Ciwon kwayar cutar

Ciwon kwayar cutar daji ne wanda ke farawa daga cikin kwayar cutar. Gwajin mahaifar sune cututtukan haihuwa na maza wadanda suke a cikin mahaifa.

Ba a fahimci ainihin abin da ke haifar da cutar kansa ta mahaifa Abubuwan da zasu iya kara haɗarin mutum na kamuwa da ciwon sankarar mahaifa sune:

• Ciwon mara na al'ada
• Bayyanawa ga wasu sunadarai
• Tarihin iyali na kansar mahaifa
• Cutar HIV
• Tarihin kansar mahaifa
• Tarihin kwayar cutar da ba a yiwa ba (kwaya daya ko duka ta kasa shiga cikin mahaifa kafin haihuwa)
• Ciwon Klinefelter
• Rashin haihuwa
• Shan taba
• Rashin ciwo

Ciwon ƙwayar cuta shine mafi yawan ciwon daji a cikin samari da matasa. Hakanan yana iya faruwa a cikin mazan maza, kuma a cikin mawuyacin yanayi, a cikin samari.

Maza fararen fata sun fi maza Amurkawa Ba'amurke da Ba'amurke irin wannan cutar ta daji.

Babu hanyar haɗi tsakanin vasectomy da kansar mahaifa.

Akwai manyan nau'ikan nau'ikan cutar kansa guda biyu:

• Taron karawa juna sani
• Banbancin karatu

Wadannan kansar suna girma ne daga kwayoyin cuta, kwayoyin halittar maniyyi.

Seminoma: Wannan nau'in mai saurin ciwan kansa ne wanda ake samu a cikin maza daga cikin shekarunsu na 40 zuwa 50. Ciwon daji yana cikin gwaji, amma yana iya yaɗuwa zuwa ƙwayoyin lymph. Lymph node hannu ana ɗauke shi tare da radiotherapy ko chemotherapy. Seminomas suna da matukar damuwa ga maganin radiation.

Nonseminoma: Wannan mafi yawan nau'ikan cutar sankarau yana saurin girma cikin sauri fiye da seminomas.

Ciwan ƙwayar nononseminoma galibi yana ƙunshe da nau'in tantanin halitta fiye da ɗaya, kuma ana gano su bisa ga waɗannan nau'ikan ƙwayoyin daban-daban:

• Choriocarcinoma (ba safai ba)
• Carcinoma amfrayo
• Teratoma
• Yolk jakar tumo

Ciwon ƙwayar cuta shine nau'in ƙwayar ƙwayar ƙwayar cuta. Yawancin lokaci basu da cutar kansa. Manyan nau'o'in cututtukan stromal guda biyu sune ƙwayoyin salula na Leydig da ƙwayoyin salula na Sertoli. Ciwan ƙwayar Stromal yawanci yakan faru yayin ƙuruciya.

Babu alamun bayyanar. Ciwon daji na iya zama kamar ba shi da zafi a cikin gwajin. Idan akwai alamun bayyanar, zasu iya haɗawa da:

• Rashin jin daɗi ko ciwo a cikin ƙwanjiyi, ko jin nauyi a cikin ɓarin ciki
• Jin zafi a baya ko ƙananan ciki
• Bugun ƙwanji ko canji a yadda yake ji
• Yawan ƙwayar nono (gynecomastia), duk da haka wannan na iya faruwa koyaushe a cikin samari waɗanda ba su da cutar kansa ta mahaifa
• Umpura ko kumburi a cikin ko wannen ƙwaya

Kwayar cututtukan cututtuka a wasu sassan jiki, kamar huhu, ciki, ƙugu, baya, ko ƙwaƙwalwa, na iya faruwa idan ciwon daji ya bazu a bayan ƙwarjiyoyin.

Gwajin jiki yawanci yakan nuna daskararren dunkule (ɗaure) a ɗayan ɗayan jijiyoyin. Lokacin da mai ba da lafiya ya riƙe fitila har zuwa maƙarƙashiya, hasken ba ya ratsa dunƙulen. Wannan jarrabawar ana kiranta transillumination.

Sauran gwaje-gwaje sun haɗa da:

• CT scan na ciki da na mara
• Gwajin jini don alamomin ƙari: alpha fetoprotein (AFP), gonadotrophin na ɗan adam (beta HCG), da lactic dehydrogenase (LDH)
• Kirjin x-ray
• Duban dan tayi na mahaifa
• Binciken ƙashi da hoton CT (don neman yaduwar cutar kansa zuwa ƙasusuwa da kai)
• Brain kwakwalwa

Jiyya ya dogara da:

• Nau'in ƙwayar cuta
• Mataki na ƙari

Da zarar an gano kansar, mataki na farko shi ne a tantance nau'in kwayar cutar kansa ta hanyar nazarin sa ta hanyar madubin hangen nesa. Kwayoyin na iya zama seminoma, nonseminoma, ko duka biyun.

Mataki na gaba shine tantance yadda nisan kansa ya bazu zuwa sauran sassan jiki. Ana kiran wannan "staging."

• Matakin I ciwon daji bai bazu bayan kwayar cutar ba.
• Ciwon daji na II ya yadu zuwa ƙwayoyin lymph a cikin ciki.
• Stage III na ciwon kansa ya bazu fiye da ƙwayoyin lymph (yana iya zama har zuwa hanta, huhu, ko kwakwalwa).

Ana iya amfani da nau'ikan magani uku.

• Magungunan tiyata yana cire kwayar halitta (orchiectomy).
• Za a iya amfani da maganin kashe hasken rana ta hanyar amfani da hasken rana mai ƙarfi ko kuma wasu ƙwayoyi masu kuzari bayan tiyata don hana kumburin dawowa. Radiation na yawanci ana amfani dashi kawai don magance seminomas.
• Chemotherapy yana amfani da magunguna don kashe ƙwayoyin kansa. Wannan maganin ya inganta rayuwar mutane sosai tare da taron karawa juna sani da kuma nonseminomas.

Kasancewa cikin ƙungiyar tallafi inda membobi ke raba abubuwan da suka dace da matsaloli sau da yawa na iya taimakawa damuwar rashin lafiya.

Ciwon kwayar halitta yana daya daga cikin cututtukan daji masu saurin magani da warkarwa.

Adadin rayuwa ga maza da ke fama da matsalar cutar sankara ta farko (mafi ƙarancin nau'in cutar kansa) ya fi kashi 95%. Adadin rayuwa na rashin cuta ga Stage II da III masu cutar kansa sun ɗan yi ƙasa kaɗan, gwargwadon girman ƙari da lokacin da aka fara magani.

Cancer na kwayar cutar zai iya yaduwa zuwa wasu sassan jiki. Mafi yawan shafukan yanar gizo sun haɗa da:

• Hanta
• Huhu
• Yankin baya-baya (yankin kusa da kodan bayan sauran gabobin a yankin ciki)
• Brain
• Kashi

Matsalolin tiyata na iya haɗawa da:

• Zubar jini da kamuwa da cuta bayan tiyata
• Rashin haihuwa (idan an cire kwayayen biyu)

Wadanda suka tsira daga cutar kansa ta kwayar cutar suna fuskantar barazanar fuskantar ci gaba:

• Cutar marmari na biyu (ciwon daji na biyu da ke faruwa a wuri daban-daban a cikin jiki wanda ke tasowa bayan maganin cutar kansa ta farko)
• Cututtukan zuciya
• Ciwon rashin lafiya

Hakanan, rikitarwa na dogon lokaci a cikin waɗanda suka tsira daga cutar kansa na iya haɗawa da:

• Neuropathy na gefe
• Ciwon koda na kullum
• Lalacewa a cikin kunnen ciki daga magungunan da aka yi amfani da su don magance kansar

Idan kuna tsammanin kuna son samun yara anan gaba, ku tambayi mai ba ku sabis game da hanyoyin da za ku iya ajiye maniyyin ku don amfani a wani lokaci na gaba.

Kirawo mai baka idan kanada alamun cutar kansar mahaifa.

Yin gwajin kai tsaye na gwaji (TSE) kowane wata na iya taimakawa gano cutar kansa a farkon matakinta, kafin ta yadu. Gano kansar mahaifa da wuri yana da mahimmanci don cin nasara cikin nasara da rayuwa. Koyaya, ba a ba da shawarar binciken kansar kwayar cutar ga yawan jama'a a Amurka.

Ciwon daji - gwaji; Ciwon ƙwayar ƙwayar ƙwayar ƙwayar cuta; Seminoma cutar sankarau; Nonseminoma ciwon daji na gwaji; Neoplasm na gwaji

• Chemotherapy - abin da za a tambayi likita
• Radiation far - tambayoyi don tambayi likitan ku

• Jikin haihuwa na namiji
• Tsarin haihuwa na namiji

Einhorn LH. Ciwon kwayar cutar. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 190.

Friedlander TW, Eananan EJ. Ciwon kwayar cutar. 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 83.

Yanar gizo Cibiyar Cancer ta Kasa. Maganin ciwon daji na kwayar cutar (PDQ) - fasalin masu sana'a na lafiya. www.cancer.gov/types/testicular/hp/testicular-treatment-pdq#section/_85. An sabunta Mayu 21, 2020. An shiga Agusta 5, 2020.