Umdlavuza wepancreatic

Umdlavuza wepancreatic umdlavuza oqala kumanyikwe.

Ama-pancreas isitho esikhulu ngemuva kwesisu. Yenza futhi ikhiphe ama-enzyme emathunjini asiza umzimba ukuthi ugaye futhi umunce ukudla, ikakhulukazi amafutha. Ama-pancreas enza futhi akhiphe i-insulin ne-glucagon. Lawa ngamahomoni asiza umzimba ukulawula amazinga kashukela egazini.

Kunezinhlobo ezahlukene zomdlavuza we-pancreatic. Uhlobo luxhomeke kwiseli umdlavuza ongena kulo. Izibonelo zifaka:

• I-Adenocarcinoma, uhlobo oluvame kakhulu lomdlavuza wepancreatic
• Ezinye izinhlobo ezingavamile kakhulu zifaka i-glucagonoma, i-insulinoma, i-islet cell tumor, i-VIPoma

Imbangela ngqo yomdlavuza wepancreatic ayaziwa. Kuvame kakhulu kubantu abenza lokhu:

• Bakhuluphele
• Yiba nokudla okunamafutha amaningi nezithelo nemifino ephansi
• Unesifo sikashukela
• Yiba nokuchayeka isikhathi eside kumakhemikhali athile
• Yiba nokuvuvukala kwesikhathi eside kwamanyikwe (i-pancreatitis engapheli)
• Intuthu

Ingozi yomdlavuza we-pancreatic inyuka ngokukhula. Umlando womndeni walesi sifo nawo wandisa kancane amathuba okuba nalo mdlavuza.

Isimila (umdlavuza) kumanyikwe singakhula ngaphandle kwezimpawu ekuqaleni. Lokhu kusho ukuthi umdlavuza uvame ukuthuthuka lapho utholakala okokuqala.

Izimpawu zomdlavuza we-pancreatic zifaka:

• Uhudo
• Umchamo omnyama nezitulo ezinombala wobumba
• Ukukhathala nobuthakathaka
• Ukwanda okungazelelwe kwezinga likashukela egazini (isifo sikashukela)
• I-jaundice (umbala ophuzi esikhumbeni, ulwelwesi lwamafinyila, noma ingxenye emhlophe yamehlo) nokunwaya kwesikhumba
• Ukwehla kwesifiso sokudla nokuncipha
• Isicanucanu nokuhlanza
• Ubuhlungu noma ukungahambi kahle engxenyeni engenhla yesisu noma isisu

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba abuze ngezimpawu zakho. Ngesikhathi sokuhlolwa, umhlinzeki angazizwa eyisigaxa esiswini sakho.

Ukuhlolwa kwegazi okunga-odwa kufaka phakathi:

• Qedela ukubalwa kwegazi (CBC)
• Ukuhlolwa kokusebenza kwesibindi
• I-serum bilirubin

Ukufanekisa izivivinyo ezinga-odwa zifaka:

• I-CT scan yesisu
• I-Endoscopic retrograde cholangiopancreatography (ERCP)
• I-endoscopic ultrasound
• I-MRI yesisu

Ukuxilongwa komdlavuza we-pancreatic (nokuthi yiluphi uhlobo) okwenziwa yi-pancreatic biopsy.

Uma ukuhlolwa kuqinisekisa ukuthi unomdlavuza we-pancreatic, kuzokwenziwa ezinye izivivinyo ukubona ukuthi umdlavuza usabalale kangakanani ngaphakathi nangaphandle kwamanyikwe. Lokhu kubizwa ngokuthi isiteji. Isiteji sisiza ukuqondisa ukwelashwa futhi sikunikeze nombono wokuthi yini ongayilindela.

Ukwelashwa kwe-adenocarcinoma kuncike esigabeni sesimila.

Ukuhlinzwa kungenziwa uma isimila singasakazekanga noma sisakazeke kancane kakhulu. Kanye nokuhlinzwa, i-chemotherapy noma i-radiation therapy noma kokubili kungasetshenziswa ngaphambi noma ngemuva kokuhlinzwa. Inani elincane labantu lingelashwa ngale ndlela yokwelashwa.

Lapho isimila singazange sisabalale kumanyikwe kepha singeke sisuswe ngokuhlinzwa, kunganconywa ukuhlangana ngamakhemikhali kanye nokwelashwa ngemisebe.

Lapho isimila sesisakazekile (sine-metastasized) kwezinye izitho ezifana nesibindi, i-chemotherapy iyodwa ivame ukusetshenziswa.

Ngomdlavuza ophambili, inhloso yokwelashwa ukuphatha ubuhlungu nezinye izimpawu. Isibonelo, uma ithubhu elithwala i-bile livinjelwe isimila se-pancreatic, inqubo yokubeka ithubhu lensimbi elincane (i-stent) ingenziwa ukuvula ukuvimba. Lokhu kungasiza ukukhulula i-jaundice, nokunwaya kwesikhumba.

Unganciphisa ukucindezela kokugula ngokujoyina iqembu lokusekela umdlavuza. Ukwabelana nabanye abanokuhlangenwe nakho okuvamile nezinkinga kungakusiza ungazizwa uwedwa.

Abanye abantu abanomdlavuza we-pancreatic ongasuswa ngokuhlinzwa bayelapheka. Kepha kubantu abaningi, isimila sesisakazekile futhi asikwazi ukususwa ngokuphelele ngesikhathi sokuxilongwa.

I-Chemotherapy kanye ne-radiation kuvame ukunikezwa ngemuva kokuhlinzwa ukwandisa izinga lokwelashwa (lokhu kubizwa ngokuthi yi-adjuvant therapy). Ngomdlavuza we-pancreatic ongenakususwa ngokuphelele ngokuhlinzwa noma umdlavuza osabalale ngaphezu kwamanyikwe, ukwelashwa akunakwenzeka. Kulesi simo, i-chemotherapy inikezwa ukuthuthukisa nokwandisa impilo yomuntu.

Shayela i-aphoyintimenti nomhlinzeki wakho uma une:

• Ubuhlungu besisu noma beqolo obungapheli
• Ukuqhubeka nokulahlekelwa ukudla
• Ukukhathala okungachazeki noma ukunciphisa umzimba
• Ezinye izimpawu zalesi sifo

Izindlela zokuzivikela zifaka:

• Uma ubhema, manje isikhathi sokuyeka.
• Yidla ukudla okunezithelo, imifino nezinhlamvu ezigcwele.
• Vocavoca njalo umzimba ukuze uhlale esisindweni esinempilo.

Umdlavuza wePancreatic; Umdlavuza - amanyikwe

• Uhlelo lokugaya ukudla
• Izindlala ze-Endocrine
• Umdlavuza wepancreatic, i-CT scan
• Amapancreas
• Ukuvinjelwa kwe-biliary - uchungechunge

UJesu-Acosta AD, uNarang A, Mauro L, uHerman J, uJaffee EM, uLaheru DA. I-Carcinoma yamanyikwe. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 78.

Iwebhusayithi yeNational Cancer Institute. Ukwelashwa komdlavuza wepancreatic (PDQ) - inguqulo yezobuchwepheshe yezempilo. www.cancer.gov/types/pancreatic/hp/pancreatic- ukwelashwa-pdq. Kubuyekezwe uJulayi 15, 2019. Kufinyelelwe ngo-Agasti 27, 2019.

Iwebhusayithi ye-National Comprehensive Cancer Network. Imikhombandlela ye-NCCN yokwenza imitholampilo ku-oncology: pancreatic adenocarcinoma. Inguqulo 3.2019. www.nccn.org/professionals/physician_gls/pdf/pancreatic.pdf. Kubuyekezwe uJulayi 2, 2019. Kufinyelelwe ngo-Agasti 27, 2019.

IShires GT, iWilfong LS. Umdlavuza wepancreatic, ama-cystic pancreatic neoplasms, nezinye izimila zepancreatic ezingezona ezendalo. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 60.