Yin amfani da jiyya na gida don Ciwon Cancer na Cancer

Me yasa jiyya na gida ke da amfani mai iyaka a ƙwayar ciwon ƙwayar ƙwayar cuta

Radiation da tiyata ne hanyoyin kwantar da hankulan gida, kuma wannan yana da amfani da iyaka ga mutanen da ke fama da ciwon nono. Maimakon haka, maganin jiyya-jiyya kamar maganin hormonal , chemotherapy , maganin kwantar da hankali , da kuma immunotherapy, wanda ke magance ciwon daji a duk inda ya faru cikin jiki - shine mahimmin magani.

Idan metastases zuwa ga kasusuwa, hanta, huhu, ko kwakwalwa ba sa haifar da alamun bayyanar, ko kuma idan basu sanya ku cikin hadarin matsalolin irin su raunuka ba, ana daukar su a matsayin ɓangare na farjin lafiyar ku don ciwon nono tare da jiyya na jiki .

Yaushe An Yi Amfani da Kulan Yanki?

Akwai lokuta, duk da haka, lokacin da maganin maganin metastases tare da tiyata, radiationrapy, ko wasu jiyya yana da taimako. Dalilin da za'a iya amfani da waɗannan jiyya sun hada da:

• Sarrafa ciwo (musamman tare da ƙananan metastases)
• Gurasa ko ƙyama a cikin hanyoyi masu dauke da ƙwayar cuta
• Sassan ƙananan ƙaddara wanda ya haifar da haɗari na rushewa ko zai iya haifar da matsin lamba
• Ƙwararrun ƙwayar cuta wadda take da alamun gaske, irin su wadanda ke haddasa ciwon kai, canje-canje na mutum, abubuwan da suke gani, ko kuma makamai (ƙwaƙwalwar ƙwayar cutar jini ta hana magunguna da yawa kamar su chemotherapy kwayoyi daga shiga cikin kwakwalwa ko lakabi)
• Don cire abubuwa masu zafi a cikin fata ko murfin kirji
• Jiyya na Oligometastases - Oligometastases wani lokaci ne da aka yi amfani dashi don bayyana guda ko kawai 'yan yankunan cutar metastatic. Mafi sau da yawa nono na nono yana haifar da yaduwar matakai zuwa fiye da ɗaya daga cikin jiki. A wasu lokuta mawuyacin hali, magani tare da tiyata, radiationrapy, ragowar radiyo (RFA), ko microembolization za a iya la'akari da wadanda basu da guda ɗaya (ko watakila wasu) metastases a cikin guda daya.
  
  Duk da yake ba a nuna wannan ba don bunkasa rayuwa ga mata da maza da ciwon ƙwayar cutar ciwon ƙwayar cuta, an nuna shi, a wasu lokatai, don bunkasa rayuwa ga mutanen da ke da matakan da suka danganci sauran ciwon sukari.

Bone Metastases

Yin jiyya na kasusuwan kasuwa daga ciwon daji ya dogara ne da nauyin metastases, da alamun da suka haifar, da kuma sauran jiyya da kake samu. Magungunan ciwon daji, dabarun magance cutar, da kuma kumburiya na iya rage dukkanin bayyanar cututtuka daga ciwon nono wanda ya yada ga ƙasusuwan.

Duk da haka, wasu lokuta, wa] annan maganin ba su isa ba. Ana iya amfani da hanyoyin kwantar da hanyoyi kamar farfadowa na radiation don ciwo wanda ba a sarrafa shi da kyau tare da jiyya na jiki, ko don hana cututtuka ko ƙwaƙwalwar ƙwararren ƙwayoyi saboda ƙananan ƙaddarar nama. Kwararka zai iya bayar da shawarar wata hanyar radiation ko magungunan da ake kira "masu haɓaka ƙuƙasa." Zabuka sun haɗa da:

• Magunguna Radiation - Anyi amfani da maganin radiation ne don magance ciwon daji na jikin ƙwayar cuta zuwa kashi wanda ke raunana kashin da haɓakar haɗari.
• Radiopharmaceutics - Radiopharmaceutics su ne kwayoyi da suke dauke da kwayoyin siginar kwayoyin tsaye kai tsaye zuwa kasusuwa. Misali ne strontium 89.
• Ma'aikata -gyaggyara-gyare-gyare-gyare-gyare-gyare-gyare-gyare-gyare - Akwai nau'i biyu na ƙwayoyin gyaran ƙashi wanda za'a iya amfani dashi ga ƙaddarar kasusuwan. Ana amfani da wasu daga cikin wa] anda ke da osteoporosis. Kamar yadda ake amfani da radiation, ana iya amfani da su don hana cututtuka, don hana maganin tazarar ƙwayoyi, kuma su bi da matakan ƙwayoyin calcium a cikin jini saboda raunin kashi da kasusuwan kasusuwa (hypocalcemia na malignancy).

Misalan bisphosphonates sun hada da:

• Aredia (Pamidronate)
• Zometa (zolendronic acid)
• Boniva (ibandronate)

RANK (mai kunnawa mai activator na makaman nukiliya factor kappa B) masu hana masu ligand sun haɗa da:

• Xgeva (denosumab)

Masiyoyin Metisases

Samun ganyayyaki na haɗari bazai iya haifar da wani bayyanar cututtuka ba, kuma za ka iya yin la'akari da waɗannan kawai saboda karuwa akan gwajin aikin hanta akan gwaje-gwaje na jini ko ta hanyar binciken waɗannan a kan gwaje-gwaje na hoto.

Lokacin da suke da alamun bayyanar cututtuka, ana iya la'akari da jiyya na gida kamar aikin tiyata ko radiation a ban da jiyya don maganin ciwon daji.

Lung Metastases / Pleural Effusions

Kamar yadda sauran wurare na metastases, jiyya ga ƙwayoyin ƙwayoyin cuta na ƙwayoyin cuta sun hada da jiyya don ciwon ƙwayar ƙwayar nono a general. A wasu lokuta, gandun daji na ƙwayoyin cuta na iya haifar da haɗarin iska ko kuma zub da jini a cikin hanyoyi.

Lokacin da wannan ya faru, farfadowar radiation zai iya zama tasiri a rage yawan bayyanar cututtuka.

Gyaran layi (ƙuƙashin ruwa a tsakanin membranes mai rufi da huhu) yana da mahimmanci tare da ciwon ƙwayar nono. Ana cire wannan ruwa tare da allura (thoracentesis) zai iya rage yawan bayyanar cututtuka, amma yunkuri yakan sake dawowa. Lokacin da wannan ya faru, za'a iya sanya wani sutura a cikin ɓangaren kwakwalwan da ke tattare da wani bututu zuwa waje na jikinka (ta hanyar murfin kirji) wanda ya sa ruwan ya zama ruwan.

Mutane da yawa waɗanda ke da suturar da aka sanya suna da damar yin ruwan sama da kansu a gida (tare da taimakon mai ƙaunataccen) lokacin da ruwa ya ƙara yawan kwanciyar hankali a yau.

Brain Metastases

Ƙwararrun ƙwayar ƙwayar cuta na iya zama da wuya a magance ta da ciwon ƙwayar nono kamar yadda yawancin kwayoyin cutar shan magani suka kasa shiga cikin kwakwalwa da ƙwararre. Cibiyar sadarwa da aka sanya a cikin kwakwalwar da ake kira kwakwalwar ƙwaƙwalwa ta jini an tsara shi don hana tsutsa daga shigar da tsarin kulawa na tsakiya. Abin takaici, wannan kariya yana hana yawan magungunan ciwon daji zuwa wannan yankin.

Akwai saituna guda biyu wanda za'a iya yin la'akari da farfadowa ko kuma tiyata don magance ƙwaƙwalwar ƙwaƙwalwar kwakwalwa.

• Symptomatic metastases - Idan ƙwaƙwalwar ƙwaƙwalwarka ta haifar da alamun bayyanar cututtuka, magani na gida zai iya inganta rayuwarka. Wannan na iya haɗa da farfadowa na kwakwalwar kwakwalwa don yadawa da ƙananan metastases, ko kuma mafi mahimmanci mafi girma da kuma mafi girma na radiation da ake yi don ƙananan ƙwayoyin cuta.
• Abubuwan da ke da alaƙa ga ƙananan ƙwayoyin cuta - Don manyan ƙwayoyin ganyayyaki wadanda ke haifar da bayyanar cututtuka, ko kuma idan kuna da ɗaya (ko wasu) kwakwalwar ƙwayar ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta amma ba alamar ƙaddarar hanzari a cikin jiki ba, na musamman na radiation da aka sani da radiotherapy na jiki stereotactic (SBRT ko Cyberknife) ko Za a iya amfani da ragi na rediyo (RFA). Wadannan jiyya sun tsara wani babban kashi na radiation zuwa wani yanki na musamman a kwakwalwa. Maimakon haka, ana iya ɗaukar tiyata don bi da waɗannan masifu.

Sauran Jiyya

Akwai wasu jiyya da aka kimanta don maganin maganin metastases saboda ciwon nono. Hanyoyi irin su microembolization kuma mafi na iya bada mafi alhẽri jiyya a nan gaba. Akwai gwaje-gwaje da dama na gwaji a halin yanzu suna ci gaba da nazarin maganin metastases.

Sarrafa Hannun Yankuna

Magungunan radiation, kamar yadda yake tare da wasu jiyya don ciwon daji, na iya haifar da sakamako masu illa. Ƙididdigar kullun da kuma yadda suke damun su zasu bambanta dangane da dalilai da dama ciki har da yankin jikinka wanda ke karɓar radiation. Wasu daga cikin halayen da yafi dacewa sun hada da:

• Skin irritation - Yankin da kake karɓar farfadowa na radiation na iya haifar da redness kuma wani lokacin damuwa, kama da kunar rana a jiki. Your radiation likitancin mutum zai magana da ku game da bayyanar cututtuka don kallo kuma zai iya ba da umurni da ruwan shafa don ku yi amfani da.
• Dama - Rashin haɗari shine mafi rinjaye na tasirin radiation, wanda ya shafi mafi yawan mutanen da suke da wadannan jiyya zuwa wani mataki. Wannan gajiya yana da tsinkaye kuma yana damuwa a tsawon lokaci.
  
  Kamar gajiya da aka danganta da cutar shan magani, waɗannan cututtuka na iya haifar da matsaloli masu mahimmanci (irin su anemia) kuma yana da mahimmanci don yin magana da mai ilimin likitancinka game da matakin gajiya.
  
  Mafi kyawun magani ga gajiya shine farko don gano hanyoyin da za a magance gajiya. Tambayi taimako kuma bari wasu su taimake ka. Sauran lokacin da kake bukata. Kuma ku yi magana da likitanku game da matsalolin barci da suke taimakawa ga gajiya.
• Asarar gashi - Asarar asarar gashi zuwa radiation farfesa ya bambanta da gashi hasara da suka danganci chemotherapy, a cikin cewa zai iya kasancewa dindindin. Asarar gashi ya dogara ne da sashin jikin da kake samun radiation far.
  
  Alal misali, ƙwaƙwalwar kwakwalwar kwakwalwa a kan kanka zai iya haifar da asarar gashi a kan kai, yayin da radiation zuwa kirjinka, don ƙwayoyin ƙwayar cuta, za ta haddasa asarar gashi a kirji.
• Sakamakon bincike mai kyau - Magungunan radiation zuwa kwakwalwa, musamman ƙwararren rediyo na kwakwalwa, zai iya haifar da bayyanar cututtuka irin su matsalolin ƙwaƙwalwar ajiya da matsalolin ƙaddamarwa (rashin fahimtar zuciya). Yana da muhimmanci muyi la'akari da amfani da yanayin radiation zuwa kwakwalwa game da waɗannan cututtuka masu illa na jiyya .
  
  Harkokin radiation zuwa kwakwalwa yana ɗauke da hadarin lalacewar al'ada a cikin kwakwalwa ta hanyar abin da radiation ta wuce.

> Sources:

> DeVita, Vincent., Et al. Ciwon daji: Ka'idoji da Kwarewar Kayan Lafiya. Ciwon daji na nono. Wolters Kluwer, 2016.

> Liedtke, C., da H. Kolberg. Tsarin Kwayoyin Tsarin Kwayoyin Ciwon Kwayoyin Ciwon Nazarin Ciwon Kwayoyin Ciwon Kwayoyin Ciwon Kwayoyin cuta Dairy Care . 2016. 11 (4): 275-281.