Kanseri ya pancreatic: gusobanukirwa, kwisuzumisha, no kuvura 

Kanseri ya pancreatic ni indwara aho ingirabuzimafatizo zifite ubugizi bwa nabi mu ngingo ya pancreas, urugingo ruherereye inyuma mu gifu kigira uruhare runini mu igogora n'amabwiriza y'isukari. Ibimenyetso akenshi ntibisobanutse kandi bishobora kubamo ububabare bwo munda, jaundice, no kugabanya ibiro. Kumenya hakiri kare no kuvura ni ngombwa mugutezimbere umusaruro.

Gusobanukirwa na pancreas kandi Kanseri ya pancreatic

Pancreas ni iki?

Pancreas ni urwego rwa Glande ruherereye munda. Irimo Inshingano ebyiri nyamukuru:

• Imikorere idasanzwe: Itanga imisemburo ifasha gusya ibiryo.
• Imikorere ya Endocrine: Itanga imisemburo nka insuline na glucagon igenga isukari yamaraso.

Kubera umwanya wacyo munda, kanseri ya pancreatic Birashobora kugorana kubimenya mubyiciro byayo byambere.

Ubwoko bwa Kanseri ya pancreatic

Benshi muri Kanseri ya pancreatic ni ibibyimba bitangaje, byumwihariko Adencarcinoma. Izi zuba ziva muri selile zihuza umusoro wa pancreatic.

• AdenCarcinoma: Ubwoko bukunze kugaragara, ibaruramari nka 95% byimanza.
• Ibibyimba bya Neuroendontone (inshundura): Gake, kuvuka muri selile zitanga imisemburo. Aba bakunda gukura buhoro kuruta Adencarcinoma.

Shandong Baofa kanseri Ikigo cy'ubushakashatsi kihariye mu bushakashatsi no kuvura ingamba zo kuvura mu buryo butandukanye bwa kanseri, harimo kanseri ya pancreatic. Gusobanukirwa ubwoko bwa kanseri nibyingenzi kugirango igenamigambi ryihariye. Gusura Shandong Baofa Kanseri Ikigo cyubushakashatsi Kubindi bisobanuro.

Impamvu Zitera Kanseri ya pancreatic

Ibintu byinshi birashobora kongera ibyago byo kwiteza imbere kanseri ya pancreatic:

• Kunywa itabi: Ikintu gikomeye.
• Diyabete: Diyabete ndende yongera ibyago.
• Umubyibuho ukabije: Kugira umubyibuho ukabije cyangwa umubyibuho ukabije bifitanye isano no guhura.
• Amateka yumuryango: Kugira amateka yumuryango wa kanseri ya pancreatic byongera ibyago.
• Pancreatite idakira: Gutwika igihe kirekire kuri pancreas.
• Imyaka: Ingaruka ziyongera uko imyaka, isanzwe isuzuma abantu bakuru bakuze.
• Syndromes zimwe na zimwe Nka BRCA1 / 2 Mutation, Lynch Syndrome, na Peutz-Jegsume.

Ibimenyetso bya Kanseri ya pancreatic

Icyiciro-Icyiciro kanseri ya pancreatic akenshi nta bimenyetso bifite. Mugihe kanseri ikura, ibimenyetso bishobora kubamo:

• Ububabare bwo munda: Akenshi ububabare bukabije munda yo hejuru bushobora kumurika inyuma.
• Jaundice: Umuhondo wuruhu n'amaso, akenshi uherekejwe ninkari zijimye kandi zinyenzi.
• Gutakaza ibiro: Kugabanya ibiro bidasobanutse.
• Gutakaza ubushake bwo kurya: Kumva byuzuye vuba cyangwa kutameze neza.
• Isesemi no kuruka:
• Diyabete: Diyabete nshya cyangwa ikibazo cyo kugenzura diyabete iriho.
• Impinduka mu ngeso ya Behordel: Harimo impiswi cyangwa kurira.

Ni ngombwa kugisha inama umuganga niba hari icyo ubona kimwe muribi bimenyetso, cyane cyane niba ufite ibyago byo guhura kanseri ya pancreatic.

Kwisuzumisha Kanseri ya pancreatic

Gusuzuma kanseri ya pancreatic Mubisanzwe bikubiyemo guhuza ibizamini byamashusho na biopsies:

• Ibizamini byo Gutekereza:
  • CT Scan: Itanga amashusho arambuye ya pancreas n'inzego zikikije.
  • MRI: Koresha imirima ya magneti kugirango irema amashusho ya pancreas.
  • Endoscopic ultrasound (eus): Ikoresha ecoscope hamwe nimboga ultrasound kugirango ugaragaze pancreas.
  • Scan: Irashobora gufasha kumenya niba kanseri yakwirakwiriye mubindi bice byumubiri.
• Biopsy: Icyitegererezo cyibintu byakuwe muri pancreas hanyuma usuzume munsi ya microscope kugirango wemeze ko hari selile za kanseri. Ibi birashobora gukorwa mugihe cya eus cyangwa unyuze mu biopsy iyobowe no gutekereza.
• Ibizamini byamaraso: Irashobora gupima inzego za poroteyine zimwe cyangwa enzymes zishobora kuzamurwa muri kanseri ya pancreatic.

STRAGE Kanseri ya pancreatic

Gukoresha bifasha kumenya urugero rwa kanseri no kuyobora ibyemezo byo kuvura. Sisitemu yo gutunganya isanzwe ikoreshwa na sisitemu ya TNM (ikibyimba, node, metastasis):

• T (ikibyimba): Asobanura ingano nurugero rwibibyimba byibanze.
• N (node): Yerekana niba kanseri yakwirakwiriye kuri lymph node.
• M (metastasis): Yerekana niba kanseri yakwirakwiriye mu ngingo za kure.

Amahitamo yo kuvura kuri Kanseri ya pancreatic

Kuvura kanseri ya pancreatic Biterwa na kanseri ya kanseri, ubuzima bwinyangamugayo muri rusange, nibindi bintu. Amahitamo arashobora kuba arimo:

Kubaga

Kubaga ni uburyo bwiza cyane bwo kuvura kanseri ya pancreatic (kanseri ishobora kuvaho burundu). Ubwoko bwo kubaga burimo:

• Uburyo bwo kwiboko (pancreaticodedontutomy): Gukuraho umutwe wa pancreas, igice cyamara mato, gallbladder, nigice cyigifu.
• Pancreatectomy: Kuvana umurizo wa pancreas.
• Pancreatectomy yose: Gukuraho pancreas yose (gake ikorwa).

Chimiotherapie

Chimitherapie ikoresha ibiyobyabwenge kugirango yice kanseri. Irashobora gukoreshwa mbere yo kubagwa (kudakora neza), nyuma yo kubaga (advapy trapy), cyangwa nkubuvuzi nyamukuru bwateye imbere kanseri ya pancreatic. Ibiyobyabwenge bisanzwe bya chimiotherapie birimo:

• Gematitabine
• Folfirinox (guhuza acide folnic, fluorouracial, Irinotecan, na Oxaliplatin)
• Abraxane (Paclitaxel Albumunin-Form)

Imivugo

Kuvura imivugo ikoresha imirasire-yingufu zo kwica kanseri. Irashobora gukoreshwa muguhuza na chimiotherapie, cyane cyane kubanyagambere kanseri ya pancreatic ibyo ntibishobora gukurwaho.

IGITABO

Ikigamijwe imiti yibiyobyabwenge byihariye molekile zigira uruhare mugutezimbere kwa karuvali no kubaho. Kurugero, Olaparib irashobora gukoreshwa mubarwayi bafite BRCA Ihinduka.

Impfuya

Impimupfumu ukoresha imikorere yumubiri yumubiri kurwanya kanseri. Mugihe utarakoreshwa cyane kanseri ya pancreatic, irakorwa iperereza mubigeragezo byubuvuzi.

Ibigeragezo by'amavuriro

Ibigeragezo by'amakuba ni ubushakashatsi bwubushakashatsi bukora iperereza uburyo bushya bwo kuvura kanseri. Abarwayi hamwe kanseri ya pancreatic Urashobora gutekereza ku rubanza rw'amavuriro kugirango ubone ibyiringiro bishya.

Ubuvuzi bwa Palliative

Ubwitonzi bwa palliative bwibanda ku kugabanya ibimenyetso no kuzamura imibereho y'abarwayi bafite amahano kanseri ya pancreatic. Irashobora kubamo gucunga ububabare, inkunga intungamubiri, n'amarangamutima.

Kurokoka Ibipimo bya Kanseri ya pancreatic

Kurokoka Ibipimo bya kanseri ya pancreatic gutandukana bitewe na stade ya kanseri nibindi bintu. Kumenya hakiri kare no kuvura birashobora kunoza cyane ibisubizo. Dukurikije societe ya kanseri y'Abanyamerika, igipimo cy'imyaka 5 yo kubaho ku byiciro byose bya kanseri ya pancreatic ni hafi 12%. Icyakora, kuri kanseri yagaragaye ku cyiciro cya mbere (cyaho), igipimo cyo kubaho imyaka 5% kiri hafi 44%. [Inkomoko: Sosiyete y'Abanyamerika]

Imbonerahamwe ikurikira irerekana umubare wimyaka 5 yo kubaho kuri stage:

Iyi mibare igereranijwe kandi umusaruro ku giti cye urashobora gutandukana.

Kubana Kanseri ya pancreatic

Kubana kanseri ya pancreatic irashobora kugorana, haba kumubiri no mumarangamutima. Amatsinda ashyigikira, ubujyanama, nibindi bikoresho birashobora gufasha abarwayi nimiryango yabo guhangana n'indwara.