Kenza yepancreatic

Chii chinonzi pancreatic cancer?

Gomarara repancreatic rinotanga apo masero asina kujairika ari murwatata anokura oparadzana nekusadzora oita bundu. The rwatata igland riri mukati-kati medumbu, pakati pedumbu nemusana. Inogadzira ma enzymes anobatsira kugaya uye mahormone anodzora mazinga eshuga yeropa. Mitezo, serwatata, inoumbwa nemasero. Kazhinji, masero anopatsanuka kuti aumbe masero matsva sezvinodiwa nemuviri. Apo masero anosakara, anofa, uye masero matsva anotora nzvimbo yawo. Dzimwe nguva nzira iyi inoputsika. Masero matsva anoumbwa kana muviri usingaadi, kana kuti masero ekare haafi. Masero ekuwedzera anogona kuumba matishu akawanda anonzi a tumarara. Mamwe mapundu ari benign. Izvi zvinoreva kuti hazvina kujairika asi hazvigone kupindira dzimwe nhengo dzemuviri. A zvakaipa bundu rinonzi gomarara. Iwo maseru anokura kunze kwekudzora uye anogona kupararira kune mamwe matishu uye nhengo. Kunyangwe kana gomarara rapararira kune dzimwe nzvimbo dzemuviri, richiri kunzi pancreatic cancer kana ndipo parakatanga. Mukenza wepancreatic unowanzo pararira kuchiropa, mudumbu mudumbu, mapapu, mapfupa uye / kana lymph node.

Mhando dzekenza yepancreatic

Cancer Exocrine ndiyo yakajairika mhando yekenza yepancreas. Kana iwe ukaudzwa kuti une kenza yepancreatic, inogona kunge iri exocrine pancreatic cancer. Pancreatic adenocarcinoma: Inenge 95% yekenza yekotokine pancreas adenocarcinomas. Iyi kanzira inowanzo tanga mumakomba epancreas. Zvishoma kazhinji, ivo vanokura kubva kumasero anogadzira epascreatic enzymes, mune iyo mamiriro ayo anonzi acinar cell carcinomas. Pasina kujairika marudzi ekenza exocrine: Zvimwewo, zvisinganyanyozivikanwa zvecancer exocrine zvinosanganisira adenosquamous carcinomas, squamous cell carcinomas, signet ring cell carcinomas, undifferentiated carcinomas, uye undifferentiated carcinomas ane mahombe maseru. Kenza yeAmpullary (carcinoma yeampulla yeVater): Gomarara iri rinotanga muampula yeVater, kunova uko bile duct uye pancreatic duct zvinosangana uye zvinodurura mudumbu mudiki. Ampullary cancers haisi yehunyanzvi pancreatic cancers, asi inosanganisirwa pano nekuti inobatwa zvakafanana. Ampullary cancers kazhinji inovhara bile duct ichiri diki uye isati yapararira kure. Kuvharika uku kunoita kuti bile mumuviri iwande izvo zvinoita kuti ganda nemaziso zviyere (jaundice). Nekuda kweizvi, magomarara aya anowanzo kuwanikwa pamberi peakawanda pancreatic cancers, uye anowanzo kuve neprognosis iri nani (maonero).

Benign pancreatic mamota

Kumwe kukura kwepancreas kunongova kusagadzikana (kwete gomarara), nepo kumwe kungangove kenza nekufamba kwenguva kana ikasarapwa (inozivikanwa se precancers). Nekuti vanhu vari kutora bvunzo dzekufungidzira senge CT scans kakawanda kupfuura zvakapfuura (nekuda kwezvikonzero zvinoverengeka), aya marudzi epancreatic kukura ari kuwanikwa kazhinji. Serous cystic neoplasms (SCNs) (Aizivikanwawo serous cystadenomas) mamota ane masaga (cysts) akazadzwa nemvura. MaCNN anowanzo kuve akanaka, uye mazhinji haadi kurapwa kunze kwekunge akura kana kukonzera zviratidzo. Mucinous cystic neoplasms (MCNs) (Aizivikanwawo mucinous cystadenomas) mamota anononoka kukura ane ma cysts akazadzwa nejelly-senge chinhu chinonzi mucin. Aya mamota anowanzoitika mune vakadzi. Kunyangwe isiri kenza, mamwe acho anogona kufambira mberi kuenda kugomarara nekufamba kwenguva kana asina kurapwa, saka aya mamota anowanzo bviswa nekuvhiyiwa. Intraductal papillary mucinous neoplasms (IPMNs) ndiwo mamota ane hutachiona anokura mune duac pancreatic. SaMCNs, aya mapundu anoita mucin, uye nekufamba kwenguva dzimwe nguva anova cancer kana ikasarapwa. Mamwe maIPMN anogona kungoteedzerwa zvakanyanya nekufamba kwenguva, asi mamwe angangoda kubviswa pamwe nekuvhiyiwa kana aine zvimwe zvinhu, sekunge vari mune huru pancreatic duct. Solid pseudopapillary neoplasms (SPNs) mashoma, anononoka kukura mamota ayo anowanzo kuve anokura mune vakadzi vadiki. Kunyangwe aya mamota achiwanzo kukura zvishoma, anogona dzimwe nguva kupararira kune dzimwe nhengo dzemuviri, saka anonyatsorapwa nekuvhiyiwa. Maonero evanhu vane mamota aya anowanzove akanaka kwazvo.

Zvinokonzera kenza yepancreatic

Hazvisi pachena kuti chii chinokonzera kenza yepancreatic. Vanachiremba vakaona zvimwe zvinhu zvinogona kuwedzera njodzi yerudzi urwu rwegomarara, kusanganisira kuputa uye kuve nehumwe hutachiona hwechibereko.

Kunzwisisa pancreas yako

Yepancreas yako anenge masendimita gumi nemashanu (6 cm) kureba uye anotaridzika kunge chinhu chakaita peya iri parutivi. Inoburitsa (yakavanda) mahormone, kusanganisira insulin, kubatsira muviri wako kugadzirisa shuga muzvikafu zvaunodya. Uye inogadzira majuzi ekugaya kuti ubatsire muviri wako kugaya chikafu uye kupinza zvinovaka muviri.

Gomarara repancreatic rinoumba sei?

Gomarara repancreatic rinoitika kana masero ari mugwatanha ako anoita shanduko (kuchinja) muDNA yavo. DNA yesero rine mirayiridzo inoudza sero zvekuita. Kuchinja uku kunoudza maseru kuti akure zvisingadzoreki uye kuti arambe achirarama mushure mekunge masero afa. Aya masero ari kuunganidza anogona kugadzira bundu. Kana isina kurapwa, pancreatic masero egomarara anogona kupararira kune nhengo dziri pedyo neropa midziyo uye kunzvimbo dziri kure dzomuviri. Kakawanda kenza yepancreatic inotanga mumaseru anotenderera madhaivhi epancreas. Mhando yegomarara iri rinonzi pancreatic adenocarcinoma kana pancreatic exocrine cancer. Kashoma kazhinji, kenza inogona kuumba mumasero anogadzira mahomoni kana masero neuroendocrine epancreas. Aya marudzi egomarara anonzi pancreatic neuroendocrine tumors, islet cell tumors kana pancreatic endocrine cancer. Kuchinja muDNA yako kunokonzera gomarara. Izvi zvinogona kugarwa nhaka kubva kuvabereki vako kana kuti zvinogona kuitika nekufamba kwenguva. Shanduko dzinomuka nekufamba kwenguva dzinogona kuitika nekuti wakasangana nechinhu chinokuvadza. Zvinogonawo kuitika zvisina tsarukano. Zvikonzero zvegomarara repancreatic hazvinyatsonzwisiswa. Inenge 5% kusvika 10% yecancer cancer inoonekwa semhuri kana nhaka. Kakawanda kenza yepancreatic inoitika zvisina tsarukano kana kukonzerwa nezvinhu zvakaita sekuputa, kufutisa uye zera. Iwe unogona kunge uine njodzi yakawedzera yekuva nekenza yepancreatic kana uine:

• Vaviri kana kupfuura vekutanga-degree hama vane kenza yepancreatic
• Chekutanga-degree hama yakagadzira kenza yepancreatic isati yasvika makore makumi mashanu
• Iyo yakagara nhaka genetic syndrome inosangana nekenza yepancreatic

Kana iwe uine chimwe cheizvi, iyo Pancreatic Cancer Action Network inokurudzira zvakasimba kubvunzana neine genetic chipangamazano kuti uone njodzi yako uye kukodzera kwechirongwa chekuongorora. Munhu anogona zvakare kuve nemukana wekuwana cancer yepancreatic nekuda kwe:

• Yakareba-yakamira chirwere cheshuga
• Chisingaperi uye nhaka yekurwara nepancreatitis
• kusvuta
• Race (dzinza): African-American kana Ashkenazi Jew
• Zera: anopfuura makore makumi matanhatu
• Gender: vanhurume zvishoma vangangoita
• Kudya kwakakwirira mutsvuku uye kwakagadziriswa nyama
• kufutisa

Izvi zvinoita kwete zvinoreva kuti munhu wese ane izvi zvine njodzi anowana gomarara repancreatic kana kuti munhu wese anowana gomarara repancreatic ane imwe kana dzakawanda dzeizvi.

Njodzi zvinhu zvecancreatic cancer

Zviitiko zvinogona kuwedzera njodzi yako yekenza yepancreatic zvinosanganisira:

• kusvuta
• chirwere cheshuga
• Kusingaperi kuzvimba kwepancreas (pancreatitis)
• Nhoroondo yemhuri ye genetic syndromes inogona kuwedzera njodzi yekenza, kusanganisira BRCA2 gene mutation, Lynch syndrome uye mhuri atypical mole-inokuvadza. melanoma (FAMMM) chirwere
• Nhoroondo yemhuri yekenza yepancreatic
• kufutisa
• Kukwegura, sevanhu vazhinji vanoonekwa mushure memakore makumi matanhatu nemashanu

Chidzidzo chikuru chakaratidza kuti kusanganiswa kwekuputa fodya, chirwere cheshuga chakagara kwenguva refu uye kudya kwakashata kunowedzera njodzi yekenza yepancreatic kupfuura njodzi yechero ipi yezvinhu izvi yega.

Zviratidzo zvecancreatic cancer

Zviratidzo nezviratidzo zvegomarara repancreatic hazviwanzo kuitika kudzamara hosha yakwira. Zvinogona kusanganisira:

• Kusuruvara kwepamuviri kunopenya kumusana kwako
• Kurasikirwa kwechido kana kurasikirwa kwekurema kusingatarisirwi
• Kupenya kweganda rako uye nevachena vemaziso ako (jaundice)
• Chiedza chine mavara
• Iyo yakasviba yerudzi-yakasviba
• Itchy ganda
• Nyowani kuongororwa kwechirwere cheshuga kana chiripo chirwere cheshuga icho chiri kuva chakaoma kudzora
• Ropa rinovhara
• Kuneta

Matambudziko ekenza yepancreatic

Sezvo kenza yepancreatic ichifambira mberi, inogona kukonzera matambudziko akadai se:

• Kuonda. Zvinhu zvinoverengeka zvinogona kukonzera uremu muvanhu vane pancreatic cancer. Kuonda kunogona kuitika sezvo gomarara rinopedza simba remuviri. Nausea uye kurutsa kunokonzerwa ne kurapwa kwegomarara kana bundu rinodzvanya padumbu rako zvingaita kuti zviome kudya. Kana kuti muviri wako unogona kunetseka kugadzira zvinovaka muviri kubva muchikafu nekuti pancreas yako haisi kugadzira muto wakakwana wekugaya.
• Jaundice. Pancreatic kenza inovhara chiropa cheb bile duct inogona kukonzera jaundice. Zviratidzo zvinosanganisira yero ganda uye maziso, erima-weti weti, uye yakachenuruka-zvituru zvituru. Jaundice inowanzoitika pasina kurwadziwa kwepamuviri Chiremba wako anogona kukurudzira kuti ipurasitiki kana simbi chubhu (stent) iiswe mukati megomba re bile kuitira kuti irivhure. Izvi zvinoitwa nerubatsiro rwemaitiro anonzi endoscopic retrograde cholangiopancreatography (ERCP). Panguva ERCP endoscope inopfuudzwa ichidzika nehuro yako, kuburikidza nemudumbu mako uye muchikamu chepamusoro chemuviri wako mudiki. Dhayi inozojowa mupancreatic uye bile ducts kuburikidza nekaburi kadiki (catheter) kano pfuura neiyo endoscope. Chekupedzisira, mifananidzo inotorwa yemu ducts.
• Pain. Bundu rinokura rinogona kumanikidza tsinga mudumbu mako, zvichikonzera marwadzo anogona kuoma. Mishonga yemarwadzo inogona kukubatsira kuti unzwe wakasununguka. Mishonga, yakaita semwaranzi yemwaranzi uye chemotherapy, inogona kubatsira kuderedza kukura kwebundu uye kuzorodza kurwadziwa. Muzviitiko zvakanyanya, chiremba wako anogona kukurudzira nzira yekubaya doro mutsinga dzinodzora kurwadziwa mudumbu mako (celiac plexus block). Iyi nzira inomisa tsinga kutumira zviratidzo zvinorwadza kuuropi hwako.
• Kuvhiringidza ura. Gomarara repancreatic rinokura mukati kana kumanikidza pachikamu chekutanga chemukati mudumbu (duodenum) rinogona kudzivisa kuyerera kwechikafu chakagayiwa kubva mudumbu rako kuenda mumatumbu ako. Chiremba wako anogona kukurudzira kuti chubhu (stent) iiswe mumatumbo ako mudiki kuti ubate. rakavhurika. Mune mamwe mamiriro ezvinhu, zvinogona kubatsira kuvhiyiwa kuti uise pombi yekudyisa yenguva pfupi kana kubatanidza dumbu rako kune yakaderera poindi mumatumbu ako asina kuvharirwa nekenza.

Kuongororwa kwekenza yepancreatic

Mushure mekutora pasi nhoroondo yako yehutano uye kuita bvunzo dzepanyama, chiremba anogona kuraira bvunzo dzinoverengeka kuti aone chinokonzera dambudziko rako kana kukura kwemamiriro acho, kusanganisira:

• CT scan (yakanyorwa tomography)
• MRI (magnetic resonance imaging)
• Endoscopic Ultrasound (EUS)
• Laparoscopy (yekuvhiya kutarisa nhengo)
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Percutaneous transhepatic cholangiography (PTC; maitiro anoshandiswa kuX-ray chiropa uye bile ducts)
• Biopsy (kubviswa kwetissue kuti uione pasi pe microscope).

Pancreatic kenza nhanho

Kana gomarara repancreatic rawanikwa, vanachiremba vangangoita ongororo yekuwedzera kuti vanzwisise kana gomarara racho rapararira. Kuedza kufungidzira, kwakadai sePET scan, kunobatsira vanachiremba kuona kuvapo kwegomarara. Kuongorora ropa kunogona kushandiswawo. Nekuongororwa uku, vanachiremba vari kuyedza kuona danho regomarara. Staging inobatsira kutsanangura kuti gomarara rakura sei. Inobatsirawo vanachiremba kusarudza nzira dzokurapa. Kana kuongororwa kwaitwa, chiremba wako achapa nhanho zvichienderana nemhedzisiro yebvunzo:

• danho 1: mamota aripo mupancreas chete
• danho rechipiri: mamota akapararira kumatumbu edumbu ari padyo kana lymph node
• danho rechitatu: gomarara rapararira kune huru midziyo yeropa uye lymph node
• nhanho 4: mamota akapararira kune dzimwe nhengo, senge chiropa

Pancreatic kenza nhanho 4

Stage 4 pancreatic cancer yakapararira kupfuura saiti yekutanga kuenda kunzvimbo dziri kure, senge dzimwe nhengo, uropi, kana mapfupa. Pancreatic cancer inowanzoonekwa panguva ino yekupedzisira nekuti haiwanzo konzera zviratidzo kudzamara yapararira kune dzimwe nzvimbo. Zviratidzo zvaungasangana nazvo panguva ino yepamusoro zvinosanganisira:

• kurwadziwa mudumbu repamusoro
• kurwadziwa kumusana
• manyaro
• jaundice (yero yeganda)
• kurasikirwa nenzara
• kuonda
• kusuruvara

Stage 4 kenza yepancreatic haigone kurapwa, asi kurapwa kunogona kubvisa zviratidzo uye kudzivirira matambudziko kubva kukenza. Aya marapirwo anogona kusanganisira:

• chemotherapy
• marapirwo ekurwadziwa ekurapa
• bile duct inopfuura nekuvhiya
• bile dhayeti stent
• gastric inpass surgery

Iyo makore mashanu emakore ekupona kweiyo danho rechina pancreatic kenza iri 4 muzana.

Pancreatic kenza nhanho 3

Stage 3 pancreatic cancer ibundu riri mupancreas uye pamwe nzvimbo dziri pedyo, senge lymph nodes kana tsinga dzeropa. Pancreatic cancer panguva ino haina kupararira kunzvimbo dziri kure. Gomarara repancreatic rinonzi gomarara rakanyarara nekuti kazhinji haritariswe kusvika rasvika padanho repamusoro. Kana iwe uine zviratidzo zvechikamu chechitatu pancreatic cancer, unogona kuwana:

• kurwadziwa kumusana
• kurwadziwa kana unyoro mudumbu repamusoro
• kurasikirwa nenzara
• kuonda
• manyaro
• kusuruvara

Stage 3 kenza yepancreatic yakaoma kurapa, asi kurapwa kunogona kubatsira kudzivirira kupararira kwekenza uye kurerutsa zviratidzo zvinokonzerwa nebundu. Aya marapirwo anogona kusanganisira:

• kuvhiya kubvisa chikamu chepancreas (Whipple maitiro)
• mishonga inorwisa kenza
• radiation therapy

Makore mashanu ekupona kwechikamu chechitatu kenza yepancreatic ndeye 3 kusvika 3 muzana. Ruzhinji rwevanhu vane danho iri regomarara rinozodzoka zvakare. Izvi zvinogona kunge zvichikonzerwa nekuti micrometastases, kana nzvimbo diki dzekusaonekwa kenza kukura, dzakapararira kupfuura pancreas senguva yekuonekwa.

Pancreatic kenza nhanho 2

Stage 2 pancreatic cancer igomarara rinoramba riri mupancreas uye rinogona kunge rakapararira kune mashoma ari pedyo lymph nodes. Haina kupararira kune matishu ari pedyo kana tsinga dzeropa, uye haina kupararira kune dzimwe nzvimbo mumuviri. Gomarara repancreatic rakaoma kuona mumatanho ekutanga, kusanganisira nhanho 2. Imhaka yekuti hazvigone kukonzera zviratidzo zvinoonekwa. Kana iwe uine zviratidzo panguva ino yekutanga, unogona kusangana:

• jaundice
• shanduko muuvara weti
• kurwadziwa kana unyoro mudumbu repamusoro
• kuonda
• kurasikirwa nechido
• manyaro

Mishonga inogona kusanganisira:

• sejari
• radiation
• chemotherapy
• yakanangwa mishonga yekurapa

Chiremba wako anogona kushandisa musanganiswa weiyi nzira yekubatsira kudzikisira bundu uye kudzivirira metastases anogona kuitika. Iyo makore mashanu ekupona kwehuwandu hwevanhu vane danho 2 gomarara repancreatic rakatenderedza makumi matatu muzana.

Kurapa kwekenza yepancreatic

Kurapa kwekenza yepancreatic kunoenderana padanho rekenza. Ine zvibodzwa zviviri: kuuraya maseru ane cancer uye kudzivirira kupararira kwechirwere.

Kurasikirwa nehuremu, kuvharika kwematumbo, kurwadziwa mudumbu, uye kusashanda kwechiropa ndezvimwe zvezvinetso zvinowanzoitika panguva. gomarara repancreatic kurapwa.

Surgery

Sarudzo yekushandisa kuvhiya kurapa gomarara repancreatic inodzika kune zvinhu zviviri: nzvimbo yegomarara uye nhanho yegomarara. Kuvhiya kunogona kubvisa zvese kana zvimwe zvikamu zvepancreas. Izvi zvinogona kubvisa bundu rekutanga, asi hazvizobvisi gomarara rapararira kune dzimwe nhengo dzemuviri. Kuvhiya kunogona kunge kusingakodzeri vanhu vane advanced stage pancreatic cancer nekuda kwechikonzero ichocho.

Radiation therapy

Dzimwe nzira dzekurapa dzinofanirwa kuongororwa kana kenza yapararira kunze kwepancreas. Radiation kurapa kunoshandisa X-ray uye mamwe akanyanya-simba matanda kuuraya cancer maseru.

Kurapwa

Mune zvimwe zviitiko, chiremba wako anogona kusanganisa mamwe marapirwo nekemotherapy, iyo inoshandisa kenza-kuuraya mishonga kubatsira kudzivirira kukura mune ramangwana maseru ekenza.

Targeted therapy

Rudzi urwu rwekurapa kenza rinoshandisa zvinodhaka kana zvimwe zviyero kunongedza chaiwo maseru ekenza uye kushanda kuaparadza. Iyi mishonga yakagadzirirwa kuti isakuvadza masero ane hutano kana akajairwa.

Kudzivirirwa kwekenza yepancreatic

Iwe unogona kudzikisa njodzi yako yekenza yepancreatic kana iwe:

• Rega kusvuta. Ukasvuta, edza kurega. Taura nachiremba wako nezvenzira dzekukubatsira kumira, kusanganisira mapoka ekutsigira, mishonga uye nicotine kutsiva kurapwa. Ukasasvuta, usatanga.
• Chengetedza huremu hune hutano. Kana iwe uri pane huremu hune hutano, shanda kuti uuchengetedze. Kana iwe uchida kudzikira uremu, tarisa kunonoka, kudzikama kuonda - 1 kusvika 2 mapaundi (0.5 kusvika 1 kilogiramu) pasvondo. Sanganisa kurovedza muviri kwemazuva ese nechikafu chakazara mumiriwo, michero uye zviyo zvakakwana nezvidimbu zvidiki kuti ubatsire kurasikirwa nehuremu
• Sarudza chikafu chine hutano. Kudya kuzere nemichero ine mavara uye miriwo uye zviyo zvakakwana kunogona kubatsira kudzikisa njodzi yako yekenza.

Funga kusangana nemugadziri wezvechibereko kana uine nhoroondo yemhuri yekenza yepancreatic. Iye kana iye anogona kuongorora nhoroondo yako yehutano yemhuri newe uye kuona kana iwe ungabatsirwa kubva kugeneti bvunzo kuti unzwisise njodzi yako yekenza yepancreatic kana mamwe kanzira.

Kuti uwane ruzivo nezve kurapa kenza yepancreatic uye rwechipiri pfungwa, tifonere pa91 96 1588 1588 kana kunyorera cancerfax@gmail.com.