Actinic keratosis (AK), yotchedwa dzuwa keratosis, ndi yodziwika bwino ya khungu yomwe imaoneka ngati yowuma, yotchedwa scaly lesion chifukwa cha kutuluka kwa dzuwa kwa nthawi yaitali komanso mobwerezabwereza. Pafupifupi 10 peresenti ya AKs amatha kukhala ndi khansa, ndipo pafupifupi theka la magetsi onse amayamba ngati AK.
Zochitika zamakono za keratosis zotsatilapo zimaphatikizapo mankhwala osokoneza bongo (kuzimitsa), kutsekedwa, kuchitidwa opaleshoni, laser therapy, mankhwala a mankhwala, photodynamic therapy , ndi mankhwala opangira mankhwala (omwe amagwiritsidwa ntchito khungu kokha) monga maimimod, fluorouracil, ndi Solaraze (diclofenac , diclofenac 3 peresenti gel, diclofenac sodium).
Zindikirani: Zomwezi sizingapange zothandizira, kuyanjana kapena zotsatira za mankhwalawa. Ngati muli ndi mafunso okhudza mankhwala aliwonse amene mukuwagwiritsa ntchito, funsani ndi dokotala wanu wa zamankhwala.
Kuteteza Kerinosis ya Actinic Ndi Kutupa
Kuwotcha gel ndi mankhwala okhawo (mankhwala opangira mankhwala) omwe amagwiritsidwa ntchito pochizira actinic keratosis kumadera onse a thupi. Ngakhale njira yeniyeni yomwe imagwira siidziwika bwinobwino, imakhala ngati mankhwala osakanikirana (nonsteroidal anti-inflammatory drug (NSAID), monga aspirin ndi ibuprofen. NSAID imaletsa molekyulu m'thupi lotchedwa cyclo-oxygenase-2 (COX-2), zomwe zimachepetsanso kaphatikizidwe ka mankhwala otchedwa prostaglandin. Kuwonongeka kwa dzuwa ndi AKs zakhudzana ndi prostaglandins yomwe inalimbikitsa khungu.
Mayesero atatu a chipatala anachitidwa kuti avomereze ndi gel ya diclofenac ndi Food and Drug Administration (FDA). Odwala 427 omwe ali ndi zilonda zisanu kapena zikuluzikulu za AK pa khungu lawo, pamphumi, nkhope, mkono wamtundu kapena dzanja anachitidwa ndi jekeseni wa diclofenac kapena dummy (placebo) kwa miyezi itatu.
Patatha masiku makumi atatu chitatha chithandizo, 30 peresenti mpaka 50 peresenti ya zilonda za AK zakonzedwa bwino, kawiri kapena katatu chiwerengero chomwe chikuwonetsedwa mu gulu la gel. Zotsatira zabwino zinawonetsedwa ndi AK pamaso.
Kufufuza kwaposachedwapa kunayesa zotsatira za diclofenac pa AK omwe anali atachiritsidwa kale ndi mankhwala oundana.
Zotsatira zake zinali bwino kwambiri: 46 peresenti ya odwala anawona kuti zilonda zawo zonse za AK zinathetsedwa bwino, poyerekeza ndi 21 peresenti ya odwala omwe sanalandire diclofenac pambuyo pa mankhwalawa.
Sungani sikuti aliyense ali. Uzani wothandizira zaumoyo wanu za matenda anu onse musanayambe kugwiritsa ntchito gel osakaniza diclofenac, kuphatikizapo ngati:
- Khalani ndi chilonda chogwira ntchito
- Khalani ndi vuto la chiwindi
- Khalani ndi mavuto a impso
- Zomwe zinachitidwa kale zoipa ndi aspirin, ibuprofen kapena NSAID zina
Mmene Mungagwiritsire ntchito Diclofenac
Sungunulani gelisoni liyenera kusungunuka bwino pamatenda anu kawiri pa tsiku. Ndalama zofunikira zimadalira kukula kwa chotupacho, koma onetsetsani kuti zowonjezera zimagwiritsidwa ntchito kuti muphimbe mokwanira chilembo chilichonse. Dokotala wanu angakulimbikitseni kuti muwonetse malo ambiri ndi Solaraze, osati mankhwala okhaokha, omwe angathandize kuthana ndi zilonda zomwe sizikuwonekera.
Dokotala wanu angakulimbikitseni kuti mugwiritse ntchito Pulogolo kwa masiku 60 mpaka masiku 90. Komabe, zilonda zanu sizitha kuchiza mpaka masiku 30 mutasiya kugwiritsa ntchito. Ngati muwona kuti zilonda zina sizikumvera gel, onani dokotala wanu.
Zotsatira zoyipa ndi machenjezo
M'mayesero am'chipatala, zomwe zimachitika kawirikawiri zimakhudza khungu ndipo nthawi zambiri zimakhala zochepa kwambiri.
Izi zikuphatikizapo:
- Kuthamanga kwachitsulo
- Khungu louma
- Khungu likuyang'ana
- Kufiira
Zambiri mwa zochitikazi zinachoka pamene mankhwala achotsedwa. Ndikofunika kupewa dzuwa ndi mazenera akuthira nsalu pamene mukugwiritsa ntchito gel osakaniza diclofenac chifukwa zimapangitsa kuti kuwonjezereka kwa dzuwa kuwonjezeke. Sayenera kugwiritsidwa ntchito kutsegula mabala a khungu, matenda kapena mavuto ena a khungu, kapena kugwirizana ndi maso anu. Ana sayenera kutenga diclofenac, ndipo musagwiritse ntchito mankhwalawa ngati muli ndi pakati kapena akuyamwitsa.
> Zotsatira:
Berlin JM, Rigel DS. Diclofenac sodium 3% gel mu mankhwala a actinic keratoses postcryosurgery. J Mankhwala Osokoneza Bongo . 2008 7 (7): 669-73.
Nelson CG, Spencer J, Nelson CG Jr. Dzanja limodzi, otseguka pamalopo komanso kulekerera kuphunzira diclofenac sodium 3% gel kuti azisamalira acininic keratosis pamlomo wapamwamba ndi wapansi. J Mankhwala Osokoneza Bongo . 2007 6 (7): 712-717.
Newman MD, Weinberg JM. Mankhwala opatsirana pogwiritsa ntchito mankhwala a actinic keratosis ndi basal cell carcinoma. Kudula . 2007 79 (4 Suppl): 18-28.
"Dulani Gel Kulongosola Zomwe Mukudziwa." PharmaDerm.