Zvese zvaunoda Kuti Uzive Nezve Pancreatic Cancer

Zvemukati

• Pancreatic kenza zviratidzo
• Pancreatic kenza inokonzera
• Pancreatic kenza yekupona mwero
• Pancreatic kenza nhanho
• Pancreatic kenza nhanho 4
• Pancreatic kenza nhanho 3
• Pancreatic kenza chikamu 2
• Pancreatic kenza kurapwa
• Kuvhiya
• Radiation kurapa
• Chemotherapy
• Targeted kurapwa
• Pancreatic kenza kufungidzira
• Pancreatic kenza kuongororwa
• Pancreatic kenza yeupenyu tarisiro
• Kenza yepancreatic inorapwa here?
• Pancreatic kenza njodzi njodzi
• Pancreatic kenza yekuvhiya
• Pancreatic kenza mhando
• Pancreatic adenocarcinoma
• Pancreatic neuroendocrine tumors (NETs)
• Pancreatic kenza kudzivirira

Chii chinonzi pancreatic cancer?

Mukenza wepancreatic unoitika mukati memasumbu epancreas, inova yakakosha nhengo ye endocrine iri kuseri kwedumbu. Iyo pancreas inoita basa rakakosha mukuzeya nekuburitsa ma enzymes ayo muviri unoda kugaya mafuta, makabhohaidhiretsi, uye mapuroteni.

Iyo pancreas inogadzirawo mahormone maviri akakosha: glucagon uye insulin. Aya mahormoni ane basa rekudzora glucose (shuga) metabolism. Insulin inobatsira maseru kugadzirisa metabolism kuti iite simba uye glucagon inobatsira kusimudza mazinga eglucose kana iwo akanyanya kuderera.

Nekuda kwenzvimbo yepancreas, gomarara repancreatic rinogona kunge rakaoma kuona uye rinowanzoonekwa muzvikamu zvepamusoro zvechirwere.

Sekureva kweAmerican Cancer Society, gomarara repancreatic rinoumba zvikamu zvitatu kubva muzana zvechirwere chegomarara muUnited States uye chikamu che7 muzana chevanofa nekenza.

Pancreatic kenza zviratidzo

Gomarara repancreatic kazhinji hariratidze zviratidzo kudzamara rasvika padanho repamusoro rechirwere. Nechikonzero ichi, kazhinji hapana kana zviratidzo zvekutanga zvecancer yepancreatic.

Kunyangwe kana kenza yakura, zvimwe zvezviratidzo zvakajairika zvinogona kuve zvakavanzika. Zvinosanganisira:

• kurasikirwa nenzara
• kurasikirwa nemaune uremu
• dumbu (mudumbu) kana kurwadziwa kwepazasi
• kugwamba kweropa
• jaundice (yero ganda uye maziso)
• kuora mwoyo

Pancreatic cancer inopararira inogona kuwedzera zviratidzo zviripo. Kana kenza ikapararira, unogona kuwana zvimwe zviratidzo nezviratidzo zvekenza yepancreatic yepamberi.

Pancreatic kenza inokonzera

Chikonzero checancreatic cancer hachizivikanwe. Rudzi rwecancer rwunoitika apo masero asina kujairika anotanga kukura mukati mepancreas uye oumba mamota.

Kazhinji, masero ane hutano anokura uye anofa muzviverengero zvine mwero. Panyaya yekenza, pane huwandu hwakawanda hwekugadzirwa kwemasero zvisina kujairika, uye maseru aya anozotora maseru ane hutano.

Nepo vanachiremba nevatsvakurudzi vasingazive kuti chii chinokonzera shanduko mumasero, ivo vanoziva zvimwe zvakajairika zvinhu zvinogona kuwedzera njodzi yemunhu yekukudziridza rudzi urwu rwegomarara.

Idzo mbiri dzakanyanya kukoshesa njodzi dzinogarwa nhaka magene uye nekuchinja kwemajini. Majini anodzora maitiro anoita maseru, saka shanduko kune iwo magene anogona kutungamira kukenza.

Pancreatic kenza yekupona mwero

Kupona kwehuwandu chikamu chehuwandu hwevanhu vangani vane mhando imwechete uye nhanho yekenza vachiri vapenyu mushure menguva yakati kuti yenguva. Iyi nhamba hairatidze kuti vanhu vangararama kwenguva yakareba sei. Pane kudaro, zvinobatsira kuyera kuti kurapwa kwakanakisa kenza kungave sei.

Yakawanda yekupona mitengo inopihwa semakore mashanu emakore. Izvo zvakakosha kuti urambe uchifunga kuti mwero wekupona hauna kujeka. Kana iwe uine mibvunzo nezve aya manhamba, taura nachiremba wako.

Iyo yemakore mashanu ekupona mwero wekwenzvimbo pancreatic cancer ndeye 34 muzana. Yakanowanikwa kenza yepancreatic matanho 0, 1, uye 2.

Iyo makore mashanu ekupona mwero wedunhu pancreatic kenza iyo yakapararira kune zvivakwa zvepedyo kana lymph node iri gumi muzana. Matanho 2B ne3 anowira muchikamu ichi.

Kenza yepancreatic iri kure, kana kenza yechina yechina yakapararira kune mamwe maseru semapapu, chiropa, kana mapfupa, ine chikamu che3 muzana chekupona.

Pancreatic kenza nhanho

Kana gomarara repancreatic rikawanikwa, vanachiremba vangangoita bvunzo dzekuwedzera kuti vanzwisise kana kenza yapararira. Kufungidzira bvunzo, senge PET scan, batsira vanachiremba kuona huvepo hwekukura kwegomarara. Kuongororwa kweropa kunogona zvakare kushandiswa.

Nemiyedzo iyi, vanachiremba vari kuyedza kutanga danho rekenza. Kutepfenyura kunobatsira kutsanangura kuti kenza yakura zvakadii. Izvo zvinobatsirawo vanachiremba kuona nzira dzekurapa.

Kamwe kuongororwa kwange kwaitwa, chiremba wako anozopa danho zvichibva pamhedzisiro yekuedzwa:

• danho 1: mamota aripo mupancreas chete
• danho rechipiri: mamota akapararira kumatumbu edumbu ari padyo kana lymph node
• danho rechitatu: gomarara rapararira kune yakakura midziyo yeropa uye lymph node
• nhanho 4: mamota akapararira kune dzimwe nhengo, senge chiropa

Pancreatic kenza nhanho 4

Stage 4 kenza yepancreatic yakapararira kupfuura iyo yekutanga saiti kunzvimbo dziri kure, sedzimwe nhengo, huropi, kana mapfupa.

Chirwere chepancreatic chinowanzoonekwa panguva ino yekunonoka nekuti hachiwanzo kukonzera zviratidzo kudzamara chapararira kune mamwe masayiti. Zviratidzo zvaungasangana nazvo padanho iri repamberi zvinosanganisira:

• kurwadziwa mudumbu repamusoro
• kurwadziwa kumusana
• kuneta
• jaundice (yero yeganda)
• kurasikirwa nenzara
• kuonda
• kuora mwoyo

Stage 4 kenza yepancreatic haigone kurapwa, asi kurapwa kunogona kubvisa zviratidzo uye kudzivirira matambudziko kubva kukenza. Aya marapirwo anogona kusanganisira:

• chemotherapy
• marapirwo ekurwadziwa ekurapa
• bile duct inopfuura nekuvhiya
• bile dhayeti stent
• gastric inopfuura kuvhiya

Iyo yemakore mashanu ekupona mwero weiyo danho rechina pancreatic kenza ndeye 3 muzana.

Pancreatic kenza nhanho 3

Stage 3 kenza yepancreatic ibundu mupancreas uye pamwe nzvimbo dziri padyo, senge lymph node kana mitsipa yeropa. Kenza yepancreatic panguva ino haina kupararira kunzvimbo dziri kure.

Gomarara repancreatic rinonzi gomarara rakanyarara nekuti kazhinji hariongororwe kusvika rasvika padanho repamusoro. Kana iwe uine zviratidzo zvechikamu chechitatu chepancreatic cancer, unogona kusangana:

• kurwadziwa kumusana
• kurwadziwa kana unyoro mudumbu repamusoro
• kurasikirwa nenzara
• kuonda
• kuneta
• kuora mwoyo

Stage 3 kenza yepancreatic yakaoma kurapa, asi kurapwa kunogona kubatsira kudzivirira kupararira kwekenza uye kurerutsa zviratidzo zvinokonzerwa nebundu. Aya marapirwo anogona kusanganisira:

• kuvhiya kubvisa chikamu chepancreas (Whipple maitiro)
• mishonga inorwisa kenza
• radiation kurapwa

Iyo makore mashanu emakore ekupona kweiyo danho 3 kenza yepancreatic ndeye 3 kusvika ku12 muzana.

Ruzhinji rwevanhu vane iyi nhanho yegomarara vachadzokazve. Izvo zvinogona kunge zvichikonzerwa nekuti ma micrometastases, kana nzvimbo diki dzesingaonekwe kukura kwegomarara, dzakapararira kupfuura rwatata senguva yekuonekwa.

Pancreatic kenza chikamu 2

Stage 2 kenza yepancreatic igomarara rinoramba riri mupancreas uye rinogona kunge rakapararira kune mashoma ma lymph node. Haina kupararira kumatishu ari pedyo kana mitsipa yeropa, uye haina kupararira kunzvimbo kune imwe nzvimbo mumuviri.

Gomarara repancreatic rakawoma kuona mumatanho ekutanga, kusanganisira nhanho 2. Izvo nekuti hazvigone kukonzera zviratidzo zvinoonekwa. Kana iwe uine zviratidzo panguva ino yekutanga, unogona kusangana:

• jaundice
• shanduko muuvara weti
• kurwadziwa kana unyoro mudumbu repamusoro
• kuonda
• kurasikirwa nenzara
• kuneta

Kurapa kunogona kusanganisira:

• kuvhiya
• radiation
• chemotherapy
• yakanangwa mishonga yekurapa

Chiremba wako anogona kushandisa musanganiswa weiyi nzira yekubatsira kudzikisa bundu uye kudzivirira metastases anogona kuitika. Iyo makore mashanu ekupona kwehuwandu hwevanhu vane danho 2 gomarara repancreatic rakatenderedza makumi matatu muzana.

Pancreatic kenza kurapwa

Kurapa kwekenza yepancreatic kunoenderana padanho rekenza. Ine zvibodzwa zviviri: kuuraya maseru ane cancer uye kudzivirira kupararira kwechirwere.

Kurera huremu, kutenderera kwematumbo, kurwadziwa mudumbu, uye kutadza kwechiropa ndomumwe wematambudziko akajairika panguva yekurapa kenza yepancreatic.

Kuvhiya

Sarudzo yekushandisa kuvhiya kurapa gomarara repancreatic inodzika kune zvinhu zviviri: iko iko kenza uye nhanho yekenza. Kuvhiya kunogona kubvisa zvese kana zvimwe zvikamu zvepancreas.

Izvi zvinogona kubvisa bundu repakutanga, asi hazvizobvisa kenza yakapararira kune zvimwe zvikamu zvemuviri. Kuvhiya kunogona kusakwanira kune vanhu vane gwara repamberi repancreatic cancer nekuda kwechikonzero ichocho.

Radiation kurapa

Dzimwe nzira dzekurapa dzinofanirwa kuongororwa kana kenza yapararira kunze kwepancreas. Radiation kurapa kunoshandisa X-ray uye mamwe akanyanya-simba matanda kuuraya cancer maseru.

Chemotherapy

Mune zvimwe zviitiko, chiremba wako anogona kusanganisa mamwe marapirwo nekemotherapy, iyo inoshandisa kenza-kuuraya mishonga kubatsira kudzivirira kukura mune ramangwana maseru ekenza.

Targeted kurapwa

Rudzi urwu rwekurapa kenza rinoshandisa zvinodhaka kana mamwe matanho kunyatso tarisa maseru ekenza uye kushanda kuaparadza. Iyi mishonga yakagadzirirwa kuti isakuvadza masero ane hutano kana akajairika.

Pancreatic kenza kufungidzira

Huwandu hwekupona kwekenza yepancreatic hwave kuvandudzika mumakumi emakore apfuura. Kutsvagisa uye marapirwo matsva ari kuwedzera avhareji yemakore mashanu ekupona kwehuwandu hwevanhu vanoonekwa vaine cancer yekenza.

Zvisinei, chirwere ichi chichiri kunzi chakaoma kurapa. Nekuti kenza yepancreatic kazhinji haikonzere zviratidzo kudzimara kenza yave mumatanho epamberi, mukana kenza yapararira, kana metastasized, yakakwira. Izvo zvinoita kuti zvive zvakaoma kurapa kana kubvisa gomarara.

Kubatanidza dzimwe nzira nemarapirwo echinyakare zvinogona kubatsira kuvandudza hupenyu hwako. Yoga, kufungisisa, uye kurovedza muviri kunogona kukurudzira pfungwa yekugara zvakanaka uye kuita kuti unzwe zvirinani panguva yekurapwa.

Pancreatic kenza kuongororwa

Kutanga kuongororwa kunowedzera zvakanyanya mikana yekudzoka. Ndosaka zviri nani kushanyira chiremba wako kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge

Kuti uwane kuongororwa, chiremba wako anoongorora zviratidzo zvako uye nhoroondo yezvokurapa. Vanogona kuraira imwe kana yakawanda bvunzo kuti vatarise gomarara repancreatic, senge:

• CT kana MRI inoongorora kuti uwane yakazara uye yakazara mufananidzo wepancreas yako
• endoscopic Ultrasound, mune iyo yakatetepa, inochinjika chubhu ine kamera yakasungirirwa inoiswa pasi mudumbu kuti uwane mifananidzo yepancreas
• biopsy, kana tishu sampuro, yepancreas
• kuongororwa kweropa kuti uone kana bundu rechiratidzo CA 19-9 iripo, iyo inogona kuratidza cancer yepancreatic

Pancreatic kenza yeupenyu tarisiro

Gomarara repancreatic nderimwe remhando dzinonyanya kuuraya kenza - zvinosuwisa, varwere vazhinji havagashiri kuongororwa kusvika zvapararira kunze kwepancreas. Iyo makore mashanu ekupona mwero kwezvikamu zvese zvecancer yepancreatic i9 muzana.

Kutevera zvese zvechiremba zvirevo zvako zvinogona kubatsira kuvandudza mikana yako yekudzoka uye kupona. Iwe unogona zvakare kufunga:

• pancreatic enzyme inowedzera kuvandudza kugaya
• mishonga inorwadza
• kugara uchicherechedzwa, kunyangwe kana gomarara rakabudirira

Kenza yepancreatic inorapwa here?

Chirwere chepancreatic chinorapika, kana chikabatwa kare. Mhando mbiri dzekuvhiya, Whipple maitiro kana pancreatectomy, inogona kubvisa chikamu kana rwese rwatata. Izvi zvinobvisa bundu rekutanga rekenza.

Nehurombo, ruzhinji rwegomarara repancreatic haruwanikwe uye kuongororwa kusvika gomarara rave padanho repamberi uye rapararira kupfuura saiti yekutanga.

Kuvhiya kunogona kusakwanira pamatanho ekupedzisira ekenza yepancreatic. Kana gomarara rapararira kune dzimwe nzvimbo dzemuviri, kubvisa bundu kana chirwatata hakurape. Kumwe kurapwa kunofanira kutariswa.

Pancreatic kenza njodzi njodzi

Kunyange chikonzero chekenza yerudzi urwu chisingazivikanwe, kune zvimwe zvinenjodzi zvinogona kuwedzera mikana yako yekuva nekenza yepancreatic. Iwe unogona kunge uri panjodzi yakawedzera kana iwe:

• kusvuta midzanga - 30 muzana yematambudziko egomarara ane hukama nekuputa fodya
• vakafutisa
• usashandise muviri nguva dzose
• idya zvikafu zvine mafuta akawanda
• kunwa doro rakawandisa
• vane chirwere cheshuga
• shanda nemishonga yezvipembenene nemakemikari
• vane chirwere chisingaperi chepancreas
• kukuvara kwechiropa
• vari veAfrica -America
• vane nhoroondo yemhuri yekenza yepancreatic kana zvimwe zvinokonzerwa nemagene zvakabatanidzwa nerudzi urwu rwegomarara

Yako DNA ine pesvedzero huru pahutano hwako uye nemamiriro aunogona kukudziridza. Iwe unogona kugara nhaka magene anowedzera mukana wako wekenza yepancreatic.

Pancreatic kenza yekuvhiya

Kana bundu raramba rakangovharirwa nepancreas, kuvhiyiwa kunogona kukurudzirwa. Kunyangwe kana kwete kuvhiyiwa sarudzo kunoenderana nenzvimbo chaiyo yekenza.

Mamota akavharirwa "mumusoro nemutsipa" wepancreas anogona kubviswa nenzira inonzi Whipple nzira (pancreaticoduodenectomy).

Mune maitiro aya, chikamu chekutanga, kana "musoro" wepancreas uye ingangoita 20 muzana ye "muviri", kana chikamu chechipiri, zvinobviswa. Hafu yepazasi yeiyo bile duct uye chikamu chekutanga chemukati chinotorwawo.

Mune imwe shanduro yakashandurwa yekuvhiya uku, chikamu chedumbu chinobviswawo.

Pancreatic kenza mhando

Kune maviri marudzi ekenza yepancreatic aripo:

Pancreatic adenocarcinoma

Inenge 95 muzana yekenza yepancreatic mapancreatic adenocarcinomas. Iyi mhando yekenza yepancreatic inokura mumasero exocrine epancreas. Mazhinji emasero ari mupancreas ndiwo aya maseru exocrine, ayo anogadzira enzyme yepancreatic kana anogadzira maruva epancreatic.

Pancreatic neuroendocrine tumors (NETs)

Rudzi rusinganyanyozivikanwa rwecancreatic cancer inokura mumasero endocrine epancreas. Aya maseru ane basa rekugadzira mahormone, kusanganisira iwo anobatsira kubata shuga yeropa.

Pancreatic kenza kudzivirira

Vatsvagiri uye vanachiremba havasati vanzwisisa kuti chii chinokonzera kenza yepancreatic. Izvi zvinoreva zvakare kuti havazive matanho aunotora kudzivirira cancer yepancreatic.

Zvimwe zvengozi zvinhu zvinowedzera mukana wekuti uve nerudzi urwu rwegomarara harugone kuchinjwa. Izvi zvinosanganisira jenda rako, zera, uye DNA.

Nekudaro, mamwe mararamire shanduko uye nzira dzese dzehutano dzinogona kudzora njodzi yako. Izvi zvinosanganisira:

• Rega kusvuta: Kusvuta kunowedzera njodzi yako kune akati wandei ekenza, kusanganisira pancreatic cancer.
• Inwa zvishoma: Kunwisa kunogona kuwedzera njodzi yako yechirwere chepancreatitis chisingaperi uye pamwe nekenza yepancreatic.
• Chengetedza huremu hune hutano: Kunyanya kufutisa kana kufutisa ndiko kunokonzeresa njodzi kune akawanda marudzi ekenza.