Ubwoko / pancreatic / umurwayi / pancreatic-kuvura-pdq

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Kuvura kanseri yandura (Abakuze) (®) –Icyiciro cy'abarwayi

Amakuru Rusange Yerekeye Kanseri Yigifu

INGINGO Z'INGENZI

  • Kanseri y'urwagashya ni indwara ingirabuzimafatizo (kanseri) ziba mu ngingo za pancreas.
  • Kunywa itabi n'amateka yubuzima birashobora kugira ingaruka kuri kanseri yandura.
  • Ibimenyetso nibimenyetso bya kanseri yandura harimo jaundice, ububabare, no kugabanya ibiro.
  • Kanseri y'urwagashya iragoye kuyisuzuma hakiri kare.
  • Ibizamini bisuzuma pancreas bikoreshwa mugupima kanseri yandura.
  • Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

Kanseri y'urwagashya ni indwara ingirabuzimafatizo (kanseri) ziba mu ngingo za pancreas.

Indwara ya pancreas ni glande ifite uburebure bwa santimetero 6 zimeze nk'isaro rito riryamye kuruhande. Impera yagutse ya pancreas yitwa umutwe, igice cyo hagati cyitwa umubiri, naho iherezo ryitwa umurizo. Indwara ya pancreas iri hagati yinda nu rugongo.

Anatomy ya pancreas. Urwagashya rufite ibice bitatu: umutwe, umubiri, umurizo. Iboneka munda hafi yinda, amara, nizindi ngingo.

Pancreas ifite imirimo ibiri yingenzi mumubiri:

  • Gukora imitobe ifasha gusya (kumena) ibiryo.
  • Gukora imisemburo, nka insuline na glucagon, ifasha kugenzura urugero rw'isukari mu maraso. Iyi misemburo yombi ifasha umubiri gukoresha no kubika imbaraga ziva mubiryo.

Imitobe y'ibiryo ikorwa na selile pancreas ya exocrine naho imisemburo ikorwa na selile endocrine pancreas selile. Kanseri zigera kuri 95% zitangirira mu ngirabuzimafatizo.

Iyi ncamake ivuga kuri kanseri ya pancreatic exocrine. Ushaka kumenya amakuru ya kanseri yandura ya endocrine, reba incamake ya kubyerekeranye no kuvura pancreatic Neuroendocrine Tumors (Islet Cell Tumors).

Ushaka kumenya amakuru ya kanseri yandura mu bana, reba incamake ya kubyerekeye kuvura kanseri y'abana.

Kunywa itabi n'amateka yubuzima birashobora kugira ingaruka kuri kanseri yandura.

Ikintu cyose cyongera ibyago byo kwandura byitwa impanuka. Kugira ibintu bishobora guteza ibyago ntibisobanura ko uzarwara kanseri; kutagira ibyago bishobora gusobanura ko utazarwara kanseri. Vugana na muganga wawe niba utekereza ko ushobora guhura n'akaga.

Impamvu zishobora gutera kanseri yandura zirimo ibi bikurikira:

  • Kunywa itabi.
  • Kuba ufite umubyibuho ukabije.
  • Kugira amateka yihariye ya diyabete cyangwa pancreatite idakira.
  • Kugira amateka yumuryango ya kanseri yandura cyangwa pancreatite.
  • Kugira ibisekuruza bimwe na bimwe, nka:
  • Indwara nyinshi ya endocrine neoplasia ubwoko bwa 1 (MEN1) syndrome.
  • Indwara ya kanseri yumura (HNPCC; syndrome ya Lynch).
  • syndrome ya Hippel-Lindau.
  • Indwara ya Peutz-Jeghers.
  • Indwara ya kanseri yamabere na kanseri yintanga.
  • Indwara ya familial idasanzwe mole melanoma (FAMMM) syndrome.
  • Ataxia-telangiectasia.

Ibimenyetso nibimenyetso bya kanseri yandura harimo jaundice, ububabare, no kugabanya ibiro.

Kanseri y'urwagashya ntishobora gutera ibimenyetso cyangwa ibimenyetso hakiri kare. Ibimenyetso nibimenyetso bishobora guterwa na kanseri yandura cyangwa nibindi bihe. Menyesha umuganga wawe niba ufite kimwe muri ibi bikurikira:

  • Jaundice (umuhondo w'uruhu n'umweru w'amaso).
  • Intebe zifite amabara yoroheje.
  • Inkari zijimye.
  • Kubabara mu nda yo hejuru cyangwa hagati no inyuma.
  • Kugabanya ibiro nta mpamvu izwi.
  • Kubura ubushake bwo kurya.
  • Kumva unaniwe cyane.

Kanseri y'urwagashya iragoye kuyisuzuma hakiri kare.

Kanseri y'urwagashya iragoye kumenya no gusuzuma kubera impamvu zikurikira:

  • Nta bimenyetso cyangwa ibimenyetso bigaragara mugihe cyambere cya kanseri yandura.
  • Ibimenyetso nibimenyetso bya kanseri yandura, iyo ihari, ni nkibimenyetso nibimenyetso byizindi ndwara nyinshi.
  • Indwara ya pancreas yihishe inyuma yizindi ngingo nkigifu, amara mato, umwijima, gallbladder, spleen, nuyoboro.

Ibizamini bisuzuma pancreas bikoreshwa mugupima kanseri yandura.

Kanseri y'urwagashya isanzwe isuzumwa n'ibizamini hamwe n'uburyo bukora amashusho ya pancreas n'akarere kayikikije. Inzira ikoreshwa kugirango tumenye niba kanseri ya kanseri yakwirakwiriye imbere no mu mitsi yitwa pancrage. Ibizamini hamwe nuburyo bwo kumenya, gusuzuma, hamwe na kanseri yandura kanseri ikorwa icyarimwe. Kugirango utegure ubuvuzi, ni ngombwa kumenya icyiciro cyindwara kandi niba kanseri yandura ishobora gukurwaho no kubagwa.

Ibizamini hamwe nuburyo bukurikira birashobora gukoreshwa:

  • Ikizamini cyumubiri namateka yubuzima: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.
  • Ubushakashatsi bwa chimie yamaraso: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwibintu bimwe na bimwe nka bilirubin, bisohoka mumaraso ningingo hamwe nuduce twumubiri. Umubare udasanzwe (uri hejuru cyangwa uri munsi yubusanzwe) ibintu bishobora kuba ikimenyetso cyindwara.
  • Ikizamini cya Tumor: Uburyo bwo gusuzuma urugero rwamaraso, inkari, cyangwa tissue kugirango bapime urugero rwibintu bimwe na bimwe, nka CA 19-9, na antigen ya kanseri (CEA), bikozwe ningingo, ingirangingo, cyangwa selile yibibyimba. mu mubiri. Ibintu bimwe bifitanye isano nubwoko bwihariye bwa kanseri iyo ibonetse murwego rwiyongera mumubiri. Ibi byitwa ibimenyetso byerekana ibibyimba.
  • MRI . Ubu buryo bwitwa kandi magnetic magnetic resonance imaging (NMRI).
  • CT scan (CAT scan): Uburyo bukora urukurikirane rwamashusho arambuye yibice byimbere mumubiri, byafashwe muburyo butandukanye. Amashusho yakozwe na mudasobwa ihujwe na mashini ya x-ray. Irangi rishobora guterwa mumitsi cyangwa kumirwa kugirango bifashe ingingo cyangwa ingirangingo kugaragara neza. Ubu buryo kandi bwitwa computing tomografiya, tomografiya ya mudasobwa, cyangwa mudasobwa ya axial tomografiya. CT scan izenguruka cyangwa ihindagurika ikora urukurikirane rwamashusho arambuye yibice byimbere mumubiri ukoresheje imashini ya x-ray isuzuma umubiri munzira.
  • PET scan (positron emission tomografi scan): Uburyo bwo kubona selile mbi yibibyimba mumubiri. Umubare muto wa glucose ikora radio (isukari) yatewe mumitsi. PET scaneri izenguruka umubiri kandi ikora ishusho yerekana aho glucose ikoreshwa mumubiri. Utugingo ngengabuzima twibibyimba twerekana neza cyane ku ishusho kuko zikora cyane kandi zifata glucose nyinshi kuruta selile zisanzwe. PET scan na CT scan irashobora gukorwa mugihe kimwe. Ibi byitwa PET-CT.
  • Ultrasound yo munda: Ikizamini cya ultrasound gikoreshwa mugukora amashusho yimbere yinda. Transducer ya ultrasound ikanda ku ruhu rwinda kandi ikayobora imbaraga zijwi ryamajwi (ultrasound) munda. Ijwi ryijwi riva mubice byimbere ningingo kandi bigasubiramo. Transducer yakira echo ikohereza kuri mudasobwa, ikoresha echo kugirango ikore amashusho yitwa sonogramu. Ishusho irashobora gucapurwa kugirango irebe nyuma.
  • Endoscopic ultrasound (EUS): Uburyo bwo kwinjiza endoskopi mu mubiri, ubusanzwe binyuze mu kanwa cyangwa urukiramende. Endoscope nigikoresho cyoroshye, kimeze nkigikoresho gifite urumuri na lens yo kureba. Iperereza kumpera ya endoscope rikoreshwa mugusunika amajwi menshi yingufu zamajwi (ultrasound) kumubiri cyangwa ingingo zimbere no gukora echo. Ijwi ryerekana ishusho yumubiri wumubiri witwa sonogram. Ubu buryo nabwo bwitwa endosonography.
  • Endoscopic retrograde cholangiopancreatography (ERCP): Uburyo bukoreshwa mu x-ray imiyoboro (tubes) itwara umwijima uva mu mwijima ukageza mu mara no kuva mu mara kugeza mu mara mato. Rimwe na rimwe, kanseri yandura itera iyo miyoboro kugabanuka no guhagarika cyangwa kugabanya umuvuduko wa bile, bigatera jaundice. Endoscope (umuyoboro unanutse, urumuri) unyuzwa mu kanwa, esofagusi, no mu gifu mu gice cya mbere cy'amara mato. Catheter (umuyoboro muto) noneho yinjizwa muri endoskopi mumiyoboro ya pancreatic. Irangi ryatewe muri catheter mu miyoboro hanyuma hafatwa x-ray. Niba imiyoboro ihagaritswe n'ikibyimba, umuyoboro mwiza urashobora kwinjizwa mumiyoboro kugirango uhagarike. Uyu muyoboro (cyangwa stent) urashobora gusigara ahantu kugirango umuyoboro ufungurwe. Ingero z'inyama zirashobora kandi gufatwa.
  • Indwara ya cholangiografiya itandukanye (PTC): Uburyo bukoreshwa mu x-ray umwijima nuyoboro. Urushinge ruto rwinjizwa mu ruhu munsi yimbavu no mu mwijima. Irangi ryatewe mu mwijima cyangwa mu miyoboro y'amaraso hanyuma hafatwa x-ray. Niba habonetse ikibuza, umuyoboro woroheje, woroshye witwa stent rimwe na rimwe usigara mwumwijima kugirango usohoke mu mara mato cyangwa igikapu cyo gukusanya hanze yumubiri. Iki kizamini gikorwa gusa niba ERCP idashobora gukorwa.
  • Laparoscopi: Uburyo bwo kubaga kureba ingingo ziri munda kugirango hamenyekane ibimenyetso byindwara. Uduce duto (gukata) bukozwe mu rukuta rw'inda hanyuma laparoskopi (umuyoboro muto, ucanwa) winjizwa muri kimwe mu bice. Laparoscope irashobora kugira ultrasound probe kumpera kugirango ishobore gusunika amajwi menshi yingufu ziva mubice byimbere, nka pancreas. Ibi bita laparoscopic ultrasound. Ibindi bikoresho birashobora kwinjizwa muburyo bumwe cyangwa ubundi buryo kugirango bikore inzira nko gufata ingirabuzimafatizo za pancreas cyangwa urugero rwamazi ava munda kugirango barebe kanseri.
  • Biopsy: Gukuraho ingirabuzimafatizo cyangwa ingirangingo kugirango zishobore kurebwa munsi ya microscope na patologue kugirango barebe ibimenyetso bya kanseri. Hariho uburyo bwinshi bwo gukora biopsy ya kanseri yandura. Urushinge rwiza cyangwa urushinge rwibanze rushobora kwinjizwa muri pancreas mugihe cya x-ray cyangwa ultrasound kugirango ikureho selile. Tissue irashobora kandi gukurwaho mugihe cya laparoskopi cyangwa kubagwa kugirango ikureho ikibyimba.

Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

Amahitamo yo kuvura no kuvura biterwa nibi bikurikira:

  • Niba ikibyimba gishobora gukurwaho no kubagwa.
  • Icyiciro cya kanseri (ubunini bw'ikibyimba kandi niba kanseri yarakwirakwiriye hanze ya pancreas kugera ku ngingo zegeranye cyangwa lymph node cyangwa ahandi hantu mu mubiri).
  • Ubuzima rusange bwumurwayi.
  • Niba kanseri imaze gupimwa cyangwa yagarutse (garuka).

Kanseri y'urwagashya irashobora kugenzurwa ari uko ibonetse mbere yuko ikwirakwira, igihe ishobora kuvaho burundu kubagwa. Niba kanseri yarakwirakwiriye, ubuvuzi bwa palliative burashobora kuzamura imibereho yumurwayi mugukurikirana ibimenyetso nibibazo byiyi ndwara.

Icyiciro cya Kanseri y'urwagashya

INGINGO Z'INGENZI

  • Ibizamini hamwe nuburyo bwo gutera kanseri yandura ikorwa mugihe kimwe no gusuzuma.
  • Hariho uburyo butatu kanseri ikwirakwira mu mubiri.
  • Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.
  • Ibyiciro bikurikira bikoreshwa kuri kanseri yandura:
  • Icyiciro 0 (Carcinoma muri Situ)
  • Icyiciro I.
  • Icyiciro cya II
  • Icyiciro cya III
  • Icyiciro cya IV
  • Amatsinda akurikira akoreshwa mugutegura ubuvuzi:
  • Kanseri yandura
  • Imipaka ishobora kwandura kanseri yandura
  • Kanseri yandura kanseri
  • Kanseri ya pancreatic metastatike
  • Kanseri yandura inshuro nyinshi

Ibizamini hamwe nuburyo bwo gutera kanseri yandura ikorwa mugihe kimwe no gusuzuma.

Inzira ikoreshwa mu kumenya niba kanseri yarakwirakwiriye muri pancreas cyangwa mu bindi bice byumubiri byitwa guterana. Amakuru yakusanyirijwe mubikorwa byateguwe agena icyiciro cyindwara. Ni ngombwa kumenya icyiciro cyindwara kugirango utegure kuvura. Ibisubizo bya bimwe mubizamini byakoreshejwe mugupima kanseri yandura akenshi bikoreshwa mugutunganya indwara. Reba amakuru rusange kubindi bisobanuro.

Hariho uburyo butatu kanseri ikwirakwira mu mubiri.

Kanseri irashobora gukwirakwira binyuze mu ngingo, sisitemu ya lymph, n'amaraso:

  • Tissue. Kanseri ikwirakwira aho yatangiriye ikurira mu turere twegereye.
  • Sisitemu ya Lymph. Kanseri ikwirakwira aho yatangiriye yinjira muri sisitemu ya lymph. Kanseri inyura mu mitsi ya lymph igana mu bindi bice by'umubiri.
  • Amaraso. Kanseri ikwirakwira aho yatangiriye yinjira mu maraso. Kanseri inyura mu mitsi y'amaraso igana mu bindi bice by'umubiri.

Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.

Iyo kanseri ikwirakwira mu kindi gice cy'umubiri, yitwa metastasis. Ingirabuzimafatizo za kanseri zitandukana aho zatangiriye (ikibyimba kibanza) zikanyura muri sisitemu ya lymph cyangwa maraso.

  • Sisitemu ya Lymph. Kanseri yinjira muri sisitemu ya lymph, ikanyura mu mitsi ya lymph, igakora ikibyimba (ikibyimba metastatike) mu kindi gice cy'umubiri.
  • Amaraso. Kanseri yinjira mu maraso, ikanyura mu mitsi y'amaraso, igakora ikibyimba (ikibyimba metastatike) mu kindi gice cy'umubiri.

Ikibyimba metastatike nubwoko bumwe bwa kanseri nkibibyimba byibanze. Kurugero, niba kanseri yandura ikwirakwira mu mwijima, kanseri ya kanseri mu mwijima ni kanseri ya kanseri yandura. Indwara ni kanseri yandura, ntabwo ari kanseri y'umwijima.

Ibyiciro bikurikira bikoreshwa kuri kanseri yandura:

Icyiciro 0 (Carcinoma muri Situ)

Icyiciro 0 kanseri yandura. Ingirabuzimafatizo zidasanzwe ziboneka mumurongo wa pancreas. Utugingo ngengabuzima tudasanzwe dushobora guhinduka kanseri tugakwirakwira mu ngingo zisanzwe.

Mu cyiciro cya 0, selile zidasanzwe ziboneka mumurongo wa pancreas. Utugingo ngengabuzima tudasanzwe dushobora guhinduka kanseri tugakwirakwira mu ngingo zisanzwe. Icyiciro cya 0 nanone bita kanseri mu mwanya.

Icyiciro I.

Icyiciro cya mbere kanseri yandura. Kanseri iboneka muri pancreas gusa. Mu cyiciro cya IA, ikibyimba ni santimetero 2 cyangwa nto. Mu cyiciro cya IB, ikibyimba kirenze santimetero 2 ariko ntikirenza santimetero 4.

Mu cyiciro cya I, kanseri yarakozwe kandi iboneka muri pancreas gusa. Icyiciro cya I kigabanyijemo ibyiciro IA na IB, bitewe n'ubunini bw'ikibyimba.

  • Icyiciro cya IA: Ikibyimba ni santimetero 2 cyangwa nto.
  • Icyiciro IB: Ikibyimba kirenze santimetero 2 ariko ntikirenza santimetero 4.

Icyiciro cya II

  • Icyiciro cya II kigabanyijemo ibyiciro IIA na IIB, bitewe n'ubunini bw'ikibyimba n'aho kanseri yakwirakwiriye.

Icyiciro IIA: Ikibyimba kirenze santimetero 4.

Icyiciro cya IIA kanseri yandura. Ikibyimba kirenze santimetero 4.
  • Icyiciro cya IIB: Ikibyimba nubunini kandi kanseri yakwirakwiriye kuri lymph node hafi.
Icyiciro cya IIB kanseri yandura. Ikibyimba nubunini kandi kanseri yakwirakwiriye kuri lymph node hafi.

Icyiciro cya III

Icyiciro cya III kanseri yandura. Ikibyimba ni kinini kandi kanseri yakwirakwiriye kuri (a) 4 cyangwa irenga hafi ya lymph node; cyangwa (b) imiyoboro minini y'amaraso hafi ya pancreas. Harimo imiyoboro y'amaraso, imiyoboro isanzwe ya hepatike, celiac axis (trunk), hamwe na arteri ya mesenteric arteri.

Mu cyiciro cya III, ikibyimba ni kinini kandi kanseri yakwirakwiriye:

  • bine cyangwa byinshi hafi ya lymph node; cyangwa
  • imiyoboro minini y'amaraso hafi ya pancreas.

Icyiciro cya IV

Icyiciro cya IV kanseri yandura. Ikibyimba nubunini bwose kandi kanseri yakwirakwiriye mubindi bice byumubiri, nkibihaha, umwijima, cyangwa cavit peritoneal (cavit yumubiri irimo ingingo nyinshi zo munda).

Mu cyiciro cya IV, ikibyimba ni kinini kandi kanseri yakwirakwiriye mu bindi bice by'umubiri, nk'umwijima, ibihaha, cyangwa umwobo wa peritoneyale (umwobo w'umubiri urimo ingingo nyinshi zo mu nda).

Amatsinda akurikira akoreshwa mugutegura ubuvuzi:

Kanseri yandura

Kanseri yandura pancreatic irashobora gukurwaho no kubagwa kuko itigeze ikura mu mitsi y'amaraso hafi y'ikibyimba.

Imipaka ishobora kwandura kanseri yandura

Kanseri yandura kanseri yandura yakuze iba umuyoboro munini wamaraso cyangwa ingirangingo cyangwa ingingo zegeranye. Birashoboka kuvanaho ikibyimba, ariko harikibazo kinini cyuko selile zose za kanseri zitazakurwaho kubagwa.

Kanseri yandura kanseri

Kanseri yateye imbere mu karere yakuze cyangwa yegeranye hafi ya lymph node cyangwa imiyoboro y'amaraso, bityo kubaga ntibishobora gukuraho burundu kanseri.

Kanseri ya pancreatic metastatike

Kanseri ya pancreatic metastatike yakwirakwiriye mu zindi ngingo, bityo kubaga ntibishobora gukuraho burundu kanseri.

Kanseri yandura inshuro nyinshi

Kanseri yandura kanseri yongeye kugaruka (garuka) nyuma yo kuvurwa. Kanseri irashobora kugaruka mu gifu cyangwa mu bindi bice by'umubiri.

Incamake yo kuvura

INGINGO Z'INGENZI

  • Hariho uburyo butandukanye bwo kuvura abarwayi ba kanseri yandura.
  • Ubwoko butanu bwo kuvura busanzwe bukoreshwa:
  • Kubaga
  • Imiti ivura imirasire
  • Chimoterapi
  • Ubuvuzi bwa Chemoradiation
  • Ubuvuzi bugamije
  • Hariho uburyo bwo kuvura ububabare buterwa na kanseri yandura.
  • Abarwayi bafite kanseri yandura bafite imirire idasanzwe.
  • Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.
  • Kuvura kanseri yandura bishobora gutera ingaruka.
  • Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.
  • Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.
  • Ibizamini byo gukurikirana birashobora gukenerwa.

Hariho uburyo butandukanye bwo kuvura abarwayi ba kanseri yandura.

Ubwoko butandukanye bwo kuvura burahari kubarwayi barwaye kanseri yandura. Bumwe mu buryo busanzwe (ubuvuzi bukoreshwa ubu), kandi bumwe burimo kugeragezwa mubigeragezo byamavuriro. Ikigeragezo kivura ni ubushakashatsi bwakozwe bugamije gufasha kunoza imiti igezweho cyangwa kubona amakuru ku buvuzi bushya ku barwayi ba kanseri. Iyo ibizamini byo kwa muganga byerekana ko ubuvuzi bushya buruta ubuvuzi busanzwe, ubuvuzi bushya bushobora kuba ubuvuzi busanzwe. Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga. Ibigeragezo bimwe na bimwe bivura abarwayi batatangiye kwivuza.

Ubwoko butanu bwo kuvura busanzwe bukoreshwa:

Kubaga

Bumwe mu buryo bukurikira bwo kubaga bushobora gukoreshwa mu gukuramo ikibyimba:

  • Uburyo bwo gukubita ibiboko: Uburyo bwo kubaga hakurwaho umutwe wa pancreas, gallbladder, igice cyigifu, igice cy amara mato, hamwe numuyoboro wa bile. Hasigaye pancreas hasigaye kubyara imitobe yigifu na insuline.
  • Pancreatectomy yuzuye: Iki gikorwa gikuraho pancreas yose, igice cyigifu, igice cy amara mato, umuyoboro usanzwe, umuyonga, uruhago, hamwe na lymph node hafi.
  • Indwara ya pancreatectomy ya kure: Kubaga kugirango ukure umubiri n'umurizo wa pancreas. Ururenda narwo rushobora gukurwaho niba kanseri yarakwirakwiriye.

Niba kanseri yarakwirakwiriye kandi idashobora kuvaho, hashobora gukorwa ubwoko bukurikira bwo kubaga palliative kubagabanya ibimenyetso no kuzamura imibereho:

  • Biliary bypass: Niba kanseri ibuza umuyoboro wa bile hamwe na bili irimo kwiyongera mu mara, hashobora gukorwa inzira ya biliary. Muri iki gikorwa, umuganga azaca umuyonga cyangwa umuyoboro wa bili muri ako gace mbere yo kuzibira no kuwudoda mu mara mato kugira ngo habeho inzira nshya ikikije ahantu hafunzwe.
  • Endoskopi ya stent yashyizwe: Niba ikibyimba kibuza umuyoboro wa bile, hashobora kubagwa kugirango ushire stent (umuyoboro muto) kugirango ukureho umuyonga wubatse muri kariya gace. Muganga arashobora gushira stent abinyujije muri catheter ikuramo umwanda mumufuka hanze yumubiri cyangwa stent irashobora kuzenguruka ahantu hafunzwe hanyuma ikavamo umura mu mara mato.
  • Gastric bypass: Niba ikibyimba kibuza gutembera ibiryo mu gifu, igifu gishobora kudoda mu mara mato kugirango umurwayi akomeze kurya bisanzwe.

Imiti ivura imirasire

Imishwarara ivura ni imiti ikoresha kanseri ikoresha ingufu nyinshi za x-imirasire cyangwa ubundi bwoko bwimirasire yica kanseri cyangwa ikabuza gukura. Imiti ivura hanze ikoresha imashini hanze yumubiri kugirango yohereze imirasire yerekeza kumubiri hamwe na kanseri.

Chimoterapi

Chimoterapi ni umuti wa kanseri ukoresha ibiyobyabwenge kugirango uhagarike imikurire ya kanseri, haba mu kwica selile cyangwa kubabuza gutandukana. Iyo chimiotherapie ifashwe numunwa cyangwa igaterwa mumitsi cyangwa imitsi, imiti yinjira mumaraso kandi irashobora kugera kanseri ya kanseri mumubiri (chimiotherapie sisitemu). Imiti ya chimiotherapie ni imiti ikoresheje imiti irenze imwe ya anticancer.

Reba ibiyobyabwenge byemewe kuri kanseri yandura kugirango ubone ibisobanuro byinshi.

Ubuvuzi bwa Chemoradiation

Ubuvuzi bwa Chemoradiation buhuza chimiotherapie hamwe nubuvuzi bwimirasire kugirango byongere ingaruka zombi.

Ubuvuzi bugamije

Ubuvuzi bugamije ni uburyo bwo kuvura bukoresha ibiyobyabwenge cyangwa ibindi bintu kugirango umenye kandi utere kanseri yihariye ya kanseri. Ubuvuzi bugamije bushobora guteza ingaruka nke kuri selile zisanzwe kuruta chimiotherapie cyangwa imiti ivura imirasire. Tyrosine kinase inhibitor (TKIs) ni imiti igamije kuvura ibuza ibimenyetso bikenewe kugirango ibibyimba bikure. Erlotinib ni ubwoko bwa TKI bukoreshwa mu kuvura kanseri yandura.

Reba ibiyobyabwenge byemewe kuri kanseri yandura kugirango ubone ibisobanuro byinshi.

Hariho uburyo bwo kuvura ububabare buterwa na kanseri yandura.

Ububabare bushobora kubaho mugihe ikibyimba gikanda kumitsi cyangwa izindi ngingo hafi ya pancreas. Iyo imiti yububabare idahagije, hariho imiti ikora kumitsi yo munda kugirango igabanye ububabare. Muganga arashobora gutera imiti mugace gakikije imitsi yanduye cyangwa arashobora guca imitsi kugirango abuze ububabare. Imiti ivura imishwarara hamwe na chimiotherapie irashobora kandi gufasha kugabanya ububabare mugabanya ikibyimba. Reba incamake ya kububabare bwa Kanseri kubindi bisobanuro.

Abarwayi bafite kanseri yandura bafite imirire idasanzwe.

Kubaga kugirango ukureho pancreas birashobora kugira ingaruka kubushobozi bwayo bwo gukora imisemburo ya pancreatic ifasha gusya ibiryo. Kubera iyo mpamvu, abarwayi bashobora kugira ibibazo byo gusya ibiryo no kwinjiza intungamubiri mu mubiri. Kugira ngo wirinde imirire mibi, umuganga ashobora kuguha imiti isimbuza iyi misemburo. Reba incamake ya kubijyanye nimirire mubuvuzi bwa kanseri kubindi bisobanuro.

Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.

Iki gice cyincamake gisobanura imiti irimo kwigwa mubigeragezo byamavuriro. Ntishobora kuvuga ubuvuzi bushya burimo kwigwa. Amakuru yerekeye ibizamini byamavuriro araboneka kurubuga rwa NCI.

Kuvura kanseri yandura bishobora gutera ingaruka.

Kumakuru yingaruka ziterwa no kuvura kanseri, reba urupapuro rwuruhande rwacu.

Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.

Ku barwayi bamwe, kwitabira ikizamini cyamavuriro birashobora kuba uburyo bwiza bwo kuvura. Ibigeragezo bivura biri mubikorwa byubushakashatsi bwa kanseri. Igeragezwa rya Clinical rikorwa kugirango hamenyekane niba imiti mishya ya kanseri itekanye kandi ifite akamaro cyangwa nziza kuruta ubuvuzi busanzwe.

Benshi mubuvuzi busanzwe bwa kanseri bushingiye kubigeragezo byambere byubuvuzi. Abarwayi bitabiriye kwipimisha barashobora kuvurwa bisanzwe cyangwa kuba mubambere bahawe imiti mishya.

Abarwayi bitabira ibizamini byo kwa muganga nabo bafasha kunoza uburyo kanseri izavurwa mugihe kizaza. Nubwo ibigeragezo bivura bitaganisha ku buvuzi bushya, akenshi basubiza ibibazo byingenzi kandi bigafasha gutera imbere ubushakashatsi.

Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.

Igeragezwa rimwe na rimwe ririmo abarwayi bataravurwa. Ibindi bigeragezo bipima abarwayi bafite kanseri itameze neza. Hariho kandi ibizamini byo kwa muganga bipima uburyo bushya bwo guhagarika kanseri kongera kugaruka (kugaruka) cyangwa kugabanya ingaruka zo kuvura kanseri.

Igeragezwa rya Clinical ririmo kubera mu bice byinshi by'igihugu. Amakuru yerekeye ibizamini byamavuriro ashyigikiwe na NCI urashobora kubisanga kurubuga rwa NCI. Ibizamini bya Clinical bishyigikiwe nandi mashyirahamwe murashobora kubisanga kurubuga rwa ClinicalTrials.gov.

Ibizamini byo gukurikirana birashobora gukenerwa.

Bimwe mubizamini byakozwe mugupima kanseri cyangwa kumenya icyiciro cya kanseri birashobora gusubirwamo. Ibizamini bimwe bizasubirwamo kugirango harebwe uburyo ubuvuzi bukora neza. Ibyemezo bijyanye no gukomeza, guhindura, cyangwa guhagarika ubuvuzi birashobora gushingira kubisubizo byibi bizamini.

Bimwe mubizamini bizakomeza gukorwa buri gihe nyuma yubuvuzi burangiye. Ibisubizo by'ibi bizamini birashobora kwerekana niba ubuzima bwawe bwarahindutse cyangwa niba kanseri yarongeye (garuka). Ibi bizamini rimwe na rimwe byitwa gukurikirana-ibizamini cyangwa kugenzura.

Kuvura Kanseri Yandura cyangwa Yumupaka

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Kuvura kanseri yandura cyangwa imipaka ishobora kwanduza ibi bikurikira:

  • Chimiotherapie hamwe cyangwa idafite imishwarara ikurikirwa no kubagwa.
  • Kubaga.
  • Kubaga bikurikirwa na chimiotherapie.
  • Kubaga bikurikirwa na chemoradiation.
  • Igeragezwa rya chimiotherapie na / cyangwa imiti ivura imirasire mbere yo kubagwa.
  • Ikigeragezo cyamavuriro yuburyo butandukanye bwo gutanga imishwarara.

Kubaga kugirango ukureho ikibyimba birashobora kuba birimo uburyo bwa Whipple, pancreatectomy yose, cyangwa pancreatectomy ya kure.

Ubuvuzi bwa palliative burashobora gutangira murwego urwo arirwo rwose rwindwara. Reba igice cya Palliative Therapy kugirango umenye amakuru yerekeye imiti ishobora kuzamura imibereho cyangwa kugabanya ibimenyetso ku barwayi barwaye kanseri yandura.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Kuvura Kanseri Yigifu Yateye imbere

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Kuvura kanseri yandura yateye imbere irashobora kuba ikubiyemo ibi bikurikira:

  • Chimoterapi hamwe cyangwa idafite intego yo kuvura.
  • Chimiotherapie na chemoradiation.
  • Kubaga (Uburyo bwa Whipple, pancreatectomy yose, cyangwa pancreatectomy ya kure).
  • Kubaga palliative cyangwa gushyira stent kugirango uzenguruke ahantu hafunzwe mumiyoboro cyangwa amara mato. Bamwe mu barwayi barashobora kandi guhabwa imiti ya chimiotherapie na chemoradiation kugirango bagabanye ikibyimba kugirango babagwa.
  • Igeragezwa rya clinique yubuvuzi bushya bwa anticancer hamwe na chimiotherapie cyangwa chemoradiation.
  • Ikigeragezo kivura imishwarara yatanzwe mugihe cyo kubagwa cyangwa kuvura imirasire y'imbere.

Ubuvuzi bwa palliative burashobora gutangira murwego urwo arirwo rwose rwindwara. Reba igice cya Palliative Therapy kugirango umenye amakuru yerekeye imiti ishobora kuzamura imibereho cyangwa kugabanya ibimenyetso ku barwayi barwaye kanseri yandura.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Kuvura Kanseri Yandura cyangwa Yisubiramo

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Kuvura kanseri yandura yanduye cyangwa yongeye kugaruka bishobora kuba bikubiyemo ibi bikurikira:

  • Chimoterapi hamwe cyangwa idafite intego yo kuvura.
  • Igeragezwa rya Clinical of anticancer agents hamwe na chimiotherapie cyangwa idafite.

Ubuvuzi bwa palliative burashobora gutangira murwego urwo arirwo rwose rwindwara. Reba igice cya Palliative Therapy kugirango umenye amakuru yerekeye imiti ishobora kuzamura imibereho cyangwa kugabanya ibimenyetso ku barwayi barwaye kanseri yandura.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Ubuvuzi bwa Palliative

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Ubuvuzi bwa Palliative burashobora kuzamura imibereho yumurwayi mugucunga ibimenyetso nibibazo bya kanseri yandura.

Ubuvuzi bwa Palliative kanseri ya pancreatic burimo ibi bikurikira:

  • Kubaga palliative cyangwa gushyira stent kugirango uzenguruke ahantu hafunzwe mumiyoboro cyangwa amara mato.
  • Imiti ya palliative ivura kugirango ifashe kugabanya ububabare mugabanya ikibyimba.
  • Gutera imiti ifasha kugabanya ububabare uhagarika imitsi yo munda.
  • Ubundi buvuzi bwa palliative wenyine.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Kugira ngo umenye byinshi kuri Kanseri y'urwagashya

Ushaka amakuru menshi yikigo cyigihugu cya kanseri kubyerekeye kanseri yandura, reba ibi bikurikira:

  • Kanseri y'urwagashya Urupapuro
  • Kuvura Kanseri Yumwana
  • Ibiyobyabwenge Byemewe Kanseri Yurwagashya
  • Intego zo kuvura Kanseri

Kumakuru rusange ya kanseri nibindi bikoresho biva mu kigo cyigihugu cya kanseri, reba ibi bikurikira:

  • Ibyerekeye Kanseri
  • Gutegura
  • Chimiotherapie nawe: Inkunga kubantu barwaye Kanseri
  • Ubuvuzi bwimirasire nawe: Inkunga kubantu barwaye Kanseri
  • Guhangana na Kanseri
  • Ibibazo byo Kubaza Muganga wawe kuri Kanseri
  • Abacitse ku icumu n'abarezi


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