Mob qog nqaij hlav cancer: Nkag siab, kuaj mob, thiab cov kev kho mob 

Mob Cancer Yog ib tus kab mob uas malignant hlwb ntawm cov ntaub so ntswg, ib qho khoom hauv lub plab uas ua lub luag haujlwm tseem ceeb thiab cov ntshav qab zib ntshav. Cov tsos mob feem ntau yog vague thiab yuav suav nrog kev mob plab, daj ntseg, thiab poob ceeb thawj. Ntxov paub thiab kho ntxov yog qhov tseem ceeb rau kev txhim kho cov txiaj ntsig.

To kev nkag siab txog cov txiav thiab Mob Cancer

Dab tsi yog qhov txiav?

Lub txiav yog cov caj pas nyob hauv lub plab. Nws ua ob lub luag haujlwm tseem ceeb:

• Exocrine ua haujlwm: Tsim cov enzymes uas pab cov zaub mov zom cov zaub mov.
• Presocrine ua haujlwm: Ua cov tshuaj hormones zoo li insulin thiab gluucagon uas tswj cov ntshav qab zib.

Vim hais tias ntawm nws qhov chaw nyob tob hauv plab, Mob Cancer Yuav nyuaj rau ntes tau thaum ntxov.

Hom ntawm Mob Cancer

Feem ntau ntawm Cov qog nqaij hlav panceric yog exocrine qog, tshwj xeeb adenocarcinomas. Cov hlav no tshwm sim los ntawm cov hlwb uas kab lub pancreatic ducts.

• Adenocarcinoma: Hom hom uas feem ntau, cov nyiaj txiag rau ib ncig ntawm 95% ntawm cov neeg mob.
• Neuroendocrine qog (nets): Tsis tshua muaj tshwm sim, tshwm sim los ntawm cov hlwb hormone-tsim. Qhov no yuav loj hlob qeeb dua adenocarcinomas.

Shanga Cancer Tshawb Fawb Lub Koom Haum Tshwj Xeeb Hauv Kev Tshawb Fawb thiab Kev Kho Mob rau ntau hom mob khees xaws, suav nrog Mob CancerCov. Nkag siab txog cov kabmob cancer yog qhov tseem ceeb rau kev npaj kho mob. Xyuas Shanga Cancer Tshawb Fawb Txog Lub Koom Haum Yog xav paub ntxiv.

Yam pheej hmoo rau Mob Cancer

Ntau ntau yam tuaj yeem ua rau muaj kev pheej hmoo tsim tau Mob Cancer:

• Kev haus luam yeeb: Ib qho kev pheej hmoo loj.
• Ntshav Qab Zib: Ntev-sawv ntshav qab zib ua rau muaj kev pheej hmoo.
• Kev pham: Kev rog dhau los yog rog yog txuas rau kev pheej hmoo ntau.
• Tsev Neeg Keeb Kwm: Muaj tsev neeg keeb kwm ntawm Mob Cancer Ua kom muaj kev pheej hmoo.
• Mob pancrice: Lub sij hawm ntev ntawm cov neeg txiav.
• Hnub nyoog: Qhov kev pheej hmoo nce nrog lub hnub nyoog, feem ntau yog kuaj pom nyob rau cov neeg laus.
• Tej yam caj ces syndromes: Xws li Brca1 / 2 kev sib pauv, Lynch Syndrome, thiab Pehhers Syndrome.

Cov tsos mob ntawm Mob Cancer

Thaum Ntxov Mob Cancer feem ntau tsis muaj cov tsos mob. Raws li cov mob qog nqaij hlav, cov tsos mob muaj xws li:

• Mob plab: Feem ntau ib tug npub hauv plab hauv plab plab uas yuav tawg mus rau sab nraum qab.
• Jaundice: Yellowing ntawm daim tawv nqaij thiab ob lub qhov muag, feem ntau nrog cov zis tsaus nti thiab cov quav.
• Poob phaus: Unexplained poob phaus.
• Poob ntawm qab los: Cia li muaj kev tshaib plab sai sai lossis tsis muaj kev tshaib plab.
• Xeev siab thiab ntuav:
• Ntshav Qab Zib: Cov ntshav qab zib lossis teeb meem kev tswj hwm cov ntshav qab zib uas twb muaj lawm.
• Kev hloov pauv hauv plab hnyuv cwj pwm: Suav nrog kev mob plab zom mov lossis cem quav.

Nws yog qhov tseem ceeb los sab laj tus kws kho mob yog tias koj ntsib cov tsos mob no, tshwj xeeb yog tias koj muaj kev pheej hmoo rau Mob Cancer.

Kev kuaj mob ntawm Mob Cancer

Kev kuaj Mob Cancer Feem ntau cuam tshuam nrog kev sib xyaw ua ke ntawm kev ntsuas kev ntsuas thiab biopsies:

• Tsom cov kev ntsuas ntsuas:
  • Ct scan: Muab cov ncauj lus kom ntxaws ntawm cov hlab ntsha thiab ib puag ncig cov plab hnyuv siab raum.
  • MRI: Siv teb sib nqus los tsim cov duab ntawm lub txiav.
  • Endoscopic Ultrasound (Eus): Siv ib qho endoscope nrog kev sojntsuam ultrasound rau kev pom txog lub txiav.
  • PET SCAN: Tuaj yeem pab tau yog tias tus mob cancer tau kis mus rau lwm qhov ntawm lub cev.
• Biopsy: Ib qho piv txwv ntawm cov ntaub so ntswg yog coj los ntawm cov neeg txiav thiab tshuaj xyuas hauv qab lub tshuab tsom me kom paub meej tias muaj mob qog noj ntshav. Qhov no tuaj yeem ua tau thaum lub sijhawm Eus lossis los ntawm kev coj tus yees duab rab koob los ntawm kev xav.
• Kev kuaj ntshav: Tuaj yeem ntsuas cov qib ntawm cov protein lossis cov enzymes uas tuaj yeem txhawb nqa hauv Mob Cancer.

Staging ntawm Mob Cancer

Theem ntaiv pab txiav txim siab qhov xwm txheej ntawm tus mob cancer thiab cov kev txiav txim siab kho mob. Cov txheej txheem staging feem ntau siv yog TNM system (qog, ntawm, Metastasis):

• T (qog): Piav qhia qhov loj me thiab raws li thawj cov qog.
• N (Node): Qhia hais tias tus mob cancer tau kis mus rau cov qog noj ntshav nyob ze.
• M (Metastasis): Qhia hais tias tus mob cancer tau kis mus rau hauv plab hnyuv siab raum.

Cov kev kho mob rau Mob Cancer

Kho rau Mob Cancer Nyob ntawm theem ntawm mob cancer, tus neeg mob ua haujlwm tag nrho, thiab lwm yam. Cov kev xaiv yuav suav nrog:

Kev phais plab

Kev phais mob yog qhov kev kho mob zoo tshaj plaws rau kev siv tau Mob Cancer (Cancer uas tuaj yeem tshem tawm kiag li). Hom kev phais xws li:

• Cov txheej txheem Whiple (pancryroidoduodenectomy): Kev tshem tawm ntawm lub taub hau ntawm lub txiav, ib feem ntawm cov hnyuv me, lub qog, thiab ib feem ntawm lub plab.
• Distal pancreaticectomy: Kev tshem tawm ntawm tus Tsov tus tw ntawm cov txiav.
• Tag nrho cov pancreatectomy: Tshem tawm ntawm tag nrho cov kev txiav txim siab (tsis tshua muaj ua).

Kev Siv Tshuaj Kho Mob

Kev siv tshuaj siv siv tshuaj los tua cov kabmob kheesxaws. Nws yuav siv ua ntej kev phais mob (kev phais mob (kev phais mob (tom qab kev kho mob), lossis ua kev kho mob tseem ceeb rau kev tshaj lij Mob CancerCov. Koom tes rau cov ntaub siv tshuaj kho nrog rau:

• Lub hauv siab tseem ceeb
• Folfirinox (kev sib xyaw ntawm cov folinic acid, fluorouracil, irinotecan, thiab oxaliplatin)
• Abraxia (Paclitaxel Albumin-Ball)

Kev Siv Hluav Taws Xob Hluav Taws Xob

Kev siv hluav taws xob siv hluav taws xob siab loj los tua cov kabmob kheesxaws. Tej zaum nws yuav raug siv ua ke nrog kev siv tshuaj kho mob, tshwj xeeb tshaj yog rau hauv zos Mob Cancer uas tsis tuaj yeem raug tshem tawm.

Lub hom phiaj kho

Lub hom phiaj kho tshuaj kho lub hom phiaj tshwj xeeb molecules koom nrog Cancer Cancation thiab Ciaj sia taus. Piv txwv li, Olaparib yuav siv tau rau cov neeg mob muaj kev sib hloov.

Kev txhaj tshuaj tiv thaiv kab mob

Kev txhaj tshuaj tiv thaiv kev siv lub cev siv lub cev tiv thaiv kab mob los tiv thaiv mob qog noj ntshav. Thaum tseem tsis tau siv dav rau Mob Cancer, Nws raug tshawb nrhiav hauv chaw kuaj mob.

Kev sim khomob sim

Cov chaw sim khomob yog kev tshawb fawb tshawb fawb tias tshuaj xyuas cov qauv tshiab los kho mob qog noj ntshav. Cov Neeg Mob Mob Cancer Tuaj yeem txiav txim siab koom nrog hauv kev mus kuaj mob kev nkag mus rau kev thov kev kho mob tshiab.

Kev Saib Xyuas Palliaive

Palliative tu txog tsom rau kev tshem tawm cov tsos mob thiab txhim kho lub neej zoo rau cov neeg mob uas muaj siab tshaj Mob CancerCov. Nws tuaj yeem suav nrog kev tswj hwm qhov mob, kev noj haus txhawb, thiab kev txhawb nqa kev xav.

Ciaj sia taus rau Mob Cancer

Ciaj sia taus rau Mob Cancer sib txawv raws li theem ntawm mob cancer thiab lwm yam. Ntxov paub thiab kho ntxov tuaj yeem txhim kho cov txiaj ntsig zoo. Raws li cov neeg Asmeskas cov neeg mob cancer, lub 5 xyoos txheeb ze muaj sia nyob tus nqi rau txhua theem ntawm Mob Cancer yog kwv yees li 12%. Txawm li cas los xij, rau kuaj mob khees xaws rau ntawm nws theem ntxov (nroog), tus nqi 5-xyoo muaj kwv yees li 44%. [Source: Neeg Asmeskas Kev Noj Mob Cancer]

Cov lus hauv qab no qhia tau cov nqi 5-xyoo muaj sia nyob los ntawm theem:

Cov naj npawb no yog kwv yees thiab ib tus neeg tshwm sim tuaj yeem sib txawv.

Nyob nrog Mob Cancer

Nyob nrog Mob Cancer Muaj peev xwm nyuaj, ob lub cev thiab lub siab. Cov pab pawg txhawb, kev tawm tswv yim, thiab lwm yam kev pab cuam tuaj yeem pab cov neeg mob thiab lawv tsev neeg tau nrog tus kab mob.