Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi a i ʻole ka puʻupuʻu ma kou ʻili? Ua manaʻo paha ʻoe he pimple wale nō ia a he ʻeha liʻiliʻi paha, akā i kekahi manawa hiki i nā mea liʻiliʻi e like me kēia ke ʻoi aku ka koʻikoʻi ma mua o kā mākou e manaʻo ai. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano maʻi ʻili kakaʻikahi akā weliweli loa. ʻO ia ʻo Merkel Cell Carcinoma, a i ʻole "Merkel Cell Carcinoma".
He aha ka Merkel Cell Carcinoma?
I ka ʻōlelo maʻalahi, he ʻano maʻi ʻili laha ʻole ka Merkel Cell Carcinoma, wikiwiki ka laha ʻana, a he ʻano hoʻoweliweli paha i ke ola. Hoʻomohala ia i loko o kahi ʻano kelepona kūikawā i kapa ʻia ʻo Merkel cells, aia ma ka papa waho loa o ko kākou ʻili, ʻo ka epidermis.
E noʻonoʻo e pili ana i ia mea, ʻaʻole wale ko kākou ʻili he uhi. Loaʻa iā ia nā ʻano ʻano pūnaewele like ʻole. ʻO kēia mau pūnaewele Merkel he mau pūnaewele hoʻi e hana ana i kēlā ʻano hana kūikawā. No laila, ma muli o ka ʻike ʻia ʻana o nā kukuna ultraviolet ʻino mai ka lā (Ultraviolet - kukui UV) a me kekahi mau mea pilikia ʻē aʻe, lilo kēia mau pūnaewele Merkel i mau pūnaewele kanesa a hoʻomaka e ulu me ka hiki ʻole ke kāohi. ʻO ka mea weliweli loa e pili ana i kēia kanesa, hiki iā ia ke laha koke i nā ʻāpana ʻē aʻe o ke kino a he kiʻekiʻe ka manawa e hoʻi hou ai ma hope o ka mālama ʻana.
He aha nā pūnaewele Merkel?
I kēia manawa, ke noʻonoʻo nei paha ʻoe, "He aha nā pūnaewele Merkel?" Loaʻa kēia mau pūnaewele i loko o ka epidermis, ka papa luna o ko kākou ʻili. He ʻano pūnaewele lākou e kokoke ana i nā hopena aʻalolo a kōkua iā mākou e hoʻopā. ʻO ka mea kūikawā , he ʻano pūnaewele lākou i kapa ʻia he pūnaewele neuroendocrine, kahi e pili ana i ka ʻōnaehana nerve a me ka ʻōnaehana endocrine . ʻO ia hoʻi, aia pū kekahi mau pūnaewele i nā mea e hana like me nā hormones.
Ua ʻike mua ʻia a wehewehe ʻia kēia mau pūnaewele i ka hopena o nā makahiki 1800 e kekahi kauka Kelemania i kapa ʻia ʻo Friedrich Merkel. ʻO ia ke kumu i kapa ʻia ai lākou ʻo "nā pūnaewele Merkel."
Pehea ka maʻamau o kēia maʻi kanesa?
ʻO kaʻoiaʻiʻo, he ʻano maʻi ʻili kakaʻikahi loa ka Merkel Cell Carcinoma. No ka laʻana, ma ʻAmelika Hui Pū ʻIa, aia wale nō ma kahi o 3,000 mau hihia hou o kēia maʻi e kū mai ana i kēlā me kēia makahiki.
Eia nō naʻe, aia kekahi mea nui ma ʻaneʻi. I kēia mau lā iho nei, ua piʻi aʻe ka nui o ka poʻe e loaʻa ana i ka Merkel Cell Carcinoma. ʻO ke kumu paha o kēia, ʻo ia ka hoʻomaikaʻi ʻana i nā hoʻokolohua diagnostics. Eia kekahi, pili pinepine kēia maʻi i ka poʻe ma luna o 70 mau makahiki. I ka lōʻihi o ke ola ʻana o ka poʻe, hiki ke piʻi aʻe ka manawa e loaʻa ai kēia maʻi.
Nā inoa ʻē aʻe no Merkel Cell Carcinoma
Hiki paha iā ʻoe ke lohe i nā inoa e like me kēia ke kamaʻilio e pili ana i kēia maʻi kanesa:
- MCC
- Ka maʻi ʻaʻai o ke kelepona Merkel
- ʻO ka maʻi ʻili neuroendocrine
- Ka maʻi ʻaʻai trabecular
He aha ke kumu o ka Merkel Cell Carcinoma?
E like me nā maʻi ʻili he nui, ua hoʻokumu ʻia ka Merkel Cell Carcinoma e ka ʻike ʻana i nā kukuna ultraviolet (UV) mai ka lā. Loaʻa pū kēia pilikia mai nā kumu kukui hana e like me nā moena tanning. Hiki i kēia mau kukuna UV ke hōʻino i ka mea genetic, a i ʻole DNA, o kā mākou mau hunaola ʻili.
ʻO kekahi mea kupanaha ʻē aʻe, ʻo ia ka loaʻa ʻana o ʻewalu o ka ʻumi o ka poʻe me kēia maʻi kanesa i kahi maʻi i kapa ʻia ʻo Merkel cell polyomavirus (MCP). Eia naʻe, mai hopohopo i kēia. No ka mea, ʻaʻole nā kānaka a pau i loaʻa i kēia maʻi `MCP` e loaʻa i kēia maʻi kanesa. ʻO ka ʻoiaʻiʻo, he maʻi kēia i loaʻa pinepine i ka wā kamaliʻi a ʻaʻole hōʻike pinepine i nā hōʻailona. ʻAʻohe hoʻāʻo kūikawā e ʻike ai inā loaʻa kēia maʻi. No laila, ke nānā nei nā loea lapaʻau i ke kumu e hoʻoulu ai kēia maʻi i ka maʻi ʻili i kekahi poʻe wale nō.
Hōʻike ka noiʻi ʻaʻole hiki i ke kanaka me ka ʻōnaehana pale nāwaliwali ke kāohi i ka maʻi . A laila hoʻoulu ka maʻi i nā ʻili o ka ʻili e hana i kahi protein kūikawā. Hoʻopau kēia protein i nā genes e pale maʻamau i ka ulu ʻana o ka maʻi kanesa.
He aha nā kumu pilikia no ka Merkel Cell Carcinoma?
Hiki ke ulu ka Merkel Cell Carcinoma i loko o kekahi kanaka o kēlā me kēia makahiki, kāne, a i ʻole ke kala o ka ʻili. Eia nō naʻe, kiʻekiʻe loa ka pilikia i nā kāne ma luna o 50 mau makahiki me ka ʻili keʻokeʻo.
Eia kekahi, aia kekahi mau kumu pilikia ʻē aʻe:
- 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 hoʻohana ʻoe i nā moena tanning a i ʻole he nui kou ʻā ʻana o ka lā.
- Inā ʻoe e lawe ana i ka phototherapy no kahi maʻi ʻili e like me ka psoriasis.
- Inā ua nāwaliwali ka ʻōnaehana pale ma muli o nā maʻi e like me ka leukemia lymphocytic mau loa, HIV, a me AIDS, a i ʻole nā kumu ʻē aʻe.
- Inā ʻoe e lawe nei i nā lāʻau lapaʻau hoʻoili kino a i ʻole nā immunosuppressants ma hope o kahi hoʻoili kino.
He aha nā hōʻailona o ka Merkel Cell Carcinoma?
ʻIke pinepine ʻia ka maʻi kanesa Merkel cell ma nā wahi o ka ʻili i hōʻike ʻia i ka lā. E ʻike paha ʻoe i kahi puʻupuʻu ʻālohilohi a like me ka momi i ulu aʻe ma kahi i hōʻike ʻia e ka lā.
ʻIke pinepine ʻia kēia mau puʻupuʻuMa kou maka, ʻāʻī, lima, a i ʻole nā lihilihi maka. I ka poʻe me nā ʻili ʻeleʻele, hiki ke ʻike ʻia i kekahi manawa ma nā wāwae. I ka poʻe ʻōpio, hiki ke ʻike ʻia kēia mau puʻupuʻu ma nā wahi e like me ka umauma a me ka ʻōpū (kino). I kekahi manawa, hiki i kēia mau puʻupuʻu ke pahū a like me nā ʻeha.
Hiki i kēia puʻupuʻu ke hōʻike i nā hōʻailona e like me:
- ʻO ka nui o kā mākou ua like ia me ka hapalua o ke kālā (ma kahi o 2 kenimika) a ulu koke loa.
- Ua puka mai kahi hale i ke ʻano o ka dome.
- Paʻa ka manaʻo.
- Ke kahakaha ʻana.
- Hiki ke nānā aku e like me ka ʻākī a i ʻole he nahu pepeke.
- Hiki ke like ke kala me ka ʻili, a i ʻole ʻulaʻula, poni, a polū-ʻulaʻula paha.
- ʻEha a ʻeha paha ke hoʻopā ʻia.
Mea nui: Inā ʻike ʻoe i kahi loli o ka ʻili e like me kēia, ʻoiai inā e ulu koke ana, e ʻimi pono i ke kōkua lapaʻau.
He aha nā pilikia o ka Merkel Cell Carcinoma?
He ʻano maʻi kanesa ʻino loa ʻo Merkel Cell Carcinoma e laha koke ana i nā ʻāpana ʻē aʻe o ke kino. Ke laha ka maʻi kanesa mai kahi i hoʻomaka mua ai i nā ʻāpana ʻē aʻe o ke kino, ua kapa ʻia ʻo ia he maʻi kanesa metastatic. He paʻakikī loa ka mālama ʻana i nā maʻi kanesa i laha ma kēia ʻano.
Hoʻolaha mua ka maʻi kanesa o Merkel i ka ʻōnaehana lymphatic, ʻo ia hoʻi nā lymph nodes. Mai laila mai, hiki iā ia ke hoʻolaha i nā iwi, nā māmā, ka lolo, a i ʻole nā ʻōpū ʻē aʻe. Hiki i kēia maʻi kanesa ke make.
Pehea e ʻike ʻia ai ke Merkel Cell Carcinoma?
ʻO nā maʻi ʻili e like me ka Merkel cell carcinoma i ʻike ʻia a mālama ʻia e ke kauka dermatologist. He mea nui e ʻike i ke kauka loea i ka maʻi ʻili. ʻO kēia no ka mea hiki i kekahi mau ulu ʻole cancerous (benign cysts), nā follicle lauoho i hoʻopilikia ʻia (folliculitis), a me nā puʻupuʻu lihilihi (styes) ke like me ka Merkel cell carcinoma.
E nānā mua kāu kauka i kou kino holoʻokoʻa. E nānā pū lākou i nā ʻōpū lymph pehu, hiki ke lilo i hōʻailona o ka maʻi a i ʻole ka laha ʻana o ke kanesa. A laila, e lawe lākou i kahi ʻāpana liʻiliʻi o ka puʻupuʻu kānalua a hana i kahi biopsy ʻili e nānā i nā hunaola kanesa.
He aha nā pae o ka maʻi kanesa?
Hoʻohana nā kauka i ke kahua o ke kanesa e ʻike ai i ka mamao o ka laha ʻana o ke kanesa. Hoʻoholo ʻia kēia kahua i ka manawa o ka hōʻoia ʻana. ʻO ke kiʻekiʻe o ka helu kahua, ʻo ka nui o ka laha ʻana o ke kanesa.
- Kahua 0: Aia ka Merkel cell carcinoma ma ka papa luna o ka ʻili wale nō.
- Pae IV (4): Ua pālahalaha ke kanesa i nā ʻōpū mamao.
He aha nā hoʻokolohua e hoʻohana ʻia e hoʻoholo ai i ke kahua o ka maʻi kanesa?
Hiki ke hana i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua e hoʻoholo ai i ke kahua o Merkel Cell Carcinoma:
- Nānā CT
- ʻO ke kiʻi ʻana o ka Positron Emission Tomography (PET)
- ʻO ka biopsy node Sentinel a i ʻole ka biopsy nila
Pehea e mālama ʻia ai ke Merkel Cell Carcinoma?
ʻOi aku ka maikaʻi o ka mālama ʻana no ka maʻi kanesa cell Merkel i ke kahua o ke kanesa. ʻOi aku ka maikaʻi o ka pane ʻana o nā kanesa ma ke kahua mua (nā kahua 0 a i II [2]) i ka mālama ʻana ma mua o nā kanesa ma ke kahua hope (nā kahua III a me IV [3 a me 4]).
Hoʻopau nā kauka i nā ʻōpū carcinoma cell Merkel ma ke ʻoki kino. Aia kekahi mau koho ʻoki kino:
- ʻO ke ʻoki kino Mohs: Pili kēia i ka wehe pono ʻana i nā papa e loaʻa ana nā hunaola kanesa, me ka mālama ʻana i ka ʻili olakino e like me ka hiki.
- ʻO ka ʻoki ʻana ma kahi ākea: Ma kēia, ua wehe ʻia ka puʻupuʻu kanesa me kekahi o nā ʻiʻo olakino a puni ia.
- ʻO ka wehe ʻana i nā kiko lymph: Wehe ʻana i nā kiko lymph kahi i pālahalaha ai nā hunaola kanesa.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ma hope o ke ʻoki ʻana, pono paha ʻoe i ke ʻoki hana hou ʻana a i ʻole kahi kāpili ʻili e ho'ōla a hoʻihoʻi i ka wahi i mālama ʻia.
Eia kekahi, hiki ke hoʻohana ʻia nā lāʻau lapaʻau maʻi kanesa e like me kēia e luku ai i nā hunaola kanesa e waiho ʻia ana i loko o ke kino:
- Kemoterapia
- Hoʻōla lāʻau pale
- Hoʻōla radiation
Hiki ke pale ʻia ke Merkel Cell Carcinoma?
ʻAe, hiki iā ʻoe ke pale iā ʻoe iho mai ka pōʻino o ka lā a hoʻemi i kou pilikia o ka hoʻomohala ʻana i ka Merkel Cell Carcinoma ma ka hana ʻana i kēia mau mea:
- E hoʻopili i kahi sunscreen ākea me ka SPF o 60 ma ka liʻiliʻi i kēlā me kēia lā, ʻoiai i loko o ka hale. E hoʻopili hou i kēlā me kēia ʻelua hola inā ʻoe e hele ana i waho.
- E kaupalena i kou ʻike ʻana i nā kukuna o ka lā, aia ma ko lākou kiʻekiʻe ma waena o 10 a.m. a me 4 p.m. Inā pono ʻoe e hele i waho, e ʻimi i ka malu.
- Mai hoʻohana i nā kukui lā a i ʻole nā moena tanning.
- I ke hele ʻana i waho, e ʻaʻahu i nā lole i ulana paʻa ʻia, nā lima lōʻihi, ka pāpale ākea, a me nā aniani lā nui.
- E aʻo pehea e nānā ai i kou ʻili iā ʻoe iho. Inā ʻike ʻoe i kekahi mau loli hou i kou ʻili, e ʻike koke i ke kauka.
He aha ka manaʻolana no kekahi kanaka me Merkel Cell Carcinoma?
Loaʻa i ka maʻi kanesa cell Merkel kahi manawa kūpono e hoʻi hou mai ai ma hope o ka mālama ʻia ʻana. No laila, no nā makahiki mua, pono ʻoe e ʻike i kāu kauka i kēlā me kēia ʻekolu a ʻehā mahina a loaʻa nā hoʻokolohua, e like me nā scans imaging, e nānā no ka hoʻi hou ʻana.
He nui nā kumu, me kou olakino holoʻokoʻa, ka makahiki, a me ke kahua o ke kanesa, e hoʻopilikia i ka lōʻihi o ka manawa e hoʻōla ai mai kēia kanesa. Wahi a nā loea e ola ana ʻekolu mai loko mai o ʻehā mau kānaka me ka localized Merkel cell carcinoma i ʻelima mau makahiki ma hope o ka hōʻoia ʻana. Eia nō naʻe, inā ua pālahalaha ke kanesa i nā ʻāpana ʻē aʻe o ke kino (metastatic cancer), e hāʻule ana kēlā helu i hoʻokahi i loko o ʻehā. Akā, mai haʻalele i ka manaʻolana. Ke hana ʻia nei nā hoʻokolohua lapaʻau he nui e ʻimi i nā lāʻau lapaʻau hou no ka Merkel cell carcinoma.
Āhea ʻoe e ʻike ai i ke kauka?
Inā ʻike ʻoe i kekahi o kēia mau loli i wehewehe ʻole ʻia i kou ʻili, e ʻike koke i ke kauka:
- ʻO ke ʻano o kahi kiko hou, kahi loli i kahi kiko e kū nei, a i ʻole ke kahe ʻana o ke koko mai kahi kiko.
- Nā ʻeha unahi a ʻōpala paha ma ka ʻili.
- Nā ʻeha ho'ōla ʻole.
- Nā puʻu i wehewehe ʻole ʻia, ʻoiai inā e maneʻo, ʻeha, a ulu paha ka nui.
He aha nā nīnau āu e nīnau ai i kāu kauka?
Hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau penei:
- No ke aha i loaʻa ai iaʻu ka Merkel Cell Carcinoma?
- He aha ka lāʻau lapaʻau maikaʻi loa noʻu?
- He aha kaʻu e hana ai e pale aku i ka hoʻi hou ʻana mai o ke kanesa?
- Pono anei au e hopohopo e pili ana i nā hōʻailona o nā pilikia?
He mea maʻamau ke manaʻo i ka haʻalulu a me ke kaumaha ke ʻike ʻoe he maʻi ʻili kou, e like me Merkel Cell Carcinoma. No ka mea hiki i kēia maʻi ʻaʻai ke laha koke, he mea nui e ʻike i ke kauka i ka wā e ʻike ai ʻoe i nā loli ʻē i kou ʻili. E wehe kāu kauka i ka puʻupuʻu me ke ʻoki ʻana a hiki iā ia ke hāʻawi iā ʻoe i nā lāʻau ʻē aʻe ma muli o ke kahua o ke kanesa. ʻOiai ma hope o ka lāʻau lapaʻau, pono ʻoe e hana i nā nānā maʻamau e ʻike ai inā ua hoʻi mai ke kanesa a ua laha paha.
ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai
No laila, ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i kēia manawa i ka Merkel Cell Carcinoma, a mākou i kamaʻilio ai i kēia lā. ʻOiai he maʻi kanesa kakaikahi kēia, akā he mea weliweli paha, he mea nui loa ia e mālama i kou ʻili a pale iā ia mai ka lā. Inā ʻike ʻoe i kekahi mea hou a ʻano ʻē paha ma kou ʻili, mai hoʻowahāwahā iā ia me he mea liʻiliʻi lā, akā e hōʻike koke i ke kauka. Inā ʻike mua ʻia, ʻoi aku ka kiʻekiʻe o ka manawa e holomua ai ka lāʻau. E noho olakino!
ʻO ka maʻi kanesa o ke kelepona Merkel, ka maʻi ʻili, ka kukuna UV, nā kelepona Merkel, puʻupuʻu ʻili, nā hōʻailona o ke kanesa, ka mālama ʻana i ke kanesa, ka maʻi ʻili, ka kukuna UV, nā kelepona Merkel, puʻupuʻu ʻili, nā hōʻailona o ke kanesa, ka mālama ʻana i ke kanesa
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