Dhibaatooyinka ka imaanaya saameynaha muddada dheer ee daaweynta shucaaca ayaa noqda mid caan ah, sababtoo ah heerarka badbaadada ayaa sii fiicnaanaya. Maadaama ay jiri karto waxyeelo muddo dheer ah ee daaweynta kiimiko , daaweynta shucaaca waxaa laga yaabaa in ay keento saameynaha soo socda oo laga yaabo in uu bilaabo oo uu la socdo marka daaweynta la dhammeeyo. Dabcan, waa muhiim inaad maskaxda ku hayso in faa'idooyinka daaweyntan badanaaba ay aad uga culus yihiin halis kasta.
Sababta Daaweynta Shucaacu waxay Maxkamadeyn Kartaa Saameynta Muddada-dheer
Daaweynta shucaacu waxay u shaqeysaa iyada oo ay waxyeeleynayaan DNA-da unugyada. Nasiib darro, waxyeeladani ma aha mid la gooyey unugyada kansarka oo kali ah, unugyada caadiga ahna waa la dhaawici karaa.
Cilaaqaadka Saameynaya Khatarta Saameynta Saameynta
Qaar ka mid ah doorsoomayaasha ayaa kordhi kara ama yareyn kara halista aad u leedahay inay ku dhacdo waxyeelo soo noqnoqoshada daaweynta shucaaca. Qaar ka mid ah kuwaan waxaa ka mid ah:
- Da'daada waqtiga shucaaca.
- Qiyaasta shucaaca aad hesho.
- Tirada kulamada daaweynta.
- Nooca kansarka la daweeyey.
- Aagga jirka ee hela shucaaca.
- Daawooyinka kale ee kansarka, sida daweynta kiimiko.
- Xaalado kale oo caafimaad, sida cudurka wadnaha ama macaanka.
Saameynaha Saameynta Muddada Dheer
Waxyaabaha soo socda waa qaar ka mid ah saameynaha muddada dheer ee daaweynta shucaaca. Waa lagama maarmaan in la tilmaamo in daaweynta shucaaca ay soo hagaagtay sanadihii la soo dhaafay; waxaa soo socota hab aad u dheer tan iyo markii loo soo bandhigay in lagu daaweeyo kansarka sanadkii 1903.
Iyadoo lagu qiyaaso qiyaasta saxda ah iyo qaababka cusub ee dhalidda, waxbarashooyinka hore ayaa laga yaabaa in ay kordhiyaan khatarta. Isla markaa, maadaama ay dadku muddo dheer ku noolaanayaan kansarka, saameynta fog ee shucaaca ayaa sii noqonaysa mid muhiim ah. Waxaa lagu qiyaasay in boqolkiiba 50 dadka qaba cudurka kansarku ay heli doonaan daaweynta shucaaca.
Qof kasta ma yeelan doono waxyeello muddo dheer soo raaca daaweynta shucaaca. Dad badani waxay la kulmi doonaan oo kaliya casaan maqaarkooda iyo daal markii wakhtiga daaweynta. Dhinaca kale, waxaa muhiim ah in la ogaado khataraha suurtagalka ah, sida cudurada wadnaha, markaa waxaad noqon kartaa bukaanka awoodda leh , hase yeeshee waa muhiim inaad mar kale sheegto in faa'iidooyinka daaweynta ay badanaaba ka badan tahay khatarta mustaqbalka fog.
Dhiig-yareynta laf-dhabarka
Hypothyroidism waa mid ka mid ah saameynta dambe ee daaweynta shucaaca marka daaweynta shucaaca ay ku lug leedahay qoorta, madaxa, iyo xabadka.
Radiation Fibrosis Syndrome
Fayruska shucaaca waxaa loo maleyn karaa in uu fudud yahay sida lumista laf-dhabarka ee unugyada ka dib shucaac, sababtoo ah calaamad joogta ah. Qaar badan oo ka mid ah dhibaatooyinka soo raaca waxaa sababa fibrooskan kaas oo ku dhici kara meel kasta oo ka mid ah jirka.
Rug-uurjiifka 'Pulmonary Fibrosis'
Fayruska sambabadu waa cirrid joogto ah ee sanbabada oo keeni karta in uu ka yimaado pneumonitis shucaaca aan la daaweyn. Raadinta pneumonitis waa barar sambabada oo dhacaya 1 illaa 6 bilood ka dib marka la dhamaystiro daaweynta shucaaca ee xabadka waxayna ku dhacdaa qiyaastii afar meelood oo dadka lagu daaweeyo shucaac sambabada sanbabada. Maadaama ay calaamaduhu calaamad u yihiin calaamadaha kansarka, ama oof-wareenka, waxaa muhiim ah in la hadlo dhakhtarkaaga wixii ku saabsan calaamadaha neefta cusub.
Cudurka wadnaha ee la xidhiidha daaweynta shucaaca
Cudurka wadnaha waa mid aad u muhiim ah oo aan caadi ahayn oo aan caadi ahayn ee daaweynta shucaaca. Tusaale ahaan, bukaanada qaba cudurka Hodgkin ee qaata daaweynta shucaaca (maaha sida caadiga ah), sababta ugu wayn ee dhimashada waa cudur wadnaha ah, oo aan kansar ahayn. Kuwa khatarta ku jira waxaa ka mid ah dadka qaba shucaac ku dhaca xabadka, oo ay ka mid tahay shucaaca ka dib mastektomi loogu talagalay kansarka naasaha bidixda.
Shucaacu wuxuu u saameyn karaa wadnaha dhowr siyaabood oo kala duwan:
- Cudurka halbowlaha ee halbowlaha - Cudurka halbowlaha ee uu keeno atherosclerosis wuxuu noqon karaa saameyn dhinaca shucaaca.
- Cudurka wadnaha ee wadnaha - Shucaacu wuxuu dhalin karaa waxyeelo gaarta qalabka wadnaha .
- Xaaladaha xasaasiga ah sida istiraatiijiyeyaasha pericardial (dheecaan ka-dhajis ah oo u dhaxeeya lakabyada unugyada wadna wadnaha) iyo pericarditis-ka oo xaddidan .
- Cardiomyopathy - Cardiomyopathy , daciifinta muruqa wadnaha ayaa dhici karta, gaar ahaan marka lagu daro daawooyinka kemotherabi sida Adriamycin (doxorubicin).
- Xanuunada wadnaha oo aan caadi ahayn ( arxanimooyin ).
Calaamadahan waxaa laga yaabaa inaanay muuqan sanado ama tobanaan sano kadib marka la dhameeyo daaweynta shucaaca, sidaas daraadeed waa muhiim inaad u sheegto dhakhtarkaaga haddii aad qabtid xanuun xanuun ama calaamadaha kale ee soo jeediya cudurka wadnaha.
Nasiib wanaag, farsamooyinka cusub sida neefsiga neefsiga (neefta la xakameeyey oo loogu talagalay in la yareeyo soo-gaadhista wadnaha ee shucaaca) ayaa noqonaya mid la heli karo, taas oo yareyn karta khatarta dhibaatadan.
Kansarka Sare
Waxaan ka bartay bamamka aamusnaanta in shucaacu uu sababi karo kansar, iyo xaddiga shucaaca ee lagu bixiyo daaweynta kansarka ayaa sidoo kale laga yaabaa inay halis u tahay.
Kansarka la xiriira dhiigga - Kansarka dhiigga ku dhaca ee sida xuubka dhiigga ee 'myelogenous leukemia' (AML), leukemia leelemia (CML), iyo lymphocytic leukemia (DHAM) waa saameyn naadir ah oo daaweyn shucaac ah, badanaaba laga soo bilaabo shucaaca Hodgkin cudurka ama kansarka naasaha. Khatarta ugu sarreysa 5 ilaa 9 sano ka dib marka la dhameeyo daaweynta shucaaca. Shucaacu wuxuu sidoo kale dhaawici karaa dhuuxa lafta oo keena cudurrada maskaxda ee myelodysplastic , cudurrada dhuuxa lafta, taas oo, lafteeda, waxay ku dhici kartaa leukemia ba'an.
Iskudhafyada Solid - Daaweynta shucaaca waxay sidoo kale kordhin kartaa halista dambe ee burooyinka adag, gaar ahaan kansarka tayroodh iyo kansarka naasaha. Si ka duwan sida kansarrada la xiriira dhiigga, khatarta ugu sarreysa 10 illaa 15 sano ama ka badan marka daaweyntu dhammaato.
Walaaca Cognitive
Daweynta shucaaca, gaar ahaan shucaaca maskaxda, saldhigga qoorta, iyo qoorta waxaa laga yaabaa inuu keeno dhibaatooyinka garashada sida xasuusta xusuusta iyo adkeynta adkeynta.
Walwalka Musqulaha
Cudurka Osteoporosis / jabka - Shucaacu wuxuu keeni karaa daciifinta lafaha, osteoporosis, iyo osteonecrosis . Tusaale ahaan, shucaaca xabadka ayaa keeni kara feeraha si fudud u jaban.
Muruqyada / isgoysyada / xididdada / xididdada - Shucaacu wuxuu wax u dhimi karaa muruqyada iyo qaababka taageerada ee nidaamka muruqyada kaas oo keena dhaqdhaqaaq xadidan, xanuunka, iyo kabuubis.
Nudaha jilicsan - Maqaarka joogtada ah ee maqaarka, telangiectasias (calaamadaha casaan-galka) iyo timo joogto ah ayaa dhici karta shucaac. Shucaacu wuxuu sidoo kale ku dambeyn karaa lymphedema , barar dhacaya natiijada dhaawaca qulqulka lafa-goyska, tusaale ahaan, bararka gacanta oo laga arkay dumarka qaar ka mid ah kansarka naasaha.
Afka Qalalan / indhaha qallalan / Kateka / Dareemaha ilkaha
Dhaawaca qanjidhada salivary iyo qoyaanka iliga ka soo baxa shucaaca illaa madaxa iyo qoorta waxay keeni kartaa afka oo joogto ah ama indhaha qalalan.
Mindhicirka / Kaadiheysta iyo Qalitaanka Jinsiga / Kansarka
Shucaacidda caloosha iyo miskaha ayaa laga yaabaa inay saameeyaan kaadiheysta, xiidanka, iyo xubnaha miskaha ee keena curyaanimo iyo dhalmo la'aan.
Sidee loo yareynayaa Khatartaada
- Sigaar ha cabin - Sigaar-cabiddu waxay kordhisaa halista kansarka sanbabada ka dib shucaac.
- Kala hadal dhakhtarkaaga wixii ku saabsan calaamadaha neefmareenka cusub ee soo bandhigi kara pneumonitis (eeg kor.)
- Weydiiso tijaabooyinka caafimaadka ee loogu talagalay in lagu yareeyo khatarta ah saameynta dambe ee shucaaca.
- Haddii aad yeelanayso shucaac feeraha ah, weydii haddii la heli karo neefsashada neefsashada.
- Dhakhtarkaaga weydii daaweynta jirka haddii dhaqdhaqaaqaagu uu xaddido. Daaweynta jireed ma xiri karto jidhkaaga ee nabarada joogtada ah laakiin badiyaa waxay hagaajin kartaa dabacsanaanta iyo socodka.
Mustaqbalka
Daraasad cilmiyadeed ayaa ku socota iyadoo la eegayo hababka lagu yareeyo khatarta ka iman karta dabeecada dambe ee daaweynta shucaaca, dad badan oo leh natiijooyin rajo leh.
> Ilo:
> Filopei, J., iyo W. Frishman. Cudurka wadnaha ee wadnaha. Cardiology ee Dib u Eegista . 2012. 20 (4): 184-8.
> Krasin, M., Constine, L., Friedman, D., iyo L. Marks. Dhibaatooyinka daaweynta raad-raaca ee la xidhiidha da'da da'da: kala duwanaanshaha iyo wixii la mid ah ama waxa da 'iyo da' yaryar ay ka baran karaan midba midka kale. Mawduucyo ku saabsan Oncology shucaaca . 2010. 20 (1): 21-9.
> Machadka Kansarka Qaranka. Dhibaatooyinka Afka ee Chemotherapy iyo Raadinta Madaxa / Ciridka. Tafaasiisha Caafimaadka ee Caafimaadka. La sii daayo 01/04/16. https://www.cancer.gov/about-cancer/treatment/side-effects/mouth-throat/oral-complications-hp-pdq#section/all
> Stubblefield, M. Radiation fibrosis syndrome: Cudurka neuromuscular iyo murugada muruqyada ee ka badbaaday kansarka. PM & R. 2011. 3 (11): 1041-54.
> Yusuf, S., Sami, S., iyo I. Daher. Dhiig-wadnaha-wadnaha oo loo yaqaan "Radiation-Heart Disease". Cilmi-baarista iyo tijaabinta wadnaha . 2011. 317659.