Acral Lentiginous Melanoma

Zamkati

• Acral lentiginous melanoma zviratidzo
• Khansa ya khansa ya khansa ya khansa imayambitsa
• Magawo oyambilira
• Magawo otsogola
• Kupewa
• Chiwonetsero

Kodi acral lentiginous melanoma ndi chiyani?

Acral lentiginous melanoma (ALM) ndi mtundu wa khansa ya khansa yoyipa. Malignant melanoma ndi mtundu wa khansa yapakhungu yomwe imachitika khungu la khungu lomwe limatchedwa melanocytes limakhala khansa.

Ma melanocyte amakhala ndi khungu lanu (lotchedwa melanin kapena pigment). Mu mtundu uwu wa khansa ya khansa, mawu oti "acral" amatanthauza kupezeka kwa khansa yapakhosi padzanja kapena paliponse.

Mawu oti "lentiginous" amatanthauza kuti malo a khansa ya pakhungu ndi yakuda kwambiri kuposa khungu lozungulira. Imakhalanso ndi malire akuthwa pakati pa khungu lakuda ndi khungu lowala mozungulira. Kusiyanitsa kwa utoto ndi chimodzi mwazizindikiro zodziwika za khansa ya khansa yamtunduwu.

ALM ndi mtundu wofala kwambiri wa khansa ya khansa mwa anthu omwe ali ndi khungu lakuda komanso ochokera ku Asia. Komabe, imatha kuwoneka m'mitundu yonse ya khungu. ALM imatha kukhala yovuta kuzindikira koyambirira, khungu la khungu lomwe lili ndi mdima ndilaling'ono ndipo limawoneka ngati banga kapena bala. Kuzindikira koyambirira ndi chithandizo ndikofunikira.

Acral lentiginous melanoma zviratidzo

Chizindikiro chowonekera kwambiri cha ALM nthawi zambiri chimakhala malo akuda omwe azunguliridwa ndi khungu lomwe limakhalabe khungu lanu labwinobwino. Pali malire omveka pakati pa khungu lakuda ndi khungu lowala mozungulira. Nthawi zambiri mumapeza malo onga awa pafupi kapena mozungulira manja ndi mapazi anu, kapena m'mabedi amisomali.

Mawanga a ALM sangakhale ofiira nthawi zonse kapena amdima konse. Mawanga ena akhoza kukhala ofiira kapena achikasu mtundu - awa amatchedwa amelanotic (kapena osakhala amitundu).

Pali zizindikiro zisanu zomwe mungayang'ane kuti musankhe ngati malowo angakhale okayikira khansa ya khansa (mosiyana ndi mole yomwe si ya khansa). Izi ndizosavuta kukumbukira ndi chidule cha ABCDE:

• Kulemera: Magawo awiri amalo samakhala ofanana, kutanthauza kuti atha kukula mosiyanasiyana kapena mawonekedwe. Timadontho tomwe timakhala opanda khansa nthawi zambiri amakhala ozungulira kapena ofanana kukula ndi mawonekedwe mbali zonse ziwiri.
• Zovuta zamalire: Malire ozungulira malowa ndi osagwirizana kapena osongoka. Zilonda zopanda khansa nthawi zambiri zimakhala ndi malire owongoka, omveka bwino, komanso olimba.
• Mtundu mitundu: Malowa amapangidwa ndi madera amitundu ingapo ya bulauni, buluu, wakuda, kapena mitundu ina yofananira. Zilonda zopanda khansa nthawi zambiri zimakhala mtundu umodzi (nthawi zambiri bulauni).
• Kukula kwakukulu: Malowa ndi akulu kuposa kotala la inchi (0.25 inchi, kapena mamilimita 6) mozungulira. Masi omwe alibe khansa amakhala ochepa kwambiri.
• Kusintha: Malowa akula kapena ali ndi mitundu yambiri kuposa pomwe idawonekera pakhungu lanu. Timadontho tomwe sitikhala ndi khansa nthawi zambiri samakula kapena kusintha utoto mwamphamvu ngati malo a khansa ya pakhungu.

Pamwamba pa malo a ALM amathanso kuyamba kusalala ndikukhala owuma kapena osasinthasintha akamatuluka. Ngati chotupa chikayamba kukula kuchokera ku khungu la khansa, khungu limakula kwambiri, limasintha khungu, ndipo limakhala lolimba mpaka kukhudza.

ALM imatha kuwonekeranso pafupi ndi zikhadabo ndi zala zanu zazing'ono. Izi zikachitika, amatchedwa subungual melanoma. Mutha kuwona kusokonekera konse mumsomali wanu komanso mawanga kapena mizere yolumikizira ikadutsa pa cuticle ndi khungu pomwe imakumana ndi msomali. Izi zimatchedwa chizindikiro cha Hutchinson. Pamene malo a ALM amakula, msomali wanu umatha kuthyola kapena kuthyokalalalala, makamaka pamene ukupita patsogolo.

Khansa ya khansa ya khansa ya khansa imayambitsa

ALM imachitika chifukwa ma melanocyte pakhungu lanu amayamba kukhala owopsa. Chotupa chidzapitilira kukula ndikufalikira mpaka kuchotsedwa.

Mosiyana ndi mitundu ina ya khansa ya khansa, acral lentiginous melanoma siyomwe imagwirizanitsidwa ndi kutentha kwa dzuwa. Amakhulupirira kuti kusintha kwa majini kumathandizira kukulitsa acral lentiginous melanoma.

Mankhwala opatsirana a khansa ya khansa | Chithandizo ndi kasamalidwe

Magawo oyambilira

Ngati ALM yanu ikadali koyambirira ndipo ndi yaying'ono mokwanira, dokotala wanu atha kumangodula ALM pakhungu lanu mwachangu, kuchipatala. Dokotala wanu amathanso kudula khungu kuzungulira malowa. Kuchuluka kwa khungu lomwe liyenera kuchotsedwa kumatengera kukula kwa khansa ya khansa ya pakhungu, yomwe imawunika momwe khansa ya khansa ilowerera kwambiri. Izi zimatsimikizika kwambiri.

Magawo otsogola

Ngati ALM yanu ili ndi chiwopsezo chambiri, ma lymph node angafunikire kuchotsedwa. Kuchotsa manambala kungakhale kofunikira. Ngati pali umboni woti kufalikira kwakutali, monga ziwalo zina, mungafunikire chithandizo chamankhwala. Immunotherapy ndi mankhwala a biologic amalimbana ndi zotupa mu chotupacho.

Kupewa

Mukayamba kuwona zikwangwani za ALM pogwiritsa ntchito lamulo la ABCDE, pitani kuchipatala posachedwa kuti athe kulemba biopsy ya malowo ndikusankha ngati malowa ndi a khansa. Mofanana ndi mtundu uliwonse wa khansa kapena khansa ya khansa, kuipeza koyambirira kumatha kuthandizira kuti mankhwala azikhala osavuta komanso kuti thanzi lanu likhale locheperako.

Chiwonetsero

M'magawo otsogola kwambiri, ALM imatha kukhala yovuta kuchiza ndikuyang'anira. ALM ndi yosawerengeka ndipo imapha nthawi zambiri, koma vuto lalikulu limatha kupangitsa kuti manja anu kapena mapazi anu adulidwe kuti khansa isapitirire patsogolo.

Ngati mutapezeka msanga ndikupeza chithandizo kuti muchepetse ALM kuti isakule ndikufalikira, malingaliro a ALM atha kukhala abwino.