Matenda a Bowen amadziwika ndi kukula kwa zotupa zapakhungu limodzi kapena zingapo. Izi zimawoneka ngati zotupa, zosakhazikika komanso zofiira mpaka zofiirira mumtundu. Mankhwala angapo angaganizidwe malinga ndi vuto.

Tanthauzo la matenda a Bowen

Matenda a Bowen ndi mawonekedwe komweko matenda a cutaneous squamous cell carcinoma. Amawonetsedwanso mophweka ngati khansara ya intra-epidermal. Monga chikumbutso, epidermis ndi pamwamba pa khungu.

Matenda a Bowen amadziwika ndi maonekedwe a zotupa zapakhungu. Zotupazi sizimatsagana ndi zizindikiro zina zachipatala. Amawoneka ngati zigamba zokhala ndi ma autilaini osakhazikika komanso zofiira zofiirira.

Nthawi zambiri, zotupa zimafalikira pang'onopang'ono. Kusamalira moyenera kumathandiza kupewa chitukuko chawo komanso kuchepetsa chiopsezo cha zovuta. Ngakhale ndizochepa, pali chiopsezo chopita ku khansa yapakhungu kapena invasive squamous cell carcinoma. Chiwopsezochi chikuyerekeza 3%.

Zomwe zimayambitsa matenda a Bowen

Mofanana ndi zotupa zambiri, matenda a Bowen ali ndi chiyambi chomwe sichidziwika bwino mpaka lero. Komabe, kafukufuku wapeza zinthu zina zowopsa zomwe zingathandize kumvetsetsa kukula kwa matenda a Bowen.

Zowopsa za matenda a Bowen

Zowopsa zomwe zadziwika mpaka pano ndi:

• kuwala kwa dzuwa chifukwa cha kutenthedwa kwambiri ndi dzuwa;
• poyizoni ndi mankhwala arsenic;
• matenda a papillomavirus (HPV);
• immunodepression.

Anthu omwe akhudzidwa ndi matenda a Bowen

Matenda a Bowen nthawi zambiri amapezeka mwa anthu azaka zopitilira 60, makamaka mwa omwe ali ndi zaka XNUMX. Zikuoneka kuti matendawa amakhudza kwambiri akazi.

Matenda a Bowen

Kuwunika kwachipatala kumawonetsa kukula kwa zotupazo. Kuzindikira matenda a Bowen kumafuna biopsy, kuchotsa minofu kuti iwunike.

Zilonda pakhungu

Matenda a Bowen amadziwika ndi maonekedwe a zotupa pakhungu. Ngakhale izi zitha kuwoneka m'dera lililonse la thupi, nthawi zambiri zimawonekera pazigawo zathupi zomwe zili ndi dzuwa.

Zotupa pakhungu zili ndi izi:

• mawonekedwe a khungu;
• ma contours osakhazikika;
• kawirikawiri zolembera zingapo;
• zofiira mpaka zofiirira
• kuthekera kwa chisinthiko kupita ku crusts.

Mawonekedwe a zotupa izi angafanane ndi zigamba za chikanga, psoriasis, kapena matenda oyamba ndi fungus. Choncho, kufufuza bwinobwino n'kofunika.

Zowonongeka za mucous nembanemba

Zinawoneka kuti zotupa zimatha kuwoneka pamiyendo ina, makamaka pa vulva ndi glans.

Matenda a mucosal akhoza kukhala:

• mtundu;
• erythroplastic, ndi maonekedwe a malo ofiira osadziwika bwino kapena mawanga ofiira;
• leukoplakic, kupanga malo oyera oyera.

Zotheka misomali

Kuwonongeka kwa misomali kungabwerenso. Izi zimawonetsedwa ndi longitudinal erythronychia, ndiko kuti, gulu lofiira lomwe limazungulira msomali.

Kusamalira matenda a Bowen kumaphatikizapo kuchotsa ma cell omwe akhudzidwa. Pachifukwa ichi, njira zingapo zingaganizidwe malinga ndi mlanduwo. Mwachitsanzo :

• mankhwala amphamvu a chemotherapy pogwiritsa ntchito mankhwala oletsa khansa monga zonona, mafuta odzola kapena mafuta;
• electrodesiccation pogwiritsa ntchito mphamvu yamagetsi kuchotsa zilonda zapakhungu;
• kudulidwa kwa opaleshoni komwe kumaphatikizapo kuchotsedwa kwa minofu yomwe imayambitsa khansa;
• cryosurgery, kapena cryoablation, yomwe imagwiritsa ntchito kuzizira kuzizira ndikuwononga maselo osadziwika bwino.

Zimazindikirika kuti kukhudzana ndi kuwala kwa ultraviolet (UV) ndi chiopsezo chachikulu cha khansa yapakhungu. Ndicho chifukwa chake amalangizidwa kuti:

• chepetsani kutenthedwa ndi dzuwa pokonda malo okhala ndi mithunzi, kuchepetsa zochitika zapanja nthawi yotentha (kuyambira 10am mpaka 16pm) komanso kuchepetsa kuwotha kwa dzuwa;
• gwiritsani ntchito zovala zodzitetezera pamene kutenthedwa ndi dzuwa sikungapeweke monga malaya a manja aatali, mathalauza, zipewa za milomo yotakata ndi magalasi;
• gwiritsani ntchito mafuta oteteza ku dzuwa okhala ndi index yoteteza ku UVA / UVB wamkulu kuposa kapena wofanana ndi 30, ndikubwereza kugwiritsa ntchito kwake maola awiri aliwonse, mutatha kusambira kapena thukuta kwambiri;
• pewani kugwiritsa ntchito zikopa zowotcha.