
Lo mhlahlandlela unikeza ulwazi olubalulekile mayelana nokubona izimpawu zomdlavuza we-pancreatic ezingase zibe khona kanye nokuthola okufanele ukwelashwa izimpawu zomdlavuza we-pancreatic eduze kwami. Ukutholwa kusenesikhathi kubalulekile ukuze kuthuthukiswe imiphumela, ngakho ukuqonda izimpawu nokufinyelela ukunakekelwa kwezokwelapha okufika ngesikhathi kubalulekile. Sizohlola izimpawu ezivamile, izindlela zokuxilonga, nezinketho zokwelapha ezitholakalayo.
Umdlavuza we-pancreatic uvame ukuletha izimpawu ezicashile ezigabeni zawo zokuqala, okwenza kube inselele ukutholakala kusenesikhathi. Lezi zimpawu zokuqala zingase ziphambaniswe nezinye izimo ezimbi kakhulu. Izimpawu zakuqala ezivamile zingabandakanya ukuncipha kwesisindo esingaqondakali, ukukhathala, nobuhlungu obungapheli besisu noma beqolo. Kubalulekile ukuqaphela ukuthi ukuba nalezi zimpawu akusho ngokuzenzakalelayo ukuthi unomdlavuza we-pancreatic, kodwa kuqinisekisa ukuthi ubonane nochwepheshe bezokwelapha.
Njengoba umdlavuza uqhubeka, izimpawu ziba sobala kakhulu. I-jaundice (isikhumba esiphuzi namehlo), umchamo omnyama, nendle enombala okhanyayo yizinkomba ezivamile zomdlavuza we-pancreatic othinta umgudu wenyongo. Ezinye izimpawu zingabandakanya isicanucanu, ukuhlanza, ukungakuthandi ukudla, kanye nesifo sikashukela esisanda kuqala. Uma uba nenhlanganisela yalezi zimpawu, ukufuna usizo lwezokwelapha kubalulekile.
Ukuxilongwa komdlavuza we-pancreatic kudinga ukuhlolwa okuphelele kwezokwelapha. Udokotela wakho angase a-ode ukuhlolwa okuningana ukuze afinyelele ukuxilongwa okunembile. Lokhu kungase kuhlanganise ukuhlolwa kwegazi (ukuhlola izimpawu zesimila), ukuhlolwa kwezithombe ezifana ne-CT scan, i-MRIs, ne-endoscopic ultrasound, kanye ne-biopsy okungenzeka ihlole amasampula ezicubu. Ukuxilongwa kusenesikhathi nokunembile kubalulekile ukuze kuphumelele ukwelashwa izimpawu zomdlavuza we-pancreatic eduze kwami.
Ukuhlinza kuyindlela yokwelapha eyinhloko lapho umdlavuza utholakala endaweni futhi ukhishwa kabusha (okusho ukuthi ungasuswa ngokuhlinzwa). Uhlobo lokuhlinzwa luncike endaweni kanye nezinga lomdlavuza. Umgomo uwukukhipha isimila esinomdlavuza kanye nama-lymph nodes aseduze ukuvimbela ukusabalala kwawo. Kodwa-ke, akuwona wonke umdlavuza we-pancreatic ofanele ukuhlinzwa.
I-Chemotherapy isebenzisa izidakamizwa ezinamandla ukubulala amangqamuzana omdlavuza kuwo wonke umzimba. Ivamise ukusetshenziswa ngaphambi kokuhlinzwa ukuze kuncishiswe isimila (ukwelashwa ngamakhemikhali kwe-neoadjuvant), ngemva kokuhlinzwa ukuze kuqedwe amangqamuzana omdlavuza asele (i-adjuvant chemotherapy), noma njengokwelashwa okuyinhloko komdlavuza oseqophelweni eliphezulu, ongaxazululeki. Imiphumela engemihle iyahlukahluka kuye ngemithi ethile esetshenzisiwe.
Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukulimaza nokucekela phansi amangqamuzana omdlavuza. Ingase isetshenziswe iyodwa noma ihlanganiswe ne-chemotherapy ukulawula ukukhula komdlavuza nokunciphisa izimpawu. Imisebe ye-beam yangaphandle iwuhlobo oluvame kakhulu, kodwa i-brachytherapy (imisebe yangaphakathi) ingase isetshenziswe kwezinye izimo.
Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa eziqondise ama-molecule athile ngaphakathi kwamaseli omdlavuza, eziphazamisa ukukhula nokusabalala kwawo. Lezi zindlela zokwelapha zivame ukusebenza kahle futhi zinemiphumela emibi embalwa kune-chemotherapy yendabuko. Ukukhethwa kokwelashwa okuhlosiwe kuvame ukuqondiswa ukuhlolwa kofuzo lwesimila.
Ukuthola indawo efanele ukwelashwa izimpawu zomdlavuza we-pancreatic eduze kwami kudinga ukucwaninga ngokucophelela. Qala ngokubonisana nodokotela wakho wokunakekela oyinhloko. Bangakudlulisela kochwepheshe abanjengodokotela be-oncologists kanye nodokotela abahlinzayo abasebenza ngokukhethekile ekwelashweni komdlavuza we-pancreatic. Ungasebenzisa futhi izinjini zokusesha eziku-inthanethi ukuze uthole izibhedlela nezikhungo zomdlavuza endaweni yangakini ezihlinzeka ngezinsizakalo zokwelapha umdlavuza wamaphaphu. Khumbula ukuqinisekisa iziqinisekiso nolwazi lwabasebenzi bezokwelapha kanye nezinsiza ngaphambi kokwenza isinqumo. Cabangela ukufuna umbono wesibili ukuze uqinisekise ukuthi wenza ukukhetha unolwazi mayelana nokunakekelwa kwakho.
Ukuze uthole ulwazi olwengeziwe kanye nezinsiza mayelana nokwelashwa komdlavuza we-pancreatic, ungathola ulwazi oluwusizo ezinhlanganweni ezinedumela elihle njenge-American Cancer Society kanye ne-National Cancer Institute. Lezi zinsiza zinganikeza ulwazi oluphelele, amaqembu okusekela, kanye neziqondiso ezengeziwe ngalesi sikhathi esiyinselele.
Lolu lwazi luhloselwe izinjongo zemfundo kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Kubalulekile ukubonisana nochwepheshe bezempilo nganoma yikuphi ukukhathazeka ngezempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma ukwelashwa kwakho. Ulwazi olunikezwe lapha aluthatheli usizo lwezokwelapha oluchwepheshile.
Ukuze uthole ukunakekelwa okuphelele nokomuntu siqu, cabanga I-Shandong Baofa Cancer Research Institute.
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