ʻO ka papa pancreatic: hōʻailona, ​​ke nānā ʻana, ka mālama ʻana

• Pallor o ka ʻili
• ʻEha ka ʻōpū
• ʻO ka ʻeha ma ka hypochondrium ʻākau
• Pāʻeha
• ʻO ka ʻili
• Nā Pahu kuʻi
• Kūleʻa
• ʻIli
• Pāʻeleʻeleʻele
• Kau ka momona
• ʻO ka lilo kaumaha
• ʻOhua
• Kaumo luhi
• Kahula

ʻO kahi ʻōkuhi pancreatic kahi mea hōʻeha ma kahi o ka pancreas a epithelium o ka puna glandular. Hiki iā ia ke male a hewa paha. Me ka hoʻomaʻamaʻa manawa, hoʻomaʻamaʻa maʻalahi ke kaila. Inā nānā ʻole ʻia ka mālama ʻana, hiki i nā mea maʻi benign keʻai i hiki ke holomua.

ʻOiai ka maʻi maʻamau o kēia maʻi maʻamau, ʻaʻole maopopo nā kumu o kona ʻano. ʻO ke kumu he kumu ia o ke kaiāulu, no ka laʻana, ka ʻona maikaʻi ʻole a i ʻole pinepine e pili me nā mea ʻona. ʻAʻole hiki ke paʻa nā kumu kumu. Akā aia kekahi mau kumu e hāpai i ka hoʻokumuʻana o kahi maʻi pancreatic.

Aia kekahi mau kumu:

ʻO kekahi o nā kumu maʻamau o kēia maʻi ka hōʻino ʻana i ka meaʻai a me ka ʻai nui ʻana i nā meaʻai junk. Eia kekahi, loaʻa kekahi o nā kumu o ka hoʻomohala ʻana i ka maʻi hiki ke kaumaha.

ʻO ka pinepine ke kumu o ka hōʻike ʻana i kahi tumō i ka huelo o ka pancreas he heredity. Inā ma waena o nā hoahānau pili, aia nō ka poʻe i loaʻa i ka maʻi oncological, a laila piʻi ka hopena o kēia neoplasm. I ka pilikia ka poʻe me ka maʻi diabetes.

Kahi helu

Aia nā benign a me nā malignant (cancerous) o nā pancreas.

He maʻi ʻupili ʻaʻai he mau ʻano:

• lehelehe waha
• fibroma,
• insuloma (neuroendocrine tumors o ka pancreas),
• ganglioma
• neurinoma
• leiomyoma
• hemangioma
• lymphangioma
• adenoma.

ʻĀmaʻomaʻo

ʻO ka kiʻi kiʻi maʻi o ka maʻi benign a me malignant ka aneane like. ʻO kā lāuaʻokoʻa wale nō ka maʻi malignant o ka pancreas e holomua pinepine me nā metastases i ka puʻuwai.

Hōʻike ka kiʻi o ke olakino o ka maʻi i loko o ke ʻano o kēlā mau hōʻailona:

• lilo ka momona
• nāwaliwali
• luhi, luhi
• ninini

ʻO kekahi kumu kumu mua o ka nūnēnoho papa kani pancreatic he hōʻeha ʻeha ma nā wahi ma lalo o ke kaʻina xiphoid. Hōʻike koke kēia mau maʻi a no ke kumu ʻole, hoʻoikaika pinepine i ka hoʻomaha.

ʻAʻole kahi hua benign i nā papa mua i hōʻike i nā hōʻailona a hiki ke hoʻomohala hou i ka asymptomatically. Ke ulu nei ka maʻi, ʻike ʻia nā hōʻailona like ʻole o ke kūkulu ʻana i kahi kaʻina pili.

• Kaumaha kaumaha
• ʻili o ka ʻili,
• mau ʻeha pinepine ma ka ʻōpū,
• ke ʻano o ke poʻo o ka pancreas.

Hiki i kahi ʻōpiopio emi loa ke hana i ka hōʻeha. Hiki ke maʻalahi i kēia i ka hoʻonui ʻia ʻana o ka nui, ʻoiai me ka hoʻonui i ka nui o ke kōkō, hiki ke hoʻopili ʻia nā lālā o nā hoalauna. Eia kekahi, hiki i ka nui ke hoʻonui i ke kīleʻa i ka umauma bile maʻamau, i hiki ke hōʻike ʻia e nā ʻōuli:

• pōʻeleʻele
• pohuo
• hueleaa
• hoʻonui hoʻonui ʻia
• a palapa o ka ʻili
• mea ʻalaʻawa
• ʻeha i ka naʻau.

Me kēlā mau hōʻailona, ​​e ʻimi koke ʻoe i ke kōkua olakino, ʻaʻole e hoʻōlo ʻia ʻoe iho.

Nā kumu o nā Tumuna Pancreatic

ʻAʻole maopopo i ke kumu o nā tumre pancreatic i nā ʻepekema. No laila, ʻo nā mea pili i hiki ke alakaʻi wale i kēia oncopathology ua hōʻike ʻia. Eia naʻe, a hiki i ka 40% o nā hihia o nā maʻi āpau o ka gland e noho mau nei me kahi etiology ʻike ʻole.

Hoʻokaʻawale mau nā kelepona a pau o ke kino i ka manawa i loaʻa i ka hoʻolālā DNA ka wāwahiʻole. I kēia manawa, nā hana palekana e hoʻopau i nā cell atypical i komo i ka hana. Inā paʻa ʻole ka pale kūlohelohe no kekahi kumu, hoʻomau ka hoʻokaʻawale i nā aihue kolo a hāʻawi i kahi hoʻomaka no ka hoʻokumu ʻana i ke aʻa. Eia kekahi, ʻo lākou, i ka hōʻiliʻili ʻana o lākou, hoʻowalewale i kahi ʻano hana ʻokoʻa e hiki ai iā lākou ke hūnā mai i ka hoʻouka ʻana o ka ʻōnaehana. I ka ʻike ʻana o ka pale i ke kino i ka wailele, ʻaʻole lawa kona ikaika pono e hoʻopau loa. Eia nō naʻe, i ka hakakā me ke ʻano o ke kino o ke kino, hiki iā ʻoe ke kānalua i nā hōʻailona mua o ke kuʻi, kahi e wehewehe ʻia ma hope.

ʻO nā mea pilikia e hiki ai ke hoʻonāukiuki i ka hoʻomohala ʻana o ka maʻi pancreatic i hiki ke ʻike ʻia:

ʻO ka pancreatitis o kahi papa maʻi. I kēia maʻi āpau, loaʻa ka hao i ke kuni mau ʻana, ʻo ia ka kumu no ka mutation cell.

Inherited pancreatitis.

Hōʻike ka maʻi homaʻi i ka ʻoiaʻiʻo ke mālama mau ʻia ka nui o ka glucose koko i ke koko, e hoʻonui ana i ka nui o ka hoʻomohala ʻana o kahi kōpona i loko o ka nui.

ʻO ka ulaula, ka mea i hāʻawi i ka ischemia ʻiola kūmau.

ʻO kahi ʻeha ʻeha e hoʻonāukiuki i ka hina ʻana ma ka microflora ʻawaʻawa. ʻO kēia, ke kumu i ka hoʻonui ʻana i nā mea o nā mea ʻona e alakaʻi i ka hoʻomohala ʻana o ka ʻaʻa.

ʻAʻohe meaʻai kūpono. Huli ka nui o ka hōʻeha o ka pancreatic oncopathology me ka hoʻohana ʻana i ka ʻai i hana i ka hōʻemi kūlohelohe (ʻoihana, kōholo, ʻia, ham, bacon, me nā mea like), ka ʻāpala, nā wai ʻala, nā ʻaina ʻulaʻula, a me nā meaʻai i loaʻa ka nui o nā momona momona saturated saturated.

ʻO ka maʻi o Crohn, ka maʻi ulitisative.

ʻO nā maʻi o ka ʻano maʻi.

ʻO nā maʻi o ka ʻōpū waha (pulpitis, kiʻious lesions o ka enamel niho, periodontitis).

Hoʻopuka i ke kino me nā mea kanu.

He mau makahiki ma mua o 60 mau makahiki.

ʻO nā oncopathologies o ke kino (ka nui o ke kuelu, ʻūhā, ʻōpū o ka ʻōpū, ʻōpū, a me nā mea āpau).

ʻO nā hui genetic i loko o ka pūnaehana ponoʻī o DNA.

ʻO ka ʻaila pancreatic i nā ʻohana pili kokoke.

Hoʻopili i kaʻaila hōʻeha ma ka ʻōpū.

Hoʻomaopopo ka pancreatitis maʻi, adenoma a me ka pancreatic cyst e nā kauka i nā kūlana precancerous.

Hoʻomaopopo o nā maʻi o ka maʻi pancreatic

Hoʻomaopopo ka hōʻailona o ka maʻi pancreatic i nā hoʻomaka mua o ka hoʻomohala ʻana o ka oncopathology iā ia iho.

Eia naʻe, ʻo ka ulu ʻana o ka maʻi kolohe, hoʻomaka ka mea maʻi e nānā pono i kēia mau hōʻailona:

ʻO ka ʻeha me ka hoʻokae ʻana i ka pancreas. I kekahi manawa hiki ke hoʻopaʻa ʻia ka ʻeha, i kekahi manawa hāʻawi i ka kua, a i ʻole ma ka hapa nui o ka ʻōpū. ʻO kāna hoʻouka ʻia he ʻano ia i ka wā i ka ʻili ʻia ke kino, a me kona nāwaliwali i ka wā e pīpī ʻia nā wāwae o ke ʻōpū. Ke ulu nei ka ʻōpala, e ʻoi aku ka ikaika.

Inā ulu ka ʻōpala i nā wahi o ke poʻo o ke kino, a laila loaʻa ka jaundice i ka hapa nui o nā maʻi. Hoʻopili ʻia ka melemele o ka ʻili e ke ʻano hemo koʻikoʻi, ʻoiai heʻeleʻele ka iʻa, a ʻoi aku ka māmā o nā feces.

Loaʻa i ka ʻaʻa i kahi momona o ka fetid; ma ka hana pinepine, ua nui ke aila a me ka wai.

ʻO ka lilo o ke kaupaona kahi hōʻailona maʻamau maʻamau, e hōʻike ana i kahi maʻi malignant o ka pancreas. Ua nānā ʻia ma ka 92% o nā maʻi. Ua wehewehe ʻia ka lilo ʻana o ka paona me ka huna ʻole o ka hana maʻamau o ka hōʻiliʻili ʻana o nā ʻomo i loko o ka ʻōpū, no ka mea, ʻaʻole ka pale o ka pancreas i nā enzymes e pono ai no kēia kaʻina.

Hoʻokumu ʻo Anorexia ma kahi o 64% o nā mea maʻi me ka lesion o ke poʻo o ka momona. Ke hoʻokū ʻia ka pila i nā wahi ʻē aʻe o ke kino, e ʻike ʻia ana ka anorexia ma loko o 30% o nā maʻi wale nō.

Hōʻailona kahi hōʻailona ua hoʻouna ka maʻi i ka duodenum a pani paha i ka lumen o ka ʻōpū.

ʻO ka mellitus maʻi maʻamau me ka hoʻonui ʻana i ka nui o ka urine i hoʻopā ʻia a me ka make wai ikaika ka hōʻailona maʻamau o kēia oncopathology.

ʻAʻohe o nā varicose ʻōiwi o ka esophagus a me ka ʻōpū, e hoʻonāukiuki i ke kahe o loko, ʻaʻole i haʻalele ʻia.

I kekahi manawa ua hōʻike ʻia ka maʻi e nā hōʻailona o ke aʻalolo cholecystitis aʻa pancreatitis paha.

Hoʻonui pinepine ke ʻano, maʻi nui aʻe ka ʻeha o ka hoʻomau ʻana o ka maʻi. ʻO ke ʻano o ka nūpepa ke metastasis. Hoʻouna ʻo ia i nā sypical atypical i nā nīpī lymph (nā ʻalone e kokoke ana ma ka ʻaoʻao o ka pancreas he mea e pā mua ʻia), i ka pūnaehana uila (ua pā ʻia nā ʻāpana kūwī o loko), i ka peritoneum (nā ʻeha a me nā pelvic i hoʻopilikia).

Eia kekahi, hiki i ka paukū pono ke ulu i loko o nā hua bile, i loko o ka ʻōpū, i loko o nā moku nui. ʻO kēia ka mea i kapa ʻia ʻo ka peni ʻaina.

Nā ʻōpala pancreatic

ʻEhā mau makahiki o ka ʻoi ʻana o ka pancreatic tumors. Eia nō naʻe, hiki ke hōʻike ʻokoʻa i ke ʻano "cancer" ma kahi o ka maʻi "a i ʻole. ʻAʻoleʻike kekahi kanaka i nā hōʻailona o ka maʻi, kahi liʻiliʻi wale nō o nā cell gland e hele ana i ka mutations. Hiki ke ʻike ʻia kēia pae hana me ke kōkua o nā ʻano loiloi instrumental (MRI, ultrasound, CT).

ʻO nā mea nui ka maʻi kūkuʻu pancreatic penei:

Ua mahele ʻia ke kahua mua i ʻelua mau manawa - 1A a me 1B. I ke kahua 1A, aia ka wana i ka lula wale nō a ʻaʻole eʻoi aku i ka 2 cm. Inā ʻaʻole kokoke i ke ala i ka puka ʻana i ka duodenum 12 (ma kēia hihia, hele pinepine ka maʻi maʻamau a me nā maʻi o ka maʻi), a laila ʻaʻohe mau hōʻailona o ka maʻi. I ke kahua 1B, ua nui aʻe ka ʻōpū, i kekahi manawa he mau hōʻailona o ka Jaundice, ʻeha, ʻeha a me ka luaʻi.

Ua hoʻokaʻawale ʻia ke kahua ʻelua i mau mea ʻelua - 2A a me 2B. ʻO ka mea mua o lākou ka mea i hoʻolaʻa ʻia o ka hūlī ʻana i nā hakahaka o nā lālā liʻiliʻi, a i ka lolo, a me ka lua o ka metastasis i nā ʻāpana lymph kūloko. I kēia hihia, hiki ma mua o ka hōʻeha o ka ʻōpū, hoʻopau i ka anorexia, luaʻi a me nā maʻi laʻa.

I ke kolu o ka maʻi o ka maʻi, ua ʻino nā kīʻaha nui (hepatic artery, maikaʻi mesenteric artery, celiac trunk, portal vein, intestinal intestins veins a me nā kino ʻē aʻe).

No ka hapahā o ka maʻi o ka maʻi, ka metastases o nā ʻokoʻa ʻē aʻe, kahi mamao loa, no ka laʻana, he ʻuhane a he ʻula paha. Ke loaʻa nei nā ʻōmaʻomaʻo i ko lākou nui a hilinaʻi nui ʻia i ka mea ʻē aʻe i hoʻopilikia ʻia e nā ʻōpū ʻo ke kaikamahine.

ʻO ka hoʻomaikaʻi ʻana i ka maʻi

ʻO ka pinepine o ka hopena o ka maʻi e hoʻōla pinepine ʻole ʻia. ʻO ke ola maʻamau o nā maʻi me nā maʻi hōʻeha o ka pancreas mai 4 a 6 mau mahina. ʻO ka 3% wale nō o ka poʻe e ola a ʻelima paha mau makahiki. ʻO kēia ma muli o ke kīpē maʻi maʻamau e ʻike pinepine ʻia i nā maʻi i hala, a ʻo ka nui o nā maʻi e hiki i nā mea ke hiki ke hana hou. Eia nō naʻe, ke ʻike ʻia kahi ulu palaki a pau, ʻike ʻia ka hopena o ka lapaʻau ma 99%.

Ka hoʻomāhuʻi ʻana o ka ʻōpū pancreatic

Hōʻike ka pila o nā maʻi o ka pancreatic i kekahi mau pilikia, ʻo ka mea nui ka wā e ʻike pinepine ʻia e ka maʻi maʻi. ʻAʻole iʻoi aku ma mua o 30% o nā tumors i ʻike ʻia ma mua o nā makahiki 2 mau mahina.

Hōʻike nā hōʻike hōʻike ʻalani i hiki ke kānalua i ka pathology cancer:

Kūʻai koko nui. Ke ulu nui nei nā helu ESR a me ka platelet, e hāʻule ana ka hemoglobin.

Hōʻike ka hōʻike koko biochemical i ka hoʻonui ʻana i ka bilirubin i loko o ke koko, kahi hoʻonui i ka nui o nā huina o nā ate.

ʻO ka hoʻoholo ʻana o nā māka ʻōiwi i ke koko. Hoʻomaopopo ka māka CA-19-9 e ʻike ʻole ʻia ka hana ma nā wahi mua o ka ulu ʻana o ka ulu lāʻau. Ma 50% o nā maʻi, ua ʻike ʻia ka māka CA-125. No nā hopena i ka hoʻomohala ʻana o ka oncopathology, nā hōʻike no ka CF-15, CA-494, a me nā mea kūpono.

ʻO nā hana hoʻokolohua instrumental ke hiki i ka koho ʻana i ka ʻōmaʻina o ke ʻano lāʻau kī me ka nui o ka hopena.

Paona o ka kahe ʻōpū.

Ua hiki i ka CT a me ka MRI ke kiʻi i kahi kikoʻī ma lalo o ka 1 cm, a kōkua pū kekahi i ka ʻike ʻana i nā metastases.

Kōkua ʻo PET i ka ʻike ʻana i ka ʻōpū o nā maʻi manuahi, ko lākou metastases.

ʻO Retrograde cholangiopancreatography kahi hana noiʻi a hiki ke ʻike i nā kani i nā ʻoiʻoi aku o 2 cm.

Hoʻopili ʻia kahi biopsy i ukali ʻia e ka hoʻokolohua moʻolelo a me ka laparoscopy diagnostic a pololei paha i ka wā o ka hoʻomaʻamaʻa ʻana.

Hoʻomaka maʻi maʻi pancreatic

Hoʻokomo ʻia ka hoʻomaʻamaʻa ʻana o kahi maʻi pancreatic i ka ʻoki ʻana i ka maʻi. No kēia, ua mahalo ʻia nā ʻolua i hoʻololi ʻia. Inā ʻaʻohe contraindications o ka hana, a laila e aʻo e hana i kahi pale radical o nā neoplasm a me nā pancreas ponoʻī. I kēia hihia, hoʻokaʻawale ka ʻōpū, ka duodenum, kahi ʻāpana o ka ʻōpū a me nā pūpū i waho o ke kino e hui pū ai me ka hua ʻai. I loko o 5 mau makahiki ma hope o kēlā ʻano hana, ʻaʻoleʻoi aku ma mua o 25% o nā maʻi e noho nei. Ma kahi o ka hoʻopiha piha ʻana, hiki ke wehe ʻia ka wehe a me ka wehe.

I kekahi mau manawa, ʻaʻole hiki ke hoʻoneʻe loa i ka ʻōpū, akā e hana mau nei nā hana. ʻO kā lākou pahuhopu i mea e wikiwiki ai ke ola no nā maʻi. No kēia, hiki ke hoʻoneʻe i nā metastases, e hoʻopau ʻia ka huina o ka pahu biliary a i ʻole nā ​​ʻokiʻawa. Hiki iā ia ke hemo i kahi ʻāpana o ke kinipona a hiki iā ia ke hōʻea i ke kaʻe ʻana i nā aʻa o ka nerve a ʻaʻole e hōʻeha i ka ʻeha nui i ka mea maʻi.

ʻOiai no ka mālama lapaʻau ʻana i ka oncopathology pancreatic, hoʻohana ʻia ka chemotherapy no kēia hana. Hoʻoulu ia i ka pāpā ʻana i ka ulu ʻana o nā cell atypical. ʻO nā lāʻau lapaʻau i hoʻohana ʻia no kēia pahuhopu ʻo Semustin, Fluorouracil, Streptozocin, a pēlā aku hiki ke hui pū ʻia me kekahi mau lāʻau lapaʻau.

Hoʻopili ʻia ka hemahema Enzymatic e ka hoʻohana ʻana i ka hoʻomākaukau o ka enzyme - Creon, Pancitrate, Pancrease.

Pono nā maʻi āpau me ka maʻi pancreatic e pono ai i kahi papaʻai me ka nui o nā huaʻai a me nā momona i loko, i mea e pale ai i ka hoʻomohala ʻana o ka anorexia.

Hiki ke kuhikuhi ʻia i ka lāʻau lapaʻau ma mua o ka hoʻomaʻamaʻa ʻana e hōʻemi i ka nui o ke kaila, i ka wā o kona hoʻokō ʻana e pale ai i ka hana hou ʻana o ka maʻi, a inā ʻaʻole hiki ke hana.

Hericium e kū'ē ana i ka papa o ka pancreatic

ʻO ka Hericium kahi pūpū e ulu ma luna o nā ʻōpala a me nā lāʻau lāʻau make. Ke hoʻohana nei ka lāʻau lapaʻau Oriental i ka comb hericium (ʻo ka inoa ʻepekema no ka honu) mai ka wā kahiko. Ua kau aku nā kauka hou o kēia mau kauka iā ia no ka mālama ʻana i nā ʻeha hōʻino, ke hoʻohālikelike nei i ka hopena o kāna noi ma ka radiation radiation a i ʻole chemotherapy. Hoʻohana ʻia ʻo Hericium inā ʻaʻole hiki ke hana hou i kahi hana e hana ai i kahi maʻi pancreatic.

Ma muli o ke kauʻana o nā YA-2 fatty acid, nā loko, nā beta-glucans a me nā polysaccharides a me nā huaʻai, hiki ke kōkua ke kino i ka hakakā ʻana me ka oncopathology. Hiki i kēia mau mea ke hoʻoikaika i ka hopena o ka chemotherapy i ka manawa 2-7.

Ua hana ka ʻepekema o Iapana i kahi hoʻokolohua me nā isika. Kūkulu ʻia nā rodents me nā pūpū maʻi, a laila ua mālama ʻia ka hua manuahi me kahi hericium. Ma ke kumu, i kekahi o nā kaole nui, ua kū ka ulu o ka naʻi, a ma kekahi o lākou ua hōʻemi ʻia i ka nui.

Hiki ke hoʻohana 'ia i Hericium i loko o ke ʻano pauka, a i ʻole he tincture. Hiki iā ʻoe ke kūʻai iā ia i loko o ka hale kūʻai pūnaewele a i ʻole ma ka herbalists (ʻo lākou ka manawa pinepine e hāʻawi aku ai i nā tinctures mākaukau).

ʻO nā ʻōnaehana o ke noi o ka ʻūpī mau ʻo ia:

E hoʻomoʻi i ka pauku (1 g) i loko o kahi aniani o ka wai mahana a waiho no 12 mau hola. A laila e māhelehele ʻia ka infusion hopena i ʻekolu mau ʻāpana a ʻawa i ke ao, 30 mau minuke ma mua o ka ʻai ʻana.

Hiki iā ʻoe ke hoʻomākaukau i ka huahana me kahi like, akā e hoʻohana iā ia i ka piha piha ma hope o ka hoʻomaha ʻana o ka pō ma luna o ka ʻōpū ʻole.

Hiki iā ʻoe ke hoʻomākaukau i kahi infusion o 150 ml o ka vodka a me 10 g o ka pauma.Ke hoʻomau nei i kēlā kuhihewa e pono i kahi wahi maluhia no 14 mau lā. No nā pahuhopu pale, lawe i kahi kiʻi o ka infusion 3 mau manawa i ka lā, a no ka hana therapeutic, e lawe i kahi papa i 3 mau manawa i ka lā.

ʻO kekahi ala e hoʻohana ai i ka Hericium: i ka 150 ml o ka lau a i ʻole ka ʻaila ʻoliva, hoʻomoʻi ʻia i ka ʻauʻau wai, pono ʻoe e hoʻohui i ka 10 g o ka pauna a kāwili maikaʻi. Ma hope o kēlā, laweʻia ke kāpili mai ka wela a mālama ʻia i kahi mahana no 3 mau hola. A laila mālama ʻia i loko o ka friji no kahi 5 mau lā. Lawe e like me ke kumu i ho'ākāka ʻia ma ka paukū ʻekolu.

Hoʻonaʻauao: puka puka i ka noho ma ka "Russian Scientific Oncological Center i kapa ʻia ma hope ʻO N. N. Blokhin "a loaʻa kahi diploma i ka" Oncologist "kūikawā

10 nā waiwai maikaʻi loa ola pomegeran

ʻO kēia ka hopena ʻoi loa e hoʻomaʻemaʻe i kou kuekuʻe, e like me ka wā'ōpiopio.

ʻO ka wehewehe kikoʻī

ʻO kahi pancreas kahi liʻiliʻi liʻiliʻi e kū pololei ana ma hope o ka ʻōpū. Hana ia i ʻelua mau mana nui:

1. Kelawa Hana ke kino i nā huina. Hāʻawi lākou i ka wāwahi o nā protein, mau, nāʻaila i loaʻa me ka meaʻai. Hoʻokuʻu ʻia nā ʻoneʻene ma o nā kumu o ke kūpaʻa i ka lumen o ka duodenum.
2. Endocrine. Hoʻokumu ka pancreas i nā hormones i komo i nā kaʻina metabola. I waena o lākou ʻo ka insulin. ʻO ka hormone hiki ke hoʻohaʻahaʻa i ke kōpaʻa koko. ʻO kekahi mea waiwai nui he glucagon. Hāʻawi ka hormone i ka hoʻonui o ke kō. ʻAʻole liʻiliʻi ka liʻiliʻi o ka hana ʻana o kahi gastrin. Hoʻonui kēia hormone i ka hana o ka waiʻai pancreatic e ka waha.

Loaʻa nā ʻāpana o kēia ʻaoʻao o ka pancreas i loko o ka anatomy:

I ka pinepine, ʻike ʻia ke poʻo poʻo pancreatic.

Nā kumu kumu o ke kuʻuna

ʻO kahi maʻi pancreatic, nā hōʻailona o ka mea e hōʻike maopopo ʻia i nā hana hope loa, he hoʻokumu kino ʻole ia. He maʻi maʻamau loa ka palaka ma ka oncology. No ka mea he māhuahua ka piʻi. I ka hopena, ʻaʻole hiki i ke kino ke hoʻokuʻi i ka hana maʻamau.

Hoʻopau nā kumu o ka huki i nā hihia haumania he mea pohihihi. Eia naʻe, ua hōʻike nā kauka i nā mea e hoʻolako ana i nā kūlana no ka hoʻokumu ʻana i nā pūnaʻi maʻi.

No laila, hiki i kahi ulia hōʻoki o ka pancreas hiki ke hoʻomohala kū i ke ao ʻana o:

1. Laula. ^ E Ha yM. ʻO kēia ka kumu mua i mea e hoʻonāukiuki i ka hoʻomohala ʻana o ka pathology. ʻO ka hydrocarbon polycyclic Aromatic i loaʻa i ka uahi o ka uahi he mea hoʻoikaika ikaika i ka hoʻomohala ʻana. Ma kahi kokoke i 1/3 o nā maʻi maʻi kanesa āpau no ka ulaula.
2. Mamua. ^ E Ha yM. ʻOi aku ka poʻe ma hope o 60 mau makahiki i ka pilikia no ka pathology.
3. Kakauolelo. ^ E Ha yM. Wahi a nā helu helu, ʻoi aku ka maʻi pinepine o kēia mauʻi i ka kāne.
4. Naʻi maʻi mellitus. ^ E Ha yM. Hiki i nā kōholi kiʻekiʻe ke alakaʻi i ka maʻi maʻi pancreatic.
5. ʻO ka maʻi pancreatitis kaha. ^ E Ha yM. ʻO ka wā lōʻihi ka lōʻihi e lilo i kumu mua i ka hoʻomohala ʻana o ka maʻi. Hoʻoulu ka papa pancreatic i ka ʻano o ka pancreatitis e hoʻonāukiuki i ka huhū o ke kino. He paʻakikī ka puka ʻana o nā enzymes. ʻO ka wai pancreatic, ʻaʻole i komo i ke kaomi kūwili ʻana, he pōʻino ka mea i hoʻopili ʻia o nā ioola. Ma muli o kēia, ua pilikia nui ka maʻi pancreatic.
6. Nā ʻilima. ^ E Ha yM. ʻO ke kaumaha a me nā pilikia e pili ana i ke kino hiki ke kumu i ka maʻi kanesa.
7. Palaka ʻaʻai. ^ E Ha yM. ʻO ka hōʻino maikaʻiʻana i nā kalaka, nā momona nā mea i hoʻonui i ka ukana ma luna o ke kino. ʻO ke hopena, hiki i ka hao ke hana hewa. ʻO kahi kīʻai momona i nā huaʻai a me nā lau ʻai i hōʻemi nui ʻia i ke kūpaʻa o ke ʻano.
8. ʻĀpilima. ^ E Ha yM. Ma ke alo o nā hoahānau i hana i kēia holoholo, nui ka nui o ka ʻemi o ka hoʻomohala ʻana i ka maʻi kanesa o ka aʻai.

ʻO nā hōʻailona mua o ka maʻi

ʻOiai paʻakikī loa lākou e hoʻoholo i ka wā e hele ai nā pilikia mua me ka pancreas. ʻAʻole ʻike paha nā ʻōhumu a hiki i ka hoʻomaka ʻana o ka papa 4 o ka oncology. A, ʻaʻole naʻe, ʻaʻole maʻamau kēia. ʻOiai ʻo kahi ulu ulu ʻana o ka pancreas e hōʻeha pono ai. Hoʻomaka ʻia nā hōʻailona o ka patology e ka hoʻolaha ʻana i ke kano i nā umauma ʻē aʻe.

Eia nō naʻe, aia kahi mau hōʻailona e hiki ai i ke kānalua i ka maʻi ma ka hoʻomaka mua. Ke hilinaʻi piha nei lākou i ka hoʻokalakupua o ke ʻano o ke ala.

Hoʻopilikia ka pilikia a me ka pancreas, hōʻike ʻia nā hōʻailona:

• head oncology - kauhi kaumaha, jaundice, momona i loko o ka papa, ʻeha ʻeha.
• maʻi o ke kino, ke ʻolua - lilo ka kaumaha, ka ʻeha ʻole o ka ʻōpū.

Ke neʻe nei ka palema ma ke poʻo o ka kelepona i ʻoi loa i ka manaʻo ma mua o ka oncology i kū i kekahi o nā keʻena o ka pancreas.

Nā hōʻailona nui

Basically, inā mākou e kamaʻilio e pili ana i ka maʻi pancreatic, hiki ke ʻike ʻia nā hōʻailona like ʻole:

1. ʻO kaʻeha hōʻeha o ka epigastric. ^ E Ha yM. ʻO kēia kahi hoʻopiʻi mua a ka mea maʻi. ʻO ka launa pū me ka hana kai, me ke ʻano he kānāwai, ʻaʻole i ʻike ʻia. Ua ʻeha loa ka ʻeha i ka pō. Ke hoʻokō nei nā ʻōnaehana palu ma ke poʻo o ka hiʻona, hele mai ka palu ma ka hypochondrium kūpono a me ka navel. Inā ua make ka huelo, ke kino o ka pancreas, ʻike ka mea maʻi i ka ʻōpū ma lalo, a me ka ʻaoʻao interscapular. Hiki ke loli ka hoʻololi i ka kūlana. No laila, ʻili pinepine kēia ʻeha i ka sciatica.
2. Nā hōʻailona Paraneoplastic. ^ E Ha yM. Loaʻa ka mea maʻi i ka nāwaliwali, ka nele o ka makemake. I ka manawa pinepine he luhi i nā momona momona. Hōʻole ka mea maʻi i nā mea hoʻoluhi punahele - caffeine, alkohol, tapaa. Characteristically, hoʻemi kaumaha, hiamoe hiamoe, Trusso's syndrome (neʻe ʻana o kēlā me kēia thrombosis vein peripheral).
3. ʻO kahi jaundice kikoʻī. ^ E Ha yM. Nui ka ʻaina o ka bile dile. Ma muli o ka hopena, uaʻeleʻele ka pale a me ka ʻili. Nā mea iʻike aku ai. Aia kahi ʻōloe. Hoʻokaʻā ʻia ka papa kuʻi ʻana i ka hoʻopā, ʻaʻohe ʻeha.
4. Mea Hoʻohālikelike Kīwī Kai. ^ E Ha yM. ʻO ka nui o nā enzymes a me ka bile e komo i ka lumen intestinal. ʻO ka hopena, wikiwiki ka lohi i ka paona. Loaʻa iā ia ka maʻi o ka huā.
5. Ka ʻeha kaumaha. ^ E Ha yM. Ke hoʻoluhi nei i ka duodenum e hōʻeha i ka mea maʻi i ka piha o ka ʻōpū, ʻoiai me kahi liʻiliʻi o nā meaʻai i ʻai ʻia. Hiki paha ke ʻʻaʻū. Hoʻohui ʻia kekahi manawa i ka hoʻomoʻa ʻana i ka meaʻai.
6. Kūpono. ^ E Ha yM. Inā ulu ka ʻōpala ma o nā paia o ka ʻōpū, hiki ke nānā ʻia kēia hōʻailona ma ka mea maʻi. Hoʻohālikelike ʻia ia e ka luaʻi ʻana i kahi kinikini mauʻu mushy a i ʻole nā ​​feces o ke kala lāʻau-ʻeleʻele.
7. Nā hōʻailona o ka hypersplenism. ^ E Ha yM. ʻIke lākou i ka wā i hoʻopili ʻia ai ke kinipōpō e nā splenic vein. Hoʻokumu ka mea maʻi i ka leukopenia, anemia, thrombocytopenia. Malia paha e hoʻonui i ka nui o ka spleen - splenomegaly.
8. Nā hōʻailona o ka maʻi maʻi. ^ E Ha yM. Inā luku ʻia ka nui o ka insulin e hana ana i ka nui o ka maʻa, a laila e ʻike ka mea maʻi i nā hōʻailona ʻano. Aia ka makewai ikaika, ka mālama ʻana i ka ʻili a me nā membula, me ka waha maloʻo.
9. Hāpai. ^ E Ha yM. ʻO kēia kahi hōʻailona hōʻailona o ka patele. Hōʻike ʻia i nā metastases i ka peritoneum, portal vein.

He mea paʻakikī ke kāhea aku i kekahi o nā hōʻailona i hōʻike ʻia ma ka oncology. No laila, ʻo ka hōʻoluʻolu e pili ana i ka pancreas he kumu koi ia e nīnau aku i kekahi kauka.

Nā Palapala Diagnostic

Hiki wale ke nānā loea.

ʻOiai ke kū nei o nā hōʻailona (e hoʻohālikelike i kekahi ala ʻokoʻa), ka mea i hōʻike ʻia i hōʻike ʻia nei.

1. Papaki ʻōnaehana. ^ E Ha yM. ʻO kēia kahi hana palekana a maikaʻi loa. Kahi palapala aʻo hiki iā ʻoe ke hoʻoholo i ka hele ʻana o kahi kaʻina hana, ʻo nā hoʻololi hou i ka pancreas, kona ʻano. Hoʻomaopopo ka loiloi ultrasound i kahi kinaki a ʻo kona nui ʻoi aku ka nui o 2 cm.ʻO ka mea, ke hāʻawi nei i ke aʻo i kahi manaʻo o ka pae o ka echogenicity. I ka wā o ka hoʻokolokolo, ua hoʻoholo ʻia ke kūlana o ia kiko e like me ka pancreatic parenchyma. Hōʻike ka Ultrasound i nā loli kūlike.
2. CT. ^ E Ha yM. Hāʻawi ka hōʻike hōʻike i ka hoʻohālike o ka nui, kahi o ka pathology, komo i nā kino o nā ʻaoʻao. Kūpono ka loiloi ʻana inā ʻike ʻia kahi mākukū mai ka hapa o 3 cm. Akā, ua pili ʻo CT me ka x-ray irradiation. No laila, ʻaʻole i kauoha pinepine ʻia e hoʻokō.
3. MRIAHUI. ^ E Ha yM. ʻO ka informatic kiʻekiʻe loa o ke ʻano ka hoʻohui me ke kaumaha ma luna o ke kino.
4. Biopsy ʻO kēia ka hōʻoia maikaʻi loa o ka oncology. Lawe ʻia kahi ʻāpana kūikawā o ka huki no ka hoʻomaʻamaʻa ʻana, e nānā pono ʻia ma lalo o kahi mikroscope. ʻO ka mea kūpono e lawe ʻia ma nā ala ʻelua. Ma lalo o ka kaohi o ka ultrasound, hoʻokomo ʻia kahi lāʻau kūikawā i loko o ka wahi ʻoki. Hiki ke hoʻohana i ke ʻano endoscopic. Hoʻokomo ʻia kahi pahu momona momona i ka waha o ka mea maʻi.
5. Kūʻai koko. ^ E Ha yM. I ka oncology, ʻike ʻia kahi hoʻonui o kekahi mau mea i loko. Akā, kēia ʻano like me kēia mau maʻi.

Inā ʻike ʻia kahi maʻi biopsy cell cancer, ua manaʻo ʻia ka maʻi maʻi. Eia nō naʻe, no ka hoʻoholo ʻana i ke ʻano o ka maʻi, e koi ʻia nā ʻano noiʻi hou: umauma x-ray, ʻona ultrasound.

Hoʻohana ʻia

No kēia maʻi ka pili ʻana i nā māhele paʻakikī loa o ka oncology. A hiki i kēia lā, ʻaʻole hiki i nā kauka ke pane pololei i ka pehea e mālama ai i ka pancreas. Hoʻokomo nā pilikia i nā maʻi maʻi. Eia kekahi, he nui nā maʻi maʻi e pili ana. ʻO kekahi kumu nui e hoʻopiʻi i ka mālamaʻana, ʻo ia ka wehewehe o pathology i nā hana i hope, i ka wā e pili ai ka maʻi i nā mea pili kokoke.

ʻO ka papa hana nui ka maʻi maʻi pancreatic. Hiki i nā hopena o ia hana ke kuleana i nā mea he nui, ʻo ka mea nui i ka pae o nā patologi.

Hoʻonohonoho, ma muli o nā hōʻike, a me nā ʻano ʻē aʻe o ka mālama ʻana:

• ka hoʻokele palliative
• ehi radiation
• chemotherapy.

Hana hoʻomaʻamaʻa

Ma ke ʻano he ʻano hana a Will. Hoʻokuʻu ka mea maʻi i ka ʻāpana o ka pili i ka nui o ka loko. Ma kahi o ia mea, ʻo kekahi ʻāpana o ka ʻōpū, duodenum, gall bladder, a me nā nīnū lymph e kokoke ana i ka pancreas e kū i ka papa hana like.

ʻO ka pono e hoʻokaʻawale i nā nui he nui no ka anatomical lokasyon o ka kelepa ponoʻī. Pili loa ka pancreas ma nā ʻili i luna. I kēia pilina, ua hoʻolei wikiwiki ke kīkī i nā pili pili. Hiki i kā lākou kāpae ke kāpae i ka ulu o ka pathology.

ʻO ka mea pōʻino, ʻo 10-25% wale nō o nā mea maʻi maʻi e aʻo ʻia no ka hana ʻo ka pancreatic. ʻAʻole haʻalele nā ​​hopena o ke hana i ka make.

Ma ka manawa like, ʻo nā helu helu e hāʻawi i kēia mau ʻikepili, inā mākou e kamaʻilio e pili ana i nā mea maʻi me ka maʻi maʻi o ka maʻi pancreatic:

1. Ma waho o ke kaʻina, ʻo ka nui o ke ola o ka mea maʻi ma kahi o 6 mau mahina.
2. Ma hope o ka hōʻea ʻana, hoʻonui ʻia kēia manawa, ʻano mea i kau i ke ʻano o ka pathology, a hiki i ka 1.5-2 mau makahiki.

ʻO ka hoʻomaʻamaʻa Palliative

• hoʻomaikaʻi i ka maikaʻi o ke ola
• hoʻopau i ke kaumaha hōʻeha,
• jaustrice jaundice
• e hoʻihoʻi hou i ka paena o ka duodenum.

Nui nā ʻano e hiki ai ke hoʻokola ʻia nā palliative. ʻO ka ʻōpū o ka pancreatic, ʻaʻohe, ʻaʻole i lawe ʻia. Eia naʻe, hoʻomaikaʻi iki ka maikaʻi o ke ola.

ʻO nā kumu nui i loaʻa:

1. Ka hoʻonoho stent Endoscopic. Ua hoʻokomo ʻia kahi pahu wai kūikawā a i ʻole ka pahu wili i loko o ka lumen o ka papaʻi liʻiliʻi. Hoʻopau ʻo ia i ka papa lepo. Pēlā, hoʻihoʻi ka hana o ke duct. Hoʻokuʻu wale ʻia ʻo Bile.
2. Hoʻomoe paʻa. ʻO ke ʻano o ka hana i like ia ma mua. ʻAʻole hana wale ke ʻano o ka bile, akā hōʻike ʻia ma waho - i loko o kahi ʻeke i hoʻolālā pono ʻia.

Hiki iā Analgesics e hakakā i ke kaumaha. Me nā hana hoʻonā kino, ua kuhikuhi ʻia ka mea maʻi i nā mea hōʻeha narcotic:

Hoʻopili hou

No ka pale ʻana i ka oncology pancreatic, hiki i ka mea maʻi ke mālama me nā ʻano o ka radiation radiation.

• irradiation me bremsstrahlung,
• reman gamma therapy
• nā hoʻonā me nā elekona wikiwiki.

Hiki ke hoʻokō ʻia ka lāʻau lapaʻau ma mua, ma hope o ke kaʻina hana, a i kekahi manawa ke kū pono. Loaʻa ka ola o ka mea maʻi i nā mahina 12-13. Inā hui pū ʻia ka radiation radiation me ka hana palliative, a laila ʻo ka palena maʻamau he 16 mau mahina.

Hoʻohana ʻia ka chemotherapy i ka hiki ʻole ke hana i kekahi lāʻau lapaʻau ʻē aʻe a i ʻole ka hoʻoikaika i ka hopena o ka lāʻau lapaʻau paʻa. Eia naʻe, ʻo ia ʻano hana e ʻae i ka pau ʻana o ke kau ʻana i ka neoplasm e hiki ai.

Ka huakaʻi no ka hoʻomakeʻa ʻana

I ka nui o nā hihia, ua hoʻokū ʻia ka maʻi maʻi i kahi kūlana holomua. I ka mea maʻi ua loaʻa nā hōʻike maʻi o kēlā ʻano kuʻuna e like me ka pancreatic tumor. ʻO ka hōʻikeʻike o kēia maʻi.

Make ka poʻe maʻi mai ka piʻi wikiwiki ʻana i ka hoʻōho, cachexia, ʻalā o ka ʻōpū, ka jaundice obstrate a me nā helu ʻē aʻe.

Ma hope o ka hoʻomaʻamaʻa ʻana, ʻo ka ʻelima mau makahiki ola o ka poʻe maʻi (e like me nā mea kākau ʻokoʻa) he 8-35%.

Hōʻalo i ka papaʻāina

Pehea e ho'ōla ai ka pancreas ma ka oncology? ʻO ka mea pōʻino, paʻakikī kēia. A i kekahi manawa ʻaʻole hiki. ʻO ia ke kumu e hana ai i nā hoʻāʻo e pale i nā maʻi.

No ka hana i kēia, pono ʻoe e hoʻolohe i nā ʻōlelo maʻalahi:

1. E hooki i ka ulaula.
2. E hoʻokumu i ka pono kūpono.
3. Hoʻopau i nā hopena pōʻino o ke kaiapuni (asbestos dust).
4. ʻO ka mālama ʻana i nā maʻi: ka pancreatitis, ka maʻi diabetes.
5. Hoʻopilikia ka ʻōnaehana pale i ka nānā ʻana i ka pale ʻana, ma mua o ka hele ʻana o nā cysts, hoʻoluhi ʻia e ka moʻomeheu.

ʻAʻole e hāʻawi i kahi manawa kūpono i ka patology e hoʻomohala ma kou kino. E ola kino!