
Phau ntawv qhia no muab cov ntaub ntawv tseem ceeb rau cov tib neeg uas muaj cov tsos mob uas cuam tshuam txog kev mob qog noj ntshav pancreatic. Peb tshawb nrhiav cov tsos mob, cov txheej txheem kuaj mob, thiab cov kev kho mob muaj nyob ze koj. Kawm paub txog cov kws kho mob muaj npe nrov tshwj xeeb hauv kev saib xyuas mob qog noj ntshav pancreatic thiab yuav ua li cas taug qab koj txoj kev kho mob.
Mob qog noj ntshav pancreatic feem ntau tshwm sim nrog cov tsos mob me me lossis tsis muaj cov tsos mob tshwj xeeb hauv nws cov theem pib, ua rau kev tshawb pom ntxov nyuaj. Cov tsos mob tshwm sim tuaj yeem suav nrog kev poob phaus, jaundice (daj ntawm daim tawv nqaij thiab ob lub qhov muag), mob plab (feem ntau nyob rau hauv lub plab mog), qaug zog, tsis qab los noj mov, xeev siab thiab ntuav, thiab kev hloov hauv plab hnyuv (xws li cem quav lossis raws plab). Txawm li cas los xij, nws tseem ceeb heev uas yuav tsum nco ntsoov tias cov tsos mob no tuaj yeem cuam tshuam nrog lwm yam mob, yog li kev ntsuas kev kho mob yog qhov tseem ceeb rau kev kuaj mob kom raug.
Thaum tsis tshua muaj tshwm sim, cov tsos mob xws li mob nraub qaum (feem ntau tawg mus rau sab nraub qaum), ntshav qab zib pib tshiab, lossis ntshav txhaws yuav tsum tsis txhob tsis quav ntsej. Cov tsos mob ntawm cov zis tsis tau piav qhia los yog cov quav xim daj, qhia tias daj daj, kuj tseem ceeb rau kev kho mob tam sim. Qhov muaj cov tsos mob no, tshwj xeeb tshaj yog thaum sib koom ua ke, xav tau kev sab laj nrog tus kws kho mob sai.
Kev tshawb pom ntxov ua tau zoo txhim kho txoj hauv kev ua tiav kho cov tsos mob qog nqaij hlav pancreatic nyob ze kuv. Kev kuaj mob qog noj ntshav ua ntej tau kuaj pom, ntau txoj kev kho mob muaj thiab qhov kev kuaj pom zoo dua. Yog li ntawd, yog tias koj tab tom ntsib teeb meem los yog hais txog cov tsos mob, tsis txhob ncua mus nrhiav kev pab tswv yim. Kev tsis quav ntsej cov tsos mob tuaj yeem ua rau muaj kev kuaj mob qeeb thiab txo cov txiaj ntsig kev kho mob.
Nrhiav tus kws paub txog oncologist lossis tus kws kho mob gastroenterologist tshwj xeeb hauv kev mob qog noj ntshav pancreatic yog qhov tseem ceeb. Ntau lub tsev kho mob muaj npe nrov thiab cov chaw kho mob qog noj ntshav muaj kev saib xyuas tshwj xeeb rau cov neeg mob qog noj ntshav pancreatic. Kev tshawb fawb hauv online tuaj yeem pab koj nrhiav cov kws tshaj lij nyob ze koj qhov chaw. Koj tuaj yeem siv cov ntsiab lus xws li kws kho mob qog noj ntshav nyob ze kuv lossis kho cov tsos mob qog nqaij hlav pancreatic nyob ze kuv nrhiav cov chaw kho mob uas tsim nyog. Nco ntsoov xyuas cov ntaub ntawv pov thawj thiab kev paub dhau los ntawm tus kws kho mob ua ntej teem sijhawm teem sijhawm. Rau cov neeg nyob hauv lub xeev Shandong, lub Shandong Baofa Cancer Research Institute yog ib lub tsev kawm ua thawj coj uas mob siab rau muab kev saib xyuas mob qog noj ntshav.
Kev kuaj mob qog noj ntshav feem ntau suav nrog ntau qhov kev ntsuam xyuas, suav nrog kev kuaj ntshav (los kuaj cov qog nqaij hlav), kev tshawb fawb txog kev kuaj pom (xws li CT scans, MRIs, thiab endoscopic ultrasound), thiab muaj peev xwm kuaj ntshav kom paub meej qhov kev kuaj mob. Koj tus kws kho mob yuav qhia koj txog cov txheej txheem kuaj mob uas tsim nyog raws li koj tus kheej cov tsos mob thiab keeb kwm kho mob. Lub hom phiaj ntawm cov kev ntsuam xyuas no yog txhawm rau txheeb xyuas qhov chaw, qhov loj me, thiab qhov loj ntawm cov qog nqaij hlav los txiav txim seb qhov kev kho mob zoo tshaj plaws.
Kev phais yuav yog ib qho kev xaiv rau cov neeg mob qog nqaij hlav hauv zos. Hom kev phais yog nyob ntawm qhov chaw thiab qhov loj ntawm cov qog nqaij hlav. Cov kev phais yuav muaj xws li Whipple txheej txheem (pancreaticoduodenectomy), distal pancreatectomy, lossis tag nrho pancreatectomy. Kev vam meej ntawm kev phais feem ntau yog nyob ntawm theem ntawm cov qog nqaij hlav thaum lub sijhawm kuaj mob.
Thaum kev phais tsis ua tau, lwm yam kev kho mob yuav raug ua haujlwm. Cov no suav nrog kev siv tshuaj khomob, kev kho hluav taws xob, kev kho mob, thiab kev tiv thaiv kab mob. Tshuaj kho mob siv tshuaj tua kab mob qog noj ntshav. Kev kho hluav taws xob siv hluav taws xob hluav taws xob ntau los ua kom puas cov qog nqaij hlav cancer. Lub hom phiaj kho mob tsom rau cov molecules tshwj xeeb hauv cov qog nqaij hlav cancer, thaum immunotherapy harnesses lub cev tiv thaiv kab mob los tiv thaiv qog noj ntshav. Kev xaiv cov kev kho mob uas tsim nyog tshaj plaws nyob ntawm ntau yam, suav nrog hom thiab theem ntawm mob qog noj ntshav, tus neeg mob lub cev tag nrho, thiab kev nyiam ntawm tus kheej. Koj tus kws kho mob oncologist yuav ua haujlwm nrog koj los tsim cov phiaj xwm kho tus kheej.
Kev kho mob Palliative tsom mus rau kev txo cov tsos mob thiab txhim kho lub neej zoo rau cov tib neeg uas mob qog noj ntshav siab lossis cov uas tab tom kho. Nws kho qhov mob, xeev siab, qaug zog, thiab lwm yam tsos mob. Kev kho mob Palliative tuaj yeem ua ke nrog kev kho mob, muab txoj hauv kev zoo rau kev kho mob qog noj ntshav. Nws yog ib qho tseem ceeb ntawm kev tswj cov teeb meem cuam tshuam nrog kev mob qog noj ntshav pancreatic thiab ua kom tus neeg mob muaj kev nplij siab thiab kev noj qab haus huv.
Kev ntsib kev kuaj mob qog nqaij hlav pancreatic tuaj yeem nyuaj rau kev xav thiab lub cev. Kev txhawb zog muaj zog yog qhov tseem ceeb. Qhov no suav nrog tsev neeg, phooj ywg, pab pawg txhawb nqa, thiab cov kws kho mob hlwb. Tsis txhob ua siab deb nrhiav kev txhawb siab los taw qhia qhov nyuaj ntawm tus kab mob thiab nws txoj kev kho mob. Muaj ntau qhov kev pab cuam los muab kev taw qhia thiab kev pab. Kev tswj hwm kev sib txuas lus qhib nrog koj pab neeg kho mob yog qhov tseem ceeb rau kev tswj cov kev cov nyom kom zoo. Nco ntsoov tias nrhiav kev pab yog lub cim ntawm lub zog, tsis yog qaug zog.
Disclaimer: Cov ntaub ntawv no yog rau kev paub dav dav thiab tsis yog cov lus qhia kho mob. Nco ntsoov sab laj nrog tus kws kho mob rau txhua yam kev txhawj xeeb txog kev noj qab haus huv lossis ua ntej txiav txim siab txog koj txoj kev noj qab haus huv lossis kev kho mob.