Bayani
Rashin fuka-fuka na rudani shine ƙin ciwon huhu saboda radiationrapy ko stereotactic body radiotherapy ( SBRT ) don ciwon daji. Wannan tasiri na radiation na faruwa a kusan kashi hudu na mutanen da suka shiga ta hanyar radiation farfesa don cutar ciwon huhu amma kuma zai iya haifar da radiation zuwa kirji don ciwon nono , lymphomas, ko wasu cututtuka
Kwayoyin cututtuka da yawa sukan faru tsakanin daya kuma watanni shida bayan kammala radiation far. Tare da magani (kuma wannan yana da mahimmanci), yawancin mutane suna farfadowa ba tare da wata tasiri ba.
Cutar cututtuka
Yana da muhimmanci a lura da cutar pneumonitis, saboda bayyanar cututtuka na iya zama kama da wadanda cutar ta cutar ta kawai, ko kuma kuskure ne ga kamuwa da cuta irin su ciwon huhu. Mutane da yawa sunyi hakuri da waɗannan bayyanar cututtuka kamar yadda ake tsammani, duk da haka radiation pneumonitis ya zama mai tunawa mai kyau cewa ya kamata ka yi magana da likitan ka game da duk wani alamar da kake gani:
- Rawancin numfashi wanda yawanci ya fi sananne tare da motsa jiki.
- Ƙunƙun daji, musamman zafi na kwakwalwa wanda yake damuwa da numfashi ( ciwon zuciya na zuciya .)
- Abincin da zai iya zama bushe ko samar da ƙuri'a. Tunda mutane da yawa da ke fama da ciwon huhu na huhu suna da tari a wasu lokuta, yana da muhimmanci a lura da kowane canji a tari dinka, ko ya fi sauƙi, harshe, ko kuma mafi muni.
- Low-sa zazzabi.
A wasu lokuta, babu alamar cututtuka da suke samuwa, kuma ganewar asali ne ta bayyanar kumburi akan rayukan rayuka kawai.
Wane ne yake da hadari?
Wasu mutane sun fi hatsari fiye da wasu na bunkasa pneumonitis. Yanayin da ke ƙara haɗarin sun hada da:
- Kullum (ma'ana a lokaci guda) radiation far kuma chemotherapy. Rashin raguwar cutar (RP) yafi kowa a cikin mutane da ke samun radiation da kuma chemotherapy na yau da kullum fiye da waɗanda ke karɓar raguwa (a lokuta daban-daban) radiation da chemotherapy. Idan wannan yana firgita yana da mahimmanci don duba abubuwan ban da wannan rikitarwa. A cikin binciken 2009, masu bincike sun gano cewa mutanen da ke fama da ciwo na huhu 3 da suka sami raunuka guda biyu da kuma chemotherapy na da sau biyu bayan rayuwa bayan shekaru 5. Wasu nazarin kuma sun ba da shawarar bunkasa rayuwa lokacin da ake amfani da jiyya.
- Mutanen da ke da sauran cututtukan huhu, irin su COPD, suna cikin haɗari.
- Mazan tsofaffi suna iya haifar da pneumonitis radiation fiye da marasa lafiya.
- Adadin nama da aka bi. Hasarin radiation pneumonitis yana kara tare da yankin kirji wanda aka bi da shi. Har ila yau, ya fi dacewa a yayin da ake kula da lobes na tsakiya da ƙananan ƙwayoyin cutar fiye da jiyya na cutar ciwon huhu na lobe.
- Mutane da ke karɓar maganin ƙwayar cutar ƙwayoyin cuta Paraplatin (carboplatin) da Taxol (paclitaxel.)
Dalilin
Radiation yana haifar da huhu don samar da ƙasa da tarin abubuwa. Surfactant yayi aiki don kiyaye ƙwayoyin da aka yadawa lokacin da muke ƙwaƙwalwa kuma yana ƙara yawan wuri na huhu wanda za'a iya musayar oxygen da carbon dioxide. Sashin rashin tayar da hankali a cikin jarirai wanda ba a taɓa haifuwa ba wanda yakan haifar da matsala ta numfashi.
Sanin asali
Labbobi na Lab zai iya nuna alamun ƙonewa, kamar ƙara yawan ƙwayar jinin jini. Sakamako na gwajin da ke neman ƙumburi, wanda ake kira sed-rate, na iya nuna alamar da ba a ƙayyade ba bisa al'ada. Hakanan kwakwalwa zai iya nuna irin halayyar radiation pneumonitis kuma zai iya bayar da shawarar cewa kana bukatar a bi da ku, koda kuwa ba ku da wata alamar bayyanar cututtuka.
Jiyya
Jiyya yana nufin rage yawan kumburi. Corticosteroids, irin su prednisone, da aka ba har sai da ƙonewa ya rage kuma sai sannu a hankali rage a tsawon lokaci. Wasu magunguna za a iya amfani dasu dangane da wurin. Alal misali, tare da haɗin gwiwar radiation, magunguna irin su proton pump inhibitors , canje-canje a rage cin abinci, da kuma kayan gida na gida don taimakawa tare da ciwo za a iya amfani.
Faɗakarwa
Magungunan radiation yakan magance shi da magani kuma yana da wuya kawai. Idan ya tafi ba tare da bazata ko ci gaba ba, zai iya haifar da fibrosis na huhu ( maganin huhu), daya daga cikin abubuwan da za a iya amfani da shi na tsawon lokaci na radiation .
Rigakafin
Bincike yana ci gaba neman hanyoyin da za a rage haɗarin lalata cutar ta hanyar rashawa tsakanin mutane da ke ta hanyar radiation don ciwon huhu na huhu. Ya zuwa yanzu ya nuna cewa yin amfani da soy isoflavone (cin abinci mai naman soya kamar tofu) na iya rage haɗarin cutar pneumonitis. Hanyar da wannan ya faru shi ne ta rage rage kumburi, saboda haka yana da wuya cewa cin abinci na abinci mai yisti zai shawo kan cutar da kwayar cutar ciwon daji-amma yana da mahimmanci don magana da likitan ilimin likitancinka game da wannan, da sauran shawarwari ta iya samun game da ragewar haɗarinka.
Layin Ƙasa
Kwayar rashawa yana da mahimmanci a cikin mutanen da ake bi da su saboda cututtuka irin su ciwon huhu da kuma ciwon nono. Abin godiya, tare da magani, yanayin yakan magance ba tare da ci gaba ba don haifar da fibrosis. Abu mafi mahimmanci za ku iya yi shi ne lura da yiwuwar bayyanar cututtuka, kuma ku yi magana da likita idan kun fuskanci kowane daga cikin waɗannan. A matsayi na ƙarshe, yawancin cututtuka na iya zama tare da bayyanar cututtuka na ciwon daji ko kuma sakamakon illa na sauran jiyya. Ko da yaushe kuna magana da likitanku game da duk wani bayyanar cututtuka kuma ku kasance mai ba da shawarar ku kula da ciwon daji . Ba ka kasance mai kwarewa ba ko matsala mai haƙuri don magance wadannan damuwa, kuma likitanka zai gane, a maimakon haka, kai mai aiki ne mai aiki da kuma shiga cikin kulawa.
> Sources:
> Abernathy, L. et al. Soy Isoflavones Ƙarfafa Radioprotection na al'ada Lung Tissue by Inhibition of Radiation-Ƙaddamar da aikin Macrophages da Neutrophils. Jaridar Thoracic Oncology . 2015. 10 (12): 1703-12.
> Hillman, G. et al. Radioprotection na huhu da nama ta hanyar soya isoflavones. Jaridar Thoracic Oncology . 2013. 8 (11): 1356-64.
> Kong, F. et al. Ƙananan ƙwayoyin cutar ciwon huhu na ciwon daji na kwayar cutar da ke dauke da kwayar cutar kwayoyin cuta: wani sabuntawa kan radiation pneumonitis da fibrosis na huhu. Seminars a kan Oncology . 2005. 32 (2 Samar 3): S42-54.
> Okubo, M., Itonaga, T., Saito, T. et al. Ma'anar haɗarin Rashin Dama Dalili don Radiation Pneumonitis bayan Stereotactic Body Radiation Far for Primary ko Metastatic Lung Tumatir. Jaridar British Journal of Radiology . 2017 Feb 14. (Epub gaba da bugu).
> Palma, D. et al. Bayyana ka'idojin asibiti bayan gyaran maganin cutar kanjamau ga marasa ciwon kwayar cutar ciwon huhu: mutum mai haƙuri meta-bincike. Littafin Labaran Labaran Harkokin Kiwon Lafiyar Labaran Duniya, Biology, da Kwayoyin Jiki . 2013. 87 (4): 690-6.
> Palma, D. et al. Sanarwar radiation pneumonitis bayan cutar chemoradiation ga ciwon daji na huhu: mutum na kasa da kasa haƙuri data meta-bincike. Littafin Labaran Labaran Harkokin Kiwon Lafiyar Labaran Duniya, Biology, da Kwayoyin Jiki . 2013. 85 (2): 444-50.
> Yazbeck, V. et al. Gudanar da lalacewa na al'ada ta al'ada dangane da chemoradiation (fata na farko, esophagus, da huhu). Cancer Journal (Sudbury, Mass) . 2013. 19 (3): 231-7.