Ƙananan ciwon huhu na ciwon huhu yana da alhakin kashi 15 cikin 100 na ciwon huhu, yayin da kwayar cutar kanjamau ba ta da ƙananan ciwon daji na sauran kashi 85 cikin 100 na ciwon huhu na huhu.
Ba kamar ƙwayar cutar ciwon ƙwayar cutar ƙwayar cutar ba, wadda aka raba zuwa kashi hudu, ƙwayar ciwon huhu na kananan kwayoyin halitta ya kasu kashi biyu kawai; mataki mai iyaka da matakai mai zurfi. Kusan kashi 30 zuwa 40 cikin dari na mutanen da ke fama da ciwo da ciwon huhu na kananan kwayoyin cutar an gano su a farkon lokaci - lokacin da ake ci gaba da ciwon sukari akan iyakance, yayin da kashi 60 zuwa 70 cikin dari na cutar ya riga ya ci gaba zuwa matakai mai yawa .
Ƙananan ciwon daji na ƙwayar cutar na cigaba da zama mai tsanani, girma da hanzari da yaduwa da sauri, amma sau da yawa yana amsawa sosai don maganin cutar shan-jiji da radiation a lokaci guda.
Definition
Ƙananan ƙananan ciwon huhu na kwayar cutar kanjamau ya shafi ciwon daji wanda yake cikin kwayar cutar guda daya kawai kuma zai iya yadawa a cikin kogin lymph a kusa ko nama a tsakanin huhu amma bai yada ( metastasized ) zuwa wasu sassan jiki ba.
Ƙananan ciwon huhu na ciwon huhu ya rabu cikin matakai biyu ta hanyar tsarin tsarin da kamfanonin ilimin halitta suka yada. Da wannan yanayin, "mataki na iyakance " yana nufin ciwace-ciwacen da ke kewaye da shi a cikin filin radiation mai dorewa. "Ciwon ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta, ta bambanta, tana nufin ƙwayar cutar ciwon da ke da yawa ko kuma tartsatsi wanda za'a iya kewaye da shi a cikin filin yaduwar cutar. Lokacin da ƙwayar ciwon huhu na ƙwayar cutar ta yadu zuwa yankuna masu nisa na jiki (cututtukan ƙwayar cuta) ana la'akari da mataki mai yawa.
Kwararka zai iya kwatanta ciwon daji a cikin tsarin kula da TNM . Yin amfani da wannan tsarin, T yana nuna girman ƙwayar cutar, N yana nufin kasancewar ciwon daji a cikin ƙananan lymph, kuma M ana amfani dasu don bayyana matakan da suka wuce. Tare da ƙananan ƙwayar cutar ƙwayar cutar ƙwayar cutar ƙwayar cutar, tarin zai iya zama girman girman (T) kuma yana iya ko bazai da ƙwayoyin lymph tare da (N) amma zai kasance M0 (M biye da zero), ma'ana cewa ƙwayar yana da ba yada zuwa ga sauran ƙwayar ko a yankuna masu nisa na jiki ba.
Cutar cututtuka
Ba kamar cututtuka irin su adinocarcinoma ba, wanda yawanci yakan faru a cikin yankuna na waje na ƙwayar cuta, ƙwayar cutar ciwon huhu na kananan kwayoyin cutar tana cigaba da faruwa a tsakiya, kusa da manyan hanyoyi. Saboda wannan dalili, bayyanar cututtuka na farko sun haɗa da wadanda ke da alaƙa a cikin babbar babbar hanya ( bronchus ), irin su tari da karar jini, da kuma maimaita lokuta na ciwon huhu saboda katsewar hanyoyi.
Kwayoyin cututtuka na ƙwayar cutar ciwon daji na iyaka yana iya hada da:
- Mawuyawar tari - Mawuyacin tari ne sau da yawa farkon bayyanar cututtuka na kwayar cutar ciwon huhu.
- Rashin jinin jini (hemoptysis) - Rashin jinin jini wata alama ce ta farko na ciwon ƙwayar cutar kanjamau. Koda karamin jini yana da damuwa, kuma daɗaɗa sama fiye da teaspoon ko biyu na jini ana dauke da gaggawa gaggawa.
- Kusawa a fuska da wuya
- Rawancin numfashi
- Wheezing
- Maimaita lokuta na ciwon huhu ko mashako (sabili da tsangwama daga hanyoyi na hanyoyi)
- Girma
Magungunan cututtuka na ƙwayoyin cuta - Ƙananan ciwon huhu na kwayar cutar zai iya haifar da nau'in bayyanar cututtuka saboda cututtuka na paraneoplastic , wannan shine bayyanar cututtuka da suka dace da kwayoyin hormones da ƙwayar cutar ta ɓoye ko ta hanyar maganin kututtukan jiki ba tare da magungunan kanta ba. Wasu daga cikinsu sun haɗa da:
- Tashin jiki a cikin ƙananan ƙwayoyin, sauye-sauye da hangen nesa, da kuma wahalar haɗuwa (Lambert-Eaton mummunar ciwo)
- Rashin rauni, gajiya, da kuma karamin sodium a cikin jini (ciwo na ɓarkewar cututtuka na kwayoyin halitta wanda ba daidai ba, SIADH)
- Rashin daidaituwa da wahalar yin magana (matsanancin ƙwayar cuta)
- Kwallon kafa - Dama da yatsunsu wanda ƙarshen yatsunsu ya dauka akan bayyanar teaspoon.
Kwayoyin cuta na ƙananan ƙwayoyin cuta - Labaran ƙwayar cutar ciwon huhu ne aka bayyana a matsayin ciwon daji wadda ba ta yada zuwa yankuna masu nisa na jiki ba. Kwayar cutar ciwon ƙwayar ƙananan ƙwayoyin cuta, duk da haka, yayi kokarin yaduwa da wuri, musamman ga kwakwalwa, kuma tare da ciwon ƙananan ƙwayar cutar ciwon huhu na kananan ƙwayoyin cuta na farko na bayyanar cutar ciwon daji na iya zama wadanda ke da alaka da matakan ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa , irin su rauni a gefe ɗaya na jiki, na gani canje-canje, canje-canjen magana, ko rikici.
Jiyya
Yanayin magani don ciwon huhu na huhu ya hada da maganin gargajiya na gida irin su tiyata da radiation da kuma tiyata, da kuma jiyya na tsarin kamar chemotherapy. Binciken gwaji suna kallon yiwuwar tasirin maganin cutar da kuma immunotherapy don ƙwayar ciwon huhu na kananan ƙwayoyin cuta.
Chemotherapy da radiation far - Mutane da yawa sun amsa da kyau zuwa hade na chemotherapy da radiation far ; tare da ciwon daji na iyakance, wannan zai iya ba da damar samun magani.
Tiyata - An yi amfani da tiyata sosai don ƙwayar cutar ciwon huhu na kananan ƙananan (wanda aka fi la'akari da shi ba tare da amfani ba ) amma an duba shi a wasu lokuta idan ciwon da ke ciki ba shi kadai a cikin kwayar halitta guda daya da kuma jigon lymph. Adjuvant chemotherapy (chemotherapy bayan tiyata) yawanci ana bada shawarar idan an yi aikin tiyata don ciwon ƙwayar cutar ciwon ƙwayar ƙwayar kananan kwayoyin halitta.
Crisial irradiation - wani mutum idan ya dace da magani, maganin yaduwar cutar ta jiki (PCI) - maganin radiation na kwantar da hankali ga kwakwalwa - an bada shawara don rage haɗarin cewa kowace kwayar cutar ciwon daji ta yada zuwa kwakwalwa, amma ba a gani a kan nazarin rediyo, zai girma kuma zai haifar da alamun bayyanar.
Gwaje-gwaje-gwaje - Gwajen gwaje-gwajen gwaje-gwaje na ci gaba don matakan ƙwayar cutar ciwon huhu na kananan ƙwayoyin cuta, kimantawa da sababbin jiyya da magunguna don wannan ciwon daji. Cibiyar Cancer ta Kasa ta ba da shawarar cewa duk wanda ke dauke da ciwon mahaukacin ƙwayar cutar kanjamau ya yi la'akari da shiga cikin gwaji.
Faɗakarwa
Yaduwar lafiyar ƙwayar cutar ciwon ƙwayar kananan kwayoyin cutar sun inganta tun lokacin da aka kara magungunan radiation zuwa jiyya da kuma amfani da PCI, amma har yanzu suna da rauni. Tsiran kuɗi na ƙwayar ciwon huhu na kananan kwayoyin halitta daban daban ne bisa ga mataki. A halin yanzu, tsawon shekaru 5 na rayuwa na ciwon ƙwayar cutar ciwon ƙwayar kananan kwayoyin halitta kashi 31 cikin dari, kuma kashi 19 cikin kashi na mataki 2. Kashi 10 cikin dari na mutanen da ke fama da ciwon ƙwayar cuta ba su nuna shaidar ciwon daji 2 shekaru bayan ganewar asali. Tun da ciwon ƙwayar cutar ciwon ƙwayar ƙwayar ƙwayar cuta take girma sosai, kuma mun zo da wata hanya mai tsawo tare da wasu ciwon daji masu sauri kamar cutar sankarar bargo, ana sa zuciya cewa za a sami magani mafi kyau a nan gaba.
Me zan iya yi don taimaka wa kaina?
Nazarin ya nuna cewa sanin abin da zaka iya game da cutar kanjamau na iya inganta lafiyarka. Tambayi tambayoyi. Bincika game da gwaji na asibiti wanda zai dace maka. Yi la'akari da shiga ƙungiyar goyon bayan . Ka tambayi ka kuma bari abokanka su taimake ka a cikin tafiya tare da ciwon daji.
Yana da muhimmanci a zama mai ba da shawara yayin da kake da ciwon huhu. Bayan shekaru masu yawa na kananan canji a maganin cutar kanjamau, musamman ƙwayar cutar kanjamau, an cigaba da ci gaba.
> Sources:
> Cibiyar Ciwon Ƙwayar Yammacin Amirka. Ciwon daji na huhu (Ƙananan Cell. Updated 05/16/16.
> Cibiyar Nazarin Harkokin Kwayoyi ta Amirka. Ciwon Cutar Cancer.Net Ciwon Toshe - Ƙananan Cell: Jiyya Zɓk. 10/2016.
Cibiyar Cancer ta Kasa. Ƙananan Ciwon Kwayar Wutar Kankara (PDQ) - Shafin Farko na Lafiya. Updated 11/09/17.