Umhlaza we-pancreatic kunye nentlungu yangasemva: Ukuqonda unxibelelwano 

Intlungu ye-pancreatic yomhlaza ngasemva Ihlala iluhlobo oluvukayo xa ithumba liqala ukucinezela kwi-nerves okanye amanye amalungu kufutshane nepancreas. Le ntlungu ingahluka ukusuka kwi-duble emud ukuya kwimvakalelo ebukhali, ecekeceke kwaye inokuziva ikwindawo ephezulu okanye ephakathi. Ukufunyanwa kwangoko nolawulo kubalulekile ukuze kuphuculwe iziphumo zoguli. Ukuqonda iimpawu zale ntlungu, unobangela onokubakho, kwaye ukukhetha unyango kubalulekile kuzo zombini abaguli nakwimpilo yezempilo.

Ukuqonda umhlaza we-pancularic

I-pancreas lilungu elibalulekileyo elizingemva kwesisu, idlale indima ebalulekileyo ekuphengeni kunye nommiselo weswekile yegazi. I-pancreatic umhlaza kwenzeka xa iiseli ezingaqhelekanga zikhula kwi-pancreas kwaye zikhule ngokungalawuleki. Ezi seli zinokwenza ithumba eliphazamisa umsebenzi wePancreas.

Iindidi zomhlaza we-pancreatic

Olona hlobo luqhelekileyo lomhlaza we-pancreatisic yi-adenocarcinoma, evelaphi iiseli ezihlonipheni ezivelisa i-enzymes yokugaya. Iindidi eziqhelekileyo eziqhelekileyo zibandakanya amathumba e-neuroendocrine, ekhula ukusuka kwiiseli ezivelisa ihomoni ye-pancreas.

Izinto zomngcipheko

Izinto ezininzi zinokonyusa umngcipheko wokuphuhlisa umhlaza we-pancreatic, kubandakanya:

• Ukutshaya
• Ukutyeba kakhulu
• Isifo seswekile
• I-pancreatisis ye-ticreatitis
• Imbali yosapho yomhlaza wePancreatic
• Ubudala (ukunyuka komngcipheko kunye nobudala)

Ikhonkco phakathi kwe-panncreatic lomhlaza kunye nentlungu yasemva

Umqolo obuhlungu luphawu oluqhelekileyo I-pancreatic umhlaza, ngakumbi njengoko isifo siqhubela phambili. Indawo kunye neempawu zentlungu zinokubonelela ngemikhondo malunga nobungakanani be-tumar kunye nendawo.

Umhlaza we-pancrandaric unokubangela ukuba iintlungu zangasemva

I-pancreatic umhlaza inokubangela umqolo obuhlungu Ngeendlela ezininzi:

• Ukukhula kwethu: Njengoko ithumba likhula, linokucinezela kwimithambo-ntle ejikeleze i-pancreas, ebangela iintlungu ezivela ngasemva.
• Ukubandakanyeka kwe-nerve: I-tumar inokuhlasela okanye icinezela i-Celiac Plexus, inethiwekhi ye-nerves ngasemva kwepancreas.
• Ukuvuvukala: Umhlaza we-pancreatic usenokubangela ukuvuvukala, okunokuba negalelo kwintlungu yangasemva.
• I-metastasis: Kwinqanaba eliphambili, umhlaza we-pancreatic unokusasazeka (i-metastasize) kwamanye amalungu omzimba, kubandakanya umqolo, obangela iintlungu zangasemva.

Iimpawu zomhlaza we-pancreatic doad ntlungu

Intlungu ye-pancreatic yomhlaza ngasemva ihlala ineempawu ezithile ezinokunceda ukwahlula kwezinye iintlobo ze umqolo obuhlungu:

• Indawo: Ngokwesiqhelo baziva besemva okanye ephakathi.
• Indalo: Ingaba yinto enobuhlungu okanye intlungu ebukhali, engapheliyo.
• Izinto ezindala: Ihlala indanisa xa ilele phantsi okanye emva kokutya.
• Ukukhulula izinto: Ingakhululeka okwethutyana ngokuhlala phambili.
• Iimpawu ezinxulumene noko: Ihlala ihamba kunye nezinye iimpawu zomhlaza we-pancreatisic, ezinjengokunciphisa umzimba, i-jaundice, kunye neengxaki zokugaya.

Ezinye iimpawu zomhlaza we-pancreatic

Ngelixa umqolo obuhlungu luphawu olubalulekileyo, I-pancreatic umhlaza ihlala inikezela ngeminye imiqondiso kunye neempawu:

• I-jaundice: Ukungcungcutheka kolusu kunye namehlo.
• Ukuhla ukusinda: Ukulahleka kwesisindo esingachazwanga.
• Intlungu zesisu: Intlungu esiswini.
• Ukuphulukana nomdla: Ndiziva ndigcwele ngokukhawuleza okanye ndingaziva ndilambe.
• Iingxaki zokugaya: Isicaphucaphu, ukugabha, urhudo, okanye utshintsho kwimikhwa yeqhekeza.
• Iswekile entsha-i-Onset: Ingakumbi kubantu abadala abadala.
• Umchamo omnyama: Umchamo omnyama kunesiqhelo.
• Izitulo ezinemibala ekhanyayo: I-Stools okanye i-clay-enemibala.
• Ukudinwa: Ndiziva ndidiniwe ngokungaqhelekanga.

Uxilongo lwe-pancreatic lomhlaza

Ukuba uyayiqonda umqolo obuhlungu kunye nezinye iimpawu ezibonisiweyo I-pancreatic umhlaza, kubalulekile ukuba uqhagamshelane nodokovavanyo. Uvavanyo lokuqonda isifo lunokubandakanya:

• Uvavanyo lomzimba kunye nembali yezonyango: Ugqirha wakho uya kuvavanya iimpawu zakho kunye nemvelaphi yakho.
• Ukucinga kuvavanyo:
  • I-CT Scan: Ibonelela ngemifanekiso eneenkcukacha zepancreas kunye negatya elijikelezileyo.
  • Mri: Sebenzisa amasimi e-magnetic kunye namaza erediyo ukwenza imifanekiso yeepancreas.
  • I-Endoscopic ultrasound (eus): Sebenzisa i-endoscope ene-eltrasound probe yokubonisa i-pancreas.
• I-biopsy: Isampulu ye-tishu ithathiwe kwiimviwo phantsi kwemakroskopu.
• Uvavanyo lwegazi: Unokulinganisa amanqanaba eeproteni ezithile ezinokubonisa umhlaza wepancreatic. I-CA 19-9 yi-tumark eqhelekileyo ye-tumar.

Izinketho zoNyango zoMhlaza we-pancreatic

Unyango I-pancreatic umhlaza Kuxhomekeka kwinqanaba lomhlaza, impilo yesigulana iyonke, kunye nezinto azithandayo. Izinketho zinokubandakanya:

Utyando

Ukuba umhlaza ufike ekhaya kwaye awukasasazi, utyando ukususa ithumba kunokuba yinketho. Uhlobo lotyando luxhomekeke kwindawo ye-tumar. I-tuumurs entlokweni ye-pancreas, inkqubo ye-whippen (pancreaticuodedenectoy) inokwenziwa.

Chemotherapy

I-chemotherapy isebenzisa iziyobisi ukubulala iiseli zomhlaza. Ingasetyenziswa ngaphambi okanye emva kotyando, okanye njengonyango oluphambili kumhlaza ophambili we-panncreatic. Iziyobisi eziqhelekileyo ze-chemotherapy zibandakanya i-gemcitabine kunye ne-fluorouracil (5-fu).

Unyango lwe-radiation

Unyango lwe-radiation radi lusebenzisa imiqadi enamandla enamandla ukubulala iiseli zomhlaza. Ingasetyenziselwa ukuncipha ithumba ngaphambi kotyando okanye ukubulala nayiphi na iiseli zomhlaza osele emva kotyando.

Unyango olujolise kunyango

Iziyobisi ekujoliswe kuzo iziyobisi zijolise kwiimolekyuli ezithile ezichaphazelekayo ekuhluleni kweselfowuni. La machiza anokusetyenziswa kwiimeko ezithile zomhlaza we-panncreatic o phambili.

I-gonotherapy

Umgono unceda amajoni omzimba alwa nomhlaza. Isenokuba yinketho kwezinye izigulana ezinomhlaza we-pancreatic.

Inkathalo ye-pallitive

Inkathalo ye-pallietive igxile kwiimpawu zokukhulula iimpawu kunye nokuphucula umgangatho wobomi. Ingasetyenziswa kulo naliphi na inqanaba lomhlaza we-pancreatic kwaye inokubandakanya ulawulo lweentlungu, inkxaso yesondlo kunye nenkxaso yeemvakalelo.

Ukulawula iintlungu zangasemva ezinxulumene nomhlaza we-pancreatic

Ukulawula umqolo obuhlungu yinxalenye ebalulekileyo ye I-pancreatic umhlaza Unonophelo. Izicwangciso zinokubandakanya:

• Amayeza eentlungu: Ngaphezulu kwe-counter okanye ukuguqula iintlungu kunokunceda ukulawula iintlungu.
• Iibhloko ze-nerve: Inaliti ye-anesthetic yendawo kufutshane nemithambo ebangela intlungu.
• Ulungiso lwenyama: Ukuzivocavoca kunye noLwandle lokuphucula ukuma kunye nokunciphisa iintlungu.
• Unyango olungemdla: I-Acupuncture, i-massage, kunye ne-yoga inokunceda ukukhulula iintlungu.

Ukuhlala nomhlaza we-pancreatic

Ukuhlala nayo I-pancreatic umhlaza kunokuba ngumceli mngeni, kodwa kukho izibonelelo ezikhoyo zokunceda abaguli kunye neentsapho zabo iintsapho. Amaqela enkxaso, ukucetyiswa, kunye nezixhobo zemfundo kunokubonelela ngenkxaso ngokweemvakalelo nangokufanelekileyo. Ukugcina indlela yokuphila esempilweni, kubandakanya ukutya okulinganayo kunye nokuzilolonga rhoqo, kunokuphucula ubomi.

Ngophando lomhlaza olodwa kunye nonyango, cinga ukutyelelwa IZiko loPhando lweShandong Baeo. Zinikezelwe ekunikezeleni ukhathalelo kunye nonyango oluhle.

Xa ndibona ugqirha

Kubalulekile ukuba uqhagamshelane nengcali yezempilo ukuba ufumana nayiphi na kwezi zinto zilandelayo:

• Ukuqhubeka okanye ukuqina umqolo obuhlungu
• Ukulahleka kwesisindo okungachazwanga
• Jaundice
• Intlungu zesisu
• UTSHINTSHO KWI-CABITS YAKHO
• I-New-Onset Diabetes

Ukuqukumbela

Intlungu ye-pancreatic yomhlaza ngasemva Kukwamalunga nophawu oluza kuthatha amanyathelo ngokukhawuleza. Ukuqonda unobangela, iimpawu ezinxulumene nazo, kunye nokukhetha unyango kunokukunceda ukuphucula ukubonwa kwangoko nokulawulwa kwesi sifo. Ukuba unezinto ezixhalabisayo malunga nempilo yakho, nxibelelana nogqirha wakho.

Iphepha elichazayo: Eli nqaku lelo nqaku lolwazi kuphela kwaye alisebenzi ngengcebiso kwezonyango. Soloko unxibelelana nengcali yezempilo eqeqeshiweyo ukuze ufumane unyango kunye nonyango.