Magungunan likita

Magungunan ciwon ciki bambanta dangane da mataki da matakin malignancy (jin) na ciwon daji. Sau da yawa, ana haɗa hanyoyin warkewa da yawa, kamar tiyata, radiotherapy ko chemotherapy.

Zaɓin magani yana ƙarƙashin shawarwari da yawa (aƙalla ƙwararrun masana 3 daban-daban dole ne su kasance: likitan gastroenterologist, likitan oncologist, likitan fiɗa. tsarin kulawa na musamman ana haɓakawa ga kowane mai ciwon ciki, ya danganta da matsayi da girman cutarsa.

La tiyata shine kawai maganin da zai iya kawar da ciwon daji kuma ya kai ga samun magani na gaske. Wani lokaci ba ya yiwuwa a cire gaba ɗaya ƙwayar ƙwayar cuta saboda girmanta ko kuma saboda ciwon daji ya yadu zuwa wasu gabobin. A cikin waɗannan lokuta, ana samun jiyya don rage ci gaban cutar da sauƙaƙe alamun.

tiyata

Tiyata ta ƙunshi cire ɓangaren ciki da abin ya shafa da kuma ƙwayoyin lymph na kusa.

Idan ƙwayar cuta ta kasance mai zurfi (iyakance ga mucosa a ƙarƙashin kulawar endoscopic echo, da kuma a cikin mutane da aka zaɓa), ƙwanƙwasa endoscopic yana yiwuwa a cikin cibiyar sadarwa. Wannan ya ƙunshi cire ƙwayar cuta ba tare da buɗe ciki ba, amma wuce bututu mai sassauƙa ta baki zuwa ciki don zame kayan aikin.

Dangane da wurin da ƙari ke cikin ciki, likitan fiɗa yana cire wani ɓangare na esophagus (ciwon daji na kusa), ko ƙananan hanji (ciwon daji mai nisa). Akwai dabaru guda 2: partial gastrectomy, ga ciwon daji na nesa na ciki, ko kuma jimlar gastrectomy.

likitan fida yana yin anastomosis na oeso-gastric anastomosis, wanda ya ƙunshi haɗa sassan biyu na wanda aka yi wa tiyata a cikin esophagus da ciki don dawo da ci gaba. Wannan yana taimakawa wajen kiyaye "kututturen ciki" (wani yanki na ciki) ko don samun hanyar iso-jejunal inda esophagus ke haɗa kai tsaye zuwa ƙananan hanji (anastomosis na esophagus zuwa ƙananan hanji).

idan ka ciwon daji ya fi yawa, yana shafar sauran gabobin da ke kusa, yana iya zama dole a yi ƙarin aikin tiyata kuma game da gabobin da ke makwabtaka da su, musamman maƙarƙashiya.

Bayan an yi ta a gastrectomy ko da duka, har yanzu yana yiwuwa ci abinci da kyau. Duk da haka, tun da ƙarfin ciki ya ragu (kasancewar kututturen ciki ko rashin ciki duka), wanda aka yi wa tiyata dole ne ya daidaita abincinsa, misali ta hanyar cin abinci kaɗan, amma fiye da adadi. Marasa lafiyan da suka yi wa gastrectomy suma yakamata su tabbata Adadin abinci na abinci, kamar bitamin B12.

jiyyar cutar sankara

A cikin ciwon daji, ana amfani da chemotherapy yawanci don kashe ƙwayoyin cutar kansa.

Game da ciwon daji na gida, ƙungiyar likitocin na iya ba da chemotherapy kafin a yi aiki (chemotherapy tiyata) wanda ke rage girman ƙwayar cuta, yana sauƙaƙa cire ƙwayar cutar daga baya kuma ana iya yin chemotherapy bayan tiyata (chemotherapy). bayan aiki) 6 zuwa 8 makonni bayan tiyata, don rage haɗarin sake dawowa.

Game da ciwon daji na metastatic ko ƙari mara aiki, chemotherapy shine daidaitaccen magani. Yana nufin iyakance ci gaban cutar, sauƙaƙe bayyanar cututtuka, inganta yanayin rayuwa. Wannan shi ake kira chemotherapy kwantar da hankula.

Akwai ka'idoji da yawa, da kuma gwaje-gwajen warkewa da yawa masu gudana don ayyana mafi kyawun jiyya da haɓaka.

La kwayar halitta ta salula ya ba da damar fahimtar hanyoyin haɓakar ƙari, da haɓakawa niyya hanyoyin kwantar da hankali. An nuna shi akan ƙwayoyin ciwon daji na ciki da kuma akan metastases na sunadaran "HER2". A cikin yanayin mai karɓa mai kyau, ana ƙara chemotherapy zuwa "maganin rigakafi na monoclonal", wanda ke toshe tsarin rarrabawa da ci gaban kwayoyin cutar kansa. Suna kuma ƙarfafa tsarin rigakafi don taimakawa wajen lalata ƙwayoyin cutar kansa.

Ana iya ba da chemotherapy ta cikin jini ko ta baki. Magungunan chemotherapy suna kai hari ga ƙwayoyin kansa, amma kuma suna lalata wasu ƙwayoyin lafiya. Don ba da lokacin jiki don murmurewa, ana ba da chemotherapy a cyclically. The Side effects suna da yawa: tashin zuciya, amai, gajiya, rashin ci, asarar gashi da haɗarin kamuwa da cuta.

Radiotherapy

La radiotherapy ne kadan amfani a lokuta na ciwon ciki. Ana iya yin shi kafin, amma mafi sau da yawa bayan tiyata, a hade ko a'a tare da chemotherapy, wanda ke nufin haɓaka aikin rediyo. Wannan shi ake kira "radio sensitizing chemotherapy". Hakanan za'a iya amfani dashi don rage radadin da ke hade da ciwace-ciwacen da ba za a iya cirewa ba.

Wannan magani ya ƙunshi jagorantar haskoki na ionizing a wani takamaiman wuri a jiki don lalata ƙwayoyin cutar kansa da suka samo asali a can. Kamar yadda babban ƙarfin haskoki kuma yana lalata ƙwayoyin lafiya, wannan maganin yana da bambanci Side effects wadanda suke damun su ko kadan, gwargwadon wanda ake yi wa magani. Za ta iya jin gajiya, ko kuma ta lura cewa fatar da ke wurin da ba ta da iska tana da ja kuma tana da hankali. Maganin radiation don ciwon ciki na iya haifar da gudawa, rashin narkewa, ko tashin hankali. Abubuwan da ke tattare da maganin radiation suna lalacewa bayan jiyya, lokacin da ƙwayoyin lafiya suka sake farfadowa.

Ƙarin hanyoyin

Tuntuɓi fayil ɗin Cancer ɗin mu don koyo game da duk hanyoyin haɗin gwiwa waɗanda aka yi nazari tare da mutanen da ke fama da kansa, kamar acupuncture, hangen nesa, maganin tausa da yoga. Waɗannan hanyoyin za su dace idan aka yi amfani da su tare dace da magani, kuma ba a madadinsa ba.