I-pancreatic umhlaza sisifo apho iiseli ezinobungozi zendlela ye-tissus ye-ticreas. Ukuqonda izinto zomngcipheko, ukuqonda iimpawu zokuqala, kunye nokuhlola iindlela zonyango ezikhoyo kubalulekile ukuze kuphuculwe iziphumo. Eli nqaku libonelela ngamagqabantshintshi ngokubanzi I-pancreatic umhlaza, egubungela oonobangela, iimpawu, iindlela zokuxilonga, ubuchule bokunyanga, kunye nokuxhasa ukhathalelo. I-pancreatic umhlaza Kwenzeka nini xa iiseli ezikwiPancreas zikhula ngaphandle zolawulo kwaye zenza ithumba. Zimbini iintlobo eziphambili ze I-pancreatic umhlaza:Khuphela amathumba: Olu lolona hlobo luqhelekileyo, i-accounting malunga ne-95% yamatyala. Esona sityholo siphambili sibonisa i-adenocarcinoma, eqala kwiiseli ezinamathela kwimigca ye-pancreating.I-Endorsne Tumpers (i-Neuroendorne Tumors-Inethi): Ezi ziqhelekile kwaye zikhule ukusuka kwiiseli ezivelisa i-hormone ezivelisa i-pancreas. Bahlala bekhula ngokuthe ngcembe kunokukhuphela amathumba I-pancreatic umhlaza ayiqondwa ngokupheleleyo, zichongwe izinto ezahlukeneyo zomngcipheko:Ukutshaya: Ukutshaya yinto enkulu yomngcipheko, ukwandisa umngcipheko kabini ukuya kathathu xa kuthelekiswa nabangatshayi.Ukutyeba kakhulu: Ukutyeba kakhulu okanye ukutyeba, ngakumbi ngamafutha agqithisileyo, ukonyusa umngcipheko.Iswekile: I-diambetes ende, ngakumbi uhlobo 2, linxulunyaniswa nomngcipheko onyukayo.I-pancreatiitis ye-CHCCreatie: Ukuvunywa kwexesha elide kwepancreas kunokunyusa umngcipheko.Imbali yosapho: Ukuba nembali yosapho ye I-pancreatic umhlaza okanye i-syndromes ethile yemfuza (E.G., iBrca1, i-brca2, i-lynch syndrome) yonyusa umngcipheko.Ubudala: Umngcipheko uyanda nobudala, kunye neemeko ezininzi ezixinweyo emva kweminyaka engama-60.Ugqatso: Abantu base-Afrika baseMelika banomngcipheko ophezulu kancinane kuneCaucasians.symptoms ye-pancreatic fumba amanqanaba ayo okuqala, I-pancreatic umhlaza ihlala ingabangeli mpawu zibonakalayo. Njengoko ithumba likhula, iimpawu zinokukhula, kubandakanya:Intlungu zesisu: Intlungu kwisisu esiphezulu esinokuya ngasemva.I-jaundice: Ityheli lolusu kunye namehlo, ihlala ihamba kunye nomchamo omnyama kunye nezitulo ezimfuyo. Oku kubangelwa kukutyibilikisi okonakalisa i-bile duct.Ukuhla ukusinda: Ukulahleka kwesisindo okungachazwanga kukhetho oluqhelekileyo.Ukuphulukana nomdla: Ndiziva ndigcweleyo kwaye ndinomnqweno ophumlayo.Isicaphucaphu nokugabha: Inokwenzeka ngenxa yethumba icinezela esiswini okanye amathumbu.UTSHINTSHO KWIINGXAKI ZOKUGQIBELA: Urhudo okanye ukuqunjelwa.Iswekile entsha-i-Onset: Ngamaxesha athile, I-pancreatic umhlaza inokubangela iswekile.I-clots yegazi: Umhlaza we-pancreatic onokonyusa umngcipheko we-clots yegazi, ngakumbi emilenzeni.Diagnoss Douncreagraic I-pancreatic umhlaza Ngokwesiqhelo kubandakanya indibaniselwano yezi vavanyo zilandelayo:Uvavanyo lomzimba kunye nembali yezonyango: Ugqirha uza kubuza malunga neempawu zakho, izinto zomngcipheko kunye nembali yezonyango.Ukucinga kuvavanyo: I-CT Scan (i-computer id tomography): Ibonelela ngemifanekiso eneenkcukacha zepancreas kunye ne-organs ejikelezileyo ukuze zifumane amathumba. I-MRI (i-Magnetic Reming): Enye indlela yokucinga enokukunceda ubone i-pancreas. I-Endoscopic ultrasound (eus): Ityhubhu ecekeceke, eguqukayo eneprojekhthi ye-ultrasound ifakwe ngomlomo ukuya esiswini kunye ne-duodenum ukufumana imifanekiso eneenkcukacha zepancreas. I-EUS inokusetyenziselwa ukuthatha i-biopsies. I-ERCP (i-Endoscopic Retrograde iCholangiopanCreaPy): Isetyenziselwe ukubona i-bile kunye ne-ductoric ductoric. Ingasetyenziselwa ukubeka i-stents ukunciphisa iibhloksi. I-biopsy: Isampulu encinci ye-tishu isuswe kwi-pancreas kwaye ihlolwe phantsi kwe-microscope yokuqinisekisa ukufumanisa umhlaza. I-biopsies inokufumaneka ngexesha okanye utyando.Uvavanyo lwegazi: Iimvavanyo zomsebenzi weSibindi: Vavanya umsebenzi weSiDel, onokuthi uchaphazeleke I-pancreatic umhlaza. I-Tumor Markers: I-CA 19-9 yi-tuminar brker enokuphakanyiswa kwizigulana nge I-pancreatic umhlaza. Nangona kunjalo, ayisoloko ichanekile kwaye inokuphakanyiswa kwezinye iimeko. Ukuma kwe-pancreatic I-pancreatic umhlaza Kufunyaniswa ukuba ityhutywe, ilungiselelwe ukufumanisa ubungakanani bomhlaza. Inqanaba linceda oogqirha baqwalasele ezona ndlela zibalulekileyo zonyango kunye nokuqikelela i-prognosis. Eyona nkqubo ixhaphakileyo yenkqubo yinkqubo ye-TNM:T (tumar): Ichaza ubungakanani kunye nobungakanani be-tumoor ephambili.N (node): Ibonisa ukuba umhlaza uye wasasazeka kwiindawo ezikufuphi ne-lymph.M (i-metastasis): Ibonisa ukuba umhlaza uye wasasazeka kwiindawo ezikude (i.G., Sibindi, i-lings) .Bonke uhlelo loluleko lwe-TNM, I-pancreatic umhlaza yabelwe inqanaba ukusuka kwi-IV le-IV, ngeXabiso iv liv lelona nketho lukhethekileyo. I-pancreatic umhlaza Kuxhomekeka kwinqanaba lomhlaza, impilo yesigulana iyonke, kunye nezinye izinto. Izinketho zonyango eziqhelekileyo zibandakanya:Utyando: Inkqubo ye-whiple (pancreaticuodedenectoy): Olu lolona utyando oluqhelekileyo I-pancreatic umhlaza ibekwe entlokweni ye-pancreas. Kubandakanya ukususa intloko ye-pancreas, i-duodenum, inxalenye yesisu, i-gellbladder, kunye ne-bile duct. I-Direcreatectomy: Ukususwa komsila kunye nomzimba weepancreas. Amabala anokususwa kwakhona. Iyonke i-pancreatectomy: Ukususwa kwazo zonke iipancreas. Oku kungaqhelekanga kwaye kufuna i-enzyme yobomi kunye ne-insulin. I-chemotherapy: Sebenzisa iziyobisi ukubulala iiseli zomhlaza. I-chemotherapy inokunikwa ngaphambi kotyando (neoadjuves), emva kotyando (i-mads), okanye njengonyango oluphambili I-pancreatic umhlaza. Iziyobisi eziqhelekileyo ze-chemotherapy zibandakanya i-gemcitabine, i-pactritaxel, kunye ne-fluorouracil (5-FU).Unyango lwe-radiation: Sebenzisa imitha yamandla aphezulu ukubulala iiseli zomhlaza. Unyango lwe-radiation lungasetyenziswa ngokudibeneyo nge-chemotherapy okanye emva kotyando.Unyango olujolise kulo: Iziyobisi ezijolise kwiimolekyuli ezithile ezichaphazelekayo ekukhuleni kweseli yomhlaza kunye nokusinda. Umzekelo, i-Olaparib i-papp ayisetyenziswanga kwizigulana eziguqukayo ze-brca.Immunoherapy: Inceda amajoni omzimba alwa nomhlaza. Immunotherapy ayisetyenziselwanga I-pancreatic umhlaza, kodwa isenokuba kukhetho kwezinye izigulana eziguqulweyo oluthile lwendalo okanye ezinye iimpawu zediski I-pancreatic umhlaza unyango. Ijolise ekulawuleni iimpawu, ukuphucula umgangatho wobomi, kunye nokubonelela ngenkxaso kwiimvakalelo. Inkathalo yenkxaso inokubandakanya:Ulawulo lweentlungu: Amayeza kunye nolunye unyango ukuze banciphise iintlungu.Inkxaso yesondlo: Nceda ngokutya kunye nokugcina ubunzima bempilo. I-pancreatic ye-enzyme i-enrapy ye-enzyme (i-perrt) ihlala iyimfuneko ukunceda ekugayeni.Inkxaso yeemvakalelo: Ingcebiso, amaqela enkxaso, kunye nezinye izixhobo ukunceda abaguli kunye neentsapho zabo bajamelane nemiceli mngeni ye I-pancreatic umhlaza. Iimvavanyo ezivavanywayo ezihloliweyo zeZifundo zophando ezivavanya unyango olutsha lwe I-pancreatic umhlaza. Izigulana zinokucinga ngokuthatha inxaxheba kwiimvavanyo zeklinikhi ukufikelela kunyango lomphetho. Xoxa ngokubakho kokuthatha inxaxheba kuvavanyo lweklinikhi kunye nogqirha wakho. IZiko loPhando lweShandong Baena lithatha inxaxheba ngenkuthalo kwaye ikhuthaza uvavanyo lweklinikhi, igalelo ekuqhubeni phambili kunyango lomhlaza kunye nononophelo lwesigulana. Funda ngakumbi kwi https //baofital.com..Prognosis ye-pancreatic donsic prognosis I-pancreatic umhlaza Ukuhluka ngokuxhomekeke kwinqanaba lomhlaza, impilo yesigulana iyonke, kunye nezinye izinto. Ukufunyanwa kwangoko kunye nonyango kubalulekile ukuze kuphuculwe iziphumo. Ixabiso leminyaka emi-5 yokusinda I-pancreatic umhlaza iphantsi xa ithelekiswa nolunye umsondezo, kodwa iphuculwe kwiminyaka yakutshanje ngenxa yenkqubela phambili kunyango. I-pancreatic umhlaza, Zininzi izinto onokuthi uzenze ukunciphisa umngcipheko wakho:Yeka ukutshaya: Ukutshaya yinto enkulu emngciphekweni, ukuyeka le yenye yezona zinto zibalaseleyo onokuzenza.Gcina ubunzima obunempilo: Ukutyeba kakhulu okanye ukutyeba kuyandisa umngcipheko.Lawula iswekile: Lawula amanqanaba akho eswekile yegazi ukuba uneswekile.Yitya ukutya okunempilo: Isityebi esityebileyo kwiziqhamo, imifuno, kunye neendlwana zinokukunceda ukunciphisa umngcipheko.Umda wokusetyenziswa kotywala: Ukusela utywala obunzima kunokunyusa umngcipheko.Fumana ii-hlossos rhoqo: Thetha nodokotela wakho malunga nezinto zakho zomngcipheko kwaye ngaba ufuna naluphi na uvavanyo lokuhlola.KalcoudI-pancreatic umhlaza sisifo esinzulu, kodwa sikufumene kwangoko, inkqubela phambili kunyango, kunye nononophelo oluxhasayo, iziphumo eziphuculweyo zinokwenzeka. Ukuqonda izinto zakho zomngcipheko, ukuqonda iimpawu, kwaye kusebenza ngokusondeleyo neqela lakho lezempilo kubalulekile ukuze kulawulwe I-pancreatic umhlaza ngempumelelo. Kukwabalulekile ukuqaphela ukuba uphando lube kunyango olunomhlaza olunge lutsha olunje ngonyango lwe-metabolic luqhubeka luvela, lubonelela ngethemba elitsha kwizigulana. I IZiko loPhando lweShandong Baeo Ihlala iphambili kuphando lomhlaza, ukuzabalazela ukuphucula ubomi babaguli abachaphazeleka sisifo esinzima.
