Mea Kākau: Lewis Jackson
Lā O Ka Hana: 8 Mei 2021
HōʻAno Hou I Ka Lā: 18 Nowemapa 2024
Anonim
The current and future treatment of metastatic melanoma
Wikiō: The current and future treatment of metastatic melanoma

Anter

He aha ka melanoma metastatic?

ʻO Melanoma kahi ʻano lahilahi a weliweli loa o ka maʻi ʻaʻai ʻili. Hoʻomaka ia i nā melanocytes, ʻo ia nā hunaola i kou ʻili e hua ai ka melanin. ʻO Melanin ka pigment nāna ke kala o ka ʻili.

Ulu ʻo Melanoma i ulu i kou ʻili, a like ke ʻano me nā mole. Hiki mai paha kēia mau ulu a i ʻole nā ​​tumors mai nā mole e kū nei. Hiki i nā Melanomas ke hana ma ka ʻili i nā wahi āpau o kou kino, e pili ana i ka waha a i ʻole ka maʻi ʻū.

Hana ʻia ka melanoma metastatic ke pālahalaha ka maʻi ʻaʻai mai ka tumo i nā ʻāpana ʻē aʻe o kou kino. ʻIke ʻia kēia ma ke ʻano he melanoma pae 4. ʻO Melanoma ka nui o nā maʻi ʻili āpau e lilo i metastatic inā ʻaʻole i hopu mua ʻia.

Ke piʻi nei nā helu o melanoma no 30 mau makahiki i hala. Ua manaʻo ʻia e make nā kānaka he 10,130 mai ka melanoma i ka 2016.

He aha nā hōʻailona o ka melanoma metastatic?

ʻO nā mole kūlohelohe wale nō ka hōʻike o ka melanoma i metastasized ʻole.

ʻO nā mole i hoʻokumu ʻia e melanoma i kēia mau ʻano:


Asymmetry: ʻO nā ʻaoʻao ʻelua o kahi mole olakino ke ʻano like inā ʻoe e kahakiʻi i kahi laina ma waena.ʻO nā ʻāpana ʻelua o kahi mole a i ʻole ka ulu ʻana ma muli o ka melanoma e nānā ʻokoʻa loa ai kekahi i kekahi.

Palena: ʻO kahi mole olakino he mālie, a ʻo nā palena. Ua hoʻopili ʻo Melanomas i nā palena jagged a kaulike ʻole paha.

Kala: E loaʻa i kahi mole cancerous ʻoi aku ma mua o hoʻokahi kala me:

  • palaunu
  • ʻili
  • eleʻele
  • ulaʻula
  • keʻokeʻo
  • polū

Nui: ʻOi aku ka nui o nā anawaena o nā Melanomas ma mua o nā mole benign. Ulu maʻamau lākou e ʻoi aku ka nui ma mua o ka holoi o ka penikala

Pono ʻoe e kauka mau e nānā i kahi mole e loli i ka nui, ke ʻano, a me ke kala no ka mea he hōʻailona ia o ka maʻi ʻaʻai.

ʻO nā ʻōuli o ka melanoma metastatic kaukaʻi ʻia ma kahi o ka laha ʻana o ka maʻi ʻaʻai. ʻIke ʻia kēia mau ʻōuli ke holo mua ke kanesa.

Inā loaʻa iā ʻoe ka melanoma metastatic, ʻike paha ʻoe i nā ʻōuli e like me:

  • ʻo nā puʻupuʻu ʻoʻoleʻa ma lalo o kou ʻili
  • pehu a ʻeha paha nā lymph node
  • pilikia i ka hanu ʻana a i ʻole ka puʻu e hele ʻole, inā ua pālahalaha ka maʻi ʻaʻai i kou mau māmā
  • hoʻonui i ke ake a i ʻole ka nele o ka makemake, inā ua pālahalaha ka maʻi ʻaʻai i kou ake a i ʻole ka ʻōpū
  • ʻeha ka iwi a haki paha nā iwi, inā ua pālahalaha ka maʻi ʻaʻa i ka iwi
  • Kaumaha emi
  • luhi
  • ʻeha poʻo
  • ka hopu ʻana, inā ua hoʻolaha ka maʻi ʻaʻai i kou lolo
  • nāwaliwali a mū paha i kou mau lima a me kou mau wāwae

He aha nā kumu a me nā pilikia o ka melanoma metastatic?

Hana ʻia ʻo Melanoma ma muli o ka hoʻololi ʻana i nā hunaola hana melanin. Manaʻo nā kauka i kēia manawa ka hōʻike nui ʻana i nā kukui ultraviolet a i ʻole mai ka puka ʻana o ka lā a i ʻole nā ​​moena ʻili ke kumu nui.


Hana ʻia ka melanoma metastatic ke ʻike ʻole ʻia ka melanoma a mālama ʻia i ka wanaʻao.

Nā kumu weliweli

Hiki i kekahi mau kumu pilikia ke hoʻoulu i ka melanoma. ʻO ka poʻe me ka moʻolelo ʻohana o melanoma ka mea i ʻoi aku ka nui o ka makaʻu ma mua o ka poʻe i ʻole. Ma kahi o 10 pākēneka o ka poʻe e hoʻomohala i ka melanoma i loaʻa ka moʻolelo ʻohana o ka maʻi. ʻO nā kumu ʻē aʻe e pili pū me:

  • ʻili maikaʻi a māmā paha
  • he nui loa o nā mole, ʻo nā mole kūleʻa hoʻi
  • hōʻike pinepine i ke kukui ultraviolet

ʻO ka poʻe ʻelemakule e hoʻomohala i ka melanoma ma mua o ka poʻe ʻōpio. I loko nō o kēia, ʻo ka melanoma kekahi o nā maʻi ʻaʻai maʻamau loa i ka poʻe ma lalo o 30, keu hoʻi i nā wahine ʻōpio. Ma hope o ka makahiki 50, loaʻa i nā kāne ka nui o ka makaʻu o ka hoʻomohala melanoma.

ʻOi aku ka makaʻu o nā melanomas e lilo i metastatic i nā mea i loaʻa:

  • nā melanoma mua, nā mea e ʻikea ai ka ulu ʻana o ka ʻili
  • nā melanomas i hemo ʻole
  • he ʻōnaehana pale pale i kāohi ʻia

Pehea e ʻike ʻia ai ka metanatic melanoma?

Inā ʻike ʻoe i kahi mole a i ʻole ka ulu ʻana, hana i kahi manawa e hōʻoia ai e kahi dermatologist. ʻO kahi dermatologist he kauka e loea i nā kūlana ʻili.


Kuhi diagnost melanoma

Inā ʻano kānalua kou mole, e hoʻoneʻe kāu dermatologist i kahi mea liʻiliʻi e nānā ai no ka maʻi ʻaʻai ʻili. Inā hoʻi mai ka maikaʻi, e hemo paha lākou i ka mole. Kāhea ʻia kēia he biopsy kūikawā.

E loiloi pū lākou i ka tumo e pili ana i kona mānoanoa. ʻO ka maʻamau, ʻo ka mānoanoa o ka tumo, ʻoi aku ka koʻikoʻi o ka melanoma. E hoʻopili kēia i kā lākou papa hana lapaʻau.

Ke hōʻike nei i ka melanoma metastatic

Inā ʻike ʻia ka melanoma, e holo ana kāu kauka i nā hoʻokolohua e hōʻoia ʻaʻole i pālahalaha ka maʻi ʻaʻai.

ʻO kekahi o nā hoʻokolohua mua a lākou e kauoha ai he biopsy sentinel node. Hoʻopili kēia i ka pena ʻana i ka wai i loko o ka wahi i lawe ʻia aku ka melanoma. Neʻe ke kala i nā wahi lymph kokoke. Lawe ʻia kēia mau lymph nodes a hoʻopaʻa ʻia no nā hunaola maʻi ʻaʻai. Inā manuahi lākou i ka maʻi ʻaʻai, ʻo ka manaʻo maʻamau ʻaʻole pālahalaha ka maʻi ʻaʻai.

Inā aia ka maʻi ʻaʻai i kāu mau lymph node, e hoʻohana kāu kauka i nā hoʻokolohua ʻē aʻe e ʻike inā ua pālahalaha ka maʻi ʻaʻai ma nā wahi ʻē aʻe o kou kino. Pākuʻi ʻia kēia mau mea:

  • Nā kukuna X
  • Nānā CT
  • Nānā MRI
  • Nānā PET
  • Nā hoʻāʻo koko

Pehea e mālama ʻia ai ka metanatic melanoma?

E hoʻomaka ka mālama ʻana no kahi ulu melanoma me ke kahakaha ʻana i ka excision e hoʻoneʻe i ka puʻupuʻu a me nā aʻa maʻi ʻaʻai a puni ia. ʻO ke kaha wale nō ke mālama i ka melanoma ʻaʻole i pālahalaha aʻe.

Ke metastasize a pālahalaha ka maʻi ʻaʻai, koi ʻia nā lāʻau ʻē aʻe.

Inā ua pālahalaha ka maʻi ʻaʻai i kāu mau lymph node, hiki ke hoʻoneʻe ʻia nā wahi i hoʻopili ʻia ma o ka dissection lymph node. Kauoha paha nā kauka i ka interferon ma hope o ke kahakaha ʻana e hōʻemi ai i ka laha ʻana o ka maʻi ʻaʻai.

E ʻōlelo paha kāu kauka i ka radiation, immunotherapy, a i ʻole chemotherapy e mālama ai i ka metanatic melanoma. Hoʻohana ʻia paha ke kaha ʻana e wehe i ka maʻi ʻaʻai ma nā wahi ʻē aʻe o kou kino.

ʻO ka melanoma Metastatic paʻakikī e mālama. Eia nō naʻe, ke holo nei nā hoʻokolohua hoʻokolohua he nui e ʻimi nei i nā ala hou e mālama ai i kēia ʻano.

Nā pilikia i hoʻokumu ʻia e ka lāʻau

ʻO nā mālama ʻana no ka melanoma metastatic hiki ke hana i ka nausea, ka ʻeha, ka luaʻi, a me ka luhi.

Hiki ke hoʻoneʻe i kāu lymph nodes i ka ʻōnaehana lymphatic. Hiki i kēia ke alakaʻi i ka buildup wai a me ka pehu ʻana i kou mau lālā, i kapa ʻia ʻo lymphedema.

ʻIke kekahi poʻe i ka huikau a i ʻole "cloud cloud" i ka wā o ka hoʻomaʻamaʻa chemotherapy. He manawa kēia. Hiki paha i kekahi poʻe ke ʻike i ka neuropathy ākea a i ʻole ka hōʻino ʻana i nā ʻalolo mai ka chemotherapy. Hiki ke paʻa kēia.

He aha ke kuanaʻike no ka melanoma metastatic?

Hiki ke mālama ʻia ʻo Melanoma inā hopu ʻia a mālama ʻia i ka wanaʻao. Ke lilo ka melanoma i metastatic, ʻoi aku ka paʻakikī o ka mālama ʻana. ʻO ka awelika ola makahiki ʻelima mau makahiki no ka pae 4 metastatic melanoma ma kahi o 15 a 20 pakeneka.

Inā loaʻa iā ʻoe ka metastatic melanoma a i ʻole nā ​​melanomas i ka wā ma mua, he mea nui e hoʻomau i ka hoʻomau ʻana i ka hoʻomau ʻana me kāu kauka. Hiki i ka melanoma metastatic ke hoʻi hou, a hiki ke hoʻi i nā wahi ʻē aʻe o kou kino.

Pono ka ʻike mua ʻana i ka mālama ʻana i ka melanoma ma mua o ka lilo ʻana i metastatic. E hana i kahi manawa me kāu dermatologist no nā hōʻoia maʻi ʻaʻai ʻili o ka makahiki. E kāhea pū ʻoe iā lākou inā ʻike ʻoe i nā mole hou a hoʻololi paha.

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