Umhlaza pancreatic: iimpawu, isifo, unyango

Enye ezimbi ithumba eyingozi pancreas. Iimpawu zesi sifo ukuchonga kusekwangoko nzima. Esi sifo olufunyanwa izigulane, ngokubanzi eliqhubela phambili. A unyango ngezifo okuqhubekayo kunzima kakhulu.

Inkcazelo yokwakheka

Pancreas - ilungu elincinane, akhiwe nje emva isisu. Iqhuba imisebenzi ezimbini ezibalulekileyo:

1. Ukudla. Eli candelo livelisa enzymes. Eziphuhlisa ngayo ukuwa wafika kunye iiproteni ukutya, amafutha, carbohydrate. Ukuqhela enqanda eziveliswa prostate nemibhobho kungena duodenum.
2. Yonyango. Le injeke velisa hormone inxaxheba kwiinkqubo metabolic. Phakathi kwabo insulin. Hormone ekwaziyo ukwehlisa amazinga eswekile yegazi. Enye yezinto eziletha ebalulekileyo glucagon. Hormone nelikhuthaza iswekile. Akukho kangako na imveliso gastrin. Le hormone ukunyuka runningaway ndlala incindi pancreatic.

Le komzimba zepancreas la masebe zilandelayo:

• intloko;
• entanyeni;
• umzimba;
• ngumsila wena.

Ezininzi eziqhele kwafunyaniswa ithumba yentloko pancreas.

Kubanga zokugula

umhlaza pancreatic, iimpawu ezo kubonakaliswa ngokucacileyo kwi zigaba ezayo - le yobubi. Pathology akuve kuvamile Oncology. Ekubeni akhawunti anda umthwalo iintsimbi. Ngenxa yoko, umzimba bangakwazi ukumelana nemisebenzi yazo engundoqo.

Oonobangela cancer kwiimeko ezininzi clinical igcina ingaziwa. Noko ke, oogqirha baye bafumana izinto ezinika iimeko nokudalwa iiseli zomhlaza.

Ngoko ke, ithumba zepancreas nako ukuphuhlisa kwisiqalo:

1. Ukutshaya. Le yinto yokuqala ukuba kuphakamisa ukuphuhliswa ngezifo. hydrocarbon Polycyclic enuka equlethwe umsi icuba, i stimulator enamandla yophuhliso ithumba. Phantse 1/3 zonke izigulo zepancreas kubangelwa kukutshaya somhlaza.
2. Abadala. Abantu abangaphezu kweminyaka engama-60 ezisengozini yesifo.
3. Gender. Ngokutsho manani, esi ithumba nobubovu banesifo kakhulu ngabantu.
4. Seswekile. igazi amaqondo eswekile aphezulu kunokubangela kuphuhliso umhlaza pancreatic.
5. pancreatitis Chronic. ukudumba Long oqhubekayo kudla ngumba predisposing kuphuhliso esi sifo. utshintsho esebenzayo zepancreas, uphawu ngenxa pancreatitis, axhokonxe nokudumba umzimba. Yayikukuphuphuma enqanda kunzima. juice pancreatic abazange bayifumane kwisiqwenga wokudla, nempembelelo embi kubume esikule welungu. Ngenxa yoko, kuphazamiseka kakhulu parenchyma pancreatic.
6. Ukutyeba. Ukuphazamiseka amavila kunye enxulumene emzimbeni ingaba ngumthombo lomhlaza.
7. Ukungondleki. Ukuxhatshazwa carbohydrate, amafutha kudala umthwalo oluphuculweyo emzimbeni. Ngenxa yoko, i-ayini ukuze fail. Ukudla zizityebi iziqhamo, imifuno kunciphisa kakhulu umngcipheko yamathumba.
8. Yofuzo. Phambi izalamane abaye baba le ngezifo, ingozi yokuba ukunyuka umhlaza wendlala kakhulu.

Iimpawu zokuqala sifo

Kunzima kakhulu ukuba ukujonga ixesha xa kukho iingxaki yokuqala kunye pancreas. Iimpawu ukuze imperceptible de kuqala kwinqanaba 4 umhlaza. Kwaye, ngelishwa, asinto ingaqhelekanga. Njengoko i isiphumo ikhule kuphela ithumba pancreatic. Iimpawu izifo kuxhokonxwa ukwanda umhlaza kwezinye iithishu.

Nangona kunjalo, kukho iimpawu ingakrokreleka isifo isanda. Baxhomekeke ngokupheleleyo kwi kwasendaweni leengxaki.

Ube neengxaki zokuqala kunye injeke, ezi mpawu zilandelayo:

• intloko Oncology - ukwehla kobunzima, nenyongo, amanqatha isitulo, iintlungu esiswini;
• umzimba umhlaza, umsila - ukwehla kobunzima, ubuhlungu esiswini.

Pathology ukuvela kwi namadlala entloko, uzenza waziva ngaphambi Oncology, eyaqala kwezinye iindawo pancreas.

iimpawu eziphambili

Ngokubanzi, xa sincokola ngayo umhlaza pancreatic, ezi mpawu zilandelayo zenzeke:

1. Iintlungu ubuhlungu epigastric. Lo izikhalazo yokuqala nomonde. Ngenxa ukusetyenziswa ukutya nje umthetho, akafumaneki. Intlungu zimbi kakhulu ebusuku. Ngenxa lizwe of ezimbi kwi ukungaphatheki intloko ndlala kuvela kwi ekunene aphezulu ikota yesangqa kunye zone inkaba. Ukuba usindwa ngomsila, umzimba zepancreas, isigulana uba intlungu, indawo interscapular. Ubuhlungu xa indawo uyakwazi ukutshintsha amandla. Ngoko ke, le ntlungu rhoqo ngempazamo uthathwa ukuba radikulitnoy.
2. iimpawu Paraneoplastic. Isigulane luhlangabezana ukudinwa, ukungabi namdla. Amaxesha amaninzi kukho Ukwehluleka amanqatha, isidlo inyama. Isigulane uyala oyithandayo ukunxila - caffeine, utywala, icuba. eboniswe Akumangalisi ukwehla kobunzima, ukuphazamiseka kokulala, Trousseau Syndrome (ezifudukayo thrombosis of imithambo yoluvo).
3. Senyongo. Acofiweyo bile duct. Ngenxa yoko, umchamo yomguli kunye ulusu ufumana umthunzi mnyama. Gciwane lula. Kukho ukurhawuzelela. Isinye nenyongo bulukwe ukuya ngaphandle kwebala, elula.
4. Ukophulwa kokudla ukutya. Xa le mithambo yethumbu ayikho ezafumana inani elifunekayo enzyme inyongo. Ngenxa yoko, isigulana ulahlekelwa ubunzima ngokukhawuleza. Oku kuvela utyekelo ukurhuda.
5. Imvakalelo sisingqala. duodenum ebangela ucinezelo imvakalelo yesigulane ukuzala, kwanaxa imali encinci ukudla. belching kunokwenzeka zibolile. Ngamanye amaxesha ofike ihlanza ukutya.
6. Ukopha. Ukuba Ithumba ikhula udonga esiswini, umguli kungenzeka le uphawu. Lubonakala ukubuyisa, ubunzima mushy of isitulo emnyama okanye namalahle-emnyama.
7. Iimpawu ze hypersplenism. Babonakala kwi ukucudisa Kwangale ithumba splenic. Isigulane liphuhlise leukopenia, igazi, thrombocytopenia. Mhlawumbi ukwanda ubungakanani udakada - splenomegaly.
8. Iimpawu diabetes. Ukuba kutshatyalaliswa nemisele insulin-ezivelisa ye endlaleni, isigulana lifumana iimpawu eziphambili. Kukho unxano enkulu, abafuna ulusu kunye imifinya yangaphakathi, kome emlonyeni.
9. Ascites. Olu luphawu kade ngezifo. Ibonisa metastases kwi peritoneum, Kwangale portal.

Nayiphi na kwezi mpawu zilandelayo aluyiyo ezithile ukuze Oncology. Ngoko ke, kuyaphela ezinxulumene injeke - isizathu mandatory ukubona ugqirha.

iindlela isifo

uviwo kuphela utyhila ithumba.

Nangona ubukho iimpawu (leyo ingaveza nezinye izinto ezimbi), izifundo zilandelayo ziqhutywa:

1. US. Kuyinto indlela ekhuselekileyo kwaye ulwazi kakhulu. isifundo esinjalo ukuba ukufumanisa ubukho ukudumba, utshintsho yovukelo zepancreas nemeko yayo. Uviwo ultrasound ityhila ithumba ukuba mkhulu kuno-2 cm. Ukongeza, uphononongo kunika uluvo malunga nenqanaba lokwenziwa echogenicity. Xa uphando ukujonga imeko izihlunu ezifana parenchyma zepancreas. Ultrasound ityhila utshintsho yayo noshowo.
2. CT. Uphando sinika inkcazo ubukhulu, indawo, ngezifo, ukubandakanyeka amalungu ezikufutshane. Uphando ubhaqo oluthembekileyo ngokwaneleyo nethumba ukususela nge-3 cm. Noko ke, CT edibene zokukhanya X-ray. Kaninzi nto kucetyiswa ukuba bafeze.
3. MR. Inkcazelo Uphakamileyo indlela kudityaniswe umthwalo ezincinane phezu eziphilayo.
4. Biopsy. Le uxilongo inokuthenjwa zomhlaza. Kuba uphando sithathwa kwindawo ethile ye ithumba, nto leyo okuhlolisiswa ngenyameko ngaphantsi ngemicroscope. Kucingo olubiyele izinto eziyimfuneko yenziwa ngeendlela ezimbini. Phantsi kolawulo yenaliti ekhethekileyo US yaziswa ndawo thumba. Ungasebenzisa indlela endoscopic. Emlonyeni isigulane unikwa ityhubhu ekhethekileyo obhityileyo.
5. yegazi. It ibanjiwe ukusuka ukwanda arhente Oncology. Noko ke, le uphawu unokuba iimpawu zezinye izifo.

Ukuba ufumana isifo iseli umhlaza biopsy iqinisekisiwe. Noko ke, ukuba ukufumanisa iqonga lwesifo zifuna uviwo olunye: esifubeni X-reyi, iimviwo ultrasound esibindini.

unyango lwezifo

Esi sifo phakathi amacandelo zinzima Oncology. De namhlanje, oogqirha Ubengemphenduli ngokucacileyo ukunyanga indlela injeke. Iingxaki ezinxulumene kunye nezigulane abadala. Ngaphezu koko, izigulane kufuneka ezahlukahlukeneyo zizifo ezingenelelayo. Enye into nzima unyango, kodwa inkcazelo izifo kwi zigaba kamva, xa nethumba luchaphazela amalungu ezikufutshane.

Olona nyango eziphambili - yinto utyando kwi pancreas. Imiphumo sokungenela kuxhomekeke kwizinto ezininzi, omkhulu phakathi apho ibakala sifo.

Faka, ngokuxhomekeke kubungqina, kunye nezinye iindlela zonyango:

• utyando lokudambisa;
• therapy radiation;
• chemotherapy.

unyango ngotyando

Ngokusebenza lwenzelwe nkqubo ukuthanda. Isigulane kususa yinxalenye prostate equlathe thumba. Ngaphezu koko ufakwa inkqubo inxalenye elifanayo isisu, duodenum, inyongo isinyi, iindawo nkovu, ezithi zibekwe kufutshane pancreas.

Imfuneko ukususa imizimba emininzi kangaka ngenxa kwindawo yokwakheka ngayo le ndlala ngokwayo. Le injeke ibophene ezikufutshane kwinyama ikhankanywe ngasentla. Kule meko, ithumba elo isasazeka ngokukhawuleza kakhulu amalungu ezikufutshane. ukususwa ivumela ukuba ukunqanda ukwanda kwezifo.

Ngelishwa,% 10-25 kuphela izigulane ezinomhlaza kwi injeke operation kucetyiswa. Imiphumo kotyando akuthethi ukuphelisa ukufa.

Kulo manani unika le datha ilandelayo xa kufikwa izigulane unesifo "umhlaza pancreatic":

1. Ngaphandle utyando isigulana umlinganiselo kaThixo kweminyaka yokuphila kweenyanga ezi-6.
2. Emva kotyando, kwandisa ixesha, ngokuxhomekeke kwinqanaba esi sifo, ukuya kwiminyaka 1.5-2.

utyando lokudambisa

Amvumela ukuba:

• ukuphucula umgangatho wobomi;
• ukuphelisa kuyaphela buhlungu;
• ukulwa ne senyongo obstructive;
• ukubuyisela patency le duodenum.

Kukho iindlela ezininzi ukuba utyando lokudambisa ukuze kwenziwe. ithumba pancreatic, ngelishwa, singesuki. Kodwa ke, umgangatho wobomi yangcono noko.

Iindlela eziphambili zezi:

1. stenting Endoscopic. Umsantsa iingqameko bile uvelise ityhubhu okanye ucingo isakhelo. Ulaneka nenyongo indlela. Ngaloo sokubuyisa ukuhamba operation. Bile wabonisa ngokukhululekileyo.
2. ufakelo esidi. Meaning umsebenzi iyafana lowo wangaphambili. patency Kuphela inyongo ayenziwanga awukabuyi, lilahle ukuya ngaphandle - kwibhegi eyenzelwe ngokukhethekileyo.

Yilwa intlungu analgesics ukuvumela. Ubuhlungu enamandla umguli elimisiweyo analgesics ezidakumbisayo:

• "Promedol".
• "Icaffeine".
• "Omnopon".

amakhambi ngokubambisana

Ukuphelisa Oncology isigulane pancreatic esinganyanga ezi ntlobo zilandelayo unyango radiation:

• radiation bremsstrahlung;
• ezikude gamma-unyango;
• zokukhanya yi electron ukuzila.

therapy Imitha mazenziwe phambi, emva kotyando, yaye maxa wambi endaweni. Ubude ubomi yomguli ziinyanga 12-13. Ukuba unyango radiation kudityaniswe nokusebenza lokudambisa, side avareji yeenyanga 16.

Chemotherapy kusetyenziswa xa akunakwenzeka ukuba baqhube olunye unyango okanye ukuphucula isiphumo unyango kwenziwa. Ngelishwa, indlela enjalo ivumela ukufikelela ukuhlehla kuphela buso le neoplasm.

zokugula sase-

Xa uninzi amatyala olufunyanwa eliqhubela phambili. Isigulane ibonwa lonyango kuvela izifo ezifana ithumba pancreatic. Abantu abane kwesi sifo esibi.

Izigulane ababulawa ukunxila ngokwandisa ngokukhawuleza, cachexia, emathunjini, senyongo kunye nenani ezinye iingxaki.

Emva kotyando, lo nyaka emihlanu izinga basinde lwezigulane (njengoko kuboniswa ngababhali ezahlukeneyo) yi 8-35%.

Prevention zokugula

Indlela aphilise injeke in Oncology? Ngelishwa, kunzima kakhulu. ngayo Kwaye ngamanye amaxesha kunzima. Yiyo loo nto konke okusemandleni kufuneka ibe ukunqanda sifo.

Ukuze wenze oku, umamele zikhokelo zilula:

1. Misa ukutshaya.
2. Ukuseka ukudla okufanelekileyo.
3. Kuphelisa iziphumo deleterious yokusingqongileyo (asbestos thuli).
4. Efika izifo uphathe: pancreatitis, isifo seswekile.
5. Ngendlela yaliwe othintelo ngetshekhi-ups, ngokukodwa phambi cysts, imbali yosapho.

Musa ukunika nayiphi nethuba lokuntdhula izifo emzimbeni wakho. Hlala uphilile!