Pancreas inhengo iri mumuviri wedu iyo vanhu vazhinji vasingataure nezvayo zvakanyanya, uye yakavanzwa zvishoma. Zvichitaurwa zviri nyore, iri mukati medumbu rako, kuseri kwedumbu rako uye pamberi pemusana wako. Iyi nhengo diki inoita zvinhu zviviri zvakakosha mumuviri wedu. Chimwe kugadzira mahormone anodzora huwandu hweshuga muropa. Chimwe kugadzira ma enzyme anobatsira kugaya chikafu chatinodya. Zvisinei, kana masero ari munhengo iyi akachinja zvisingadzoreki otanga kupatsanuka nekukurumidza, bundu rinoumbwa. Ndizvo zvatinodaidza kuti kenza yepancreas.
Sei gomarara iri richinetsa kuongororwa?
Dambudziko guru nechirwere ichi nderekuti hachiratidzi zviratidzo pakutanga . Kunyangwe kuongororwa kwakajairika hakuoneki bundu iri pakutanga. Saka, panguva iyo vanhu vazhinji vanozoona kuti vane chirwere ichi, kenza inenge yatopararira (yakapararira) kune dzimwe nhengo dziri kunze kwepancreas. Zvakare, kenza iyi inoramba mishonga yakawanda yekurwisa kenza, saka inogona kuoma kurapa. Asi musazvidya mwoyo, sainzi yezvekurapa iri kuvandudzika zuva nezuva, saka nzira itsva dzekurapa dziri kugara dzichitsvakurudzwa.
Ndeapi marudzi ekenza yepancreatic?
Kune mhando mbiri huru dzegomarara repancreas.
1. Matumbu emudumbu: Iri ndiro rudzi rwakajairika. Vanhu vanopfuura 90% vekenza ndeverudzi urwu. Rudzi rwakajairika rweizvi iAdenocarcinoma . Izvi zvinotanga mumasero ari mukati memapaipi epancreatic.
2. Matumbu eNeuroendocrine (NETs): Aya haawanzoitiki, achikonzera pasi pe10% yezvirwere.
Ndezvipi zviratidzo zvechirwere ichi?
Sezvatakambotaura, hapana zviratidzo zvinoonekwa pakutanga. Zviratidzo zvinongotanga kuonekwa kana kenza yakura yotanga kukanganisa dzimwe nhengo dzemuviri dziri mudumbu riri pedyo. Saka, zvakakosha kuziva zviratidzo izvi.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kutsvuka kweganda nemaziso (Jaundice) | Izvi zvinoitika kana kenza ikavhara duct yenyongo kubva munduru, zvichiita kuti kemikari yeyero inonzi bilirubin iungane mumuviri. |
| Weti ine ruvara rwakasviba | Weti inoshanduka kuita yero yakasviba kana kuti brown nekuda kwekuwedzera kwehuwandu hwebilirubin mumuviri. |
| Zvigaro zvine ruvara rwakajeka | Nekuda kwekuvharika kwemugero wenyongo, makemikari anopa tsvina ruvara rwayo rwebrown haaunganidzwi, zvichiita kuti tsvina iite ruvara rwakajeka, rwakaita sevhu. |
| Marwadzo emudumbu nemusana wepamusoro | Bundu rinogona kukura rodzvanya tsinga dzakaripoteredza. Marwadzo anogona kuwedzera mushure mekudya kana kurara pasi. |
| Kuderedza uremu pasina chikonzero | Kudzikira kwehuremu kunoitika nekuda kwekuchinja kwemetabolism yemuviri uye kurasikirwa nechido chekudya nekuda kwegomarara. |
| Kusanzwa kuda kurutsa uye kuda kurutsa | Kushaya chido chekudya, kunzwa kuda kurutsa. |
| Ganda rinokwenya | Zvinogona kukonzerwa nekuunganidzwa kwebilirubin muganda. |
| Chirwere cheshuga chitsva | Kana munhu akangoerekana awana chirwere cheshuga asina zvimwe zvinhu zvinomuisa panjodzi, kunyanya mushure memakore makumi mashanu, zvinogona kuva chiratidzo chegomarara repancreas. |
Chinhu chakakosha ndechekuti kungova nechimwe chezviratidzo izvi hazvirevi kuti une kenza yepancreas. Izvi zvinogonawo kuva zviratidzo zvezvimwe zvirwere. Zvisinei, kana uine chimwe chezviratidzo izvi, kuchenjera kuona chiremba nekukasika kuti akupe mazano.
Ndezvipi zvinhu zvinokonzera kenza yepancreatic?
Chikonzero chaicho chegomarara iri hachisati chawanikwa. Zvisinei, vanachiremba vakaona zvimwe zvinhu zvinokonzera njodzi yekubata chirwere ichi.
- Kusvuta: Kushandiswa kwefodya, fodya, nezvimwe zvigadzirwa zvefodya ndicho chinhu chikuru chinokonzera njodzi.
- Kufuta: Kurema kwakanyanya mumuviri, kunyanya kuunganidzwa kwemafuta mudumbu, kunowedzera njodzi.
- Chirwere cheshuga: Kuva nechirwere cheshuga (kunyanya rudzi rwechipiri) kwenguva yakareba injodzi. Uye sezvatakambotaura, kutanga kamwe kamwe kwechirwere cheshuga kunogonawo kuva chiratidzo.
- Chirwere chepancreatitis chisingaperi: Kuzvimba kwepancreas kwenguva yakareba.
- Nhoroondo yemhuri nezvinhu zvinokonzerwa nemajini: Njodzi yacho yakakura kana mumwe munhu mumhuri (vabereki, vanun'una kana hanzvadzi) akambova nekenza yepancreas kana kuti ane majini akabatana nekenza yakaita seBRCA1 neBRCA2 .
- Kusangana nemakemikari: Kusangana nezvinhu zvakaita semishonga inouraya zvipembenene nemakemikari anogadzirwa nepetroleum kwenguva refu.
- Zera: Njodzi inowedzera nekukura.
Nzira yekuziva chirwere ichi? (Kuongororwa)
Kana chiremba wako achifungidzira kuti une kenza yepancreas zvichibva pazviratidzo zvako, anokurudzira bvunzo dzinoverengeka kuti asimbise chirwere chacho.
1. Miedzo yemifananidzo
Izvi zvinoshandiswa kutora mifananidzo yepancreas nedzimwe nhengo dzakapoteredza mukati memuviri kuti zvionekwe kana paine bundu uye kuti rapararira kusvika papi.
- Kuskena kweCT (Computed Tomography)
- Kuskena kweMRI (Magnetic Resonance Imaging)
- Kuongororwa kwePET (Positron Emission Tomography)
- Endoscopic Ultrasound (EUS): Kuongorora padyo kwepancreas uchishandisa kamera uye scanner zvakabatanidzwa nechubhu yakatetepa inopinzwa nemuromo.
2. Kuongororwa kweropa
Ropa rinoongororwa kuti harionekwe mapuroteni (zviratidzo zvegomarara) anogadzirwa nemasero egomarara. Mugomarara repancreas, huwandu hwechiratidzo chegomarara chinonzi CA 19-9 hunogona kunge hwakakwira.
3. Kuongororwa kwemuviri
Iyi ndiyo nzira chaiyo yekusimbisa chirwere. Mukuita uku, kanyama kadiki kanotorwa kubva mubundu repancreas koongororwa nemaikorosikopu kuti vaone kana paine masero ekenza. Kanyama aka kanogona kutorwa panguva yekuongororwa kweEUS.
4. Kuongororwa kwemajini
Kana ukaonekwa uine kenza, chiremba wako anogona kukurudzira kuongororwa kwemajini. Izvi zvichakubatsira kuona kana paine chikonzero chegomarara rako uye kukubatsira kusarudza kurapwa kwakakunakira.
Kuziva danho regomarara (staging)
Usati watanga kurapwa, zvakakosha kuziva kuti kenza yave papi. Izvi zvinoreva kuti bundu iri rakangopararira mupancreas here kana kuti rakapararira kutsinga dzeropa dziri pedyo kana dzimwe nhengo dzemuviri. Zvichitaurwa zviri nyore, bundu rekenza rakakamurwa muzvikamu zvikuru zvina.
| Danho rekenza | Zvinoreva |
|---|---|
| Inogona kubviswa (inogona kubviswa nekuvhiyiwa) | Bundu iri rakangoganhurirwa padumbu. Harina kupararira mutsinga dzeropa dzakapoteredza. Rinogona kubviswa zvachose nekuvhiyiwa. |
| Inogona kubviswa pamuganhu | Bundu iri rakabatana netsinga dzeropa dziri pedyo, asi richiri padanho rekuti chiremba ane hunyanzvi anogona kuribvisa. |
| Yakagadzirwa zvakanaka munharaunda | Bundu iri rapararira zvakanaka mutsinga huru dzeropa dziri pedyo. Kubviswa kwaro kungave kwakaoma kana kune njodzi. |
| Kupararira kweropa | Kenza iyi yapararira kunhengo dziri kure, dzakadai sechiropa, mapapu, kana mudumbu. |
Ndezvipi zvingasarudzwa pakurapa?
Nzira yekurapa inotsamira parudzi rwekenza, danho, nzvimbo yebundu, uye hutano hwese hwemurwere.
Kuvhiya
Nzira chete chaiyo yekurapa kenza yepancreas zvachose ndeyekubvisa bundu rese nekuvhiyiwa . Asi izvi zvinogona kuitwa chete pakutanga, kana kenza yangove papancreas chete.
- Maitiro eWhipple: Kuvhiyiwa kukuru kunoitwa kana bundu riri mumusoro wepancreas. Mukuita uku, musoro wepancreas, chikamu cheura hudiki, gallbladder, uye lymph nodes dzakapoteredza zvinobviswa.
- Kubviswa kwepancreatectomy yeDistal: Kana bundu riri mumuswe wepancreat, chikamu ichocho nepleen zvinobviswa.
- Kubviswa kwepancreatectomy yese: Kana kenza yapararira kune pancreas yese, pancreas yese inobviswa. Izvi zvinoreva kuti uchafanirwa kunwa majekiseni e insulin uye mapiritsi ema enzyme ekugaya kwehupenyu hwako hwese.
Kurapwa nemakemikari
Izvi zvinosanganisira kupa muviri mishonga inouraya masero egomarara. Aya anopihwa semapiritsi kana nejekiseni mutsinga. Anoshandiswa kuderedza bundu risati ravhiyiwa, kuuraya masero asara mushure mekuvhiyiwa, kana semushonga mukuru wegomarara rapararira.
Kurapa nemwaranzi
Kushandiswa kweX-rays ine simba guru kuparadza masero ekenza. Izvi zvinowanzoitwa pamwe chete nechemotherapy (chemoradiation).
Kurapa kwakanangana
Iyi imhando itsva yemushonga inoshanda nekutarisa mapuroteni chaiwo anobatsira masero egomarara kukura nekupararira.
Kugadzirisa marwadzo
Nekuti kenza yepancreas inokanganisa tsinga dzakatenderedza pancreas, dzimwe nguva inogona kukonzera kurwadziwa kwakanyanya. Saka, kudzora marwadzo chikamu chakakosha chekurapa. Chiremba wako achakurudzira mishonga yakakodzera yekurwadziwa kana dzimwe nzira kwauri. Usashivirira marwadzo, taura nachiremba wako nezvazvo.
Tinogona kudzivirira chirwere ichi here?
Hapana nzira yekudzivirira zvachose kenza yepancreas, asi pane zvimwe zvatinogona kuita kuderedza njodzi yedu.
- Dzivisa kusvuta zvachose. Ichi ndicho chinhu chakakosha.
- Deredza kunwa doro.
- Ramba uine huremu hwakanaka.
- Idya chikafu chine michero mitsva, miriwo, uye zviyo zvakakwana.
- Deredza kudya nyama tsvuku, zvinwiwa zvine shuga, uye zvekudya zvakagadzirwa nesimbi.
Mharidzo Yekuenda Nayo Kumba
- Gomarara repancreatic chirwere chinongoerekana chaitika chisingaratidzi zviratidzo pakutanga.
- Tarisa zviratidzo zvakaita seganda nemaziso zvichitsvuka (jaundice), kurwadziwa kusingaperi mudumbu kana kumusana, kudzikira kwehuremu kusingatsananguriki, uye kutanga kwechirwere cheshuga.
- Kusvuta fodya ndicho chinhu chikuru chinokonzera gomarara iri, saka zvakakosha kuti usazviwane.
- Chirwere ichi chinongorapwa zvachose kana chikaonekwa pakutanga uye bundu racho robviswa zvachose kuburikidza nekuvhiyiwa.
- Kana iwe kana mumwe munhu mumhuri yako aine zviratidzo zvataurwa pamusoro apa kana zvinhu zvinoisa njodzi, musatya kana kunonoka kuenda kuna chiremba kuti akupei mazano.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga