Created at:1/16/2025
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Kanseri ya Merkel ni ubwoko bwa kanseri y'uruhu buke cyane ariko bukomeye, itera mu mitsi yihariye yitwa imisemburo ya Merkel, iboneka ku rwego rwo hejuru rw'uruhu rwawe. Iyi misemburo igufasha kumva ibintu byoroheje kandi ikunze kuboneka mu bice nk'umutwe, ijosi, n'amaboko ahabwa izuba buri gihe.
Nubwo iyi kanseri idahwitse, igera ku bantu bagera ku 3.000 muri Leta Zunze Ubumwe za Amerika buri mwaka, igenda ikura kandi ikwirakwira vuba kurusha izindi kanseri z'uruhu. Inkuru nziza ni uko iyo ifashwe hakiri kare, ubuvuzi bushobora kugira akamaro cyane, kandi gusobanukirwa ibimenyetso byo kuburira bishobora kugufasha gushaka ubuvuzi vuba uramutse ubisabye.
Ikimenyetso cy'ingenzi cya kanseri ya Merkel ni igisebe kidakomeretsa, gikomeye, cyangwa igituntu ku ruhu rwawe kigaragara mu buryo butunguranye kandi gikura vuba. Iki gisebe gisanzwe gifite uruhu rworoshye, rw'irabyo kandi ibara ryacyo rishobora kuva ku ibara ritukura kugeza ku ibara ry'umutuku cyangwa ibara ry'uruhu.
Dore ibimenyetso by'ingenzi ugomba kwitondera, wibuke ko kubimenya hakiri kare bigira uruhare rukomeye mu gutsinda ubuvuzi:
Abantu benshi babona ibi bituntu ku mutwe, ijosi, amaboko, cyangwa amaguru kuko ayo maboko ahabwa izuba cyane. Igituntu gishobora kuba gito kurusha igiceri iyo ubimenye bwa mbere, ariko gishobora kugwiza kabiri mu minsi mike cyangwa amezi.
Bikwiye kumenya ko bamwe mu bantu bagira ibimenyetso bike. Ibyo bishobora kuba birimo igituntu gikura amaraso byoroshye iyo gikozweho, impinduka ku ruhu rwo hafi, cyangwa ububabare mu muhogo w'amaraso uri hafi. Ibuka ko ubwoko ubwo aribwo bwose bw'uruhu bushya cyangwa buhinduka bugomba kwitabwaho n'abaganga bawe.
Kanseri ya Merkel itera iyo ADN iri mu misemburo ya Merkel yangiritse, bituma ikura mu buryo buteye ubwoba. Impamvu nyamukuru ntisobanutse neza, ariko abashakashatsi bamenye ibintu byinshi bishobora gutera iyo yangirika.
Ikintu cy'ingenzi ni imirasire ya ultraviolet (UV) iva mu izuba cyangwa mu byuma byo kwishima. Mu gihe kinini, iyo mirasire ishobora kwangiza ibintu by'umurage mu mitsi y'uruhu rwawe. Byongeye kandi, hafi 8 kuri 10 by'ibintu bifitanye isano n'ubwandu bw'agakoko kitwa Merkel cell polyomavirus, abantu benshi bakaba bafite ariko ntikabagira icyo kibabangamira ariko rimwe na rimwe gashobora gutera kanseri.
Dore ibintu by'ingenzi bishobora kongera ibyago byo kurwara iyi kanseri:
Mu bihe bike, kanseri ishobora kuba idafite isano n'ibintu by'ibyago. Ibi bishobora kubaho kubera impamvu z'umurage tutazi neza, cyangwa kubera ibintu byo mu kirere abashakashatsi bakomeje gukoraho ubushakashatsi.
Ukwiye kujya kwa muganga vuba uramutse ubona igituntu gishya, gikura vuba ku ruhu rwawe, cyane cyane iyo kigaragara mu bice bihura n'izuba nk'isura, ijosi, amaboko, cyangwa amaguru. Ijambo ry'ingenzi hano ni "gukura vuba" kuko kanseri ya Merkel ikura vuba kurusha izindi mpinduka z'uruhu.
Ntugatege amatwi uramutse ubona igituntu gikomeye, kidakomeretsa, cyagaragaye mu byumweru bike cyangwa amezi kandi kigaragara ko gikura. Nubwo kitakomeretsa, gukura vuba ni ikimenyetso cy'ingenzi kidakwiye kwirengagizwa.
Ugomba kandi gahunda gahunda yo kujya kwa muganga uramutse ufite umuhogo w'amaraso uba hafi y'igituntu gishya cy'uruhu, cyangwa uramutse ufite igisebe kidakira neza. Ibi bimenyetso, nubwo bishobora kuba bifite impamvu nyinshi, bikwiye gukorwaho ubushakashatsi kugira ngo hamenyekane indwara zikomeye.
Ku bantu bafite ubudahangarwa bw'umubiri buke cyangwa bafite amateka yo guhura n'izuba cyane, ni ingenzi cyane gukora isuzuma ry'uruhu buri gihe. Muganga wawe ashobora kugufasha gushyiraho gahunda ihuye n'ibyago byawe.
Ibintu byinshi bishobora kongera amahirwe yo kurwara kanseri ya Merkel, nubwo kugira ibyo bintu by'ibyago bidakubwira ko uzayirwara. Kubisobanukirwa bishobora kugufasha gufata ingamba zo kwirinda no kumenya igihe ukwiye kwitondera impinduka z'uruhu.
Imyaka ni imwe mu bintu bikomeye by'ibyago, aho ibintu byinshi bibaho mu bantu barengeje imyaka 50. Uko dukera, ubudahangarwa bwacu bugabanuka mu kurwanya gukura kw'imisemburo idasanzwe, kandi twahuraga n'izuba cyane mu buzima bwacu.
Dore ibintu by'ingenzi by'ibyago ugomba kumenya:
Bamwe mu bantu bahura n'ibintu by'ibyago byinshi bitari byoroshye ariko bikaba bikomeye. Ibyo birimo kuba warakorewe radiotherapy kubera izindi kanseri, gufata imiti imwe igabanya ubudahangarwa bw'umubiri kubera indwara z'umubiri, cyangwa kugira indwara z'umurage zigira ingaruka ku gusana ADN.
Inkuru nziza ni uko ibintu byinshi by'ibyago bishobora gucungwa neza binyuze mu kwirinda izuba, gukora isuzuma ry'uruhu buri gihe, no gukorana n'itsinda ryawe ry'ubuvuzi kugira ngo ugenzure ubuzima bwawe uramutse ufite ibibazo by'ubudahangarwa bw'umubiri.
Ikibazo gikomeye kuri kanseri ya Merkel ni uko ishobora gukwirakwira mu bindi bice by'umubiri wawe vuba kurusha izindi kanseri nyinshi z'uruhu. Ariko iyo ifashwe hakiri kare kandi ivurwa vuba, ubuzima busanzwe burahamye.
Kanseri isanzwe ikwirakwira bwa mbere mu muhogo w'amaraso, ugira uruhare mu kurwanya ubwandu bw'umubiri. Kuva aho, ishobora kujya mu zindi ngingo nk'umwijima, ibihaha, amagufwa, cyangwa ubwonko, nubwo ibi bidahamye iyo kanseri iboneka kandi ivurwa hakiri kare.
Dore ingaruka zishoboka ugomba kumenya:
Mu bihe bike, abantu bashobora kugira ingaruka zikomeye iyo kanseri ikwirakwira cyane. Ibyo bishobora kuba birimo kugira ikibazo cyo guhumeka iyo igeze mu bihaha, ububabare iyo igira ingaruka ku magufwa, cyangwa ibindi bimenyetso bitewe n'ingingo zibonekamo.
Ni ingenzi kwibuka ko izi ngaruka zidahamye iyo kanseri iboneka hakiri kare. Kwitabwaho buri gihe nyuma y'ubuvuzi ni ingenzi mu gufata vuba igihe cyose kigarutse no kugira umusaruro mwiza.
Nubwo udashobora kwirinda kanseri ya Merkel yose, ushobora kugabanya ibyago byayo cyane binyuze mu kurinda uruhu rwawe imirasire ya UV. Ibikorwa byo kwirinda izuba bimwe bifasha mu kwirinda izindi kanseri z'uruhu bikora neza hano.
Intambwe y'ingenzi ni ukwirinda izuba buri gihe. Ibi bivuze gukoresha amavuta yo kwisiga yo kwirinda izuba ifite byibuze SPF 30 buri munsi, ndetse no ku manywa adafite izuba, no kuyasubiramo buri masaha abiri iyo uri hanze.
Dore ingamba z'ingenzi zo kwirinda zishobora kugufasha kukurinda:
Uramutse ufite ubudahangarwa bw'umubiri buke, gukorana n'itsinda ryawe ry'ubuvuzi ni ingenzi cyane. Bashobora kugufasha guhuza ibyo ukeneye mu buvuzi mugihe ugabanya ibyago bya kanseri, kandi bashobora kugutegeka gukora isuzuma ry'uruhu kenshi.
Ibuka ko kwirinda binasobanura kuba maso ku mpinduka ubona. Kumenya uruhu rwawe no kurisuzuma buri gihe bishobora kugufasha kubona ibibazo bishoboka mbere y'uko biba bikomeye.
Kumenya kanseri ya Merkel bisanzwe bitangira muganga wawe asuzumye igituntu cyangwa igice cy'uruhu rwawe. Bazareba ingano yacyo, ibara, imiterere, n'uburyo cyakuriye, kandi bashobora no kugenzura umuhogo w'amaraso kugira ngo barebe niba ubyimbye.
Kumenya neza bisaba biopsy, aho muganga wawe akuramo igice gito cy'umubiri ukekwaho kugira ngo asuzume munsi ya microscope. Ibi bikorwa akenshi nk'ubuvuzi bwo hanze h'ibitaro hamwe n'ubuvuzi bw'ahantu hamwe, bityo ntuzumva ububabare muri uwo muhanda.
Dore ibyo utegereza mu nzira yo gusuzuma:
Niba biopsy yemeza kanseri ya Merkel, muganga wawe ashobora gutegeka ibizamini byongeyeho kugira ngo amenye niba kanseri ikwirakwira. Ibyo bishobora kuba birimo CT scans, PET scans, cyangwa sentinel lymph node biopsy kugira ngo arebe niba imisemburo ya kanseri igeze mu muhogo w'amaraso.
Mu bihe bimwe, muganga wawe ashobora kandi gusuzuma Merkel cell polyomavirus kugira ngo afashe mu gufata ibyemezo by'ubuvuzi. Aya makuru ashobora gufasha gutegura uburyo bwiza cyane bw'ikibazo cyawe.
Ubuvuzi bwa kanseri ya Merkel busanzwe burimo kubaga kugira ngo bakureho igituntu, akenshi bikurikirwa na radiotherapy kugira ngo bagabanye amahirwe yo kugaruka kwa kanseri. Gahunda yawe y'ubuvuzi izaterwa n'ingano n'aho igituntu kiri, niba cyakwirakwira, n'ubuzima bwawe muri rusange.
Kubaga ni bwa mbere, aho umuganga wawe akuraho igituntu hamwe n'ibice bimwe by'umubiri muzima kugira ngo abemeze ko imisemburo yose ya kanseri imaze gukurwaho. Ubu buvuzi bwitwa wide local excision kandi akenshi bukorwa hanze y'ibitaro.
Itsinda ryawe ry'ubuvuzi rishobora kugutegeka uburyo butandukanye, bitewe n'ikibazo cyawe:
Ku bantu kanseri yabo ikwirakwira mu muhogo w'amaraso cyangwa mu bindi bice by'umubiri, ubuvuzi bushobora kuba burimo imiti yo kuvura indwara z'umubiri nk'iya pembrolizumab cyangwa avelumab. Iyi miti ifasha ubudahangarwa bw'umubiri bwawe kumenya no kurwanya imisemburo ya kanseri neza.
Mu bihe bike iyo kanseri ikomeye cyane, muganga wawe ashobora kugutegeka chemotherapy. Ariko, ibi bikunze gukoreshwa mu bihe imiti yindi idakora, kuko kuvura indwara z'umubiri byagaragaje umusaruro mwiza ufite ingaruka nke ku bantu benshi.
Guhangana n'ingaruka mbi n'ibimenyetso mu gihe cy'ubuvuzi ni igice cy'ingenzi cy'ubuvuzi bwawe muri rusange. Abantu benshi bahangana neza n'ubuvuzi, ariko kumenya ibyo utegereza n'uburyo bwo guhangana n'ibibazo bisanzwe bishobora kugufasha kumva uriteguye kandi wishimye.
Nyuma yo kubagwa, ugomba kugumisha ahantu habagwe hakeye kandi hakama mu gihe gikira. Muganga wawe azakugira inama yihariye yo kuvura ibikomere, harimo igihe ushobora koga n'ibikorwa ukwiye kwirinda mu gihe cyo gukira.
Dore uburyo bwiza bwo gucunga ibimenyetso bisanzwe bifitanye isano n'ubuvuzi:
Uramutse uhawe radiotherapy, uruhu rwawe mu gice cyavuwe rushobora kuba rutuze, rukuma, cyangwa rugakomeretsa, kimwe n'izuba. Itsinda ryawe rya radiotherapy rizakugira inama yihariye kandi rishobora kugutegeka amavuta yihariye kugira ngo uruhu rwawe ruhore rworoshye.
Ku bantu bahabwa imiti yo kuvura indwara z'umubiri, ingaruka mbi zishobora gutandukana ariko zishobora kuba harimo umunaniro, ubusembwa, cyangwa ibibazo byo mu gifu. Itsinda ryawe rya oncology rizakukurikirana hafi kandi rishobora kugutegeka imiti cyangwa uburyo bwo gucunga ibyo bimenyetso neza.
Gutegura inama yawe bishobora kugufasha gukoresha neza igihe cyawe n'abaganga bawe kandi bikaguha amakuru yose ukeneye. Tangira wandike igihe wabonye impinduka y'uruhu bwa mbere n'uburyo yagiye ihinduka kuva icyo gihe.
Zana urutonde rw'imiti yose ukoresha ubu, harimo imiti y'abaganga, imiti yo mu maduka, n'ibindi. Nanone, kora amakuru ku mateka yawe y'ubuvuzi, cyane cyane kanseri y'uruhu wari wararwaye mbere cyangwa indwara zifitanye isano n'ubudahangarwa bw'umubiri.
Dore ibyo ugomba gutegura mbere y'inama yawe:
Tegereza kuzana inshuti cyangwa umuryango wawe wizewe mu nama yawe, cyane cyane iyo muganira ku buryo bwo kuvura. Bashobora kugufasha kwibuka amakuru y'ingenzi no gutanga inkunga mu gihe cy'ikiganiro gishobora kuba kigoye.
Ntukabe ikibazo cyo gusaba muganga wawe gusobanura ikintu udasobanukiwe. Ni ingenzi kumva uhishimye na gahunda yawe y'ubuvuzi kandi ukamenya ibyo utegereza muri buri ntambwe y'inzira.
Ikintu cy'ingenzi cyo kwibuka kuri kanseri ya Merkel ni uko kubimenya hakiri kare bigira uruhare rukomeye mu gutsinda ubuvuzi. Nubwo iyi ari kanseri idahwitse kandi ikomeye, kuvurwa hakiri kare no kuvurwa bishobora gutanga umusaruro mwiza ku bantu benshi.
Witondere ibituntu bishya, bikura vuba ku ruhu rwawe, cyane cyane mu bice bihura n'izuba. Uramutse ubona ikintu giteye impungenge, ntuzategereze kugisha inama - gufata ingamba hakiri kare ni cyo kintu cyiza cyo kurwanya iyi kanseri.
Kwiringira izuba buri gihe biguma ari kimwe mu bintu bikomeye ufite. Gukoresha amavuta yo kwisiga buri munsi, imyenda ikurinda, no kwirinda ibyuma byo kwishima bishobora kugabanya ibyago byo kurwara iyi kanseri n'izindi kanseri z'uruhu.
Ibuka ko kugira ibyago bidakubwira ko uzirwara, kandi nubwo waba warayirwaye, ubuvuzi burasohoka. Korana n'itsinda ryawe ry'ubuvuzi, gukurikiza inama zabo, kandi ntutinye kubabaza ibibazo ku kintu cyose gikubangamiye.
Kanseri ya Merkel ishobora gukwirakwira vuba kurusha izindi kanseri z'uruhu, ariko igihe kitandukanye kuva ku muntu ku wundi. Bimwe mu bituntu bishobora gukwirakwira mu muhogo w'amaraso mu mezi make, ibindi bikaguma aho biri igihe kirekire. Niyo mpamvu kuvurwa hakiri kare no kuvurwa ari ingenzi cyane - kubimenya hakiri kare biguha amahirwe meza yo kuvurwa neza.
Yego, kanseri ya Merkel ishobora gukira, cyane cyane iyo iboneka hakiri kare mbere y'uko ikwirakwira mu muhogo w'amaraso cyangwa mu bindi bice by'umubiri. Igipimo cyo gukira mu myaka itanu kirenga 75% iyo kanseri iboneka kandi ivurwa hakiri kare. Nubwo kanseri ikwirakwira, ubuvuzi bushya nk'ubwo kuvura indwara z'umubiri bwongereye umusaruro ku barwayi benshi.
Kanseri ya Merkel ntisanzwe ikomoka mu muryango, bisobanura ko isanzwe idakwirakwira mu miryango nk'izindi kanseri. Ibintu byinshi bifitanye isano no guhura n'izuba, ubwandu bwa virusi, cyangwa ubudahangarwa bw'umubiri buke kurusha ibintu by'umurage. Ariko, bamwe mu bantu bashobora kugira ibintu by'umurage bibatera kugira kanseri y'uruhu muri rusange.
Igituntu cya kanseri ya Merkel gisanzwe kiba gikomeye kandi kidakomeretsa iyo gikozweho. Gisanzwe kiba cyoroshye kandi gishobora kuba gifite imiterere yoroshye. Igituntu gisanzwe gifite uruhu rw'irabyo kandi gishobora kuba rutuze, umutuku, cyangwa ibara ry'uruhu. Icyo kibitera impungenge ni uburyo gikura vuba - ushobora kubona ko gikura mu byumweru cyangwa amezi.
Kanseri ya Merkel itandukaniye n'izindi kanseri z'uruhu mu buryo butandukanye: ikura kandi ikwirakwira vuba, ishobora kuba ifitanye isano n'agakoko (Merkel cell polyomavirus), kandi ifite ubushobozi bwo gukwirakwira mu muhogo w'amaraso. Bitandukanye na melanoma, isanzwe idakomoka ku bituntu bisanzwe, kandi bitandukanye na basal cell carcinoma, ishobora gukwirakwira mu bindi bice by'umubiri iyo idavuwe vuba.