Waɗanne Zaɓuɓɓukan Jiyya ke wanzu don Ciwon Nono Mai Ciwo?

Wadatacce

• Hormone far
• Miyagun ƙwayoyi
• Chemotherapy
• Radiation
• Tiyata
• Magungunan ciwo
• Theraparin hanyoyin kwantar da hankali
• Layin kasa

Samun ciwon sifa na ci gaba zai iya zama kamar kuna da zaɓi kaɗan ko babu magani. Amma ba haka bane. Gano abin da zaɓuɓɓuka ke samuwa a gare ku, kuma fara farawa kan madaidaicin nau'in magani.

Hormone far

Akwai hanyoyin kwantar da hankula da yawa don magance mai karɓar haɓakar haɓakar haɓakar-tabbatacce (mai karɓar estrogen-tabbatacce ko mai karɓar rashi mai ƙarfi)

Tamoxifen magani ne na baka na yau da kullun ga matan da basu yi aure ba.

Magungunan Aromatase magunguna ne na baka don mata masu haihuwa. Wadannan na iya haɗuwa da ƙwayoyi masu niyya irin su palbociclib (Ibrance) ko everolimus (Afinitor). Masu hana aromatase sun hada da:

• anastrozole (Arimidex)
• misali (Aromasin)
• (femara)

Sakamakon sakamako na hanyoyin kwantar da hankulan roba na iya haɗawa da:

• walƙiya mai zafi da dare
• bushewar farji
• saukar da jima'i
• canjin yanayi
• rikicewa a cikin jinin al'ada a cikin mata masu haila
• ciwon ido
• karin kasadar jini, bugun jini, da ciwon zuciya
• asarar kashi

Hormonal hanyoyin kwantar da hankali ba su da tasiri a cikin maganin mai karɓar hormone-mummunan ƙwayar nono.

Miyagun ƙwayoyi

Magunguna da yawa suna ƙaddamar da cutar kansa na HER2-tabbatacce. Lura cewa waɗannan hanyoyin kwantar da hankali ba magunguna masu tasiri ba ne ga HER2-mummunan ƙwayar nono.

Trastuzumab (Herceptin) ana gudanar dashi ta hanzari kuma galibi ana sanyashi a haɗe tare da cutar sankara. Halin farko yana ɗaukar kusan minti 90. Bayan wannan, allurai sun fi ƙanƙanta kuma suna ɗaukar rabin awa. Daga cikin mawuyacin tasirin akwai:

• jiko dauki
• zazzaɓi
• tashin zuciya da amai
• gudawa
• cututtuka
• ciwon kai
• gajiya
• kurji

Pertuzumab (Perjeta) kuma ana gudanar dashi ta hanji. Halin farko yana ɗaukar awa ɗaya. Ana iya maimaita shi kowane mako uku a cikin ƙananan allurai. Sau da yawa ana amfani dashi tare da chemotherapy. Hanyoyi masu illa daga pertuzumab tare da chemotherapy na iya haɗawa da:

• tashin zuciya
• gudawa
• asarar gashi
• gajiya
• kurji
• numbness da tingling (ƙananan neuropathy)

Wani magani da aka sha ta hanji, ado-trastuzumab emtansine (Kadcyla) ana gudanar dashi duk bayan kwana 21. Daga cikin mawuyacin tasirin akwai:

• jiko dauki
• gajiya
• tashin zuciya
• ciwon kai da ciwo na tsoka
• maƙarƙashiya
• hanci yana zubar da jini

Lapatinib (Tykerb) magani ne na baka. Ana iya amfani dashi shi kaɗai ko a haɗa shi tare da chemotherapy ko wasu ƙwayoyi masu niyya. Dogaro da waɗanne magunguna ake haɗuwa da su, lapatinib na iya haifar da:

• gudawa
• tashin zuciya da amai
• kurji
• gajiya

Ana amfani da hanyoyin kwantar da hankula masu zuwa don magance rashi mai karɓa na hormone-tabbatacce / HER2-cututtukan nono:

Palbociclib (Ibrance) ana amfani da shi ne ta hanyar amfani da mai hana aromatase. Hanyoyi masu illa na iya haɗawa da:

• tashin zuciya
• ciwon baki
• asarar gashi
• gajiya
• gudawa
• ƙara haɗarin kamuwa da cuta

Magungunan everolimus na baka (Afinitor) ana shan shi da baki kuma ana amfani dashi tare da misalan (Aromasin). Yawanci ba a amfani da shi har sai bayan an gwada letrozole ko anastrozole. Hanyoyi masu illa masu haɗari sun haɗa da:

• karancin numfashi
• tari
• rauni
• ƙara haɗari ga kamuwa da cuta, yawan jini, da yawan jini

Chemotherapy

Ana iya amfani da Chemotherapy don kowane irin ciwon nono. Mafi yawan lokuta, wannan zai haɗa da haɗin magungunan ƙwayoyi da yawa.

Babu wani magani na hormonal ko maganin da aka yi niyya don cutar sankarar mama waɗanda duka masu karɓar homon ne-mara kyau da HER2-korau (wanda aka sani da cutar sankarar nono sau uku, ko TNBC). Chemotherapy shine farkon layi a cikin waɗannan lamuran.

Chemotherapy magani ne na yau da kullun. Zai iya isa ya lalata ƙwayoyin kansa a ko'ina cikin jikinka. A karkashin wasu halaye, ana iya isar da magunguna na chemotherapy kai tsaye zuwa wani yanki na ƙwayar cuta, kamar hanta ko ruwan da ke kewaye da kwakwalwarka.

Ana amfani da kwayoyi cikin jini. Kowane zaman jiyya na iya ɗaukar awanni da yawa. Ana bayar da shi a lokaci na lokaci har zuwa makonni da yawa. Wannan don bawa jikinka damar warkewa tsakanin jiyya.

Chemotherapy magunguna suna da inganci saboda suna kashe ƙwayoyin kansa masu saurin saurin girma. Abun takaici, suma suna iya kashe wasu ƙwayoyin rai masu saurin girma. Hakan na iya haifar da tarin illoli masu illa, gami da:

• tashin zuciya da amai
• asarar gashi
• rasa ci
• maƙarƙashiya ko gudawa
• gajiya
• canje-canje ga fata da ƙusa
• ciwon baki da kuma fitar da gumis
• canjin yanayi
• asarar nauyi
• asarar sha'awar jima'i
• matsalolin haihuwa

Radiation

A wasu yanayi, maganin raɗaɗɗiya na iya taimaka wajan magance cutar sankarar mama. Wasu misalai sune:

• niyya metastasis a wani yanki, kamar kwakwalwarka ko laka
• taimakawa hana karaya a kashin kasusuwa
• niyya akan ƙari wanda ke haifar da rauni
• magance toshewar jijiyoyin jini a cikin hanta
• samar da taimako mai zafi

Maganin kashe kai yana da zafi. Amma yana iya haifar da fushin fata na ɗan lokaci da gajiya na dogon lokaci. Yawancin lokaci ana gudanar da shi kowace rana har zuwa makonni bakwai, don haka akwai sadaukar da lokacin yau da kullun.

Tiyata

Yin aikin tiyata na iya kasancewa wani ɓangare na maganin cutar kansar nono na wasu dalilai. Misali ɗaya shine tiyata don cire ƙari wanda ke danna kan kwakwalwarka ko laka.

Ana iya amfani da tiyata a haɗe tare da maganin fuka-fuka.

Magungunan ciwo

Za'a iya amfani da ƙwayoyi da yawa don magance ciwo mai alaƙa da ci gaba da ciwon nono.

Kuna iya farawa tare da masu rage radadin ciwo. Daga cikinsu akwai:

• acetaminophen (Tylenol)
• ibuprofen (Advil, Motrin)
• naproxen (Aleve, Naprosyn)

Yi magana da likitanka kafin amfani da magunguna marasa magani. Wasu na iya tsoma baki tare da sauran jiyya.

Don ƙarin ciwo mai tsanani, likitanka na iya tsara maganin opioid kamar:

• morphine (MS Nahiyar)
• oxycodone (Roxicodone)
• wayar lantarki (Dilaudid)
• fentanyl (Duragesic)
• metadone (Dolophine)
• wayar murya (Opana)
• gagarinsu (Buprenex)

Hanyoyi masu illa na iya haɗawa da bacci, maƙarƙashiya, da jiri. Wadannan magunguna masu karfi ya kamata a sha kwatankwacin yadda aka umarta.

Wadannan ana amfani dasu gaba ɗaya don ciwo saboda ƙashin ƙashi:

• bisphosphonates: zoledronic acid (Zometa) ko pamidronate (Aredia), ana ba su ta hanji
• RANK ligand inhibitor: denosumab (Xgeva ko Prolia), an ba shi ta allura

Wadannan kwayoyi na iya taimakawa rage haɗarin karayar ƙashi. Muscle da ciwo na kashi sune tasiri mai illa.

Sauran nau'ikan magunguna don ciwo na ciwon nono na gaba sune:

• maganin damuwa
• masu cin amanan
• steroids
• maganin sa cikin gida

Wasu mutane suna da matsalar haɗiye kwayoyin. A wannan yanayin, akwai wasu magungunan ciwo a cikin ruwa ko fatar faci. Wasu za a iya gudanar da su ta hanyar jijiyoyin jini ko kuma ta hanyar tashar shan magani ko catheter.

Theraparin hanyoyin kwantar da hankali

Wasu hanyoyin kwantar da hankali wanda zasu iya taimakawa magance ciwo sune:

• acupuncture
• zafi da sanyi
• tausa far
• motsa jiki mai sauƙi ko maganin jiki
• dabarun hutu kamar su tunani da shiriyar hoto

Layin kasa

Jiyya don ci gaban kansar nono za a dace da buƙatun mutum da kuma matsayin cutarku. Zai yiwu ya ƙunshi jiyya da yawa a lokaci guda. Ya kamata ya zama mai sassauƙa, yana canza yadda bukatunku suka canza.

Likitanku zai kula da lafiyarku da alamunku. Ba lallai ba ne ku ci gaba da maganin da ba sa aiki.

Kyakkyawan sadarwa tare da likitanka yana da mahimmanci don cimma mafi kyawun ingancin rayuwa.