Inqanaba 4 Umhlaza-we-pancreatic: Ukuqonda, iindlela zonyango, kunye nethemba 

Inqanaba le-4 le-pancreatic, ekwabizwa ngokuba ngumhlaza we-PAstatitic pancreatic, chaza ukuba umhlaza uye wasasazeka kumalungu akude. Ngelixa ibonisa imiceli mngeni ebalulekileyo, ukuqonda isifo, unyango olukhoyo, kunye nophando oluqhubekayo kubalulekile ukuze kuphuculwe iziphumo kunye nomgangatho wobomi. Eli nqaku libonelela ngamagqabantshintshi ngokubanzi Inqanaba le-4 le-pancreatic, kubandakanya iimpawu, isifo, iindlela zonyango, kunye nezixhobo zenkxaso.

Inqanaba lokuqonda 4 I-pancreatic umhlaza

Inqanaba le-4 le-pancreatic kuthetha ukuba iiseli zomhlaza ezivela kwipancreas ziye zasasazeka kwamanye amalungu omzimba. Oku kusasazeka, obizwa ngokuba yi-Metastasis, eyona ichaphazela isibindi, imiphunga, kunye ne-peritoneum (i-lineng ye-abdomity cavity). Umbutho woMhlaza waseMelika ubonelela ngolwazi olunzulu malunga nenkqubo yokutsalwa kweSoction yomhlaza we-pancreatic.

Iimpawu zenqanaba le-4 le-pancreatic

Iimpawu ze Inqanaba le-4 le-pancreatic ingahluka ngokuxhomekeke kwindawo ye-metastasis. Iimpawu eziqhelekileyo ziquka:

• Intlungu zesisu
• I-jaundice (ityheli lolusu kunye namehlo)
• Ukuhla ukusinda
• Ukuphulukana nokutya
• Isicaphucaphu kwaye sigale
• Ukudinwa
• UTSHINTSHO KWI-CABITS YAKHO
• Ascites (isakhiwo se-fluid esiswini)

Kubalulekile ukuba uqaphele ukuba ezi mpawu zingabangelwa zezinye iimeko. Ukuba ufumana nayiphi na kwezi mpawu, kubalulekile ukuba unxibelelane nogqirha ukuze ufumane isifo esifanelekileyo.

Uxilongo lweXabiso le-4 I-pancreatic

Ukuchonga Inqanaba le-4 le-pancreatic kubandakanya indibaniselwano yeemvavanyo zokucinga, zebhadies kunye novavanyo lwegazi. Olu vavanyo lunceda ukumisela ubungakanani bomhlaza kunye nezigqibo zonyango.

• Ukucinga kuvavanyo: I-CT Scans, i-MRI Scans, kwaye i-Scans Posns inokunceda ukuba ibone i-pancreas kwaye ichonge nawaphi na amathumba okanye i-metastasis.
• I-biopsy: I-biopsy ibandakanya ukuthatha isampulu ye-tishu evela kwi-pancreas okanye indawo ye-metastatic ukuqinisekisa ubukho beeseli zomhlaza.
• Uvavanyo lwegazi: Iimvavanyo zegazi, ezinje ngovavanyo lweSibindi kunye novavanyo lwe-Tumor Marker (E.G.9), inokubonelela ngolwazi olongezelelekileyo malunga nomhlaza.

Izinketho zoNyango lweSigaba seSigaba se-4 Pancreatic

Eyona njongo iphambili yonyango Inqanaba le-4 le-pancreatic kukulawula ukukhula komhlaza, ukukhulula iimpawu, kunye nokuphucula umgangatho wobomi. Ngenxa yokuba umhlaza sele usasazekile, utyando ukususa i-tumery ephambili ayisoloko ilukhetho. Nangona kunjalo, olunye unyango lungasetyenziselwa ukuphatha isifo.

Chemotherapy

I-chemotherapy ingunyango olusebenzisa iziyobisi ukuba libulale iiseli zomhlaza wonke. Lolona nyango luqhelekileyo Inqanaba le-4 le-pancreatic. I-chemotherapy irejista ihlala ibandakanya ukudityaniswa kweziyobisi, ezinje:

• IGemcitabine
• I-PaclitaXel
• I-Foferinox (indibaniselwano ye-fluorouracil, i-leucovrin, i-Irinotecan, kunye ne-ongulalipn)

Ukukhetha irejimeni ye-chemotherapy ixhomekeke kwimiba eyahlukeneyo, kubandakanya impilo epheleleyo yesigulana kunye neempawu ezithile zomhlaza. IZiko loPhando lwe-Shandong Baena ligxininisa indlela eyakhiwe yi-chemotherapy, ukulungelelanisa unyango kwiimfuno zomntu ngamnye. Funda ngakumbi malunga ne IZiko loPhando lweShandong Baeo Ukuzinikela kwabo kuPhala uphando.

Unyango olujolise kunyango

Iziyobisi ekugxilwe kuzo iziyobisi zijolise kwiimolekyuli ezithile ezichaphazelekayo ekukhuleni kweseli yomhlaza kunye nokusinda. Umzekelo, ukuba ithumba lesigulana linophawu oluthile lwemvelo (njengokuguquka), iziyobisi ezijolise kulo onokuthi usetyenziswe. Ezi ndlela zonyango zihlala zisetyenziswa ngokudibeneyo ne-chemotherapy.

I-gonotherapy

Umgono unceda amajoni omzimba alwa nomhlaza. Ngelixa i-igonototherapy ibonakalise isithembiso kwezinye iintlobo zomhlaza, okwangoku azisebenzi ngokubanzi Inqanaba le-4 le-pancreatic. Nangona kunjalo, uphando oluqhubekayo luphonononge amandla anokubakho kunyango lokunyanga esi sifo.

Unyango lwe-radiation

Unyango lwe-radiation lonyango lusebenzisa imitha yamandla aphezulu ukubulala iiseli zomhlaza. Ingasetyenziselwa ukukhulula iintlungu okanye ezinye iimpawu ezibangelwa sisisu. Ingasetyenziselwa ukuncitshiswa kwamathumba acinezelayo kumalungu akufuphi okanye i-nerves.

Inkathalo ye-pallitive

Inkathalo ye-pallietive igxile ekupheliseni iimpawu kunye nokuphucula umgangatho wobomi kwizigulana ezinezigulo ezinzulu. Ingabandakanya ulawulo lweentlungu, inkxaso yesondlo kunye nenkxaso yeemvakalelo. Inkathalo ephangiweyo inokubonelelwa kulo naliphi na inqanaba lomhlaza, kodwa lubaluleke ngakumbi kwizigulana ezine Inqanaba le-4 le-pancreatic.

I-Prognosis yenqanaba le-4 le-pancreatic

I-Prognosis ye Inqanaba le-4 le-pancreatic ngokubanzi ihlwempuzekile. Ixabiso leminyaka emi-5 yokusinda kwizigulana ezine Inqanaba le-4 le-pancreatic ijikeleze i-3%. Nangona kunjalo, amaxabiso okusinda anokwahluka ngokuxhomekeka kwimiba eyahlukeneyo, kubandakanya iminyaka yobudala, impilo epheleleyo, kunye nempendulo kunyango.

Kubalulekile ukukhumbula ukuba izibalo ziba zizitayile nje kwaye azixeleli kwangaphambili nasiphi na isigulana. Izinto ezininzi zinokuphembelela ukusinda komntu, kwaye abanye abantu nge Inqanaba le-4 le-pancreatic phila ixesha elide kune-avareji. Inkqubela phambili kunyango iyaqhubeka yenziwa, inika ithemba kwiziphumo eziphuculweyo.

Ukujamelana neNqanaba le-4 Dancreatic

Ukuhlala nayo Inqanaba le-4 le-pancreatic inokuba ngumceli mngeni, ngokwasemzimbeni nangokweemvakalelo. Kubalulekile ukufuna inkxaso kusapho, izihlobo, kunye neengcali zezempilo.

Amaqela enkxaso

Amaqela enkxaso abonelela ngendawo ekhuselekileyo yezigulana kunye neentsapho zabo ukuba babelane ngamava abo kwaye banxibelelane nabanye abaqondayo ukuba badlula. Inethiwekhi ye-pancreatich yomhlaza (iPancan) kunye noMhlaza waseMelika ubonelela ngolwazi malunga namaqela enkxaso kunye nezinye izibonelelo zabantu abachaphazelekayo ngumhlaza we-pancreatic.

Ingcebiso

Ingcebiso inokunceda abaguli kunye neentsapho zabo bajamelane neengxaki zokuphila nomhlaza. Unyango lunokubonelela ngenkxaso kunye nesikhokelo ekulawuleni ixhala, uxinzelelo, kunye neminye imiba yezempilo yengqondo.

Izixhobo

Izixhobo ezininzi zizibonelelo ziyafumaneka ukunceda abaguli kunye neentsapho ezichaphazelekayo Inqanaba le-4 le-pancreatic. Ezi zixhobo zinokubonelela ngolwazi malunga nokhetho lonyango, uncedo lwezemali, kunye nenkxaso yeemvakalelo.

Iphepha elichazayo: Eli nqaku libonelela ngolwazi ngokubanzi kwaye akufuneki kuthathelwe ingqalelo icebiso ngonyango. Soloko unxibelelana nengcali yokhathalelo lwempilo olufanelekileyo ukuze ufumane i-disnosis kunye nonyango lwemeko yonyango.