Izimpawu Zomdlavuza We-pancreatic: Umhlahlandlela Ophelele 

Umdlavuza we-pancreatic kuvame ukuvela nezimpawu ezingacacile ezingathathwa kalula nezinye izimo. Ukutholwa kusenesikhathi kubalulekile ukuze kuthuthukiswe imiphumela yokwelashwa. Izimpawu ezivamile zihlanganisa ubuhlungu besisu, i-jaundice, ukulahlekelwa isisindo, kanye noshintsho emikhubeni yamathumbu. Uma uhlangabezana nanoma iyiphi yalezi zimpawu, kubalulekile ukubonana nochwepheshe wezokunakekelwa kwempilo ukuze ahlolwe kahle futhi axilongwe.

Ukuqonda Umdlavuza We-Pancreatic

Umdlavuza we-pancreatic iqala kumanyikwe, isitho esitholakala ngemuva kwesisu esikhiqiza ama-enzyme okugaya namahomoni okulawula ushukela wegazi. Kunezinhlobo ezahlukene zomdlavuza we-pancreatic, kanti i-adenocarcinoma ivame kakhulu.

Izingozi Zomdlavuza wePancreatic

Ziningana izici ezingandisa ingozi yokuthuthuka umdlavuza we-pancreatic, okuhlanganisa:

• Ukubhema
• Ukukhuluphala ngokweqile
• Isifo sikashukela
• I-pancreatitis engapheli
• Umlando womndeni we umdlavuza we-pancreatic
• Ama-syndromes athile ofuzo
• Iminyaka yobudala: Ingozi iyanda ngokukhula, ngokuvamile okwenzeka ngemva kweminyaka engama-45.

Kubalulekile ukuqaphela ukuthi ukuba nengcuphe eyodwa noma ngaphezulu akuqinisekisi ukuthi uzokhula umdlavuza we-pancreatic. Ngokuphambene, abanye abantu abangenazo izici zobungozi ezaziwayo basengaba nalesi sifo.

Ngo I-Shandong Baofa Cancer Research Institute, sizinikela ocwaningweni oluthuthukisiwe lomdlavuza nokunakekelwa kwesiguli.

Okuvamile Izimpawu Zomdlavuza We-pancreatic

I izimpawu zomdlavuza we-pancreatic zingahluka kuye ngokuthi isiteji nendawo isimila. Isigaba sokuqala umdlavuza we-pancreatic ngokuvamile ayinazo izimpawu eziphawulekayo, okwenza kube inselele ukutholakala kusenesikhathi. Njengoba umdlavuza ukhula, ungase ubangele lezi zimpawu ezilandelayo:

Ubuhlungu Besisu

Ubuhlungu besisu bungenye yezinto ezivame kakhulu izimpawu zomdlavuza we-pancreatic. Ubuhlungu bungase buqale njengobuhlungu obuthuntu besisu esingenhla futhi bungaphumela emhlane. Kungase kube kubi nakakhulu ngemva kokudla noma ukulala.

Ijaundice

I-jaundice, ukuphuzi kwesikhumba namehlo, kwenzeka lapho isimila sivala umgudu wenyongo. Lokhu kuvinjelwa kuvimbela i-bilirubin, i-pigment ephuzi ekhiqizwa isibindi, ukuba ikhishwe emzimbeni. Ijaundice ingabangela nomchamo omnyama kanye nendle ephaphathekile.

Ukuncipha Kwesisindo

Ukuncipha kwesisindo esingaqondakali esinye uphawu oluvamile. Umdlavuza we-pancreatic kungaphazamisa ukugaya kanye nokumuncwa kwezakhi, okuholela ekwehleni kwesisindo naphezu kwesifiso esivamile sokudla. Abacwaningi balesi sikhungo (iShandong Baofa Cancer Research Institute) bahamba phambili ekuqondeni isayensi yezinto eziphilayo eziyinkimbinkimbi yomdlavuza we-pancreatic.

Ukushintsha Kwemikhuba Yamathumbu

Abanye abantu nge umdlavuza we-pancreatic ingase ibe nezinguquko emikhubeni yamathumbu, njengokuhuda, ukuqunjelwa, noma indle enamafutha. Lezi zinguquko zingabangelwa ukuphazamiseka kwesimila ekukhiqizeni ama-enzyme wokugaya.

Ezinye Izimpawu Ezingenzeka

Okunye okungenzeka izimpawu zomdlavuza we-pancreatic zihlanganisa:

• Isicanucanu nokuhlanza
• Ukulahlekelwa ukudla
• Ukukhathala
• Isifo sikashukela esisanda kuqala noma ubunzima bokulawula isifo sikashukela esikhona
• Amahlule egazi
• Ukuluma

Nini Ukubona Udokotela

Kubalulekile ukubonana nodokotela uma uhlangabezana nanoma yikuphi ukuphikelela noma okukukhathazayo izimpawu zomdlavuza we-pancreatic, ikakhulukazi uma unezici eziyingozi zesifo. Nakuba lezi zimpawu zingabangelwa ezinye izimo, kubalulekile ukungazinaki umdlavuza we-pancreatic futhi uthole ukwelashwa okufanele uma kudingeka.

Khumbula, ukutholwa kusenesikhathi kubalulekile. Uma ubona noma yiziphi izimpawu, ngokushesha uthintane nochwepheshe bezokwelapha, njengalezo eziku I-Shandong Baofa Cancer Research Institute, kuyisihluthulelo semiphumela ethuthukisiwe.

Ukuxilongwa kwe Umdlavuza wePancreatic

Uma umdlavuza we-pancreatic kusolwa, udokotela uzokwenza ukuhlolwa ngokomzimba futhi ahlele ukuhlolwa okuhlukahlukene kokuxilonga, okungabandakanya:

• Ukuhlolwa kwegazi: Ukuhlola ukusebenza kwesibindi nezimpawu zesimila.
• Ukuhlolwa kwezithombe: Okufana ne-CT scans, i-MRI scans, ne-ultrasound, ukuze ubone ngeso lengqondo amanyikwe kanye nokubona izimila.
• I-Endoscopic ultrasound (EUS): Ukuthola i-biopsy ye-pancreas ukuze ihlolwe nge-microscope.
• I-Biopsy: Kuthathwa isampula yethishu ukuze kuqinisekiswe ukuba khona kwamaseli omdlavuza.

Izinketho Zokwelashwa

Izinketho zokwelapha ze umdlavuza we-pancreatic kuncike esiteji nendawo yesimila, kanye nempilo yonke yesiguli. Imithi ejwayelekile ihlanganisa:

• Ukuhlinzwa: Ukukhipha isimila.
• I-Chemotherapy: Ukubulala amangqamuzana omdlavuza.
• Ukwelashwa ngemisebe: Ukunciphisa isimila.
• Ukwelapha okuhlosiwe: Ukukhomba ama-molecule athile ahilelekile ekukhuleni komdlavuza.
• I-Immunotherapy: Ukuqinisa amasosha omzimba ukulwa nomdlavuza.
• Ukunakekelwa kwe-Palliative: Ukukhulula izimpawu kanye nokwenza ngcono izinga lempilo.

Ukubikezela

I-prognosis ye umdlavuza we-pancreatic ngokuvamile impofu, njengoba ivame ukutholakala esigabeni esithuthukile. Nokho, ukutholakala kusenesikhathi kanye nokwelashwa kungathuthukisa amathuba okusinda. Izinga lokusinda leminyaka engu-5 umdlavuza we-pancreatic cishe u-10%, kodwa lokhu kungahluka kuye ngezimo zomuntu ngamunye. ^[1]

Umthombo:

[1] I-American Society of Clinical Oncology (ASCO)

Ukuqhathaniswa Kwezimpawu Nezinye Izimo

Kubalulekile ukuhlukanisa umdlavuza we-pancreatic izimpawu ezivela kwezinye izimo ezimbi kakhulu. Ithebula elingezansi linikeza isiqhathaniso:

Umshwana wokuzihlangula: Lesi sihloko senzelwe izinjongo zolwazi kuphela futhi asihlanganisi iseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo. Ukutholwa kusenesikhathi nokwelashwa kubalulekile ukuze kube nemiphumela engcono umdlavuza we-pancreatic.