Iimpawu zePancreatic Cancer-Izizathu kunye noNyango

Udakada lilungu emizimbeni yethu elilawula iswekile esegazini. Umhlaza wePancreatic kukwakheka kweeseli zomhlaza kwimibhobho yepancreatic. Ngamanye amaxesha amathumba e-neuroendocrine enza iiseli ze-pancreas ezivelisa ihomoni. Iimpawu zomhlaza we-pancreatic Ezi ziquka intlungu kwisisu esiphezulu okanye umva ongaphezulu, izitulo ezinombala okhanyayo, kunye ne-spikes ngokukhawuleza kwishukela egazini.

Yintoni umhlaza wepancreatic?

Le yindawo enqabileyo yomhlaza. Ngumhlaza ondlongondlongo kakhulu kwaye akukho ngqikelelo. Umphumo unokuba mbi. Ngenxa yokuba isifo asibonisi iimpawu kwizigaba zokuqala. Iimpawu zomhlaza we-pancreatic Ngethuba sikhula, isifo siya kuba sifikelele kwinqanaba eliphezulu kakhulu. Ngoko ke ukugula okuthe cwaka Ibizwa njalo.

Iintlobo zomhlaza we-pancreatic

Kukho iintlobo ezimbini eziphambili zomhlaza wepancreatic ngokusekwe kuhlobo lweseli oqala kuyo:

• I-Pancreatic adenocarcinoma: Olu lolona hlobo luqhelekileyo lomhlaza wepancreatic. Iqala kwiiseli ze-exocrine ezivelisa ii-enzymes ezincedisa ukugaya.
• Amathumba e-Pancreatic neuroendocrine: Oku kunqabile. Iqala kwiiseli ze-endocrine ezikhupha iihomoni ezichaphazela yonke into ukusuka kwisimo sengqondo ukuya kwimetabolism.

Ziziphi izizathu zomhlaza we-pancreatic?

• Umngcipheko wolu hlobo lomhlaza uyanda ngokukhula. Uninzi lwabantu ababa nalo mhlaza bangaphaya kweminyaka engama-45.
• Amadoda kunokwenzeka ukuba abanjwe kunabasetyhini.
• Abantu abatshayayo basengozini izihlandlo ezi-2 ukuya kwezi-3 kunabo bangatshayiyo.
• Ukutya rhoqo ukutya okunamafutha aphezulu kungumngcipheko wesifo. Uphononongo lubonise ukuba abantu abatyebe ngokugqithiseleyo nabatyebe kakhulu banomngcipheko ophezulu wokuba nomhlaza wepancreatic.
• Ukusetyenziswa kotywala okungapheliyo kunye nokugqithisileyo nako kwandisa umngcipheko ngokubangela ukudumba okuphindaphindiweyo.
• Abantu abaneminyaka emininzi benesifo seswekile basengozini. Kodwa ayinguye wonke umntu onesifo seswekile uya kuba nomhlaza wepancreatic.
• Esi sifo sinokuqhuba kwiintsapho. Inxulunyaniswa neemeko zofuzo ezandisa umngcipheko wezinye iintlobo zomhlaza.
• I-pancreatitis engapheliyo yonyusa umngcipheko wokuba nomhlaza wepancreatic.
• izitshabalalisiUkuchanabeka kwimichiza ethile, njengebenzene, iidayi ezithile, kunye neekhemikhali zepetroli, kwandisa umngcipheko.

Ziziphi iimpawu zomhlaza we-pancreatic?

Iimpawu zomhlaza we-pancreatic imi ngolu hlobo lulandelayo:

• Ijaundice
• intlungu kwisisu esiphezulu okanye phezulu
• Ukudumba nokuba buhlungu kwengalo okanye umlenze ngenxa yehlwili legazi
• isisu kwaye ukuqunjelwa esiswini
• isitulo esinombala okhanyayo
• Isicaphucaphu kunye nokugabha
• Ukunyuka ngokukhawuleza kwinqanaba leswekile yegazi
• Ukwehla kobunzima ngesiquphe okungachazwanga

Ziziphi izigaba zomhlaza we-pancreatic?

Amanqanaba omhlaza wepancreatic ngala:

• Inqanaba 0. Kukho iiseli ezingaqhelekanga kwi-pancreas ezinokukhula zibe ngumhlaza.
• Inqanaba loku-1. Ithumba likwi-pancreas kuphela.
• Inqanaba 2. I-tumor isasazeke kwizicubu ezikufutshane zesisu okanye i-lymph nodes.
• Inqanaba 3. I-tumor isasazeke kwimithambo yegazi emikhulu kunye ne-lymph nodes.
• Inqanaba 4. Ithumba liye lanwenwela kwamanye amalungu, njengesibindi. Oku kukwabizwa ngokuba ngumhlaza we-metastatic.

Ufunyaniswa njani umhlaza wepancreatic?

Ukuxilongwa kwangaphambili kwandisa ithuba lokuchacha. Ukuxilonga iimpawu zomhlaza we-pancreatic kunye nembali yonyango iphononongwa. Olu vavanyo lulandelayo lunokusetyenziswa ukwenza uxilongo:

• I-CT okanye i-MRI scan ukujonga i-pancreas ngokweenkcukacha
• I-Endoscopic ultrasound, apho ityhubhu encinci, eguquguqukayo enekhamera ifakwe esiswini ukuze ifumane imifanekiso ye-pancreas.
• i-biopsy okanye isampuli yezicubu
• Uvavanyo lwegazi lokubona ubukho be-CA 19-9 tumormarker enokubonisa umhlaza we-pancreatic

Unyango lomhlaza wePancreatic

Injongo yonyango kukubulala iiseli ezinomhlaza nokuthintela ukwanda komhlaza. Olona nyango lufanelekileyo luchongwa linqanaba lomhlaza. Olona khetho luphambili zonyango lu:

• Ukusebenza. Unyango lotyando lubandakanya ukususa iinxalenye zepancreas. Nangona ithumba kule ndawo lisuswa ngotyando, alinampembelelo kumhlaza othe wanwenwela kwezinye iindawo. Utyando aluqhelekanga ukucetyiswa kumhlaza wepancreatic.
• Unyango ngemitha. I-X-reyi kunye neminye imitha ephezulu yamandla isetyenziselwa ukubulala iiseli zomhlaza.
• Unyango ngamachiza. Amachiza okulwa nomhlaza asetyenziselwa ukubulala iiseli zomhlaza kwaye ancede ukukhusela ukukhula kwabo kwixesha elizayo.
• Unyango ekujoliswe kulo. Amachiza kunye nezilwa-buhlungu zijolise kwiiseli zomhlaza ngaphandle kokonakalisa ezinye iiseli ngechemotherapy kunye nonyango lwemitha.
• Immunotherapy. Kusetyenziswa iindlela ezahlukahlukeneyo zokuqalisa inkqubo yomzimba yokuzikhusela.

Kwezinye iimeko, ugqirha udibanisa ukhetho olungaphezulu kolunye unyango. Ngokomzekelo, i-chemotherapy inokwenziwa ngaphambi kokuhlinzwa.

Unyango lomhlaza wepancreatic ujolise ngakumbi ekudambiseni iintlungu kunye nokulawula iimpawu.

Uthintelwa njani umhlaza wepancreatic?

Ayaziwa ukuba yintoni ebangela umhlaza we-pancreatic. Ngoko akukho ndlela eyaziwayo yokuthintela.

Ezinye iimeko zonyusa umngcipheko wokukhula kwesi sifo. Imfuzo kunye nobudala azinakuguqulwa kule mingcipheko. Kodwa utshintsho oluthile lwendlela yokuphila lunokunceda ukunciphisa umngcipheko:

• Yeka ukutshaya. 
• Ukunciphisa utywala. 
• Ukugcina ubunzima obufanelekileyo.
• Ukutya ukutya kwendalo, hayi ukutya okugayiweyo.

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