Nkhumba ndi chiwalo chakumbuyo kwa m'mimba ndikuchita ntchito zazikulu ziwiri: kupanga mavitamini a m'mimba ndi kupanga mahomoni omwe amapezeka mu metabolism. Nkhanzazi zimakhala ndi zigawo zinayi: mutu, khosi, thupi ndi mchira. Kwenikweni, khansara imafika pamutu pa ziphuphu.
Zizindikiro za khansa yapakhungu
Mofanana ndi khansa zina za m'mimba, zizindikiro za khansa ya pancreatic nthawi zambiri sinafotokozedwe. Monga lamulo, matendawa amapita kwa nthawi yayitali mosavuta ndipo amayamba kuwonekera pamapeto, pamene chotupacho chimafalikira kumatenda ozungulira ndi am'mimba.
Zizindikiro zazikulu za khansa ya pancreatic:
- kupweteka kwakukulu komwe kumapezeka kudera la epigastric ndi hypochondrium yolondola kumbuyo;
- kupweteka kwapang'onopang'ono;
- kusanza kwafupipafupi;
- ludzu losatha;
- kutsekula m'mimba;
- kufooka kwakukulu;
- kutentha kwa thupi;
- Mankhwala a jaundice (ogonjetsedwa pamutu wa ziphuphu) - chikasu cha khungu, mucous membrane, sclera;
- kuyabwa khungu, ndi zina zotero.
Zifukwa za khansa yapakhungu
Zomwe zimayambitsa kansa ya pancreatic sizidziwika, koma zifukwa zingapo zimathandizira kuti zikule. Izi zikuphatikizapo:
- kusuta;
- kumwa mowa mwauchidakwa;
- chakudya cha zakudya, olemera kwambiri ndi zakudya zokometsera;
- shuga;
- chiwindi cha chiwindi ;
- zochitika m'mimba;
- kukhalapo kwa miyala ya cholesterol mu gallbladder.
Matenda otsatirawa amalingaliridwa kuti ndi ofunika kwambiri:
- adenoma wa ziphuphu;
- kupweteka kwakukulu (makamaka kuwerengera);
- khungu la maphala.
Kuopsa kwa matendawa kumawonjezeka ndi msinkhu.
Miyeso ya matenda:
- Gawo 1 la khansa ya pancreatic - chotupa chaching'ono, chokhazikika ku ziwalo za thupi.
- 2 gawo la khansa ya pancreatic - chotupacho chikufalikira ku ziwalo zozungulira - duodenum, bile, komanso ma lymph nodes.
- Khwerero 3 ya khansa ya pancreatic - chotupa chimapezeka m'mimba, ntchentche, matumbo aakulu, zotengera zazikulu ndi mitsempha.
- Gawo 4 la khansa ya pancreatic - chotupacho chinapereka metastases ku chiwindi ndi mapapo.
Kuzindikira za khansa ya pancreatic
Kuwonetseratu za chiƔerengero cha zotupa ndi metastases ndizotheka ndi chithandizo cha ultrasound ndi computed tomography ndi bolus kusiyana enhancement. Komanso kuti mumvetsetse, gwiritsani ntchito X-ray kuyesa m'mimba ndi duodenum ndi barium sulphate, mapeto osakanikirana a cholangiopancreatography, laparotomy ndi biopsy.
Kuwonjezera pamenepo, mu 2012, woyesa khansa anapangidwa kuti amvetsetse khansa ya pancreatic kumayambiriro koyamba pofufuza magazi kapena mkodzo. Kulondola kwa zotsatira za mayesowa ndiposa 90%.
Kuchiza kwa khansa ya pancreatic
Njira zazikulu zothandizira matendawa:
- Njira yopangira opaleshoni - ngati palibe metastases, kuchotsedwa kwa mitsempha yamatenda imayendetsedwa (monga lamulo, zonsezi ndi ziwalo za ziwalo zoyandikana zimachotsedwa).
- Chemotherapy - kugwiritsa ntchito mankhwala omwe angalepheretse kukula kwa maselo a khansa (osankhidwa mogwirizana ndi opaleshoni).
- Mankhwalawa ndi mankhwala opatsirana ndi maizoni omwe amawononga khansa.
- Virotherapy - kugwiritsa ntchito makonzedwe apadera omwe ali ndi mavairasi, kuti ateteze chitetezo cha thupi kuti chiteteze maselo oipa.
- Thandizo lachidziwitso - mankhwala osokoneza bongo , kugwiritsa ntchito mapuloteni a pancreatic, ndi zina zotero.
Mu khansa ya pancreatic, chakudya chimaperekedwa chomwe chimaphatikizapo kudya kamodzi kagawo kakang'ono, kamene kophikidwa ndi njira zowonongeka. Zotsatira zotsatirazi sizichotsedwa ku zakudya:
- zakumwa zaledzere ndi zakumwa;
- khofi, kaka;
- mphesa zatsopano;
- maswiti;
- chakudya chamzitini;
- zojambula;
- mankhwala omwe amachititsa kuthirira.
Khansara yotchedwa Pancreatic - prognosis
Chizindikiro cha matendawa ndi chosavomerezeka, chomwe chikugwirizana ndi kuchedwa kwake. Kupulumuka kwa zaka zisanu pambuyo pa opaleshoni sikudutsa 10%.