UKhetho loNyango lweSigulana esineminyaka engama-85 ubudala esinoMhlaza wePancreatic

Esi sisigulana esineminyaka engama-85 ubudala esisuka eTianjin kwaye kwafunyaniswa ukuba sinomhlaza wepancreatic.

Isigulana sinike iintlungu zesisu kwaye savavanywa kwisibhedlele sendawo, esatyhila ithumba le-pancreatic kunye namanqanaba aphezulu e-CA199.Emva kovavanyo olubanzi kwisibhedlele sendawo, ukuxilongwa kweklinikhi yomhlaza we-pancreatic kwasekwa.

Kumhlaza wepancreatic, iindlela eziphambili zonyango zibandakanya:

1. Uqhaqho loqhaqho:Le kuphela kwendlela yokunyanga umhlaza wepancreatic okwinqanaba lokuqala.Nangona kunjalo, kubandakanya umonzakalo obalulekileyo wotyando kwaye inomngcipheko omkhulu weengxaki kunye namazinga okusweleka kokubini ngexesha nangemva kwenkqubo.Izinga lokusinda leminyaka emihlanu limalunga nama-20%.
2. I-High-Intensity Focused Ultrasound (HIFU) yotyando lokukhupha:Ngaphandle kotyando, le ndlela yonyango inokubulala ngokuthe ngqo amathumba kwaye ifezekise iziphumo ezifanayo nezotyando ekunyangeni umhlaza wepancreatic.Iyakwazi ukunyanga ngokufanelekileyo amathumba asondele kwimithambo yegazi kwaye inexesha elikhawulezayo lokubuyisela emva kokusebenza.
3. Unyango ngamachiza:Olu lunyango olusisiseko lomhlaza we-pancreatic.Nangona ukusebenza kwe-chemotherapy kumhlaza we-pancreatic kungafanelekanga, ezinye izigulana zisaxhamla kuyo.Amachiza echemotherapy adla ngokusetyenziswa aquka ialbumin-bound paclitaxel, gemcitabine, neirinotecan, ezidla ngokudityaniswa nezinye iindlela zonyango.
4. Unyango lwe-Arterial infusion:Le yenye indlela esetyenziswa ngokuqhelekileyo unyango umhlaza pancreatic.Ngokutofa iziyobisi ngokuthe ngqo kwimithanjana yegazi yethumba, ukuxinana kwechiza ngaphakathi kwethumba kunokuba phezulu kakhulu ngelixa kuthoba i-systemic drug concentration.Le ndlela inceda ekunciphiseni ukusabela kwe-chemotherapy, iyenza ifaneleke ngakumbi izigulana ezine-metastases ezininzi zesibindi.
5. Unyango ngemitha:Oku kuqala kusebenzisa i-radiation ukubulala iiseli zethumba.Ngenxa yothintelo lwethamo, kuphela iseti esezantsi yezigulana ezinokuxhamla kunyango lwemitha, kwaye inokuza neziphumo ebezingalindelekanga ezinxulumene nemitha.
6. Olunye unyango lwasekuhlaleni:Njengonyango lwe-nanoknife, i-radiofrequency okanye unyango lwe-microwave ablation, kunye nonyango lokufakelwa kwamasuntswana.Ezi zibhekwa njengezinye iindlela zonyango kwaye zinokusetyenziswa ngokufanelekileyo ngokusekelwe kwiimeko zomntu ngamnye.

Kuthathelwa ingqalelo ubudala bokukhula kwesigulana seminyaka engama-85, nangona kwakungekho metastasis yomhlaza, imida ebekwe bubudala yayithetha ukuba utyando.,ichemotherapykwayeUnyango ngemitha ibingelokhetho olunokwenzeka kwisigulana.Isibhedlele sasekuhlaleni asikwazanga ukubonelela ngeendlela zonyango ezisebenzayo, okukhokelela kwiingxoxo kunye nothethathethwano olubangele ukuba isigulane sidluliselwe kwisibhedlele sethu.Ekugqibeleni, isigqibo senziwe ukuba kuqhutyekwe ne-High-Intensity Focused Ultrasound (HIFU) yonyango yokukhutshwa.Inkqubo yenziwa phantsi kwe-sedation kunye ne-analgesia, kwaye umphumo wotyando wawuthandeka, kwaye akukho nto ibuhlungu ebonwa ngumguli ngosuku lwesibini emva kotyando.

Uvavanyo lwasemva kotyando luveze ngaphezulu kwe-95% yokukhutshwa kwethumba,kwaye isigulane asizange sibonise iimpawu zentlungu yesisu okanye i-pancreatitis.Ngenxa yoko, isigulane sakwazi ukukhutshwa ngosuku lwesibini.

Ukubuyela ekhaya, isigulana sinokuthi sifumane unyango oludityanisiweyo olunje ngamachiza omlomo wechemotherapy okanye amayeza esintu aseTshayina, notyelelo olulandelelweyo olucwangcisiweyo emva kwenyanga enye ukuvavanya ukwehla kunye nokufunxa kwethumba.

Umhlaza wePancreatic sisifo esibuhlungu kakhulu,Ihlala ifunyaniswa kumanqanaba aphezulu, kunye nexesha eliphakathi lokusinda elimalunga neenyanga ezi-3-6.Nangona kunjalo, ngeendlela zonyango ezisebenzayo kunye nezibanzi, uninzi lwezigulana zinokwandisa ubomi bazo ngeminyaka eyi-1-2.