Khansara ya pancreatic

Khansa ya Pancreatic ndi khansa yomwe imayamba m'matumbo.

Mphepete ndi chiwalo chachikulu kuseri kwa m'mimba. Zimapanga ndikutulutsa ma enzyme m'matumbo omwe amathandiza thupi kupukusa ndi kuyamwa chakudya, makamaka mafuta. Mphunoyi imapanganso ndi kutulutsa insulini ndi glucagon. Awa ndi mahomoni omwe amathandizira thupi kuti lizitha kuyatsa shuga.

Pali mitundu yosiyanasiyana ya khansa ya kapamba. Mtunduwo umadalira selo yomwe khansa imayamba. Zitsanzo zake ndi izi:

• Adenocarcinoma, mtundu wofala kwambiri wa khansa ya kapamba
• Mitundu ina yosowa kwambiri ndi glucagonoma, insulinoma, chotupa cha islet cell, VIPoma

Zomwe zimayambitsa khansa ya kapamba sizidziwika. Ndizofala kwambiri kwa anthu omwe:

• Ndi onenepa
• Muzidya zakudya zopatsa mafuta komanso zipatso ndi ndiwo zamasamba zochepa
• Khalani ndi matenda ashuga
• Khalani ndi nthawi yayitali ndi mankhwala ena
• Khalani ndi kutupa kwanthawi yayitali kwa kapamba (kapamba kapamba)
• Utsi

Chiwopsezo cha khansa ya kapamba chimakula ndi ukalamba. Mbiri yakubadwa kwa matendawa imawonjezeranso mwayi wopeza khansa iyi.

Chotupa (khansa) m'matenda amatha kukula popanda zizindikilo poyamba. Izi zikutanthauza kuti khansa imakonda kupita patsogolo ikapezeka koyamba.

Zizindikiro za khansa ya kapamba ndi monga:

• Kutsekula m'mimba
• Mkodzo wakuda ndi ndowe zadothi
• Kutopa ndi kufooka
• Kuwonjezeka mwadzidzidzi kwa shuga m'magazi (matenda ashuga)
• Jaundice (mtundu wachikasu pakhungu, mamina, kapena gawo loyera la maso) ndi kuyabwa pakhungu
• Kuchepa kwa njala ndi kuonda
• Nseru ndi kusanza
• Kupweteka kapena kusapeza kumtunda kwamimba kapena pamimba

Wothandizira zaumoyo adzakuyesani ndikufunsani za matenda anu. Mukamayesa mayeso, woperekayo atha kumva ngati chotupa m'mimba mwanu.

Mayeso amwazi omwe atha kuphatikizidwa ndi awa:

• Kuwerengera kwathunthu kwa magazi (CBC)
• Kuyesa kwa chiwindi
• Seramu bilirubin

Kujambula mayeso omwe atha kuphatikizidwa ndi awa:

• CT scan pamimba
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Endoscopic ultrasound
• MRI ya pamimba

Kuzindikira kwa khansa ya kapamba (ndi mtundu wanji) komwe kumapangidwa ndi kapangidwe ka kapamba.

Ngati mayeso atsimikizira kuti muli ndi khansa ya kapamba, mayeso ochulukirapo adzachitika kuti muwone kutalika kwa khansara mkati ndi kunja kwa kapamba. Izi zimatchedwa staging. Kuyika masitepe kumathandizira kuwongolera chithandizo ndikukupatsani lingaliro la zomwe muyenera kuyembekezera.

Chithandizo cha adenocarcinoma chimadalira gawo la chotupacho.

Opaleshoni imatha kuchitidwa ngati chotupacho sichinafalikire kapena chafalikira pang'ono. Pamodzi ndi opareshoni, chemotherapy kapena radiation radiation kapena zonsezi zitha kugwiritsidwa ntchito musanachite opaleshoni kapena pambuyo pake. Anthu ochepa akhoza kuchiritsidwa ndi njirayi.

Ngati chotupacho sichinafalikire kunja kwa kapamba koma sichingachotsedwe opareshoni, mankhwala a chemotherapy ndi ma radiation limodzi angalimbikitsidwe.

Chotupacho chitafalikira (metastasized) ku ziwalo zina monga chiwindi, chemotherapy yokha imagwiritsidwa ntchito.

Ndi khansa yayikulu, cholinga cha chithandizo ndikuthana ndi ululu ndi zizindikilo zina. Mwachitsanzo, ngati chubu chomwe chimanyamula bile chatsekedwa ndi chotupa cha pancreatic, njira yoyika tinthu tating'onoting'ono tazitsulo titha kuchita kuti titseke. Izi zitha kuthandiza kuthana ndi jaundice, komanso kuyabwa pakhungu.

Mutha kuchepetsa nkhawa zamankhwala ndikulowa nawo gulu lothandizira khansa. Kugawana ndi ena omwe akumana ndi mavuto omwe akukumana nawo kungakuthandizeni kuti musamve nokha.

Anthu ena omwe ali ndi khansa ya kapamba yomwe imatha kuchotsedwa opaleshoni amachiritsidwa. Koma mwa anthu ambiri, chotupacho chafalikira ndipo sichingachotsedwe kwathunthu panthawi yodziwika.

Chemotherapy ndi radiation nthawi zambiri amaperekedwa pambuyo pa opareshoni kuti awonjezere kuchiza (komwe kumatchedwa adjuvant therapy). Kwa khansa ya kapamba yomwe singachotsedwe kwathunthu ndi opareshoni kapena khansa yomwe yafalikira kupitilira kapamba, mankhwala sangathe. Poterepa, chemotherapy imaperekedwa kuti ikonze ndikuwonjezera moyo wa munthu.

Itanani msonkhano ndi omwe amakupatsani ngati muli ndi:

• Kupweteka m'mimba kapena kumbuyo komwe sikutha
• Kupitirizabe kudya
• Kutopa kosadziwika kapena kuchepa thupi
• Zizindikiro zina za matendawa

Njira zodzitetezera zikuphatikiza:

• Ngati mumasuta, ino ndiyo nthawi yoti musiye.
• Idyani zakudya zokhala ndi zipatso, ndiwo zamasamba, ndi mbewu zonse.
• Chitani masewera olimbitsa thupi pafupipafupi kuti mukhale athanzi.

Khansa yapancreatic; Khansa - kapamba

• Dongosolo m'mimba
• Matenda a Endocrine
• Khansa ya Pancreatic, CT scan
• Miphalaphala
• Biliary kutsekeka - mndandanda

Yesu-Acosta AD, Narang A, Mauro L, Herman J, Jaffee EM, Laheru DA. Carcinoma ya kapamba. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 78.

Tsamba la National Cancer Institute. Chithandizo cha khansa ya Pancreatic (PDQ) - mtundu wa akatswiri azaumoyo. www.cancer.gov/types/pancreatic/hp/pancreatic-kuchiza-pdq. Idasinthidwa pa Julayi 15, 2019. Idapezeka pa Ogasiti 27, 2019.

Tsamba la National Comprehensive Cancer Network. Malangizo azachipatala a NCCN mu oncology: pancreatic adenocarcinoma. Mtundu 3.2019. www.nccn.org/professionals/physician_gls/pdf/pancreatic.pdf. Idasinthidwa pa Julayi 2, 2019. Idapezeka pa Ogasiti 27, 2019.

Ma Shires GT, Wilfong LS. Khansara ya pancreatic, zotupa zam'mimba zotupa m'mimba, ndi zotupa zina za pancreatic. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 60.