Amagwiritsidwa Ntchito M'milandu Yapamwamba Ngati Zosankha Zina Siziyenera
Basal cell carcinoma ndi mtundu wamba wochuluka kwambiri wa khansa yapakhungu padziko lonse ndipo ndi umodzi mwa mankhwala ochiritsidwa kwambiri ngati atachiritsidwa msanga. Mankhwala omwe amagwiritsidwa ntchito kaŵirikaŵiri amaphatikizapo electrodesiccation ndi mankhwala (cauterizing ndi scraping the lesion) ndi opaleshoni ya Mohs (njira yogwiritsira ntchito molondola).
Njira ina yothandizira, yomwe imatchedwa Aldara (imiquimod) ya zonona, inavomerezedwa ndi US Food and Drug Administration mu 2004 kuti ikhale ndi basal cell carcinoma (SBCC) .
Zimagwira ntchito modzichepetsa pochotsa ululu ndipo zimagwiritsidwanso ntchito pochiza actinic keratosis (dzuwa).
Zizindikiro za Kugwiritsa Ntchito
Khungu la aldara ndilo lingaliro lokhalo limene limagwiritsidwa ntchito pochiza SBCC kwa anthu akuluakulu omwe ali ndi mawonekedwe abwino a chitetezo cha mthupi. Zimalimbikitsidwa pamene njira zina zochotsedwera siziyenera (monga ngati pali zilonda zambiri pamaso). Aldara amachititsa chitetezo cha mthupi kutulutsa mtundu wa mapuloteni, wotchedwa interferon-alpha, kuti amenyane ndi maselo a khansa .
Kafukufuku wamakono asanamveke kuti Aldara anatha kuchotsa SBCC mwa 75 peresenti ya anthu ochiritsidwa poyerekezera ndi awiri peresenti pa gulu la placebo. Mwa iwo omwe anachitidwa bwino ndi Aldara, pafupifupi 80 peresenti anakhalabe opanda khansa patatha zaka ziwiri.
Ngakhale kuti kafukufuku apitirirabe, kafukufuku akusonyeza kuti Aldara akhoza kuthandizira kuchiza khansa yapakhungu (yomwe imatchedwa melanoma in situ ) ngati njira zina zopaleshoni sizipezeka.
Zotsatira za Chithandizo
Aldara si yoyenera kwa anthu onse. Langizani dokotala wanu ngati mukutero. Chitani mitundu ina ya chithandizo kwa SBCC, actinic keratosis, mapiritsi a chiberekero, kapena vuto lina lililonse la khungu. Ngati ndi choncho, mungapangidwe kuti mudikire mpaka mankhwalawa atsirizidwa ndipo khungu lanu lachiritsika musanayambe Aldara.
Aldara ingakhalenso yowonjezera mavuto ena a khungu monga psoriasis .
Sidziwika ngati Aldara akhoza kuvulaza mwana pamene ali ndi mimba kapena kupatsira mwana kudzera mkaka wa m'mawere. Lankhulani ndi dokotala wanu za ubwino ndi zotsatira zomwe zingakhalepo za Aldara ngati muli ndi pakati kapena mukukonzekera kutenga pakati.
Ntchito
Aldara amagwiritsidwa ntchito khungu kokha ndipo sayenera kugwiritsidwa ntchito kapena pafupi, maso, milomo, mphuno, kapena mabala otseguka.
Aldara nthawi zambiri amagwiritsidwa ntchito kamodzi pa tsiku masiku asanu pa sabata. Ayenera kusiya khungu kwa maola eyiti kapena usiku wonse. Osaphimba malo ochitidwa ndi mabanki kapena zovala zina zotsekedwa. Pakatha maola asanu ndi atatu, yambani khungu lokhudzidwa ndi sopo wochepa ndi madzi.
Chithandizo chiyenera kupitirira kwa masabata asanu ndi limodzi. Pitirizani kugwiritsira ntchito Aldara ngakhale ngati basal cell lesion yapita pokhapokha ngati mwauzidwa ndi dermatologist wanu.
Zotsatira za Mankhwala
Zotsatira zofala kwambiri za Aldara ndi zomwe zimachitika khungu lomwe limapezeka pafupifupi pafupifupi limodzi mwa magawo atatu. Zizindikiro za m'mimba zingaphatikizepo izi:
- Kufiira
- Kutupa
- Matenda, zilonda, kapena chilonda
- Kuchulukira kapena kuuma kwa khungu
- Kusintha kwa mtundu wa khungu
- Khungu likuyang'ana
- Kukwapula ndi kupweteka
- Kuyabwa ndi / kapena kuyaka
Malo omwe akugwiritsidwa ntchito angawoneke bwino kwambiri asanayambe bwino.
Pewani kuwala kwa dzuwa (kapena dzuwa) chifukwa izi zikhoza kuipitsa zizindikiro. Pogwiritsa ntchito kunja, gwiritsani ntchito zovala zoteteza kapena chipewa chophimba malo okhudzidwa. Nthawi zina, kusintha kwa khungu kapena kapangidwe ka khungu kumakhala kosatha.
Zina mwa zotsatira zake zimaphatikizapo kupweteka mutu, kupweteka kumbuyo, kupweteka kwa minofu, kutopa, malungo, kutupa kwa mitsempha ya m'mimba, kutsegula m'mimba, ndi matenda opatsirana.
Lembani dokotala mwamsanga ngati muli ndi khungu lalikulu, ngati mumakhala ndi zizindikiro zofanana ndi matenda a chimfine, kapena ngati zilonda zimayamba kukula sabata yoyamba ya mankhwala.
> Chitsime:
> National Cancer Institute: Ma Institutes of Health. "FDA Chivomerezo cha Imiquimod - Dzina la dzina: Aldara." Bethesda, Maryland; zasinthidwa pa July 3, 2013.