Ciwon daji na Carcinoid

Ciwon cututtukan Carcinoid rukuni ne na alamomin da ke haɗuwa da cututtukan carcinoid. Waɗannan sune ciwace-ciwacen ƙaramar hanji, hanji, ƙari, da tubes na huhu a cikin huhu.

Ciwon cututtukan Carcinoid shine tsarin alamun bayyanar wasu lokuta da ake gani a cikin mutanen da ke fama da cututtukan carcinoid. Wadannan cututtukan suna da wuya, kuma galibi suna saurin girma. Yawancin cututtukan cututtukan carcinoid ana samun su a cikin ɓangaren hanji da huhu.

Ciwon sankara yana faruwa a cikin mutane ƙalilan da ke da ciwon sankara, bayan cutar ta bazu zuwa hanta ko huhu.

Wadannan ciwace-ciwacen suna sakin yawancin serotonin, da wasu sunadarai da yawa. Hormon din na haifar da jijiyoyin jini bude (kumbura). Wannan yana haifar da cututtukan carcinoid.

Ciwon sankara ya ƙunshi manyan alamomi huɗu da suka haɗa da:

• Flushing (fuska, wuya, ko kirji na sama), kamar faɗaɗa hanyoyin jini da aka gani akan fata (telangiectasias)
• Rashin numfashi, kamar numfashi
• Gudawa
• Matsalolin zuciya, kamar zubowar bawul na zuciya, bugun zuciya a hankali, low ko hawan jini

Wasu lokuta ana haifar da alamun cutar ta hanyar motsa jiki, ko cin abinci ko shan abubuwa kamar su blue cuku, cakulan, ko jan giya.

Yawancin waɗannan ciwace-ciwacen ana samun su lokacin da aka yi gwaji ko hanyoyin don wasu dalilai, kamar lokacin aikin tiyatar ciki.

Idan an yi gwajin jiki, mai ba da kiwon lafiya na iya samun alamun:

• Matsaloli na bugun zuciya, kamar gunaguni
• Niacin-rashi cuta (pellagra)

Gwajin da za a iya yi sun hada da:

• 5-HIAA matakan cikin fitsari
• Gwajin jini (gami da serotonin da gwajin jini na chromogranin)
• CT da MRI na kirji ko ciki
• Echocardiogram
• Octreotide an yiwa hoton rediyo

Yin aikin tiyata don cire ƙari yawanci shine magani na farko. Zai iya warkar da cutar har abada idan an cire kumburin gaba ɗaya.

Idan ƙari ya bazu zuwa hanta, magani ya ƙunshi ɗayan masu zuwa:

• Cire wuraren hanta waɗanda suke da ƙwayoyin ƙari
• Aika (infusing) magani kai tsaye cikin hanta don lalata ciwace-ciwacen

Lokacin da ba za a iya cire duka kumburin ba, cire babban ɓangaren ciwon ("debulking") na iya taimakawa sauƙaƙe alamun.

Octreotide (Sandostatin) ko lanreotide (Somatuline) allurai ana bayarwa ga mutanen da ke ci gaba da ciwan kansa wanda ba za a iya cire shi ta hanyar tiyata ba.

Mutanen da ke fama da cututtukan carcinoid su guji shan barasa, abinci mai yawa, da abinci mai cike da ƙwayoyin cuta (tsofaffin cuku, avocado, abinci da yawa da ake sarrafawa), saboda suna iya haifar da bayyanar cututtuka.

Wasu magunguna na yau da kullun, kamar masu zaɓin maganin serotonin reuptake (SSRIs), kamar paroxetine (Paxil) da fluoxetine (Prozac), na iya ƙara bayyanar cututtuka ta hanyar ƙara matakan serotonin. Koyaya, KADA KA daina shan waɗannan magunguna har sai mai ba ka sabis ya gaya maka ka yi haka.

Ara koyo game da cututtukan carcinoid kuma sami goyan baya daga:

• Gidauniyar Cutar Kanjamau - www.carcinoid.org/resources/support-groups/directory/
• Neuroendocrine Tumor Foundation Foundation - netrf.org/for-patients/

Hangen nesa ga mutanen da ke fama da cututtukan carcinoid wani lokaci ya sha bamban da yadda mutane ke hango ƙwayar cutar kansa ba tare da ciwo ba.

Binciken hangen nesa kuma ya dogara da shafin yanar gizo na ƙari. A cikin mutanen da ke fama da ciwo, ƙari yawanci ya bazu zuwa hanta. Wannan yana rage darajar rayuwa. Mutanen da ke fama da cututtukan carcinoid suma suna iya kamuwa da cutar kansa daban (ƙari na biyu na farko) a lokaci guda. Gabaɗaya, hangen nesa yawanci kyakkyawa ne.

Rarraba na cutar sankara na iya haɗawa da:

• Riskarin haɗarin faɗuwa da rauni (daga ƙananan jini)
• Toshewar hanji (daga ƙari)
• Zuban jini na ciki
• Valvearfin bugun zuciya

Wani nau'i na cututtukan cututtukan carcinoid, rikicin carcinoid, na iya faruwa azaman sakamako na ƙarshe na tiyata, maganin sa barci ko magani.

Tuntuɓi mai ba ku sabis don alƙawari idan kuna da alamun rashin lafiyar sankarau.

Yin maganin kumburi yana rage haɗarin cutar sankara.

Ciwon mara; Ciwon Argentaffinoma

• Serotonin karɓa

Yanar gizo Cibiyar Cancer ta Kasa. Maganin ciwon daji na cututtukan ciki (Adult) (PDQ) - fasalin ƙwararrun kiwon lafiya. www.cancer.gov/types/gi-carcinoid-tumors/hp/gi-carcinoid-treatment-pdq. An sabunta Satumba 16, 2020. An shiga 14 ga Oktoba, 2020.

Berg K. Ciwan daji Neuroendocrine da cututtukan da suka danganci su. A cikin: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Littafin Williams na Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: babi na 45.

Wolin EM, Jensen RT. Neuroendocrine ƙari. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 219.