
Esi sikhokelo esibanzi siphonononga izizathu zomhlaza we-pancreatic kwaye sichaza iindlela ezahlukeneyo zonyango ezikhoyo, zigxininisa izibhedlele ezihamba phambili ezikhethekileyo kwesi sifo esinzima. Siza kuphonononga kwinkqubela phambili yamva nje unyango umhlaza pancreatic kubangela Izibhedlele, ukubonelela ngengqiqo malunga nokuxilongwa, iindlela zonyango, kunye ne-prognosis.
Umhlaza wePancreatic sisifo esiyingozi esichaphazela i-pancreas, ilungu elibalulekileyo elibekwe emva kwesisu. I-pancreas ivelisa iihomoni ezifana ne-insulin kunye nee-enzymes zokugaya. Umhlaza kweli lungu unokuba ndlongondlongo ngakumbi, ufumanise kwangoko kwaye usebenze unyango umhlaza pancreatic kubangela Izibhedlele kubalulekile kwiziphumo eziphuculweyo.
Oyena nobangela womhlaza wepancreatic awuqondwa ngokupheleleyo, kodwa izinto ezininzi ezinobungozi zichongiwe. Ezi ziquka ukutshaya (umngcipheko omkhulu), imbali yentsapho yomhlaza we-pancreatic, utshintsho oluthile lwemfuza (njenge-BRCA1 kunye ne-BRCA2), i-pancreatitis engapheliyo, isifo seswekile, kunye nokukhuluphala. Ukuchanabeka kwimichiza ethile nako kunokudlala indima. Uphando luyaqhubeka nokutyhila ukudibana okuntsonkothileyo kofuzo kunye nezinto ezisingqongileyo ezinegalelo ekukhuleni kwesi sifo.
Utyando lolona khetho lonyango oluphambili kwizigaba ezithile zomhlaza wepancreatic. Iinkqubo zinokubandakanya ukususa ithumba kunye nezihlunu ezijikelezileyo (pancreaticoduodenectomy, eyaziwa ngokuba yinkqubo yeWhipple), okanye uqhaqho oluncinci ngokuxhomekeke kwindawo yethumba kunye nobungakanani. Impumelelo yotyando unyango umhlaza pancreatic kubangela Izibhedlele ubukhulu becala kuxhomekeke kwinqanaba lomhlaza ekuxilongeni.
I-Chemotherapy isebenzisa amayeza ukubulala iiseli zomhlaza. Inokulawulwa phambi kotyando (neoadjuvant chemotherapy) ukuthoba ithumba, emva kotyando (i-adjuvant chemotherapy) ukuphelisa naziphi na iiseli zomhlaza eziseleyo, okanye njengonyango oluphambili lomhlaza wepancreatic. Iirejimeni ezahlukeneyo zechemotherapy zisetyenziswa ngokuxhomekeke kwinqanaba kunye nohlobo lomhlaza.
Unyango ngemitha lusebenzisa imitha yemitha ephezulu ukonakalisa nokutshabalalisa iiseli zomhlaza. Ingasetyenziswa yodwa okanye idibene nechemotherapy ukuphucula iziphumo zonyango. Unyango ekujoliswe kulo ngemitha, olufana ne-stereotactic body radiation therapy (SBRT), ukuhambisa ngokuthe ngqo iidosi zemitha yemitha kwithumba ngelixa unciphisa umonakalo kwizihlunu ezisempilweni ezingqongileyo.
Unyango olujoliswe kuyo lujolise kwiimolekyuli ezithile okanye iindlela ezibandakanyekayo ekukhuleni kweeseli zomhlaza. Olu nyango lunokusebenza ngakumbi kwaye lube neziphumo ebezingalindelekanga ezimbalwa kunechemotherapy yesintu. Iindlela ezininzi zonyango ezijoliswe kuzo zivunyiwe kunyango lomhlaza we-pancreatic, kwaye uphando luyaqhubeka nokuphuhlisa ii-agent ezintsha kunye neziphuculweyo.
I-Immunotherapy idibanisa amajoni omzimba ukulwa nomhlaza. Amachiza e-Immunotherapy anceda amajoni omzimba ukuba abone kwaye ahlasele iiseli zomhlaza. Ngelixa iseyindawo entsha kunyango lomhlaza wepancreatic, i-immunotherapy ibonisa isithembiso ngokudibeneyo nolunye unyango.
Ukukhetha isibhedlele esinobuchule kunyango lomhlaza wepancreatic kubalulekile. Khangela izibhedlele ezineengcali ze-oncologists, oogqirha botyando, kunye neqela lezinto ezininzi ezijongene nokhathalelo lomhlaza. Qwalasela izibhedlele ezinamazinga aphezulu empumelelo kwiinkqubo ezithile kunye nobuchwepheshe obuphambili obunjengotyando lwerobhothi kunye nobuchule obuphambili bokucinga.
Kwabo bafuna ukuqhubela phambili unyango umhlaza pancreatic kubangela Izibhedlele, qwalasela amaziko ophando aziwa ngeenkqubo zawo ezibanzi zomhlaza kunye nolingo lwezonyango. Iziko lomhlaza leSizwe (NCI) ligcina uluhlu olubanzi lwamaziko omhlaza achongiweyo. Izibhedlele ezininzi zibonelela ngolwazi oluneenkcukacha kwiiwebhusayithi zabo malunga neenkqubo zabo zonyango lomhlaza we-pancreatic, ubuchule bogqirha, kunye namazinga okuphumelela kwesigulana.
Ukufunyanwa kwangethuba kuphucula kakhulu ukuxilongwa komhlaza we-pancreatic. Ukuhlolwa rhoqo kunye nokwazisa ngemiba yomngcipheko kubalulekile. Ukuba ufumana iimpawu ezinjengeentlungu zesisu, i-jaundice, ukulahleka kwesisindo, okanye ukukhathala, qhagamshelana nodokotela wakho ngokukhawuleza.
Olu lwazi lulwazi ngokubanzi kwaye aluqulunqi iingcebiso zonyango. Soloko udibana nengcali yokhathalelo lwempilo olufanelekileyo ukuze uxilongwe kunye nonyango lwaso nasiphi na isimo sonyango. Izicwangciso zonyango lomntu ngamnye ziya kuhluka ngokusekelwe kwiimeko ezithile zesigulane ngasinye.
| Umba | Ukubaluleka Ekukhetheni Isibhedlele |
|---|---|
| OoGqirha abanamava kunye neeOncologists | Ibalulekile kuqhaqho oluyimpumelelo kunye nezicwangciso zonyango lomntu ngamnye. |
| Iqela leNdlela yokuSebenza yeZifundo ezininzi | Uqinisekisa ukhathalelo olubanzi olubandakanya iingcali ezivela kwiinkalo ezahlukeneyo. |
| Ubuchwephesha obukwinqanaba eliphezulu kunye neZixhobo | Ukufikelela kubuchwepheshe obuphambili bukhokelela kwiziphumo eziphuculweyo. |
| Imilinganiselo yeMpumelelo ePhakamileyo kunye neDatha yokusinda kwesigulane | Inika ulwazi malunga nokusebenza kwesibhedlele ekunyangeni umhlaza wepancreatic. |
Ngolwazi oluthe kratya, unganqwenela ukujonga izixhobo ezifana neZiko loMhlaza leSizwe (https://www.cancer.gov/kunye noMbutho weCancer waseMelika (https://www.cancer.org/).
Cinga ngokufikelela IZiko loPhando ngoMhlaza laseShandong Baofa ngolwazi oluthe kratya kwiinkonzo zabo zokhathalelo lomhlaza.
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