Izinketho Zokwelashwa Kwesiguli Esineminyaka Engu-85 Esinomdlavuza We-Pancreatic

Lesi isiguli esineminyaka engu-85 ubudala esivela eTianjin futhi satholakala sinomdlavuza we-pancreatic.

Isiguli savezwa ubuhlungu besisu futhi sahlolwa esibhedlela sendawo, okwaveza ukuthi sinesimila se-pancreatic kanye namazinga aphezulu e-CA199. Ngemva kokuhlolwa okuphelele esibhedlela sendawo, kwatholakala ukuthi sinesifo somdlavuza we-pancreatic.

Ngomdlavuza we-pancreatic, izindlela zokwelapha eziyinhloko zamanje zifaka:

1. Ukuhlinzwa:Lena yindlela kuphela yokwelapha umdlavuza we-pancreatic osesigabeni sokuqala. Kodwa-ke, ihilela ukulimala okukhulu kokuhlinzwa futhi inengozi enkulu yezinkinga kanye namazinga okufa kokubili ngesikhathi nangemva kwenqubo. Izinga lokusinda kweminyaka emihlanu licishe libe ngu-20%.
2. Ukuhlinzwa kokukhipha isisu okugxile kwi-High-Intensity Ultrasound (HIFU):Ngaphandle kokuhlinzwa, le ndlela yokwelapha ingabulala ngqo izimila futhi ifeze imiphumela efana nokuhlinzwa ekwelapheni umdlavuza we-pancreatic. Ingaphinde yelaphe ngempumelelo izimila eziseduze nemithambo yegazi futhi inesikhathi sokululama ngokushesha ngemva kokuhlinzwa.
3. Ukwelashwa ngamakhemikhali:Lokhu kuyindlela eyisisekelo yokwelapha umdlavuza we-pancreatic. Nakuba ukusebenza kahle kwe-chemotherapy yomdlavuza we-pancreatic kungeyona into enhle, ezinye iziguli zisazuza kukho. Imithi ye-chemotherapy evame ukusetshenziswa ihlanganisa i-albumin-bound paclitaxel, i-gemcitabine, ne-irinotecan, evame ukuhlanganiswa nezinye izindlela zokwelapha.
4. Ukwelashwa ngokufakwa kwe-arterial:Lena enye indlela yokwelapha evame ukusetshenziswa yomdlavuza we-pancreatic. Ngokufaka imithi ngqo emithanjeni yegazi yesimila, ukugcwala komuthi ngaphakathi kwesimila kungaba phezulu kakhulu ngenkathi kunciphisa ukugcwala komuthi ojwayelekile. Le ndlela isiza ekunciphiseni ukusabela kwe-chemotherapy, okwenza ifaneleke kakhulu ezigulini ezine-metastases yesibindi eminingi.
5. Ukwelashwa ngemisebe:Lokhu kusebenzisa kakhulu imisebe ukubulala amangqamuzana esimila. Ngenxa yemikhawulo yemithamo, yiqembu elincane kuphela leziguli elingazuza ekwelashweni ngemisebe, futhi kungase kube nemiphumela emibi ehlobene nemisebe.
6. Ezinye izindlela zokwelapha zasendaweni:Njengokwelashwa nge-nanoknife, ukwelashwa nge-radiofrequency noma nge-microwave ablation, kanye nokwelashwa kokufakelwa kwezinhlayiya. Lezi zibhekwa njengezindlela zokwelapha ezihlukile futhi zingasetshenziswa ngokufanele ngokusekelwe ezimweni ngazinye.

Uma sicabangela iminyaka yesiguli esikhulile engu-85, nakuba kungekho ukusabalala komdlavuza, ukulinganiselwa okubekwe ubudala kusho ukuthi ukuhlinzwa,ukwelashwa ngamakhemikhalifuthiukwelashwa ngemisebe kwakungeyona indlela engenzeka yesiguli. Isibhedlela sendawo asikwazanga ukunikeza izindlela zokwelapha ezisebenzayo, okwaholela ekubonisaneni nasekuxoxisaneni okwaholela ekutheni isiguli sidluliselwe esibhedlela sethu.Ekugcineni, kwathathwa isinqumo sokuqhubeka nokwelashwa nge-High-Intensity Focused Ultrasound (HIFU).Inqubo yenziwa ngaphansi komuthi wokudambisa ubuhlungu kanye nokwelapha izinhlungu, futhi umphumela wokuhlinzwa wawumuhle, kungekho nhlobo ukungakhululeki okuphawulekayo okwatholwa yisiguli ngosuku lwesibili ngemuva kokuhlinzwa.

Ukuhlolwa kwangemva kokuhlinzwa kwembule ukuthi isimila sisuswe ngamaphesenti angaphezu kuka-95,futhi isiguli asizange sibonise zimpawu zobuhlungu besisu noma i-pancreatitis. Ngenxa yalokho, isiguli sakwazi ukuphuma esibhedlela ngosuku lwesibili.

Lapho isiguli sibuyela ekhaya, singase sithole ukwelashwa okuhlanganisiwe njengemithi yokwelapha ngamakhemikhali noma imithi yendabuko yaseShayina, bese kuhlelwa ukuvakasha okulandelayo ngemva kwenyanga eyodwa ukuze kuhlolwe ukwehla nokumuncwa kwesimila.

Umdlavuza we-pancreatic uyingozi kakhulu,kuvame ukutholakala ukuthi lesi sifo sisesigabeni esithuthukile, isikhathi sokusinda esimaphakathi esingaba yizinyanga ezi-3-6. Kodwa-ke, ngezindlela zokwelapha ezisebenzayo neziphelele, iziguli eziningi zingandisa isikhathi sokuphila kwazo ngeminyaka eyi-1-2.