Ugqirha lweCancreatic Cancer

Umxholo

• Iindidi zotyando lomhlaza wepancreatic
• Iimviwo ngaphambi kotyando
• Ubude bokuhlala

Ugqirha lokususa umhlaza wepancreatic lolunye unyango oluqwalaselwa zii-oncologists ezininzi ukuba lolona hlobo lonyango kuphela olunokunyanga umhlaza wepancreatic, nangona kunjalo, olu nyango lunokwenzeka kuphela xa umhlaza ufunyanisiwe kwinqanaba lokuqala.

Umhlaza wepancreatic uqheleke kakhulu emva kweminyaka engama-60 kwaye unobundlongondlongo kakhulu kwaye unenqanaba lokusinda elijikeleze i-20% kwiminyaka eyi-10 emva kokuxilongwa, nokuba umntu une-adenocarcinoma encinci kuphela ye-pancreatic kwaye ngaphandle kwe-lymph node ezichaphazelekayo. Izigulana ezineemastastase okanye ithumba engaphiliyo zinobomi obuphakathi kwiinyanga ezi-6 kuphela. Ke, kamsinya nje sakuba sifunyenwe esi sifo, kuyafuneka ukuba kwenziwe iimviwo kunye nokwenza ucwangciso lotyando ukwandisa amathuba okunyanga kunye nokwandisa ixesha lokuphila lesigulana.

Iindidi zotyando lomhlaza wepancreatic

Ezona ntlobo ziphambili zotyando lokususa umhlaza wepancreatic:

• I-Gastroduodenopancreatectomy okanye Utyando lweWhippleIqukethe ukususa intloko kwi-pancreas kwaye ngamanye amaxesha inxalenye yomzimba we-pancreas, i-gallbladder, i-bile duct eqhelekileyo, inxalenye yesisu kunye ne-duodenum. Olu tyando lunamanqanaba okuphumelela awamkelekileyo, kwaye lunokusetyenziswa njengefomu yokuthomalalisa, njengoko kunciphisa ukungonwabi okusizisa kancinci esi sifo. Emva kolu tyando, ukwetyisa kuhlala kuyinto eqhelekileyo kuba inyongo eveliswa esibindini, ukutya kunye neencindi zokwetyisa ezivela kwinxalenye eseleyo yepancreas iya ngqo emathunjini amancinci.
• Ulwakhiwo lweDuodenopancreatectomy, Olu luhlobo lotyando olufana nolo lukaWhipple, kodwa indawo esezantsi esiswini ayisuswanga.
• Ipancreatectomy iyonkeOlu luqhaqho apho kususwe yonke ipancreas, i-duodenum, inxenye yesisu, udakada nenyongo. Isigulana sinokuba seswekile emva kolu tyando kuba ayisayi kuvelisa i-insulin yokulwa amanqanaba aphezulu eswekile yegazi kuba ususe ipancreas yonke, enoxanduva lokuvelisa i-insulin.
• Ipancreatectomy ekude: udakada kunye nepancreas ezikude ziyasuswa.

Ukongeza kolu tyando, kukho iinkqubo zokuthomalalisa ezisetyenziswa xa umhlaza sele uhambele phambili kwaye kubandakanya utyando lokunyanga iimpawu hayi ukunyanga isifo. I-Chemotherapy inentshukumo encinci, isetyenziselwa ukunciphisa iziphumo kunye nokuphucula umgangatho wobomi kwizigulana ezingakwaziyo ukusebenza okanye ezine-metastases.

Iimviwo ngaphambi kotyando

Ukulungiselela utyando lokususa ithumba lepancreatic, kufuneka kwenziwe uvavanyo olunceda ukufumanisa ukuba kukho ezinye iindawo ezichaphazeleka ngenxa yethumba. Ke ngoko, iimviwo ezinje ngomtshini wesiswini se-tomography, imaging yenyukliya yemagneti, i-echoendoscopy, i-positron emission tomography kunye ne-laparoscopy ziyacetyiswa.

Ubude bokuhlala

Ubude bokuhlala esibhedlele buxhomekeke kwimpilo yomntu ngokubanzi. Ngokwesiqhelo umntu uyenziwa utyando kwaye angaya ekhaya kwiintsuku ezingaphantsi kwe-10, kodwa ukuba kukho iingxaki, ukuba umntu kufuneka aphinde afakwe, ubude bokuhlala esibhedlele bunokuba bude.