Ingaba unomhlaza esiswini sakho? Masifunde ngomhlaza we-Duodenal!

Namhlanje siza kuthetha ngemeko engaqhelekanga ukuviwa ngayo, kodwa ngamanye amaxesha inokuba yinto ebaluleke kakhulu. Ngaba wakha weva ngento ebizwa ngokuba yi -'Duodenal Cancer' ? Mhlawumbi ubusoloko unentlungu esiswini, ukudumba, nokuhlanza, kwaye awazi ukuba yintoni. Kweli nqaku, siza kujonga ukuba yintoni le mhlaza we-duodenal, isizathu sokuba ivele, indlela esiyibona ngayo, kunye nonyango lwayo.

Ngaba uyazi ukuba yintoni i-Duodenal Cancer?

Ngamafutshane, umhlaza we-Duodenal sisisu esikhula xa iiseli kwinxalenye yokuqala yamathumbu ethu amancinci , i-duodenum , zikhula ngendlela engaqhelekanga nangokukhawuleza. Xa olu hlobo lwesisu lukhula, amathumbu ethu asenokungakwazi ukugaya ukutya ngokufanelekileyo, kwaye lunokuvala indlela yokuba ukutya kuhambe emathunjini.

Khawucinge nje, kwizigaba zokuqala, usenokungaziboni naziphi na iimpawu zalo mhlaza. Kodwa njengoko ithumba likhula, iimpawu ezinxulumene nenkqubo yakho yokugaya ukutya , ezifana nokucaphuka, iintlungu zesisu, kunye nokuqhina, ziqala ukubonakala.

Iphi i-duodenum emzimbeni wethu? Kwenzeka ntoni kuyo?

Sinesisu esincinci ngaphakathi esiswini sethu, akunjalo? Inxalenye yokuqala yaso ibizwa ngokuba yi-duodenum okanye i-duodenum . Yinxalenye encinci emile okwesihlangu sehashe. Emva kokuba ukutya esikutyayo kuvela esiswini, kungena ngqo kule duodenum.

Umsebenzi ophambili we-duodenum kukuqala ukugaya ukutya ngokufanelekileyo. Iikhemikhali ezahlukeneyo kunye nee-enzymes ezinceda koku zikhutshwa kwi-duodenum. Ezi ziqhekeza ukutya kakuhle kwaye zilungiselele iivithamini kunye nezondlo ezikuyo ngendlela umzimba onokuzifunxa ngayo. Emva koko, i-duodenum ithumela oku kutya kugayiweyo kwicandelo elilandelayo lamathumbu amancinci, eliyi -jejunum . Uyaqonda?

Ngaba kukho iintlobo zomhlaza we-duodenal?

Ewe, kuba kukho iintlobo ezahlukeneyo zeeseli kwi-duodenum, kukho iintlobo ezahlukeneyo zomhlaza ezinokuvela apho. Oogqirha bathetha kakhulu ngeentlobo ezine:

• I-Adenocarcinoma: Olu lolona hlobo luqhelekileyo lomhlaza we-duodenal. Lukhula kwiiseli ezivelisa iikhemikhali kunye nee-enzymes ezinceda ekugayeni ukutya.
• Iithumba zeCarcinoid: Ezi luhlobo lwethumba elikhula kancinci. Zidla ngokuqala kwindlela yethu yokugaya ukutya (i-GI tract) , kodwa ekuhambeni kwexesha zinokusasazeka kwezinye iindawo zomzimba.
• I-Lymphoma: Olu hlobo lomhlaza luqala kwiiseli zenkqubo yethu yomzimba yokulwa nosulelo.
• I-Sarcoma:Iqala emathanjeni ethu, kwimisipha, nakwizicwili ezithambileyo ezifana nemithambo yegazi. Uhlobo oluqhelekileyo lwe-sarcoma olukhula kwindlela yokugaya ukutya luhlobo olubizwa ngokuba yi -gastrointestinal stromal tumor .

Ngubani onokuba nomhlaza we-duodenal?

Oogqirha abakakwazi ukutsho ngokuqinisekileyo ukuba kutheni abanye abantu befumana lo mhlaza kanti abanye bengenawo. Nangona kunjalo, kukho izinto ezithile ezibangela umngcipheko wokuba nalo mhlaza. Makhe sijonge ukuba zeziphi:

• Ubudala: Lo mhlaza udla ngokufunyaniswa kubantu abaphakathi kweminyaka engama-60 ukuya kwengama-80 ubudala .
• Uhlanga: E-United States, uphando lufumanise ukuba abantu abamnyama banamathuba amaninzi okufumana lo mhlaza. ESri Lanka, idatha ethile ngalo mba isanqongophele.
• Iimeko zempilo: Abantu abaneengxaki ezithile zamathumbu, ezifana nesifo se-celiac okanye isifo sikaCrohn, basengozini enkulu kancinci.
• Imikhwa yempilo: Ukutshaya, ukusela utywala, nokutya rhoqo ukutya okunetyuwa eninzi nako kunokubangela ukuba lo mhlaza ube yingozi.
• Iimeko zofuzo: Ezinye iimeko zofuzo zinokunyusa umngcipheko womhlaza we-duodenal. Umzekelo, iimeko ezifana ne -Familial Adenomatous Polyposis (FAP) , i-Lynch syndrome , kunye ne-cystic fibrosis .
• Isini: Amadoda anethuba elincinci lokufumana lo mhlaza kunabafazi.

Ziziphi iimpawu zomhlaza we-duodenal?

Ixesha elininzi, xa umhlaza umncinci, usenokungabonakalisi zimpawu . Leyo yeyona ndawo yoyikekayo. Kodwa njengoko ithumba likhula, unokufumana iimpawu ezifana nezi:

• Intlungu zesisu.
• Isitshiso sentliziyo (i-acid reflux).
• Igazi esitulweni sakho.
• Ukuqhinwa.
• Isicaphucaphu okanye ukuhlanza.
• Ukunciphisa umzimba ngendlela engachazekiyo.

Ukuba nezi mpawu akuthethi ukuba unomhlaza. Nangona kunjalo, ukuba ezi mpawu ziyaqhubeka, kusoloko kububulumko ukubona ugqirha ukuze akunike ingcebiso.

Kutheni umhlaza we-duodenal ukhula?

Enyanisweni, oogqirha abakayazi kakuhle into ebangela umhlaza we-duodenal. Bacinga ukuba kungenxa yokukhula okuncinci (okubizwa ngokuba zii-polyps) ngamanye amaxesha okwakheka ngaphakathi kwamathumbu ethu.(Lo mhlaza uqala kumathumbu amakhulu.) Nangona kunjalo, akukabikho ukuqonda okucacileyo ukuba kutheni ezo polyps zenzeka. Yiyo loo nto kubalulekile ukuqaphela izinto ezibangela umngcipheko.

Ugqirha uwuxilonga njani lo mhlaza? (Uxilongo kunye noHlelo)

Ukuba uneempawu ezikhankanyiweyo apha ngasentla, into yokuqala ugqirha wakho aya kuyenza kukubuza imibuzo aze akuxilonge. Emva koko, ukuba kukho umhlaza orhanelwayo, banokwenza iimvavanyo ezininzi ukuze bawuqinisekise baze bafumanise ukuba ungakanani na umgangatho wawo.

Indlela yokufumanisa inqanaba lomhlaza (ukulinganisa izigaba)

Oogqirha basebenzisa inkqubo ebizwa ngokuba yi-"staging" ukufumanisa umhlaza:

• Amanqanaba 0 ukuya ku-1: Oku kuthetha ukuba umhlaza ukwindawo enye kuphela emzimbeni wakho.
• Amanqanaba 2 ukuya ku-3: Oku kuthetha ukuba umhlaza usasazeke kwizihlunu okanye kwizitho/izakhiwo ezikufutshane, njengee -lymph nodes zengingqi.
• Inqanaba lesi-4: Oku kuthetha ukuba umhlaza usasazeke kwiindawo ezikude zomzimba.

Uvavanyo lokuxilonga

Ukuze afumanise ukuba unomhlaza na aze afumanise inqanaba lawo, ugqirha wakho angasebenzisa iimvavanyo ezifana nezi:

• Uvavanyo lokuthatha imifanekiso: Umzekelo, ii-MRI kunye ne-CT scans . Ezi zinokuthatha imifanekiso eneenkcukacha zendlela yakho yokugaya ukutya.
• I-Upper endoscopy: Oku kuquka ukufaka ityhubhu encinci, eguquguqukayo (enekhamera) ngomlomo wakho ukuze uhlolisise inxalenye ephezulu yendlela yakho yokugaya ukutya, equka umphimbo, isisu, kunye ne-duodenum.
• Uvavanyo lokugwinya iBarium: Kolu vavanyo, unikwa ikhemikhali encinci ebizwa ngokuba yiBarium ukuba uyisele. Ngenxa yokuba ibonakala kakuhle kwi-X-ray, inokuthabatha imifanekiso eneenkcukacha zenxalenye ephezulu yendlela yakho yokugaya ukutya.
• I-Biopsy: Ngexesha lovavanyo olufana ne-endoscopy, kuthathwa iqhekeza elincinci lesicwili kwindawo ekrokrisayo lize livavanywe kwilebhu ukuze kubonwe ukuba kukho iiseli zomhlaza na. Le yindlela ekuphela kwayo yokuqinisekisa ukuba umhlaza ukhona na.

Ziziphi iindlela zonyango lomhlaza we-duodenal?

Isicwangciso sonyango siya kwahluka ngokuxhomekeke kwinqanaba lomhlaza. Ugqirha wakho unokucebisa unyango olufana nolu:

• Utyando: Ugqirha otyandayo ususa umhlaza omninzi kangangoko kunokwenzeka, kodwa uyaqikelela ukuba angonakalisi izicwili eziphilileyo. Kwezinye iimeko ezinzima, utyando olukhulu olubizwa ngokuba yinkqubo yeWhipple lunokwenziwa. Oku kuquka ukususa i-duodenum yakho, i-gallbladder, kunye nenxalenye encinci ye-pancreas yakho .
• Unyango ngamakhemikhali:Oku kuquka ukunika amayeza okubulala iiseli ezikhula ngokukhawuleza, ezifana neeseli zomhlaza. Unyango lwe-chemotherapy lunokwenziwa ngemijikelo eliqela, phakathi kwayo kukho amaxesha okuphumla.
• Unyango ngemitha: Ingcali ngemitha ikhokela imisebe yemitha enomthamo ophezulu kwi-esophagus yakho. Olu nyango ngemitha lunciphisa okanye lutshabalalise iiseli zomhlaza.

Kubalulekile: Kubaluleke kakhulu ukuxoxa nogqirha wakho ngononophelo nokuqonda zonke ezi ndlela zonyango, kuquka izinto ezilungileyo nezingalunganga.

Ziziphi iindlela zokuthintela lo mhlaza? (Ukuthintela)

Akukho ndlela iqinisekisiweyo yokuthintela ngokupheleleyo umhlaza we-duodenal. Nangona kunjalo, kukho izinto ezininzi onokuzenza ukunciphisa umngcipheko wakho wokuba nomhlaza wendlela yokugaya ukutya:

• Ukutya ukutya okunenyama ebomvu encinci kunye neproteni eninzi engenamafutha, iziqhamo, imifuno kunye neenkozo ezipheleleyo .
• Yeka ngokupheleleyo ukutshaya nokusebenzisa iimveliso zecuba.
• Ukunciphisa ukusetyenziswa kotywala.

Ezi zinto zikunceda ekukhuseleni kungekuphela nje kumhlaza, kodwa nakwezinye izifo ezininzi.

Bunjani ubomi nge-Duodenal Cancer? (Imbono)

Njengakuyo nayiphi na imhlaza, okukhona ufunyanwa kwangoko, kokukhona amathuba okuba unyangwe kwaye unyangeke . Okukhona ukhawuleza, kokukhona kunzima ukuwunyanga kwaye kokukhona amathuba okuba unyangeke.

Ngoko ke, kubalulekile ukuba uhlolwe rhoqo ngugqirha . Ukuba uneempawu ezingaqhelekanga ezinxulumene nendlela otya ngayo, okanye ukuba ubona utshintsho kwindlela otya ngayo, bona ugqirha ngokukhawuleza . Ukuba kukho umntu kusapho lwakho oye waba nomhlaza, ugqirha wakho unokucebisa ukuba kwenziwe uvavanyo lokuhlola olunokunceda ekufumaneni isifo kwangethuba.

Ngaba kunokwenzeka ukuphila ngaphandle kwe-duodenum?

Ewe, ungaphila. Ukuba unenkqubo yeWhipple ekhankanyiweyo ngaphambili, i-duodenum iyasuswa. Kodwa xa i-duodenum ingasekho, izinto ezifana nokugaya ukutya kunye nokufunxwa kwezondlo zinokuchaphazeleka kancinci. Emva koko ugqirha unokukunika izongezo zesondlo, okanye mhlawumbi nesondlo sabazali , ukuthintela ukungondleki kakuhle. Iqela lezonyango liza kukufundisa kakuhle ngale nto.

Ngaba umhlaza we-duodenal kunye nomhlaza we-pancreatic ziyafana?

Ewe, ezi ziintlobo ezimbini ezahlukeneyo zomhlaza . Umhlaza weDuodenal ukhula kwi-duodenum, inxalenye yokuqala yamathumbu ethu amancinci. Umhlaza wePancreaticYenziwa kwi-pancreas, isitho esingasemva nangaphantsi kwesisu sethu. Nangona kunjalo, ngenxa yokuba la malungu mabini akufutshane kakhulu, ngamanye amaxesha iimpawu zinokufana. Yiyo loo nto kubalulekile ukufumanisa isifo ngokuchanekileyo.

Yeyiphi imibuzo onokuyibuza ugqirha wakho?

Ukuba ukrokrela ukuba unomhlaza we-duodenal, okanye ufunyaniswe unawo, ungabuza ugqirha wakho imibuzo efana nale:

• Yintoni enokubangela iimpawu zenkqubo yokugaya ukutya kwam?
• Lo mhlaza we-duodenal ukwinqanaba elingakanani?
• Ziziphi iindlela zonyango lomhlaza we-duodenal?
• Yintoni enokwenzeka ukuba andifumani unyango?
• Zeziphi iinguqu zendlela yokuphila ekufuneka ndizenze ukuze ndinciphise umngcipheko wokuba nomhlaza we-duodenal?

Ukongeza kule mibuzo, ungoyiki ukuthetha nogqirha wakho ngayo nayiphi na into ekukhathazayo.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Umhlaza we-Duodenal ngumhlaza okhula kwinxalenye yokuqala yamathumbu ethu amancinci. Unokuphazamisana nokugaya ukutya kunye nokufunxwa kwezondlo. Ekubeni esi sifo sisenokungabonakalisi zimpawu kwizigaba zokuqala , kubaluleke kakhulu ukufuna iingcebiso zonyango ngokukhawuleza ukuba uyaqhubeka nokuba nentlungu engaqhelekanga yesisu, ukuqhina, isicaphucaphu, okanye ukuhlanza.

Iindlela zonyango ziquka utyando, i-chemotherapy, okanye unyango lwe-radiation. Okukhona ifunyanwa ngokukhawuleza, kokukhona kunokwenzeka ukuba inyangwe ngempumelelo. Ngoko ke, khathalela umzimba wakho kwaye ubone ugqirha ukuba ubona nantoni na engaqhelekanga. Ngamana sonke singaba namandla okuphila ubomi obusempilweni!

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