Ta Yaya Cutar Canjin Tsarinta ya bambanta a cikin Mata?
Maganin ciwon huhu a cikin mata ya bambanta da ciwon daji a cikin maza a hanyoyi da dama. Duk da haka, duk da bambancin bambanci a cikin bayyanarmu, muna tayar da maza da mata yayin da muke magana game da cutar kanjamau. Wannan mummunan abu ne, tun da mawuyacin hali, amsawa ga magunguna daban-daban, yawan rayuwa, kuma mafi yawan cututtuka da suka fi dacewa sun bambanta. Menene wasu abubuwa game da cutar kanjamau a mata?
Statistics
Labaran cutar huhu shine babban dalilin ciwon daji a cikin mata , kashe mata fiye da shekara fiye da nono , ciwon daji , da kuma ciwon daji na ovarian . Yayinda yake shan taba shine lamarin daya, kashi 20 cikin 100 na matan da ke ciwon ciwon huhu ba su taɓa taba taba ba. Bugu da ƙari, ciwon huhu a cikin mahaifa zai iya faruwa a cikin tsofaffin masu shan taba, wadanda suka keta al'ada, fiye da matan da ke shan taba yanzu.
Da zarar an dauke da "cututtukan mutum", cutar ciwon huhu ba ta nuna bambanci ba. A shekara ta 2017 an kiyasta cewa mutane 116,990 da 105,510 mata za a gano su da cutar.
Yayinda kwayar cutar kanjamau ta karu da ƙananan maza, suna da zama a cikin kwanciyar hankali ga mata. Wato, ba tare da ɗayan ƙungiya ba. Ciwon daji na huhu yana karuwa a cikin yara, ba tare da shan taba ba.
Labaran ciwon huhu a cikin mata yana faruwa ne a shekarun dan kadan a cikin mata fiye da maza, kuma kusan rabin cutar kututtuka a cikin samari a cikin mata.
Dalilin
Ko da yake taba shan taba ne lambar da cutar kanjamau ta kasance a cikin mata, yawancin matan da ke bunkasa ciwon huhu a cikin mahaifa ba su taba shan taba ba . Wasu daga cikin mawuyacin hali na iya haɗa da hotuna a radon a gidajen mu, hayaki na haya , wasu shafukan muhalli da na sana'a , ko tsinkayen kwayoyin halitta .
Binciken da aka yi kwanan nan ya nuna cewa kamuwa da cuta tare da ɗan jaridar papillomavirus (HPV) zai iya taka rawa.
Yanayin shan taba
Wasu, amma ba duka ba, nazarin ya nuna cewa mata na iya zama masu saukin kamuwa da cutar shan taba, kuma mata suna ci gaba da cutar ciwon huhu a bayan shekaru masu shan taba.
Types a Women vs. Men
Yayinda mutane zasu iya haifar da ciwon daji na suturar kwayar cutar ta jiki , wani nau'i na marasa ciwon huhu na huhu, adenocarcinoma shine mafi yawan kwayar cutar ciwon huhu a cikin mata.
BAC (Carcinoma na Bronchioalveolar) , yanayin da aka yi amfani da shi a matsayin jikin adinocarcinoma, shi ne wani irin ciwon daji na huhu wanda yafi kowa a cikin mata. Don dalilan da ba a sani ba, hadarin BAC (wanda yanzu aka kwatanta shi ne adenocarcinoma) ya bayyana a karuwa a dukan duniya, musamman a tsakanin matasa, wadanda ba a shan taba ba.
Cutar cututtuka
Mun ji game da bayyanar cututtuka na ciwon zuciya ta bambanta a cikin mata daga maza. Hakanan zai iya riƙe gaskiya ga ciwon huhu na huhu. Magungunan ciwon huhu na kwayar cutar (irin ciwon huhu da mahaifa fiye da maza a cikin mata) ke tsiro a kusa da hanyoyi na sama kuma sau da yawa ya gabatar da "bayyanar cututtuka" na ciwon huhu na huhu, irin su tari da kuma ciwon jini . Adenocarcinomas (irin ciwon huhu na huhu wanda yafi kowa a cikin mata), sau da yawa yana tasowa a yankuna na waje na huhu.
Wadannan ciwace-ciwacen zai iya girma sosai ko yadawa kafin su haifar da wani bayyanar cututtuka. Kwayoyin cuta na gajiya, da saurin ƙarancin numfashi , ko kirji da kuma ciwo daga yaduwar cutar kututtukan huhu zuwa kashi, na iya zama alamar farko cewa wani abu ba daidai ba ne.
Matsayi na Estrogen
Yana yiwuwa mai yiwuwa estrogen ta taka muhimmiyar rawa wajen bunkasa ci gaba da ciwon ciwon huhu da kuma ci gaba da bincike don bayyana wannan kara. Mata da ke dauke da ovaries su cire su kafin suyi aiki kafin su kasance masu yin jima'i na iya zama mafi haɗari na bunkasa ciwon huhu. Binciken da aka yi kwanan nan ya nuna cewa jiyya tare da estrogen da progesterone (tsarin maye gurbin hormone) bayan da mazauna ciki zai iya ƙara haɗarin mutuwa daga ciwon huhu na huhu.
Ya bambanta, yin amfani da ilimin estrogen ne kaɗai ya kasance tare da rashin haɗarin mutuwa daga cutar.
Ya bambanta, yin amfani da kwayoyin kwakwalwa na haihuwa da kuma maye gurbin hormon (sai dai waɗanda suke amfani da kwayoyin hormones bayan motsa jiki) suna haɗuwa da ƙananan haɗari na ciwon daji na huhu. Wannan bambanci tsakanin mutuwa daga, da kuma ci gaba da cutar kanjamau, ya nuna cewa estrogen tana taka rawa fiye da daya a cikin ciwon huhu na huhu.
Jiyya
Hanyoyin da ku da likitan ku zaɓa za su hada da haɗuwa da hanyoyin kwantar da hankali. Don fahimtar yadda ake amfani da su, zai iya taimakawa wajen bayyana ma'anar waɗannan jiyya.
- Kulawa na gida - An tsara magungunan gida don cire ciwon daji a asalinsu - a gida - kuma sun hada da tiyata da radiation far.
- Soshin lafiya - An tsara jiyya na jiki don magance ciwon daji a ko'ina a cikin jikinka, ba kawai kajin ka ba. Wannan yana da mahimmanci idan ciwon daji ya yada fiye da kajinka, idan akwai damar cewa akalla 'yan kwayoyin halitta sun wuce bayan kajinka. Magunguna na yau da kullum sun hada da chemotherapy, maganin kwantar da hankali, da kuma immunotherapy.
Tiyata - Domin ƙwayar cutar kututtuka na farko (mataki na zuwa mataki IIIA) tiyata zai iya ba da dama ga magani. Akwai hanyoyi daban- daban na aikin tiyata na huhu wanda za a iya zaba dangane da girman girman ka da wurinta. Mata masu fama da ciwon daji na huhu sun fi kyau fiye da maza da wadannan hanyoyin. A cikin nazarin daya, zangon rayuwa bayan da aka tilasta ciwon daji na huhu shine sau biyu ga mata da maza.
Magungunan radiation - Za a iya yin gyaran maganin radiation don dalilai da dama. A cikin kututtukan ƙwayar cutar daji wanda ba a iya yin amfani da shi saboda wasu dalili, wata hanyar da ake kira stereotactic body radiotherapy (SBRT) na iya ba da damar samun magani. An yi amfani da farfadowa na radiation (farfadowa mai yaduwa ta waje) bayan yin aikin tiyata don wanke dukkan sauran kwayoyin cutar ciwon daji. Haka kuma za'a iya yin kafin a tiyata tare da chemotherapy a cikin ƙoƙari na rage ƙwayar cutar zuwa girman da za a iya cire tare da tiyata. Hakanan za'a iya aiwatar da magani na radiation a matsayin magani mai mahimmanci - maganin da aka tsara ba don maganin ciwon daji ba, amma don ƙara rayuwa ko inganta yanayin bayyanar cutar. A cikin 'yan shekarun nan, an yi amfani da SBRT ga wasu mutane da kawai' yan metastases zuwa kwakwalwa daga cutar ciwon huhu 4. Duk da yake wannan ba sau da yawa wani zaɓi, kawar da "oligometastases" ta wannan hanyar ya haifar da rayuwa mai tsawo ga wasu mutane.
Chemotherapy - Mataye na tarihi sun amsa tambayoyin magungunan ƙwayoyin cutar shan taba da sukafi maza.
Magunguna da aka ƙayyade - Duk wanda ke da ciwon ƙwayar cutar ciwon ƙwayar cutar ƙwayar cutar ta jiki ya kamata ya yi gwajin (kwayoyin wallafe-wallafen) don nema maye gurbi. A wannan lokaci, jiyya suna samuwa ga waɗanda suke da maye gurbin EGFR , gyaran ALK , da ROS1 canje-canje , tare da wasu jiyya da ake bincika a gwaji. Daya daga cikin sababbin hanyoyin magance cutar. Tarceva (erlotinib) ma ya zama mafi tasiri ga mata.
Immunotherapy - Immunotherapy ne mai matukar farin ciki don magance ciwon daji , tare da magunguna biyu a cikin wannan rukunin da aka yarda da cutar ciwon huhu a shekara ta 2015.
Gwajen gwajin gwaji - Cibiyar Cancer ta Kanada ta bada shawarar cewa mutanen da ke fama da ciwon huhu na ciwon huhu suna la'akari da shiga cikin gwaji , Wadannan gwaji ba kawai taimakawa wajen ci gaba da bincike kan cutar ciwon huhu ba, amma, a wasu lokuta, yana ba wa mutane rai da ke ba da magani.
Taruwar Survival
Rayuwar rayuwa kan ciwon daji a cikin mata ya fi kowa girma a duk matakai na cutar. Abin baƙin ciki, yawan shekaru 5 na rayuwa shine kawai kashi 18 cikin 100 (kashi 12 cikin dari na maza), amma wannan lambar zai iya karuwa a nan gaba. A matsayin misali don nuna wannan bege, akwai karin sababbin jiyya da aka yarda da cutar ciwon huhu a cikin lokaci tsakanin 2011 da 2017, fiye da shekarun arba'in da suka wuce 2011. Yana iya taimakawa wajen tunawa cewa an kiyasta yawan kuɗin rayuwa bisa la'akari da yadda ake amfani da kididdiga mutane sun amsa maganin cutar kanjamau a zamanin da.
Taimako
Abin takaici, har sai kwanan nan akwai tallafi kadan ga mata masu fama da ciwon huhu a cikin mahaukaci fiye da yadda ake samu ga wasu cututtuka. Wannan ita ce hanyar da za a magance ciwon daji na huhu ba zai iya zama da wuya fiye da shan maganin ciwon daji (hakika, shan wuya tare da YAKE ciwon daji yana da wuyar gaske kuma ba zan iya rubuta wannan ba tare da kasancewa mai ciwon daji na kansa ba.) Amma abin da mahalarta ciwon huhu ta rasa a cikin yawan lambobin da ke cikin zurfin, kuma akwai wata kungiya mai fama da ciwon huhu na huhu da ke taimakawa a can. Bincika wannan labarin akan gano kungiyoyin tallafi na kwakwalwa na huhu da yankunan tallafi . Idan kun kasance a kan kafofin watsa labarun, yaktag #LCSM na iya taimaka maka ka sami wasu suna fuskantar matsaloli irin wannan. Kowace Alhamis a twitter akwai "tweetchat" a kan batun cutar kanjamau. Ba kamar wani abu ba a gabanin, waɗannan maganganu suna ba da dama ga marasa lafiya na ciwon huhu, masu kula da su, masu bayar da shawara, masu likitan kwari da masu bincike na huhu, su duka su sadarwa a kan ko wane mataki. Ƙara koyo game da kafofin watsa labarun ciwon huhu na huhu (#LCSM.)
Kasancewa Kan Kanka
Idan muna kiran sunan abu ɗaya wanda wani zai iya yin don inganta rayuwarsu da ciwon huhu da ciwon huhu, zai zama don yin shawarwari don kanka. Idan kun shiga cikin ciwon daji na huhu, zaku hadu da mata da dama wadanda ke da rai kawai saboda sun shiga cikin koshin lafiya. Magungunan ciwon huhu na huhu suna canza saurin, kuma likitoci kawai mutum ne. Yana da wuya a ci gaba da kasancewa a kowane sabon nazarin da gwaji na asibiti. Bincika waɗannan shawarwari game da yadda za a gudanar da bincike kan ciwon daji a kan layi , da kuma yadda za ka zama mai bada shawara a kan kulawar ciwon daji . Abin godiya, ba dole ba ne ka yi wannan kadai. Bugu da ƙari ga ƙungiyar ciwon daji na huhu, da dama daga cikin kungiyoyin ciwon daji na huhu sunyi aiki tare don samar da aikin likitancin kwakwalwa . Tare da wannan sabis na kyauta, mai burau yana iya duba ƙididdigarka na musamman da kuma bincika gwaji na asibiti da ke faruwa a ko'ina cikin duniya wanda zai iya zama wani zaɓi a gare ku.
Taimako wanda yake ƙauna
Idan dan kaunataccen wanda aka gano da ciwon huhu na huhu zai iya jin dadi da rashin taimako. Ta yaya za ku iya taimaka wa ƙaunatacciyar ciwon daji? Yi ɗan lokaci don shiga cikin takalma. Ga wani labarin wanda yayi magana game da "abin da yake son zama tare da ciwon daji" kuma ya ba da labarin game da abin da masu tsira da ciwon daji na huhu suka so su san 'yan uwansu. Abu mafi muhimmanci da zaka iya yi shi ne saurara kuma ya kasance a can. Daya daga cikin mafi girman tsoro ga wadanda ke fama da ciwon daji shine cewa zasu zama kadai.
Sanya da Kudin
Yayinda yawancin mata suka mutu daga ciwon huhu na huhu fiye da ciwon nono, yawancin kudaden da aka tsara don bincike kan cutar ta nono shine bincike kan cutar kanjamau. Mutane da yawa suna aiki tukuru don rage cutar kututtukan huhu, da kuma yin haka, da fatan za su kara yawan kudaden masu zaman kansu da na jama'a don cutar.
Rage Haɗari
Abin godiya, ko da yake cutar ciwon huhu ne babbar hanyar ciwon daji a cikin mata, akwai wasu abubuwa da za ku iya yi don rage yawan hadarinku.
- Idan kina shan taba, bar
- Ka guje wa hayaki
- Gwada gidanka don radon
- Aiki .
- Bincika wadannan abubuwan da za su iya rage ciwon daji na huhu , kuma, idan kun kasance tare da ciwon huhu tare da ciwon huhu, sai kuyi ɗan lokaci don koyi game da wadannan ciwon daji na yaduwar cutar kanjamau .
> Sources:
> Cibiyar Ciwon Ƙwayar Yammacin Amirka. Maganganun Ciwon daji da Ma'aikata na 2017. https://www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-figures/cancer-facts-figures-2017.html
> Chlebowski, R. et al. Estrogen da progestin da ciwon huhu a cikin mahaifa a cikin mata postmenopausal (Mataimakin Kiwon Lafiyar Mata): wani bincike na bayanan gwajin gwagwarmaya. Lancet . 2009. Sep 18. (Epub gaba da bugu).
> Claque, J., Reynolds, P., Henders, K. et al. Menopausal Hormone Far da Lung Cancer-Musamman Mutuwa Bayan Bin hankali: Sanarwar Nazarin California. PLoS Daya . An buga Yuli 31, 2014.
> Kazmi, N. et al. Halin yaduwar estrogen, progesterone da aromatase a cikin kwayar cutar ciwon huhu na ɗan adam. Kwayar Wutar Cancer . 2012. 1 (4): 259-272.
> Meinhold, C. et al. Abubuwan haifuwa da abubuwan hormonal da kuma hadarin ciwon daji na suturar ƙwayoyin cuta. Jaridar Duniya na Ciwon Cutar . 2011. 128 (6): 1404-13.
> Pesatori, A. et al. Amfani da mahaukaci da kuma hadarin ciwon daji na huhu: binciken da aka samu daga Cibiyar Kwayar Cancer ta Duniya (ILCCO). Jaridar British Journal of Cancer . 2013 Sep 3. (Epub gaba da bugu).
> Yao, Y. et al. Hanyoyin sauyawa na mata a cikin mata na iya rage yawan cutar ciwon huhu na huhu: wani zane-zane. PLoS Daya . 2013. 14 (8): e71236.