Ciwan kashin baya

Ciwan jijiyoyin kansa shine ci gaban ƙwayoyin cuta (taro) a ciki ko kewaye da jijiyoyin.

Kowane irin ƙwayar cuta na iya faruwa a cikin kashin baya, gami da ciwan farko da na sakandare.

Cutar marmari na farko: yawancin waɗannan ciwace ciwacen ƙwayoyin cuta suna da saurin girma da jinkiri.

• Astrocytoma: wani ƙari na ƙwayoyin sel masu tallafi a cikin jijiyoyi
• Meningioma: ƙari na nama wanda ke rufe layin kashin baya
• Schwannoma: ƙari na ƙwayoyin da ke kewaye da jijiyoyin jijiya
• Ependymoma: wani ƙari na ƙwayoyin halitta yana layi a cikin ramin ƙwaƙwalwar
• Lipoma: ƙari daga ƙwayoyin mai

Secondary marurai ko metastasis: waɗannan ciwace-ciwacen ƙwayoyin cuta ne da ke zuwa daga wasu sassan jiki.

• Prostate, huhu, da kansar mama
• Cutar sankarar jini: cutar kansa da ke farawa daga fararen ƙwayoyin halittar cikin kasusuwan ƙashi
• Lymphoma: ciwon daji na ƙwayar lymph
• Myeloma: cutar kansa ce da ke farawa a cikin ƙwayoyin plasma na ɓarke ​​da ƙashi

Ba a san musabbabin ciwan farko na kashin baya ba. Wasu ƙananan ƙwayoyin cuta na asali suna faruwa tare da wasu maye gurbi na gado.

Za a iya samo ciwace-ciwace na asali:

• A cikin kashin baya (intramedullary)
• A cikin membranes (meninges) wanda ke rufe layin kashin baya (extramedullary - intradural)
• Tsakanin meninges da kasusuwa na kashin baya (extradural)
• A cikin kasusuwan kasusuwa

Yayinda yake girma, ƙari zai iya shafar:

• Maganin jini
• Kasusuwa na kashin baya
• Meninges
• Tushen jijiya
• Kwayoyin kashin baya

Ciwon zai iya latsawa a kan kashin baya ko asalin jijiya, ya haifar da lahani. Tare da lokaci, lalacewar na iya zama na dindindin.

Kwayar cutar ta dogara da wuri, nau'in ciwace-ciwacen, da lafiyar ku baki ɗaya. Tumananan ƙwayoyin cuta waɗanda suka yada zuwa kashin baya daga wani rukunin yanar gizo (ciwace-ciwacen ƙwayoyi) galibi suna saurin ci gaba. Cututtukan farko na ci gaba a hankali tsawon makonni zuwa shekaru.

Kwayar cutar na iya haɗawa da:

• Abubuwa na al'ada ko asarar ji, musamman ma a ƙafafu
• Ciwon baya da ke taɓarɓarewa a kan lokaci, galibi yana cikin tsakiya ko ƙananan baya, yawanci yana da ƙarfi kuma ba a jin daɗin ciwo mai zafi, yana daɗa ƙaruwa yayin kwanciya ko wahala (kamar lokacin tari ko atishawa), kuma yana iya faɗaɗawa zuwa kwatangwalo ko kafafu
• Rushewar hanji, kwararar mafitsara
• Contraunƙarar tsoka, ƙwanƙwasawa, ko spasms (fasciculations)
• Raunin jijiyoyi (rage ƙarfin tsoka) a cikin ƙafafun da ke haifar da faɗuwa, yana sa tafiya cikin wahala, kuma yana iya zama mafi muni (ci gaba) kuma yana haifar da inna

Nazarin tsarin jijiyoyi (jijiyoyin jiki) na iya taimakawa wajen gano wurin da kumburin yake. Hakanan mai ba da sabis na kiwon lafiya na iya samun waɗannan masu zuwa yayin gwaji:

• Abubuwa mara kyau
• Toneara sautin tsoka
• Rashin ciwo da zafin jiki
• Raunin jijiyoyi
• Jin tausayi a cikin kashin baya

Wadannan gwaje-gwajen na iya tabbatar da ciwon kashin baya:

• CT ta kashin baya
• Spine MRI
• -Unƙun rami
• Binciken Cerebrospinal fluid (CSF)
• Myelogram

Manufar magani ita ce rage ko hana lalacewar jijiya sakamakon matsin lamba akan (matsawa) na jijiyar baya kuma tabbatar da cewa zaku iya tafiya.

Ya kamata a ba da magani da sauri. Mafi saurin bayyanar cututtuka suna haɓaka, ana buƙatar magani da sauri don hana rauni na dindindin. Duk wani sabon ciwo da ba a bayyana ba a cikin mara lafiya da cutar kansa ya kamata a yi bincike sosai.

Magunguna sun haɗa da:

• Corticosteroids (dexamethasone) ana iya bayar dashi don rage kumburi da kumburi a kewayen ƙashin baya.
• Ana iya buƙatar aikin tiyata na gaggawa don sauƙaƙa matsawa a kan lakar kashin baya. Wasu ciwace ciwace za'a iya cire su gaba daya. A wasu lokuta kuma, ana iya cire wani ɓangaren ƙari don sauƙaƙa matsa lamba a kan lakar kashin baya.
• Mayila za a iya amfani da maganin kashe hasken rana tare da, ko maimakon, tiyata.
• Chemotherapy ba a tabbatar da tasiri ga mafi yawan ƙwayoyin cuta na asali ba, amma ana iya ba da shawarar a wasu yanayi, ya danganta da nau'in ƙari.
• Ana iya buƙatar maganin jiki don inganta ƙarfin tsoka da ikon yin aiki kai tsaye.

Sakamakon ya bambanta dangane da ƙari. Gano asali da magani yawanci yakan haifar da kyakkyawan sakamako.

Lalacewar jijiya sau da yawa yakan ci gaba, koda bayan tiyata. Kodayake akwai yiwuwar yawan nakasa ta dindindin, magani na farko na iya jinkirta babban nakasa da mutuwa.

Kira mai ba ku sabis idan kuna da tarihin ciwon daji kuma ku sami mummunan ciwon baya wanda ba zato ba tsammani ko ya ƙara muni.

Je zuwa dakin gaggawa ko kira 911 ko lambar gaggawa na gida idan kuka ci gaba da sababbin alamu, ko alamunku sun daɗa taɓarɓarewa yayin maganin ciwon ƙwayar ƙashi.

Tumor - kashin baya

• Vertebrae
• Ciwan kashin baya

DeAngelis LM. Tumurai na tsarin kulawa na tsakiya. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 180.

Jakubovic R, Ruschin M, Tseng CL, Pejovic-Milic A, Sahgal A, Yang VXD. Tiyata tiyata tare da shirin kula da fuka-fuka na kashin baya. Yin tiyata. 2019; 84 (6): 1242-1250. PMID: 29796646 pubmed.ncbi.nlm.nih.gov/29796646/.

Moron FE, Delumpa A, Szklaruk J. Ciwan daji. A cikin: Haaga JR, Boll DT, eds. CT da MRI na Dukan Jiki. Na 6 ed. Philadelphia, PA: Elsevier; 2017: babi na 30.

Niglas M, Tseng CL, Dea N, Chang E, Lo S, Sahgal A. Spunƙarar ƙwayar cuta. 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 54.