1.46 CME

Kanker Kulit: Deteksi dan Pencegahan

Pembicara: Dokter Ankur Kumar Tanwar

Asisten Profesor, Rajshree Ayurvedic Medical College, Uttarpradesh

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Keterangan

Skin cancer detection and prevention are paramount due to the rising incidence of this potentially life-threatening condition, particularly with increasing sun exposure and tanning trends. Regular skin self-examinations can aid in the early detection of suspicious lesions, prompting timely medical evaluation and intervention. Sun safety practices, including wearing protective clothing, seeking shade, and using broad-spectrum sunscreen, are essential in minimizing UV radiation exposure and reducing skin cancer risk. Educating individuals about the ABCDEs of melanoma (Asymmetry, Border irregularity, Color variation, Diameter greater than 6mm, Evolution) facilitates the recognition of concerning moles or lesions. Routine skin cancer screenings by dermatologists are recommended, especially for individuals with a history of sunburns, fair skin, or family history of skin cancer. Emphasizing the importance of sun protection behaviors from childhood onwards can instill lifelong habits that help prevent skin cancer development.

Ringkasan

  • Psoriasis is a chronic, non-infectious skin disease characterized by well-defined lesions, silvery scales, and often affects extensor surfaces and the lumbosacral region. Genetic predisposition, physical trauma, infections, certain drugs (like long-term corticosteroids), stress, obesity, alcohol, and smoking are contributing factors to the disease. The underlying mechanism involves activated T lymphocytes infiltrating the skin, stimulating keratinocyte proliferation and inflammation.
  • There are different types of psoriasis, including guttate (common in children and adolescents, with shower-like features), plaque (chronic lesions), and inverse (occurring in skin folds). Symptoms include silvery patches, dry skin, itching, inflammation, and joint involvement (arthritis). The prevalence of psoriasis in India ranges from 0.44% to 2.8%, with males being twice as likely to be affected as females, and symptoms often worsen during winter.
  • Ayurvedic understanding classifies skin diseases as "Kushta," divided into Maha Kushta (major) and Kshudra Kushta (minor). These conditions manifest due to imbalances in the three doshas: Vata, Pitta, and Kapha. Etiological factors include dietary indiscretions (like excessive salt, incompatible food combinations, and irregular eating patterns), lifestyle factors (suppressing natural urges, daytime sleeping), psychological factors (stress, anger), and hereditary factors.
  • Ayurvedic management emphasizes a holistic approach, including Nidan Parivarjan (avoiding causative factors), Shodhan Chikitsa (purification therapies like Panchakarma), Shaman Chikitsa (palliative therapies), Bahirparimarjan Chikitsa (local applications), Sattvavajaya Chikitsa (psychological therapy), Yoga, and meditation. Shodhan therapies include Snehana (internal oleation), Swedana (sweating), Vamana (emesis), Virechana (purgation), and Basti (enema).
  • Shaman Chikitsa involves using bitter and astringent drugs, and single herbs like Neem, Turmeric, Manjistha, and Guduchi are used for internal administration. Bahirparimarjan Chikitsa includes local applications of Kustha dravyas in the form of Lepa (paste) or taila (oil) such as Karanj tail, neem tail, or siddharth snan. A suitable diet consists of light, bitter foods, old grains, pointed gourd, pomegranate, and ghee formulations.
  • Psychological counseling, yoga (Balasana, Bhujangasana, Tadasana), and meditation can help manage stress and promote psychological well-being. Even in managing the conditions with herbal formulations, the formulations such as panch tikta ghrita powder, pancha neem churna ,haridra khand which is effective with anti allergic ,anti inflammatory properties can be utilized. The case study revealed good results of the medications that are vaata and kapha pacifying.

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