Nkhani

Khansara ya kapamba ndi khansa yomwe imayambira kapamba.Pancreas imapanga ma enzymes ndi mahomoni omwe amafunikira kuti chimbudzi chisamayende bwino ndikuwongolera kuchuluka kwa shuga m'magazi.
Zolemba zenizeni, zotchedwa zolembera zotupa, zitha kupezeka m'magazi a odwala omwe ali ndi khansa ya kapamba.Zolembazi sizingathandize madokotala okha kuzindikira khansa ya kapamba, komanso zikuwonetsa ngati chithandizo chikugwira ntchito.
Munkhaniyi, tiwonanso zolembera zodziwika bwino za khansa ya pancreatic, kugwiritsa ntchito kwawo, komanso kulondola.Tidawonanso njira zina zodziwira khansa ya kapamba.
Zolemba zotupa zimapangidwa ndi maselo a khansa kapena opangidwa ndi thupi lanu poyankha khansa.Zolemba za chotupa nthawi zambiri zimakhala zomanga thupi, koma zimatha kukhala zinthu zina kapena kusintha kwa majini.
Mapuloteni awiriwa amatha kukhalapo m'magazi okwera kwambiri mu khansa ya pancreatic.Atha kugwiritsidwa ntchito pozindikira khansa ya pancreatic ndikumvetsetsa zotsatira za chithandizo cha khansa ya pancreatic.
Zitsanzo za magazi zotengedwa mumtsempha wa m'manja zimagwiritsidwa ntchito poyeza milingo ya CA19-9 ndi CEA.Gome ili m'munsili likuwonetsa milingo yofananira komanso yokwera ya zolembera zonse zotupa.
Mwachitsanzo, odwala ena omwe ali ndi khansa ya kapamba mwina alibe milingo yokwera ya CA19-9 kapena CEA.Kafukufuku wambiri wasonyeza kuti mitundu ina ya majini imakhudza zolembera za khansa ya pancreatic.
Ndemanga ya 2018 idayerekeza phindu la kuyeza CA19-9 ndi CEA pozindikira khansa ya kapamba.Ponseponse, CA19-9 inali yovuta kwambiri kuposa CEA pozindikira khansa ya kapamba.
Komabe, ndemanga ina mu 2017 idapeza kuti CEA imakhalabe yofunika pakuzindikiritsa khansa ya kapamba ikagwiritsidwa ntchito limodzi ndi CA19-9.Kuphatikiza apo, mu kafukufukuyu, milingo yokwezeka ya CEA idalumikizidwa kwambiri ndi kuneneratu koyipa.
Ndemanga ya 2019 pakugwiritsa ntchito zolembera zotupa kuneneratu kuyankha ku chithandizo cha khansa ya pancreatic idatsimikiza kuti zomwe zilipo pano sizokwanira ndipo kafukufuku wochulukirapo akufunika.Kuwunika kwa zolembera zotupa zomwe zimagwiritsidwa ntchito kuti zizindikire kuyambiranso kwa khansa ya pancreatic mu 2018 kumathandizira malingaliro awa.
Kuphatikiza pa kuyesa zolembera zotupa, madokotala atha kugwiritsa ntchito mayeso ena angapo kuti azindikire khansa ya kapamba.Izi zikuphatikizapo:
Kuyesa kujambula kumathandiza dokotala kuyang'ana mkati mwa thupi lanu kuti apeze malo omwe angakhale ndi khansa.Atha kugwiritsa ntchito mayeso osiyanasiyana ojambulira kuti azindikire khansa ya kapamba, kuphatikiza:
Kuphatikiza pa kuyezetsa magazi kwa zolembera zotupa, madokotala amatha kuyitanitsa kuyezetsa magazi kwina ngati akukayikira khansa ya kapamba.Izi zikuphatikizapo:
Biopsy imaphatikizapo kuchotsa kagawo kakang'ono ka minofu pamalo otupa.Chitsanzocho chimawunikidwa mu labotale kuti muwone ngati ili ndi maselo a khansa.
Khansara ikapezeka, kuyezetsa kwina kungathenso kuchitidwa pachitsanzo cha biopsy kuti muwone zozindikiritsa zenizeni kapena kusintha kwa majini.Kukhalapo kapena kusapezeka kwa zinthuzi kungathandize kudziwa mtundu wa mankhwala omwe akulimbikitsidwa.
Bungwe la American Gastroenterological Association (AGA) limalimbikitsa kuti anthu omwe ali pachiopsezo chowonjezereka chifukwa cha mbiri ya banja la khansa ya pancreatic kapena matenda obadwa nawo a chibadwa aganizire zowunika khansa ya pancreatic.
Zaka zomwe kuwunika kumayambira zimatengera momwe munthu aliyense payekhapayekha, malinga ndi AGA.Mwachitsanzo, ikhoza kuyamba ali ndi zaka 35 mwa anthu omwe ali ndi matenda a Peutz-Jeghers, kapena ali ndi zaka 50 mwa anthu omwe ali ndi mbiri ya banja la khansa ya pancreatic.
Kuyeza khansa ya kapamba kumaphatikizapo kugwiritsa ntchito MRI ndi endoscopic ultrasound.Kuyeza ma genetic kungalimbikitsidwenso.
Kuwunika kumachitika miyezi 12 iliyonse.Komabe, ngati madokotala apeza madera okayikitsa pa kapamba kapena pafupi ndi kapamba, amatha kufupikitsa nthawi imeneyi, zomwe zimapangitsa kuyezetsa pafupipafupi.
Kumayambiriro kwa khansa ya pancreatic nthawi zambiri palibe zizindikiro.Ichi ndichifukwa chake mitundu yambiri ya khansa ya pancreatic sidziwika mpaka mochedwa.Ngati alipo, zizindikiro za khansa ya pancreatic zingaphatikizepo:
Ngakhale kuti mayesero ena amathandiza kwambiri pozindikira matenda, njira yokhayo yodalirika yodziwira khansa ya m'mimba ndi kusanthula chitsanzo cha minofu ya biopsy.Izi ndichifukwa choti zitsanzo zochokera kudera lomwe zakhudzidwa zitha kuyesedwa mwachindunji ku maselo a khansa.
Malinga ndi American Cancer Society, khansa ya pancreatic imapanga pafupifupi 3 peresenti ya khansa zonse ku United States.Chiwopsezo cha moyo wonse chokhala ndi khansa ya kapamba mwa munthu ndi pafupifupi 1 mwa 64.
Khansara ya kapamba ndiyovuta kuizindikira idakalipo.Anthu ambiri sakhala ndi zizindikiro mpaka khansayo itakula.Komanso chifukwa kapamba amakhala mkati mwa thupi, zotupa zazing'ono zimakhala zovuta kuzizindikira pojambula.
Chiyembekezo chodziwikiratu khansa ya m'matumbo apita patsogolo.Malinga ndi National Cancer Institute, zaka 5 zopulumuka khansa ya pancreatic yokha ndi 43.9%.Izi zikufanizira ndi 14.7% ndi 3.1% pakugawa kwamadera ndi kutali, motsatana.
Zolemba za chotupa ndi zolembera zomwe zimapangidwa ndi maselo a khansa kapena thupi poyankha khansa.Zolemba zomwe zimagwiritsidwa ntchito kwambiri pa khansa ya kapamba ndi CA19-9 ndi CEA.
Ngakhale zotsatira zoyezetsa magazi za ma biomarkers awa zitha kupereka chidziwitso chofunikira kwa madokotala, kuyezetsa kwina kumafunika nthawi zonse.Izi zingaphatikizepo kuyesa kujambula, kuyesa magazi owonjezera, ndi biopsy.
Kuyezetsa khansa ya m'mapapo kungatheke mwa anthu omwe ali ndi mbiri ya banja la khansa ya pancreatic kapena ma genetic syndromes.Ngati zilizonse zomwe zili pamwambazi zikugwirani ntchito kwa inu, lankhulani ndi dokotala za momwe mungayambitsire komanso nthawi yoyezetsa khansa ya kapamba.
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