I vunah hian lump thar a awm em? He Merkel Cell Carcinoma hlauhawm tak hi i fimkhur ang u!

I vunah hian lump emaw bump emaw te te i hmu ngai em? Pimple emaw, hliam te tak te emaw mai maiah i ngai mai thei, mahse a chang chuan hetiang thil tenau te pawh hi kan ngaihtuah aiin a na zawk thei. Vawiin hian vun cancer chi khat hmuh tur awm lo mahse hlauhawm tak kan sawi dawn a ni. Chu chu Merkel Cell Carcinoma, a nih loh leh ``Merkel Cell Carcinoma`` tih a ni.

Merkel Cell Carcinoma chu eng nge ni?

A awlsam zawngin sawi ila, Merkel Cell Carcinoma hi vun cancer chi khat, a darh chak hle a, nunna atana hlauhawm thei a ni. Cell chi khat bik Merkel cells an tihah a lo thang lian a, chu chu kan vun pawn lam layer, epidermis-ah a awm a ni.

Ngaihtuah teh, kan vun hi khuhna mai a ni lo. Cell chi hrang hrang a nei a. Heng Merkel cell te hi chutiang hna bik thawk thei cell an ni bawk. Chuvangin, ni atanga ultraviolet rays hlauhawm tak tak (Ultraviolet - UV light) leh risk factor dang thenkhat an hmuh avangin heng Merkel cell te hi cancer cell ah an chang a, thunun theih lohvin an thang tan thin. He cancer chungchanga hlauhawm ber chu taksa peng dangah a darh chak hle a, enkawl hnuah pawh a lo lang leh theihna chance a sang hle.

Merkel cell te hi eng nge ni?

Tunah chuan, "Merkel cell te hi eng nge ni?" Heng cell te hi kan vun chunglam layer epidermis chhung thuk takah an awm a. Cell chi khat an ni a, nerve tawp hnaihah awmin, khawih kan hriat theih nan min pui thin. A bik tak chu cell chi khat neuroendocrine cell an tih hi a ni a, chu chu nervous system leh endocrine system ah te pawh a inrawlh a ni Chu chu heng cell-te hian hormone ang maia thawk thil an nei bawk tihna a ni.

Heng cell te hi kum 1800 chho tawp lam khan German doctor pakhat Friedrich Merkel-a’n a hmuhchhuah leh a sawifiah hmasak ber a ni. Chuvangin "Merkel cells" tia koh an ni.

He cancer hi engtiang chiahin nge a awm?

Dik tak chuan Merkel Cell Carcinoma hi vun cancer chi khat hmuh tur awm lo tak a ni. Entîr nân, United States-ah chuan kum tin he natna vei thar mi 3,000 vêl chauh an awm a.

Mahse, hetah hian thil pawimawh tak a awm. Tun hnaiah Merkel Cell Carcinoma vei an pung chho zel a. Hei hi a chhan chu diagnostic test lama hmasawnna vang pawh a ni mai thei. Tin, he natna hian kum 70 chunglam a nghawng tam ber a, mi an dam rei deuh deuh chuan he natna vei theihna chance pawh a sang thei bawk.

Merkel Cell Carcinoma tih hming dang

He cancer chungchang i sawi hian hetiang hming hi i hre mai thei:

• MCC
• Merkel cell cancer a ni
• Neuroendocrine carcinoma a awm a, chu chu vun a ni
• Trabecular cancer a ni

Eng thilin nge Merkel Cell Carcinoma hi a thlen?

Vun cancer tam tak ang bawkin Merkel Cell Carcinoma hi ni atanga ultraviolet (UV) rays kan hmuh avanga lo awm a ni. He hlauhawmna hi tanning bed ang chi artificial light source atang pawhin a awm bawk. Heng UV rays hian kan vun cell-a genetic material, a nih loh leh DNA a tichhe thei a ni.

Thil mak dang chu he cancer vei mi sawm zinga pariat velin Merkel cell polyomavirus (MCP) an tih virus an vei tih hi a ni. Mahse, hei hi hlauthawng suh. A chhan chu, he `MCP` virus kai zawng zawng hian he cancer hi an nei vek lo. Dik tak chuan hei hi naupan laia kai tam ber leh a tlangpuiin a lan chhuah loh virus a ni. He hri hi a awm leh awm loh hriat chian nan special test a awm lo. Chuvangin, damdawi lam thiamte chuan he virus hian mi thenkhatah chauh vun cancer a thlen chhan hi an la ngaihtuah reng a ni.

Research atanga a lan dan chuan immune system chak lo nei chuan virus hi a control thei lo mai thei . Chumi hnuah he virus hian vun cell-te chu protein bik a siam chhuak ta a ni. He protein hian cancer a lo thang lian zel tur titawptu genes te chu a off thin.

Merkel Cell Carcinoma vei theihna tur risk factors te chu engte nge ni?

Merkel Cell Carcinoma hi kum eng pawh, mipa leh hmeichhia, vun rawng eng pawhah a awm thei. Mahse, a bik takin mipa kum 50 chunglam, vun dum nei tan chuan a hlauhawm hle.

Chu bakah, risk factor dang engemaw zat a awm bawk:

• Tun hmaa vun cancer chi dang, basal cell carcinoma, squamous cell carcinoma, melanoma emaw i neih tawh chuan.
• Tanning bed i hman tawh emaw, ni chhuahna nasa tak i neih chuan.
• Vun natna, psoriasis ang chi tan phototherapy i ei a nih chuan.
• Natna chi hrang hrang, chronic lymphocytic leukemia, HIV, leh AIDS emaw, thil dang emaw avanga immune system a chak lo a nih chuan.
• Organ transplant hnua organ transplant damdawi emaw immunosuppressant emaw i ei a nih chuan.

Merkel Cell Carcinoma natna lan chhuah dan chu engte nge ni?

Merkel cell carcinoma hi vun chhunga ni chhuahna hmunah a lang fo thin. Ni chhuahna hmuna lo awm, lunghlu ang maia lang hring hring i hmu mai thei.

Heng lumps te hi hmuh tur a tam berI hmai, i kawr, i kut emaw, i mitmeng emaw-ah. Vun rawng dum zawk neiah chuan a chang chuan keah a lang thei. Naupang zawkah chuan heng bumps te hi rilru leh pum (torso) ang chi hmunah a lang thei a ni. A châng chuan, heng bumps te hi a puak thei a, hliam ang maiin a lang thei bawk.

He lump hian symptoms a nei thei a, chungte chu:

• Kan ta hi pawisa fai chanve vel (centimetre 2 vel) vel a ni a, a thang chak hle.
• Dome ang maia siam a lo chhuak ta.
• A tight hlein a lang.
• Scratching a awm.
• Acne emaw, insect seh emaw ang maiin a lang mai thei.
• A vun rawng nen a inang thei a, a sen, a sen, a sen hring pawh a ni thei bawk.
• A khawih chuan a na emaw, a na emaw a ni.

Pawimawh: Hetiang vun inthlak danglamna i hmuh chuan, a bik takin a lian nghal vat a nih chuan doctor thurawn lak ngei ngei tur a ni.

Merkel Cell Carcinoma hian eng harsatna nge a thlen?

Merkel Cell Carcinoma hi cancer chi khat na tak a ni a, taksa peng dangah pawh a darh chak hle. Cancer hi a bul tanna atanga taksa peng dangah a darh chuan metastatic cancer an ti a. Hetianga cancer darh tawhte hi enkawl a harsa hle.

Merkel cell carcinoma hi a hmasa berin lymphatic system-ah a darh a, chu chu lymph nodes a ni. Chuta tang chuan ruh, lung, thluak emaw, taksa peng dang emaw thlengin a darh thei a ni. He cancer hian thihna a thlen thei a ni.

Engtin nge Merkel Cell Carcinoma hi hmuhchhuah a nih?

Merkel cell carcinoma ang chi vun natna hi vun lam doctor-in a enfiah a, a enkawl thin. Skin cancer lama thiamna nei doctor pan a pawimawh. Hei hi a chhan chu cancer ni lo growth thenkhat (benign cysts), infected hair follicles (folliculitis), leh mitmeng lumps (styes) te pawh Merkel cell carcinoma ang a nih theih vang a ni.

I doctor chuan i taksa pum pui a enfiah hmasa ang. Tin, lymph node hring eng pawh an hre bawk ang a, chu chu natna hrik kai emaw, cancer darh zel emaw chhinchhiahna a ni thei bawk. Tichuan, rinhlelh awm lump tlemte chu an la ang a, skin biopsy hmangin cancer cells an awm leh awm loh an enfiah ang .

Cancer natna hi eng stage nge ni?

Doctor-te chuan cancer staging hmangin cancer hi eng chen nge a darh tih hriat nan an hmang a ni. He stage hi diagnosis a nih lai hian tihfel a ni. Stage number a san poh leh cancer hi a darh nasa hle.

• Stage 0: Merkel cell carcinoma hi vun chunglam layer-ah chauh a awm a.
• Stage IV (4): Cancer hi taksa peng hla tak takah a darh tawh a.

Cancer stage hriat nan eng test nge hman thin?

Merkel Cell Carcinoma stage hriat nan heng test zinga pakhat emaw a aia tam emaw hi tih theih a ni:

• CT scan a ni
• Positron Emission Tomography (PET) hmanga tihchhuah a ni
• Sentinel node biopsy emaw needle biopsy emaw hmanga tih a ni

Merkel Cell Carcinoma hi engtin nge enkawl a nih?

Merkel cell carcinoma enkawl dan hi cancer stage a zirin a innghat a ni. Cancer hmasa ber (stage 0 atanga II [2]) te hian a hnu lama (stage III leh IV [3 leh 4]) cancer te aiin enkawlna an dawng tha zawk.

Doctor te chuan Merkel cell carcinoma tumor te chu surgery hmangin an paih chhuak thin. Surgery tih theih hrang hrang a awm a:

• Mohs surgery: Hei hian cancer cell awmna layer chauh uluk taka lakchhuah a ngai a, chutih rualin vun hrisel a tam thei ang ber humhalh a ngai bawk.
• Wide local excision: Hetah hian cancer tumor chu a chhehvela tissue hrisel thenkhat nen lakchhuah a ni.
• Lymph node dissection: Cancer cells a darh tawhna lymph node te chu surgery hmanga lakchhuah a ni .

Surgery hnuah eng nge thleng?

Operation hnuah chuan reconstructive surgery emaw skin graft emaw hmangin enkawl tawhna hmun chu tihdam leh siam that leh a ngai mai thei.

Tin, heng ang cancer enkawlna hmang hian taksaa cancer cell la awm reng reng chu tihchhiat theih a ni bawk:

• Chemotherapy hmanga enkawl a ni
• Immunotherapy hmanga enkawl a ni
• Radiation hmanga enkawlna a ni

Merkel Cell Carcinoma hi ven theih a ni em?

Ni e, ni chhiatna lakah i inveng thei a, Merkel Cell Carcinoma vei theihna i tihziaawm thei bawk a, a hnuaia mi ang hian i ti thei ang:

• Nitin SPF 60 tal nei broad-spectrum sunscreen hmang thin ang che, in chhungah pawh hmang thin ang che. Pawn i chhuah dawn chuan darkar hnih danah apply leh thin ang che.
• Ni êng, zing dar 10 a.m. leh tlai dar 4 inkara a sang ber lai ni êng chu tihtlem rawh. Pawnah i chhuah a ngai a nih chuan thlamuanna zawng rawh.
• Tanning bed emaw sunlamp emaw hmang suh.
• Pawn lama i chhuah dawnin thawmhnaw hrual nghet tak, kawrfual sei, lukhum zau tak, leh sunglass lian tak tak ha la.
• Nangmah ngeiin i vun i enfiah dan zir rawh. I vunah danglamna thar i hmuh chuan doctor pan nghal rawh.

Merkel Cell Carcinoma vei tan chuan eng nge a hmalam hun?

Merkel cell carcinoma hian enkawl hnuah pawh a lo let leh theihna chance a sang hle. Chuvangin, kum hmasa lamah chuan thla thum atanga thla li danah doctor i pan a ngai ang a, test, imaging scan ang chi, a lo lang leh leh tawh loh enfiah a ngai ang.

Thil tam tak, i hriselna zawng zawng, kum leh cancer stage te hian he cancer atanga i dam leh theih hun chhung hi a nghawng a ni. Mithiamte chuan localized Merkel cell carcinoma vei mi pali zinga pathum chu an hmuhchhuah atanga kum nga hnuah an dam thei dawn niin an sawi. Mahse, cancer hi taksa peng dang (metastatic cancer)-ah a darh tawh a nih chuan chu chu pali zinga pakhatah a tlahniam a ni. Mahse, beiseina bansan suh. Tunah hian Merkel cell carcinoma enkawlna thar zawng turin clinical trial tam tak kalpui mek a ni.

Engtikah nge Doctor i hmuh ang?

I vunah heng sawifiah theih loh inthlak danglamna te hi i hmuh chuan doctor pan nghal rawh:

• Hmun thar lo lang, hmun awmsa inthlak danglam emaw, hmun atanga thisen chhuak emaw.
• Vunah hian scaly emaw crusty emaw a awm thin.
• Hliam dam thei lo.
• Sawifiah theih loh lumps, a bik takin a hnim, a na emaw, a lian tham emaw a nih chuan.

I doctor hnenah eng zawhna nge i zawh tur?

I doctor hnenah hetiang zawhna hi i zawt thei ang:

• Engvangin nge Merkel Cell Carcinoma ka neih?
• Ka tan enge inenkawlna tha ber?
• Cancer a lo let leh tawh loh nan eng nge ka tih theih ang?
• Complication symptoms hi ka ngaihtuah tur em ni?

Vun cancer, Merkel Cell Carcinoma ang chi i vei tih i hriat chuan mangang leh lungngaih hi thil pangngai a ni. He cancer hi a darh chak hle a, chuvangin i vunah danglamna danglam tak i hmuh veleh doctor pan a pawimawh hle. I doctor chuan operation hmangin tumor chu a la chhuak ang a, cancer stage a zirin enkawlna dang a pe thei bawk ang che. Enkawl hnuah pawh cancer hi a lo let leh tawh em tih leh a darh tawh em tih enfiah fo tur a ni.

A tawp berah chuan hriat reng tur tlemte

Chuvangin, tunah chuan vawiin a kan sawi tawh Merkel Cell Carcinoma chungchang hi in hriatthiam ka beisei. Hei hi cancer awm lo, mahse hlauhawm tak ni mahse, i vun enkawl a, ni laka venhim a pawimawh hle. I vunah thil thar leh danglam bik i hmuh chuan thil tenau anga ngaihthah suh la, doctor hnenah entir nghal rawh. A hmaa hriatchhuah a nih chuan enkawlna a hlawhtlin theihna chance a sang zawk. Hrisel takin awm rawh!

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