Ua ʻike anei ʻoe i kahi puʻupuʻu ʻālohilohi ma kou ʻili? E aʻo kākou e pili ana i ke kanesa weliweli ʻo Merkel Cell Carcinoma.

Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi ma kou ʻili, ʻoi aku hoʻi ma kou maka, ʻāʻī, a i ʻole nā ​​​​lima i hōʻike pinepine ʻia i ka lā? He ʻālohilohi, ʻulaʻula, a paʻakikī ke hoʻopā? ʻAʻole nānā nui ka hapa nui o ka poʻe i kēia mau mea, akā i kekahi manawa hiki i kēia ke hōʻailona o kahi maʻi ʻili kakaʻikahi akā weliweli loa i kapa ʻia ʻo Merkel Cell Carcinoma . No laila e kamaʻilio kākou e pili ana i kēia lā.

I ka ʻōlelo maʻalahi, he aha ka Merkel Cell Carcinoma?

He ʻano maʻi kanesa laha ʻole ka Merkel cell carcinoma, e ulu wikiwiki ana, e hoʻomaka ana i loko o nā pūnaewele Merkel i loko o ko kākou ʻili. Hiki ke hoʻoweliweli i ke ola.

E noʻonoʻo e pili ana i ia mea, ma ka hohonu o ka papa luna o ko kākou ʻili, ʻo ia ka mea a kākou e kapa nei he epidermis , aia kēia mau pūnaewele Merkel. He ʻano kelepona kūikawā loa kēia. Ma muli o ka hana pū ʻana o kēia mau pūnaewele me kā kākou ʻōnaehana nerve a me ka ʻōnaehana endocrine, ua kapa ʻia hoʻi lākou he mau pūnaewele neuroendocrine . I mea e pololei ai, aia kēia mau pūnaewele ma kahi kokoke i nā hopena nerve e kōkua iā kākou e hoʻopā.

ʻO ka ʻike ʻia ʻana i nā mea e like me ke kukui UV mai ka lā e hōʻino i kēia mau pūnaewele Merkel a hoʻoulu iā lākou e ulu me ke kāohi ʻole ʻia. ʻO kēia ka manawa e kū mai ai kēia maʻi kanesa. ʻO ka mea weliweli loa e pili ana i kēia maʻi kanesa, ʻo ia ka laha wikiwiki loa i nā ʻāpana ʻē aʻe o ke kino a he kiʻekiʻe ka manawa e hoʻi hou mai ai ma hope o ka mālama ʻia ʻana.

He aha ke kumu o kēia maʻi kanesa? ʻO wai ka mea i pilikia nui?

Aia kekahi mau kumu nui e kōkua ai i ka ulu ʻana o kēia maʻi kanesa.

Nā kumu nui

• Nā kukuna UV: ʻO ke kumu nui ka lā. ʻO ka hoʻopili pinepine ʻana i ka lā, ka ʻā ʻana o ka lā, a me ka hoʻopili ʻana i nā kumu kukui hana e like me nā moena tanning hiki ke hōʻino i ka DNA o ko mākou mau ʻili. ʻO kēia hōʻino ka mea e alakaʻi ai i ka hoʻokumu ʻia ʻana o nā ʻili kanesa.
• ʻO ka Merkel cell polyomavirus (MCP): He mea kupanaha kēia. Ma kahi o ʻewalu o ka ʻumi o ka poʻe me kēia maʻi kanesa ua loaʻa i kahi maʻi i kapa ʻia ʻo Merkel cell polyomavirus (MCP) . Akā, mai hopohopo, he maʻi maʻamau kēia maʻi i hiki iā mākou ke loaʻa i ka wā kamaliʻi me ka ʻike ʻole, a ʻaʻole ia e hōʻike i kekahi mau hōʻailona. ʻAʻole nā ​​​​mea āpau i loaʻa i loko o ko lākou kino e loaʻa i ka maʻi kanesa. Ke hoʻāʻo nei nā loea e noʻonoʻo i ke kumu e loaʻa ai i kekahi poʻe wale nō ka maʻi kanesa mai kēia maʻi.

Nā kumu pilikia

ʻOiai hiki i kekahi ke loaʻa i kēia maʻi kanesa, ʻoi aku ka nui o ka pilikia o kekahi poʻe.

• ʻO nā kāne ma luna o 50 mau makahiki me ka ʻili keʻokeʻo ka mea i ka pilikia nui loa.
• Inā ua loaʻa iā ʻoe nā ʻano maʻi ʻili ʻē aʻe ma mua, e like me ka basal cell carcinoma , squamous cell carcinoma , a melanoma paha.
• Inā ua loaʻa iā ʻoe ka lā ʻino ma mua a i ʻole ua hoʻohana ʻoe i nā moena tanning .
• Ma hope o ka loaʻa ʻana o ka phototherapy no nā maʻi ʻili.
• Inā ua nāwaliwali ka ʻōnaehana pale ma muli o nā maʻi e like me ka HIV/AIDS , kekahi ʻano leukemia, a i ʻole nā ​​kumu ʻē aʻe.
• Inā ʻoe e lawe ana i nā immunosuppressants ma hope o kahi hoʻoili kino.

He aha nā hōʻailona o kēia maʻi kanesa?

ʻIke pinepine ʻia nā ʻōhū carcinoma cell Merkel ma ka ʻili i hōʻike ʻia e ka lā. He mea nui e ʻike i kēia mau hōʻailona.

Pehea e ʻike ʻia ai a mālama ʻia ai ka maʻi?

Inā loaʻa iā ʻoe kēia hōʻailona, ​​​​pono ʻoe e ʻike i kahi dermatologist , no ka mea i kekahi manawa hiki i kēia mau puʻupuʻu ke like me nā kūlana ʻē aʻe, e like me nā cysts benign a i ʻole nā ​​​​follicle lauoho i loaʻa i ka maʻi ( folliculitis ).

ʻIkepili

E nānā mua ke kauka i ka ʻili o kou kino holoʻokoʻa. E nānā pū lākou i nā lymph node pehu ma nā wahi e like me kou ʻāʻī a me nā armpits e ʻike inā ua pālahalaha ke kanesa. No ka ʻike maopopo ʻana i ka maʻi, lawe ʻia kahi ʻāpana liʻiliʻi o ka puʻupuʻu a hoʻouna ʻia i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. Ua kapa ʻia kēia he biopsy ʻili .

Inā ua hōʻoia ʻia ka maʻi kanesa, hana ʻia nā hoʻokolohua e like me CT scans a me PET scans e ʻike i ka mamao o kona laha ʻana i loko o ke kino.

Nā ʻano lapaʻau

Hoʻoholo ʻia ka lāʻau lapaʻau e ke kahua o ke kanesa.

1. ʻOki kino: ʻO ke ʻoki kino nui ka mea e wehe loa ai i ka puʻupuʻu kanesa.

• ʻO ke ʻoki kino Mohs: Ma kēia, ʻo ka papa kanesa wale nō e wehe ʻia me ke akahele loa, e hōʻemi ana i ka hōʻino ʻana i ka ʻili olakino.
• ʻO ka ʻoki kūloko ākea: Hoʻoneʻe ʻia ka puʻupuʻu kanesa a me kahi ʻāpana liʻiliʻi o ka ʻili olakino a puni ia.
• ʻO ka ʻoki ʻana o nā kīpē lymph: Inā ua pālahalaha ke kanesa i nā kīpē lymph, e wehe ʻia kēlā mau kīpē ma ke ʻoki ʻana.

2. Lapaʻau ma hope o ke ʻoki kino: Ma hope o ke ʻoki kino, hoʻohana ʻia kēia lāʻau lapaʻau e luku i nā hunaola kanesa e koe ana paha i loko o ke kino.

• Lapaʻau radiation: Ke luku ʻana i nā hunaola kanesa me ka hoʻohana ʻana i nā kukuna ikehu kiʻekiʻe.
• Immunotherapy: Hoʻoulu i ka ʻōnaehana pale ponoʻī o ke kino e hakakā i nā hunaola kanesa.
• Chemotherapy: Ke hāʻawi ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa.

He aha kā mākou e hana ai e pale aku iā mākou iho mai kēia maʻi kanesa?

Ma mua o ka mālama ʻana i kēia maʻi ke ulu aʻe, ʻoi aku ka maikaʻi o ka hōʻemi ʻana i ka pilikia o ka ulu ʻana. Aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana e hana ai i kēlā.

• He mea pono ka pale lā: SPF 60 a ʻoi aku paha i kēlā me kēia lā, ʻoiai inā ʻoe ma ka home.E hoʻohana i kahi pale lā maikaʻi. Inā ʻoe e hele ana i waho, e hoʻopili hou i kēlā me kēia ʻelua hola.
• E pale i ka lā: E pale i ka noho ʻana i ka lā ma waena o 10 a.m. a me 4 p.m. i ka hiki. Inā pono ʻoe e hele i waho, e hele i kahi malu.
• E pale loa i nā moena ʻili: He mea ʻino loa kēia i ka ʻili.
• E uhi i kou ʻili: I ka wā e hele ai i waho, e ʻaʻahu i nā lole lima lōʻihi, ka pāpale nui, a me nā aniani maka maikaʻi.
• E mālama i kou ʻili: E nānā pinepine i kou ʻili. Inā ʻike ʻoe i kahi kiko hou, puʻupuʻu, hoʻololi i kahi kiko e kū nei, a i ʻole kahi ʻeha e ho'ōla ʻole ana, e ʻike koke i ke kauka .