So woahu sɛ akisikuru ketewaa bi anaasɛ akisikuru bi wɔ wo honam ani pɛn? Ebia wususuwii sɛ ɛyɛ akisikuru anaa kuru ketewaa bi kɛkɛ, nanso ɛtɔ mmere bi a nneɛma nketenkete te sɛ eyi mpo betumi ayɛ aniberesɛm sen sɛnea yesusuw. Ɛnnɛ yɛrebɛka honam ani kokoram bi a ɛntaa nsi nanso ɛyɛ hu yiye ho asɛm. Ɛno ne Merkel Nkwammoaa Kokoram, anaa ``Merkel Nkwammoaa Kokoram``.
Dɛn ne Merkel Nkwammoaa mu Kokoram?
Sɛ yɛbɛka no tiawa a, Merkel Cell Carcinoma yɛ honam ani kokoram a ɛntaa nsi, ɛtrɛw ntɛmntɛm, na ebetumi de nkwa ato asiane mu. Enyin wɔ nkwammoaa soronko bi a wɔfrɛ no Merkel nkwammoaa mu, a wohu wɔ yɛn honam ani fã a ɛwɔ akyi pɛɛ, epidermis no mu.
Susuw ho hwɛ, yɛn honam ani nyɛ kataso ara kwa. Ɛwɔ nkwammoaa ahorow ahorow. Saa Merkel nkwammoaa yi nso yɛ nkwammoaa a ɛyɛ adwuma titiriw a ɛte saa. Enti, esiane sɛ wɔde wɔn ho hyɛ ultraviolet mframa a epira a efi owia mu (Ultraviolet - UV hann) ne asiane afoforo bi mu nti, saa Merkel nkwammoaa yi bɛyɛ kokoram nkwammoaa na efi ase nyin a wontumi nni so. Ade a ɛyɛ hu sen biara wɔ kokoram yi ho ne sɛ ebetumi atrɛw ntɛmntɛm yiye akɔ nipadua no afã afoforo na hokwan kɛse wɔ hɔ sɛ ɛbɛsan aba bio wɔ ayaresa akyi mpo.
Dɛn ne Merkel nkwammoaa?
Afei ebia worebisa wo ho sɛ, "Dɛn ne Merkel nkwammoaa?" Saa nkwammoaa yi wɔ epidermis, yɛn honam ani fã a ɛwɔ soro no mu tɔnn. Wɔyɛ nkwammoaa bi a ɛbɛn ntini no awiei na ɛboa yɛn ma yɛte nka sɛ yɛde yɛn nsa aka yɛn. Nea ɛyɛ soronko ne sɛ wɔyɛ nkwammoaa bi a wɔfrɛ no neuroendocrine cell, a ɛka ntini ne endocrine nhyehyɛe nyinaa ho . Ɛne sɛ, nneɛma bi a ɛyɛ adwuma te sɛ hormone nso wɔ saa nkwammoaa yi mu.
Germanni oduruyɛfo bi a wɔfrɛ no Friedrich Merkel na odii kan huu saa nkwammoaa yi na ɔkaa ho asɛm wɔ 1800 mfe no awiei mu hɔ. Ɛno nti na wɔfrɛ wɔn "Merkel nkwammoaa."
Kokoram yi abu so dɛn?
Nokwarem no, Merkel Cell Carcinoma yɛ honam ani kokoram a ɛntaa nsi koraa. Sɛ nhwɛso no, wɔ United States no, nnipa foforo bɛyɛ 3,000 pɛ na wonya saa yare yi afe biara.
Nanso, biribi a ɛho hia wɔ ha. Nnansa yi, nnipa dodow a wɔanya Merkel Cell Carcinoma no akɔ soro. Ebia nea enti a ɛte saa ne nkɔso a aba wɔ nhwehwɛmu a wɔyɛ de hu yare no mu. Afei nso, saa tebea yi ka nnipa a wɔadi boro mfe 70. Bere a nkurɔfo tra ase kyɛ no, hokwan a ɛwɔ hɔ sɛ wobenya saa yare yi nso betumi ayɛ kɛse.
Edin afoforo a wɔde frɛ Merkel Cell Carcinoma
Ebia wobɛte din ahorow te sɛ eyinom bere a woreka kokoram yi ho asɛm no:
- MCC
- Merkel nkwammoaa mu kokoram
- Neuroendocrine carcinoma a ɛba honam ani
- Trabecular kokoram
Dɛn na ɛde Merkel Cell Carcinoma ba?
Te sɛ honam ani kokoram pii no, Merkel Cell Carcinoma fi owia hann a ɛyɛ ultraviolet (UV) a ɛba no so. Saa asiane yi nso fi hann a wɔde ayɛ te sɛ mpa a wɔde twitwiw honam ani. Saa UV mframa yi betumi asɛe yɛn honam ani nkwammoaa no awosu mu nneɛma, anaa DNA.
Nokwasɛm foforo a ɛyɛ nwonwa ne sɛ nnipa du biara a wɔwɔ kokoram yi mu bɛyɛ baawɔtwe na wɔanya mmoawa bi a wɔfrɛ no Merkel cell polyomavirus (MCP). Nanso, mma eyi nmmɔ wo hu. Efisɛ, ɛnyɛ obiara a ɔwɔ saa `MCP` mmoawa yi na onya saa kokoram yi. Nokwarem no, eyi yɛ mmoawa a wɔtaa nya bi wɔ mmofraase na mpɛn pii no ɛnkyerɛ yare no ho sɛnkyerɛnne biara. Sɔhwɛ titiriw biara nni hɔ a wɔde hwehwɛ sɛ saa mmoawa yi wɔ hɔ anaa. Enti, aduruyɛ ho abenfo da so ara rehwehwɛ nea enti a saa mmoawa yi de honam ani kokoram ba nnipa binom nkutoo mu no mu.
Nhwehwɛmu kyerɛ sɛ ebia obi a ne nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw no rentumi nni ɔyare mmoawa no so . Afei mmoawa no ma honam ani nkwammoaa yɛ protein soronko bi. Saa protein yi dum awosu mu nkwaadɔm a ɛtaa ma kokoram ntumi nnyin no.
Dɛn ne asiane ahorow a ɛde Merkel Cell Carcinoma ba?
Merkel Cell Carcinoma betumi aba obiara a wadi mfe, ɔbarima anaa ɔbea, anaa honam ani kɔla biara mu. Nanso asiane no sõ titiriw wɔ mmarima a wɔadi boro mfe 50 a wɔn honam ani yɛ fitaa no mu.
Nea ɛka ho no, asiane afoforo pii wɔ hɔ:
- Sɛ woadi kan anya honam ani kokoram ahorow afoforo te sɛ basal cell carcinoma, squamous cell carcinoma, anaa melanoma a.
- Sɛ wode mpa a wɔde hyɛ wo honam ani hwɛbea adi dwuma anaasɛ wowɔ owia hyew kɛse a.
- Sɛ worefa phototherapy ama honam ani yare bi te sɛ psoriasis a.
- Sɛ nipadua no mu tumi a ɛko tia nyarewa no ayɛ mmerɛw esiane nyarewa te sɛ mogya mu nkwammoaa a enni sabea, HIV, ne AIDS, anaa nneɛma afoforo a ɛde ba nti.
- Sɛ worenom nnuru a wɔde si nipadua mu akwaa anaa nnuru a ɛma nipadua no tumi ko tia nyarewa bere a wode akwaa foforo ama wo awie a.
Dɛn ne Merkel Cell Carcinoma ho sɛnkyerɛnne ahorow?
Merkel nkwammoaa mu kokoram taa pue wɔ honam ani mmeae a owia bɔ no. Ebia wubehu akisikuru bi a ɛhyerɛn a ɛte sɛ ahwehwɛ a ayɛ kɛse wɔ baabi a owia bɔ.
Saa akuru yi na wɔtaa huWɔ w’anim, wo kɔn, w’abasa, anaa w’aniwa so. Wɔ nnipa a wɔn honam ani yɛ tuntum mu no, ɛtɔ mmere bi a wotumi pue wɔ wɔn nan so. Wɔ mmerante ne mmabaa mu no, saa akuru yi tumi pue wɔ mmeae te sɛ koko ne yafunu (torso). Ɛtɔ da bi a, saa akuru yi tumi pae na ɛyɛ te sɛ akuru.
Saa akuru yi betumi ada sɛnkyerɛnne ahorow te sɛ:
- Yɛn de no kɛse bɛyɛ sɛ sika fã (bɛyɛ sɛntimita 2) na enyin ntɛmntɛm yiye.
- Ɔdan bi a ɛte sɛ dome aba.
- Ɛte nka sɛ ɛyɛ den.
- Nneɛma a wɔde twitwiw nneɛma.
- Ebia ɛbɛyɛ te sɛ akisikuru anaa nkoekoemmoa a wɔaka wɔn kɛkɛ.
- Ebetumi ayɛ kɔla koro no ara ne honam ani, anaa kɔkɔɔ, kɔkɔɔ, anaa bruu-kɔkɔɔ.
- Sɛ wɔde wɔn nsa ka a, ɛyɛ yaw anaasɛ ɛyɛ yaw.
Nea ɛho hia: Sɛ wuhu sɛ wo honam ani nsakrae te sɛ eyi, titiriw sɛ ɛyɛ kɛse ntɛmntɛm a, hwɛ hu sɛ wobɛhwehwɛ aduruyɛfo afotu.
Dɛn ne nsɛnnennen a ɛwɔ Merkel Cell Carcinoma mu?
Merkel Cell Carcinoma yɛ kokoram a ano yɛ den yiye a ɛtrɛw ntɛmntɛm kɔ nipadua no afã afoforo. Sɛ kokoram trɛw fi baabi a edii kan fii ase kɔ nipadua no afã afoforo a, wɔfrɛ no kokoram a ɛtrɛw kɔ mmeae afoforo. Kokoram a atrɛw saa kwan yi so no yɛ den yiye sɛ wɔbɛsa.
Merkel nkwammoaa mu kokoram di kan trɛw kɔ ntini a ɛma mogya tu no mu, a ɛyɛ ntini a ɛma mogya tu no. Efi hɔ no, ebetumi atrɛw akɔ nnompe, ahurututu, amemene, anaa akwaa afoforo mu. Saa kokoram yi betumi akum obi.
Ɔkwan bɛn so na wohu sɛ obi anya Merkel Cell Carcinoma?
Wohu honam ani tebea horow te sɛ Merkel cell carcinoma na honam ani yare ho ɔbenfo na ɔsa. Ɛho hia sɛ wokɔ oduruyɛfo a ne ho akokwaw wɔ honam ani kokoram ho. Nea enti a ɛte saa ne sɛ nneɛma bi a enyin a ɛnyɛ kokoram (akisikuru a ɛnyɛ kokoram), nhwi a ɛwɔ ɔyare mmoawa (folliculitis), ne aniwa a ɛyɛ kurukuruwa (styes) nso betumi ayɛ te sɛ Merkel nkwammoaa mu kokoram.
Wo duruyɛfo no bedi kan ahwɛ wo nipadua nyinaa mu. Wɔbɛte ntini biara a ahonhon nso nka, a ebetumi ayɛ ɔyare mmoawa anaa kokoram a atrɛw ho sɛnkyerɛnne. Afei, wɔbɛfa akisikuru a ɛyɛ hu no fã ketewaa bi na wɔayɛ honam ani nhwehwɛmu de ahwɛ sɛ kokoram nkwammoaa wɔ hɔ anaa.
Dɛn ne kokoram no fã ahorow?
Nnuruyɛfo de kokoram ho nhyehyɛe di dwuma de hu baabi a kokoram no atrɛw akodu. Wɔkyerɛ saa fã yi bere a wɔahu yare no. Dodow a stage no dodow kɔ soro no, dodow no ara na kokoram no atrɛw.
- Ɔfã 0: Merkel nkwammoaa kokoram no wɔ honam ani fã a ɛwɔ soro nkutoo.
- Ɔfã IV (4): Kokoram no atrɛw akɔ akwaa a ɛwɔ akyirikyiri mu.
Nhwehwɛmu bɛn na wɔde kyerɛ baabi a kokoram no wɔ?
Wobetumi ayɛ nhwehwɛmu ahorow yi mu biako anaa nea ɛboro saa de ahu Merkel Cell Carcinoma no fã:
- CT scan a wɔde yɛ adwuma
- Positron Emission Tomography (PET) a wɔde yɛ nhwehwɛmu
- Sentinel node biopsy anaasɛ needle biopsy a wɔde yɛ nipadua no
Ɔkwan bɛn so na wɔsa Merkel Cell Carcinoma?
Merkel nkwammoaa mu kokoram ayaresa gyina kokoram no gyinabea so. Kokoram a ɛba mfiase (afã 0 kosi II [2]) no yɛ wɔn ade yiye wɔ ayaresa ho sen kokoram a ɛba akyiri (afã III ne IV [3 ne 4]).
Nnuruyɛfo de oprehyɛn yi Merkel nkwammoaa mu kokoram akisikuru no fi hɔ. Oprehyɛn ahorow pii wɔ hɔ a wobetumi apaw:
- Mohs oprehyɛn: Eyi hwehwɛ sɛ wɔde ahwɛyiye yi nsensanee a kokoram nkwammoaa wom no nkutoo fi hɔ, bere a wɔkora honam ani a ɛte apɔw pii so sɛnea wobetumi no.
- Wide local excision: Wɔ eyi mu no, woyi kokoram akisikuru no ka ntini a ɛte apɔw a atwa ho ahyia no bi ho.
- Lymph node dissection: Oprehyɛn a wɔde yi lymph nodes a kokoram nkwammoaa atrɛw wom no fi hɔ.
Dɛn na ɛba wɔ oprehyɛn no akyi?
Sɛ woyɛ oprehyɛn wie a, ebia ebehia sɛ wɔyɛ wo oprehyɛn a wɔde bɛsan asiesie wo ho anaasɛ wɔde wo honam ani aduru a wɔde hyɛ wo honam ani na ama baabi a wɔayɛ no aduru no asa na asan de aba.
Bio nso, wobetumi de kokoram ayaresa te sɛ eyinom asɛe kokoram nkwammoaa biara a ebia ɛda so ara wɔ nipadua no mu:
- Nnuru a wɔde sa yare
- Nnuru a ɛko tia nyarewa
- Mframa a wɔde sa yare
So wobetumi asiw Merkel Cell Carcinoma ano?
Yiw, wubetumi abɔ wo ho ban afi owia a ɛbɛsɛe wo ho na woatew asiane a ɛwɔ hɔ sɛ wubenya Merkel Cell Carcinoma no so denam nea edidi so yi a wobɛyɛ so:
- Fa aduru a ɛbɔ wo ho ban fi owia ho a ɛtrɛw a anyɛ yiye koraa no SPF yɛ 60 gu so da biara, bere mpo a wowɔ dan mu no. Sɛ worekɔ abɔnten a, san fa gu hɔ nnɔnhwerew abien biara.
- To owia hann a ɛsen biara wɔ anɔpa 10 ne awia 4 ntam no ano hye. Sɛ ɛsɛ sɛ wufi adi a, hwehwɛ sunsuma.
- Mfa mpa a wɔde twitwiw honam ani anaa akanea a wɔde bɔ owia nni dwuma.
- Sɛ worekɔ abɔnten a, hyɛ ntade a wɔanwene denneennen, nsa atenten, kyɛw a ɛtrɛw, ne awia ahwehwɛ akɛse.
- Sua sɛnea w’ankasa wobɛhwehwɛ wo honam ani. Sɛ wuhu nsakrae foforo biara wɔ wo honam ani a, kɔ oduruyɛfo nkyɛn ntɛm ara.
Dɛn ne obi a ɔwɔ Merkel Cell Carcinoma no anidaso?
Merkel cell carcinoma wɔ hokwan kɛse sɛ ɛbɛsan aba bere a wɔasa no yare mpo akyi. Enti, wɔ mfe kakraa a edi kan no mu no, ebehia sɛ wokɔ wo duruyɛfo nkyɛn asram abiɛsa kosi anan biara na woyɛ nhwehwɛmu te sɛ mfoninitwa mfiri de hwɛ sɛ ebia ɛsan ba bio anaa.
Nneɛma pii, a w’akwahosan nyinaa, mfe a woadi, ne baabi a kokoram no wɔ ka ho, ka bere tenten a egye na woanya ahoɔden afi kokoram yi mu. Abenfo ka sɛ nnipa baanan biara mu baasa a wɔwɔ Merkel nkwammoaa mu kokoram a ɛwɔ baabiara no bɛtra ase mfe anum wɔ bere a wɔahu sɛ wɔanya bi no akyi. Nanso, sɛ kokoram no atrɛw akɔ nipadua no afã afoforo (kokoram a ɛtrɛw kɔ mmeae afoforo) a, saa dodow no so tew ba anan biara mu biako. Nanso mma anidasoɔ nnyae. Mprempren wɔreyɛ nnuruyɛ mu sɔhwɛ pii de ahwehwɛ nnuru foforo a wɔde bɛsa Merkel nkwammoaa mu kokoram.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Sɛ wuhu nsakrae a wontumi nkyerɛkyerɛ mu yi bi wɔ wo honam ani a, kɔ oduruyɛfo nkyɛn ntɛm ara:
- Nsonsonoe foforo a ɛbɛda adi, nsakrae a ɛba baabi a ɛwɔ hɔ dedaw mu, anaasɛ mogya a ɛretu afi baabi bi.
- Akuru a ɛyɛ nsensanee anaasɛ ɛyɛ kurukuruwa wɔ honam ani.
- Akuru a ɛnyɛ nea ɛsa.
- Nkuruwankuruwa a wontumi nkyerɛkyerɛ mu, titiriw sɛ ɛyɛ yaw, ɛyɛ yaw, anaasɛ ɛyɛ kɛse a.
Nsɛm bɛn na ɛsɛ sɛ wubisa wo duruyɛfo?
Wubetumi abisa wo duruyɛfo nsɛm te sɛ eyinom:
- Dɛn nti na minyaa Merkel Cell Carcinoma?
- Dɛn ne ayaresa a eye sen biara ma me?
- Dɛn na metumi ayɛ na amma kokoram no ansan amma bio?
- So ɛsɛ sɛ mehaw me ho wɔ nsɛnnennen ho sɛnkyerɛnne ahorow ho?
Ɛyɛ ade a ɛfata sɛ wobɛte ahodwiriw ne awerɛhow nka bere a wuhu sɛ wowɔ honam ani kokoram te sɛ Merkel Cell Carcinoma no. Esiane sɛ kokoram yi tumi trɛw ntɛmntɛm nti, ɛho hia sɛ wuhu oduruyɛfo nkyɛn bere a woahu nsakrae biara a ɛyɛ soronko wɔ wo honam ani pɛ. Wo duruyɛfo no de oprehyɛn beyi akisikuru no afi hɔ na ebia ɔbɛma wo ayaresa afoforo nso a egyina kokoram no gyinabea so. Sɛ wosa yare wie mpo a, ɛsɛ sɛ wokɔhwɛ wo daa hwɛ sɛ kokoram no asan aba anaasɛ atrɛw anaa.
Awiei koraa no, nneɛma kakraa bi a ɛsɛ sɛ wokae
Enti, mewɔ anidaso sɛ seesei woanya Merkel Cell Carcinoma a yɛkaa ho asɛm nnɛ no ho ntease pa. Ɛwom sɛ eyi yɛ kokoram a ɛntaa nsi, nanso ebetumi ayɛ asiane de, nanso ɛho hia yiye sɛ wohwɛ wo honam ani na wobɔ ho ban fi owia ho. Sɛ wuhu biribi foforo anaa nea ɛyɛ soronko wɔ wo honam ani a, mmu w’ani ngu so sɛ biribi ketewaa bi, na mmom fa kyerɛ oduruyɛfo ntɛm ara. Sɛ wohu ntɛm a, hokwan a ɛwɔ hɔ sɛ ayaresa no bɛyɛ yiye no yɛ kɛse. Kɔ so nya apɔwmuden!
` Merkel nkwammoaa kokoram, honam ani kokoram, UV mframa, Merkel nkwammoaa, honam ani kurukuruwa, kokoram ho sɛnkyerɛnne, kokoram ayaresa, honam ani kokoram, UV mframa, Merkel nkwammoaa, honam ani kurukuruwa, kokoram ho sɛnkyerɛnne, kokoram ayaresa
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho