Izinketho Zokwelashwa Kwesiguli Esineminyaka Engama-85 Ubudala Esinomdlavuza We-Pancreatic

Lesi yisiguli esineminyaka engu-85 ubudala esaphuma eTianjin futhi kwatholakala ukuthi sinomdlavuza we-pancreatic.

Isiguli sanikezwa ubuhlungu besisu futhi sahlolwa esibhedlela sendawo, okwaveza isimila se-pancreatic kanye namazinga aphezulu e-CA199.Ngemuva kokuhlolwa okuphelele esibhedlela sendawo, ukuxilongwa komtholampilo komdlavuza we-pancreatic kwasungulwa.

Ngomdlavuza we-pancreatic, izindlela zokwelashwa eziyinhloko zamanje zifaka:

1. Ukuhlinza ngokuhlinzwa:Lena ukuphela kwendlela yokwelapha umdlavuza wama-pancreas osesigabeni sokuqala.Kodwa-ke, kuhilela ukuhlukumezeka okukhulu kokuhlinzwa futhi kunengozi enkulu yezinkinga kanye namazinga okufa kokubili ngesikhathi nangemva kwenqubo.Izinga lokusinda leminyaka emihlanu licishe libe ngama-20%.
2. High-Intensity Focused Ultrasound (HIFU) ablation surgery:Ngaphandle kokuhlinzwa, le ndlela yokwelapha ingabulala ngokuqondile izimila futhi izuze imiphumela efana nokuhlinzwa ekwelapheni umdlavuza wamabele.Ingakwazi futhi ukwelapha ngokuphumelelayo izimila eziseduze nemithambo yegazi futhi inesikhathi sokululama ngokushesha ngemva kokuhlinzwa.
3. I-Chemotherapy:Lokhu ukwelashwa okuyisisekelo komdlavuza we-pancreatic.Nakuba ukusebenza kwe-chemotherapy yomdlavuza we-pancreatic kungalungile, ezinye iziguli zisazuza kuyo.Izidakamizwa ezisetshenziswa kakhulu ngamakhemikhali zihlanganisa i-albumin-bound paclitaxel, i-gemcitabine, ne-irinotecan, evame ukuhlanganiswa nezinye izindlela zokwelapha.
4. Ukwelashwa kwe-Arterial infusion:Lena enye indlela evame ukusetshenziswa yokwelapha umdlavuza we-pancreatic.Ngokujova ngokuqondile izidakamizwa emithanjeni yegazi yesimila, ukugcwala komuthi ngaphakathi kwesimila kungaba phezulu kakhulu kuyilapho kwehlisa ukugcwala kwezidakamizwa zesistimu.Le ndlela isiza ukwehlisa ukusabela kwe-chemotherapy, iyenze ifaneleke kakhulu iziguli ezine-metastases yesibindi eminingi.
5. Ukwelashwa ngemisebe:Lokhu kusebenzisa ngokuyinhloko imisebe ukubulala amangqamuzana e-tumor.Ngenxa yokulinganiselwa kwemithamo, iqoqo elincane kuphela leziguli elingazuza ekwelapheni ngemisebe, futhi kungase kuze nemiphumela engemihle ehlobene nemisebe.
6. Ezinye izindlela zokwelapha zendawo:Okufana nokwelashwa kwe-nanoknife, ukwelashwa kwe-radiofrequency noma i-microwave ablation, nokwelashwa kokufakwa kwezinhlayiyana.Lezi zibhekwa njengezinye izindlela zokwelapha futhi zingasetshenziswa ngokufanele ngokusekelwe ezimweni ezingazodwana.

Uma kucatshangelwa ukukhula kwesiguli kweminyaka engama-85, nakuba kwakungekho metastasis yomdlavuza, ukulinganiselwa okubekwe ngenxa yobudala kwakusho ukuthi ukuhlinzwa.,ukwelashwa ngamakhemikhalifuthiUkwelashwa ngemisebe kwakungeyona inketho engenzeka esigulini.Isibhedlela sendawo asikwazanga ukunikeza izindlela zokwelapha eziphumelelayo, okwaholela ekuboniseni nasekuxoxisaneni okwaholela ekubeni isiguli sidluliselwe esibhedlela sethu.Ekugcineni, kwathathwa isinqumo sokuqhubeka nokwelashwa kokukhishwa kwe-High-Intensity Focused Ultrasound (HIFU).Inqubo yenziwa ngaphansi kwe-sedation kanye ne-analgesia, futhi umphumela wokuhlinzwa wawuthandeka, cishe akukho ukungakhululeki okuphawulekayo okuhlangenwe nakho kwesiguli ngosuku lwesibili ngemva kokuhlinzwa.

Ukuhlolwa kwangemuva kokuhlinzwa kwembula ukukhishwa kwesimila okungaphezu kuka-95%,futhi isiguli asizange sibonise izimpawu zobuhlungu besisu noma i-pancreatitis.Ngenxa yalokho, isiguli sakwazi ukukhululwa ngosuku lwesibili.

Lapho sibuyela ekhaya, isiguli sasingathola ukwelashwa okuhlanganisiwe okufana nemithi yokwelashwa ngamakhemikhali yomlomo noma imithi yaseShayina yendabuko, nokuvakasha okwengeziwe okuhleliwe okuhleliwe ngemva kwenyanga eyodwa ukuhlola ukwehla nokumuncwa kwesimila.

Umdlavuza we-pancreatic yisifo esiyingozi kakhulu,ngokuvamile kutholakala ezigabeni ezithuthukile, nenkathi yokuphila emaphakathi cishe izinyanga ezi-3-6.Kodwa-ke, ngezindlela zokwelashwa ezisebenzayo nezibanzi, iziguli eziningi zinganweba ukuphila kwazo ngeminyaka engu-1-2.