Umhlaza wePancreatic kunye neentlungu ezingemuva: Ukuqonda uQhagamshelwano 

Umhlaza wePancreatic umqolo obuhlungu kudla ngokuba luphawu oluvela xa ithumba liqala ukucinezela imithambo-luvo okanye amanye amalungu kufutshane nodakada. Le ntlungu inokuvela kwintlungu ebuhlungu ukuya kwintlungu ebukhali, ebukhali kwaye inokuvakala kumqolo ophezulu okanye ophakathi. Ukufunyaniswa kwangaphambili kunye nolawulo kubalulekile ekuphuculeni iziphumo zezigulane. Ukuqonda iimpawu zale ntlungu, izizathu ezinokubakho, kunye neendlela zonyango ezikhoyo ziyimfuneko kuzo zombini izigulane kunye nababoneleli bezempilo.

Ukuqonda uMhlaza wePancreatic

I-pancreas lilungu elibalulekileyo elibekwe emva kwesisu, lidlala indima ebalulekileyo ekucoleni nasekulawuleni iswekile yegazi. Umhlaza wePancreatic kwenzeka xa iiseli ezingaqhelekanga zikhula kwi-pancreas kwaye zikhula ngokungalawulekiyo. Ezi seli zinokwenza ithumba eliphazamisana nomsebenzi wepancreas.

Iintlobo zoMhlaza wePancreatic

Olona hlobo luqhelekileyo lomhlaza we-pancreatic yi-adenocarcinoma, ephuma kwiiseli ze-exocrine ezivelisa i-enzymes zokugaya. Iintlobo ezincinci eziqhelekileyo ziquka i-neuroendocrine tumors, ephuhliswa kwiiseli ezivelisa ihomoni ze-pancreas.

Imiba yoMngcipheko

Izinto ezininzi zinokunyusa umngcipheko wokuba nomhlaza wepancreatic, kubandakanya:

• Ukutshaya
• Ukutyeba ngokugqithisileyo
• Isifo seswekile
• I-pancreatitis engapheliyo
• Imbali yentsapho yomhlaza we-pancreatic
• Ubudala (umngcipheko uyanda ngobudala)

Ikhonkco phakathi koMhlaza wePancreatic kunye neentlungu zangasemva

Iintlungu zomqolo luphawu oluqhelekileyo lwe umhlaza wepancreatic, ngakumbi njengoko isifo siqhubela phambili. Indawo kunye neempawu zentlungu zinokubonelela malunga nobukhulu be-tumor kunye nendawo.

Indlela umhlaza wePancreatic ubangela ngayo iintlungu zomqolo

Umhlaza wePancreatic kunokubangela iintlungu zomqolo ngeendlela ezininzi:

• Ukukhula kwethumba: Njengoko i-tumor ikhula, inokucinezela kwimithambo-luvo ejikeleze i-pancreas, ibangela intlungu ephuma ngasemva.
• Ukubandakanyeka kwimithambo-luvo: Ithumba linokuhlasela okanye licinezele i-celiac plexus, inethiwekhi yemithambo-luvo emva kwe-pancreas.
• Ukukrala: Umhlaza wePancreatic unokubangela ukudumba, okunokuthi kwakhona kube negalelo kwiintlungu zomqolo.
• I-Metastasis: Kwinqanaba eliphezulu, umhlaza we-pancreatic unokusasazeka (i-metastasize) kwezinye iindawo zomzimba, kubandakanywa nomqolo, obangela intlungu emva.

Iimpawu zePancreatic Cancer Back Pain

Umhlaza wePancreatic umqolo obuhlungu ihlala ineempawu ezithile ezinokunceda ukwahlula kwezinye iindidi ze iintlungu zomqolo:

• Indawo: Ngokuqhelekileyo ivakala kumqolo ophezulu okanye ophakathi.
• Indalo: Inokuba yintlungu ebuhlungu okanye iintlungu ezibukhali, eziqhubekayo.
• Izinto eziya ziba mandundu: Idla ngokuba mandundu xa ulele phantsi okanye emva kokutya.
• Imiba yokuphelisa: Unokukhululeka okwexeshana ngokuhlala phambili.
• Iimpawu ezinxulumeneyo: Idla ngokukhatshwa zezinye iimpawu zomhlaza wepancreatic, ezinjengokuncipha kobunzima, ijaundice, kunye neengxaki zokwetyisa.

Ezinye iimpawu zePancreatic Cancer

Ngelixa iintlungu zomqolo luphawu olubalulekileyo, umhlaza wepancreatic ihlala ibonakaliswa kunye nezinye iimpawu kunye neempawu:

• Ijaundice: Ulusu kunye namehlo aphuzi.
• Ukwehla kobunzima: Ukwehla kobunzima obungachazwanga.
• Iintlungu zesisu: Intlungu kwisisu.
• Ukuphelelwa ngumdla wokutya: Ukuziva uhluthi ngokukhawuleza okanye ukungaziva ulambile.
• Iingxaki zokwetyisa: Isicaphucaphu, ukugabha, urhudo, okanye utshintsho kwizibilini.
• Isifo seswekile esitsha: Ingakumbi kubantu abadala abadala.
• Umchamo omnyama: Umchamo omnyama kunesiqhelo.
• Izitulo ezinombala okhanyayo: Izitulo eziphale okanye ezinombala wodongwe.
• Ukudinwa: Ukuziva udiniwe ngokungaqhelekanga.

Ukuxilongwa kwePancreatic Cancer

Ukuba ufumana ukuzingisa iintlungu zomqolo kunye nezinye iimpawu ezicebisayo umhlaza wepancreatic, kubalulekile ukudibana nogqirha ukuze ahlolwe. Uvavanyo loxilongo lunokubandakanya:

• Uvavanyo lomzimba kunye nembali yonyango: Ugqirha wakho uya kuvavanya iimpawu zakho kunye nemvelaphi yonyango.
• Uvavanyo lomfanekiso:
  • CT scan: Ibonelela ngemifanekiso eneenkcukacha ye-pancreas kunye nezitho ezijikelezileyo.
  • I-MRI: Isebenzisa imagnethi kunye namaza erediyo ukwenza imifanekiso ye-pancreas.
  • I-Endoscopic ultrasound (EUS): Isebenzisa i-endoscope kunye ne-ultrasound probe ukujonga i-pancreas.
• I-Biopsy: Isampula yethishu ithathwa ukuze ihlolwe phantsi kwe-microscope.
• Uvavanyo lwegazi: Inokulinganisa amanqanaba eeprotheyini ezithile ezinokubonisa umhlaza wepancreatic. I-CA 19-9 yinto eqhelekileyo yokumakisha ithumba.

Iinketho zonyango kuMhlaza wePancreatic

Unyango lwe umhlaza wepancreatic kuxhomekeke kwinqanaba lomhlaza, impilo yonke yesigulane, kunye nezinto abazikhethayo. Ukhetho lungabandakanya:

Utyando

Ukuba umhlaza usendaweni kwaye awusasazeki, utyando lokususa ithumba lunokuba lukhetho. Uhlobo lotyando luxhomekeke kwindawo yethumba. Kwizicubu zentloko ye-pancreas, inkqubo ye-Whipple (pancreaticoduodenectomy) inokwenziwa.

Unyango ngamachiza

I-Chemotherapy isebenzisa amayeza ukubulala iiseli zomhlaza. Ingasetyenziswa phambi okanye emva kotyando, okanye njengonyango lokuqala lomhlaza wepancreatic. Iziyobisi eziqhelekileyo ze-chemotherapy ziquka i-gemcitabine kunye ne-fluorouracil (5-FU).

Unyango ngemitha

Unyango ngemitha lusebenzisa imiqadi enamandla kakhulu ukubulala iiseli zomhlaza. Isenokusetyenziselwa ukucutha ithumba ngaphambi kotyando okanye ukubulala naziphi na iiseli zomhlaza eziseleyo emva kotyando.

Unyango ekujoliswe kulo

Amachiza onyango ekujoliswe kuwo ajolise kwiimolekyuli ezithile ezibandakanyekayo ekukhuleni kweeseli zomhlaza. La machiza anokusetyenziswa kwiimeko ezithile zomhlaza wepancreatic.

Immunotherapy

I-Immunotherapy inceda amajoni omzimba ukulwa nomhlaza. Isenokuba lukhetho kwezinye izigulana ezinomhlaza wepancreatic.

Ukhathalelo lwePalliative

Ukhathalelo lwePalliative lujolise ekupheliseni iimpawu kunye nokuphucula umgangatho wobomi. Ingasetyenziselwa nakweliphi na inqanaba lomhlaza we-pancreatic kwaye inokubandakanya ulawulo lweentlungu, inkxaso yesondlo, kunye nenkxaso yeemvakalelo.

Ukulawula Intlungu Engasemva eNxulunyaniswa nePancreatic Cancer

Ukulawula iintlungu zomqolo yinxalenye ebalulekileyo ye umhlaza wepancreatic inkathalo. Ubuchule bunokubandakanya:

• Amayeza eentlungu: I-over-the-counter okanye i-prescription pain relievers inokunceda ukulawula intlungu.
• Iibhloko zemithambo-luvo: Izitofu ze-anesthetic yendawo kufuphi nemithambo-luvo ebangela intlungu.
• Unyango lomzimba: Ukuzivocavoca kunye nokwelula ukuphucula ukuma kunye nokunciphisa intlungu.
• Olunye unyango: I-acupuncture, i-massage, kunye ne-yoga inokunceda ukukhulula intlungu.

Ukuphila noMhlaza wePancreatic

Ukuhlala kunye umhlaza wepancreatic kunokuba lucelomngeni, kodwa kukho izibonelelo ezikhoyo zokunceda izigulane kunye neentsapho zazo zihlangabezane nazo. Amaqela enkxaso, iingcebiso, kunye nezixhobo zemfundo zinokunika inkxaso yeemvakalelo neyokusebenza. Ukugcina impilo esempilweni, kuquka ukutya okunesondlo nokuzilolonga rhoqo, nako kunokuphucula umgangatho wobomi.

Kuphando olukhethekileyo lomhlaza kunye nonyango, cinga ngokundwendwela IZiko loPhando ngoMhlaza laseShandong Baofa. Bazinikezele ekuboneleleni ngononophelo oluphezulu kunye nonyango olutsha.

Ubonana nini noGqirha

Kubalulekile ukuba udibane nengcali yezempilo ukuba ufumana nayiphi na kwezi zilandelayo:

• Ukuzingisa okanye ukonakala iintlungu zomqolo
• Ukwehla kobunzima obungachazwanga
• Ijaundice
• Iintlungu zesisu
• Utshintsho kwimikhwa yamathumbu
• Isifo seswekile esitsha

Ukuqukumbela

Umhlaza wePancreatic umqolo obuhlungu Luphawu oluxhalabisayo olufuna ukuba umntu afumane unyango olukhawulezileyo. Ukuqonda izizathu ezinokuthi zibekho, iimpawu ezinxulumeneyo, kunye nokhetho olukhoyo lonyango lunokunceda ekuphuculeni ukubhaqwa kwangethuba kunye nolawulo lwesi sifo. Ukuba unenkxalabo malunga nempilo yakho, qhagamshelana nogqirha wakho.

I-Disclaimer: Eli nqaku lenzelwe iinjongo zolwazi kuphela kwaye aliquki iingcebiso zonyango. Soloko ubonisana nengcali yokhathalelo lwempilo oluqeqeshelwe ukuxilongwa nonyango.