Types/mesothelioma/patient/mesothelioma-treatment-pdq

Jiyya mai cutarwa ta Musothelioma (Babba) (®) –Baƙin haƙuri

Janar Bayani Game da cutar Mesothelioma

MAGANAN MAGANA

• Malotant mesothelioma wata cuta ce wacce ƙwayoyin cuta masu kamshi (kansar) ke fitowa a cikin rufin kirji ko ciki.

• Kasancewa da asbestos na iya shafar haɗarin muguwar cutar mesothelioma.

• Alamomi da alamomin mummunan jijiyoyin jijiyoyin ciki sun haɗa da ƙarancin numfashi da zafi a ƙarƙashin kejin haƙarƙarin.

• Ana amfani da gwaje-gwajen da ke bincikar cikin kirji da ciki don gano muguwar cutar sanadin jiki.

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

Malotant mesothelioma wata cuta ce wacce ƙwayoyin cuta masu kamshi (kansar) ke fitowa a cikin rufin kirji ko ciki.

Malotant mesothelioma cuta ce wacce ake samun ƙwayoyin cuta masu ƙima (cancer) a cikin pleura (ƙaramin layin nama wanda yake layin kirji da ke rufe huhu) ko peritoneum (ƙaramin layin nama wanda yake layin ciki kuma ya rufe yawancinsa gabobin ciki). Har ila yau, mummunan mesothelioma na iya kasancewa a cikin zuciya ko kuma kwaya, amma wannan ba safai ba.

Mummunan cututtukan jijiyoyin jijiyoyin jiki a cikin siƙar siƙar fata wanda ke rufe huhu, bangon kirji, ciki, zuciya, ko ƙwarjiyoyin jikin mutum.

Kasancewa da asbestos na iya shafar haɗarin muguwar cutar mesothelioma.

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 tunanin kuna cikin haɗari.

Yawancin mutane da ke fama da mummunan cutar sankara sun yi aiki ko zama a wuraren da suka sha iska ko haɗiye asbestos. Bayan fallasa shi da asbestos, yakan dauki dogon lokaci kafin mummunan mesothelioma ya samu. Zama tare da mutumin da ke aiki kusa da asbestos shima haɗari ne na mummunan mesothelioma.

Alamomi da alamomin mummunan jijiyoyin jijiyoyin ciki sun haɗa da ƙarancin numfashi da zafi a ƙarƙashin kejin haƙarƙarin.

Wani lokaci kansar na sa ruwa ya taru a kirji ko a ciki. Ana iya haifar da alamu da alamomi ta ruwa, mummunan mesothelioma, ko wasu yanayi. Duba tare da likitanka idan kuna da ɗayan masu zuwa:

• Rashin numfashi.

• Tari.

• Jin zafi a ƙarƙashin keji.

• Jin zafi ko kumburi a ciki.

• Kumburi a ciki.

• Maƙarƙashiya

• Matsaloli tare da daskarewar jini (daskarewa lokacin da ya kamata ba).

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

• Jin kasala sosai.

Ana amfani da gwaje-gwajen da ke bincikar cikin kirji da ciki don gano muguwar cutar sanadin jiki.

Wani lokaci yana da wuya a faɗi bambanci tsakanin mummunan mesothelioma a cikin kirji da cutar huhu.

Ana iya amfani da gwaje-gwaje da hanyoyin da za a iya amfani da su don bincikar mummunan mesothelioma a cikin kirji ko peritoneum:

• Jarabawa ta jiki da tarihin lafiya: Jarabawa 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, haɗuwa da asbestos, da cututtukan da suka gabata da magunguna.

• Kirjin x-ray: X-ray na gabobin da kasusuwa a cikin kirji. X-ray wani irin katako ne na katako wanda zai iya ratsa jiki zuwa fim, yana yin hoton wurare a cikin jiki.

X-ray na kirji. Ana amfani da X-ray don daukar hotunan gabobi da kasusuwan kirji. X-ray ta wuce cikin mai haƙuri akan fim.

• CT scan (CAT scan): Hanya ce da ke yin jerin hotuna dalla-dalla na kirji da ciki, wanda 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.

• Biopsy: Cire kwayoyin halitta ko kyallen takarda daga pleura ko peritoneum don haka ana iya kallon su ta karkashin wani madubin likita daga wani masanin kimiyyar cuta don duba alamun kansar.

Hanyoyin da ake amfani dasu don tattara ƙwayoyin halitta ko kyallen takarda sun haɗa da masu zuwa:

• Kyakkyawan allura (FNA) biopsy na fata na huhu: Cire nama ko ruwa ta amfani da siririn allura. Ana amfani da hanyar hoto don gano nama mai haɗari ko ruwa a cikin huhu. Mayila ana iya yin ƙaramin rauni a cikin fata inda aka saka allurar biopsy a cikin ƙwayar mahaukaci ko ruwan, kuma an cire samfurin.

Kwayar halittar fata mai kyau ta huhu. Mai haƙuri yana kwance a kan teburin da yake zamewa ta cikin na'urar sarrafa hoto (CT), wanda ke ɗaukar hotunan x-ray na cikin jiki. Hotunan x-ray suna taimaka wa likita ganin inda ƙwayoyin cuta mara kyau a cikin huhu. An saka allurar biopsy ta bangon kirji da cikin yankin ƙwayar huhu mara kyau. Ana cire ƙaramin nama ta allurar kuma a bincika ta microscope don alamun kansar.

• Thoracoscopy: An sanya yanki (yanke) tsakanin haƙarƙari biyu da ƙararrakin hoto (na bakin ciki, mai kama da bututu tare da haske da ruwan tabarau don kallo) an saka shi a cikin kirji.

• Thoracotomy: Ana yin ragi (yanke) tsakanin haƙarƙari biyu don bincika cikin kirji don alamun cuta.

• Peritoneoscopy: An sanya wani yanki (a yanka) a bangon ciki kuma an saka peritoneoscope (na bakin ciki, mai kama da bututu mai haske da ruwan tabarau don kallo) a cikin ciki.

• Bude biopsy: Hanya ce wacce ake yin yanki (yankewa) ta cikin fata don fallasawa da cire kyallen takarda don bincika alamun cuta.

Za'a iya yin gwaje-gwaje masu zuwa akan ƙwayoyin da samfurin nama waɗanda aka ɗauka:

• Nazarin Cytologic: Nazarin ƙwayoyin cuta a ƙarƙashin microscope don bincika kowane abu mara kyau. Don mesothelioma, ana ɗauke ruwa daga kirji ko daga ciki. Kwararren likitan kwalliya yana duba ruwan domin alamun kansar.

• 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.

• Electron microscopy: Gwajin gwaje-gwaje wanda ake kallon ƙwayoyin da ke samfurin samfurin a ƙarƙashin babban microscope don neman wasu canje-canje a cikin ƙwayoyin. Karamin hango na lantarki yana nuna kananan bayanai wadanda suka fi sauran nau'ikan hangen nesa.

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

Hanyoyin hangen nesa da zaɓuɓɓukan magani sun dogara da masu zuwa:

• Matakin ciwon daji.

• Girman kumburin.

• Ko za a iya cire ƙwayar cutar gaba ɗaya ta hanyar tiyata.

• Yawan ruwa a kirji ko ciki.

• Mai haƙuri shekarunsa.

• Matsayin aikin mai haƙuri.

• Babban lafiyar mara lafiyar, gami da huhu da lafiyar zuciya.

• Nau'in kwayoyin mesothelioma da yadda suke kallon karkashin madubin hangen nesa.

• Adadin fararen ƙwayoyin jini da yawan haemoglobin a cikin jini.

• Ko mai haƙuri namiji ne ko kuwa mace.

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

Matakai na mummunan Mesothelioma

MAGANAN MAGANA

• Bayan an bincikar cutar mesothelioma mai cutar, ana yin gwaji don gano ko ƙwayoyin kansa sun bazu 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.

• Ana amfani da matakai masu zuwa don mummunan jijiyoyin huhu:

• Mataki Na

• Mataki na II

• Mataki na III

• Mataki na IV

• Mesothelioma mai cutar zai iya dawowa (dawo) bayan an warke shi.

Bayan an bincikar cutar mesothelioma mai cutar, ana yin gwaji don gano ko ƙwayoyin kansa sun bazu zuwa wasu sassan jiki.

Hanyar da ake amfani da ita don gano ko cutar kansa ta bazu a wajen wurin da ake kira stura ko peritoneum. Bayanin da aka tattara daga tsarin daukar matakan tantance matakin cutar. Yana da mahimmanci a san ko ciwon daji ya bazu don tsara 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 kirji da ciki, wanda 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.

• 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.

• 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).

• Endoscopic duban dan tayi (EUS): Hanya ce wacce ake saka endoscope cikin jiki. 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 kuma suyi amo. Eararrawa ta haifar da hoton kayan jikin da ake kira sonogram. Wannan hanya ana kiranta endosonography. Ana iya amfani da EUS don jagorantar ƙarancin allura mai kyau (FNA) biopsy na huhu, ƙwayoyin lymph, ko wasu yankuna.

Endoscopic duban dan tayi-jagorar lafiya-allura fata biopsy. An saka hoton karshe wanda yake da duban dan tayi da kuma allurar biopsy ta bakin da kuma a cikin hancin hanji. Binciken yana haifar da taguwar sauti daga kayan jikin mutum don yin amo wanda ya samar da sonogram (hoton kwamfuta) na lymph nodes kusa da esophagus. Sonogram yana taimaka wa likitan ganin inda za'a sanya allurar biopsy don cire nama daga sassan lymph. Ana bincikar wannan ƙwayar a ƙarƙashin madubin likita don alamun cutar kansa.

• Laparoscopy: Tsarin tiyata ne don duba gabobin da ke cikin ciki don bincika alamun cuta. Incananan raɗaɗɗu (yanka) ana yin su a bangon ciki kuma an saka laparoscope (na bakin ciki, bututu mai haske) cikin ɗayan wuraren. Sauran kayan aiki za'a iya saka su ta hanya ɗaya ko wasu ɓoyayyen don aiwatar da hanyoyin kamar ɗaukar samfurin nama don a bincika su a ƙarƙashin microscope don alamun cuta.

• Lymph node biopsy: Cire duka ko ɓangaren kumburin lymph. Kwararren likitan kwalliya yana kallon narkar da kwayar lymph a karkashin madubin likita don duba kwayoyin cutar kansa.

• Mediastinoscopy: Hanyar tiyata ce don duban gabobi, kyallen takarda, da ƙwayoyin lymph tsakanin huhu don yankunan da ba na al'ada ba. An sanya wani yanki (a yanka) a saman kashin mama kuma an saka medastinoscope a cikin kirjin. Mediaastinoscope 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 samfuran samfuran kwayayen lymph, waɗanda aka bincika a ƙarƙashin microscope don alamun kansar.

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 mummunan mesothelioma ya bazu zuwa cikin kwakwalwa, ƙwayoyin kansar da ke cikin kwakwalwa ainihin ƙwayoyin mesothelioma ne. Cutar ita ce mummunar cutar mesothelioma, ba cutar kansa ta kwakwalwa ba.

Ana amfani da matakai masu zuwa don mummunan jijiyoyin huhu:

Mataki Na

Mataki na ya kasu kashi-kashi IA da IB:

• A mataki na IA, ana samun kansar a cikin rufin cikin kirjin kirji a gefe ɗaya na kirjin. A gefe ɗaya na kirji, ana iya samun ciwon daji a ɗaya ko fiye na masu zuwa:

• Thinananan siririn nama wanda ke rufe huhu.

• Theananan siririn nama wanda yake rufe gabobin tsakanin huhu.

• Ananan siririn nama wanda yake rufe saman diaphragm.

• A mataki na IB, ana samun cutar kansa a cikin rufin kirjin, da kuma kowane ɗayan siraran ƙwayoyin da ke rufe huhun, gabobin tsakanin huhun, da saman diaphragm a ɗaya gefen kirjin. A gefe ɗaya na kirji, cutar kansa ma ta bazu zuwa ɗaya ko fiye na masu zuwa:

• Diaphragm.

• Naman huhu.

• Nama tsakanin haƙarƙari da abin da ke cikin bangon kirji.

• Fat a yankin tsakanin huhu.

• Matsaloli masu laushi na bangon kirji.

• Sac a kusa da zuciya.

Mataki na II

A mataki na II, ana samun cutar kansa a cikin labulen ciki na bangon kirji a gefe ɗaya na kirjin. A gefe ɗaya na kirji, ana iya samun ciwon daji a ɗaya ko fiye na masu zuwa:

• Thinananan siririn nama wanda ke rufe huhu.

• Theananan siririn nama wanda yake rufe gabobin tsakanin huhu.

• Ananan siririn nama wanda yake rufe saman diaphragm.

Ciwon daji ya bazu zuwa ƙwayoyin lymph tare da tsakiyar kirji a gefe ɗaya na kirjin da ƙari.

ko

Ana samun cutar kansa a cikin labulen ciki na bangon kirji, da kuma kowane ɗayan siraran yatsan da ke rufe huhun, gabobin tsakanin huhun, da saman diaphragm a ɗaya gefen kirjin. A gefe ɗaya na kirji, cutar kansa ma ta bazu zuwa ɗaya ko duka biyu masu zuwa:

• Diaphragm.

• Naman huhu.

Ciwon daji ya bazu zuwa ƙwayoyin lymph tare da tsakiyar kirji a gefe ɗaya na kirjin da ƙari.

Mataki na III

Mataki na III ya kasu kashi biyu IIIA da IIIB.

• A mataki na IIIA, ana samun cutar kansa a cikin rufin kirjin, da kuma kowane ɗayan siraran ɗamarar da ke rufe huhun, gabobin tsakanin huhun, da saman diaphragm a ɗaya gefen kirjin. A gefe ɗaya na kirji, cutar kansa ma ta bazu zuwa ɗaya ko fiye na masu zuwa:

• Nama tsakanin haƙarƙari da abin da ke cikin bangon kirji.

• Fat a yankin tsakanin huhu.

• Matsaloli masu laushi na bangon kirji.

• Sac a kusa da zuciya.

Ciwon daji ya bazu zuwa ƙwayoyin lymph tare da tsakiyar kirji a gefe ɗaya na kirjin da ƙari.

• A cikin mataki na IIIB, ana samun kansar a cikin rufin kirjin kirji, kuma ana iya samun sa a cikin siraran ƙwayoyin da ke rufe huhun, gabobin tsakanin huhun, da / ko saman diaphragm a ɗaya gefen kirji. A gefe guda na kirjin, cutar sankara na iya yaduwa zuwa daya ko fiye na masu zuwa:

• Diaphragm.

• Naman huhu.

• Nama tsakanin haƙarƙari da abin da ke cikin bangon kirji.

• Fat a yankin tsakanin huhu.

• Matsaloli masu laushi na bangon kirji.

• Sac a kusa da zuciya.

Ciwon daji ya bazu zuwa ƙwayoyin lymph a sama da ƙashin ƙugu a kowane ɓangare na kirji ko ciwon daji ya bazu zuwa ƙwayoyin lymph tare da tsakiyar kirjin a gefen kishiyar kirjin a matsayin ƙari.

ko

Ana samun cutar kansa a cikin labulen ciki na bangon kirji, da kuma kowane ɗayan siraran yatsan da ke rufe huhun, gabobin tsakanin huhun, da saman diaphragm a ɗaya gefen kirjin. Cancer ya kuma yada zuwa ɗaya ko fiye na masu zuwa:

• Bangon kirji kuma za'a iya samun shi a cikin haƙarƙarin.

• Ta hanyar diaphragm a cikin peritoneum.

• Naman da ke lika kirji a kishiyar sashin jiki kamar ƙari.

• Gabobin da ke yankin tsakanin huhu (esophagus, trachea, thymus, jijiyoyin jini).

• Da kashin baya

• Ta cikin jakar kusa da zuciya ko cikin tsokar zuciya.

Ciwon daji na iya yaduwa zuwa lymph nodes.

Mataki na IV

A mataki na huxu, cutar kansa ta bazu zuwa jikin da ke rufe huhu ko huhu a gefen kishiyar kirji, peritoneum, ƙasusuwa, hanta, ƙwayoyin lymph a wajen kirji, ko zuwa wasu sassan jiki.

Mesothelioma mai cutar zai iya dawowa (dawo) bayan an warke shi.

Ciwon kansa na iya dawowa a cikin kirji ko ciki ko kuma sauran sassan jiki.

Bayanin Zaɓin Jiyya

MAGANAN MAGANA

• Akwai nau'ikan magani daban-daban ga marasa lafiya da cutar sankarau.

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

• Tiyata

• Radiation far

• Chemotherapy

• Ciwon da aka yi niyya

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

• Immunotherapy

• Jiyya don mummunan mesothelioma 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 cutar sankarau.

Akwai nau'ikan jiyya iri daban-daban ga marasa lafiya da cutar sankarau. 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

Ana iya amfani da jiyya masu zuwa don muguwar jijiya a cikin kirji:

• Fitar da hankali daga gida: Yin tiyata don cire kansar da wasu lafiyayyun nama kusa da shi.

• Kyakkyawan yanayi da yanke hukunci: Yin tiyata don cire ɓangaren suturar huhu da rufin kirji da ɓangaren waje na huhu.

• Parin pneumonectomy: Tiyata don cire duka huhu ɗaya da ɓangaren rufin kirji, diaphragm, da rufin jakar a kusa da zuciya.

• Pleurodesis: Tsarin aikin tiyata ne wanda ke amfani da sunadarai ko magunguna don yin tabo a sararin samaniya tsakanin yadudduka na pleura. Ana fara fitar da ruwa daga sararin samaniya ta hanyar amfani da catheter ko kirjin kirji kuma an saka sinadarin ko magani a cikin sararin. Tabon tabo yana dakatar da hauhawar ruwa a cikin kogon.

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.

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. Magungunan radiation na waje yana amfani da wata na'ura a wajen jiki don aika jujjuyawar zuwa jikin jiki da cutar kansa. Hakanan za'a iya amfani dashi azaman kwantar da hankali don sauƙaƙe alamun cututtuka da haɓaka ƙimar rayuwa.

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 ruɓar ciki, gaɓoɓi, ko rami na jiki kamar kirji ko peritoneum, magungunan yawanci suna shafar ƙwayoyin kansa ne a waɗancan yankuna (chemotherapy na yanki). Haɗaɗɗiyar ƙwayar cuta ita ce amfani da fiye da ɗaya maganin ƙwayar cuta.

Hyperthermic intraperitoneal chemotherapy ana amfani dashi don maganin mesothelioma wanda ya bazu zuwa peritoneum (nama wanda ke layin ciki kuma ya rufe yawancin gabobin cikin ciki). Bayan da likitan ya cire duk wata cutar kansa da za a iya gani, zazzabin da ke dauke da magunguna masu narkewa ya yi zafi kuma a sa shi a ciki da ciki don kashe ƙwayoyin kansa da suka rage. Cutar da magungunan ƙwayar cuta na iya kashe ƙarin ƙwayoyin cutar kansa.

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

Dubi Magungunan da aka Amincewa don cutar Mesothelioma don ƙarin bayani.

Ciwon da aka yi niyya

Therapywarewar da aka kera wani nau'in magani ne wanda ke amfani da kwayoyi ko wasu abubuwa don ganowa da afkawa takamaiman ƙwayoyin cutar kansa. 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'in magani ne da ake niyya. Magungunan Monoclonal sune sunadarai na tsarin garkuwar jiki da aka yi a dakin gwaje-gwaje don magance cututtuka da yawa, gami da ciwon daji. A matsayin maganin kansar, wadannan kwayoyi masu kare jiki zasu iya makalawa zuwa wani takamaiman manufa akan kwayoyin cutar kansa ko wasu kwayoyin halitta wadanda zasu iya taimakawa kwayoyin cutar kansa suyi girma. Magungunan suna iya kashe kwayoyin cutar kansa, toshe haɓakar su, ko hana su 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.

Bevacizumab magani ne na monoclonal wanda ake amfani dashi don magance muguwar mesothelioma. Yana ɗaure ne da furotin da ake kira factor endothelial girma (VEGF). Wannan na iya hana haɓakar sabbin jijiyoyin jini waɗanda ciwace ciwace na buƙatar girma. Ana nazarin sauran kwayoyi masu guba na monoclonal a cikin mummunan mesothelioma.

Masu hana Kinase nau'ikan magani ne da aka yi niyya don nazarin mesothelioma. Masu hana Kinase sune magunguna masu niyya waɗanda ke toshe siginonin da ake buƙata don ciwace-ciwacen girma.

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.

Immunotherapy

Immunotherapy magani ne wanda ke amfani da garkuwar jikin mara 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 maganin kansa shine nau'in ilimin ilimin halittu.

Jiyya don mummunan mesothelioma 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.

Jiyya na Stage I Malignant Mesothelioma

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

Idan mataki na mummunan mesothelioma yana cikin wani ɓangare na rufin kirji, magani na iya zama mai zuwa:

• Yin aikin tiyata don cire ɓangaren ɓangaren kirji da ciwon daji da ƙyallen da ke kewaye da shi.

Idan an sami matakin farko na m mesothelioma a cikin sama da wuri ɗaya a cikin kirji, magani na iya zama ɗayan masu zuwa:

• Raarin ciwon huhu na huhu.

• Kyakkyawan yanayi da yanke hukunci, tare da ko ba tare da maganin radiation ba, azaman maganin kwantar da hankali don sauƙaƙe bayyanar cututtuka da haɓaka ƙimar rayuwa.

• Radiation therapy as palliative far don taimakawa bayyanar cututtuka da haɓaka ƙimar rayuwa.

• Gwajin gwaji na magungunan ciwon daji wanda aka sanya kai tsaye cikin kirji bayan tiyata don cire kumburin.

• Gwajin gwaji na asibiti na haɗuwa da tiyata, radiation radiation, da chemotherapy.

• Gwajin gwaji na sabon magani.

Idan mataki na mummunan mesothelioma yana cikin rufin ciki, jiyya na iya zama masu zuwa:

• Yin aikin tiyata don cire ɓangaren layin fatar da keɓaɓɓen fata da ƙyallen da ke kewaye da shi.

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.

Jiyya na Mataki na II, Mataki na III, ko Mataki na IV Malignant Mesothelioma

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

Idan an sami mataki na II, na III, ko na huɗu mai cutar mesothelioma a cikin kirji, magani na iya zama ɗayan masu zuwa:

• Haɗakar chemotherapy da farfado da niyya tare da bevacizumab.

• Chemotherapy an sanya shi kai tsaye a cikin ramin kirji don rage marurai da kiyaye ruwa daga ginawa.

• Yin aikin tiyata don zubar da ruwa wanda ya tattara a cikin kirji, don magance rashin jin daɗin kirji da haɓaka ƙimar rayuwa. Pleurodesis na iya yi don dakatar da karin ruwa daga tarawa a kirji.

• Pleurectomy da decortication, azaman farfadowa na kwantar da hankali don sauƙaƙe bayyanar cututtuka da haɓaka ƙimar rayuwa.

• Radiation therapy as palliative far don magance zafi.

• Gwajin gwaji na asibiti na haɗuwa da tiyata, radiation radiation, da chemotherapy.

Idan an sami mataki na II, na III, ko na huɗu mai cutar mesothelioma a cikin peritoneum, magani na iya zama ɗayan masu zuwa:

• Yin aikin tiyata don cire kumburin da ke biye da cutar sankara mai ƙoshin lafiya.

• Chemotherapy an sanya shi kai tsaye a cikin peritoneum don rage ƙwayar cutar kuma kiyaye ruwa daga haɓaka.

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.

Jiyya na Mutuwar Maɗaukaki Mesothelioma

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

Jiyya na mummunan mesothelioma na iya zama ɗayan masu zuwa:

• Yin aikin tiyata don cire ɓangaren bangon kirji.

• Chemotherapy, idan ba a ba shi azaman magani na farko ba.

• Gwajin gwaji na rigakafi.

• Gwajin gwaji na asibiti.

• Gwajin gwaji na chemotherapy.

• Gwajin gwaji na tiyata.

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 Mummunar Mesothelioma

Don ƙarin bayani daga Cibiyar Cancer ta cerasa game da muguwar cutar sankara, duba mai zuwa:

• Shafin Farko na Mesothelioma

• An Amince da Magunguna don Masihu Mesothelioma

• Immunotherapy don Kula da Ciwon daji

• Magungunan Ciwon Cutar da Aka Yi niyya

• Bayyanar Asbestos da Hadarin Kansa

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

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