Ukwelashwa Komdlavuza We-pancreatic: Ukuqonda Amazinga Okusinda Nezinketho Ukuqonda amazinga okusinda kanye nezinketho zokwelapha umdlavuza we-pancreatic kubalulekile ezigulini nasemindenini yazo. Lo mhlahlandlela ophelele uhlola izici ezihlukahlukene ze ukwelashwa ukusinda komdlavuza we-pancreatic, ukuhlinzeka ngolwazi oluyiqiniso nezinsiza zokusiza ekuthathweni kwezinqumo unolwazi.
Ukuqonda Umdlavuza We-Pancreatic
Umdlavuza we-pancreatic yisifo esibi esine-prognosis eyinkimbinkimbi. Izinga lokusinda liyahlukahluka kakhulu kuye ngezici eziningana, okuhlanganisa isigaba somdlavuza ekuxilongweni, uhlobo lomdlavuza, impilo yonke yesiguli, kanye nempumelelo yokwelashwa. Ukutholwa kusenesikhathi kuyisihluthulelo sokuthuthukisa
ukwelashwa ukusinda komdlavuza we-pancreatic amanani.
Izigaba zePancreatic Cancer
Umdlavuza we-pancreatic wenziwa kusetshenziswa uhlelo olubheka ubukhulu nendawo yesimila, ukubandakanyeka kwe-lymph node, kanye nokuba khona kwama-metastases akude. Uhlelo lwesiteji luqondisa izinqumo zokwelashwa futhi luthonya izibikezelo zokusinda. Izigaba ezithuthuke kakhulu ngokuvamile ziveza okuphansi
ukwelashwa ukusinda komdlavuza we-pancreatic isilinganiso.
Izinhlobo Zomdlavuza We-pancreatic
Uhlobo oluvame kakhulu yi-pancreatic adenocarcinoma, ebalelwa ngaphezu kwe-90% yamacala. Ezinye izinhlobo ezingavamile zikhona, ngayinye enezici zayo kanye nemithelela yokwelashwa, okunomthelela kukonke
ukwelashwa ukusinda komdlavuza we-pancreatic umbono.
Izinketho Zokwelashwa Kwe-Pancreatic Cancer
Izindlela zokwelashwa komdlavuza we-pancreatic ziyahlukahluka kuye ngokuthi umdlavuza ungakanani kanye nempilo yesiguli iyonke. Izinketho zifaka ukuhlinzwa, i-chemotherapy, ukwelashwa ngemisebe, ukwelashwa okuhlosiwe, kanye ne-immunotherapy.
Ukuhlinzwa
Ukuhlinzwa kabusha kuhloswe ukususa isimila esinomdlavuza kanye nezicubu ezizungezile. Ukuba nokwenzeka kokuhlinzwa kuncike ezingeni lokusabalala komdlavuza. Inqubo ye-Whipple iyindlela evamile yokuhlinzwa yomdlavuza we-pancreatic. Ukuhlinzwa okuphumelelayo kuba ngcono kakhulu
ukwelashwa ukusinda komdlavuza we-pancreatic amathuba.
I-Chemotherapy
I-Chemotherapy isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza. Ingase isetshenziswe ngaphambi kokuhlinzwa (i-neoadjuvant chemotherapy), ngemva kokuhlinzwa (i-adjuvant chemotherapy), noma njengokwelashwa okuyinhloko kwamathumba angasebenzi. Izinhlobo ezahlukene zemithi yokwelapha ngamakhemikhali ziyatholakala, ngokuzikhethela kuye ngezici ezihlukahlukene ezithintayo
ukwelashwa ukusinda komdlavuza we-pancreatic.
Ukwelapha Ngemisebe
Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukulimaza nokucekela phansi amangqamuzana omdlavuza. Ingasetshenziswa iyodwa noma ihlanganiswe ne-chemotherapy ukuze ithuthuke
ukwelashwa ukusinda komdlavuza we-pancreatic amanani.
Ukwelapha Okuhlosiwe
Ukwelapha okuhlosiwe kusebenzisa izidakamizwa eziqondise ngokuqondile amangqamuzana omdlavuza, okunciphisa ukulimala kwamaseli anempilo. Le ndlela ingase ibe yinzuzo ezinhlotsheni ezithile zomdlavuza we-pancreatic futhi ingaba nomthelela omuhle
ukwelashwa ukusinda komdlavuza we-pancreatic.
I-Immunotherapy
I-Immunotherapy ihlanganisa amasosha omzimba ukulwa nomdlavuza. Kuyindlela entsha yokwelapha umdlavuza we-pancreatic futhi ibonisa isithembiso ekuthuthukisweni
ukwelashwa ukusinda komdlavuza we-pancreatic imiphumela.
Izici Ezithinta Amazinga Okusinda
Ziningana izici ezithonya
ukwelashwa ukusinda komdlavuza we-pancreatic amanani. Lokhu kufaka phakathi: Isiteji Ekuxilongweni: Ukutholwa kusenesikhathi kuthuthukisa kakhulu ukubikezela. Izici zesimila: Uhlobo kanye nolaka lwendaba yesimila. Impilo yesiguli iyonke: Izimo ezivele zikhona zingathinta ukubekezelelana kokwelashwa. Impendulo yokwelashwa: Ukuthi umdlavuza usabela kahle kangakanani ekwelashweni kubalulekile. Ukufinyelela ekunakekelweni kwekhwalithi: Ukuthola ukwelashwa okufika ngesikhathi nangempumelelo kubalulekile.
Izibalo Zokusinda
Nakuba izibalo zokusinda ezinembile zihluka ezifundweni ezihlukene nakubantu, kubalulekile ukuthintana nochwepheshe bezokwelapha ukuze uthole izibikezelo eziqondene nawe. Ulwazi oluthembekile ngamanani okusinda luyatholakala ezinhlanganweni ezifana ne-National Cancer Institute kanye ne-American Cancer Society. Ukuqonda lezi zibalo kubalulekile, kodwa khumbula ukuthi okuhlangenwe nakho kwesiguli ngasinye kuhlukile, futhi lokhu kuyizilinganiso nje.
| Isiteji | Isilinganiso Sokusinda Esihlobene Seminyaka engu-5 (Cishe) |
| I | 25-35% |
| II | 15-25% |
| III | 5-15% |
| IV | 2-5% |
Qaphela: Lezi izinombolo ezilinganiselwe futhi zingahluka kakhulu. Xhumana nabasebenzi bezempilo ukuze uthole ulwazi oluthile.
Ukuthola Ukusekela Nezinsiza
Ukuthola ukuxilongwa komdlavuza we-pancreatic kungaba inselele. Amaqembu okusekela, izinsiza eziku-inthanethi, nochwepheshe bezokwelapha banganikeza usizo olubalulekile. Ukuze uthole ulwazi olwengeziwe nosekelo, sicela ucabange ukuxhumana
I-Shandong Baofa Cancer Research Institute noma ezinye izinhlangano ezihloniphekile ezizinikele ocwaningweni lomdlavuza we-pancreatic kanye nokunakekelwa kwesiguli. Ukuxhumana kusenesikhathi nangokushesha nethimba lakho lokunakekelwa kwezempilo kuthuthukisa kakhulu amathuba okuba nomphumela omuhle
ukwelashwa ukusinda komdlavuza we-pancreatic.
Umshwana wokuzihlangula
Lolu lwazi luhloselwe izinjongo zemfundo kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo.