Funda Izingozi Zomdlavuza Wesikhumba Ezihlobene Ne-IBD, nokuthi Yini Ongayenza Ngazo
Akumangalisi ukuthi umdlavuza wesikhumba yinkinga yempilo yomphakathi, ikakhulukazi ezindaweni zokushisa zelanga. E-United States, isilinganiso se-nonmelanoma yomdlavuza wesikhumba senyukile. Cishe wonke umuntu uye waba nokushisa kwelanga noma emibili empilweni yakhe, ikakhulukazi lapho ethatha iholide ogwini noma endaweni eya endaweni eshisayo. Okushiwo abanye abantu abanesifo sofuba (IBD) esivuvukalayo (i-IBD) , noma kunjalo, ukuthi basengozini enkulu yokwenza umdlavuza wesikhumba ngoba nje bane-IBD.
Izindaba ezinhle ukuthi siyazi ngengozi, okusho okuningi okungenziwa ukuze sigweme ukuvezwa yelanga eliningi kakhulu. Musa ukuhlala ekhaya futhi ugweme imisebenzi yokuhamba noma yomnandi ngenxa yelanga! I-Sunscreen iyindlela enhle yokunciphisa ukutholakala, kodwa kulabo abangathandi ukuwasebenzisa, kunezingubo zokuvimbela UV ezikhona ngezindlela ezihlukahlukene. Amakati nama-ambulundi noma ngisho nokuya emthunzini nazo ziyasiza. Ukuthatha imizuzu embalwa nsuku zonke ukucabanga ngokuvikelwa kwe-ultraviolet (UV) kuyohamba ngendlela ende ukuvimbela izinkinga zesikhathi esizayo. Abantu abaningi abahlakulela umdlavuza wesikhumba bazokwazi ukuthola ukwelashwa nokugwema izinkinga ezinkulu, ikakhulukazi uma kutholakala kusenesikhathi.
Ubani Othola I-Cancer Skin?
Abantu abane-IBD, ikakhulukazi labo abane-Crohn's disease, basengozini enkulu yokwenza umdlavuza wesikhumba (i- melanoma ne-nonmelanoma). Okunye ukuhlaziywa kwe-meta enkulu kubonise ukuthi ingozi ingase ibe ngaphezu kwamaphesenti angu-37. Lokho kunomsindo ozwakalayo, kodwa ukuyeka ukukhanya kwelanga kuyindlela enhle yokunciphisa lo mngcipheko, futhi kuyinto engaphansi kokulawula kwakho ngqo.
Ukugcina isikrini selanga ku-IBD kit yakho nokutshala imali kwezinye izingubo zokuvimbela i-UV yizindlela ezinhle zokugwema ilanga.
Okunye ukukhathazeka ngengozi eyengeziwe yindlela imithi esetshenziselwa ukwelapha i-IBD iqala ngayo. Kuye kwaboniswa ukuthi ukuthatha izidakamizwa emakilasini okuthiwa i-thiopurines (njenge- Imuran ne- Purinethol ) kungakwandisa amathuba okuba nomdlavuza wesikhumba se-nonmelanoma kubantu abane-IBD.
Ukuze imithi eyaziwa ngokuthi yi-biologics ( Remicade , Entyvio , Humira ), ucwaningo lubonise ukwanda kwenengozi ye-melanoma. Uma uthatha enye yalezo mithi, ungase ukhathazeke ngengozi yomdlavuza, kodwa kufanele ufaniswe ngengozi yokuvumela ukuvuvukala ku-IBD kungabheki futhi kubangele izinkinga ezinkulu emathunjini nangaphandle kwamathumbu. Khuluma ne- gastroenterologist yakho mayelana nezingozi zakho jikelele nokuthi ungabeka kanjani yonke into ngendlela efanele. I- dermatologist ingasiza futhi inikeze iziphakamiso zendlela yokugwema ukuchayeka kwelanga nokuthi ungabheka kanjani ingozi yakho ngayinye.
Kufanele Uhlolwe Kangakanani NgeCanscer Skin?
Abantu abane-IBD kumele bahlolwe njalo umdlavuza wesikhumba kanye ngonyaka. Kwezinye izimo, kubantu abacatshangwa ukuthi basengozini enkulu, ukuhlolwa okuqhubekayo kaningi kungase kunconywe. Ucwaningo olulodwa lwabonisa ukuthi lapho abantu abanesifo sikaCrohn behlolwe kanye ngonyaka, kwaba yindleko eningi kakhulu ekubhekaneni nomdlavuza wesikhumba kusenesikhathi futhi bayiphatha. Abantu abane-IBD kufanele babuze odokotela babo ngokubaluleka kokuhlolwa kwesifo somdlavuza wesikhumba nokuthi kufanele kwenziwe kaningi kangakanani.
Ukunciphisa Ukuvezwa Kwelanga Ngokweqanda I-Cancer Prevention
Ngenxa yengozi yomdlavuza wesikhumba kubantu abane-IBD, ukuvimbela kubalulekile.
Ngenhlanhla, kunezindlela zokuvikela ilanga kunoma yisiphi isimiso noma indlela yokuphila. Nazi ezinye zezindlela ongagwema ngazo ukuvezwa kwelanga eliningi kakhulu.
- I-Sunscreens. Ngokusobala indlela elula futhi elula kakhulu etholakalayo yokugwema ukuchayeka kwelanga. Khetha umkhwalithi ophezulu ohlinzeka nge-high-factor factor protective (SPF). Akudingekile ukukhetha izinhlobo eziningi, kodwa kulabo abadinga i-SPF ehlukene yezingxenye ezihlukene zomzimba, isikhumba esibucayi, noma ngenkathi ibhukuda, kunezinketho eziningi ezitholakalayo.
- Amakati. Ngisho noma ungavamile umuntu womuntu, ungathola isigqoko esizokusebenzela futhi sikunike ukuvikelwa kwelanga. Njengebhonasi, izigqoko zingasiza ekunqumeni ama-glare futhi ugcine amehlo akho ekutholeni ilanga eliningi kakhulu.
- Izikhwama zomzimba noma izimonyo. Ama-moisturizers amaningi noma izisekelo zinezivikelo ezakhelwe ngaphakathi, ngokuvamile i-SPF phakathi kuka-15 no-25. Ukusebenzisa kokubili umswakama kanye nesisekelo nge-SPF akusho ukuthi bayengeza, ngakho-ke ukukhetha umkhiqizo owodwa nge-SPF kuhle.
- Izembatho. Kunezinhlobo eziningi zokugqoka ezitholakalayo ezineSSPF ezakhiwe kuzo. Izingubo ezivame ukunikeza i-SPF engaba ngu-5 kuphela, kanti izingubo ezikhethekile zingaba ngaphezu kwama-50. Lokhu kuwusizo ngokukhethekile ekugubungeni ngemuva nangentamo, okungaba nzima ukufika ngesikrini selanga lesikhilimu.
- Umbrellas. Ungase uhleke! Ukusebenzisa isambulela ukwakha umthunzi umqondo ohlakaniphile ngempela, ikakhulukazi ngenkathi kusebhishi noma echibini. Uma ucabanga ukuthi kungenzeka yini izinkinga ezinkulu zesikhumba nokuthi yini engayidla imali nemfanelo yokuphila, izindleko zokuthenga noma ukuqasha isambulela isela.
- Ukuhlala ngaphakathi. Hlala ngaphakathi ngesikhatsi se-peak amahora we-UV. Lokhu kungahluka, kepha ngokubanzi, ukuphuma elangeni noma ukusebenzisa ukuvikelwa kwelanga okuhle phakathi kwamahora ka-11 AM no-2 PM umqondo omuhle. Ukuhlola uhlelo lwesimo sezulu ngenhla ye-UV kuyasiza kakhulu ekuqondeni ukuthi kungakanani ukuvezwa okungenzeka ngosuku oluthile noma ngesikhathi esithile.
Kodwa Angiyidingi Ilanga I-Vitamin D?
Kuyiqiniso ukuthi sidinga i-vitamin D nokuthi "ilanga le-vitamin" lidalwa lapho isikhumba sakho sibhekene nelanga. Kuyaziwa nokuthi abantu abane-IBD bavame ukuba namavithamini D aphansi kunabantu abangenayo i-IBD. Izindaba ezinhle ukuthi i-vitamin D ingatholakala ngokusebenzisa izithako kanye nokudla, kanti udokotela wakho angakunikeza ukuthi ungamudinga kangakanani u-vitamin D. Ukuveza isikhumba ilanga njalo, ikakhulukazi ukuvutha, kuhlotshaniswa nengozi enkulu yomdlavuza wesikhumba, ngakho-ke kubalulekile ukuthi abantu abane-IBD bangatholi ilanga kakhulu.
Imibhede Yokuncibilikisa
Izikhungo Zokulawula Nokuvimbela Izifo (CDC), ngokucacile, ukuthi "ukucima ngaphakathi kungabangela umdlavuza wesikhumba kuhlanganise ne-melanoma (uhlobo olubulalayo lomdlavuza wesikhumba), i-basal cell carcinoma, ne-squamous cell carcinoma." Kunezinkolelo eziningi mayelana nemibhede yokuqothula, kuhlanganise nomqondo wokuthi ziphephile kunezokushisa kwelanga, ukuthi ziyasiza ukuthola i-vitamin D, nokuthi ukuthola "isisekelo sesisekelo" kuwumqondo omuhle. Ayikho inzuzo emibhedeni yokuqothula, futhi abantu abasebenzisa, ngisho kanye kanye kuphela, basengozini enkulu yokuthuthukisa umdlavuza wesikhumba.
Okubalulekile
I-Vitamin D ibalulekile emzimbeni wethu, kodwa ingatholakala ngokudla kanye ne-supplement, hhayi nje ilanga. Ukuvezwa kwelanga elithile kuyingxenye yokuphila nokuthola isikhathi esiwusizo ngaphandle, kodwa abantu abane-IBD kudingeka banciphise ukukhanya kwabo kwe-UV. Imithi ethile ingafaka abantu abane-IBD engozini enkulu yokuthuthukisa umdlavuza wesikhumba. Kodwa-ke, kunezindlela eziningi zokunqanda ukukhanya kwelanga kuhlanganise ne-sunscreen, izingubo zokuzivikela, nokusebenzisa umthunzi. Kubalulekile ukuthi ungesabi ukwandisa umdlavuza wesikhumba, futhi ukwazi ukuthi ezinye zezingozi ziqondana ngqo nomuntu.
Imithombo:
Amasevisi Okulawula Nokuvimbela Izifo. "Ukuthumba Kwangaphandle Akuphephile." CDC.gov. 5 Jan 2016.
I-MD eningi, uMartin CF, iPipkin CA, et al. "Ingozi ye-melanoma ne-nonmelanoma yomdlavuza wesikhumba phakathi kweziguli ezinezifo zesifo sofuba." I-Gastroenterology . 2012 Aug; 143 (2): 390-399.e1.
Okafor PN, Stallwood CG, Nguyen L, et al. "Ukusebenza kwezindleko ze-nonmelanoma ukuhlolwa kwesifo somdlavuza esikhungweni seziguli zeCrohn." I-Inflamm Bowel Dis . 2013 Dec; 19: 2787-2795.
U-Singh S, uNagpal SJ, uMrad MH, et al. "Isifo sesibindi sokuvuvukala sihlotshaniswa nengozi enkulu ye-melanoma: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta." I-Clin Gastroenterol Hepatol . 2014 Feb; 12: 210-218.
Yadav S, Singh S, Harmsen WS, et al. "Umthelela Wemijovo Engozini Yomdlavuza Ezithombeni Eziphethwe Izifo Ezibangelwa Ukuvuvukala: Isifundo Esisuselwa Esibambiswaneni Sabantu Esivela E-Olmsted County, Minnesota." I-Mayo Clin Proc . 2015 Jun; 90 (6): 738-746.