He aha ka Merkel Cell Carcinoma? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka Merkel cell carcinoma he ʻano maʻi ʻili maʻi ʻili kakaʻikahi akā wikiwiki e ulu ana i loko o nā cell kūikawā i kapa ʻia ʻo nā Merkel cell, aia ma ka papa kiʻekiʻe o kou ʻili. Kēia mau cell e kōkua iā ʻoe e ʻike i ka pā ʻana māmā a ʻike pinepine ʻia ma nā wahi e like me kou poʻo, ʻāʻī, a me nā lima e loaʻa ana i ka lā maʻamau.

ʻOiai he mea maʻamau ʻole kēia maʻi ʻili, e pili ana i kahi 3,000 mau kānaka ma ʻAmelika Hui Pū ʻIa i kēlā me kēia makahiki, akā, ʻoi aku ka wikiwiki o kona ulu ʻana a me ka pālahalaha ʻana ma mua o nā maʻi ʻili ʻē aʻe. ʻO ka mea maikaʻi, i ka wā i hopu ʻia ai i ka wā mua, hiki ke maikaʻi loa ka lapaʻau, a hiki i ka hoʻomaopopo ʻana i nā hōʻailona hoʻomaopopo ke kōkua iā ʻoe e ʻimi koke i ka mālama inā pono.

He aha nā hōʻailona o ka Merkel cell carcinoma?

ʻO ka hōʻailona maʻamau loa o ka Merkel cell carcinoma he puʻu a i ʻole nodule paʻa ʻole, ma kou ʻili e ʻike koke ʻia a ulu wikiwiki. Maʻamau kēia puʻu i kahi ʻili mālie, ʻālohilohi a hiki ke ʻokoʻa ke kala mai ka ʻulaʻula a i ka poni a i ka kala ʻili.

Eia nā hōʻailona nui e nānā ai, e hoʻomanaʻo ana i ka ʻike mua ʻana e hana i kahi ʻokoʻa nui i ka holomua o ka lapaʻau:

• He puʻu a i ʻole ʻāʻī ulu wikiwiki, ʻole i ka ʻili i hōʻike ʻia i ka lā
• He nodule paʻa, dome-shaped e ʻokoʻa ana i nā puʻu ʻē aʻe āu paha
• He ʻili ʻālohilohi a mālie paha ma ka puʻu, pinepine me kahi kala ʻulaʻula, poni, a uliuli paha
• He ʻeha ʻaʻole e ho'ōla a hoʻi hou mai ma hope o ka ho'ōla ʻana
• Nā lymph nodes pehu kokoke i ka wahi kahi e ʻike ʻia ai ka puʻu

ʻIke pinepine ka hapa nui o nā kānaka i kēia mau puʻu ma ko lākou poʻo, ʻāʻī, lima, a i ʻole nā ​​wāwae, ʻoiai ʻo kēia mau wahi ka mea nui loa e loaʻa ai ka lā. Hiki i ka puʻu ke liʻiliʻi ma mua o ka dime i ka wā mua āu e ʻike ai, akā hiki ke pālua i ka nui i loko o nā hebedoma a i ʻole nā ​​mahina.

He mea kūpono ke hoʻomaopopo e loaʻa i kekahi poʻe nā hōʻailona maʻamau ʻole. Hiki paha kēia ke komo pū me kahi ʻōpuʻu e kahe maʻalahi ke pā ʻia, nā loli i ka ʻili o ka ʻili a puni ka wahi, a i ʻole ka ʻeha ma nā lymph nodes kokoke. E hoʻomanaʻo, ʻo kēlā me kēia ulu hou a loli paha o ka ʻili he mea pono ke nānā ʻia e kāu mea mālama ola.

He aha ka mea e hoʻoulu ai i ka maʻi kanesa Merkel cell?

Hoʻomohala ʻia ka maʻi kanesa Merkel cell i ka wā e hōʻino ʻia ai ka DNA i loko o nā sela Merkel, e hoʻoulu ai i ka ulu ʻana ma waho o ke kaohi. ʻAʻole maopopo mau ke kumu pololei, akā ua ʻike nā mea noiʻi i kekahi mau mea e hiki ke hoʻopili i kēia hōʻino.

ʻO ka mea nui loa ka radiation ultraviolet (UV) mai ka lā a i ʻole nā ​​moena tanning. Ma hope o kekahi manawa, hiki i kēia radiation ke hōʻino i ka mea genetic i loko o nā sela ʻili. Eia kekahi, ma kahi o 8 mai ka 10 mau hihia e pili ana i kahi virus i kapa ʻia ʻo Merkel cell polyomavirus, kahi i lawe nui ʻia e nā kānaka me ka ʻole o ka pōʻino akā hiki ke hoʻoulu i ka hoʻomohala ʻana o ka maʻi kanesa.

Eia nā mea nui e hiki ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i kēia maʻi kanesa:

• Ka lā lōʻihi, ʻoi aku hoʻi me ka pale lā kūpono ʻole
• Ka maʻi me ka Merkel cell polyomavirus
• Kahi ʻōnaehana pale ʻole i nā lāʻau lapaʻau, nā mea kanu kino, a i ʻole nā ​​kūlana e like me ka HIV
• ʻOi aku ma mua o 50 mau makahiki, i ka wā e emi ai ka ikaika o kāu ʻōnaehana pale maoli
• Ke loaʻa nei ka ʻili mālie e puhi maʻalahi a ʻaʻole i ʻeleʻele maikaʻi
• Mōʻaukala ma mua o nā maʻi kanesa ʻili ʻē aʻe

I kekahi mau hihia kakaikahi, hiki ke hoʻomohala ʻia ka maʻi kanesa me ka ʻole o ka hōʻike maopopo i kēia mau pilikia. Hiki paha kēia ma muli o nā kumu genetic i ʻike ʻole ʻia, a i ʻole mai nā mea i hoʻolauna ʻia e nā mea noiʻi e noiʻi nei.

I ka wā e ʻike ai i ke kauka no ka maʻi kanesa Merkel cell?

E pono ʻoe e ʻike koke i kāu kauka inā ʻike ʻoe i kekahi puʻupuʻu hou, ulu wikiwiki ma kou ʻili, ʻoiai inā ʻike ʻia ma nā wahi i hōʻike ʻia i ka lā e like me kou maka, ʻāʻī, mau lima, a i ʻole nā ​​wāwae. ʻO ka huaʻōlelo nui ma ʻaneʻi ʻo

• 50 mau makahiki a keu aku, me ka piʻi nui ʻana o ka pilikia ma hope o 65 mau makahiki
• ʻIli mālie, lauoho māmā, a me nā maka māmā e kuni koke ana i ka lā
• Hoʻolaha nui ʻia i ka lā no nā makahiki he nui, ʻoiai me ka pale ʻole i ka lā
• Hoʻoemi ʻia ka pale ʻana o ke kino mai nā lāʻau lapaʻau transplant organ
• Ka maʻi HIV a i ʻole nā ​​kūlana ʻē aʻe e hoʻonāwaliwali i ka ʻōnaehana pale kino
• Mōʻaukala o nā maʻi ʻili ʻē aʻe e like me ka melanoma a i ʻole ka basal cell carcinoma
• Kāne, ʻoiai e ulu ana kēia maʻi i nā kāne ma kahi o ʻelua mau manawa ma mua o nā wāhine

Aia kekahi poʻe i loaʻa iā lākou nā kumu pilikia hou aku ʻaʻole pinepine akā nui nō hoʻi. ʻO kēia mau mea e komo pū ana i ka loaʻa ʻana o ka radiation therapy no nā maʻi ʻē aʻe, ka lawe ʻana i kekahi mau lāʻau lapaʻau e hoʻoemi ai i ka ʻōnaehana pale kino no nā maʻi autoimmune, a i ʻole ka loaʻa ʻana o nā kūlana genetic e hoʻopilikia ana i ka hoʻoponopono ʻana i ka DNA.

ʻO ka mea maikaʻi, hiki ke hoʻokele ʻia ka nui o kēia mau kumu pilikia ma o ka pale ʻana i ka lā, ka nānā mau ʻana i ka ʻili, a me ka hana pū ʻana me kāu hui olakino e nānā i kou olakino inā loaʻa iā ʻoe nā pilikia o ka ʻōnaehana pale kino.

He aha nā pilikia hiki ke loaʻa i ka Merkel cell carcinoma?

ʻO ka mea nui e pili ana i ka Merkel cell carcinoma, ʻo ia ka hiki ke pālahalaha i nā ʻāpana ʻē aʻe o kou kino ma mua o nā maʻi ʻili ʻē aʻe. Akā naʻe, i ka wā i hopu ʻia ai i ka wā mua a mālama koke ʻia, ʻoi aku ka maikaʻi o ka manaʻo.

ʻO ka maʻi maʻamau e pālahalaha mua ana i nā lymph nodes kokoke, ʻo ia kekahi ʻāpana o ka ʻōnaehana pale ʻana o kou kino i ka maʻi. Mai laila mai, hiki ke hele i nā ʻōnaehana ʻē aʻe e like me ke ake, nā māmā, nā iwi, a i ʻole ka lolo, ʻoiai ʻaʻole pinepine kēia i ka wā i ʻike ʻia ai ka maʻi a mālama ʻia i ka wā mua.

Eia nā pilikia hiki ke loaʻa iā ʻoe e pono ai ʻoe e ʻike:

• Hohola i nā lymph node kokoke, e hoʻoulu ai i ka pehu ma kou ʻāʻī, ʻūhā, a i ʻole ʻūhā
• Hoʻi hou ma kahi i wehe ʻia ai ka tumor mua
• Hohola aku i nā kino e like me ke ate, nā māmā, a i ʻole nā ​​iwi
• Hoʻomohala ʻana i nā tumors hou aku ma nā wahi ʻē aʻe o kou ʻili
• Nā pilikia mai ka mālama ʻana, e like me ka ʻili a i ʻole nā ​​hoʻololi i ka manaʻo o ka ʻili

I nā hihia kakaikahi, hiki i nā kānaka ke ʻike i nā pilikia koʻikoʻi inā hohola nui ka maʻi kanesa. Hiki i kēia ke komo pū me ka pilikia o ka hanu inā hiki i nā māmā, ka ʻeha inā pili i nā iwi, a i ʻole nā ​​hōʻailona ʻē aʻe ma muli o nā kino i komo.

He mea nui e hoʻomanaʻo ʻia he nui loa ka emi ʻana o kēia mau pilikia ke ʻike mua ʻia ka maʻi kanesa. He mea nui ka mālama hoʻomau ma hope o ka mālama ʻana no ka hopu koke ʻana i kekahi hoʻi hou ʻana a me ka mālama ʻana i ka hopena maikaʻi loa.

Pehea e pale aku ai i ka maʻi kanesa Merkel cell?

ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i nā hihia a pau o ka maʻi kanesa Merkel cell, hiki iā ʻoe ke hoʻemi nui i kou pilikia ma ka pale ʻana i kou ʻili mai ka radiation UV. ʻO nā hana palekana lā like e kōkua i ka pale ʻana i nā maʻi kanesa ʻili ʻē aʻe he pono ma aneʻi.

ʻO ka hana nui loa ka pale lā mau. ʻO ia hoʻi ka hoʻohana ʻana i ka sunscreen ākea me ka liʻiliʻi o SPF 30 i kēlā me kēia lā, ʻoiai i nā lā ao, a me ka hoʻopili hou ʻana i kēlā me kēia ʻelua hola ke noho ʻoe ma waho.

Eia nā hana pale nui e hiki ke kōkua i ka pale ʻana iā ʻoe:

• E hoʻopili i ka sunscreen ākea me SPF 30 a ʻoi aku paha i kēlā me kēia lā
• E ʻimi i ka malu i nā hola lā kiʻekiʻe, maʻamau mai ka hola 10 AM a hiki i ka hola 4 PM
• E komo i nā lole pale, me nā lima lōʻihi a me nā pāpale ākea
• E hoʻohana i nā aniani e pale ai i nā kukuna UVA a me UVB
• E pale aku i nā moena tanning a me ka hōʻike UV hana maoli loa
• E hana i nā hoʻokolokolo ʻili ponoʻī e hopu i nā hoʻololi koke
• E hoʻonohonoho i nā nānā ʻili ʻoihana me kāu dermatologist

Inā nāwaliwali kou ʻōnaehana pale kino, he mea nui loa ka hana pili kokoke me kāu hui olakino. Hiki iā lākou ke kōkua iā ʻoe e kaulike i kou mau pono lapaʻau ʻoiai e hoʻemi ana i ka pilikia o ka maʻi kanesa, a hiki paha ke ʻōlelo aku i nā nānā ʻili pinepine.

E hoʻomanaʻo he komo pū ke kāohi ʻana i ka hana wikiwiki ʻana i nā loli āu e ʻike ai. ʻO ka ʻike ʻana i kou ʻili a me ka nānā mau ʻana iā ia e kōkua iā ʻoe e ʻike i nā pilikia hiki ke lilo i mea nui ma mua o ko lākou lilo ʻana i mea nui.

Pehea ka hōʻoia ʻana o ka maʻi kanesa Merkel cell?

ʻO ka hōʻoia ʻana o ka maʻi kanesa Merkel cell e hoʻomaka pinepine me kāu kauka e nānā ana i ka puʻupuʻu a i ʻole kahi ʻāpana ma kāu ʻili. E nānā lākou i kona nui, kala, ʻano, a me ka wikiwiki o kona ulu ʻana, a hiki paha ke nānā i kāu mau lymph nodes e ʻike inā ua pehu.

ʻO ka hōʻoia maopopo e pono ai ka biopsy, kahi e wehe ai kāu kauka i kahi ʻāpana liʻiliʻi o ka ʻiʻo kānalua e nānā ma lalo o ka microscope. Hana pinepine ʻia kēia ma ke ʻano he hana ma waho me ka anesthesia kūloko, no laila ʻaʻole ʻoe e manaʻo i ka ʻeha i ka wā o ke kaʻina hana.

Eia nā mea āu e manaʻo ai i ka wā o ke kaʻina hana hōʻoia:

1. Nānā kino o kou ʻili a me nā lymph nodes
2. Kūkākūkā moʻolelo lapaʻau e pili ana i kou mau hōʻailona a me nā mea pilikia
3. Biopsy o ka wahi kānalua, hana pinepine ʻia ma ke keʻena
4. Nānā hale hana o ka laʻana ʻiʻo e ka pathologist
5. Nā hoʻokolohua kiʻi hou aku inā hōʻoia ʻia ka maʻi kanesa

Inā hōʻoia ka biopsy i ka maʻi kanesa Merkel cell, e kauoha paha kāu kauka i nā hoʻokolohua hou aku e hoʻoholo inā ua pālahalaha ka maʻi kanesa. Hiki i kēia ke komo pū me nā CT scans, PET scans, a i ʻole sentinel lymph node biopsy e nānā inā ua hiki aku nā sela kanesa i kāu mau lymph nodes.

I kekahi mau hihia, hiki paha i kāu kauka ke hoʻokolohua no ka Merkel cell polyomavirus e kōkua i ka alakaʻi ʻana i nā hoʻoholo lapaʻau. Hiki i kēia ʻike ke kōkua i ka hoʻolālā ʻana i ke ala kūpono loa no kou kūlana kikoʻī.

He aha ka lāʻau lapaʻau no ka maʻi kanesa Merkel cell?

ʻO ka lāʻau lapaʻau maʻamau no ka maʻi kanesa Merkel cell carcinoma, ʻo ia ka ʻokiʻoki ʻana i ka ʻōpū, a ma hope pinepine ʻia e ka lāʻau radiation e hoʻemi i ka manawa e hoʻi mai ai ke kanesa. E hilinaʻi kāu papahana lāʻau lapaʻau i ka nui a me kahi o ka ʻōpū, inā ua pālahalaha, a me kou olakino holoʻokoʻa.

ʻO ka ʻokiʻoki ʻana ka hana mua pinepine, kahi e wehe ai kāu kauka ʻokiʻoki i ka ʻōpū me kekahi ʻiʻo olakino a puni e hōʻoia i ka hoʻopau ʻia ʻana o nā cell kanesa a pau. Ua kapa ʻia kēia kaʻina hana ʻo ka wide local excision a hana pinepine ʻia ma ke ʻano outpatient.

Hiki i kāu hui lāʻau lapaʻau ke ʻōlelo aku i nā ʻano hana he nui, ma muli o kou kūlana kikoʻī:

• Wide local excision e wehe i ka ʻōpū a me nā ʻiʻo a puni
• Sentinel lymph node biopsy e nānā inā ua pālahalaha ke kanesa i nā lymph node kokoke
• Lāʻau radiation i ka wahi ʻōpū a i kekahi manawa i nā lymph node kokoke
• Nā lāʻau immunotherapy no nā hihia holomua
• Chemotherapy ma kekahi mau kūlana, ʻoiai ʻaʻole pinepine kēia

No nā poʻe i pālahalaha kā lākou kanesa i nā lymph node a i nā ʻāpana ʻē aʻe o ke kino, hiki ke komo i ka lāʻau immunotherapy e like me pembrolizumab a i ʻole avelumab. Kūkulu kēia mau lāʻau i kou ʻōnaehana pale e ʻike a hakakā i nā cell kanesa me ka maikaʻi.

I nā hihia kakaikahi kahi i holomua loa ai ke kanesa, hiki i kāu kauka ke ʻōlelo aku i ka chemotherapy. Eia naʻe, mālama pinepine ʻia kēia no nā kūlana kahi i ʻole ai nā lāʻau lapaʻau ʻē aʻe i kūleʻa, ʻoiai ua hōʻike ka immunotherapy i nā hopena maikaʻi me nā hopena ʻaoʻao liʻiliʻi no ka hapa nui o nā kānaka.

Pehea e hoʻokele ai i nā hōʻailona i ka wā o ka lāʻau lapaʻau Merkel cell carcinoma?

ʻO ka hoʻokele ʻana i nā hopena ʻaoʻao a me nā hōʻailona i ka wā o ka lāʻau lapaʻau he ʻāpana nui ia o kāu papahana mālama holoʻokoʻa. Hoʻomanawanui ka hapa nui o nā kānaka i ka lāʻau lapaʻau, akā ʻo ka ʻike ʻana i ka mea e manaʻo ai a pehea e hoʻokele ai i nā pilikia maʻamau hiki ke kōkua iā ʻoe e ʻike ʻoi aku ka mākaukau a me ka ʻoluʻolu.

Ma hope o ka ʻoki kino, pono ʻoe e mālama i ka wahi ʻoki kino i maʻemaʻe a maloʻo a hiki i kona hoʻōla ʻana. E hāʻawi mai kāu kauka i nā ʻōlelo kuhikuhi kikoʻī no ka mālama ʻana i ka ʻeha, me ka manawa e hiki ai iā ʻoe ke ʻauʻau a me nā hana e pale aku ai i ka wā hoʻōla.

Eia kekahi mau ala kūpono e hoʻokele ai i nā hōʻailona maʻamau e pili ana i ka lāʻau lapaʻau:

• E hahai pono i nā ʻōlelo kuhikuhi mālama ʻeha e pale aku ai i ka maʻi a hoʻoikaika i ka hoʻōla ʻana
• E hoʻohana i nā mea hoʻoluʻolu māmā, ʻaʻohe ʻala ma ka ʻili e loaʻa ana i ka radiation therapy
• E pale i ka ʻili i mālama ʻia mai ka lā me nā lole a me ka sunscreen
• E inu wai nui a ʻai i nā meaʻai momona e kākoʻo i ke kino e hoʻōla
• E loaʻa ka hoʻomaha kūpono, no ka mea, pono ka ikehu o kou kino e hoʻōla mai ka lāʻau lapaʻau
• E hōʻike koke i nā hōʻailona a i ʻole nā hopena ʻē aʻe i kāu hui olakino

Inā loaʻa iā ʻoe ka radiation therapy, hiki i kou ʻili ma ka wahi lapaʻau ke ʻulaʻula, maloʻo, a i ʻole pilikia, e like me ka puhi ʻia e ka lā. E hāʻawi mai kāu hui radiation i nā ʻōlelo kuhikuhi mālama kikoʻī a hiki paha ke ʻōlelo aku i nā lotions kūikawā e mālama i kou ʻili i ka ʻoluʻolu.

No ka poʻe e loaʻa ana i ka immunotherapy, hiki ke ʻokoʻa nā hopena ʻaoʻao akā hiki ke komo pū me ka luhi, ka ʻili ʻulaʻula, a i ʻole nā pilikia digestive. E nānā pono kāu hui oncology iā ʻoe a hiki ke hāʻawi i nā lāʻau lapaʻau a i ʻole nā ​​​​hoʻolālā e hoʻokele pono i kēia mau hōʻailona.

Pehea ʻoe e hoʻomākaukau ai no kāu kauka?

ʻO ka hoʻomākaukau ʻana no kāu kauka e kōkua iā ʻoe e hoʻohana pono i kou manawa me kāu mea hāʻawi mālama ola a hōʻoia iā ʻoe e loaʻa nā ʻike āpau āu e pono ai. E hoʻomaka ma ka kākau ʻana i ka manawa mua āu i ʻike ai i ka loli o ka ʻili a pehea ia i ulu ai mai ia manawa.

E lawe mai i ka papa inoa o nā lāʻau āpau āu e lawe nei i kēia manawa, me nā lāʻau lapaʻau kuhikuhi, nā lāʻau lapaʻau ma luna o ka pākaukau, a me nā mea hoʻohui. E ʻohi pū i ka ʻike e pili ana i kou mōʻaukala lapaʻau, ʻoiai kekahi mau kanesa ʻili ma mua a i ʻole nā ​​​​kūlana e pili ana i kou ʻōnaehana pale.

Eia nā mea āu e pono ai e hoʻomākaukau ma mua o kāu kauka:

• Ka papa manawa o ka wā i ʻike mua ai ʻoe i ka loli o ka ʻili a pehea ka holomua o ia mea
• Papa piha o nā lāʻau lapaʻau a me nā mea hoʻohui i kēia manawa
• Mōʻaukala lapaʻau, me nā maʻi kanesa ma mua a i ʻole nā kūlana ʻōnaehana pale kino
• Mōʻaukala ʻohana o ka maʻi kanesa ʻili a i ʻole nā maʻi kanesa ʻē aʻe
• Papa inoa o nā nīnau āu e makemake ai e nīnau i kāu kauka
• ʻIke inikua a me nā palapala hoʻouna inā pono

E noʻonoʻo e lawe mai i kahi hoaaloha a i ʻohana paha i hilinaʻi ʻia i kāu hālāwai, ʻoiai inā ke kūkākūkā nei ʻoe i nā koho mālama. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui a hāʻawi i ke kākoʻo manaʻo i ka wā e manaʻo ai paha he kamaʻilio kaumaha.

Mai kānalua e noi i kāu kauka e wehewehe i kekahi mea āu e hoʻomaopopo ʻole ai. He mea nui ia e ʻoluʻolu ʻoe i kāu papahana mālama a ʻike i ka mea e manaʻo ai i kēlā me kēia ʻanuʻu o ke kaʻina hana.

He aha ka mea nui loa e pili ana i ka maʻi kanesa Merkel cell?

ʻO ka mea nui loa e hoʻomanaʻo ai e pili ana i ka maʻi kanesa Merkel cell, ʻo ia ka ʻike mua ʻana e hana i kahi ʻokoʻa nui i nā hopena mālama. ʻOiai he maʻi kanesa maʻamau a hoʻouka kaua kēia, hiki i ka ʻike pololei a me ka mālama ʻana ke alakaʻi i nā hopena maikaʻi loa no nā kānaka he nui.

E makaʻala i nā puʻupuʻu hou, wikiwiki e ulu ana ma kou ʻili, ʻoiai ma nā wahi i hōʻike ʻia i ka lā. Inā ʻike ʻoe i kahi mea kānalua, mai kali e nānā ʻia - ʻo ka hana koke ʻana kāu pale maikaʻi loa e kūʻē i kēia maʻi kanesa.

ʻO ka pale ʻana ma o ka pale lā mau loa kekahi o nā mea hana ikaika loa āu e loaʻa ai. Hiki i ka hoʻohana ʻana i ka sunscreen i kēlā me kēia lā, nā lole pale, a me ka pale ʻana i nā moe tanning ke hoʻemi nui i kou pilikia o ka loaʻa ʻana o kēia a me nā maʻi kanesa ʻili ʻē aʻe.

E hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o nā mea pilikia e manaʻo ai e loaʻa maoli iā ʻoe ka maʻi kanesa, a inā loaʻa iā ʻoe kēia ʻike, aia nā mālama maikaʻi. E hana pili pono me kāu hui olakino, e hahai i kā lākou mau ʻōlelo aʻo, a mai kānalua e nīnau i nā mea āu e hopohopo ai.

Nīnau pinepine e pili ana i ka kanesa ʻili Merkel

Q1: Pehea ka wikiwiki o ka pālahalaha ʻana o ka kanesa ʻili Merkel?

Hiki i ka kanesa ʻili Merkel ke pālahalaha wikiwiki ma mua o nā kanesa ʻili ʻē aʻe, akā ʻokoʻa ka lōʻihi o ka manawa mai ke kanaka a i ke kanaka. Hiki i kekahi mau ʻōpū ke pālahalaha i nā lymph nodes kokoke i loko o nā mahina, ʻoiai ke mau nei kekahi mau mea i kahi lōʻihi. ʻO ia ke kumu o ka nui o ka ʻike mua ʻana a me ka mālama ʻana - ʻo ka hopu ʻana i ka wā mua e hāʻawi iā ʻoe i ka manawa kūpono loa no ka mālama holomua.

Q2: Hiki ke ho'ōla ʻia ka kanesa ʻili Merkel?

ʻAe, hiki pinepine ke hoʻōla ʻia ka kanesa ʻili Merkel, ʻoi aku hoʻi i ka wā i hopu ʻia ai ma mua o kona pālahalaha ʻana i nā lymph nodes a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino. ʻOi aku ma mua o 75% ka nui o ka ola ʻana i ʻelima makahiki i ka wā i ʻike ʻia ai ka kanesa a mālama ʻia i kona mau kahua mua. ʻOiai ua pālahalaha ka kanesa, ua hoʻomaikaʻi nui nā mālama hou e like me ka immunotherapy i nā hopena no nā mea maʻi he nui.

Q3: He mea hoʻoilina anei ka kanesa ʻili Merkel?

ʻAʻole ia he mea hoʻoilina maʻamau ka kanesa ʻili Merkel, ʻo ia hoʻi, ʻaʻole ia e holo maʻamau i nā ʻohana e like me kekahi mau kanesa ʻē aʻe. ʻO ka hapa nui o nā hihia e pili ana i ka hōʻike ʻana i ka lā, ka maʻi viral, a i ʻole ka hoʻohaʻahaʻa ʻana i ka ʻōnaehana pale kino ma mua o nā kumu genetic i hoʻoilina ʻia. Eia naʻe, hiki i kekahi poʻe ke loaʻa nā kumu genetic e hoʻolilo iā lākou i mea maʻalahi i nā kanesa ʻili ma ka laulā.

Q4: Pehea ka manaʻo o ka puʻupuʻu kanesa ʻili Merkel?

ʻO ka puʻupuʻu kanesa ʻili Merkel maʻamau he paʻa a ʻaʻohe ʻeha i ka pā ʻana. He palahalaha maʻamau ia a hiki ke loaʻa iā ia kahi ʻano palupalu iki. Loaʻa pinepine i ka puʻupuʻu kahi ʻili ʻālohilohi a hiki ke ʻulaʻula, ʻālohilohi, a i ʻole ke kala ʻili. ʻO ka mea e hopohopo ai ʻo ia ka wikiwiki o kona ulu ʻana - hiki iā ʻoe ke ʻike iā ia e ulu nui ana i loko o nā pule a i ʻole nā ​​mahina.

Q5: Pehea ka ʻokoʻa o ka kanesa ʻili Merkel mai nā kanesa ʻili ʻē aʻe?

ʻOkoʻa ka kanesa kele ʻo Merkel mai nā kanesa ʻili ʻē aʻe ma kekahi mau ʻano: ʻoi aku ka wikiwiki o kona ulu a me ka pālahalaha, ʻoi aku ka nui o ka pili ʻana i ka maʻi (Merkel cell polyomavirus), a ʻoi aku ka nui o kona pālahalaha ʻana i nā lymph nodes. ʻAʻole like me ka melanoma, ʻaʻole ia e ulu mai nā moles i loaʻa, a ʻaʻole like me ka basal cell carcinoma, ʻoi aku ka nui o kona pālahalaha ʻana i nā ʻāpana ʻē aʻe o ke kino inā ʻaʻole i mālama koke ʻia.