Yadda za a bi da ciwon daji na pancreatic?

Carcinoma (ciwon daji) na pancreas yafi kowa a kasashen Yamma. Kwayar cutar tana da wuyar ganewa da kuma bi da shi, domin an gano kwayar halitta a cikin zurfin babban kogi na ciki a bayan ciki. Ƙarfin ƙwayar yana aiwatar da ayyuka masu muhimmanci, ciki har da samar da ruwan 'ya'yan itace da wasu kwayoyin hormones.

Abincin Pancreatic yana ƙunshe da enzymes da ke cikin tsarin narkewar abinci. An ɓoye shi a cikin ƙananan ƙwayar cuta, wadda ke haɗuwa da ƙofar baitul na kowa wanda yake buɗewa a cikin ɓangaren ƙananan ƙwayar intanet (cikin duodenum). A cikin lumen na hanji ta wannan tsamin ya zo ruwan 'ya'yan itace guda biyu da kuma bile daga duka bile ducts na hanta da kuma daga gallbladder. Hanyoyin hormones da aka samar da ƙananan sun hada da insulin da glucagon. Ana tsallake su a cikin jini kuma suna tsara matakan jini. Yadda za a bi da ciwon daji na pancreatic kuma menene matsalolin?

Alamun ciwon daji na pancreatic

• ciwo baya, sau da yawa muni da dare.

• Jaundice.

• Itching (na al'ada marasa lafiya).

• Asarar nauyi.

• Matalauta.

• Vomiting.

• Fatty stool (steatorrhea - feces of color launi, mai haske da tare da wari mai banƙyama).

• Rarraba da narkewa.

• Wutar cututtuka na ciwon sukari irin su ƙishirwa da kuma fitarwa daga cikin fitsari. Magunguna na Pancreatic yawanci ana bincikar su a matakai na cigaba, tun da alamun bayyanar sun kasance ba a sani ba ne kuma zasu iya ɗaukar wasu yanayi, alal misali ƙwayar cutar ciwon zuciya. A lokacin ganewar asali, ciwon sukari yana tsiro ne a kusa da yanayin kewaye - hanta, ciki, intestines, huhu da lymph nodes. Dalili na ainihin ciwon ciwon pancreatic ba a san shi ba, amma an yi imani cewa ci gaba da cutar ya shafi abubuwan da ke tattare da haɗari:

• Shan taba (sau biyu haɗarin).

• Kullun da ke fama da kwanciyar hankali (kwanciyar hankali).

• Ciwon sukari, musamman a cikin tsofaffi.

• Harkokin masana'antu da masana'antu da DDT (kwari).

• Cire kullun cikin ciki (tsaka-tsakin tsaka).

Abun ƙwayar cuta

Ciwon daji na Pancreatic ya zama wuri na biyar a tsakanin mummunar ciwon sukari kuma yawancin yana ci gaba. A lokacin ƙuruciyar, wannan ciwon yafi kowa a cikin maza fiye da mata, daga baya an share wannan bambanci. Yayin da ake gwada marasa lafiya tare da tsammanin mummunan ƙwayar cuta, sai likita ta gano saurin launin fata na fata da mucous membranes, da karuwa a cikin hanta da kuma jujjuya na fata (wanda yake kusa da gefen gefen dama). Misali na ƙarshe zai iya nuna ƙwayar da ke ciki da ke dauke da gurasar bile da gallstones. Aikin binciken ya hada da:

• Gwajin jini domin ƙayyade aikin hanta (gwajin aikin aikin hawan na asibiti).

• Duban magungunan duban dan tayi - amfani da shi don gano ƙwayar ƙwayar cuta, da kuma sarrafa sarrafawar allura lokacin biopsy.

• CT (ƙididdigar lissafi) da / ko MRI (hoton ɗaukar hoto) - samar da hoto na dijital gabobin ciki na ɓangaren ciki.

• hanyoyin Endoscopic - samar da hangen nesa na bangon ciki na ƙananan hanji.

• ERCP (endoscopic retrograde cholangiopancreatography) wani binciken ne wanda ake dauke da ƙaramin tube a cikin bakin da ciki cikin ƙananan hanji, bayan haka an ba da izinin mai banbanci a cikin ƙwayar bile na kowa don gano ƙuntatawa.

• Laparoscopy - gabatarwar laparoscope a cikin rami na ciki ta wurin karamin haɗuwa na murfin ciki da yiwuwar daukar kwayar halitta. Jiyya na ciwon daji na pancreatic ya dogara ne da shekarun mai haƙuri da kuma jihohi na lafiyar jiki, girman ƙwayar cuta da kuma girman yaduwarta.

Tiyata

Ƙananan ciwon ƙwayar da ke fitowa daga jikin jikin dabbar jikin zai iya warkewa ta hanyar cire duka ko sashi na kwayoyin. Tare da aiki mai zurfi, ɓangare na ƙananan hanji da ciki, za a iya cire ƙwayar bile, magungunan magungunan ƙwayoyin cuta, ƙwanƙiri da ƙwayar lymph kusa da layin zaki. Wannan lamari ne mai matukar wuya, mace mai mutuwa bayan haka ya kasance mai girma, ko da yake an ragu sosai a cikin 'yan shekarun nan saboda inganta aikin rigakafi da fasaha. Tare da ciwon ƙwayar cutar, ba a kula da maganin, maimakon haka, don kawar da bayyanar cututtuka. Idan ƙwayar yana cike da ƙwayar bile na kowa, za'a iya yin tiyata mai sauƙi don dawo da lumen ta hanyar shigar da direbobi (stent) a lokacin ERCP. A sakamakon wannan magudi, wanda ake yin haƙuri yana jin dadin shi ta hanyar tayarwa da raguwa a jaundice.

Drug far

Ana amfani da maganin radiation da chemotherapy don kashe kwayoyin cutar kanjamau da kuma rage yawancin tumo, amma sakamakonsu ya fi kyau fiye da magani. Wani ɓangare na tsari na maganin warkewa shine magunguna masu karfi, alal misali, shirye-shiryen hawan gurasar daji na tsawon lokaci; Ana iya amfani da fasaha na musamman na bayarwa na miyagun ƙwayoyi a cikin yanayin da aka tsara.

Hasashen

Sanarwar da ake yi game da carcinoma pancreatic ba shi da kyau, tun da kimanin kashi 80 na marasa lafiya da ciwon sukari sun riga sun yadu zuwa ƙananan lymph a lokacin ganewar asali.

Survival

Kusan kashi 2 cikin dari na marasa lafiya da ciwon cizon sauro suna ci gaba da zama mai cin shekara biyar, marasa lafiya da ciwon daji marasa lafiya sun mutu kimanin makonni 9 bayan ganewar asali. Idan an cire ciwon ƙwayar, ana nuna alamar ta kimanin kashi 10%.