Tus txiav no yog ib qho hauv nruab nrab ntawm lub plab thiab ua ob txoj haujlwm tseem ceeb: qhov zis ntawm digestive enzymes thiab cov tshuaj hormones txuam nrog cov metabolism. Cov txiav plaub muaj plaub qho: lub taub hau, caj dab, lub cev thiab cov nplhaib. Feem ntau, qhov mob cancer pib hauv lub taub hau ntawm cov txiav.
Cov tsos mob ntawm tus kabmob pancreatic
Zoo li nrog lwm cov qog nqaij hlav hauv plab, qhov tshwm sim ntawm tus kabmob pancreatic feem ntau tsis hais. Raws li txoj cai, tus kabmob no tsuas kav ntev li ntev thiab pib tshwm thaum lub sijhawm dhau los, thaum cov qog kis mus rau lwm cov nqaij thiab cov qog.
Cov tsos mob tseem ceeb ntawm pancreatic cancer:
- ib qho mob hnyav nyob hauv cheeb tsam epigastric thiab qhov hypochondrium radiating mus rau sab nraum qab;
- hnyav zuj zus;
- nquag ntuav;
- ib qho kev tsis tu ncua;
- zawv plab;
- kev tsis muaj zog;
- ntxiv zog kub cev;
- mechanical jaundice (nrog swb ntawm lub taub hau ntawm txiav) - daj ntawm daim tawv nqaij, mucous membranes, sclera;
- daim tawv nqaij khaus, etc.
Ua rau pancreatic cancer
Qhov ua tsis ncaj rau tus kabmob pancreatic yog tsis paub, tabsis muaj ntau yam ua rau nws loj hlob. Cov no suav nrog:
- haus luam yeeb;
- quav quav cawv;
- khoom noj khoom haus, khoom noj khoom haus, thiab khoom noj khoom haus;
- ntshav qab zib mellitus;
- cirrhosis ntawm lub siab ;
- kev khiav haujlwm ntawm lub plab;
- qhov muaj cov pob txha caj dab roj hauv lub gallbladder.
Cov kab mob hauv qab no yog pom zoo ua ntej:
- adenoma ntawm tus txiav;
- mob pancreatitis (tshwj xeeb tshaj yog calcifying);
- cyst ntawm lub txiav.
Txoj kev pheej hmoo ntawm kev tsim tus kab mob nce nrog lub hnub nyoog.
Cov theem ntawm tus kab mob:
- Theem 1 ntawm kev mob khees xaws pancreatic - lub qog me, tsuas pub rau cov nqaij ntawm lub cev.
- 2 theem ntawm kev mob khees xaws pancreatic - cov qog yog kis mus rau lwm tus nruab nrog cev - duodenum, bile ciav, thiab kuj rau cov qog ntshav ntawm lub cev.
- Qib 3 mob khees-khees-pancreatic - cov qog no tshwm sim rau ntawm lub plab, spleen, hnyuv loj, cov hlab ntsha loj thiab qaug zog.
- Theem 4 ntawm pancreatic cancer - lub qog muab metastases rau daim siab thiab lub ntsws.
Kev kuaj ntawm kev mob khees xaws pancreatic
Kev pom kev ntawm qhov tshwm sim ntawm cov hlav thiab cov metastases tau nrog kev pab ntawm ultrasound thiab computed tomography nrog bolus sib piv li. Kuj tau rau kev kuaj mob, siv kev kuaj mob xoo hluav taws xob thiab duodenum nrog barium sulfate, endoscopic retrograde cholangiopancreatography, laparotomy nrog rau nqaij me.
Tsis tas li ntawd xwb, xyoo 2012, tus kab mob qog nqaij hlav tau tsim tawm uas ua rau koj paub txog cov kabmob kheesxaws (pancreatic cancer) thaum ntxov thaum kuaj ntshav lossis zis. Qhov tseeb ntawm qhov tshwm sim ntawm qhov kev xeem no yog ntau tshaj 90%.
Kev kho mob pancreatic cancer
Lub ntsiab txoj kev kho ntawm tus kab mob:
- Kev phais txoj hauv kev - thaum tsis muaj metastases, kev tshem tawm ntawm nqaij hlav yog ua tiav (raws li txoj cai, tag nrho cov caj pas thiab qhov chaw ntawm lwm tus kab mob raug tshem tawm).
- Kws khomob - kev siv cov tshuaj uas tuaj yeem ua rau kev mob qog hlwb (koomhaum nrog ua haujlwm).
- Radiation therapy yog kev kho los ntawm kev siv hluav taws xob ionizing los tua cov qe ntshav.
- Kev kho kab mob kev nkeeg - kev siv cov tshuaj tshwj xeeb uas muaj cov kab mob, los tiv thaiv cov kev tiv thaiv ntawm lub cev ntawm lub cev tiv thaiv kab mob hauv cov hlwb phem.
- Symptomatic therapy - tshuaj loog, kev siv pancreatic enzymes, thiab lwm yam.
Hauv cov kabmob pancreatic, noj cov zaub mov noj uas muaj feem ntau cov zaub mov feem ntau, uas yog siav nrog txoj kev kho kom sov. Cov khoom nram qab no yog tshem tawm ntawm kev noj haus:
- dej cawv thiab carbonated dej;
- kas fes, cocoa;
- cov khoom noj tshiab;
- khoom qab zib;
- cov zaub mov kaus poom;
- by-products;
- cov khoom uas ua rau fermentation.
Pancreatic kheesxaws - kuaj tau
Qhov kev kuaj mob rau tus kab mob no yog qhov tsis zoo, uas yog txuam nrog nws lub txiaj ntsig lig. Tsib tus neeg ciaj sia tom qab phais tsis tshaj 10%.