Ciwon ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta

Ciwon ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar daji shine cutar daji da ta fara a wani sashin jiki kuma ta bazu zuwa cikin kwakwalwa.

Yawancin ƙari ko nau'ikan ciwon daji na iya yaɗuwa zuwa kwakwalwa. Mafi mahimmanci sune:

• Ciwon huhu
• Ciwon nono
• Melanoma
• Ciwon koda
• Ciwon hanji
• Ciwon sankarar jini

Wasu nau'ikan cutar kansa basu da saurin yaduwa zuwa kwakwalwa, kamar su cutar sankara. A wasu lokuta, ƙari zai iya yaduwa zuwa kwakwalwa daga wurin da ba a sani ba. Wannan ana kiran sa cutar sankara ta farko (CUP).

Ciwan ciwukan ƙwaƙwalwa na iya sanya matsin lamba a kan sassan kwakwalwa na kusa. Kumburin kwakwalwa saboda wadannan ciwace-ciwacen yana haifar da matsi a cikin kwanyar.

Orswayoyin ƙwaƙwalwar da ke yaɗuwa an rarraba su ne dangane da wurin da ƙwayar a cikin kwakwalwa, nau'in nama da ke ciki, da kuma asalin wurin da kumburin yake.

Ciwon ƙwayar ƙwayar ƙwayar cuta yana faruwa a kusan kashi ɗaya cikin huɗu (25%) na dukkan cututtukan daji da suka yada cikin jiki. Sun fi yawa fiye da cututtukan ƙwaƙwalwa na farko (ciwace-ciwacen da ke farawa a cikin kwakwalwa).

Kwayar cutar na iya haɗawa da ɗayan masu zuwa:

• Rage daidaituwa, rikicewa, faduwa
• Jin ciwo mara kyau ko gajiya
• Ciwon kai, sabo ko mafi tsanani fiye da yadda aka saba
• Rashin ƙwaƙwalwar ajiya, ƙarancin tunani, matsalar warware matsaloli
• Nutum, tingling, zafi, da sauran canje-canje a cikin jin dadi
• Yanayin mutum yana canzawa
• Canje-canje na motsin rai mai sauri ko halaye na ban mamaki
• Kwacewar da sabo ne
• Matsaloli tare da magana
• Gani ya canza, gani biyu, rage gani
• Amai, tare da ko ba tare da jiri ba
• Raunin yanki

Takamaiman bayyanar cututtuka sun bambanta. Alamun yau da kullun na yawancin nau'ikan cututtukan ƙwaƙwalwar ƙwayar cuta suna haifar da ƙarin matsin lamba a cikin kwakwalwa.

Jarabawa na iya nuna canjin kwakwalwa da tsarin juyayi dangane da inda ƙari yake a cikin kwakwalwa. Alamomin karin matsi a kwanyar ma na kowa ne. Wasu ciwace-ciwacen ba za su iya nuna alamu ba har sai sun kasance manya-manya. Bayan haka, zasu iya haifar da raguwa sosai cikin aikin tsarin juyayi.

Asali (na farko) ƙari za a iya samo shi ta hanyar nazarin ƙwayoyin cuta daga ƙwaƙwalwa.

Gwaje-gwaje na iya haɗawa da:

• Mammogram, CT scans na kirji, ciki, da ƙashin ƙugu don nemo wurin asalin kumburin
• CT scan ko MRI na kwakwalwa don tabbatar da ganewar asali da kuma gano wurin ciwon ƙwayar cuta (MRI yawanci ya fi damuwa da neman ciwace-ciwacen a cikin kwakwalwa)
• Binciken nama da aka cire daga ƙari a lokacin aikin tiyata ko CT scan- ko biopsy mai shiryarwa ta MRI don tabbatar da nau'in ƙwayar cuta
• Lumbar huda (kashin baya)

Jiyya ya dogara da:

• Girman da nau'in kumburin
• Wuri a cikin jiki daga inda ya yadu
• Babban lafiyar mutum

Manufofin magani na iya zama don taimakawa bayyanar cututtuka, inganta aiki, ko samar da ta'aziyya.

Dukkanin kwayar cutar radiation ta kwakwalwa (WBRT) galibi ana amfani da ita don magance ciwace-ciwacen da suka bazu zuwa cikin kwakwalwa, musamman idan suna da ƙari mai yawa, kuma tiyata ba zaɓi bane mai kyau.

Ana iya amfani da tiyata lokacin da akwai ƙari guda ɗaya kuma ciwon daji bai bazu zuwa sauran sassan jiki ba. Wasu ciwace ciwace na iya cirewa gaba daya. Umumuryar da suke da zurfin ciki ko waɗanda suka faɗaɗa zuwa cikin ƙwalwar ƙwaƙwalwa za a iya rage su cikin girma (wanda aka soke su).

Yin aikin tiyata na iya rage matsa lamba da kuma taimakawa alamomin a lokuta idan ba za a iya cire kumburin ba.

Chemotherapy don ciwace-ciwacen ƙwayoyin cuta yawanci ba ya taimakawa kamar tiyata ko radiation. Wasu nau'ikan ciwace-ciwacen ƙwayoyi, kodayake, suna amsawa ga cutar sankara.

Hakanan za'a iya amfani da tiyata ta hanyar stereotactic (SRS). Wannan nau'ikan maganin haskakawa yana mai da hankali akan xarfin x-ray mai ƙarfi akan ƙananan yanki na kwakwalwa.Ana amfani da shi lokacin da ƙananan ƙwayoyin cuta ne kawai.

Magunguna don alamun cututtukan ƙwayar cuta sun haɗa da:

• Anticonvulsants kamar su phenytoin ko levetiracetam don rage ko hana kamuwa
• Corticosteroids kamar dexamethasone don rage kumburin kwakwalwa
• Osmotic diuretics kamar su hypertonic saline ko mannitol don rage kumburin kwakwalwa
• Magungunan ciwo

Lokacin da ciwon daji ya bazu, magani na iya mai da hankali kan sauƙin ciwo da sauran alamomi. Wannan ana kiran sa kulawa ko tallafi.

Matakan kwantar da hankali, matakan lafiya, maganin jiki, maganin sana'a, da sauran jiyya na iya inganta rayuwar mai haƙuri. Wasu mutane na iya son neman shawarar doka don taimaka musu ƙirƙirar umarnin gaba da ikon lauya don kiwon lafiya.

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.

Ga mutane da yawa da ke da ƙwayar ƙwayar ƙwayar ƙwayar cuta, ciwon daji ba shi da magani. Daga karshe zai bazu zuwa sauran sassan jiki. Hangen nesa ya dogara da nau'in ciwace ciwace da yadda yake amsar magani.

Matsalolin kiwon lafiya da zasu iya haifar sun hada da:

• Brain labartawa (m)
• Rashin ikon aiki ko kula da kai
• Rashin ikon hulɗa
• Na dindindin, mummunan hasara na aikin tsarin juyayi wanda ke ƙara muni a kan lokaci

Kira mai ba da sabis na kiwon lafiya idan kun ci gaba da ciwon kai wanda yake sabo ne ko kuma daban a gare ku.

Kira wa masu ba ku sabis ko ku je wurin gaggawa idan kai ko wani da ka sani ba zato ba tsammani ya zama mai kasala ko kuma ya sami canje-canje a hangen nesa, ko matsalar magana, ko kuma ya kamu da wasu matsaloli daban-daban.

Brain tumo - metastatic (na biyu); Ciwon daji - ƙwaƙwalwar ƙwaƙwalwa (metastatic)

• Brain radiation - fitarwa
• Yin tiyatar kwakwalwa - fitarwa
• Radiation far - tambayoyi don tambayi likitan ku

• Brain
• MRI na kwakwalwa

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