Nau'o'in / neuroblastoma / haƙuri / neuroblastoma-treatment-pdq
Abubuwan da ke ciki
- 1 Maganin Neuroblastoma (®) –Patient Version
- 1.1 Janar Bayani Game da Neuroblastoma
- 1.2 Matakan Neuroblastoma
- 1.3 Bayanin Zaɓin Jiyya
- 1.4 Jiyya na -ananan Risk Neuroblastoma
- 1.5 Jiyya na Matsakaici-Hadarin Neuroblastoma
- 1.6 Jiyya na Babban-Risk Neuroblastoma
- 1.7 Jiyya na Mataki na 4S Neuroblastoma
- 1.8 Jiyya na Maimaita Neuroblastoma
- 1.9 Don ƙarin koyo game da Neuroblastoma
Maganin Neuroblastoma (®) –Patient Version
Janar Bayani Game da Neuroblastoma
MAGANAN MAGANA
- Neuroblastoma cuta ce wacce ƙwayoyin cuta masu saurin kamuwa da cuta a cikin ƙwayoyin cuta, ƙwanji, kirji, ko laka.
- Neuroblastoma wani lokacin yakan haifar da maye gurbi (canji) daga iyaye zuwa ga yaro.
- Alamu da alamomin cutar neuroblastoma sun hada da dunkulewar ciki, wuya, ko kirji ko ciwon kashi.
- Ana amfani da gwaje-gwajen da ke bincika ƙwayoyin jiki daban-daban da ruwaye don tantance neuroblastoma.
- Ana yin biopsy don tantance neuroblastoma.
- Wasu dalilai suna tasiri hangen nesa (damar dawowa) da zaɓuɓɓukan magani.
Neuroblastoma cuta ce wacce ƙwayoyin cuta masu saurin kamuwa da cuta a cikin ƙwayoyin cuta, ƙwanji, kirji, ko laka.
Neuroblastoma sau da yawa yakan fara a cikin jijiyar jijiyoyin gland. Akwai gland din adrenal guda biyu, daya a saman kowacce koda a bayan ciki na sama. Glandon adrenal suna yin mahimmin kwayoyi wanda ke taimakawa wajen sarrafa bugun zuciya, hawan jini, sukarin jini, da kuma yadda jiki ke amsa ga damuwa. Neuroblastoma na iya farawa a cikin jijiyar jijiya a cikin wuya, kirji, ciki, ko ƙashin ƙugu.
Neuroblastoma mafi yawanci yakan fara ne a yarinta. Yawancin lokaci ana gano shi tsakanin watan farko na rayuwa zuwa shekara biyar. Ana samun sa lokacin da kumburin ya fara girma har ya haifar da alamu ko alamomi. Wani lokacin yakan samu asali kafin haihuwa kuma ana samun sa a lokacin duban jariri.
A lokacin da aka gano kansar, yawanci ta kan inganta (yaduwa). Neuroblastoma yana yaduwa mafi sau da yawa zuwa ƙwayoyin lymph, ƙasusuwa, bargon ƙashi, hanta, da fatar cikin jarirai da yara. Hakanan matasa zasu iya samun metastasis zuwa huhu da kwakwalwa.
Neuroblastoma wani lokacin yakan haifar da maye gurbi (canji) daga iyaye zuwa ga yaro.
Sauyin halittar kwayar halittar jini wanda ke haifar da haɗarin neuroblastoma wani lokaci ana gadon shi (daga uba zuwa ga yaro). A cikin yara masu canzawar kwayar halitta, neuroblastoma yawanci yakan faru ne a lokacin ƙarami kuma ƙari fiye da ɗaya na iya samuwa a cikin gland adrenal ko a cikin jijiyar nama a cikin wuya, kirji, ciki, ko ƙashin ƙugu.
Yaran da ke da wasu maye gurbi ko cututtukan gado (gado) ya kamata a bincika alamun neuroblastoma har sai sun kai shekara 10. Ana iya amfani da gwaje-gwaje masu zuwa:
- Cikakken duban dan tayi: Gwaji ne wanda ake fitarda igiyoyin sautin karfi mai karfi (duban dan tayi) daga ciki kuma yayi kuwwa. Eararrawa ta haifar da hoton ciki wanda ake kira sonogram. Ana iya buga hoton don a kalleshi daga baya.
- Nazarin fitsarin catecholamine: Gwajin da ake duba samfurin fitsari don auna adadin wasu abubuwa, vanillylmandelic acid (VMA) da homovanillic acid (HVA), wadanda akeyi lokacin da catecholamines suka farfashe kuma aka sakasu cikin fitsarin. Matsayi mafi girma fiye da al'ada na VMA ko HVA na iya zama alamar neuroblastoma.
- 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.
Yi magana da likitan ɗanka game da yawan lokutan da ake buƙatar yin waɗannan gwaje-gwajen.
Alamu da alamomin cutar neuroblastoma sun hada da dunkulewar ciki, wuya, ko kirji ko ciwon kashi.
Mafi yawan alamomi da alamomin cutar neuroblastoma ana haifar dasu ne ta hanyar ciwon kumburi akan laushin nama kusa da shi yayin da yake girma ko kuma cutar kansa ta bazu zuwa ƙashi. Wadannan da sauran alamu da alamun cutar na iya haifar da neuroblastoma ko ta wasu yanayi.
Binciki likitan ɗanka idan ɗanka yana da ɗayan masu zuwa:
- Kumburi a ciki, wuya, ko kirji.
- Ciwon ƙashi
- Ciwan kumburi da matsalar numfashi (a jarirai).
- Idanun bulging.
- Duhu kewaye da idanu ("baƙin idanu").
- Mara zafi, kumbura mai ƙyalli a ƙarƙashin fata (a cikin jarirai).
- Rauni ko inna (raunin ƙarfin motsa ɓangaren jiki).
Signsananan alamomi da alamun cutar neuroblastoma sun haɗa da masu zuwa:
- Zazzaɓi.
- Rashin numfashi.
- Jin kasala.
- Aramar rauni ko zubar jini.
- Petechiae (lebur, tabo daidai a karkashin fata sanadiyyar zubar jini).
- Hawan jini.
- Ciwon mara mai tsanani.
- Ciwon Horner (ƙuraren ido ƙanƙane, ƙaramin ɗalibi, da ƙarancin gumi a gefe ɗaya na fuska).
- Yunkurin tsoka Jerky.
- Movementsunƙun ido marasa ƙarfi.
Ana amfani da gwaje-gwajen da ke bincika ƙwayoyin jiki daban-daban da ruwaye don tantance neuroblastoma.
Ana iya amfani da waɗannan gwaje-gwajen da hanyoyin don bincika neuroblastoma:
- 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 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.
- Nazarin fitsarin catecholamine: Gwajin da ake duba samfurin fitsari don auna adadin wasu abubuwa, vanillylmandelic acid (VMA) da homovanillic acid (HVA), wadanda akeyi lokacin da catecholamines suka farfashe kuma aka sakasu cikin fitsarin. Matsayi mafi girma fiye da al'ada na VMA ko HVA na iya zama alamar neuroblastoma.
- Nazarin sunadarai na jini: Gwaji ne wanda ake bincikar samfurin jini don auna adadin wasu abubuwa da aka saki cikin jini ta gabobi da kayan aiki a jiki. Mafi girma ko ƙasa da adadin abu na yau da kullun na iya zama alamar cuta.
- MIBG scan: Hanyar da aka yi amfani da ita don gano ƙwayoyin neuroendocrine, kamar neuroblastoma. Wani ɗan ƙaramin abu ne wanda ake kira MIBG na rediyoaktif ana saka shi a cikin jijiya kuma yana tafiya ta cikin jini. Kwayoyin ƙari na Neuroendocrine suna ɗaukar MIBG na radiyo kuma ana yin amfani da na'urar daukar hotan takardu. Ana iya ɗaukar sikan sama da kwanaki 1-3. Za'a iya bada maganin iodine kafin ko yayin gwajin don kiyaye glandar thyroid daga yawan shan MIBG. Ana amfani da wannan gwajin don gano yadda kumburin ke amsa magani. Ana amfani da MIBG a cikin manyan allurai don magance neuroblastoma.
- 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 ) tare da gadolinium: Hanya ce da ke amfani da maganadisu, raƙuman rediyo, da kuma kwamfuta don yin jerin hotuna dalla-dalla na wurare a cikin jiki. Wani sinadari da ake kira gadolinium ne a cikin jijiya. Gadolinium yana tattarawa a kusa da ƙwayoyin cutar kansa don haka sun ƙara haske a hoton. Wannan hanya ana kiranta kuma ana kiranta hoton maganadisu na maganadisu (NMRI).
- 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.
- X-ray na kirji ko ƙashi: X-ray wani nau'i ne na katako mai ƙarfi wanda zai iya ratsa jiki zuwa fim, yana yin hoton wurare a cikin jiki.
- Gwajin duban dan tayi: Hanya ce wacce ake fitar da igiyar sauti mai karfi (duban dan tayi) daga kyallen ciki ko gabobin ciki kuma suna yin kuwwa. Eararrawa ta haifar da hoton kayan jikin da ake kira sonogram. Ana iya buga hoton don a kalleshi daga baya. Ba a yin gwajin duban dan tayi idan an yi CT / MRI.
Ana yin biopsy don tantance neuroblastoma.
Ana cire kwayoyin halitta da kyallen takarda a yayin nazarin halittu don haka ana iya kallon su ta karkashin wani madubin likita daga likitan kwalliya don duba alamun kansar. Hanyar yin biopsy ya dogara da inda ƙari yake a jiki. Wani lokaci ana cire dukkan kumburin a lokaci guda a yi biopsy.
Za'a iya yin gwaje-gwaje masu zuwa akan ƙyallen da aka cire:
- Nazarin Cytogenetic: Gwajin dakin gwaje-gwaje wanda ake kirga chromosomes na sel a cikin samfurin nama kuma ana bincika su 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.
- Micaramar ƙaramar microscopy: Gwajin gwaje-gwaje wanda ake kallon ƙwayoyin da ke cikin samfurin nama a ƙarƙashin microscopes na yau da kullun don neman wasu canje-canje a cikin ƙwayoyin.
- 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 fadada MYCN: Nazarin dakin gwaje-gwaje wanda ake bincika ƙari ko ƙwayoyin kashin kashi don matakin MYCN. MYCN na da mahimmanci don ci gaban kwayar halitta. Matsayi mafi girma na MYCN (sama da kofe 10 na kwayar halittar) ana kiran sa karawa MYCN. Neuroblastoma tare da kara MYCN zai iya yaduwa cikin jiki kuma ba zai iya amsa magani ba.
Yaran da suka kai watanni 6 bazai buƙatar biopsy ko tiyata don cire ƙari ba saboda ƙwayar zai iya ɓacewa ba tare da magani ba.
Wasu dalilai suna tasiri hangen nesa (damar dawowa) da zaɓuɓɓukan magani.
Hanyoyin hangen nesa da zaɓuɓɓukan magani sun dogara da masu zuwa:
- Shekaru a lokacin ganewar asali.
- Tarihin kumburi (sifa, aiki, da tsarin ƙwayoyin tumo).
- Riskungiyar haɗarin yara
- Ko akwai wasu canje-canje a cikin kwayoyin halittar.
- Inda a cikin jikin kumburin ya fara.
- Matakin ciwon daji.
- Ta yaya ƙari ke amsawa ga magani.
- Yaya tsawon lokacin da ya wuce tsakanin ganewar asali da lokacin da ciwon daji ya sake dawowa (don maimaita kansa).
Hakanan ilimin hangen nesa da zaɓuɓɓukan magani don neuroblastoma suma illolin ƙari ne, wanda ya haɗa da masu zuwa:
- Abubuwan tsarin ƙwayoyin ƙari.
- Yaya bambancin ƙwayoyin tumo suke daga ƙwayoyin al'ada.
- Yaya sauri ƙwayoyin tumo ke girma.
- Ko kumburin ya nuna kara MYCN.
- Ko ƙari yana da canje-canje a cikin kwayar ALK.
Ilimin halittar tumbi ya ce abu mai kyau ko mara kyau, ya danganta da waɗannan abubuwan. Yarin da ke da kyakkyawar ilimin ƙwayar ƙwayar cuta yana da mafi kyawun damar dawowa.
A wasu yara har zuwa watanni 6, neuroblastoma na iya ɓacewa ba tare da magani ba. Wannan ana kiran sa koma baya ne. Yaron yana kulawa sosai don alamu ko alamomin cutar neuroblastoma. Idan alamu ko alamomi suka faru, ana iya buƙatar magani.
Matakan Neuroblastoma
MAGANAN MAGANA
- Bayan an gano neuroblastoma, ana yin gwaje-gwaje don gano ko cutar daji ta bazu daga inda ta fara 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 neuroblastoma:
- Mataki na 1
- Mataki na 2
- Mataki na 3
- Mataki na 4
- Jiyya na neuroblastoma ya dogara ne akan ƙungiyoyin haɗari.
- Wani lokaci neuroblastoma baya amsa magani ko kuma ya dawo bayan jiyya.
Bayan an gano neuroblastoma, ana yin gwaje-gwaje don gano ko cutar daji ta bazu daga inda ta fara zuwa wasu sassan jiki.
Hanyar da ake amfani da ita don gano girman ko yaduwar cutar kansa shine ake kira staging. Bayanan da aka tattara daga tsarin daukar hoto na taimakawa wajen tantance matakin cutar. Don neuroblastoma, matakin cutar yana shafar ko kansar ƙananan haɗari ce, matsakaiciyar haɗari, ko babban haɗari. Hakanan yana shafar shirin magani. Sakamakon wasu gwaje-gwaje da hanyoyin da aka yi amfani dasu don tantance neuroblastoma ana iya amfani dasu don ɗaukar hoto. Dubi Babban Bayanin Bayani don bayanin waɗannan gwaje-gwajen da hanyoyin.
Hakanan ana iya amfani da gwaje-gwaje masu zuwa da hanyoyin don tantance matakin:
- 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.
- 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. Ofaya daga cikin nau'ikan biopsies na iya yi:
- Excisional biopsy: Cire dukkanin kumburin lymph.
- Gwajin halittar jikinka: Cire wani bangare na kumburin lymph.
- Core biopsy: Cire tsoka daga kumburin kumburi ta amfani da babban allura.
- Kwayar fata mai kyau (FNA) biopsy: Cire nama ko ruwa daga kumburin lymph ta amfani da bakin ciki.
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 neuroblastoma ya bazu zuwa hanta, ƙwayoyin kansa a cikin hanta ainihin ƙwayoyin neuroblastoma ne. Cutar ita ce neuroblastoma ta rayuwa, ba ciwon hanta ba.
Ana amfani da matakai masu zuwa don neuroblastoma:
Mataki na 1
A mataki na 1, ciwon daji yana yanki ɗaya ne kawai kuma duk kansar da ake gani ana cire ta gaba ɗaya yayin aikin tiyata.
Mataki na 2
Mataki na 2 ya kasu kashi biyu 2A da 2B.
- Mataki na 2A: Ciwon daji yana yanki ɗaya ne kawai kuma duk kansar da za a iya gani ba a cire ta gaba ɗaya yayin aikin tiyata.
- Mataki na 2B: Ciwon daji yana yanki ɗaya ne kawai kuma duk kansar da ake gani tana iya ko ba za a cire ta gaba ɗaya yayin aikin tiyata. Ana samun ƙwayoyin sankara a cikin ƙwayoyin lymph kusa da ƙari.
Mataki na 3
A mataki na 3, ɗayan masu zuwa gaskiya ne:
- ba za a iya kawar da cutar kansa gaba ɗaya yayin aikin tiyata kuma ta bazu daga wannan gefe na jiki zuwa wancan gefe kuma mai yiwuwa ma ya bazu zuwa ƙwayoyin lymph da ke kusa; ko
- ciwon daji yana gefe ɗaya na jiki kuma ya bazu zuwa ƙwayoyin lymph a ɗaya gefen jikin; ko
- ciwon daji yana tsakiyar jiki kuma ya bazu zuwa kyallen takarda ko lymph nodes a ɓangarorin biyu na jiki, kuma ba za a iya kawar da cutar ta hanyar tiyata.
Mataki na 4
Mataki na 4 ya kasu kashi-kashi 4 da 4S.
- A mataki na 4, ciwon daji ya bazu zuwa ƙwayoyin lymph masu nisa ko zuwa wasu sassan jiki.
- A mataki na 4S, yaron bai fi watanni 12 ba, kuma:
- ciwon daji ya yada zuwa fata, hanta, da / ko bargon kashi; ko
- ciwon daji yana cikin yanki ɗaya ne kawai kuma duk cutar kansa da ake gani ana iya ko ba a cire ta gaba ɗaya yayin aikin tiyata; ko
- ana iya samun ƙwayoyin daji a cikin ƙwayoyin lymph kusa da ƙari.
Jiyya na neuroblastoma ya dogara ne akan ƙungiyoyin haɗari.
Ga nau'ikan cutar kansa da yawa, ana amfani da matakai don tsara magani. Don neuroblastoma, magani ya dogara da ƙungiyar haɗarin mai haƙuri. Matakin neuroblastoma shine ɗayan abubuwan da ake amfani dasu don ƙayyade ƙungiyar haɗari. Sauran dalilai sune tsufa, tarihin tarihi, da kuma ilimin halittar ƙari.
Akwai rukuni uku masu haɗari: ƙananan haɗari, matsakaiciyar haɗari, da babban haɗari.
- Riskananan haɗari da matsakaiciyar haɗarin neuroblastoma suna da kyakkyawan damar warkewa.
- Babban cututtukan neuroblastoma na iya zama da wuya a warke.
Wani lokaci neuroblastoma baya amsa magani ko kuma ya dawo bayan jiyya.
Neuroblastoma na ƙyama shine ƙari wanda ba ya amsa magani.
Maimaita neuroblastoma shine ciwon daji wanda ya sake dawowa (dawo) bayan an magance shi. Ciwon daji na iya dawowa cikin shafin da ya fara ko a cikin tsarin kulawa na tsakiya.
Bayanin Zaɓin Jiyya
MAGANAN MAGANA
- Akwai nau'ikan magani iri daban-daban ga marasa lafiya da cutar neuroblastoma.
- Yaran da ke da cutar neuroblastoma ya kamata ƙungiyar likitoci waɗanda suka kware a kan magance kansar yara, sun shirya maganin su.
- Ana amfani da nau'i bakwai na daidaitaccen magani:
- Lura
- Tiyata
- Radiation far
- Iodine 131-MIBG far
- Chemotherapy
- -Aramar ƙwayar ƙwayar cuta mai mahimmanci da raɗaɗɗa tare da ceton kwayar halitta
- Ciwon da aka yi niyya
- Ana gwada sababbin nau'ikan magani a gwajin asibiti.
- Immunotherapy
- Jiyya don neuroblastoma yana haifar da sakamako masu illa da ƙarshen sakamako.
- 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 da cutar neuroblastoma.
Akwai nau'ikan magani daban-daban ga marasa lafiya da ke fama da cutar neuroblastoma. Wasu jiyya suna daidaito (magani da ake amfani dashi yanzu), kuma wasu ana gwada su a gwajin asibiti. Gwajin gwajin magani shine binciken bincike wanda aka tsara don taimakawa inganta ingantattun jiyya na yanzu ko samun bayanai game da sababbin jiyya ga marasa lafiya da ciwon daji. Lokacin da gwaji na asibiti ya nuna cewa sabon magani ya fi magani na yau da kullun, sabon magani na iya zama daidaitaccen magani.
Saboda cutar kansa a cikin yara ba safai ba, ya kamata a yi la'akari da shiga cikin gwajin asibiti. Wasu gwaji na asibiti ana buɗe su ne kawai ga marasa lafiyar da basu fara magani ba.
Yaran da ke da cutar neuroblastoma ya kamata ƙungiyar likitoci waɗanda suka kware a kan magance kansar yara, sun shirya maganin su.
Jiyya za ta kula da likitan ilimin likitan yara, likita wanda ya kware kan kula da yara masu cutar kansa. Masanin ilimin likitancin yara yana aiki tare da sauran masu ba da kula da lafiya na yara waɗanda ƙwararru ne wajen kula da yara tare da neuroblastoma kuma waɗanda suka ƙware a wasu fannonin magani. Wadannan na iya hada da kwararru masu zuwa:
- Likitan likitan yara.
- Rikicin yara oncologist.
- Masanin ilimin likita.
- Neurologist.
- Masanin ilimin likitan yara.
- Neuroradiologist.
- Likitan yara.
- Kwararren likitan yara.
- Ma'aikacin zamantakewa.
- Kwararren rayuwar yara.
- Masanin ilimin psychologist.
Ana amfani da nau'i bakwai na daidaitaccen magani:
Lura
Lura yana lura da yanayin mai haƙuri ba tare da ba da magani ba har sai alamu ko alamu sun bayyana ko canzawa.
Tiyata
Ana amfani da tiyata don magance neuroblastoma wanda bai bazu zuwa sauran sassan jiki ba. Yayinda yawancin kumburin kamar yadda ya yiwu a cire shi. Hakanan ana cire ƙwayoyin Lymph kuma ana bincika alamun kansar.
Idan ba za a iya cire kumburin ba, za a iya yin biopsy a madadinsa.
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.
Iodine 131-MIBG far
Iodine 131-MIBG magani ne tare da iodine mai tasirin rediyo. Ana bayar da iodine mai yaduwa ta hanyar layin intravenous (IV) kuma yana shiga cikin jini wanda ke daukar radiation kai tsaye zuwa kwayoyin ƙari. Iodine mai radiyo yana tarawa a cikin ƙwayoyin neuroblastoma kuma yana kashe su da radiation wanda aka bayar. A wasu lokuta ana amfani da maganin odine 131-MIBG don magance babban haɗarin neuroblastoma wanda ya dawo bayan jiyya ta farko.
Chemotherapy
Chemotherapy magani ne na cutar kansa wanda ke amfani da magunguna don dakatar da haɓakar ƙwayoyin kansa, ko dai ta hanyar kashe ƙwayoyin ko ta hana su rarraba. Lokacin da ake shan chemotherapy ta baki ko allura a cikin jijiya ko tsoka, magungunan suna shiga cikin jini kuma zasu iya kaiwa ga kwayoyin cutar kansa a cikin jiki duka (systemotherapy chemotherapy).
Amfani da magunguna biyu ko sama da haka ana kiransa hadewar chemotherapy.
Duba Magunguna da Aka Amince don Neuroblastoma don ƙarin bayani.
-Aramar ƙwayar ƙwayar cuta mai mahimmanci da raɗaɗɗa tare da ceton kwayar halitta
Ana ba da babban ƙwayar cutar sankara da kuma fallasar radiation don kashe kowane ƙwayoyin cutar kansa wanda zai iya sakewa kuma ya sa ciwon kansa ya dawo. Kwayoyin lafiya, gami da ƙwayoyin halitta masu jini, suma ana lalata su ta hanyar maganin kansa. Cutar da ƙwaƙwalwa shine magani don maye gurbin ƙwayoyin halitta. Ana cire ƙwayoyin jiki (ƙwayoyin jinin da basu balaga ba) daga cikin jinin ko ƙashin ƙashin mara lafiyan kuma ana daskarar dasu ana adana su. Bayan mai haƙuri ya gama shan magani da kuma kulawar fure, ana narke ƙwayoyin ƙwayoyin da aka adana kuma a mayar da su ga mai haƙuri ta hanyar jiko. Waɗannan ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin na ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin na ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin na ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin na ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin magungunan za a ɗibar
Ana ba da kulawa ta hanyar kulawa bayan an yi amfani da ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta tare da ceton kwayar halitta don watanni 6 kuma ya haɗa da jiyya masu zuwa:
- Isotretinoin: Magunguna mai kama da bitamin wanda ke jinkirta ikon kansar don yin ƙarin ƙwayoyin kansa kuma yana canza yadda waɗannan ƙwayoyin suke kama da aiki. Ana shan wannan magani ta bakin.
- Dinutuximab: Wani nau'in maganin antibody ne wanda yake amfani da antibody da aka yi a dakin gwaje-gwaje daga wani nau'in kwayar halitta. Dinutuximab yana ganowa da manna shi zuwa wani abu, wanda ake kira GD2, a saman ƙwayoyin neuroblastoma. Da zarar dinutuximab ya liƙa wa GD2, ana aika sigina zuwa tsarin garkuwar jiki cewa an sami wani baƙon abu kuma yana buƙatar kashe shi. Sannan tsarin garkuwar jiki yana kashe kwayar neuroblastoma. Ana ba da Dinutuximab ta hanyar jiko. Nau'in magani ne.
- Granulocyte-macrophage factor-stimulating factor (GM-CSF): Cytokine wanda ke taimakawa wajen samar da ƙarin ƙwayoyin garkuwar jiki, musamman granulocytes da macrophages (fararen ƙwayoyin jini), waɗanda zasu iya kai hari da kuma kashe ƙwayoyin kansa.
- Interleukin-2 (IL-2): Wani nau'in rigakafi ne wanda ke bunkasa ci gaba da kuma aiki da yawa daga cikin kwayoyin garkuwar jiki, musamman ma su lymphocytes (wani nau'in farin jini). Lymphocytes na iya kai hari kuma ya kashe ƙwayoyin kansa.
Duba Magunguna da Aka Amince don Neuroblastoma 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. Akwai nau'ikan hanyoyin kwantar da hankali daban-daban:
- Magungunan rigakafi na Monoclonal: Magungunan Monoclonal sune sunadarai na tsarin rigakafi da aka sanya 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.
Pembrolizumab da dinutuximab sune kwayoyin cutar monoclonal da ake nazarin su don magance neuroblastoma wanda ya dawo bayan jiyya ko kuma bai amsa magani ba.
- Tyrosine kinase inhibitor far: Wadannan magungunan maganin da aka yi niyya suna toshe siginonin da ake buƙata don ciwace-ciwacen su girma.
Crizotinib shine mai hana cinikin tyrosine kinase da ake amfani dashi don magance neuroblastoma wanda ya dawo bayan jiyya. AZD1775 da lorlatinib sune masu hana cin hanci da rashawa tyrosine kinase ana nazarin su don magance neuroblastoma wanda ya dawo bayan jiyya ko bai amsa magani ba.
- Histone deacetylase inhibitor far: Wannan maganin yana haifar da canjin sinadarai wanda yake dakatar da kwayoyin cutar kansa daga girma da rarrabuwa.
Vorinostat wani nau'in histone deacetylase inhibitor ne ake nazarinsa don magance neuroblastoma wanda ya dawo bayan jiyya ko bai amsa magani ba.
- Ornithine decarboxylase inhibitor far: Wannan maganin yana jinkirta girma da rarrabuwa na kwayoyin cutar kansa.
Eflornithine wani nau'in ornithine decarboxylase mai hanawa ne wanda ake nazarin don magance neuroblastoma wanda ya dawo bayan jiyya ko bai amsa magani ba.
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.
- CAR T-cellrapy: Ana canza ƙwayoyin T mai haƙuri (wani nau'in ƙwayoyin cuta na rigakafi) don su kai farmaki ga wasu sunadarai a saman ƙwayoyin kansa. Ana ɗaukar ƙwayoyin T daga mai haƙuri kuma an ƙara masu karɓa na musamman zuwa saman su a cikin dakin gwaje-gwaje. Sel ɗin da aka canza ana kiran su ƙwayoyin chimeric antigen receptor (CAR) T. Kwayoyin CAR T suna girma a cikin dakin gwaje-gwaje kuma ana ba mai haƙuri ta hanyar jiko. Kwayoyin CAR T suna ninka cikin jinin mai haƙuri kuma suna kai wa ƙwayoyin kansa hari.
Ana nazarin CAR T-cell far don magance neuroblastoma wanda ya dawo bayan jiyya ko bai amsa magani ba.
Jiyya don neuroblastoma yana haifar da sakamako masu illa da ƙarshen sakamako.
Don bayani game da illolin da ke farawa yayin magani don cutar kansa, duba shafin Gurbinmu.
Hanyoyi masu illa daga maganin ciwon daji wanda zai fara bayan jiyya kuma ya ci gaba tsawon watanni ko shekaru ana kiransa sakamako na ƙarshe. Sakamakon sakamako na maganin kansa na iya haɗawa da:
- Matsalolin jiki.
- Ci gaban hakori.
- Toshewar hanji (toshewa).
- Kashi da guringuntsi.
- Jin aiki.
- Ciwo na rayuwa (hauhawar jini, hauhawar triglycerides, haɓakar cholesterol, ƙara ƙimar jiki).
- Canje-canje a cikin yanayi, ji, tunani, ilmantarwa, ko ƙwaƙwalwar ajiya.
- Cancer na biyu (sababbin nau'ikan cutar kansa).
Wasu maganganun ƙarshen ana iya magance su ko sarrafa su. Yana da mahimmanci a yi magana da likitocin ɗanka game da illar da cutar kansa za ta iya yi wa ɗanka. Duba taƙaitaccen bayanin akan ƙarshen tasirin Magani don Ciwon Childhoodan yara don ƙarin bayani.
Marasa lafiya na iya son yin tunani game da shiga cikin gwaji na asibiti.
Ga wasu marasa lafiya, shiga cikin gwaji na asibiti na iya zama mafi kyawun zaɓin magani. Gwajin gwaji wani bangare ne na aikin binciken cutar kansa. Ana yin gwaje-gwajen asibiti don gano ko sabbin maganin cutar daji suna da lafiya da tasiri ko kuma sun fi magani na yau da kullun.
Yawancin yau da kullun na yau da kullun don cutar kansa sun dogara ne akan gwajin asibiti na farko. Marasa lafiya da ke cikin gwaji na asibiti na iya karɓar daidaitaccen magani ko kuma su kasance cikin farkon waɗanda za su karɓi sabon magani.
Marasa lafiya da ke shiga cikin gwaji na asibiti suma suna taimakawa inganta hanyar da za a bi da kansar a nan gaba. Koda lokacin gwajin asibiti bai haifar da sababbin magunguna ba, sau da yawa sukan amsa mahimman tambayoyi kuma suna taimakawa ci gaba da bincike gaba.
Marasa lafiya na iya shiga gwajin asibiti kafin, lokacin, ko bayan fara maganin cutar kansa.
Wasu gwaji na asibiti kawai sun haɗa da marasa lafiya waɗanda ba su sami magani ba tukuna. Sauran gwaje-gwajen suna gwada jiyya ga marasa lafiya waɗanda cutar kansa ba ta samu sauki ba. Hakanan akwai gwaji na asibiti da ke gwada sabbin hanyoyin dakatar da cutar kansa daga sake dawowa (dawowa) ko rage tasirin maganin kansar.
Gwajin gwaji na gudana a sassa da yawa na ƙasar. Bayani game da gwajin asibiti wanda NCI ke tallafawa ana iya samun shi akan shafin binciken gwaji na NCI. Ana iya samun gwajin gwaji na asibiti wanda wasu kungiyoyi ke tallafawa akan gidan yanar gizon ClinicalTrials.gov.
Ana iya buƙatar gwaje-gwaje na gaba.
Za a iya maimaita wasu gwaje-gwajen da aka yi don gano cutar kansa ko don gano matakin cutar kansa. Za a maimaita wasu gwaje-gwaje don ganin yadda magani ke aiki. Shawarwari game da ci gaba, canji, ko dakatar da magani na iya dogara ne da sakamakon waɗannan gwaje-gwajen.
Wasu daga cikin gwaje-gwajen za a ci gaba da yi daga lokaci zuwa lokaci bayan an gama jiyya. Sakamakon waɗannan gwaje-gwajen na iya nuna idan yanayin ɗanku ya canza ko kuma idan ciwon daji ya sake dawowa (dawo). Wadannan gwaje-gwajen wasu lokuta ana kiran su gwaje-gwaje na gaba ko dubawa.
Binciken na gaba don marasa lafiya tare da neuroblastoma sun haɗa da masu zuwa:
- Fitsarin catecholamine.
- Binciken MIBG.
Jiyya na -ananan Risk Neuroblastoma
Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.
Jiyya na sabon cututtukan ƙananan ƙwayoyin cuta neuroblastoma na iya haɗa da masu zuwa:
- Yin aikin tiyata ya biyo baya.
- Chemotherapy da tiyata, don yara masu alamomi ko yara waɗanda ƙari ya ci gaba da girma kuma ba za a iya cire su ta hanyar tiyata.
- Chemotherapy, ga wasu marasa lafiya.
- Lura kadai ga jarirai masu ƙarancin watanni 6 waɗanda ke da ƙananan ƙwayoyin cuta ko na jarirai waɗanda ba su da alamu ko alamomin cutar ta neuroblastoma.
- Radiation na raɗaɗi don magance ciwace-ciwacen da ke haifar da matsaloli mai tsanani kuma baya saurin amsawa da sanko ko tiyata
- Gwajin gwaji na asibiti dangane da martani game da maganin kumburi game da magani da ilimin halittar ƙari.
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 Matsakaici-Hadarin Neuroblastoma
Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.
Jiyya na sabon tsaka-tsakin neuroblastoma na iya haɗa da masu zuwa:
- Chemotherapy ga yara tare da bayyanar cututtuka ko don rage ƙwayar cuta wanda ba za a iya cire shi ta hanyar tiyata ba. Za a iya yin aikin tiyata bayan an yi amfani da chemotherapy.
- Yin aikin tiyata don jarirai.
- Lura kadai ga jarirai.
- Radiation radiyo don magance ciwace-ciwacen da suka ci gaba da girma yayin jiyya tare da chemotherapy ko ciwace-ciwacen da ba za a iya cire su ta hanyar tiyata ba kuma sun ci gaba da girma bayan jiyya da jiyyar cutar sankara.
- Gwajin gwaji na asibiti dangane da martani game da maganin kumburi game da magani da ilimin halittar ƙari.
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 Babban-Risk Neuroblastoma
Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.
Jiyya na sabon cututtukan neuroblastoma mai haɗari na iya haɗa da masu zuwa:
- Tsarin tsarin jiyya masu zuwa:
- Hade chemotherapy.
- Tiyata.
- Kwaleji biyu na hade-hade mai hade-hade mai hade da hadewar kwayar halitta.
- Radiation far.
- Magungunan rigakafi na Monoclonal (dinutuximab) tare da interleukin-2 (IL-2), granulocyte-macrophage mai haifar da mulkin mallaka (GM-CSF), da isotretinoin.
- Gwajin gwaji na maganin iodine 131-MIBG ko maganin farfadowa (crizotinib) da sauran jiyya.
- Gwajin gwaji na maganin cutar kanjamau (dinutuximab), GM-CSF, da hadewar 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.
Jiyya na Mataki na 4S Neuroblastoma
Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.
Babu daidaitaccen magani don sabon binciken 4S neuroblastoma amma zaɓuɓɓukan magani sun haɗa da masu zuwa:
- Kulawa da kulawa tallafi ga yara waɗanda ke da ƙwarewar ilimin ƙwayar cuta kuma ba su da alamu ko alamomi.
- Chemotherapy, ga yara waɗanda ke da alamomi ko alamomi, ga yara ƙanana, ko yara masu ilimin halittar tumor mara kyau.
- Radiation don yara tare da neuroblastoma wanda ya yada zuwa hanta.
- Gwajin gwaji na asibiti dangane da martani game da maganin kumburi game da magani da ilimin halittar ƙari.
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 Maimaita Neuroblastoma
Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.
Marasa lafiya na Farko don Matsanancin Hadarin Neuroblastoma
Jiyya don ciwan neuroblastoma wanda ke dawowa a yankin da farkon fara kamuwa da cutar zai iya haɗa da masu zuwa:
- Yin aikin tiyata wanda aka biyo baya ta hanyar kallo ko magani.
- Chemotherapy wanda zai iya biyo baya ta tiyata.
Yin jiyya don neuroblastoma na yau da kullun wanda ke dawowa cikin wasu sassan jiki ko wanda bai amsa magani ba na iya haɗa da masu zuwa:
- Lura.
- Chemotherapy.
- Yin aikin tiyata ya biyo baya ta chemotherapy.
- Jiyya game da sabon cututtukan cututtukan neuroblastoma, ga yara sama da shekara 1.
Marasa lafiya na Farko don Matsakaicin-Hadarin Neuroblastoma
Jiyya don ciwan neuroblastoma wanda ke dawowa a yankin da farkon fara kamuwa da cutar zai iya haɗa da masu zuwa:
- Yin aikin tiyata wanda zai iya bi da chemotherapy.
- Radiation na yara ga yara waɗanda cutar ta sami rauni bayan chemotherapy da tiyata ta biyu.
Jiyya don ciwan neuroblastoma da ke dawowa cikin wasu sassan jiki na iya haɗa da masu zuwa:
- Jiyya game da sabon cututtukan cututtukan neuroblastoma, ga yara sama da shekara 1.
Marasa lafiya na Farko don Babban Risk Neuroblastoma
Babu daidaitaccen magani don maimaita neuroblastoma a cikin marasa lafiya da aka fara kula dasu don ƙananan haɗarin neuroblastoma. Jiyya na iya haɗa da masu zuwa:
- Chemotherapy.
- Haɗakar chemotherapy tare da maganin antibody monoclonal (dinutuximab).
- Iodine 131-MIBG far don taimakawa bayyanar cututtuka da haɓaka ƙimar rayuwa. Ana iya ba shi shi kaɗai ko a hade tare da cutar sankara.
- Anyi niyya tare da crizotinib ko wasu masu hana ALK, ga marasa lafiya tare da canje-canje a cikin kwayar ALK.
Saboda babu daidaitaccen magani, marasa lafiya da aka fara kulawa don ƙananan haɗarin neuroblastoma na iya son yin la'akari da gwajin asibiti. Don bayani game da gwaji na asibiti, da fatan za a duba gidan yanar gizon NCI.
Marasa lafiya tare da CNS Neuroblastoma
Jiyya don neuroblastoma wanda ya sake dawowa (ya dawo) a cikin tsarin juyayi na tsakiya (CNS, kwakwalwa da laka) na iya haɗawa da masu zuwa:
- Yin aikin tiyata don cire ƙwayar cuta a cikin CNS wanda ya biyo bayan maganin radiation.
- Gwajin gwaji na sabon magani.
Magungunan da ake Nazarin su don Ci Gaban Neuroblastoma
Wasu daga cikin jiyya da ake nazarin su a gwajin asibiti don neuroblastoma wanda ya sake dawowa (ya dawo) ko ci gaba (girma, yaɗuwa, ko kuma baya amsa magani) sun haɗa da masu zuwa:
- Chemotherapy da farfadowa da aka yi niyya (dinutuximab tare da ko ba tare da eflornithine ba).
- Duba samfurin ƙwayar cutar mara lafiya don wasu canje-canje na asali. Nau'in maganin da aka yiwa niyya wanda za'a baiwa mai haƙuri ya dogara da nau'in canjin halittar mutum.
- Tsarin da aka yi niyya (AZD1775) da kuma ilimin kimiya.
- Tsarin da aka yi niyya (pembrolizumab ko lorlatinib).
- Immunotherapy (CAR T-cell far).
- Iodine 131-MIBG maganin da aka bayar shi kaɗai ko tare da wasu magungunan ƙwayoyin cuta.
- Iodine 131-MIBG far da maganin niyya (dinutuximab).
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 ƙarin koyo game da Neuroblastoma
Don ƙarin bayani daga Cibiyar Cancer ta Kasa game da neuroblastoma, duba mai zuwa:
- Shafin Farko na Neuroblastoma
- Binciken Neuroblastoma
- Tomography Tomography (CT) Scans da Ciwon daji
- An Amince da Magunguna don Neuroblastoma
- Magungunan Ciwon Cutar da Aka Yi niyya
- Immunotherapy don Kula da Ciwon daji
- Sabbin Hanyoyi zuwa Maganin Neuroblastoma (NANT) Fitar da sanarwar
Don ƙarin bayani game da cutar sankarar yara da sauran albarkatun kansar gaba ɗaya, duba masu zuwa:
- Game da Ciwon daji
- Ciwon Yara
- Binciken Cure don Ciwon Childrenan yara
- Matsayi na Late na Jiyya don Ciwon Yara
- Matasa da Samari da Ciwon daji
- Yara da Ciwon daji: Jagora ga Iyaye
- Ciwon daji a cikin Yara da Matasa
- Tsayawa
- Yin fama da Ciwon daji
- Tambayoyi don Tambayar Doctor game da Ciwon daji
- Don Tsira da Kulawa
Enable sharhi mai-sabuntawa na atomatik