Pancreatic cancer: mgbaàmà, nchoputa, ọgwụgwọ

Otu n'ime ihe ndị dị ize ndụ akpụ pathologies bụ pancreas. Mgbaàmà nke ọrịa mata na n'oge ogbo bụ fọrọ nke nta agaghị ekwe omume. Ọrịa a na-chọpụtara na ọrịa, n'ozuzu na ihe dị elu ogbo. A na-agwọ na-aga n'ihu daa ọrịa bụ nnọọ ihe siri ike.

The anatomical nkọwa

Pancreas - a obere ngwa, dị nnọọ n'azụ afọ. Ọ rụrụ ihe abụọ dị mkpa na ọrụ:

1. Digestive. The ngwa na-arụpụta enzymes. Ha itisa rutere na nri na-edozi, abụba, carbohydrates. Mwepu nke enzymes emepụta site na prostate ducts n'ime duodenum.
2. Endocrine. The pancreas-arụpụta a hormone abuana ke metabolic n'ibu. Otu n'ime ha insulin. Mmiri ọgwụ ike nke na-ebelata ọbara sugar etoju. Ihe ọzọ dị mkpa mgwa bụ glucagon. The hormone enhances glucose. Ọ dịghị dị mkpa bụ na mmepụta nke gastrin. Nke a hormone na-abawanye runningaway Gland pancreatic ihe ọṅụṅụ.

The mmewere nke pancreas bụ ndị na-esonụ ngalaba:

• isi;
• n'olu;
• aru dum;
• ọdụ.

Akacha chọpụtara akpụ nke pancreas isi.

daa ọrịa akpatara

Pancreatic cancer, mgbaàmà nke o doro anya gosi na nke ikpeazụ nkebi - a malignancy. Pathology bụ nnọọ nkịtị na oncology. Ebe ọ bụ na ihe ndekọ ụba ibu na ngwaike. N'ihi ya, ahụ nwere ike ọ bụghị mgbe niile ịnagide ha isi ọrụ.

Akpata cancer na ọtụtụ na-adakarị ọnọdụ na-anọgide a omimi. Otú ọ dị, ndị dọkịta kwuru na ọ bụ ihe na-enye ọnọdụ n'ihi na e kere eke nke dị ndụ nke kansa.

Ya mere, a ajọ akpụ nke pancreas pụrụ ịzụlite na ndabere:

1. Ise siga. Nke a bụ nke mbụ na-akpata na-akpalite mmepe nke daa ọrịa. Polycyclic aromatic hydrocarbons dị na ụtaba anwụrụ ọkụ, bụ a nwere ike stimulator nke akpụ development. Almost 1/3 nke ọrịa nile nke pancreas na-triggered ịṅụ sịga cancer.
2. Agadi. People karịrị afọ 60 na-ndị na-enwekarị ihe ize ndụ maka ọrịa.
3. Gender. Dị ka ọnụ ọgụgụ, a gland akpụ na-chọpụtara ọzọ mgbe ndị ikom nọ.
4. Diabetes. High ọbara sugar etoju nwere ike na-eduga mmepe nke pancreatic cancer.
5. Adịghị ala ala pancreatitis. Long etoola mbufụt bụ mgbe a predisposing akpata mmepe nke ọrịa. Mere mgbanwe pancreas, ndị e ji mara maka pancreatitis, akpasu ozizi ahu. The outflow nke enzymes siri ike. Pancreatic ihe ọṅụṅụ ga-esi n'ime digestive tract, detrimental utịp ke anụ ahụ nke ngwa. N'ihi ya, kpọrọ ihe akwusila pancreatic parenchyma.
6. Ibu oké ibu. Ibu ibu na yiri ọrịa na ahụ nwere ike ịbụ isi iyi nke cancer.
7. Nsogbu. Abuse nke carbohydrates, abụba na-emepụta ihe enwekwukwa ibu na ahu. N'ihi ya, ígwè nwere ike ida. A nri ọgaranya mkpụrụ osisi, na akwụkwọ nri budata ebelata ihe ize ndụ nke etuto ahụ.
8. Si n'aka ruo n'aka. Na ọnụnọ nke ndị ikwu onye nwere nke a daa ọrịa, ihe ize ndụ nke na-emepe emepe prostate cancer na-abawanye budata.

The mbụ ihe ịrịba ama nke ọrịa

Ọ bụ nnọọ ike chọpụta oge mgbe e nwere mbụ nsogbu na anyịnya. Mgbaàmà nwere ike imperceptible ruo mgbe mmalite nke ogbo 4 cancer. Na, dị mwute ikwu, ọ bụghị ihe ọhụrụ. Dị ka ihe na mmetụta naanị toro pancreatic akpụ. Mgbaàmà nke ọrịa triggered site mgbasa nke cancer na ndị ọzọ arọ.

Otú ọ dị, e nwere atụmatụ nke ike-enyo enyo na ọrịa na mbụ ogbo. Ha na-kpam kpam dabere na orunótu nke daa ọrịa.

Mara na mbụ nsogbu na anyịnya, na-esonụ mgbaàmà:

• oncology isi - arọ ọnwụ, jaundice, abụba ke ifịm, abdominal mgbu;
• cancer ahụ, ọdụ - arọ ọnwụ, abdominal erughị ala.

Pathology na-amalite na isi glands, na-eme ka ya onwe ya nnọọ obi tupu oncology, pụta na n'akụkụ ndị ọzọ nke pancreas.

Key atụmatụ

Ke ofụri ofụri, ma ọ bụrụ na anyị na-ekwu banyere pancreatic cancer, ndị na-esonụ mgbaàmà nwere ike ime:

1. Pain epigastric erughị ala. Nke a bụ nke mbụ ndidi mkpesa. N'ihi na ojiji nke nri dị ka a na-achị, ike-deere. The mgbu bụ nnọọ njọ n'abalị. Na orunótu nke pathologies isi gland erughị ala na-ebilite na nri elu quadrant na mpaghara otubo. Ọ bụrụ na gburu site na ọdụ, ahụ nke pancreas, onye ọrịa ahụ na mgbu, interscapular ebe. Erughị ala mgbe ọnọdụ nwere ike ịgbanwe osisi ike. Ya mere, nke a mgbu a na-na-ezighị-atụle radikulitnoy.
2. Paraneoplastic mgbaàmà. Onye ọrịa na-enwe ike ọgwụgwụ, na ọnwụ nke agụụ. Ọtụtụ mgbe, e nwere ihe mkporomaasi ka abụba, anụ nri. Onye ọrịa jụ mmasị igbu egbu - caffeine, mmanya, ụtaba. Characteristically gosiri arọ ọnwụ, ụra n'ọgba aghara, Trousseau ọrịa (migrating thrombosis nke elu veins).
3. Jaundice. Na-mbadamba bile duct. N'ihi ya, onye ọrịa ahụ mmamịrị na akpụkpọ ọkọkpọhi darker ndo. Nsị na Mkpa ọkụ. E itching. The ńsí eriri afo na-agbatị na aka, enweghi mgbu.
4. Mebiri nri mgbaze. Na lumen nke eriri afọ na-adịghị natara achọrọ nọmba nke enzymes na bile. N'ihi ya, onye ọrịa na-efunari ibu ngwa ngwa. Ọ na-ebilite a ọchịchọ afọ ọsịsa.
5. A mmetụta nke arọ. duodenum akpata mkpakọ nke ọrịa mmetụta nke jupụtara n'ime ya, ọbụna mgbe a obere ego nke nri eri eri. Ekwe Omume belching rere ure. Mgbe ụfọdụ enyekwara vomiting nri.
6. Ọbara ọgbụgba. Ọ bụrụ na ngwọta na-etolite site na mgbidi nke afo, onye ọrịa nwere ike a mgbaàmà. Ọ e ji vomiting, mushy uka nke nwa stool ma ọ bụ coal-nwa.
7. Mgbaàmà nke hypersplenism. Ha na-egosi na apịpụta splenic akwara akpụ. Onye ọrịa mepụtara leukopenia, anaemia, thrombocytopenia. Ikekwe na-abawanye na size nke splin - splenomegaly.
8. Ihe ịrịba ama nke ọrịa shuga. Ọ bụrụ na-ebibi insulin na-emepụta na ntakịrị àgwàetiti nke prostate, onye ọrịa na-enwe na-ahụkarị ihe mgbaàmà. E nwere otu nnukwu akpịrị ịkpọ nkụ, itching akpụkpọ mucous membranes, nkụ ọnụ.
9. Ascites. Nke a bụ a mbubreyo ịrịba ama nke daa ọrịa. Ọ na-egosi metastases na peritoneum, Portal akwara.

Ọ bụla dị n'elu mgbaàmà bụ na o siri ike kpọmkwem maka oncology. Ya mere, ahụ erughị ala metụtara na pancreas - a amanyere bụ iwu nke mere ka ha hụ dọkịta.

ụzọ nke nchoputa

Naanị nnyocha na-ekpughe a ngwọta.

Ọ bụ ezie na ọnụnọ nke mgbaàmà (nke nwere ike indicative nke ọzọ pathologies), ndị na-esonụ na-eduzi ọmụmụ:

1. US. Ọ bụ a mma na ukwuu ọmụma usoro. Ọmụmụ ihe dị otú chọpụta ọnụnọ nke mbufụt, reactive mgbanwe nke pancreas na ya ọnọdụ. Ultrasound nnyocha na-ekpughe a akpụ na bụ ibu 2 cm. Ke adianade do, ọmụmụ na-enye otu echiche banyere larịị nke echogenicity. Mgbe nnyocha e mere iji chọpụta na steeti ndị dị otú ahụ anụ ahụ dị ka parenchyma nke pancreas. Ultrasound na-ekpughe ya bughi mgbanwe.
2. CT. Ndị nnyocha e mere na-enye nkọwa nke size, ọnọdụ, daa ọrịa, ndisịn idem nke n'akụkụ akụkụ. Nchọpụta zuru ezu a pụrụ ịdabere na nchọpụta nke akpụ si 3 cm. Otú ọ dị, CT na-ejikọrọ na X-ray irradiation. Mere mgbe ọ na-adịghị na-atụ aro na-ebu.
3. MR. High ọmụma ọdịnaya nke usoro na-achọkwa na a nta ibu na organism.
4. Biopsy. Nke a bụ ihe kasị pụrụ ịdabere na nchoputa nke cancer. Maka nnyocha e a ụfọdụ ebe nke akpụ, nke na-nlezianya nyochaa n'okpuru a mikroskopu. Ngere mkpa ihe onwunwe a rụrụ n'ụzọ abụọ. N'okpuru nke US pụrụ iche agịga na ẹkenam n'ime ebe nke ngwọta. Nwere ike iji endoscopic usoro. Na ọnụ ọrịa e nyere a pụrụ iche mkpa tube.
5. Blood analysis. Ọ achọpụtara site na-abawanye na oncology mmadụ. Otú ọ dị, nke a mara nwere ike ịbụ ihe mgbaàmà nke ọrịa ndị ọzọ.

Ọ bụrụ na ị na-ahụ a cancer cell biopsy nchoputa na-egosi. Otú ọ dị, iji chọpụta na ogbo nke ọrịa na-achọ ihe ọzọ ule: obi X-ray, ultrasound nnyocha nke imeju.

ọrịa ọgwụgwọ

The ọrịa n'etiti ndị kasị sie ike na ngalaba nke oncology. Ruo taa, ndị dọkịta nwere ike n'ụzọ doro anya zaa otú ịgwọ pancreas. The isi ike metụtara na agadi ọrịa. Ọzọkwa, ọrịa a dịgasị iche iche nke opportunistic ọrịa. Ihe ọzọ na-sikwuoro ọgwụgwọ, ọ bụ definition nke ọrịa na mgbe e mesịrị nkebi, mgbe ngwọta na-emetụta ndị n'akụkụ akụkụ.

Isi ọgwụgwọ - bụ a ịwa ahụ na pancreas. The esi nke na dị otú ahụ na-adabere na ọtụtụ ihe, isi n'etiti nke bụ ogbo nke ọrịa.

Tee, dabere na ndị na-egosi, na ụzọ ndị ọzọ nke ọgwụgwọ:

• palliative ịwa ahụ;
• radieshon ọgwụ;
• na-anara ọgwụ.

ịwa ahụ ọgwụgwọ

Site na ime ihe a pụtara Will si usoro. Onye ọrịa na-ewepu akụkụ nke prostate na e dere ihe ngwọta. Ọzọkwa ọ na-doro otu usoro akụkụ nke afo, duodenum, ńsí eriri afo, Lymph, nke na-emi odude nso pancreas.

The mkpa iji wepụ otú ọtụtụ ozu n'ihi na anatomical ọnọdụ nke gland onwe ya. The pancreas bụ anya n'akụkụ n'elu-e kwuru arọ. Nke a, a akpụ na-agbasa nnọọ ngwa ngwa ka n'akụkụ akụkụ. Ha mwepụ-enye gị ohere iji kwụsị mmụba nke ọrịa.

Dị mwute ikwu na, na 10-25% nke cancer ọrịa na-atụ aro ọrụ pancreas. The esi nke ịwa ahụ anaghị kpochapụ mmadụ.

Na nke a ọnụ ọgụgụ na-enye ndị na-esonụ data mgbe ọ na-abịa ọrịa na a nchoputa nke "pancreatic cancer":

1. Enweghị ịwa ahụ na nkezi ọrịa ndu ndimmadu bụ banyere 6 ọnwa.
2. Mgbe usiakidem, a oge na-abawanye, dabere na ogbo nke ọrịa, ruo 1.5-2 afọ.

palliative ịwa

Ha na-ekwe gị:

• mma àgwà nke ndụ;
• mgbu erughị ala;
• ibuso okpo jaundice;
• weghachi patency nke duodenum.

E nwere ọtụtụ ụzọ na palliative ịwa ahụ nwere ike rụrụ. Pancreatic akpụ, dị mwute ikwu, ọ bụghị na-ewepụ. Otú ọ dị, àgwà nke ndụ mma dịtụ.

Isi ụzọ bụ:

1. Endoscopic stenting. Ọdịiche narrowed duct ẹkenam a tube ma ọ bụ waya eku. Ọ na-esetịpụ na-elu ilu ụzọ. N'ihi ya na-agbake ọrụ eruba. Bile kpamkpam egosipụta.
2. Drainage echichi. Pụtara ọrụ yiri gara aga otu. Naanị patency nke bile na-adịghị weghachiri eweghachi, na atara n'èzí - na a pụrụ iche akpa.

Lụọ mgbu analgesics ekwe. Na ike erughị ala ka a ndidi họpụtara narcotic analgesics:

• "Promedol".
• "Morphine".
• "Omnopon".

arụkọ therapies

Mbuso pancreatic oncology ndidi ike na-emeso ndị na-esonụ iche nke radieshon ọgwụ:

• bremsstrahlung radieshon;
• anya gamma-ọgwụ;
• irradiation site ngwa ngwa electrons.

Radieshon ọgwụ nwere ike rụrụ n'ihu, mgbe ịwa ahụ, na mgbe ụfọdụ kama. Na oge nke ọrịa ndụ bụ 12-13 ọnwa. Ọ bụrụ na radieshon ọgwụ na-achọkwa na palliative ọrụ, ndị lifespan nke nkezi nke banyere 16 ọnwa.

Ọgwụ na-eji mgbe ọ gaghị ekwe omume na-eduzi ndị ọzọ ọgwụgwọ ma ọ bụ aka na mmetụta nke ọgwụ na-eme. Dị mwute ikwu na, dị otú ahụ a na usoro na-enye ohere iji nweta naanị ele mmadụ anya n'ihu nlaghachi azụ nke neoplasm.

daa ọrịa amụma

Na ọtụtụ nke ikpe na-chọpụtara na ihe dị elu ogbo. Onye ọrịa nwere adakarị ngosipụta apụta ọrịa ndị dị ka pancreatic akpụ. Prognosis nke ọrịa ọjọọ.

Ọrịa anwụ Ubara igbu egbu, cachexia, nsia mgbochi, jaundice na a ọnụ ọgụgụ nke ndị ọzọ nsogbu.

Ịgbaso usiakidem, afọ ise lanarị ọnụego nke ọrịa (dị ka ọ pụtara ìhè site iche iche na-ede akwụkwọ) bụ 8-35%.

daa ọrịa Prevention

Olee otú ịgwọ pancreas na oncology? N'ụzọ dị mwute, ọ bụ nnọọ ihe siri ike. Ma mgbe ụfọdụ ọ gaghị ekwe omume. Ọ bụ ya mere mgbalị nile kwesịrị iji zere ọrịa.

Iji mee nke a, gee ntị na ntụzịaka:

1. Ise sịga.
2. Mee a na nri kwesịrị ekwesị.
3. Kwụsị deleterious mmetụta nke gburugburu ebe obibi (Asbestos ájá).
4. Bịara n'Ezi Oge na-emeso ọrịa: pancreatitis, ọrịa shuga.
5. N'usoro ata mgbochi ego-acha ọkụ, karịsịa na ọnụnọ nke cysts, akụkọ ezinụlọ ya.

Enyela ohere ọ bụla ịzụlite ọrịa na ahụ gị. Nọrọ mma!