Pancreatic Cancer thiab Back Pain: Nkag siab txog kev sib txuas 

Pancreatic mob qog noj ntshav feem ntau yog ib qho tsos mob tshwm sim thaum lub qog pib nias ntawm cov hlab ntsha lossis lwm yam kabmob ze ntawm lub txiav. Qhov mob no tuaj yeem tshwm sim los ntawm qhov mob npub mus rau qhov ntse, mob siab rau thiab tuaj yeem hnov ​​​​hauv sab sauv lossis nruab nrab sab nraub qaum. Kev tshawb pom ntxov thiab kev tswj xyuas yog qhov tseem ceeb rau kev txhim kho cov txiaj ntsig ntawm tus neeg mob. Kev nkag siab txog tus yam ntxwv ntawm qhov mob no, nws muaj peev xwm ua tau, thiab cov kev xaiv kho mob muaj yog qhov tseem ceeb rau cov neeg mob thiab cov kws kho mob.

Nkag siab txog kab mob pancreatic

Lub pancreas yog ib qho tseem ceeb hauv nruab nrab ntawm lub plab, ua lub luag haujlwm tseem ceeb hauv kev zom zaub mov thiab tswj ntshav qab zib. Mob qog noj ntshav pancreatic tshwm sim thaum cov hlwb txawv txav nyob rau hauv lub txiav thiab loj hlob uncontrollably. Cov hlwb no tuaj yeem tsim cov qog uas cuam tshuam rau kev ua haujlwm ntawm pancreas.

Hom kab mob pancreatic

Feem ntau hom mob qog noj ntshav pancreatic yog adenocarcinoma, uas tshwm sim hauv cov hlwb exocrine uas tsim cov enzymes digestive. Cov hom tsis tshua muaj xws li cov qog neuroendocrine, uas tsim los ntawm cov tshuaj hormones tsim tawm ntawm cov txiav.

Yam Tseem Ceeb

Ntau yam tuaj yeem ua rau muaj kev pheej hmoo ntawm kev mob qog noj ntshav pancreatic, suav nrog:

• Kev haus luam yeeb
• Kev rog rog
• Mob ntshav qab zib
• Mob pancreatitis ntev
• Tsev neeg keeb kwm ntawm mob qog noj ntshav pancreatic
• Hnub nyoog (kev pheej hmoo nce nrog hnub nyoog)

Kev sib txuas ntawm Pancreatic Cancer thiab Back Pain

Mob nraub qaum yog ib qho kev mob tshwm sim mob qog noj ntshav pancreatic, tshwj xeeb tshaj yog thaum tus kab mob loj tuaj. Qhov chaw thiab cov yam ntxwv ntawm qhov mob tuaj yeem muab cov lus qhia txog lub qog qhov loj thiab qhov chaw.

Pancreatic Cancer ua rau mob nraub qaum

Mob qog noj ntshav pancreatic tuaj yeem ua rau mob nraub qaum los ntawm ntau yam mechanisms:

• qog loj hlob: Raws li cov qog loj hlob tuaj, nws tuaj yeem nias rau ntawm cov hlab ntsha nyob ib ncig ntawm lub txiav, ua rau mob rau sab nraub qaum.
• Nerve kev koom tes: Cov qog tuaj yeem cuam tshuam los yog ua rau lub celiac plexus, lub network ntawm cov hlab ntsha tom qab txiav txiav.
• Kev mob: Pancreatic cancer tuaj yeem ua rau mob, uas tuaj yeem ua rau mob nraub qaum.
• Metastasis: Nyob rau theem siab, mob qog noj ntshav tuaj yeem kis tau (metastasize) mus rau lwm qhov ntawm lub cev, suav nrog tus txha nraub qaum, ua rau mob nraub qaum.

Cov yam ntxwv ntawm Pancreatic Cancer Back Pain

Pancreatic mob qog noj ntshav feem ntau muaj cov yam ntxwv tshwj xeeb uas tuaj yeem pab paub qhov txawv ntawm lwm hom mob nraub qaum:

• Qhov chaw: Feem ntau hnov nyob rau sab sauv los yog nruab nrab rov qab.
• Xwm: Yuav ua tau ib tug dull mob los yog ib tug ntse, tas li mob.
• Cov xwm txheej phem dua: Feem ntau zuj zus thaum pw los yog tom qab noj mov.
• Relieving yam: Tej zaum yuav tau so ib ntus los ntawm kev zaum pem hauv ntej.
• Cov tsos mob sib xws: Feem ntau nrog rau lwm cov tsos mob ntawm tus kab mob pancreatic, xws li poob phaus, jaundice, thiab digestive teeb meem.

Lwm cov tsos mob ntawm Pancreatic Cancer

Thaum mob nraub qaum yog ib qho mob tseem ceeb, mob qog noj ntshav pancreatic feem ntau tshwm sim nrog lwm cov tsos mob thiab cov tsos mob:

• Jaundice: Yellowing ntawm daim tawv nqaij thiab qhov muag.
• Poob poob: Unexplained poob phaus.
• Mob plab: Mob hauv plab.
• Poob qab los noj mov: Txaus siab sai sai lossis tsis tshaib plab.
• Teeb meem digestive: Kev xeev siab, ntuav, raws plab, lossis kev hloov hauv plab hnyuv.
• Mob ntshav qab zib mellitus: Tshwj xeeb tshaj yog nyob rau hauv cov neeg laus.
• Cov zis tsaus: Cov zis uas tsaus dua li niaj zaus.
• Cov quav muaj xim daj: Cov quav daj los yog av nplaum xim.
• Kev qaug zog: Xav tias nkees heev.

Kev kuaj mob ntawm tus mob pancreatic

Yog koj muaj kev pheej hmoo mob nraub qaum nrog rau lwm cov tsos mob qhia txog mob qog noj ntshav pancreatic, nws yog ib qho tseem ceeb kom mus ntsib kws kho mob rau kev ntsuam xyuas. Kev kuaj mob tuaj yeem suav nrog:

• Kev kuaj lub cev thiab keeb kwm kho mob: Koj tus kws kho mob yuav tshuaj xyuas koj cov tsos mob thiab keeb kwm kho mob.
• Kev kuaj duab:
  • CT scan: Muab cov duab ntxaws ntxaws ntawm cov txiav txiav thiab cov kab mob ib puag ncig.
  • MRI: Siv cov magnetic teb thiab xov tooj cua nthwv dej los tsim cov duab ntawm tus txiav.
  • Endoscopic ultrasound (EUS): Siv lub endoscope nrog kev sojntsuam ultrasound kom pom qhov txiav txiav.
• Biopsy: Ib qho piv txwv ntawm cov ntaub so ntswg raug coj mus kuaj nyob rau hauv lub tshuab microscope.
• Cov ntshav kuaj: Nws tuaj yeem ntsuas qib ntawm qee cov proteins uas yuav qhia tau tias mob qog noj ntshav pancreatic. CA 19-9 yog ib hom qog nqaij hlav.

Cov Kev Kho Mob rau Pancreatic Cancer

Kev kho mob rau mob qog noj ntshav pancreatic nyob ntawm theem ntawm tus mob qog noj ntshav, tus neeg mob txoj kev noj qab haus huv tag nrho, thiab lawv cov kev nyiam. Cov kev xaiv yuav suav nrog:

Kev phais

Yog tias mob qog noj ntshav nyob hauv cheeb tsam thiab tsis kis mus, kev phais kom tshem tawm cov qog yuav yog ib qho kev xaiv. Hom kev phais nyob ntawm qhov chaw ntawm cov qog. Rau cov qog nqaij hlav hauv lub taub hau ntawm tus txiav, ib txoj kev Whipple (pancreaticoduodenectomy) tuaj yeem ua.

Tshuaj kho mob

Tshuaj kho mob siv tshuaj tua kab mob qog noj ntshav. Nws tuaj yeem siv ua ntej lossis tom qab kev phais, lossis ua thawj txoj kev kho mob rau kev mob qog noj ntshav pancreatic. Cov tshuaj chemotherapy feem ntau suav nrog gemcitabine thiab fluorouracil (5-FU).

Kev kho hluav taws xob

Kev kho hluav taws xob siv hluav taws xob siab los tua cov qog nqaij hlav cancer. Nws tuaj yeem siv los txo cov qog ua ntej kev phais lossis tua cov qog nqaij hlav cancer ntxiv tom qab kev phais.

Hom Kev Kho Mob

Targeted therapy tshuaj tsom cov molecules tshwj xeeb koom nrog hauv kev loj hlob ntawm cov qog nqaij hlav cancer. Cov tshuaj no tuaj yeem siv tau rau qee kis mob qog noj ntshav pancreatic.

Immunotherapy

Immunotherapy pab lub cev tiv thaiv kab mob tiv thaiv kab mob. Tej zaum nws yuav yog ib qho kev xaiv rau qee cov neeg mob uas mob qog nqaij hlav pancreatic.

Palliative Care

Palliative care tsom rua kev txo cov tsos mob thiab txhim kho lub neej zoo. Nws tuaj yeem siv rau txhua theem ntawm kev mob qog noj ntshav pancreatic thiab tuaj yeem suav nrog kev tswj qhov mob, kev txhawb nqa zaub mov, thiab txhawb kev xav.

Tswj Kev Mob Rov Qab Uas Koom Nrog Pancreatic Cancer

Tswj mob nraub qaum yog ib feem tseem ceeb ntawm mob qog noj ntshav pancreatic saib xyuas. Cov tswv yim yuav muaj xws li:

• Cov tshuaj kho mob: Cov kws kho mob tom khw lossis tshuaj kho mob tuaj yeem pab tswj qhov mob.
• Nerve blocks: Txhaj tshuaj loog hauv zos ze ntawm cov hlab ntsha uas ua rau mob.
• Kev kho lub cev: Kev tawm dag zog thiab ncab los txhim kho lub cev thiab txo qhov mob.
• Lwm txoj kev kho mob: Acupuncture, zaws, thiab yoga tuaj yeem pab txo qhov mob.

Nyob nrog mob qog noj ntshav pancreatic

Nyob nrog mob qog noj ntshav pancreatic tuaj yeem nyuaj, tab sis muaj cov peev txheej los pab cov neeg mob thiab lawv tsev neeg daws. Cov pab pawg txhawb nqa, kev tawm tswv yim, thiab cov ntaub ntawv qhia kev kawm tuaj yeem pab txhawb kev xav thiab siv tau. Kev tswj hwm txoj kev noj qab haus huv, suav nrog kev noj zaub mov kom zoo thiab kev tawm dag zog ib txwm, tuaj yeem txhim kho lub neej zoo.

Rau kev tshawb nrhiav thiab kho mob qog noj ntshav tshwj xeeb, xav txog kev mus ntsib Shandong Baofa Cancer Research Institute. Lawv mob siab rau muab kev kho mob siab heev thiab kho tshiab.

Thaum mus ntsib kws kho mob

Nws yog ib qho tseem ceeb kom sab laj nrog ib tus kws kho mob yog tias koj ntsib ib qho hauv qab no:

• Tsis tu ncua los yog mob zuj zus mob nraub qaum
• Unexplained poob phaus
• daj ntseg
• Mob plab
• Kev hloov hauv plab hnyuv
• New-pib ntshav qab zib

Xaus

Pancreatic mob qog noj ntshav yog ib tug hais txog cov tsos mob uas warrants sai mus kho mob. Kev nkag siab txog qhov ua tau, cov tsos mob tshwm sim, thiab cov kev xaiv kho mob tuaj yeem pab txhim kho kev tshawb pom ntxov thiab tswj tus kab mob no. Yog tias koj muaj kev txhawj xeeb txog koj txoj kev noj qab haus huv, nrog koj tus kws kho mob tham.

Tsis lees paub: Kab lus no yog rau cov ntaub ntawv xov xwm nkaus xwb thiab tsis yog cov lus qhia kho mob. Nco ntsoov sab laj nrog tus kws kho mob uas tsim nyog rau kev kuaj mob thiab kev kho mob.