Iimpawu zomhlaza we-pancreatic 

Ukuqonda i I-pancreatic imiqondiso yomhlaza Kwangoko kunokubaluleka ekuxilongeni kwangaphambili kunye nonyango. Eli nqaku libonelela ngamagqabantshintshi ngokubanzi kweempawu, izinto zomngcipheko, kunye neenkqubo zokuxilonga ezinxulumene I-pancreatic umhlaza, ukukuxhobisa ukuba uthathe amanyathelo asebenzayo kwimpilo yakho. Sijonge ukukwazisa ngezinto ezahlukeneyo zesi sifo, kwiimpawu zokuqala kwezinto ezinokubakho kunyango. Ukufunyanwa kwangoko kubalulekile, ke ukuqonda imiqondiso yesilumkiso yeyona nto iphambili.

Ukuqonda umhlaza we-pancularic

I-pancreatic umhlaza Ukhula xa iiseli ezikwiPancreas, ilungu elibalulekileyo elizingemva kwesisu, qala ukukhula ngaphandle kolawulo. I-pancreas inoxanduva lokuvelisa i-enzymes edingekayo kunye neehomoni ezilawula iswekile yegazi. Zimbini iintlobo eziphambili ze I-pancreatic umhlaza: I-Adenocarcinoma, eveza iiseli ze-ECORORMMMMMMMMMME), kunye ne-Neuroendombo I-Adenocarcinomas ngolona hlobo luqhelekileyo.

Izinto zomngcipheko zomhlaza we-pancreatic

Izinto ezininzi zinokunyusa umngcipheko wakho wokukhula I-pancreatic umhlaza. Oku kubandakanya:

• Ubudala: Umngcipheko unyuka ubudala, ngamatyala amaninzi enzeka emva kweminyaka yobudala engama-65.
• Ukutshaya: Abantu abatshayayo baphindwe kathathu kangako I-pancreatic umhlaza kunabantu abangatshayiyo.
• Iswekile: I-diambetes ende ende inokunyusa umngcipheko.
• Ukutyeba kakhulu: Ukutyeba kakhulu okanye ukutyeba kunokuphakamisa umngcipheko.
• Imbali yosapho: Ukuba nembali yosapho ye I-pancreatic umhlaza okanye isilayidi esiqinileyo semfuzo sinokonyusa umngcipheko.
• I-pancreatiitis ye-CHCCreatie: Ukuvunywa kwexesha elide kwepancreas kunokuba yinto yomngcipheko.
• I-syndromes ethile yemfuza: I-BRCA1, i-BUTCA2, i-PALB2, kunye nolunye utshintsho lwendalo lunxulunyaniswa nomngcipheko onyukayo.

Kwangoko I-pancreatic imiqondiso yomhlaza kunye neempawu

Ngamanqanaba ayo okuqala, I-pancreatic umhlaza ihlala ingenzi naziphi na iimpawu ezibonakalayo. Esi sesinye sezizathu zokuba kufunyaniswe ukuba sitshixiwe kamva, xa sisasazeke kwamanye amalungu omzimba. Nangona kunjalo, ezinye iimpawu zokuqala zinokubandakanya:

• I-jaundice: Ukungcungcutheka kolusu kunye nemhlophe ngamehlo. Oku kwenzeka xa i-tumor ibhloka i-bile duct.
• Intlungu zesisu: Intlungu engacacanga okanye eqhubekayo kwisisu esiphezulu okanye ngasemva.
• Ukulahleka kwesisindo okungachazwanga: Ukuphulukana nobunzima ngaphandle kokuzama ukuba luphawu lwe I-pancreatic umhlaza.
• Ukuphulukana nomdla: Ukuziva ulamba kancinci kunesiqhelo.
• UTSHINTSHO KWIINGXAKI ZOKUGQIBELA: Oku kunokubandakanya urhudo, ukomelela, okanye utshintsho kwisitoli sokungqinelana.
• Iswekile entsha-i-Onset: Kunqabile, I-pancreatic umhlaza Inokubangela iswekile, ngakumbi kubantu abadala.

Iimpawu ezithile ezikwindawo ye-tumor

Indawo ye-tumar kwi-pancreas inokuchaphazela iimpawu ezithile ezikhoyo.

• Amathumba entloko yepancreas: Oku kunokwenzeka ngakumbi ukubangela i-jaundice kuba zikufuphi ne-bile duct.
• Amathumba emzimbeni okanye umsila wepancreas: Ezi mathumbi azinakubangela iimpawu zide zikhule zikhule kwaye zicinezele kumalungu akufutshane.

Inqanaba elizayo I-pancreatic imiqondiso yomhlaza

Njengoko I-pancreatic umhlaza Inkqubela phambili, iimpawu zibhengezwe ngakumbi kwaye zinokubandakanya:

• Intlungu enkulu yesisu: Intlungu inokuba mbi ngakumbi kwaye ihlala ihleli.
• Isicaphucaphu nokugabha: Oku kunokubangelwa sisisu esikusondela esiswini okanye ngamathumbu.
• Isibindi esikhulisiweyo okanye i-gellbladder: I-jaundice inokukhokelela ekuphumeni kwala macandelo.
• I-clots yegazi: I-pancreatic umhlaza inokunyusa umngcipheko we-clots yegazi, ngakumbi emilenzeni.
• Ascites: Indawo yokuzazisa esiswini.

Uxilongo lwe-pancreatic lomhlaza

Ukuba ufumana naziphi na iimpawu ezichazwe apha ngasentla, kubalulekile ukuba ubone ugqirha kwangoko. Ugqirha uya kwenza uvavanyo lomzimba kwaye u-odola ezinye iimvavanyo ukumisela unobangela weempawu zakho.

Uvavanyo lokuqonda isifo

Iimvavanyo eziqhelekileyo ezisetyenziselwa ukufumanisa I-pancreatic umhlaza Faka:

• Uvavanyo lwegazi: Oku kunokunceda ekufumanise amanqanaba aphezulu ee-enzymes okanye i-tumorks, njenge-ca 19-9.
• Ukucinga kuvavanyo:
  • I-CT Scan: Ibonelela ngemifanekiso eneenkcukacha zepancreas kunye negatya elijikelezileyo.
  • Mri: Sebenzisa amasimi e-magnetic kunye namaza erediyo ukwenza imifanekiso eneenkcukacha.
  • I-Endoscopic ultrasound (eus): Cwangcisa i-Endoscopy nge-ultrasound ukufumana imifanekiso yeepancreas ukusuka ngaphakathi kwephecana lemigangatho.
  • I-ERCP (i-Endoscopic Retrograde iCholangiopanCreaPy): Isebenzisa idayi kunye ne-X-rays ukuba ibe nomfanekiso-ngqondweni we-bile kunye ne-pancreatic ductoric.
• I-biopsy: Isampulu ye-tishu ithathiwe kwi-pancreas kwaye ihlolwe phantsi kwemakroskopu yokuqinisekisa ubukho beeseli zomhlaza. Oku kunokwenziwa ngexesha le-EUS okanye i-ERCP.

Izinketho zoNyango

Unyango I-pancreatic umhlaza Kuxhomekeka kwinqanaba lomhlaza, impilo yesigulana iyonke, kunye nezinye izinto. Izinketho zonyango zinokubandakanya:

• Utyando: Ukususwa kwe-sumor ye-tumar yeyona ndlela iphambili yonyango lwenqanaba lokuqala I-pancreatic umhlaza. Inkqubo ye-whippen (ipancreaticuodedenectomy) luphawu oluqhelekileyo lwamathumba entloko yepancreas.
• I-chemotherapy: Sebenzisa iziyobisi ukubulala iiseli zomhlaza. Ingasetyenziswa ngaphambi okanye emva kotyando, okanye njengonyango oluphambili kumhlaza ophambili.
• Unyango lwe-radiation: Sebenzisa imitha yamandla aphezulu ukubulala iiseli zomhlaza. Ingasetyenziswa ngokudibeneyo nge-chemotherapy okanye emva kotyando.
• Unyango olujolise kulo: Sebenzisa iziyobisi ezijolise kwiimolekyuli ezithile ezichaphazelekayo ekuhluleni kweseli yomhlaza.
• Immunoherapy: Inceda amajoni omzimba alwa nomhlaza.

UKUHLAZIYWA NOKUFUMANEKA

Ngelixa akukho ndlela iqinisekileyo yokuthintela I-pancreatic umhlaza, ungathabatha amanyathelo okunciphisa umngcipheko wakho:

• Yeka ukutshaya: Ukutshaya yinto enkulu yomngcipheko I-pancreatic umhlaza.
• Gcina ubunzima obunempilo: Ukutyeba kakhulu kuyandisa umngcipheko.
• Yitya ukutya okunempilo: Isityebi esityebileyo kwiziqhamo, imifuno, kunye neendlwana zinokukunceda ukunciphisa umngcipheko.
• Lawula iswekile: Lawula amanqanaba eswekile yegazi ukuba uneswekile.
• Qwalasela uvavanyo lwemfuzo: Ukuba unembali yosapho I-pancreatic umhlaza okanye i-syndromes ethile yemfuza, thetha ugqirha wakho malunga novavanyo lwemfuza.

Ukufunyanwa kwangoko kubalulekile ekuphuculeni amathuba onyango ophumeleleyo. Nika ingqalelo nakuphi na ukubakho I-pancreatic imiqondiso yomhlaza kunye neempawu kwaye ubone ugqirha ukuba unezinto ezixhalabisayo. Ukuhlolwa rhoqo kunye nokuhlolwa kunokucetyiswa umntu ngamnye osengozini ephezulu.

Ukuhlala nomhlaza we-pancreatic

Uxilongo lwe I-pancreatic umhlaza inokuba nzima. Kubalulekile ukuba nenkqubo yenkxaso eyomeleleyo, kubandakanya usapho, izihlobo, kunye neengcali zezempilo. Amaqela enkxaso kunye nezixhobo ze-Intanethi kunokubonelela ngolwazi oluxabisekileyo kunye nenkxaso yeemvakalelo.

Izixhobo kunye neNkxaso

• Inethiwekhi ye-pancreatic yomhlaza (I-PANCAN.org)
• Umbutho woMhlaza waseMelika (Umhlaza.org)
• IZiko leSizwe lomhlaza (Umhlaza.gov)

Kwi IZiko loPhando lweShandong Baeo, sizinikezele ekuphuculeni ukuqonda kunye nonyango lomhlaza njengomhlaza we-pancreatic. Sikholelwa ukuba ngophando kunye nezicwangciso-qhinga zonyango, sinokuphucula iziphumo zabaguli abajamelene nesi sifo sinzima. Nxibelelana nathi namhlanje ukubona ukuba uphando lwethu olusikiweyo luyimpembelelo I-pancreatic umhlaza unyango kunye nokukhathalela.

Iphepha elichazayo: Olu lwazi luyinjongo lezemfundo kuphela kwaye akufuneki kuthathelwe ingqalelo icebiso ngonyango. Soloko unxibelelana nengcali yezempilo efanelekileyo kuyo nayiphi na inkxalabo yezempilo okanye ngaphambi kokwenza naziphi na izigqibo ezinxulumene nempilo yakho okanye unyango.