
2025-03-25 IB
Paub pancreas cov tsos mob Thaum ntxov yog qhov tseem ceeb rau kev kuaj mob raws sij hawm thiab kev tswj xyuas zoo ntawm cov kab mob pancreatic. Kab lus no tshawb txog cov cim qhia ntawm cov teeb meem pancreatic, cov kev kuaj mob, thiab cov kev xaiv kho mob, muab kev nkag siab txog kev tswj hwm tus kab mob pancreatic.
Lub pancreas yog ib qho tseem ceeb hauv nruab nrab ntawm lub plab. Nws ua lub luag haujlwm tseem ceeb hauv kev zom zaub mov los ntawm kev tsim cov enzymes uas zom zaub mov. Nws kuj tseem tsim cov tshuaj hormones xws li insulin thiab glucagon, uas tswj cov ntshav qab zib. Thaum lub txiav ua haujlwm tsis zoo, nws tuaj yeem ua rau muaj ntau yam teeb meem kev noj qab haus huv.
Paub txog cov cim qhia ntxov ntawm cov teeb meem pancreatic yog qhov tseem ceeb rau kev kuaj mob sai thiab kho. Nov yog qee qhov sib txawv pancreas cov tsos mob kom paub txog:
Mob plab yog ib qho uas nquag pancreas cov tsos mob. Qhov mob no tuaj yeem sib txawv ntawm qhov hnyav thiab tuaj yeem hnov hauv lub plab sab sauv lossis tawg mus rau sab nraub qaum. Nws yog feem ntau piav raws li ib tug dull, gnawing mob uas phem zuj zus tom qab noj mov, tshwj xeeb tshaj yog cov khoom noj rog.
Cov teeb meem pancreatic tuaj yeem cuam tshuam kev zom zaub mov, ua rau xeev siab thiab ntuav. Qhov no tshwm sim vim hais tias pancreas tsis tsim cov enzymes txaus los zom cov zaub mov kom raug.
Qhov hnyav thiab tsis tau piav qhia yog lwm yam kev mob tshwm sim. Qhov no tshwm sim vim lub cev tsis nqus cov as-ham zoo vim yog pancreatic enzyme deficiency. Raws li Mayo Clinic, kev poob phaus tsis txhob xav ntau dua 5% ntawm koj qhov hnyav hauv 6-12 lub hlis lossis tsawg dua yog qhov kev txhawj xeeb, thiab yuav tsum tau lees paub kev sim ntxiv.
Cov kev hloov hauv lub plab zom mov, xws li cov quav oily lossis daj ntseg, tuaj yeem qhia tau tias malabsorption vim yog pancreatic enzymes tsis txaus. Cov kev hloov no feem ntau tshwm sim nrog cov quav tsw ntxhiab, tseem hu ua steatorrhea.
Jaundice, yellowing ntawm daim tawv nqaij thiab ob lub qhov muag, tuaj yeem tshwm sim yog tias tus kab mob pancreatic thaiv cov kua tsib. Nws yog ib qho cim qhia tias cov kua tsib tsis txaus los ntawm lub siab mus rau txoj hnyuv.
Lub pancreas tsim cov tshuaj insulin, ib yam tshuaj uas tswj cov ntshav qab zib. Kev puas tsuaj rau tus txiav tuaj yeem ua rau mob ntshav qab zib. Mob ntshav qab zib mellitus tshiab, tshwj xeeb tshaj yog rau cov neeg laus, tuaj yeem ua rau mob qog noj ntshav pancreatic.
Txawm hais tias cov tsos mob tau teev saum toj no feem ntau tshwm sim, lwm cov tsos mob tsis tshua muaj tshwm sim tuaj yeem ua teeb meem rau pancreatic:
Yog tias koj ntsib ib qho ntawm cov tsos mob saum toj no, nws yog ib qho tseem ceeb uas yuav tau sab laj nrog kws kho mob rau kev kuaj mob. Ntau qhov kev ntsuam xyuas tuaj yeem pab txiav txim seb qhov ua rau koj cov tsos mob:
Kev kuaj ntshav tuaj yeem ntsuas qib ntawm pancreatic enzymes (amylase thiab lipase) thiab ntshav qab zib. Cov qib siab tuaj yeem qhia tau tias mob lossis puas rau pancreas.
Kev ntsuam xyuas cov duab zoo li CT scans, MRIs, thiab ultrasounds tuaj yeem muab cov duab ntxaws ntxaws ntawm cov txiav. Cov kev soj ntsuam no tuaj yeem pab tshawb pom cov qog, cysts, lossis lwm yam txawv txav. Ib qho endoscopic ultrasound (EUS) ua ke endoscopy nrog ultrasound kom tau txais kev saib xyuas ntawm pancreas.
ERCP suav nrog kev ntxig lub raj ntev, hloov tau yooj yim nrog lub koob yees duab hauv caj pas kom pom cov kua tsib thiab cov kab mob pancreatic. Nws kuj tseem tuaj yeem siv los kuaj cov ntaub so ntswg rau biopsy.
Kev kuaj quav tuaj yeem ntsuas cov roj hauv cov quav, qhia seb lub txiav ua puas tsim cov enzymes txaus los zom cov rog. Lawv tuaj yeem pab txiav txim seb tus neeg mob puas muaj steatorrhea.
Kev kho mob rau cov kab mob pancreatic yog nyob ntawm qhov tshwm sim. Nov yog qee cov tswv yim kev tswj hwm:
Cov tshuaj Enzyme tuaj yeem pab txhim kho kev zom zaub mov thiab kev nqus cov as-ham rau cov neeg uas muaj pancreatic enzyme insufficiency. Cov tshuaj kho mob tuaj yeem pab tswj kev mob plab. Rau qee tus neeg mob, tshuaj los pab txo cov kua qaub hauv plab tuaj yeem txo qis kev khaus ntxiv rau cov txiav.
Kev noj zaub mov tsis muaj rog tuaj yeem txo qhov ua haujlwm ntawm lub txiav thiab txo cov tsos mob. Tsis txhob haus cawv thiab cov zaub mov ua tiav tuaj yeem pab tau. Kev sab laj nrog tus kws kho mob sau npe tuaj yeem pab cov neeg mob tsim cov phiaj xwm noj mov uas ua haujlwm zoo tshaj plaws rau lawv tus mob.
Kev phais yuav tsim nyog los tshem tawm cov qog, hlwv, lossis txhaws hauv cov kab mob pancreatic. Qhov no feem ntau tshwm sim nrog mob qog noj ntshav pancreatic.
Endoscopic procedures, such as ERCP, can be used to clear blockages in the pancreatic ducts or bile ducts.
Thaum pancreas cov tsos mob tuaj yeem cuam tshuam nrog ntau yam mob, nws yog ib qho tseem ceeb uas yuav tsum xav txog qhov muaj peev xwm ntawm tus mob qog noj ntshav, tshwj xeeb tshaj yog rau cov tib neeg uas muaj kev pheej hmoo xws li haus luam yeeb, ntshav qab zib, lossis tsev neeg keeb kwm ntawm tus kab mob. Kev tshawb pom ntxov yog qhov tseem ceeb rau kev txhim kho cov txiaj ntsig.
Ntawm Shandong Baofa Cancer Research Institute, peb tau mob siab rau kev tshawb fawb txog kev mob qog noj ntshav thiab muab kev saib xyuas zoo rau cov neeg mob. Peb pab pawg kws tshaj lij tsom mus rau kev tshawb pom ntxov thiab kho tshiab rau ntau hom mob qog noj ntshav, suav nrog mob qog noj ntshav pancreatic. Kawm paub ntxiv txog peb txoj kev mob siab rau kev ua tau zoo hauv kev kho mob qog noj ntshav ntawm Shandong Baofa Cancer Research Institute.
Txawm hais tias tsis yog txhua yam teeb meem ntawm pancreatic tiv thaiv tau, qee yam kev xaiv hauv kev ua neej tuaj yeem pab tswj kev noj qab haus huv ntawm pancreatic:
Paub txog pancreas cov tsos mob thiab ua cov kauj ruam tseem ceeb los tswj koj txoj kev noj qab haus huv tuaj yeem pab koj txheeb xyuas thiab tswj cov kab mob pancreatic zoo. Yog tias koj muaj cov tsos mob tshwm sim, nrog rau tus kws kho mob tam sim ntawd.
| Cov tsos mob | Kev piav qhia | Ua Tau |
|---|---|---|
| Mob plab | Upper plab mob radiating rau sab nraum qab | Pancreatitis, mob qog noj ntshav |
| Ntshai thiab ntuav | Xav tias mob thiab ntuav | Pancreatitis, mob qog noj ntshav |
| Tsis tau piav qhia Qhov hnyav poob | poob phaus yam tsis tau sim | Pancreatic cancer, malabsorption |
| Hloov hauv quav | Cov quav oily los yog daj ntseg | Pancreatic enzyme insufficiency |
| daj ntseg | Yellowing ntawm daim tawv nqaij thiab qhov muag | Mob qog noj ntshav pancreatic, duct blockage |
| Mob ntshav qab zib | Kev pib tshiab lossis mob ntshav qab zib hnyav zuj zus | Pancreatic puas tsuaj, mob qog noj ntshav pancreatic |
Cov lus no muab cov ntsiab lus ntawm ntau yam pancreas cov tsos mob. Tham nrog tus kws kho mob kom paub meej tias kev kuaj mob tag nrho.
Nkag siab txog qhov muaj peev xwm pancreas cov tsos mob yog ib qho tseem ceeb rau kev tshawb nrhiav thiab kev tswj xyuas thaum ntxov. Txawm hais tias cov tsos mob no tuaj yeem qhia tau tias muaj ntau yam mob, kev kho mob sai tuaj yeem ua rau muaj kev kuaj mob kom raug thiab kev kho mob tsim nyog, txhim kho tag nrho kev noj qab haus huv thiab kev noj qab haus huv.