Yu dɔn ɛva notis smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Yu go dɔn tink se na jɔs wan pimple ɔ smɔl wund, bɔt sɔntɛnde ivin smɔl tin dɛn lɛk dis kin siriɔs pas aw wi kin tink. Tide wi go tɔk bɔt wan kayn kansa na yu skin we nɔ kin bɔku bɔt we rili denja. Dat na Merkel Cell Carcinoma, ɔ ``Merkel Cell Carcinoma``.
Wetin na Mɛkel Sɛl Kansa?
Fɔ tɔk am simpul wan, Merkel Cell Carcinoma na wan kayn kansa we nɔ kin bɔku, we kin skata kwik kwik wan, ɛn we kin mek pɔsin in layf de pan denja. i de divεlכp insay wan spεshal tכp sεl we dεn kכl Merkel sεl dεm, we de fכn insay di כta pat na wi skin, di εpidamis.
Tink bɔt am, wi skin nɔto jɔs kɔva. I gɛt difrɛn kayn sɛl dɛn. dis Merkel sεl dεm na sεl dεm bak we de du dis kayn spεshal wok. So, bikoz fכ we dεn de εkspos to harmful ultraviolet rays frכm di san (Ultraviolet - UV light) εn sכm כda risk factor dεm, dεn Merkel sεl dεm ya kin bi kεnsar sεl dεm εn bigin fכ gro we dεn nכ kin kכntro. Di tin we denja pas ɔl bɔt dis kansa na dat i kin spre kwik kwik wan to ɔda pat dɛn na di bɔdi ɛn chans de fɔ mek i kam bak ivin afta dɛn dɔn trit am.
Wetin na di Mɛkel sɛl dɛn?
Naw yu kin de wɔnda, "Wetin na Mɛkel sɛl?" Dɛn sɛl ya de dip dip wan na di epidamis, we na di layt we de ɔp na wi skin. Dɛn na wan kayn sɛl we de nia di say dɛn we di nerv dɛn de dɔn ɛn i de ɛp wi fɔ fil se dɛn tɔch wi. di tin we spεshal na dat dεn na wan kayn sεl we dεn kכl nyuroεndokrin sεl, we de involv insay di nεv sεstem εn di εndokrin sistεm . Dat min se dɛn sɛl ya gɛt tin dɛn bak we de wok lɛk ɔmon.
Wan Jaman dɔktɔ we nem Friedrich Merkel bin fɛn ɛn tɔk bɔt dɛn sɛl ya fɔ di fɔstɛm insay di let 1800s. Na dat mek dɛn kɔl dɛn "Merkel cells."
Aw kɔmɔn dis kansa?
Infakt, Merkel Cell Carcinoma na wan kayn kansa na yu skin we nɔ kin bɔku. Fɔ ɛgzampul, na Amɛrika, na lɛk 3,000 nyu wan dɛn nɔmɔ kin gɛt dis sik ɛvri ia.
Bɔt, sɔntin de we impɔtant na ya. Dis biɛn tɛm, di nɔmba fɔ pipul dɛm wae gɛt Merkel Cell Carcinoma dɔn de bɔku. Sɔntɛm di rizin fɔ dis na di impɔtant tin dɛn we dɛn de du fɔ no if pɔsin gɛt di sik. Dɔn bak, dis sik kin mɔs afɛkt pipul dɛm wae dɔn pas 70. As pipul dɛm de liv lɔng, di chans fɔ gɛt dis sik kin bɔku bak.
Ɔda nem dɛn fɔ Merkel Cell Carcinoma
Yu kin yɛri nem dɛn lɛk dis we yu de tɔk bɔt dis kansa:
- MCC we dɛn kɔl MCC
- Merkel sel kansa
- Nyuroendokrin kansa na di skin
- Trabekul kansa
Wetin kin mek pɔsin gɛt Merkel Cell Carcinoma?
Lɛk bɔku kansa dɛn na di skin, Merkel Cell Carcinoma kin kam we pɔsin de pan ɔltra vayolɛt (UV) rayt frɔm di san. Dis risk kin de bak frɔm atifishal layt sɔs dɛm lɛk tanning bed. Dɛn UV rayt ya kin pwɛl di jenɛtik matirial ɔ DNA we de na wi skin sɛl dɛn.
Wan ɔda tin we kin mek wi sɔprayz na dat, lɛk et pan tɛn pipul dɛn we gɛt dis kansa kin gɛt wan vayrɔs we dɛn kɔl Merkel cell polyomavirus (MCP). Bɔt, nɔ mek yu fred fɔ dis. Bikɔs, nɔto ɔlman we gɛt dis `MCP` vayrɔs kin gɛt dis kansa. Infakt, dis na vayrɔs we kin gɛt bɔku tɛm we i smɔl ɛn bɔku tɛm i nɔ kin sho ɛni sayn. Nɔr spɛshal tɛst nɔr de fɔ no if dis vayrɔs de. So, pipul dɛm wae sabi bɔt mɛrɛsin stil de luk fɔ wetin mek dis vayrɔs kin mek sɔm pipul dɛm nɔmɔ gɛt kansa na dɛn skin.
Risach dɔn sho se pɔsin we in imyun sistɛm wik nɔ go ebul fɔ kɔntrol di vayrɔs . Dɔn di vayrɔs kin mek di sɛl dɛn na di skin mek wan spɛshal prɔtin. dis protin de tכn כf di jin dεm we nכmal fכ stכp kansa fכ gro.
Wetin na di risk factor dɛm fɔ Merkel Cell Carcinoma?
Merkel Cell Carcinoma kin kam pan ɛnibɔdi we gɛt ɛni ej, man ɔ uman, ɔ skin kɔlɔ. Bɔt di risk kin rili bɔku pan man dɛn we dɔn pas 50 ia we gɛt fayn fayn skin.
Apat frɔm dat, sɔm ɔda tin dɛn de we kin mek pɔsin gɛt dis sik:
- If yu bin dɔn gɛt ɔda kayn kansa na yu skin bifo, lɛk basal sɛl kansa, squamous cell carcinoma, ɔ melanoma.
- If yu dɔn yuz tanning bed ɔ yu gɛt bad bad san bɔn.
- If yu de tek fototɛrapi fɔ wan sik na yu skin lɛk psoriasis.
- If di imyun sistɛm wik bikɔs ɔf sik dɛn lɛk kronik lymphocytic leukemia, HIV, ɛn AIDS, ɔ ɔda tin dɛn.
- If yu de tek ɔgan transplant mɛrɛsin ɔ immunosuppressant afta yu dɔn transplant ɔgan.
Wetin na di sayn dɛm wae de sho se yu gɛt Merkel Cell Carcinoma?
Bɔku tɛm, di mɛkɛl sɛl kansa kin apia na di say dɛn na di skin we de na di san. Yu go notis wan tin we de shayn ɛn we tan lɛk pal we dɔn gro na say we di san de shayn.
Dɛn lumps ya na dɛn pipul ya kin si mɔNa yu fes, nɛk, yu an, ɔ yu yaylid. Na pipul dɛm wae gɛt dak skin tɔyn, sɔmtɛm dɛn kin apia na dɛn leg. pan yכŋ pipul dεm, dεn bכmp dεm ya kin apin na say dεm lεk di chεst εn bכdi (torso). Sɔntɛnde, dɛn bɔmp ya kin bɔs ɛn tan lɛk sɔri.
Dis lump kin sho sɔm sayn dɛm lɛk:
- Wi yon gɛt lɛk af kɔyn (lɛk 2 sɛntimita) ɛn i kin gro kwik kwik wan.
- Wan tin we tan lɛk dome dɔn kɔmɔt.
- I kin fil lɛk se i tayt.
- Skrach we yu de skrach.
- I kin jɔs tan lɛk akni ɔ insɛkt bayt.
- I kin gɛt di sem kɔlɔ we di skin gɛt, ɔ rɛd, pepul, ɔ blu-rɛd.
- I kin at ɔ fil pen we dɛn tɔch am.
Impɔtant: If yu notis se yu skin chenj lɛk dis, mɔ if i big kwik, mek shɔ se yu go to dɔktɔ.
Wetin na di kɔmplikɛshɔn dɛm wae de kam wit Merkel Cell Carcinoma?
Merkel Cell Carcinoma na wan kayn kansa we kin rili bad ɛn we kin skata kwik kwik wan to ɔda pat dɛn na di bɔdi. We kansa de skata frɔm usay i fɔs bigin to ɔda pat dɛn na di bɔdi, dɛn kin kɔl am mɛtastatik kansa. Kansa wae dɔn skata dis kayn wae kin rili at fɔ trit.
di mεkel sεl kכrεs fכs de spre to di limf sistεm we na di limf no dεm. Frɔm de, i kin go na di bon dɛn, di lɔng dɛn, di bren, ɔ ɔda pat dɛn. Dis kansa kin kil pɔsin.
Aw dɛn kin no se pɔsin gɛt Merkel Cell Carcinoma?
di skin kכndyushכn lεk Merkel cell carcinoma na dεmatכlכg dεm de no εn trit dεm. I impɔtant fɔ go to dɔktɔ we spɛshal pan kansa na yu skin. Dis na bikɔs sɔm tin dɛn we nɔ gɛt kansa (benign cysts), di ia fɔlikul dɛn we gɛt infɛkshɔn (folliculitis), ɛn di aylid lumps (styes) kin tan lɛk Mɛkel sɛl kansa bak.
Yu dɔktɔ go fɔs chɛk yu wan ol bɔdi. Dɛn go fil bak fɔ ɛni limf no dɛm we swel, we kin bi sayn fɔ infɛkshɔn ɔ kansa we de skata. Dɔn, dɛn go tek wan smɔl pat pan di sɔspɛkt lump ɛn du wan skin bayɔpsi fɔ chɛk fɔ si if kansa sɛl dɛn de.
Wetin na di stej dɛm fɔ kansa?
Dɔktɔ dɛn kin yuz kansa stej fɔ no aw fa di kansa dɔn skata. Dɛn kin no dis stej di tɛm we dɛn no di sik. Di mɔ di stej nɔmba de bɔku, na di mɔ di kansa dɔn skata.
- Stej 0: di mεkel sεl kansa de כnli na di tכp layεr na di skin.
- Stej IV (4): Di kansa dɔn spre to di ɔgan dɛn we de fa.
Us tɛst dɛn kin yuz fɔ no di stej we pɔsin gɛt kansa?
Dɛn kin du wan ɔ mɔ pan dɛn tɛst ya fɔ no di stej we di Mɛkel Sɛl Kansa gɛt:
- CT skan we dɛn kin du
- Positron Emission Tomografi (PET) skan we dɛn kin skan
- Sɛntinɛl node bayɔpsi ɔ nidul bayɔpsi
Aw dɛn kin trit Merkel Cell Carcinoma?
Di tritmɛnt fɔ Merkel sɛl kansa de dipen pan di stej we di kansa de. di kansa dεm we de fכm di εli stej (stej 0 to II [2]) de rεspכnd bεtεh to tritmεnt pas di let stej (stej III εn IV [3 εn 4]) kεnsar dεm.
Dɔktɔ dɛn kin du ɔpreshɔn fɔ pul di Mɛkel sɛl kansa tumbu dɛn. Bɔku we dɛn de fɔ du ɔpreshɔn:
- Mohs ɔpreshɔn: Dis involv fɔ tek tɛm pul di layers nɔmɔ we gɛt kansa sɛl dɛn, pan ɔl we dɛn de kip bɔku wɛlbɔdi skin as i pɔsibul.
- Waid lokal εksizishכn: insay dis, dεn kin pul di kεnsar tכmכro wit sכm pan di hεlty tisu dεm we de rawnd am.
- di limf no dεm dεn dεsεkshכn: dεn de כpכt di limf no dεm usay di kεnsar sεl dεm dכn spre.
Wetin kin apin afta di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, yu kin nid fɔ du ɔpreshɔn fɔ mek yu gɛt bak ɔ fɔ mek yu gɛt di skin fɔ mek di say we yu dɔn trit wɛl ɛn kam bak.
Apat frɔm dat, dɛn kin yuz kansa tritmɛnt lɛk dɛn wan ya fɔ pwɛl ɛni kansa sɛl we stil lɛf na di bɔdi:
- Kimotɛrapi
- Imyunotɛrapi
- Redyushɔn tɛrapi
Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt Merkel Cell Carcinoma?
Yɛs, yu kin protɛkt yusɛf frɔm di damej we di san kin gɛt ɛn ridyus yu risk fɔ gɛt Merkel Cell Carcinoma bay we yu du dɛn tin ya:
- Put wan brayt-spɛktrum sanskrin we gɛt SPF we at le 60 ɛvride, ivin we yu de insay os. Riaplay ɛvri tu awa if yu de go na do.
- Limit yu exposure to di san in rays, we de at in peak bitwin 10 a.m. en 4 p.m. If yu fɔ go na do, fɛn shed.
- Nɔ yuz tanning bed ɔ san lamp.
- We yu de go na do, wɛr klos we dɛn tay tayt, lɔng sliv, hat we gɛt wayd brim, ɛn big sanglas.
- Lan aw fɔ chɛk yu skin yusɛf. If yu notis ɛni nyu chenj na yu skin, go to dɔktɔ wantɛm wantɛm.
Wetin na de luk fɔ pɔrsin wae gɛt Merkel Cell Carcinoma?
Merkel cell carcinoma gɛt ay chans fɔ kam bak ivin afta dɛn dɔn trit am. So, fɔ di fɔs sɔm ia, yu go nid fɔ go to yu dɔktɔ ɛvri tri to 4 mɔnt ɛn du tɛst, lɛk imej skan, fɔ chɛk fɔ si if i kam bak.
Bɔrku tin, lɛk yu ɔl yu wɛl bɔdi, yu ej, ɛn aw yu gɛt di kansa, kin afɛkt aw lɔng i kin tek fɔ wɛl frɔm dis kansa. Masta sabi pipul dɛn se tri pan ɔl 4 pipul dɛn we gɛt lokaliz Mɛkel sɛl kansa go liv fayv ia afta dɛn dɔn no se dɛn gɛt am. Bɔt if di kansa dɔn skata to ɔda pat dɛn na di bɔdi (mɛtastatik kansa), da nɔmba de kin go dɔŋ to wan pan ɛvri 4 pat dɛn. Bɔt nɔ giv ɔp fɔ gɛt op. Bɔku klinik trial dɛn de go bifo naw fɔ fɛn nyu tritmɛnt fɔ Mɛkel sɛl kansa.
Ustɛm yu fɔ go to dɔktɔ?
If yu notis ɛni wan pan dɛn chenj ya we yu nɔ ɛksplen na yu skin, go to dɔktɔ wantɛm wantɛm:
- Di we aw nyu spat de apia, we chenj na wan say we dɔn de, ɔ we blɔd de kɔmɔt frɔm wan say.
- Skayl ɔ krɔsti lɛshɔn dɛn na di skin.
- Wund dɛn we nɔ de mɛn.
- Lump dɛn we nɔ ɛksplen, mɔ if dɛn it, at, ɔ gro in saiz.
Us kwɛstyɔn dɛn yu fɔ aks yu dɔktɔ?
Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:
- Wetin mek a bin gɛt Merkel Cell Carcinoma?
- Wetin na di bɛst tritmɛnt fɔ mi?
- Wetin a go du fɔ mek di kansa nɔ kam bak?
- A fɔ wɔri bɔt di sayn dɛn we de sho se a gɛt prɔblɛm dɛn?
Na nɔmal tin fɔ fil shɔk ɛn sɔri we yu kam fɔ no se yu gɛt kansa na yu skin, lɛk Merkel Cell Carcinoma. Bikɔs dis kansa kin skata kwik kwik wan, i impɔtant fɔ go to dɔktɔ jɔs lɛk aw yu notis ɛni chenj we nɔ kɔmɔn na yu skin. Yu dɔktɔ go pul di tumbu wit ɔpreshɔn ɛn i kin gi yu ɔda tritmɛnt dɛn bak dipen pan di stej we di kansa de. Ivin afta yu dɔn gɛt tritmɛnt, yu fɔ de chɛk yu ɔltɛm fɔ si if di kansa dɔn kam bak ɔ i dɔn skata.
Fɔ dɔn, na sɔm tin dɛn we wi fɔ mɛmba
So, a op se naw yu dɔn ɔndastand mɔ bɔt Merkel Cell Carcinoma, we wi tɔk bɔt tide. Pan ɔl we dis na kansa we nɔ kin apin so ɔltɛm, bɔt i kin denja, i rili impɔtant fɔ tek kia ɔf yu skin ɛn protɛkt am frɔm di san. If yu notis ɛnitin we nyu ɔ we nɔ kɔmɔn na yu skin, nɔ ignore am as sɔntin we smɔl, bɔt sho am to dɔktɔ wantɛm wantɛm. If dɛn no am kwik, di chans fɔ mek di tritmɛnt go bifo kin bɔku. Stay wit wɛlbɔdi!
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