ʻO ia kekahi o nā mea nui loa o ka ʻōnaehana o ka digestive, synthesize the pancreas a number of enzymes that part in the metabolism of zat.
Inā hōʻeha ʻia ka huelo e nā maʻi like ʻole, ʻaʻole i holo pono ka hana neuroendocrine, e alakaʻi ana i ka haunaele i ka hana a me ke ʻano o nā ʻōmene like ʻole. ʻO kekahi o nā maʻi koʻikoʻi a weliweli loa i kēia manawa ʻo ka maʻi maʻi.
ʻO nā koho aʻe no ka lesi pancreatic ma ka oncology:
- Kū pololei i kahi ʻōpū i hiki i ka okana. Kāpili ʻia ia ma muli o ka pae o ke kaʻina i nā hana 4. I ka ʻehā, ʻike ʻia nā metastases i nā ʻokoʻa kino ʻē aʻe;
- ʻO ka lesi metastatic o ka pancreas i ka wā i loaʻa ai ka lesion mua i kahi ʻokoʻa ʻē aʻe. ʻO ka pinepine, ʻo ka leʻaleʻa e loaʻa i ka wā ʻo ke poʻo nui ke kuʻi o ka ʻōpū o nā ʻōpū a i ʻole e hoʻohālikelike ai i ka lolo (kidney adenocarcinoma).
ʻIke ʻia nā metastases i ka wā e luhi ai ke kino e hakakā me ka maʻi kanesa, hoʻolilo i nā kumuwaiwai āpau ma luna o ia mea. Ua ulu a hiki i ka nui nui a kū i ka hana o nā ʻāpana, kahi i kapa ʻia he metastases. Hoʻopili ʻia lākou ma ke kino o ke kanaka, i hoʻopili ʻia i nā ʻāpana o ke kikowaena a me nā ʻili, kahi e ulu nui ai lākou, ka hana ʻana i nā pūlima lua hou. Nui a hewahewa nā ʻano o ka maʻi kanesa:
- Hematogenous, ma loko o ke kino e hali ʻia ai e ke kino ma o ka 'opuleka;
- Lymphogenic - nā maʻi kanesa ke komo i ka lepa lymph me ka holo lymph;
- Hoʻopau. Hiki ke hoʻohana i kēia ʻano inā hele mai kahi kino olakino i ka pili me kahi i hōʻino ʻia a ulu nā ʻili i loko o loko.
ʻO ke ʻano o nā metastases he manawa ia, ʻoiai ma ka mea i ʻike ʻia i ka nui o nā hihia. Akā inā ʻike ka maʻi i ka wā ma mua, hiki ke hoʻōla. Inā ʻike ʻia ka maʻi ma hope o ka puka ʻana o ka foci tuarua, kākoʻo wale ke ʻano i ka mālama ʻana.
Hoʻomaʻama pinepine, ʻaʻole hiki i ka mea maʻi ke hoʻoholo koke i ka hoʻomaka ʻana o ke kaʻina o ka hoʻomohala o nā limahana lua, no ka mea e kū ʻia mai nā metastases hoʻokahi. No ka wā lōʻihi, ʻaʻole lākou e hōʻike iā lākou iho ma ke ala iki. Nui kekahi mau hōʻailona i ʻike ʻia me ka kaena neʻe o ka maʻi.
- Ke ʻano o ke ʻeha o ke ʻeha o ka ʻōpū epigastric (ʻo ka mea maʻamau ka hypochondrium hema me kahi hoʻi o ke kua i lalo). Hele i ke manawa, ua ikaika loa kēlā mau maʻi;
- ʻO kaʻoki kaumaha loa a me ke kaumaha o ke kino o ka mea maʻi;
- ʻO ka nele ʻole o nā mea hao i loko o ke kino, kahi e hoʻoiho ai i ka anemia;
- ʻO ka palupalu, nāwaliwali mau;
- Hōʻeu (pale);
- I ke kahua 4, ʻike nui ʻia ka haukapila o ke kino holoʻokoʻa.
E like me ka mea i ʻike ʻia e nā ʻepekema, ʻaʻole ʻike pinepine nā metastases ma nā pancreas. Hoʻokomo ka ʻehā i ka maʻi gastric a me ka adenocarcinoma renal.
Inā pili ka ʻōpū i nā pancreas ponoʻi, ʻike pinepine ka metastases i nā ʻolua e like me:
- Pāʻālua. Ua pili i ka liʻiliʻi iki ma mua o 50 pakeneka o nā hihia. Hoʻopili ʻia kēlā me ia i nā hana kānana i hana ʻia e ka ʻāpū aʻai me ka pī ʻana i ka nui o ke koko, me ka kahe o ke ʻano maʻi pinepine o ke kino. ʻO kahi maʻi pancreatic me nā metastases o ka maʻi maʻamau a me nā hanana maʻamau;
- ʻO ka mana o Peritoneum a me ka retroperitoneal;
- Nā Lali
- ʻ .lelo kelepona I loko o lākou, ʻike pinepine ka metastases. E helu ana lākou ma kahi o 75 pakeneka o nā metastases i ka maʻi maʻi pancreatic;
- ʻO nā kelepona mamao loa nā mea kuʻi a me nā mea ʻē aʻe.
I ka manawa pinepine, ʻike ka metastases iā lākou iho ma mua o ke kīpē nui, no laila, i ka wā e hoʻokō ai i nā kaʻina diagnostic, kau ʻia e nā kauka ke neoplasm nui.
He paʻakikī nui ka hilahila o nā metastases ma ka oncology.
ʻO kēia no ka manaʻo o nā cell cancer ʻaʻole e ʻike pono iā lākou iho no ka manawa lōʻihi, kahi mea hiki ke ʻalo ʻia kā lākou ʻike.
I mea e hoʻoholo ai i ka maʻi, hoʻohana ka lāʻau lapaʻau i kahi ʻano paʻakikī o nā ala ʻokoʻa. ʻO nā mea nui:
- ʻO nā ʻano āpau āpau o ke koko no ka hiki ʻana i nā māka o ke kaʻe;
- ʻO ka tomography ultrasound, kahi mea e hoʻohana pinepine ʻia e ʻike ai i nā metastases i ka pancreas;
- ʻO ka tomography hoʻohālikelike e hiki ai iā ia ke nānā pono i ka lepa mai nā kihi ʻokoʻa like a ʻike i ka nui a me ke ʻano o ka neoplasm;
- Hoʻomau ka hana hoʻohālikelike résonance o ka pancreas me ka hoʻohana ʻana i ka hoʻohālikelike, e lawe ana ka mea maʻi i ka ʻōlelo maʻamau;
- ʻO kahi biopsy kahi e lawe ʻia ai nā selika mai ka neoplasm pono a me kā lākou aʻo hou ʻana.
Ma kahi kūlana patological e like me ka pancreatic metastasis, kahi hoʻonohonoho hana e hoʻohana pinepine ʻia e hōʻoluʻolu i ke ʻano o ka mea maʻi.
Ma kēia hihia, ua ʻike pono ʻia nā ʻikepili āpau i loaʻa i ka wā o nā hoʻokolohua, ka ʻikepili o ka mea maʻi o kēlā me kēia, kona kūlana maʻamau, kahi o ka ʻoi ma ka mua a me ke ʻano o kāna mālama ʻana.
ʻO nā ala maʻamau maʻamau no ka mālama ʻana i nā metastases i ka kuʻi i ka:
- Hoʻolā hewa;
- Radiotherapy (i kekahi manawa me ka hana o ke kaʻina hana);
- Chemotherapy
I kēia manawa, ʻo kekahi o nā loea metastasis hou, he nui nā loiloi, ʻo ia ka radiosurgery, e lawe ʻia ana e hoʻomaikaʻi ʻia i kahi pahi kelepona kūikawā naʻe ʻia e nā ʻepekema. Kēia hana lapaʻau i piha ʻole i ke koko a me ka hōʻeha ʻole no nā mea maʻi a hana ʻia me ka ʻole o ka hoʻohana ʻana i ka anesthesia.
ʻO ka chemotherapy i ka mālamaʻana o metastases pancreatic e hana e pale ai i ka hoʻomohala ʻana o kahi huakaʻi ma hope o ka hana ʻana. Hoʻoholo ka Oncologist i ka lōʻihi o ka manawa o ka lāʻau mālama. ʻO ka maʻamau, hana kēia hana i kekahi mau mahina, kahi e ulu ai ka ulu o nā cell cancer a me ko lākou hūnā hou i ke kāohi ʻia e nā lāʻau kūikawā.
Hoʻomaʻamaʻa ka Chemotherapy i kahi nui i ke kūlana o nā mea maʻi a hiki ke hoʻolōʻihi i ko lākou ola, akā naʻe, he nui ia nā hopena koʻikoʻi a me nā contraindications.
ʻO ka maʻi maʻi pancreatic kahi maʻi maʻamau. ʻO ka maʻi diabetes mellitus type 1, kahi maʻi pancreatitis i manaʻo ʻia he mau kūlana mua o ka hoʻopiʻi, pono pono e mālama ʻia a mālama ʻia ma lalo o ka mālama mau ʻana.
I kēia manawa, ke kauka nei nā kauka i ka ʻike ʻana i nā metastases i ka maʻi ʻaia ma nā ʻiʻo o ke kino. No ka poʻe maʻi me nā maʻi ʻeha, hiki i ka 12% ke ola. Inā ʻaʻole i lawe ʻia ka hoʻopau ʻana o ka lesion lua, a laila ʻaʻole i emi ka nui o ke ola no ka 5 mau makahiki.
I ka hihia o ka hōʻikeʻana i ke kahua hope a me ka hanana ākea o ka metastases, ʻo ka manaʻolana ke ola e pili ana i hoʻokahi makahiki.
Hāʻawi ʻia ka ʻike e pili ana i ka maʻi pancreatic i ke wikiō ma kēia ʻatikala.
