Ciwon daji na madaciya

**Ciwon daji na madaciya** wani ciwon daji ne wanda ba a cika gani ba tare da faruwar ƙasa da lokuta 2 a cikin mutane 100,000 a kowace shekara a Amurka.  Ya zama ruwan dare musamman a tsakiya da Kudancin Amurka, tsakiya da gabashin Turai, Japan da arewacin Indiya; haka nan ya zama ruwan dare a wasu kabilu misali Indiyawan Amurkawa da Hispanic.  Idan an gano shi da wuri, ana iya warkewa ta hanyar cire madaciyar wani ɓangaren hanta da kuma ƙwayoyin lymph masu alaƙa. Mafi yawan lokuta ana samun shi bayan bayyanar cututtuka kamar ciwon ciki, jaundice da amai, kuma ya yadu zuwa wasu gabobin kamar hanta.

Wani ciwon daji ne da ba kasafai ake tunanin yana da alaka da fitar duwatsun ciki ba, wanda kuma zai iya haifar da yin karfi na madaciyar, yanayin da aka sani da porcelain na madaciya  shima ba kasafai bane. Wasu nazarin sun nuna cewa mutanen da ke da pocelain madaciyar suna da babban haɗarin kamuwa da ciwon daji na madaciyar, amma wasu nazarin suna tambayar wannan. Ra'ayin ba shi da kyau don farfadowa idan an gano ciwon daji bayan bayyanar cututtuka sun fara faruwa, tare da tsawon shekaru 5 na rayuwa kusan 3%.

## Alamomi da alamomi

* Ciwo mai tsayi a cikin babba na dama
* Rashin narkewar abinci
* Dyspepsia (gas)
* Mutuwar amai
* Rauni
* Rashin ci
* Rage nauyi
* Jaundice da amai saboda toshewa

Alamun farko sunayin shige da ciwon madaciya irin na duwatsun ciki. Daga baya, alamomin na iya zama na irin na toshewar hanyar madaciyar da toshewar ciki. A bayanin kula, dokar Courvoisier ta bayyana cewa a samun madaciya wadda take mai girma da ƙarfi wanda ba shi da zafi sosai kuma yana tare da jaundice mara zafi, da wuya dalilin ya zama ciwon dutsin madaciya. Wannan yana haifar da yiwuwar cutar madaciya ko kuma ta saifa, kuma kumburin ba zai iya zama wai  saboda ciwon dutsin madaciya ba,  se dai ze iya zama saboda kumburin da ke da alaƙa da madaciyar  wanda yakesaka ta tayo kasa daga wurin da take a cikin jiki, wanda ba a iya ganewa. 

Duk da haka, ainihin abin lura na Ludwig Georg Courvoisier, wanda aka buga a Jamus a cikin 1890, babu sahihin ingancin wannan dokaba, kuma ba a ambaci mummunan rauni ko ciwo ba. Waɗannan batutuwa galibi sunada kuskure sanna suna kawo rudani  a cikin littattafan likitanci.

## Abubuwan dake janyo cutar dajin madaciya
Bincike da wuri ba abu bane wanda ze iya yiyuwa  ba. Mutanen da ke cikin haɗari  kamuwa da ciwon mai yawa, sun hada da  mata ko ’yan asalin ƙasar Amirka masu ciwon dutsen madaciya, ana kimanta su sosai. Awo wanda suka hada da trans Abdominal ultrasound, CT scan, endoscopic duban dan tayi, MRI, da MR cholangio-pancreatography (MRCP) za a iya amfani dashi don ganewar asali. Ana samun adadi mai yawa na ciwon daji na madaciya ba zato ba tsammani a cikin marasa lafiya da ake tunanin cewa sunada cutar cholelithiasis, ko samuwar ciwon dutse na madaciya wanda ya fi kowane yawa Biopsy ita ce kawai takamammen hanyar da za a iya sanin ko ko ciwon dajin yana kara gaba ne ko kuma  a'a.

## ganewar asali daban-daban
anthogranulomatous cholecystitis (XGC) wani nau'i ne na cutar madaciya wanda  yake kama da cutar dajin madaciya duk da cewa shi ba ciwon daji bane.   An gano shi kuma an ruwaito shi a cikin wallafe-wallafen  littafan likitanci na 1976 ta JJ McCoy Jr., da abokan aikinsa.  

## Magani
Idan an gano cutar da wuri a matakin da bai yaɗu ba, ana iya magance cutar dagin madaciyar  ta hanyar tiyata. Yin tiyata don ciwon daji na madaciyar  ana kiransa radical cholecystectomy ko  cholecystectomy mai tsawo.  Ya kunshi cire madaciya tare da cire gadon hanta zuwa wuri mai lafiya. Hakanan an cire nodes na lymph  wadanda ke a kusa. Wani lokaci akan buƙaci cire babban ɓangaren hanta da ake kira hepatectomy don samun ingancin cire cutar dajin gaba ɗaya. magudanar madaciya  shima yana buƙatar cirewa idan yashafeshi.  Duk da haka, rashin kula  da ciwon daji na madaciya, yawancin marasa lafiya za su mutu a cikin shekara guda dayin  tiyata. Idan tiyata ba zai yiwu ba, endoscopic stenting ko percutaneous transhepatic biliary magudanun ruwa (PTBD) na bishiyar biliary zai iya rage jaundice kuma stent a cikin ciki na iya rage yin  amai. Hakanan ana iya amfani da magani na amfani da haske na amfani da  radiation tare da tiyata. Idan an gano ciwon daji na gallbladder bayan cholecystectomy don cutar dutse (ciwon daji mai saurin faruwa), za'a bukaci sake yin sake yin aiki don cire ɓangaren hanta da ƙwayoyin lymph a mafi yawan lokuta. idan  aka yi shi da wuri-wuri, marasa lafiya sunasamun  damar rayuwa na dogon lokaci har ma da warkewa. 

## kididdigar ciwo
Yawancin ciwace-ciwacen daji sune adenocarcinomas ne,kashi kadan kuma sunkasance  ciwo sun kasance  ciwon daji na  squamous cell.

* Ba'a cika samun Ciwon daji na madaciya ba,  sedai kuma   yana shafar mutane kasa da 5000 a Amurka a kowace shekara 
* Ciwon daji na madaciya  ya fi yawa a ƙasashen Kudancin Amirka, Japan, da Isra'ila; a kasar Chile, ciwon daji na madaciya  shine na hudu mafi yawan  mutuwar  sanadin cuwon daji.
* Na 5 a cikin  yawan ciwon daji na ciki
* har yawan linki  5 ya fi yawa  cikin mata fiye da maza dangane da yawan jama'a (misali kashi 73% na mace a China) 
* Matsakaicin shekarun da aka daidaita yawan cutar  dajin madaciyar  ya fi girma a Chile, sannan a cikin jihar Assam a Indiya 

## Hasashen
Hasashen har yanzu ya kasance mara inganci. Ciwon daji yakan yadu zuwa hanta, bile madaciya, ciki, da kuma yan hanji . 

## Manazarta