Puas muaj ib lub qog tshiab ntawm koj daim tawv nqaij? Cia peb paub txog tus kab mob Merkel Cell Carcinoma txaus ntshai no!

Koj puas tau pom ib lub pob me me lossis pob khaus ntawm koj daim tawv nqaij? Tej zaum koj yuav xav tias nws tsuas yog pob khaus lossis qhov txhab me me xwb, tab sis qee zaum txawm tias tej yam me me zoo li no kuj tuaj yeem loj dua li peb xav. Hnub no peb yuav tham txog ib hom mob qog nqaij hlav uas tsis tshua muaj tab sis txaus ntshai heev. Ntawd yog Merkel Cell Carcinoma, lossis "Merkel Cell Carcinoma"

Merkel Cell Carcinoma yog dab tsi?

Hais yooj yim xwb, Merkel Cell Carcinoma yog ib hom mob qog nqaij hlav uas tsis tshua muaj, kis tau sai, thiab muaj peev xwm ua rau tuag taus. Nws tshwm sim hauv ib hom cell tshwj xeeb hu ua Merkel cells, uas pom muaj nyob rau hauv txheej sab nraud tshaj plaws ntawm peb daim tawv nqaij, epidermis.

Xav txog nws, peb daim tawv nqaij tsis yog ib daim npog xwb. Nws muaj ntau hom hlwb sib txawv. Cov hlwb Merkel no kuj yog cov hlwb uas ua haujlwm tshwj xeeb zoo li no. Yog li, vim yog raug rau cov teeb meem ultraviolet los ntawm lub hnub (Ultraviolet - UV teeb) thiab qee yam kev pheej hmoo, cov hlwb Merkel no dhau los ua cov hlwb mob qog noj ntshav thiab pib loj hlob tsis tuaj yeem tswj tau. Qhov txaus ntshai tshaj plaws txog tus mob qog noj ntshav no yog tias nws tuaj yeem kis mus rau lwm qhov ntawm lub cev sai heev thiab muaj feem ntau ntawm nws rov tshwm sim txawm tias tom qab kho mob.

Cov hlwb Merkel yog dab tsi?

Tam sim no tej zaum koj yuav xav paub tias, "Cov hlwb Merkel yog dab tsi?" Cov hlwb no pom tob hauv daim tawv nqaij epidermis, txheej sab saud ntawm peb daim tawv nqaij. Lawv yog ib hom hlwb uas nyob ze rau cov hlab ntsha thiab pab peb hnov ​​​​​​kev kov. Qhov tshwj xeeb yog tias lawv yog ib hom hlwb hu ua neuroendocrine cell, uas koom nrog ob qho tib si lub paj hlwb thiab lub endocrine system . Ntawd yog, cov hlwb no kuj muaj cov tshuaj uas ua haujlwm zoo li cov tshuaj hormones.

Cov hlwb no tau raug tshawb pom thiab piav qhia thawj zaug thaum xyoo 1800s los ntawm ib tug kws kho mob German hu ua Friedrich Merkel. Yog vim li ntawd lawv thiaj hu ua "Merkel cells."

Kab mob cancer no muaj ntau npaum li cas?

Qhov tseeb, Merkel Cell Carcinoma yog ib hom mob qog nqaij hlav uas tsis tshua muaj. Piv txwv li, hauv Tebchaws Meskas, tsuas muaj li ntawm 3,000 tus neeg mob tshiab ntawm tus kab mob no tshwm sim txhua xyoo.

Txawm li cas los xij, muaj ib yam tseem ceeb ntawm no. Tsis ntev los no, cov neeg uas muaj tus kab mob Merkel Cell Carcinoma tau nce ntxiv. Tej zaum qhov laj thawj rau qhov no yog kev txhim kho hauv kev kuaj mob. Tsis tas li ntawd, tus mob no feem ntau cuam tshuam rau cov neeg hnub nyoog tshaj 70 xyoo. Thaum cov neeg nyob ntev dua, qhov muaj feem yuav muaj tus kab mob no kuj yuav nce ntxiv.

Lwm lub npe rau Merkel Cell Carcinoma

Tej zaum koj yuav hnov ​​cov npe zoo li no thaum tham txog tus mob qog noj ntshav no:

• MCC
• Merkel mob qog nqaij hlav
• Neuroendocrine carcinoma ntawm daim tawv nqaij
• Mob qog nqaij hlav trabecular

Dab tsi ua rau Merkel Cell Carcinoma?

Ib yam li ntau yam mob qog nqaij hlav ntawm daim tawv nqaij, Merkel Cell Carcinoma yog tshwm sim los ntawm kev raug rau cov teeb ultraviolet (UV) los ntawm lub hnub. Qhov kev pheej hmoo no kuj muaj los ntawm cov chaw teeb pom kev zoo xws li cov txaj tanning. Cov teeb UV no tuaj yeem ua puas rau cov khoom siv caj ces, lossis DNA, ntawm peb cov hlwb tawv nqaij.

Lwm qhov tseeb uas xav tsis thoob yog tias kwv yees li yim ntawm kaum tus neeg uas muaj tus kab mob qog noj ntshav no tau kis tus kab mob hu ua Merkel cell polyomavirus (MCP). Txawm li cas los xij, tsis txhob ntshai qhov no. Vim tias, tsis yog txhua tus neeg uas tau kis tus kab mob 'MCP' no yuav muaj tus kab mob qog noj ntshav no. Qhov tseeb, qhov no yog tus kab mob uas feem ntau kis thaum yau thiab feem ntau tsis qhia cov tsos mob. Tsis muaj kev kuaj tshwj xeeb los nrhiav seb tus kab mob no puas muaj. Yog li, cov kws kho mob tseem tab tom tshawb nrhiav seb vim li cas tus kab mob no ua rau mob qog noj ntshav ntawm daim tawv nqaij tsuas yog qee tus neeg xwb.

Kev tshawb fawb qhia tias ib tug neeg uas lub cev tiv thaiv kab mob tsis muaj zog yuav tswj tsis tau tus kab mob . Tus kab mob ces ua rau cov hlwb tawv nqaij tsim cov protein tshwj xeeb. Cov protein no tua cov noob caj noob ces uas feem ntau tiv thaiv kab mob qog noj ntshav kom tsis txhob loj hlob.

Cov yam ua rau muaj kev pheej hmoo ntawm Merkel Cell Carcinoma yog dab tsi?

Merkel Cell Carcinoma tuaj yeem tshwm sim rau txhua tus neeg txawm tias muaj hnub nyoog li cas, poj niam txiv neej li cas, lossis xim tawv nqaij li cas los xij. Txawm li cas los xij, qhov kev pheej hmoo no yog siab heev rau cov txiv neej hnub nyoog tshaj 50 xyoo uas muaj daim tawv nqaij dawb.

Tsis tas li ntawd xwb, muaj ntau yam ua rau muaj kev pheej hmoo ntxiv:

• Yog tias koj tau muaj lwm hom mob qog nqaij hlav ntawm daim tawv nqaij ua ntej, xws li basal cell carcinoma, squamous cell carcinoma, lossis melanoma.
• Yog tias koj tau siv cov txaj pw tanning lossis muaj hnub ci kub heev.
• Yog tias koj tab tom noj tshuaj phototherapy rau mob tawv nqaij xws li psoriasis.
• Yog tias lub cev tiv thaiv kab mob tsis muaj zog vim yog cov kab mob xws li mob ntshav lymphocytic leukemia, HIV, thiab AIDS, lossis lwm yam ua rau.
• Yog tias koj noj tshuaj hloov cev lossis tshuaj tiv thaiv kab mob tom qab hloov cev.

Cov tsos mob ntawm Merkel Cell Carcinoma yog dab tsi?

Feem ntau cov mob Merkel cell carcinoma tshwm sim rau ntawm cov tawv nqaij uas raug tshav ntuj. Tej zaum koj yuav pom ib lub pob ci ntsa iab zoo li hlaws uas tau loj hlob hauv thaj chaw raug tshav ntuj.

Cov pob no feem ntau pomNtawm koj lub ntsej muag, caj dab, caj npab, lossis qhov muag. Rau cov neeg uas muaj daim tawv nqaij tsaus dua, qee zaum lawv tuaj yeem tshwm sim ntawm ob txhais ceg. Rau cov neeg hluas, cov pob no tuaj yeem tshwm sim rau ntawm thaj chaw xws li lub hauv siab thiab lub plab (torso). Qee zaum, cov pob no tuaj yeem tawg thiab zoo li cov qhov txhab.

Lub qog no yuav muaj cov tsos mob xws li:

• Peb li loj li ib nrab lub npib (kwv yees li 2 centimeters) thiab loj sai heev.
• Ib lub qauv zoo li lub dome tau tshwm sim.
• Nws xav tias nruj heev.
• Khawb.
• Tej zaum nws tsuas zoo li pob txuv lossis kab tom xwb.
• Nws tuaj yeem yog tib xim li daim tawv nqaij, lossis liab, ntshav, lossis xiav-liab.
• Nws mob los yog hnov ​​​​mob thaum kov.

Tseem Ceeb: Yog tias koj pom qhov hloov pauv ntawm daim tawv nqaij zoo li no, tshwj xeeb tshaj yog tias nws loj zuj zus sai, nco ntsoov nrhiav kev pab kho mob.

Cov teeb meem ntawm Merkel Cell Carcinoma yog dab tsi?

Merkel Cell Carcinoma yog ib hom mob qog nqaij hlav uas loj heev uas kis mus rau lwm qhov ntawm lub cev sai sai. Thaum mob qog nqaij hlav kis mus rau lwm qhov ntawm lub cev, nws hu ua mob qog nqaij hlav kis mus rau lwm qhov. Cov mob qog nqaij hlav uas tau kis mus rau lwm qhov ntawm lub cev no nyuaj kho heev.

Mob qog nqaij hlav Merkel pib kis mus rau cov kab mob lymphatic system, uas yog cov qog ntshav. Los ntawm qhov ntawd, nws tuaj yeem kis mus rau cov pob txha, lub ntsws, lub hlwb, lossis lwm yam kabmob. Mob qog nqaij hlav no tuaj yeem ua rau tuag taus.

Yuav kuaj mob Merkel Cell Carcinoma li cas?

Cov mob ntawm daim tawv nqaij xws li Merkel cell carcinoma raug kuaj mob thiab kho los ntawm kws kho mob tawv nqaij. Nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob uas tshwj xeeb hauv kev mob qog nqaij tawv. Qhov no yog vim qee qhov kev loj hlob tsis yog mob qog nqaij hlav (benign cysts), cov plaub hau folliculitis uas muaj kab mob (folliculitis), thiab cov qog ntawm qhov muag (styes) kuj zoo li Merkel cell carcinoma.

Koj tus kws kho mob yuav xub kuaj koj lub cev tag nrho. Lawv kuj yuav kuaj seb puas muaj cov qog ntshav o, uas yog ib qho cim qhia tias muaj kev kis kab mob lossis kis mob qog noj ntshav. Tom qab ntawd, lawv yuav muab ib daim me me ntawm cov qog uas muaj qhov txawv txav thiab ua qhov kev kuaj tawv nqaij kom paub seb puas muaj cov qog ntshav.

Cov theem ntawm mob qog noj ntshav yog dab tsi?

Cov kws kho mob siv kev ntsuas theem mob qog noj ntshav los nrhiav seb mob qog noj ntshav tau kis mus deb npaum li cas lawm. Theem no yog txiav txim siab thaum lub sijhawm kuaj mob. Theem tus lej siab dua, qhov mob qog noj ntshav tau kis mus ntau dua.

• Theem 0: Merkel cell carcinoma tsuas yog nyob rau hauv txheej sab saud ntawm daim tawv nqaij xwb.
• Theem IV (4): Tus mob qog noj ntshav tau kis mus rau cov kab mob nyob deb.

Cov kev kuaj twg siv los txiav txim siab theem ntawm mob qog noj ntshav?

Ib lossis ntau qhov kev kuaj no yuav ua tau los txiav txim siab theem ntawm Merkel Cell Carcinoma:

• Kev kuaj CT
• Kev luam theej duab Positron Emission Tomography (PET)
• Kev kuaj mob ntawm cov qog nqaij hlav Sentinel los yog koob txhaj tshuaj

Yuav kho tus mob Merkel Cell Carcinoma li cas?

Kev kho mob rau Merkel cell carcinoma nyob ntawm theem ntawm tus mob qog noj ntshav. Cov mob qog noj ntshav theem thaum ntxov (theem 0 txog II [2]) teb zoo dua rau kev kho mob dua li cov mob qog noj ntshav theem kawg (theem III thiab IV [3 thiab 4]).

Cov kws kho mob phais tshem tawm cov qog nqaij hlav Merkel cell carcinoma. Muaj ntau txoj kev phais:

• Kev phais mob Mohs: Qhov no suav nrog kev tshem tawm cov txheej uas muaj cov hlwb qog nqaij hlav kom zoo, thaum tseem khaws cov tawv nqaij kom noj qab haus huv li sai tau.
• Kev phais mob dav dav hauv zos: Hauv qhov no, cov qog nqaij hlav raug tshem tawm nrog rau qee cov nqaij noj qab haus huv nyob ib puag ncig nws.
• Kev phais tshem cov qog ntshav: Kev phais tshem tawm cov qog ntshav uas cov qog nqaij hlav tau kis mus rau lwm qhov.

Tom qab phais tas, muaj dab tsi tshwm sim?

Tom qab phais lawm, tej zaum koj yuav xav tau kev phais kho dua tshiab lossis kev cog tawv nqaij kom kho thiab kho qhov chaw kho mob.

Ntxiv rau, kev kho mob qog noj ntshav xws li cov no siv tau los rhuav tshem cov hlwb qog noj ntshav uas tseem tshuav nyob hauv lub cev:

• Kev kho mob qog noj ntshav
• Kev kho mob tiv thaiv kab mob
• Kev kho mob hluav taws xob

Puas tuaj yeem tiv thaiv Merkel Cell Carcinoma tau?

Yog, koj tuaj yeem tiv thaiv koj tus kheej los ntawm kev puas tsuaj ntawm lub hnub thiab txo koj qhov kev pheej hmoo ntawm kev mob Merkel Cell Carcinoma los ntawm kev ua cov hauv qab no:

• Siv tshuaj pleev thaiv hnub uas muaj SPF tsawg kawg yog 60 txhua hnub, txawm tias thaum nyob hauv tsev los xij. Thov rov siv dua txhua ob teev yog tias koj tawm mus sab nraud.
• Txwv koj txoj kev raug tshav ntuj, uas yog lub sijhawm siab tshaj plaws ntawm 10 teev sawv ntxov thiab 4 teev tsaus ntuj. Yog tias koj yuav tsum tawm mus sab nraud, nrhiav qhov ntxoov ntxoo.
• Tsis txhob siv cov txaj pw tanning lossis cov teeb hnub ci.
• Thaum tawm mus sab nraud, hnav khaub ncaws nruj nreem, tes tsho ntev, lub kaus mom dav, thiab tsom iav loj.
• Kawm paub yuav ua li cas kuaj koj daim tawv nqaij koj tus kheej. Yog tias koj pom muaj kev hloov pauv tshiab hauv koj daim tawv nqaij, mus ntsib kws kho mob tam sim ntawd.

Yuav ua li cas rau ib tus neeg uas muaj Merkel Cell Carcinoma?

Mob qog nqaij hlav Merkel muaj feem ntau yuav rov qab los txawm tias tom qab kho tas lawm los xij. Yog li ntawd, rau ob peb xyoos thawj zaug, koj yuav tsum mus ntsib koj tus kws kho mob txhua peb mus rau plaub lub hlis thiab ua kev kuaj mob, xws li kev thaij duab, los xyuas seb puas rov qab los dua.

Muaj ntau yam tseem ceeb, suav nrog koj txoj kev noj qab haus huv tag nrho, hnub nyoog, thiab theem ntawm tus mob qog noj ntshav, cuam tshuam rau nws siv sijhawm ntev npaum li cas los rov zoo los ntawm tus mob qog noj ntshav no. Cov kws tshaj lij hais tias peb ntawm plaub tus neeg uas muaj tus kab mob Merkel cell carcinoma hauv zos yuav muaj sia nyob tsib xyoos tom qab kuaj pom. Txawm li cas los xij, yog tias tus mob qog noj ntshav tau kis mus rau lwm qhov ntawm lub cev (mob qog noj ntshav metastatic), tus lej ntawd poob rau ib ntawm plaub. Tab sis tsis txhob tso tseg kev cia siab. Muaj ntau qhov kev sim tshuaj kho mob tam sim no tab tom ua kom nrhiav tau kev kho mob tshiab rau Merkel cell carcinoma.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Yog koj pom ib qho ntawm cov kev hloov pauv uas tsis paub meej no hauv koj daim tawv nqaij, mus ntsib kws kho mob tam sim ntawd:

• Qhov chaw tshiab tshwm sim, qhov chaw uas twb muaj lawm hloov pauv, lossis los ntshav ntawm qhov chaw ntawd.
• Cov qhov txhab tawv nqaij los yog tawv nqaij tawv.
• Cov qhov txhab uas tsis kho tau.
• Cov pob khaus uas tsis paub meej, tshwj xeeb tshaj yog tias lawv khaus, mob, lossis loj hlob tuaj.

Koj yuav tsum nug koj tus kws kho mob li cas?

Koj tuaj yeem nug koj tus kws kho mob cov lus nug zoo li no:

• Vim li cas kuv thiaj li tau txais Merkel Cell Carcinoma?
• Kev kho mob zoo tshaj plaws rau kuv yog dab tsi?
• Kuv ua tau dab tsi los tiv thaiv kom tus mob qog noj ntshav tsis txhob rov qab los?
• Kuv puas yuav tsum txhawj xeeb txog cov tsos mob ntawm cov teeb meem?

Nws yog ib qho ib txwm muaj uas yuav xav tsis thoob thiab tu siab thaum koj pom tias koj muaj mob qog nqaij hlav ntawm daim tawv nqaij, xws li Merkel Cell Carcinoma. Vim tias mob qog nqaij hlav no tuaj yeem kis tau sai heev, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob sai li sai tau thaum koj pom muaj kev hloov pauv txawv txawv hauv koj daim tawv nqaij. Koj tus kws kho mob yuav tshem tawm cov qog nqaij hlav nrog kev phais thiab kuj tseem yuav muab lwm yam kev kho mob rau koj nyob ntawm theem ntawm mob qog nqaij hlav. Txawm tias tom qab kho tas, koj yuav tsum tau kuaj xyuas tsis tu ncua kom pom tias mob qog nqaij hlav tau rov qab los lossis kis mus.

Thaum kawg, ob peb yam uas yuav tsum nco ntsoov

Yog li, kuv vam tias koj tam sim no nkag siab zoo dua txog Merkel Cell Carcinoma, uas peb tau tham txog hnub no. Txawm hais tias qhov no yog ib qho mob qog noj ntshav uas tsis tshua muaj, tab sis muaj peev xwm ua rau muaj kev phom sij, nws yog ib qho tseem ceeb heev uas yuav tsum saib xyuas koj daim tawv nqaij thiab tiv thaiv nws ntawm lub hnub. Yog tias koj pom ib yam dab tsi tshiab lossis txawv txawv ntawm koj daim tawv nqaij, tsis txhob tsis quav ntsej nws ua ib yam me me, tab sis qhia rau kws kho mob tam sim ntawd. Yog tias nws raug kuaj pom thaum ntxov, qhov muaj feem yuav kho tau zoo dua. Nyob zoo!

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