Mukenza wepancreatic

Pancreatic gomarara igomarara rinotanga mupancreas.

Iyo pancreas inhengo hombe kuseri kwedumbu. Inoita uye inoburitsa ma enzymes mumatumbu ayo anobatsira muviri kugaya uye kupinza chikafu, kunyanya mafuta. Iyo pancreas inogadzira uye inoburitsa insulin uye glucagon. Aya mahormone anobatsira muviri kudzora huwandu hweshuga yeropa.

Kune mhando dzakasiyana dzekenza dzepancreatic. Rudzi runoenderana nesero iro gomarara rinokura mukati. Mienzaniso inosanganisira:

• Adenocarcinoma, mhando yakajairika yekenza yepancreatic
• Dzimwe mhando dzisingawanzo dzinosanganisira glucagonoma, insulinoma, islet cell tumor, VIPoma

Chikonzero chaicho checancreatic cancer hachizivikanwe. Inowanzoitika kune vanhu:

• Vakafutisa
• Iva nechikafu chakazara nemafuta uye chakaderera mumichero nemiriwo
• Iva nechirwere cheshuga
• Iva nenguva yakareba kwenguva yakareba kune mamwe makemikari
• Iva nekuzvimba kwenguva refu kwepancreas (chisingaperi pancreatitis)
• Chiutsi

Ngozi yekenza yepancreatic inowedzera nezera. Nhoroondo yemhuri yechirwere ichi inowedzerawo mukana wekubata gomarara iri.

Bundu (gomarara) mupancreas rinogona kukura risina kana zviratidzo pakutanga. Izvi zvinoreva kuti kenza inowanzo fambira mberi painotanga kuwanikwa.

Zviratidzo zvegomarara repancreatic zvinosanganisira:

• Manyoka
• Weti yakasviba uye zvituru zvine ruvara rwevhu
• Kuneta uye kushaya simba
• Kamwe kamwe kuwedzera kweshuga yeropa (chirwere cheshuga)
• Jaundice (yero yeruvara rweganda, mucous membranes, kana chena chikamu chemeso) uye kuvaviwa kweganda
• Kurasikirwa nechido uye kurasikirwa nekurema
• Kusvotwa uye kurutsa
• Marwadzo kana kusagadzikana muchikamu chepamusoro chedumbu kana dumbu

Anopa hutano anoita bvunzo dzepanyama uye obvunza nezve zviratidzo zvako. Munguva yebvunzo, mupi anogona kunzwa bundu (uremu) mudumbu rako.

Kuongororwa kweropa kunogona kurairwa kunosanganisira:

• Yakazara kuverenga ropa (CBC)
• Chiropa basa bvunzo
• Serum bilirubin

Kufungidzira bvunzo dzinogona kurairwa dzinosanganisira:

• CT scan yemudumbu
• Endoscopic kudzokorora cholangiopancreatography (ERCP)
• Endoscopic Ultrasound
• MRI yemudumbu

Kuongororwa kwekenza yepancreatic (uye mhando ipi) inogadzirwa nepancreatic biopsy.

Kana bvunzo dzichisimbisa kuti une kenza yepancreatic, mimwe miedzo ichaitwa kuti uone kuti kenza yapararira zvakadii mukati nekunze kwepancreas. Uku kunodaidzwa kunzi staging. Kutepfenyura kunobatsira kutungamira kurapwa uye kunokupa iwe zano reizvo zvaunotarisira.

Kurapa kweadenocarcinoma kunoenderana padanho rebundu.

Kuvhiya kunogona kuitwa kana bundu risina kupararira kana rakapararira zvishoma. Pamwe pamwe nekuvhiyiwa, chemotherapy kana radiation radiation kana ese ari maviri anogona kushandiswa usati kana mushure mekuvhiyiwa. Vanhu vashoma vanogona kurapwa neiyi nzira yekurapa.

Kana bundu risina kupararira mupancreas asi risingakwanise kuvhiyiwa, chemotherapy uye radiation radiation pamwe inogona kukurudzirwa.

Kana bundu rapararira (metastasized) kune dzimwe nhengo dzakadai sechiropa, chemotherapy chete inowanzo shandiswa.

Nekenza yepamusoro, chinangwa chekurapa ndechekugadzirisa marwadzo uye zvimwe zviratidzo. Semuenzaniso, kana iyo chubhu inotakura bile yakavharirwa necancreatic bundu, maitiro ekuisa diki simbi chubhu (stent) inogona kuitwa kuvhura iko kuvhara. Izvi zvinogona kubatsira kusunungura jaundice, uye kuchenesa kweganda.

Unogona kudzikisira kushushikana kwehurwere nekujoinha boka rekutsigira gomarara. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.

Vamwe vanhu vane gomarara repancreatic iro rinogona kuvhiyiwa rinorapwa. Asi muvanhu vazhinji, bundu rakapararira uye harigone kubviswa zvachose panguva yekuongororwa.

Chemotherapy uye radiation zvinowanzo kupihwa mushure mekuvhiyiwa kuwedzera mwero wekuporesa (izvi zvinonzi kurapwa kweAdjuvant). Kune kenza yepancreatic isingakwanise kubviswa zvachose nekuvhiyiwa kana gomarara rakapararira kupfuura rwatata, mushonga haugoneke. Muchiitiko ichi, chemotherapy inopihwa yekuvandudza uye kuwedzera hupenyu hwemunhu.

Dana kuti usangane nemupi wako kana iwe uine:

• Dumbu kana musana kurwadziwa kusingaendi
• Kuramba uchirasikirwa nechido
• Kuneta kusingatsanangurike kana kuonda
• Zvimwe zviratidzo zvechirwere ichi

Matanho ekudzivirira anosanganisira:

• Kana iwe uchisvuta, ino ndiyo nguva yekurega.
• Idya chikafu chine michero yakawanda, miriwo, uye zviyo.
• Rovedza muviri nguva dzose kuti ugare pane huremu hune hutano.

Kenza yepancreatic; Gomarara - rwatata

• Kugaya chirongwa
• Endocrine masero
• Mukenza wepancreatic, CT scan
• Pancreas
• Biliary mhingaidzo - akatevedzana

Jesu-Acosta AD, Narang A, Mauro L, Herman J, Jaffee EM, Laheru DA. Carcinoma yepancreas. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 78.

National Cancer Institute webhusaiti. Pancreatic cancer cancer (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/pancreatic/hp/pancreatic-treatment-pdq. Yakagadziridzwa Chikunguru 15, 2019. Yakasvika Nyamavhuvhu 27, 2019.

National Yakakwana Cancer Network webhusaiti. NCCN kiriniki yekudzidzira maitiro mune oncology: pancreatic adenocarcinoma. Shanduro 3.2019. www.nccn.org/professionals/physician_gls/pdf/pancreatic.pdf. Yakagadziridzwa Chikunguru 2, 2019. Yakasvika Nyamavhuvhu 27, 2019.

Shires GT, Wilfong LS. Pancreatic cancer, cystic pancreatic neoplasms, uye mamwe asiri endocrine pancreatic tumors. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 60.