Yaya Kalmomin Kwayoyin Cutar Kullum Suke Kwayar Kwayoyin cuta?
Idan kana kawai farawa ko kuma a tsakiyar magani don lymphoma na Hodgkin , magana game da wani ciwon daji na iya zama abin da kake so a ji. Kafin tattaunawa game da hadarin da kuma yawan ƙwayar cutar na biyu yana da muhimmanci a lura da cewa yawancin cututtuka irin na likita na biyu na yawanci yawanci ne mafi yawan gaske. A cikin karni na arni na ƙarshe, yawan shekaru 5 na rayuwa na lymphoma na Hodgkin ya karu daga kashi 10 zuwa kusan kashi 90 cikin 100, kuma mutumin da ke dauke da cutar zai iya sa ran zai warke.
Sanarwar da yiwuwar sakandare na biyu zai zama mafi mahimmanci ga wadanda suka shiga abin da aka tsara a lokacin "ciwon tsira" lokaci na ciwon daji. Duk da yake wani ɓangare mai muhimmanci na mai tsira yana koyo ya kauce daga matsayinka na "ciwo mai ciwo" kuma don dakatar da bayyanawa ta hanyar ciwon daji, za a buƙatar ka fahimci wannan hadarin da zai yiwu da dogon lokaci.
Bari muyi magana game da yadda muhimmancin wannan hadarin zai iya zama, da yawancin cututtuka da suka shafi cututtuka da aka yi amfani da cutar Hodgkin, kuma mafi mahimmanci, duba yadda zaka iya inganta lafiyarka na tsawon lokaci bayan magani ta hanyar ganowa ta farko da kuma rage hadarin.
Menene Ana Zama Cutar Canji na Secondary?
Magungunan sakandare na biyu bayan cutar Hodgkin an bayyana a matsayin cigaban ciwon daji biyu ba tare da dangantaka da ciwon daji na asali ba. Cutar da ke dauke da baya-ba a dauke shi da ciwon daji ba, amma a sake komawa cutar.
Za a iya kira wani ciwon na biyu na ciwon daji a matsayin na biyu na ciwon daji na farko , ta jaddada cewa ciwon daji na biyu ba shi da alaƙa da na farko.
Magungunan cututtuka irin su chemotherapy da radiation na farke iya maganin Hodgkin lymphoma, amma a lokaci guda, su ne carcinogens (ciwon daji) da kansu. Rashin lalacewar wadannan jiyya na haifar da DNA a cikin kwayoyin halitta na iya aiki da ban sha'awa don kawar da jikin ka na ciwon daji, amma kuma zai iya lalata kwayoyin halitta a al'ada, kwayoyin lafiya, wani lokacin sukan fara canje-canje wanda zai haifar da ci gaban kwayar cutar ciwon daji.
Magungunan sakandare na biyu na iya faruwa a cikin watanni zuwa shekarun da suka gabata bayan ciwon daji na asali
Yaya Kalmomin Kwayoyin Wuta Ne Na Kwararrun Bayanai Bayan Lymphoma Hodgkin?
Mene ne haɗarin bunkasa ciwon daji na biyu idan kun sami Hodgkin cuta? Amsar za ta bambanta dangane da irin wannan magani da kake da ita, shekarunka a ganewar asali, da kuma sauran dalilai. Ko da yake muna da wasu ra'ayoyin da cutar za ta iya faruwa da kuma dalilin da yasa yake da wuya a kimanta ainihin lamarin ga kowane mutum. Nazarin ya dubi kungiyoyin mutane tare da lymphoma Hodgkin a tsawon lokaci, amma wadannan mutane sun karbi nau'o'in daban-daban. Tun da daya daga cikin maza biyu da daya daga cikin mata uku ana sa ran ciwon ciwon daji a cikin rayuwarsu har ma ba tare da samun cutar Hodgkin ba, har ma ya fi wuya a ƙayyade ainihin hadarin.
Yayin da muke magana game da hadarin da farashin, ka tuna cewa wadannan ƙananan kuɗaɗɗun ne bisa ga mutumin da ke dauke da cutar Hodgkin. Duk da haka, ainihin mutane ba su da yawa.
Yawanci, ana tsammanin cewa kashi 20 zuwa 30 na mutanen da suka tsira daga lymphoma na Hodgkin zasu haifar da ciwon daji na biyu. Rashin lafiyar daya daga cikin wadannan cututtukan (ba duka likitocin da aka ƙãra ba) yana da kusan sau 4.6 da hadarin yawan jama'a.
Nazarin binciken na 2015 a New England Journal of Medicine ya dubi fiye da kimanin shekaru 39 da suka kamu da cututtuka na Hodgkin kimanin shekaru 20.
Matsakaicin shekaru a lokacin ganewar asali ga wadannan mutane sun kasance 28. Wasu daga cikin wadanda suka tsira sunyi chemotherapy, wasu suna da radiation, kuma kashi 60 cikin dari sun karbi wadannan jiyya. Daga cikin wadannan mutane, mutane 908 suka sami ciwon daji na biyu.
Wani binciken kuma ya duba mutane da Hodgkin lymphoma wadanda suka kasance shekaru 35 ko fiye daga magani. Rashin ciwon daji na shekaru 30 ya kai kashi 33.2 cikin dari (idan aka kwatanta da kashi 9.6 cikin dari na yawan jama'a) da kashi 48.5 a cikin shekaru 40 (idan aka kwatanta da kashi 19 cikin dari na yawan jama'a).
Wadanne cututtuka ke bunkasa haɗarin cutar kankarar sakandare?
Kamar yadda muka gani a sama, mun san cewa maganin ilimin chemotherapy da radiation na iya lalata kwayoyin lafiya, amma wasu jiyya sun fi wataƙila da wasu don tada hadarin ciwon daji.
Harkokin radiation zuwa kirji don lymphoma na Hodgkin ya dade yana da alaka da hadarin ciwon nono , ciwon huhu na huhu , da ciwon maganin thyroid. A baya, duk da haka, asarar radiation da kuma yawan nauyin al'ada da aka fallasa ya fi girma. A halin yanzu, ana amfani da maganin radiation sau da yawa don bi da lymphoma Hodgkin, ko da yake ana amfani dashi akai-akai don cutar ta farko. Ana amfani da radiation wanda aka yi amfani dashi yanzu zuwa wani yanki mafi mahimmanci, wanda aka iyakance ga kyallen takalmin da Hodgkin lymphoma ( radar field radiation ) ya shafa.
Radiation da aka bayar a ƙasa da diaphragm, da bambanci da radiation kirji, ƙara haɗarin ciki, pancreatic, da ciwon daji.
Chemotherapy yana haifar da lalacewar lalacewar jiki, amma wasu nau'o'in ƙwayoyin cutar chemotherapy zai iya haifar da lalacewa wanda zai haifar da ciwon cututtuka na biyu. Hanyoyin da aka sani da wakilan alkylating suna dauke da haɗari mafi girma (musamman procarbazine). Alkylating jamiái suna hade mafi karfi tare da ƙãra hadarin na wadanda ba Hodgkin lymphoma .
Procarbazine ya kasance a cikin BEACOPP chemotherapy tsarin da dacarbazine, wani wakilin alkylating daya daga cikin kayan ABVD chemotherapy .
Shin Rashin Ciwon Magunguna na Ƙararren Ƙaramar Ƙari ne ko Ƙarawa?
Yawancin ci gaba sun faru a lokacin shan magani na Hodgkin lymphoma a tsawon lokaci. Kamar dai yadda aka sani, wasu daga cikin abubuwan da ke da haɗari ga magungunan sakandare sun fito daga radiationrapy da chemotherapy tare da alkylating agents.
Yayinda yake fahimta cewa hadarin cututtuka na biyu zai ragewa, tun da amfani da jiyya mafi yawan dangantaka da cututtuka na biyu yana ragewa, babu wani shaida da cewa wannan yana faruwa, kuma wasu nazarin suna nuna cewa karamin ƙananan hadarin.
Yawancin ciwon daji na yau da kullum da ke faruwa bayan da Hodgkin Lymphoma Jiyya
Mafi yawan cututtukan sakandare na kowa a cikin mutanen da suka sami lymphoma Hodgkin sun hada da:
- Ciwon daji na ciwon daji - Ciwon daji na jikin mutum ne wanda aka samu a cikin mutanen da aka bi da su don Hodgkin lymphoma. Akwai shawarwari masu dacewa (duba ƙasa) don nunawa na farko don ciwon nono wanda ya dogara da shekarun da aka gano ka da cutar Hodgkin da kuma irin hanyoyin da ka samu. Alal misali, matan da suka karbi radiation ga lymphoma Hodgkin (radiation radiation) zuwa cikin kirji kafin shekarun 30 ya kamata suyi jarrabawar MRI a kowace shekara da kuma jarrabawar jariri tun daga farkon shekaru 30. A yawanci, matan da aka magance su ga lymphoma na Hodgkin ya fara farawa ciwon daji yana nunawa a shekaru 40 a sabuwar. Ka tuna cewa mutane na iya samun ciwon nono.
- Lymphoma non-Hodgkin - Kamar yadda muka gani a sama, lymphoma ba Hodgkin an danganta shi sosai ga tsarin chemotherapy wanda ya hada da alkylating agents kamar procarbazine.
- Ciwon huhu na huhu - Magungunan radiation zuwa kirji don cutar Hodgkin a sama da ciki shine ciwon daji na gaba daya. Mutane da yawa masu bincike sun yi imanin cewa sababbin hanyoyin fasahar radiation zai haifar da ƙananan cututtuka na biyu.
- Ciwon daji na Colon - Akwai ƙarin haɗarin ciwon daji na nakasassu, musamman ga wadanda suka sami radiation a karkashin diaphragm tare da chemotherapy wanda ya hada da procarbazine. Bincike yana cigaba yana kokarin ƙoƙarin ƙayyade hanya mafi kyau don nunawa mutanen da suka sami lymphoma Hodgkin wadanda sukayi maganin wadannan jiyya.
- Ciwon daji na Pancreatic - Ciwon daji na Pancreatic ya danganta da radiation a ƙasa da diaphragm.
- Cutar ciwo - Kamar yadda ciwon daji na pancreatic, ciwon ciki yana yawanci hade da tarihin samun radiation far da ke ƙasa da diaphragm.
- Murawon cutar sankarar myeloid mai cututtuka - cutar sankarar bargo a matsayin ƙananan ciwon daji ba kamar yadda aka yi tunanin ba, amma har yanzu ana ci gaba da haɗari a cikin wadanda suka tsira daga cutar Hodgkin. kamar yadda aka yi tunani a baya. Kwayoyi irin su Cytoxan (cyclophosphamide) suna dauke da babbar hadari. Cytoxan yana daya daga cikin kwayoyi a BEACOPP chemotherapy.
Sauran Ƙwayar Cutar Da Suka Karu A Wadanda Da Hodgkin Lymphoma
- Melanoma
- Myelodysplastic ciwo (MDS)
- Ciwon daji na launi ko harshe, ciwon daji na gland
- Ciwon daji
- Ciwon daji
- Kwayar da aka yi da ciwon daji da cututtuka
- Ciwon daji na mahaifa
- Ciwon daji na thyroid
- Sarcoma Kaposi
Yaya Tsaron Ciwon Magunguna na Kwararre na Ƙarshe?
Ba'a san ko yaushe tsawon hadarin kewayo na ci gaba ba, ko da yake yana da wataƙila akwai haɗarin haɗari ga sauran rayuwar. Gaba ɗaya, yana bayyana cewa mafi girma hadarin na ciwon kwari na biyu zai faru a cikin shekaru goma bayan bin magani.
Sharuɗɗa don Kulawa ga Ciwon Magunguna
A halin yanzu akwai jagorori a wurin don nunawa ga wasu ƙwayar cutar. Wadannan jagororin masu tsira sunyi bayani akan takamaiman shawarwari bisa ga shekarun ku a ganewar asali, da irin nau'in magani da kuka samu, da kuma tsawon lokaci tun lokacin da kuka kammala maganin. Yana da mahimmanci ga duk wanda ya yi fama da cutar Hodgkin don ya duba waɗannan sharuɗɗa kuma ya tattauna da su da likitan ilimin likita. Ƙara wa waɗannan sharuɗɗa ya kamata ya kasance wasu abubuwan haɗari ko tarihin iyali na ciwon daji da kuke da ita.
Kulawa da Ganowa da Farko da Sanin Ciwon Halittu
Duk da yake akwai wasu jagororin da za a iya ganowa na farko na cututtuka na biyu, yana da mahimmanci a nuna cewa ba a halin yanzu an gwada gwaje-gwaje don yawancin cututtukan da ake karuwa a waɗanda ke da lymphoma Hodgkin.
Alal misali, ba mu da wata hanyar da za mu iya magance mutane a kai a kai don lymphoma ba Hodgkin, ciwon daji na kowa bayan magani. A yanzu, yana da kyau cewa wadanda ke Hodgkin lymphoma ya kamata su lura da bayyanar cututtuka na lymphoma ba Hodgkin kuma su nemi likita idan wani daga cikin wadannan alamun ya kamata ya tashi.
Ga wa] annan cututtukan da wa] annan sharu]] an ke faruwa, zaku iya sa ran canji. Muna kawai fara fahimtar hadarin ƙwayar cututtuka na biyu, kuma an gudanar da bincike mai yawa.
Muhimmancin Gudanar da Bayanan Kulawa Bayan Hodgkin Lymphoma
Bugu da ƙari da duk wani biyan da shawarar da likitanku ya bayar domin ganowa na farko na kanjamau, yana da muhimmanci a tabbatar cewa kun kasance kwanan wata a kan gwaje-gwaje "na al'ada".
Sau da yawa lokutan da ake magance ciwon daji, wasu matsalolin kiwon lafiya suna turawa zuwa ƙoshin baya (ko kuma kashe murfin gaba daya). Za a iya gwada gwaje-gwajen gwaje-gwaje irin su colonoscopy. Ga mutane da yawa, abin da suke son yin bayan kammalawa shi ne samun gwaji wanda zai iya gano wani ciwon daji!
A wani bayanin kula, za ka iya samun abin da zai iya kasancewa farkon bayyanar cutar ciwon daji, amma dangane da abin da ka kasance ta hanyar, alamarka mai yiwuwa ba ze duk abin da yake da muhimmanci ba. Mutanen da ke fama da ciwon daji sukan koyi zama tare da wasu matsanancin zafi ko rashin tausayi, kuma kusan kowa yana koyon zama tare da gajiya. Zai iya zama da wuyar gane bambancin gajiya saboda sabon matsala daga gajiya wadda ke da alama har abada bayan magani. Saurari jikin ku kuma ku amince da ku. Idan wani abu ya bambanta, magana da likitan ku.
Ta Yaya Zaku Rasa Ƙarin Kwayar Cutar Canji na Biyu?
Bugu da ƙari ga gwaje-gwaje na gwaje-gwaje likitanku ya bada shawarar, yin amfani da salon rayuwa mai kyau zai iya rage haɗarin bunkasa ciwon daji na biyu. Wannan ya hada da:
- Cin abinci mai kyau
- Kula da lafiyar lafiya
- Guje wa taba
- Yin aiki akai-akai
- Ƙayyade barasa mai amfani
- Biyo bayan kula da lafiyar lafiyar da aka tsara
Bugu da ƙari, ƙila za ku iya duba waɗannan shawarwari kan rage ƙananan ciwon ciwon ciwon ciwon daji , waɗannan shawarwari kan rage yiwuwar cutar ciwon huhu a cikin mahaifa , da kuma waɗannan ra'ayoyin akan rage rashin lafiyar nono .
Kalma Daga
Zai iya zama firgita don sanin akwai hadarin cututtuka na biyu bayan magani ga lymphoma na Hodgkin, amma akwai abubuwa da yawa da za ku iya yi don rage yawan hadarinku. Kyakkyawar salon rayuwa zai iya taimakawa wajen rage hadarin wadannan cututtuka da kuma yanayin kiwon lafiya na kowa a cikin jama'a. Yana da mahimmanci don yin magana da likitan ilimin likitancinka game da yadda aka tsara shawarar da ya dace akan jiyya da ka samu. Har ila yau yana da kyakkyawan ra'ayi don samun sabon bayyanar cututtuka da aka bincika nan da nan. Wannan haɗin haɓaka ƙananan haɗarinka da karuwar damar da za ku samu ciwon daji a cikin ƙananan hanyoyin da za a iya samowa zai iya zuwa hanya mai tsawo don yin tsira da Hodgkin lymphoma "sababbin al'ada."
> Sources:
> Keegan, T., Bleyer, A., Rosenerg, A., Li, Q., da kuma Mr. Goldfarb. Na biyu na Neoplasms na Farko da Rayuwa a Yaro da Matasan Matasa masu tsira da ƙwayar cuta. JAMA Oncology . 2017 Apr 20. (Epub gaba da bugu).
> Norval, E., da E. Raubenheimer. Na biyu Malignancies a Hodgkin Cututtuka: A Review na wallafe-wallafe da kuma rahoton wani Case tare da Lyaryhoma Lennert na Secondary. Journal of Oral and Maxillofacial Pathology . 2014. 18 (Sanya 1): S90-5.
> Radford, J., da D. Longo. Magunguna na biyu bayan magani ga Lychoma Lycoma - Ci gaba da Damuwa. Jaridar New England Journal of Medicine . 2015. 373: 2572-2573.
> Rigter, L., Spaander, M., Moons, L. et al. Harkokin Cutar Canjin Canjin Lafiya a Hodgkin Lymphoma Wadanda suka tsira a Rashin Ƙarƙashin Ciwon Cutar Kwayoyin Cutar Kwayoyin Lafiya: Design Design. BMC Kankara . 2017. 17 (1): 112.
> Schaapveld, M., Aleman, B., van Eggermond, A. et al. Na biyu Ciwon Canji na har zuwa shekaru 40 bayan Jiyya ga Lyghoma na Hogkin. Jaridar New England Journal of Medicine . 2015. 373: 2499-2511.