Dalilai na Harkokin Kiwon Lafiyar Kwayoyin Halitta da Hanyoyi Mai yiwuwa
Kwararrun kwayoyin cutar shan magani ne irin nau'in chemotherapy da ake gudanarwa a cikin ruwa tsakanin membranes wanda ke sanya kwakwalwarka da kwakwalwa. Ruwan da ke sanya wannan sarari yana samarwa cikin ventricles na kwakwalwarka kuma an kira shi ruwan sanyi ko CSF. Cerebrospinal fluid zama a matsayin buffer, kare ka kwakwalwa da kuma kashin baya yayin motsi.
Bayani
Akwai daban-daban cutar sankarar bargo da lymphoma da suka yada ga CSF da tsarin jin tsoro. Abin takaici, yawancin ƙwayoyin cutar shan magani sun kasa shiga wannan yanki daga jini. Tsakanin kwakwalwa da sauran jiki shine launi na membranes da ake kira shinge mai kwakwalwar jini . Wannan shamaki yana wanzu don kiyaye ciwon daji wanda zai iya lalata kwakwalwa. Abin baƙin ciki, shi ma yana kiyaye magungunan ƙwayoyin cutar da yawa.
Za a iya amfani da kwayar cutar ta intrathecal chemotherapy:
- Don magance ciwon daji wanda ya yada zuwa CSF
- Don hana ciwon daji zuwa yada CSF
Ciwon cututtuka na Ciwon Cutar Gasa zuwa CSF
Kwayar cututtuka da ciwon daji ya yada zuwa CSF na iya hada da:
- Ciwon kai
- Maganganun magana
- Riƙe
- Canje-canje a hangen nesa, irin su hangen nesa biyu
- Sanya tunani
Abin da ake tsammani
Za a iya ba da ƙwayar maganin ƙwaƙwalwar ƙwayar cuta ko dai ta hanyar tabarar ta gefe (wani katako na lumbar) ko kuma ta hanyar tafki da aka sanya a cikin ɓarjin jikinka.
Lumbar puncture - Idan kana da irin cutar sankarar bargo ko lymphoma wanda ke da hali don yadawa zuwa tsarin mai juyayi, mai yiwuwa ka sami lakabi na lumbar , ko kafar ta gefe a matsayin ɓangare na ganewarka.
Wannan yana da kama da abin da za ku fuskanta yayin da kuke samun kwarewa. Kwararren likitanku ko likitan jini zaiyi wani launi na lumbar, kuma a gwada chemotherapy kai tsaye a cikin CSF don kashe duk wani ciwon daji.
Wakilin Ommaya - Idan ka buƙatar adadin wadannan nau'in jiyya, likitan ka iya yanke shawara ka sanya "tafkin Ommaya" a cikin ɓoye.
Wannan tafki yana da ƙananan catheter wanda ya kai cikin ruwa a kusa da kwakwalwarka. Ana iya bada magungunan shan magani a cikin tafkin Ommaya, kuma ba za ka buƙaci harajin lumbar ba. Ana barin raguna maras kyau a wurinka kuma suna da lafiya su koma gida tare da.
Bayan Bayanin Jiyya
Lokacin da aka gama allurar ku, likitanku zai sa ku kwance har tsawon lokaci don ku bari chemotherapy ya isa duk yankunan da CSF ke gudana. Idan kuna da fitilar lumbar, za a kuma ajiye ku a kan baya don dan lokaci don rage damar da za ku iya ci gaba da ciwon ciwon zuciya a bayan hanyar.
Yaya Ya kamata Kayi Kira Doctor?
Idan ka karbi wannan magani a matsayin mai fita waje, ya kamata ka tuntuɓi mai bada sabis na kiwon lafiya idan ka ci gaba:
- A zazzaɓi da yanayin da ya fi 100F ko 38C
- Dizziness ko ciwon kai wanda ba zai tafi ba
- Pain a cikin kashin baya
- Lamba, tingling, ko canji a cikin makamai ko kafafu
- Wuyar tafiya
Layin Ƙasa
Irin cutar sankarar bargo da lymphoma da suke yada tsarin jin dadi na iya zama da wuya a bi da su. Kwayoyin ciwon daji za su iya rayuwa da ninuwa, mai yiwuwa ba a gano su ba a cikin CSF inda chemotherapy na gargajiya ba zai iya isa gare su ba. Don magancewa kuma hana wannan daga faruwa, likitoci zasu jagoranci maganin ƙwayar cutar don magance kowane ciwon daji.
> Sources:
> Cheah, C., Herbert, K., O'Rourke, K. et al. Hanyoyin Tsarin Mulki Tsakanin Tsarin Mulki Tsakanin Tsarin Tsarin Tsakanin Tsarin Kwayoyin Tsarin Tsarin Mulki Daga Magunguna Tare da Babban Haɗari Mai Girma B-cell Lymphoma. Jaridar British Journal of Cancer . 2014. 111 (6): 1072-9.
> Ferreri, A., Bruno-Ventre, M., Donadoni, G. et al. Cibiyar ta CNS Proficlaxis ta ƙaddara a cikin wata ƙungiya ta Mono-ƙungiya na marasa lafiya 200 tare da manyan ɗakunan B-cell Lymphoma Bi da a Rituximab Era. Jaridar British Journal of Hematology . 2015. 168 (5): 654-62.
> Goodman, M. Chemotherapy: Ka'idojin Gudanarwa. A cikin Yarbro, C., Frogge, M., Goodman, M., Groenwald, S. eds (2000) Ciwon daji na Nursing: Principles and Practice 5th ed Jones da Bartlett: Sudbury, MA.
> Norden A., Hocherg, E., da E. Hocherb. Jiyya, Fassara, da kuma Prophylaxis Idan Babban Sakataren Tsakanin Tsakanin Lymphoma. Na zamani. Updated 02/03/16.
> Sekiguchi, Y., Shimada, A., Imai, H. et al. Ƙungiyar B-Cell B-Cell Lymphoma Tare da Gudanar da Ƙungiyar Pontine An Yi Amfani Da R-CHOP farfadowa da Gudanarwa na Gwamnati: Rahoton Bincike da Bincike na wallafe-wallafe. Littafin Labaran Harkokin Gudanar da Harkokin Gudanarwa da Gwaji . 2014. 7 (6): 3363-9.