
Esi sikhokelo sibanzi sikunceda ukuba ukhangele ubunzima bokufumana okusebenzayo unyango umhlaza pancreatic kufutshane nam. Siphonononga iindlela zonyango, izinto ekufuneka ziqwalaselwe xa ukhetha umboneleli wenkathalo, kunye nezixhobo zokuxhasa uhambo lwakho. Funda ukwenza izigqibo ezinolwazi malunga nokhathalelo lwakho lwezempilo kwaye ufumane olona khathalelo lunokwenzeka kwiimfuno zakho ezithile.
Umhlaza wePancreatic sisifo esiyingozi esibonakaliswa kukukhula okungalawulekiyo kweeseli kwi-pancreas. I-pancreas lilungu elibekwe emva kwesisu elidlala indima ebalulekileyo ekucoleni nasekulawuleni iswekile yegazi. Kukho iintlobo ezininzi zomhlaza wepancreatic, eyona ixhaphakileyo yipancreatic adenocarcinoma. Ukufunyaniswa kwangethuba kubalulekile kwiziphumo ezingcono zonyango, kodwa ngelishwa, umhlaza wepancreatic uhlala ubonisa iimpawu ezingacacanga, nto leyo eyenza kube nzima ukuxilongwa kwangoko.
Umhlaza wePancreatic ubandakanya iintlobo ezahlukeneyo, nganye ineempawu zayo ezizodwa kunye neendlela zonyango. Ezi ziquka i-adenocarcinoma (eyona ixhaphakileyo), i-neuroendocrine tumors, kunye ne-cystic neoplasms. Uhlobo oluthile luchaphazela kakhulu izicwangciso zonyango kunye ne-prognosis.
Iimpawu zomhlaza we-pancreatic zinobuqili kwaye zihlala zilinganisa ezinye iimeko, ezikhokelela ekuxilongeni ukulibaziseka. Iimpawu eziqhelekileyo zingabandakanya i-jaundice (ukukhanya kwesikhumba kunye namehlo), intlungu yesisu, ukunciphisa umzimba, ukudinwa, kunye nokutshintsha kwimikhwa yamathumbu. Ukuba ufumana ezi mpawu, kubalulekile ukuba udibane nogqirha ngoko nangoko ukuze akuvavanye.
Utyando lukhetho oluphambili lonyango lwezigulane ezininzi zomhlaza wepancreatic, kuxhomekeke kwinqanaba kunye nendawo yethumba. Iinkqubo zinokubandakanya utyando lwe-Whipple (pancreaticoduodenectomy), i-distal pancreatectomy, okanye i-pancreatectomy iyonke. Ukhetho lotyando luxhomekeke kwizinto eziliqela, kuquka ubungakanani bomhlaza kunye nempilo yonke yomguli.
I-Chemotherapy isebenzisa amayeza anamandla ukubulala iiseli zomhlaza. Ihlala isetyenziswa phambi kotyando (neoadjuvant chemotherapy) ukuthoba ithumba, emva kotyando (i-adjuvant chemotherapy) ukuphelisa iiseli zomhlaza eziseleyo, okanye njengonyango lokuqala lomhlaza wepancreatic. Iirejimeni ezahlukeneyo zechemotherapy zikhona, kwaye ukhetho luxhomekeke kwiimeko zomntu ngamnye kunye nohlobo lomhlaza.
Unyango ngemitha lusebenzisa imitha yemitha ephezulu ukonakalisa iiseli zomhlaza kwaye zithintele ukuba zingakhuli kwaye zisasazeke. Ingasetyenziswa yodwa okanye idityaniswe nechemotherapy okanye utyando. Unyango lwemitha yangaphandle yemitha yeyona ndlela ixhaphakileyo, kodwa ibrachytherapy (imitha yangaphakathi) inokuba yinto enokwenziwa kwiimeko ezithile.
Unyango ekujoliswe kulo lusebenzisa amachiza ajolise ngokukodwa kwiiseli zomhlaza ngaphandle kokonakalisa iiseli eziphilileyo. Olu nyango lujolise kwiinguqu ezithile zofuzo okanye iiprotheni ezifumaneka kwiiseli zomhlaza. Le ndlela inika indlela yonyango echanekileyo eneziphumo ebezingalindelekanga ezimbalwa kunechemotherapy yesintu.
I-Immunotherapy idibanisa amajoni omzimba ukulwa nomhlaza. Isebenza ngokonyusa amandla amajoni omzimba okuqaphela kunye nokutshabalalisa iiseli zomhlaza. Amachiza amaninzi e-immunotherapy okwangoku aphandwa umhlaza wepancreatic, ebonisa iziphumo ezithembisayo kwiimeko ezithile. Le yindawo yophando oluqhubekayo kunye nolingo lwezonyango oluqhubekayo.
Ukukhetha ingcali efanelekileyo kuyona nto ibalulekileyo. Qwalasela iinkalo ezinjengamava onyango lomhlaza wepancreatic, izixhobo zesibhedlele nobugcisa, amazinga okuphumelela, nendlela ugqirha anxibelelana ngayo. Unokufuna ukufuna izimvo zesibini ukuqinisekisa ukuba wenza esona sigqibo silungileyo.
Izixhobo ezininzi ze-intanethi zinokukunceda ufumane iingcali kunye namaziko onyango. Ungasebenzisa iinjini zokukhangela ezifana neGoogle ukufumana unyango umhlaza pancreatic kufutshane nam okanye usebenzise iwebhusayithi yolwazi olukhethekileyo lomhlaza. Soloko uqinisekisa iziqinisekiso kunye nophononongo phambi kokuba wenze isigqibo. I Umbutho womhlaza waseMelika sisixhobo esigqwesileyo solwazi nenkxaso.
Ukunxibelelana namaqela enkxaso kunye nemibutho exhasa izigulane kunokubonelela ngenkxaso exabiseke kakhulu ngokwasemoyeni nakwizinto eziphathekayo. La maqela anika imvakalelo yoluntu kunye nokufikelela kumava ekwabelwana ngawo kunye nezibonelelo, ukuthomalalisa umthwalo weemvakalelo odla ngokunxulunyaniswa nonyango lomhlaza. Banika indawo ekhuselekileyo yokuxoxa ngeemvakalelo zakho kunye nemingeni.
Ukuthatha inxaxheba kumalingo onyango kunika ukufikelela kwiinketho zonyango ezingekabikho ngokubanzi. Olu lingo lunceda ukuqhubela phambili uphando kwaye lunokuthi lunike izigulane iziphumo ezingcono. Umboneleli wakho wezempilo unokukunceda uphonononge ulingo lwezonyango olufanelekileyo olusekwe kwiimeko zakho.
Ukhathalelo lwePalliative lujolise ekuphuculeni umgangatho wobomi kwizigulane ezinezifo ezinzulu, kubandakanywa nomhlaza we-pancreatic. Ijongana neentlungu, iimpawu, kunye nokuphila kakuhle ngokweemvakalelo kwaye inokubonelelwa kunye nonyango olunyangayo. Le ndlela ijolise ekwenzeni izigulane zikhululeke kwaye ziphucule amava abo jikelele.
Ukujongana ne-a umhlaza wepancreatic ukuxilongwa kunokuba nzima. Khumbula ukusebenzisa izixhobo ezikhoyo ukuxhasa uhambo lwakho. I Iziko leSizwe leSifo seswekile kunye neDigestive and Kidney Diseases (NIDDK) kunye ne Iziko leSizwe loMhlaza (NCI) ukunika ulwazi olubanzi malunga nomhlaza wepancreatic. Khumbula ukuhlala udibana nogqirha wakho ukuze ufumane isikhokelo somntu.
Kukhathalelo olubanzi lomhlaza, qwalasela ubuchule be IZiko loPhando ngoMhlaza laseShandong Baofa. Babonelela ngeendlela zonyango oluphezulu kunye nokhathalelo lwemfesane kwizigulana ezijongene nesi sifo singumngeni.
| Uhlobo loNyango | Iingenelo | Iingxaki |
|---|---|---|
| Utyando | Iyanyangeka | Utyando olukhulu oluneengxaki ezinokubakho |
| Unyango ngamachiza | Iyakwazi ukushwabana amathumba, yandise ubomi | Iziphumo zecala ezibalulekileyo |
| Unyango ngemitha | Ukuphumelela ekulawuleni izifo zendawo | Iziphumo ebezingalindelekanga ezifana nokudinwa nokucaphuka kwesikhumba |
I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana nengcali yokhathalelo lwempilo kuyo nayiphi na inkxalabo yezempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo okanye unyango lwakho.
ecaleni>
umzimba>