Ukuhlinzwa Komdlavuza wePancreatic

-Delile

• Izinhlobo zokuhlinzwa komdlavuza wepancreatic
• Ukuhlolwa ngaphambi kokuhlinzwa
• Isikhathi sokuhlala

Ukuhlinzwa kokususwa komdlavuza we-pancreatic kungenye indlela yokwelashwa ebhekwa ngabaningi be-oncologists ukuthi kube ukuphela kwendlela yokwelapha ekwazi ukwelapha umdlavuza we-pancreatic, kepha-ke, lokhu kwelashwa kungenzeka kuphela uma umdlavuza utholakala usaqala.

Umdlavuza wepancreatic uvame kakhulu ngemuva kweminyaka yobudala engama-60 futhi unolaka kakhulu futhi unezinga lokusinda cishe lama-20% eminyakeni eyi-10 ngemuva kokuxilongwa, noma ngabe umuntu ene-pancreatic adenocarcinoma eyodwa kuphela futhi engenawo ama-lymph node athintekile. Iziguli ezine-metastases noma isimila esingaphindaphindeki sinesilinganiso sokuphila sezinyanga eziyi-6 kuphela. Ngakho-ke, lapho nje lesi sifo sesitholakele, kuyadingeka ukwenza izivivinyo nokuhlela ukuhlinzekwa ukwandisa amathuba okwelashwa nokwelula isikhathi sokuphila sesiguli.

Izinhlobo zokuhlinzwa komdlavuza wepancreatic

Izinhlobo eziyinhloko zokuhlinzwa ukususa umdlavuza we-pancreatic:

• I-Gastroduodenopancreatectomy noma Ukuhlinzwa kwe-Whipple, iqukethe ukususa ikhanda kumanyikwe kwesinye isikhathi futhi kube yingxenye yomzimba wamanyikwe, i-gallbladder, umgudu we-bile ovamile, ingxenye yesisu ne-duodenum. Lokhu kuhlinzwa kunamazinga empumelelo amukelekile, futhi kungasetshenziswa njengefomu lokudambisa, ngoba kunciphisa ukungakhululeki okulethwa yilesi sifo kancane. Ngemuva kwalokhu kuhlinzwa, ukugaya kuhlala kujwayelekile ngoba inyongo ekhiqizwa esibindini, ekudleni nasejusi yokugaya ukudla evela engxenyeni esele yamanyikwe iya ngqo emathunjini amancane.
• I-Duodenopancreatectomy, okuyindlela yokuhlinzwa efana nokuhlinzwa kukaWhipple, kepha ingxenye engezansi yesisu ayisuswa.
• Ingqikithi ye-pancreatectomy, okuwukuhlinzwa lapho kususwa wonke amanyikwe, i-duodenum, ingxenye yesisu, ubende kanye nenyongo. Isiguli singase sibe nesifo sikashukela ngemuva kwalokhu kuhlinzwa ngoba asisayikhiqizi i-insulin yokulwa namazinga aphezulu kashukela wegazi ngoba ususe wonke amanyikwe, okubhekele ukukhiqiza i-insulin.
• I-pancreatectomy ekude: ubende kanye ne-distal pancreas kuyasuswa.

Ngaphezu kwalokhu kuhlinzwa, kunezinqubo zokuthambisa ezisetshenziswa lapho umdlavuza usuvele usuthuthuke kakhulu futhi okubandakanya ukuhlinzwa ukwelapha izimpawu hhayi ukwelapha lesi sifo. I-Chemotherapy inesenzo esilinganiselwe kakhulu, esetshenziswa ikakhulu ukunciphisa imiphumela futhi ithuthukise ikhwalithi yempilo ezigulini ezingakwazi ukuhlinzwa noma ezine-metastases.

Ukuhlolwa ngaphambi kokuhlinzwa

Ukulungiselela ukuhlinzwa ukuze kususwe isimila sepancreatic, kuyadingeka ukwenza ezinye izivivinyo ezisiza ukukhomba ukuthi ngabe zikhona yini ezinye izindawo ezithintekile kulesimila. Ngakho-ke, kunconywa izivivinyo ezinjenge-detector multiple tomography yesisu, i-nuclear magnetic imaging imaging, i-echoendoscopy, i-positron emission tomography kanye ne-laparoscopy.

Isikhathi sokuhlala

Ubude bokuhlala esibhedlela buxhomeke empilweni yomuntu jikelele. Imvamisa umuntu uyahlinzwa futhi angaya ekhaya kungakapheli izinsuku eziyi-10, kepha uma kunezinkinga, uma lowo muntu ezohlinzwa futhi, ubude bokuhlala esibhedlela bungaba bude.