Erythroplasia Keira: hunokonzera, zviratidzo, chirwere uye kurapwa mamiriro

Men kakawanda vangangotaura kuenda chiremba nezviratidzo Kuvhiringidza of urogenital ino kupfuura zvakanaka pabonde. Ngozi huru iri precancerous maronda uye nyanyisa anomera. Boka rokutanga pathologies chokuita erythroplasia Keira. Chii?

Description of chirwere

Under erythroplasia Keira rinoreva precancerous maronda ari mucous membranes. In okurapa, unogona kuwana imwe zita chirwere ichi - epithelioma velvety. Kazhinji, chirwere kunokanganisa glans yekuberekesa. Ndoda erythroplasia chirwere mune zvakanaka pabonde. Panyaya iyi, iyo nzvimbo yacho pathological muitiro vari yokubereka mucosal, nemumuromo mhango uye perianal nharaunda.

Erythroplasia Keir uye Bowen nehosha akawanda zvakafanana features, asi vakawanda dzakananga zvatariswa kunoita kuti govera yokutanga chimiro sezvo yakazvimirira anomera. Kazhinji iri panoonekwa nevanhu vakwegura. Nokuti chirwere ichi kunoratidzwa katsika kukwegura kupinda squamous muchitokisi carcinoma (30% vose nyaya). Ose murwere wechishanu ane metastases, zvichiratidza munhu murombo fungidziro.

causation zvirwere

By varume vakuru kupfuura makore 55 kakawanda vanotambura kuratidzirwa zvokurwara ichi sezvo erythroplasia Keira. Zvikonzero kwayo kukura dzichiri kuzivikanwa. Varapi ega boka rose zvinoita kuti chimiro chirwere zviratidzo. Pakati pavo vane:

• chisingaperi balanoposthitis;
• papillomavirus chirwere;
• pasikarudzi herpes;
• nenguva dzirikure traumatizing zvinyama of mboro;
• kukundikana zvinoenderana inokosha mitemo utsanana.

Pasi pokudzora mumwe kana zvinoverengeka panguva iyoyowo kusimukira erythroplasia Keira.

Zviratidzo uye nezviratidzo chirwere

The huru chiratidzo ndiyo nechitarisiko rimwe lesion pamusoro mucosa. Varume, zviri vemunyika kuti musoro yemukomana, vakadzi - mune vulvar munharaunda. The lesion kunoratidzwa wakatsetseka micheto, ane yakatsvukuruka kana brownish tint. pamusoro wayo kupenyerera, zvishoma velvety. On palpation inogona kurwadza. With kukura pathological muitiro erosions duku kuitika panguva ino. In zvinoitirwa accession chirwere pachoto pamusoro anowana yero ruvara anooneka purulent muchivande.

Erythroplasia Queyrat ari nemumuromo mhango dzinoratidzwa chaiwo kunotoda mufananidzo. Maronda vari vemunyika parurimi mucous membranes kwemiromo. Vane yakatsvukuruka tint, yakajeka nemiganhu. Kusachinja-chinja idzodzo kunyanya munyoro, pangava zvishoma Kuparara.

nzira nechirwere

Kana uchifungidzira munhu erythroplasia chiremba yokutanga inotaura zvekuchipatara kuratidzwa chirwere, ipapo mberi histological kuongorora. Chirwere Base - nyore bvunzo umo rinoshandisirwa pamusoro zvakakanganisa nzvimbo chikumbiro kana toluidine rwebhuruu mhinduro. Plot erythroplasia kupendwa yebhuruu, pamwe zvatinosiita erythema Hue haachinji.

Chimwe chirwere pakuva hosha iri kugadzira mapango okuvaka zvakajeka maronda. In anogumbura urongwa, vane zvishoma yakajeka contours, uye kushandisa corticosteroids achabatsirwa nokukurumidza regression kuti maronda.

An Danho rinokosha kuzviongorora murwere vaitirei differential kuongorora chirwere. Symptomatology chirwere zvakafanana zvikuru nezviratidzo balanitis pakati Zoon. Naizvozvo, chirwere zvachose kwakavakirwa vachingoshandisa kurapwa zviratidzo, hazvibviri. Muchiitiko ichi zvakafanira kushandisa kushandisa histology / cytology. The zvichiguma mufananidzo kazhinji yakafanana Bowen chirwere. On zvakabudiswa vakachengeta shoma masero atypical, muzinda hyperkeratosis.

Musiyano mukuru kubva syphilitic chancre ndiyo kushaya thickening uye remunharaunda skleradenita. Zvisinei, kushandurwa danho squamous muchitokisi carcinoma erythroplasia Queyrat akaperekedza chisimbiso tishu. Tevera metastasis mu inguinal node nodes - Zvibereko zvavo. Kujekesa dzimwe nguva nechirwere runodiwa cytology. Kana pasina anodhinda akaparadzanisa treponema rakachenuruka, asi masero dzakasiyana bundu erythroplasia akasimbisawo.

kurapwa Guidelines

chirwere Erythroplasia Queyrat kunosanganisira ane Integrated yokutaura kuti kurapwa, chine mishonga uye kushandisa nechitarisiko zvishandiso. Kushandisa marapiro kunoenderana pavaipfuura pathological muitiro, zvakatemwa achishandisa histological pakuongororwa.

Kana invasive chimiro chirwere vanogadzwa mishonga zvinodhaka. It ichazivikanwa noku "Bleomycin" pakati pavo zvinobudirira zvikuru. The mushonga chinotarisirwa intramuscularly kana nomutsinga, pamwe zvakafanira zvokungwarira uye usagunzva ganda pamusoro. A chete dose ndiyo 15 MG. Jekiseni nguva imwe neimwe uchigadzirira itsva mhinduro, vanofanira kudzokororwa ose rimwe zuva. Kupiwa ezvinhu omurwere, kunenge achitora mushonga inogona yakatarwa. Nguva nguva pakati kurapwa kwemwedzi dzinenge mbiri.

Kwokunze pakurapa chirwere anosarudzwa zvichienderana kukoshesa localization. Somuenzaniso, lesion pakati yemukomana musoro kunosanganisira kushandisa emura senitrogen. Asati atanga kriolechenie kushandiswa inonyaradza marwadzo omusoro. The nzira inodzokororwa kaviri pavhiki, uye yose nzira ine yezvirongwa shanu. Ftorofurovuyu kana mafuta fluorouracil rinoshandiswawo zvirwere erythroplasia Keir. It aishanda zvakananga maronda. Yawapiwa - mazuva 20.

Kana invasive chimiro kana pane zvikuru maitiro kubva inguinal node nodes, kuita X-ray inokurudzirwa. kukura zvokurwara mu kuzasi kazhinji zvinoda kuvhiyiwa. Operation zvinoreva achishandisa kubviswa chikanda chepamberi, mauri chirwere iri kufambira kana regresses. Mukuru chiratidzo kunorapwa ndiyo yakaoma erythroplasia Keira.

Mabatirwo zvavo mishonga

Asati kushandisa Quick zvokurapa zvetsika vanofanira kubvunza nyanzvi. Self-Mabatirwo precancerous maronda havagoni chete kupa zvinozoita, asi chirwere chirwere.

• In chirwere ichi, varapi zano kushandisa uswa tsuro makabheji. Inofanira pondo uye ipapo kureva ronda nzvimbo.
• Unogona kushandisa muto yarrow (50 Rine mamiririta) uye hemlock (25 ML). The zvichiguma muvhenganiswa kwaidiwa kuwedzera 100 ml twakadai muto. Store mufiriji nzira inokurudzirwa. Kuitora kuchirapa zvinangwa zvinofanira kaviri pazuva rimwe spoon, kunwa yogati. Duration yokurapa - kwete mwedzi kupfuura mumwe.

Tinoona zvakare: kushandisa pakurapa mushonga tsika varapi vanofanira chete pashure zano nachiremba wako. kurapa kwakadaro haagoni kunzi serimwe rinogona kutsiva kugamuchira mishonga kana kuvhiyiwa.

The fungidziro varwere

Kazhinji erythroplasia Keira kunoratidzwa benign kosi. Kumera masero pathogenic uye kubatanidzwa nedanho remunharaunda node nodes hariwanikwi chaizvo. Kushandurwa kupinda squamous muchitokisi carcinoma mapundu kazhinji pamwe murombo fungidziro.

matanho

Kudzivirira erythroplasia riri mangwanani vasabatwa kwezvirwere, zvakakodzera kurapa. Chinangwa charo chikuru - kudzivisa degeneration kuti zvokurwara mu squamous muchitokisi carcinoma. Kana kufungira echitema panhengo yemukomana vanofanira kutsvaka kurapwa nokukurumidza. Cytology ndechechokwadi nokuti nenguva vasabatwa masero atypical.