Pancreatic Cancer: Zvinokonzera, Kurapa uye Maitiro Ekurarama neCancer
Zvemukati
- Chemotherapy yekenza yepancreatic
- Mishonga inowanzo shandiswa
- Zvinokonzera kenza yepancreatic
- Kurapa kunorapa kunoitwa sei
- Maitiro Ekurarama NePancreatic Kenza
- Hupenyu hwevanhu vane gomarara repancreatic
- Kodzero dzevarwere vane kenza yepancreatic
Mushonga wekenza yepancreatic unosiyana zvichienderana nekubatanidzwa kwenhengo, mwero wekukura kwegomarara uye nekuonekwa kwemastastases, semuenzaniso.
Nekudaro, yega yega kesi inofanirwa kuongororwa neanoratidzira oncologist kuti asarudze imwe yeanotevera maitiro ekurapa:
- Kuvhiya: kazhinji, zvinoitwa kana kenza isati yakura kunze kwenhengo. Mukuvhiya, nzvimbo yakakanganiswa yepancreas inobviswa, pamwe nedzimwe nhengo dziri panjodzi huru yekubatwa, senge ura kana nduru;
- Radiotherapy: inogona kushandiswa pamberi pekuvhiyiwa kudzikisa saizi yebundu, kana mushure mekuvhiyiwa kubvisa maseru egomarara asara;
- Chemotherapy: inowanzo shandiswa mune zvemberi zviitiko uye inoshandisa mishonga yakananga mutsinga kuparadza cancer maseru. Kana paine metastases, kurapwa uku kunogona kusanganiswa ne radiotherapy kuwana mhedzisiro.
Pamusoro pezvo, kuchine mamwe marapirwo asinga tsigise kurapwa kwechirwere, asi izvo zvinogona kubatsira kubvisa zvimwe zviratidzo kana kunyatso kugadzirisa maitiro ekurapwa.
Kunyangwe paine nzira dzinoverengeka dzokurapa gomarara repancreatic, kurapwa kunowanzo kuve kwakaoma, nekuti sezvo chirwere ichi chisingakonzere zviratidzo mumatanho ekutanga, chinowanzoonekwa chete kana gomarara ratopararira kune dzimwe nhengo.
Kana kurapwa kukatadza kurwisa kenza, oncologist inowanzo kuraira kurapa kwekurapa, uko kunobatsira kubvisa zviratidzo uye kugadzirisa nyaradzo mukati memazuva ekupedzisira emunhu.
Chemotherapy yekenza yepancreatic
Chemotherapy ndeimwe yenzira dzinoshandiswa pakurapa kenza yepancreatic, kunyanya muzviitiko zvegomarara reexocrine, iri irudzi rwakajairika uye rwakanyanya.
Kazhinji, chemotherapy inogona kushandiswa munzira nhatu dzakasiyana pakurapwa:
- Asati avhiyiwa: inobatsira kudzikisa saizi yebundu, ichirerutsa kubviswa kwayo panguva yekuvhiyiwa;
- Mushure mekuvhiyiwa: inobvumira kubvisa maseru ekenza asina kubviswa pamwe nekuvhiyiwa;
- Panzvimbo pekuvhiyiwa: apo kuvhiyiwa hakugone kushandiswa nekuti kenza yatopararira kana munhu wacho haana mamiriro ekuvhiyiwa.
Uye zvakare, chemotherapy inogona zvakare kuverengerwa ne radiotherapy, iyo inoshandisa radiation kuti ibvise cancer maseru, iine chiito chakasimba kana ichishandiswa pamwechete.
Muzviitiko zvakawanda, chemotherapy inoitwa mukutenderera, uye zvakajairika kuve nemavhiki 1 kusvika maviri ekurapwa, akapindirwa nenguva yekuzorora kuti muviri upore.
Zvimwe zvinokanganisa chemotherapy pamuviri zvinosiyana zvichienderana nemushonga unoshandiswa uye muyero wayo, zvisinei, zvinowanzo sanganisira kurutsa, kuda kurutsa, kurasikirwa nechido, kurasikirwa nevhudzi, maronda emuromo, manyoka, kuzvimbirwa, kuneta zvakanyanya uye kubuda ropa. Uye zvakare, vanhu vari kurapwa chemotherapy vari zvakare panjodzi yekuwedzera hutachiona. Dzidza zvakawanda nezvemhedzisiro yemakemikari mumuviri uye maitiro ekuita nawo.
Mishonga inowanzo shandiswa
Mimwe yemishonga inonyanyo shandiswa mukemotherapy kurapwa kwecancreatic cancer ndeiyi:
- Gemcitabine;
- Erlotinib;
- Fluorouracil;
- Irinotecan;
- Oxaliplatin;
- Capecitabine;
- Paclitaxel;
- Docetaxel.
Iyi mishonga inogona kushandiswa zvakasiyana kana musanganiswa, zvinoenderana nemamiriro ehutano emurwere mumwe nemumwe.
Muzviitiko zveinouraya pancreatic cancer, kutora iyi mishonga haina basa, uye chete akasimba analgesics anokurudzirwa kudzikisa marwadzo emurwere muchikamu chekupedzisira chehupenyu.
Zvinokonzera kenza yepancreatic
Zvimwe zvezvikonzero zvecancer yepancreatic ndeizvi:
- Kusvuta zvine mutsindo kana zvisina basa
- Kunyanyisa kunwa kwemafuta, nyama uye zvinwiwa zvinodhaka
- Kuratidzirwa kumakemikari senge peturu zvigadzirwa uye zvigadzirwa zvependi, semuenzaniso
- Mukana wekurwara kwepancreatitis kana chirwere cheshuga chisina kunyatsorapwa
Zvese zvikonzero zvambotaurwa zvine chekuita nekuwandisa kwepancreas uye chero chimwe chirwere chinogona kukanganisa kubata kwechikamu ichi chinogona kupedzisira chaunza kenza yepancreatic.
Vanhu vane matambudziko akakomba ekugaya chikafu senge chisingaperi pancreatitis kana vakavhiyiwa kuti vagadzire chironda mudumbu, duodenum kana vakambobviswa nduru vanowanzoita gomarara repancreatic uye vanofanirwa kuziva zviratidzo zvekutanga zvechirwere.
Kuita kuongororwa kweropa, tsvina, weti yega yega mwedzi mitanhatu kunogona kubatsira uye kana paine bvunzo idzi dzichiratidza shanduko huru, chiremba anogona kupa CT scan kana MRI kuti icherechedze nhengo dzemukati. Kana, pamberi peiyi bvunzo, chiremba akaona kuti rwatata kana chiropa zvakakanganiswa, biopsy yetishu inogona kuratidza kuvepo kwemasero ekenza.
Kurapa kunorapa kunoitwa sei
Palliative kurapwa kwekenza yepancreatic inoratidzwa kana chirwere ichi chikaonekwa padanho repamberi uye mikana yekurapa nemishonga yekurapa ishoma. Rudzi urwu rwekurapa runotarisira kudzikisira kurwadziwa uye kusagadzikana kwemurwere, uye zvinogona kuitwa panguva yekugara muchipatara kana kumba, nekushandisa ma analgesics akasimba anogona kubvisa marwadzo.
Kana ukawanikwa padanho repamberi, nzwisisa hurefu hwehupenyu hwemunhu ane gomarara repancreatic.
Maitiro Ekurarama NePancreatic Kenza
Kugara nekenza yepancreatic hazvisi nyore kumurwere kana kumhuri. Murwere anofanira kutanga kurapwa achigara muchipatara che oncology chingangoonekwa chirwere kuti atange kurapwa nekukurumidza.
Kutanga kurapwa nekukasira kwakakosha nekuti kurapa kwekupedzisira kwatanga, chirwere chinowedzera uye nekupfupika kwehupenyu hwayo uye nzira shoma dzekurapa dzinogoneka.
Hupenyu hwevanhu vane gomarara repancreatic
Kupona kwevarwere vane kenza yepancreatic kunosiyana kubva pamwedzi mitanhatu kusvika pamakore mashanu uye zvinoenderana nesaizi, nzvimbo uye kuti bundu racho raita metastasized here kana kuti kwete.
Mushure mekucherechedzwa kwekurapa uye kwakakodzera kuongororwa kwekiriniki, murwere anogona kuendeswa kumba, asi anofanirwa kudzoka pamazuva akatemerwa navanachiremba kuti avhiyiwe kubvisa bundu kuti aenderere mberi nekurapwa kwemishonga uye, kana zvichidikanwa, kuita zvikamu zveRadiootherapy
Kodzero dzevarwere vane kenza yepancreatic
Kuona murwere nemhuri, murwere wekenza ane kodzero dzakadai se:
- Kurega kubva kuFGTS, PIS / PASEP;
- Kutakura kwevanhu pachena;
- Chinonyanya kukosha mukufambira mberi kwemaitiro epamutemo;
- Chirwere rubatsiro;
- Nehurema hwekurega basa;
- Kubhadhara Mutero Kuregererwa;
- Kubatsirwa kwebhenefiti yakapihwa neINSS (gamuchira 1 mashoma mubairo pamwedzi);
- Mishonga yemahara;
- Gamuchira wega wega wepenjeni chirongwa.
Dzimwe kodzero dzinosanganisira kupihwa muripo nekuda kweinishuwarenzi yehupenyu nekugadziriswa kwemusha, zvinoenderana nechibvumirano chakasainwa nemurwere asati aonekwa aine chirwere ichi.