiliʻi o ke kinona maʻamau i hiki. Hoʻohana pinepine ʻia ia e wehe i ka maʻi ʻaʻai ʻili ma ka maka, nā manamana lima, a me nā ʻāpā a me nā maʻi ʻaʻa ʻili i loaʻa ʻole ka palena maopopo.

ʻOki kino Mohs. Kahi hana ʻoki e wehe ai i ka maʻi ʻaʻai ʻili ma nā ʻanuʻu he nui. ʻO ka mea mua, hemo i kahi papa lahilahi o nā maʻi maʻi maʻi. A laila, wehe ʻia kahi ʻāpana lahilahi o kaʻiʻo a nānā ʻia ma lalo o kahi microscope e nānā ai i nā hunaola maʻi ʻaʻai. Lawe ʻia nā papa hou aʻe i kēlā me kēia manawa a hiki i ka nānā ʻana o ke kiko ma lalo o ka microscope ʻaʻole i koe kahi maʻi ʻaʻai. Hoʻohana ʻia kēia ʻano ʻoki e hemo e like me ka liʻiliʻi o ke kino maʻamau a hoʻohana pinepine ʻia e wehe i ka maʻi ʻaʻai ʻili ma ka maka.

• Hoʻokiʻoki i ka ʻumi: kahi kahi kahi kahi kahi ʻia o ka ʻili o ka ʻili me kahi lau liʻiliʻi.

• ʻO Curettage a me electrodesiccation: ʻokiʻoki ʻia ka tumo mai ka ʻili me kahi curette (kahi mea ʻoi, mea hana kīʻaha). Hoʻohana ʻia kahi electrode-like electrode e mālama ai i ka wahi me ka uila i kū i ke kahe ʻana a luku i nā hunaola maʻi ʻaʻai i koe a puni ka ʻeha. Hiki ke hana hou i ke kaʻina hana i hoʻokahi a i ʻekolu mau manawa i ka wā o ke ʻoki e hemo ai i nā maʻi ʻaʻai. Kapa ʻia kēia ʻano lapaʻau ʻo electrosurgery.

• Cryosurgery: kahi lapaʻau e hoʻohana ai i kahi mea kani e hoʻopaʻa ai a luku hoʻi i nā mea pono ʻole, e like me ka carcinoma ma kahi. Kapa ʻia kēia ʻano lapaʻau ʻo cryotherapy.

ʻO Cryosurgery. Hoʻohana ʻia kahi mea kani me kahi kī no ka pīpī ʻana i ka nitrogen wai a i ʻole ke kōpona kalapona kūpona e paʻahau a luku hoʻi i nā mea pono ʻole.

• ʻOki kino Laser: kahi kaʻina hana e hoʻohana ai i kahi kukuna kukuna (kahi kukuna o ke kukui ikaika) ma ke ʻano he pahi e ʻokiʻoki ʻole i ke koko i nā mea a i ʻole e hemo i kahi leona e like me ka tumo.

• Dermabrasion: Ka hemo ʻana o ka papa luna o ka ʻili me ka hoʻohana ʻana i kahi huila e kaʻa ana a i ʻole nā ​​ʻāpana liʻiliʻi e ʻānai ai i nā ʻili o ka ʻili.

Hoʻohana iki ʻia, Mohs micrographic surgery, curettage and electrodesiccation, a me cryosurgery e hoʻohana ʻia e mālama ai i ka carcinoma basal cell a me ka carcinoma squamous cell o ka ʻili. Hoʻohana liʻiliʻi ʻia ke kahakaha laser e mālama i ka carcinoma basal cell. Hoʻowahāwahā maʻalahi, kākā lauoho, curettage a me ka hoʻopau ʻana, dermabrasion, a me ka ʻoki ʻana i ka laser e hoʻohana ai i ka keratosis actinic.

Lapaʻau hoʻomākala

ʻO ka radiation radiation kahi lāʻau maʻi maʻi maʻi e hoʻohana i nā kukuna x nui ikaika a i ʻole nā ​​ʻano radiation e hoʻomake i nā hunaola maʻi ʻaʻai a mālama ʻole paha i ka ulu ʻana. ʻElua ʻano o radiation radiation:

• Hoʻohana ka radiation radiation kūwaho i kahi mīkini ma waho o ke kino e hoʻouna i ka radiation i ka maʻi ʻaʻai.

• Hoʻohana ka radiation radiation i loko i kahi lāʻau radioactive i hoʻopaʻa ʻia i nā nila, nā hua, nā uea, a i ʻole nā ​​catheters i kau pololei ʻia i loko a kokoke paha i ka maʻi ʻaʻai.

Hāʻawi ʻia ke ala o ka radiation radiation i ke ʻano o ka maʻi ʻaʻai e mālama ʻia. Hoʻohana ʻia ka radiation radiation kūwaho e mālama ai i ka carcinoma basal cell a me ka carcinoma squamous cell o ka ʻili.

ʻO Chemotherapy

ʻO Chemotherapy kahi lāʻau lapaʻau maʻi maʻi e hoʻohana i nā lāʻau e hōʻoki i ka ulu ʻana o nā hunaola maʻi ʻaʻai, ma ka luku ʻana i nā hunaola a i ʻole ke kāpae ʻana iā lākou mai ka hoʻokaʻawale. Ke lawe ʻia ka chemotherapy e ka waha a i ʻole injected i loko o kahi aa koko a i ʻole nā ​​mākala, komo nā lāʻau i ke kahe o ke koko a hiki ke kiʻi i nā hunaola maʻi ʻōpio i loko o ke kino (chemotherapy ʻōnaehana). Ke waiho pololei ʻia ka chemotherapy i loko o ka wai cerebrospinal, kahi hui, a i ʻole ke kino o ke kino e like me ka ʻōpū, ʻo nā lāʻau lapaʻau ka mea nui e hoʻopili i nā hunaola maʻi ʻaʻai i kēlā mau wahi (chemotherapy āpau).

Chemotherapy no ka basal cell carcinoma, squamous cell carcinoma o ka ʻili, a me ka keratosis actinic maʻamau no nā kumuhana (pili i ka ʻili i ka kirimalu a i ʻole ka wai ʻili). Hāʻawi ʻia ke ala o ka chemotherapy i ke ʻano o ka mālama ʻana. Hoʻohana ʻia ka fluorouracil kumuhana (5-FU) e mālama ai i ka carcinoma basal cell.

E ʻike i nā lāʻau i ʻae ʻia no Basal Cell Carcinoma no ka ʻike hou aku.

Hoʻoikaika Photodynamic

Photodynamic therapy (PDT) kahi maʻi ʻaʻai e hoʻohana ai i kahi lāʻau a me kekahi ʻano o ke kukui e pepehi i nā hunaola maʻi ʻaʻai. ʻO kahi lāʻau e hana ʻole a hiki i ka wā e hōʻike ʻia i ka mālamu e hoʻopili ʻia i loko o kahi aa a waiho ʻia i ka ʻili. Hōʻiliʻili ka lāʻau i nā mea maʻi ʻaʻai ma mua o nā hunaola maʻamau. No ka maʻi ʻaʻai ʻili, hoʻomālamalama ka kukui laser i ka ʻili a lilo ka lāʻau i mea hana a make i nā hunaola maʻi ʻaʻai. Hoʻomaʻamaʻa ka lāʻau Photodynamic i ka hōʻemi iki ʻana i nā mea olakino

Hoʻohana pū ʻia ka Photodynamic therapy e mālama i nā keratoses actinic.

Immunotherapy

ʻO ka Immunotherapy kahi lapaʻau e hoʻohana i ka ʻōnaehana pale maʻi o ka mea maʻi e hakakā i ka maʻi ʻaʻai. Hoʻohana ʻia nā mea i hana ʻia e ke kino a i hana ʻia paha i kahi keʻena hoʻokolohua e hoʻonui, kuhikuhi, a hoʻihoʻi hou i nā pale kūlohelohe o ke kino i ka maʻi ʻaʻai. Kāhea ʻia kēia ʻano lapaʻau maʻi ʻaʻai a biotherapy a i ʻole biologic therapy.

ʻO Interferon a me ʻimiquimod nā lāʻau hoʻomalu immunotherapy i hoʻohana ʻia e mālama ai i ka maʻi ʻaʻai ʻili. Hiki ke hoʻohana ʻia ʻo Interferon (e ka pahu kui) e mālama i ka carcinoma squamous cell o ka ʻili. Hiki ke hoʻohana ʻia ʻo Topic imiquimod therapy (kahi kalima i hoʻopili ʻia i ka ʻili) e mālama ai i kekahi mau carcinomas basal

E ʻike i nā lāʻau i ʻae ʻia no Basal Cell Carcinoma no ka ʻike hou aku.

Pahuhopu kau ʻia

ʻO ka therapy target kahi ʻano lapaʻau e hoʻohana i nā lāʻau a i ʻole nā ​​mea ʻē aʻe e hoʻouka aku i nā hunaola maʻi ʻaʻai. Hoʻolālā pinepine nā mea i hoʻomākaukau ʻia i ka hōʻemi ʻana i nā hunaola maʻamau ma mua o ka chemotherapy a i ʻole radiation radiation.

Hoʻohana ʻia ka lāʻau i hoʻomākaukau ʻia me kahi mea hōʻoki transduction e mālama i ka carcinoma basal cell. Hoʻopili nā mea hoʻohuli transduction i nā hōʻailona i hoʻohuli ʻia mai kekahi mole i kekahi ʻē aʻe i loko o kahi huna. ʻO ka pale ʻana i kēia mau hōʻailona e pepehi paha i nā hunaola maʻi ʻino. ʻO Vismodegib a me sonidegib nā mea hōʻoki transduction hōʻailona i hoʻohana ʻia e mālama i ka carcinoma basal cell.

E ʻike i nā lāʻau i ʻae ʻia no Basal Cell Carcinoma no ka ʻike hou aku.

ʻIli kemika

ʻO kahi peel kemika kahi hana e hoʻomaikaʻi ai i ke ʻano o kekahi ʻano ʻili. Hoʻokomo ʻia kahi hopena kemika ma ka ʻili e hoʻonā i ka papa luna o nā huna o ka ʻili. Hiki ke hoʻohana ʻia nā peels kemika e mālama ai i ka keratosis actinic. Kāhea ʻia kēia ʻano lapaʻau ʻo chemabrasion a me chemexfoliation.

Laau lāʻau ʻē aʻe

Hoʻohana ʻia nā Retinoids (nā lāʻau e pili ana i ka wikamina A) i kekahi manawa e mālama ai i ka carcinoma squamous cell o ka ʻili. ʻO Diclofenac a me ingenol nā lāʻau lapaʻau kumuhana e hoʻohana ʻia e mālama ai i ka keratosis actinic.

Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.

Loaʻa nā ʻike e pili ana i nā hoʻokolohua hoʻokolohua mai ka pūnaewele NCI.

ʻO ka mālama ʻana no ka maʻi ʻaʻai ʻili ke kumu o nā hopena.

No ka ʻike e pili ana i nā hopena i hopena ʻia e ka lapaʻau ʻana no ka maʻi ʻaʻai, e ʻike i kā mākou ʻaoʻao ʻaoʻao ʻaoʻao.

Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana.

No kekahi mau mea maʻi, ke komo nei i ka hoʻokolohua hoʻokolohua ke koho lapaʻau maikaʻi loa paha. ʻO nā hoʻokolohua hoʻokolohua kahi ʻāpana o ka noiʻi ʻana o ka maʻi ʻaʻai. Hana ʻia nā hoʻokolohua hoʻokolohua e ʻike inā palekana a maikaʻi a maikaʻi paha nā hoʻomaʻamaʻa maʻi ʻaʻai ma mua o ka maʻamau maʻamau.

ʻO ka hapa nui o nā hana maʻamau no ka maʻi ʻaʻai i kau ʻia ma nā hoʻokolohua hoʻokolohua mua. ʻO nā mea maʻi i komo i ka hoʻokolokolo hoʻokolohua hiki ke loaʻa i ka lāʻau maʻamau a i ʻole i waena o nā mea mua i loaʻa kahi lāʻau hou.

ʻO nā mea maʻi i komo i nā hoʻokolohua hoʻokolohua kōkua pū kekahi i ka hoʻomaikaʻi ʻana i ke ʻano o ka mālama ʻana i ka maʻi ʻaʻai i ka wā e hiki mai ana. ʻOiai ʻaʻole nā ​​alakaʻi hoʻokolohua e alakaʻi i nā hoʻoponopono hou maikaʻi, pane pinepine lākou i nā nīnau nui a kōkua i ka neʻe i mua o ka noiʻi.

Hiki i nā mea maʻi ke komo i nā hoʻokolohua hoʻokolohua ma mua, i ka wā, a ma hope paha o ka hoʻomaka ʻana i kā lākou mālama maʻi ʻaʻai.

Hoʻopili wale kekahi mau hoʻokolohua hoʻokolohua i nā mea maʻi i loaʻa ʻole ka lapaʻau. ʻO nā hoʻokolohua ʻē aʻe e hōʻoia i nā mālama ʻana no ka poʻe maʻi i loaʻa ʻole ka maikaʻi o ka maʻi ʻaʻai. Aia kekahi mau hoʻokolohua hoʻokolohua e hoʻāʻo i nā ala hou e hōʻoki i ka maʻi ʻaʻai mai ka hoʻi hou ʻana (hoʻi ʻana) a hōʻemi paha i nā hopena o ka mālama ʻana i ka maʻi ʻaʻai.

Ke mālama ʻia nei nā hoʻokolohua hoʻokolohua ma nā wahi he nui o ka ʻāina. Hiki ke ʻike ʻia ka ʻike e pili ana i nā hoʻokolohua hoʻokolohua e kākoʻo ʻia e NCI ma ka pūnaewele ʻimi noiʻi hoʻokolohua a NCI. Hiki ke loaʻa nā hoʻokolohua hoʻokolohua i kākoʻo ʻia e nā hui ʻē aʻe ma ka pūnaewele ClinicalTrials.gov.

Pono paha nā hoʻokolohua ukali.

ʻO kekahi o nā hoʻokolohua i hana ʻia e hōʻoia i ka maʻi ʻaʻai a i ʻole e ʻike i ke kahua o ka maʻi ʻaʻaʻa e hana hou ʻia paha. E hana hou ʻia kekahi mau hōʻike i mea e ʻike ai i ka maikaʻi o ka mālama ʻana. Hoʻoholo ʻia nā hoʻoholo e pili ana inā e hoʻomau, hoʻololi, a kū paha i ka lāʻau ʻana ma nā hopena o kēia mau hoʻāʻo.

E hoʻomau ʻia kekahi o nā hoʻokolohua mai kēlā me kēia manawa ma hope o ka pau ʻana o ka lāʻau. Hiki i nā hopena o kēia mau hoʻāʻo ke hōʻike inā ua loli kou ʻano a i ʻole inā ua hoʻi hou ke kanesa. Kapa ʻia kēia mau hoʻāʻo i kekahi manawa nā hoʻokolohua ukali a i ʻole nā ​​loiloi.

Inā loaʻa hou ka carcinoma basal cell a me ka squamous cell carcinoma (hoʻi mai), aia i loko o 5 mau makahiki o ka mālama mua. E kamaʻilio me kāu kauka e pili ana i ka manawa pinepine e nānā ai i kou ʻili no nā hōʻailona o ke kanesa.

Nā koho lapaʻau no ka Basal Cell Carcinoma

No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.

ʻO ka mālama ʻana i ka carcinoma basal cell i localized hiki ke hoʻopili ʻia i kēia mau mea:

• Excision maʻalahi.

• ʻOki kino Mohs

• Lapaʻau hoʻomākala.

• ʻO Curettage a me electrodesiccation.

• ʻO Cryosurgery.

• Hoʻoikaika Photodynamic.

• ʻO ka chemotherapy kumuhana.

• ʻO ka immunotherapy kumuhana (imiquimod).

• ʻOki kino kukuna (hoʻohana pinepine ʻole ʻia).

ʻO ka mālama ʻana i ka carcinoma basal cell i metastatic a i ʻole hiki ʻole ke mālama ʻia me kahi lāʻau kūloko e komo pū paha me kēia:

• Hoʻopaʻa kaulike ʻia me kahi mea hōʻoki transduction hōʻailona (vismodegib a i ʻole sonidegib).

• ʻO kahi hoʻokolohua hoʻokolohua o kahi lapaʻau hou.

ʻO ka mālama ʻana i ka carcinoma basal cell hou e pili ʻole i ka metastatic hiki ke hoʻopili ʻia i kēia mau mea:

• Excision maʻalahi.

• ʻOki kino Mohs

E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.

Nā koho lapaʻau no ka Squamous Cell Carcinoma o ka ʻili

ʻO ka mālama ʻana i ka maʻi kanesa squamous cell i kūloko ʻia e hoʻopili pū i kēia mau mea:

• Excision maʻalahi.

• ʻOki kino Mohs

• Lapaʻau hoʻomākala.

• ʻO Curettage a me electrodesiccation.

• ʻO Cryosurgery.

• Photodynamic therapy, no ka squamous cell carcinoma ma kahi (pae 0).

ʻO ka mālama ʻana i ka carcinoma squamous cell e metastatic a i ʻole hiki ʻole ke mālama ʻia me kahi lāʻau kūloko e komo pū paha me kēia:

• ʻO Chemotherapy.

• Retinoid therapy and immunotherapy (interferon).

• ʻO kahi hoʻokolohua hoʻokolohua o kahi lapaʻau hou.

ʻO ka mālama ʻana i ka carcinoma sele squamous recurrent ʻaʻole i metastatic hiki ke hoʻopili ʻia i kēia mau mea:

• Excision maʻalahi.

• ʻOki kino Mohs

• Lapaʻau hoʻomākala.

E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.

Nā koho lapaʻau no ka Actinic Keratosis

No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.

ʻAʻole maʻi ʻaʻai ke keratosis Actinic akā mālama ʻia no ka mea hiki ke ulu a lilo i maʻi ʻaʻai. Hiki i ka mālama ʻana i ke keratosis actinic ke hoʻopili i kēia mau mea:

• ʻO ka chemotherapy kumuhana.

• ʻO ka immunotherapy kumuhana (imiquimod).

• ʻO nā lāʻau lapaʻau ʻē aʻe (diclofenac a i ʻole ingenol).

• ʻIli kemika.

• Excision maʻalahi.

• E ʻoki kino.

• ʻO Curettage a me electrodesiccation.

• ʻO Dermabrasion.

• Hoʻoikaika Photodynamic.

• ʻOki kino kukuna.

E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.

E aʻo hou e pili ana i ka maʻi ʻaʻai ʻili

No ka ʻike hou aku mai ka National Cancer Institute e pili ana i ka maʻi ʻaʻai ʻili, e ʻike i ka mea aʻe:

• ʻAoʻao Kanaka ʻili (Me Melanoma) ʻaoʻao home

• Kāohi ʻana i ka maʻi ʻaʻai ʻili

• ʻImi ʻana i ka maʻi ʻaʻai ʻili

• Nā Cancers Kūpono ʻole o ka Hoʻōla Pēpē

• Cryosurgery i ka mālama ʻana i ka maʻi ʻaʻai

• Nā Lasers i ka mālama ʻana i ka maʻi ʻaʻai

• Ua ʻae ʻia nā lāʻau no Basal Cell Carcinoma

• Photodynamic Therapy no ka maʻi ʻaʻai

No ka ʻike ākea maʻi ʻaʻai a me nā kumuwaiwai ʻē aʻe mai ka National Cancer Institute, e ʻike i ka mea aʻe:

• E pili ana i ka maʻi ʻaʻai

• Ke hoʻokū nei

• ʻO Chemotherapy a ʻo ʻoe: Kākoʻo no ka poʻe me ka maʻi ʻaʻai

• Radiation Therapy a ʻo ʻoe: Kākoʻo no ka poʻe me ka maʻi ʻaʻai

• Ke kāohi nei i ka maʻi ʻaʻai

• Nā nīnau e nīnau ai i kāu kauka e pili ana i ka maʻi ʻaʻai

• No nā mea ola a me nā mea mālama