Daaweynta Photodynamic ee kansarka

Daawada loo yaqaan 'Photodynamic therapy' (PDT) waxay isticmaashaa daawo ay weheliso nal gaar ah si loo dilo unugyada kansarka.

Ugu horreyn, dhakhtarku wuxuu duraa dawo ay nuugaan unugyada jirka oo dhan. Daroogadu waxay ku sii jirtaa unugyada kansarka in ka badan inta ay ku sii jirto unugyada caadiga ah ee caafimaadka qaba.

1 ilaa 3 maalmood kadib, dawada ayaa ka baxday unugyada caafimaadka qaba, laakiin waxay kusii jirtaa unugyada kansarka. Kadib, dhakhtarku wuxuu toosiyaa iftiinka unugyada kansarka isagoo adeegsanaya leysar ama ilo kale oo iftiin ah. Iftiinka wuxuu kiciyaa daawada si loo soo saaro nooc oksijiin ah oo kansarka daweeya iyadoo:

• Dila unugyada kansarka
• Waxyeello u geysta unugyada dhiigga ee burada
• Caawinta nidaamka la dagaallanka infekshinka jirka wuxuu weeraraa buro

Iftiinka wuxuu ka imaan karaa leysarka ama ilo kale. Iftiinka waxaa badanaa lagu mariyaa tuubbo dhuuban oo khafiif ah oo la geliyo jirka gudihiisa. Fiilooyin yaryar oo ku yaal dhamaadka tuubbada ayaa tooshka u saara iftiinka unugyada kansarka. PDT waxay daweysaa kansarka:

• Sambabka, iyadoo la isticmaalayo qalabka loo yaqaan 'bronchoscope'
• Esophagus, iyadoo la adeegsanayo endoscopy sare

Dhakhaatiirtu waxay u isticmaalaan diyoolaj soo-baxa (LEDs) si ay u daaweeyaan kansarka maqaarka ku dhaca. Dawada ayaa la saaraa maqaarka, nalka ayaa u dhalaalaya maqaarka.

Nooc kale oo ah PDT wuxuu adeegsadaa mashiin si loo ururiyo dhiigga qofka, kaas oo markaa lagu daweeyo dawo loona soo bandhigo iftiinka. Kadib, dhiiga ayaa loo celiyaa qofka. Tan waxaa loo isticmaalaa in lagu daaweeyo astaamaha nooc ka mid ah lymphoma.

PDT waxay leedahay faa'iidooyin dhowr ah. Tusaale ahaan, waa:

• Bartilmaameedka kaliya unugyada kansarka, ma ahan unugyada caadiga ah
• Marar badan ayaa lagu celin karaa isla aagga, si ka duwan daaweynta shucaaca
• Ka khatar yar qalliinka
• Waxay qaadataa waqti kayar kana kharash yar daaweynta badan ee kansarka kale

Laakiin PDT sidoo kale waxay leedahay cillado. Waxay daaweyn kartaa oo keliya meelaha iftiinka uu gaari karo. Taas macnaheedu waxa weeye waxaa loo isticmaali karaa oo keliya in lagu daaweeyo kansarka maqaarka hoostiisa ama hoostiisa, ama lakabyada xubnaha qaarkood. Sidoo kale, looma isticmaali karo dadka qaba cudurada dhiigga qaarkood.

Waxaa jira laba waxyeelo oo weyn oo PDT ah. Mid ka mid ah waa falcelin uu keeno iftiinka maqaarka oo barara, gubta, ama nabaro ka dib daqiiqado yar oo qorrax ah ama u dhow nal dhalaalaya. Dareen-celintaani waxay socon kartaa illaa 3 bilood daaweynta ka dib. Si looga fogaado:

• Xidho daahyada iyo daahyada dariishadaha iyo nalalka cirka ee gurigaaga kahor intaadan daawaynta helin.
• Soo qaado muraayadaha madow, galoofisyo, koofiyad ballaadhan, oo xidho dhar daboolaya inta ugu badan ee maqaarkaaga ee daaweyntaada.
• Ugu yaraan hal bil daaweyn kadib, gudaha kujiro sida ugu macquulsan, gaar ahaan inta udhaxeysa 10 subaxnimo ilaa 4 galabnimo.
• Dabool maqaarkaaga markasta oo aad banaanka u baxdo, xitaa maalmaha daruuraha iyo gaariga. Ha ku xisaabtamin muraayadda qorraxda, kama hortegi doonto ficil-celinta.
• HA ISTICMAALIN laambadaha wax akhriska oo ka fogow laambadaha imtixaanka, sida nooca dhakhtarka ilkaha u isticmaalo.
• HA ISTICMAalin qalajiyaha timaha u eg ee koofiyadda sida kuwa ku yaal meelaha lagu qurxiyo timaha. Isticmaal kaliya kuleylka hooseeya markaad isticmaaleysid qalajiyaha timaha gacanta lagu haysto.

Saameynta kale ee ugu weyn waa barar, oo sababi kara xanuun ama dhibaato neefsashada ama wax liqidda. Kuwani waxay kuxiran yihiin aagga la daweeyey. Dhibaatooyinka soo raaca waa ku meel gaar.

Daaweynta Fototherapy; Daaweynta sawir-qaadista; Daaweynta sawir qaadista; Kansarka hunguriga - photodynamic; Kansarka hunguriga - fotodynamic; Kansarka sambabka - sawir qaadista

Websaydhka Bulshada Kansarka ee Maraykanka. Helitaanka daaweynta sawir-qaadista. www.cancer.org/treatment/treatments-and-side-effects/treatment-types/radiation/photodynamic-therapy.html. La cusbooneysiiyay Diseembar 27, 2019. Waxaa la helay Maarso 20, 2020.

Lui H, Richer V. Daaweynta Photodynamic. Gudaha: Bolognia JL, Schaffer JV, Cerroni L, eds. Cudurka maqaarka. 4aad. Philadelphia, PA: Elsevier; 2018: cutubka 135.

Websaydhka Machadka Kansarka Qaranka. Daaweynta Photodynamic ee kansarka. www.cancer.gov/about-cancer/treatment/types/surgery/photodynamic-fact-sheet. La cusbooneysiiyay Sebtember 6, 2011. La helay Noofambar 11, 2019.

• Kansarka