Canje-canje a jikinka bayan gwaninta zai iya kara yawan hadarin ciwon daji
Yayin da dasawar koda yake a fili shine mafi kyawun magani na gazawar koda, (kuma yana da damuwa akan dialysis kowace rana), ba ya zo ba tare da hadarin ba. Wadannan kewayawa daga al'amurran da suka shafi kamuwa da cututtuka, zuwa ciwon sukari na dashi , zuwa ga yawan ƙwayar cututtuka.
Yawancin mutane idan aka yi amfani da koda a matsayin wani zaɓi na zahiri ya dakata lokacin da suka koyi wannan hujja a karon farko.
Duk da haka, kyakkyawan tsarin dashi zai iya ɗaukar yiwuwar ciwon daji kamar wani ɓangare na shawarwarin dashi.
Wadanne cututtuka ne koda mai karɓar mai karɓa ya karbi shawara game da?
Idan aka kwatanta da yawancin jama'a, mutum wanda ya karbi kaya a cikin koda zai fuskanci mummunan haɗari ga wasu nau'i-nau'i. Jerin yana da yawa, yana fadada zuwa fiye da wasu nau'i nau'i daban-daban na ciwon daji. Duk da haka, wasu daga cikin na kowa sune:
- Maganin fata, ciki har da melanoma
- Cancers na hematologic tsarin / jini cancers, lymphoma
- Ciwon daji na ƙwayar cuta, dukansu na asali na asali, kazalika da sabon ƙwayar kaya
- Cancers na fili na gastrointestinal-shafuka zasu iya hada da mallaka, madaidaici, pancreas, da dai sauransu
- Ciwon daji na huhu
Wani muhimmin mahimmanci don godiya a nan shi ne cewa ba kawai aikin dasa koda yake sanya mai karɓa ba a mafi yawan hadarin cututtuka. Sauran masu karɓar suturar jiki suna fuskantar irin wannan haɗari, amma irin cututtuka da aka gani, suna cewa a cikin wadanda suke da suturar daji, zasu iya bambanta da hadarin ciwon daji a cikin wadanda suka karbi kaya.
Me yasa Rashin Ƙara Rashin Ƙara?
Wani ra'ayi mai mahimmanci tsakanin masu karɓa shi ne cewa "ciwon daji ya zo ne tare da kwayar da aka dasa." Duk da yake wannan zai yiwu, ba shine dalilin da yafi dacewa da wani ya ci gaba da ciwon ciwon daji bayan ya sami dashi na koda. Ga wasu karin bayani:
- Tsarin Immunosuppressive: Kamar yadda zaku iya sani, samun dashi na koda yana dauke da magunguna don kare tsarin rigakafi. Yawancin lokaci waɗannan magunguna suna buƙatar ci gaba ba tare da wani lokaci ba. Wasu magunguna da aka yi amfani da su don wannan dalili bayan dashi zai ƙara yawan haɗarin ku fiye da wasu.
Alal misali, magungunan immunosuppressant wanda ke ɗaukar wasu nau'in jini (kamar OKT3 ko magani mai sauƙi) zai kara yawan haɗarin wani abu da ake kira "cututtukan lymphoproliferative post-transplant" ko PTLD. Duk da haka, yawancin lokaci, shi ne gaba daya idan matakin da ake haifar da rigakafin da ake haifarwa ta hanyar kasancewa a kan magunguna daban-daban na magance magunguna, maimakon ingancin ƙwayar magani guda ɗaya, wanda zai kara hadarin ciwon daji.
Hanyar da ta fi sauƙi don fahimtar wannan batu shine fahimtar cewa kwayoyin cutar kanjamau suna samarwa a cikin jikin mu, a cikin duka. Dalilin da ba zamu cigaba da haifar da wani mummunar cuta a kowace rana ba saboda irin wadannan kwayoyin cutar kanjamau ne aka gano ta hanyar kulawar kwayoyin cutar mu da kuma hallaka a farkon lokaci. Sabili da haka, tsarinmu na rigakafi ba makami ba ne kawai game da cututtuka, shi ma wani tsari ne na karewa daga samar da kwayar cutar aberrant (wanda zai iya zama cikin ciwon daji). Ƙarfafa wannan tsarin da zai iya haifar da haɗarin ciwon daji.
- Cutar cututtuka: Wasu cututtukan cututtukan cututtuka na musamman sun haɓaka cututtuka. Koda masu karɓar masu karɓa suna fuskantar babbar hadarin kamuwa da cututtuka ta hanyar bidiyo saboda mummunar matsayi. Kwayoyin cuta suna ninka ta hanyar ɗauka da tinkering tare da na'urorin yin amfani da kwayoyin halitta (DNA a wasu lokuta). Wannan yana iya zama bayani guda daya akan dalilin da yasa kamuwa da cututtuka na kamuwa da kwayar cutar yana ƙara yawan hadarin ciwon daji
Misalan wadannan ƙwayoyin cuta sun haɗa da cutar Epstein-Barr (wanda ke ƙara yawan kwayar lymphoma), Kwayar cututtuka na Human-8 (hade da Kaposi sarcoma), da kuma Kwayoyin Kwayoyin ɗan Adam (wanda ke hade da cutar fata).
Menene Za Ka Yi don Rage Ciwon Kankararka?
Sanin cewa kana cikin haɗarin ƙari don ciwon daji yana tsorata kuma yana iya sa ka so ka sake yin la'akari da yin dashi, amma kin kifar da sutura saboda yana kara yawan ciwon cututtuka na gaba ba a yawanci ba da shawarar zuwa mafi yawa tun lokacin hadarin mutuwa daga rashin nasarar koda a cikin Kayyadden lokaci zai fi yawaita hadarin cutar ciwon daji. Sabili da haka, bayan da za a ba da shawara a kan dashi, kuma da zarar ka karɓi dashi na koda, ana nuna shawarar nuna ciwon daji a matsayin wani ɓangare na al'ada kulawa na baya-baya don rage hadarin.
Ƙungiyar Amincewa da Jama'ar Amirka (AST) ta wallafa takardun jagorancin maganin ciwon daji a cikin waɗanda suke da katsewar koda.
Ga wadansu bayanan shafukan da aka fi sani (wasu daga cikin shawarwarin da suke nunawa sun kasance daidai da yawan jama'a):
- Ciwon daji na fata: Ana tambayar masu karɓa na dindindin su bincika kansu a kowane wata don neman samfurori / wutsiyoyi daban-daban da dai sauransu. Wannan yana dacewa da gwajin fata na shekara-shekara wanda likitan zane zai iya yi.
- Ciwon daji na nono: A cikin mata fiye da shekaru 50, mammography shekara-shekara tare da ko ba tare da jarrabawar jariri ba. Ana iya la'akari da kwatanta irin wannan a cikin mata fiye da shekaru 40, idan likita da masu haƙuri sun ji cewa yana da tabbacin.
- Ciwon ƙwayar cutar ciwon ciki: jarrabawar jarrabawa na shekara-shekara da gwajin PSA ga maza a cikin shekaru 50.
- Ciwon gwiwar ciwon gwanin / ciwon tawaye : Colonoscopy kowace shekaru 10 bayan shekaru 50, kuma jarrabawar shekara ta gwaji don gano jini.
Yi ƙoƙarinka don shirya yadda ya dace don waɗannan alƙali don rage haɗarinka.
> Sources:
> Tonelli M et al. Binciken na yau da kullum: girka koda idan aka kwatanta da dialysis a cikin sakamako na asibiti.M J Transplant. 2011 Oktoba; 11 (10): 2093-109. Doi: 10.1111 / j.1600-6143.2011.03686.x. Afub 2011 Aug 30.
> Engels EA et al. Spectrum na ciwon daji na hadarin gaske a tsakanin mambobin kungiyar Amurka masu karɓa. JAMA. 2011 Nov 2; 306 (17): 1891-901. Doi: 10.1001 / jama.2011.1592.
> Desai R et al. Cancer watsa daga masu ba da gudummawar kwayoyin halitta-wanda ba a iya gani ba amma rashin hadarin. Canji. 2012 Dec 27; 94 (12): 1200-7. Doi: 10.1097 / TP.0b013e318272df41.
> Buell JF et al. Malignancy bayan dasawa. Canji. 2005 Oktoba 15; 80 (2 Gida): S254-64.
> Kasiske BL et al. Shawarwari don kula da masu fitar da ƙwaƙwalwar masu karɓa. Ƙasar Amirka ta Canji. J Am Soc Nephrol. 2000 Oktoba; 11 Sada 15: S1-86.