Cutar cututtuka, Jiyya & Fahimci
Labaran ciwon huhu yana yaduwa (metastatic) zuwa hanta yana da bakin ciki ma na kowa. Kusan kashi 40 cikin dari na mutanen da ke fama da ciwon huhu a jikin mahaifa sun hadu da wani wuri mai nisa a lokacin bayyanarwar. Menene zaku iya tsammanin idan cutar kanjin ku ya yada zuwa hanta?
Bayani
Maganar ciwon huhu da ta yada ga hanta an kira "cutar kuturtar huhu a jikin hanta" (wanda ya bambanta da cutar ciwon huhu, wanda zai iya komawa ga ciwon daji wanda ya fara cikin hanta kuma ya yada zuwa wani yanki na jiki).
Ga mutanen dake fama da ciwon huhu na kananan kwayoyin halitta , yaduwar ciwon daji ga hanta zai rarraba shi a matsayin ciwon daji 4 . Tare da ciwon ƙwayar cutar kututtukan ƙwayar ƙwayar cuta , za a ƙaddara shi a matsayi mai zurfi .
Labaran ciwon huhu zai iya yadawa zuwa kowane yanki na jiki, amma yawancin ya yada zuwa hanta, ƙwayoyin lymph, kwakwalwa, kasusuwa, da kuma glandes. Sau da yawa, ciwon huhu na huhu zai yada zuwa fiye da ɗaya yanki na jiki. Alal misali, yana da ma'ana don samun hanta metastases da ƙwaƙwalwar ƙwayar cuta.
Bari mu dubi bayyanar cututtuka na hanta metastases da kuma yadda ake bi da su. Kuna iya sha'awar koyo game da gudanar da:
- Ciwon ƙwayar cuta daga ƙwayar cutar ciwon huhu
- Bone metastases daga cutar ciwon huhu
- Jigarin ƙwayar cuta daga ƙwayar cutar ciwon huhu
Cutar cututtuka
Idan cutar kanjamau ta yada zuwa ga hanta, zaku iya samun wani alamu a kowane lokaci. A gaskiya ma, yaduwa (masarauta) ana gano lokacin gwajin, kamar CT scan ko PET binciken don sanin matakin da ciwon daji ke ciki.
Idan kana da bayyanar cututtuka, waɗannan zasu iya haɗa da ciwo a ƙarƙashin haƙarƙarinka ko a ciki a gefen dama na jikinka, da kuma bayyanar cututtuka, irin su asarar abincin da tashin hankali. Idan kana da ciwon tumatir da yawa a cikin hanta ko kuma idan masaratai ya isa ya hana karan bile, za ka iya ci gaba da jaundice, zanewar launin fata na fata da fararen idanu.
Hanyoyin gaurayar haɓaka suna rushe metabolism na bile da ke haifar da gina saltsu na bile a fata. Wannan zai iya haifar da ƙwaƙwalwa mai zurfi da damuwa.
Sanin asali
Gwaje-gwaje da za a iya yi don neman yaduwar ƙwayar ƙwayar ƙwayar cutar hanta sun hada da:
- CT scan daga cikin ciki
- M duban dan tayi
- MRI na ciki
- PET dubawa
Babu tabbacin binciken bincike na gida shi ne na kowa
Yana da mahimmanci a lura cewa binciken da ya faru ba abu ne na kowa ba lokacin da ake ciwon hanta, kuma wani lokacin yana da wuyar gane idan wani wuri ko spots a cikin hanta ne saboda yaduwar ciwon daji ko wani abu (benign). Idan likitanku ba shi da tabbacin ko yaduwar rashin haɗari a cikin hanta yana da dangantaka da ciwon daji, kuma tsarin kulawa zai bambanta dangane da sakamakon, ta iya bayar da shawara ga hawan mai cutar hanta don duba kayan don tabbatar da ganewar ku.
Zai iya zama takaici idan likitanku bai tabbata game da binciken da ke cikin hanta ba, kuma wannan zai sa ka ji damu da rashin kulawa. Zai iya zama taimako a san cewa wannan abu ne na kowa kuma cewa akwai matsala da yawa tsakanin abubuwan da ke cikin hanta da hanta metastases.
Jiyya
A tarihi, maganin cutar kanjamau wanda ya yaduwa ga hanta ya kasance mafi mahimmanci, yana nufin cewa manufar magani shine taimakawa bayyanar cututtuka maimakon ƙoƙari don magance cutar.
Ana iya amfani da cutar kankara don biyan mataki 4 a gaba ɗaya.
Gwargwadon maganganun maganin magunguna (maganin da ke sa ran maye gurbin EGFR , gyaran ALK , da ROS1 gyare-gyare a tsakanin wasu) kuma immunotherapy yana fara canza yanayin, kuma a wasu lokuta, waɗannan magunguna na iya haifar da kulawa na tsawon lokaci ga ciwon daji na ƙwayar cuta. .
Gyaran magani yana ci gaba da kasancewa babbar hanya idan yawancin ƙwayar ƙwayar hanta suna kasancewa, amma ga wadanda ke da ƙananan metastases-wani abu da ake kira "oligometastases" - wannan yana canzawa.
Hadisai na Musamman Musamman
A baya, idan har guda ɗaya ne kawai yake cikin hanta, tozarta ba a yi la'akari da kawar da ƙwayar cutar ba, amma sababbin hanyoyin maganin radiation suna inganta akan wannan.
Ga wadanda ke tare da oligometastases, wanda aka bayyana a matsayin kawai ko '' spots '' 'na cututtuka na ƙwayar cuta, musamman ma wadanda ke da maye gurbin kayan lambu a kan labarun kwayar halitta , an nuna mahimman bayanai guda biyu na radiation don inganta sakamako a cikin wani zaɓi na marasa lafiya. Wadannan sun haɗa da:
- SBRT - Stereotactic body radiotherapy (SBRT) wani hanya ne wanda aka gabatar da wani babban kashi na farfadowa ta hanyar radiation zuwa wani karami da ƙananan wuri tare da begen kawar da matakan metastases.
- SABR - Sakamakon ablative radiation stereotactic wani fasahar rediyo ne da ake amfani da shi don "ɓarke" ko kuma ya hallaka wani karamin yanki irin su metastasis.
Idan aka kwatanta da tiyata, dukkanin wadannan hanyoyin (wanda ake kira metastasectomy) suna da ƙananan hadarin kuma suna da matakan da suka dace da karfin iko. Da sakamakon farko na SBRT sun nuna an inganta rayuwar kwaminis (lokacin da rabin mutane ke raye kuma rabi ya mutu) kuma kimanin kashi 25 cikin dari na rayuwa mai tsawo a cikin marasa lafiya da aka zaɓa. Gwajen gwaji na ci gaba da kimanta amfani da metastasectomy ga oligometastases tare da ciwon hanta, da kuma motsa jiki a cikin maganin wannan yanayin yana faruwa.
Mutanen da suke da kyakkyawan sakamako tare da irin wannan magani sun haɗa da wadanda basu da matakan metastases, wadanda aka kula da su ga duk wuraren da aka sani, da kuma waɗanda ke da tsawon lokaci ba tare da cututtuka ba.
Faɗakarwa
Kwayar huhu da ta yada ga hanta, abin baƙin ciki, yana da matsala mara kyau. Rayuwa ta tsakiya tsakanin mutanen da ke zaune tare da mataki na 4 marasa ciwon ƙwayar cutar ciwon huhu ne kawai a cikin watanni takwas, ko da yake akwai bege cewa sabbin sababbin kididdiga da aka dogara akan mutane tare da ƙananan hanta metastases waɗanda aka bi da sababbin fasaha radiation zai haifar da mafi girma rayuwa. Yawancin lokaci na rayuwa ga mutane da ciwon ciwon huhu na ƙananan cell (metastatic) na ciwon huhu ne watanni biyu zuwa hudu ba tare da magani da watanni shida zuwa shekara tare da magani.
Taimako
Zai iya zama lalacewa don sanin cewa ciwon daji ya ƙaddara. Kuma a kan baƙin ciki, akwai sau da yawa abubuwa da yawa da ka ji kana bukatar ka yi. Da farko, ka tuna cewa jiyya ga ciwon daji na ciwon huhu yana inganta-har ma ga matakai mafi girma. Idan kuna jin dadi kuma kuna da wasu ƙananan metastases, ku yi magana da likitanku game da maganin da ake samu yanzu. Akwai sababbin jiyya, amma da rashin alheri, waɗannan suna canzawa da sauri cewa yana da wuya ga kowa ya ci gaba da ci gaba.
Cibiyar Cancer ta Kasa ta ba da shawarar cewa mutanen da ke fama da ciwon huhu na ciwon huhu sunyi la'akari da shiga cikin gwaji. Yana iya zama babban ƙoƙari na gudanar da waɗannan abubuwa, amma godiya da yawa daga cikin manyan kungiyoyin ciwon daji na huhu sun yi aiki tare don samar da aikin shan magani na kwantar da hankula na kwantar da hankula na cikin gida , wanda wanda mai iya amfani da shi zai iya taimakawa wajen magance ciwon daji na kwakwalwa tare da gwajin gwaji a ko'ina a duniya.
Lokacin da ba'a iya warkewar ciwon daji ko kuma karar rai ba, har yanzu akwai wasu zaɓuɓɓuka don kiyaye mutane da jin dadin su ji dadin kwanakin ƙarshe tare da ƙaunataccen. Bincika waɗannan matakai don yin maganin ciwon daji.
> Sources:
> Bergsma, D. et al. Matsayin Ayyukan Radiotherapy a Gudanar da Oligometastatic NSCLC. Gwani Review a Anticancer Far . 2015. 15 (12): 1459-71.
> Guerrero, E., da M.Ahmed. Ayyukan Sterotactic Ablative Radiotherapy (SBRT) a cikin Gudanar da Ciwon Gwajin Oligometastatic Ba Ƙananan Ciwon Kwayoyin Tsuntsu. Lung Cancer . 2016. 92: 22-8.
> Rusthoven, C., Yeh, N., da L. Gaspar. Maganin Radiation ga Oligometastatic Kananan Ƙananan Ciwon Kwayoyin Ciwon Kwayoyin Kwayoyin Lafiya: Halayen da Ayyuka. Cancer Journal . 2015. 21 (5): 404-12.
> Salama, J., da S. Schild. Magungunan Radiation ga Oligometastatic Ƙananan Ƙwayar Ciwon Cutar Kwayar cutar. Cancer Metastasis Review . 2015. 34 (2): 183-93.
> Ueda, J. et al. Sakamakon Neman Harkokin Harkokin Cutar Gida Mai Rashin Kwarewa Tsarin Tumarin Daga Ciwon Cutar Tsutsa Cikin Cikin Cutar Kuturta: Halin Matsala. Hepatogastroenterology . 2012. Doi: 10.5753 / hge12000. (Epub gaba da bugu).