pancreatic ciwon daji

Menene cutar kansa?

Ciwon daji na pancreatic yana farawa ne lokacin da ƙwayoyin da ba su da kyau a cikin pancreas suka girma kuma su rabu ba tare da kulawa ba kuma su haifar da ƙari. The pancreas is a gland located deep in the abdomen, between the stomach and the spine. It makes enzymes that help digestion and hormones that control blood-sugar levels. Organs, like the pancreas, are made up of cells. Normally, cells divide to form new cells as the body needs them. When cells get old, they die, and new cells take their place. Sometimes this process breaks. New cells form when the body does not need them, or old cells do not die. The extra cells may form a mass of tissue called a tumo. Some tumors are bashi. Wannan yana nufin ba su da yawa amma ba za su iya mamaye wasu sassan jiki ba. A m Tumor ana kiranta cancer. Kwayoyin suna girma daga iko kuma suna iya yaduwa zuwa wasu kyallen takarda da gabobin. Ko da cutar kansa ta bazu zuwa sauran sassan jiki, har yanzu ana kiran ta da ciwon daji na pancreatic idan daga nan ne ta fara. Ciwon daji na Pancreatic yakan bazu zuwa hanta, bangon ciki, huhu, kasusuwa da/ko ƙwayoyin lymph.

Nau'o'in ciwon daji na hanji

Ciwon daji na Exocrine shine mafi yawan nau'in ciwon daji na pancreas. Idan an gaya muku kuna da ciwon daji na pancreatic, wataƙila cutar kansa ce ta exocrine. Pancreatic adenocarcinoma: Kimanin kashi 95% na cututtukan daji na ƙwayar exocrine sune adenocarcinomas. Waɗannan cututtukan daji galibi suna farawa ne a cikin bututun pancreas. Kadan sau da yawa, suna haɓaka daga sel waɗanda ke yin enzymes na hanta, wanda a cikin haka ake kiran su acinar cell carcinomas. Ƙananan nau'in ciwon daji na exocrine: Sauran, cututtukan da ba a saba gani ba na exocrine sun haɗa da carcinomas adenosquamous, carcinomas cell squamous, carcinomas signet ring cell, carcinomas da ba a rarrabe su ba, da carcinomas marasa rarrabewa tare da manyan sel. Ampullary cancer (carcinoma na ampulla na Vater): Wannan ciwon daji yana farawa ne a cikin ampulla na Vater, wanda shine wurin da bile duct da pancreatic duct suka hadu suka koma cikin ƙananan hanji. Ciwon daji ba na fasaha ba ne na pancreatic, amma an haɗa su a nan saboda ana kula da su sosai. Ciwon daji na huhu yakan toshe bile ducts yayin da suke kanana kuma basu yadu mai nisa. Wannan toshewar yana sa bile ya taru a cikin jiki, wanda ke haifar da launin rawaya na fata da idanu (jaundice). Saboda wannan, ana samun waɗannan ciwon daji a baya fiye da yawancin ciwon daji na pancreatic, kuma yawanci suna da kyakkyawan hangen nesa (ra'ayi).

Ciwon hanta na hanji

Wasu ci gaba a cikin pancreas ba su da kyau (ba ciwon daji ba), yayin da wasu na iya zama kansar tsawon lokaci idan ba a kula da su ba (wanda aka sani da masu ƙaddara). Saboda mutane suna samun gwaje -gwajen hoto kamar CT scans sau da yawa fiye da baya (saboda dalilai da yawa), yanzu ana samun ire -iren ire -iren waɗannan abubuwan. Serous cystic neoplasms (SCNs) (Kuma aka sani da cystadenomas mai tsanani) ciwace -ciwacen da ke da jaka (cysts) cike da ruwa. SCNs kusan koyaushe suna da kyau, kuma yawancinsu basa buƙatar magani sai dai idan sun yi girma ko haifar da alamu. Mucinous cystic neoplasms (MCNs) (Kuma aka sani da cututtuka na cystadenomas) ciwace-ciwacen ciwace-ciwacen da ke da cysts cike da wani abu mai kama da jelly da ake kira mucin. Waɗannan ciwace -ciwacen kusan koyaushe suna faruwa a cikin mata. Duk da yake ba su da cutar kansa, wasu daga cikinsu na iya ci gaba zuwa cutar kansa tsawon lokaci idan ba a bi da su ba, don haka galibi ana cire waɗannan ƙwayoyin cutar tare da tiyata. Ciwon mahaifa na kumburin mahaifa (IPMNs) su ne ciwace -ciwacen da ba su da kyau da ke girma a cikin bututun hanji. Kamar MCNs, waɗannan ciwace -ciwacen suna yin mucin, kuma akan lokaci wasu lokuta sukan zama kansar idan ba a bi da su ba. Ana iya bin wasu IPMN a hankali akan lokaci, amma wasu na iya buƙatar cire su tare da tiyata idan suna da wasu sifofi, kamar idan suna cikin babban bututun pancreatic. M pseudopapillary neoplasms (SPNs) ba kasafai ba, ciwace-ciwacen ciwace-ciwacen da kusan kullum ke tasowa a cikin samari. Duk da cewa waɗannan ciwace -ciwacen sukan yi girma da sannu a hankali, a wasu lokuta suna iya yaduwa zuwa wasu sassan jiki, don haka an fi kula da su da tiyata. Kasancewar mutanen da ke da waɗannan ciwace -ciwacen galibi yana da kyau sosai.

Sanadin cutar sankarau

Ba a bayyana abin da ke haifar da cutar kansa ba. Likitoci sun gano wasu abubuwan da ka iya ƙara haɗarin wannan nau'in cutar kansa, gami da shan sigari da samun wasu maye gurbi na gado.

Fahimtar pancreas ku

Gwanin ku yana da kusan inci 6 (inci 15) kuma yana kama da wani abu kamar pear kwance a gefenta. Yana sakin (ɓoye) hormones, gami da insulin, don taimakawa jikin ku sarrafa sukari a cikin abincin da kuke ci. Kuma yana samar da ruwan 'ya'yan itace masu narkar da abinci don taimakawa jikinku ya narkar da abinci kuma ya sha abubuwan gina jiki.

Yaya ciwon daji na pancreas yake?

Pancreatic cancer occurs when cells in your pancreas develop changes (mutations) in their DNA. A cell’s DNA contains the instructions that tell a cell what to do. These mutations tell the cells to grow uncontrollably and to continue living after normal cells would die. These accumulating cells can form a tumor. When left untreated, the pancreatic cancer cells can spread to nearby organs and blood vessels and to distant parts of the body. Most pancreatic cancer begins in the cells that line the ducts of the pancreas. This type of cancer is called pancreatic adenocarcinoma or pancreatic exocrine cancer. Less frequently, cancer can form in the hormone-producing cells or the neuroendocrine cells of the pancreas. These types of cancer are called pancreatic neuroendocrine tumors, islet cell tumors or pancreatic endocrine cancer. Changes in your DNA cause cancer. These can be inherited from your parents or can arise over time. The changes that arise over time can happen because you were exposed to something harmful. They can also happen randomly. Pancreatic cancer’s exact causes are not well understood. About 5% to 10% of pancreatic cancers are considered familial or hereditary. Most pancreatic cancer happens randomly or is caused by things such as smoking, obesity and age. You may have an increased risk of developing pancreatic cancer if you have:

• Biyu ko fiye dangi masu digiri na farko da suka kamu da cutar sankara
• Wani dangi mai digiri na farko wanda ya kamu da cutar kansa tun kafin ya cika shekaru 50
• Ciwon gado na gado wanda ke da alaƙa da cutar kansa

Idan kuna da ɗaya daga cikin waɗannan, Cibiyar Ayyukan Ciwon Kankara ta Pancreatic tana ba da shawarar yin shawarwari tare da mai ba da shawara kan kwayoyin halitta don tantance haɗarin ku da cancantar shirin tantancewa. Haka kuma mutum na iya kamuwa da ciwon daji na pancreatic saboda:

• Dogon ciwon suga
• Pancreatic na kullum
• Shan taba
• Race (ƙabila): Ba'amurke Ba'amurke ko Bayahude Ashkenazi
• Shekaru: sama da shekaru 60
• Jinsi: Maza suna da ɗan ƙarami
• Abincin da ke cikin jan nama da sarrafa nama
• kiba

Wannan ya aikata ba yana nufin cewa duk wanda ke da waɗannan abubuwan haɗarin zai kamu da cutar kansa ko kuma duk wanda ya kamu da cutar kansa yana da ɗaya ko fiye daga cikin waɗannan.

Abubuwan haɗari na ciwon daji na pancreatic

Abubuwan da ke iya ƙara haɗarin kamuwa da cutar kansa ta hanji sun haɗa da:

• Shan taba
• ciwon
• Kumburi na kullum na pancreas (pancreatitis)
• Family history of genetic syndromes that can increase cancer risk, including a BRCA2 gene mutation, Lynch syndrome and familial atypical mole-malignant melanoma (FAMMM) syndrome
• Tarihin iyali na cutar kansa
• kiba
• Tsofaffi, kamar yadda yawancin mutane ke kamuwa da cutar bayan shekaru 65

Wani babban bincike ya nuna cewa haɗuwa da shan sigari, ciwon sukari mai daɗewa da rashin cin abinci yana ƙara haɗarin kamuwa da cutar sankarar mahaifa fiye da haɗarin kowane ɗayan waɗannan abubuwan kaɗai.

Alamomin ciwon daji na pancreatic

Alamomi da alamomin ciwon daji na hanji galibi ba sa faruwa har sai cutar ta ci gaba. Suna iya haɗawa:

• Ciwon ciki wanda ke haskakawa zuwa bayanku
• Rashin ci ko rashin nauyi mara nauyi
• Yellowing of your skin and the white of your eyes (jaundice)
• Kujeru masu launin haske
• Furowa mai launin duhu
• Itchy fata
• Sabuwar ganewar ciwon suga ko ciwon sukari da ke da wuya a sarrafa
• Ruwan jini
• gajiya

Matsalolin ciwon daji na hanji

Yayin da cutar kansa ta ci gaba, yana iya haifar da matsaloli kamar:

• Rage nauyi. A number of factors may cause weight loss in people with pancreatic cancer. Weight loss might happen as the cancer consumes the body’s energy. Nausea and vomiting caused by cancer treatments or a tumor pressing on your stomach may make it difficult to eat. Or your body may have difficulty processing nutrients from food because your pancreas isn’t making enough digestive juices.
• Jaundice. Ciwon daji na Pancreatic wanda ke toshe hancin hanta na iya haifar da jaundice. Alamun sun hada da fata mai launin rawaya da idanu, fitsari mai launin duhu, da kujeru masu launin shuɗi. Jaundice yawanci yana faruwa ba tare da ciwon ciki ba. Likitan ku na iya ba da shawarar cewa a saka filastik ko bututun ƙarfe (stent) a cikin ramin bile don buɗe shi. Ana yin wannan tare da taimakon hanyar da ake kira endoscopic retrograde cholangiopancreatography (ERCP). A lokacin ERCP na'urar endoscope ta wuce ta makogwaron ku, ta cikin ku kuma zuwa cikin babban hanjin ku. Ana yin allura a cikin huhu na hanji da hanji ta hanyar ƙaramin bututu (catheter) wanda ke wucewa ta cikin endoscope. A ƙarshe, ana ɗaukar hotuna na bututun.
• Pain. Ciwon daji mai girma na iya danna jijiyoyi a cikin ciki, haifar da ciwo wanda zai iya zama mai tsanani. Magungunan ciwo na iya taimaka maka jin daɗi. Jiyya, irin su radiation da chemotherapy, na iya taimakawa rage jinkirin girma da kuma samar da wasu jin zafi. Wannan hanya tana dakatar da jijiyoyi daga aika siginar zafi zuwa kwakwalwarka.
• Ciwon hanji. Ciwon daji na Pancreatic wanda ke tsirowa ko matsawa a ɓangaren farko na ƙananan hanji (duodenum) zai iya toshe kwararar abinci mai narkewa daga cikin ku zuwa cikin hanjin ku. yana budewa. A wasu yanayi, yana iya taimakawa yin tiyata don sanya bututu na ciyarwa na ɗan lokaci ko haɗa abin cikin ku zuwa ƙaramin hanji a cikin hanjin ku wanda cutar kansa ba ta toshewa.

Ganewar asali na cutar sankarau

Bayan ɗaukar tarihin lafiyar ku da yin gwajin jiki, likita na iya yin odar gwaje -gwaje da yawa don sanin dalilin matsalar ku ko girman yanayin, gami da:

• CT scan (lissafin tomography)
• MRI (yanayin hoton magnetic yanayin)
• Endoscopic duban dan tayi (EUS)
• Laparoscopy (aikin tiyata don duba gabobin jiki)
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Cholangiography transhepatic transhepatic (PTC; hanyar da ake amfani da ita don hanta-X-ray da duwatsu bile)
• Biopsy (cire nama don duba shi a ƙarƙashin madubin microscope).

Matakan ciwon daji na Pancreatic

Lokacin da aka gano ciwon daji na pancreatic, likitoci za su iya yin ƙarin gwaje-gwaje don gane ko ko kuma inda ciwon daji ya yadu. Gwaje-gwajen hoto, kamar sikanin PET, suna taimaka wa likitoci su gano kasancewar ci gaban ciwon daji. Hakanan ana iya amfani da gwajin jini. Tare da waɗannan gwaje-gwajen, likitoci suna ƙoƙarin tabbatar da matakin ciwon daji. Shirye-shiryen yana taimakawa bayyana yadda ciwon daji ya ci gaba. Hakanan yana taimaka wa likitoci su tantance zaɓuɓɓukan magani. Da zarar an sami ganewar asali, likitan ku zai sanya mataki bisa sakamakon gwajin:

• mataki na 1: Ciwace -ciwacen da ke wanzu a cikin pancreas kawai
• mataki na 2: Ciwace -ciwacen sun yadu zuwa kyallen ciki na kusa ko kumburin lymph
• mataki na 3: ciwon daji ya bazu zuwa manyan jijiyoyin jini da ƙwayoyin lymph
• mataki na 4: Ciwon daji ya bazu zuwa wasu gabobin jiki, kamar hanta

Ciwon daji na Pancreatic 4

Mataki na 4 Ciwon daji na pancreatic ya bazu fiye da asalin shafin zuwa wurare masu nisa, kamar sauran gabobin, kwakwalwa, ko ƙashi. Sau da yawa akan gano ciwon daji na pancreatic a ƙarshen zamani saboda ba kasafai yake haifar da alamun bayyanar ba har sai ya yadu zuwa wasu shafuka. Alamomin da za ku iya fuskanta a wannan mataki na ci gaba sun haɗa da:

• zafi a cikin ciki na sama
• ciwon baya
• gajiya
• jaundice (launin rawaya na fata)
• rashin ci
• nauyi asara
• ciki

Mataki na 4 Ciwon kansar hanji ba za a iya warkewa ba, amma jiyya na iya sauƙaƙe alamun cutar da hana rikitarwa daga cutar kansa. Waɗannan jiyya na iya haɗawa da:

• chemotherapy
• palliative zafi jiyya
• tiyata ta bile duct
• stent na bile
• gyaran tiyata

Adadin rayuwa na shekaru biyar don mataki na 4 ciwon daji na hanji shine kashi 3.

Ciwon daji na Pancreatic 3

Sashe na 3 ciwon daji na pancreatic wani ƙari ne a cikin pancreas da yiwuwar wuraren da ke kusa, irin su lymph nodes ko tasoshin jini. Ciwon daji na pancreatic a wannan matakin bai yada zuwa wurare masu nisa ba. Ciwon daji na pancreatic ana kiransa ciwon silent kansa saboda sau da yawa ba a gano shi har sai ya kai mataki na gaba. Idan kuna da alamun ciwon daji na pancreatic mataki na 3, kuna iya fuskantar:

• ciwon baya
• zafi ko taushi a cikin ciki na sama
• rashin ci
• nauyi asara
• gajiya
• ciki

Mataki na 3 ciwon daji na hanji yana da wahalar warkewa, amma jiyya na iya taimakawa hana yaduwar cutar kansa da sauƙaƙe alamun cutar da ƙwayar cuta ta haifar. Waɗannan jiyya na iya haɗawa da:

• tiyata don cire wani ɓangaren pancreas (hanyar Whipple)
• magungunan ciwon daji
• radiation far

Adadin rayuwa na shekaru biyar na ciwon daji na pancreatic mataki na 3 shine kashi 3 zuwa 12. Yawancin mutanen da ke da wannan mataki na ciwon daji za su sake dawowa. Wannan yana yiwuwa saboda gaskiyar cewa micrometastases, ko ƙananan wuraren ci gaban ciwon daji da ba a iya ganewa ba, sun bazu fiye da pancreas a matsayin lokacin ganowa.

Ciwon daji na Pancreatic 2

Sashe na 2 ciwon daji na pancreatic shine kansar da ya rage a cikin pancreas kuma yana iya yaduwa zuwa wasu ƙananan ƙwayoyin lymph na kusa. Bai yada zuwa kyallen takarda ko tasoshin jini da ke kusa ba, kuma bai yada zuwa wasu wurare a cikin jiki ba. Ciwon daji na pancreatic yana da wuyar ganowa a farkon matakan, gami da mataki na 2. Wannan saboda ba shi yiwuwa ya haifar da alamun da ake iya ganowa. Idan kuna da alamun bayyanar cututtuka a farkon matakin, kuna iya fuskantar:

• jaundice
• canje -canje a launi fitsari
• zafi ko taushi a cikin ciki na sama
• nauyi asara
• asarar ci
• gajiya

Jiyya na iya haɗa da:

• tiyata
• radiation
• chemotherapy
• hanyoyin maganin miyagun ƙwayoyi

Likitanka na iya amfani da haɗin waɗannan hanyoyin don taimakawa rage ƙwanƙwasa ƙwayar cuta da hana yiwuwar metastases. Adadin rayuwa na shekaru biyar ga mutanen da ke fama da cutar sankara na mataki na 2 kusan kashi 30 ne.

Maganin cutar sankarau

Maganin ciwon daji na hanji ya dogara da matakin ciwon daji. Yana da manufofi guda biyu: kashe kwayoyin cutar kansa da hana yaduwar cutar.

Weight loss, bowel obstruction, abdominal pain, and liver failure are among the most common complications during cutar sankarau Magani.

Surgery

Shawarar yin amfani da tiyata don magance ciwon daji na pancreatic ya zo zuwa abubuwa biyu: wurin da ciwon daji yake da kuma matakin ciwon daji. Tiyata na iya cire duka ko wasu sassan maƙarƙashiya. Wannan zai iya kawar da asalin ƙwayar cuta, amma ba zai kawar da ciwon daji da ya yadu zuwa wasu sassan jiki ba. Tiyata bazai dace da mutanen da ke da ciwon daji na pancreatic mataki na gaba ba saboda wannan dalili.

Radiation far

Dole ne a bincika sauran zaɓuɓɓukan magani da zarar cutar kansa ta bazu a waje na pancreas. Radiation therapy yana amfani da X-ray da sauran katako mai ƙarfi don kashe ƙwayoyin cutar kansa.

jiyyar cutar sankara

A wasu lokuta, likitanku na iya haɗa wasu jiyya tare da chemotherapy, wanda ke amfani da magungunan kashe kansa don taimakawa hana ci gaban ƙwayoyin kansa.

Farfesa da aka tsara

Wannan nau'in maganin cutar kansa yana amfani da magunguna ko wasu matakai don yin niyya musamman sel kansar da aiki don lalata su. An tsara waɗannan magungunan don kada su cutar da ƙwayoyin lafiya ko na al'ada.

Rigakafin cutar kansa

Kuna iya rage haɗarin ciwon kansa na pancreatic idan kun:

• Dakatar da shan taba. Idan kuna shan taba, yi ƙoƙarin dainawa. Yi magana da likitanka game da dabarun da za su taimaka maka ka daina, gami da kungiyoyin tallafi, magunguna da maganin maye na nicotine. Idan ba ku shan taba, kada ku fara.
• Kula da lafiya mai kyau. Idan kuna cikin ƙoshin lafiya, yi aiki don kiyaye shi. Idan kuna buƙatar rage nauyi, yi nufin rage nauyi, rage nauyi mai nauyi - 1 zuwa 2 fam (0.5 zuwa 1 kilogram) a mako. Hada motsa jiki na yau da kullun tare da abinci mai wadataccen kayan lambu, 'ya'yan itace da hatsi gabaɗaya tare da ƙaramin rabo don taimaka muku rage nauyi.
• Zabi abinci mai lafiya. Abincin da ke cike da 'ya'yan itatuwa da kayan marmari masu launuka iri -iri na iya taimakawa rage haɗarin cutar kansa.

Yi la'akari da saduwa da mai ba da shawara na kwayoyin halitta idan kuna da tarihin iyali na ciwon daji na hanji. Shi ko ita za ta iya nazarin tarihin lafiyar dangin ku tare da ku kuma ta yanke shawara ko za ku iya amfana daga gwajin ƙwayar cuta don fahimtar haɗarin ciwon kansar hanji ko wasu cututtukan daji.

Don cikakkun bayanai kan maganin cutar sankara da ra'ayi na biyu, kira mu a +91 96 1588 1588 ko rubuta zuwa cancerfax@gmail.com.