unyango iimpawu umhlaza pancreatic

Ukuchonga i unyango iimpawu umhlaza pancreatic kwangethuba kunokuphucula ngokuphawulekayo i-prognosis. Eli nqaku lihlalutya kwiimpawu eziqhelekileyo, iindlela zokuxilonga, kunye nonyango olukhoyo lomhlaza we-pancreatic, ugxininisa ukubaluleka kokungenelela kwezonyango ngexesha elifanelekileyo. Ukuqonda le miba kunokuxhobisa abantu ukuba bafune iingcebiso zonyango ngokukhawuleza kwaye bahambe kuhambo lwabo lonyango ngokufanelekileyo.Ukuqonda Umhlaza wePancreatic Umhlaza wePancreatic wenzeka xa iiseli ezinobungozi zenza kwizicubu ze-pancreas, ilungu elisemva kwesisu. I-pancreas ivelisa ii-enzymes ezinceda ukugaya kunye neehomoni ezinceda ukulawula iswekile yegazi. Kukho iintlobo ezimbini eziphambili zomhlaza we-pancreatic: i-adenocarcinoma (uhlobo oluxhaphake kakhulu, oluvela kwiiseli ze-exocrine) kunye ne-neuroendocrine tumors (ezingaqhelekanga kwaye zivela kwiiseli ze-endocrine) .Izinto zoMngcipheko wePancreatic CancerIzinto ezininzi ezinokunyusa umngcipheko wokuba nomhlaza we-pancreatic, kubandakanywa: Ukutshaya: Abatshayayo banamathuba amabini ukuya kwamathathu okuba nomhlaza we-pancreas ngaphezu kwamathuba amabini ukuya kwamathathu ngaphezu komhlaza we-pancreatic. Ukutyeba: Ukutyeba kakhulu okanye ukutyeba kwandisa umngcipheko. Isifo seswekile: Isifo seswekile ekudala sikhona singumngcipheko. I-Pancreatitis engapheliyo: Ukudumba kwe-pancreas ixesha elide kunokunyusa umngcipheko. Imbali yentsapho: Ukuba nembali yentsapho yomhlaza we-pancreatic, okanye i-syndromes ethile yemfuza, iphakamisa umngcipheko. Ubudala: Umngcipheko uyanda ngokukhula, kwaye iimeko ezininzi zenzeka kubantu abangaphezu kweminyaka engama-65 Unyango Iimpawu zoMhlaza wePancreatic kunye ne-SymptomsEarly-stage pancreatic cancer ikholisa ukuba neempawu ezimbalwa okanye zingabikho, nto leyo enokwenza kube nzima ukufunyanwa kwangoko. Njengoko umhlaza uhambela phambili, iimpawu zinokuvela. Kubalulekile ukuba udibane nengcali yezempilo ukuba ufumana nayiphi na kwezi zilandelayo unyango iimpawu umhlaza pancreatic ngokuqhubekayo:I-Jaundice Jaundice, ukuba tyheli kwesikhumba kunye namhlophe kwamehlo, luphawu oluqhelekileyo. Kwenzeka xa i-tumor ivala i-bile duct, ikhusela i-bile ukuba ihambe kakuhle. Oku kwanda kwe-bilirubin (i-bile pigment) kubangela ukubola kwebala elityheli.Intlungu ye-Abdominal Pain kumntla wesisu okanye umva yenye impawu rhoqo. Intlungu isenokuza ize iphele, okanye isenokuhlala ihleli. Ihlala ichazwa njengentlungu ebuhlungu, kodwa inokuba bukhali kwaye ibukhali.Ukunciphisa Ubunzima kunye nokuLahlwa kokutya Ukulahleka kobunzima obungachazwanga kunye nokunciphisa ukutya kuqhelekileyo. Umhlaza we-Pancreatic unokuphazamisa amandla omzimba wokugaya ukutya kunye nokufunxa izondlo, okukhokelela ekulahlekeni kwesisindo nangona ukutya okuqhelekileyo.Iingxaki ze-Digestive Digestive Imicimbi yokugaya ukutya, njengokutya, ukuhlanza, kunye nokutshintsha kwimikhwa yamathumbu (umzekelo, isifo sohudo okanye ukuchithwa), kunokwenzeka. Umhlaza wePancreatic unokuphazamisa ukuveliswa kwee-enzymes zokugaya ukutya, okukhokelela kwezi ngxaki.Umchamo oMnyama kunye noLuhlu olunoMbala oKhanyaOlu tshintsho lunokubonisa ukuvaleka kwe-bile duct. Umchamo omnyama luphawu lwe-bilirubin engaphezulu, ngelixa izitulo ezinombala okhanyayo zenzeka ngenxa yokuba i-bile ayikhutshwa ngokufanelekileyo.I-New-Onset DiabetesIimeko ezinqabileyo, umhlaza we-pancreatic unokubangela isifo seswekile esitsha, ngakumbi kubantu abadala. Oku kungenxa yokuba ithumba linokuchaphazela iiseli ezivelisa i-insulin kwi-pancreas.Ukuxilongwa kwePancreatic CancerUkuba ufumana iimpawu ezibonisa umhlaza wepancreatic, ugqirha wakho unokucebisa ezi mvavanyo zokuxilonga zilandelayo: Uvavanyo loMzimba: Uvavanyo lomzimba ngokucokisekileyo linyathelo lokuqala. Uvavanyo lwegazi: Ukuhlolwa kwegazi kunokuhlola ukusebenza kwesibindi, amanqanaba e-bilirubin, kunye nobukho beempawu ze-tumor (ezifana ne-CA 19-9). Iimvavanyo ze-Imaging: I-CT Scan: I-Computed tomography (CT) i-scans inika imifanekiso ecacileyo ye-pancreas kunye nezitho ezizungezile. I-MRI: I-imaging ye-magnetic resonance imaging (MRI) inokunceda ukufumanisa i-tumor kwaye ivavanye ubungakanani bayo kunye nendawo. I-Endoscopic Ultrasound (EUS): I-EUS ibandakanya ukufaka ityhubhu encinci, eguquguqukayo kunye ne-ultrasound probe phantsi kwe-esophagus kwisisu kunye ne-duodenum ukuze ibone i-pancreas. Le nkqubo inokusetyenziselwa ukufumana iisampulu zethishu ze-biopsy. I-Biopsy: I-biopsy ibandakanya ukuthatha isampulu yethishu encinci kuvavanyo lwe-microscopic. Le yeyona ndlela yodwa yokuqinisekisa ukuxilongwa komhlaza wepancreatic.Iinketho zoNyango lwePancreatic CancerUnyango lomhlaza wepancreatic ixhomekeke kwinqanaba kunye nendawo yomhlaza, kunye nempilo yonke yesigulane. Ukhetho lunokubandakanya:Uqhaqho lokususa ithumba lolona khetho lonyango lomhlaza wepancreatic olubekwe kwindawo kwaye alunwenwanga kwiindawo ezikude. Olona tyando luxhaphakileyo yinkqubo yeWhipple (pancreantoduodenectomy), ebandakanya ukususa intloko yodakada, inxalenye yamathumbu amancinci, inyongo, kunye nenxalenye yesisu. Utyando olwenziwe kumaziko afana nala IZiko loPhando ngoMhlaza laseShandong Baofa idla ngokubona iziphumo ezingcono zesigulana.Unyango ngamachizaUnyango ngamachiza abandakanya ukusebenzisa amayeza okubulala iiseli zomhlaza. Inokusetyenziswa ngaphambi kotyando (i-neoadjuvant chemotherapy), emva kotyando (i-adjuvant chemotherapy), okanye njengonyango oluphambili lomhlaza we-pancreatic. Isenokusetyenziswa ngokudityaniswa nechemotherapy okanye njengonyango lokuthomalalisa ukuthomalalisa iimpawu.I-Targeted TherapyTargeted zonyango amayeza ajolise kwiimolekyuli ezithile ezibandakanyekayo ekukhuleni kweeseli zomhlaza kunye nokuphila. La machiza anokusetyenziswa kwizigulana ezinotshintsho lwemfuza ethile.ImmunotherapyImmunotherapy inceda amajoni omzimba aqaphele kwaye ahlasele iiseli zomhlaza. Ayiqhelekanga ukusetyenziswa kumhlaza we-pancreatic kodwa inokuba yinto ekhethiweyo kwiimeko ezithile.I-Palliative CarePalliative care igxile ekunciphiseni iimpawu kunye nokuphucula umgangatho wobomi kwizigulane ezinomdlavuza ophezulu we-pancreatic. Oku kunokubandakanya ukulawulwa kweentlungu, inkxaso yesondlo, kunye nenkxaso yeemvakalelo.Ukuphila nePancreatic CancerUkuphila nomhlaza wepancreatic kunokuba ngumngeni, emzimbeni nasemoyeni. Amaqela enkxaso, iingcebiso, kunye nezinye izibonelelo zinokunceda izigulane kunye neentsapho zazo zijamelane nesi sifo.Isiphelo Ukufunyaniswa kwangethuba kunye nonyango olufanelekileyo lubalulekile ekuphuculeni iziphumo zabantu abanomhlaza wepancreatic. Ukuqaphela okunokwenzeka unyango iimpawu umhlaza pancreatic kunye nokufuna unyango olukhawulezileyo kunokwenza umahluko omkhulu. I IZiko loPhando ngoMhlaza laseShandong Baofa luzinikele ekuqhubeleni phambili uphando lomhlaza kunye nokubonelela ngokhathalelo olubanzi kwizigulana.