Sengoli: Frank Hunt
Letsatsi La Creation: 19 La March 2021
Ntlafatsa Letsatsi: 5 November 2024
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Litaba

Phekolo ea ho tlosoa ha mofetše oa pancreatic ke mofuta o mong oa kalafo o nkoang ke lingaka tse ngata e le ona feela mofuta oa kalafo o nang le bokhoni ba ho folisa mofets'e oa pancreatic, leha ho le joalo, pheko ena e khonahala feela ha mofets'e o fumanoa qalong.

Kankere ea Pancreatic e atile haholo kamora ho ba lilemo tse 60 'me e mabifi haholo ebile e na le sekhahla sa pholoho se ka bang 20% ​​lilemong tse 10 kamora ho hlahlojoa, leha motho a na le pancreatic adenocarcinoma e le' ngoe feela mme a se na li-lymph node tse amehileng. Bakuli ba nang le metastase kapa hlahala e ke keng ea qojoa ba na le karolelano ea tebello ea bophelo ea likhoeli tse 6 feela. Kahoo, hang ha lefu lena le fumanoa, ho hlokahala hore ho etsoe liteko le ho etsa opereishene ho eketsa menyetla ea ho fola le ho lelefatsa bolelele ba bophelo ba mokuli.

Mefuta ea ho buuoa ke mofetše oa pancreatic

Mefuta ea mantlha ea ho buuoa ho tlosa mofetše oa pancreatic:


  • Gastroduodenopancreatectomy kapa Phekolo ea Whipple, e na le ho tlosa hlooho ho manyeme 'me ka linako tse ling hape le karolo ea' mele ea manyeme, gallbladder, tsela e tloaelehileng ea bile, karolo ea mpa le duodenum. Ts'ebetso ena e na le sekhahla se atlehang sa katleho, hape e ka sebelisoa e le mokhoa oa ho hlasimolla, kaha e fokotsa ho se utloise bohloko hoo lefu lena le ho tlisang hanyane. Kamora 'opereishene ena, tšilo ea lijo e lula e le ntho e tloaelehileng hobane lejoe le hlahisoang sebeteng, lijong le lero la tšilo ea lijo tse tsoang karolong e setseng ea manyeme li ea ka ho otloloha mala.
  • Duodenopancreatectomy, e leng mokhoa oa ho buoa o ts'oanang le opereishene ea Whipple, empa karolo e ka tlase ea mpa ha e tlosoe.
  • Kakaretso ea pancreatectomy, e leng ho buuoa moo ho tlosoang manyeme kaofela, duodenum, karolo ea mpa, spleen le gallbladder. Mokuli a ka ba le lefu la tsoekere kamora ho buuoa hona hobane a se a sa hlahise insulin ho loants'a tsoekere e phahameng maling hobane o tlositse manyeme kaofela, o ikarabellang ho hlahiseng insulin.
  • Pancreatectomy e hole: spleen le manyeme a distal a tlosoa.

Ntle le liopereishene tsena, ho na le mekhoa ea ho folisa e sebelisoang ha mofetše o se o tsoetse pele haholo mme e kenyelletsa ho buuoa ho alafa matšoao eseng ho phekola lefu. Chemotherapy e na le ts'ebetso e fokolang haholo, e sebelisoa haholo ho fokotsa litlamorao le ho ntlafatsa boleng ba bophelo ho bakuli ba sa khoneng ho buuoa kapa ba nang le metastases.


Litlhahlobo pele o etsoa opereishene

Ho itokisetsa ho buuoa ho tlosa hlahala ea pancreatic, ho hlokahala hore ho etsoe liteko tse thusang ho tseba hore na ho na le libaka tse ling tse anngoeng ke hlahala. Ka hona, ho khothaletsoa litlhahlobo tse kang seminara sa mpeng sa tomography, setšoantšo sa matla a khoheli a matla a nyutlelie, echoendoscopy, positron emission tomography le laparoscopy.

Nako ea ho lula

Bolelele ba nako ea ho lula sepetlele bo ipapisitse le bophelo bo botle ba motho ka kakaretso. Hangata motho o etsoa opereishene mme a ka ea hae ka nako e ka tlase ho matsatsi a 10, empa haeba ho na le mathata, haeba motho a tlameha ho etsoa opereishene, bolelele ba nako ea ho lula sepetlele bo ka ba telele.

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