Kankere ea pancreatic

Kankere ea pancreatic ke mofetše o qalang ka har'a manyeme.

Manyeme ke setho se seholo se ka mora mpa. E etsa le ho ntša li-enzyme ka maleng hore li thuse 'mele ho sila le ho monya lijo, haholo mafura. Manyeme a boetse a etsa le ho ntša insulin le glucagon. Tsena ke lihormone tse thusang 'mele ho laola maemo a tsoekere maling.

Ho na le mefuta e fapaneng ea mofetše oa pancreatic. Mofuta ona o latela sele eo kankere e kenang ho eona. Mehlala e kenyelletsa:

• Adenocarcinoma, mofuta o tloaelehileng haholo oa mofetše oa pancreatic
• Mefuta e meng e sa tloaelehang e kenyelletsa glucagonoma, insulinoma, islet cell tumor, VIPoma

Lebaka le tobileng la mofetše oa pancreatic ha le tsejoe. Ho tloaelehile haholo ho batho ba:

• Ba batenya
• E-ja lijo tse nang le mafura a mangata le litholoana tse fokolang le meroho
• E-ba le lefu la tsoekere
• E-ba le nako e telele ea ho pepesehela lik'hemik'hale tse itseng
• Ho ba le ho ruruha ha manyeme nako e telele (pancreatitis e sa foleng)
• Mosi

Kotsi ea mofetše oa pancreatic e eketseha ka lilemo. Nalane ea lelapa ea lefu lena le eona e eketsa hanyane menyetla ea ho ba le mofetše.

Hlahala (mofetše) ea manyeme e ka hola ntle le matšoao a letho qalong. Sena se bolela hore mofets'e o tsoetse pele ha o qala ho fumanoa.

Matšoao a mofetše oa pancreatic a kenyelletsa:

• Letšollo
• Moroto o lefifi le litulo tse 'mala oa letsopa
• Mokhathala le bofokoli
• Keketseho ea tšohanyetso ea boemo ba tsoekere maling (lefu la tsoekere)
• Jaundice ('mala o mosehla letlalong, lera la' mele, kapa karolo e tšoeu ea mahlo) le ho hlohlona ha letlalo
• Ho felloa ke takatso ea lijo le ho theola boima ba 'mele
• Ho nyekeloa le ho hlatsa
• Bohloko kapa ho se utloise bohloko karolong e kaholimo ea mpa kapa mpa

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele mme a botse ka matšoao a hau. Nakong ea tlhahlobo, mofani oa litšebeletso a ka ikutloa a le leqhubu ka mpeng.

Liteko tsa mali tse ka laeloang li kenyelletsa:

• Palo e felletseng ea mali (CBC)
• Liteko tsa ts'ebetso ea sebete
• Serum bilirubin

Ho nahana ka liteko tse ka laeloang ho kenyelletsa:

• CT scan ea mpa
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Endoscopic ultrasound
• MRI ea mpa

Ho lemoha kankere ea pancreatic (le mofuta oa mofuta ofe) e entsoe ke biopsy ea pancreatic.

Haeba liteko li tiisa hore u na le mofetše oa pancreatic, ho tla etsoa liteko tse ling ho bona hore na mofetše o hasane hakae kahare le kantle ho manyeme. Sena se bitsoa sethaleng. Ho beha litepisi ho thusa ho tataisa kalafo mme ho u fa leseli la seo u ka se lebellang.

Kalafo ea adenocarcinoma e ipapisitse le boemo ba hlahala.

Ho ka etsoa opereishene haeba hlahala e sa ata kapa ha e hasane hanyane haholo. Hammoho le ho buuoa, chemotherapy kapa therapy ea radiation kapa ka bobeli li ka sebelisoa pele kapa kamora 'opereishene. Palo e nyane ea batho e ka phekoloa ka mokhoa ona oa kalafo.

Ha hlahala e sa namela manyeme empa e ke ke ea tlosoa ka bongaka, chemotherapy le kalafo ea radiation hammoho li ka buelloa.

Ha hlahala e hasane (metastasized) ho litho tse ling tse joalo ka sebete, chemotherapy feela e sebelisoa hangata.

Ka mofetše o tsoetseng pele, sepheo sa kalafo ke ho sebetsana le bohloko le matšoao a mang. Mohlala, haeba phaephe e jereng bile e koetsoe ke hlahala ea pancreatic, ho ka etsoa mokhoa oa ho beha tube (stent) e nyane ea tšepe ho bula thiba. Sena se ka thusa ho imolla jaundice le ho hlohlona ha letlalo.

U ka fokotsa khatello ea maikutlo ea bokuli ka ho kenela sehlopha sa ts'ehetso ea mofets'e. Ho arolelana le ba bang ba nang le liphihlelo tse tšoanang le mathata ho ka u thusa hore u se ke ua ikutloa u le mong.

Batho ba bang ba nang le mofetše oa pancreatic o ka ntšitsoeng opereishene oa phekoloa. Empa ho batho ba bangata, hlahala e namme mme e ke ke ea tlosoa ka botlalo nakong ea tlhahlobo.

Chemotherapy le radiation hangata li fanoa kamora ho buuoa ho eketsa sekhahla sa pheko (sena se bitsoa adjuvant therapy). Bakeng sa mofetše oa pancreatic o ke keng oa tlosoa ka botlalo ka ho buuoa kapa mofetše o nameng ho feta manyeme, pheko ha e khonehe. Tabeng ena, chemotherapy e fuoa ho ntlafatsa le ho lelefatsa bophelo ba motho.

Bitsa kopano le mofani oa hau haeba u na le:

• Bohloko ba mpeng kapa ba mokokotlo bo sa foleng
• Ho phehella takatso ea lijo
• Mokhathala o sa hlaloseheng kapa ho theola boima ba 'mele
• Matšoao a mang a lefu lena

Mehato ea thibelo e kenyelletsa:

• Haeba u tsuba, joale ke nako ea ho tlohela.
• Ja lijo tse nang le litholoana, meroho le lithollo tse ngata.
• Ikoetlise khafetsa ho lula boima bo phetseng hantle.

Kankere ea pancreatic; Kankere - manyeme

• Tsamaiso ea ho sila lijo
• Litšoelesa tsa endocrine
• Kankere ea Pancreatic, CT scan
• Mekhanya
• Tšitiso ea biliary - letoto la lihlooho tse

Jesu-Acosta AD, Narang A, Mauro L, Herman J, Jaffee EM, Laheru DA. Carcinoma ea manyeme. Ka: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, bahlophisi. Abeloff's Clinical Oncology. La 6th. Philadelphia, PA: Elsevier; 2020: khaolo ea 78.

Webosaete ea National Cancer Institute. Kalafo ea mofets'e ea Pancreatic (PDQ) - mofuta oa litsebi tsa bophelo bo botle. www.cancer.gov/types/pancreatic/hp/pancreatic- kalafo-pdq. E ntlafalitsoe ka Phupu 15, 2019. E fihlile ka Phato 27, 2019.

Webosaete ea National Comprehensive Cancer Network. Litaelo tsa NCCN tsa litloaelo tsa kliniki ho oncology: pancreatic adenocarcinoma. Mofuta oa 3.2019. www.nccn.org/professionals/physician_gls/pdf/pancreatic.pdf. E ntlafalitsoe ka Phupu 2, 2019. E fihlile ka Phato 27, 2019.

Litlhare GT, Wilfong LS. Kankere ea pancreatic, cystic pancreatic neoplasms, le lihlahala tse ling tsa pancreatic tse sa sebetseng. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mpeng le Mafu a Sebete. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 60.