Gusobanukirwa Ibizamini bya Kanseri yandura: Ubuyobozi bwuzuye 

Kwipimisha kanseri y'urwagashya ni ngombwa mugutahura hakiri kare no gusuzuma iyi ndwara itoroshye. Guhitamo bikwiye ibizamini Biterwa nimpamvu zishobora gutera ingaruka, ibimenyetso, nicyiciro cya kanseri ishobora kuba. Aka gatabo gatanga incamake yibintu bitandukanye kwipimisha kanseri ya pancreatic, intego zabo, nicyo ugomba gutegereza.

Kubera iki Ibizamini bya Kanseri y'urwagashya Ni ngombwa?

Kanseri y'urwagashya isuzumwa kenshi mugihe cyatinze kuko ibimenyetso byambere birashobora kuba bidasobanutse kandi byoroshye kwibeshya kubindi bihe. Iri suzuma ryatinze rihindura cyane uburyo bwo kuvura no guhanura. Kubwibyo, gusobanukirwa birahari kwipimisha kanseri ya pancreatic kandi mugihe zishobora gukenerwa nibyingenzi mugucunga neza ibikorwa byubuzima.

Ninde Ukwiye Kuzirikana Ibizamini bya Kanseri y'urwagashya?

Mugihe cyo kugenzura bisanzwe kanseri y'urwagashya ntabwo isanzwe isabwa kubaturage muri rusange, abantu bamwe bafite ibyago byiyongera bagomba kuganira kuburyo bwo kwipimisha hamwe nabashinzwe ubuzima. Impamvu zishobora guteza ibibazo zirimo:

• Amateka yumuryango ya kanseri y'urwagashya
• Syndromes zimwe na zimwe, nka mutation ya BRCA1 / 2, syndrome ya Peutz-Jeghers, syndrome ya Lynch, hamwe na syndrome ya famille idasanzwe ya melanoma (FAMMM).
• Indwara ya pancreatite idakira
• Diyabete (cyane cyane diyabete nshya-itangiye kubantu bakuze)
• Umubyibuho ukabije
• Kunywa itabi

Ubwoko bwa Ibizamini bya Kanseri y'urwagashya

Benshi batandukanye ibizamini irashobora gukoreshwa mugufasha gusuzuma kanseri y'urwagashya. Ibi ibizamini Birashobora gushyirwa mubice mumashusho ibizamini, amaraso ibizamini, hamwe na biopsy nzira.

Ibizamini byo Kwerekana

Kwerekana ibizamini tanga amashusho yerekana pancreas ningingo ziyikikije, ufasha abaganga kumenya ibintu bidasanzwe nkibibyimba.

Kubara Tomografiya (CT) Gusikana

CT scan ikoresha X-imirasire kugirango ikore amashusho arambuye yumubiri. Ni kenshi amashusho yambere ikizamini ikoreshwa mu gusuzuma abakekwa kanseri y'urwagashya. Isuzuma rya CT rirashobora gufasha kumenya ingano n’aho ikibyimba giherereye, ndetse no kuba cyarakwirakwiriye mu ngingo zegeranye cyangwa mu mitsi.

Magnetic Resonance Imaging (MRI)

MRI ikoresha imbaraga za magnetique hamwe na radio yumurongo kugirango ikore amashusho arambuye yumubiri. MRI irashobora gutanga amashusho arambuye ya pancreas hamwe nuduce tuyikikije kuruta CT scan, cyane cyane iyo usuzumye imiyoboro yamaraso ikikije pancreas. Tekinike yihariye ya MRI, nka MRCP (Magnetic Resonance Cholangiopancreatography), yibanda kumiyoboro ya pansreatic.

Ultrasound ya Endoskopi (EUS)

EUS ikomatanya endoskopi na ultrasound kugirango itange amashusho-yerekana neza ya pancreas. Umuyoboro woroheje, woroshye hamwe na ultrasound probe unyuzwa mu kanwa cyangwa urukiramende mu nzira y'ibiryo. EUS yemerera hafi-kureba amashusho ya pancreas kandi irashobora no gukoreshwa kugirango ubone ingero za tissue (biopsies) kugirango ukore isesengura. Ninzobere kuri Shandong Baofa Ikigo Cyubushakashatsi cya Kanseri menya, iki kizamini ni ingirakamaro cyane.

Gusohora imyuka ya positron (PET) Gusikana

Isuzuma rya PET rikoresha radiyo ikora kugirango igaragaze aho ibikorwa byiyongera mu mubiri, bishobora kwerekana kanseri. PET scan ikunze guhuzwa na CT scan (PET / CT) kugirango itange amakuru yombi kandi akora. Gusikana PET / CT ni ingirakamaro cyane mugushakisha ikwirakwizwa rya kanseri y'urwagashya ku bindi bice by'umubiri.

Kwipimisha Amaraso

Amaraso ibizamini Irashobora kumenya ibintu bimwe na bimwe bizamurwa mubantu bamwe hamwe kanseri y'urwagashya. Ariko, amaraso ibizamini wenyine ntashobora gusuzuma kanseri y'urwagashya kandi mubisanzwe bikoreshwa bifatanije no gufata amashusho ibizamini.

CA 19-9

CA 19-9 nikimenyetso cyibibyimba bikunze kuzamurwa mubantu bafite kanseri y'urwagashya. Ariko, irashobora kandi kuzamurwa mubindi bihe, nka pancreatitis hamwe no guhagarika imiyoboro. Kubwibyo, CA 19-9 ntabwo igenzurwa ryizewe ikizamini Kuri kanseri y'urwagashya, ariko birashobora gufasha mugukurikirana igisubizo cyo kuvura no kumenya ko byongeye. Nk’uko Umuryango w'Abanyamerika urwanya kanseri ubivuga, hafi 80% by'abantu bafite kanseri y'urwagashya yazamuye urwego rwa CA 19-9.¹

Bilirubin

Bilirubin ni ibintu byakozwe n'umwijima. Urwego rwo hejuru rwa bilirubine mu maraso rushobora kwerekana kuziba mu muyoboro w'inda, ushobora guterwa kanseri y'urwagashya. Amaraso ya bilirubin ikizamini bikorwa kenshi niba umuntu afite jaundice (umuhondo wuruhu namaso), ibimenyetso bisanzwe bya kanseri y'urwagashya.

Ibizamini by'imikorere y'umwijima (LFTs)

LFTs ipima urugero rwa enzymes na proteyine zitandukanye mumaraso akorwa numwijima. Ibisubizo bidasanzwe bya LFT birashobora kwerekana kwangirika kwumwijima cyangwa kudakora neza, bishobora guterwa na kanseri y'urwagashya yakwirakwiriye mu mwijima.

Biopsy

Biopsy niyo nzira yonyine yo kwemeza ko wasuzumye kanseri y'urwagashya. Mugihe cya biopsy, sample ntoya ya tissue ikurwa muri pancreas hanyuma igasuzumwa munsi ya microscope. Biopsies irashobora kuboneka hakoreshejwe uburyo butandukanye, harimo:

Endoscopic Ultrasound-Iyobowe ninshinge nziza (EUS-FNA)

EUS-FNA nuburyo bworoshye bwo gutera inshinge aho urushinge runyura murukuta rwigifu cyangwa duodenum, ruyobowe na ultrasound, kugirango rubone urugero rwumubiri ruva munda.

Biopsy

Biopsy ya percutaneous ikubiyemo kwinjiza urushinge mu ruhu no muri pancreas kugirango ubone icyitegererezo. Ubu buryo busanzwe bukorwa munsi ya CT cyangwa ultrasound.

Kubaga Biopsy

Kubaga biopsy bikubiyemo gukora igifu mu nda kugira ngo ugaragaze neza pancreas no kubona icyitegererezo. Ubu buryo busanzwe bukorwa mugihe ubundi buryo bwa biopsy budashoboka cyangwa bwananiwe gutanga isuzuma.

Ibyo Kwitega Mugihe Ibizamini bya Kanseri y'urwagashya

Uburambe bwo kunyuramo kwipimisha kanseri ya pancreatic irashobora gutandukana ukurikije umwihariko ikizamini gukorwa. Dore muri rusange muri rusange ibyo ugomba gutegereza:

Mbere y'Ikizamini

Muganga wawe azatanga amabwiriza yihariye yuburyo bwo kwitegura buri ikizamini. Ibi bishobora kubamo kwiyiriza ubusa mugihe runaka, kwirinda imiti imwe n'imwe, cyangwa kunywa igisubizo kidasanzwe. Ni ngombwa gukurikiza aya mabwiriza witonze kugirango umenye neza ikizamini ibisubizo.

Mugihe c'ikizamini

Amashusho menshi ibizamini ntibababara, nubwo bamwe bashobora kuba barimo igihe gito cyo kutamererwa neza cyangwa guhangayika. Biopsies irashobora gutera ububabare cyangwa kutamererwa neza, ariko umuganga wawe azatanga anesthesi yaho kugirango agabanye ububabare ubwo aribwo bwose. Ni ngombwa ko ikigo gikora ikizamini gifite ibikoresho. Urashobora gutekereza kugenzura andi makuru yerekeye Shandong Baofa Ikigo Cyubushakashatsi cya Kanseri Kuri Kubona.

Nyuma y'Ikizamini

Nyuma ya ikizamini, urashobora guhura ningaruka zoroheje, nko kugira isesemi, umunaniro, cyangwa ububabare kurubuga rwa biopsy. Izi ngaruka mubisanzwe ni iyigihe gito kandi ikemura wenyine. Muganga wawe azatanga amabwiriza yihariye yukuntu wakwiyitaho nyuma ya ikizamini n'igihe cyo gutegereza ibisubizo.

Gusobanura Ikizamini cya Kanseri y'urwagashya Ibisubizo

Ibisobanuro bya kwipimisha kanseri y'urwagashya ibisubizo birashobora kuba bigoye kandi bisaba ubuhanga bwinzobere mubuzima bwiza. Ni ngombwa kuganira ibyawe ikizamini ibisubizo hamwe na muganga wawe kugirango wumve icyo bivuze nintambwe ikurikira igomba kuba.

Ibyiza Byibibi nibibi

Ni ngombwa kubimenya kwipimisha kanseri ya pancreatic ntabwo buri gihe ari 100%. Ibisubizo byiza bitari byo (ibizamini byerekana kanseri mugihe idahari) nibisubizo bibi (ibizamini ibyo binanirwa kumenya kanseri iyo ihari) birashobora kubaho.

Akamaro ko Gukurikirana

Niba ari ibyawe kwipimisha kanseri y'urwagashya ibisubizo ntibisanzwe, umuganga wawe arashobora kuguha inama ibizamini kwemeza cyangwa guhagarika isuzuma rya kanseri y'urwagashya. Ibi birashobora kubamo amashusho yinyongera ibizamini, biopsies, cyangwa kugisha inama inzobere.

Kazoza ka Ibizamini bya Kanseri y'urwagashya

Ubushakashatsi burakomeje kugirango dutezimbere ibishya kandi byukuri kwipimisha kanseri ya pancreatic. Muri byo harimo:

• Ibinyabuzima byamazi: Ibi ibizamini gusesengura urugero rwamaraso kugirango azenguruke ingirabuzimafatizo cyangwa ibice bya ADN bisukwa na selile.
• Uburyo bunoze bwo gufata amashusho: Abashakashatsi barimo gukora uburyo bushya bwo gufata amashusho bushobora kumenya ibibyimba bito kandi bigatandukanya ibikomere byiza kandi bibi.
• Ubuvumbuzi bwa Biomarker: Abahanga barimo gukora kugirango bamenye biomarkers nshya zishobora gukoreshwa mugushakisha kanseri y'urwagashya hakiri kare.

Aya makuru agenewe ubumenyi rusange nintego zamakuru gusa, kandi ntabwo bigize inama zubuvuzi. Ni ngombwa kugisha inama inzobere mu by'ubuzima zibishoboye kubibazo byose byubuzima cyangwa mbere yo gufata ibyemezo byose bijyanye n'ubuzima bwawe cyangwa kwivuza.

1. Umuryango w'Abanyamerika. (n.d.). Ibimenyetso n'ibimenyetso bya Kanseri y'urwagashya. Yakuwe muri https://www.cancer.org/cancer/types/pancreatic-cancer/detection-diagnose-staging/ibimenyetso-nibimenyetso.html