I-Actinic keratosis (AK), ebizwa nangokuthi i-solar keratosis, iyisimo sesikhumba esivamile esiyingozi esivela njengesilonda esomile, esiyingozi esibangelwa ukukhanya kwelanga okuqhubekayo nokuphindaphindiwe. Cishe amaphesenti ayishumi ama-AKs agcina eseba nomdlavuza, kanti cishe isigamu sawo wonke ama- squamous cell carcinomas aqala njenge-AK engalashwa.
Izinketho zokwelashwa zamanje zokwenziwa kwe-keratosis zihlanganisa i-cryosurgery (i-frost), ukukhwabanisa (ukuhlunga), ukukhwabanisa okuhlinzekwa (ukukhishwa), ukwelashwa kwe-laser, amakhemikhali amakhemikhali, ukwelashwa kwe-photodynamic , kanye ne-topical (esetshenziselwa isikhumba kuphela) njenge-imiquimod, i-fluorouracil, ne-Solaraze (i-diclofenac , i-diclofenac i-3% yegeri, i-diclofenac sodium).
Qaphela: Lolu lwazi lungase lumboze zonke izinyathelo zokuphepha, ukusebenzisana noma imiphumela emibi yalesi sidakamizwa. Uma unemibuzo mayelana nanoma imuphi umuthi oyithathayo, hlola nochwepheshe wakho wezempilo.
Ukwelapha i-Actinic Keratosis Nge-Solaraze
Ukugcoba i-gel kuyisisetshenziswa kuphela (imithi yesigqila) imithi yokwelashwa okusetshenziselwa ukwelapha i-actinic keratosis kuzo zonke izindawo zomzimba. Nakuba indlela eqondile esebenza ayitholakali ngokuphelele, ihlukaniswa njengesidakamizwa esingafuni ukuvuvukala (i-NSAID), njenge-aspirin ne-ibuprofen. Ama-NSAID avimbela i-molecule emzimbeni okuthiwa i-cyclo-oxygenase-2 (i-COX-2), eyanciphisa ukuhlanganiswa kwemithi efana ne-hormone ebizwa ngokuthi i-prostaglandin. Ukulimala kwelanga kanye nama-AKs axhunyaniswe ne-prostaglandins ephakanyisiwe esikhumbeni.
Kuvivinywa izilingo ezintathu zokwelashwa okwenze ukuba kuvunyelwe i-gel diclofenac yi-Food and Drug Administration (FDA). Iziguli ezingu-427 ezinama-AK ezinhlanu noma ngaphezulu ezingaphezulu kwe-scalp, ebunzini, ebusweni, ebusweni noma esandleni, zelashwa nge-diclofenac noma i-gum (i-placebo) gel izinyanga ezintathu.
Izinsuku ezingamashumi amathathu emva kokuphela kokwelashwa, amaphesenti angu-30 kuya kuma-50 amaphesenti a-AK asusiwe ngokuphelele, kabili noma kathathu inani elibonwe eqenjini le-gel dummy. Imiphumela emihle ibonwe nama-AK ebusweni.
Ucwaningo lwamuva luvivinye umphumela we-diclofenac kuma-AK owasevele uphathwe nge-cryosurgery (i-frost).
Imiphumela yaba ngcono nakakhulu: amaphesenti angu-46 weziguli abona zonke izilonda zawo ze-AK ziqediwe ngokuphelele, uma kuqhathaniswa namaphesenti angu-21 kuphela weziguli ezingazange zithole i-diclofenac ngemuva kokukhishwa kwe-cryosurgery.
Ukuthulisa akuwona wonke umuntu. Tshela umhlinzeki wakho wezempilo mayelana nazo zonke izimo zakho zezokwelapha ngaphambi kokuqala ukusebenzisa ijeli le-diclofenac, kufaka phakathi uma:
- Yiba nesilonda esisebenzayo
- Unenkinga yesibindi
- Unenkinga yezinso
- Kuye kwaba nokuphendula okungalungile kwangaphambili ku-aspirin, ibuprofen noma amanye ama-NSAID
Indlela yokusebenzisa i-Diclofenac
Gcoba i-gel kufanele ihlutswe ngobumnene ezilonda zakho kabili ngosuku. Inani elidingekayo lincike ngobukhulu besilonda, kodwa qiniseka ukuthi okwanele kusetshenziselwa ukumboza ngokwanele isilonda ngasinye. Udokotela wakho angancoma ukuthi uphathe indawo evamile ngokuSula, kunokuba nje izilonda ezithile, ezingasiza ukucacisa izilonda ezingabonakali.
Udokotela wakho uzokutusa ukuthi usebenzise ukuxuba izinsuku ezingu-60 kuya kwezinsuku ezingu-90. Kodwa-ke, izilonda zakho ngeke ziphulukise ngokuphelele kuze kube yizinsuku ezingu-30 ngemuva kokuyeka ukuyisebenzisa. Uma ubona ukuthi ezinye izilonda aziphenduli i-gel, bheka udokotela wakho.
Imiphumela emibi kanye nezixwayiso
Ezilingo zomtholampilo, ukusabela okuvame kakhulu kubika ukuthi kuhilelekile esikhumbeni futhi ngokuvamile kwakunobumnene ukulinganisela ngobukhulu.
Lezi zihlanganisa:
- Ukukhwabanisa okunamandla
- Isikhumba esomile
- Isikhumba sibheka
- Ukubomvu
Iningi lalezi zindlela ezithintekayo zaphela lapho ukwelashwa kukhishwa. Kubalulekile ukugwema ilanga namadokodo okuqothula ngenkathi usebenzisa i-gel diclofenac ngoba kubangela ukuzwela okwenyuka ekushiseni kwelanga. Akufanele isetshenziswe ukuvula amanxeba esikhumba, izifo noma ezinye izinkinga zesikhumba, noma uxhumane namehlo akho. Izingane akufanele zithathe i-diclofenac, futhi ungasebenzisi lo mkhiqizo uma ukhulelwe noma uhlengikazi.
> Imithombo:
I-Berlin JM, i-Rigel DS. I-Diclofenac sodium 3% gel ekwelapheni kwe-actinic keratoses postcryosurgery. J Izidakamizwa Dermatol . 2008 7 (7): 669-73.
UNelson CG, uSenen J, uNelson CG Jr. Ingalo eyodwa, ukuphumelela kwelebula elivulekile nokufundela ukubekezelela i-diclofenac sodium 3% gel ekwelapheni i-actinic keratosis ye-lip engenhla nephansi. J Izidakamizwa Dermatol . 2007 6 (7): 712-717.
I-Newman MD, i-Weinberg JM. Imithi yokwelashwa ekhanda ekwelapheni i-actinic keratosis ne-basal cell carcinoma. I-Cutis . 2007 79 (4 Suppl): 18-28.
"Gcoba iGel Ukubhala Ulwazi." I-PharmaDerm.