Opaleshoni ya Khansa ya Pancreatic

Zamkati

• Mitundu ya opareshoni ya khansa ya kapamba
• Mayeso asanachitike opareshoni
• Kutalika kwakanthawi

Kuchita opaleshoni yochotsa khansa ya kapamba ndi njira yothandizirana ndi ma oncologists ambiri kuti ndiyo njira yokhayo yothetsera khansa ya kapamba, komabe, chithandizochi chimatheka kokha khansa ikapezeka koyambirira.

Khansa ya Pancreatic imakonda kupezeka pambuyo pa zaka 60 ndipo ndiyokwiya kwambiri ndipo imapulumuka pafupifupi 20% m'zaka 10 zitapezeka, ngakhale munthuyo ali ndi 1 pancreatic adenocarcinoma yokha komanso alibe ma lymph node. Odwala omwe ali ndi metastases kapena chotupa chosasunthika amakhala ndi chiyembekezo chokhala ndi moyo miyezi 6 yokha. Chifukwa chake, matendawa akangopezeka, m'pofunika kuchita mayeso ndikukonzekera opareshoni kuti uwonjezere mwayi wochiritsidwa komanso kutalikitsa moyo wa wodwalayo.

Mitundu ya opareshoni ya khansa ya kapamba

Mitundu yayikulu ya opareshoni yochotsa khansa ya kapamba:

• Gastroduodenopancreatectomy kapena Opaleshoni ya Whipple, Amakhala ndi kuchotsa mutu ku kapamba ndipo nthawi zina amakhala mbali ya kapamba, ndulu, njira yotulutsa ndulu, gawo la m'mimba ndi duodenum. Kuchita opaleshoniyi kumachita bwino, ndipo kumatha kugwiritsidwanso ntchito ngati njira yotsitsimula, chifukwa kumachepetsa zovuta zomwe matendawa amabweretsa pang'ono. Pambuyo pa opaleshoniyi, chimbudzi chimakhalabe chabwinobwino chifukwa ndulu yomwe imapangidwa m'chiwindi, chakudya ndi timadziti tazakudya kuchokera ku gawo lotsalira la kapamba zimapita mwachindunji m'matumbo ang'onoang'ono.
• Duodenopancreatectomy, yomwe ndi njira yochitira opaleshoni yofanana ndi ya Whipple, koma mbali yakumunsi yam'mimba sichimachotsedwa.
• Chiwerengero cha pancreatectomy, Umenewo ndi opaleshoni yomwe mphuno zonse, duodenum, gawo la m'mimba, ndulu ndi ndulu zimachotsedwa. Wodwala atha kukhala wodwala matenda ashuga pambuyo pa opaleshoniyi chifukwa sakupanganso insulini yolimbana ndi shuga wambiri wamagazi chifukwa adachotsa kapamba wonse, womwe umayambitsa kupanga insulin.
• Pancreatectomy yakutali: ndulu ndi ziphuphu zamkati zimachotsedwa.

Kuphatikiza pa maopaleshoniwa, palinso njira zotsitsimula zomwe zimagwiritsidwa ntchito khansara itakula kale ndipo imaphatikizapo maopaleshoni ochizira matendawa komanso osachiza matendawa. Chemotherapy imagwira ntchito zochepa, zomwe zimagwiritsidwa ntchito makamaka pochepetsa zovuta ndikuwongolera moyo wa odwala omwe sangathe kuchitidwa opaleshoni kapena omwe ali ndi metastases.

Mayeso asanachitike opareshoni

Pokonzekera opaleshoni kuti achotse chotupa cha kapamba, ndikofunikira kuchita mayeso ena omwe amathandiza kudziwa ngati pali madera ena omwe akhudzidwa ndi chotupacho. Chifukwa chake, mayeso monga ma detector angapo am'mimba tomography, kulingalira kwa maginito amagetsi, echoendoscopy, positron emission tomography ndi laparoscopy ndikulimbikitsidwa.

Kutalika kwakanthawi

Kutalika komwe amakhala kuchipatala kumadalira thanzi la munthu aliyense. Nthawi zambiri munthuyo amachitidwa opareshoni ndipo amatha kupita kunyumba masiku osakwana 10, koma ngati pali zovuta zina, ngati munthuyo akuyenera kuchitidwanso opaleshoni, kutalika kwa nthawi yomwe amakhala kuchipatala kumakhala kotalikirapo.