Kenza Ye Pancreatic

Munhu wese anogona kurwara kenza yepancreatic, asi kune zvinhu zvinokonzera chirwere ichi zvatinofanira kuziva. Kazhinji kenza yepancreatic inoonekwa mushure memakore makumi matanhatu nemashanu. Kusvuta, chirwere cheshuga, kuzvimba kwenguva refu kwe pancreas, nhoroondo yemhuri yekenza yepancreatic, uye zvimwe zvirwere zvemajini zvese zvinozivikanwa se zvinhu zvinokonzera chirwere ichi. Kuwedzera uremu zvisina hutano kunogona zvakare kuva chinhu chinokonzera chirwere ichi. Kutsvagisa kwitsva kwakaona kuti kusanganiswa kwekusvuta, chirwere cheshuga uye kudya kwakaipa kunowedzera njodzi yekenza yepancreatic kupfuura chero chinhu chimwe chete.

Zvinosuruvarisa, kazhinji hatimbooni zviratidzo zvekenza yepancreatic kusvika yava munzvimbo dzakapfuura. Kana zviripo, zviratidzo zvinogona kusanganisira: Kurwadziwa mudumbu kunopararira kumusana. Kushaya chido chekudya kana kurasikirwa nehuremu pasina chikonzero. Jaundice, iyo kuita kuti ganda kana maziso ave yero. Matumbu machena. Urine ine ruvara rwakasviba. Ganda rinonyanya kukwenya. Chirwere cheshuga chinova chakaoma kudzora. Kuwanda kweropa kana kuneta.

Kana vanachiremba vako vachifunga kuti ungave uine kenza yepancreatic, vanogona kukurudzira bvunzo imwe kana kupfuura yekurapa. Semuenzaniso, bvunzo dze mifananidzo senge ultrasound, CT scan, MRI, kana PET scan, dzinogona kubatsira chiremba wako kuona mufananidzo wakajeka wemukati memiviri yako. Endoscopic ultrasound, kana EUS, ndiro apo chiremba anopfuudza kamera duku pasi peesophagus uye mudumbu kuti awane maonero ari pedyo epancreas. Panguva yeEUS, chiremba anogona kutora biopsy yetsinga kuti aite bvunzo. Dzimwe nguva kenza yepancreatic inogona kubudisa mapuroteni chaiwo anonzi tumor markers muropa rako. Saka vanachiremba vako vanogona kukumbira bvunzo yeropa kuti vaone kuwanda kwema markers aya, imwe yacho inonzi CA 19-9. Kana chirwere chacho chakaonekwa, nhanho inotevera ndeyekutsanangura huwandu kana nhanho yekenza. Nhanho dzinonzi kubva imwe kusvika ina uye zvinogona kudiwa kuti zvienzaniswe nebvunzo dzimwe. Usazengese kubvunza mibvunzo yakawanda panguva ino. Kana kuwana pfungwa yechipiri kuti unzwe wakachengeteka uye une simba uchifamba uchienda pakurapwa.

Kana achikurudzira kurapwa kwekenza yepancreatic, chiremba wako ari kufunga nezvezvinhu zvakawanda, kusanganisira hutano hwako hwese uye zvaunoda. Vanogona kukurudzira imwe kana kusanganiswa kwezvinotevera kurapwa: Chemotherapy inoshandisa mishonga inoburitsa makemikari anopinda mumuviri uye kuuraya masero ekenza anogona kunge ari kwese kwese. Radiation, nenzira imwecheteyo inouraya masero ekenza, asi nemabhemu ane simba rakakwirira ari kutungamirwa kune tumor. Kuopereta kunoshandiswa kubvisa kenza uye nzvimbo yakatenderedza. Bvunza chiremba wako kana wakakodzera miedzo yekiriniki inoratidza kurapwa kwitsva. Uye pakupedzisira, kune palliative care. Kurapa uku kunopiwa nechikwata chevanachiremba, vanamukoti, vashandi vemagariro, uye vamwe nyanzvi vakadzidziswa vanonyatsoziva kupa rubatsiro runodiwa kubva kurwadziwa uye zviratidzo zvisina kunaka zvekukura kwakakomba.

Pancreas ndiro ganda refu, rakati sandara rinorara zvirizere kumashure kwemudumbu rako. Rine basa mukuchinja chikafu uye mukutonga huwandu hweshuga mweropa rako.

Kenza yepancreatic ndiro kenza inoumbwa mumasero epancreas.

Kenza yepancreatic rudzi rwekensa rinoitwa sekukura kwemasero mu pancreas. Pancreas iri kumashure kwechikamu chepasi chemudumbu. Inogadzira enzymes inobatsira pakuchinja chikafu uye mahomoni anobatsira kutonga shuga yeropa.

Rudzi runowanzoitika rwekensa yepancreatic ndiro pancreatic ductal adenocarcinoma. Rudzi urwu runotanga mumasero anovhara madutu anounza enzymes dzekuchinja chikafu kubva mu pancreas.

Kenza yepancreatic haawanikwe kazhinji munzvimbo dzayo dzekutanga apo mukana wekuipwanya wakakura. Izvi ndizvo nekuti kazhinji haina zviratidzo kusvika yapararira kune dzimwe nhengo.

Kenza re pancreas kazhinji hariratidzi zviratidzo kusvika chirwere chacho chava chakakura. Kana zvikaitika, zviratidzo nezviratidzo zvekenza re pancreas zvinogona kusanganisira: Kurwadziwa kwemudumbu kunopararira kumativi kana kumashure. Kushaya chido chekudya. Kudzikira uremu. Kuita yero kweganda neyechena meziso, kunonzi jaundice. Matumbu machena kana anoyerera. Urine ine ruvara rwakasviba. Kutsamwa. Kuongororwa kwechirwere cheshuga chitsva kana chirwere cheshuga chiri kuoma kudzora. Kurwadziwa nekukura kwemutsipa kana gumbo, izvo zvinogona kukonzerwa nekuvhara kweropa. Kuneta kana kushaya simba. Ita musangano nemunyanzvi wehutano kana uine zviratidzo zvinokunetsa.

Enda kuongororwa nachiremba kana iwe uine zviratidzo zvinokunetsa. Nyorera mahara uye gamuchira bhuku rakajeka rekuita zvekurwisa kenza, pamwe chete neruzivo runobatsira rwekuti ungawana sei pfungwa yechipiri. Unogona kubvisa kunyorera chero nguva. Bhuku rako rakajeka rekurwisa kenza richava mubhokisi rako munguva pfupi. Iwe uchavewo

Hazvina kujeka kuti chii chinokonzera kenza yepancreatic. Vanachiremba vakawana zvimwe zvinhu zvingakwidza njodzi yerudzi urwu rwekenza. Izvi zvinosanganisira kusvuta uye kuva ne nhoroondo yemhuri yekenza yepancreatic.

Pancreas ine masendimita anenge 6 (masendimita 15) kureba uye inoita senge pear iri kurara padivi rayo. Inoburitsa mahomoni, anosanganisira insulin. Aya mahomoni anobatsira muviri kugadzirisa shuga iri mune zvokudya zvaunodya. Pancreas inogadzirawo mvura yekugaya kuti ibatsire muviri kugaya chikafu uye kutora zvinovaka muviri.

Kenza yepancreatic inoitika kana masero ari mu pancreas akaita shanduko muDNA rawo. DNA yesero ine mirairo inoudza sero kuti riite chii. Mumasero ane hutano, mirairo inoudza masero kuti akure uye awedzere nekukurumidza kwakatarwa. Masero anofa panguva yakatarwa. Mumasero ekenza, shanduko dzinopa mirairo yakasiyana. Shanduko dzinoudza masero ekenza kuti agadzire masero akawanda nekukurumidza. Masero ekenza anogona kuramba achirarama kana masero ane hutano afa. Izvi zvinoita kuti pave nemasero akawanda zvakanyanya.

Masero ekenza anogona kuumba chidimbu chinonzi tumor. Tumor inogona kukura kuti ipinde uye inoparadza tishu yemuviri ine hutano. Panguva yakati, masero ekenza anogona kuputsika uye kupararira kune dzimwe nzvimbo dzemuviri.

Kazhinji kenza yepancreatic inotanga mumasero anovhara ma ducts epancreas. Rudzi urwu rwekenza runonzi pancreatic ductal adenocarcinoma kana pancreatic exocrine cancer. Zvishoma, kenza inogona kuumbwa mumasero anogadzira mahomoni kana masero e neuroendocrine epancreas. Aya marudzi ekenza anonzi pancreatic neuroendocrine tumors kana pancreatic endocrine cancer.

Zvinhu zvinogona kuwedzera njodzi yekenza yepancreatic zvinosanganisira:

• Kusvuta.
• Type 2 chirwere cheshuga.
• Kunetseka kwenguva refu kwe pancreas, kunonzi pancreatitis.
• Nhoroondo yemhuri yeDNA shanduko dzinogona kuwedzera njodzi yekenza. Izvi zvinosanganisira shanduko mu BRCA2 gene, Lynch syndrome uye familial atypical multiple mole melanoma (FAMMM) syndrome.
• Nhoroondo yemhuri yekenza yepancreatic.
• Kufuta.
• Zera guru. Vanhu vakawanda vane kenza yepancreatic vane makore anopfuura 65.
• Kunwa doro zvakanyanya.

Endoscopic retrograde cholangiopancreatography (ERCP) inoshandisa dye kuti iratidze bile ducts pa X-ray images. Tube yakatetepa, inobata, ine kamera kumugumo, inonzi endoscope, inopinda nomuromo woenda mumatumbu maduku. Dye inopinda mu ducts kuburikidza ne tube duku yakasviba, inonzi catheter, inopfuudzwa ne endoscope. Zvishandiso zviduku zvinopfuudzwa ne catheter zvinogona kushandiswawo kubvisa gallstones.

Sezvo pancreatic cancer ichikura, inogona kukonzera matambudziko akadai se:

• Jaundice. Pancreatic cancer inodzivirira bile duct yechiropa inogona kukonzera jaundice. Zviratidzo zvinosanganisira kuita yero kwe ganda nemaziso machena. Jaundice inogona kukonzera wee-wee rima uye matumbu machena. Jaundice kazhinji inoitika pasina kurwadziwa kwemudumbu.

  Kana bile duct yakavharwa, tube yepurasitiki kana simbi inonzi stent inogona kuiswa mukati mayo. Stent inobatsira kuchengeta bile duct yakavhurika. Izvi zvinoitwa uchishandisa nzira inonzi endoscopic retrograde cholangiopancreatography, inonziwo ERCP.

  Panguva ye ERCP, mushandi wehutano anoisa tube refu ine kamera diki, inonzi endoscope, pasi pemuromo. Tube inopfuura mudumbu uye inoenda kumusoro kwematumbu maduku. Mushandi wehutano anoisa dye mu pancreatic ducts ne bile ducts kuburikidza ne tube diki inokwana kuburikidza ne endoscope. Dye inobatsira ducts kuoneka pane imaging tests. Mushandi wehutano anoshandisa mifananidzo iyoyo kuisa stent panzvimbo chaiyo mu duct kuti ibatsire kuichengeta yakavhurika.

Jaundice. Pancreatic cancer inodzivirira bile duct yechiropa inogona kukonzera jaundice. Zviratidzo zvinosanganisira kuita yero kwe ganda nemaziso machena. Jaundice inogona kukonzera wee-wee rima uye matumbu machena. Jaundice kazhinji inoitika pasina kurwadziwa kwemudumbu.

Kana bile duct yakavharwa, tube yepurasitiki kana simbi inonzi stent inogona kuiswa mukati mayo. Stent inobatsira kuchengeta bile duct yakavhurika. Izvi zvinoitwa uchishandisa nzira inonzi endoscopic retrograde cholangiopancreatography, inonziwo ERCP.

Panguva ye ERCP, mushandi wehutano anoisa tube refu ine kamera diki, inonzi endoscope, pasi pemuromo. Tube inopfuura mudumbu uye inoenda kumusoro kwematumbu maduku. Mushandi wehutano anoisa dye mu pancreatic ducts ne bile ducts kuburikidza ne tube diki inokwana kuburikidza ne endoscope. Dye inobatsira ducts kuoneka pane imaging tests. Mushandi wehutano anoshandisa mifananidzo iyoyo kuisa stent panzvimbo chaiyo mu duct kuti ibatsire kuichengeta yakavhurika.

Kana mishonga isingabatsiri, mushandi wehutano angakurudzira celiac plexus block. Nzira iyi inoshandisa tsono kuisa doro munervs inodzora kurwadziwa mudumbu. Doro rinomisa nerves kubva kutumira zviratidzo zvekukuvadzwa kuuropi.

Mushandi wehutano angakurudzira kuisa tube inonzi stent mumatumbu maduku kuti aichengete yakavhurika. Dzimwe nguva, zvinogona kubatsira kuita opresheni yekuisa feeding tube. Kana kuti opresheni inogona kubatanidza mudumbu kune chikamu chepasi chematumbu kwapera cancer isingakonzere kuvharwa.

Kuongorora kunoshandisa bvunzo kutsvaga zviratidzo zvekenza yepancreatic muvanhu vasina zviratidzo. Zvingave sarudzo kana uine njodzi yakakwira kwazvo yekenza yepancreatic. Njodzi yako ingave yakakwira kana uine nhoroondo yakasimba yemhuri yekenza yepancreatic kana uine shanduko yeDNA yakagara nhaka inowedzera njodzi yekenza. Kuongorora kenza yepancreatic kunogona kusanganisira bvunzo dzekuona mifananidzo, senge MRI ne ultrasound. Bvunzo idzi kazhinji dzinodzokororwa gore rega rega. Chinangwa chekuongorora ndechekuwana kenza yepancreatic kana iri diki uye ine mukana mukuru wekurapwa. Kutsvagisa kuri kuenderera mberi, saka hazvisati zvajeka kana kuongorora kunogona kuderedza njodzi yekufa nekukenza yepancreatic. Kune njodzi dzekuongorora. Izvi zvinosanganisira mukana wekuwana chimwe chinhu chinoda kuvhiya asi gare gare zvichizoonekwa kuti hachisi kenza. Taura nezvemabhenefiti nenjodzi dzekuongorora kenza yepancreatic nechikwata chako chehutano. Pamwe chete munogona kusarudza kana kuongorora kuri kwauri. Kana uine nhoroondo yemhuri yekenza yepancreatic, kurukura nazvo nyanzvi yehutano. Nyanzvi yehutano inogona kuongorora nhoroondo yemhuri yako uye kukubatsira kunzwisisa kana bvunzo yemajini ingave yakakunakira. Bvunzo yemajini inogona kuwana shanduko dzeDNA dzinoenderera mumhuri uye inowedzera njodzi yekenza. Kana uchifarira bvunzo yemajini, ungatumirwa kune mushandi wehutano ane ruzivo rwemajini kana nyanzvi yehutano yakadzidziswa mumajini. Ungaderedza njodzi yako yekenza yepancreatic kana iwe uka: - Rega kusvuta. Kana ukasvuta, taura nemumwe munhu wechikwata chako chehutano nezve nzira dzekukubatsira kurega. Izvi zvinogona kusanganisira mapoka ekutsigira, mishonga uye kurapwa kwekunyatsoisa nicotine. - Chengetedza uremu hwakakodzera. Kana uri kurema kwakakodzera, shanda kuchengetedza. Kana uchida kuderedza uremu, edza kuderedza uremu zvishoma nezvishoma, kwe 1 kusvika ku 2 mapaundi (0.5 kusvika ku 1 kilogram) pavhiki. Kuti kukubatsire kuderedza uremu, ita zvemitambo mazuva mazhinji evhiki. Wedzera zvishoma nezvishoma huwandu hwekuita zvemitambo. Sarudza kudya kwakapfuma mumamiriro, michero uye zviyo zvizere nezvikamu zvidiki.

Muchine, kwete. Kune zvinhu zvinokonzera kenza yepancreas, sekusvuta fodya uye kuzara kwemuviri. Izvi zvose zvinhu zvinogona kuchinjwa. Saka kana uri munhu ane utano hwakanaka, ungave uri panjodzi shoma yekenza yepancreas. Asi pakupedzisira kana uine pancreas, nguva dzose pane njodzi yekuwana kenza yepancreas.

Mhinduro pfupi ndeyokuti kwete. Vakawanda vemapancreas cysts havazovi kenza. Kune mashoma, asi ndinokurudzira kubvunza chiremba wako nezvazvo.

Kusangana pakati pekenza yebvudzi nekenza yepancreas ndiko kuchinja kwemajini kunonzi BRCA. Saka chero munhu angave ane kenza yepancreas ichangobva kuwanikwa, asi ane nhoroondo yemhuri yekenza yebvudzi, anofanira kuongororwa majini kuti aone kana paine kuchinja kuripo. Kana zvakadaro, vamwe vemhuri vanofanira kuongororwa uye zvichida kuongororwa majini netariro yekuziva kenza pane imwe nhanho yekutanga.

Maitiro eWhipple ndiwo mamwe emaitiro akajairika atinoita nekuda kwekenza yepancreas, Kunyanya kana iri mumusoro kana uncinate process yepancreas. Nekuda kwekuti tumor iri, tinofanira kubvisa zvese zvakabatana nepancreas, kunyanya duodenum nebile duct, pamwe chete ne lymph nodes dziri pedyo. Kana zvese zva kubviswa, tinofanira kuisa zvese pamwechete, izvo zvinosanganisira biliary tract, pancreatic duct, uye GI tract.

Unogona kurarama pasina pancreas. Uchave uine chirwere cheshuga. Asi nemazvikwata edu matsva, insulin pumps dzakavandudzwa zvikuru. Uye naizvozvo, varwere vachiri kurarama hupenyu hwakanaka.

Unogona kuva shamwari yakanaka kune timu yako yekurapa nekugara uchitamba, uchigara uchiziva, kubvunza mibvunzo yakawanda uye kuuya nemunhu newe kuenda kunzvimbo dzako dzekuongororwa kuitira kuti vave maziso nemakumbo akawedzerwa. Usambofa wakashamisika kubvunza timu yako yekurapa chero mibvunzo kana zvinokunetsa zvaunazvo. Kuziva kunoita musiyano wose. Tinokutendai nekanguva kwenyu uye tinokushuvira zvakanaka.

Panguva yekuongororwa kwe endoscopic ultrasound yepancreas, chubhu chakacheka, chinopindika chinonzi endoscope chinopinda muhuro uye muchidzitiro. Chishandiso che ultrasound chiri kumagumo echubhu chinoburitsa mafungu esound anogadzira mifananidzo yedigestive tract nemiviri nemasero ari pedyo.

Kuongororwa kunoshandiswa kuziva kenza yepancreas kunosanganisira:

• Kuongororwa kwemifananidzo. Kuongororwa kwemifananidzo kunotora mifananidzo inoratidza mukati memuviri. Kuongororwa kwemifananidzo kunoshandiswa kuziva kenza yepancreas kunosanganisira ultrasound, CT scans, MRI scans uye, dzimwe nguva, positron emission tomography scans, zvinonziwo PET scans.
• Scope ine ultrasound. Endoscopic ultrasound, inonziwo EUS, ndiro bvunzo yekugadzira mifananidzo yedigestive tract nemiviri nemasero ari pedyo. EUS inoshandisa chubhu refu, chakacheka chine kamera, chinonzi endoscope. Endoscope inopfuura muhuro uye mukadzi. Chishandiso che ultrasound chiri pa endoscope chinoshandisa mafungu esound kugadzira mifananidzo yemasero ari pedyo. Inogona kushandiswa kugadzira mifananidzo yepancreas.
• Kuongororwa kweropa. Kuongororwa kweropa kunogona kuratidza mapuroteni anonzi tumor markers ayo masero ekensa yepancreas anoita. Imwe bvunzo ye tumor marker inoshandiswa mukenza yepancreas inonzi CA19-9. Vanachiremba kazhinji vanodzokorora bvunzo iyi panguva uye mushure mekurapa kunzwisisa kuti kenza iri kupindura sei. Mamwe makensa ep pancreas haaiti CA19-9 yakawanda, saka bvunzo iyi haina kubatsira kune munhu wese.
• Kuongororwa kwemajini. Kana wakaziva kenza yepancreas, taura nechikwata chako chehutano nezvekuongororwa kwemajini. Kuongororwa kwemajini kunoshandisa sampuli yeropa kana mate kuti atsvage kuchinja kweDNA kunogona kuwedzera njodzi yekenza. Mhedzisiro yekuongororwa kwemajini inogona kubatsira kutungamira kurapwa kwako. Mhedzisiro inogonawo kuratidza kana nhengo dzemhuri dzine njodzi yakawedzera yekenza yepancreas.

Kubvisa sampuli yetsinga yekuongorora. Biopsy ndiyo nzira yekubvisa sampuli diki yetsinga yekuongorora murabhoritari. Kazhinji, nyanzvi yehutano inowana sampuli panguva yeEUS. Panguva yeEUS, zvinhu zvakakosha zvinopfuudzwa neendoscope kuti zvitore tishu kubva ku pancreas. Zvishoma, sampuli yetsinga inounganidzwa kubva ku pancreas nekupinza tsono kuburikidza neganda uye mu pancreas. Izvi zvinonzi fine-needle aspiration.

Sampuli inoenda ku laboritari yekuongororwa kuti ione kana iri kenza. Mamwe ma bvunzo chaiwo anogona kuratidza kuti kuchinja kweDNA kuripo mumasero ekensa. Mhedzisiro inobatsira chikwata chako chehutano kugadzira chirongwa chako chekurapa.

Mushure mekusimbisa chirwere chekenza yepancreas, chikwata chako chehutano chinoshanda kuwana huwandu hwekensa. Izvi zvinonzi nhanho yekenza. Chikwata chako chehutano chinoshandisa nhanho yekenza yako kunzwisisa prognosis yako uye kugadzira chirongwa chekurapa.

Nhanho dzekenza yepancreas dzinoshandisa nhamba kubva pa 0 kusvika ku 4. Munhanho dziri pasi, kenza iri mu pancreas chete. Sezvo kenza ichikura, nhanho inowedzera. Nhanho 4, kenza yakapararira kune dzimwe nzvimbo dzemuviri.