Lweempawu nemiqondiso zomhlaza pancreatic kwi usaqala

Ukuza kuthi ga ngoku, umhlaza yeyona obulalayo. Yaye kwiimeko ezininzi, esi sifo kufuneka simiswe ukuba iimpawu ziye ukufunda ngexesha yaye aqondwe. Kodwa ngenxa yezizathu ezicacileyo, abantu ngoyaba ukungakhululeki ebonakala minor, musa ukuya ukuba uviwo, yaye xa beziva intlungu. Kwaye xa Iimpawu yazicacela kakhulu, ukunceda isigulane akusekho kunokwenzeka.

Phakathi zomhlaza ixhaphakileyo kwindawo yesithandathu ithatha sisilonda esidumbileyoesingaphakathi pancreatic. Kwaye wayifumana kusekwangoko kunokwenzeka zinqabile. Namhlanje sifuna ukuthetha ngento a iimpawu umhlaza nepancreas kwi usaqala. Mhlawumbi kwabanye oko kuya kubakho ithuba lokuba acele uncedo ngexesha.

incazelo jikelele

Kubalulekile ukuba ingcamango olunjani igunya. Imisebenzi ephambili zezi yokwetyiswa nokuveliswa hormone. Sonke siyazi ukususela ebuntwaneni, apho siya kuba intliziyo kunye nesisu. Noko ke, le ingaba encinane inokuba kwezinye ithile ebaluleke nangakumbi.

umsebenzi sokugaya - a nokuveliswa enzyme, okt izinto ezithile apho ukuqhekeka iiprothini, amafutha kunye carbohydrate. Ngaphandle kwalo, ukutya nje swi nokugaya. Ukongeza, intsimbi ibandakanyeka kwimveliso emzimbeni, athi abenoxanduva ukutya. Le insulin kunye glucagon, yaye lonke uluhlu kwezinto unoxanduva lokuyila yejusi esiswini.

Iimpawu zomhlaza pancreatic kwi zigaba beselula badla azezi iimpawu ngumntu pancreatitis. Oko kukuthi, umntu ufumana ukungakhululeki emva kokutya, thatha ntlungu okanye enzyme oku yehlise phantsi. Esi sifo yaye ngenxa yoko uba esingasebenziyo. Ngoku ugqirha esekelwe kwi imeko ntsholongwane ziyakwazi ukunika unyango kwemitha okanye ichemotherapy. Oku unyango, kodwa ukuze amise ukukhula ithumba.

izizathu

Enyanisweni, oogqirha namhlanje, qhubeka ukuba azibuze ukuba kuxa kutheni emzimbeni bomntu ukukhula iiseli zomhlaza ngokukhawuleza. Yintoni na? Asinto umzimba langaphandle, kungekhona iintsholongwane okanye intsholongwane, yiyo lonto kukho kunzima kangaka ukuba ukunyanga. Umhlaza - a angcakacileyo phantsi kweempembelelo izinto ezahlukeneyo, iiseli zomzimba wakho. Ngokuqhelekileyo, iiseli nabelane endaweni ezikrazukileyo okanye ngamalungu bafe kuphela. Kodwa watshintsha, uya kwabelana engalawulekiyo, yaye awufi kwi-DNA yeseli somhlaza. Kwaye udale iiseli kwakhona kufa njengoko ekwenzeni umsebenzi walo.

Enyanisweni, akukho njongo mnye: ukukhula nande. Ngenxa yoko, ngoku nethumba lizele umzimba mnye ongena yesibini, ukutshintsha isakhiwo sayo. Ngaphezu koko, ezi seli ayikwazi ukwenza sibubona ekuqaleni kwimisebenzi yabo. Ngenxa yoko, edlula iimpawu umhlaza injeke kwi zigaba yokuqala, loo mntu kancinci kodwa ngokuqinisekileyo uza kuyitshabalalisa inkqubo yonke yokwetyisa. Regenerates umzimba akakwazi ukuveza enzyme eziyimfuneko kunye iihomoni.

injeke kutheni iiseli zomhlaza abachaphazelekayo

Asiyi ingqalelo zonke izinto ezibangela umhlaza, kuba zininzi kakhulu. Makhe kuphela abo (ngokutsho oogqirha) kukhokelela kuphuhliso yamathumba umhlaza kwi pancreas.

• Indawo yokuqala ukutshaya. Rhoqo carcinogens Ityhefu ephilayo, nentlaka kunye nezinye khompawundi olonakalisayo equlathwe umsi wecuba, oko akuthethi negalelo ekuphuculeni umgangatho wemfundo. Yongeza kule ixabiso eliphezulu ukuba uhlawula into leyo lutshabalalisa kancinane ngokwayo. Ngokutsho manani zonyango, abantu abatshayayo basengozini wokuhlaselwa ngumhlaza pancreatic kabili kungenzeka kunokuba non-abangatshayiyo. ibaluleke kakhulu kukuba ukuyeka ukutshaya kunciphisa kakhulu amathuba okuba ukwenzeka kwayo.
• Kwindawo yesibini yobudala. I omdala umntu uba, izinto eziyingozi ngakumbi kungonga umzimba wakhe. Emva kweminyaka engama-60, ingozi yokuba nomhlaza liphuma kathathu.
• Isini somntu , kakhulu, Ungadlala indima. Oogqirha lubonisa ukuba amadoda ezithandwa yomhlaza zepancreas ngaphezu abafazi. Oku kunokucaciswa ipesenti ephezulu abatshayayo phakathi kwisiqingatha olomeleleyo yoluntu.
• izigulo zepancreas. Umntu akakwazi ngoyaba iingxaki ezifana pancreatitis. Le nkqubo yokukrala ingaba yenye yezona zinto predisposing.
• Ukondla imikhwa. Ngokungangqalanga, lingakwazi kuthathwa esinye sezizathu. Ukuba ukudla zizityebi amafutha kunye carbohydrate, umthwalo lonyuso zentsimbi kakhulu. Kwelinye icala, ukuba ukutya zizityebi iziqhamo kunye nemifuno, umngcipheko lifinyele.

somdlavuza

Iimpawu womhlaza pancreatic kwizigaba zokuqala liya kuxhomekeka kakhulu kwindlela iqala esi sifo. Iintlobo ezininzi, niqonde oku nje ngugqirha. Ngokusekelwe iimpawu yokwakheka ye uyondelelwano lwee- nethumba, ukuchaza iintlobo eziphambili:

• Umhlaza le ndlala entloko.
• Body.
• Umsila.

Ngokusekelwe kule, ugqirha kusenokufuneka wenze ezinye iingqikelelo. Nangona kunjalo, ngaphandle koku, kufuneka ugqirha ukuba ekuphicothweni histology le. Ngoku uya kukwazi ukubona uhlobo oluthile iiseli ukusuka eyathi yaqulunqa umhlaza. Ngoko ke incwadi ingxelo yonyango avele "adenocarcinoma", "insulinoma", "gastrinoma" kunye nabanye.

iimpawu ezingancumisiyo

Ekuhambeni kwexesha ukubona ugqirha uvingce ukuqhubela phambili kwesifo, kubalulekile ukuqaphela iimpawu zomhlaza pancreatic kwi usaqala. Ugonyo kaninzi kwenzeka kamva, xa yafudukela nkovu ezalathelwe metastases. Ngoko ke, ngamnye kuthi kufuneka silumke kakhulu malunga nempilo yabo. Ukuba unayo inkxalabo, kufuneka bangenele uviwo ngokucokisekileyo, yaye hayi ukuba izinto uthathe indawo yawo.

Ngoko ke, ziziphi iimpawu zomhlaza pancreatic kwi usaqala? Iimpawu uphethwe okubi nangoku buthathaka kakhulu, kodwa intsimbi yokuqala izenzo intlungu. It yenzelwe esisu eliphezulu, emva isisu. Rhoqo unika ngasemva kwaye zinganxitywa tile umlinganiswa. Ngokukhula iimpawu ithumba inokuba lande, ngoko musa ukutsala. Akumangalisi ukwanda buhlungu xa ugoba phambili. Parallel luyaphuculwa kwaye kukho ukunxanelwa womxhuzulane kwi ikota yesangqa ephezulu ngasekunene. Ngokufuthi umntu bagcine urhudo. A sihlalo kulo mzekelo, ulwelo kunye elibi.

angena kubethwa ngoyaba

Ndiyazisola eze ngokufuthi njani le ndoda kakhulu emva kwexesha. Xa ikhadi sele 3 okanye isigaba 4, ngoko ndifuna umva bonke umva. Ngoko abantu ngokuqinisekileyo akakuphosi iimpawu umhlaza injeke kwi usaqala. Wabonakala kuqala, ukongeza iintlungu, ahlobene kunye umzimba. Ukuncipha komzimba ezinxulumene malabsorption amanqatha ngenxa umsebenzi zaneleyo secretory zepancreas. Ukuba uphawula ukuba baqalisa kwehle ubunzima ngaphandle kwesizathu, ngoko kufuneka ngoko nangoko uye ekliniki kwaye baye kuzihlola.

laboratory uphethwe

Ziziphi iindlela kuya kunceda ukuqinisekisa okanye ukuphikisa iimpawu umhlaza injeke kwi usaqala? US - oku sesona sixhobo yokuqala eya kukunceda ufumane utshintsho emzimbeni, kodwa ngokuqhelekileyo izigulane usisisulu nkqubo sele sikwinqanaba kade, ukuba ukucacisa indawo nethumba, kunokuba moshilongo yayo.

Into yokuqala ukuya kunikezela ngokupheleleyo wegazi. Umhlaza kudla ngokuwa haemoglobin kunye ESR ukunyuka. Ukuba ugqirha ebona utshintsho ezinjalo, ngaphandle craps kokuthandabuza ukuba somdlavuza ukulungiselela uviwo olunye.

Uxilongo lokugqibela

Kuphela xa umntu esiba Oncology, oko bangenele uviwo olupheleleyo. Apha, iingcali uyakwazi ukubona umhlaza. Kumanqanaba okuqala kakuhle kakhulu, nkqu pat, nto ibonisa utshintsho boqobo. Eziphilayo ubonisa bilirubinemia, kunye nee-enzayim hepatic. somdlavuza Okuninzi ichaza abamakishi ithumba ebonisa operability le thumba. Kumanqanaba okuqala amakishayo azikho andibhaqwa.

Kuxhomekeka lizwe umhlaza

Njengoko injeke iimpawu umhlaza ziyahluka usaqala? I-ALS for efumanise ezibangela yokuqala kakuhle kakhulu. Ipesenti iphile 96%. Kakade ke, emva koko kufuneka afumane unyango yesondlo ubomi, kodwa akukho uphuhliso embi kakhulu.

Ukuba Ithumba yenzelwe entloko, kaninzi, izigulane ingxelo senyongo kunye ukurhawuzelela, kombala nomchamo. Yaba phantsi lungiselelo, nethumba ngoyena rhoqo wabona ukudla, ukugabha xa uzama ukuba adle. I elikhulu nethumba ikhula, kokukhona Oluma le duodenum kunye mithambo esiswini.

Kwasendaweni emzimbeni okanye umsila bangafumana iziqephu ukopha. Lo mfanekiso zonyango ukuze sifane cholecystitis etsolo ne-pancreatitis. Kumanqanaba kamva kwimiqobo kunokwenzeka isisu, njengoko ukuvala le mithambo ye ethunjini.

ubukhulu sifo

Ngaphambi kokuqeshwa ugqirha okunyangayo kufuneka amisele zingqubane ze sisasazeke nethumba kunye isiseko sesi sifo. Iintelekelelo kakhulu ngexesha kwinqanaba lokuqala. ubukhulu Ithumba zisencinci, oko akukho ngaphezu esinobubovu kwaye kuchaphazela enye neSebe layo (intloko, umzimba okanye umsila) kuphela.

Inqanaba lesibini ibandakanya andise nethumba ukuya izitho ezikufutshane. Le bile duct okanye duodenum. Le 2A lwalo. Form 2B ibandakanya sisasazeke ithumba ukuya ezalathelwe nkovu ekufutshane.

Isigaba sesithathu - oku esinzulu gqitha. Ithumba ichaphazela esiswini kunye udakada, Amathumbu amakhulu, ufumana ezityeni yegazi ezinkulu luvo. In inyathelo yesine iqala inkqubo Ukudlulela kuzo zonke amalungu kunye neenkqubo.

sanixelela iimpawu eziphambili umhlaza pancreatic kwi zigaba kwakusasa izidanga, nto leyo ujongwa kwindawo yayo emzimbeni. Ngoku, chaza ngokufutshane ithuba yezonyango yokungenelela kule nkqubo.

unyango

Unyango kuxhomekeke ixesha. Ukuba awukwazi ukuchonga iimpawu umhlaza pancreatic kwi zigaba yokuqala, unyango iya kuba kakhulu ngempumelelo. Kulo mzekelo, ugqirha ikhetha ezintathu:

• Surgery.
• Amachiza.
• Radiotherapy.

Kumanqanaba okuqala ngayo isebenza kakuhle ukususa nethumba kunye nechemotherapy elandelayo. Kodwa njengoko Ukhuthaza ukuba ezingqonge amalungu ugqirha enezona kusenokwenzeka ukuba ukusebenza isigulane, ngenxa yokuba bonke kunqunyulwa kunokwenzeka. Kuphela ithemba lokuba emva kwikhondo chemistry nethumba liye lancitshiswa kangangokuba kuba operable.