I-pancreas iyilungu elisemva kwesisu kunye nokwenza imisebenzi emibini ephambili: ukuveliswa kwe-enzyme yokutya kunye nokuveliswa kwamahomoni afaka kwi-metabolism. I-pancreas inamalungu amane: intloko, intamo, umzimba nomsila. Ngokuqinisekileyo, umhlaza ukhula entloko yepascreas.
Iimpawu zomdlavuza we-pancreatic
Njengamanye amachiza esondlo sesisu, iimpawu zesifo somdlavuza we-pancreatic azibonakali. Njengomthetho, esi sifo siphelela ixesha elide ngokungenasiphelo kwaye siqala ukuvela kuphela kwizigaba zokugqibela, xa i-tumor isasazeka kwizicubu ezijikelezayo kunye ne-lymph nodes.
Iimpawu eziphambili zesifo somhlaza:
- intlungu ebuhlungu kwindawo e-epigastric kunye ne-hypochondrium echanekileyo ejikelezayo;
- ukulahleka kwesisindo;
- ukuhlanza rhoqo;
- ukoma njalo;
- isifo sohudo;
- buthathaka;
- ukwanda kweqondo lomzimba;
- i-jaundice engumatshini (ngokutshatyalaliswa kweentloko ze-pancreas) - ukuluhlaza okonkantshi, iimbumba ze-mucous, sclera;
- ukukhumba isikhumba, njl
Iimbangela zomdlavuza we-pancreatic
Izizathu ezibangelwa ngumdlavuza we-pancreatic aziwazanga, kodwa izinto ezininzi zibangela ukuphuhliswa kwayo. Ezi ziquka:
- ukutshaya;
- ukusetyenziswa kakubi kotywala;
- ukutya okutya, ucebile kwiindawo ezinamafutha kunye nokutya okunesonka;
- isifo sikashukela;
- i-cirrhosis yesibindi ;
- imisebenzi kwisisu;
- phambi kwamatye e-cholesterol kwi-gallbladder.
Ezi zifo zilandelayo zibhekwa njengento eqondileyo:
- i-adenoma yeepancreas;
- i-pancreatitis engapheliyo (ngokukodwa kubalwa);
- i-cyst ye-pancreas.
Umngcipheko wokuphuhlisa eso sifo ukwanda ngokukhula.
Izigaba zesifo:
- Isigaba se-1 somhlaza wesifo somhlaza-isisu esincinci, esinqunywe kwiifom zecandelo.
- 2 isigaba somdlavuza we-pancreatic - i-tumor isasazeka kwizitho ezijikelezileyo-duodenum, i-bile duct, kunye ne-lymph nodes.
- Umdlavuza wesi-3 we-pancreatic - i-tumor ixhaphakile esiswini, ipeni, intumbu enkulu, iinqanawa ezinkulu kunye neentsholongwane.
- Isigaba sesi-4 somhlaza wesifo somdlavuza - isisu sinike iimitha zesifo kwisibindi kunye nemiphunga.
Ukuxilongwa kwe-cancer ye-pancreatic
Ukubonakalisa iziganeko zezicubu kunye neendlela zokunxibelelanisa zinokwenzeka ngokuncediswa kwe-ultrasound kunye ne-tomography ekhompyutheni kunye nokuphuculwa kwe-bolus ukuphucula. Kwakhona ukuxilongwa, sebenzisa i-X-ray ukuhlolwa kwesisu kunye ne-duodenum ne-barium sulfate, i-endoscopic retrograde ye-cholangiopancreatography, i-laparotomy ne-biopsy.
Ukongezelela, ngowama-2012, umhloli womhlaza wasungulwa uvumela ukuba uqaphele umdlavuza we-pancreatic kwizigaba zokuqala ngokuhlola igazi okanye umchamo. Ukuchaneka kwesiphumo salolu vavanyo kungaphezu kwama-90%.
Unyango lomdlavuza we-pancreatic
Iindlela eziphambili zonyango lwesifo:
- Indlela yokuphanda - ekungabikho kwemastrastases, ukususwa kweethambo zesisu kuyenziwa (njengomthetho, zonke iingcambu kunye neengxenye zamalungu azungezile zisuswa).
- I-Chemotherapy - ukusetyenziswa kweziyobisi ezinokumisa ukukhula kweeseli zomhlaza (eziqeshwe ngokubambisana nokusebenza).
- Ulwaphulo lwe-radiation yonyango nge-radiation ionizing ukutshabalalisa iiseli zomhlaza.
- I-Virotherapy - ukusetyenziswa kwamalungiselelo akhethekileyo aqukethe iintsholongwane, ukuququzelela ulondolozo lwendalo lwamajoni omzimba kunye neeseli ezibulalayo.
- Unyango lwe-Symptomatic - anesthesia, ukusebenzisa i-enzyme ye-pancreatic, njl.
Ngomdlavuza we-pancreatic, ukutya okumiselweyo oku kuquka ukutya okuqhekeza rhoqo, okuphekwe ngeendlela ezisezotshisayo. Ezi zinto zilandelayo zifakwe ngaphandle kokutya:
- iziphuzo ezinxilisayo kunye ne-carbonated;
- ikhofi, i-cocoa;
- amafishi amnandi;
- iilekese;
- ukutya okusemgangathweni;
- ngemveliso;
- iimveliso ezibangela ukuvunywa.
Umdlavuza wePancreatic - prognosis
Isibhengezo sesi sifo sinobuhle, kwaye sihambelana nokufunyanwa kwangoko. Ukusinda kweminyaka emihlanu emva kokuhlinzwa akudluli kwi-10%.