Nau'o'in / cutar sankarar bargo / haƙuri / gashi-cell-treatment-pdq
Abubuwan da ke ciki
- 1 Jiyya Kwayar cutar sankarar bargo (®) –Patient Version
- 1.1 Janar Bayani Game da Cutar Hawan jini
- 1.2 Matakan cutar sankarar bargo
- 1.3 Kwayar Kwayar Cutar Hauka da ta Sake Warkewa
- 1.4 Bayanin Zaɓin Jiyya
- 1.5 Akwai nau'ikan magani iri daban-daban ga marasa lafiya masu cutar sankarar bargo.
- 1.6 Zaɓuɓɓukan Jiyya don Kwayar Kwayar Cutar Hawan jini da ta Koma
- 1.7 Don Morearin Koyo Game da Cutar Hawan jini
Jiyya Kwayar cutar sankarar bargo (®) –Patient Version
Janar Bayani Game da Cutar Hawan jini
MAGANAN MAGANA
- Cutar sankara mai cutar gashi wani nau'in cutar kansa ne wanda kashin kashi ke sanya kwayar lymphocytes dayawa (wani nau'in farin jini).
- Cutar sankarar bargo na iya shafar jajayen ƙwayoyin jini, fararen ƙwayoyin jini, da kuma platelets.
- Jinsi da shekaru na iya shafar haɗarin cutar sankarar bargo mai cutar gashi.
- Alamomi da alamomin cutar sankarar bargo mai gashi sun hada da cututtuka, kasala, da ciwo a kasa da hakarkarinsu.
- Ana amfani da gwaje-gwajen da ke bincikar jini da ƙashin ƙashi don gano (gano) da kuma gano cutar sankarar bargo.
- Wasu dalilai suna shafar zaɓuɓɓukan magani da hangen nesa (damar dawowa).
Cutar sankara mai cutar gashi wani nau'in cutar kansa ne wanda kashin kashi ke sanya kwayar lymphocytes dayawa (wani nau'in farin jini).
Cutar sankarar bargo mai cutar kansa ita ce cutar daji ta jini da kashin kashi. Wannan nau'ikan cutar sankarar bargo yana yin sannu a hankali ko kuma ba ya yin muni sam. Ana kiran wannan cutar mai cutar sankarar bargo saboda kwayoyin cutar sankarar bargo suna kama da "gashi" idan aka hango su ta madubin likita.

Cutar sankarar bargo na iya shafar jajayen ƙwayoyin jini, fararen ƙwayoyin jini, da kuma platelets.
A yadda aka saba, ƙashin ƙasusuwa yana sa ƙwayoyin jini na jini (ƙwayoyin da ba su balaga ba) waɗanda suka zama ƙwararrun ƙwayoyin jini a kan lokaci. Stemwayar ƙwayar ƙwayar jini na iya zama ƙwayar ƙwayar myeloid ko ƙwayar ƙwayar ƙwayar lymphoid.
Kwayar kara kuzari ta myeloid ta zama ɗayan nau'ikan nau'ikan ƙwayoyin jini uku masu girma:
- Jajayen jini wadanda suke daukar iskar oxygen da sauran abubuwa zuwa dukkan kyallen takarda.
- Farin jini wanda ke yakar kamuwa da cuta.
- Platelets wadanda suke samar da daskararren jini dan tsaida zubar jini.
Kwayar kwayar lymphoid ta zama kwayar lymphoblast sannan kuma ta zama ɗayan nau'ikan ƙwayoyin lymphocytes guda uku (fararen ƙwayoyin jini):
- B lymphocytes wanda ke yin rigakafi don taimakawa yaƙi da kamuwa da cuta.
- T lymphocytes masu taimakawa B lymphocytes suna yin rigakafi don taimakawa yaƙi da kamuwa da cuta.
- Kwayoyin kisa na halitta wadanda ke kai hari kan ƙwayoyin daji da ƙwayoyin cuta.
A cikin cutar sankarar bargo, ƙwayoyin jini da yawa sun zama lymphocytes. Wadannan lymphocytes na al'ada ne kuma basu zama lafiyayyan fararen jini ba. Ana kuma kiran su kwayoyin cutar sankarar bargo. Kwayoyin cutar sankarar bargo na iya haɗuwa a cikin jini da ɓarke don haka akwai ƙarancin wuri don lafiyayyun ƙwayoyin jini, da jajayen ƙwayoyin jini, da platelets. Wannan na iya haifar da kamuwa da cuta, karancin jini, da kuma saurin zubar jini. Wasu daga kwayar cutar sankarar bargo na iya tarawa a cikin saifa kuma su sa ta kumbura.
Wannan takaitaccen bayani ne game da cutar sankarar bargo. Duba takaitattun masu zuwa don bayani game da wasu nau'ikan cutar sankarar bargo:
- Kulawa da Ciwon Cutar sankarar bargo na manya.
- Kulawa da Ciwon Cutar sankarar bargo yara.
- Magungunan cutar sankarar bargo na yau da kullun.
- Kulawa da Ciwon Cutar sankarar Myeloid na Matasa.
- Yaran Ciwon Cutar Myeloid Mai Ciwo / Sauran Maganin Cutar Myeloid.
- Magungunan cutar sankarar bargo na zamani.
Jinsi da shekaru na iya shafar haɗarin cutar sankarar bargo mai cutar gashi.
Duk wani abu da zai kara muku damar kamuwa da cuta to 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 tsammanin kuna iya fuskantar haɗari. Ba a san musabbabin sankara kwayar cutar sankara ba. Yana faruwa sau da yawa a cikin mazan maza.
Alamomi da alamomin cutar sankarar bargo mai gashi sun hada da cututtuka, kasala, da ciwo a kasa da hakarkarinsu.
Wadannan da sauran alamomi da alamu na iya haifar da cutar sankarar bargo ko wasu yanayi. Duba tare da likitanka idan kuna da ɗayan masu zuwa:
- Rashin rauni ko jin kasala.
- Zazzabi ko yawan kamuwa da cuta.
- Aramar rauni ko zubar jini.
- Rashin numfashi.
- Rashin nauyi ba tare da wani dalili da aka sani ba.
- Jin zafi ko jin cikewar ƙasa da haƙarƙarin.
- Lumanƙara mara zafi a cikin wuya, mara wuya, ciki, ko makwancin ciki.
Ana amfani da gwaje-gwajen da ke bincikar jini da ƙashin ƙashi don gano (gano) da kuma gano cutar sankarar bargo. Za a iya amfani da waɗannan gwaje-gwajen da hanyoyin:
- Jarabawa ta jiki da tarihin lafiya: Jarabawa ta jiki don bincika alamomin lafiya gaba ɗaya, gami da bincika alamun cuta, kamar kumburin kumbura, 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.
- Cikakken ƙidayar jini (CBC): Hanyar da za'a zana samfurin jini kuma a bincika ta mai zuwa:
- Adadin jajayen ƙwayoyin jini, fararen ƙwayoyin jini, da platelets.
- Adadin haemoglobin (furotin da ke ɗauke da iskar oxygen) a cikin ƙwayoyin jinin jini.
- Yankin samfurin ya kunshi jajayen ƙwayoyin jini.

- Shafar jinin gefe: Hanya ce wacce ake bincikar samfurin jini don ƙwayoyin da suke da “gashi,” adadi da ire-iren ƙwayoyin jinin jini, da yawan platelet, da canje-canje a jikin ƙirar sel.
- 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.
- Burin kasusuwan kasusuwa da kuma biopsy: Cire kasusuwan kasusuwa, jini, da karamin guntun kashi ta hanyar sanya allura mara kyau a cikin kashin hanji ko kashin mama. Wani masanin ilimin ɗan adam ya kalli ɓarkewar jini, jini, da ƙashi a ƙarƙashin madubin likita don neman alamun cutar kansa.
- Immunophenotyping: Gwajin dakin gwaje-gwaje da ke amfani da kwayoyin cuta don gano kwayoyin cutar kansar dangane da nau'ikan antigens ko alamomi a saman sel. Ana amfani da wannan gwajin don taimakawa wajen gano takamaiman nau'ikan cutar sankarar bargo.
- Gudun cytometry: Gwajin dakin gwaje-gwaje wanda ke auna yawan kwayoyin halitta a cikin samfurin, yawan kwayoyin rai a cikin samfurin, da wasu halaye na kwayoyin, kamar girman su, sifar su, da kuma kasancewar ciwace ciwace ciwace (ko wasu) Tantanin tantanin halitta Kwayoyin daga samfurin jinin mai haƙuri, kashin ƙashi, ko wasu kayan suna da datti tare da fenti mai kyalli, sanya shi a cikin ruwa, sannan a wuce ɗaya bayan ɗaya ta hanyar hasken haske. Sakamakon gwajin ya ta'allaka ne akan yadda ƙwayoyin da aka lalata tare da fenti mai kyalli ke amsa ga katangar haske. Ana amfani da wannan gwajin don taimakawa wajen ganowa da kuma sarrafa wasu nau'ikan cutar kansa, kamar cutar sankarar bargo da cutar lymphoma.
- Nazarin Cytogenetic: Gwajin dakin gwaje-gwaje wanda aka kirga chromosomes na kwayoyi a cikin samfurin jini ko jiji da kashi don bincika kowane canje-canje, kamar karye, ɓacewa, sake gyarawa, ko ƙarin ƙwanƙwanni. Canje-canje a cikin wasu chromosomes na iya zama alamar cutar kansa. Ana amfani da nazarin Cytogenetic don taimakawa gano cutar kansa, shirya magani, ko gano yadda magani ke aiki.
- Gwajin kwayar BRAF: Gwajin gwaje-gwaje wanda aka gwada samfurin jini ko nama don wasu canje-canje a cikin kwayar halittar BRAF. Sau da yawa ana samun maye gurbi na BRAF a marasa lafiya da ke fama da cutar sankarar bargo.
- 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. Ana iya yin hoton CT na ciki don bincika kumburin lymph node ko kumburin kumburi.
Wasu dalilai suna shafar zaɓuɓɓukan magani da hangen nesa (damar dawowa).
Zaɓuɓɓukan maganin na iya dogara da waɗannan masu zuwa:
- Adadin ƙwayoyin gashi (cutar sankarar bargo) da lafiyayyun ƙwayoyin jini a cikin jini da ƙashi.
- Ko saifa ta kumbura.
- Ko akwai alamu ko alamomin cutar sankarar jini, kamar kamuwa da cuta.
- Ko cutar sankarar jini ta sake dawowa (dawo) bayan jinyar da ta gabata.
Hangen nesa (damar dawowa) ya dogara da masu zuwa:
- Ko kwayar cutar sankarar bargo ba ta girma ko girma a hankali ba ta buƙatar magani.
- Ko kwayar cutar sankarar bargo ta amsa magani.
Jiyya sau da yawa yakan haifar da gafara na dogon lokaci (lokacin da wasu ko duk alamu da alamun cutar sankarar barke suka tafi). Idan cutar sankarar jini ta dawo bayan ta kasance cikin gafara, ja baya yakan haifar da wani gafarar.
Matakan cutar sankarar bargo
MAGANAN MAGANA
- Babu daidaitaccen tsarin tsarkewa don cutar sankarar ƙwayoyin cuta.
Babu daidaitaccen tsarin tsarkewa don cutar sankarar ƙwayoyin cuta.
Staging hanya ce da ake amfani da ita don gano yadda cutar kansa ta bazu. Babu daidaitaccen tsarin tsarkewa don cutar sankarar bargo.
A cikin kwayar cutar sankarar bargo mara gashi, wasu ko duk waɗannan halaye masu zuwa suna faruwa:
- Ana samun kwayoyin gashi (leukemia) a cikin jini da kashin kashi.
- Adadin jajayen ƙwayoyin jini, fararen ƙwayoyin jini, ko platelets na iya zama ƙasa da yadda aka saba.
- Saifafin na iya zama ya fi girma girma.
Kwayar Kwayar Cutar Hauka da ta Sake Warkewa
Kwayar cutar sankarar bargo mai gashi wacce ta dawo baya ta dawo bayan jinya. Rashin kwayar cutar sankarar kwayar cutar ba ta amsa magani ba.
Bayanin Zaɓin Jiyya
MAGANAN MAGANA
- Akwai nau'ikan magani iri daban-daban ga marasa lafiya masu cutar sankarar bargo.
- Ana amfani da nau'i biyar na daidaitaccen magani:
- Jiran jira
- Chemotherapy
- Biologic far
- Tiyata
- Ciwon da aka yi niyya
- Ana gwada sababbin nau'ikan magani a gwajin asibiti.
- Jiyya don cutar sankarar bargo na gashi 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 iri daban-daban ga marasa lafiya masu cutar sankarar bargo.
Akwai nau'ikan magani daban-daban ga marasa lafiya masu cutar sankarar bargo. 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 biyar na daidaitaccen magani:
Jiran jira
Tsayawa a hankali yana lura da yanayin mai haƙuri, ba tare da ba da wani magani ba har sai alamu ko alamu sun bayyana ko canzawa.
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 (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). Hanyar da ake ba da cutar sankara ta dogara da nau'in da matakin cutar kansa. Cladribine da pentostatin sune kwayoyi masu cutar kansa wanda yawanci ana amfani dasu don magance cutar sankarar kwayar halitta mai gashi. Wadannan kwayoyi na iya kara barazanar wasu nau'o'in cutar kansa, musamman Hodgkin lymphoma da wadanda ba Hodgkin lymphoma.
Dubi Magungunan da aka Amince da cutar sankarar ƙwayar cuta don ƙarin bayani.
Biologic far
Magungunan ilimin halittu magani ne na cutar kansa wanda ke amfani da garkuwar jikin marasa lafiya don yaƙar kansa. Abubuwan da jiki ya yi ko aka yi a dakin gwaje-gwaje ana amfani da su don haɓaka, kai tsaye, ko maido da kariya ta jiki daga cutar kansa. Wannan nau'in maganin cutar kansa ana kiransa biotherapy ko immunotherapy. Interferon alfa wakili ne na ilmin halitta wanda aka saba amfani dashi don magance cutar sankarar kwayar cuta mai gashi.
Dubi Magungunan da aka Amince da cutar sankarar ƙwayar cuta don ƙarin bayani.
Tiyata
Splenectomy shine aikin tiyata don cire saifa.
Ciwon da aka yi niyya
Targeted therapy wani magani ne wanda yake amfani da magunguna ko wasu abubuwa don ganowa da afkawa takamaiman ƙwayoyin kansa ba tare da cutar ƙwayoyin halitta ba. Magungunan rigakafi na Monoclonal wani nau'in magani ne da aka yi niyya don magance cutar sankarar ƙwayoyin cuta.
Magungunan antibody na Monoclonal yana amfani da kwayar cutar da aka sanya a dakin gwaje-gwaje daga nau'in kwayar halitta guda ɗaya. Wadannan kwayoyin cuta na jikin mutum na iya gano abubuwan da ke jikin kwayoyin cutar kansar ko kuma wasu abubuwa na yau da kullun wadanda zasu iya taimakawa kwayoyin cutar kansa. Kwayoyin rigakafin suna haɗuwa da abubuwan kuma suna kashe ƙwayoyin cutar kansa, toshe haɓakar su, ko kiyaye su daga yaɗuwa. Ana ba da ƙwayoyin cuta na Monoclonal ta hanyar jiko. Ana iya amfani da su su kaɗai ko ɗaukar ƙwayoyi, gubobi, ko kayan aikin rediyo kai tsaye zuwa ƙwayoyin kansa.
Ana iya amfani da kwayar cutar monoclonal da ake kira rituximab ga wasu marasa lafiya da ke fama da cutar sankarar bargo.
Sauran nau'ikan hanyoyin kwantar da hankalin da ake niyya ana nazarin su.
Ana gwada sababbin nau'ikan magani a gwajin asibiti.
Ana samun bayani game da gwaji na asibiti daga gidan yanar gizon NCI.
Jiyya don cutar sankarar bargo na gashi 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 cutar sankarar bargo
Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.
Kula da cutar sankarar bargo mai gashi na iya haɗa da masu zuwa:
- Chemotherapy.
- Biologic far.
- Splenectomy.
- Gwajin gwaji na kimiyyar jiyya da kuma niyya tare da antibody monoclonal (rituximab).
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.
Zaɓuɓɓukan Jiyya don Kwayar Kwayar Cutar Hawan jini da ta Koma
Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.
Jiyya na sake cutar ko cutar sankarar kwayar cuta ta gashi mai haɗari na iya haɗawa da masu zuwa:
- Chemotherapy.
- Biologic far.
- Therapyaddara da aka yi niyya tare da antibody na monoclonal (rituximab).
- Babban maganin cutar sankara.
- Gwajin gwaji na sabon maganin ilimin halittu.
- Gwajin gwaji na sabon maganin warkewa.
- Gwajin gwaji na kimiyyar jiyya da kuma niyya tare da antibody monoclonal (rituximab).
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 Cutar Hawan jini
Don ƙarin bayani daga Cibiyar Cancer ta Kasa game da cutar sankarar bargo mai gashi, duba mai zuwa:
- Shafin Farko na cutar sankarar bargo
- An Amince da Magunguna don Ciwan Cutar Hawan jini
- Immunotherapy don Kula da Ciwon daji
- 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:
- 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