Types/gi-carcinoid-tumors/patient/gi-carcinoid-treatment-pdq

Maganin Ciwan Tumbi na Magungunan astroan Ciwo (®) –Patient Version

Janar Bayani Game da Ciwan Tumbin Cutar Ciki

MAGANAN MAGANA

• Ciwon cututtukan cututtukan ciki shine ciwon daji wanda ke samuwa a cikin rufin sashin gastrointestinal tract.

• Tarihin lafiya na iya shafar haɗarin cututtukan cututtukan ciki na ciki.

• Wasu cututtukan cututtukan cututtukan ciki ba su da alamun alamu a farkon matakan.

• Ciwon sankara zai iya faruwa idan ƙari ya bazu zuwa hanta ko wasu sassan jiki.

• Ana amfani da karatuttukan hoto da gwaje-gwaje waɗanda ke bincika jini da fitsari don ganowa (gano) da kuma bincikar ciwace-ciwacen cututtukan ciki.

• Wasu dalilai suna tasiri hangen nesa (damar dawowa) da zaɓuɓɓukan magani.

Ciwon cututtukan cututtukan ciki shine ciwon daji wanda ke samuwa a cikin rufin sashin gastrointestinal tract.

Yankin gastrointestinal (GI) wani bangare ne na tsarin narkewar jiki. Yana taimakawa narkewar abinci, ɗaukar abubuwan gina jiki (bitamin, ma'adanai, carbohydrates, kitse, sunadarai, da ruwa) daga abincin da jiki zai yi amfani dasu kuma yana taimakawa wuce kayan abu daga jiki. Yankin GI ya ƙunshi waɗannan da sauran gabobin:

• Ciki

• Intananan hanji (duodenum, jejunum, da ileum).

• Zazzaɓi

• Mahaifa

Ciwon cututtukan cututtukan ciki na ciki yana samuwa a cikin rufin sashin gastrointestinal tract, galibi a cikin ƙari, ƙananan hanji, ko dubura.

Ciwon daji na cututtukan ciki yana samuwa daga wani nau'in kwayar halitta neuroendocrine (wani nau'in kwayar halitta wanda yake kama da kwayar cutar jijiyoyi da kwayar halitta mai samar da hormone). Waɗannan ƙwayoyin suna warwatse a cikin kirji da ciki amma galibi ana samun su a cikin hanyar GI. Kwayoyin Neuroendocrine suna yin homonin da ke taimakawa sarrafa ruwan narkewar abinci da tsokoki da ake amfani dasu wajen motsa abinci ta cikin ciki da hanji. Ciwon daji na GI zai iya yin homonu kuma ya sake su cikin jiki.

Cutar cututtukan GI na carcinoid ba safai ba kuma galibi suna girma a hankali. Mafi yawansu suna faruwa ne a cikin hanji, dubura, da ƙari. Wani lokaci ƙari fiye da ɗaya zai iya samuwa.

Duba taƙaitattun masu zuwa don ƙarin bayani game da GI da sauran nau'ikan ciwace-ciwacen ƙwayoyin cuta:

• Maganin Ciwon Cutar Sanda Na Smallananan.

• Pancreatic Neuroendocrine Tumors (Islet Cell Tumors) Jiyya.

• Maganin Ciwon Canji

• Treatmentananan Maganin Ciwon Canji

• Cancers na Musamman na Kula da Yara

Tarihin lafiya na iya shafar haɗarin cututtukan cututtukan ciki na ciki.

Duk wani abu da yake kara wa mutum damar kamuwa da cuta ana kiransa mai hadari. Samun haɗari ba ya nufin cewa za ku kamu da cutar kansa; ba tare da haɗarin abubuwan haɗari ba yana nufin cewa ba zaku sami cutar kansa ba. Yi magana da likitanka idan kuna tunanin kuna cikin haɗari.

Abubuwa masu haɗari ga cututtukan cututtukan GI na GI sun haɗa da masu zuwa:

• Samun tarihin iyali na yawan cututtukan cututtukan endoprine neoplasia nau'in 1 (MEN1) ko cututtukan neurofibromatosis nau'in 1 (NF1).

• Samun wasu sharuɗɗa waɗanda ke shafar ikon ciki don yin acid na ciki, kamar su atrophic gastritis, ƙarancin anemia, ko cutar Zollinger-Ellison.

Wasu cututtukan cututtukan cututtukan ciki ba su da alamun alamu a farkon matakan.

Alamomi da alamomi na iya haifar da ci gaban kumburin da / ko homonin da kumburin ke yi. Wasu ciwace-ciwacen ƙwayoyi, musamman ƙari na ciki ko ƙari, na iya haifar da alamu ko alamomi. Yawancin lokaci ana samun ciwace-ciwace a lokacin gwaji ko jiyya don wasu yanayi.

Ciwan kansa a cikin karamin hanji (duodenum, jejunum, da ileum), colon, da dubura wani lokaci suna haifar da alamu ko alamomi yayin da suke girma ko kuma saboda homonin da suke yi. Sauran yanayi na iya haifar da alamu iri ɗaya. Duba tare da likitanka idan kuna da ɗayan masu zuwa:

Duodenum

Alamomi da alamomin cututtukan cututtukan GI a cikin duodenum (ɓangaren farko na ƙaramar hanji, wanda ke haɗuwa da ciki) na iya haɗa da masu zuwa:

• Ciwon ciki.

• Maƙarƙashiya

• Gudawa.

• Canja launin launi.

• Ciwan mara

• Amai.

• Jaundice (raunin fata da fararen idanu).

• Bwannafi

Jejunum da ileum

Alamomi da alamomin cutar cututtukan GI a cikin jejunum (tsakiyar ɓangaren ƙaramar hanji) da ileum (ɓangaren ƙarshe na ƙaramar hanji, wanda ke haɗuwa da hanji) na iya haɗa da masu zuwa:

• Ciwon ciki.

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

• Jin kasala sosai.

• Jin ciki

• Gudawa.

• Ciwan mara

• Amai.

Zazzaɓi

Alamomi da alamomin cututtukan GI na cikin cututtukan cikin jiki na iya haɗa da masu zuwa:

• Ciwon ciki.

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

Mahaifa

Alamomi da alamomin cututtukan GI carcinoid a cikin dubura na iya haɗa da masu zuwa:

• Jini a cikin buta.

• Jin zafi a dubura.

• Maƙarƙashiya

Ciwon sankara zai iya faruwa idan ƙari ya bazu zuwa hanta ko wasu sassan jiki.

Harsunan da ƙwayoyin cututtukan cututtukan ciki suka lalace yawanci ana lalata kwayoyin enzymes na hanta cikin jini. Idan ƙari ya bazu zuwa hanta kuma enzymes na hanta ba za su iya lalata ƙarin homonin da kumburin ya yi ba, yawancin waɗannan homon ɗin na iya zama cikin jiki kuma suna haifar da cututtukan carcinoid. Hakanan wannan na iya faruwa idan ƙwayoyin ƙari suka shiga jini. Alamomi da alamomin cutar sankara sun hada da masu zuwa:

• Redness ko jin dumi a fuska da wuya.

• Ciwon ciki.

• Jin ciki.

• Gudawa.

• Busa kumburi ko wata matsalar numfashi.

• Saurin bugun zuciya.

Waɗannan alamu da alamomin na iya faruwa ne ta ciwan ƙwayar carcinoid na ciki ko wasu yanayi. Yi magana da likitanka idan kana da ɗayan waɗannan alamun ko alamun.

Ana amfani da karatuttukan hoto da gwaje-gwaje waɗanda ke bincika jini da fitsari don ganowa (gano) da kuma bincikar ciwace-ciwacen cututtukan ciki.

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 sunadarai na jini: Hanya ce wacce ake bincika samfurin jini don auna adadin wasu abubuwa, kamar su hormones, wanda aka saki a cikin jini ta gabobi da kyallen takarda a jiki. Adadin abu na yau da kullun (mafi girma ko ƙasa da al'ada) na iya zama alamar cuta. Ana bincikar samfurin jini domin a gani ko yana dauke da sinadarin homonin da ciwan kansa ya haifar. Ana amfani da wannan gwajin don taimakawa wajen gano cutar sankara.

• Gwajin alamar alama: Hanya ce wacce ake bincika samfurin jini, fitsari, ko nama don auna adadin wasu abubuwa, kamar su chromogranin A, waɗanda gabobi, da kyallen takarda, ko ƙwayoyin ƙari suke yi a jiki. Chromogranin A shine alamar tumo. An danganta shi da cututtukan neuroendocrine lokacin da aka samo su cikin ƙaruwa a cikin jiki.

• Gwajin fitsari na awanni ashirin da hudu: Gwaji ne wanda ake tara fitsari a ciki na tsawon awanni 24 don auna adadin wasu abubuwa, kamar su 5-HIAA ko serotonin (hormone). 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. Ana amfani da wannan gwajin don taimakawa wajen gano cutar sankara.

• MIBG scan: Hanyar da aka yi amfani da ita don gano ƙwayoyin neuroendocrine, kamar ƙwayoyin cuta na carcinoid. Smallaramin abu kaɗan na rediyo mai suna MIBG (metaiodobenzylguanidine) ana masa allura a cikin jijiya kuma yana tafiya ta cikin jini. Ciwan ƙwayar Carcinoid ya ɗauki kayan rediyo kuma na'urar da ke auna radiation ta gano su.

• CT scan (CAT scan): Hanya ce da ke yin jerin hotuna dalla-dalla na wurare a cikin jiki, waɗanda aka ɗauka daga kusurwa daban-daban. Ana yin hotunan ne ta wata kwamfuta da aka haɗa ta da na'urar da ke ɗauke da x-ray. Ana iya yin allurar fenti a cikin jijiya ko haɗiye don taimakawa gabobin ko kyallen takarda su fito fili karara. Wannan hanya ana kiranta yanayin ƙididdigar lissafi, ƙirar kwamfuta, ko ƙirar ƙwaƙwalwar ajiyar kwamfuta.

• MRI (hoton maganadisu ): Hanya ce wacce ke amfani da maganadisu, raƙuman rediyo, da kuma kwamfuta don yin jerin hotuna dalla-dalla na wurare a cikin jiki. Wannan hanyar ana kiranta kuma hoton maganadisu na maganadisu

• PET scan (positron emission tomography scan): Hanya ce don gano ƙwayoyin cuta masu illa a jiki. An sanya ƙwayar glucose mai ƙarancin rediyo (sukari) a cikin jijiya. Na'urar daukar hoton PET tana juyawa a jiki kuma tana yin hoto inda ake amfani da glucose a jiki. Kwayoyin cuta masu illa a jiki sun nuna haske a hoton saboda sun fi aiki kuma suna ɗaukar glucose fiye da ƙwayoyin al'ada.

• Endoscopic duban dan tayi (EUS): Hanya ce wacce ake saka endoscope a jiki, yawanci ta bakin ko dubura. Ganin ƙarshen abu mai nauyi ne, mai kama da bututu tare da haske da ruwan tabarau don kallo. Ana amfani da bincike a ƙarshen endoscope don tayar da raƙuman sauti mai ƙarfi (duban dan tayi) daga kayan ciki ko gabobin ciki, kamar ciki, ƙaramin hanji, hanji, ko dubura, da yin amo. Eararrawa ta haifar da hoton kayan jikin da ake kira sonogram. Wannan hanya ana kiranta endosonography.

• Endarshen endoscopy: Hanya ce don duba gabobi da kyallen takarda a cikin jiki don bincika yankuna marasa haɗari. An saka endoscope a cikin baki sannan a wuce ta cikin hanjin cikin ciki. Wani lokaci kuma endoscope shima yakan wuce ne daga ciki zuwa karamin hanji. Ganin ƙarshen abu mai nauyi ne, mai kama da bututu tare da haske da ruwan tabarau don kallo. Hakanan yana iya samun kayan aiki don cire samfuran jiki ko samfuran kumburin lymph, waɗanda aka bincika a ƙarƙashin microscope don alamun cuta.

• Colonoscopy: Hanya ce don duba cikin dubura da hanji don polyps, wuraren al'ada, ko ciwon daji. Ana saka colonoscope ta dubura ta cikin cikin hanjin. Colonoscope kayan aiki ne na bakin ciki, mai kama da bututu tare da haske da ruwan tabarau don kallo. Hakanan yana iya samun kayan aiki don cire polyps ko samfurin nama, waɗanda aka bincika a ƙarƙashin microscope don alamun cutar kansa.

• Endoscopy na Capsule: Hanya ce da ake amfani da ita don ganin dukkan hanji. Mai haƙuri ya haɗiye kawun ɗin wanda ya ƙunshi ƙaramin kyamara. Yayinda kawunon ya motsa ta cikin sashin ciki, kyamarar tana ɗaukar hotuna kuma tana aikawa zuwa mai karɓar da aka sawa a wajen jikin.

• Biopsy: Cire ƙwayoyin halitta ko kyallen takarda don a iya kallon su a ƙarƙashin madubin likita don bincika alamun cutar kansa. Ana iya ɗaukar samfurin nama a lokacin endoscopy da colonoscopy.

Wasu dalilai suna tasiri hangen nesa (damar dawowa) da zaɓuɓɓukan magani.

Halin hangen nesa (damar dawowa) da zaɓuɓɓukan magani sun dogara da masu zuwa:

• Inda ƙari yake a cikin ƙwayar ciki.

• Girman kumburin.

• Ko ciwon daji ya yadu daga ciki da hanji zuwa wasu sassan jiki, kamar hanta ko lymph nodes.

• Ko mai haƙuri yana da cutar sankara ko yana da cututtukan zuciya na carcinoid.

• Ko za a iya kawar da cutar kansa gaba ɗaya ta hanyar tiyata.

• Ko cutar sankara ce sabuwa ko kuma ta sake dawowa.

Matakai na Ciwon can Tashin Ciki

MAGANAN MAGANA

• Bayan an binciko cututtukan cututtukan ciki, ana yin gwaji don gano ko ƙwayoyin kansa sun bazu cikin ciki da hanji ko zuwa wasu sassan jiki.

• Akwai hanyoyi uku da kansar ke yaduwa a jiki.

• Ciwon daji na iya yaduwa daga inda ya fara zuwa sauran sassan jiki.

• Tsarin kula da cutar kansa ya dogara da inda aka samo kumburin carcinoid da kuma ko za a iya cire shi ta hanyar tiyata.

Bayan an binciko cututtukan cututtukan ciki, ana yin gwaji don gano ko ƙwayoyin kansa sun bazu cikin ciki da hanji ko zuwa wasu sassan jiki.

Staging hanya ce da ake amfani da ita don gano yadda cutar kansa ta bazu. Bayanin da aka tattara daga tsarin daukar matakan tantance matakin cutar. Hakanan za'a iya amfani da sakamakon gwaje-gwaje da hanyoyin da aka yi amfani da su don gano cututtukan cututtukan cututtukan ciki na ciki. Dubi Babban Bayanin Bayani don bayanin waɗannan gwaje-gwajen da hanyoyin. Ana iya yin sashin ƙashi don bincika ko akwai ƙwayoyin halitta masu saurin rarrabawa, kamar ƙwayoyin kansa, a cikin ƙashin. Aramin abu kaɗan ne na rediyo ke shiga cikin jijiya kuma yana tafiya ta cikin jini. Kayan aikin radiyo yana tattarawa a cikin kasusuwa tare da cutar kansa kuma na'urar daukar hotan takardu ce ke gano shi.

Akwai hanyoyi uku da kansar ke yaduwa a jiki.

Ciwon daji na iya yadawa ta hanyar nama, tsarin lymph, da jini:

• Nama. Ciwon daji yana yaduwa daga inda ya fara ta girma zuwa yankuna na kusa.

• Tsarin Lymph. Ciwon daji yana yaduwa daga inda ya faro ta hanyar shiga cikin ƙwayoyin cuta. Ciwon daji yana bi ta cikin jirgin ruwan lymph zuwa wasu sassan jiki.

• Jini. Ciwon daji yana yaduwa daga inda ya fara ta hanyar shiga cikin jini. Ciwon daji yana bi ta hanyoyin jini zuwa wasu sassan jiki.

Ciwon daji na iya yaduwa daga inda ya fara zuwa sauran sassan jiki.

Lokacin da cutar daji ta bazu zuwa wani sashin jiki, akan kira shi metastasis. Kwayoyin sankara suna ɓata daga inda suka fara (asalin ƙwayar cuta) kuma suna tafiya ta cikin tsarin lymph ko jini.

• Tsarin Lymph. Ciwon daji ya shiga cikin tsarin laminin, ya ratsa ta cikin jiragen ruwan lymph, kuma ya samar da ƙari (metastatic tumo) a wani ɓangaren jiki.

• Jini. Ciwon kansa ya shiga cikin jini, ya bi ta hanyoyin jini, ya samar da ƙari (ƙwayar metastatic) a wani ɓangaren jiki.

Ciwon ƙwayar metastatic shine irin ƙwayar ƙwayar cuta kamar ƙwayar farko. Misali, idan ciwon hanji na ciki (GI) ya bazu zuwa hanta, ƙwayoyin ƙari a cikin hanta ainihin GI carcinoid ƙari ƙwayoyin cuta. Cutar ita ce cututtukan GI carcinoid, ba ciwon hanta ba.

Tsarin kula da cutar kansa ya dogara da inda aka samo kumburin carcinoid da kuma ko za a iya cire shi ta hanyar tiyata.

Ga yawancin cututtukan daji yana da mahimmanci sanin matakin kansar domin tsara magani. Koyaya, maganin cututtukan cututtukan cututtukan ciki ba ya dogara da matakin cutar kansa. Yin jiyya ya dogara ne akan ko za'a iya cire ƙwayar ta hanyar tiyata kuma idan ƙari ya bazu.

Jiyya dogara ne akan ko ƙari:

• Za a iya cire shi gaba ɗaya ta hanyar tiyata.

• Ya yadu zuwa wasu sassan jiki.

• Ya dawo bayan jiyya. Ciwon zai iya dawowa cikin ciki ko hanji ko kuma a wasu sassan jiki.

• Ba a sami mafi kyau ba tare da magani.

Bayanin Zaɓin Jiyya

MAGANAN MAGANA

• Akwai nau'ikan magani daban-daban ga marasa lafiya da cututtukan cututtukan ciki.

• Ana amfani da nau'i hudu na daidaitaccen magani:

• Tiyata

• Radiation far

• Chemotherapy

• Hormone far

• Hakanan za'a iya buƙatar magani don cututtukan carcinoid.

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

• Ciwon da aka yi niyya

• Jiyya ga ciwukan ciki na cututtukan ciki na iya haifar da illa.

• 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 ga marasa lafiya da cututtukan cututtukan ciki.

Akwai nau'ikan magani daban-daban ga marasa lafiya da ciwon sukari na ciki. 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. Marasa lafiya na iya son yin tunani game da shiga cikin gwaji na asibiti. Wasu gwaji na asibiti ana buɗe su ne kawai ga marasa lafiyar da basu fara magani ba.

Ana amfani da nau'i hudu na daidaitaccen magani:

Tiyata

Jiyya na cututtukan GI carcinoid yawanci ya haɗa da tiyata. Ana iya amfani da ɗayan hanyoyin aikin tiyata masu zuwa:

• Endoscopic resection: Tiyata don cire ƙaramin ƙwayar da ke cikin rufin ciki na hanyar GI. Ana saka endoscope ta bakin kuma wucewa ta cikin hanjin ciki zuwa ciki kuma wani lokacin, duodenum. Bayanin hangen nesa kayan aiki ne na bakin ciki, mai kama da bututu tare da haske, ruwan tabarau don kallo, da kayan aiki don cire kayan ƙari.

• Exision na yanki: Yin tiyata don cire ƙari da ƙananan ƙwayar al'ada a kusa da ita.

• Bincike: Tiyata don cire wani ɓangare ko duk gaɓoɓin da ke ɗauke da cutar kansa. Hakanan za'a iya cire ƙwayoyin lymph na kusa.

• Cryosurgery: Magani ne wanda ke amfani da kayan aiki don daskarewa da lalata kayan ƙwayar ƙwayar cuta. Wannan nau'in magani ana kiransa cryotherapy. Dikita na iya amfani da duban dan tayi don jagorantar kayan aikin.

• Rushewar yanayin yanayin rediyo: Amfani da bincike na musamman tare da ƙananan wayoyi waɗanda ke sakin raƙuman rediyo mai ƙarfi (kama da microwaves) waɗanda ke kashe ƙwayoyin kansa. Ana iya shigar da binciken ta fata ko ta hanyar ragi (yankewa) a cikin ciki.

• Yin dashen Hanta: Tiyata don cire duka hanta kuma a maye gurbin ta da ƙoshin hanta mai ba da gudummawa.

• Bowayar maganin hanta: Hanyar emboli (toshe) jijiyoyin hanta, wanda shine babban jigon jini wanda ke kawo jini cikin hanta. Toshewar jini zuwa hanta yana taimakawa kashe ƙwayoyin kansa masu girma a can.

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.

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.

Radiopharmaceutical far wani nau'in magani ne na cikin ciki. Ana ba da fitila ga kumburin ta amfani da magani wanda ke da sinadarin rediyo, irin su iodine I 131, a haɗe da shi. Sinadarin rediyo yana kashe ƙwayoyin tumo.

Ana amfani da magungunan radiation na waje da na ciki don magance cututtukan cututtukan cututtukan ciki da suka yadu zuwa wasu sassan jiki.

Chemotherapy

Chemotherapy magani ne na cutar kansa wanda ke amfani da kwayoyi don dakatar da haɓakar ƙwayoyin kansa, ko dai ta hanyar kashe ƙwayoyin ko ta hana ƙwayoyin 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 (chemotherapy systemic). 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 a cikin waɗancan yankuna (chemotherapy na yanki).

Chemoembolization na jijiyoyin hanta wani nau'in magani ne na yanki wanda za'a iya amfani dashi don magance cututtukan cututtukan ciki wanda ya yadu zuwa hanta. Magungunan maganin ciwon daji an saka shi a cikin jijiyoyin hanta ta hanyar catheter (bakin ciki bututu). Ana hada maganin tare da wani abu wanda yake nuna (toshe) jijiya, kuma yana yanke gudan jini zuwa tumor. Mafi yawa daga cikin maganin anta sun makale a kusa da kumburin kuma karamin magani ne kawai ya isa sauran sassan jiki. Toshewar na iya zama na ɗan lokaci ko na dindindin, gwargwadon abin da aka yi amfani da shi don toshe jijiyar. An hana kumburin samun iskar oxygen da abubuwan gina jiki da yake buƙatar girma. Hanta yana ci gaba da karɓar jini daga jijiya, wanda ke ɗaukar jini daga ciki da hanji.

Hanyar da ake ba da cutar sankara ta dogara da nau'in da matakin cutar kansa.

Hormone far

Maganin Hormone tare da analog din somatostatin magani ne wanda yake dakatar da yin ƙarin hormones. GI carcinoid marurai ana bi da shi tare da octreotide ko lanreotide waɗanda ake allurarsu ƙarƙashin fata ko cikin tsoka. Octreotide da lanreotide na iya samun ɗan tasiri kan dakatar da ci gaban tumo.

Hakanan za'a iya buƙatar magani don cututtukan carcinoid.

Jiyya na cututtukan carcinoid na iya haɗa da masu zuwa:

• Hormone far tare da somatostatin analogue yana dakatar da yin ƙarin hormones. Ana magance cututtukan Carcinoid tare da octreotide ko lanreotide don rage zubar ruwa da gudawa. Octreotide da lanreotide na iya taimakawa jinkirin ci gaban tumo.

• Maganin Interferon yana ƙarfafa garkuwar jiki don aiki mafi kyau kuma yana rage flushing da gudawa. Interferon na iya taimakawa jinkirin ci gaban tumo.

• Shan magani don gudawa.

• Shan magani don feshin fata.

• Shan magani domin shan iska cikin sauki.

• Shan magani kafin a sami maganin sa barci don aikin likita.

Sauran hanyoyin da za a taimaka wajan magance cututtukan sankara sun hada da guje wa abubuwan da ke haifar da ruwa ko wahalar numfashi kamar barasa, kwaya, wasu cuku da abinci tare da sinadarin capsaicin, kamar barkono barkono. Guji yanayin damuwa da wasu nau'ikan motsa jiki na iya taimakawa wajen magance cututtukan sankara.

Ga wasu marasa lafiya da ke fama da cututtukan zuciya na zuciya, ana iya yin maye gurbin bawul na zuciya.

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 ganowa da afkawa takamaiman ƙwayoyin cutar kansa ba tare da cutar ƙwayoyin halitta ba. Yawancin nau'o'in maganin da aka yi niyya ana nazarin su a cikin maganin cututtukan GI na carcinoid.

Jiyya ga ciwukan ciki na cututtukan ciki na iya haifar da illa.

Don bayani game da illolin da cutar ta kansar ta haifar, duba shafin mu na Side Side.

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 ku ya canza ko kuma idan kansar ta sake dawowa (dawo). Wadannan gwaje-gwajen wasu lokuta ana kiran su gwaje-gwaje na gaba ko dubawa.

Zaɓuɓɓukan Jiyya don Ciwon Caran Tashin Ciki

A Wannan Sashin

• Ciwan Tutar Carcinoid a Ciki

• Umananan ƙwayoyin cuta a cikin inananan Hanji

• Tumors Carcinoid a cikin Shafi

• Tumors Carcinoid a cikin Gashin

• Tumors Carcinoid a cikin Rectum

• Metastatic Gastrointestinal Carcinoid Tumor

• Maimaita Ciwon Cutar Carcinoid Tumor

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

Ciwan Tutar Carcinoid a Ciki

Jiyya na ciwan ciki na ciki (GI) cikin ƙwayar ciki zai iya haɗa da masu zuwa:

• Endoscopic tiyata (sakewa) don ƙananan ƙwayoyin cuta.

• Yin aikin tiyata (cirewa) don cire ɓangare ko duka na ciki. Lymph nodes na kusa don manyan ƙari, ciwace-ciwacen da suka girma cikin bangon ciki, ko ciwan da ke girma da yaɗuwa da sauri suma ana iya cire su.

Ga marasa lafiya da cututtukan GI a cikin ciki da cutar MEN1, magani na iya haɗawa da:

• Yin aikin tiyata (cirewa) don cire kumburi a cikin duodenum (ɓangaren farko na ƙaramar hanji, wanda ke haɗuwa da ciki).

• Hormone far.

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.

Umananan ƙwayoyin cuta a cikin inananan Hanji

Ba a bayyana abin da mafi kyawun magani ba ne ga GI carcinoid ciwace a cikin duodenum (ɓangaren farko na ƙananan hanji, wanda ke haɗuwa da ciki). Jiyya na iya haɗa da masu zuwa:

• Endoscopic tiyata (sakewa) don ƙananan ƙwayoyin cuta.

• Yin aikin tiyata (cirewa na cikin gida) don cire ƙari mafi girma.

• Yin aikin tiyata (cirewa) don cire kumburi da ƙwayoyin lymph na kusa.

Jiyya game da cututtukan GI na cututtukan cikin cikin jejunum (tsakiyar ɓangaren ƙaramar hanji) da ileum (ɓangaren ƙarshe na ƙaramar hanji, wanda ke haɗuwa da hanji) na iya haɗa da masu zuwa:

• Yin tiyata (sakewa) don cire kumburi da membrane wanda ya haɗa hanji zuwa bayan bangon ciki. Hakanan an cire ƙwayoyin lymph na kusa.

• Tiyata ta biyu don cire matattarar da ke haɗa hanji zuwa bayan bangon ciki, idan wani ƙari ya rage ko ƙari ya ci gaba da girma.

• Hormone far.

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.

Tumors Carcinoid a cikin Shafi

Jiyya na cututtukan GI carcinoid a cikin shafi na iya haɗawa da masu zuwa:

• Tiyata (sakewa) don cire ƙarin shafi.

• Yin tiyata (sakewa) don cire gefen dama na ciwon ciki har da shafi. Hakanan an cire ƙwayoyin lymph na kusa.

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.

Tumors Carcinoid a cikin Gashin

Jiyya na cututtukan GI carcinoid a cikin maza na iya haɗa da masu zuwa:

• Yin aikin tiyata (cirewa) don cire wani ɓangare na hanji da ƙwayoyin lymph na kusa, domin cire mafi yawan cutar kansa kamar yadda zai yiwu.

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.

Tumors Carcinoid a cikin Rectum

Jiyya game da cututtukan GI carcinoid a cikin dubura na iya haɗa da masu zuwa:

• Tiyatar Endoscopic (sakewa) don ciwace-ciwacen da suka fi ƙasa da centimita 1.

• Yin tiyata (sakewa) don ciwace-ciwacen da suka fi girma fiye da santimita 2 ko kuma suka bazu zuwa layin tsoka na bangon dubura. Wannan na iya zama ko dai:

• tiyata don cire wani ɓangaren dubura; ko

• tiyata don cire dubura, dubura, da kuma wani ɓangaren cikin hanji ta hanyar wani yanki da aka sanya a ciki.

Ba a bayyana abin da mafi kyaun magani yake ba ga ciwace-ciwacen da suka kai santimita 1 zuwa 2. Jiyya na iya haɗa da masu zuwa:

• Endoscopic tiyata (resection)

• Tiyata (sakewa) don cire wani ɓangaren dubura.

• Yin aikin tiyata (cirewa) don cire dubura, dubura, da kuma wani ɓangaren ta hanji ta hanyar wani yanki da aka yi a cikin ciki.

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.

Metastatic Gastrointestinal Carcinoid Tumor

Wuraren nesa masu nisa

Kula da ƙananan ƙananan ƙwayoyin cuta na GI carcinoid yawanci magani ne na kwantar da hankali don taimakawa bayyanar cututtuka da haɓaka ƙimar rayuwa. Jiyya na iya haɗa da masu zuwa:

• Tiyata (sakewa) don cire yawancin ƙwayar cuta kamar yadda zai yiwu.

• Hormone far.

• Radiopharmaceutical far.

• Magungunan radiation na waje don cutar kansa wanda ya bazu zuwa ƙashi, kwakwalwa, ko laka.

• Gwajin gwaji na sabon magani.

Hanyoyin hanta

Jiyya na cutar kansa wanda ya bazu cikin hanta na iya haɗa da masu zuwa:

• Yin aikin tiyata (cirewa na gari) don cire kumburin daga hanta.

• Hanyar maganin cututtukan hanta.

• Yin aikin tiyata.

• Rushewar yanayin rediyo.

• Sanya hantar mutum.

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.

Maimaita Ciwon Cutar Carcinoid Tumor

Jiyya na cututtukan GI na cututtukan GI na yau da kullun na iya haɗa da masu zuwa:

• Yin aikin tiyata (cirewa na cikin gida) don cire ɓangare ko duk ƙari.

• Gwajin gwaji na sabon magani.

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 Moreara Koyo game da Ciwan Tashin Carauke da Ciki

Don ƙarin bayani daga Cibiyar Cancer ta aboutasa game da cututtukan cututtukan ciki, duba masu zuwa:

• Shafin Farko na Ciwan astroan Tashin Ciki

• Yin aikin tiyata a cikin Magungunan Cancer

• Magungunan Ciwon Cutar da Aka Yi niyya

Don cikakkun bayanai game da cutar kansa da sauran albarkatu daga Cibiyar Cancer ta Kasa, duba mai zuwa:

• Game da Ciwon daji

• Tsayawa

• Chemotherapy da ku: Tallafi ga Mutanen da ke Ciwon daji

• Radiation Far da Kai: Taimako ga Mutane Tare da Ciwon daji

• Yin fama da Ciwon daji

• Tambayoyi don Tambayar Doctor game da Ciwon daji

• Don Tsira da Kulawa