Ciwon maganin ciwon daji

Ciwon daji na nono yanayi ne inda ƙwayoyin nama na nono marasa al'ada ke girma ba tare da kulawa ba, ko dai ta hanyar dunƙule ko taro. Ko da yake is mafi yawa gani a cikin matashi Hakanan zai iya faruwa a cikin maza. Ciwon daji na nono zai iya farawa a sassa daban-daban na nono da suka haɗa da ducts, lobules, ko connective tissues, kuma yana iya yaduwa ta hanyar lymphatic tsarin ko jini zuwa wasu sassan jiki.
Mafi yawan nau'ikan sun haɗa da Ciwon daji na ductal carcinoma (IDC), Maganin ciwon daji na lobular (ILC), Ductal carcinoma in situ (DCIS), Ciwon nono mara kyau sau uku, da HER2 mai cutar kansar nono. Ganewa da wuri da jiyya da wuri suna haɓaka ƙimar rayuwa.
Littafin AlƙawariWanene Ke Bukatar Maganin Ciwon Nono?
Duk wadanda aka gano suna da ciwon nono, ko dai ta hanyar bincike na asibiti ko kuma ganewar asali, suna buƙatar magani. Mahimman alamun sun haɗa da:
- An tabbatar da kutun nono ko ƙari.
- Mammogram mara kyau ko duban dan tayi
- Biopsy yana nuna mummunan sel
- Kasancewar alamun kamar fitar kan nono, canjin fata, ko ciwon nono.
- Tarihin iyali ko tsinkaya (genetically, BRCA maye gurbin).
- Maganin ciwon nono ya hada da:
- Mata masu ciwon ciwace-ciwace a matakin farko
- Marasa lafiya na yanki ko marasa lafiya tare da ciwon nono metastatic
- Marasa lafiya waɗanda ke da ciwon daji mai maimaita ko babban haɗari
- Magani na rigakafi a cikin manyan haɗari-haɗarin kwayoyin halitta
Nau'o'in Hanyoyin Maganin Ciwon Kansa
Tsarin maganin ciwon nono yakan ƙunshi haɗaɗɗun hanyoyin warkewa daban-daban musamman ga nau'in ciwon daji na majiyyaci, mataki, da lafiyarsa.
Surgery
- Lumpectomy: Tumor's cirewa tare da nama da ke kewaye, amma yawancin nono an ajiye su.
- Mastectomy: Tiyatar cire nono ɗaya ko biyu, wani lokaci tare da ƙwayoyin lymph da ke kewaye.
- Sentinel Lymph Node Biopsy: Yana kawar da kumburin lymph na farko inda ciwon daji ana tsammanin don yadawa.
- Tiyata Mai Gyara: Sake gina bayyanar nono bayan mastectomy.
Radiation Far
- sa amfani da haskoki masu ƙarfi don lalata da Kwayoyin ciwon daji ko rage ciwace-ciwace.
- Ana amfani dashi akai-akai bayan aikin lumpectomy ko aikin mastectomy don lalata ƙwayoyin cutar kansa da suka ragu.
jiyyar cutar sankara
- Tsarin magani na tsarin magani domin kashe ko kashe ciwon daji.
- An ba da pre-operatively (neoadjuvant) ko bayan tiyata (adjuvant).
Hormonal (Endocrine) far
- Ana amfani da shi don maganin ciwon daji na nono mai karɓa na hormone.
- Magunguna irin su Tamoxifen ko masu hana aromatase suna toshe tasirin hormone.
Manufar Target
- Magunguna irin su Trastuzumab (Herceptin) sun yi niyya ga takamaiman masu karɓar ƙwayar cutar kansa kamar HER2.
immunotherapy
- Musamman amfani ga ciwon nono mara kyau sau uku.
- Yana ƙarfafa tsarin rigakafi don kai hari ga ƙwayoyin kansa.
Pre-Surgery Evaluation and Diagnostics
Kafin kowane magani ya fara, ƙima sosai ana gudanar da shi:
- Gwajin Nono Na asibiti: Binciken jiki na nono da ƙwayoyin lymph.
- Mammography: X-ray na nono don gano rashin daidaituwa.
- Ultrasound ko MRI: Yana ba da ƙarin cikakken hoto.
- biopsy: Ya tabbatar da kasancewar da nau'in ciwon daji.
- Gwajin karba: Estrogen, progesterone, da matsayi na HER2 don jagorantar jiyya.
- Nazarin Halitta: BRCA1/2 da sauran alamomi idan akwai tarihin iyali mai ƙarfi.
- Gwajin jini: Auna lafiyar gaba ɗaya da aikin gabobin.
Zabi da Tsarin Fida/Tsarin Tsari
Ƙungiya da yawa na likitocin oncologists, likitocin nono, da masu aikin rediyo suna tsara tsarin kulawa na keɓaɓɓen bisa:
- Nau'in ciwon daji, girma, da daraja
- Hormone receptor da matsayin HER2
- Shekarun mara lafiya, tarihin likita, da abubuwan da ake so
- Hadarin sake dawowa
- Bukatar sake gina nono
Marasa lafiya tare da karami, ciwace-ciwacen da aka keɓance na iya yin tiyatar kiyaye nono. Wadanda ke da ciwace-ciwacen daji ko kuma yaduwa suna iya buƙatar mastectomy wanda ke biye da chemotherapy ko radiation.
Tsarin Tiyatar Ciwon Kansa
Matakan Tiyata gama gari:
- maganin sa barci: Gabaɗaya maganin sa barci ana gudanar da shi.
- Cire Tumor:
- A cikin lumpectomy, ƙari kawai da ƙaramin gefe an cire su.
- A cikin mastectomy, duk naman nono an cire.
- Gwajin Node na Lymph:
- Ana bincika ko cire kumburin Sentinel ko axillary lymph nodes.
- Sake ginawa (idan an buƙata): Tufafi ko nama Ana amfani dashi to sake ƙirƙirar siffar nono.
- Rufewa da farfadowa: An rufe ƙaddamarwa, kuma magudanan ruwa na iya za a sanya.
Ana amfani da dabarun cin zarafi kaɗan da taimakon mutum-mutumi a wasu cibiyoyi masu ci gaba don rage lokacin dawowa da tabo.
Hatsari & Matsalolin Maganin Ciwon Kansa Na Nono
Ko da yake gabaɗaya mai lafiya, maganin ciwon nono na iya ɗaukar haɗari:
- Kamuwa da cuta a wurin tiyata
- Jini ko hematoma
- Lymphedema (kumburi a hannu saboda cire kumburin lymph)
- Tabo da damuwa na kwaskwarima
- Gaji, tashin zuciya (na kowa tare da chemotherapy)
- Rashin gashi, canje-canjen ci
- Abubuwan da ke faruwa na hormonal: walƙiya mai zafi, sauye-sauyen yanayi, rashin haihuwa
- Hadarin sake dawowa
Me Zaku Yi Tsammanin Bayan Yin Tiyatar Ciwon Kan Nono?
Farfadowa bayan tiyata ya dogara da girman tiyata da ƙarin hanyoyin kwantar da hankali.
- Zaman asibiti: kwanaki 1-2 (lumpectomy) zuwa kwanaki 3-5 (mastectomy)
- Ciwo da kumburi a kusa da kaciya
- Magudanar ruwa na iya kasancewa na ƴan kwanaki don hana tara ruwa
- An cire sutura a cikin makonni 1-2
- A hankali komawa zuwa ayyukan al'ada sama da makonni 4-6
- Radiation, chemotherapy, ko maganin hormonal na iya farawa bayan ƴan makonni
Farfadowa Bayan-Surgery & Kulawar Tsawon Lokaci
Kulawa na dogon lokaci yana mai da hankali kan saka idanu, lafiyar tunani, da ingancin rayuwa:
- jiki Far: Musamman don motsi na hannu da rigakafin lymphedema
- Taimakon Ilimin halin ɗabi'a: Nasiha don jin daɗin rai
- Bibiyar Na yau da kullun: Mammograms, aikin jini, da hoto don saka idanu don sake dawowa
- Gyaran Rayuwa: Abinci, motsa jiki, da daina shan taba
- Yarda da Magunguna: Hormonal hanyoyin kwantar da hankali na iya ci gaba har tsawon shekaru 5-10
Yawan Nasarar Maganin Ciwon Kankara A Indiya
Indiya ta sami ci gaba na ban mamaki a cikin maganin cutar kansar nono. Adadin rayuwa yana inganta akai-akai tare da gano wuri da cikakken kulawa.
- Matakin Farko (Mataki na I-II): 80-90% tsira na shekaru 5
- Mataki na III: ~ 60%
- Mataki na III: 20-40% tare da m magani
Abubuwan da ke tasiri sakamako:
- Mataki a ganewar asali
- Ilimin halitta na Tumor (HER2, matsayin mai karɓar hormone)
- Shekarun marasa lafiya da lafiyarsu
- Lokacin magani
Kudin Maganin Ciwon Nono A Indiya
Marasa lafiya na kasa da kasa suna tafiya Indiya don maganin cutar kansar nono saboda samuwar kwararrun likitocin cutar kanjamau da sabbin fasahohin da ake samu a manyan asibitoci. Kudin maganin kansar nono a Indiya ya bambanta daga USD 6,000 to USD 12,000. Farashin ya bambanta dangane da nau'in magani, nau'in asibiti, kwarewar likita, zama bayan aiki a Indiya, da sauran abubuwan da suka faru.
Me yasa Zaba Indiya don Maganin Ciwon Nono?
Indiya ita ce cibiyar da aka sani a duniya don araha da ci gaba da kula da cutar kansar nono:
- Kayan aikin zamani na zamani tare da PET-CT, MRI, da madaidaicin rediyo
- Manyan likitocin tiyata da likitocin oncologists sun horar da su a cikin US/UK
- Samun damar yin aikin tiyata na mutum-mutumi da sabbin dabarun sake ginawa
- Cibiyoyin Ciwon daji na Ciwon daji suna ba da magani iri-iri
- cost 60 zuwa 80% ƙasa da na ƙasashen Yamma
Cibiyar tunawa da Tata ta jagoranci National Cancer Grid, yana ba da ƙa'idodin jiyya masu inganci a duk faɗin Indiya.
Takardun da ake buƙata don Marasa lafiya Tafiya zuwa Indiya don Maganin Ciwon Kankara
Ga marasa lafiya na ƙasa da ƙasa suna shirin yin maganin cutar kansar nono a Indiya, ana buƙatar wasu takaddun don tabbatar da balaguron lafiya maras wahala. Waɗannan sun haɗa da:
- Fasfo mai inganci: Dole ne ya kasance yana aiki aƙalla watanni shida daga ranar tafiya.
- Visa Medical (M Visa): Ofishin Jakadancin Indiya/Consulate ne ya ba da shi bisa larura ta likita.
- Wasikar Gayyata daga Asibitin Indiya: Tabbaci daga asibitin da ke bayyana tsarin kulawa da tsawon lokaci.
- Bayanan Likita na Kwanan nan: Ciki har da haskoki na X-ray, MRIs, rahotannin jini, da bayanin likita daga ƙasar gida.
- Cikakkun Form na Aikace-aikacen Visa: Tare da hotuna masu girman fasfo daidai da ƙayyadaddun bayanai.
- Tabbacin Ma'anar Kuɗi: Bayanan banki na baya-bayan nan ko ɗaukar inshorar lafiya.
- Visa mai hidima: Da ake buƙata ga aboki ko mai kula da tafiya tare da mara lafiya.
Ana ba da shawarar tuntuɓar ofishin jakadancin Indiya ko mai gudanar da aikin likitan ku don sabunta ƙa'idodi da taimako tare da takardu.
Manyan Likitocin Ciwon Nono a Indiya
Anan ga wasu manyan likitocin fida a kasar a yau.
- Dr. B. Niranjan Naik - Fortis Memorial Research Institute, Gurugram
- Dr. Geeta Kadayaprath - Max Asibitin, New Delhi
- Dr. Anagha Zope - Asibitin Marengo CIMS, Ahmedabad
- Dr. Jayanti Thumsi - Asibitocin Apollo, Bannerghatta, Bangalore
- Dr. Selvi Radhakrishnan - Cibiyar Cancer ta Apollo da Cibiyar Cancer ta Apollo Proton, Chennai
Mafi kyawun Asibitoci don Maganin Ciwon Nono a Indiya
Ga wasu manyan asibitocin da ake kula da cutar sankarar mama a kasar, bayar da damar yin amfani da kwararru da kayan masarufi.
- Asibitin Tata na Tata, Mumbai
- Cibiyar Nazarin Tunawa da Fortis, Gurgaon
- Cibiyar Cancer ta Apollo, Chennai
- Asibitin Manipal, Jaipur
- Medica Superspecialty Hospital, Kolkata
Tambayoyi da yawa (FAQs)
Zai iya zama ciwon nono gaba daya warke?
Ee, ciwon nono na farko ana iya warkewa tare da tiyata, radiation, da/ko magunguna.
Yaya tsawon lokacin dawowa bayan mastectomy?
Yawancin marasa lafiya suna murmurewa a cikin makonni 4-6, kodayake cikakkiyar waraka na iya ɗaukar tsayi.
Shin sake gina nono ya zama dole bayan mastectomy?
A'a. Yana da na zaɓi kuma ya dogara da zaɓin mara lafiya da shawarar likita.
Shin zan rasa gashi yayin jiyya?
Haka ne, asarar gashi shine na kowa tare da chemotherapy, amma yawanci na ɗan lokaci ne.
Shin maza za su iya samun kansar nono?
Ee, ko da yake ba kasafai ba, ciwon nono na iya shafar maza kuma yana buƙatar ka'idojin magani iri ɗaya.