Kanseri ya panreas: gusobanukirwa, kwisuzumisha, no kuvura 

Kanseri ya pancreas ni indwara aho ingirabuzimafatizo zikora mu ngingo ya pancreas, urugingo ruherereye inyuma yinda. Kumenya hakiri kare ni ngombwa kugirango uvure neza. Iyi ngingo itanga incamake yuzuye ya kanseri ya pancreas, Gupfuka ibitera, ibimenyetso, kwisuzumisha, no kwegera muburyo butandukanye, harimo amahitamo yo kubaga, imiti ya chimiotherapie, imivugo, no kuvura imirasire.

Gusobanukirwa Kanseri ya pancreas

Pancreas ni glande zigira uruhare runini mugufata no kugenga isukari. Itanga imisemburo ifasha guca ibiryo n'amasemburo nka insuline igenzura inzego za glucose. Kanseri ya pancreas bibaho iyo selile muri pancreas zikura bidasubirwaho, zikora ikibyimba. Izi shuri zirashobora kubangamira imikorere isanzwe ya Pancreas kandi ikwirakwira mubindi bice byumubiri.

Ubwoko bwa Kanseri ya pancreas

Ubwoko busanzwe bwa kanseri ya pancreas ni Adencarcinoma, ituruka kuri selile excrine itanga imisemburo yo gutekesha. Ubwoko bwa gake burimo ibibyimba bya neuroendontone (inshundura), biteza imbere ingirabuzimafatizo zitanga imisemburo. Inshundura akenshi zifite prognose nziza kuruta Adencarcinoma. Shandong Baofa Kanseri Institute Ikigo cyubushakashatsi yibanze ku bushakashatsi ku bwoko butandukanye bwa kanseri, harimo itandukaniro ridasanzwe nka neuroendrine.

Impamvu Zitera Kanseri ya pancreas

Ibintu byinshi birashobora kongera ibyago byo kwiteza imbere kanseri ya pancreas, harimo:

• Kunywa itabi: Kunywa itabi ni ikintu gikomeye gishobora guhura ningaruka inshuro ebyiri kugeza kuri eshatu.
• Umubyibuho ukabije: Kuba umubyibuho ukabije cyangwa umubyibuho ukabije bifitanye isano ningaruka nyinshi.
• Diyabete: Abantu barwaye diyabete, cyane cyane ubwoko bwa 2, bafite ibyago byinshi.
• Pancreatite idakira: gutwika igihe kirekire kuri pancreas birashobora kongera ibyago.
• Amateka yumuryango: Amateka yumuryango wa kanseri ya pancreas cyangwa syndromen zimwe genetike irashobora kongera ibyago.
• Imyaka: ibyago byongera imyaka, hafashwe hafatwa hakurikiranwa 60.
• Syndromes zimwe na zimwe hagati: Ibisabwa nka Heretatite Pancreatis, Lynch Syndrome, na BRCA Ihinduka.

Kumenya ibimenyetso bya Kanseri ya pancreas

Mubyiciro byayo byambere, kanseri ya pancreas akenshi ntabwo bitera ibimenyetso bigaragara. Nkuko ibibyimba bikura, birashobora kuganisha kuri:

• Jaundice: umuhondo wuruhu n'amaso, akenshi biterwa nigituba kibuza ibibyimba.
• Ububabare bwo munda: ububabare mu nda yo hejuru ishobora kumurika inyuma.
• Gutakaza ibiro: Gutakaza ibiro bidasobanutse.
• Gutakaza ubushake bwo kurya: Kumva byuzuye vuba cyangwa udashaka kurya.
• Isesemi no kuruka: biterwa nigitambaro gikanda igifu.
• Impinduka mumara: Impiswi cyangwa kurira.
• Diyabete: Diyabete nshya cyangwa ikibazo cyo kugenzura diyabete iriho.

Gusuzuma Kanseri ya pancreas

Niba kanseri ya pancreas arakekwa, ibizamini byinshi birashobora gukorwa kugirango wemeze gusuzuma kandi tumenye icyiciro cya kanseri. Ibi bizamini bishobora kubamo:

• Ikizamini cy'amateka n'amateka: Muganga azabaza ibimenyetso byawe, amateka yubuvuzi, nibintu bishobora guteza akaga.
• Ibizamini byo Gutekereza:
  • CT Scan: itanga amashusho arambuye ya pancreas n'inzego zikikije.
  • MRI: Ikoresha imirima ya magneti mugukora amashusho ya pancreas.
  • Endoscopic ultrasound (eus): ikoresha ecoscope hamwe nitsinda rya ultrasound kugirango ugaragaze pancreas hanyuma ubone ingero zidasanzwe.
• Biopsy: Icyitegererezo cyigice cyakuwe muri pancreas kandi gisuzumwa munsi ya microscope kugirango yemeze ingirabuzimafatizo za kanseri. Ibi birashobora gukorwa mugihe cya eus cyangwa kubaga.
• Ibizamini byamaraso: Ibizamini byamaraso birashobora gupima urwego rwibintu bimwe na bimwe, nka ca 19-9, bishobora kuzamurwa mubantu hamwe kanseri ya pancreas. Ariko, ibyo bizamini ntabwo buri gihe byukuri kandi birashobora kuzamurwa mubindi bihe.

Amahitamo yo kuvura kuri Kanseri ya pancreas

Kuvura kanseri ya pancreas Biterwa na stage na kanseri ya kanseri, kimwe nubuzima muri rusange. Amahitamo arashobora kuba arimo:

Kubaga

Kubaga ni uburyo bwibanze busa kanseri ya pancreas, bivuze ikibyimba gishobora kuvaho burundu. Ubwoko bwo kubaga buterwa n'ahantu hamor:

• Uburyo bwo kwiboko (PancreatiodedontuTectomy): Irishyitsi igoye ikubiyemo gukuraho umuyobozi wa pancreas, igice cyamashami mato, gallbladder, nigice cyimiyoboro y'ibinini. Mubisanzwe bikoreshwa kubibyimba mumutwe wa pancreas.
• Pancreatectomy: Kubaga bikubiyemo gukuraho umurizo wa pancreas, kandi rimwe na rimwe birashimishije. Ikoreshwa kubibyimba mumurizo wa pancreas.
• Polcreatectomy yose: Ibi bikubiyemo gukuraho pancreas zose, gake bikozwe kubera ingaruka zikomeye ku igogora n'amabwiriza y'isukari.

Chimiotherapie

Chimitherapie ikoresha ibiyobyabwenge kugirango yice kanseri. Irashobora gukoreshwa mbere cyangwa nyuma yo kubagwa, cyangwa nkubwito bwambere bwo gutera imbere kanseri ya pancreas. Ibiyobyabwenge bisanzwe bya chimiotherapi kanseri ya pancreas Shyiramo Gemcitabine, paclitaxel, na fluorouracial (5-fu).

Imivugo

Kuvura imivugo ikoresha imirasire-yingufu zo kwica kanseri. Irashobora gukoreshwa muguhagarika ibibyimba mbere yo kubagwa, yice kanseri iyo ari yo yose isigaye nyuma yo kubagwa, cyangwa kugabanya ibimenyetso byateye imbere kanseri ya pancreas. Kuvura urumuri rwibintu ni ubwoko bwuzuye bwo kuvura imirasire yakoreshejwe kanseri ya pancreas.

IGITABO

Ikigamijwe imiti yibiyobyabwenge byihariye molekile zigira uruhare mugutezimbere kwa karuvali no kubaho. Iyi miti irashobora gukoreshwa muburyo bumwe bwa kanseri ya pancreas ibyo bifite ishingiro ryihariye. Kurugero, Olaparib ni pargrandator ishobora gukoreshwa mubarwayi bafite BRCA ihinduka.

Impfuya

Impimupfumu Ifasha Sisitemu Yumubiri Yumubiri. Ntabwo isanzwe ikoreshwa kuri kanseri ya pancreas Ariko gukorwaho iperereza mubigeragezo. Ibiyobyabwenge bidahwitse nka Pembrorzimab (Keytruda) birashobora kuba ingirakamaro mubihe bidasanzwe bya MSI-Hejuru kanseri ya pancreas.

Ubuvuzi bwa Palliative

Ubuvuzi bwa palliative bwibanda ku kugabanya ibimenyetso no kuzamura imibereho kubantu bafite iterambere kanseri ya pancreas. Irashobora kubamo gucunga ububabare, inkunga intungamubiri, n'amarangamutima. Ubuvuzi bwa palliative burashobora gutangwa murwego urwo arirwo rwose kanseri ya pancreas.

Kubana Kanseri ya pancreas

Kubana kanseri ya pancreas irashobora kugorana, haba kumubiri no mumarangamutima. Ni ngombwa kugira sisitemu ikomeye yo gushyigikira, harimo n'umuryango, inshuti, hamwe nabashinzwe ubuzima. Shandong Baofa Kanseri Ikigo cyubushakashatsi gitanga amakuru nibishobora kuvura, nyamuneka bazabaza numuganga wawe. Amatsinda ashyigikira kandi inama arashobora kandi gufasha mugukemura ibibazo bya kanseri ya pancreas.

Inkunga y'imirire nayo ningirakamaro kubantu hamwe kanseri ya pancreas. Pancreas igira uruhare runini mu ndwara, kandi kuvura birashobora kugira ingaruka ku bushobozi bwo gusya ibiryo neza. Gukorana na Dietitian yiyandikishije birashobora gufasha gucunga ibibazo by'igifu no kwemeza imirire ihagije.

Prognose ya Kanseri ya pancreas

Prognose ya kanseri ya pancreas Biratandukanye bitewe na stade ya kanseri, ubuzima bwumurwayi muri rusange, nubuvuzi bwakiriwe. Kumenya hakiri kare no kuvura ni ngombwa mugutezimbere amahirwe yo kubaho. Dukurikije umuryango wa kanseri y'Abanyamerika, igipimo cyo kubaho imyaka 5 kanseri ya pancreas ni hafi 44%, mugihe igipimo cyimyaka 5 yo kubaho cyateye imbere kanseri ya pancreas Ibyo byakwirakwiriye mu ngingo za kure ni 3%. [1]

Ibigeragezo bya Clinical kuri Kanseri ya pancreas

Ibigeragezo by'ubuvuzi ni ubushakashatsi bwubushakashatsi bukora iperereza ku mirimo mishya ya kanseri ya pancreas. Kwitabira urubanza rw'amavuriro rushobora gutanga uburyo bwo guca ahagaragara amarozi bitaraboneka cyane. Niba ushishikajwe no kwiga byinshi kubyerekeye ibigeragezo byubuvuzi kuri kanseri ya pancreas, vugana na muganga wawe cyangwa gushakisha ibigeragezo ku rubuga rw'intara y'igihugu cya kanseri. [2]

Incamake

Kanseri ya pancreas ni indwara ikomeye isaba kwisuzumisha no kuvurwa. Gusobanukirwa ibintu bishobora guteza ingaruka, ibimenyetso, hamwe noguhitamo kwivuza birashobora gufasha abantu gufata ibyemezo byuzuye kubyo bashinzwe. Gukomeza Ubushakashatsi niterambere muguvura biratezimbere imyumvire yabantu kanseri ya pancreas.

Imibare y'ingenzi n'amakuru

Umuryango wa kanseri y'Abanyamerika: https://www.cancer.org/Cancer/types/Pancreatiatic-Cancer-Gukoresha/SulVILAS-TANDABANG.HTML

Ikigo cy'igihugu cya kanseri y'igihugu: https://www.cancer.gov/about-Cancer/Treatment/clinical-Abandi