Cholangiocarcinoma

Cholangiocarcinoma (CCA) wani ciwan ciwan kansa ne (mugu) a ɗayan bututun da ke ɗauke da bile daga hanta zuwa ƙananan hanji.

Ba a san ainihin dalilin CCA ba. Koyaya, yawancin waɗannan cututtukan sun riga sun sami ci gaba ta lokacin da aka same su.

CCA na iya farawa ko'ina tare da bututun bile. Wadannan kumburin suna toshe hanyoyin bile.

Duk maza da mata abin ya shafa. Yawancin mutane sun girmi 65.

Mutanen da ke da matsalolin kiwon lafiya masu zuwa na iya samun damar haɓaka CCA:

• Bile bututu (choledochal) cysts
• Biliary na yau da kullum da kumburin hanta
• Tarihin kamuwa da cuta tare da tsutsotsi na parasitic, hanta mai laushi
• Cutar sclerosing cholangitis
• Ciwan ulcer

Kwayar cutar CCA na iya haɗawa da ɗayan masu zuwa:

• Zazzabi da sanyi
• Kujerun kala-kala da fitsari mai duhu
• Itching
• Rashin ci
• Jin zafi a cikin babba na dama wanda zai iya haskakawa zuwa baya
• Rage nauyi
• Yellowing na fata (jaundice)

Mai ba da lafiyar ku zai yi gwajin jiki. Za a yi gwaje-gwaje don bincika ƙari ko toshewa cikin bututun bile. Waɗannan na iya haɗawa da:

• CT scan na ciki
• Ciki duban dan tayi
• Hanyar da ke amfani da ikon dubawa don kallon ƙwayoyin bile (ERCP), yayin da za a iya ɗaukar nama kuma a kalle shi a ƙarƙashin madubin likita

Gwajin jini da za a iya yi sun haɗa da:

• Gwajin aikin hanta (musamman alkaline phosphatase ko matakan bilirubin)
• Kammala ƙididdigar jini (CBC)

Manufar ita ce magance kansar da toshewar da take haifarwa. Idan zai yiwu, tiyata don cire kumburin shine zaɓin zaɓin kuma yana iya haifar da magani. Sau da yawa ciwon daji ya riga ya bazu a cikin gida ko zuwa wani yanki na jiki lokacin da aka gano shi. A sakamakon haka, tiyatar don warkar da cutar kansa ba zai yiwu ba.

Ana iya ba da magani na Chemotherapy ko radiation bayan aikin tiyata don rage haɗarin dawo da cutar kansa.

A cikin zaɓaɓɓun yanayi, ana iya gwada dashen hanta.

Endoscopic far tare da sanya wuri mai ƙarfi na ɗan lokaci zai iya sauƙaƙe toshewar hanyoyin cikin bututun biliary. Wannan na iya sauƙaƙe cutar jaundice lokacin da ba za a iya cire kumburin ba.

Cire ƙwayar gabaɗaya yana bawa wasu mutane damar rayuwa tare da yiwuwar samun cikakkiyar magani.

Idan ba za a iya cire kumburin gaba daya ba, gaba daya ba zai yiwu ba. Tare da magani, kimanin rabin mutanen da abin ya shafa suna rayuwa a shekara, kuma kusan rabin suna rayuwa mafi tsawo, amma da wuya fiye da shekaru 5.

Hospice galibi abu ne mai kyau ga mutanen da ke da CCA waɗanda ba za a iya warke su ba.

Matsalolin CCA sun haɗa da:

• Kamuwa da cuta
• Rashin hanta
• Yada (metastasis) na ƙari zuwa wasu gabobin

Kirawo mai ba ku sabis idan kuna da jaundice ko wasu alamun alamun cholangiocarcinoma.

Bile bututun daji

• Tsarin narkewa
• Hanyar Bile

Yanar gizo Cibiyar Cancer ta Kasa. Bile duct cancer (cholangiocarcinoma) treatment (PDQ) - fasalin ƙwararrun masu kiwon lafiya. www.cancer.gov/types/liver/hp/bile-duct-treatment-pdq. An sabunta Satumba 23, 2020. An shiga Nuwamba 9, 2020.

Rajkomar K, Koea JB. Cutar cikin ciki ta cholangiocarcinoma. A cikin: Jarnagin WR, ed. Tiyatar Blumgart na Ciwon Hanta, Biliary Tract da Pancreas. Na 6 ed. Philadelphia, PA: Elsevier; 2017: babi na 50.

Rizvi SH, Gores GJ. Umumfari na bututun bile, gallbladder, da ampulla. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: babi na 69.