Chiwopsezo cha khansa ya kapamba chikuchulukira chaka chilichonse. Madokotala amafotokozera izi poona kuti thanzi ndi moyo wa munthu wamakono zili ndi machitidwe ena ndikuthandizira pakukula kwa oncology.
M'malo mwake, zomwe zimayambitsa zotupa zoyipa mthupi la munthu sizinakhazikitsidwebe.
Asayansi akudziwa zinthu zochepa chabe zomwe zimawonjezera chiopsezo cha khansa ya kapamba. Munkhaniyi, zinthu izi zifotokozedwa mwatsatanetsatane.
Kuperewera kwa zakudya m'thupi
Kuchepa kwa khansa ya pancreatic kumawonjezereka ndimamwa zakudya zochuluka za nyama zokhala ndi mafuta a nyama. Ndi mafuta azinyama omwe ali ndi vuto lalikulu, chifukwa amapangitsa gland kugwira ntchito mopitilira muyeso.
Pambuyo podya zakudya zamafuta, anthu amakonda kumva kupweteka m'matumbo. Zakudya zakusuta, zamchere kwambiri kapena zonunkhira, komanso zinthu zomwe zakhala zikukonzedwa mwaukadaulo, zimakhala ndi zotsatira zoyipa, zoyambitsa izi ndizizindikiro ziyenera kukumbukiridwa ndikuwunika.
Kusintha kwatsoka mu maselo a gland kumachitika ndi zinthu zotsatirazi:
- chakudya chofulumira
- zakudya zamzitini;
- mowa
- zakumwa zoziziritsa kukhosi;
- maswiti.
Zogulitsazi zimakhala ndi mankhwala omwe amachititsa kuti maselo a atypical apangidwe, omwe amasinthidwa kukhala zotupa zoyipa ndi khansa.
Ndikofunikira kudziwa kuti mothandizidwa ndi mowa pali kuwonjezeka kwa ntchito zachinsinsi za kapamba!
Ma mahomoni opangidwa amakhalabe mkati mwa thupi ndipo amatenga nawo mbali muzochitika zamomwe zimachitika mu epithelium. Nthawi zambiri, chifuwa chachikulu chimayamba kumwa mowa, koma muyenera kukumbukira kuti matendawa ndiwotsimikizika, ndipo gawo lotsatira la chitukuko chake ndi khansa.
Zakudya zabwino, kuchuluka kwa zipatso ndi ndiwo zamasamba kumachepetsa chiopsezo cha khansa ya kapamba. Udindo wofunikira kwambiri umaseweredwa ndi zakudya. Ngati mumakonda kudya kwambiri komanso kudya chakudya chambiri nthawi imodzi, izi zimapangitsa kuti pakhale zochulukitsa, pomwe zakudya zopanda pake zimayambitsa kulumikizana kwakukulu.
Zabwino pa pancreatic function, lycopene ndi selenium - awa ndi mankhwala omwe amapezeka mumasamba ofiira ndi achikasu
Kusuta
Kwa osuta omwe ali ndi chidziwitso chachitali, chiopsezo chokhala ndi khansa ya pancreatic ndiyambiri. Utsi wosuta fodya umakhala ndi ma carcinogen ambiri, omwe amachititsa kuti maselo a atypical apangidwe m'thupi la munthu.
Ma polcyclic onunkhira a hydrocarbons (PAHs) ndi owopsa kwambiri ku England. Amatha kulimbikitsa chotupa mu ziwalo zonse za thupi. Kusuta kumayambitsanso kupindika kwa mapindikidwe a bile. Izi zimayambitsa kusintha kwa chiwalo ndipo zimatha kudzetsa matenda, kenako khansa. Zambiri pazomwe kusuta kumayambitsa pancreatitis, mutha kuwerengera patsamba lathu.
Ndizodziwika bwino kuti khansa ya kapamba imapezeka mwa omwe amasuta pafupifupi katatu kuposa omwe sasuta. Koma izi zimasinthiratu ndipo mukakana kusuta kwa zaka zingapo, zinthu zidzakhala bwino.
Zomwe zikuyambitsa pano zili pompopompo, ndipo ngati simukuthawa kusiya zizolowezi zoipa, ndiye kuti khansa imatha kupitiliza kusuta.
Kudziletsa
Pafupifupi 10% ya khansa ya kapamba, anthu ena am'banja lawo adadwalanso chimodzimodzi. Ngati wachibale (abale anu, makolo) akadakhala ndi matenda otere, ndiye kuti chiwopsezocho chimakulanso.
Zomwe zimagwiritsidwa ntchito pakupanga ma neoplasms oyipa a gland amaphatikizidwa ndi majini angapo. Koma pakadali pano sizipeza tsamba lililonse pamtundu wawo lomwe limayang'anira ndondomekoyi.
Matenda a shuga
Chiwopsezo cha zotupa zoyipa chikukula kwambiri pamaso pa matenda a shuga. Zifukwa zake zakhala zikudziwika kale - kuperewera kwa insulin kumayambitsa hyperglycemia (kuwonjezereka kwa kuchuluka kwa glucose m'magazi), zomwe zimasokoneza magwiridwe antchito a thupi lonse.
Monga lamulo, pakati pa matenda awa ali ndi kulumikizana kwa mbali ziwiri. Popeza kupanga insulini kumachitika mu kapamba, kukomoka kwa ziwalo kungayambitse kuchuluka kwa matenda ashuga.
Zoyambitsa zina za oncology
Matenda apansi am'mimba amayamba pakhungu nthawi yayitali chifukwa cha kapamba, zomwe zimawonjezera mwayi wosinthika wa maselo a maselo. Ngati matendawa sanalandire chithandizo chanthawi yake kapena mankhwala osaphunzira amatha, pakapita nthawi, pakabuka mavuto, omwe pakati pawo amatha kukhala ndi vuto loipa.
Popeza pancreatitis imatsogolera ku stenosis yolimba ya zikondamoyo, chinsinsi chopangidwa ndi chiwalochi chimayamba kuyima. Zophatikizira zama carcinogenic zimatha kupezeka mumadzi, mphamvu yotalikirapo yomwe pa epithelium ya chiwalo imatha kupangitsa kuti maselo owopsa apangidwe.
Ngozi yayikulu pokhudzana ndi kusinthika kukhala chotupa cha khansa ndi pancreatic adenoma. Poyamba, ili ndi mawonekedwe osakhazikika, koma nthawi zina zilonda zake zimatha (kusintha kwa mawonekedwe ovulaza).
Pali mtundu wapakati wa chotupa, chomwe, malinga ndi asayansi ena, chimapangitsa khansa yochepa kwambiri. Ngati adenoma ya gland imachotsedwa mwachangu ndi opaleshoni, chiopsezo chokhala ndi khansa sichimadzipatula.
Cirrhosis ya chiwindi imatha kubweretsanso zotupa zoyipa za kapamba. Pankhaniyi, kusintha kwa ma pathological kumachitika mu minyewa ya chiwindi ndi zinthu zakupha zimapangidwa zomwe zimalowa mkati mwa kapamba kudzera mu ndulu ya bile.
Kunenepa kwambiri komanso kusachita masewera olimbitsa thupi
Zifukwa apa ndikuti pali kusayenda koyenda komanso kunenepa kwambiri, zimatha kubweretsanso mapangidwe a chotupa cha khansa. Kuyesedwa kwa anthu omwe ali ndi chidziwitso chowonjezeka cha thupi kumawonetsa kuti asintha kapangidwe ka kapamba, omwe nthawi zina angayambitse khansa.
Nthawi yomweyo, kuzindikiridwa kwa anthu omwe ali ndi kulemera kwabwinobwino, omwe amakhala akuchita masewera olimbitsa thupi mokhazikika ndikuwongolera njira yoyenera, akuwonetsa kuti kapamba wawo ali m'malo okhazikika ndipo alibe zisonyezo zakukula kwa matenda.
Kuzindikira kwa zotupa zoyipa za kapamba kumatsimikiziridwa ndi gawo la matendawa, zaka za wodwalayo komanso kupezeka kwa matenda oyamba.
Mphamvu ya zaka komanso dziko
Chiwopsezo cha khansa ya pancreatic imawonjezeka ndi zaka. Nthawi zambiri, matenda ngati awa amapezeka kwa anthu azaka zopitilira 45. Pafupifupi 90% ya odwala omwe ali ndi zotupa m'mimba amaposa zaka makumi asanu ndi zisanu. Koma ubwana sukhala cholepheretsa kukula kwa khansa pamaso pa zinthu zina zomwe zingachitike.
Ponena za mayiko omwe ali ndi odwala, khansa ya kapamba imapezeka kwambiri mwa anthu akuda kuposa anthu aku Asia ndi azungu.
Matenda a oncological a kapamba amatha kuchitika pogwira ntchito zamavuto owopsa, ndikumalumikizana ndi zinthu zapoizoni. Amapangidwa, mwachitsanzo, pokonza mafuta kapena phula wamalaala.
Ndikofunikira kudziwa kuti zinthu zowopsa sizoyambitsa khansa ya pancreatic. Anthu ena atha kukhala ndi zovuta zonse, koma sangatenge khansa. Nthawi yomweyo, matendawa amathanso kukhudza anthu ena, ngakhale atakhala kuti alibe.
Zizindikiro zazikulu za khansa ya kapamba
Gawo loyamba la matendawa limatha kuwonetsa zizindikiro zosiyanasiyana. Monga lamulo, zizindikiro ndi zizindikiro za khansa ya kapamba ndizosawoneka bwino komanso zopanda tanthauzo, kotero munthu sangathe kuwayankha ndipo osakayikira za matendawa.
Khansa ya kapamba imatha kuyamba pang'onopang'ono, kwa zaka zingapo, zizindikilo zisanayambike, zimatsimikizira ndendende iyi. Pazifukwa izi, kuwunika kwa matenda onse kwa wodwala ndi kwa dokotala ndikovuta.
Pali zizindikiro zina zomwe zimatha kuphatikizidwa ndi khansa ya pancreatic, koma nthawi zambiri sizikhala ndizodziwika ndipo nthawi zambiri zimayambitsidwa ndi njira zina. Chizindikiro chachikulu ndi jaundice. Zimachitika pamene bile duct yatsekedwa ndipo bile ikalowa m'magazi.
Odwala ndi jaundice, mkodzo ndi wakuda, pali chopondapo dongo, khungu limadetsedwa, maso amasanduka achikasu. Chifukwa cha bilirubin yayitali, khungu lotuwa limatha kuoneka.
Nthawi zambiri, jaundice imachitika chifukwa cha matenda a gallstone, koma nthawi zina maonekedwe ake amathanso kuyambitsa khansa yapakhosi. Jaundice wophatikizidwa ndi mapangidwe a gallstones nthawi zambiri amakhala ndi ululu wambiri. Khansa yapakansa imadziwika ndi "jaundice wopanda chowawa."
Kuphatikiza apo, odwala khansa ya pancreatic nthawi zambiri amakhala ndi zovuta ndi dongosolo la kugaya chakudya, ndipo Zizindikiro zake ndi izi:
- nseru
- kudzimbidwa
- kusadya bwino;
- kuwonda;
- kutsegula m'mimba
Zizindikirozi zimayamba chifukwa cha kupangika kwa chotupa m'mimba m'mimba kapena kulowetsedwa ndi mitsempha. Ngati m'mimba atsekedwa ndi chotupa, ndiye kuti wodwalayo amakhala ndi mseru komanso kupweteka, atatha kudya.
Chizindikiro chokhala ndi khansa ya pancreatic ndiko kudzikundikira kwamadzi ambiri kumimba. Vutoli limatchedwa ascites. Zifukwa zazikulu ziwiri zimathandizira kuti izi zitheke:
- Pali kufalikira kwa kukhetsa magazi kuchokera m'matumbo kupita kuchiwindi ndi kufalikira kwamatendawa. Zotsatira zake, madzi amatuluka kumimba.
- Kufalikira kwa chotupa chapachifuwa cham'mimba.
Madzimadzi amatha kudzikundikira m'miyeso yayikulu kwambiri komanso amatha kupuma, kupangitsa kuti ikhale yovuta. Nthawi zina, njirayi imatha kusinthidwa mothandizidwa ndi mankhwala (okodzetsa amakhazikika). Nthawi zina odwala amafuna paracentesis (drainage drainage).
Zotsatira za matendawa.
Khansa ya pancreatic ndi imodzi mwamitundu yoopsa kwambiri ya khansa. Koma, malinga ndi akatswiri ambiri, ngati dokotala atapezeka kuti ali ndi matendawa moyenera, matendawo ndi othandizika.
