Bowenoid papulosis: unobangela kwaye unyango

Bowenoid papulosis - isifo esinqabileyo ezosulela ngesondo kwaye yezizathu ezibangelwa ngabantu uhlobo papillomavirus 16. ngezifo luphawulwa ukuvela izitshanguba asekuhlaleni kwi esini amadoda kunye nabasetyhini. Neoplasms usenokuba sayingqombela-mdaka okanye emfusa. Njengomgaqo, bengakwazi ubungakanani obuncinane, ezinemithi phezu eluswini kwaye kwezinye iimeko zibonakala velvety ukuya ngaphandle kwebala.

Lweempawu

Lezii okubangelwe yile sifo enqabileyo unako ukuhamba bebodwa kwiiveki ezimbalwa, nangona kunjalo, ayikhuthazwa tu into yokuba ukubeka off utyelelo kugqirha. Kukho iimeko xa yamathumba zange kuhla iminyaka embalwa. papulosis Bowenoid kwabasetyhini ukuba ibekwe ngaphakathi kwilungu lobufazi, phezu ikhozo, kwi kwiLibia ezinkulu nezincinci, kwi empundwini. Ngabantu, izilonda zifumaneka phezu kwentloko nomzimba yokwaluswa lobudoda kunye empundwini. Neoplasms ngokuqhelekileyo egudileyo, maxa wambi velvety; kwabasetyhini banalo umbala mnyama.

izigulane ezininzi unesifo onjalo Yekani kwezinye izifo ezosulelayo ezandulela uphuhliso Bowenoid papulosis. yimizekelo ephawulekayo ezi herpes simplex virus, papilloma virus ne-HIV. Xa sifunda yamathumba ezincinane Isakhiwo Kubonakala ngathi ilaphu carcinomas cell carcinoma preinvasive (uhlobo iseli umhlaza). Kwezinye iimeko Bowenoid papulosis bazale zibe ngumhlaza.

izizathu

Le ngezifo sisifo, ezosulela ngesondo, kunye yezizathu ezibangelwa ngabantu uhlobo papillomavirus 16. Ubukho nezinye izifo egazini, kunye nenkqubo omzimba buthathaka banokuzinikela kwandisa ubungozi bokufumana ezinjengezifo ezidluliselwa ngeentlobano zesini ngayo.

isilinganiso ogulayo

Esi sifo sichaphazela abantu (kuthetha iminyaka engama-30) kunye nabafazi (avareji yobudala engama-32), ukuphila ubomi sex esebenzayo. Kule ncwadi lonyango, unako ukufumana imizekelo zokufumanis leengxaki kubantu ukusuka kwiminyaka emi-3 ukuya kuma-80. Okwangoku, i-HIV ngcembe badlulela yokugubungela onke amazwekazi kunye namazwe.

Indlela yokubona isifo

An ingcali yezomsebenzi kunye amava umxhelo uyakwazi ukubona Bowenoid papulosis mfanekiso yoqobo clinical. Qinisekisa uxilongo lokuqala inceda iinkqubo ezifana dermoscopy nesikhumba biopsy. A biopsy kwakhona lwabonisa ukuba ekufumanekeni carcinomas cell carcinoma.

diagnosis umehluko

Iimpawu zezi zifo inokuba efanayo iimpawu Bowenoid papulosis. Thatha ingqalelo iimpawu athelekisekayo ukwahlula enye kwenye ngezifo.

• isifo Bowen kaThixo (dyskeratosis lenticular discoid) imele ukubonakala precancerous, kade ezikhulayo ezinezigulo esikhumbeni. The main phawu - uqweqwe indawo sinombala-ebomvu, ejiyileyo okanye owomileyo kuhlawulwa kwi eluswini efana ukubonakala ukhwekhwe okanye dermatitis. Ngokungafaniyo komgomo ezifana Bowenoid papulosis, isifo Bowen livela onke amalungu omzimba, ngomhla esikhumbeni okanye ngenwebu yangaphakathi.
• Iintsumpa - eziqhelekileyo ezosulelayo sifo neegcushuwa esibangelwa yintsholongwane papilloma kwaye kuchaphazela umzimba kukudibana ngokwesondo ngqo. Iintsumpa ziqhelekile esi sifo, kuvela kakhulu eluswini, zifike ubungakanani elincinane, abe umbala obomvu okanye pink. Xa touch kwingxelo ezinjalo, ithambile kwaye ufumile. Babonakale zombini eluswini naphezu kwiinwebu zangasese, umlomo, umngxuma wokukhupha ilindle okanye isikali. Kwiimeko ezininzi intsumpa benza iinyanda.
• planus ulele (ulele Wilson) - umtshiso nezolo silume ulusu, apho kukho ezincinane, elizimeleyo enye kwenye amabala emboxo ukuba bajoyine kunye nesakhiwo iindawo ezinkulu erhabaxa, umphezulu icolekile. Nangona Bowenoid papulosis kumadoda nabafazi zenzeka rhoqo ngokulinganayo, ngamaxolo ebomvu kwiimeko ezininzi kuchaphazela besini bubuhle. Lezii ngokuqhelekileyo afumaneka kwi ezihlahleni emphethweni iinyawo, kwakunye umntla, tonsils, ipipi kwiinwebu emlonyeni lobufazi.

therapy Standard

Ukuba ukrokrela ukuba Bowenoid papulosis (umfanekiso izilonda ezithile ingafumaneka kwi kwiiforam zonyango), kufuneka ibe ukubona indlela ugqirha moshilongo umahluko lobungcali esweni ixesha elide ngokukhawuleza kangangoko kunokwenzeka. Njengomgaqo, iingcali kuqala ziqhuba esweni ngokucokisekileyo isigulane. Maxa wambi sifo ngesiquphe, ngokwaso, ayifuni ukuqeshwa unyango. umsebenzi ngesondo kufuneka kuncitshiswe ukuze kuthintelwe ukudlulisela kwabanye abantu ngexesha lesigaba ezosulelayo zesi sifo.

Ukuba kuyimfuneko, amagqirha ukumisela electrosurgery, cryotherapy (izicwili qa nitrogen engamanzi) kunye / okanye laser uqhaqho ukususa ngamathumba. Ngokufanayo baphathwe intsumpa wentsholongwane egazini.

Kwiimeko abanobulali noko kwanele ukusebenzisa i "5-Fluorouracil" - into imichiza ethintela division seli ize ngokwenjenjalo nokuphelisa Bowenoid papulosis. Izimvo kuye kuzo ebezintle nezo cala - okuninzi kuxhomekeke iqondo usulelo. Ichiza ifumaneka kubathengi ngohlobo amafutha eziqhelekileyo.

electrosurgery

Electrosurgery isetyenziswa dermatology uyeke ukopha ibatshabalalise neziqu isikhumba engaqhelekanga. Ngethuba le nkqubo, i aqhelelkileyo alternating current yombane of ombane ezahlukeneyo udlula ulusu ukuba ibe ubushushu. Oku kufuna unikezelo amandla isixhobo ezizodwa electrode enye okanye ngaphezulu:

• Elektrofulguratsiya (spray-coagulation) yomile umphezulu laphu.
• Electrocoagulation eyeka ukopha ngokubangela igazi ekunqandeni nasezimpahleni ezonakeleyo.
• multiple zombane ibandakanya asike izicwili.
• Thermocoagulation nayo ngokuba cauterization.

cryosurgery

Siyaqondakala isizathu sokuba enye izifo ezinokuba yingozi dermatological ingqalelo Bowenoid papulosis. Unyango idla azezi cryosurgery inkqubo, okanye ebandayo Amahlathi lwezifo kumphezulu esikhumbeni.

Ukuze ukususa iimpawu lezy ukuphazamiseka dermatological, le arhente cryogenic asetyenziswa:

• nitrogen engamanzi (indlela lusetyenziswa kakhulu);
• owomileyo ice carbon dioxide (ethile indlela lixesha);
• dimethyl kaEtere kunye propane.

Cryosurgery lusebenza ezi zifo zilandelayo:

• papulosis Bowenoid;
• keratosis actinic;
• Iintsumpa wentsholongwane egazini;
• keratosis seborrheic.

dermatologists Professional maxa wambi emiselweyo ezinezigulo ezincinane lomkhenkce - umz, isifo Bowen Noko ke, le ndlela ayisoloko ukunika iziphumo ezidibanisayo, kwaye ngoko ke ifuna esweni ngenyameko isigulane emva nkqubo.

Okwangoku, ukuqanda yeyona ndlela iqhelekileyo ukungena ukususa iindidi lezy phezu kobuso esikhumbeni. Cryosurgery zisezantsi, ekhuselekileyo kunye ekhuselekileyo. Nangona kunjalo, kufuneka uqinisekise ukuba uphethwe ichanekile. Makungaze naphantsi kwazo naziphi na iimeko akufuneki emkhenkceni nayiphi wolusu akubonakali ulwehlo izitshanguba anokubanakho ukuba wolusu.