Kansarka beerka - kansarka beerka

Cudurka 'hepatocellular carcinoma' waa kansar ka bilaabma beerka.

Cudurka kansarka 'Hepatocellular carcinoma' ayaa ugu badan kansarka beerka. Noocan ah kansarku wuxuu badanaa ku dhacaa ragga marka loo eego dumarka. Badanaa waxaa lagu ogaadaa dadka jira 50 ama ka weyn.

Cudurka 'hepatocellular carcinoma' ma aha mid la mid ah kansarka ku dhaca beerka metastatic, kaasoo ka bilaabma xubin kale (sida naaska ama xiidanka) kuna faafa beerka

Xaaladaha badankood, sababta kansarka beerka waa dhaawac waqti dheer ah iyo nabar ku dhaca beerka (cirrhosis). Cirrhosis waxaa sababi kara:

• Ku xadgudubka khamriga
• Cudurada autoimmune ee beerka
• Cagaarshowga B ama caabuqa fayraska cagaarshowga C
• Caabuq ku dhaca beerka oo muddo dheer ah (dabadheeraad ah)
• Xad dhaafka birta ee jirka (hemochromatosis)

Dadka qaba cagaarshowga B ama C waxay halis weyn ugu jiraan kansarka beerka, xitaa haddii aysan ku dhicin cirrhosis.

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

• Xanuun caloosha ah ama damqasho, gaar ahaan qaybta sare ee midig
• Nabarro fudud ama dhiig bax
• Calool weyne (ascites)
• Maqaarka huruudka ah ama indhaha (cagaarshow)
• Miisaanka oo yaraada sabab la’aan

Bixiyaha xanaanada caafimaadka ayaa sameyn doona baaritaan jireed wuxuuna weydiin doonaa astaamahaaga. Baadhitaanka jirka ayaa laga yaabaa inuu muujiyo beer balaaran, jilicsan ama calaamado kale oo cirrhosis ah.

Haddii adeeg bixiyuhu ka shakiyo kansarka beerka, baaritaannada la dalban karo waxaa ka mid ah:

• Sawirka CT-ga ee caloosha
• Sawirka MRI caloosha
• Ultrasound caloosha
• Cad ka-qaadista beerka
• Tijaabooyinka shaqada beerka
• Serum alpha fetoprotein

Dadka qaarkiis ee leh fursadda sare ee inuu ku dhaco kansarka beerka ayaa laga yaabaa inay helaan baaritaano dhiig oo joogto ah iyo ultrasounds si loo arko in burooyinku soo baxayaan iyo in kale

Si sax ah loo ogaado kansarka cagaarshowga, biopsy ee burooyinka waa in la sameeyaa.

Daaweyntu waxay kuxirantahay sida kansarku usii fiicanyahay.

Qalliin waa la sameyn karaa haddii burooyinka aysan faafin. Qalliinka ka hor, burooyinka waxaa lagu daaweyn karaa kiimiko ku daaweynta si loo yareeyo cabirkiisa. Tan waxaa lagu sameeyaa iyadoo daawada toos loogu geeyo beerka tuubbo (kateetar) ama la siiyo faleebo (IV).

Daaweynta shucaaca ee aagga kansarku sidoo kale way caawin kartaa.

Goynta waa hab kale oo loo isticmaali karo. Ablate macnaheedu waa in la burburiyo. Noocyada baabi'inta waxaa ka mid ah adeegsiga:

• Mowjadaha raadiyaha ama mowjadaha
• Ethanol (aalkolo) ama aashitada aashitada (khal)
• Qabow daran (qaylinta)

Beerka beerka ayaa lagu talin karaa.

Haddii kansarka qalliin looga saari waayo ama ku faafo meel ka baxsan beerka, badiyaa ma jirto fursad daaweyn muddo dheer ah. Daaweyntu waxay beddelkeeda diiradda saartaa hagaajinta iyo kordhinta nolosha qofka. Daaweynta xaaladdan waxay u adeegsan kartaa daaweyn lala beegsaday daawooyin loo qaadan karo kiniin ahaan. Daawooyinka difaaca jirka ee cusub ayaa sidoo kale la isticmaali karaa.

Waad yareyn kartaa diiqada jirrada adoo ku biiraya kooxda taageerta kansarka. La wadaagida dadka kale ee leh khibradaha guud iyo dhibaatooyinka ayaa kaa caawin kara inaadan kali dareemin.

Haddii kansarka aan si buuxda loo daaweyn karin, cudurku badanaa waa dilaa. Laakiin badbaadadu way kala duwanaan kartaa, iyadoo kuxiran sida uu kansarku u horumarsan yahay markii la ogaado iyo sida daaweynta u guuleysato.

Wac daryeel bixiyahaaga haddii aad isku aragto xanuun caloosha ah oo socda, gaar ahaan haddii aad taariikh u leedahay cudurka beerka.

Tallaabooyinka ka hortagga waxaa ka mid ah:

• Kahortaga iyo daaweynta cagaarshowga fayraska ayaa kaa caawin kara yareynta halistaada. Talaalka caruurta ee cagaarshowga B wuxuu yareyn karaa halista kansarka beerka mustaqbalka.
• Ha cabin qaddar xad dhaaf ah oo khamri ah.
• Dadka qaba noocyo ka mid ah hemochromatosis (xad dhaafka birta) waxay u baahan karaan in laga baaro kansarka beerka.
• Dadka qaba cagaarshowga B ama C ama cirrhosis ayaa lagula talin karaa baaritaanka kansarka beerka.

Kansarka asaasiga ah ee beerka; Buro - beerka; Kansarka - beerka; Cagaarshowga

• Nidaamka dheefshiidka
• Cad ka-qaadista beerka
• Kansarka Cagaarshowga - CT scan

Abou-Alfa GK, Jarnagin W, Dika IE, et al. Beerka iyo kansarka sanbabada. Gudaha: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6aad ed. Philadelphia, PA: Elsevier; 2020: cutubka 77.

Di Bisceglie AM, Befeler AS. Burooyinka cagaarshowga iyo fiixyada. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger iyo Cudurka Mindhicirka iyo Beerka ee Fordtran: Pathophysiology / Diagnosis / Management. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 96.

Websaydhka Machadka Kansarka Qaranka. Daaweynta kansarka beerka aasaasiga ah ee qaangaarka ah (PDQ) - nooca xirfadlaha caafimaadka. www.cancer.gov/types/liver/hp/adult-liver-treatment-pdq. La cusbooneysiiyay Maarso 24, 2019. La helay Ogosto 27, 2019.

Shabakada Shabakada Shabakada Kansarka oo dhameystiran. Tilmaamaha tababarka caafimaadka ee NCCN ee kansarka: kansarka cagaarshowga. Nooca 3.2019. www.nccn.org/professionals/physician_gls/pdf/hepatobiliary.pdf. La cusbooneysiiyay Ogosto 1, 2019. La helay Ogosto 27, 2019.