Tattaunawa da Dr. Edward M. Wolin, MD
Mutuwa da Steve Jobs daga wani irin ciwon daji na ciwon daji wanda ake kira ciwon daji na neuroendocrine ya tayar da hankali ga ciwon daji na pancreatic. A cikin wannan hira, Dr Edward Wolin, wani likitancin kwakwalwar neuroendocrine, wanda ke da alaka da Cedars Sinai Medical Center, yayi magana game da ciwon daji na neuroendocrine da kuma yadda marasa lafiya ke fama da cutar. Dokta Wolin shine kwamandan kwamiti na Carcinoid da Neuroendocrine Tumor Program a Cedars-Sinai Medical Center da kuma daya daga cikin manyan ayyuka mafi girma na al'umma da ke kula da cutar ciwon neuroendocrine.
Bai kula da Steve Jobs ba.
Za ku iya bayanin abin da ciwon neuroendocrine pancreatic yake?
Magunguna na neuroendocrine Pancreatic suna ciwon ciwon daji masu rauni wanda ke farawa a cikin kwayoyin endocrin (kwayoyin halittar hormone) na pancreas, wanda aka fi sani da tantanin sel. Ko da yake waɗannan ciwace-ciwacen zai iya haifar da hormones na pancreatic, mutane da yawa ba sa haifar da kwayoyin hormones. Sun sau da yawa sun yada zuwa ƙananan ciki da hanta ta lokacin ganewar asali. Duk da haka, yawan sauƙin rayuwa yana da yawa fiye da irin ciwon daji na pancreatic (adenocarcinoma) , ko da lokacin da metastases sun kasance.
Yaya aka gano shi? Akwai alamun bayyanar?
Lokacin da wadannan cututtukan suka haifar da kwayoyin hormones, bayyanar cututtuka na farko zai iya zama mai tsanani da kuma jagoranci don yin ganewar asali. Alal misali, ciwon sukarin insulin yana haifar da bayyanar cututtukan jini , ko magungunan gastrin dake haifar da ciwon ciki mai tsanani da kuma duodenal ulcers, wanda ke haifar da ganewar asali ta CT scan, MRI scan, ko ultrasound endoscopic na pancreas.
Idan aikin samar da hormone bai haifar da bayyanar cututtukan ƙwayoyin cuta ba, ƙwayoyin cutar za su yi girma da yawa zuwa girma kuma su yada zuwa hanta da sauran shafuka ta hanyar ganowa akan CT ko MRI. A cikin waɗannan lokuta, alamun farko na iya zama ciwo na ciki, jaundice, asarar nauyi, malaise, fure na ciki, vomiting, fatar jiki, rauni, da zawo.
Wane ne ke hadari? Ya kamata a matsakaita, mai lafiya ya damu game da ciwon daji na neuroendocrine pancreatic?
Wadannan suna da mummunar mummunan mallaka, tare da rashin lafiyar mutum 3 da miliyan Amurkan Amurka, wanda ke lissafin kashi 3 cikin 100 na cututtukan pancreatic. Sabili da haka, matsakaici, mutum mai lafiya ba zai damu sosai game da ciwon ciwon daji na neuroendocrine ba. Banda ya kasance a cikin wasu iyalai inda ciwon daji na neuroendocrine ya saba, yawanci yana zama tare da parathyroid da ciwon sukari . Wannan ƙaddarar iyali shine sanannun nau'in mahaɗin neoclasia endocrine 1 (MEN-1).
Shin mun san abin da ya sa shi?
Mun sani cewa maye gurbin - ramin mutum ya haifar da MEN-1, kuma mun san wasu maye gurbin kwayoyin halitta sun fi kowa a cikin ciwon daji na neuroendocrine, amma yawanci yawancin ba a sani ba.
Shin akwai wasu hanyoyi don rage haɗari ko kuma hana ciwon daji na neuroendocrine pancreatic?
Babu hanyar da za a iya rage haɗarin ko hana ciwon daji na neuroendocrine pancreatic.
Wace jiyya ne ke samuwa?
Saboda damun wadannan ciwace-ciwacen daji a yawancin jama'a, da kuma irin nauyin kulawa da ake bukata, ana ƙarfafa marasa lafiya don neman shawara daga cibiyar kula da ciwon daji na neuroendocrine. A wa] annan cibiyoyin, akwai ha] in gwiwar ha] in gwiwar ilimin likita, ilimin kimiyya , gastroenterology, pathology, tiyata da cututtuka, incology, radiology intervention, diagnostic radiology, da kuma magani na nukiliya don inganta kulawar mutum na kowane likita.
Hanyoyi sun haɗa da haɗuwa da ƙwayoyin tumatir da kuma metastases, ablation na metastases tare da microwaves, maganin ciwon daji tare da radiation intrahepatic (radioembolization) da kuma maganin kututtuka na intrahepatic (chemoembolization), tsayar da ciwon tumo da cibiyoyin nazarin halittu (wadanda ake kira analogus somatostatin, m-TOR masu hana, inhibitors tyrosine kinase , wanda ake kira radionuclide farfesa da aka sani da PRRT, maganin rigakafi, da maganin anti-angiogenic), da kuma yin amfani da ƙananan cututtuka na kwayar cutar .
Don ƙarin koyo game da Dokta Edward Wolin da aikinsa a Cedars Cibiyar Kiwon Lafiya ta Sinai, ziyarci gidan yanar gizo na Cedars Sinai.