Iindlela Zonyango Zesigulane Esineminyaka Engama-85 Esinomhlaza Wepancreatic

Lo ngumguli oneminyaka engama-85 ubudala owayevela eTianjin waza wafunyaniswa ukuba unomhlaza wepancreatic.

Isigulana savelelwa ziintlungu zesisu saza sahlolwa esibhedlele sasekuhlaleni, nto leyo eyabonisa ukuba sinesifo se-pancreatic tumor kunye namanqanaba aphezulu e-CA199. Emva kovavanyo olupheleleyo esibhedlele sasekuhlaleni, kwafunyaniswa ukuba sinesifo somhlaza we-pancreatic.

Ngomhlaza wepancreatic, iindlela eziphambili zonyango ziquka:

1. Ukususwa kwesisu ngotyando:Le yindlela yodwa yokunyanga umhlaza wepancreatic okwinqanaba lokuqala. Nangona kunjalo, ibandakanya ukwenzakala okukhulu kotyando kwaye inomngcipheko omkhulu weengxaki kunye namazinga okufa ngexesha nasemva kwenkqubo. Izinga lokusinda kweminyaka emihlanu limalunga ne-20%.
2. Utyando lokukhupha i-Ultrasound egxile kwi-High-Intensity (HIFU):Ngaphandle kotyando, le ndlela yonyango ingabulala ngokuthe ngqo iithumba kwaye ifumane iziphumo ezifana notyando ekunyangeni umhlaza wepancreatic. Inganyanga ngempumelelo iithumba ezikufutshane nemithambo yegazi kwaye inexesha elikhawulezayo lokuphola emva kotyando.
3. Unyango ngamakhemikhali:Olu lolona nyango lusisiseko lomhlaza we-pancreatic. Nangona ukusebenza kakuhle kwe-chemotherapy kumhlaza we-pancreatic kungafanelekanga, ezinye izigulana zisazuza kuyo. Amayeza e-chemotherapy asetyenziswa rhoqo aquka i-albumin-bound paclitaxel, i-gemcitabine, kunye ne-irinotecan, ezidla ngokudityaniswa nezinye iindlela zonyango.
4. Unyango lokufakwa kwemithambo:Le yenye indlela esetyenziswa kakhulu yonyango lomhlaza wepancreatic. Ngokufaka amayeza ngqo kwimithambo yegazi yethumba, uxinaniso lweyeza ngaphakathi kwethumba lunokuba phezulu kakhulu ngelixa linciphisa uxinaniso lweyeza elisemzimbeni. Le ndlela inceda ekunciphiseni ukusabela kwe-chemotherapy, nto leyo eyenza ukuba ifaneleke ngakumbi kwizigulana ezine-metastases ezininzi zesibindi.
5. Unyango ngemitha:Oku kusebenzisa kakhulu imitha ukubulala iiseli zethumba. Ngenxa yemida yomthamo, kuphela iqela lezigulana ezinokungenelwa kunyango lwemitha, kwaye lunokuza neziphumo ebezingalindelekanga ezinxulumene nemitha.
6. Ezinye iindlela zonyango zasekuhlaleni:Ezifana nonyango lwe-nanoknife, unyango lwe-radiofrequency okanye lwe-microwave ablation, kunye nonyango lokufakelwa kwamasuntswana. Ezi zithathwa njengeendlela zonyango ezizezinye kwaye zingasetyenziswa ngokufanelekileyo ngokusekelwe kwiimeko zomntu ngamnye.

Xa kujongwa ubudala besigulana obungaphezulu kweminyaka engama-85, nangona bekungekho mhlaza usasazekayo, imida ebekwe bubudala ithetha ukuba utyando luza kuthathwa.,ikhemotherapikwayeunyango lwemitha belungelulo ukhetho olunokwenzeka kwisigulana. Isibhedlele sasekuhlaleni besingakwazi ukubonelela ngeendlela zonyango ezisebenzayo, nto leyo eyakhokelela kwiingxoxo kunye neengxoxo ezabangela ukuba isigulana sidluliselwe esibhedlele sethu.Ekugqibeleni, kwagqitywa ekubeni kuqhutyekwe nonyango lwe-High-Intensity Focused Ultrasound (HIFU).Le nkqubo yenziwe phantsi kwe-sedation kunye ne-analgesia, kwaye iziphumo zotyando bezilungile, kungekho ntlungu ibonakalayo efunyenwe sisigulana ngosuku lwesibini emva kotyando.

Uvavanyo emva kotyando lubonise ukuba ngaphezulu kwe-95% yesisu sisusiwe,kwaye isigulane asizange sibonise zimpawu zentlungu yesisu okanye i-pancreatitis. Ngenxa yoko, isigulane sakwazi ukukhululwa ngosuku lwesibini.

Xa sibuyela ekhaya, isigulana singenza unyango oludibeneyo olufana namayeza onyango lwe-chemotherapy okanye amayeza emveli aseTshayina, kunye notyelelo olulandelayo olucwangcisiweyo emva kwenyanga enye ukuze kuvavanywe ukubuyela umva kunye nokufunxwa kwesi sifo.

Umhlaza wepancreatic sisifo somhlaza esiyingozi kakhulu,idla ngokufunyaniswa ikwinqanaba eliphezulu, ixesha eliphakathi lokusinda elimalunga neenyanga ezi-3-6. Nangona kunjalo, ngeendlela zonyango ezisebenzayo nezibanzi, uninzi lwezigulane lunokwandisa ixesha lokusinda kwazo ngeminyaka eli-1-2.