Nau'o'in / kwakwalwa / haƙuri / yaro-cns-ƙwayoyin cuta-cell-treatment-pdq

Yarinyar Tsarin Jijiyoyin Jari na Jiji na Jijiyoyin Tumors ( –) –Patient Version

Janar Bayani Game da Tsarin Jijiyar Jiki na Childhoodananan Yara (CNS) ƙwayoyin cuta na ƙwayoyin cuta na Germ

MAGANAN MAGANA

• Nervousananan ƙwayoyin cuta na ƙananan yara (CNS) ƙwayoyin ƙwayoyin cuta sun samo asali daga ƙwayoyin ƙwayoyin cuta.

• Akwai nau'ikan ciwan ƙwayoyin cuta na kwayar cutar ta CNS.

• Germinomas

• Nongerminomas

• Teratomas

• Ba a san dalilin mafi yawan ƙananan ƙwayoyin ƙwayoyin cuta na CNS ba.

• Alamomi da alamomin alamomin ciwan ƙwayoyin cuta na CNS na ƙuruciya sun haɗa da ƙishirwa da baƙon abu, yawan yin fitsari, ko sauyin gani.

• Ana amfani da karatun hoto da sauran gwaje-gwaje don ganowa (samo) da kuma gano ƙananan ƙwayoyin cuta na kwayar cutar ta CNS.

• Ana iya yin biopsy don tabbatar da ganewar asirin ƙwayar ƙwayar ƙwayar ƙwayar ta CNS.

• Wasu dalilai suna shafar hangen nesa (damar dawowa).

Nervousananan ƙwayoyin cuta na ƙananan yara (CNS) ƙwayoyin ƙwayoyin cuta sun samo asali daga ƙwayoyin ƙwayoyin cuta.

Kwayoyin ƙwayoyin cuta wasu nau'ikan ƙwayoyin halitta ne na musamman waɗanda suke a yayin da ɗan tayi (ɗan da ba a haifa ba) yake tasowa. Waɗannan ƙwayoyin yawanci sukan zama maniyyi a cikin kwayar halittar mahaifa ko kuma ƙwai marasa ƙwai a cikin ƙwai idan yaro ya girma. Mafi yawan ciwace-ciwacen ƙwayoyin ƙwayoyin cuta yana samuwa a cikin gwajin ko kwayayen. Wasu lokuta ƙwayoyin ƙwayoyin cuta suna tafiya zuwa ko daga wasu sassan tayin yayin da yake haɓaka kuma daga baya ya zama ƙari na ƙwayoyin ƙwayoyin cuta. Ana kiran ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin cuta waɗanda suka samu a cikin kwakwalwa ko lakar ruɓaɓɓen ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta ta CNS (tsarin kulawa ta tsakiya)

Cutar cututtukan ƙwayoyin cuta na CNS suna faruwa mafi yawanci a cikin marasa lafiya tsakanin shekaru 10 zuwa 19 kuma galibi akan maza fiye da mata. Wuraren da aka fi dacewa don ciwan ƙwayoyin ƙwayoyin ƙwayoyin cuta guda ɗaya ko fiye don samarwa shine a cikin kwakwalwar kusa da gland ɗin pineal kuma a wani yanki na ƙwaƙwalwa wanda ya haɗa da glandon ƙugu da ƙyallen da ke sama da shi. Wasu lokuta cututtukan ƙwayoyin ƙwayoyin cuta suna fitowa a wasu yankuna na kwakwalwa.

Anatomy na cikin ƙwaƙwalwar, nuna pineal da pituitary gland, jijiya gani, ventricles (tare da cerebrospinal ruwa aka nuna a cikin shudi), da kuma sauran sassan kwakwalwa.

Wannan taƙaitaccen bayani ne game da ƙwayoyin cuta na ƙwayoyin cuta waɗanda ke farawa a cikin tsarin juyayi na tsakiya (kwakwalwa da laka). Hakanan cututtukan ƙwayoyin ƙwayoyin cuta na iya haifar da wani ɓangaren jiki. Dubi taƙaitaccen game da Kula da Twayar Extwayar Childhoodwayar Childhoodananan Yara don bayani game da ƙwayoyin ƙwayar ƙwayoyin ƙwayoyin cuta waɗanda suke ƙarancin jini (a waje da kwakwalwa).

Ciwan ƙwayar ƙwayar ƙwayoyin CNS yawanci yakan faru a cikin yara amma na iya faruwa a cikin manya. Jiyya ga yara na iya bambanta da na manya. Duba takaitattun masu zuwa don bayani game da magani ga manya:

• Adult Tsarin Jijiyoyin Ciwan Marasa Lafiya na Manya

• Extragonadal Germ Cell Tumors Jiyya

Don bayani game da wasu nau'ikan kwakwalwar yara da ciwan mara, duba a taƙaice kan Brawallon Childhoodwallon Childhoodwallon Yara da inalarƙwarar inalwayar inalwayar Tashi.

Akwai nau'ikan ciwan ƙwayoyin cuta na kwayar cutar ta CNS.

Iri daban-daban na kwayar cutar kwayar cutar ta CNS na iya samuwa daga sel na musamman wadanda daga baya suka zama maniyyi ko kwayayen da ba su da haihuwa. Nau'in ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta ta CNS wanda aka gano ya dogara da abin da ƙwayoyin suke a ƙarƙashin microscope da kuma sakamakon gwajin gwaje-gwaje waɗanda ke bincika matakan alamun ƙari.

Wannan taƙaitaccen bayani game da maganin nau'ikan ƙwayoyin cuta na ƙwayoyin cuta na CNS:

Germinomas

Germinomas sune mafi yawan nau'in kwayar cutar ƙwayoyin cuta ta CNS kuma suna da kyakkyawan hangen nesa. Ba a amfani da matakan alama ta tumor don tantance ƙwayoyin cuta.

Nongerminomas

Wasu nongerminomas suna yin hormones, kamar su alpha-fetoprotein (AFP) da beta-human chorionic gonadotropin (beta-hCG). Nau'o'in nongerminomas sun haɗa da masu zuwa:

• Carcinomas na Embryonal suna yin hormones AFP da beta-hCG.

• Yolk jakar marurai suna yin hormone AFP.

• Choriocarcinomas yayi hormone beta-hCG.

• Cakuda ƙwayoyin ƙwayoyin ƙwayoyin cuta waɗanda aka yi su da ƙwayoyin ƙwayoyin cuta fiye da ɗaya. Suna iya yin AFP da beta-hCG.

Teratomas

An bayyana teratomas na CNS a matsayin manya ko ba su balaga ba, gwargwadon yadda al'ada kwayoyin ke dubawa a ƙarƙashin madubi. Balagagge teratomas kusan kamar ƙwayoyin al'ada ne a ƙarƙashin microscope kuma an yi su da nau'ikan nama, kamar gashi, tsoka, da ƙashi. Teratomas da basu balaga sun banbanta da ƙwayoyin al'ada a ƙarƙashin microscope kuma an yi su da ƙwayoyin da suke kama da ƙwayoyin tayi. Wasu teratomas da basu balaga sune cakudadden ƙwayoyin halitta. Ba a amfani da matakan alamar tumo don gano teratomas.

Ba a san dalilin mafi yawan ƙananan ƙwayoyin ƙwayoyin cuta na CNS ba.

Alamomi da alamomin alamomin ciwan ƙwayoyin cuta na CNS na ƙuruciya sun haɗa da ƙishirwa da baƙon abu, yawan yin fitsari, ko sauyin gani.

Alamomi da cututtuka sun dogara da masu zuwa:

• Inda kumburin ya samo asali.

• Girman kumburin.

• Ko ƙari ko jiki suyi yawa daga wasu kwayoyin hormones.

Ana iya haifar da alamu da cututtukan ƙwayoyin ƙwayoyin ƙwayoyin cuta na CNS na ƙuruciya ko ta wasu yanayi. Binciki likitan ɗanka idan ɗanka yana da ɗayan masu zuwa:

• Kasancewa da ƙishirwa ƙwarai.

• Yin fitsari mai yawa wanda ya bayyana ko kusan a bayyane.

• Yin fitsari akai-akai.

• Kwanciya gado ko tashi da daddare don yin fitsari.

• Matsalar motsa idanu, matsalar gani a sarari, ko ganin ninki biyu.

• Rashin ci.

• Rashin nauyi ba tare da wani dalili da aka sani ba.

• Balaga da wuri ko ta makara.

• Girman jiki (kasancewa mafi ƙanƙanta fiye da al'ada).

• Ciwon kai.

• Tashin zuciya da amai.

• Jin kasala sosai.

• Samun matsaloli tare da aikin makaranta.

Ana amfani da karatun hoto da sauran gwaje-gwaje don ganowa (samo) da kuma gano ƙananan ƙwayoyin cuta na kwayar cutar ta CNS.

Za a iya amfani da waɗannan gwaje-gwajen da hanyoyin:

• Jarabawa ta jiki da tarihi: Jarabawa ce ta jiki don bincika alamomin lafiya gaba ɗaya, gami da bincika alamun cuta, kamar kumburi ko wani abu da kamar baƙon abu. Za a kuma ɗauki tarihin al'adun lafiyar marasa lafiya da cututtukan da suka gabata da magunguna.

• Nazarin ilimin lissafi: Jerin tambayoyi da gwaje-gwaje don bincika kwakwalwa, laka, da aikin jijiya. Jarabawar tana bincikar halin tunanin mutum, daidaituwarsa, da ikon yin tafiya yadda ya kamata, da kuma yadda yadda tsokoki, motsa jiki, da azanci suke aiki. Hakanan ana iya kiransa gwajin neuro ko gwajin neurologic.

• Gwajin filin gani: Gwaji don bincika filin hangen nesan mutum (duka yankin da ake iya ganin abubuwa). Wannan gwajin yana auna hangen nesa na tsakiya (nawa mutum zai iya gani yayin kallon gaba kai tsaye) da kuma hangen nesa (nawa mutum zai iya gani a duk sauran hanyoyin yayin kallon kai tsaye). Idanuwa ana jarabawa daya bayan daya. Idon da ba a gwadawa ya rufe.

• MRI (hoton maganadisu ) tare da gadolinium: Hanya ce da ke amfani da maganadisu, raƙuman rediyo, da kuma kwamfuta don yin jerin hotuna dalla-dalla na wuraren da ke cikin kwakwalwa da laka. Wani sinadari da ake kira gadolinium ne a cikin jijiya. Gadolinium yana tattarawa a kusa da ƙwayoyin cutar kansa don haka sun ƙara haske a hoton. Wannan hanya ana kiranta kuma ana kiranta hoton maganadisu na maganadisu (NMRI).

• Lumbar puncture: Hanyar da ake amfani da ita don tara ruwa mai ruɓar ciki (CSF) daga sashin kashin baya. Ana yin wannan ta sanya allura tsakanin ƙasusuwa biyu a cikin kashin baya da kuma cikin CSF a kewayen ƙashin baya da cire samfurin ruwan. An bincika samfurin CSF a ƙarƙashin microscope don alamun ƙwayoyin ƙari kuma an gwada su don alamun ƙari. Hakanan za'a iya gwada yawan furotin da glucose a cikin samfurin. Mafi yawan adadin furotin na al'ada ko ƙasa da adadin glucose na yau da kullun na iya zama alamar ƙari. Wannan hanyar ana kiranta LP ko taɓar kashin baya.

Lumbar huda Mai haƙuri yana kwance a cikin lankwasawa akan tebur. Bayan an kidaya wani karamin yanki a kasan baya, sai a saka allura ta kashin baya (dogon, siririn sirara) a cikin sashin kasan kashin kashin baya don cire ruwan ciki na kwakwalwa (CSF, wanda aka nuna a shudi). Ana iya aika ruwan zuwa dakin gwaje-gwaje don gwaji.

• Gwajin alamar alama: Hanya ce wacce ake bincika samfurin jini ko ƙwayar cuta (CSF) don auna adadin wasu abubuwa da aka saki a cikin jini da CSF ta gabobin jiki, kyallen takarda, ko ƙwayoyin ƙari a jiki. Wasu abubuwa suna da alaƙa da takamaiman nau'ikan cutar daji idan aka same su cikin ƙaruwa a cikin jini. Wadannan ana kiran su alamun tumor.

Ana amfani da alamun alamomi masu zuwa don gano wasu ƙwayoyin cuta na kwayar cutar ta CNS:

• Alpha-fetoprotein (AFP).

• Beta-ɗan adam chorionic gonadotropin (beta-hCG).

• Nazarin ilimin sunadarai na jini: Hanya ce wacce ake bincikar samfurin jini don auna adadin wasu abubuwa da aka saki a cikin jini ta gabobi da kayan aiki a jiki. Adadin abu na yau da kullun (mafi girma ko ƙasa-da-al'ada) na iya zama alamar cuta.

• Nazarin hormone na jini: Hanya ce wacce ake bincika samfurin jini don auna adadin wasu kwayoyin halittar da aka saki a cikin jini ta gabobi da kayan aiki a jiki. Adadin abu mai ban mamaki (mafi girma ko ƙasa-da-al'ada) na abu zai iya zama alamar cuta a cikin gaɓaɓɓiyar jiki ko nama da ke yin ta. Za a binciki jinin don matakan homonin da pituitary gland da sauran gland suke yi.

Ana iya yin biopsy don tabbatar da ganewar asirin ƙwayar ƙwayar ƙwayar ƙwayar ta CNS.

Idan likitoci suna tsammanin ɗanka na iya samun ƙwayar ƙwayar ƙwayar ƙwayar CNS, za a iya yin biopsy. Don cututtukan ƙwaƙwalwa, ana yin biopsy ta cire wani ɓangare na kwanyar da amfani da allura don cire samfurin nama. Wani lokaci, ana amfani da allurar da kwamfuta ta jagoranta don cire samfurin nama. Kwararren likitan kwalliya yana kallon naman a ƙarƙashin madubin likita don neman ƙwayoyin kansa. Idan aka sami ƙwayoyin kansa, likita na iya cire ƙari kamar yadda zai yiwu a yayin aikin tiyata. Usuallyan kwanyar kan yawanci ana sanya shi a wuri bayan aikin.

Craniotomy: Ana yin buɗa a cikin kwanyar kuma an cire wani ɓangare na kwanyar don nuna wani ɓangare na kwakwalwa.

Ana iya yin gwajin na gaba a kan samfurin ƙyallen da aka cire:

• Immunohistochemistry: Gwajin gwaje-gwaje wanda ke amfani da kwayoyin cuta don bincika wasu antigens (alamomi) a cikin samfurin jikin mai haƙuri. Magungunan rigakafi yawanci suna da alaƙa da enzyme ko fenti mai kyalli. Bayan kwayoyin sun kunshi wani takamaiman antigen a cikin samfurin, sai a kunna enzyme ko rini, sannan za a iya ganin antigen a karkashin wani madubin likita. Ana amfani da irin wannan gwajin don taimakawa wajen gano kansar da kuma taimakawa gaya ga wani nau'in cutar kansa daga wani nau'in cutar kansa.

Wani lokaci ana iya yin binciken asali bisa ga sakamakon hoto da gwajin alamun ƙari kuma ba a buƙatar biopsy.

Wasu dalilai suna shafar hangen nesa (damar dawowa).

Hangen nesa (damar dawowa) ya dogara da masu zuwa:

• Nau'in ƙwayar ƙwayar ƙwayoyin cuta.

• Nau'in da matakin kowane alamomin ciwace ciwace.

• Inda ƙari yake a cikin kwakwalwa ko a cikin lakar kashin baya.

• Ko cutar daji ta bazu a cikin kwakwalwa da laka ko zuwa wasu sassan jiki.

• Ko kumburin sabon ciwo ne ko kuma ya sake dawowa (dawowa) bayan jiyya.

Matakan Yarinyar CNS Germ Cell Tumors

MAGANAN MAGANA

• Nervousarancin jijiyoyin ƙananan yara (CNS) ƙwayoyin cuta na ƙwayoyin cuta ba safai suke yaɗuwa a wajen ƙwaƙwalwa da lakar kashin baya ba.

Nervousarancin jijiyoyin ƙananan yara (CNS) ƙwayoyin cuta na ƙwayoyin cuta ba safai suke yaɗuwa a wajen ƙwaƙwalwa da lakar kashin baya ba.

Yin kallo shine tsarin da ake amfani dashi don gano yawan cutar kansa da kuma ko kansar ta bazu. Babu daidaitaccen tsarin tsarkewa don ƙwayar ƙwayar ƙwayar ƙwayar ƙananan yara (CNS) ƙwayoyin ƙwayoyin cuta.

Tsarin magani ya dogara da masu zuwa:

• Nau'in ƙwayar ƙwayar ƙwayoyin cuta.

• Ko kumburin ya yadu a cikin kwakwalwa da laka ko zuwa wasu sassan jiki, kamar huhu ko kashi.

• Sakamakon gwaje-gwaje da hanyoyin da aka yi don gano ƙananan ƙwayoyin cuta na ƙwayoyin cuta na CNS.

• Ko kumburin sabon ciwo ne ko kuma ya sake dawowa (dawowa) bayan jiyya.

Maimaita Childhoodananan yara CNS Germ Cell Tumors

Wayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar yara ta yara na iya sake dawowa (dawo) bayan an ba su magani. Ciwan kumburin yakan dawo ne inda ciwan farko ya fara. Haka kuma ciwon zai iya dawowa a wasu wurare da / ko a cikin meninges (yadudduka yatsan nama wanda ke rufewa da kare kwakwalwa da laka).

Bayanin Zaɓin Jiyya

MAGANAN MAGANA

• Akwai nau'ikan magani daban-daban na marasa lafiya tare da ƙananan ƙwayoyin cuta (CNS) ƙwayoyin cuta na ƙwayoyin cuta.

• Yaran da ke da ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cutar ta ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin cuta da ke tattare da ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta ta yara.

• Jiyya don ƙananan ƙwayoyin cuta na ƙwayoyin cuta na CNS na iya haifar da sakamako masu illa.

• Ana amfani da nau'ikan magani hudu:

• Radiation far

• Chemotherapy

• Tiyata

• -Aramin magani mai ƙarfi tare da ceton kwayar halitta

• Ana gwada sababbin nau'ikan magani a gwajin asibiti.

• Ciwon da aka yi niyya

• Marasa lafiya na iya son yin tunani game da shiga cikin gwaji na asibiti.

• Marasa lafiya na iya shiga gwajin asibiti kafin, lokacin, ko bayan fara maganin cutar kansa.

• Ana iya buƙatar gwaje-gwaje na gaba.

Akwai nau'ikan magani daban-daban na marasa lafiya tare da ƙananan ƙwayoyin cuta (CNS) ƙwayoyin cuta na ƙwayoyin cuta.

Akwai nau'ikan magani daban-daban don yara masu fama da ƙwayar ƙwayar ƙwayar ƙwayar yara (CNS). Wasu jiyya suna daidaito (magani da ake amfani dashi yanzu), kuma wasu ana gwada su a gwajin asibiti. Gwajin gwajin magani shine binciken bincike wanda aka tsara don taimakawa inganta ingantattun jiyya na yanzu ko samun bayanai game da sababbin jiyya ga marasa lafiya da ciwon daji. Lokacin da gwaji na asibiti ya nuna cewa sabon magani ya fi magani na yau da kullun, sabon magani na iya zama daidaitaccen magani.

Saboda cutar kansa a cikin yara ba safai ba, ya kamata a yi la'akari da shiga cikin gwajin asibiti. Wasu gwaji na asibiti ana buɗe su ne kawai ga marasa lafiyar da basu fara magani ba.

Yaran da ke da ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cutar ta ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin cuta da ke tattare da ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta ta yara.

Jiyya za a kula da ita ta likitan ilimin likitan yara da / ko kuma masanin ilimin oncologist. Masanin ilimin likitan yara likitan ne wanda ya kware kan kula da yara masu cutar kansa. Kwararren masanin ilimin cututtukan cututtukan fatar jiki ya ƙware wajen kula da cutar kansa tare da maganin fuka-fuka. Waɗannan likitocin suna aiki tare da sauran masu ba da kula da lafiya na yara waɗanda ƙwararru ne a kan kula da yara da ƙananan ƙwayoyin cuta na ƙwayoyin cuta na CNS waɗanda suka kware a wasu fannonin magani. Wadannan na iya hada da kwararru masu zuwa:

• Likitan yara.

• Neurosurgeon likitan yara.

• Neurologist.

• Masanin ilimin likita.

• Likitan ido.

• Kwararren likitan yara.

• Gwanayen gyarawa.

• Masanin ilimin psychologist.

• Ma'aikacin zamantakewa.

Jiyya don ƙananan ƙwayoyin cuta na ƙwayoyin cuta na CNS na iya haifar da sakamako masu illa.

Don bayani game da illolin da ke farawa yayin magani don cutar kansa, duba shafin Gurbinmu.

Hanyoyi masu illa daga maganin ciwon daji wanda zai fara bayan jiyya kuma ya ci gaba tsawon watanni ko shekaru ana kiransa sakamako na ƙarshe. Sakamakon sakamako na maganin kansa na iya haɗa da masu zuwa:

• Matsalolin jiki.

• Canje-canje a cikin yanayi, ji, tunani, ilmantarwa, ko ƙwaƙwalwar ajiya.

• Cancer na biyu (sababbin nau'ikan cutar kansa).

Wasu maganganun ƙarshen ana iya magance su ko sarrafa su. Yana da mahimmanci a yi magana da likitocin ɗanka game da yiwuwar ƙarshen cututtukan da wasu jiyya suka haifar. (Dubi taƙaitaccen bayanin akan ƙarshen tasirin Jiyya don Ciwon Childhoodan yara don ƙarin bayani).

Ana amfani da nau'ikan magani hudu:

Radiation far

Radiation therapy magani ne na cutar kansa wanda yake amfani da hasken rana mai ƙarfi ko wasu nau'ikan radiation don kashe ƙwayoyin kansa ko hana su girma. Akwai nau'o'in maganin radiation guda biyu:

• Magungunan radiation na waje yana amfani da inji a waje don aika radiation zuwa ga cutar kansa. Wasu hanyoyi na ba da maganin fitila na iya taimakawa kiyaye radiation daga lalata lafiyar nama mai kusa. Wannan nau'ikan maganin radiation na iya haɗa da mai zuwa:

• Yin aikin tiyata na motsa jiki: Tsarin motsa jiki na wani nau'in magani ne na waje. An liƙa firam ɗin da ba shi da ƙarfi a kwanyar don kiyaye kansa a yayin kulawar radiation. Inji yana nufin babban ƙwayar raɗaɗɗiya kai tsaye a ƙari. Wannan aikin ba ya ƙunsar tiyata. Hakanan ana kiranta stereotaxic radiosurgery, rediyo, da tiyata.

• Magungunan radiation na ciki yana amfani da abu mai tasirin rediyo wanda aka rufe a cikin allurai, tsaba, wayoyi, ko catheters waɗanda aka sanya kai tsaye zuwa ko kusa da ciwon daji.

Hanyar da ake ba da maganin fitilar ya dogara da nau'in cutar kansa da ake kula da ita.

Ana amfani da maganin radiation na waje don magance ƙananan ƙwayoyin cuta na ƙwayoyin cuta na CNS. Radiation na radiyo ga kwakwalwa na iya shafar girma da ci gaban yara ƙanana. Wasu hanyoyi na ba da maganin fuka-fuka na iya rage lalacewar larurar ƙwaƙwalwar mai lafiya. Ga yara ƙanana da shekaru 3, ana iya ba da magani a maimakon. Wannan na iya jinkirta ko rage buƙata don maganin fuka-fuka.

Chemotherapy

Chemotherapy magani ne na cutar kansa wanda ke amfani da magunguna don dakatar da haɓakar ƙwayoyin kansa, ko dai ta hanyar kashe ƙwayoyin ko ta hana su rarraba. Lokacin da ake shan chemotherapy ta baki ko allura a cikin jijiya ko tsoka, magungunan suna shiga cikin jini kuma zasu iya kaiwa ga kwayoyin cutar kansa a cikin jiki duka (systemotherapy chemotherapy). Lokacin da aka sanya chemotherapy kai tsaye zuwa cikin ruwa mai ruɓaɓɓen ciki, gaɓoɓi, ko rami na jiki kamar ciki, magungunan yawanci suna shafar ƙwayoyin kansa ne a waɗancan yankuna.

Hanyar da ake ba da cutar sankara ta dogara da nau'in cutar sankara. Ana amfani da chemotherapy na tsarin don magance ƙwayoyin cuta na ƙwayoyin cuta na CNS.

Tiyata

Ko aikin tiyata don cire kumburin za a iya yin ya dogara da inda ciwon yake a cikin kwakwalwa. Yin aikin tiyata don cire ƙwayar cuta na iya haifar da mummunan sakamako na dogon lokaci.

Za a iya yin aikin tiyata don cire teratomas kuma ana iya amfani da shi don ƙwayoyin ƙwayoyin ƙwayoyin cuta waɗanda suka dawo. Bayan likita ya cire dukkan cutar daji da za a iya gani a lokacin tiyatar, wasu marasa lafiya za a iya ba su maganin ƙwaƙwalwar ko kuma maganin furewa bayan tiyata don kashe duk ƙwayoyin cutar kansa da suka rage. Maganin da ake bayarwa bayan tiyatar, don rage haɗarin kamuwa da cutar kansa zai dawo, ana kiran sa adjuvant therapy.

-Aramin magani mai ƙarfi tare da ceton kwayar halitta

Ana ba da magungunan allura don kashe kwayoyin cutar kansa. Kwayoyin lafiya, gami da ƙwayoyin halitta masu jini, suma ana lalata su ta hanyar maganin kansa. Dasawar sel shine magani don maye gurbin kwayoyin halitta. Ana cire ƙwayoyin sari (ƙwayoyin jinin da basu balaga ba) daga cikin jinin ko ƙashin ƙashin mara lafiya ko mai bayarwa kuma ana daskarar dasu ana adana su. Bayan mai haƙuri ya gama shan magani, sai a narke ƙwayoyin ƙwayoyin da aka adana kuma a mayar da su ga mai haƙuri ta hanyar jiko. Waɗannan ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin na ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin na ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin na ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin na ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin magungunan za a ɗibar

Ana gwada sababbin nau'ikan magani a gwajin asibiti.

Wannan ɓangaren taƙaitaccen bayani yana bayanin jiyya waɗanda ake nazarin su a gwajin asibiti. Yana iya ba ambaci kowane sabon magani ana nazarin. Ana samun bayani game da gwaji na asibiti daga gidan yanar gizon NCI.

Ciwon da aka yi niyya

Targeted therapy wani nau'in magani ne wanda yake amfani da magunguna ko wasu abubuwa don afkawa ƙwayoyin kansar.

Ana nazarin ilimin da aka yi niyya don maganin ƙananan ƙwayoyin cuta na ƙwayoyin cuta na CNS waɗanda suka sake dawowa (dawo).

Marasa lafiya na iya son yin tunani game da shiga cikin gwaji na asibiti.

Ga wasu marasa lafiya, shiga cikin gwaji na asibiti na iya zama mafi kyawun zaɓin magani. Gwajin gwaji wani bangare ne na aikin binciken cutar kansa. Ana yin gwaje-gwajen asibiti don gano ko sabbin maganin cutar daji suna da lafiya da tasiri ko kuma sun fi magani na yau da kullun.

Yawancin yau da kullun na yau da kullun don cutar kansa sun dogara ne akan gwajin asibiti na farko. Marasa lafiya da ke cikin gwaji na asibiti na iya karɓar daidaitaccen magani ko kuma su kasance cikin farkon waɗanda za su karɓi sabon magani.

Marasa lafiya da ke shiga cikin gwaji na asibiti suma suna taimakawa inganta hanyar da za a bi da kansar a nan gaba. Koda lokacin gwajin asibiti bai haifar da sababbin magunguna ba, sau da yawa sukan amsa mahimman tambayoyi kuma suna taimakawa ci gaba da bincike gaba.

Marasa lafiya na iya shiga gwajin asibiti kafin, lokacin, ko bayan fara maganin cutar kansa.

Wasu gwaji na asibiti kawai sun haɗa da marasa lafiya waɗanda ba su sami magani ba tukuna. Sauran gwaje-gwajen suna gwada jiyya ga marasa lafiya waɗanda cutar kansa ba ta samu sauki ba. Hakanan akwai gwaji na asibiti da ke gwada sabbin hanyoyin dakatar da cutar kansa daga sake dawowa (dawowa) ko rage tasirin maganin kansar.

Gwajin gwaji na gudana a sassa da yawa na ƙasar. Bayani game da gwajin asibiti wanda NCI ke tallafawa ana iya samun shi akan shafin binciken gwaji na NCI. Ana iya samun gwajin gwaji na asibiti wanda wasu kungiyoyi ke tallafawa akan gidan yanar gizon ClinicalTrials.gov.

Ana iya buƙatar gwaje-gwaje na gaba.

Za a iya maimaita wasu gwaje-gwajen da aka yi don gano cutar kansa ko don gano matakin cutar kansa. Za a maimaita wasu gwaje-gwaje don ganin yadda magani ke aiki. Shawarwari game da ci gaba, canji, ko dakatar da magani na iya dogara ne da sakamakon waɗannan gwaje-gwajen.

Wasu daga cikin gwaje-gwajen za a ci gaba da yi daga lokaci zuwa lokaci bayan an gama jiyya. Sakamakon waɗannan gwaje-gwajen na iya nuna idan yanayin ɗanku ya canza ko kuma idan ciwon daji ya sake dawowa (dawo). Wadannan gwaje-gwajen wasu lokuta ana kiran su gwaje-gwaje na gaba ko dubawa.

Yaran da kansar su ta shafi gland din su lokacin da aka gano kansar yawanci suna buƙatar a duba matakan hormone na jinin su. Idan matakin hormone na jini yayi ƙasa, ana ba da maye gurbin maganin hormone.

Yaran da suke da babban alamar alama (alpha-fetoprotein ko beta-human chorionic gonadotropin) lokacin da aka gano kansar yawanci suna buƙatar a duba matakin alamar alamun jininsu. Idan matakin alamar alama yana ƙaruwa bayan jiyya na farko, ƙari zai iya komawa.

Zaɓuɓɓukan Jiyya don Ciwon Cutar Tododin Sananan yara na CNS

A Wannan Sashin

• Sabon Binciken CNS Germinomas

• Sabon Binciken CNS Nongerminomas

• Sabon Binciken CNS Teratomas

Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.

Sabon Binciken CNS Germinomas

Jiyya na sabon binciken da aka gano na tsakiya (CNS) germinomas na iya haɗa da masu zuwa:

• Radiation na warkewa zuwa ɗaukacin kwakwalwa gami da maƙogwaron (wurare cike da ruwa na kwakwalwa) da laka. An ba da kashi mafi yawa na radiation ga ƙari fiye da yankin da ke kusa da ƙari.

• Chemotherapy ya bi ta hanyar radiation radiation.

• Gwajin gwaji na chemotherapy wanda ya biyo baya ta hanyar radiation wanda aka bayar a ƙananan allurai ya danganta da yadda ƙari ya amsa magani.

• Gwajin gwaji na sabon tsarin magani dangane da yadda mai yiwuwa ciwon kumburin zai sake dawowa bayan magani.

Sabon Binciken CNS Nongerminomas

Ba a bayyana abin da magani ya fi dacewa ga sababbin ƙwayoyin cuta na tsakiya (CNS) nongerminomas ba.

Jiyya na choriocarcinoma, carcinoma embryonal, yolk sac tumo, ko haɗarin ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta na iya haɗawa da masu zuwa:

• Chemotherapy ya bi ta hanyar radiation radiation.

• Tiyata. Idan taro ya kasance bayan chemotherapy wanda ke ci gaba da girma kuma matakan alamomin ƙari sune na al'ada (wanda ake kira ciwon teratoma mai girma), ana iya buƙatar tiyata don bincika idan adadin ya kasance ɓangaren teratoma, fibrosis, ko ƙari mai girma.

• Idan nauyin ya zama balagagge ne teratoma ko fibrosis, ana ba da magani na radiation.

• Idan taro shine ƙari mai girma, za'a iya ba sauran magunguna.

Sabon Binciken CNS Teratomas

Jiyya na sababbin cututtukan da ba su balaga ba (CNS) teratomas na iya haɗa da masu zuwa:

Yin aikin tiyata don cire mafi yawan kumburi kamar yadda zai yiwu. Idan kowane ƙari ya kasance bayan tiyata, za a iya ba da ƙarin magani:

• Radiation far zuwa ƙari ko stsereotactic radiosurgery; da / ko

• Chemotherapy.

Zaɓuɓɓukan Jiyya don Ciwon CNananan CNananan yara na CNS Germ Cell

Jiyya na ƙananan ƙananan ƙwayoyin cuta (CNS) ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta na iya haɗawa da masu zuwa:

• Chemotherapy ya bi ta hanyar maganin radiation, don germinomas.

• Magungunan ƙwayar cuta mai mahimmanci tare da ceton kwayar halitta ta amfani da ƙwayoyin ƙwayoyin mai haƙuri, tare da ko ba tare da ƙarin maganin radiation ba, don germinomas da nongerminomas.

• Gwajin gwaji na sabon magani.

• Gwajin gwaji wanda ke bincikar samfurin ƙwayar cutar mai haƙuri don wasu canje-canje na asali. Nau'in maganin da aka yiwa niyya wanda za'a baiwa mai haƙuri ya dogara da nau'in canjin halittar mutum.

Gwajin gwaji na yanzu

Yi amfani da binciken bincikenmu na asibiti don nemo NCI na goyan bayan gwajin asibiti wanda ke karɓar marasa lafiya. Kuna iya bincika gwaji dangane da nau'in ciwon daji, shekarun mai haƙuri, da kuma inda ake yin gwajin. Ana samun cikakken bayani game da gwaji na asibiti.

Don Morearin Koyo game da Childhoodananan umananan CNananan Tumbi na CNS

Don ƙarin bayani game da ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta, duba mai zuwa:

• Consortium Brain Tumor Consortium (PBTC) Fita daga Sanarwa

Don ƙarin bayani game da cutar sankarar yara da sauran albarkatun kansar gaba ɗaya, duba masu zuwa:

• Game da Ciwon daji

• Ciwon Yara

• Binciken Cure don Ciwon Childrenan yara

• Matsayi na Late na Jiyya don Ciwon Yara

• Matasa da Samari da Ciwon daji

• Yara da Ciwon daji: Jagora ga Iyaye

• Ciwon daji a cikin Yara da Matasa

• Tsayawa

• Yin fama da Ciwon daji

• Tambayoyi don Tambayar Doctor game da Ciwon daji

• Don Tsira da Kulawa