Kodi mwaona chotupa chowala pakhungu lanu? Tiyeni tiphunzire za khansa yoopsa ya Merkel Cell Carcinoma.

Kodi mwaonapo kachiphuphu kakang'ono pakhungu lanu, makamaka pankhope panu, pakhosi, kapena m'manja komwe nthawi zambiri kumakhala padzuwa? Kodi n'kowala, kofiira, komanso kovuta kukhudza? Anthu ambiri salabadira kwambiri zinthuzi, koma nthawi zina izi zitha kukhala chizindikiro cha khansa ya pakhungu yosowa koma yoopsa kwambiri yotchedwa Merkel Cell Carcinoma . Tiyeni tikambirane lero.

Mwachidule, kodi Merkel Cell Carcinoma ndi chiyani?

Kansa ya Merkel cell ndi khansa yosowa kwambiri, yomwe ikukula mofulumira yomwe imayamba m'maselo a Merkel pakhungu lathu. Ikhoza kukhala yoopsa.

Taganizirani izi, mkati mwa khungu lathu, lomwe timatcha epidermis , ndi maselo a Merkel. Awa ndi mtundu wapadera kwambiri wa selo. Chifukwa maselo awa amagwira ntchito limodzi ndi dongosolo lathu la mitsempha ndi dongosolo la endocrine, amatchedwanso maselo a neuroendocrine . Kunena zoona, maselo awa ali pafupi ndi mapeto a mitsempha omwe amatithandiza kumva kukhudza.

Kukumana ndi zinthu monga kuwala kwa dzuwa kuchokera ku dzuwa kumawononga maselo a Merkel awa ndipo kumachititsa kuti akule mopanda mphamvu. Apa ndi pamene khansa iyi imachitika. Choopsa kwambiri pa khansa iyi ndichakuti imafalikira mofulumira kwambiri ku ziwalo zina za thupi ndipo ili ndi mwayi waukulu wobwereranso ngakhale mutalandira chithandizo.

Kodi n’chiyani chimayambitsa khansa imeneyi? Ndani amene ali pachiwopsezo chachikulu?

Pali zinthu zingapo zazikulu zomwe zimapangitsa kuti khansa iyi ikule.

Zifukwa zazikulu

• Kuwala kwa UV: Choyambitsa chachikulu ndi kuwala kwa dzuwa. Kukumana ndi dzuwa pafupipafupi, kupsa ndi dzuwa, komanso kukhudzana ndi kuwala kopangidwa ndi zinthu monga ma danning beds kungawononge DNA ya maselo a khungu lathu. Kuwonongeka kumeneku ndi komwe kumayambitsa kupangika kwa maselo a khansa.
• Kachilombo ka Merkel cell polyomavirus (MCP): Izi n'zodabwitsa pang'ono. Pafupifupi anthu asanu ndi atatu mwa khumi omwe ali ndi khansa iyi adatenga kachilombo kotchedwa Merkel cell polyomavirus (MCP) . Koma musadandaule, kachilomboka ndi kachilombo kofala kwambiri komwe tingapeze tili ana osadziwa, ndipo sikuyambitsa zizindikiro zilizonse. Si aliyense amene ali nako m'thupi mwake amene adzadwala khansa. Akatswiri akuyesetsabe kupeza chifukwa chake anthu ena okha ndi omwe amadwala khansa chifukwa cha kachilomboka.

Zinthu zoopsa

Ngakhale kuti aliyense akhoza kudwala khansa imeneyi, anthu ena ali pachiwopsezo chachikulu.

• Amuna azaka zopitilira 50 omwe ali ndi khungu loyera ali pachiwopsezo chachikulu.
• Ngati mudadwalapo mitundu ina ya khansa ya pakhungu, monga basal cell carcinoma , squamous cell carcinoma , kapena melanoma .
• Ngati kale munapsa kwambiri ndi dzuwa kapena munagwiritsa ntchito mipanda yopaka utoto .
• Atalandira chithandizo cha matenda a pakhungu pogwiritsa ntchito phototherapy .
• Ngati chitetezo cha mthupi chafooka chifukwa cha matenda monga HIV/AIDS , mitundu ina ya khansa ya m'magazi, kapena zifukwa zina.
• Ngati mukumwa mankhwala oletsa chitetezo chamthupi mutapatsidwa chiwalo china.

Kodi zizindikiro za khansa iyi ndi ziti?

Ziphuphu za khansa ya Merkel cell carcinoma zimapezeka kwambiri pakhungu lomwe lili ndi dzuwa. Ndikofunikira kuzindikira zizindikiro izi.

Kodi matendawa amapezeka bwanji ndipo amachiritsidwa bwanji?

Ngati muli ndi chizindikiro ichi, muyenera kuwonana ndi dokotala wa khungu , chifukwa nthawi zina ziphuphuzi zimatha kufanana ndi matenda ena, monga ma cysts osavulaza kapena ma follicles a tsitsi omwe ali ndi kachilombo ( folliculitis ).

Kuzindikira matenda

Dokotala adzayamba wafufuza khungu la thupi lanu lonse. Adzafufuzanso ngati pali ma lymph nodes otupa m'malo monga khosi lanu ndi m'khwapa kuti aone ngati khansa yafalikira. Kuti adziwe matendawa, chidutswa chaching'ono cha chotupacho chimatengedwa ndikutumizidwa ku labotale kuti akayesedwe. Izi zimatchedwa biopsy ya khungu .

Ngati khansa yatsimikizika, mayeso monga CT scans ndi PET scans amachitidwa kuti awone momwe yafalikira m'thupi.

Njira zochizira

Chithandizo chimadalira gawo la khansa.

1. Opaleshoni: Chithandizo chachikulu ndi opaleshoni yochotseratu chotupa cha khansa.

• Opaleshoni ya Mohs: Mu izi, gawo la khansa lokha ndi lomwe limachotsedwa mosamala kwambiri, zomwe zimachepetsa kuwonongeka kwa khungu labwino.
• Kuchotsa malo ambiri: Chotupa cha khansa ndi khungu laling'ono lozungulira chimachotsedwa.
• Kuduladula kwa ma lymph node: Ngati khansa yafalikira ku ma lymph node, ma lymph node amenewo amachotsedwa opaleshoni.

2. Chithandizo cha pambuyo pa opaleshoni: Pambuyo pa opaleshoni, chithandizochi chimagwiritsidwa ntchito kuwononga maselo aliwonse a khansa omwe angakhalebe m'thupi.

• Chithandizo cha radiation: Kuwononga maselo a khansa pogwiritsa ntchito kuwala kwamphamvu kwambiri.
• Chithandizo cha Immunotherapy: Kulimbikitsa chitetezo cha mthupi kuti chizilimbana ndi maselo a khansa.
• Chemotherapy: Kupereka mankhwala opha maselo a khansa.

Kodi tiyenera kuchita chiyani kuti tidziteteze ku khansa iyi?

M'malo mochiza matendawa akangoyamba kumene, ndi bwino kuchepetsa chiopsezo chotenga matendawa. Pali zinthu zingapo zosavuta zomwe mungachite kuti muchite zimenezo.

• Mafuta oteteza ku dzuwa ndi ofunikira: SPF 60 kapena kuposerapo tsiku lililonse, ngakhale mutakhala kunyumba.Gwiritsani ntchito mafuta abwino oteteza ku dzuwa. Ngati mukupita panja, onjezerani mafutawo maola awiri aliwonse.
• Pewani dzuwa: Pewani kukhala padzuwa nthawi yayitali pakati pa 10 koloko m'mawa ndi 4 koloko madzulo. Ngati muyenera kutuluka panja, pitani kudera lamthunzi.
• Pewani kuwononga khungu kwathunthu: Izi ndi zovulaza kwambiri pakhungu.
• Phimbani khungu lanu: Mukatuluka panja, valani zovala za manja aatali, chipewa chachikulu, ndi magalasi abwino a dzuwa.
• Samalirani khungu lanu: Yang'anani khungu lanu nthawi zonse. Ngati muwona malo atsopano, chotupa, kusintha kwa malo omwe alipo, kapena chilonda chomwe sichikuchira, pitani kwa dokotala nthawi yomweyo .