Yu dɔn notis wan smɔl bɔmp na yu skin, mɔ na yu fes, yu nɛk, ɔ yu an dɛn we kin de na di san bɔku tɛm? Yu tink se i de shayn, i rɛd, ɛn i at fɔ tɔch? Bɔrku pipul nɔr kin pe atɛnshɔn to dɛn tin ya, bɔt sɔmtɛm dis kin bi sayn fɔ wan kansa na dɛn skin we nɔ kin bɔku bɔt we kin rili denja we dɛn kɔl Merkel Cell Carcinoma . So lɛ wi tɔk bɔt am tide.
Fɔ tɔk am simpul wan, wetin na Merkel Cell Carcinoma?
Merkel cell carcinoma na wan kayn kansa we nɔ kin bɔku, we kin gro fast ɛn we kin bigin na di Merkel sɛl dɛn na wi skin. I kin mek pɔsin in layf de pan denja.
Tink bɔt am, dip insay di ɔp layt na wi skin, we na wetin wi kɔl di epidermis , na dɛn Mɛkel sɛl ya de. Dis na wan kayn sɛl we rili spɛshal. Bikɔs dɛn sɛl ya de wok togɛda wit wi nervous system ɛn endocrine system, dɛn kin kɔl dɛn bak nyuroendocrine cells . Fɔ tɔk di kɔrɛkt tin, dɛn sɛl ya de nia di say dɛn we di nerv dɛn de dɔn we de ɛp wi fɔ fil se dɛn tɔch wi.
We yu de na tin dɛn lɛk UV layt we de kɔmɔt na di san, dat kin pwɛl dɛn Mɛkel sɛl dɛn ya ɛn i kin mek dɛn gro we yu nɔ ebul fɔ kɔntrol. Dis na di tɛm we dis kansa kin apin. Di tin we denja pas ɔl bɔt dis kansa na dat i kin skata kwik kwik wan to ɔda pat dɛn na di bɔdi ɛn i kin gɛt bɔku chans fɔ kam bak ivin afta dɛn dɔn trit am.
Wetin kin mek pɔsin gɛt dis kansa? Udat dɛn de pan denja pas ɔlman?
Bɔku men tin dɛn de we kin mek pɔsin gɛt dis kansa.
Di men rizin dɛn
- UV rayt: Di men tin we kin mek i du bad na di layt we di san kin shayn. If wi de na di san bɔku tɛm, we di san bɔn, ɛn we wi de na atifishal layt lɛk bed fɔ tan, dat kin pwɛl di DNA na wi skin sɛl dɛn. Dis damej na in de mek di kansa sɛl dɛn fɔm.
- Merkel cell polyomavirus (MCP): Dis na smɔl tin we kin mek wi sɔprayz. Na lɛk et pan tɛn pipul dɛn we gɛt dis kansa dɔn gɛt wan vayrɔs we dɛn kɔl Merkel cell polyomavirus (MCP) . Bɔt nɔr wɔri, dis vayrɔs na wan rili kɔmɔn vayrɔs we wi kin gɛt we wi smɔl we wi nɔ ivin no am, ɛn i nɔ kin kɔz ɛni sayn. Nɔto ɔlman we gɛt am na dɛn bɔdi go gɛt kansa. Masta sabi pipul dɛn stil de tray fɔ no wetin mek na sɔm pipul dɛn nɔmɔ kin gɛt kansa frɔm dis vayrɔs.
Risach dɔn sho se we di imyun sistɛm wik, di bɔdi nɔ kin ebul fɔ kɔntrol dis vayrɔs. Dɔn di vayrɔs de mek di skin sɛl dɛn mek wan prɔtin we de ɔf di jin dɛn we de stɔp di kansa sɛl dɛn fɔ gro.
Di tin dɛn we kin mek pɔsin gɛt prɔblɛm
Pan ɔl we ɛnibɔdi kin gɛt dis kansa, sɔm pipul dɛn kin gɛt dis kansa.
- Man dɛm we dɔn pas 50 ia we gɛt fayn fayn skin kin gɛt di ay risk.
- If yu dɔn gɛt ɔda kayn kansa na yu skin bifo, lɛk basal cell carcinoma , squamous cell carcinoma , ɔ melanoma .
- If yu bin dɔn bɔn bad bad wan bifo ɔ yu bin dɔn yuz bed fɔ tan .
- Afta dɛn dɔn gɛt fototɛrapi fɔ sik dɛn we de na di skin.
- If di imyun sistɛm wik bikɔs ɔf sik dɛn lɛk HIV/AIDS , sɔm kayn lukimiya, ɔ ɔda tin dɛn.
- If yu de tek immunosuppressants afta yu dɔn transplant yu ɔgan.
Wetin na di sayn dɛm fɔ dis kansa?
di tכmכro dεm we de na di mεkel sεl kכnsan dεm dεn kin si am mכst pan di skin we di san de sho. I impɔtant fɔ no dɛn sayn ya.
| Di kwaliti we pɔsin gɛt | Tɔk bɔt |
|---|---|
| Aw a luk | Wan sfɛrikal lump we kin tan lɛk se i de shayn ɛn tan lɛk pal, we de ɔp ɔp di skin. |
| Kɔlɔ | I kin gɛt di sem kɔlɔ we yu skin gɛt, ɔ i kin bi rɛd, pepul, ɔ blu-rɛd. |
| Gro | Dɛn lumps ya kin gro kwik kwik wan ɛn dɛn kin dubl insay sɔm wiks. |
| Kɔl | I kin fil fayn we yu tɔch am, bɔt bɔku tɛm i nɔ kin mek yu fil pen. Sɔntɛnde, i kin it ɔ i kin at. |
| Pɔblik ples dɛn | Dɛn kin si am mɔ na say dɛn we di san kin de lɛk di fes, nɛk, an, ɛn di yaylid . |
| Ɔda tin dɛn we de apin | Sɔntɛnde dis lump kin bɔs ɛn bi wund ɔ ɔlsa. |
Aw dɛn kin no di sik ɛn trit am?
If yu gɛt dis sayn, yu fɔ rili go to dɔktɔ we de mɛn yu skin , bikɔs sɔntɛnde dɛn bɔmp ya kin tan lɛk ɔda tin dɛn, lɛk benign sist ɔ infɛkshɔn na yu ia ( folliculitis ).
Diagnosis we dɛn kin gɛt
Di dɔktɔ go fɔs chɛk di skin na yu wan ol bɔdi. Dɛn go chɛk bak fɔ si if di limf no dɛm dɔn swel na ples dɛm lɛk yu nɛk ɛn yu armpit fɔ si if di kansa dɔn skata. Fɔ no di sik klia wan, dɛn kin tek wan smɔl pat pan di lump ɛn sɛn am na lɛbɔtri fɔ mek dɛn tɛst am. Dɛn kɔl dis skin bayɔpsi .
If dɛn kɔnfyus se kansa, dɛn kin du tɛst lɛk CT skan ɛn PET skan fɔ si aw fa i dɔn skata na di bɔdi.
Di we aw dɛn kin trit am
Dɛn kin no di tritmɛnt bay di stej we di kansa de.
1. Ɔpreshɔn: Di men tritmɛnt na ɔpreshɔn fɔ pul di kansa tɔŋ kpatakpata.
- Mohs ɔpreshɔn: Insay dis, na di kansa layt nɔmɔ dɛn kin pul rili dilikɛt wan, we kin mek i nɔ pwɛl di wɛlbɔdi skin.
- Waid lokal excision: Dɛn kin pul di kansa tumor ɛn wan smɔl eria we gɛt wɛlbɔdi skin rawnd am.
- Di limf no dɛm we dɛn kin kɔt: If di kansa dɔn skata to di limf no dɛm, dɛn kin du ɔpreshɔn fɔ pul dɛn no dɛm de.
2. Tritmɛnt afta dɛn du di ɔpreshɔn: Afta dɛn dɔn du di ɔpreshɔn, dɛn kin yuz dis tritmɛnt fɔ pwɛl ɛni kansa sɛl we stil lɛf na di bɔdi.
- Radieshɔn tɛrapi: Fɔ pwɛl di kansa sɛl dɛn we yu de yuz ay ɛnaji rayt.
- Immunotherapy: I de mek di bɔdi in yon imyun sistɛm fɔ fɛt di kansa sɛl dɛn.
- Kimotɛrapi: Fɔ gi mɛrɛsin dɛn we de kil kansa sɛl dɛn.
Wetin wi fɔ du fɔ protɛkt wisɛf frɔm dis kansa?
Bifo yu trit dis sik wans i dɔn gɛt am, i go fayn fɔ mek yu ridyus di risk fɔ gɛt am. Sɔm simpul tin dɛn de we yu kin du fɔ du dat.
- Sanskrin na sɔntin we yu fɔ gɛt: SPF 60 ɔ pas dat ɛvride, ivin we yu de na os.Yuz gud tin fɔ protɛkt yusɛf frɔm di san. If yu de go na do, yu kin yuz am bak ɛvri tu awa.
- Avɔyd di san: Nɔ de na di san bitwin 10 a.m. ɛn 4 p.m. as mɔ as i pɔsibul. If yu fɔ go na do, go na say we gɛt shed.
- Nɔ tanning bed dɛn ɔl: Dɛn tin ya kin rili ambɔg di skin.
- Kɔba yu skin: We yu de go na do, wɛr klos we gɛt lɔng sliv, big hat, ɛn gud sanglas.
- Tek kia ɔf yu skin: Chek yu skin ɔltɛm. If yu notis nyu spat, lump, chenj na wan spat we dɔn de, ɔ wan wund we nɔ de wɛl, go to dɔktɔ wantɛm wantɛm .
Mɛsej we dɛn kin kɛr go na os
- Merkel Cell Carcinoma na wan kansa wae nɔr kin bɔrku, bɔt wae denja wae kin skata kwik kwik wan.
- Di men tin we kin mek i apin na we pɔsin de gɛt UV rayt frɔm di san.
- Wan lump we de shayn, tranga, we de gro kwik kwik wan na di skin kin bi wan men sayn fɔ dis sik.
- If yu notis ɛni chenj we nɔ kɔmɔn na yu skin, wan lump, ɔ wund we nɔ de wɛl, nɔ ignore am ɛn go to yu dɔktɔ wantɛm wantɛm.
- Yu kin ebul fɔ avɔyd dis kansa if yu de yuz tin fɔ protɛkt yusɛf frɔm di san ɛvride ɛn protɛkt yusɛf frɔm di bad bad san.
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