Ivhagresi inhengo iri kumashure kwemudumbu uye ichiita mabasa maviri makuru: kubudiswa kwemakemikari emuviri uye kubudiswa kwehomoni inobatanidza mune metabolism. Ipacreas ine zvikamu zvina: musoro, mutsi, muviri nemuswe. Zvechokwadi, kenza inowanikwa mumusoro wepascreas.
Zviratidzo zvekenza yepancreatic
Kufanana nemamwe kanzira yematumbo emimba, zviratidzo zvekenza yepancreatic hazvirevi kuratidzwa. Sezvo mutemo, chirwere ichi chinotora kwenguva yakareba chisingaenzaniswi uye chinotanga kuonekwa chete mumatanho ekupedzisira, apo bundu racho rakapararira kumapisitomu akakomberedzwa uye lymph nodes.
Zvinonyanya zviratidzo zvekenza yepancreatic:
- kunorwadza kwakakomba kunowanikwa munzvimbo ye epigastric uye hypochondrium chaiyo inopenya iri kumashure;
- kufambira mberi kwekurasikirwa;
- kurutsa kazhinji;
- nyota nguva dzose;
- diarrhea;
- general weak;
- kuwedzera kwekushisa kwemuviri;
- mechanical jaundice (nokukundwa kwemusoro wepakreas) - kupenya kweganda, mucous membrane, sclera;
- kupisa ganda, nezvimwewo.
Zvinokonzera kenza yepancreatic
Zvimwe zvinokonzera kenza yepancreatic hazvizivikanwi, asi zvimwe zvinhu zvinobatsira pakukura kwayo. Izvi zvinosanganisira:
- kusvuta;
- kunwisa doro;
- chikafu chekudya, chikafu mune mafuta uye zvokudya zvinonaka;
- chirwere cheshuga mellitus;
- chirwere chechiropa ;
- kushanda pamudumbu;
- kuvepo kwematombo e-cholesterol mujeri.
Zvirwere zvinotevera zvinoonekwa sezvisinganzwisisiki:
- adenoma ye pancreas;
- chisinganzwisisiki pancreatitis (zvikurukuru kuverenga);
- cyst ye pancreas.
Ngozi yekuvandudza chirwere ichi inowedzera nezera.
Nhanho dzechirwere ichi:
- Nhanho 1 yemukenza wepancreatic - kamuviri kadiki, kakagadzikana kumatumbu echirongwa.
- 2 danho repancreatic kansa - chirwere chinopararira kune nhengo dzakapoteredza - duodenum, bile duct, uyewo kune lymph nodes.
- Chikamu 3 kenza yepancreatic - chirwere chinowanzova mudumbu, spleen, mumatumbo makuru, midziyo huru nemishu.
- Chikamu chechina chepachirwere chepancreatic - chirwere chinopa mastasita kuchiropa uye mapapu.
Kuongororwa kwechirwere chepancreatic
Kufungidzira kwechiitiko chemakumbo nemasitasti zvinogoneka kuburikidza nekubatsirwa kwe ultrasound uye computed tomography ne bolus kusiyana enhancement. Uyewo nokuda kwekuongororwa, shandisa X-ray kuongororwa kwedumbu uye duodenum ne barium sulfate, endoscopic retrograde cholangiopancreatography, laparotomy ne biopsy.
Mukuwedzera, muna 2012, muchengeti wekenza yakaumbwa inokubvumira kuziva chirwere chepancreatic mumatangi ekutanga nekuongorora ropa kana urini. Kururama kwechikonzero chemuedzo uyu kunopfuura 90%.
Kurapa kwepancreatic cancer
Iyo nzira huru yekurapa kwechirwere ichi:
- Inzira yekuvhiya - pakusabatwa kwemasastases, kubviswa kwemavhutu anokonzerwa (sekutonga, zvose gland uye zvikamu zvezvikamu zvakapoteredza zvinobviswa).
- Chemotherapy - kushandiswa kwezvinodhaka izvo zvinogona kumisa kukura kwekenza masero (akasarudzwa pamwe chete nebasa).
- Radiation therapy ndiyo kurapwa nemirairo ineononi kuparadza masero ekenza.
- Chirwere chechirwere - kushandiswa kwekugadzirira kwakagadzirwa nemavirusi, kusanganisa kudzivirirwa kwemasikirwo emuviri kunorwa nemasero akaipa.
- Symptomatic therapy - anesthesia, kushandiswa kwemakemikari epancreatic, nezvimwewo.
Mukenza wepancreatic, kudya kunorayirwa kunosanganisira nguva dzose zvokudya zviduku, izvo zvakagadzirwa nemhando dzakanyorovesa. Izvi zvinotevera zvinodzingwa kubva pakudya:
- zvinwiwa zvinodhakwa uye carbonated;
- coffee, cocoa;
- matanda matsva;
- sweets;
- zvokudya zvekunamatira;
- by-products;
- zvigadzirwa zvinokonzera kuvuta.
Kenza yepancreatic - prognosis
Kufananidzira kwechirwere ichi kwakashata zvisina kunaka, iyo inosanganiswa nekunonoka kuonekwa. Kupona kwemakore mashanu mushure mekuvhiyiwa hakupfuuri 10%.