Ciwon kansa

Ciwon daji na kashin ciki shine cutar kansa da ke farawa a cikin hanwa. Wannan ita ce bututun da abinci ke motsawa daga baki zuwa ciki.

Cutar sankarar mahaifa ba ta da yawa a Amurka. Yana faruwa sau da yawa a cikin maza sama da shekaru 50.

Akwai manyan nau'ikan nau'ikan cutar sankara guda biyu; kwayar cutar sankara da adenocarcinoma. Wadannan nau'ikan nau'ikan sun bambanta da juna a karkashin madubin hangen nesa.

Cutar sankara ta hanji tana da alaƙa da shan sigari da shan giya da yawa.

Adenocarcinoma shine mafi yawan nau'in cututtukan hanji. Samun Barrett esophagus yana kara haɗarin irin wannan cutar kansa. Acid reflux cuta (gastroesophageal reflux cuta, ko GERD) na iya bunkasa zuwa cikin barrett esophagus. Sauran abubuwan da ke tattare da hadari sun hada da shan taba, namiji, ko kiba.

Kwayar cutar na iya haɗawa da ɗayan masu zuwa:

• Motsa abinci baya baya ta hanyar makogwaro da yuwuwar bakin (regurgitation)
• Ciwon kirji ba shi da alaƙa da cin abinci
• Matsalar haɗiye abu mai ƙarfi ko ruwa
• Bwannafi
• Jinin amai
• Rage nauyi

Gwaje-gwajen da aka yi amfani da su don gano cutar kanjamau na iya haɗawa da:

• Jerin x-haskoki da aka ɗauka don nazarin esophagus (haɗarin barium)
• Chest MRI ko thoracic CT (yawanci ana amfani dashi don taimakawa ƙayyade matakin cutar)
• Endoscopic duban dan tayi (kuma wani lokacin ana amfani dashi don ƙayyade matakin cutar)
• Gwaji don bincika da cire samfurin murfin esophagus (esophagogastroduodenoscopy, EGD)
• PET scan (wani lokacin yana da amfani don tantance matakin cutar, da kuma ko tiyata na yiwuwa)

Gwajin cinya na iya nuna ƙananan jini a cikin kujerun.

Za a yi amfani da EGD don samun samfurin nama daga hanta don gano cutar kansa.

Lokacin da cutar daji ta kasance a cikin makwarata kawai ba ta yadu ba, za a yi tiyata. Ciwon daji da wani ɓangare, ko duka, na cikin hanji an cire su. Ana iya yin aikin tiyata ta amfani da:

• Bude tiyata, yayin da ake yin manyan kogi biyu ko biyu.
• Tiyata mai saurin lalacewa, yayin da ake yin ƙananan toka 2 zuwa 4 a cikin ciki. An saka laparoscope tare da ƙaramar kyamara a cikin ciki ta ɗaya daga cikin abubuwan da aka zana.

Hakanan za'a iya amfani da maganin kashe hasken rana maimakon aikin tiyata a wasu lokuta lokacin da cutar daji ba ta yada ba a cikin huhun hanji.

Ko dai ana iya amfani da chemotherapy, radiation, ko duka biyun don rage ƙwayar cutar kuma a sauƙaƙa yin tiyata.

Idan mutum ba shi da lafiya sosai don ba a yi masa babbar tiyata ko kuma cutar kansa ta bazu zuwa wasu gabobin, ana iya yin amfani da chemotherapy ko radiation don rage alamun. Wannan shi ake kira palliative therapy. A irin wannan yanayi, yawanci cutar ba ta warkewa.

Bayan canjin abinci, sauran jiyya da za'a iya amfani dasu don taimakawa mai haɗiye haɗi sun haɗa da:

• Dila (fadada) esophagus ta amfani da na'urar kare kwakwalwa. Wani lokaci ana sanya wani daskare don bude bakin esopha.
• Jigon abinci a cikin ciki.
• Photodynamic far, wanda a cikin sa allurar magani ta musamman aka shiga cikin kumburin sannan kuma a fallasa shi zuwa haske. Hasken yana kunna maganin da ke cutar da ƙari.

Kuna iya sauƙaƙa damuwar rashin lafiya ta hanyar haɗuwa da ƙungiyar tallafawa kansa. Yin tarayya tare da wasu waɗanda suke da masaniya da matsaloli na yau da kullun na iya taimaka muku kada ku ji ku kaɗai

Lokacin da cutar daji ba ta yada ba a gefen esophagus, tiyata na iya inganta damar rayuwa.

Lokacin da cutar daji ta bazu zuwa wasu yankuna na jiki, gabaɗaya ba zai yiwu ba. Ana ba da jiyya don kawar da bayyanar cututtuka.

Matsaloli na iya haɗawa da:

• Namoniya
• Rage nauyi mai nauyi daga rashin cin isasshen abinci

Kira wa mai ba da lafiyar ku idan kuna da matsalar haɗiye ba tare da sanadin saninsa ba kuma ba zai gyaru ba. Hakanan kira idan kuna da wasu alamun cututtukan kansar hanji.

Don rage haɗarin ciwon daji na esophagus:

• KADA KA shan taba.
• Iyakance ko KADA a sha abubuwan sha.
• Gwani likita ya dubaka idan kana da tsananin GERD.
• Samun dubawa akai-akai idan kuna da cutar Barrett.

Ciwon daji - esophagus

• Esophagectomy - fitarwa
• Gastrostomy ciyar da bututu - bolus
• Jejunostomy yana ciyar da bututu

• Tsarin narkewa
• Rigakafin ƙwannafi
• Ciwon kansa

Ku GY, Ilson DH. Ciwon daji na esophagus. A cikin: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff na Clinical Oncology. Na 6 ed. Philadelphia, PA: Elsevier; 2020: babi na 71.

Yanar gizo Cibiyar Cancer ta Kasa. Maganin ciwon daji na Esophageal (PDQ) - fasalin ƙwararrun masu kiwon lafiya. www.cancer.gov/types/esophageal/hp/esophageal-treatment-pdq. An sabunta Nuwamba 12, 2019. An shiga Disamba 5, 2019.

Yanar gizo Yanar Gizon Cutar Kanjamau ta Kasa. NCCN jagororin aikin likita a cikin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin likitanci na NCCN a cikin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin ilimin likitoci na jikin mutum (NCCN). Sigar 2.2019. www.nccn.org/professionals/physician_gls/pdf/esophageal.pdf. An sabunta Mayu 29, 2019. An shiga Satumba 4, 2019.