Yayin da za'a iya amfani da ciwon daji na biyu don komawa zuwa ko dai na biyu na ciwon daji na farko ko kuma ciwon daji wanda ya yada daga wani sashi na jiki zuwa wani ( ciwon ƙwayar cuta ).
A cikin wannan tattaunawa, ba za muyi magana game da ciwon daji na cin zarafi ba, amma kawai na biyu na ciwon daji na farko.
Iri
Yana da mahimmanci don yin wani bambanci tare da ciwon cututtuka na biyu. Idan wani ya taso da ciwon daji na biyu zai iya zama don dalilai kadan.
Ɗaya, kuma wanda zamu tattauna a nan shine ciwon daji na biyu wanda ya haifar da sakamakon ciwon daji na cututtuka da muke amfani dashi don ciwon daji.
Wata hanyar da ake amfani da ita na ciwon ƙwayar cutar ta biyu ko na farko na ciwon daji na farko shine a lokacin da wani ya taso da ciwon daji na biyu - ko dai a wurin wurin da ciwon daji na farko ko kuma sauran wurare - wannan ba shi da nasaba da jiyya na ciwon daji na farko. Wadannan suna da mahimmanci kamar yadda duk wani wanda ya riga ya riga ya riga ya bayyana shi don ci gaba da ciwon daji a farkon wuri zai iya zama alhakin sake cigaban ciwon daji na biyu. Wannan ana kiran shi ne batun "lamarin haɗari."
Related to Previous Cancer Treatment
Na biyu cututtuka da suka danganci jiyya daga ciwon daji da suka gabata ba su saba ba, amma lalle ne, yana faruwa. Mun san cewa yawancin kwayoyi na chemotherapy, ban da kashe kwayoyin cutar kanjamau, suna da ikon haifar da ciwon daji ta hanyar lalata DNA a cikin kwayoyin halitta. Haka ma gaskiya ne game da maganin radiation.
Don fahimtar wannan, zai taimaka wajen magana game da yadda cutar chemotherapy da aikin radiation. Wadannan jiyya sukanyi aiki da yawa ta hanyar haifar da " lalacewar abuwan abu " ga kwayoyin halitta a cikin sel. Dalilin da aka yi amfani da su tare da ciwon daji shine cewa kwayoyin cutar ciwon daji, a zahiri, raba da sauri fiye da kwayoyin lafiya, kuma wannan lalacewar zai iya faruwa a cikin kwayoyin cututtuka.
Kalmar yin amfani da kwayoyin halitta yana nufin cewa wani abu yana faruwa wanda yake buƙatar isowar oxygen.
Wata hanya ta kara fahimtar wannan lalacewa - da kuma fahimtar yadda ciwon daji zai iya samuwa gaba ɗaya da kuma amsa ga maganin ciwon daji, shine ya dubi wannan karfin. Mun ji mai yawa game da antioxidants. Antioxidants aiki da tsayawa wannan dauki. Saboda wannan dalili, ana gargadi mutane sau da yawa don kauce wa antioxidants a lokacin maganin ciwon daji - ba ka so ka kare kwayoyin ciwon daji daga lalacewa.
Rashin lalacewar cutar chemotherapy da radiation na iya, duk da haka, zai shafi DNA na ƙwayoyin sel. Daga baya, wannan lalacewa zai iya haifar da waɗannan kwayoyin halitta na zama ciwon daji. Idan wannan ya faru wani ciwon daji zai tasowa.
Bayan Radiation Jiyya
Mun fara fara ganin shaidar ciwon daji na biyu a cikin mutanen da suka kamu da cutar. Hasarin ciwon daji na biyu daga radiation ya dogara da:
- Sakamakon radiation
- Yankin da aka fallasa zuwa radiation
- Shekaru na haƙuri
Rashin haɗari na ƙwayar cututtuka daga radiation na farfadowa yana inganta yayin da akwai "kasa" da sababbin fasahohi fiye da tsofaffin ƙwayoyi, ma'anar cewa ƙananan kayan da aka fallasa. Ga wadanda ke damuwa da jin wannan da ke fama da ciwon nono, haɗarin ciwon daji na biyu daga radiation a lokacin da mastectomy ya kara yawan haɗari, amma ya bayyana cewa babu wani haɗari mai yawa daga radiation farfet da aka ba bayan da ya dace.
Bayan Chemotherapy
Magungunan sakandare na biyu zai iya faruwa bayan shan magani, tare da ciwon daji na yau da kullum shine cutar sankarar bargo. Drugs wanda zai iya haifar da cutar sankarar bargo sun hada da alkylating jamiái, da maganin platinum, da kuma topoisomerase inhibitors.
Wasu magungunan maganin magunguna na iya ƙara haɗarin haɗarin ciwon daji na biyu.
Bayan Farfesa Target
Wasu magungunan maganin magunguna na iya ƙara haɗari na ci gaba da ciwon daji na biyu, musamman waɗanda aka tsara don kai hari ga BRAF.
Bayan Yarda Cell Transplants
Magungunan sutura masu sutura masu sassaucin jini suna da babban haɗari na sakandare na biyu. Wannan zai iya alaka da radiation da kuma maganin cututtukan chemotherapy mai tsanani kafin a dashi, da kuma kwayoyin immunosuppressive da ake buƙata don hana rejection bayan dashi.
Sources:
Cibiyar Cancer ta Kasa. Division na Ciwon daji Epidemiology da Genetics. Na biyu na Cancers. https://dceg.cancer.gov/research/what-we-study/second-cancers