Ƙananan ƙananan ƙananan ƙwayoyin Neuroendocrine Tumatir na Kanar
Idan kai ko wanda kake ƙaunata an gano shi tare da mummunan ƙwayar neuroendocrin na ciwon kofi ko tsinkayyi, za ka ji jin tsoro da damuwa. Cutar cutar neuroendocrine mai tsanani ba shi da na kowa fiye da wasu ciwon sukari. Bugu da ƙari kuma, an ba su damu da yawa kuma yana da muhimmanci a zama mai ba da shawara idan kana da daya daga cikin wadannan ciwace-ciwacen.
Mene ne mun san game da waɗannan ciwon daji, yadda ake kula da su, kuma menene alamomi?
Menene Neuroendocrine Tumatir?
Neuroendocrine ciwace-ciwacen ne ciwon daji wanda fara a cikin neuroendocrin Kwayoyin. Suna iya faruwa a cikin sashin jiki, ƙwayoyin huhu, ko kwakwalwa. A cikin wuri mai narkewa zasu iya shiga cikin ciki, da ƙananan ƙwayar jiki, da ƙananan hanji, mahaifa, da kuma ɗayan.
A cikin ciwon da ciwon sukari, ciwon daji na neuroendocrin yana da kashi 2 cikin dari ko kuma marasa ciwon daji . Abin takaici, ba kamar wasu ciwon ciwon ciwon mallaka, maganin ba ya canzawa sosai a cikin 'yan shekarun nan tare da bincikar ciwon shan ciwon mallaka.
Tashin ciwon daji na Neuroendocrin ya karu, tare da karuwar haɓaka 5 da aka rubuta daga 1973 zuwa 2004 kuma ci gaba da karuwa tun lokacin. Babu tabbacin dalilin da yasa wannan yake faruwa a wannan lokaci.
Matsananciyar vs. Mafarki Tumatir
Neuroendocrine ciwace-ciwacen da aka fara raba zuwa kashi biyu na asali bisa ga mummunan ciwon daji.
- Babban ƙananan tantanin halitta da ƙananan ciwon ƙwayoyin neuroendocrine sune m. Wadannan ciwace-ciwacen sun yi girma da sauri kuma suna mamaye wasu kyallen takarda
- Tashin ciwon sukarin Carcinoid na mazaunin suna dauke da lalata. Suna yaduwa cikin sauri kuma ba su da haɗari fiye da tantanin halitta da ƙananan ciwon ƙwayoyin cutar neuroendocrine.
Yana da mahimmanci don bambanci ciwon sukari da rashin tausananci kamar yadda mafi kyau duka jiyya da kuma yadda matsala ta bambanta sosai.
Ƙananan Cell da kananan ƙwayoyin tumatir
Mafi tsayi, ko kuma mummunan ciwon daji, neuroendocrin ciwon sukari suna rabu zuwa manyan kwayoyin halitta da ƙananan ciwon ƙwayoyin cell, wanda ya bambanta dangane da bayyanar da kwayoyin halitta a karkashin na'urar microscope. Dukkanin ciwon daji ana daukar su sosai "wanda ba a sani ba" wanda yake nufin cewa kwayoyin suna nuna matukar mawuyacin zumunta da kwayoyin neuroendocrin na al'ada kuma suna nuna matukar damuwa. A baya an yi tunanin cewa ciwon tumuttuka da yawa sun kasance mafi yawanci, duk da haka bincike na shekara ta 2016 ya gano kashi 89 cikin dari na ciwon sukari ƙananan ciwon ƙwayoyin neuroendocrine ne kawai.
A wasu hanyoyi, ciwon daji na neuroendocrin na kama da ƙwayar cutar ciwon ƙwayar ƙwayar ƙwayar cuta, kuma sau da yawa suna karɓar maganin magunguna, amma basu da alaka da shan taba fiye da ƙwayar cutar ƙwayar cutar ƙwayar cutar ƙwayar cuta kuma basu iya samun metastases zuwa kasusuwa da kwakwalwa ba.
Wasu binciken sun gano cewa ciwon sukari yana faruwa a gefen dama na mazaunin (hawan hawa) yayin da binciken da aka yi kwanan nan ya gano cewa wurin da yafi kowa don wadannan ciwace-ciyen shine gwargwadon tushe da sigmoid.
Ciwon gine-gizon ciwon kankara ba ya haifar da karuwa mai girma a cikin maganin wadannan ciwon sukari ba, ko da yake a binciken daya, kashi 30 cikin 100 na ciwon sukari da aka samu sun hada da adenomas .
Yawancin ciwon sukari (64 bisa dari) na da mataki na 4 ko ƙaddamarwa a lokacin ganewar asali.
Cutar cututtuka
Hanyoyin cututtuka na ciwon daji na neuroendocrine na mazauni na iya haɗa da canje-canje na halaye na ciki, irin su cututtukan zuciya, zafi na ciki, da duka girman glucose na jini. Tun lokacin da ake samun ciwon sukari a cikin matakai na baya, an gano yawan alamun ciwon daji na ciwon daji kamar ƙananan asarar rashin lafiya .
Tabbatar da Tabbatar da Daidai
Bincike ya nuna cewa yawancin ciwon daji na neuroendocrin sukan kasance a farkon lokacin da ba a gane su ba a matsayin cutar ciwon carcinoid. Wannan kuskure ne mai ban mamaki tun lokacin da carcinoids ke girma cikin sannu a hankali kuma baza yasuwa ba.
Idan an gaya maka cewa kina da ciwon carcinoid, tabbatar da cewa likitan ilimin likita ya yarda da ganewar asali. Yin haka zai buƙaci ka tambayi likita wasu tambayoyi masu mahimmanci:
- Shin mai ilimin likitancin ya shiga cikin ƙarshe na karatun ƙwararren ƙwararrun?
- Shin mai ilimin likitancin ya shawo kan bambancin tsakanin tsauraran ƙwayoyin neuroendocrine da ƙyama?
- Shin masanin ilimin likita ya nuna shakku game da ganewar asali?
Idan amsoshin ba a'a ba, a'a, kuma babu (ko ainihin kusa da wannan), kungiyar likita ta sami karin aikin da za su yi kafin su samar maka da ganewar asali.
Jiyya
Babu a halin yanzu duk wani nau'i na kwarai don mummunan ciwon daji na neuroendocrine na mazaunin da dubun. Amma, magani zai dogara ne akan mataki na ƙwayar. Idan daya daga cikin wadannan ciwon sukari yana samuwa a farkon matakai, za a iya daukar nauyin tiyata, radiationrapy, da kuma chemotherapy.
Don ci gaba da cikewar ƙananan ciwon daji neuroendocrine, chemotherapy shine jiyya na zabi kuma zai iya haifar da rayuwa mai tsawo. Ka'idojin cutar shan magani yana kama da waɗanda aka yi amfani da su na ciwon daji na ƙwayar cutar kwayar cutar , kamar yawancin kwayoyin platinum irin su Platinol (cisplatin) ko Paraplatin (carboplatin.)
Binciken da ya shafi rubutun kwayoyin halittu na wadannan ciwon sukari yana sa zuciya cewa, a nan gaba, maganin cutar zai iya samuwa don magance cutar.
Faɗakarwa
Cutar cutar neuroendocrine mai tsanani ne ake ganowa a mafi yawan matakai, yanayin da ke haifar da matsala mara kyau. Abin sani kawai wanda ya nuna yanzu shine inganta inganta rayuwa shine kariya.
A halin da ake ciki yanzu, yawancin rayuka (tsawon lokaci bayan da rabin mutane suka mutu kuma rabi suna rayuwa) yana da watanni 13 zuwa 15, tare da tsawon rayuwan shekaru biyu na kashi 23 da kuma tsawon shekaru 5 na takwas kawai kashi.
Ciyarwa
Yin gwagwarmaya tare da ciwon dajin neuroendocrin mai girma ba kawai tsoratarwa bane, amma zai iya zama mai ban mamaki kamar yadda yanayin ba shi da kowa. Mahimmancin ƙwayar cutar yana da, rashin alheri ba a canza ba a cikin 'yan shekarun nan, amma ci gaba a jiyya, kamar zuwan maganin cutar da immunotherapy , yana ba da bege cewa sababbin jiyya zai kasance a cikin sabuwar makomar.
Yi magana da likitanku game da wani zaɓi na gwaji na gwaji wanda ke kimanta wadannan sababbin jiyya. Ka kasance mai ba da shawara a cikin kulawar ciwon daji da kuma yin tambayoyi. Ka nemi taimako daga ƙaunatattunka ka kuma bari su taimake ka. Bugu da ƙari, mutane da yawa suna samun taimako wajen isa ga al'ummomin talla na kan layi. Ko da yake cikewar ciwon daji na neuroendocrine ba abu ba ne kuma yana da wuya cewa kana da ƙungiyar goyon bayan wannan a cikin al'ummarka, intanet yana ba ka damar saduwa da wasu masu fuskantar irin wannan abu da kake ciki a duniya.
Sources:
Conte, B., George, B., Overman, M. et al. Babban Neuroendocrine Cikin Carcinomas maras kyau: Wani nazarin nazari na 100 marasa lafiya. Ciwon daji na kwakwalwa . 2016 15 (2): e1-7.
Hammond, W., Crozier, J., Nakhleh, R., da K. Mody. Masanin kwayoyin Halitta na Launiyar Neuroendocrine mai Mahimmanci na Colon. Journal of Gastrointestinal Oncology . 2016 7 (2): E22-4.
Shafgat, J., Ali, S., Salhab, M., da kuma A. Oszewski. Cutar da marasa lafiya tare da Carcinoma na Neuroendocrine na Colon da Rectum: Wani Mahimmanci na Ƙididdigar Jama'a. Cututtuka na Colon da Rectum . 2015. 58 (3): 294-303.
Smith, J., Reidy, D., Goodman, K., Shia, J., da G. Nash. Wani nazari na sake dubawa na 126 Carcinomas na Neuroendocrine na Neuroendocrine na Colon da Rectum. Annals na Ingancin Halitta . 2014. 21 (9): 2956-62.