Bowenoid papulosis: zvikonzero uye kurapwa

Bowenoid papulosis - isingawanzowanikwi chirwere kuburikidza pabonde kuonana uye anofungidzirwa anokonzerwa kwevanhu papillomavirus mhando 16. The zvokurwara kunoratidzwa chitarisiko omunzvimbo maronda pamusoro sikarudzi varume nevakadzi. Neoplasms angava yakatsvukuruka mashava kana pepuru. Kazhinji, ivo vanowana diki saizi, chirefu pamusoro ganda uye mune zvimwe zviitiko kuonekwa kuti velvety kuti ikabatwa.

Zviratidzo uye zviratidzo

Lezii anokonzerwa nechirwere ichi zvisingawanzoitiki anogona kufamba voga shomanana, zvisinei, haisi varumbidzwa kubvisa kushanyira chiremba. Pane zviitiko apo mapundu haana uchaburuka kwemakore mashoma. Bowenoid papulosis vakadzi zvinogona riri mukati nyinyo, pamusoro clitoris, huru neduku labia, ari horo. Varume, maronda zvinowanikwa pamusoro uye muviri chikanda chepamberi yemukomana uye horo. Neoplasms kazhinji mvere, dzimwe nguva velvety; vakadzi vane zvasviba ruvara.

Varwere vakawanda vane chirwere chakadai vanotambura zvose nezvimwe zvirwere zvinokonzerwa nemavhairasi anoteverwa kukura Bowenoid papulosis. Typical mienzaniso herpes simplex utachiona, munhu papilloma utachiona uye HIV. Ndichiverenga nemaziso mapundu mamiriro akaita sechinhu jira preinvasive squamous sero carcinoma (kenza sero mhando). Mune zvimwe zviitiko Bowenoid papulosis degenerates kupinda kenza.

zvikonzero

zvokurwara ichi chirwere, pabonde, uye anofungidzirwa anokonzerwa kwevanhu papillomavirus mhando 16. Kuvapo zvimwe zvirwere zvinokonzerwa nemavhairasi, pamwe kuderera rokuzvidzivirira kungawedzera yakawedzerwa pedambudziko roku- chirwere ari pabonde.

paavhareji murwere

The chirwere chinobata vanhu (kureva nemakore 30) nevakadzi (avhareji nemakore 32), kurarama kushingaira pabonde upenyu. Mumabhuku zvokurapa, unogona kuwana mienzaniso diagnosing zvokurwara mune vanhu kubva 3 kusvika 80 makore. Pari utachiona iri zvishoma nezvishoma kuparadzira kufukidza makondinendi zvose uye nyika.

How kuziva chirwere

An Occupational chiremba pamwe nechiitiko chinoshamisa anokwanisa rokuongorora Bowenoid papulosis ayo kwese kunotoda mufananidzo. Zadzisai kwokutanga zvokuongorora kunobatsira Maitiro akadai dermoscopy uye ganda biopsy. A biopsy ari Akaratidzawo kuti kuziva miedzo squamous muchitokisi carcinoma.

differential kuongorora chirwere

Zviratidzo zvirwere izvi zvingava zvakafanana Features Bowenoid papulosis. Kufunga okufananidza maitiro kusiyanisa umwe neumwe zvokurwara.

• Bowen nehosha (lenticular discoid dyskeratosis) chinomiririra chimiro precancerous, anononoka kukura ganda malignancies. The huru Pakanzi - a brownish-tsvuku, chinopfupfuduka kana yakaoma goko akafukidza nzvimbo paganda kuti afanane nechitarisiko psoriasis kana dermatitis. Kusiyana kutyorwa akadai Bowenoid papulosis, chirwere Bowen rinooneka pamusoro nhengo dzose dzomuviri, pamusoro ganda kana mucous membranes.
• Nemburwa - zvakafanana chirwere venereal chirwere anokonzerwa papilloma dzevanhu utachiona uye kunokanganisa muviri zvakananga zvepabonde kuonana. Nemburwa anowanzoramba chirwere ichi, kuoneka paganda, kusvika duku kukura, vane tsvuku kana roruvara rwakatsvukuruka ruvara. Panguva Kumubata idzodzo zvakadaro, nyoro uye nyoro. Vaonekwe vaviri paganda uye pamusoro mucous membranes ari sikarudzi, muromo, horo kana mugaranhoko. Muzviitiko zvizhinji nemburwa anoumba mwanda.
• Lichen planus (lichen Wilson) - idzokororo itchy kuzvimba ganda, umo mune diki, vasingatungamirirwi nomumwe makwapa chisina kutsetseka kuti anogona kubatanidza uye kuumba nharaunda yakakura ine, chinopfupfuduka pemvura. Nepo Bowenoid papulosis mune varume nevakadzi kuitika zvakafanana kazhinji, tsvuku shingles kakawanda kunokanganisa naka pabonde. Lezii zvinowanzowanika panguva pazvirugu pamaoko uye netsoka, uyewo pamusoro mutumbi, tonsils, mboro uye mucous membranes mumuromo uye nyinyo.

Standard kurapa

Kana uchifungidzira iwe Bowenoid papulosis (mufananidzo chaiwo maronda dzinogona kuwanikwa pana zvokurapa forum), chinofanira kuva sei kuona chiremba kuti nyanzvi differential chirwere uye kwenguva zvichiongororwa nokukurumidza. Kazhinji, nyanzvi pakutanga akaita kumbonyatsoongorora richiona murwere. Dzimwe nguva chirwere kamwe kamwe, roga, hakurevi kugadzwa mishonga. Bonde rinofanira kushoma kuitira kudzivisa kupararira kune dzimwe vanhu panguva kutapuriranwa chokutambudzika chirwere.

Kana zvakakodzera, vanachiremba akarayira electrosurgery, cryotherapy (kuoma nechando zvinyama mu mvura senitrogen) uye / kana Laser kuvhiyiwa kuti kubvisa mapundu. Saizvozvowo akaitira nemavhairasi nemburwa.

In nekaupenyu nyoro zviitiko zvakakwana kushandisa "5-Fluorouracil" - mumwe kemikari kuti kunotadzisa sero kupesana uye pakudaro Unotsigira Bowenoid papulosis. Reviews kwaari zvose zvakanaka uye kusatsigira - zvizhinji kunoenderana mwero chirwere. The mushonga hunowanika vatengi muchimiro akangofananawo mafuta.

electrosurgery

Electrosurgery rinoshandiswa dermatology kurega ropa nokuparadza yakaoma ganda growths. Panguva nzira iyi, mukuru maitikiro rakatumbuka Magetsi dzakasiyana voltage ichipfuura ganda kuti vaumbe kupisa. Izvi zvinoda simba nerubatsiro uye zano rinokosha mumwe kana kupfuura electrodes:

• Elektrofulguratsiya (pfapfaidzo-coagulation) unoomesa chinokosha pamusoro.
• Electrocoagulation Kumira ropa nokukonzera kweropa iri dzaparadzwa nhumbi.
• Electric vakawanda kunosanganisira kwetsinga kuti munyama.
• Thermocoagulation anonziwo cauterization.

cryosurgery

Ndosaka imwe nengozi dermatological zvirwere vaiona Bowenoid papulosis. Treatment rinowanzoshandiswa wakaderedzwa kusvika nzira cryosurgery, kana kuoma nechando pathological growths paganda pamusoro.

Kuti kubvisa lezy hunhu dermatological zvirwere, izvi cryogenic vamiririri anoshandiswa:

• mvura senitrogen (yainyanya kushandiswa nzira);
• yakaoma chando carbon dioxide inobvisa (vamwe nzira chikare);
• dimethyl Eteri uye propane.

Cryosurgery unoshanda pamusoro zvinotevera zvirwere:

• Bowenoid papulosis;
• actinic keratosis;
• nemavhairasi nemburwa;
• seborrheic keratosis.

Professional dermatologists dzimwe nguva ushandiswe oma duku malignancies - semuenzaniso, chirwere Bowen Zvisinei, nzira iyi hapasi kupa yakanaka mugumisiro, uye saka zvinoda kungwarira kuongorora murwere mushure nzira.

Pari, nechando ndiyo nzira inonyanya ndichiva kubvisa zvakasiyana siyana lezy paganda pamusoro. Cryosurgery achiri chisingakoshi, ndakachengeteka. Zvisinei, unofanira kuva nechokwadi chokuti chirwere wakarurama. Under hapana ezvinhu hakufaniri chando uye chero undiagnosed melanoma pigmented maronda pamwe zvinogona kuva melanoma.