Idan an gaya maka cewa kai ko ƙaunatacciyar sun ci gaba da ciwon ciwon kwari , za ka ji tsoro sosai. Menene ma'anar wannan? Yaya ake bi? Yayinda ciwon karuwan ciwon sankara yafi samuwa a cikin farkon cutar, ba abin mamaki ba ne don ganewar asali zai faru a yayin da cutar ta ci gaba, ma'ana mataki 4. Zai iya taimakawa wajen fahimtar wannan mataki na cutar don fara duba abin da ake nufi ga mutanen da ke fama da cutar ciwon gurgu.
Ciwon ƙwayar ƙwayar cuta
Ciwon daji na ƙwayar cuta, kamar dukan ciwon daji, yana faruwa a wasu matakai a cikin tsawon lokacin cutar. Sakamakon ganewar cutar ta prostate zai iya faruwa a kowane mataki. Ko da yake wannan ciwon daji yana ci gaba da raguwa kuma zai iya kasancewa a cikin prostate na shekaru masu yawa, ƙarshe (ko wani lokacin sauri), zai iya ci gaba zuwa wasu sassan jiki.
Bayan an ba da ganewar cutar ta prostate, ana gudanar da gwaje-gwaje da jini, zane-zane, da sauran gwaje-gwaje don kimanta ci gaba da ciwon daji da ƙaddarar da kuma inda inda ciwon daji ya yada a waje na prostate. Wannan tsari yana tabbatar da "mataki" na ciwon daji na prostate kuma ya bayyana ainihin yaduwarsa a cikin jiki, kuma yana da mahimmanci wajen yanke shawara mafi kyawun magani ga mai haƙuri.
Yawancin likitoci sunyi amfani da tsarin TNM don kimanta mataki da yaduwar cutar ciwon kwari a cikin mai haƙuri. "T" yana nufin "tsutsa," kuma tana nufin girman ciwon daji na farko; "N" yana nufin "nodes," kuma yana nufin ko ciwon daji ya yada zuwa ƙananan ƙwayoyin lymph a kusa da su, kuma "M" yana nufin "metastasis" kuma yana nufin ko ciwon daji ya yada gaba da gatan dajin a cikin jikin da ke kewaye da sauran jikin.
Wadannan halaye guda uku sun kafa "mataki" don ciwo na prostate. Akwai matakai hudu da ake amfani dasu don bayyana ci gaba da ciwon ciwon ciwon sankarar mahaifa:
- Sashe na 1: Cutar ciwon daji ne aka gano ga prostate kuma ba a iya gano shi a cikin gwaji na yau da kullum ba.
- Sashe na 2: Ciwon daji har yanzu an gano shi zuwa prostate amma ya kara girma.
- Sashe na 3: Ciwon daji ya yada fiye da prostate amma an ajiye shi ne kawai ga takalma a kusa.
- Sashe na 4: Ciwon daji ya ci gaba, ko ƙaddara, fiye da prostate da kyamarar da ke kusa a cikin ƙwayoyin lymph da wasu gabobin jiki.
Mataki na 4 Ciwon ƙwayar cuta: Ma'ana da cututtuka
Sashe na 4 ciwon ciwon daji yana dauke da ci gaba, kamar yadda ya yada fiye da prostate da wuri mai zuwa zuwa wasu sassan jiki. Wannan mataki ba shi da amfani; Duk da haka, zaɓuɓɓukan magani zasu wanzu wanda zai iya rage yawan bayyanar cututtuka na ciwon ciwon ciwon gurguwar ciwon gurgu. Wadannan bayyanar cututtuka sun hada da rauni da anemia saboda rashin yaduwar jini a cikin kasusuwan kasusuwan, ciwon nama ko sauran ciwo mai zurfi, ko rarraba saboda kasusuwa kasusuwa. Wasu maza kuma suna fama da zafi ko wahala urinating saboda fadada prostate; Duk da haka, wannan zai iya kasancewa alama ce ta kowane mataki na ciwon daji na prostate.
Jiyya ga Ciwon Ƙari Ciwon Ƙari
Yana da mahimmanci a sake lura da cewa yayin da ciwon ciwon gurguntaccen ciwon gurguwar cutar ba zai iya jurewa ba, yana da kyau. Jiyya ba wai kawai rage yawan ciwon daji ba amma zai iya inganta bayyanar cututtuka da suka shafi ciwon daji. An cigaba da ci gaban cigaba a lura da ciwon ciwon ciwon gurguntaccen ciwon sankara a cikin 'yan shekarun nan, kuma yawancin rai yana karuwa.
An amince da sababbin jiyya, kuma an yi amfani da wa] ansu jiyya da dama a gwaji . Tun da ma'anar fassarar ciwon daji ta karuwanci ya yada zuwa wasu sassan jiki, tiyata ba yawanci wani zaɓi na wannan mataki na cutar ba. Duk da haka akwai wasu zaɓuɓɓuka don magani:
Hormonal Far
An wajabta mafi yawan maganin gaggawa don rage girman kuma ya hana yaduwar ciwon sukari ko ciwace-ciwacen ƙwayoyi. Wadannan jiyya na iya haifar da sakamako mai ban sha'awa , kamar rage libido, walƙiya mai zafi, da ci gaban ƙirjin nono, amma zai iya bunkasa inganci kuma ya kara rayuwar mutane tare da Stage 4 ciwon daji na prostate.
Hormone far yana da ƙananan sakamako a kan ciwon ciwon gurgun ciwon ciwon gurguwar jini a lokaci, kuma ƙarshe, wannan magani yana dakatar da aiki.
Chemotherapy
Lokacin da mai haƙuri ya dakatar da amsa maganin hormone, chemotherapy ne sau da yawa mataki na gaba. Wannan wani zaɓi mai mahimmancin magani wanda ya shafi sunadaran da aka saba bayarwa ta hanyar IV a wasu hanyoyi. Chemotherapy yana da tasiri mai yawa amma zai iya jinkirta ko dakatar da ciwon ciwon daji na prostate.
Ra'idar Target
Magungunan ciwon ƙwayar ciwon ƙwayar cuta na yawanci yadawa zuwa tsarin skeletal. Rashin ciwo saboda wannan ci gaba zai iya haifar da ci gaba da ciwo da rashin tausayi ga maza da Stage 4 ciwon ciwon gurgu. Ana amfani da maganin radiation sau da yawa don magance da kuma kawar da ciwon kashi a cikin waɗannan marasa lafiya. Wannan farfasa zai iya ƙara ƙarfafa kasusuwa, saboda haka an haɗa shi tare da maganin miyagun ƙwayoyi wanda ke ƙarfafa ƙarfin kashi kuma zai taimakawa rage hadarin fashe.
Immunotherapy
Immunotherapy yana da wani sabon sabon zaɓi ga maza masu fama da ciwo da karuwanci, tare da magani guda daya da aka amince da su, da sauransu ana kimantawa a gwaji. Wannan magani yana aiki ne don bunkasa tsarin kulawa da jiki ta jiki don yaki da kwayar cutar ciwon daji. Immunotherapy zai iya ƙara yawan rai da rai kuma zai iya haifar da kula da cutar na tsawon lokaci ga wasu maza da suka amsa da kyau ga magani.
Rayuwa da Ciwon Cutar Ciwon Ƙwayar cuta
Sanarwar asali na ciwon daji na ciwon daji yana tsorata, amma ba kai kaɗai ba. Ka yi la'akari da shiga ƙungiyar goyon baya a cikin al'umma ko kuma kan layi inda za ka iya haɗi tare da wasu mutanen da ke fuskantar irin wannan halin. Idan abokinka ne da ke zaune tare da ciwon gurguwar ƙwayar cuta, duba waɗannan shawarwari akan yadda za a goyi bayan wanda yake ƙauna tare da ciwon daji .
Sources:
Mulders, P., De Santis, M., Powles, T., da K. Fizazi. Yin maganin da aka ƙaddamar da ciwon gurguntaccen ciwon gurguntacciyar ƙwayar cuta tare da sipuleucel-T immunotherapy. Cancer Immunology, Immunotherapy . 2015. 64 (6): 655-63.
Cibiyar Cancer ta Kasa. Ciwon ƙwayar cutar ciwon ƙwayar cuta - don masu kiwon lafiya (PDQ). Updated 10/23/15.
Park, J., da kuma Mista Eisenberger. Ci gaba a maganin Ciwon ƙwayar cutar ƙwayar cuta. Mayo Clinic Proceedings . 2015. 90 (12): 1719-33.
Ƙungiyar Kulawa ta Urology. Ciwon ƙwayar ƙwayar cuta mai girma.