Umdlavuza We-pancreatic: Ukuqonda Amazinga Okusinda Nezindleko Ezihambisanayo Izinga lokusinda komdlavuza we-pancreatic kanye nezindleko ezihambisanayo ziyinkimbinkimbi futhi ziyahlukahluka kakhulu ngokusekelwe ezicini ezimbalwa. Lesi sihloko sinikeza ukubuka konke okubanzi, ukucacisa imibono eyiphutha evamile futhi sinikeza imininingwane ebalulekile yokuzulazula kulo mhlaba oyinselele. Lolu lwazi ololwazi jikelele futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezokunakekelwa kwempilo ukuze uthole ukuqondiswa komuntu siqu.
Ukuqonda Amazinga Okusinda Komdlavuza We-Pancreatic
Isiteji ku-Diagnostic
Isigaba somdlavuza we-pancreatic ekuxilongeni siyisibikezelo esibaluleke kakhulu
izinga lokusinda komdlavuza we-pancreatic. Ukutholwa kusenesikhathi (Isigaba I noma II) kuthuthukisa kakhulu amathuba okwelashwa okuphumelelayo nokuphila isikhathi eside. Izigaba zakamuva (Isigaba III kanye ne-IV) ziletha izinselele ezinkulu, ezithinta kokubili izinketho zokwelapha kanye ne-prognosis. Isiteji esinembile sibandakanya ukuhlolwa okuhlukahlukene kokuxilonga, okuhlanganisa ukuskena kwezithombe nama-biopsies.
Izinketho Zokwelashwa kanye Nokusebenza Kwazo
Ukwelashwa izindlela ze
umdlavuza we-pancreatic zihlanganisa ukuhlinzwa (inqubo ye-whipple, i-distal pancreatectomy), ukwelashwa ngamakhemikhali, ukwelapha ngemisebe, kanye nokwelapha okuhlosiwe. Ukusebenza kokwelashwa ngakunye kuncike esigabeni somdlavuza, impilo yesiguli iyonke, nezinye izici zomuntu ngamunye. Inhlanganisela yezindlela zokwelapha ezihlukene zivame ukusetshenziswa ukuze kwandiswe ukusebenza kahle. Ngezindlela zokwelapha ezithuthuke kakhulu neziyinkimbinkimbi, ungase ufise ukuthintana nochwepheshe ezikhungweni ezifana ne-Shandong Baofa Cancer Research Institute. [https://www.baofahospital.com/](https://www.baofahospital.com/)
Ezinye Izinto Ezithonya Izilinganiso Zokusinda
Ngaphandle kwesigaba somdlavuza nendlela yokwelashwa, ezinye izinto ezinjengobudala, impilo iyonke, ukuthambekela kofuzo, kanye nokufinyelela ekunakekelweni kwezempilo okuseqophelweni eliphezulu nakho kunomthelela.
amazinga okusinda komdlavuza we-pancreatic. Ucwaningo luyaqhubeka nokuhlola umthelela walezi zici futhi luhlonze izindlela ezingaba khona zemiphumela ethuthukisiwe.
Izindleko Zokwelashwa Komdlavuza We-pancreatic
Izindleko Zezokwelapha Eziqondile
I
izindleko zokwelashwa komdlavuza we-pancreatic ingaba nkulu futhi ihluke kabanzi ngokusekelwe ezicini eziningana, okuhlanganisa uhlobo nezinga lokwelashwa okutholiwe, ubude besikhathi sokwelashwa, nendawo yokwelashwa. Izindleko zokwelashwa eziqondile zihlanganisa izindleko ezihambisana nokuhlolwa kokuxilonga, ukuhlinzwa, ukwelashwa ngamakhemikhali, ukwelapha ngemisebe, ukuhlala esibhedlela, nemithi. Lezi zindleko zingafinyelela kalula emakhulwini ezinkulungwane zamaRandi.
Izindleko Ezingaqondile
Ngaphandle kwezindleko zokwelashwa eziqondile, kunezindleko ezingaqondile okufanele zicatshangelwe. Lokhu kuhlanganisa amaholo alahlekile ngenxa yokungakwazi ukusebenza, izindleko zokuhamba ukuze uthole ukwelashwa, nezindleko ezihlobene nezidingo zokunakekelwa zesikhathi eside. Umthwalo wezezimali we
umdlavuza we-pancreatic kungaba nomthelela omkhulu ezigulini kanye nemindeni yazo. Ukuhlola izinhlelo zokusiza ngezezimali kanye namanethiwekhi okusekela kubalulekile ekwehliseni lezi zinselele.
Izinsiza Zosizo Lwezezimali
Izinhlangano eziningana zinikeza izinhlelo zokusiza ngezezimali ukusiza iziguli ukuphatha izindleko ze
umdlavuza we-pancreatic ukwelashwa. Lezi zinhlelo zingahlinzeka ngezibonelelo, uxhaso, noma ezinye izinhlobo zosekelo lwezezimali. Ukucwaninga nokufaka izicelo zalezi zinhlelo kungadambisa kakhulu ubunzima bezezimali obuhambisana nalesi sifo.
Ukuzulazula Ezinseleleni: Indlela Esebenzayo
Ukutholwa Kusenesikhathi Nokuvimbela
Nakuba ingekho indlela eqinisekisiwe yokuvimbela umdlavuza we-pancreatic, ukutholwa kusenesikhathi kuthuthukisa kakhulu amazinga okusinda. Ukuhlolwa njalo, ikakhulukazi uma unezici eziyingozi, kubalulekile. Izingxoxo nomhlinzeki wakho wokunakekelwa kwezempilo mayelana namasu okuhlola afanelekile asekelwe kuphrofayela yakho yobungozi zibalulekile.
Ukukhetha Ithimba Lokwelapha Elilungile
Ukuthola ithimba lezempilo eliphelele nelinolwazi kubalulekile. Lokhu kufanele kubandakanye odokotela be-oncologists, odokotela abahlinzayo, odokotela be-radioologists, nabanye ochwepheshe njengoba kudingeka, ukuqinisekisa indlela ehlukahlukene yokuphatha kahle. Ithimba laseShandong Baofa Cancer Research Institute lizinikele ekunakekeleni nasekwelashweni kweziguli.
Ukuphatha Umthelela Wemizwelo Nangokwengqondo
Umdlavuza we-pancreatic akuyona nje inselele engokomzimba kodwa futhi engokomzwelo nangokwengqondo. Ukufinyelela emaqenjini okusekela, izinsizakalo zokwelulekwa, nezinsiza zempilo yengqondo kungaba yinzuzo emangalisayo ekuzuleni lolu hambo olunzima.
| Isiteji | Isilinganiso Sokusinda Esihlobene Seminyaka engu-5 (Cishe) |
| I | 25-35% |
| II | 15-25% |
| III | 5-15% |
| IV | <5% |
Qaphela: Lezi izinombolo ezilinganiselwe futhi zingahluka ngokusekelwe ezintweni eziningi. Xhumana nodokotela wakho ukuze uthole ulwazi lomuntu siqu.
Umshwana wokuzihlangula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo.
Imithombo: (Engeza imithombo efanele lapha, njengeNational Cancer Institute, American Cancer Society, njll. Sebenzisa ifomethi yengcaphuno efanele.)