Ingabe unomdlavuza esiswini sakho? Ake sifunde ngomdlavuza we-Duodenal!

Namuhla sizokhuluma ngesimo esingavamile ukuzwakala ngaso, kodwa ngezinye izikhathi singaba sibaluleke kakhulu. Wake wezwa ngento ebizwa ngokuthi 'umdlavuza we-duodenal' ? Mhlawumbe ubulokhu unobuhlungu esiswini, ukuqunjelwa, nokuhlanza, futhi awazi ukuthi kuyini. Kulesi sihloko, sizobheka ukuthi uyini lo mdlavuza we-duodenal, ukuthi kungani ukhula, ukuthi siwubona kanjani, nokuthi yiziphi izindlela zokwelapha.

Uyazi ukuthi iyini i-Duodenal Cancer?

Kalula nje, i-Duodenal Cancer iyisimila esikhula lapho amangqamuzana engxenyeni yokuqala yamathumbu ethu amancane , i-duodenum , ekhula ngendlela engavamile futhi ngokushesha. Lapho lolu hlobo lwesimila lukhula, amathumbu ethu angase angakwazi ukugaya ukudla kahle, futhi angase avimbele indlela yokudla ukuthi yehle emathunjini.

Cabanga nje, ezigabeni zokuqala, ungase ungaziboni izimpawu zalo mdlavuza. Kodwa njengoba isimila sikhula, izimpawu ezihlobene nohlelo lwakho lokugaya ukudla , njengesicanucanu, ubuhlungu besisu, kanye nokuqunjelwa, ziqala ukuvela.

Ikuphi i-duodenum emzimbeni wethu? Kwenzekani kuyo?

Sinethumbu elincane ngaphakathi esiswini sethu, akunjalo? Ingxenye yokuqala yalo ibizwa ngokuthi i-duodenum noma i-duodenum . Ingxenye encane ebumbeke njengesicathulo sehhashi. Ngemva kokuba ukudla esikudlayo kuvela esiswini, kungena ngqo kule duodenum.

Umsebenzi oyinhloko we-duodenum ukuqala ukugaya ukudla ngendlela efanele. Amakhemikhali nama -enzyme ahlukahlukene asiza kulokhu akhishwa yi-duodenum. Lokhu kuphula ukudla kahle futhi kulungiselele amavithamini nezakhamzimba ezikuyo ngendlela umzimba ongazimunca ngayo. Ngemva kwalokho, i-duodenum ithumela lokhu kudla okugayiwe engxenyeni elandelayo yamathumbu amancane, okuyi -jejunum . Uyaqonda?

Ingabe zikhona izinhlobo zomdlavuza we-duodenal?

Yebo, ngoba kunezinhlobo ezahlukene zamaseli ku-duodenum, kunezinhlobo eziningana zomdlavuza ezingakhula lapho. Odokotela bakhuluma kakhulu ngezinhlobo ezine:

• I-Adenocarcinoma: Lolu uhlobo oluvame kakhulu lomdlavuza we-duodenal. Luvela emaseli akhiqiza amakhemikhali nama-enzyme asiza ekugayeni ukudla.
• Izimila ze-carcinoid: Lezi uhlobo lwesimila esivame ukukhula kancane. Ngokuvamile ziqala emgudwini wokugaya ukudla (i-GI tract) , kodwa ngokuhamba kwesikhathi zingasakazekela kwezinye izingxenye zomzimba.
• I-Lymphoma: Lolu hlobo lomdlavuza luqala emaseli esistimu yethu yomzimba yokulwa nokutheleleka.
• I-Sarcoma:Kuqala emathanjeni ethu, emisipheni, nasezicutshini ezithambile njengemithambo yegazi. Uhlobo oluvame kakhulu lwe-sarcoma oluvela endleleni yokugaya ukudla uhlobo olubizwa ngokuthi i-gastrointestinal stromal tumor .

Ubani onamathuba amaningi okuthola umdlavuza we-duodenal?

Odokotela abakakwazi ukusho ngokuqinisekile ukuthi kungani abanye abantu bethola lo mdlavuza kanti abanye abawutholi. Kodwa-ke, kunezici ezithile ezandisa ingozi yokuthola lo mdlavuza. Ake sibheke ukuthi ziyini:

• Ubudala: Lo mdlavuza uvame ukutholakala kubantu abaneminyaka ephakathi kuka-60 no-80 .
• Uhlanga: E-United States, ucwaningo luthole ukuthi abantu abamnyama banamathuba amaningi okuthola lo mdlavuza. ESri Lanka, idatha ethile ngalokhu isantuleka.
• Izimo zempilo: Abantu abanezimo ezithile zamathumbu, njengesifo se-celiac noma isifo sikaCrohn, basengozini enkulu kancane.
• Imikhuba Yezempilo: Ukubhema, ukuphuza utshwala, nokudla njalo ukudla okunosawoti omningi nakho kungaba nomthelela ekukhuleni kwalo mdlavuza.
• Izimo zofuzo: Ezinye izimo zofuzo zingandisa nengozi yomdlavuza we-duodenal. Isibonelo, izimo ezifana ne -Familial Adenomatous Polyposis (FAP) , i-Lynch syndrome , kanye ne-cystic fibrosis .
• Ubulili: Amadoda anamathuba amancane okuthola lo mdlavuza kunabesifazane.

Ziyini izimpawu zomdlavuza we-duodenal?

Esikhathini esiningi, uma umdlavuza umncane, ungase ungakhombisi zimpawu . Yileyo ngxenye esabekayo kakhulu. Kodwa njengoba isimila sikhula, ungase ube nezimpawu ezifana nalezi:

• Ubuhlungu besisu.
• Isilungulela (i-acid reflux).
• Igazi esitulweni sakho.
• Ukuqunjelwa.
• Ukucanuzela noma ukuhlanza.
• Ukwehlisa isisindo okungachazeki.

Ukuba nalezi zimpawu akusho ukuthi unomdlavuza. Kodwa-ke, uma lezi zimpawu ziqhubeka, kuhlale kuwukuhlakanipha ukubona udokotela ukuze akunike iseluleko.

Kungani umdlavuza we-duodenal ukhula?

Eqinisweni, odokotela abakazi kahle ukuthi yini ebangela umdlavuza we-duodenal. Bacabanga ukuthi kungenxa yokukhula okuncane (okubizwa ngokuthi ama-polyps) ngezinye izikhathi okwakheka ngaphakathi kwamathumbu ethu.(Lo mdlavuza uqala emathunjini.) Kodwa-ke, akukacaci ukuthi kungani lawo ma-polyp akheka. Yingakho kubalulekile ukuqaphela izici eziyingozi.

Udokotela uwuthola kanjani lo mdlavuza? (Ukuxilongwa Nokuhlukaniswa Kwezigaba)

Uma unezimpawu ezishiwo ngenhla, into yokuqala udokotela wakho azokwenza ukukubuza imibuzo nokukuhlola. Ngemuva kwalokho, uma kusolwa ukuthi umdlavuza ukhona, bangenza izivivinyo eziningana ukuze bawuqinisekise futhi bathole ukuthi usezingeni elingakanani.

Indlela yokunquma isigaba somdlavuza (ukulinganisa)

Odokotela basebenzisa inqubo ebizwa ngokuthi "i-staging" ukuxilonga umdlavuza:

• Izigaba 0 kuya ku-1: Lokhu kusho ukuthi umdlavuza usendaweni eyodwa kuphela emzimbeni wakho.
• Izigaba 2 kuya ku-3: Lokhu kusho ukuthi umdlavuza ususakazeke ngemisipha kanye/noma ezithweni/izakhiwo eziseduze, njengezindlala ze-lymph zesifunda.
• Isigaba 4: Lokhu kusho ukuthi umdlavuza ususakazekele ezingxenyeni ezikude zomzimba.

Ukuhlolwa kokuxilonga

Ukuze athole ukuthi unomdlavuza yini nokuthi usezingeni elingakanani, udokotela wakho angase asebenzise izivivinyo ezifana nalezi:

• Ukuhlolwa kwezithombe: Isibonelo, ukuskena kwe-MRI ne-CT. Lokhu kungathatha izithombe ezinemininingwane zomgudu wakho wokugaya ukudla.
• I-endoscopy Ephezulu: Lokhu kuhilela ukufaka ipayipi elincane, eliguquguqukayo (elinekhamera) ngomlomo wakho ukuze kuhlolwe ingxenye engenhla yomgudu wakho wokugaya ukudla, okuhlanganisa umphimbo, isisu, kanye ne-duodenum.
• Ukuhlolwa kokugwinya kwe-Barium: Kulolu vivinyo, unikezwa inani elincane lekhemikhali ebizwa ngokuthi i-barium ukuze uliphuze. Ngenxa yokuthi libonakala kahle kuma-X-ray, lingathatha izithombe ezinemininingwane zengxenye engenhla yomgudu wakho wokugaya ukudla.
• I-Biopsy: Ngesikhathi sokuhlolwa okufana ne-endoscopy, kuthathwa ingxenye encane yezicubu endaweni esolisayo bese ihlolwa elebhu ukuze kubonakale ukuthi kukhona yini amangqamuzana omdlavuza. Lena yindlela kuphela yokuqinisekisa ukuthi umdlavuza ukhona yini.

Yiziphi izindlela zokwelapha umdlavuza we-duodenal?

Uhlelo lokwelashwa luzohluka kuye ngesigaba somdlavuza. Udokotela wakho angancoma ukwelashwa okufana nalokhu:

• Ukuhlinzwa: Udokotela ohlinzayo ususa umdlavuza omningi ngangokunokwenzeka, kodwa uyaqikelela ukuthi angonakalisi izicubu ezinempilo. Kwezinye izimo ezimbi kakhulu, ukuhlinzwa okukhulu okubizwa ngokuthi inqubo ye-Whipple kungenziwa. Lokhu kuhilela ukususa i-duodenum yakho, i-gallbladder, kanye nengxenye encane ye-pancreas yakho .
• Ukwelashwa ngamakhemikhali:Lokhu kuhilela ukunikeza imithi yokubulala amangqamuzana akhula ngokushesha, njengamaseli omdlavuza. Ukwelashwa ngamakhemikhali kungenziwa ngezigaba eziningana, kanye nezikhathi zokuphumula phakathi.
• Ukwelashwa ngemisebe: Uchwepheshe wemisebe uqondisa imisebe yemisebe esezingeni eliphezulu emphinjeni wakho. Lokhu kwelashwa ngemisebe kunciphisa noma kubhubhise amangqamuzana omdlavuza.

Okubalulekile: Kubaluleke kakhulu ukuxoxa nodokotela wakho ngokucophelela nangokuqonda zonke lezi zindlela zokwelapha, okuhlanganisa izinzuzo nezingozi zazo.

Yiziphi izindlela zokugwema lo mdlavuza? (Ukuvimbela)

Ayikho indlela eqinisekisiwe yokuvimbela ngokuphelele umdlavuza we-duodenal. Kodwa-ke, kunezinto eziningana ongazenza ukuze unciphise ingozi yakho yokuba nomdlavuza womgudu wokugaya ukudla:

• Ukudla ukudla okunenyama ebomvu eningi kanye namaprotheni amaningi angenamafutha amaningi, izithelo, imifino kanye nokudla okusanhlamvu okuphelele .
• Yeka ngokuphelele ukubhema nokusebenzisa imikhiqizo kagwayi.
• Ukunciphisa ukusetshenziswa kotshwala.

Lezi zinto ziyakusiza ekuvikeleni hhayi nje kuphela emdlavuza, kodwa nakwezinye izifo eziningi.

Impilo injani nge-Duodenal Cancer? (Outlook)

Njenganoma yimuphi umdlavuza, uma usheshe utholakale, kulapho amathuba okwelashwa nokwelashwa enyuka khona . Uma usheshe utholakala, kulapho kuba nzima kakhulu ukuwulapha futhi kulapho amathuba okwelashwa ehla kancane.

Ngakho-ke, kubalulekile ukuhlolwa njalo kwezokwelapha . Uma unezimpawu ezingavamile ezihlobene nohlelo lwakho lokugaya ukudla, noma uma ubona ushintsho emikhubeni yakho yokudla, bona udokotela ngokushesha okukhulu . Uma othile emndenini wakho eke waba nomdlavuza, udokotela wakho angase futhi ancome ukuhlolwa kokuhlolwa okungasiza ekutholeni lesi sifo kusenesikhathi.

Kungenzeka yini ukuphila ngaphandle kwe-duodenum?

Yebo, ungaphila. Uma unenqubo ye-Whipple okukhulunywe ngayo ngaphambili, i-duodenum iyasuswa. Kodwa uma i-duodenum isiphelile, izinto ezifana nokugaya ukudla kanye nokumuncwa kwezakhamzimba zingase zithinteke kancane. Khona-ke udokotela angakunika izithasiselo zokudla okunempilo, noma mhlawumbe ngisho nokudla okunempilo kwabazali , ukuvimbela ukungondleki kahle. Ithimba lezokwelapha lizokufundisa kahle ngalokhu.

Ingabe umdlavuza we-duodenal nomdlavuza we-pancreatic uyinto efanayo?

Yebo, lezi yizinhlobo ezimbili ezihlukene ngokuphelele zomdlavuza . Umdlavuza we-Duodenal ukhula e-duodenum, ingxenye yokuqala yamathumbu ethu amancane. Umdlavuza we-PancreaticYakheka ku-pancreas, isitho esitholakala ngemuva nangaphansi kwesisu sethu. Kodwa-ke, ngenxa yokuthi lezi zitho ezimbili ziseduze kakhulu, ngezinye izikhathi izimpawu zingafana. Yingakho ukuxilongwa okunembile kubalulekile.

Yimiphi imibuzo ongayibuza udokotela wakho?

Uma usola ukuthi unomdlavuza we-duodenal, noma utholakale ukuthi unawo, ungabuza udokotela wakho imibuzo efana nale:

• Yini okungenzeka kakhulu ukuthi ibangela izimpawu zesistimu yami yokugaya ukudla?
• Lo mdlavuza we-duodenal ukusiphi isigaba?
• Yiziphi izindlela zokwelapha umdlavuza we-duodenal?
• Yini engenzeka uma ngingatholi ukwelashwa?
• Yiziphi izinguquko zendlela yokuphila okufanele ngizenze ukuze nginciphise ingozi yami yokuba nomdlavuza we-duodenal?

Ngaphezu kwale mibuzo, ungesabi ukukhuluma nodokotela wakho nganoma yini ekukhathazayo.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Umdlavuza we-duodenal umdlavuza okhula engxenyeni yokuqala yamathumbu ethu amancane. Ungaphazamisa ukugaya ukudla kanye nokumuncwa kwezakhamzimba. Njengoba lesi sifo singase singabonisi zimpawu ezigabeni zokuqala , kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngaphandle kokulibala uma uqhubeka nobuhlungu besisu obungavamile, ukuqunjelwa, isicanucanu, noma ukuhlanza.

Izindlela zokwelapha zifaka phakathi ukuhlinzwa, ukwelashwa ngamakhemikhali, noma ukwelashwa ngemisebe. Uma kusheshe kutholakale, kulapho kungenzeka khona ukuthi kwelashwe ngempumelelo. Ngakho-ke, nakekela umzimba wakho futhi ubone udokotela uma ubona noma yini engavamile. Kwangathi sonke singaba namandla okuphila impilo enempilo!

Umdlavuza Wesibeletho , Umdlavuza Wesibeletho, Umdlavuza Wekholoni, Umdlavuza Wamathumbu Amancane, Izimpawu Zomdlavuza, Ukwelashwa Komdlavuza, Uhlelo Lokugaya Ukudla