I vunah, a bik takin i hmai, i kawr, a nih loh leh i kutah ni chhuahna hmuna awm fo thin bump te tak te i hmu em? A eng em, a sen a, khawih a harsa em? Mi tam zawk chuan heng thilte hi an ngaihven vak lo a, mahse a chang chuan hei hi vun cancer hmuh tur awm lo mahse hlauhawm tak Merkel Cell Carcinoma tih chhinchhiahna a ni thei bawk. Chuvangin vawiinah hian sawi ila.
A awlsam zawngin, Merkel Cell Carcinoma chu eng nge ni?
Merkel cell carcinoma hi cancer chi khat, a lo thang chak hle a, kan vunah Merkel cell atanga intan a ni. Nunna atana hlauhawm a ni thei.
Ngaihtuah teh, kan vun chunglam layer thuk takah, chu chu epidermis kan tih chu, heng Merkel cell te hi an ni. Hengte hi cell chi khat bik tak an ni. Heng cell te hian kan nervous system leh endocrine system te nen an thawk dun a, neuroendocrine cells an ti bawk. A dik tak chuan heng cell te hi nerve tawp hnaihah an awm a, chu chuan kan khawih theih nan min pui thin.
Ni atanga UV light ang chi thil kan hmuh hian heng Merkel cell te hi a tichhia a, thunun theih lohvin a thang lian thin. Hei hi he cancer hi a lo awm hun a ni. He cancer chungchanga hlauhawm ber chu taksa peng dangah a darh chak hle a, enkawl hnuah pawh a lo let leh theihna chance a sang hle.
Eng thilin nge he cancer hi a thlen? Tu nge hlauhawm ber?
He cancer lo awm chhan hi thil pawimawh engemaw zat a awm a.
A chhan ber chu
- UV rays: A mawhphurtu ber chu ni êng a ni. Ni chhuahna, ni zung kang leh tanning bed ang chi artificial light sources kan hmuh fo hian kan vun cell DNA a tichhe thei a ni. He chhiatna hian cancer cell siamna a thlen a ni.
- Merkel cell polyomavirus (MCP): Hei hi thil mak deuh a ni. He cancer vei mi sawm zinga pariat vel chu Merkel cell polyomavirus (MCP) tih virus an vei tawh a ni. Mahse, lungngai suh, he virus hi kan naupan laia kan hriat loh pawhin kan kai thei a, symptom engmah a awm lo. An taksaa a nei apiangin cancer an vei vek dawn lo. Mithiamte chuan engvangin nge he virus atanga mi thenkhat chauhin cancer an vei tih hi hriat tumin an la bei mek a ni.
Research atanga a lan dan chuan immune system a chak loh chuan taksain he virus hi a control thei lo. Chumi hnuah he virus hian vun cell te chu a tichak a, protein a siam a, chu chuan cancer cell te tihpunna tur titawptu genes a titawp a ni.
Risk factors te pawh a awm thei
He cancer hi tu pawhin an vei thei a, mahse mi thenkhat chu an hlauhawm zawk.
- Mipa kum 50 chunglam vun dum nei te hi an hlauhawm ber.
- Tun hmaa vun cancer chi dang i lo vei tawh a nih chuan, chu chu basal cell carcinoma , squamous cell carcinoma , emaw melanoma te hi a ni.
- Tun hmaa ni zung na tak i lo neih tawh emaw tanning bed i hman tawh emaw chuan .
- Vun natna avanga phototherapy dawng tawh.
- HIV/AIDS , leukemia chi hrang hrang, emaw, thil dang emaw avanga taksa hriselna a chak lo a nih chuan.
- Organ transplant hnua immunosuppressants i ei a nih chuan.
He cancer natna lan chhuah dan hi engte nge ni?
Merkel cell carcinoma tumor hi ni chhuahna vunah hmuh tur a tam ber. Heng chhinchhiahnate hi hriat chian a pawimawh hle.
| Mihring ziarang | Hrilhfiahna |
|---|---|
| Landan | A tlangpuiin a hring leh lunghlu ang maia lang, vun chunglam atanga sang, zungbun zungbun (spherical lump) a ni. |
| Rawng | I vun rawng nen a inang thei a, a sen emaw, sen hring emaw, blue-red emaw pawh a ni thei bawk. |
| Thang | Heng lumps te hi an thang chak hle a, kar tlemte chhungin a let hnih in an lian thei bawk. |
| Inbepawp | A khawih chuan a nghet hle a , mahse a na lo tlangpui. A châng chuan a hnim emaw, a na emaw thei bawk. |
| Mipui hmun hrang hrangah | Ni chhuahna hmun , hmai, kawr, kut leh mitmeng- ah te hmuh a ni tlangpui . |
| Thil dang pawh a awm | A chang chuan he lump hi a puak thei a, hliam emaw ulcer emaw a lo ni thei bawk. |
Engtin nge natna hi hriatchhuah leh enkawl a nih?
Hetiang symptom hi i neih chuan dermatologist i pan ngei tur a ni , a chang chuan heng bumps te hi condition dang nen a inang thei a, chu chu benign cysts emaw infected hair follicles ( folliculitis ) te hi a ni.
Diagnosis tih a ni
Doctor chuan i taksa pum vun chu a enfiah hmasa ang. Tin, i kawr leh i kawrfual ang chi hmunah te lymph node a hring em tih an enfiah bawk ang a, cancer hi a darh tawh em tih an enfiah ang. Natna hi chiang taka hriat theih nan a hnah te tak te chu lak a ni a, laboratory-ah test turin an thawn thin. Hei hi skin biopsy an ti a .
Cancer a awm tih finfiah a nih chuan CT scan leh PET scan ang chi test hmangin taksaah eng chen nge a darh tawh tih hriat a ni.
Enkawl dan tur
Enkawl dan tur chu cancer stage a zirin a innghat a ni.
1. Surgery: Enkawlna bulpui ber chu cancer natna hrik paih vek tura surgery a ni.
- Mohs surgery: Hetah hian cancer layer chauh chu nalh takin lakchhuah a ni a, vun hrisel tihchhiatna a tlem phah.
- Wide local excision: Cancer tumor leh a chhehvel vun hrisel hmun tlemte chu lakchhuah a ni.
- Lymph node dissection: Cancer chu lymph node-ah a darh tawh a nih chuan chu node te chu operation hmangin an la chhuak thin.
2. Post-surgery treatment: Surgery hnuah he treatment hi taksaa cancer cell la awm thei reng reng tihchhiat nan hman a ni.
- Radiation therapy: Energy sang tak nei rays hmanga cancer cell tihchhiat.
- Immunotherapy: Cancer cells do turin taksain a taksa a taksa hriselna a tichak a.
- Chemotherapy: Cancer cell that thei damdawi pek.
He cancer laka inven nan eng nge kan tih ang?
He natna hi a lo awm tawh hnua enkawl ai chuan a vei theihna tur tihziaawm a tha ber. Chutiang ti tur chuan thil awlsam tlemte i tih theih a awm.
- Sunscreen hi tih ngei ngei tur a ni: SPF 60 aia sang nitin, in lama i awm lai pawhin.Sunscreen tha tak hmang rawh. Pawnah i chhuak dawn a nih chuan darkar hnih danah apply leh thin ang che.
- Ni chhuah loh tur: Zing dar 10 a.m leh tlai dar 4 inkarah ni chhuahnaah awm loh tur. a theih ang angin. Pawn chhuah a ngai a nih chuan shaded area-ah kal rawh.
- Tanning bed hi pumpelh vek rawh: Hengte hi vun tan a pawi hle.
- I vun khuh rawh: Pawn lama i chhuah dawnin thawmhnaw kawr sei, lukhum lian tak, leh sunglass tha tak ha la.
- I vun enkawl rawh: I vun hi enfiah fo ang che. Hmun thar, lump, hmun awmsa inthlak danglam, emaw, hliam dam lo i hmuh chuan doctor pan nghal rawh .
Take-Home Thuchah a ni
- Merkel Cell Carcinoma hi vun cancer hmuh tur awm lo, mahse hlauhawm tak a ni a, a darh chak hle.
- A chhan ber chu ni atanga UV rays kan hmuh vang a ni.
- Vunah a hring, khauh, rang taka lo thang lian chu he natna chhinchhiahna pawimawh tak a ni thei.
- I vunah danglamna danglam tak, lump emaw, hliam dam lo emaw i hmuh chuan ngaihthah suh la, doctor pan nghal rawh.
- He cancer hi nitin sunscreen hman a, ni na tak laka invenna hmanga ven theih a ni.
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