Wareysi lala yeeshay Dr. Edward M. Wolin, MD
Dhimashada Steve Jobs oo ka timid nooc ka mid ah kansarka qudaarta ee loo yaqaan 'pancreatic neuroendocrine' ayaa kicisay xiisaha kansarka mandheerta. Wareysigan, Dr. Edward Wolin, khabiir kansarka neuroendocrine oo xiriir la leh Xarunta Cedars Sinai Medical Center, ayaa ka wada hadlaya kansarka naaso-wareerka ee ku dhaca pancreatic neuroendocrine iyo sida bukaannada ay ula dagaallamayaan cudurka. Dr. Wolin waa agaasimaha Iskuduwaha Barnaamijka Carcinoid iyo Neuroendocrine Tumor ee Xarunta Cedars-Sinai Medical Center oo leh mid ka mid ah hababka ugu weyn ee qaranka ee ku takhasusay kansarka sanbabada ku dhaca pancreatic neuroendocrine.
Ma uusan daaweyn Steve Jobs.
Ma kuu sharrixi kartaa kansarka nevroendrokore ee pancreatic?
Kansarka neerfaha ee neuroendokin waa burooyin qunyar-socod ah oo ka soo baxa unugyada endocrine (unugyada hoormoonka soo saaro) ee beeryarada, oo loo yaqaanno unugyada islmarka. Inkasta oo burooyinkaasi ay soo saari karaan hoormoonada kala duwan ee hoormoonada, qaar badani ma keenaan hormoonno. Waxay had iyo jeer ku faafaan xuddunta caloosha iyo beerka wakhtiga cudurka. Si kastaba ha ahaatee, sicirka badbaadada badanaa wuu ka sarreeyaa nooca caadiga ah ee kansarka faafa (adenocarcinoma) , xitaa marka ay la socdaan metastasta.
Sidee loo ogaadaa? Ma jiraan wax astaamo ah?
Marka kansarku soo saaraan hormoonnada, calaamadaha hore waxay noqon karaan kuwo daran waxayna u horseedi karaan sameynta ogaanshaha hore. Tusaale ahaan, buraashka soo saarista insulin ayaa keena calaamadaha sonkorta dhiigga ee aad u hooseysa , ama cirridka wax soo saarku wuxuu keenaa calool xanuun iyo boogaha duodenal, taasoo keentay in lagu ogaado baaritaanka CT, scan MRI, ama ultrasoundka endoscopic ee beerka.
Haddii wax soo saarka hoormoonka uusan keenin calaamadaha kiliinikada, burooyinka ayaa badanaa u koraaya cabbirka weyn waxayna ku faafaan beerka iyo goobaha kale xilliga ogaanshaha CT ama MRI. Xaaladahaas, calaamadaha ugu horeeya waxay noqon karaan calool xanuun, cagaarshow, miisaan lumis, xajin, xanuunka caloosha, matagga, finan maqaarka, daciifnimo, iyo shuban.
Yaa halis ugu jira? Miyuu qiyaas ahaan, qofku caafimaadkiisu ka walwalsan yahay kansarka sanbabada neerboorka?
Kuwani waa nadaafad aad u yar, oo ay ku dhacaan 3 xaaladood halkii malyanba Americans, oo lagu qiyaaso 3% kansarka sanbabada. Sidaa daraadeed, celcelis ahaan, qof caafimaad qaba waa inuusan aad uga walaacsaneyn in uu ku dhaco kansarka sanbabada ee ku dhaca pancreatic neuroendocrine. Taas waxaa ka reeban qoysaska qaarkood halkaasoo kansarka faafa ee kansarka nuucoostoki uu yahay mid caadi ah, badanaa wuxuu la wadaagaa burooyinka parathyroid iyo pituitary . Caabuqan qoysaska waxaa loo yaqaan 'multiple neo-neoplasia type 1' (MEN-1).
Ma ognahay waxa keena?
Waxaan ognahay in isbedelka - hidda meninka uu sababo MEN-1, waxaanna ognahay in qaar ka mid ah isbeddellada unugyada unugyada ah ay ku badan yihiin kansarka sanbabada ku dhaca pancreatic neuroendocrine, laakiin badanaaba lama yaqaan.
Ma jiraan siyaabo lagu yareeyo khatarta ama looga hortago kansarka sanbabada neerboyinimada?
Ma jirto siyaabo la yaqaan oo lagu yareeyo khatarta ama looga hortago kansarka sanbabada ee ku dhaca pancreatic neuroendocrine.
Maxaa daaweyn ah oo la heli karaa?
Sababtoo ah caanaha burcadani ee dadweynaha guud, iyo nooca daryeelka gaarka ah ee loo baahan yahay, bukaanka ayaa si weyn loogu dhiirigeliyaa in ay la-talin ka helaan xarun caarad maskaxeed oo gaar ah. Xarumahan oo kale, waxaa jira wada shaqeyn dhow oo lala yeesho daawada kansarka , endocrinology, gastroenterology, patology, qalliinka hepatobiliary, kansarka qalliinka, raajada ka hortagga, shucaaca ogaanshaha, iyo dawooyinka nukliyeerka si loo xoojiyo daryeelka shakhsi ahaaneed ee bukaan kasta.
Daawooyinka waxaa ka mid ah qaliinka hore ee burooyinka aasaasiga ah iyo ciriirigga, cirbadaha korriinka yar-yar ee microwaves, daaweynta burooyinka shucaaca (intrauepatic) iyo daaweynta kemotherabi (chemoembolization), , lagu bartilmaameedsanayo daaweynta radionuclide oo loo yaqaan PRRT, daaweynta difaaca jirka, iyo daawooyinka anti-angiogenic), iyo isticmaalka sunta yar ee sunta kiimikada .
Si aad wax dheeraad ah uga ogaato Dr. Edward Wolin iyo farsamadiisa Xarunta Caafimaadka ee Cedars Sinai, fadlan booqo bogga Cedars Sinai.