Pancreatic cancer: Kunzwisisa, kuongororwa, uye sarudzo dzekurapa 

Pancreatic cancer Chirwere chichirwara pamasero akaipa muchimiro chePancreas, nhengo iri kumashure kwedumbu rinoita basa rakakosha mukugaya uye mutemo weropa. Zviratidzo zvinowanzoitika uye zvinogona kusanganisira kurwadziwa mudumbu, jaundice, uye kurasikirwa uremu. Kuziva kwekutanga uye kurapwa kwakakosha kune zvinovandudza zvibodzwa.

Kunzwisisa pancreas uye Pancreatic cancer

Pancreas chii?

Pancreas inhongo yeGland iri mudumbu. Inotora maviri makuru makuru:

• Exocrina Basa: Inogadzira enzymes inobatsira kuchera chikafu.
• Endocrine Basa: Inoburitsa mahormone kunge insulin uye glucagon inogadzirisa shuga yeropa.

Nekuda kwenzvimbo yayo yakadzika mukati medumbu, Pancreatic cancer inogona kuve yakaoma kuona mumatanho ekutanga.

Mhando dze Pancreatic cancer

Ruzhinji rwe pancreatic cancers vane mitsipa yezvinonhuwira, kunyanya Adenoarcinomas. Aya mabundu anomuka kubva pamasero anotsvaga iyo pancreate ducts.

• Adenoarcinmya: Mhando yakajairika, accounting yekakatenderedza 95% yezviitiko.
• Neurodengacrine tumors (mambure): Zvishoma zvakajairika, mumutsikiswe kubva kumasero ehomoni-anogadzira. Izvi zvinowanzo kukura zvishoma nezvishoma kupfuura Adenoarcinomas.

Shandong baofa cancer Information Institute institute inofamba uye nzira dzekurapa dzemhando dzakasiyana siyana dzevaridzi, kusanganisira Pancreatic cancer. Kunzwisisa rudzi rwekenza yakakosha kuronga kurapa kurapwa kurapwa. Kushanya Shandong baofa cancer researching Institute Kuti uwane rumwe ruzivo.

Zvinhu zvine njodzi Pancreatic cancer

Zvinhu zvinoverengeka zvinogona kuwedzera njodzi yekukudziridza Pancreatic cancer:

• Kusvuta: Chinhu chikuru njodzi.
• Chirwere cheshuga: Chirwere chakareba-chakamira chinowedzera njodzi.
• Kufutisa: Kuve wakanyanya kana kuora kwakabatana nengozi yekuwedzera.
• Nhoroondo Yemhuri: Kuva nenhoroondo yemhuri ye Pancreatic cancer inowedzera njodzi.
• Chisingaperi Pancreatitis: Kuzvimba kwenguva refu kwepancreas.
• Zera: Njodzi inowedzera nezera, kazhinji inowanzo kuwanikwa muvakuru vakuru.
• Dzimwe genetic Syndromes: Senge brca1 / 2 kuzvitumira, lynch syndrome, uye peutz-jeghers syndrome.

Zviratidzo zve Pancreatic cancer

Kutanga-nhanho Pancreatic cancer kazhinji haina zviratidzo. Sezvo kenza inokura, zviratidzo zvinogona kusanganisira:

• Kurwadziwa mudumbu: Kazhinji murwako wakashata mudumbu repamusoro rinogona kupenya kumashure.
• Jaundice: Yero yeganda nemaziso, kazhinji inoperekedzwa nerima urini uye zvigadziko zvidimbu.
• Kurera Kurera: Kusanzwisisika uremu kurasikirwa.
• Kurasikirwa kwekudya: Kunzwa kuzere nekukurumidza kana kusanzwa nzara.
• Kusvotwa uye kurutsa:
• Chirwere cheshuga: Chirwere chitsva-cheshuwa cheshuga kana kuoma kudzora chirwere chirwere chirwere cheshuga.
• Shanduko mumaitiro ehumonde: Inosanganisira manyoka kana kupwanya.

Izvo zvakakosha kuti ubvunze chiremba kana iwe ukasangana nechero chimwe chezviratidzo izvi, kunyanya kana iwe uine njodzi zvinhu zve Pancreatic cancer.

Kuongororwa kwe Pancreatic cancer

Kuongorora Pancreatic cancer kazhinji inosanganisira kusanganisa kwekufungidzira bvunzo uye biopsies:

• Kufungidzira bvunzo:
  • CT SCAN: Inopa mifananidzo yakatsanangurwa ye pancreas uye nhengo dzakatenderedza.
  • MRI: Inoshandisa magineti minda yekugadzira mifananidzo ye pancreas.
  • Endoscopic ultrasound (eus): Inoshandisa endoscope ine ultrasound probe kuti uone pancreas.
  • Pet Scan: Inogona kubatsira kuona kana cancer yakapararira kune dzimwe nhengo dzemuviri.
• Biopsy: Muenzaniso weTishu unotorwa kubva ku pancreas uye kuongororwa pasi peMicroscope kuti uone kuvapo kwe cancer cancer cancer. Izvi zvinogona kuitwa panguva yee kana kuburikidza nedanda biopsy inotungamirwa nekufungidzira.
• Miedzo yeropa: Inogona kuyera mazinga emamwe mapuroteni kana enzymes ayo anogona kukwidziridzwa mukati Pancreatic cancer.

Kuitisa Pancreatic cancer

Kuzivisa kunobatsira kuona huwandu hwe cancer uye vatungamire kurapwa sarudzo. Iyo System System inowanzo shandiswa ndeye tnm system (tumor, node, metastasis):

• T (bundu): Inotsanangura ukuru uye huwandu hwenguva yekutanga.
• N (node): Inoratidza kana cancer yakapararira kune yepedyo Lymph node.
• M (Metastasis): Inoratidza kuti cancer yakapararira kune nhengo dziri kure.

Sarudzo dzekurapa dze Pancreatic cancer

Kurapwa kwe Pancreatic cancer Zvinoenderana nechikamu che cancer, hutano hwemurwere, uye zvimwe zvinhu. Sarudzo dzinogona kusanganisira:

Kuvhiyiwa

Kuvhiya ndiko kurapa kwakanyanya kunoshanda kune rondedzero Pancreatic cancer (cancer inogona kubviswa zvachose). Mhando dzekuvhiya dzinosanganisira:

• Waprofine (pancreaticuodermy): Kubviswa kwemusoro we pancreas, chikamu chedumbu diki, iyo Gallbladder, uye chikamu chedumbu.
• Distal pancreatectomy: Kubviswa kwemuswe wepancreas.
• Yese pancreatectomy: Kubviswa kweiyo pani yePancreas (isingawanzo kuitwa).

Chemotherapy

Chemotherapy inoshandisa zvinodhaka kuuraya cancer cell. Inogona kushandiswa isati yavhiyiwa (neoadjuvant kurapa), mushure mekuvhiyiwa (Adjully kurapa), kana sekurapa kukuru kwekutanga Pancreatic cancer. Commoterapy Zvinodhaka zvinosanganisira:

• Gemcitabine
• Folfirinox (kusanganiswa kweiyo folin acid, Fluoruracil, Irinotecan, uye oxaliplatin)
• Abraxane (paclitaxel albumin-yakasungwa)

Radiation kurapwa

Radiation kurapwa kunoshandisa mwaranzi yakakwirira-simba kuuraya cancer cell. Inogona kushandiswa mukubatanidzwa ne chemotherapy, kunyanya yenzvimbo dzinosvika munharaunda Pancreatic cancer izvo hazvigone kubviswa.

Targeted kurapa

Target Semuenzaniso, Olaparib inogona kushandiswa mune varwere vaine brca.

Immamuritherapy

Immamuritherapy inoshandisa immune yemuviri yemuviri kurwisa cancer. Nepo kusiri kushandiswa zvakanyanya Pancreatic cancer, zviri kuongororwa mumiedzo yekiriniki.

Mafiriki Miedzo

Miedzo yekiriniki ndiyo idzvava dzidziso dzinoongorora nzira itsva dzekurapa cancer. Varwere na Pancreatic cancer Maigona kufunga nezvekuita chikamu chekiriniki kuti uwane kuvimbisa kurapa kutsva.

Palliative Kuchengeta

Palliative Care inotarisa pane kuderedza zviratidzo uye kuvandudza kunaka kwehupenyu kune varwere vane advanced Pancreatic cancer. Inogona kusanganisira kurwadzisa manejimendi, rutsigiro rwehutano uye rutsigiro rwehurumende.

Kupona mitengo ye Pancreatic cancer

Kupona mitengo ye Pancreatic cancer Vhara zvichienderana nechikamu che cancer uye zvimwe zvinhu. Kuziva kwekutanga uye kurapwa kunogona kugadzirisa zvakanyanya zvibodzwa. Sekureva kweAmerican Cancer Society, iyo Makore mashanu ekupukunyuka kwemakore mashanu ematanho ese e Pancreatic cancer inenge 12%. Nekudaro, nekuda kwekenza yakaonekwa pachiteshi chayo chekutanga (localized), iyo yegore rechishanu kupona huwandu hunenge 48%. [Kunobva: American Cancer Society]

Tafura inotevera inoratidza iyo makore mashanu ekupona mareti nechikamu:

Idzi nhamba dzinofungidzira uye zvabuda nemumwe munhu zvinogona kusiyana.

Kugara na Pancreatic cancer

Kugara na Pancreatic cancer inogona kuve yakaoma, zvese mumuviri nepfungwa. Mapoka ekutsigira, kuraira, uye zvimwe zviwanikwa zvinogona kubatsira varwere nemhuri dzavo kurarama nechirwere.