So woahu sɛ wo honam ani ayɛ kurukuruwa a ɛhyerɛn? Momma yensua Merkel Cell Carcinoma kokoram a ɛyɛ hu no ho ade.

So woahu sɛ akuru ketewaa bi wɔ wo honam ani, titiriw w’anim, wo kɔn, anaa wo nsa a ɛtaa to owia mu? So ɛhyerɛn, ɛyɛ kɔkɔɔ, na ɛyɛ den sɛ wobɛka? Nnipa dodow no ara mfa wɔn adwene nsi saa nneɛma yi so kɛse, nanso ɛtɔ mmere bi a eyi betumi ayɛ honam ani kokoram a ɛntaa nsi nanso ɛyɛ hu yiye a wɔfrɛ no Merkel Cell Carcinoma ho sɛnkyerɛnne. Enti momma yɛnka ho asɛm nnɛ.

Sɛ yɛbɛka no tiawa a, dɛn ne Merkel Cell Carcinoma?

Merkel nkwammoaa kokoram yɛ kokoram a ɛntaa nsi na enyin ntɛmntɛm a efi ase wɔ Merkel nkwammoaa a ɛwɔ yɛn honam ani no mu. Ebetumi de nkwa ato asiane mu.

Susuw ho hwɛ, wɔ yɛn honam ani fã a ɛwɔ soro, a ɛno ne nea yɛfrɛ no epidermis , no mu tɔnn no, Merkel nkwammoaa yi wɔ hɔ. Eyinom yɛ nkwammoaa soronko koraa. Esiane sɛ saa nkwammoaa yi ne yɛn ntini ne yɛn nipadua mu ntini a ɛma nipadua no yɛ adwuma bom yɛ adwuma nti, wɔsan frɛ no neuroendocrine nkwammoaa . Sɛ yɛbɛka no pɛpɛɛpɛ a, saa nkwammoaa yi wɔ baabi a ɛbɛn ntini a ɛboa yɛn ma yɛte nka sɛ wɔde yɛn nsa aka yɛn no.

Sɛ obi nya nneɛma te sɛ UV hann a efi owia mu a, ɛsɛe saa Merkel nkwammoaa yi na ɛma enyin a wontumi nni so. Eyi ne bere a kokoram yi ba. Ade a ɛyɛ hu sen biara wɔ kokoram yi ho ne sɛ ɛtrɛw ntɛmntɛm yiye kɔ nipadua no afã afoforo na ɛwɔ hokwan kɛse sɛ ɛbɛsan aba bere a wɔasa no yare mpo akyi.

Dɛn na ɛde kokoram yi ba? Hena na ɔwɔ asiane mu kɛse?

Nneɛma atitiriw pii wɔ hɔ a ɛma kokoram yi nya.

Nneɛma atitiriw a enti ɛte saa

• UV mframa: Nea ɛde ba titiriw ne owia hann. Sɛ yɛtaa to owia mu, owia hyew, ne hann a wɔde ayɛ te sɛ mpa a wɔde twitwiw honam ani a, ebetumi asɛe yɛn honam ani nkwammoaa DNA. Saa ɔsɛe yi na ɛma kokoram nkwammoaa hyehyɛ.
• Merkel cell polyomavirus (MCP): Eyi yɛ nwonwa kakra. Nnipa du biara mu bɛyɛ awotwe anya ɔyare mmoawa bi a wɔfrɛ no Merkel cell polyomavirus (MCP) . Nanso mma ɛnhaw wo, saa mmoawa yi yɛ mmoawa a abu so paa a yebetumi anya wɔ mmofraase a yennim mpo, na ɛmfa sɛnkyerɛnne biara mma. Ɛnyɛ obiara a ɔwɔ bi wɔ ne nipadua mu na obenya kokoram. Abenfo da so ara rebɔ mmɔden sɛ wobehu nea enti a nnipa binom nkutoo na wonya kokoram fi mmoawa yi mu.

Nneɛma a ɛde asiane ba

Ɛwom sɛ obiara betumi anya saa kokoram yi de, nanso nnipa binom wɔ asiane kɛse mu.

• Mmarima a wɔadi boro mfe 50 a wɔn honam ani yɛ fitaa na wɔwɔ asiane kɛse mu.
• Sɛ woadi kan anya honam ani kokoram ahorow afoforo te sɛ basal cell carcinoma , squamous cell carcinoma , anaa melanoma .
• Sɛ woadi kan anya owia hyew kɛse anaasɛ wode mpa a wɔde hyɛ wo honam ani hwɛbea adi dwuma a .
• Esiane sɛ wɔanya phototherapy wɔ honam ani nyarewa ho nti.
• Sɛ nipadua no mu tumi a ɛko tia nyarewa no yɛ mmerɛw esiane nyarewa te sɛ HIV/AIDS , mogya mu kokoram ahorow bi, anaa nneɛma afoforo a ɛde ba nti.
• Sɛ worenom nnuru a ɛma nipadua no tumi ko tia nyarewa bere a wode akwaa foforo ama wo awie a.

Dɛn ne kokoram yi ho sɛnkyerɛnne?

Wɔtaa hu Merkel nkwammoaa mu kokoram akisikuru wɔ honam ani a owia abɔ no so. Ɛho hia sɛ yehu saa nsɛnkyerɛnne yi.

Ɔkwan bɛn so na wohu yare no na wɔsa?

Sɛ wowɔ saa sɛnkyerɛnne yi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ honam ani yare ho oduruyɛfo nkyɛn , efisɛ ɛtɔ mmere bi a saa akisikuru yi betumi ayɛ te sɛ tebea afoforo te sɛ akisikuru a ɛnyɛ hu anaa nhwi a ɛyɛ mmerɛw ( folliculitis ).

Nhwehwɛmu a wɔyɛe

Oduruyɛfo no bedi kan ahwɛ wo nipadua nyinaa honam ani hwɛbea. Wɔbɛhwɛ nso sɛ ntini a ɛho ahonhon wɔ mmeae te sɛ wo kɔn ne wo nsateaa mu ahwɛ sɛ kokoram no atrɛw anaa. Sɛnea ɛbɛyɛ na wɔahu yare no yiye no, wɔfa akisikuru no fã ketewaa bi na wɔde kɔ aduruyɛdan mu kɔhwɛ. Wɔfrɛ eyi honam ani nipadua mu nhwehwɛmu .

Sɛ wohu sɛ kokoram wɔ hɔ a, wɔyɛ nhwehwɛmu te sɛ CT scan ne PET scan de hwɛ baabi a atrɛw akodu wɔ nipadua no mu.

Akwan a wɔfa so sa yare

Wɔnam baabi a kokoram no kɔ so na ɛkyerɛ ayaresa.

1. Oprehyɛn: Ayaresa titiriw ne oprehyɛn a wɔde beyi kokoram akisikuru no afi hɔ koraa.

• Mohs oprehyɛn: Wɔ eyi mu no, kokoram a ɛwɔ nipadua no mu no nkutoo na woyi fi hɔ fɛfɛɛfɛ yiye, na ɛmma honam ani hwɛbea a ɛte apɔw no sɛe.
• Wide local excision: Woyi kokoram akisikuru no ne honam ani fã ketewaa bi a ɛyɛ papa a atwa ho ahyia no fi hɔ.
• Lymph node dissection: Sɛ kokoram no atrɛw akɔ lymph nodes no mu a, wɔyɛ oprehyɛn yi saa ntini no fi hɔ.

2. Oprehyɛn akyi ayaresa: Sɛ wɔyɛ oprehyɛn wie a, wɔde saa ayaresa yi sɛe kokoram nkwammoaa biara a ebia ɛda so ara wɔ nipadua no mu.

• Mframa a wɔde sa yare: Wɔde mframa a ahoɔden wom a ɛsɛe kokoram nkwammoaa.
• Nkwammoaa a ɛko tia nyarewa: Nipadua no ankasa nipadua mu ahoɔden a ɛko tia nyarewa a ɛkanyan no ma ɛko tia kokoram nkwammoaa.
• Nnuru a wɔde sa yare: Nnuru a ekum kokoram nkwammoaa a wɔde ma.

Dɛn na ɛsɛ sɛ yɛyɛ de bɔ yɛn ho ban fi kokoram yi ho?

Sɛ́ anka wɔbɛsa saa yare yi bere a anya bi no, ɛbɛyɛ papa sɛ wobɛtew asiane a ɛwɔ hɔ sɛ obi benya bi no so. Nneɛma nketenkete kakraa bi wɔ hɔ a wubetumi ayɛ de ayɛ saa.

• Ɛsɛ sɛ wode aduru a ɛbɔ wo ho ban fi owia ho: SPF 60 anaa nea ɛboro saa da biara, bere mpo a wowɔ fie no.Fa aduru pa a ɛbɔ wo ho ban fi owia ho di dwuma. Sɛ worekɔ abɔnten a, san fa gu so nnɔnhwerew abien biara.
• Kwati owia: Kwati sɛ wobɛtra owia mu wɔ anɔpa 10 ne awia 4 ntam. sɛnea ɛbɛyɛ yiye biara. Sɛ ɛsɛ sɛ wupue a, kɔ baabi a sunsuma wɔ.
• Kwati mpa a wode bɛhyɛ wo honam ani hwɛbea koraa: Eyinom pira honam ani kɛse.
• Kata wo honam ani: Sɛ worekɔ abɔnten a, hyɛ ntade a nsa tenten, kyɛw kɛse, ne awia ahwehwɛ pa.
• Hwɛ wo honam ani yiye: Hwɛ wo honam ani daa. Sɛ wuhu sɛ nsensanee foforo bi, akuru bi, nsakrae bi aba baabi a ɛwɔ hɔ dedaw mu, anaasɛ kuru bi a ɛnsa a, kɔ oduruyɛfo nkyɛn ntɛm ara .