Idan kuna ƙoƙari ya gano matakin kujin ciwon huhu na jikin ku zai iya jin kunya sosai. Menene ma'anar lokacin da mai ilimin likitancin yayi magana game da "TNM" kuma ta yaya wannan yayi daidai da matakai? Bari mu dubi ma'anar kowannensu haruffa, yadda likitoci suke amfani da su don magance ciwon daji, da kuma abin da wannan ma'anar ita ce ta hanyar magani.
Tsarin TNM
Cibiyar ta TNM da ke kula da ciwon daji na huhu zai iya zama da damuwa ga kowa ya fahimci, sai dai wanda aka taɓa buga shi tare da labarun cutar sankarar mahaifa. Ta Yaya TNM ke daidaitawa tare da matakan ciwon huhu na huhu , kamar mataki 2 da mataki 4?
Abin da Ma'anar Lissafi ke nufi
Kowace haruffan TNM na nuna girman ko yaduwar ciwon daji kamar haka:
- T - Tsaya ga girman ƙwayar. Girman tumatir yawanci ana ba shi cikin centimeters (cm). Don fahimtar wannan a cikin inci, 5 cm ne kusan guda 2 inci.
- N - N yana nufin lymph nodes kuma ya gaya ko yarinya ya yada zuwa ƙwayoyin lymph, kuma idan haka ne, yaya nesa da kututtukan su.
- M - M yana tsaye ne akan metastasis , wato, watsar da ciwon sukari zuwa wasu sassa na jiki.
Dalilin da yasa Safiya yana da mahimmanci
Harkokin TNM na taimaka wa likitoci su fahimci yadda yawan ciwon daji ke ciki kuma, sabili da haka, abin da mafi kyawun maganin zafin jiki shine don wannan ciwon daji. Hakanan zai iya taimakawa wajen hango abin da mahimmancin maganin yake ga wanda ke fama da ciwon huhu.
Cibiyar ta TNM ta dogara ne akan bayanai kan duniya akan ciwon daji a cikin dubban mutane da kuma kwatanta irin cutar daji da ciwon huhu tare da amsawa ga maganin da kuma maganin.
Wannan ya ce, yana da mahimmanci a fahimci cewa akwai wasu dalilai masu yawa wadanda ke haifar da bayyanar cutar kanjamau wanda ya wuce matakin.
Sanarwar lafiya ta musamman, irin wannan ciwon daji na huhu da kake da shi, ko kana da "maye gurbin" juyawa a jikinka, har ma jinsi na iya taka rawar a cikin abin da jiyya zai yi maka aiki da kuma abin da mutum zai iya ganewa. .
TNM Staging Breakdown
Za ku lura cewa asusunku na TNM zasu sami lambobi waɗanda suka biyo su. Bari mu dubi abin da lambobi daban-daban ke nufi:
T - Girman Tumor
- Tx - Ƙananan ƙwayar da ba a san ba, ko kuma kwayoyin cutar ciwon daji ne kawai aka samu a sputum .
- T0 - Babu wani shaida na kutsawa na farko.
- Tis - Carcinoma a wuri - Ciwon da ke ciki ba shi ne kawai a cikin kwayoyin da ke rufe jirgin sama ba kuma bai yada zuwa kyamaran da ke kusa ba.
- T1 - Tumors kasa da ko daidai da 3 cm (1 ½ inci).
- T1a - Kasa ko daidai da 2 cm.
- T1b - Fiye da 2 cm amma kasa da ko daidai da 3 cm.
- T2 - Ciwon sukari ya fi 3 cm amma kasa da 7 cm. Twaitsai na T2 na iya toshe wani ɓangare na filin jirgin sama, amma basu haifar da ciwon huhu ba ko kuma ya sa cutar ta rushe ( atelectasis ). Zai yiwu sun yada zuwa cikin rufi a kusa da huhu. Suna iya kasancewa kusa da mashutum din amma suna da akalla 2 cm (kimanin inci) daga yankin da bronchus ya rarraba don zuwa kowane daga cikin huhu.
- T2a - Fiye da 3 cm amma ƙasa da ko daidai da 5 cm.
- T2b - Fiye da 5 cm amma ƙasa da ko daidai da 7 cm.
- T3 - Tumors mafi girma fiye da 7 cm, ko žasa da 7 cm amma tare da raba nodule a cikin wannan lobe. Titsu ciwon T3 sun hada da ciwon sukari wanda basu kasa da 7 cm ba, amma sun mamaye murfin (huhu), murfin kirji, diaphragm , babban maschus, ko kuma karya a cikin 2 cm na yankin inda bronchus ya raba zuwa tafiya zuwa huhu . Har ila yau, ƙwayar ƙwayar ita ce T3 idan ta kasa da 7 cm amma an hade shi da ciwon huhu ko rushewar ƙwayar jikin.
- T4 - Tsarin kowane nau'i, amma tare da wani nodule a cikin daban-daban na lobe a gefe guda na jiki, ko kuma ƙwayar da ke ciwo cikin sutura kamar zuciya, manyan jini a kusa da zuciya, da trachea , da maimaitawa jijiyar laryngeal (jijiya a kusa da trachea), matsakaici (sarari a tsakanin huhu), esophagus , ko yanki inda babban maschus ya raba zuwa tafiya biyu.
N - Gudanar da Nodes na Lymph
- N0 - Ba'a sanya hannu ba.
- N1 - Zangon ya yada zuwa kusoshi na kusa a gefe ɗaya na jiki.
- N2 - Ciwon sukari ya yada har zuwa nesa amma a gefe guda na kirji.
- N3 - Ciwon ya yada zuwa ƙananan ƙwayar lymph a gefe ɗaya daga cikin kirji daga ƙwayar asali, ko kuma ya yada zuwa kusoshi a kusa da ƙwanƙara ko ƙuƙwalwar wuyansa.
M - Gizon Gishiri (Yaɗa) zuwa Ƙungiyoyin Sauran
- M0 - Cutar ba ta yada zuwa yankuna masu nisa ba.
- M1
- M1a - Ciwon ya yada zuwa ƙwayar ƙwayar cuta, zuwa rufi na rufi ( mummunan ruɗar ƙirar ) ko kuma ya kafa nodules a kan rokon.
- M1b - Tashi ya yada zuwa yankuna masu nisa na jiki, irin su kwakwalwa ko kasusuwa.
Haɗuwa da Tsarin Cutar Canjin Tsutsa da Ciwon Tsari da Tsaro na TNM
Yawancin mutane sun fi masaniya da matakai na ciwon daji na huhu kamar yadda suke tare da TNM. A nan ne kwatanta ciwon daji da ciwon huhu da kuma ciwon TNM:
- TisN0M0
- Sashi na 1A Ciwon Cutar Canji
- T1aN0M0
- T1bN0M0
- Sashi na 1B Ciwon daji
- T2aN0M0
- Sashi na 2A Ciwon Cutar Canjin
- T1aN1M0
- T1bN0M0
- T2aN1M0
- Sashi na 2B Ciwon Kankara
- T2bN0M0
- T2bN1M0
- T3N0M0
- Sashi na 3A Cutar Cancer
- T3N1M0
- T4N0M0
- T4N1M0
- T1N2M0
- T2N2M0
- T3N2M0
- Sashi na 3B Ciwon kwari
- T1N3M0
- T2N3M0
- T3N3M0
- T4N2M0
- T4N3M0
- Duk T, Duk N, M1a
- Duk T, Duk N, M1b
Newly bincikar lafiya tare da ciwon huhu
Idan an riga an bincikar ku da ciwon huhu na huhu , tabbas za ku ji tsoro ko kunya. Kila ka ji cewa sanin duk abin da zai yiwu game da ciwon daji zai iya inganta sakamakon, amma ta yaya za ka yi haka idan duk abin da aka rubuta a cikin harshen waje?
Yi lokaci don ilmantar da kanka. Yi magana da likitanku kuma ku tambayi tambayoyi masu yawa. Koyi game da yadda za a samu bayanan ciwon daji a kan layi . Mutane da yawa da ke fama da ciwon huhu na huhu sunyi la'akari da samun ra'ayi na biyu, kuma wannan yana da matukar muhimmanci. Ana sau da yawa shawarar cewa ka yi wannan ra'ayi na biyu a daya daga cikin Cibiyar Cancer ta Cibiyar Cancer ta Tsakiya-wadda aka tsara cibiyoyin ciwon ciwon daji inda akwai yiwuwar zama masu ilimin ilimin likita masu ilimin likita waɗanda suka kware a kan irin ciwon daji na jikinka. Har ila yau, idan kana da ciwon ƙwayar cutar ciwon ƙwayar ƙwayar ƙwayar cutar, tabbatar da cewa likitanku ya ba da umurni ga labarun gizon kwayoyin halitta (kwayoyin lamarin) .
Tabbatar ku zama mai ba da shawara don kulawa da ciwon daji. Don yin wannan, zai iya taimakawa wajen kasancewa da alaka da cutar kanjamau ta yanar gizo (hashtag shine #LCSM). Wadannan al'ummomin ba kawai suna tallafawa ba amma zasu iya taimaka maka ka koyi da kuma gudanar da hanyarka ta hanyar yawan zaɓin da za ka fuskanta.
Yawancin duka, rataya a kan bege. Magunguna don ciwon daji na ciwon huhu yana inganta, kuma yawan lafiyar suna ci gaba. An sami sababbin jiyya da aka yarda da cutar ciwon huhu a cikin shekarun da suka gabata fiye da shekarun da suka wuce.
> Sources:
> Edge, S. et al (Eds.). AJCC Canjin Tsarin Kwayar Cancer. Edition 7th. Springer. New York, NY. 2010.
> Cibiyar Cancer ta Kasa. Ƙunƙasar Ciwon Kwayoyin Wutar Cutar Kan Ƙasar Kanana (PDQ) - Shafin Farko na Lafiya. Updated 03/31/17. https://www.cancer.gov/types/lung/hp/non-small-cell-lung-treatment-pdq#section/all
> Nicholson, A., Chansky, K., Crowley, J. et al. Ƙungiyar Ƙungiyar Kasashen Duniya don Nazarin Ciwon Kwayar Cutar Kanjamau Ciwon Gwiwar Ciwon Kwayoyin Cutar Kuturwar Kwayar Wutar Lutu: Sharuɗɗa don Gyara Magungunan Ciwon Kwayoyin Ciwon Kwayoyin Ciwon Kwayoyin Ciwon Kwayoyin Ciwon Kwayoyin Ciwon Kwayoyin Ciwon Kwayoyin Ciwon Kwayoyin Ciwon Kwayoyin Ciwon Kwayoyin Cutar Ebola. Jaridar Thoracic Oncology . 2016 11 (3): 300-11.
> Rami-Porta, R., Crowley, J., da PP. Goldstraw. Cibiyar Tattalin Tsaro ta TNM da Aka Yi Maita don Ciwon Cutar Kyau . Annals na Thoracic da na Tiyata na zuciya . 2009. Vol 12, Nu. 1.