Chirwere chepancretic hachina kujairika, asi sezvo huwandu hwemakondomu aya ari mumatanho akapfuura panguva yekuongororwa, ndiyo yechina inokonzera kufa kwekenza muUnited States. Zviratidzo zvinogona kusanganisira jaundice isina kurwadza, kurwadziwa mumimba, kuora muviri, uye dzimwe nguva kutanga kusatarisiri kwechirwere cheshuga. Miedzo yakadai seCCT uye endoscopic ultrasound inoshandiswa kuongororwa mamiriro acho.
Mishonga inoshandiswa inosanganisira kuvhiyiwa, chemotherapy, inorapwa, kurapwa kwemaawa, uye kliniki miedzo.
Kunzwisisa Pancreas
Ipakreas inhengo iyo inenge masendimita masendimita masere, yakareba masendimita maviri uye yakaumbwa sepeari yakaonda pamativi ayo. Mhedziso yakakura yepakreas inonzi musoro, asi chikamu chepakati chinonzi muviri, uye mugumo wakaoma muswe. Cancers inowanikwa mumusoro.
Iyo panikreas yakaiswa mushure mechipfuva pamberi pemutsana. Haikwanise kunzwika panguva yekuongorora kwepanyama sezvo yakakomberedzwa nedzimwe nhengo, dzakadai sedumbu, chiropa, spleen, gallbladder, uye mukomana muduku, zvichiita kuongororwa uye chirwere chinonetsa.
Ipakreas ine mapoka maviri emasero anogona kupa mhando dzemhando dzekenza. Kazhinji kanzira (adenocarcinomas) inotanga mumasekeri anozivikanwa semasero eexocrine ayo anokonzera kubudisa enzyme dzepancreatic. Izvi zvinokonzerwa mumakumbo kuti zvibatsire kupedza mapuroteni, makhahydrates, nemafuta.
Zvishoma zvishoma zvakajairika zvirwere (neuroendocrine tumor) dzinobuda mumasero endocrine . Aya masero anobudisa mahomoni akadai se insulin, glucagon, uye somatostatin inodzora matanho kubva kuhuga yeropa kusvika kuwandu hweasiti mudumbu.
Ichi chinongororwa chinotarisa pamusana pekenza yepancreatic.
Zviratidzo
Zviratidzo zvekutanga zvechirwere chepancreatic zvinogona kuva zvisinganzwisisiki uye zvisinganzwisisiki, uye zvinogona kubviswa nyore nyore sezviri pamusana peimwe, zvisinganyanyi kuoma.
Zvimwe zvingave zviratidzo zvinonyevera zvinosanganisira:
- Kuchengeta kweganda uye vatsvene vemaziso ( jaundice ) nekuda kwekuvaka-bilirubin
- Pale, ivhu-semakumbo, rima, uye kuchenesa, zvinoitikawo nekuda kwekuunganidza bilirubin muropa
- Uturu hwepamusoro hwepamuviri hunogona kutenderera mberi
- Kusagadzika kushaya kurasikirwa
- Nausea, kurutsira, kana chirwere
- Kufirwa kwechido
- Kutanga kusatarisiri kwechirwere cheshuga mumunhu asina mungozi
Zviratidzo zvevasingaoneki pancreatic tumor (neuroendocrine tumor) zvinowanzoenderana nehomoni dzinobereka uye dzinogona kusanganisira zviratidzo zvakadai sezvinowanikwa nehuturuki hwakaderera kana hwepamusoro kana shuga yakakwirira yeropa.
Zvose izvi zviratidzo zvinotendera kunyatsoongorora kurapwa-uye rwechipiri, kana iwe uri kuwana mhinduro dzinonzwisisika kwauri.
Zvinokonzera uye Zviitiko Zvengozi
Kunyange zvazvo vatsvakurudzi vasina chokwadi nezvechinonyanya kukonzera chirwere ichi, kune r isk zvikonzero zvepancreatic kenza yakagadziriswa:
- Zera: Zvizhinji zvepancreatic kankere zvinowanikwa kune vanhu vanopfuura makore makumi mashanu (kunyange zvazvo zvinogona kuitika kune vechidiki pamwe chete).
- Mhangemutange: Matema ane mazinga akakwirira emukenza wepancreatic kupfuura mamwe madzinza. Dambudziko racho rinowedzerawo kune vanhu veAshkenazi Jewish heritage, kunyange izvi zvinofungidzirwa kuti zvine chokuita nehuwandu hwe BRCA2 kuchinja kwezvinhu .
- Zvepabonde: Kuitika uye kufa kwehuwandu huri nani pane varume kupfuura vakadzi.
- Kusvuta fodya: Ichi ndicho chinhu chinokonzera ngozi ( kusvuta kunowedzera njodzi yekenza dzakawanda ) uye inofungidzirwa kuti inokonzera kusvika kune chetatu chepancreatic kankere.
- Chirwere chepamusoro chegum ( periodontitis ) uye kurasikirwa kwezino rose (edentulousness)
- Mhuri inhoroondo yekenza yepancreatic kana mamwe mazamu emuviri: Izvi zvinofungidzirwa kuti ndizvo zvinokonzera 5 kubva kune 10 kubva kune 10 muzana yematenda aya.
- Nhoroondo yehuga yehuga
- Kurwara kusingaperi kwepancreas ( pancreatitis )
- Nguva refu, doro rinodhaka rinoshandiswa, kunyanya kana rinosanganiswa nekuputa
- Kurema kwepamusoro: Kunyanya kuwandisa kana kupfuvura kunofungidzirwa kuti kunokonzera kune imwe yeiyo masere eaya kanzira.
Kuziva
Kuongororwa kwekuongororwa kwechirwere chepancreatic kunotanga nekunyatsocherechedza kutarisa mungozi, uye kuongorora kwemuviri kutsvaga chero humwe uchapupu hwejerice, masimba emimba, kana kuora kurasikirwa.
Kufungidzira kufungidzirwa ndiko kunonyanya kuongororwa, kunyanya CT inonzi yakagadzirirwa kutsvaga kenza yepancreatic (pancreatic protocol CT). Nguva dzose kumadzimai emuviri zvinogona kubatsira kubatsira kutonga zvimwe zvinetso zvemuviri asi zvisingakwanisi kuongororwa nekenza pancreatic nemhaka yegesi mumatumbo.
Panzvimbo pacho, endoscopic ultrasound-iyo iyo tube ine seni ye ultrasound inowanikwa mumuromo uye yakaderedzwa kusvika muchikamu chepasi chemukati kana chikamu chepamusoro chemukati mudumbu-inogona kuva chinhu chinobatsira. Zvimwe zviitiko zvekufungidzira izvo dzimwe nguva zvinoshandiswa zvinosanganisira ERCP (endoscopic retrograde cholangiopancreatography) uye MRI.
Bhiopsy haisi nguva dzose inoita kuti iongororwe, asi kana iri (sekunge kana chirwere ichiri kuonekwa) pane zvingasarudzwa zvikuru zviviri: yakanaka yakanaka yenyuchi uye laparoscopic biopsy.
Ropa rega rega harina hanya nekenza yepancreatic asi inogona kubatsira kana yakabatanidzwa nezvimwe zviwanikwa. Kana jaundice iripo, kuongororwa kusarudza marudzi akasiyana ebilirubin anobatsira.
Kubva pamigumisiro yekufungidzira miedzo uye zvimwe zvitsva, aya kanzura anopiwa dhanho pakati pe 0 (precancerous) uye shato yechina kana kuti inoratidzirwa semukenza wemasita.
Mishonga
Kurapa kwekenza yepancreatic kunotarisana nechikamu chechirwere uye nzvimbo yekenza mukancreas.
Kwemawere ekutanga-kenza, kunyanya avo vari mumusoro wepascreas, chirwere chinopa mukana wokurapa chirwere chacho. Zvinosuruvarisa, 15 kusvika ku20 muzana chete yevanhu ndivo vanofanirwa kurapwa (nokuda kwezvasara, kenza yakapararira kure nekuvhiya kuti iwedzere kupona).
Nzira inowanzoitwa yakaitwa inozivikanwa seCypple uye inosanganisira kubvisa musoro wepascreas, iyo yakawanda yebate duct, chikamu chemuviri, chikamu chemukati mudumbu, chirwere, uye lymph nodes dziri pedyo. Pane kusiyanisa pane nzira, kusanganisira kuvhiyiwa kunobvisa pancreas yose, asi izvi zvinowanzoitwa zvishoma. Aya ndiwo mapurogiramu makuru, uye kuve nechokwadi chokuti chirwere chinogoneka (zvakadai ne laparoscopic biopsy nezvimwe zviedzo) zvakakosha.
Chemotherapy kushandisa kusanganiswa kwezvinodhaka kunopa huri nani huri nani mukurarama kwenguva pfupi asi inogona kuva yakanyatsoshanda kana ichibatanidzwa nemishonga yakadai seyakarapwa uye / kana remishonga inonzi radiation.
Targeted therapies ndiyo mishonga mitsva iyo "inotarisa" zvakashata pakukura kwekenza. Imwe mishonga, Tarceva (erlotinib), inobatsira kune vamwe vanhu, kazhinji kacho pamwe chete nemakemikrasi.
Mishonga yemakiriniki ari kutarisa kusanganiswa kwezvirapa pamusoro apa uye nzira itsva dzinoshandiswa, sekuzivikanwa kwema immunotherapy.
Kutsungirira
Kana iwe kana iwe waunoda akaonekwa kuti ane kenza yepancreatic, tora nguva yekudzidza nezvechirwere chako uye tora chikamu chakasimba mukutarisira kwako sewe pachako mutsigiri . Kuita izvi hakusi kungobatsira kuderedza kuzvidya mwoyo asi kunogona kuita mutsauko kune dzimwe vanhuwo.
Dzimwe mazano anogona kubatsira:
- Tora nguva yekudzidza nezvekutsvakurudza kenza yako paIndaneti .
- Funga kuwana pfungwa yechipiri, zvichida pane imwe yenyika huru yeCancer Cancer-mahara emagariro emukenza.
- Taura newe oncologist pamusoro pemakiriniki emakiriniki angave akakodzera iwe, kana kuti funga kuongorora imwe yeruzhinji rwechirongwa chechipatara inobatanidza mazano anopa vanoridzi vepanoti vanogona kufanana nemamiriro ako ezvinhu kumakiriniki epachirwere anoitika kupi zvako munyika.
Vamwe vanhu vanoonawo zvichibatsira kuti zvibatanidzwe muboka rekutsigira. Kana boka rakadaro risingawanikwi munharaunda yako, izvo zvingave zvakadaro kana kenza yepancreatic isingawanzwisisiki, mhirizhonga dzemunharaunda inogona kuva nzira yakanaka yekuwana vamwe vari kutarisana nematambudziko akafanana.
Dzokera kune vemhuri neshamwari uye uvabvumira kuti vakubatsire. Cancer zvechokwadi inotora musha. Kanzira dzakawanda nzvimbo dzinopawo zvigaro zvekusigirwa kwepfungwa, kubva pakurongororwa kwekenza kune mapoka ekuchengetedza maitiro anotaura nezvevanhu vose, muviri, pfungwa, nemweya. Tora uchishandisa chero ipi zvayo yekusarudza iwe waunotenda kuti ingabatsira. Dzimwe nguva chinhu chakashinga vanhu vanogona kuita ndechokuti vanobvuma rubatsiro rwekuwedzera uye kutsigirwa.
Shoko Rinobva
Kana iwe kana munhu waunoda ave akaonekwa kuti ane kenza yepancreatic, kana iwe unofunga kuti unogona kuva nezviratidzo, hapana mubvunzo kuti unogona kuva nehanya zvikuru. Mukenza wepancreatic ine mukurumbira iyo vakawanda vanoziva. Asi sezvo kungofanana nekurapa kuri kuwedzera kune mamwe kanzira, kufambira mberi kuri kuitwa kwechirwere ichi, zvakare. Mamwe makuru makuru emishonga iye zvino ari kuita kuvhiyiwa kwekenza iyo yaimbofungidzirwa isingabviri. Uye kunyange nehutachiona, zvirwere zvitsva zvakadai sekurapa kunorapwa uye immunotherapy zvingashandura chiso chekenza yepancreatic, sezvavari kune dzimwe kenza.
Kunyange zvazvo kurapwa hakusi izvo zvatinoda kuti zvive nhasi, oncology yakasvika nzira yakareba kwazvo mukugadzirisa zviratidzo uye zvinetso zvine chokuita nekenza kuitira kuti vanhu vagone kuwana zvakanyanya kubva panguva yavo nemhuri uye neshamwari zvisinei kuti nguva yakareba sei yasara.
> Sources:
> Mazuva Ano uye Kuwedzera Kurapa muPancreatic Cancer, Springer Verlag, 2017.
> De la Cruz, M., Young, A., naMr Ruffin. Kuongororwa uye Kutungamirirwa kweCancreatic Cancer. American Family Physician . 2014. 89 (8): 626-632.
> National Cancer Institute. Pancreatic Cancer Treatment (PDQ) -Health Professional Version. Updated 01/26/18. https://www.cancer.gov/types/pancreatic/hp/pancreatic-treatment-pdq
> Rosenberg, A., uye D. Mahalingam. Immunotherapy muPancreatic Adenocarcinoma-Kukunda Zvipingamupinyi Zvokupindura. Nhoroondo yeOkudya Kwemazino . 2018. 9 (1): 143-159.