Ib qho tseem ceeb hauv txuam nrog txoj hauv kev zom cov zaub mov yog cov txiav. Nws muaj cov ntaub so ntswg uas ua rau cov kua paug (enzymes), nrog rau cov pancreatic islets uas tsim cov tshuaj insulin, thiab cov kabmob nrawm.
Nrog lub mutation ntawm lub noob, qee cov hlwb mutate, vim tias cov glandular cov ntaub so ntswg thiab cov epithelium, uas khi rau cov kabmob nrawm, tsis pom sib faib. Txoj kev loj hlob muaj pancreatic cancer - thawj cov tsos mob ntawm kev mob qog nqaij hlav, hmoov tsis, twb tau nyob rau theem qis ntawm qog loj hlob, thaum nws muab cov kabmob ntawm cov neeg nyob sib ze los yog qoob rau lawv.
Puas muaj cov thawj cov kev qhia txog kev mob kheesxaws ntawm lub taub hau lossis lub cev ntawm lub txiav thaum lub sijhawm thaum ntxov?
Thaum pib ntawm kev loj hlob ntawm tus kab mob no mob siab tsis mob thiab tsis nrog nws los ntawm cov tsos mob. Qhov no yog vim qhov tseeb tias cov qog tsis loj yog qhov hloov cov ntaub so ntswg glandular thiab nyob rau theem no tsis muaj feem xyuam rau kev ua haujlwm ntawm cov khoom hauv lub cev ntau npaum li cas.
Thawj cov tsos mob tshwm sim thiab cov cwj pwm pom tshwm ntawm cov kabmob pancreatic no tau pom nyob rau theem tom ntej, thiab txog 70% ntawm tag nrho cov mob ntawm cov kab mob oncology yog nyob rau theem tsis raug mob, thaum cov qog tsis tau raug tshem tawm thiab nws tsis qiv nws tus kheej rau kev kho mob kev kho mob tshuaj.
Thawj cov tsos mob thiab cov tsos mob ntawm tus kabmob pancreatic hnyav tomqab kawg ntawm txoj kev loj hlob
Kev tshwm sim tshwj xeeb ntawm tus kab mob piav qhia yog nyob ntawm seb qhov chaw qis qis qis - nyob rau hauv lub taub hau lossis lub cev ntawm lub cev thiab lub cev ntawm lub cev. Thaum thawj kabmob ntawm kev loj hlob ntawm lub neoplasm cov tsos mob tshwm sim me ntsis ua ntej.
Muab qhov chaw ntawm lub txiav, qhov tshwm sim feem ntau ntawm nws cov mob cancer yog cov kev hloov hauv plab zom:
- dull mob nyob rau hauv nruab nrab epigastric ib feem ntawm lub plab;
- xeev siab;
- saturation txawm tias thaum noj mov me me;
- zawv plab;
- tsam plab;
- mob hauv nraub qaum;
- flatulence;
- muaj cov quav hauv quav;
- tej ntxhiab ntawm cov quav;
- mob ze ntawm lub puj ntaws thiab nyob rau hauv txoj cai hypochondrium;
- aversion rau nqaij, khoom qab zib thiab rog;
- kev puas ntsoog ntawm kev qab los;
- steatorrhea;
- pw tsaug zog mob;
- tus kab mob thrombosis ntawm peripheral leeg ntawm hom mob (Tissaur syndrome);
- eructation nrog ib tus ntxhiab ntse;
- ntuav cov khoom noj uas tsis muaj nqis;
- khaus;
- mechanical jaundice ;
- nrhiav tau los ntawm cov quav ntawm lub teeb xim;
- darkening ntawm zis;
- qhov ncauj qhuav;
- tsis muaj zog, qaug zog;
- zog nqhis dej;
- periodic sab hauv;
- morbidity thiab nce nyob rau hauv qhov loj ntawm lub gallbladder.
Hauv cov poj niam, thawj cov cim ntawm pancreatic cancer qhia saum toj no yog txhawb nqa los ntawm lub cev tsis zoo, kev puas siab ntsws mob hauv kev nyuaj siab mob hlwb, cov paj hlwb, tawm tsam.
Raws li pom, qhov symptomatology ntawm cov kws kho mob saum cov oncological pathology yog tsis meej thiab yuav ua tau zoo li lwm yam digestive thiab endocrine kab mob. Yog li, kom paub meej tias tus mob yuav tsum ua tib zoo saib xyuas.
Qhov sib txawv ntawm qhov sib txawv nrog thawj cov tsos mob ntawm tus kabmob pancreatic
Qhov feem ntau siv tau, nrog rau cov txheej xwm tshaj tawm txog kev qhia paub yog:
- computed tomography;
- kuaj ultrasound;
- magnetic resonance imaging.
Lawv tuaj yeem ntes cov qog, qhov loj ntawm 2 xuaj moos.
Yuav kom paub meej qhov chaw ntawm lub qog, nws ntau yam, keeb kwm, tsis, thaj chaw ntawm koom hauv, pab xws li txoj kev ntawm kev xeem:
- Xoo hluav taws xob ntawm duodenum thiab plab;
- positron emission tomography;
- retrograde qhov ncauj pancreatocholangiography;
- Fibrogastroduodenoscopy;
- angiography ;
- Lub raj tshuaj siv ntaub so ntswg cov ntaub so ntswg nrog endoscopic ultrasound.