Umdlavuza wePancreatic: Izimbangela, Ukwelashwa nokuthi Ungaphila Kanjani Nomdlavuza

-Delile

• I-Chemotherapy yomdlavuza we-pancreatic
• Amakhambi ajwayelekile asetshenzisiwe
• Izimbangela zomdlavuza wepancreatic
• Kwenziwa kanjani ukwelashwa okunciphisayo
• Ungaphila Kanjani Nomdlavuza We-Pancreatic
• Isikhathi sokuphila sabantu abanomdlavuza we-pancreatic
• Amalungelo eziguli ezinomdlavuza we-pancreatic

Ukwelashwa komdlavuza wepancreatic kuyahluka ngokuya ngokubandakanyeka komzimba, izinga lokukhula komdlavuza kanye nokubukeka kwemastastases, ngokwesibonelo.

Ngakho-ke, icala ngalinye kufanele lihlolwe yi-oncologist ukuze kukhethwe enye yezindlela zokwelashwa ezilandelayo:

• Ukuhlinzwa: imvamisa, kwenziwa lapho umdlavuza ungakakhuli ngaphandle kwesitho. Ekuhlinzweni, indawo ethintekile yamanyikwe iyasuswa, kanye nezinye izitho ezisengozini enkulu yokuthinteka, njengamathumbu noma i-gallbladder;
• I-Radiotherapy: ingasetshenziswa ngaphambi kokuhlinzwa ukunciphisa usayizi wesimila, noma ngemuva kokuhlinzwa ukuqeda amangqamuzana omdlavuza asele;
• Ukwelashwa ngamakhemikhali: isetshenziswa kakhulu ezimweni ezisezingeni eliphakeme futhi isebenzisa imithi ngqo emthanjeni ukuqeda amangqamuzana omdlavuza. Uma kune-metastases, le ndlela yokwelashwa ingahlanganiswa ne-radiotherapy ukuthola imiphumela engcono.

Ngaphezu kwalokho, zisekhona izinhlobo zokwelashwa ezingeke zikuqinisekise ukwelashwa kwalesi sifo, kepha lokho kungasiza ekunciphiseni ezinye izimpawu noma kuthuthukise nemiphumela yokwelashwa.

Yize kunezindlela eziningana zokwelapha umdlavuza we-pancreatic, ukwelashwa kuvame ukuba nzima kakhulu, ngoba njengoba lesi sifo singazibangeli izimpawu ezinyathelweni zokuqala, kuvame ukubonakala kuphela lapho umdlavuza ususabalele kwezinye izitho.

Uma ukwelashwa kwehluleka ukulwa nomdlavuza, i-oncologist ivame ukweluleka ukwelashwa okunciphisayo, okusiza ukuqeda izimpawu nokuthuthukisa induduzo phakathi nezinsuku zokugcina zomuntu.

I-Chemotherapy yomdlavuza we-pancreatic

I-Chemotherapy ingenye yezindlela zokwelashwa ezisetshenziswa kakhulu zomdlavuza we-pancreatic, ikakhulukazi ezimweni zomdlavuza we-exocrine, okuluhlobo oluvame kakhulu futhi olubi kakhulu.

Ngokuvamile, i-chemotherapy ingasetshenziswa ngezindlela ezi-3 ezahlukene ngesikhathi sokwelashwa:

• Ngaphambi kokuhlinzwa: kusiza ukunciphisa usayizi wesimila, kusiza ukususwa kwawo ngesikhathi sokuhlinzwa;
• Ngemuva kokuhlinzwa: ivumela ukuqeda amangqamuzana omdlavuza angasuswanga ngokuhlinzwa;
• Esikhundleni sokuhlinzwa: lapho ukuhlinzwa kungeke kusetshenziswe ngoba umdlavuza usuvele usabalele noma umuntu akanazo izimo ezizohlinzwa.

Ngaphezu kwalokho, i-chemotherapy nayo ingahlotshaniswa ne-radiotherapy, esebenzisa imisebe ukuqeda amangqamuzana omdlavuza, ibe nesenzo esinamandla uma isetshenziswa ndawonye.

Ezimweni eziningi, ukwelashwa ngamakhemikhali kwenziwa ngemijikelezo, futhi kujwayelekile ukuthi ube nokwelashwa amasonto ayi-1 kuya kwayi-2, efakwe nesikhathi sokuphumula ukuze umzimba ululame.

Imiphumela emibi yokwelashwa ngamakhemikhali emzimbeni iyahlukahluka kuye ngemithi esetshenzisiwe kanye nomthamo wayo, noma kunjalo, okuvame kakhulu kubandakanya ukuhlanza, isicanucanu, ukulahlekelwa isifiso sokudla, ukulahleka kwezinwele, izilonda zomlomo, isifo sohudo, ukuqunjelwa, ukukhathala ngokweqile nokopha. Ngaphezu kwalokho, abantu abelashwa ngamakhemikhali nabo basengozini enkulu yokuthola izifo. Funda kabanzi ngemiphumela emibi ye-chemotherapy emzimbeni nokuthi ungabhekana kanjani nayo.

Amakhambi ajwayelekile asetshenzisiwe

Eminye yemithi esetshenziswa kakhulu ekwelashweni ngamakhemikhali ukwelashwa komdlavuza wepancreatic yilena:

• I-Gemcitabine;
• U-Erlotinib;
• Fluorouracil;
• I-Irinotecan;
• I-Oxaliplatin;
• ICapecitabine;
• I-Paclitaxel;
• I-Docetaxel.

Le mithi ingasetshenziswa ngokwehlukana noma ngokuhlangana, kuya ngesimo sempilo sesiguli ngasinye.

Ezimweni zomdlavuza we-pancreatic wokugcina, ukuthatha le mithi akudingekile, futhi kunconywa kuphela ama-analgesics aqinile ukunciphisa izinhlungu zesiguli esigabeni sokugcina sempilo.

Izimbangela zomdlavuza wepancreatic

Ezinye zezimbangela zomdlavuza wepancreatic yilezi:

• Ukubhema ngentshiseko noma ngokungenzi lutho
• Ukusetshenziswa ngokweqile kwamafutha, inyama neziphuzo ezidakayo
• Ukuvezwa kumakhemikhali afana ne-petroleum derivatives nama-solvents kapende, isibonelo
• Uma kwenzeka i-pancreatitis engapheli noma isifo sikashukela esingaphathwa kahle

Zonke lezi zimbangela ezibalwe ngenhla zihlobene nokugcwala kakhulu kumanyikwe kanye nanoma yisiphi esinye isifo esingathinta ukubandakanyeka kwalesi sitho ngandlela thile futhi singagcina sikhiqize umdlavuza wepancreatic.

Abantu abanezinkinga ezinkulu zokugaya ukudla njenge-pancreatitis engapheli noma abahlinzwa ukuze kulungiswe isilonda esiswini, i-duodenum noma asebesuswe inyongo banamathuba amaningi okuba nomdlavuza we-pancreatic futhi kufanele bazi izimpawu zokuqala nezimpawu zesifo.

Ukwenza ukuhlolwa kwegazi, indle, umchamo njalo ezinyangeni eziyisithupha kungaba wusizo futhi uma kukhona okunye kwalokhu kuhlola okukhombisa ushintsho olukhulu, udokotela anganikeza i-CT scan noma i-MRI ukubona izitho zangaphakathi. Uma, lapho ubhekene nalezi zivivinyo, udokotela ethola ukuthi amanyikwe noma isibindi sonakalisiwe, i-biopsy yezicubu ingakhombisa ukuba khona kwamangqamuzana omdlavuza.

Kwenziwa kanjani ukwelashwa okunciphisayo

Ukwelashwa okunciphisayo komdlavuza we-pancreatic kuboniswa lapho kutholakala ukuthi lesi sifo sisesigabeni esisezingeni eliphakeme kakhulu futhi amathuba okuthola ukwelashwa ngezindlela zokwelashwa mancane. Lolu hlobo lwezokwelapha luhlose ukwehlisa ubuhlungu besiguli nokungakhululeki, futhi kungenziwa ngesikhathi sokuhlala esibhedlela noma ekhaya, kusetshenziswa ama-analgesics aqinile angadambisa izinhlungu.

Uma kutholakala esigabeni esithuthukile, qonda ubude bempilo yomuntu onomdlavuza we-pancreatic.

Ungaphila Kanjani Nomdlavuza We-Pancreatic

Ukuphila nomdlavuza wepancreatic akulula esigulini noma emndenini. Isiguli kufanele siqale ukwelashwa ngenkathi sihlala esibhedlela se-oncology ngokushesha nje lapho kutholakala ukuthi isifo siqala ukwelashwa kusenesikhathi.

Ukuqala ukwelashwa ngokushesha kubalulekile ngoba ukwelashwa kwamuva sekuqalisiwe, lapho isifo sisakazeka kakhulu futhi sifushane isikhathi sokuphila kwaso futhi izindlela ezimbalwa zokwelashwa zingenzeka.

Isikhathi sokuphila sabantu abanomdlavuza we-pancreatic

Izinga lokusinda kweziguli ezinomdlavuza we-pancreatic liyahlukahluka kusuka ezinyangeni eziyisithupha kuye eminyakeni engu-5 futhi lizoya ngosayizi, indawo nokuthi isimila sine-metastasized noma cha.

Ngemuva kokubhekwa kwezokwelapha kanye nezifundo zokwelashwa ezifanele, isiguli singathunyelwa ekhaya, kepha kufanele sibuye ngezinsuku ezinqunywe odokotela ukuthi bayohlinzwa ukuze kususwe isimila ukuze baqhubeke nokwelashwa kwezidakamizwa futhi, uma kunesidingo, benze amaseshini e-radiotherapy.

Amalungelo eziguli ezinomdlavuza we-pancreatic

Ukuqinisekisa isiguli nomndeni, isiguli esinomdlavuza sinamalungelo afana nalawa:

• Ukuhoxa ku-FGTS, PIS / PASEP;
• Izithuthi zomphakathi zamahhala;
• Okusemqoka ekuqhubekeni kwezinqubo zomthetho;
• Usizo lwezifo;
• Ngokuthatha umhlalaphansi wokukhubazeka;
• Ukukhululwa Kwentela;
• Inzuzo yenzuzo enikezwe yi-INSS (thola umholo omncane ongu-1 njalo ngenyanga);
• Izidakamizwa zamahhala;
• Thola uhlelo lwempesheni yangasese.

Amanye amalungelo ahlanganisa ukuthola imali yesibambiso ngenxa yomshuwalense wokuphila nokuhlala kwekhaya, kuya ngesivumelwano esisayinwe yisiguli ngaphambi kokutholakala ukuthi sinesifo.