Mesothelioma - Cutar cututtuka, dalilai, jiyya, da kuma ganewa

by Lynne Eldridge, MD

Definition, Ciwon cututtuka, Jiyya, da Rigakafin Mesothelioma

Bayani

Mesothelioma yana da ɗanɗanar ciwon daji, tare da kimanin mutane 2,000 da aka gano a Amurka a kowace shekara - amma yanayinsa yana karuwa a dukan duniya. Abin baƙin ciki shine, mafi yawan lokuta da wannan cututtuka suna da alaƙa da aikin da ake yi wa asbestos kuma za a iya hana ta ta hanyar fahimta da kuma matakan tsaro a aiki. Wannan ya ce, a lokuta da yawa, mesothelioma ba ta ci gaba ba har sai bayan shekaru bayan da asbestos hotuna suka auku, kuma mutane da yawa da aka binciko a yau an fallasa su asbestos shekaru da suka wuce.

Mesothelioma shine mummunan kwayar cuta (m) wanda zai fara a cikin mesothelium . Masihu ne membrane wanda ke da layi da kare lafiyar, zuciya, da kuma rami na ciki. Akwai nau'ikan jinsin guda uku na mesothelioma:

Mutuwar tausayi na kwayar cutar ta fara ne a cikin rokon (rufin huhu). Wannan shine mafi yawan nau'in mesothelioma.
Peritoneal mesothelioma fara a cikin peritoneum (rufi na ɓangaren na ciki).
Jigidar mesothelioma ta fara farawa a cikin pericardium (ruɗin zuciya).

Dalilin

Yawancin lokuta na mesothelioma ne saboda daukan hotuna ga asbestos akan aikin. Sauran abubuwa sun haɗa da:

Tsarin kwayoyin halitta - Wasu mutane sun fi iya samar da mesothelioma fiye da wasu
Exposure to a specific virus - A virus da ake kira simian cutar 40 (SV 40) an linked tare da wasu lokuta na mesothelioma
Exposure to radiation

Cutar cututtuka

Yawancin mutane tare da jimlar mesothelioma sune raunin numfashi da kuma ciwo na kirji (musamman a ƙarƙashin haƙarƙari), amma wasu bayyanar cututtuka na iya hada da:

Abdominal zafi da bloating (tare da peritoneal mesothelioma)
Mawuyacin tari
Difficulty swallowing (dysphagia)
Baceccen asarar rashin lafiya
Anana
Abnormalities a cikin jini clotting
Ƙunƙoki na cinye - A cikin binciken daya, kafada tsohuwar ita ce alama ta farko na mesothelioma ta ƙwararru a kashi 14 cikin dari na marasa lafiya.

Sanin asali

Zaman lafiya na mesothelioma zai iya zama da wuya tun lokacin da akwai yanayi da yawa da ke haifar da bayyanar cututtuka.

Likitanka zai fara yin tarihin hankali, musamman tambayarka game da tarihin aikinka, sannan kuma ya yi nazari na jiki. Hakanan ana yin nazari akan hotunan hoto kuma yana iya haɗawa da hasken rayuka na kirjinka da ciki, CT scans, MRI scans, ko PET scans .

Idan likitanku wanda ake zargi da mesothelioma, za ta buƙaci tsara wani biopsy. Dangane da wurin da tumburarku ke ciki, ta iya bada shawara ga magungunan hoto ko bidiyo na taimakawa (VAT), hanya inda aka karbi samfurin nama daga roko, ko kuma aukuwar ƙwayar cuta, irin wannan hanya don samun nama daga ciki. Idan biopsy ya bayyana mesothelioma, an ƙara nazarin karatun don maganin ciwon daji (yadda ake ci gaba).

Tsarin

Mesothelioma ya kasu kashi 2 na farko:

Gano (Stage na 1) - Tare da mesothelioma da aka gano, ciwon daji yana tsare ne zuwa ga mesothelium - jinin tare da mesothelioma, ko peritoneum tare da mesithelal mesothelioma
Nagarta (Sashe na 2, 3, da 4) - An yi la'akari da Mesothelioma idan ya yada zuwa ƙwayoyin lymph ko sauran gabobin ciki har da huhu

Jiyya

Dangane da girman da wuri na tumbu, kuma idan ya yada, zaɓuɓɓukan magani zasu iya haɗawa da su:

Tiyata - Ana iya ɗaukar tiyata, musamman ma idan aka kama tsutsa a farkon matakan. Irin tiyata sun hada da:
- Pleurectomy - Tare da buƙata, an cire wani ɓangare na roƙon
- Ƙananan pneumonectomy - An cire wani ɓangare na roka, tare da wani ɓangare na pericardium (rufin zuciya), diaphragm (tsoka mai rarraba kirji da ciki) da kuma huhu

Chemotherapy - Haɗuwa da magani na chemotherapy da farfado da aka yi niyya na iya bunkasa rayuwa.
Maganin Radiation - Anyi amfani da maganin radiation a wasu lokuta a matsayin magani mai mahimmanci ga mesothelioma, magani wanda bai warkar da ciwon daji ba, amma zai iya sa ka more dadi. Ana iya amfani da ita bayan tiyata don kashe duk sauran kwayoyin cutar ciwon daji.
Gwaji na Clinical - Da dama gwajin gwagwarmaya na ci gaba, kimanta sababbin hanyoyi don bi da mesothelioma.

Ciyarwa

A kan ciwon zuciya, ganewar asali na ciwon daji na kawowa, mutane da yawa da mesothelioma basu da goyon baya da tunani da kuma taimakawa wadanda suke fama da ciwon daji na samun samuwa.

Bugu da ƙari, maganganun da ke da alaƙa da ƙwayoyi na shari'a da aka danganta da asbestos a kan-da-aikin na iya zama rawar jiki. Kasancewa cikin ƙungiyar talla , ko ta hanyar cibiyar ciwon daji, al'umma, ko kuma kan layi, zai iya taimaka maka ka shiga ta hanyar zabin maganin, kuma ka sami abokantaka a wasu waɗanda ke zaune tare da mesothelioma.

Rigakafin

Abu mafi mahimmanci zaka iya yin don hana mesothelioma don amfani da kariya masu dacewa idan an bayyana ka a asbestos a aiki. OSHA yana da asali na tsare-tsaren asbestos ga mutanen da za a iya fallasa su akan aikin. Idan kana aiki tare da asbestos, yana da muhimmanci a bi wadannan jagororin don rage girman iyalan ku. Asbestos tsaftacewa a gida ba shine matsala ba sai dai idan ya lalace ko kuma damuwa ta hanyar gyaran ayyukan. Idan kana iya samun asbestos rufi (gidajen da aka gina tun kafin 1950) tabbatar da hayar dan kwangila da aka ba da shaida a gudanar da asbestos kafin ka fara duk wani aikin gyaran gida.

Wasu mutanen da aka fallasa su zuwa asbestos na iya so suyi la'akari da CT na tantance cutar cancer. A wannan lokaci, shawarwari don nunawa sun hada da mutanen da suka kai shekaru 55 zuwa 74 tare da tarihin shan taba na shekaru 30. Duk da haka nazarin ya nuna cewa wasu mutanen da aka fallasa su zuwa asbestos na iya kasancewa cikin haɗari mafi girma na ciwon daji na huhu fiye da masu shan taba. Idan an bayyana ku a asbestos ku tabbatar da yin magana da likitanku game da tantance cutar kanji .

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