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Primary CNS Lymphoma Jiyya (®) –Patient Version

Janar Bayani Game da Primary CNS Lymphoma

MAGANAN MAGANA

• Tsarin juyayi na farko na farko (CNS) lymphoma cuta ce wacce ƙwayoyin cuta masu saurin kamuwa da cuta (kwayar halitta) ke samuwa a cikin ƙwayar lymph ta kwakwalwa da / ko laka.

• Samun rashin ƙarfi na tsarin rigakafi na iya ƙara haɗarin ɓullo da ƙwayoyin cutar ta CNS ta farko.

• Ana amfani da gwaje-gwajen da ke bincika idanu, kwakwalwa, da laka don ganowa (samo) da kuma tantance ƙwayoyin cutar ta CNS ta farko.

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

Tsarin juyayi na farko na farko (CNS) lymphoma cuta ce wacce ƙwayoyin cuta masu saurin kamuwa da cuta (kwayar halitta) ke samuwa a cikin ƙwayar lymph ta kwakwalwa da / ko laka.

Lymphoma cuta ce wacce ƙwayoyin cuta masu saurin kamuwa da cuta (cancer) ke kamawa a cikin tsarin lymph. Tsarin lymph wani bangare ne na garkuwar jiki kuma ya kunshi lymph, jiragen ruwa na lymph, narkarda lymph, saifa, thymus, tonsils, da kashin nama. Lymphocytes (wanda aka ɗauke a cikin lymph) suna tafiya ciki da fita daga cikin tsarin juyayi na tsakiya (CNS). Ana tunanin cewa wasu daga cikin waɗannan ƙwayoyin lymphocytes sun zama masu lahani kuma suna haifar da lymphoma a cikin CNS. Firayim ɗin CNS na farko zai iya farawa a cikin kwakwalwa, laka, ko meninges (yadudduka waɗanda ke samar da murfin ƙwaƙwalwar waje). Saboda ido yana kusa da kwakwalwa, kwayar cutar ta CNS ta farko tana iya farawa a cikin ido (ana kiranta lymphoma ocular).

Anatomy na tsarin lymph, yana nuna tasoshin lymph da gabobin lymph gami da ƙwayoyin lymph, tonsils, thymus, sppleen, da kuma kashin ƙashi. Lymph (ruwa mai tsabta) da lymphocytes suna tafiya ta cikin jiragen ruwan lymph kuma zuwa cikin ƙwayoyin lymph inda ƙwayoyin lymphocytes ke lalata abubuwa masu cutarwa. Lymph yana shiga cikin jini ta wata babbar jijiya kusa da zuciya.

Samun rashin ƙarfi na tsarin rigakafi na iya ƙara haɗarin ɓullo da ƙwayoyin cutar ta CNS ta farko.

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.

Primary CNS lymphoma na iya faruwa a marasa lafiya waɗanda suka sami cututtukan rashin ƙarfi (AIDS) ko wasu rikice-rikice na tsarin garkuwar jiki ko waɗanda suka sami dashen koda. Don ƙarin bayani game da lymphoma a cikin marasa lafiya da cutar kanjamau, duba taƙaitaccen game da Maganin Lymphoma mai alaƙa da cutar kanjamau.

Ana amfani da gwaje-gwajen da ke bincika idanu, kwakwalwa, da laka don ganowa (samo) da kuma tantance ƙwayoyin cutar ta CNS ta farko.

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 bincika matsayin tunanin mutum, daidaituwarsa, ikon yin tafiyarsa yadda ya kamata, da kuma yadda ƙwayoyin jiki, hankulanku, da kuma abubuwan da suke yi ke aiki. Hakanan ana iya kiransa gwajin neuro ko gwajin neurologic.

• Gwajin ido tsaga-fitila: Jarabawa ce wacce ke amfani da madubin hangen nesa na musamman tare da haske, siririn tsaggen haske don duba waje da cikin ido.

• MRI (hoton maganadisu ): Hanya ce wacce ke amfani da maganadisu, igiyar ruwa ta rediyo, da kuma kwamfuta don yin jerin hotunan daki-daki na wurare a cikin kwakwalwa da laka. Ana yiwa wani abu mai suna gadolinium allura a cikin mara lafiyar ta wata 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).

• 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 suna nuna haske a hoton saboda suna aiki kuma suna ɗaukar glucose fiye da ƙwayoyin al'ada.

• 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. Hakanan za'a iya bincika samfurin don yawan furotin da glucose. 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.

• Stereotactic biopsy: Tsarin biopsy ne wanda ke amfani da komputa da kuma sikanin 3-dimensional (3-D) don gano wurin ƙari da kuma jagorantar cire nama don haka ana iya kallon sa ta hanyar microscope don bincika alamun kansar.

Za'a iya yin gwaje-gwaje masu zuwa akan samfuran ƙwayoyin da aka cire:

• 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.

• 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.

• 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.

• KIFI (haske a cikin yanayin haɗuwa): Gwajin gwaje-gwaje da ake amfani dashi don kallo da ƙididdigar kwayoyin halitta ko chromosomes a cikin ƙwayoyin halitta da kyallen takarda. Ana yin sassan DNA wanda ke ɗauke da launuka masu kyalli a cikin dakin gwaje-gwaje kuma an ƙara su zuwa samfurin ƙwayoyin marasa lafiya ko kyallen takarda. Lokacin da wadannan sassan jikin DNA din da aka rina suka hade da wasu kwayoyin halittu ko bangarorin chromosomes a cikin samfurin, suna haskakawa idan aka kalleshi a karkashin madubin hangen nesa. Ana amfani da gwajin FISH don taimakawa wajen gano kansar da kuma taimakawa shirya magani.

• Cikakken ƙidayar jini (CBC) tare da banbanci: Hanyar da za'a zana samfurin jini kuma a bincika ta mai zuwa:

• Yawan jajayen kwayoyin jini da platelets.

• Adadi da nau'in farin jini.

• Adadin haemoglobin (furotin da ke ɗauke da iskar oxygen) a cikin ƙwayoyin jinin jini.

• Yankin samfurin jini ya kunshi jajayen ƙwayoyin jini.

Kammala lissafin jini (CBC). Ana tattara jini ta hanyar sanya allura a cikin jijiya da kuma barin jini ya kwarara cikin bututu. Ana aika samfurin jini zuwa dakin gwaje-gwaje kuma ana kidaya ƙwayoyin jinin jini, fararen ƙwayoyin jini, da kuma platelets. Ana amfani da CBC don gwadawa, gano asali, da kuma lura da yanayi daban-daban.

• 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.

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

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

• Mai haƙuri da shekaru da kuma general kiwon lafiya.

• Matsayin wasu abubuwa a cikin jini da ƙwayar jijiyoyin jiki (CSF).

• Inda ƙari yake a cikin tsarin kulawa na tsakiya, ido, ko duka biyun.

• Ko mara lafiya yana da cutar kanjamau.

Zaɓuɓɓukan jiyya sun dogara da masu zuwa:

• Matakin ciwon daji.

• Inda ƙari yake a cikin tsarin kulawa na tsakiya.

• Mai haƙuri da shekaru da kuma general kiwon lafiya.

• Ko dai an gano cutar kansa ko kuma ta sake dawowa (dawo).

Jiyya na kwayar cutar ta CNS ta farko tana aiki mafi kyau yayin da kumburin bai yadu ba a wajen kwakwalwar (mafi girman sashin kwakwalwa) kuma mai haƙuri bai kai shekaru 60 ba, yana iya gudanar da mafi yawan ayyukan yau da kullun, kuma bashi da kanjamau ko wasu cututtukan raunana garkuwar jiki.

Tsarin farko na CNS Lymphoma

MAGANAN MAGANA

• Bayan an binciko tsarin juyayi na farko (CNS) lymphoma, ana yin gwaje-gwaje don gano ko kwayoyin cutar kansa sun bazu a cikin kwakwalwa da laka 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.

• Babu wani tsarin daidaitaccen tsari don lymphoma CNS na farko.

Bayan an binciko tsarin juyayi na farko (CNS) lymphoma, ana yin gwaje-gwaje don gano ko kwayoyin cutar kansa sun bazu a cikin kwakwalwa da laka ko zuwa wasu sassan jiki.

Lokacin da lymphoma ta CNS ta farko ta ci gaba da girma, yawanci ba ya yaɗuwa fiye da tsarin juyayi na tsakiya ko ido. Hanyar da ake amfani da ita don gano ko cutar kansa ta bazu ana kiranta staging. Yana da mahimmanci a san ko cutar daji ta bazu zuwa wasu sassan jiki don shirya magani. Za'a iya amfani da gwaje-gwaje da hanyoyin masu zuwa a cikin aikin tsayarwa:

• 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 hanyar ana kiranta kuma aikin sarrafa hoto, tsarin kimiyyar kwamfuta, ko kuma gwada ilimin kimiyyar kwamfuta. Don kwayar cutar ta CNS lymphoma, ana yin hoton CT ne daga kirji, ciki, da ƙashin ƙugu (ɓangaren jiki tsakanin ƙugu).

• 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 suna nuna haske a hoton saboda suna aiki kuma suna ɗaukar glucose fiye da ƙwayoyin al'ada. Ana iya yin hoton PET da CT a lokaci guda. Ana kiran wannan PET-CT.

• 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 hanya ana kiranta kuma ana kiranta hoton maganadisu na maganadisu (NMRI).

• 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.

Burin kasusuwa da biopsy. Bayan an lasafta wani karamin yanki na fata, ana saka allurar kasusuwa ta kashin a cikin kashin hancin mara lafiyar. Ana cire samfurorin jini, kashi, da kashin nama don bincike a karkashin wani madubin likita.

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 ƙwayar ƙwayar cuta shine irin ciwon daji kamar asalin farko. Misali, idan kwayar CNS ta farko ta bazu zuwa hanta, ƙwayoyin kansa a cikin hanta ainihin ƙwayoyin lymphoma ne. Cutar ita ce cutar sankara ta CNS, ba ciwon hanta ba.

Babu wani tsarin daidaitaccen tsari don lymphoma CNS na farko.

Na farko CNS Lymphoma

Tsarin juyayi na farko (CNS) lymphoma shine ciwon daji wanda ya sake dawowa (dawo) bayan an magance shi. Primary CNS lymphoma yawanci yakan sake dawowa cikin kwakwalwa ko ido.

Bayanin Zaɓin Jiyya

MAGANAN MAGANA

• Akwai nau'ikan magani daban-daban ga marasa lafiya da keɓaɓɓiyar ƙwayoyin cuta ta CNS.

• Ana amfani da daidaitattun magani guda uku:

• Radiation far

• Chemotherapy

• Steroid far

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

• -Aramin magani mai ƙarfi tare da dasawar ƙwayar ƙwayar ƙwayar ƙwayar cuta

• Ciwon da aka yi niyya

• Jiyya don lymphoma CNS na farko na iya haifar da sakamako masu 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 keɓaɓɓiyar ƙwayoyin cuta ta CNS.

Akwai nau'ikan magani iri daban-daban ga marasa lafiya masu fama da cutar sankara ta farko (CNS) lymphoma. 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.

Ba a amfani da tiyata don magance lymphoma ta CNS ta farko.

Ana amfani da daidaitattun magani guda uku:

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. Saboda lymphoma na CNS na farko ya bazu a cikin kwakwalwa, ana ba da ilimin fida na waje ga dukan ƙwaƙwalwar. Wannan shi ake kira all radiation radiation therapy.

• 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 haskakawa ya dogara ne akan ko mai haƙuri yana da cutar ta farko ta CNS lymphoma da AIDS. Ana amfani da maganin radiation ta waje don magance lymphoma ta CNS ta farko.

Magungunan radiation mai karfi zuwa kwakwalwa na iya lalata lafiyayyen nama kuma ya haifar da rikice-rikice wanda ka iya shafar tunani, koyo, warware matsaloli, magana, karatu, rubutu, da ƙwaƙwalwa. Gwaje-gwajen na asibiti sun gwada amfani da chemotherapy shi kaɗai ko kafin maganin fuka-fuka don rage lalacewar nama mai ƙoshin lafiya wanda ke faruwa tare da amfani da 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 (chemotherapy systemic). Lokacin da aka sanya chemotherapy kai tsaye zuwa cikin ruwa mai ruɓaɓɓen ciki (intrathecal chemotherapy), wani sashin jiki, ko rami na jiki kamar ciki, magungunan yawanci suna shafar ƙwayoyin kansa a waɗancan yankuna (chemotherapy na yanki).

Hanyar da ake ba da ilimin sankarar magani ya dogara da inda ƙari yake a cikin CNS ko ido. Za a iya kula da kwayar cutar ta CNS ta farko tare da tsarin kula da lafiyar jiki, intrathecal chemotherapy da / ko chemotherapy na intraventricular, wanda a ciki ake sanya magungunan masu cutar kansa zuwa cikin jijiyoyin (kogunan da ke cike ruwa) na kwakwalwa. Idan aka samo kwayar cutar ta CNS ta farko a cikin ido, ana yin allurar kwayoyi masu dauke da cutar kai tsaye zuwa cikin raha mai raɗaɗi (abu kamar jelly) a cikin ido.

Intrathecal chemotherapy. Magungunan anticancer ana allurarsu a cikin sararin samaniya, wanda shine sararin da ke riƙe da ruwan sanyin jiki (CSF, wanda aka nuna a shuɗi). Akwai hanyoyi daban-daban guda biyu don yin wannan. Wata hanya, da aka nuna a saman ɓangaren adadi, ita ce a yi wa magungunan allurar a cikin wani tafki na Ommaya (wani akwati mai kama da dome wanda aka sanya shi a ƙarƙashin fatar kan mutum yayin aikin tiyata; yana riƙe da magungunan yayin da suke ratsawa ta ƙaramin bututu zuwa cikin kwakwalwa ). Wata hanyar, wanda aka nuna a cikin ɓangaren ƙasa na adadi, shine a yi allurar ƙwayoyi kai tsaye zuwa CSF a cikin ƙananan ɓangaren kashin baya, bayan an lasafta wani ƙaramin yanki a ƙasan baya.

Cibiyar sadarwar jijiyoyin jini da nama, da ake kira shingen ƙwaƙwalwar jini, yana kiyaye ƙwaƙwalwar daga abubuwa masu haɗari. Hakanan wannan shingen na iya hana magungunan anticancer isa cikin kwakwalwa. Don magance lymphoma na CNS, ana iya amfani da wasu magunguna don yin buɗewa tsakanin ƙwayoyin a cikin shingen ƙwaƙwalwar jini. Wannan ana kiransa rushewar shingen-kwakwalwa. Magungunan Anticancer da aka saka cikin hanyoyin jini na iya kaiwa ga kwakwalwa.

Steroid far

Steroids shine homonin da aka yi dashi cikin jiki. Hakanan za'a iya yin su a dakin gwaje-gwaje kuma amfani dasu azaman magunguna. Glucocorticoids su ne kwayoyi masu cututtukan steroid waɗanda ke da tasirin maganin cutar sankara a cikin lymphomas.

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.

-Aramin magani mai ƙarfi tare da dasawar ƙwayar ƙwayar ƙwayar ƙwayar cuta

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

Ciwon da aka yi niyya

Targeted therapy wani nau'in magani ne wanda yake amfani da magunguna ko wasu abubuwa don afkawa ƙwayoyin kansar. Ieswararrun hanyoyin kwantar da hankali yawanci suna haifar da toarancin cutarwa ga kwayoyin al'ada fiye da chemotherapy ko maganin radiation. Magungunan rigakafi na Monoclonal wani nau'i ne na maganin warkewa da ake niyya akan maganin lymphoma na CNS na farko.

Magungunan antibody na Monoclonal magani ne na ciwon daji wanda ke amfani da kwayar cutar da aka yi a cikin 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. Rituximab wani nau'in maganin rigakafi ne wanda aka yi amfani da shi don magance sabon cutar farko ta CNS lymphoma a cikin marasa lafiyar da ba su da cutar kanjamau.

Jiyya don lymphoma CNS na farko na iya haifar da sakamako masu 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 Primary CNS Lymphoma

A Wannan Sashin

• Firamare CNS Lymphoma

• Primary Intraocular Lymphoma

• Na farko CNS Lymphoma

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

Firamare CNS Lymphoma

Jiyya na tsarin juyayi na farko (CNS) lymphoma na iya haɗa da masu zuwa:

• Dukkanin maganin radiation na kwakwalwa.

• Chemotherapy.

• Chemotherapy ya bi ta hanyar radiation radiation.

• Chemotherapy da farfadowa mai mahimmanci (rituximab) wanda ke biye da ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta

• Gwajin gwaji na babban maganin cutar sankara tare da dasawar kwayar halitta.

• Gwajin gwaji na babban maganin cutar sankara da kuma niyya (rituximab), tare da ko ba tare da dasawar kwayar halitta ba ko kuma maganin fuka-fuka baki daya.

Primary Intraocular Lymphoma

Jiyya na lymphoma na intraocular na farko na iya haɗa da masu zuwa:

• Chemotherapy (intraocular ko tsari).

• Dukkanin maganin radiation na kwakwalwa.

Na farko CNS Lymphoma

Jiyya na mahimmin tsarin juyayi na farko (CNS) lymphoma na iya haɗa da masu zuwa:

• Chemotherapy.

• Radiation far (idan ba a karɓa a farkon magani ba).

• Gwajin gwaji na sabon magani ko jadawalin 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 Primary CNS Lymphoma

Don ƙarin bayani daga Cibiyar Ciwon cerwayar Ciwon aboutasa game da kwayar cutar ta CNS ta farko, duba mai zuwa:

• Shafin Gida na Lymphoma

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