Umdlavuza we-pancreatic nobuhlungu emuva: ukuqonda ukuxhumana 

Pancreatic umdlavuza ubuhlungu emuva Imvamisa kuwuphawu oluvela lapho isimila siqala ukucindezela ezinhlungwini noma kwezinye izitho eziseduzane namanyikwe. Lokhu kubuhlungu kungasukela ekuqageleni okuxakile kube umuzwa obukhali, obukhali futhi kungazwakala ngangenhla noma eliphakathi nendawo. Ukutholwa kanye nokuphathwa kusenesikhathi kubalulekile ekuthuthukiseni imiphumela yeziguli. Ukuqonda izici zalobu buhlungu, izimbangela zalo ezingaba khona, nezinketho zokwelashwa ezikhona kubalulekile kuzo zombili iziguli kanye nabahlinzeki bezokunakekelwa kwempilo.

Ukuqonda umdlavuza we-pancreatic

Ama-pancreas yisitho esibalulekile esisemuva kwesisu, edlala indima ebalulekile ekugaliseni nasekuqondisweni ushukela wegazi. Umdlavuza we-pancreatic kwenzeka lapho amaseli angajwayelekile ekhula kuma-pancreas futhi akhule ngokungalawuleki. Lawa maseli angakha isimila esiphazamisa umsebenzi we-pancreas.

Izinhlobo zomdlavuza we-pancreatic

Uhlobo oluvame kakhulu lomdlavuza we-pancreatic yi-Adenocarcinoma, okuvela kumaseli we-exocrine akhiqiza ama-enzyme agayayo. Izinhlobo ezingaphansi ezijwayelekile zifaka ama-tumor we-neuroendeocrine, aqala kusuka kumaseli akhiqiza ama-hormone ama-pancreas.

Izici zobungozi

Kunezici eziningana ezingakhulisa ubungozi bokuthuthukisa umdlavuza we-pancreatic, kufaka phakathi:

• Ukubhema
• Ukukhuluphala
• Isifo sikashukela
• I-pancreatitis engapheli
• Umlando womndeni we-pancreatic cancer
• Ubudala (ubungozi bukhuphuka ngeminyaka)

Ukuxhumana phakathi komdlavuza we-pancreatic nobuhlungu emuva

Ukuhlungu obusemhlane kuwuphawu olujwayelekile lwe umdlavuza we-pancreatic, ikakhulukazi njengoba lesi sifo siyaqhubeka. Indawo nezimpawu zobuhlungu zinganikeza izinkomba mayelana nosayizi nendawo yesimila.

Umdlavuza we-pancreatic ubangela ubuhlungu emuva

Umdlavuza we-pancreatic kungadala ukuhlungu obusemhlane ngokusebenzisa izindlela eziningana:

• Ukukhula kwesitumor: Njengoba isimila sikhula, singacindezela ezinhlungwini ezizungeze amanyikwe, abangele izinhlungu ezihlehlela emuva.
• Ukubandakanyeka kwezinzwa: Isimila singakwazi ukuhlasela noma sicindezele i-celiac plexus, inethiwekhi yezinzwa ngemuva kwamanyikwe.
• Ukuvuvukala: Umdlavuza we-pancreatic ungadala ukuvuvukala, okungaba nomthelela ebuhlungu emuva.
• I-Metastasis: Ezigabeni ezithuthukile, umdlavuza we-pancreatic ungasakazeka (metastasize) kwezinye izingxenye zomzimba, kufaka phakathi umgogodla, obangela ubuhlungu emuva.

Izici ze-pancreatic cancer back buin

Pancreatic umdlavuza ubuhlungu emuva imvamisa inezici ezithile ezingasiza ukuhlukanisa kwezinye izinhlobo ze ukuhlungu obusemhlane:

• Indawo: Imvamisa zizwakala ngenhla noma ephakathi nendawo.
• Imvelo: Kungaba ukuqubuka okuxakile noma ubuhlungu obukhali, obuqhubekayo.
• Izici eziba zimbi: Kuvame ukukhulisa lapho kulele phansi noma ngemuva kokudla.
• Ukunciphisa izinto: Kungahle kukhululwe okwesikhashana ngokuhlala phambili.
• Izimpawu ezihambisanayo: Imvamisa ihambisana nezinye izimpawu zomdlavuza we-pancreatic, njengokunciphisa umzimba, i-jaundice kanye nezinkinga zokugaya ukudla.

Ezinye izimpawu zomdlavuza we-pancreatic

Lapho ukuhlungu obusemhlane kuwuphawu olubalulekile, umdlavuza we-pancreatic Imvamisa iziveza nezinye izimpawu nezimpawu:

• I-Jaundice: Kuphuzi kwesikhumba namehlo.
• Ukwehla kwesisindo: Ukulahleka kwesisindo okungachazwanga.
• Ubuhlungu besisu: Ubuhlungu esiswini.
• Ukulahleka kwesifiso sokudla: Ukuzizwa ugcwele ngokushesha noma ungazizwa ulambile.
• Izinkinga Zokugaya: Isicanucanu, ukugabha, isifo sohudo, noma izinguquko emikhubeni yamathumbu.
• Isifo sikashukela esisha: Ikakhulukazi kubantu abadala asebekhulile.
• Umchamo omnyama: Umchamo omnyama kunokwejwayelekile.
• Izitulo ezinombala okhanyayo: Izitulo ezinde noma ezinombala.
• Ukukhathala: Uzizwe ukhathele ngokungajwayelekile.

Ukuxilongwa komdlavuza we-pancreatic

Uma uhlangabezana nokuphikelela ukuhlungu obusemhlane kanye nezinye izimpawu ezibonisa ukuthi umdlavuza we-pancreatic, kubalulekile ukubonana nodokotela ukuze ahlolwe. Ukuhlolwa kokuxilonga kungafaka:

• Ukuhlolwa ngokomzimba nomlando wezokwelapha: Udokotela wakho uzohlola izimpawu zakho kanye nesendlalelo sezokwelapha.
• Ukuhlolwa kokucabanga:
  • I-CT SCAN: Inikeza izithombe ezinemininingwane yamanyikwe kanye nezitho ezizungezile.
  • I-MRI: Sebenzisa amasimu kazibuthe namagagasi omsakazo ukudala izithombe zamanyikwe.
  • I-endoscopic ultrasound (eus): Isebenzisa i-endoscope ene-ultrasound probe ukuze ibone ngeso lengqondo ama-pancreas.
• I-Biopsy: Isampula yezicubu zithathwa ukuze ihlolwe ngaphansi kwesibonakhulu.
• Ukuhlolwa Kwegazi: Ingalinganisa amazinga amaprotheni athile angakhombisa umdlavuza we-pancreatic. I-CA 19-9 iyisimanga esivamile se-smoree.

Izinketho zokwelashwa ze-Pancreatic Cancer

Ukwelashwa umdlavuza we-pancreatic Kuya ngesigaba somdlavuza, impilo yesiguli ephelele, kanye nezinto ezizithandayo. Izinketho zingafaka:

Indawo kadokotela

Uma umdlavuza uhlelwe futhi awukakakakeki, ukuhlinzwa ukususa isimila kungaba yindlela. Uhlobo lokuhlinzwa luncike endaweni yesimila. Kwamathumbu ekhanda lama-pancreas, inqubo yoShrewpple (i-pancreaticodueneneectomy) ingenziwa.

I-Chemotherapy

I-Chemotherapy isebenzisa izidakamizwa ukubulala umdlavuza amaseli. Ingasetshenziswa ngaphambi noma ngemuva kokuhlinzwa, noma ukwelashwa okuyinhloko komdlavuza we-pancreatic athuthukile. Izidakamizwa ezijwayelekile ze-chemotherapy zifaka i-gemcitabine ne-fluorouracil (5-FU).

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imishayo ephezulu yamandla ukubulala amaseli womdlavuza. Ingasetshenziswa ukuncipha isimila ngaphambi kokuhlinzwa noma ukubulala noma yimaphi amaseli asele emdlavuza ngemuva kokuhlinzwa.

Ukwelashwa okuhlosiwe

Izidakamizwa zokwelapha ezihlosiwe ziqondise ama-molecule athile athintekayo ekukhuleni kweseli yomdlavuza. Le mishanguzo ingahle isetshenziswe ezimweni ezithile zomdlavuza we-pancreatic osezingeni eliphezulu.

I-ImmunoSatherapy

I-ImmunoSatherapy isiza amasosha omzimba womzimba alwe nomdlavuza. Kungaba inketho kwezinye iziguli ezinomdlavuza we-pancreatic othuthukile.

Ukunakekelwa kwe-Palliative

Ukunakekelwa kwePalliative kugxile ekunciphiseni izimpawu kanye nokwenza ngcono impilo yempilo. Ingasetshenziswa kunoma yisiphi isigaba somdlavuza we-pancreatic futhi ingafaka ukuphathwa kwezinhlungu, ukusekelwa kokudla okunempilo, nokusekelwa okungokomzwelo.

Ukuphatha izinhlungu emuva ezihambisana nomdlavuza we-pancreatic

Ukuphatha ukuhlungu obusemhlane kuyingxenye ebalulekile ye umdlavuza we-pancreatic ukunakekela. Amasu angafaka:

• Imithi yobuhlungu: Ukuphindaphindwa ngaphezulu kwe-counter noma ukunikezwa kobuhlungu bokubhalwa phansi kungasiza ukuphatha izinhlungu.
• Amabhlogo wezinzwa: Imijovo ye-anesthetic yasendaweni eduze kwezinzwa ezidala izinhlungu.
• Ukwelashwa ngokomzimba: Ukuzivocavoca futhi kunwebe ukuthuthukisa ukuma nokunciphisa izinhlungu.
• Izindlela zokwelapha ezihlukile: I-Acupuncture, Massage, ne-Yoga kungasiza ukudambisa izinhlungu.

Ukuphila nomdlavuza we-pancreatic

Ukuphila ne umdlavuza we-pancreatic Kungaba inselelo, kepha kukhona izinsizakusebenza ezitholakalayo ukusiza iziguli nemindeni yazo. Amaqembu okusekela, ukwelulekwa, kanye nezinto zokufundisa kunganikeza ukusekelwa okungokomzwelo nangokoqobo. Ukugcina impilo enempilo, kufaka phakathi ukudla okulinganiselayo nokuzivocavoca njalo, kungathuthukisa nekhwalithi yempilo.

Ukucwaninga komdlavuza okhethekile nokwelashwa, cabanga ngokuvakasha I-Shandong Baafa Cancer Research Institute. Bazinikezele ekuhlinzekeni ukunakekelwa okuthuthukile kanye nokwelashwa okusha.

Ukubona Udokotela

Kubalulekile ukubonana nochwepheshe wezokunakekelwa kwempilo uma uhlangabezana nalokhu okulandelayo:

• Ukuphikelela noma okubandayo ukuhlungu obusemhlane
• Ukwehla kwesisindo okungachazwanga
• Uhlobo
• Ubuhlungu besisu
• Izinguquko Emikhakheni Yesibili
• Isifo sikashukela esisha

Ukugcina

Pancreatic umdlavuza ubuhlungu emuva kuhlobene nezimpawu ezivusa ukunakekelwa kwezokwelapha. Ukuqonda izimbangela ezingaba khona, izimpawu ezihambisana nakho, nezinketho zokwelashwa ezitholakalayo kungasiza ekuthuthukiseni ukutholwa kwakuqala kanye nokuphathwa kwalesi sifo. Uma unezinto ezikhathazayo ngempilo yakho, thintana nodokotela wakho.

Ukuzikhulula: Le ndatshana yenzelwe izinjongo zolwazi kuphela futhi ayisenzi izeluleko zezokwelapha. Hlala uthintana nochwepheshe wezempilo ofanelekile wokuxilongwa nokwelashwa.