Isifo sika-Bowen sibonakala ngokuthuthukiswa kwezilonda zesikhumba esisodwa noma ngaphezulu. Lawa avela njengama-scaly patches, angavamile futhi abomvu kuya kunsundu ngombala. Izindlela zokwelapha eziningana zingacatshangelwa kuye ngecala.

Incazelo yesifo sika-Bowen

Isifo sika-Bowen siyifomu endaweni i-cutaneous squamous cell carcinoma. Iphinde yethulwe kalula njengomdlavuza we-intra-epidermal. Njengesikhumbuzo, i-epidermis iyingqimba engaphezulu yesikhumba.

Isifo sika-Bowen sibonakala ngokubonakala kwezilonda zesikhumba ezingenangozi. Lezi zilonda azihambisana nanoma yiziphi ezinye izimpawu zomtholampilo. Avela njengama-scaly patches anezinhlaka ezingajwayelekile kanye nombala onsundu ngokubomvu.

Ngokuvamile izikhathi eziningi, izilonda zisakazeka kancane. Ukuphatha okufanele kusiza ukuvimbela ukukhula kwazo futhi kunciphise ubungozi bezinkinga. Nakuba iphansi, kunengozi yokuqhubekela kumdlavuza wesikhumba noma i-squamous cell carcinoma ehlaselayo. Le ngozi ilinganiselwa ku-3%.

Izinkinga ze-Bowen's disease

Njengamathumba amaningi, isifo sika-Bowen sinemvelaphi engaqondakali kahle kuze kube namuhla. Kodwa-ke, ucwaningo luye lwathola izici ezithile zobungozi ezingasiza ukuqonda kangcono ukukhula kwesifo sika-Bowen.

Izici eziyingozi zesifo sika-Bowen

Izici zobungozi ezikhonjiwe kuze kube manje yilezi:

• i-radiation yelanga ngenxa yokuchayeka kakhulu elangeni;
• ubuthi nge-arsenic compounds;
• ukutheleleka kwe-human papillomavirus (HPV);
• I-immunodépression.

Abantu abathintwe yi-Bowen's disease

Isifo sika-Bowen sivame ukutholakala kubantu abaneminyaka engaphezu kwengama-60, ikakhulukazi kulabo abaseminyakeni yabo yama-XNUMX. Kubonakala sengathi lesi sifo sithinta kakhulu abesifazane.

Ukuxilongwa kwesifo sika-Bowen

Ukuhlolwa komtholampilo kubonisa izinga lezilonda. Ukuxilongwa kwesifo sika-Bowen kudinga i-biopsy, ukususwa kwezicubu ukuze kuhlaziywe.

Izilonda zesikhumba

Isifo sika-Bowen sibonakala ngokubonakala kwezilonda esikhumbeni. Nakuba lezi zingavela kunoma iyiphi indawo yomzimba, ngokuvamile zivela ezingxenyeni zomzimba ezichayeke elangeni.

Izilonda zesikhumba zinezici ezilandelayo:

• ukubukeka kwesikhumba;
• ama-contours angavamile;
• ngokuvamile ama-plaque amaningi;
• umbala obomvu kuya kokunsundu
• amathuba okuziphendukela kwemvelo maqondana nama-crusts.

Ukubonakala kwalezi zilonda kungase kufane neziqephu ze-eczema, i-psoriasis, noma ukutheleleka kwesikhumba fungal. Ngakho-ke ukuxilongwa okuphelele kubalulekile.

Izilonda ezingenzeka zolwelwesi lwamafinyila

Kwaqashelwa ukuthi izilonda zingavela kulwelwesi lwamafinyila, ikakhulukazi ku-vulva kanye ne-glans.

Izilonda ze-mucosal zingaba:

• i-pigmented;
• i-erythroplastic, ngokubonakala kwendawo ebomvu engavamile noma iqoqo lamabala abomvu;
• i-leukoplakic, ngokwakhiwa kwendawo emhlophe engavamile.

Izilonda zezinzipho ezingenzeka

Ukulimala kwezinzipho nakho kungenzeka. Lokhu kubonakaliswa yi-erythronychia yobude bendawo, okungukuthi, ibhande elibomvu elizungeze uzipho.

Ukuphathwa kwesifo sika-Bowen kuhilela ukususa amaseli athintekile. Kulokhu, amasu amaningana angacatshangelwa kuye ngokuthi icala. Ngokwesibonelo :

• i-chemotherapy yama-topical ngokusetshenziswa kwezidakamizwa ezilwa nomdlavuza ngendlela yokhilimu, i-lotion noma i-ointment;
• i-electrodesiccation ngokusetshenziswa kwamandla kagesi ukususa izilonda ezithile zesikhumba;
• ukuhlinza okubandakanya ukususwa kwezicubu eziyingozi;
• i-cryosurgery, noma i-cryoablation, esebenzisa amakhaza ukuze imise futhi ibhubhise amangqamuzana angavamile.

Kuyaqashelwa ukuthi ukuchayeka emisebeni ye-ultraviolet (UV) kuyisici esiyingozi esiyingozi somdlavuza wesikhumba. Yingakho kunconywa ukuthi:

• nciphisa ukuchayeka elangeni ngokukhetha izindawo ezinomthunzi, ukunciphisa imisebenzi yangaphandle phakathi namahora ashisayo (kusuka ngo-10 ekuseni kuye ku-16 ntambama) kanye nokunciphisa ukushiswa yilanga;
• sebenzisa izingubo zokuzivikela ezifanele lapho ukuchayeka elangeni kungenakugwenywa njengamahembe anemikhono emide, amabhulukwe, izigqoko ezinompheme obanzi nezibuko;
• sebenzisa i-sunscreen enenkomba yokuvikela ngokumelene ne-UVA / UVB enkulu noma elingana nama-30, futhi uphinda ukusetshenziswa kwaso njalo emahoreni ama-2, ngemva kokubhukuda noma uma kwenzeka ukujuluka ngokweqile;
• gwema ukusebenzisa amadokodo okushuka.