Ọrịa Pancreatic

Pancreatic cancer bụ kansa nke na-amalite na pancreas.

Pancreas bụ nnukwu akụkụ dị n’azụ afọ. Ọ na - eme ma wepụta enzymes n’ime eriri afọ nke na - enyere ahụ aka ịgbari ma banye nri, ọkachasị abụba. Pancreas na-emekwa ma na-ahapụ insulin na glucagon. Ihe ndị a bụ homonụ na-enyere ahụ aka ịchịkwa ogo shuga dị n’ọbara.

E nwere ụdị ọrịa cancer dị iche iche. Dị a dabere na mkpụrụ ndụ nke kansa ahụ malitere. Ihe atụ gụnyere:

• Adenocarcinoma, ụdị ọrịa cancer na-ahụkarị
• Typesdị ndị ọzọ na-adịghị ahụkebe gụnyere glucagonoma, insulinoma, akpụ cell cell, VIPoma

Amabeghị ihe kpatara ọrịa cancer nke pancreatic. Ọ na-abụkarị ndị mmadụ:

• Ndi buru oke ibu
• Rie nri nwere abụba na mkpụrụ osisi na akwụkwọ nri
• Nwee ọrịa shuga
• Nwee oge ụfọdụ na kemịkal ụfọdụ
• Nwee mbufụt nke pancreas (pancreatitis na-adịghị ala ala)
• Anwụrụ ọkụ

Ihe ize ndụ nke kansa pancreatic na-abawanye na afọ. Akụkọ banyere ezinụlọ banyere ọrịa a na - emekwa ka ohere nke ịrịa kansa a dị ntakịrị.

Mkpụrụ (kansa) na pancreas nwere ike itolite n'enweghị mgbaàmà ọ bụla na mbụ. Nke a pụtara na ọrịa kansa na-agakarị n'ihu mgbe mbụ a hụrụ ya.

Mgbaàmà nke kansa pancreatic gụnyere:

• Afọ ọsịsa
• Mmiri mmamiri na oche na-acha ụrọ
• Ike ọgwụgwụ na adịghị ike
• Mberede na ọkwa shuga n'ọbara (ọrịa shuga)
• Jaundice (agba odo na akpụkpọ ahụ, akpụkpọ anụ mucous, ma ọ bụ akụkụ anya ọcha) na itching nke anụ ahụ
• Enweghi agụụ na ọnwụ
• Ọgbọ na ọgbụgbọ
• Mgbu ma ọ bụ ahụ erughị ala na akụkụ nke elu nke afọ ma ọ bụ afọ

Onye nlekọta ahụike ga-eme nyocha anụ ahụ ma jụọ maka ihe mgbaàmà gị. N'oge ule ahụ, onye na-eweta ahụ nwere ike ịnwe oke (oke) n'ime afọ gị.

Nyocha ọbara nke enwere ike ịnye iwu gụnyere:

• Ọnụọgụ ọbara zuru ezu (CBC)
• Nnwale ọrụ imeju
• Ọbara bilirubin

Nyocha ule nwere ike inye iwu gụnyere:

• Nyocha CT nke afọ
• Endoscopic retrograde cholangiopancreatography (ERCP) Ọgwụgwụ
• Endoscopic ultrasound
• MRI nke afọ

A na - achọpụta nyocha nke ọrịa cancer pancreatic (na ụdị ihe) site na biopsy pancreatic.

Ọ bụrụ na nnwale egosi na ị nwere ọrịa pancreatic, a ga-eme nyocha ọzọ iji hụ ókè ọrịa kansa ahụ agbasaala n'ime na n'èzí pancreas. A na-akpọ nke a staging. Ihe nlere anya na-enyere aka iduzi ọgwụgwọ ma nye gị echiche nke ihe ị ga-atụ anya ya.

Ọgwụgwọ maka adenocarcinoma dabere na ogbo nke etuto ahụ.

Enwere ike ịwa ahụ ma ọ bụrụ na etuto ahụ agbasaghị ma ọ bụ gbasaa obere. Yana ịwa ahụ, chemotherapy ma ọ bụ ọgwụgwọ radieshon ma ọ bụ ha abụọ nwere ike iji tupu ma ọ bụ mgbe emechara ahụ. Enwere ike iji ọgwụgwọ a gwọọ mmadụ ole na ole.

Mgbe etuto ahụ agbasaghị nke pancreas mana enweghị ike ịwa ya ahụ, enwere ike ịtụnye ọgwụ na ọgwụgwọ radiation.

Mgbe etolitere etuto ahụ (metastasized) na akụkụ ndị ọzọ dịka imeju, a na-ejikarị chemotherapy naanị.

Site n'ọrịa cancer dị elu, ebumnuche nke ọgwụgwọ bụ ijikwa ihe mgbu na mgbaàmà ndị ọzọ. Dịka ọmụmaatụ, ọ bụrụ na etuto ahụ na-ebugharị tub na-egbochi nsị ahụ, a ga-eme usoro iji tinye obere tube (stent) iji mepee mkpọchi ahụ. Nke a nwere ike inyere aka belata jaundice, na itching nke anụ ahụ.

Nwere ike belata nchekasị nke ọrịa site na isonyere ndị otu na-akwado ọrịa kansa. Kọrọ ndị ọzọ ihe ha na-eme na nsogbu niile nwere ike inyere gị aka ichewe naanị gị.

A gwọọ ụfọdụ ndị nwere ọrịa kansa pancreatic nke nwere ike ịwa ahụ n'ịwa ahụ. Mana otutu mmadu, etolite etolite a enweghi ike iwepu ya kpamkpam n’oge nchoputa.

A na-enyekarị ọgwụ na radieshon mgbe emechara ahụ iji mee ka ọnụọgụ ọgwụgwọ (nke a na-akpọ ọgwụ adjuvant). Maka ọrịa pancreatic nke enweghị ike wepu ya kpamkpam na ịwa ahụ ma ọ bụ kansa nke gbasaa gafere pancreas, ọgwụgwọ agaghị ekwe omume. N'okwu a, a na-enye ọgwụ iji meziwanye ma gbatịkwuo ndụ mmadụ.

Kpọọ otu oge gị na onye na-eweta gị ma ọ bụrụ na ịnwee:

• Afọ ma ọ bụ azụ mgbu nke na-anaghị agabiga
• Ọchịchọ na-adịgide adịgide
• Enweghị ike ọgwụgwụ ma ọ bụ ibu ibu
• Ihe mgbaàmà ndị ọzọ nke nsogbu a

Mgbochi na-agụnye:

• Ọ bụrụ na ị na-a smokeụ sịga, ugbu a bụ oge ịkwụsị ya.
• Rie nri nke nkpuru osisi, akwukwo nri, na nkpuru oka di iche.
• Na-emega ahụ oge niile ka ị nwee ike ibu ibu.

Ọrịa Pancreatic; Ọrịa cancer - pancreas

• Usoro nri
• Ọgwụ endocrine
• Ọrịa Pancreatic, CT scan
• Pancreas
• Ihe mgbochi Bilili - usoro

Jesus-Acosta AD, Narang A, Mauro L, Herman J, Jaffee EM, Laheru DA. Carcinoma nke pancreas. Na: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff’s Clinical Oncology. Nke isii. Philadelphia, PA: Elsevier; 2020: isi 78.

Weebụsaịtị National Cancer Institute. Pancreatic cancer ọgwụgwọ (PDQ) - ụdị ọkachamara ahụike. www.cancer.gov/types/pancreatic/hp/pancreatic-treatment-pdq. Emelitere July 15, 2019. Nabata August 27, 2019.

National Comprehensive Cancer Network weebụsaịtị. NCCN usoro nlekọta ahụike na oncology: pancreatic adenocarcinoma. Dị 3.2019. www.nccn.org/professionals/physician_gls/pdf/pancreatic.pdf. Emelitere July 2, 2019. Nabata August 27, 2019.

Shires GT, Wilfong LS. Pancreatic cancer, cystic pancreatic neoplasms, na ndị ọzọ nonendocrine pancreatic etuto ahụ. Na: Feldman M, Friedman LS, Brandt LJ, eds. Ọrịa Cancer Sleisenger na Ọrịa Cancer nke Fordtran. Nke iri. Philadelphia, PA: Elsevier Saunders; 2016: isi 60.