
Esi sikhokelo sibanzi siphonononga imiba eneenkalo ezininzi unyango umhlaza pancreatic bangela iindleko, ukubonelela ngengqiqo ebalulekileyo kwizinto eziphembelela iindleko zonyango kunye noonobangela abasisiseko besi sifo singumngeni. Siza kuphonononga iindlela ezahlukeneyo zonyango, iindleko ezihambelana nazo, kunye nenkqubela phambili yamva nje kuphando kunye nokhathalelo. Ukuqonda ezi zinto kukunika amandla okwenza izigqibo ezizizo ngexesha lobunzima.
Imbali yentsapho yomhlaza we-pancreatic inyusa kakhulu umngcipheko. Utshintsho oluthile lwemfuza, olufana nolwe-BRCA1, BRCA2, kunye nofuzo lwe-CDKN2A, lunxulunyaniswa nomngcipheko ophakamileyo. Ingcebiso ngemfuza inokunceda ukuvavanya iiprofayili zomngcipheko ngamnye.
Ukutshaya ngumngcipheko omkhulu womhlaza we-pancreatic. Olunye ukhetho lwendlela yokuphila, kubandakanywa ukutya okungenamsoco (uphezulu kwinyama ebomvu kunye neyokucutshungulwa), ukungabikho komzimba, kunye nokukhuluphala, kunokuncedisa ekuphuhliseni isifo. Ukugcina impilo esempilweni kunokunciphisa kakhulu umngcipheko.
Umngcipheko we umhlaza wepancreatic ukwanda ngobudala, ngakumbi emva 65. Ethnicities ezithile, ezifana Afrika American, abe izinga eliphezulu izehlo kunabanye.
Ukususwa ngotyando lwethumba lolona khetho lonyango xa kunokwenzeka. Uhlobo lotyando luxhomekeke kwindawo yethumba kunye nobukhulu. Oku kunokubandakanya inkqubo ye-Whipple, i-distal pancreatectomy, okanye i-pancreatectomy iyonke. Iindleko zotyando ziyahluka ngokuxhomekeka kubunzima benkqubo kunye neziko.
Unyango ngamachiza lubandakanya ukusebenzisa amayeza okubulala iiseli zomhlaza. Ingasetyenziswa phambi kotyando (i-neoadjuvant chemotherapy) ukucutha ithumba, emva kotyando (i-adjuvant chemotherapy) ukunciphisa umngcipheko wokuphinda, okanye njengonyango lokuqala ukuba utyando ayisiyiyo inketho. Iindleko ziyahluka ngokwamachiza athile asetyenzisiweyo kunye nobude bonyango.
Unyango ngemitha isebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza. Ingasetyenziswa yodwa okanye idibene nechemotherapy. Iindleko zixhomekeke kuhlobo kunye nobude bonyango lweradiation.
Unyango ekujoliswe kulo lusebenzisa amachiza ajolise ngokukodwa kwiiseli zomhlaza ngaphandle kokwenzakalisa iiseli ezisempilweni. Olu nyango ludla ngokusetyenziswa kunye nolunye unyango. Iindleko ziphenjelelwa luhlobo lonyango olujoliswe kuyo kunye nobude bonyango.
Iindleko ze unyango umhlaza pancreatic inokwahluka ngokubanzi ngokuxhomekeke kwizinto ezininzi, kuquka:
Kubalulekile ukuxoxa ngeendleko kunye neqela lakho lezempilo kunye nomboneleli weinshurensi kwangethuba. Iinkqubo zoncedo lwemali zinokufumaneka ukunceda ukulawula iindleko.
Imibutho emininzi ibonelela ngoncedo lwemali kwizigulana ezinomhlaza. Ezi zibonelelo zinokunceda ekuhlawuleni iindleko zonyango, iindleko zokuhamba, kunye nezinye iindleko ezinxulumene noko. Kuyacetyiswa ukuba uqhagamshelane nomboneleli wakho wezempilo okanye unontlalontle ngolwazi ngezi nkqubo.
Ukufunyaniswa kwangethuba kubalulekile ekuphuculeni i-prognosis kunye nokulawula iindleko umhlaza wepancreatic. Ukuhlolwa rhoqo kwezempilo kunye nonyango olukhawulezileyo kuzo naziphi na iimpawu zibalulekile. Ukuxilongwa kwangoko kunokunyusa amathuba onyango oluyimpumelelo kunye nokunciphisa iindleko zizonke.
Olu lwazi lulwazi ngokubanzi kunye neenjongo zolwazi kuphela, kwaye aluquki iingcebiso zonyango. Soloko udibana nengcali yokhathalelo lwempilo kuyo nayiphi na inkxalabo yezempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo okanye unyango lwakho.
Ngolwazi oluthe vetshe, unganqwenela ukujonga izixhobo ezivela kwiziko leSizwe loMhlaza (https://www.cancer.gov/) okanye uthetha-thethwane neengcali kumaziko ahloniphekileyo afana nala IZiko loPhando ngoMhlaza laseShandong Baofa.
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