Bowenoid papulosis: zimayambitsa ndi mankhwala

Bowenoid papulosis - matenda osowa opatsirana kudzera mu kugonana ndi mwina chifukwa cha anthu papillomavirus mtundu 16. kudwala The amakhala ndi maonekedwe a zotupa m'dera pa kumaliseche a amuna ndi akazi. Neoplasms mwina pabuka-Brown kapena wofiirira. Monga ulamuliro, angapezere kukula yaing'ono, ataliatali pa khungu ndipo nthawi zina amaoneka ngati velvety kuti kukhudza.

Zizindikiro

Lezii chifukwa cha matenda osowa angayende paokha masabata angapo, komabe ali osavomerezeka kuvula kudzacheza kwa dokotala. Pali milandu pamene zotupa sanali adzatsika kwa zaka zingapo. Bowenoid papulosis mu akazi akhoza lili mkati nyini, pa nkongo, mu labia yaikuluikulu, mu chotulukira lapansi. Mu amuna, zotupa zimapezeka pa mutu ndi thupi la mdulidwe wa mbolo ndi chotulukira. Neoplasms zambiri yosalala, nthawi zina velvety; akazi ali ndi mtundu mdima.

odwala ambiri ndi matenda amenewa amavutika kwambiri ndi matenda ena tizilombo patsogolo chitukuko Bowenoid papulosis. Zitsanzo ambiri nsungu simplex HIV, anthu papilloma HIV ndi HIV. Pophunzira zotupa tosaoneka dongosolo zikuwoneka ngati nsalu preinvasive squamous carcinoma maselo (khansa mtundu khungu). Nthawi zina Bowenoid papulosis likunyonyotsoka khansa.

zifukwa

kudwala Izi ndi matenda, opatsirana pogonana ndi mwina chifukwa cha anthu papillomavirus mtundu 16. pamaso pa matenda ena tizilombo, pamodzi ndi chitetezo wofooka zimachititsa kuti angathe kutenga matenda opatsirana pogonana kuchuluka.

wodwalayo pafupifupi

matendawa amakhudza amuna (zikutanthauza zaka 30) ndi akazi (pafupifupi zaka 32), moyo ndi mphamvu ya moyo kugonana. Mu mabuku a zamankhwala, mungapeze zitsanzo za Kupeza Vuto kudwala mu anthu ochokera zaka 3 mpaka 80. Panopa matenda ndi unkafalikira kuphimba mayiko onse ndi maiko.

Kodi kudziwa matenda

An dokotala kuntchito ndi chokuchitikirani chidwi amatha oterewa Bowenoid papulosis wa chithunzi mmene matenda. Tsimikizani matenda koyamba amathandiza njira monga dermoscopy ndi khungu biopsy. biopsy wina anasonyezanso kuti kudziwika carcinoma squamous selo.

matenda masiyanidwe

Zizindikiro za matenda amenewa angakhale ofanana mbali Bowenoid papulosis. Kuganizira makhalidwe poyerekeza kusiyanitsa munthu kuchokera kudwala wina.

• matenda Bowen a (lenticular discoid dyskeratosis) akuimira maonekedwe a precancerous, wosakwiya kukula malignancies khungu. Mbali yaikulu - ndi wooneka wofiira, flaky kapena youma kutumphuka dera pa khungu chokhala maonekedwe a psoriasis kapena dermatitis. Mosiyana ndi kuyan'anila monga Bowenoid papulosis, matenda Bowen limapezeka pa ziwalo zonse za thupi, pa khungu kapena nembanemba mucous.
• Njerewere - wamba matenda venereal matenda chifukwa cha anthu papilloma HIV ndipo amagwira thupi ndi mwachindunji kukhudzana kugonana. Njerewere zikusonyeza matenda ichi, kuonekera pa khungu, kufika kukula yaing'ono, ndi mtundu ofiira kapena pinki. Pa zowawa za dongosolo chotero, zofewa ndi lonyowa. Awonekere onse pa khungu ndipo zimagwira ntchito zosiyanasiyana mucous a kumaliseche, pakamwa, chotulukira kapena rectum. Nthawi zambiri njerewere kupanga mitolo.
• Ndere planus (ndere Wilson) - ndi kobwereza kuyabwa kutupa kwa khungu, mmene muli ang'ono, palokha Chrixitu mawanga okhota kuti angathe pamodzi ndi kupanga m'madera ambiri awukali, flaky pamwamba. Ngakhale Bowenoid papulosis amuna ndi akazi zimachitika mofanana zambiri, matailosi wofiira nthawi zambiri zimakhudza kugonana fairer. Lezii zambiri amapezeka pa makutu woimbayo ndi mapazi, komanso torso ndi, tonsils, mbolo ndipo zimagwira ntchito zosiyanasiyana mucous mkamwa ndi nyini.

mankhwala Standard

Ngati mukukayikira kuti inu Bowenoid papulosis (chithunzi cha zotupa lililonse angapezeke pa maonekedwe zachipatala), ayenera kukhala bwanji kuona dokotala kwa akatswiri masiyanidwe matenda ndi yaitali polojekiti posachedwapa. Monga ulamuliro, akatswiri anagwira polojekiti mokwanira wodwala. Nthawi zina matenda mwadzidzidzi, palokha, sikutanthauza Kusankhidwa kwa mankhwala. kugonana ayenera kuchepetsa pofuna kupewa kufala kwa anthu ena pa gawo matenda a matenda.

Ngati ndi kotheka, madokotala mankhwala electrosurgery, cryotherapy (ndi kuzizira minofu asafe) ndi / kapena opaleshoni laser kuchotsa zotupa. Chimodzimodzinso ankachitira njerewere tizilombo.

Nthawi ndi wofatsa yokwanira kugwiritsa ntchito "5-Fluorouracil" - mankhwala mankhwala zoletsa kuti magawano foni ndipo potero relieves Bowenoid papulosis. Reviews kwa iye muli zonse zabwino ndi ndale - kwambiri zimadalira mlingo wa matenda. Mankhwala alipo ogula mu mawonekedwe a mafuta wamba.

electrosurgery

Electrosurgery ntchito pakhungu kuti magazi asiye kutuluka ndi kuwononga zophuka khungu nthenda. Pa njirayi, pafupipafupi mkulu alternating magetsi a voteji osiyana umadutsa khungu kupanga kutentha. Izi zimafunika magetsi ndi chipangizo wapadera ndi maelekitirodi chimodzi kapena zingapo:

• Elektrofulguratsiya (kutsitsi-coagulation) kupukuta pamwamba nsalu.
• Electrocoagulation zimaleka magazi mwa kuchititsa magazi clotting m'zotengera zowonongeka.
• Zamagetsi angapo kumafuna kung'ambika wa zimakhala.
• Thermocoagulation amatchedwanso cauterization.

cryosurgery

N'zosadabwitsa kuti matenda zikanavulaza dermatological ankaona Bowenoid papulosis. Chithandizo kawirikawiri yafupika ndondomeko cryosurgery, kapena kuzizira zophuka pathological padziko khungu.

Pofuna kuchotsa lezy khalidwe la matenda dermatological, izi wothandizila cryogenic ntchito:

• madzi asafe (njira Ambiri ntchito);
• youma ayezi mpweya woipa (njira zina chakale);
• dimethyl efa ndi propane.

Cryosurgery ndi polimbana matenda otsatirawa:

• Bowenoid papulosis;
• actinic keratosis;
• njerewere tizilombo;
• seborrheic keratosis.

dermatologists Professional zina zotchulidwa yozizira koopsa malignancies kakang'ono - mwachitsanzo, matenda Bowen Komabe, njira imeneyi sikuti kupereka zotsatira zabwino, choncho amafuna polojekiti kusamala wodwala pambuyo ndondomeko.

Panopa yozizira koopsa ndi njira yofala ndiyotani pakuchotsa zosiyanasiyana lezy padziko khungu. Cryosurgery zimakhalanso zotsika mtengo, wotetezeka. Komabe, muyenera kuonetsetsa kuti matenda ndi zolondola. Mulimonse mmene sayenera oundana ndipo aliyense khansa undiagnosed inki zotupa ndi lingathe kukhala khansa.