
Umhlaza wePancreatic sisifo esiyingozi, kodwa ukuqhubela phambili ekuxilongeni kunye unyango umhlaza pancreatic nikela ithemba. Esi sikhokelo esibanzi sihlola iinkalo ezahlukeneyo zesifo, ukusuka kwimingcipheko kunye nokuxilongwa kwiinketho zonyango kunye nophando oluqhubekayo. Siza kugubungela iindlela zamva nje zonyango kwaye sibonelele ngezixhobo kwizigulana kunye neentsapho zabo. Le ngcaciso yenzelwe iinjongo zemfundo kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana nomboneleli wakho wezempilo ukuze ufumane isikhokelo somntu.
Umhlaza wePancreatic ukhula kwi-pancreas, idlala elisemva kwesisu. Sisifo esintsonkothileyo esineendidi ezininzi, eyona ixhaphakileyo yi-adenocarcinoma. Ukufunyaniswa kwangethuba kubalulekile, njengoko kudla ngokubonisa iimpawu ezingacacanga ezinokuthi ziphazameke ngokulula nezinye iimeko. Ngelixa izizathu ezichanekileyo zingaqondwa ngokupheleleyo, izinto ezininzi zomngcipheko zinxulunyaniswa nokwanda kwamathuba okukhula unyango umhlaza pancreatic.
Izinto ezininzi zonyusa umngcipheko wokuba nomhlaza wepancreatic. Ezi ziquka iminyaka yobudala (ubuninzi bokuxilongwa kwenzeka emva kweminyaka eyi-65), ukutshaya (umngcipheko omkhulu), imbali yentsapho yomhlaza we-pancreatic, i-pancreatitis engapheliyo, isifo seswekile, ukutyeba, kunye neenguqu ezithile zofuzo. Ukuqonda le miba yomngcipheko kuvumela amanyathelo abonakalayo okunciphisa umngcipheko onokwenzeka.
Ukuxilonga unyango umhlaza pancreatic ngokuqhelekileyo ibandakanya indibaniselwano yovavanyo lwemifanekiso (ezifana ne-CT scans, i-MRI, kunye ne-endoscopic ultrasound), uvavanyo lwegazi (ukulinganisa iimpawu zethumba njenge-CA 19-9), kunye ne-biopsy enokubakho ukuqinisekisa ukuxilongwa kunye nokumisela inqanaba lomhlaza. Ukuxilongwa kwangoko kubalulekile ukuze kusebenze unyango umhlaza pancreatic.
Utyando, xa kunokwenzeka, lusoloko lulolona luphambili unyango umhlaza pancreatic. Oku kunokubandakanya ukususa ithumba kunye nezicubu ezijikelezileyo (pancreaticoduodenectomy okanye inkqubo yeWhipple), okanye olunye utyando oluncinci ngokuxhomekeke kwindawo kunye nobungakanani bomhlaza. Ukuphumelela kotyando kuxhomekeke kwizinto eziliqela, kuquka inqanaba lomhlaza kunye nempilo yonke yomguli.
I-Chemotherapy isebenzisa amayeza ukubulala iiseli zomhlaza. Isetyenziswa rhoqo kwi unyango umhlaza pancreatic, nokuba ngaphambi kotyando (i-neoadjuvant chemotherapy) ukucutha ithumba, emva kotyando (i-adjuvant chemotherapy) ukunciphisa umngcipheko wokuphindaphinda, okanye njengonyango oluphambili xa utyando aluyiyo inketho. Iirejimeni ezahlukeneyo zechemotherapy zikhona, ezilungiselelwe umguli ngamnye kunye nohlobo lomhlaza.
Unyango ngemitha isebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza. Inokusetyenziswa yodwa okanye kudityaniswe nechemotherapy unyango umhlaza pancreatic. Inokukunceda ukunciphisa amathumba kunye nokunciphisa iimpawu.
Amachiza onyango ekujoliswe kuwo agxile kwiimolekyuli ezithile ezibandakanyekayo ekukhuleni komhlaza. Olu nyango luchaneke ngakumbi kwaye lunokuba neziphumo ebezingalindelekanga ezimbalwa kunechemotherapy yesintu. Ukuqhubela phambili kwamva nje kunyango olujoliswe kuyo lubonise isithembiso sokuphucula iziphumo kwezinye izigulane ezine unyango umhlaza pancreatic. I-oncologist yakho inokucebisa malunga nokufaneleka kwale ndlela.
I-Immunotherapy idibanisa amajoni omzimba ukuze alwe neeseli zomhlaza. Ngelixa kuseyindawo yophando oluqhubekayo, i-immunotherapy ibonisa isithembiso ekunyangeni iintlobo zomhlaza kwaye yindawo esebenzayo yophando unyango umhlaza pancreatic.
Ukuthatha inxaxheba kulingo lweklinikhi lubonelela ngokufikelela kunyango oluphambili kwaye lunegalelo ekuqhubeleni phambili ukuqonda kunye unyango umhlaza pancreatic. Ugqirha wakho angaxoxa ukuba ingaba ulingo lwezonyango lunokuba lukhetho olufanelekileyo na kuwe. I AmaZiko eSizwe ezeMpilo (NIH) ClinicalTrials.gov iwebhusayithi ibonelela ngesiseko sedatha esibanzi solingo lwezonyango oluqhubekayo.
Ukujongana nokuxilongwa komhlaza we-pancreatic kunokuba nzima. Amaqela enkxaso, imibutho ethethelela izigulana, kunye neengcali zempilo yengqondo zinokubonelela ngenkxaso exabiseke kakhulu ngokweemvakalelo, ebonakalayo, kunye nolwazi kulo lonke ilizwe. unyango umhlaza pancreatic uhambo. I iPancreatic Cancer Action Network (PanCAN) inikeza ubutyebi bezibonelelo kunye nenkxaso.
Khumbula, ukufunyanwa kwangoko kunye nokufikelela kulwazi olubanzi, olulolwakho unyango umhlaza pancreatic yimiba ebalulekileyo ekuphuculeni iziphumo. Qhagamshelana nomboneleli wakho wezempilo ukuze uxoxe ngemiba esemngciphekweni wakho, wenze uvavanyo oluyimfuneko ukuba lubonisiwe, kwaye ujonge olona khetho lufanelekileyo lonyango kwimeko yakho.
Ukuze ufumane inkcazelo engakumbi ngonyango lomhlaza kunye nophando, nceda undwendwele i IZiko loPhando ngoMhlaza laseShandong Baofa iwebhusayithi. Banikezela ngeenkonzo zonyango eziphambili kunye nobuchule kukhathalelo lomhlaza.
| Uhlobo loNyango | Inkcazo |
|---|---|
| Utyando | Ukususwa kwethumba kunye nezicubu ezijikelezileyo. |
| Unyango ngamachiza | Ukusetyenziswa kweziyobisi ukubulala iiseli zomhlaza. |
| Unyango ngemitha | Ukusetyenziswa kwemitha ephezulu yamandla ukubulala iiseli zomhlaza. |
| Unyango ekujoliswe kulo | Amachiza ajolise kwiimolekyuli ezithile ezibandakanyekayo ekukhuleni komhlaza. |
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