Types/skin/patient/skin-treatment-pdq

Kuvura Kanseri y'uruhu

Amakuru Rusange Yerekeye Kanseri Yuruhu

INGINGO Z'INGENZI

• Kanseri y'uruhu ni indwara ingirabuzimafatizo (kanseri) ziba mu ngingo z'uruhu.

• Ubwoko butandukanye bwa kanseri butangirira kuruhu.

• Ibara ryuruhu no guhura nizuba birashobora kongera ibyago byo kurwara kanseri yibanze na kanseri y'uruhu.

• Kanseri y'ibanze ya kanseri, kanseri y'udukoko twa kanseri y'uruhu, na keratose ya actinic ikunze kugaragara nk'impinduka y'uruhu.

• Ibizamini cyangwa inzira zisuzuma uruhu zikoreshwa mugushakisha (gushakisha) no gusuzuma kanseri yibanze ya kanseri na kanseri y'uruhu.

• Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

Kanseri y'uruhu ni indwara ingirabuzimafatizo (kanseri) ziba mu ngingo z'uruhu.

Uruhu ni urugingo runini rwumubiri. Irinda ubushyuhe, urumuri rw'izuba, gukomeretsa, no kwandura. Uruhu rufasha kandi kugenzura ubushyuhe bwumubiri kandi rukabika amazi, ibinure, na vitamine D. Uruhu rufite ibice byinshi, ariko ibice bibiri byingenzi ni epidermis (urwego rwo hejuru cyangwa hanze) na dermisi (hasi cyangwa imbere). Kanseri y'uruhu itangirira muri epidermis, igizwe n'ubwoko butatu bw'uturemangingo:

• Utugingo ngengabuzima: Utugingo duto, uturemangingo tugize urwego rwo hejuru rwa epidermis.

• Utugingo ngengabuzima: Utugingo ngengabuzima munsi ya selile.

• Melanocytes: Ingirabuzimafatizo zikora melanine kandi ziboneka mu gice cyo hepfo ya epidermis. Melanin ni pigment iha uruhu ibara ryarwo. Iyo uruhu ruhuye nizuba, melanocytes ikora pigment nyinshi kandi igatera uruhu kwijimye.

Anatomy yuruhu yerekana epidermis (harimo selile squamous selile na basal selile selile), dermis, tissue subutaneous, nibindi bice byuruhu.

Kanseri y'uruhu irashobora kugaragara ahantu hose ku mubiri, ariko ikunze kugaragara cyane kuruhu rukunze guhura nizuba, nko mumaso, ijosi, namaboko.

Ubwoko butandukanye bwa kanseri butangirira kuruhu.

Kanseri y'uruhu irashobora kwibumbira mu ngirabuzimafatizo cyangwa ingirabuzimafatizo. Kanseri y'ibanze ya kanseri na kanseri y'udukoko ni ubwoko bwa kanseri y'uruhu. Bitwa kandi kanseri y'uruhu nonmelanoma. Acinic keratose ni uruhu rushobora rimwe na rimwe guhinduka kanseri ya selile.

Melanoma ntisanzwe cyane kanseri yibanze ya kanseri cyangwa kanseri ya kanseri. Birashoboka cyane gutera ingirangingo zegeranye no gukwirakwira mubindi bice byumubiri.

Iyi ncamake ivuga kanseri yibanze ya kanseri, kanseri ya kanseri y'uruhu, na keratose ya actinic. Reba incamake ya ikurikira kugirango umenye amakuru kuri melanoma nubundi bwoko bwa kanseri yibasira uruhu:

• Umuti wa Melanoma

• Mycose Fungoides (Harimo Syndrome ya Sézary)

• Umuti wa Kaposi Sarcoma

• Umuti wa kanseri ya Merkel

• Kanseri idasanzwe yo kuvura abana

• Imiterere ya Kanseri y'uruhu

Ibara ryuruhu no guhura nizuba birashobora kongera ibyago byo kurwara kanseri yibanze na kanseri y'uruhu.

Ikintu cyose cyongera amahirwe yo kwandura indwara cyitwa impanuka. Kugira ibintu bishobora guteza ibyago ntibisobanura ko uzarwara kanseri; kutagira ibyago bishobora gusobanura ko utazarwara kanseri. Vugana na muganga wawe niba utekereza ko ushobora guhura n'akaga.

Impamvu zishobora gutera kanseri yibanze ya kanseri na kanseri y'udukoko twa kanseri y'uruhu harimo ibi bikurikira:

• Guhura nizuba ryizuba cyangwa urumuri rwizuba (nko kuva kuburiri bwumucyo) mugihe kirekire.

• Kugira isura nziza, ikubiyemo ibi bikurikira:

• Uruhu rwiza ruvunika kandi rwaka byoroshye, ntiruhumeka, cyangwa kubyina nabi.

• Ubururu, icyatsi, cyangwa andi maso afite ibara ryoroshye.

• Umusatsi utukura cyangwa umuhondo.

Nubwo kugira isura nziza ari ibintu bishobora gutera kanseri y'uruhu, abantu b'amabara yose y'uruhu barashobora kurwara kanseri y'uruhu.

• Kugira amateka yizuba.

• Kugira amateka yumuntu cyangwa mumuryango ya kanseri yibanze ya kanseri, kanseri y'udukoko twa kanseri y'uruhu, keratose ya actinic, syndrome de famille de dysplastic nevus, cyangwa mole idasanzwe.

• Kugira impinduka zimwe na zimwe muri genes cyangwa syndromes yumurage, nka syndrome ya basal selile nevus syndrome, ifitanye isano na kanseri y'uruhu.

• Kugira uburibwe bwuruhu bumara igihe kinini.

• Kugira intege nke z'umubiri.

• Guhura na arsenic.

• Ubuvuzi bwashize hamwe nimirase.

Ubusaza nimpamvu nyamukuru itera kanseri nyinshi. Amahirwe yo kurwara kanseri ariyongera uko ugenda ukura.

Kanseri y'ibanze ya kanseri, kanseri y'udukoko twa kanseri y'uruhu, na keratose ya actinic ikunze kugaragara nk'impinduka y'uruhu.

Ntabwo impinduka zose zuruhu ari ikimenyetso cya kanseri yibanze, kanseri y'udukoko twa kanseri y'uruhu, cyangwa keratose ya actinic. Menyesha muganga wawe niba ubona hari impinduka zuruhu rwawe.

Ibimenyetso bya kanseri yibanze ya kanseri na kanseri ya kanseri y'uruhu harimo ibi bikurikira:

• Igisebe kidakira.

• Ibice byuruhu aribyo:

• Yarezwe, yoroshye, irabagirana, kandi isa neza.

• Komera kandi usa n'inkovu, kandi irashobora kuba umweru, umuhondo, cyangwa ibishashara.

• Kuzamurwa no gutukura cyangwa umutuku-umutuku.

• Umubyimba, kuva amaraso, cyangwa igikonjo.

Kanseri y'ibanze ya kanseri na kanseri y'udukoko twa kanseri y'uruhu bibaho cyane mu bice by'uruhu rwerekanwe n'izuba, nk'izuru, ugutwi, iminwa yo hepfo, cyangwa hejuru y'amaboko.

Ibimenyetso bya keratose ya actinic harimo ibi bikurikira:

• Ikibabi gikabije, umutuku, umutuku, cyangwa igikara, uruhu runini ku ruhu rushobora kuba ruringaniye cyangwa ruzamutse.

• Kumenagura cyangwa gukuramo iminwa yo hepfo idafashwa n'amavuta yo kwisiga cyangwa peteroli.

Acinic keratose ibaho cyane mumaso cyangwa hejuru yamaboko.

Ibizamini cyangwa inzira zisuzuma uruhu zikoreshwa mugushakisha (gushakisha) no gusuzuma kanseri yibanze ya kanseri na kanseri y'uruhu.

Uburyo bukurikira burashobora gukoreshwa:

• Ikizamini cyumubiri namateka: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.

• Ikizamini cyuruhu : Ikizamini cyuruhu rwibibyimba cyangwa ibibara bisa nibidasanzwe mumabara, ubunini, imiterere, cyangwa imiterere.

• Uruhu rwa biopsy: Byose cyangwa igice cyikura risa ridasanzwe ryaciwe kuruhu kandi rureba munsi ya microscope na psychologue kugirango barebe ibimenyetso bya kanseri. Hariho ubwoko bune bwingenzi bwibinyabuzima byuruhu:

• Kogosha biopsy: Urwembe rudasanzwe rukoreshwa mu "kogosha" imikurire idasanzwe.

• Punch biopsy: Igikoresho kidasanzwe cyitwa punch cyangwa trephine gikoreshwa mugukuraho uruziga rwimitsi kumikurire idasanzwe.

Gukubita biopsy. Scalpel yuzuye, izenguruka ikoreshwa mugukata igikomere kuruhu. Igikoresho gihindurwamo amasaha nisaha kugirango ugabanye milimetero 4 (mm) kugeza kurwego rwamavuta yibinure munsi ya dermis. Icyitegererezo gito cya tissue gikurwaho kugirango kigenzurwe munsi ya microscope. Ubunini bwuruhu buratandukanye kubice bitandukanye byumubiri.

• Biopsy incisional: Scalpel ikoreshwa mugukuraho igice cyo gukura.

• Biopsy idasanzwe: Scalpel ikoreshwa mugukuraho imikurire yose.

Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

Kumenyekanisha (amahirwe yo gukira) kuri kanseri y'udukoko twa kanseri y'uruhu biterwa ahanini n'ibi bikurikira:

• Icyiciro cya kanseri.

• Niba umurwayi adakingiwe.

• Niba umurwayi akoresha itabi.

• Ubuzima rusange bwumurwayi.

Uburyo bwo kuvura kanseri yibanze ya kanseri na kanseri ya kanseri y'uruhu biterwa nibi bikurikira:

• Ubwoko bwa kanseri.

• Icyiciro cya kanseri, kuri kanseri y'udukoko twa kanseri.

• Ingano yikibyimba nigice cyumubiri kigira ingaruka.

• Ubuzima rusange bwumurwayi.

Ibyiciro bya Kanseri y'uruhu

INGINGO Z'INGENZI

• Nyuma yo gupimwa kanseri y'uturemangingo y'uruhu, hakozwe ibizamini kugira ngo hamenyekane niba kanseri ya kanseri yakwirakwiriye mu ruhu cyangwa mu bindi bice by'umubiri.

• Hariho uburyo butatu kanseri ikwirakwira mu mubiri.

• Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.

• Gutegura kanseri yibanze ya kanseri na kanseri ya kanseri y'uruhu biterwa n'aho kanseri yatangiriye.

• Ibyiciro bikurikira bikoreshwa kuri kanseri yibanze ya kanseri na kanseri y'udukoko twa kanseri y'uruhu ruri ku mutwe cyangwa ku ijosi ariko rutari ku gitsike:

• Icyiciro 0 (Carcinoma muri Situ)

• Icyiciro I.

• Icyiciro cya II

• Icyiciro cya III

• Icyiciro cya IV

• Ibyiciro bikurikira bikoreshwa kuri kanseri yibanze ya kanseri na kanseri ya kanseri y'uruhu ku gitsike:

• Icyiciro 0 (Carcinoma muri Situ)

• Icyiciro I.

• Icyiciro cya II

• Icyiciro cya III

• Icyiciro cya IV

• Kuvura biterwa n'ubwoko bwa kanseri y'uruhu cyangwa izindi ndwara zanduye:

• Kanseri y'ibanze

• Indwara ya kanseri y'udukoko

• Keratose

Nyuma yo gupimwa kanseri y'uturemangingo y'uruhu, hakozwe ibizamini kugira ngo hamenyekane niba kanseri ya kanseri yakwirakwiriye mu ruhu cyangwa mu bindi bice by'umubiri.

Inzira ikoreshwa mukumenya niba kanseri yarakwirakwiriye muruhu cyangwa mubindi bice byumubiri byitwa guterana. Amakuru yakusanyirijwe mubikorwa byateguwe agena icyiciro cyindwara. Ni ngombwa kumenya icyiciro kugirango utegure kuvura kanseri y'udukoko twa kanseri y'uruhu.

Kanseri y'ibanze ya kanseri y'uruhu ni gake ikwirakwira mu bindi bice by'umubiri. Kwipimisha kugirango umenye niba kanseri yibanze ya kanseri yuruhu yakwirakwijwe mubisanzwe ntabwo ikenewe.

Ibizamini hamwe nuburyo bukurikira birashobora gukoreshwa mugutegura kanseri y'udukoko twa kanseri y'uruhu:

• CT scan (CAT scan): Uburyo bukora urukurikirane rwamashusho arambuye yibice byimbere mumubiri, nkumutwe, ijosi, nigituza, byafashwe muburyo butandukanye. Amashusho yakozwe na mudasobwa ihujwe na mashini ya x-ray. Irangi rishobora guterwa mumitsi cyangwa kumirwa kugirango bifashe ingingo cyangwa ingirangingo kugaragara neza. Ubu buryo nabwo bwitwa computing tomografiya, tomografiya ya mudasobwa, cyangwa mudasobwa ya axial tomografiya.

• Isanduku x-ray: X-ray yingingo namagufwa imbere yigituza. X-ray ni ubwoko bwingufu zishobora kunyura mumubiri no kuri firime, bigakora ishusho yibice byumubiri.

• PET scan (positron emission tomografi scan): Uburyo bwo kubona selile mbi yibibyimba mumubiri. Umubare muto wa glucose ikora radio (isukari) yatewe mumitsi. PET scaneri izenguruka umubiri kandi ikora ishusho yerekana aho glucose ikoreshwa mumubiri. Rimwe na rimwe, PET scan na CT scan bikorwa icyarimwe.

• Ikizamini cya Ultrasound: Uburyo bukoreshwa mu majwi y’amajwi menshi (ultrasound) asohoka mu ngingo zimbere, nka lymph node, cyangwa ingingo kandi bigasubiramo. Ijwi ryerekana ishusho yumubiri wumubiri witwa sonogram. Ishusho irashobora gucapurwa kugirango irebe nyuma. Ikizamini cya ultrasound ya lymph node yo mukarere gishobora gukorwa kuri kanseri yibanze ya kanseri na kanseri y'uruhu.

• Ikizamini cy'amaso hamwe n'umunyeshuri wagutse: Ikizamini cy'ijisho umunyeshuri yaguyemo (yafunguye mugari) hamwe n'amaso y'amaso y’imiti kugira ngo umuganga arebe mu ndiba n’umunyeshuri kuri retina na nervice optique. Imbere y'ijisho, harimo retina na nervice optique, isuzumwa n'umucyo.

• Lymph node biopsy: Gukuraho ibintu byose cyangwa igice cya lymph node. Inzobere mu bijyanye n’indwara ireba lymph node tissue munsi ya microscope kugirango isuzume selile. Lymph node biopsy irashobora gukorwa kuri kanseri y'udukoko twa kanseri y'uruhu.

Hariho uburyo butatu kanseri ikwirakwira mu mubiri.

Kanseri irashobora gukwirakwira binyuze mu ngingo, sisitemu ya lymph, n'amaraso:

• Tissue. Kanseri ikwirakwira aho yatangiriye ikurira mu turere twegereye.

• Sisitemu ya Lymph. Kanseri ikwirakwira aho yatangiriye yinjira muri sisitemu ya lymph. Kanseri inyura mu mitsi ya lymph igana mu bindi bice by'umubiri.

• Amaraso. Kanseri ikwirakwira aho yatangiriye yinjira mu maraso. Kanseri inyura mu mitsi y'amaraso igana mu bindi bice by'umubiri.

Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.

Iyo kanseri ikwirakwira mu kindi gice cy'umubiri, yitwa metastasis. Ingirabuzimafatizo za kanseri zitandukana aho zatangiriye (ikibyimba kibanza) zikanyura muri sisitemu ya lymph cyangwa maraso.

• Sisitemu ya Lymph. Kanseri yinjira muri sisitemu ya lymph, ikanyura mu mitsi ya lymph, igakora ikibyimba (ikibyimba metastatike) mu kindi gice cy'umubiri.

• Amaraso. Kanseri yinjira mu maraso, ikanyura mu mitsi y'amaraso, igakora ikibyimba (ikibyimba metastatike) mu kindi gice cy'umubiri.

Ikibyimba metastatike nubwoko bumwe bwa kanseri nkibibyimba byibanze. Kurugero, niba kanseri y'uruhu ikwirakwira mu bihaha, kanseri ya kanseri mu bihaha ni selile kanseri y'uruhu. Indwara ni kanseri y'uruhu metastatike, ntabwo ari kanseri y'ibihaha.

Gutegura kanseri yibanze ya kanseri na kanseri ya kanseri y'uruhu biterwa n'aho kanseri yatangiriye.

Gutegura kanseri y'ibanze ya kanseri na kanseri y'udukoko twa kanseri y'ijisho bitandukanye no kubika kanseri y'ibanze ya kanseri na kanseri y'udukoko dusanga ku bindi bice by'umutwe cyangwa ijosi. Nta sisitemu yo kubika kanseri y'ibanze ya kanseri cyangwa kanseri y'utugingo ngengabuzima itaboneka ku mutwe cyangwa ku ijosi.

Kubaga kugirango bakureho ikibyimba cyibanze na lymph node idasanzwe birakorwa kugirango ingero za tissue zishobore kwigwa munsi ya microscope. Ibi byitwa patologic stage kandi ibyabonetse bikoreshwa mugutegura nkuko byasobanuwe hano hepfo. Niba gutunganya bikozwe mbere yo kubagwa kugirango bakureho ikibyimba, byitwa kwivuza. Icyiciro cyamavuriro gishobora kuba gitandukanye nicyiciro cya patologique.

Ibyiciro bikurikira bikoreshwa kuri kanseri yibanze ya kanseri na kanseri y'udukoko twa kanseri y'uruhu ruri ku mutwe cyangwa ku ijosi ariko rutari ku gitsike:

Icyiciro 0 (Carcinoma muri Situ)

Mu cyiciro cya 0, selile zidasanzwe ziboneka muri selile squamous selile cyangwa selile selile ya epidermis. Utugingo ngengabuzima tudasanzwe dushobora guhinduka kanseri tugakwirakwira mu ngingo zisanzwe. Icyiciro cya 0 nanone bita kanseri mu mwanya.

Icyiciro I.

Mu cyiciro cya I, kanseri yarakozwe kandi ikibyimba gifite santimetero 2 cyangwa nto.

Icyiciro cya II

Mu cyiciro cya II, ikibyimba kirenze santimetero 2 ariko ntikirenza santimetero 4.

Icyiciro cya III

Mu cyiciro cya III, kimwe muri ibi bikurikira kiboneka:

• ikibyimba kinini kirenga santimetero 4, cyangwa kanseri yakwirakwiriye mu magufwa kandi igufwa ryangiritse cyane, cyangwa kanseri ikwirakwira mu ngingo zifata imitsi iri munsi ya dermis, cyangwa ikwirakwira munsi yinyama zo munsi. Kanseri irashobora kandi gukwirakwira kuri lymph node imwe kuruhande rwumubiri nkikibyimba kandi node ifite santimetero 3 cyangwa nto; cyangwa

• ikibyimba gifite santimetero 4 cyangwa nto. Kanseri yakwirakwiriye kuri lymph node ku ruhande rumwe rw'umubiri nk'ikibyimba kandi node ifite santimetero 3 cyangwa nto.

Icyiciro cya IV

Mu cyiciro cya IV, kimwe muri ibi bikurikira kiboneka:

• ikibyimba nubunini bwose kandi kanseri ishobora kuba yarakwirakwiriye kumagufwa kandi igufwa ntirishobora kwangirika gake, cyangwa kumubiri utwikiriye imitsi iri munsi ya dermis, cyangwa munsi yumubiri. Kanseri yakwirakwiriye kuri lymph node ku buryo bukurikira:

• lymph node imwe kuruhande rumwe rwumubiri nkikibyimba, node yanduye ni santimetero 3 cyangwa ntoya, kandi kanseri yakwirakwiriye hanze ya lymph node; cyangwa

• lymph node imwe kuruhande rumwe rwumubiri nkikibyimba, node yanduye iruta santimetero 3 ariko ntirenza santimetero 6, kandi kanseri ntiyakwirakwiriye hanze ya lymph node; cyangwa

• ibirenze lymph node kuruhande rumwe rwumubiri nkikibyimba, imitwe yanduye ni santimetero 6 cyangwa ntoya, kandi kanseri ntiyakwirakwiriye hanze ya lymph node; cyangwa

• imwe cyangwa nyinshi ya lymph node kuruhande rwumubiri nkikibyimba cyangwa kumpande zombi zumubiri, imitwe yanduye ni santimetero 6 cyangwa ntoya, kandi kanseri ntiyakwirakwiriye hanze ya lymph node.

ikibyimba nubunini bwose kandi kanseri irashobora kuba yarakwirakwiriye mubice bitwikiriye imitsi munsi ya dermis cyangwa munsi yumubiri wubutaka cyangwa kumitsi yamagufa cyangwa kumagufwa, harimo hepfo yumutwe. Nanone:

• kanseri yakwirakwiriye kuri lymph node imwe irenga santimetero 6 kandi kanseri ntiyakwirakwiriye hanze ya lymph node; cyangwa

• kanseri yakwirakwiriye kuri lymph node imwe ku ruhande rumwe rw'umubiri nk'ikibyimba, node yanduye iruta santimetero 3, kandi kanseri yakwirakwiriye hanze ya lymph node; cyangwa

• kanseri yakwirakwiriye kuri lymph node imwe ku rundi ruhande rw'umubiri nk'ikibyimba, node yanduye ni ingano iyo ari yo yose, kandi kanseri yakwirakwiriye hanze ya lymph node; cyangwa

• kanseri yakwirakwiriye kuri lymph node zirenze imwe kuruhande rumwe cyangwa impande zombi z'umubiri kandi kanseri yakwirakwiriye hanze ya lymph node.

• ikibyimba nubunini bwose kandi kanseri yakwirakwiriye mu magufa cyangwa mu magufa, harimo hepfo ya gihanga, kandi igufwa ryangiritse. Kanseri irashobora no gukwirakwira kuri lymph node; cyangwa

• kanseri yakwirakwiriye mu bindi bice by'umubiri, nk'ibihaha.

Ibyiciro bikurikira bikoreshwa kuri kanseri yibanze ya kanseri na kanseri ya kanseri y'uruhu ku gitsike:

Icyiciro 0 (Carcinoma muri Situ)

Mu cyiciro cya 0, selile zidasanzwe ziboneka muri epidermis, mubisanzwe murwego rwibanze. Utugingo ngengabuzima tudasanzwe dushobora guhinduka kanseri tugakwirakwira mu ngingo zisanzwe. Icyiciro cya 0 nanone bita kanseri mu mwanya.

Icyiciro I.

Mu cyiciro cya I, kanseri yarakozwe. Icyiciro cya I kigabanyijemo ibyiciro IA na IB.

• Icyiciro cya IA: Ikibyimba gifite milimetero 10 cyangwa ntoya kandi gishobora kuba cyarakwirakwiriye ku nkombe y'ijisho aho ingoyi ziri, ku ngingo zihuza mu jisho, cyangwa ku bunini bwuzuye bw'ijisho.

• Icyiciro cya IB: Ikibyimba kirenze milimetero 10 ariko ntikirenza milimetero 20 kandi ikibyimba nticyigeze gikwirakwira ku mboni y'ijisho aho inkoni ziri, cyangwa ku ngingo zihuza mu jisho.

Icyiciro cya II

Icyiciro cya II kigabanyijemo ibyiciro IIA na IIB.

• Mu cyiciro cya IIA, kimwe muri ibi bikurikira kiboneka:

• ikibyimba kirenze milimetero 10 ariko ntikirenza milimetero 20 kandi cyakwirakwiriye ku nkombe y'ijisho aho inkoni ziri, ku ngingo zihuza mu jisho, cyangwa ku bunini bwuzuye bw'ijisho; cyangwa

• ikibyimba kirenze milimetero 20 ariko ntikirenza milimetero 30 kandi gishobora kuba cyarakwirakwiriye ku nkombe y'ijisho aho inkoni ziri, kugeza ku ngingo zihuza mu jisho, cyangwa ku bunini bwuzuye bw'ijisho.

• Mu cyiciro cya IIB, ikibyimba gishobora kuba kinini kandi cyakwirakwiriye mu jisho, ijisho ry'amaso, sinus, imiyoboro y'amarira, cyangwa ubwonko, cyangwa ku ngingo zifasha ijisho.

Icyiciro cya III

Icyiciro cya III kigabanyijemo ibyiciro IIIA na IIIB.

• Icyiciro cya IIIA: Ikibyimba gishobora kuba kingana kandi gishobora kuba cyarakwirakwiriye kugera ku mboni y'ijisho aho inkoni ziri, ku ngingo zihuza mu jisho, cyangwa ku mubyimba wuzuye w'ijisho, cyangwa ku jisho, ijisho, ijisho, sinus , imiyoboro y'amarira, cyangwa ubwonko, cyangwa ingirangingo zifasha ijisho. Kanseri yakwirakwiriye kuri lymph node ku ruhande rumwe rw'umubiri nk'ikibyimba kandi node ifite santimetero 3 cyangwa nto.

• Icyiciro cya IIIB: Ikibyimba gishobora kuba kingana kandi gishobora kuba cyarakwirakwiriye kugera ku mboni y'ijisho aho inkoni ziri, ku ngingo zihuza ijisho, cyangwa ku mubyimba wuzuye w'ijisho, cyangwa ku jisho, ijisho, ijisho, sinus , imiyoboro y'amarira, cyangwa ubwonko, cyangwa ingirangingo zifasha ijisho. Kanseri yakwirakwiriye kuri lymph node ku buryo bukurikira:

• lymph node imwe kuruhande rumwe rwumubiri nkikibyimba kandi node irenze santimetero 3; cyangwa

• ibirenze lymph node kuruhande rwumubiri nkikibyimba cyangwa kumpande zombi zumubiri.

Icyiciro cya IV

Mu cyiciro cya IV, ikibyimba cyakwirakwiriye mu bindi bice by'umubiri, nk'ibihaha cyangwa umwijima.

Kuvura biterwa n'ubwoko bwa kanseri y'uruhu cyangwa izindi ndwara zanduye:

Kanseri y'ibanze

Kanseri y'ibanze. Indwara ya kanseri y'uruhu isa n'umutuku wijimye kandi yazamuye gato (ikibaho cy'ibumoso) hamwe na kanseri y'uruhu isa n'igisebe gifunguye gifite imaragarita (ikibaho cy'iburyo).

Kanseri y'ibanze ya kanseri ni ubwoko bwa kanseri y'uruhu. Ubusanzwe iboneka ahantu h'uruhu rwabaye ku zuba, akenshi izuru. Akenshi iyi kanseri igaragara nkigisebe cyazamutse gisa neza kandi cyiza. Ubwoko buto busanzwe busa nkinkovu cyangwa buringaniye kandi burakomeye kandi burashobora kuba ibara ryuruhu, umuhondo, cyangwa ibishashara. Kanseri y'ibanze irashobora gukwirakwira mu ngingo zikikije kanseri, ariko ubusanzwe ntabwo ikwirakwira mu bindi bice by'umubiri.

Indwara ya kanseri y'udukoko

Indwara ya kanseri y'udukoko. Indwara ya kanseri y'uruhu mu maso isa naho yazamutse kandi ikonje (ikibaho cy'ibumoso) hamwe na kanseri y'uruhu ku kuguru isa n'iyijimye kandi yazamuye (ikibaho cy'iburyo).

Indwara ya kanseri y'udukoko iboneka ahantu h'uruhu rwangijwe n'izuba, nk'amatwi, iminwa yo hepfo, n'inyuma y'amaboko. Indwara ya kanseri y'udukoko irashobora kandi kugaragara ahantu h'uruhu rwahiye izuba cyangwa ryatewe n'imiti cyangwa imirasire. Akenshi iyi kanseri isa nkigituba gikomeye. Ikibyimba gishobora kumva kijimye, kuva amaraso, cyangwa gukora igikonjo. Ibibyimba bya selile birashobora gukwirakwira hafi ya lymph node. Indwara ya kanseri ya kanseri idakwirakwira irashobora gukira.

Keratose

Acinic keratose ni uruhu rutari kanseri, ariko rimwe na rimwe ruhinduka kanseri ya kanseri. Indwara imwe cyangwa nyinshi zishobora kugaragara ahantu hagaragaye izuba, nk'isura, inyuma y'amaboko, n'iminwa yo hepfo. Irasa nkutubuto, umutuku, umutuku, cyangwa umukara wijimye ku ruhu rushobora kuba ruringaniye cyangwa ruzamuye, cyangwa nkiminwa yo hasi yamenaguritse kandi ikonjesha idafashwa numuti wamavuta cyangwa peteroli. Keratose ya Acinic irashobora gucika nta kuvura.

Incamake yo kuvura

INGINGO Z'INGENZI

• Hariho uburyo butandukanye bwo kuvura abarwayi bafite kanseri yibanze ya kanseri, kanseri y'udukoko twa kanseri y'uruhu, na keratose ya actinic.

• Ubwoko umunani bwo kuvura busanzwe bukoreshwa:

• Kubaga

• Imiti ivura imirasire

• Chimoterapi

• Ubuvuzi bwa Photodynamic

• Immunotherapy

• Ubuvuzi bugamije

• Igishishwa cyimiti

• Ubundi buryo bwo kuvura ibiyobyabwenge

• Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.

• Kuvura kanseri y'uruhu birashobora gutera ingaruka.

• Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.

• Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.

• Ibizamini byo gukurikirana birashobora gukenerwa.

Hariho uburyo butandukanye bwo kuvura abarwayi bafite kanseri yibanze ya kanseri, kanseri y'udukoko twa kanseri y'uruhu, na keratose ya actinic.

Ubwoko butandukanye bwo kuvura burahari kubarwayi barwaye kanseri yibanze, kanseri y'udukoko twa kanseri y'uruhu, na keratose ya actinic. Bumwe mu buryo busanzwe (ubuvuzi bukoreshwa ubu), kandi bumwe burimo kugeragezwa mubigeragezo byamavuriro. Ikigeragezo kivura ni ubushakashatsi bwakozwe bugamije gufasha kunoza imiti igezweho cyangwa kubona amakuru ku buvuzi bushya ku barwayi ba kanseri. Iyo ibizamini byo kwa muganga byerekana ko ubuvuzi bushya buruta ubuvuzi busanzwe, ubuvuzi bushya bushobora kuba ubuvuzi busanzwe. Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga. Ibigeragezo bimwe na bimwe bivura abarwayi batatangiye kwivuza.

Ubwoko umunani bwo kuvura busanzwe bukoreshwa:

Kubaga

Bumwe cyangwa bwinshi muburyo bukurikira bwo kubaga bushobora gukoreshwa mu kuvura kanseri yibanze ya kanseri, kanseri y'udukoko twa kanseri y'uruhu, cyangwa keratose ya actinic:

• Gusohora byoroshye: Ikibyimba, hamwe na zimwe mu ngingo zisanzwe ziyikikije, zaciwe ku ruhu.

• Kubaga micrographic Mohs: Ikibyimba cyaciwe kuruhu muburyo buto. Mugihe cyo kubikora, impande zibyimba hamwe na buri gice cyibibyimba byavanyweho barebwa na microscope kugirango barebe kanseri ya kanseri. Imirongo ikomeje gukurwaho kugeza igihe nta ngirabuzimafatizo za kanseri zigaragaye.

Ubu bwoko bwo kubaga bukuraho ibice bisanzwe bisanzwe bishoboka. Bikunze gukoreshwa mugukuraho kanseri yuruhu mumaso, intoki, cyangwa imyanya ndangagitsina na kanseri y'uruhu idafite umupaka ugaragara.

Kubaga Mohs. Uburyo bwo kubaga gukuraho kanseri y'uruhu mu ntambwe nyinshi. Ubwa mbere, hakuweho urwego ruto rwa kanseri. Hanyuma, igice cya kabiri cyoroshye cya tissue kivanyweho kandi kireba munsi ya microscope kugirango harebwe selile kanseri. Ibice byinshi bivanwaho icyarimwe kugeza urugingo rureba munsi ya microscope rwerekana ko nta kanseri isigaye. Ubu bwoko bwo kubaga bukoreshwa mugukuraho uduce duto dusanzwe bishoboka kandi akenshi bikoreshwa mugukuraho kanseri yuruhu mumaso.

• Kogosha kogosha: Agace kadasanzwe kogosha hejuru yuruhu hamwe nicyuma gito.

• Curettage na electrodesiccation: Ikibyimba cyaciwe kuruhu hamwe na curette (igikoresho gityaye, kimeze nk'ikiyiko). Electrode imeze nk'urushinge noneho ikoreshwa mugutunganya ako gace numuyagankuba uhagarika kuva amaraso kandi ukangiza kanseri ya kanseri iguma hafi yinkomere. Inzira irashobora gusubirwamo inshuro imwe kugeza kuri eshatu mugihe cyo kubagwa kugirango bakure kanseri yose. Ubu bwoko bwo kuvura nabwo bwitwa amashanyarazi.

• Kubaga: Ubuvuzi bukoresha igikoresho cyo gukonjesha no gusenya ingirangingo zidasanzwe, nka kanseri mu mwanya. Ubu bwoko bwo kuvura nabwo bwitwa cryotherapy.

Kubaga. Igikoresho gifite nozzle gikoreshwa mu gutera azote cyangwa amazi ya karuboni ya dioxyde de frais kugirango ihagarike kandi isenye ingirangingo zidasanzwe.

• Kubaga Laser: Uburyo bwo kubaga bukoresha urumuri rwa lazeri (urumuri ruto rw'urumuri rwinshi) nk'icyuma kugirango ugabanye amaraso mu mitsi cyangwa ukureho igikomere cyo hejuru nk'ikibyimba.

• Dermabrasion: Gukuraho urwego rwo hejuru rwuruhu ukoresheje uruziga ruzunguruka cyangwa uduce duto kugirango dusibe ingirangingo zuruhu.

Kwiyoroshya byoroshye, kubaga micrographic Mohs, curettage na electrodesiccation, hamwe na chirurgie chirurgie bikoreshwa mukuvura kanseri yibanze ya kanseri na kanseri y'uruhu. Kubaga Laser ntibikunze gukoreshwa mu kuvura kanseri y'ibanze. Gusohora byoroheje, kogosha kogosha, curettage na desiccation, dermabrasion, hamwe no kubaga laser bikoreshwa mukuvura keratose ya actinic.

Imiti ivura imirasire

Imishwarara ivura ni imiti ikoresha kanseri ikoresha ingufu nyinshi za x-imirasire cyangwa ubundi bwoko bwimirasire yica kanseri cyangwa ikabuza gukura. Hariho ubwoko bubiri bwo kuvura imirasire:

• Imiti ivura hanze ikoresha imashini hanze yumubiri kugirango yohereze imirasire kuri kanseri.

• Imiti ivura imbere ikoresha ibintu bifata radiyo bifunze inshinge, imbuto, insinga, cyangwa catheteri bishyirwa muri kanseri cyangwa hafi yayo.

Uburyo imiti ivura imirasire itangwa biterwa n'ubwoko bwa kanseri ivurwa. Imiti yo hanze ivura ikoreshwa mukuvura kanseri yibanze ya kanseri na kanseri y'uruhu.

Chimoterapi

Chimoterapi ni umuti wa kanseri ukoresha ibiyobyabwenge kugirango uhagarike imikurire ya kanseri, haba mu kwica selile cyangwa kubabuza gutandukana. Iyo chimiotherapie ifashwe numunwa cyangwa igaterwa mumitsi cyangwa imitsi, imiti yinjira mumaraso kandi irashobora kugera kanseri ya kanseri mumubiri (chimiotherapie sisitemu). Iyo chimiotherapie ishyizwe mumazi yubwonko, urugingo, cyangwa umwobo wumubiri nkinda, imiti yibasira kanseri ya kanseri muri utwo turere (chimiotherapie yo mukarere).

Chimoterapi ya kanseri yibanze ya kanseri, kanseri y'udukoko twa kanseri y'uruhu, na keratose ya actinic isanzwe ari iyambere (ikoreshwa kuruhu muri cream cyangwa amavuta yo kwisiga). Uburyo chimiotherapie itangwa biterwa nuburyo bivurwa. Topor fluorouracil (5-FU) ikoreshwa mukuvura kanseri yibanze.

Reba Ibiyobyabwenge Byemewe Kanseri Yibanze ya Kanseri kubindi bisobanuro.

Ubuvuzi bwa Photodynamic

Ubuvuzi bwa Photodynamic (PDT) nubuvuzi bwa kanseri bukoresha ibiyobyabwenge nubwoko runaka bwumucyo kugirango bice kanseri. Umuti udakora kugeza uhuye numucyo winjizwa mumitsi cyangwa ugashyirwa kuruhu. Umuti ukusanya byinshi muri selile ya kanseri kuruta muri selile zisanzwe. Kuri kanseri y'uruhu, urumuri rwa laser rumurikirwa kuruhu kandi imiti igakora kandi ikica kanseri. Ubuvuzi bwa Photodynamic butera kwangirika kwinyama nzima.

Ubuvuzi bwa Photodynamic nabwo bukoreshwa mu kuvura keratose ya actinic.

Immunotherapy

Immunotherapy nubuvuzi bukoresha sisitemu yumubiri yumurwayi kurwanya kanseri. Ibintu bikozwe numubiri cyangwa bikozwe muri laboratoire bikoreshwa mukuzamura, kuyobora, cyangwa kugarura umubiri kamere irinda kanseri. Ubu bwoko bwo kuvura kanseri nabwo bwitwa biotherapy cyangwa biologique therapy.

Interferon na imiquimod ni imiti ikingira indwara ikoreshwa mu kuvura kanseri y'uruhu. Interferon (ukoresheje inshinge) irashobora gukoreshwa mukuvura kanseri y'udukoko twa kanseri y'uruhu. Ubuvuzi bwibanze bwa imiquimod (cream ikoreshwa kuruhu) irashobora gukoreshwa mukuvura kanseri yibanze.

Reba Ibiyobyabwenge Byemewe Kanseri Yibanze ya Kanseri kubindi bisobanuro.

Ubuvuzi bugamije

Ubuvuzi bugamije ni uburyo bwo kuvura bukoresha ibiyobyabwenge cyangwa ibindi bintu byibasira kanseri. Ubuvuzi bugamije ubusanzwe butera kwangirika kwingirabuzimafatizo zisanzwe kuruta chimiotherapie cyangwa imiti ivura imirasire.

Ubuvuzi bugamije hamwe na signal transduction inhibitor ikoreshwa mukuvura kanseri yibanze. Ikimenyetso cyo guhindagura ibimenyetso kibuza ibimenyetso byanyuze kuri molekile ikajya mubindi imbere muri selire. Guhagarika ibyo bimenyetso bishobora kwica selile. Vismodegib na sonidegib ni inzitizi zo gukwirakwiza ibimenyetso zikoreshwa mu kuvura kanseri y'ibanze.

Reba Ibiyobyabwenge Byemewe Kanseri Yibanze ya Kanseri kubindi bisobanuro.

Igishishwa cyimiti

Igishishwa cyimiti nuburyo bukoreshwa mugutezimbere uburyo uruhu runaka rusa. Umuti wimiti ushyirwa kuruhu kugirango ushonga hejuru yuturemangingo twuruhu. Ibishishwa byimiti birashobora gukoreshwa mukuvura keratose. Ubu bwoko bwo kuvura bwitwa chemabrasion na chemexfoliation.

Ubundi buryo bwo kuvura ibiyobyabwenge

Retinoide (imiti ijyanye na vitamine A) rimwe na rimwe ikoreshwa mu kuvura kanseri y'uruhu ya kanseri y'uruhu. Diclofenac na ingenol ni imiti yibanze ikoreshwa mu kuvura keratose ya actinic.

Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.

Amakuru yerekeye ibizamini byamavuriro araboneka kurubuga rwa NCI.

Kuvura kanseri y'uruhu birashobora gutera ingaruka.

Kumakuru yingaruka ziterwa no kuvura kanseri, reba urupapuro rwuruhande rwacu.

Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.

Ku barwayi bamwe, kwitabira ikizamini cyamavuriro birashobora kuba uburyo bwiza bwo kuvura. Ibigeragezo bivura biri mubikorwa byubushakashatsi bwa kanseri. Igeragezwa rya Clinical rikorwa kugirango hamenyekane niba imiti mishya ya kanseri itekanye kandi ifite akamaro cyangwa nziza kuruta ubuvuzi busanzwe.

Benshi mubuvuzi busanzwe bwa kanseri bushingiye kubigeragezo byambere byubuvuzi. Abarwayi bitabiriye kwipimisha barashobora kuvurwa bisanzwe cyangwa kuba mubambere bahawe imiti mishya.

Abarwayi bitabira ibizamini byo kwa muganga nabo bafasha kunoza uburyo kanseri izavurwa mugihe kizaza. Nubwo ibigeragezo bivura bitaganisha ku buvuzi bushya, akenshi basubiza ibibazo byingenzi kandi bigafasha gutera imbere ubushakashatsi.

Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.

Igeragezwa rimwe na rimwe ririmo abarwayi bataravurwa. Ibindi bigeragezo bipima abarwayi bafite kanseri itameze neza. Hariho kandi ibizamini byo kwa muganga bipima uburyo bushya bwo guhagarika kanseri kongera kugaruka (kugaruka) cyangwa kugabanya ingaruka zo kuvura kanseri.

Igeragezwa rya Clinical ririmo kubera mu bice byinshi by'igihugu. Amakuru yerekeye ibizamini byamavuriro ashyigikiwe na NCI urashobora kubisanga kurubuga rwa NCI. Ibizamini bya Clinical bishyigikiwe nandi mashyirahamwe murashobora kubisanga kurubuga rwa ClinicalTrials.gov.

Ibizamini byo gukurikirana birashobora gukenerwa.

Bimwe mubizamini byakozwe mugupima kanseri cyangwa kumenya icyiciro cya kanseri birashobora gusubirwamo. Ibizamini bimwe bizasubirwamo kugirango harebwe uburyo ubuvuzi bukora neza. Ibyemezo bijyanye no gukomeza, guhindura, cyangwa guhagarika ubuvuzi birashobora gushingira kubisubizo byibi bizamini.

Bimwe mubizamini bizakomeza gukorwa buri gihe nyuma yubuvuzi burangiye. Ibisubizo by'ibi bizamini birashobora kwerekana niba ubuzima bwawe bwarahindutse cyangwa niba kanseri yarongeye (garuka). Ibi bizamini rimwe na rimwe byitwa gukurikirana-ibizamini cyangwa kugenzura.

Niba kanseri yibanze ya kanseri na kanseri ya kanseri yisubiramo (garuka), mubisanzwe ni mumyaka 5 yo kuvurwa bwa mbere. Vugana na muganga wawe inshuro ugomba gusuzuma uruhu rwawe kugirango umenye ibimenyetso bya kanseri.

Amahitamo yo kuvura kanseri yibanze ya kanseri

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Kuvura kanseri y'ibanze ya kanseri yaho irashobora kuba ikubiyemo ibi bikurikira:

• Gusohora byoroshye.

• Mohs kubaga micrographic.

• Imiti ivura imirasire.

• Curettage na electrodesiccation.

• Kubaga.

• Ubuvuzi bwa Photodynamic.

• Ubuvuzi bwa chimiotherapie.

• Imiti ikingira indwara (imiquimod).

• Kubaga Laser (ntibikunze gukoreshwa).

Kuvura kanseri yibanze ya kanseri ya metastatike cyangwa idashobora kuvurwa nubuvuzi bwaho irashobora kubamo ibi bikurikira:

• Ubuvuzi bugenewe hamwe na signal transduction inhibitor (vismodegib cyangwa sonidegib).

• Ikigeragezo cyamavuriro yubuvuzi bushya.

Kuvura kanseri yibanze ya kanseri idahwitse ishobora kuba ikubiyemo ibi bikurikira:

• Gusohora byoroshye.

• Mohs kubaga micrographic.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Amahitamo yo kuvura kanseri y'udukoko twa kanseri y'uruhu

Kuvura kanseri y'utugingo ngengabuzima twaho bishobora kuba bikubiyemo ibi bikurikira:

• Gusohora byoroshye.

• Mohs kubaga micrographic.

• Imiti ivura imirasire.

• Curettage na electrodesiccation.

• Kubaga.

• Ubuvuzi bwa Photodynamic, kuburwayi bwa kanseri ya kanseri mu mwanya (icyiciro 0).

Kuvura kanseri y'udukoko twa kanseri ya metastatike cyangwa idashobora kuvurwa hamwe nubuvuzi bwaho irashobora kubamo ibi bikurikira:

• Chimoterapi.

• Ubuvuzi bwa Retinoid hamwe na immunotherapy (interferon).

• Ikigeragezo cyamavuriro yubuvuzi bushya.

Kuvura kanseri ya kanseri isubirwamo itari metastatike irashobora kuba ikubiyemo ibi bikurikira:

• Gusohora byoroshye.

• Mohs kubaga micrographic.

• Imiti ivura imirasire.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Amahitamo yo kuvura Keratose ya Actinic

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Acinic keratose ntabwo ari kanseri ahubwo iravurwa kuko ishobora gukura kanseri. Kuvura keratose ya actinic irashobora kuba ikubiyemo ibi bikurikira:

• Ubuvuzi bwa chimiotherapie.

• Imiti ikingira indwara (imiquimod).

• Ubundi buryo bwo kuvura ibiyobyabwenge (diclofenac cyangwa ingenol).

• Igishishwa cyimiti.

• Gusohora byoroshye.

• Kogosha.

• Curettage na electrodesiccation.

• Dermabrasion.

• Ubuvuzi bwa Photodynamic.

• Kubaga Laser.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Kumenya byinshi kuri Kanseri y'uruhu

Ushaka amakuru menshi yikigo cyigihugu cya kanseri kubyerekeye kanseri y'uruhu, reba ibi bikurikira:

• Kanseri y'uruhu (Harimo na Melanoma) Urupapuro rwibanze

• Kwirinda Kanseri y'uruhu

• Kugenzura Kanseri y'uruhu

• Kanseri idasanzwe yo kuvura abana

• Kubaga kwa Kanseri

• Lazeri mu kuvura Kanseri

• Ibiyobyabwenge Byemewe Kanseri Yibanze

• Ubuvuzi bwa Photodynamic kuri Kanseri

Kumakuru rusange ya kanseri nibindi bikoresho biva mu kigo cyigihugu cya kanseri, reba ibi bikurikira:

• Ibyerekeye Kanseri

• Gutegura

• Chimiotherapie nawe: Inkunga kubantu barwaye Kanseri

• Ubuvuzi bwimirasire nawe: Inkunga kubantu barwaye Kanseri

• Guhangana na Kanseri

• Ibibazo byo Kubaza Muganga wawe kuri Kanseri

• Abacitse ku icumu n'abarezi