Acral Lentiginous Melanoma

Zvemukati

• Acral lentiginous melanoma zviratidzo
• Acral lentiginous melanoma inokonzera
• Matanho ekutanga
• Zvikamu zvemberi
• Kudzivirira
• Outlook

Chii chinonzi acral lentiginous melanoma?

Acral lentiginous melanoma (ALM) rudzi rwemaronda anonyangadza. Malignant melanoma chimiro chegomarara reganda rinoitika kana masero eganda anonzi melanocytes anova nekenza.

Melanocytes ane rako ganda ganda (rinozivikanwa se melanin kana pigment). Mumhando iyi yemelanoma, izwi rekuti "acral" rinoreva kuitika kwechirwere ichi pamichindwe kana pasi petsoka.

Izwi rekuti "lentiginous" rinoreva kuti nzvimbo yemelanoma yakasviba kupfuura ganda rakakomberedza. Iyo zvakare ine yakapinza muganho pakati peganda rakasviba uye rakareruka ganda rakatenderedza. Uyu musiyano muvara ndechimwe chezviratidzo zvinoonekwa zverudzi urwu rwe melanoma.

ALM ndiyo yakajairika mhando yemelanoma muvanhu vane ganda rakasviba uye nevaya vanobva kuAsia. Zvisinei, inogona kuonekwa mumarudzi ose eganda. ALM inogona kunge yakaoma kuziva pakutanga, apo chigamba cheganda rakasviba chiri chidiki uye chinoita senge chidiki pane banga kana kupwanya. Kutanga kuongororwa uye kurapwa kwakakosha.

Acral lentiginous melanoma zviratidzo

Chiratidzo chinonyanya kuoneka cheALM kazhinji inzvimbo ine rima yeganda rakakomberedzwa neganda rinoramba riri rako ganda reganda. Iko kune muganho wakajeka pakati peganda rakasviba uye rakareruka ganda rakatenderedza. Iwe unowanzo kuwana nzvimbo yakadai pane kana kutenderedza maoko ako netsoka, kana mumabhedha ezvipikiri.

ALM nzvimbo dzinogona kunge dzisingagare dzakasviba-kana kana kusviba zvachose. Mamwe mavara anogona kunge akatsvuka kana orenji muvara - aya anonzi amelanotic (kana asina-pigmented).

Pane zviratidzo zvishanu zvaunogona kutsvaga kuti usarudze kana paine nzvimbo inogona kufungira melanoma (zvinopesana neisina-kenza mole). Aya matanho ari nyore kurangarira nechidimbu ABCDE:

• Asymmetry: Iwo mahafu maviri enzvimbo haana kufanana seimwe neimwe, zvichireva kuti anogona kusiana muhukuru kana chimiro. Asina-cancerous moles anowanzo tenderera muchimiro kana akaenzana saizi uye chimiro pamativi ese.
• Border kusagadzikana: Muganhu wakakomberedza nzvimbo hauna kuenzana kana jagged. Asina-cancerous moles kazhinji ane miganhu yakatwasuka, inotsanangurwa zvakajeka, uye yakasimba.
• Ruvara kusiyanisa: Iyo nzvimbo inoumbwa nenzvimbo dzeakawanda mavara e brown, bhuruu, nhema, kana mamwe mamwe mavara akafanana. Asina-cancerous moles anowanzo kungori iwo mumwe ruvara (kazhinji brown).
• Dhayamita yakakura: Nzvimbo yacho yakakura kudarika kota ye inch (0.25 inch, kana 6 millimeters) kutenderedza. Asina-cancerous moles anowanzo kuve mashoma kwazvo.
• Kuchinja: Nzvimbo yacho yawedzera kukura kana kuti ine mavara mazhinji kupfuura payakatanga kuoneka paganda rako. Mhezi dzisingaite gomarara kazhinji hadzirere kana kushandura ruvara zvakanyanya senzvimbo yemelanoma.

Iko pamusoro penzvimbo yeALM kunogona zvakare kutanga kumeso uye kuita bumpier kana rougher sekuchinja kwayo. Kana bundu rikatanga kukura kubva kune ane gomarara maseru eganda, iro ganda rinowedzera kuwedzera, rakasviba, uye rakaomarara kusvika pakubata.

ALM inogona zvakare kuoneka kutenderedza nzara dzako nenzara. Kana izvi zvikaitika, inonzi subungual melanoma. Unogona kucherechedza kuparara kwembambo yako pamwe nemavara kana mitsara yekushanduka kuenderera kune iyo cuticle uye ganda kwarinosangana nechairi. Ichi chinonzi chiratidzo chaHutchinson. Sezvo nzvimbo yeALM inokura, nzara yako inogona kutanga kutsemuka kana kutyoka zvachose, kunyanya sezvo ichifambira mberi kusvika kumatanho ekupedzisira.

Acral lentiginous melanoma inokonzera

ALM inoitika nekuti iyo melanocytes iri muganda rako inova yakaipa. Bundu richaramba richikura uye richipararira kusvikira rabviswa.

Kusiyana nedzimwe mhando dze melanoma, acral lentiginous melanoma haibatanidzwe nekuwedzera kwezuva kubuda. Zvinotendwa kuti kuchinja kwemajini kunobatsira mukuvandudza acral lentiginous melanoma.

Acral lentiginous melanoma kurapwa | Kurapa uye manejimendi

Matanho ekutanga

Kana ALM yako ichiri mumatanho ekutanga uye iri diki zvakakwana, chiremba wako anogona kungokwanisa kucheka nzvimbo ye ALM kubva paganda rako nekukurumidza, kwekuvhiya kwekurapa. Chiremba wako achacheka rimwe ganda rakatenderedza nzvimbo iyi. Ganda rakawanda sei rinoda kubviswa zvinoenderana neBreslow ukobvu hwemelanoma, inoyera kuti melanoma inopinda zvakadii. Izvi zvakagadziriswa zvishoma.

Zvikamu zvemberi

Kana ALM yako iine yakadzika nhanho yekupinda, lymph node inogona kuda kubviswa. Kudimurwa kwenhamba kunogona kutodikanwa. Kana paine humbowo hwekupararira kuri kure, senge kune dzimwe nhengo, ungangoda kurapwa ne immunotherapy. Immunotherapy nemishonga yebiologic inorwisa ma receptors mune bundu.

Kudzivirira

Kana iwe ukatanga kuona zviratidzo zveALM uchishandisa mutemo weABCDE, ona chiremba wako nekukurumidza sezvazvinogona kuitira kuti vatore biopsy yenharaunda uye voona kana nzvimbo yacho iri cancer. Sezvo nechero mhando yekenza kana melanoma, kuiongorora kutanga kunogona kubatsira kuti kurapwa kuve nyore uye maitiro pahutano hwako zvishoma.

Outlook

Mune mamwe matanho epamberi, ALM inogona kunetsa kurapa uye kubata. ALM haina kujairika uye haiwanzo kuuraya, asi kesi yepamusoro inogona kutungamira kune mamwe mawoko ako kana tsoka dzichida kudimburwa kuitira kuti gomarara rimire mberi.

Kana iwe ukawanikwa uchikurumidza uye ukatsvaga kurapwa kuti umise ALM kubva mukukura nekupararira, maonero eAlm anogona kunge akanaka.