I-pancreas iyisitho esisemuva kwesisu futhi senza imisebenzi emibili eyinhloko: ukukhiqizwa kwe-enzyme yokugaya nokukhiqizwa kwama-hormone abandakanyekile ekusetshenzisweni kwemithi. I-pancreas iqukethe izingxenye ezine: ikhanda, intamo, umzimba nomsila. Ngokuyinhloko, umdlavuza uqala ekhanda lama-pancreas.
Izimpawu zomdlavuza we-pancreatic
Njengamanye amagciwane wegciwane lomzimba, izimpawu zomdlavuza we-pancreatic ngokuvamile azibonakali. Njengomthetho, lesi sifo sihlala isikhathi eside singenakulinganiswa futhi siqala ukuvela ezinkathini ezisheshayo, lapho isisu sisakazeka ezihlotsheni ezizungezile kanye nezilonda.
Izimpawu ezisemqoka zomdlavuza we-pancreatic:
- ubuhlungu obubukhali endaweni yangasese ye-epigastric kanye ne-hypochondrium enembile ekhanya emhlane;
- ukulahlekelwa kwesisindo;
- ukuhlanza njalo;
- ukoma njalo;
- isifo sohudo;
- ubuthakathaka jikelele;
- ukushisa komzimba okwandisiwe;
- i-jaundice yomshini (ngokunqotshwa kwekhanda lama-pancreas) - ukuphuziza kwesikhumba, izibungu ezinomunyu, isikhala;
- ukukhwehlela isikhumba, njll.
Izimbangela zomdlavuza we-pancreatic
Izimbangela eziqondile zomdlavuza we-pancreatic aziwa, kepha izici eziningana zifaka isandla ekuthuthukiseni. Lokhu kufaka:
- ukubhema;
- ukuphathwa kabi kotshwala;
- ukudla okunomsoco, ukudla okunamafutha kanye nokudla okubabayo;
- isifo sikashukela mellitus;
- i-cirrhosis yesibindi ;
- ukuhlinzwa esiswini;
- ukutholakala kwamatshe e-cholesterol ku-gallbladder.
Izifo ezilandelayo zibhekwa njengeziqine:
- i-adenoma yama-pancreas;
- i-pancreatitis engapheli (ikakhulukazi yokubala);
- i-cyst ye-pancreas.
Ingozi yokuthuthukisa lesi sifo ikhula ngokukhula.
Izigaba zesifo:
- Isigaba sokuqala somdlavuza we-pancreatic - isisu esincane, esinqunyelwe amathisini omzimba.
- 2 isigaba somdlavuza we-pancreatic - i-tumor isakazeka ezithombeni ezizungezile - i-duodenum, i-bile duct, kanye nama-lymph nodes.
- Isifo somdlavuza we-pancreatic yesigaba sesi-3 - isisu sivame esiswini, ipeni, emathunjini amakhulu, izitsha ezinkulu kanye nezinzwa.
- Isiteji sesi-4 somdlavuza we-pancreatic - isisu sanikeza ama-metastase esibindi namaphaphu.
Ukuxilongwa komdlavuza we-pancreatic
Ukubukeka kwesifo sezinambuzane kanye nemithambo yegazi kungenzeka ngosizo lwe-ultrasound kanye ne-tomography ehlanganisiwe ne-bolus yokuqhathanisa ukuthuthukiswa. Futhi ukuxilongwa, sebenzisa i-X-ray ukuhlolwa kwesisu kanye ne-duodenum ne-barium sulfate, i-endoscopic retrograde ye-cholangiopancreatography, i-laparotomy ne-biopsy.
Ukwengeza, ngo-2012, umhloli womdlavuza wasungulwa ukuthi ikuvumela ukuthi ubone umdlavuza we-pancreatic ekuqaleni kwezigaba ngokuhlola igazi noma umchamo. Ukunemba komphumela walesi sivivinyo kungaphezu kwama-90%.
Ukwelashwa komdlavuza we-pancreatic
Izindlela eziyinhloko zokwelashwa kwesifo:
- Indlela yokuhlinzeka - ngokungabikho kwe-metastase, ukukhishwa kwezicubu zesisu kuyenziwa (njengomthetho, yonke ingubo kanye nezingxenye zamalungu azungezile zisuswa).
- I-Chemotherapy - ukusetshenziswa kwezidakamizwa ezingamisa ukukhula kwamangqamuzana omdlavuza (okhethwe ngokubambisana nokusebenza).
- Ukwelashwa kwezidakamizwa ukwelashwa ngemisebe ye-ionizing ukubhubhisa amangqamuzana omdlavuza.
- I-Virotherapy - ukusetshenziswa kwamalungiselelo akhethekile aqukethe ama-virus, ukugqugquzela ukuzivikela kwemvelo yesimiso somzimba womzimba ngokumelene namaseli amabi.
- Ukwelashwa okuphawulekayo - i-anesthesia, ukusetshenziswa kwe-enzyme ye-pancreatic, njll.
Emdlavuza we-pancreatic, kunqunywe ukudla okubandakanya ukudla okuphindaphindiwe kaningi, okuyinto ephekwe ngezindlela ezishisayo ezishisayo. Imikhiqizo elandelayo ingabandakanywa ekudleni:
- iziphuzo ezidakayo nezidakamizwa;
- ikhofi, i-cocoa;
- amafishi amasha;
- amaswidi;
- ukudla okusemathinini;
- by-imikhiqizo;
- imikhiqizo ebangela ukuvutshelwa.
Umdlavuza we-Pancreatic - ukubikezela
Isibikezelo salesi sifo sihlelekile ngokomthetho, esihlotshaniswa nokutholakala kwayo ngokushesha. Ukusinda kweminyaka emihlanu emva kokuhlinzwa akudluli 10%.