
Umdlavuza we-pancreatic yisifo esibi kakhulu, kepha ukuthuthuka ekuxilongweni nasekuxilongeni ukwelashwa umdlavuza we-pancreatic nikeza ithemba. Lo mhlahlandlela ophelele uhlola izici ezihlukahlukene zesifo, kusukela ezicini eziyingozi kanye nokuxilongwa kuya kuzinketho zokwelapha kanye nocwaningo oluqhubekayo. Sizofaka izindlela zakamuva zezokwelapha futhi sinikeze izinsiza zeziguli nemindeni yazo. Lolu lwazi ngelezinjongo zokufundisa futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole ukuqondiswa komuntu siqu.
Umdlavuza we-pancreatic ukhula ku-pancreas, indlala etholakala ngemuva kwesisu. Kuyisifo esiyinkimbinkimbi esinezinhlobo ezimbalwa ezincane, evame kakhulu i-adenocarcinoma. Ukutholwa kusenesikhathi kubalulekile, njengoba kuvame ukuveza izimpawu ezingacacile ezingathathwa kalula nezinye izimo. Nakuba izimbangela eziqondile zingaqondwa ngokugcwele, izici ezimbalwa zobungozi zihlotshaniswa nokwanda kwamathuba okukhula ukwelashwa umdlavuza we-pancreatic.
Kunezici eziningana ezandisa ingozi yokuba nomdlavuza we-pancreatic. Lokhu kuhlanganisa iminyaka yobudala (iningi lokuxilonga livela ngemva kweminyaka engu-65), ukubhema (isici esiyingozi esiphawulekayo), umlando womndeni womdlavuza we-pancreatic, i-pancreatitis engapheli, isifo sikashukela, ukukhuluphala, nokuguqulwa okuthile kofuzo. Ukuqonda lezi zici zobungozi kuvumela izinyathelo ezisheshayo zokunciphisa ubungozi obungaba khona.
Ukuxilonga ukwelashwa umdlavuza we-pancreatic ngokuvamile kuhilela inhlanganisela yokuhlolwa kwesithombe (okufana ne-CT scan, i-MRI, ne-endoscopic ultrasound), ukuhlolwa kwegazi (ukulinganisa izimpawu zesimila ezifana ne-CA 19-9), kanye okungenzeka ne-biopsy ukuze kuqinisekiswe ukuxilongwa nokunquma isigaba somdlavuza. Ukuxilongwa kusenesikhathi kubalulekile ukuze kuphumelele ukwelashwa umdlavuza we-pancreatic.
Ukuhlinzwa, uma kungenzeka, kuvame ukuyinhloko ukwelashwa umdlavuza we-pancreatic. Lokhu kungase kuhlanganise ukukhipha isimila nezicubu ezizungezile (i-pancreaticoduodenectomy noma inqubo ye-Whipple), noma okunye ukuhlinzwa okungatheni kakhulu kuye ngendawo nezinga lomdlavuza. Ukuphumelela kokuhlinzwa kuncike ezicini eziningana, okuhlanganisa isigaba somdlavuza kanye nempilo yonke yesiguli.
I-Chemotherapy isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza. Isetshenziswa kaningi ku ukwelashwa umdlavuza we-pancreatic, ngaphambi kokuhlinzwa (i-neoadjuvant chemotherapy) ukuze kuncishiswe isimila, ngemva kokuhlinzwa (i-adjuvant chemotherapy) ukuze kuncishiswe ingozi yokuphinda, noma njengokwelashwa okuyinhloko lapho ukuhlinzwa kungeyona inketho. Kunezinhlobo ezahlukene zemithi yokwelapha ngamakhemikhali, eyenzelwe isiguli ngasinye kanye nohlobo lomdlavuza.
Ukwelashwa ngemisebe kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ingasetshenziswa yodwa noma ihlanganiswe ne-chemotherapy ukwelashwa umdlavuza we-pancreatic. Kungasiza ekunciphiseni amathumba futhi kunciphise izimpawu.
Imithi yokwelapha ehlosiwe igxile kuma-molecule athile ahilelekile ekukhuleni komdlavuza. Lezi zindlela zokwelapha zinembe kakhulu futhi zingaba nemiphumela engemihle embalwa kunokwelashwa ngamakhemikhali okungokwesiko. Intuthuko yakamuva ekwelapheni okuhlosiwe ibonise isithembiso ekuthuthukiseni imiphumela yeziguli ezine ukwelashwa umdlavuza we-pancreatic. I-oncologist yakho ingakweluleka ngokufaneleka kwale ndlela.
I-Immunotherapy ihlanganisa amasosha omzimba ukuze alwe namaseli omdlavuza. Nakuba kuseyindawo yocwaningo oluqhubekayo, i-immunotherapy ibonisa isithembiso ekwelapheni imidlavuza ehlukahlukene futhi iyindawo esebenzayo yophenyo ocwaningweni. ukwelashwa umdlavuza we-pancreatic.
Ukubamba iqhaza ezivivinyweni zomtholampilo kunikeza ukufinyelela ekwelashweni okuphambili futhi kunomthelela ekuthuthukiseni ukuqonda kanye ukwelashwa umdlavuza we-pancreatic. Udokotela wakho angaxoxa ngokuthi ukuhlola komtholampilo kungase kube inketho efanelekile yini kuwe. I Izikhungo Zezempilo Zikazwelonke (NIH) ClinicalTrials.gov iwebhusayithi ihlinzeka ngesizindalwazi esiphelele sezivivinyo zomtholampilo eziqhubekayo.
Ukubhekana nokuxilongwa komdlavuza we-pancreatic kungaba nzima kakhulu. Amaqembu okusekela, izinhlangano ezimela iziguli, kanye nochwepheshe bezempilo yengqondo banganikeza ukusekelwa okubalulekile ngokomzwelo, okungokoqobo, nolwazi kulo lonke izwe. ukwelashwa umdlavuza we-pancreatic uhambo. I I-Pancreatic Cancer Action Network (PanCAN) inikeza ingcebo yezinsiza nokusekelwa.
Khumbula, ukutholwa kusenesikhathi nokufinyelela ekupheleleni, komuntu siqu ukwelashwa umdlavuza we-pancreatic yizici ezibalulekile ekuthuthukiseni imiphumela. Xhumana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze nixoxe ngezici zakho ezisengozini, uhlolwe okudingekile uma kukhonjisiwe, futhi uhlole izinketho zokwelashwa ezifanele kakhulu zesimo sakho.
Ukuze uthole ulwazi olwengeziwe mayelana nokwelashwa komdlavuza kanye nocwaningo, sicela uvakashele I-Shandong Baofa Cancer Research Institute iwebhusayithi. Banikeza izinsizakalo zezokwelapha ezithuthukisiwe kanye nobuchwepheshe ekunakekelweni komdlavuza.
| Uhlobo Lokwelapha | Incazelo |
|---|---|
| Ukuhlinzwa | Ukususwa kwesimila kanye nezicubu ezizungezile. |
| I-Chemotherapy | Ukusetshenziswa kwezidakamizwa ukubulala amangqamuzana omdlavuza. |
| Ukwelapha Ngemisebe | Ukusetshenziswa kwemisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. |
| Ukwelapha Okuhlosiwe | Izidakamizwa ezihlose ama-molecule athile abandakanyeka ekukhuleni komdlavuza. |
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