Iimpawu zomhlaza we-pancreatic: imiqondiso yakuqala, isifo kunye nolawulo 

Iimpawu zomhlaza we-pancreatic ingaba ungacacanga kwaye ihlala ivela de isifo sihambele phambili. Ezi mpawu zingabandakanya iintlungu zesisu, i-jaundice (ityheli lolusu kunye namehlo), ukunciphisa umzimba okungachazwanga, kunye notshintsho kwimikhwa yeqhekeza. Ukufunyanwa kwangoko kunye nokuqonda kwezi zibonakaliso kubalulekile kuchongo lwexesha elifanelekileyo kunye nonyango olusebenzayo.

Ukuqonda umhlaza we-pancularic

Umhlaza we-pancreatic uqala kwi-pancreas, ilungu elibekwe emva kwesisu esivelisa i-enzymes yokugaya kunye neehomoni ezinceda ukulawula iswekile yegazi. Olona hlobo luqhelekileyo yi-adetocarcinova, eqala kwiiseli ezinamacala amachaphaza eepancreas.

Izinto zomngcipheko

Izinto ezininzi zinokonyusa umngcipheko wokukhula I-pancreatic umhlaza:

• Ukutshaya
• Ukutyeba kakhulu
• Isifo seswekile
• I-pancreatisis ye-ticreatitis
• Imbali yosapho ye I-pancreatic umhlaza
• I-syndromes ethile yemfuza

Kwangoko Iimpawu zomhlaza we-pancreatic

Ngelishwa, kwinqanaba lokuqala I-pancreatic umhlaza ihlala inempawu ezibonakalayo. Xa kuvela iimpawu, zinokwanela ukuba ziphindwe kwaye zibhalwe ngokulula ezinye, iimeko ezincinci. Kungenxa yoko le nto kufunwa kwangoko kungumngeni.

Iimpawu eziqhelekileyo

Qaphela la mandla alandelayo Iimpawu zomhlaza we-pancreatic:

• Intlungu zesisu: Ihlala ichazwa njenge-oche of the ache eqala kwisisu esiphezulu kwaye inokukhanya ngasemva. Le ntlungu inokuthi isebenzele emva kokutya okanye ilele phantsi.
• I-jaundice: Ityheli lolusu kunye nemhlophe ngamehlo, ihlala ihamba kunye nomchamo omnyama kunye nezitulo ezimfuyo. Oku kubangelwa kukwakha kweBilirubin, i-bigment pigment, ngenxa yebhloko kwi-bile duct.
• Ukuhla ukusinda: Ilahleko engachazwanga kwaye engacacanga yenqanaba lophawu oluqhelekileyo. Oku kunokuba ngenxa yokufumana i-malabsorption (ubunzima bokugayisela kunye nokufumana izondlo) okanye ukuphulukana nokutya.
• UTSHINTSHO KWIINGXAKI ZOKUGQIBELA: Oku kunokubandakanya urhudo, ukomelela, okanye izitulo ezinamagqabi (i-Steatorhea). USteatorhea wenza xa i-pancreas ayivelisi i-enzyme eyaneleyo yokugaya i-factos, ekhokelela kwi-malabsorption.
• Iswekile: Iswekile entsha-i-Onset, okanye isikwe isiquphe seswekile esikhoyo, sinokuba luphawu lwe I-pancreatic umhlaza. I-tubinge inokuphazamisa amandla e-pancreas ukuvelisa i-insulin.
• Ukuhamba: I-itching ejikelezayo, ngakumbi ukuba ihamba ne-jaundice, inokwenzeka ngenxa yokwakha iBilirubin eluswini.
• Isicaphucaphu nokugabha: Oku kunokubangelwa yingcinezelo evela kwithumba esiswini okanye ngeengxaki ngokugaya.
• Ukuphulukana nomdla: Ndiziva ndigcweleyo emva kokutya kuphela isixa esincinci sokutya.

Phambili Iimpawu zomhlaza we-pancreatic

Njengoko I-pancreatic umhlaza Inkqubela phambili, iimpawu zinokuba zinzima kwaye zinokubandakanya:

• Ascites (isakhiwo se-fluid esiswini)
• Igazi
• Ukudinwa
• Isibindi esikhulelweyo okanye i-gallbladder

Uxilongo lwe-pancreatic lomhlaza

Ukuba ufumana nayiphi na i Iimpawu zomhlaza we-pancreatic, kubalulekile ukubona ugqirha ngokukhawuleza. Inkqubo yokuqonda isiqhelo ibandakanya:

1. Uvavanyo lomzimba kunye nembali yezonyango: Ugqirha uza kubuza malunga neempawu zakho, imbali yezonyango, kunye nezinto zomngcipheko.
2. Uvavanyo lwegazi: Iimvavanyo zegazi zingajonga umsebenzi we-LIDR, amanqanaba eBilirubin, kunye ne-tumor markers efana ne-CA 19-9 (nangona oku akusoloko kuphakanyiswa).
3. Ukucinga kuvavanyo:
   • I-CT Scan: Ibonelela ngemifanekiso eneenkcukacha zepancreas kunye negatya elijikelezileyo.
   • Mri: Sebenzisa amasimi e-magnetic kunye namaza erediyo ukwenza imifanekiso yeepancreas.
   • I-Endoscopic ultrasound (eus): Ityhubhu ecekeceke, eguqukayo eneprojekhthi ye-ultrasound ifakwe ngomlomo okanye ngomlomo ukuze ube nomfanekiso-ngqondweni wepancreas. Oku kunokusetyenziselwa ukufumana i-biopsy.
   • I-ERCP (i-Endoscopic Retrograde iCholangiopanCreaPy): I-endoscope isetyenziselwa ukufaka idayi kwi-bile kunye ne-ductoric ductoric, ivumela ukuba babekelwe kwi-X-rays. Oku kunokunceda ekuchongeni iibhloko.
4. I-biopsy: Isampulu ye-tishu ithathiwe kwi-pancreas kwaye ihlolwe phantsi kwe-microscope yokuqinisekisa ukufumanisa umhlaza. Oku kunokwenziwa ngexesha le-EUS okanye i-ERCP.

Izinketho zoNyango

Izinketho zonyango I-pancreatic umhlaza Kuxhomekeka kwinqanaba kunye nendawo yomhlaza, kunye nempilo epheleleyo yesigulana. Unyango oluqhelekileyo lubandakanya:

• Utyando: Ukuba umhlaza ufike ekhaya kwaye awukasasazi, utyando ukususa ithumba linokwenzeka. Inkqubo ye-whiplen (pancreaticuodedenectomy) luphawu oluqhelekileyo lomhlaza kwintloko yepancreas.
• I-chemotherapy: Sebenzisa iziyobisi ukubulala iiseli zomhlaza. Ingasetyenziswa ngaphambi okanye emva kotyando, okanye njengonyango oluphambili ukuba lo utyando aluyiyo inketho.
• Unyango lwe-radiation: Sebenzisa imitha yamandla aphezulu ukubulala iiseli zomhlaza. Ingasetyenziswa yedwa okanye idityaniswe nge-chemotherapy.
• Unyango olujolise kulo: Sebenzisa iziyobisi ezijolise kwiimolekyuli ezithile ezichaphazelekayo ekukhuleni komhlaza nokusasazeka.
• Immunoherapy: Inceda amajoni omzimba alwa nomhlaza. Oku akusetyenziswa rhoqo I-pancreatic umhlaza Kodwa kunokuba yinketho kwiimeko ezithile.

Uqikelelo

I-Prognosis ye I-pancreatic umhlaza ngokubanzi ihlwempuzekile, njengoko kusoloko kufunyaniswa kwinqanaba eliphezulu. Nangona kunjalo, ukufunyanwa kwangoko kunye nonyango kunokuphucula iziphumo. Ukusinda kweRhafu yeRhafu iyahluka ngokuxhomekeke kwinqanaba lomhlaza kunye nonyango olufunyenweyo.

Ukuhlala nomhlaza we-pancreatic

Ukuhlala nayo I-pancreatic umhlaza inokuba ngumceli mngeni, ngokwasemzimbeni nangokweemvakalelo. Amaqela enkxaso, ukucetyiswa, kunye nokhathalelo olubalaseleyo kunokunceda abaguli kunye neentsapho zabo bajamelana nesi sifo kunye neziphumo zayo. IZiko loPhando lweShandong Baena libonelela ngeenkonzo zenkxaso yomhlaza. Tyelelo iwebhusayithi yethu Ukuze ufunde ngakumbi malunga nendlela yethu ye-oncology kunye nendlela esizinikeleyo ekuxhaseni izigulana zethu ngalo lonke uhambo lwabo lomhlaza.

Ukuthintela

Ngelixa akukho ndlela iqinisekileyo yokuthintela I-pancreatic umhlaza, ungawunciphisa umngcipheko wakho ngu:

• Ukuyeka ukutshaya
• Ukugcina ubunzima bempilo
• Ukulawulwa kweswekile
• Ukutya ukutya okunempilo kwiziqhamo kunye nemifuno
• Ukunciphisa ukuselwa kotywala

Iqhosha lezitshixo

• Iimpawu zomhlaza we-pancreatic ingaba ungacacanga kwaye ihlala ivela de isifo sihambele phambili.
• Iimpawu eziqhelekileyo ziquka iintlungu zesisu, i-jaundice, ukunciphisa umzimba, kunye neenguqu kwimikhwa emibi.
• Ukufunyanwa kwangoko kunye nokuxilongwa kubalulekile ukuze kuphuculwe iziphumo.
• Ukhetho lonyango lubandakanya utyando, i-chemotherapy, unyango lwe-radiation, unyango olujolisiweyo, kunye nonyango.
• Ukuphila indlela yokuphila esempilweni kunokunceda ukunciphisa umngcipheko wakho wokukhula I-pancreatic umhlaza.

Iphepha elichazayo: Eli nqaku libonelela ngolwazi ngokubanzi kwaye akufuneki kuthathelwe ingqalelo icebiso ngonyango. Soloko unxibelelana nengcali yezempilo yokuxilongwa kunye nokunyanga nayiphi na imeko yonyango.