Ka Hortagga Kansarka Hunguri-mareenka

Macluumaad Guud oo ku saabsan Kansarka Hunguri-mareenka

Kansarka hunguriga waa cudur ay unugyada kansarka (kansarka) ku sameysmaan unugyada hunguriga.

Hungurigu waa tuubo godan oo muruq ah oo cuntada iyo dareeraha ka soo qaada cunaha una rarta caloosha. Darbiga hunguriga wuxuu ka kooban yahay dhowr lakab oo unugyo ah, oo ay ku jiraan xuubka xuubka (dahaarka gudaha), murqaha, iyo unugyada isku xira. Kansarka hunguriga wuxuu ka bilaabmaa dahaarka gudaha ee hunguriga wuxuuna ku faafaa dibadda lakabyada kale marka uu korayo.

Labada nooc ee ugu badan ee kansarka hunguriga waxaa loogu magac daray nooca unugyada noqda kuwa halista ah (kansar):

• Kansarka unugyada iswada ee squamous:Kansarka ka sameysma unugyada khafiifka ah ee fidsan ee ku dahaaran gudaha hunguriga. Kansarkan waxaa badanaa laga helaa qaybta sare iyo dhexe ee hunguriga laakiin wuxuu ka dhici karaa meel kasta oo ku taal hunguriga. Tan waxaa sidoo kale loo yaqaannaa kansarka epidermoid.
• Cudurka kansarka ee adenocarcinoma:Kansarka ka bilaabma unugyada qanjidhada. Unugyada qanjidhada ee ku jira dahaarka hunguriga ayaa soo saara oo sii daaya dareere sida xab. Adenocarcinoma badanaa wuxuu ka bilaabmaa qaybta hoose ee hunguriga, meel u dhow caloosha.

Kansarka hunguriga waxaa badanaa laga helaa ragga.

Raggu waxay saddex jeer uga badan yihiin dumarka inay qaadaan kansarka hunguriga. Fursadda ah inay qaadaan kansarka hunguriga ayaa sii kordheysa marka da'du sii weynaato. Kansarka hunguriga ee squamous cell carcinoma ayaa ku badan dadka madow marka loo eego dadka cad.

Ka Hortagga Kansarka Hunguri-mareenka

Ka fogaanshaha arrimaha khatarta ah iyo kordhinta arrimaha ilaalinta ayaa laga yaabaa inay kaa caawiyaan ka hortagga kansarka.

Ka fogaanshaha arrimaha khatarta kansarka ayaa laga yaabaa inay kaa caawiyaan ka hortagga kansarrada qaarkood. Arrimaha khatarta ah waxaa ka mid ah sigaarka, cayilka badan, iyo jimicsi la'aanta. Kordhinta arrimaha ilaalinta sida joojinta sigaarka iyo jimicsiga ayaa sidoo kale kaa caawin kara ka hortagga kansarrada qaarkood. La hadal dhakhtarkaaga ama xirfadle kale oo daryeel caafimaad sida aad u yareyn karto khatarta kansarka.

Arrimaha khatarta ah iyo arrimaha ilaalinta kansarka unugyada squamous ee hunguriga iyo adenocarcinoma ee hunguriga isku mid ma aha.

Arrimaha khatarta ah ee soo socda waxay kordhiyaan khatarta kansarka unugyada squamous ee hunguriga:

1. Sigaar cabista iyo isticmaalka khamriga

Daraasaduhu waxay muujiyeen in khatarta kansarka unugyada squamous ee hunguriga ay ku badan tahay dadka sigaarka caba ama caba khamriga badan.

Arrimahan ilaalinta ah ee soo socda ayaa laga yaabaa inay yareeyaan khatarta kansarka unugyada squamous ee hunguriga:

1. Ka fogaanshaha isticmaalka tubaakada iyo khamriga

Daraasaduhu waxay muujiyeen in khatarta kansarka unugyada squamous ee hunguriga ay ku yar tahay dadka aan isticmaalin tubaakada iyo khamriga.

2. Ka hortagga kiimikada iyadoo la isticmaalayo daawooyinka aan steroidal ahayn ee ka hortagga bararka

Ka hortagga kiimikada waa isticmaalka daawooyinka, fiitamiinnada, ama wakiillo kale si loo yareeyo khatarta kansarka. Daawooyinka aan steroidal-ka ahayn ee ka hortagga bararka (NSAIDs) waxaa ka mid ah aspirin iyo daawooyin kale oo yareeya bararka iyo xanuunka.

Daraasado qaar ayaa muujiyay in isticmaalka NSAID-yada ay yareyn karto khatarta kansarka unugyada squamous ee hunguriga. Si kastaba ha ahaatee, isticmaalka NSAID-yadu waxay kordhisaa khatarta wadne xanuunka, wadne xanuunka, istaroogga, dhiigbaxa caloosha iyo mindhicirka, iyo dhaawaca kelyaha.

Arrimaha khatarta ah ee soo socda waxay kordhiyaan khatarta ah in uu ku dhaco kansarka hunguriga:

1. Dib-u-celinta caloosha

Cudurka 'adenocarcinoma' ee hunguriga ayaa si xooggan ugu xiran cudurka 'gastroesophageal reflux' (GERD), gaar ahaan marka GERD uu sii jiro waqti dheer oo calaamado daran ay maalin walba soo baxaan. GERD waa xaalad ay ku jiraan waxyaabaha ku jira caloosha, oo ay ku jiraan aashitada caloosha, ay u qulqulaan qaybta hoose ee hunguriga. Tani waxay ka xanaajisaa gudaha hunguriga, waqti ka dibna, waxay saameyn kartaa unugyada ku dahaaran qaybta hoose ee hunguriga. Xaaladdan waxaa loo yaqaan Barrett esophagus. Waqti ka dib, unugyada ay saameysay waxaa lagu beddelaa unugyo aan caadi ahayn, kuwaas oo markii dambe noqon kara 'adenocarcinoma' ee hunguriga. Cayilka oo lala socdo GERD ayaa sii kordhin kara khatarta 'adenocarcinoma' ee hunguriga.

Isticmaalka daawooyinka dejiya murqaha hoose ee hunguriga ayaa kordhin kara suurtagalnimada in GERD ku dhaco. Marka muruqa hoose ee hunguriga uu dabacsanaado, aashitada caloosha ayaa laga yaabaa inay kor ugu qulqulto qaybta hoose ee hunguriga.

Lama oga in qalliinka ama daawaynta kale ee caafimaad ee lagu joojinayo dib-u-soo-noqoshada caloosha ay hoos u dhigayso khatarta ah in uu ku dhaco kansarka hunguriga. Tijaabooyin caafimaad ayaa socda si loo ogaado in qalliinka ama daawaynta caafimaad ay ka hortagi karaan hunguriga Barrett.

Arrimahan ilaalinta ah ee soo socda ayaa yareyn kara khatarta ah in uu ku dhaco kansarka hunguriga ee loo yaqaan 'adenocarcinoma':

1. Ka-hortagga kiimikada iyadoo la isticmaalayo daawooyinka aan steroidal ahayn ee ka hortagga bararka

Ka hortagga kiimikada waa isticmaalka daawooyinka, fiitamiinnada, ama wakiillo kale si loo yareeyo khatarta kansarka. Daawooyinka aan steroidal-ka ahayn ee ka hortagga bararka (NSAIDs) waxaa ka mid ah aspirin iyo daawooyin kale oo yareeya bararka iyo xanuunka.

Daraasado qaar ayaa muujiyay in isticmaalka NSAID-yada ay yareyn karto khatarta ah in uu ku dhaco kansarka hunguriga. Si kastaba ha ahaatee, isticmaalka NSAID-yadu waxay kordhisaa khatarta wadne xanuunka, wadne xanuunka, istaroogga, dhiigbaxa caloosha iyo xiidmaha, iyo dhaawaca kelyaha.

2. Ka-saarista hunguriga ee shucaaca

Bukaannada qaba hunguriga Barrett ee leh unugyo aan caadi ahayn oo ku yaal hunguriga hoose waxaa lagu daaweyn karaa ablation-ka shucaaca. Habkani wuxuu adeegsadaa hirarka raadiyaha si uu u kululeeyo una burburiyo unugyada aan caadiga ahayn, kuwaas oo noqon kara kansar. Khataraha isticmaalka ablation-ka shucaaca waxaa ka mid ah cidhiidhiga hunguriga iyo dhiigbaxa hunguriga, caloosha, ama mindhicirka.

Daraasad lagu sameeyay bukaanada qaba hunguriga Barrett iyo unugyada aan caadiga ahayn ee hunguriga ayaa barbar dhigtay bukaanada qaatay hunguriga ee radiofrequency ablation iyo bukaanada aan helin. Bukaannada qaatay hunguriga ee radiofrequency ablation waxay u badnaayeen inay qabaan kansarka hunguriga. Daraasad dheeraad ah ayaa loo baahan yahay si loo ogaado in hunguriga ee radiofrequency ablation uu yareeyo khatarta adenocarcinoma ee hunguriga bukaanada qaba xaaladahan.

Isha:http://www.chinancpcn.org.cn/cancerMedicineClassic/guideDetail?sId=CDR62888&type=1#About%20This%20PDQ%20Soo Koobid