Lo mhlahlandlela uhlinzeka ngesibukezo esijulile se Izinga lokwelashwa kwe-pancreatic cancer ranival okusinda, ukuhlola izici ezahlukahlukene ezithonya i-prognosing kanye nokuchaza intuthuko yakamuva ezinketho zokwelashwa. Sizosebenzisa izigaba ezahlukahlukene zomdlavuza we-pancreatic, izindlela zokwelashwa, nokubaluleka kokutholwa kusenesikhathi ekuthuthukiseni imiphumela yokusinda. Ukuqonda lezi zinto kunika amandla iziguli kanye nemindeni yazo ukwenza izinqumo ezinolwazi futhi zizulazule uhambo lwazo ngokuzethemba okukhulu.
Umdlavuza we-pancreatic uyisimila esibuhlungu esikhula kumanyikwe, isitho esibalulekile esisemuva kwesisu. Kuvame ukutholakala ngezigaba zakamuva ngenxa yezimpawu zayo zokuqala, ukwenza okutholakele kusenesikhathi. Uhlobo nendawo yomdlavuza ngaphakathi kwama-pancreas kuzothonya amasu okulashwa kanye nokuqonda.
Umdlavuza we-pancreatic uvinjelwe kusetshenziswa uhlelo olubheka usayizi nendawo yokubandakanyeka kwe-lymph node, nokuthi umdlavuza une-metastasised (ukusakazeka) kwezinye izingxenye zomzimba. Lezi zigaba zithinta kakhulu Izinga lokwelashwa kwe-pancreatic cancer ranival okusinda. Ukuzikhandla okunembile kubalulekile ekunqumeni uhlelo olufanele lokwelashwa.
Ukuvuselelwa Kokuhlinzwa, Lapho Kwenzeka, Kuhlala Kuyitshe Lama-The Sretteriction of Stoc-Stage Pantreatic Cancer. Izinga lokuhlinzwa lincike esigabeni nasekubekeni isimila. Izinqubo ezahlukahlukene ezihlinza njenge-Wwwwple Provect (PancreaticodueneneEctomy) noma i-pancreatectomy distal kungenzeka. Le khasi I-American Cancer Society Inikeza imininingwane enemininingwane ngezinketho zokuhlinza.
I-Chemotherapy isebenzisa izidakamizwa ukubulala umdlavuza amaseli. Imvamisa isetshenziswa ngaphambi kokuhlinzwa (i-neadjuvant chemotherapy) ukuncipha isimila, ukwenza ukuhlinzwa kusebenze kakhulu, noma ngemuva kokuhlinzwa (i-adgevant chemotherapy) ukunciphisa ingozi yokuphindaphindeka. I-Gemcitabine neFolfirinox ama-regimens ajwayelekile we-chemotherapy asetshenziswa ekwelashweni komdlavuza we-pancreatic. Ukusebenza nge-chemotherapy kuyahlukahluka ngokuya ngesigaba somdlavuza kanye nempilo yomuntu.
Ukwelashwa kwemisebe kusebenzisa imisebe ephezulu yamandla ukuqondisa nokubhubhisa amaseli womdlavuza. Ingasetshenziswa yedwa noma inhlanganisela nge-chemotherapy, kungaba ngaphambi noma ngemuva kokuhlinzwa. I-Stereotactic body radiotherapy (SBT) uhlobo lokwelashwa kwemisebe ethuthukisiwe enikezela ngemithamo ephezulu yemisebe endaweni eqondile, ukunciphisa ukulimala kwezicubu ezinempilo ezizungezile.
Izindlela zokwelapha ezihlosiwe zisebenza ngokuvimba ama-molekyuli athile ababambe iqhaza ekukhuleni komdlavuza nokusinda. Lezi zindlela zokwelapha zenzelwe ukuba ziqonde ngokwengeziwe futhi zinobuthi obunobuthi obunobuthi be-chemotherapy. Izibonelo zifaka phakathi ama-inhibitors we-egfr, vegf, nezinye izindlela ezivame ukubandakanyeka ekuqhubekeni komdlavuza we-pancreatic. Ukukhethwa kwezindlela zokwelapha ezihlosiwe kuncike kwizimpawu ezithile zofuzo zesimila.
Kuthonya izinto eziningana Izinga lokwelashwa kwe-pancreatic cancer ranival okusinda. Lokhu kufaka phakathi:
Amanani okusinda komdlavuza we-pancreatic ahluka kakhulu ngokuya ngesigaba sokuxilongwa kanye nezinye izinto okuxoxwe ngazo ngenhla. Kubalulekile ukuxhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ngemininingwane eyenzelwe wena maqondana nesimo sakho esithile. Imithombo ethembekile efana neNational Cancer Institute (NCI) kanye ne-American Cancer Society (ACS) Nikeza idatha yezibalo ngemali yokusinda komdlavuza we-pancreatic, ephukile phansi ngezindlela zesiteji kanye nokwelashwa. Lezi zinsiza zinikeza ukuqonda okubalulekile kwimiphumela elilindelekile kepha akufanele zithathe indawo yeseluleko sokwelashwa uqobo.
Ukutholwa kusenesikhathi kuthuthukisa kakhulu Izinga lokwelashwa kwe-pancreatic cancer ranival okusinda. Ukuhlolwa njalo nokuphenywa okusheshayo kwanoma yikuphi okuphathelene nezimpawu kubalulekile. Ngenkathi ayikho indlela eqinisekisiwe yokuvikela umdlavuza we-pancreatic, ukulondolozela indlela yokuphila enempilo, kufaka phakathi ukudla okulinganiselayo, ukuvivinya umzimba njalo, nokugwema ukubhema, kunganciphisa ingozi.
Ngeminye imininingwane nokusekelwa, ungaxhumana ne I-American Cancer Society noma I-National Cancer Institute. Ukuze uthole ukwelashwa okuthuthukile kanye nocwaningo esifundazweni saseShandong, ungafisa ukucabanga ukuxhumana ne I-Shandong Baafa Cancer Research Institute.
Isiteji | Izinga leminyaka engu-5 elisindayo (cishe) |
---|---|
I | (Idatha iyahlukahluka ngokuya ngomthombo. Bheka ochwepheshe bezokwelapha imininingwane efanele.) |
2 | (Idatha iyahlukahluka ngokuya ngomthombo. Bheka ochwepheshe bezokwelapha imininingwane efanele.) |
I-III | (Idatha iyahlukahluka ngokuya ngomthombo. Bheka ochwepheshe bezokwelapha imininingwane efanele.) |
I-IV | (Idatha iyahlukahluka ngokuya ngomthombo. Bheka ochwepheshe bezokwelapha imininingwane efanele.) |
Ukuzikhulula: Amanani okusinda avezwa alinganiselwa futhi angahluka ngokuya ngezimo ngazinye. Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nochwepheshe wezokunakekelwa kwempilo ukuze uthole ukuholwa okwenziwe umuntu.
p>eceleni>
umzimba>