Tus Sau: Randy Alexander
Hnub Kev Tsim: 23 Lub Plaub Hlis Ntuj 2021
Hloov Hnub: 3 Lub Kaum Ib Hli Ntuj 2024
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Acent Lub Cev Muaj Tshuaj Lub Cev Melanoma - Noj Qab Haus Huv
Acent Lub Cev Muaj Tshuaj Lub Cev Melanoma - Noj Qab Haus Huv

Zoo Siab

Acral lentiginous melanoma yog dab tsi?

Acral lentiginous melanoma (ALM) yog hom kev ua rau muaj mob ua xua dawb. Malignant melanoma yog ib hom mob cancer ntawm daim tawv uas tshwm sim thaum cov hlwb ua tawv nqaij hu ua melanocytes ua mob qog.

Melanocytes muaj koj cov tawv nqaij tawv (paub tias yog melanin lossis xim xim). Hom kev mob melanoma no, lo lus "acral" yog hais txog qhov tshwm sim ntawm tus mob melanoma ntawm xib teg lossis hauv qab xib taws.

Lo lus “lentiginous” txhais tau hais tias qhov nqaij ntawd yog xim dub dua li tawv nqaij ncig. Nws tseem muaj qhov ciam nyob nruab nrab ntawm daim tawv dub thiab lub ntsej muag tawv tawv ncig nws. Qhov sib piv hauv cov xim no yog ib qho pom tshwm sim tshaj plaws ntawm hom mob melanoma no.

ALM yog hom feem ntau ntawm melanoma rau cov neeg uas muaj cov tawv nqaij tsaus nti thiab cov uas yog neeg Esxias. Txawm li cas los xij, nws tuaj yeem pom hauv txhua hom tawv nqaij. ALM yuav nyuaj rau pom thaum xub thawj, thaum lub thaj ntawm cov tawv nqaij tawv dub me me thiab zoo li me dua li tsuas yog stain lossis doog ntshav. Kev kuaj mob ntxov thiab kho mob yog qhov tseem ceeb.

Cov tsos mob ntawm tus mob Acral lentiginous melanoma

Cov tsos mob pom tau ntawm ALM feem ntau yog qhov tsaus ntuj ntawm daim tawv nqaij uas nyob ib puag ncig los ntawm daim tawv nqaij uas tseem ua rau koj lub cev tawv nqaij. Muaj tus ciam nyob nruab nrab ntawm daim tawv tsaus thiab cov tawv tawv nyob ib puag ncig nws. Feem ntau koj yuav pom muaj qhov zoo li no ntawm lossis ib ncig ntawm koj ob txhais tes thiab taw, lossis hauv cov ntsia thawv.


ALM pob yuav tsis tas li yog xim tsaus lossis txawm tsaus txhua. Qee qhov qog yuav liab lossis xim txiv kab ntxwv - qhov no hu ua amelanotic (lossis tsis muaj xim).

Muaj tsib lub cim qhia tias koj tuaj yeem nrhiav los txiav txim siab tias ib qho chaw twg yuav yog qhov txawv txav ntawm lub ntsej muag tawv nqaij (raws li txwv tsis muaj cov qog nqaij hlav uas tsis mob qog nqaij hlav). Cov theem no yog ib qho yooj yim kom nco los ntawm acronym ABCDE:

  • Asymmetry: Ob lub ntsej muag ntxig rau ntawm cov nqaij ntawd tsis sib thooj rau txhua tus, txhais tau tias lawv tuaj yeem sib txawv lossis loj. Cov qog tsis muaj ntshav feem ntau puag ncig zoo li qub lossis muaj qhov loj me thiab cov duab ntawm ob sab.
  • Cawv ciam teb tsis xwm yeem: Lub ciam teb nyob ib puag ncig ntawm qhov chaw tsis ncaj los yog jagged. Cov kab mob uas tsis yog mob cancer feem ntau muaj ciam teb ncaj nraim, qhia meej meej, thiab muaj duab.
  • Xim txawv: Lub chaw yog ua rau thaj chaw ntawm ntau cov xim ntawm xim av, xiav, dub, lossis lwm yam xim zoo ib yam. Cov kab mob uas tsis yog mob qog nqaij hlav yog ib txwm muaj tsuas yog ib qho xim (feem ntau yog xim av).
  • Txoj kab uas hla loj: Cov chaw yog qhov loj tshaj li ib feem plaub ntawm ib nti (0.25 nti, lossis 6 millimeters) nyob ib puag ncig. Cov uas tsis yog mob cancer feem ntau me dua.
  • Evolving: Cov nqaij ntawd tau ntau dua lossis muaj ntau cov xim dua thaum nws xub tshwm rau ntawm koj cov tawv nqaij. Cov kab mob uas tsis yog mob qog nqaij hlav feem ntau tsis loj hlob lossis hloov xim ntawm cov xim uas ua rau muaj mob melanoma.

Qhov saum npoo ntawm qhov chaw ntawm ALM kuj tseem yuav pib ua kom du thiab dhau los ua bumpier lossis rougher raws li nws hloov zuj zuj. Yog tias lub qog pib loj los ntawm cov qog ua tawv nqaij, cov tawv nqaij yuav ua rau tawv nqaij ntau ntxiv, tshem tawm, thiab ntxhib mus rau qhov kov.


ALM tuaj yeem tshwm sim nyob ib ncig ntawm koj cov rau tes thiab ntiv tes. Thaum qhov no tshwm sim, nws tau hu ua subanual melanoma. Koj tuaj yeem pom cov teeb meem dav dav hauv koj cov ntsia hlau zoo li muaj cov pob lossis cov kab sib cais uas txuas mus rau cuticle thiab tawv nqaij qhov chaw uas nws tau ntsib tus ntsia thawv. Qhov no hu ua Hutchinson lub cim. Raws li qhov chaw ntawm ALM loj tuaj, koj cov ntsia hlau yuav pib tawg lossis tawg ua ib qho zuj zus, tshwj xeeb tshaj yog thaum nws nce qib rau tom qab theem.

Acral lentiginous melanoma ua rau

ALM tshwm sim vim hais tias cov melanocytes hauv koj cov tawv nqaij ua malignant. Lub qog yuav hlav txuas mus ntxiv thiab kis mus txog thaum nws tshem tawm.

Tsis zoo li lwm hom kev mob melanoma, kev tso tawm lub ntsej muag pleev xim rau tus mob melanoma tsis txuam nrog kev tshav ntuj ntau. Nws ntseeg tau hais tias kev hloov caj ces ua rau muaj kev loj hlob ntawm acral lentiginous melanoma.

Kev kho mob kho tus mob kheesxaws acor lentiginous | Kev khomob thiab tswjhwm

Cov Ntxov

Yog tias koj ALM tseem nyob rau theem thaum ntxov thiab me txaus, koj tus kws kho mob tsuas tuaj yeem txiav qhov chaw ntawm ALM tawm ntawm koj cov tawv nqaij kom nrawm nrawm nrog kev phais mob. Koj tus kws kho mob tseem yuav txiav qee cov tawv nqaij ncig thaj chaw. Ntau npaum li cas ntawm daim tawv nqaij xav tau muab tshem tawm yog nyob ntawm Breslow tuab ntawm lub melanoma, uas ntsuas tob npaum li cas melanoma ntxeem tau. Qhov no yog txiav txim me me.


Theem siab heev

Yog tias koj tus ALM muaj qib ntxaum kev ua kom nkag siab, cov qog ntshav yuav raug tshem tawm. Amputation ntawm tus lej yuav txawm tias tsim nyog. Yog tias muaj pov thawj ntawm kev kis mus deb, xws li mus rau lwm yam kabmob, koj yuav xav tau kev kho mob nrog kev txhaj tshuaj tiv thaiv. Kev txhaj tshuaj tiv thaiv kab mob nrog cov tshuaj lom biologic tsom rau cov neeg mob qog.

Kev Tiv Thaiv

Yog tias koj pib pom cov cim ntawm ALM los ntawm kev siv txoj cai ABCDE, mus ntsib koj tus kws kho mob kom sai li sai tau kom lawv tuaj yeem kuaj qhov nqaij ntawm qhov chaw thiab txiav txim siab seb qhov chaw ntawd puas mob qog. Ib yam li ib hom mob cancer lossis melanoma, kev kuaj mob ua ntej nws tuaj yeem pab kev kho yooj yim dua thiab cuam tshuam rau koj txoj kev noj qab haus huv tsawg heev.

Outlook

Hauv cov qib siab dua, ALM tuaj yeem nyuaj rau kev kho thiab tswj. ALM yog qhov tsis tshua muaj thiab feem ntau ua rau neeg tuag taus, tab sis ib qho xwm txheej siab dua tuaj yeem ua rau qee qhov ntawm koj ob txhais tes lossis txhais taw yuav tsum tau txiav kom thiaj li txiav mob qog nqaij hlav mus txog rau qhov deb dua.

Yog tias koj raug kuaj mob ntxov thiab nrhiav kev kho mob kom tsis txhob ALM los ntawm kev loj hlob thiab kis, qhov kev pom ntawm ALM tuaj yeem yog qhov zoo.

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