Metastases sanbabada

Metastases sambabaha waa burooyinka kansarka ka bilaabma meel kale oo jirka ah kuna fida sambabada.

Burooyinka metastatic ee sanbabada waa kansar ka soo baxay meelo kale oo jirka ka mid ah (ama qaybaha kale ee sanbabada). Kadib waxay ku faafayaan nidaamka dhiigga ama nidaamka lugaha illaa sanbabada. Way ka duwan tahay kansarka sambabka ee ka bilaabma sambabaha.

Ku dhowaad wixii kansar ah wuxuu ku faafi karaa sambabaha. Kansarka caadiga ah waxaa ka mid ah:

• Kansarka kaadiheysta
• Kansarka naasaha
• Kansarka malawadka
• Kansarka kilyaha
• Melanoma
• Kansarka ugxantu
• Sarcoma
• Kansarka qanjirka 'thyroid'
• Kansarka pankreatic
• Kansarka xiniinyaha

Calaamadaha waxaa ka mid noqon kara mid ka mid ah kuwan soo socda:

• Xaako dhiig leh
• Laab xanuun
• Qufac
• Neefta oo kugu yaraata
• Tabar darrida
• Miisaanka oo yaraada

Bixiyaha daryeelka caafimaadka ayaa ku baari doona oo ku weydiin doona taariikhdaada caafimaad iyo astaamahaaga. Tijaabooyinka la qaadi karo waxaa ka mid ah:

• Bronchoscopy si loo daawado marinnada hawada
• Laabta CT iskaanka
• Raajo xabadka ah
• Daraasadaha cilmiga ah ee dareeraha dareeraha ama xaakada
• Cad ka-qaadista cirbadda sanbabka
• Qalliin si looga qaado sambal unug ah sambabaha (qalliinka sambabka qalliinka)

Chemotherapy waxaa loo isticmaalaa in lagu daweeyo kansarka naasaha ee sambabka. Qalliin si looga saaro burooyinka waxaa la sameyn karaa markii mid ka mid ah kuwan soo socda ay dhacaan:

• Kansarku wuxuu ku faafay kaliya meelaha xaddidan ee sanbabada
• Burooyinka sambabaha ayaa gebi ahaanba laga saari karaa qalliin

Si kastaba ha noqotee, burada ugu weyn waa inay noqotaa mid la daaweyn karo, qofkuna waa inuu ahaadaa mid awood ku filan si uu u maro qalliinka iyo soo kabashada.

Daaweynta kale waxaa ka mid ah:

• Daaweynta shucaaca
• Ku meelaynta stents gudaha marinnada hawada
• Daaweynta laser-ka
• Adeegsiga baaritaanka kuleylka deegaanka si loo baabi'iyo aagga
• Adeegsiga heerkul aad u qabow si loo baabi’iyo aagga

Waad yareyn kartaa culeyska jirrada adoo ku biiraya koox taageero ah oo xubnuhu ay wadaagaan khibrado iyo dhibaatooyin caadi ah.

Daaweyn uma badna inta badan kiisaska kansarka ee ku faafay sambabaha. Laakiin aragtida waxay kuxirantahay kansarka ugu weyn. Marar dhif ah, qofku wuxuu la noolaan karaa in ka badan 5 sano kansarka kansarka ilaa sanbabada.

Adiga iyo reerkaaguba waxaad rabi kartaan inaad bilowdaan ka fikirida qorsheynta nolosha dhamaadka, sida:

• Daryeelka daweynta
• Daryeelka Hospice
• Dardaarannada daryeelka ee hore
• Wakiilada daryeelka caafimaadka

Dhibaatooyinka burooyinka metastatic ee sanbabada waxaa ka mid noqon kara:

• Dheecaanka u dhexeeya sanbabada iyo gidaarka laabta (pleural effusion), oo sababi kara neefta oo ku qabata ama xanuun marka aad neefsanayso
• Faafida dheeraadka ah ee kansarka
• Dhibaatooyinka soo raaca ee kemotherabi ama daaweynta shucaaca

Wac daryeel bixiyahaaga haddii aad taariikh u leedahay kansarka oo aad ku dhacdo:

• Qufac dhiig
• Qufac joogto ah
• Neefta oo kugu yaraata
• Miisaanka oo yaraada sabab la’aan

Dhammaan kansarrada lagama hortagi karo. Hase yeeshe, inbadan ayaa looga hor tagi karaa:

• Cunista cuntooyin caafimaad qaba
• Jimicsi joogto ah
• Xaddididda isticmaalka khamriga
• Sigaar cabid

Metastases ilaa sanbabada; Kansarka metastatic ee sambabka; Kansarka sambabka - metastases; Qalabka sanbabada

• Bronchoscopy
• Kansarka sambabka - raajada feedhaha ee dambe
• Kansarka sambabka - raajada hore ee xabadka
• Neefta Sambabka - aragtida hore raajada xabadka
• Nugul sambabada, kali - CT scan
• Sambabka qaba kansarka unugyada unugyada - CT scan
• Nidaamka neefsashada

Arenberg DA, Pickens A. Burooyinka halista ah ee Metastatic. Gudaha: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray iyo Nadel Buugga Buugga Caafimaadka Neefsashada. 6aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 55.

Hayman J, Naidoo J, Ettinger DS. Metastases-ka Sambabka. Gudaha: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6aad ed. Philadelphia, PA: Elsevier; 2020: baab 57.

Putnam JB. Sambabka, gidaarka laabta, qanjirada, iyo mediastinum. Gudaha: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buugga Qalitaanka. 20aad. Philadelphia, PA: Elsevier; 2017: cutubka 57.