Macluumaad Guud oo ku saabsan Kansarka Caloosha
Kansarka caloosha (gastric) waa cudur ay ku sameysmaan unugyo kansar ah oo caloosha ku jira.
Calooshu waa xubin qaab J ah oo ku taal caloosha sare. Waa qayb ka mid ah habdhiska dheefshiidka, kaas oo farsameeya nafaqooyinka (fitamiinnada, macdanta, karbohaydraytyada, dufanka, borotiinnada, iyo biyaha) cuntooyinka la cuno oo ka caawiya in qashinka laga saaro jidhka. Cuntadu waxay ka dhaqaaqdaa cunaha una gudubtaa caloosha iyada oo maraysa tuubo muruq ah oo godan oo loo yaqaan hunguriga. Ka dib marka ay ka baxdo caloosha, cuntada qayb ahaan la dheefshiido waxay u gudubtaa xiidmaha yar ka dibna waxay gashaa xiidmaha waaweyn.
Kansarka caloosha waaafraadkansarka ugu badan adduunka.
Ka Hortagga Kansarka Caloosha
Kuwa soo socda waa arrimaha khatarta u ah kansarka caloosha:
1. Xaalado caafimaad oo gaar ah
Inaad yeelato mid ka mid ah xaaladaha caafimaad ee soo socda waxay kordhin kartaa khatarta kansarka caloosha:
- caabuqa caloosha ee Helicobacter pylori (H. pylori).
- Metaplasia mindhicirka (xaalad ay unugyada caloosha ku jira ku beddelaan unugyo caadiyan ku daboola mindhicirka).
- Gaastiriko atrophic ah oo daba-dheeraada (khafiifinta xuubka caloosha oo ay keento caabuq muddo dheer ah oo caloosha ah).
- Dhiig-yaraan daran (nooc dhiig-yaraan ah oo ay keento yaraanta fitamiin B12).
- Polyps-ka caloosha (gastric).
2. Xaalado gaar ah oo hidde-side ah
Xaaladaha hidde-sidaha ayaa kordhin kara khatarta kansarka caloosha ee dadka qaba mid ka mid ah kuwan soo socda:
- Hooyo, aabbe, walaasheed, ama walaal qaba kansarka caloosha.
- Nooca dhiigga A.
- Cudurka Li-Fraumeni.
- Polyposis-ka qoyska ee adenomatous (FAP).
- Kansarka mindhicirka ee aan ahayn polyposis ee la iska dhaxlo (HNPCC; Lynch syndrome).
3. Cuntada
Khatarta kansarka caloosha ayaa laga yaabaa inay kordho dadka:
- Cun cunto ay ku yar yihiin miraha iyo khudaarta.
- Cun cunto ay ku badan yihiin cuntooyinka milixda leh ama kuwa qiiqa leh.
- Cun cuntooyin aan loo diyaarin ama aan la kaydin sidii loogu talagalay.
4. Sababaha deegaanka
Arrimaha deegaanka ee kordhin kara khatarta kansarka caloosha waxaa ka mid ah:
- In shucaac lagu soo bandhigo.
- Ka shaqaynta warshadaha cinjirka ama dhuxusha.
Khatarta kansarka caloosha ayaa sii kordheysa dadka ka yimaada wadamada uu ku badan yahay kansarka caloosha.
Kuwa soo socda waa arrimo ilaalin ah oo yareyn kara khatarta kansarka caloosha:
1. Joojinta sigaarka
Daraasaduhu waxay muujinayaan in sigaar cabiddu ay la xiriirto khatarta sii kordheysa ee kansarka caloosha. Joojinta sigaarka ama aan waligood sigaar cabin waxay yareysaa khatarta kansarka caloosha. Dadka sigaarka caba ee joojiya sigaarka waxay yareeyaan khatarta ah inay qaadaan kansarka caloosha waqti ka dib.
2. Daaweynta caabuqa Helicobacter pylori
Daraasaduhu waxay muujinayaan in caabuqa daba dheeraada ee bakteeriyada Helicobacter pylori (H. pylori) uu la xiriiro khatarta sii kordheysa ee kansarka caloosha. Marka bakteeriyada H. pylori ay ku dhacdo caloosha, caloosha ayaa laga yaabaa inay bararto oo ay keento isbeddello ku yimaada unugyada ku xeeran caloosha. Waqti ka dib, unugyadani waxay noqdaan kuwo aan caadi ahayn waxayna noqon karaan kansar.
Daraasado qaar ayaa muujinaya in daaweynta caabuqa H. pylori iyadoo la isticmaalayo antibiyootiko ay hoos u dhigto khatarta kansarka caloosha. Daraasado dheeraad ah ayaa loo baahan yahay si loo ogaado in daaweynta caabuqa H. pylori iyadoo la isticmaalayo antibiyootiko ay hoos u dhigto tirada dhimashada kansarka caloosha ama ay ilaaliso isbeddellada ku yimaada xuubka caloosha, kuwaas oo horseedi kara kansar, inay ka sii daraan.
Daraasad ayaa lagu ogaaday in bukaanada isticmaalay daawada proton pump inhibitors (PPIs) ka dib daaweynta H. pylori ay u badan tahay inay qaadaan kansarka caloosha marka loo eego kuwa aan isticmaalin PPIs. Daraasado badan ayaa loo baahan yahay si loo ogaado in PPIs ay keento kansar bukaanada lagu daweeyay H. pylori.
Lama oga in arrimahan soo socdaa ay yareeyaan khatarta kansarka caloosha ama aysan wax saameyn ah ku yeelan khatarta kansarka caloosha:
1. Cuntada
Cunista miraha iyo khudaarta cusub oo ku filan waxay la xiriirtaa khatarta sii kordheysa ee kansarka caloosha. Daraasado qaar ayaa muujinaya in cunista miraha iyo khudaarta ay ku badan tahay fitamiin C iyo beta carotene ay yareyn karto khatarta kansarka caloosha. Daraasaduhu waxay sidoo kale muujinayaan in badarka hadhuudhka oo dhan, carotenoids, shaaha cagaaran, iyo walxaha laga helo toonta ay yareyn karaan khatarta kansarka caloosha.
Daraasado ayaa muujinaya in cunista cunto leh milix badan ay kordhin karto khatarta kansarka caloosha. Dad badan oo ku nool Mareykanka hadda waxay cunaan milix yar si ay u yareeyaan khatarta dhiigkarka. Tani waxay noqon kartaa sababta heerarka kansarka caloosha ay hoos ugu dhaceen Mareykanka.
2. Kaabayaasha cuntada
Lama oga in qaadashada fiitamiinno, macdanno, iyo kaabisyo kale oo cunto ah ay gacan ka geysaneyso yareynta khatarta kansarka caloosha. Dalka Shiinaha, daraasad lagu sameeyay beta carotene, fitamiin E, iyo kaabisyo selenium ah oo ku jira cuntada ayaa muujisay tiro yar oo dhimasho ah oo ka dhalatay kansarka caloosha. Daraasadda waxaa laga yaabaa inay ku jirtay dad aan ku jirin nafaqooyinkan cuntooyinka caadiga ah. Lama oga in kaabista cuntada ee la kordhiyay ay saameyn la mid ah ku yeelan doonto dadka horey u cuna cunto caafimaad leh.
Daraasado kale ma muujin in qaadashada kaabisyada cuntada sida beta carotene, fitamiin C, fitamiin E, ama selenium ay yareyso khatarta kansarka caloosha.
Tijaabooyinka kiliinikada ee ka hortagga kansarka waxaa loo isticmaalaa in lagu barto siyaabaha looga hortago kansarka.
Tijaabooyinka kiliinikada ee ka hortagga kansarka waxaa loo isticmaalaa in lagu barto siyaabaha lagu yareeyo khatarta noocyada kansarka qaarkood. Tijaabooyinka ka hortagga kansarka qaarkood waxaa lagu sameeyaa dad caafimaad qaba oo aan qabin kansar laakiin halis dheeraad ah ugu jira kansarka. Tijaabooyinka kale ee ka hortagga waxaa lagu sameeyaa dadka qaba kansarka oo isku dayaya inay ka hortagaan kansar kale oo isla noocaan ah ama inay yareeyaan fursaddooda ah inay qaadaan nooc cusub oo kansar ah. Tijaabooyinka kale waxaa lagu sameeyaa mutadawiciin caafimaad qaba oo aan la aqoon inay leeyihiin wax khatar ah oo kansarka ah.
Ujeedada tijaabooyinka caafimaad ee ka hortagga kansarka qaarkood waa in la ogaado in tallaabooyinka dadku qaadaan ay ka hortagi karaan kansarka. Kuwaas waxaa ka mid noqon kara cunista miraha iyo khudaarta, jimicsiga, joojinta sigaarka, ama qaadashada daawooyin gaar ah, fiitamiinno, macdano, ama kaabis cunto.
Siyaabo cusub oo looga hortago kansarka caloosha ayaa lagu daraaseynayaa tijaabooyin caafimaad.
Isha:http://www.chinancpcn.org.cn/cancerMedicineClassic/guideDetail?sId=CDR62850&type=1
Waqtiga boostada: Agoosto-15-2023



