ukwelashwa Izibhedlela zomdlavuza we-pancreatic

Ukuzulazula ukwelashwa komdlavuza we-pancreatic ongakhetha kungaba obuqand. Lo mhlahlandlela unikeza umbono jikelele we umdlavuza we-pancreatic, izingxoxo ezitholakalayo ukwelashwa, kanye namaphuzu avelele aholayo izibhedlela abadume ngobungcweti babo kulesi sifo esiyinkimbinkimbi. Qonda ongakhetha kukho futhi uthole ukunakekelwa okungcono kakhulu.Ukuqonda Umdlavuza WendlalaUmdlavuza we-pancreatic kuvela lapho amangqamuzana kumanyikwe, isitho esibalulekile ekugayeni ukudla kanye nokulawula ushukela egazini, ekhula ngokungalawuleki. Ukutholwa kusenesikhathi kuyinselele njengoba izimpawu ngokuvamile azicacile futhi zingalingisa ezinye izimo. Uhlobo oluvame kakhulu, i-adenocarcinoma, luvela emiseleni yama-pancreas. Ukuqonda uhlobo nesiteji se umdlavuza we-pancreatic kubalulekile ekunqumeni okusebenza kahle kakhulu ukwelashwa Uhlelo.Izinhlobo Zomdlavuza WamanyikweNakuba i-adenocarcinoma ibangela iningi lezimo, ezinye, izinhlobo ezingajwayelekile kakhulu zikhona, okuhlanganisa: I-squamous cell carcinoma Adenosquamous carcinoma Signet ring cell carcinoma Undifferentiated carcinomaUkungavamile kwalezi zinhlobo kuveza ukubaluleka kokufuna ukubonisana nochwepheshe ezindaweni ezikhethekile. izibhedlela.Stages of Pancreatic CancerStaging ichaza izinga lokusabalala komdlavuza. Izigaba zisukela ku-0 (in situ) kuye ku-IV (metastatic). Izigaba eziphakeme zibonisa ukusabalala okubanzi futhi ngokuvamile zidinga ulaka ukwelashwa.Izinketho Zokwelashwa Zomdlavuza WamanyikweZiningi ukwelashwa izinketho ziyatholakala, zivame ukusetshenziswa ngokuhlanganiswa. Indlela eqondile incike esigabeni somdlavuza, indawo, kanye nempilo yonke yesiguli. Izindlela ezibalwe ngezansi zivame ukubhekwa ngabaholayo ukwelashwa izibhedlela.I-SurgerySurgery ihlose ukususa isimila esinomdlavuza kanye nezicubu ezizungezile. Uhlobo lokuhlinzwa luncike endaweni yesimila: Inqubo ye-Whipple (Pancreaticoduodenectomy): Ikhipha ikhanda le-pancreas, ingxenye yamathumbu amancane, i-gallbladder, nengxenye yesisu. Lokhu ukuhlinzwa okuvamile kwamathumba ekhanda le-pancreas. I-Distal Pancreatectomy: Ikhipha umsila futhi kwesinye isikhathi ingxenye yomzimba wamanyikwe. Ngokuvamile kuhlanganisa ukususwa kobende. I-Pancreatectomy ephelele: Ikhipha wonke amanyikwe, inyongo, ubende, ingxenye yesisu, nengxenye yamathumbu amancane. Le nqubo ayijwayelekile kakhulu. Imiphumela yokuhlinzwa ngokuvamile iba ngcono uma kwenziwa odokotela abanolwazi ngevolumu ephezulu. izibhedlela.I-ChemotherapyI-Chemotherapy isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza. Ingasetshenziswa ngaphambi kokuhlinzwa (i-neoadjuvant), ngemva kokuhlinzwa (i-adjuvant), noma njengowokuqala ukwelashwa okwedlulele umdlavuza we-pancreatic. Imithi evamile yokwelapha ngamakhemikhali ihlanganisa: I-Gemcitabine FOLFIRINOX (inhlanganisela ye-fluorouracil, i-leucovorin, irinotecan, ne-oxaliplatin) I-Abraxane (nab-paclitaxel)Ukwelapha ngemisebe Ukwelapha ngemisebe kusebenzisa imisebe yamandla amakhulu ukubulala amangqamuzana omdlavuza. Ingasetshenziswa iyodwa noma ihlanganiswe nokwelashwa ngamakhemikhali, ngokuvamile ngemva kokuhlinzwa.Izidakamizwa eziqondiwe zokwelashwa eziqondiswe ekuphatheni kahle ziqondise ukungavamile okuthile kumaseli omdlavuza. Isibonelo, i-Olaparib iyi-PARP inhibitor evunyelwe umdlavuza we-pancreatic ngezinguquko ze-BRCA. Ukuhlolwa kofuzo kungasiza ekunqumeni ukuthi izindlela zokwelapha ezihlosiwe zifanelekile yini.I-ImmunotherapyImmunotherapy isiza amasosha omzimba ukulwa nomdlavuza. Ngenkathi kungavamile kakhulu ku umdlavuza we-pancreatic kunakweminye imidlavuza, ingasebenza ezimeni ezithile, ikakhulukazi lezo ezine-microsatellite instability-high (MSI-H) noma izimila ezishodayo zokulungisa (dMMR). esibhedlela kubalulekile ukuze kube nemiphumela emihle. Izinto okufanele zicatshangelwe zihlanganisa esibhedlela isipiliyoni sokwelashwa umdlavuza we-pancreatic, ukutholakala kobuchwepheshe obuthuthukisiwe, kanye nobuchwepheshe bethimba lezinhlaka eziningi.Nazi ezinye izibhedlela edume ngabo ukwelashwa komdlavuza we-pancreatic izinhlelo: Isikhungo somdlavuza we-MD Anderson (Houston, TX): Ibalwa ngokuqhubekayo phakathi komdlavuza ophezulu izibhedlela e-U.S., MD Anderson unikeza uhla oluphelele lwe ukwelashwa, okuhlanganisa amasu okuhlinza athuthukile nokuhlolwa komtholampilo. I-Memorial Sloan Kettering Cancer Centre (eNew York, NY): Esinye isikhungo somdlavuza esihamba phambili, iSikhumbuzo Sloan Kettering, sizinikele umdlavuza we-pancreatic isikhungo esigxile ocwaningweni nasekusunguleni izinto ezintsha ukwelashwa. I-Mayo Clinic (Rochester, MN; Jacksonville, FL; Phoenix/Scottsdale, AZ): Umtholampilo waseMayo uhlinzeka ngezindlela ezihlukene zokuthi ukwelashwa komdlavuza we-pancreatic, nochwepheshe bokuhlinzwa, i-oncology yezokwelapha, kanye ne-radiation oncology. Johns Hopkins Hospital (Baltimore, MD): UJohns Hopkins ungumholi ku umdlavuza we-pancreatic ucwaningo kanye ukwelashwa, ngokuzinikela umdlavuza we-pancreatic isikhungo. I-Shandong Baofa Cancer Research Institute (Jinan, China): E-Shandong Baofa Cancer Research Institute, sizinikele entuthukweni yokuqala ekunakekelweni komdlavuza. Ngocwaningo lwethu oluqinile kanye nokusungula izinto ezintsha ukwelashwa izindlela, silwela ukwenza ngcono izimpilo zeziguli ezibhekene nezinselelo ezinzima. Ukuzibophezela kwethu ekwenzeni okuhle kusishukumisela ukuba sinikeze ukunakekelwa komuntu siqu, uzwela, siqinisekisa ukuthi wonke umuntu uthola ukunakekelwa kwezokwelapha okuphezulu kakhulu. Sivakashele ku https://baofahospital.com ukuze ufunde kabanzi mayelana nezinsiza zethu ezibanzi nokuthi singakusekela kanjani ohambweni lwakho oluya empilweni engcono.Ukuzulazula Ohambweni Lwakho Lokwelapha Umdlavuza wePancreaticUkuxilongwa umdlavuza we-pancreatic kungaba okuhlangenwe nakho okwethusayo. Nawa amanye amathiphu okuzulazula kwakho ukwelashwa uhambo: Funa umbono wesibili: Ungangabazi ukuthola umbono wesibili komunye uchwepheshe, ikakhulukazi esikhungweni esinevolumu ephezulu. Buza imibuzo: Yiba ngumhlanganyeli okhuthele ekunakekeleni kwakho. Buza udokotela wakho ngakho konke ukwelashwa izinketho, izinzuzo ezingaba khona kanye nezingozi, nokuthi yini ongayilindela phakathi nangemuva ukwelashwa. Cabangela izivivinyo zomtholampilo: Izivivinyo zemitholampilo zinikeza ukufinyelela kokusha nokunamandla okuthembisayo ukwelashwa. Yakha isistimu yosekelo: Xhumana nomndeni, abangani, amaqembu okusekela, noma imiphakathi eku-inthanethi ukuze uthole ukwesekwa ngokomzwelo.Ukubaluleka Kokutholwa KusenesikhathiNgenkathi ukutholwa kusenesikhathi umdlavuza we-pancreatic kuyinselele, ukuqaphela izimpawu ezingaba khona kanye nokuqonda izici eziyingozi kungathuthukisa imiphumela. Abantu abanomlando womndeni we umdlavuza we-pancreatic, izifo ezithile zofuzo, noma i-pancreatitis engapheli ingase izuze ezinhlelweni zokuhlola.IsiphethoUkwelashwa komdlavuza we-pancreatic selithuthuke kakhulu eminyakeni yamuva, linikeza iziguli izinketho ezengeziwe kanye nemiphumela ethuthukisiwe. Ngokuqonda isifo, ukuhlola etholakalayo ukwelashwa, kanye nokufuna ukunakekelwa kwabanolwazi izibhedlela, iziguli zingandisa amathuba azo okuphumelela ukwelashwa kanye nezinga lempilo elithuthukisiwe.