Ukuqonda iimvavanyo zomhlaza we-pancreatic: Isikhokelo esibanzi 

Uvavanyo lomhlaza we-pancreatic ibalulekile ekufumanekeni kwangethuba kunye nokufumanisa isifo kwesi sifo sinzima. Ukukhetha kufanelekile Iimvavanyo Kuxhomekeka kwimiba yomngcipheko ngamnye, iimpawu, kunye nenqanaba lomhlaza onokubakho. Esi sikhokelo sinika isishwankathelo sabahlukeneyo Uvavanyo lomhlaza we-pancreaticIinjongo zabo, kunye nenjongo yazo.

Kutheni Uvavanyo lomhlaza we-pancreatic Ibalulekile?

I-pancreatic umhlaza ihlala ifunyaniswa kwinqanaba lokugqibela kuba iimpawu zokuqala zinokuba zingacacanga kwaye ziphosakele ngokulula kwezinye iimeko. Oku kufumanisa kade kuchaphazela kakhulu iindlela zonyango kunye neprosissis. Ke ngoko, ukuqonda okufumanekayo Uvavanyo lomhlaza we-pancreatic Kwaye xa kufuneka bafunelwa kubalulekile kulawulo lwempilo olusebenzayo.

Omele aqwalasele Uvavanyo lomhlaza we-pancreatic?

Ngelixa ihloliso eliqhelekileyo I-pancreatic umhlaza ayikanyanzelekanga ukuba ibe nabemi ngokubanzi, abantu abathile abanezinto ezinokubakho zomngcipheko kufuneka baxoxe ngeendlela zovavanyo nabanikezeli babo bezempilo. Izinto zomngcipheko zibandakanya:

• Imbali yosapho ye I-pancreatic umhlaza
• I-Tycaromes ethile yemfuza, efana ne-brca1 / 2 iguqukayo, i-peutz-jegrome, i-lynch isyndrome, kunye ne-mole ye-fallional mole melanoma (i-FALEMM)
• I-pancreatisis ye-ticreatitis
• I-Diabetes (ngakumbi iswekile entsha ye-Onset kubantu abadala abadala)
• Ukutyeba kakhulu
• Ukutshaya

Iintlobo ze Uvavanyo lomhlaza we-pancreatic

Ezahlukeneyo ezahlukeneyo Iimvavanyo inokusetyenziselwa ukunceda ekufumaneni I-pancreatic umhlaza. Ezi Iimvavanyo inokuhlelwa ngokubanzi ukuba icinge Iimvavanyo, igazi Iimvavanyo, kunye neenkqubo ze-biopsy.

Ukuvavanya uvavanyo

Ukucinga Iimvavanyo Nika ukubonelela ngeemboniselo ezibonakalayo zepancreas kunye negada ezijikelezileyo, ukunceda oogqirha bakuchonga izinto ezingaqhelekanga ezifana namathumba.

I-computer tomography (CT) Scan

Iskena se-CT isebenzisa i-x-ray ukwenza imifanekiso ecacileyo yomzimba womzimba. Ihlala icinga kuqala vavanyo isetyenziselwa ukuvavanya ukrokrelwa I-pancreatic umhlaza. I-CT Scans inokunceda ukumisela ubungakanani kunye nendawo ye-tumoor, kunye nokuba isasazeke kumalungu akufuphi okanye imithambo yegazi.

I-Magnetic Reance Reting (Mri)

I-MRI isebenzisa amabala e-magnetic eyomeleleyo kunye namaza erediyo ukuvelisa imifanekiso eneenkcukacha zomzimba. I-MRI inokubonelela ngemifanekiso eneenkcukacha ezininzi zepancreas kunye nezicubu ezijikelezileyo kune-CT, ngakumbi xa kuvavanywa imithambo yegazi ejikeleze i-pancreas. Iindlela ezithile ze-MRI, njenge-MRCP (i-Magnetic Retic CholangiopanCreatography), gxila kwi-bile kunye ne-pancreatic ductic.

I-Endoscopic ultrasound (eus)

U-Eus udibanisa i-tososcopy kunye ne-ultrasound ukubonelela ngemifanekiso ephakamileyo yepancreas. Ityhubhu ecekeceke, eguqukayo eneprojekhthi ye-ultrasound idlulile ngomlomo okanye i-rectum kwitrektha yokugaya. I-EUS ivumela ukubonwa okusondeleyo kweepancreas kwaye kungasetyenziselwa ukufumana iisampulu ze-tishu (iibhasikisi) zohlalutyo olungaphezulu. Njengeengcali kwi IZiko loPhando lweShandong Baeo Yazi, olu vavanyo luluncedo kakhulu.

I-Popronitron Extisus (Pet) Scan

Iskena sasekhaya sisebenzisa umkhondo we-radious toprive ukuba ifumane indawo yokunyuka kwemetabolic emzimbeni, enokubonisa umhlaza. I-scans yezilwanyana zasekhaya zihlala zidityaniswa ne-CT Scans (PET / CT) ukubonelela zombini iinkcukacha ze-Anatomical nosebenzayo. I-PET / CT scans ziluncedo ngokukhethekileyo ekufumaneni ukusasazeka kwe I-pancreatic umhlaza Kwezinye iindawo zomzimba.

Uvavanyo lwegazi

Igazi Iimvavanyo inokufumana ezinye izinto eziphakanyisiweyo kwabanye abantu I-pancreatic umhlaza. Nangona kunjalo, igazi Iimvavanyo yodwa ayinakuchonga I-pancreatic umhlaza kwaye zihlala zisetyenziswa ngokudibeneyo kunye nokucinga Iimvavanyo.

Ca 19-9

I-CA 19-9 yi-tumor borker ehlala iphakanyisiwe ebantwini I-pancreatic umhlaza. Nangona kunjalo, inokuphakanyiswa kwezinye iimeko, ezinje ngePancreatitis kunye ne-bile duct duct. Ke, i-CA 19-9 ayisiyo-hlosiso ethembekileyo vavanyo kuba I-pancreatic umhlaza, kodwa kunokuba luncedo ekujongeni ngeliso mpendulo yonyango kunye nokufumana kwakhona. Ngokutsho koMbutho woMhlaza waseMelika, malunga ne-80% yabantu I-pancreatic umhlaza banamanqanaba aphezulu e-CA 19-9.¹

I-bilirubhi

I-bilirubin sisixhobo esiveliswe sisibindi. Amanqanaba aphezulu eBilirubhin egazini anokubonisa ibhloko kwi-bile duct, enokubangelwa I-pancreatic umhlaza. Igazi leBilirubhi vavanyo ihlala isebenza ukuba umntu une-jaundice (ityheli lolusu kunye namehlo), uphawu oluqhelekileyo lwe I-pancreatic umhlaza.

Uvavanyo lomsebenzi weSibindi (LFTS)

I-LFTS ilinganisa amanqanaba ee-enzymes ezahlukeneyo kunye neeproteni zegazi eziveliswa sisibindi. Iziphumo ezingaqhelekanga ze-Lft zinokubonisa ukonakaliswa kwesibindi okanye ukungasebenzi kakuhle, okunokubangelwa yi I-pancreatic umhlaza Oko kusasazeke kwisibindi.

I-biopsy

I-biopsy yeyona ndlela kuphela yokuqinisekisa ukuxilongwa kwe I-pancreatic umhlaza. Ngexesha le-biopsy, isampulu encinci ye-tishu isuswe kwi-pancreas kwaye ihlolwe phantsi kwemakroskopu. I-biopes inokufumaneka ngeendlela ezahlukeneyo, kubandakanya:

I-Endoscopic ultrasopic-ikhokelwa i-Inale ikhutshelwe inaliti (Eus-FNA)

U-Eus-FNA yinkqubo engahlaseli encinci apho inaliti idluliselwa khona udonga lwesisu okanye i-duodenum, ekhokelwa yi-ultrasound, ukufumana isampulu ye-tishu evela kwiipancreas.

I-biopsy ye-percutaneous

I-biopsy ye-biecutaneous ibandakanya ukufaka inaliti kulusu nakwipancreas ukufumana isampulu ye-tishu. Le nkqubo idla ngokwenziwa phantsi kwe-CT okanye isikhokelo se-Ultrasound.

I-biopsy ye biopsy

I-biopsy ye biopsy ibandakanya ukwenza isisu esiswini sizokubona ngokuthe ngqo i-pancreas kwaye ufumane isampulu ye-tishu. Le nkqubo ihlala isebenza xa ezinye iindlela ze biopsy azinokwenzeka okanye aziphumelelanga ukubonelela ngesifo.

Yintoni onokuyilindela ngexesha Uvavanyo lomhlaza we-pancreatic

Amava okujonga Uvavanyo lomhlaza we-pancreatic inokwahluka ngokuxhomekeke kwicandelo elithile vavanyo yenziwe. Nantsi isishwankathelo ngokubanzi sokuba ngubani onokulindela:

Phambi kovavanyo

Ugqirha wakho uza kubonelela ngemiyalelo ethile ngendlela yokulungiselela nganye nganye vavanyo. Oku kunokubandakanya ukuzila ukutya kangangexesha elithile, ukuthintela amayeza athile, okanye ukusela isisombululo esikhethekileyo sophawu. Kubalulekile ukulandela le miyalelo ngononophelo ukuze uqiniseke ngokuchanekileyo vavanyo iziphumo.

Ngexesha lovavanyo

Uninzi lwengcinga Iimvavanyo AKUKHO BAMBI, nangona abanye kunokubandakanya ixesha elifutshane lokungathandeki okanye uxinzelelo. I-biopsies inokubangela iintlungu okanye ukungonwabi, kodwa ugqirha wakho uyakusinika i-anesthesia yendawo ukunciphisa nayiphi na intlungu. Kubalulekile ukuba iziko elikwenza uvavanyo oluxhotyisiweyo. Ungaqwalasela ukujonga ulwazi ngakumbi malunga IZiko loPhando lweShandong Baeo ukufumana iimbekiselo.

Emva kovavanyo

Emva kwe vavanyo, unokufumana iziphumo ebezingalindelekanga, ezinjenge-nausea, ukudinwa, okanye iintlungu kwindawo ye-biopsy. Iziphumo ebezingalindelekanga zihlala zexeshana kwaye zizimisele ngokwakho. Ugqirha wakho uza kubonelela ngemiyalelo ethile ngendlela yokuzikhathalela emva kwe vavanyo kwaye xa ulindele iziphumo.

Ukutolika Uvavanyo lomhlaza we-pancreatic Iziphumo

Ukutyhilwa kwe Uvavanyo lomhlaza we-pancreatic Iziphumo zinokuba nzima kwaye zifuna ubungcali bengcali yezempilo efanelekileyo. Kubalulekile ukuxoxa kwakho vavanyo Iziphumo zikagqirha wakho ukuze uqonde ukuba zithetha ukuthini kwaye zeziphi na amanyathelo alandelayo.

I-Postives ebubuxoki kunye ne-potutis

Kubalulekile ukuba uqaphele ukuba Uvavanyo lomhlaza we-pancreatic ayihlali i-100% ichanekile. Iziphumo ezifanelekileyoIimvavanyo Ibonisa umhlaza xa ingekhoyo) kunye neziphumo ezibi zobuxoki (Iimvavanyo Oko kusilela ukufumana umhlaza xa kukho) kunokwenzeka.

Ukubaluleka kokulandelwa

Ukuba bakho Uvavanyo lomhlaza we-pancreatic Iziphumo zingaqhelekanga, ugqirha wakho uya kukhumbuza ngakumbi Iimvavanyo ukuqinisekisa okanye ukuphelisa isifo I-pancreatic umhlaza. Oku kunokubandakanya ingcinga eyongezelelweyo Iimvavanyo, ii-biopsies, okanye uthethathethwano neengcali.

Ikamva le Uvavanyo lomhlaza we-pancreatic

Uphando luyaqhubeka nokuphuhlisa okutsha kunye nokuchanekileyo Uvavanyo lomhlaza we-pancreatic. Oku kubandakanya:

• I-biopsies ye-Liqhenqa: Ezi Iimvavanyo Hlalutya iisampulu zegazi zokujikeleza iiseli ze-tumor okanye iziqwenga zeDNA eziphathwayo ziiseli zomhlaza.
• Iindlela eziphuculweyo zokucinga: Abaphandi baphuhlisa iindlela ezintsha zokucinga ezinokufumana amathumba amancinci kwaye ahlukanise phakathi kwezilophe ezizezakwa ngaphandle kunye nezilonda ezingathandekiyo.
• Ukufunyanwa kwe-biomarker: Izazinzulu zisebenzela ukubonisa ii-biomaskis ezintsha ezinokusetyenziselwa ukufumana I-pancreatic umhlaza ekuqaleni.

Olu lwazi lwenzelwe ulwazi ngokubanzi kunye neenjongo zolwazi kuphela, kwaye azisebenzi kakuhle. Kubalulekile ukuba ujongene nengcali yezempilo efanelekileyo kuyo nayiphi na inkxalabo yezempilo okanye ngaphambi kokwenza naziphi na izigqibo ezinxulumene nempilo yakho okanye unyango.

1. Umbutho woMhlaza waseMelika. (n.d.). Iimpawu kunye neempawu zomhlaza we-pancreatic. Ifunyenwe https //www.cancer.org/cancer/types/pancreacancer/Icala elifanelekileyo-