Njira Zochizira Wodwala Wazaka 85 Wodwala Khansa Ya Pancreatic

Uyu ndi wodwala wazaka 85 yemwe adachokera ku Tianjin ndipo adapezeka ndi khansa ya kapamba.

Wodwalayo adamva ululu wa m'mimba ndikumuyezetsa kuchipatala komweko, zomwe zidawonetsa chotupa cha kapamba komanso kuchuluka kwa CA199.Pambuyo pakuwunika kwathunthu ku chipatala chakumaloko, matenda a khansa ya pancreatic adakhazikitsidwa.

Kwa khansa ya pancreatic, njira zazikulu zochizira zomwe zilipo pano ndi:

1. Kuchotsa opaleshoni:Iyi ndiye njira yokhayo yochizira khansa ya kapamba yoyambirira.Komabe, imaphatikizapo kuvulala kwakukulu kwa opaleshoni ndipo imakhala ndi chiopsezo chachikulu cha zovuta ndi chiwerengero cha imfa panthawi ndi pambuyo pake.Kupulumuka kwazaka zisanu ndi pafupifupi 20%.
2. High-Intensity Focused Ultrasound (HIFU) ablation opaleshoni:Kupatula opaleshoni, njira yochizira iyi imatha kupha zotupa mwachindunji ndikukwaniritsa zotsatira zofanana ndi opaleshoni pochiza khansa ya kapamba.Ikhozanso kuchiza zotupa zomwe zili pafupi ndi mitsempha yamagazi ndipo zimakhala ndi nthawi yofulumira pambuyo pa opaleshoni.
3. Chemotherapy:Ichi ndiye chithandizo choyambirira cha khansa ya kapamba.Ngakhale mphamvu ya chemotherapy ya khansa ya pancreatic sibwino, odwala ena amapindulabe nayo.Mankhwala omwe amagwiritsidwa ntchito kawirikawiri ndi albumin-bound paclitaxel, gemcitabine, ndi irinotecan, omwe nthawi zambiri amaphatikizidwa ndi njira zina zothandizira.
4. Arterial infusion therapy:Iyi ndi njira ina yomwe imagwiritsidwa ntchito pochiza khansa ya pancreatic.Mwa jekeseni mwachindunji mankhwala chotupa m`mitsempha ya magazi, ndende ya mankhwala chotupa mu chotupa kungakhale kwambiri pamene kutsitsa zokhudza zonse mankhwala ndende.Njirayi imathandizira kuchepetsa machitidwe a chemotherapy, kuwapangitsa kukhala oyenera makamaka kwa odwala omwe ali ndi metastases angapo a chiwindi.
5. Chithandizo cha radiation:Izi makamaka zimagwiritsa ntchito ma radiation kupha maselo otupa.Chifukwa cha kuchepa kwa mlingo, odwala ochepa okha ndi omwe angapindule ndi chithandizo cha ma radiation, ndipo akhoza kubwera ndi zotsatira zokhudzana ndi ma radiation.
6. Chithandizo china chapafupi:Monga mankhwala a nanoknife, radiofrequency kapena microwave ablation therapy, ndi particle implantation therapy.Izi zimatengedwa kuti ndi njira zina zochiritsira ndipo zingagwiritsidwe ntchito moyenera malinga ndi zochitika zapayekha.

Poganizira za ukalamba wa wodwalayo wa zaka 85, ngakhale kuti panalibe metastasis ya khansa, zolephera zomwe zimaperekedwa chifukwa cha msinkhu zinatanthauza kuti opaleshoni.,mankhwala amphamvu a chemotherapyndichithandizo cha ma radiation sichinali njira zotheka kwa wodwalayo.Chipatala cha m'deralo sichinathe kupereka njira zochiritsira zogwira mtima, zomwe zinayambitsa zokambirana ndi zokambirana zomwe zinachititsa kuti wodwalayo asamutsidwe kuchipatala chathu.Potsirizira pake, chigamulo chinapangidwa kuti apitilize chithandizo cha High-Intensity Focused Ultrasound (HIFU).Njirayi inkachitidwa pansi pa sedation ndi analgesia, ndipo zotsatira za opaleshoniyo zinali zabwino, popanda zovuta zodziwika bwino zomwe wodwalayo anakumana nazo pa tsiku lachiwiri pambuyo pa opaleshoni.

Mayeso a postoperative adawonetsa kuti chotupacho chachotsedwa kuposa 95%,ndipo wodwalayo sanawonetse zizindikiro za ululu wa m'mimba kapena kapamba.Chifukwa chake, wodwalayo adatha kutulutsidwa tsiku lachiwiri.

Akabwerera kunyumba, wodwalayo amatha kulandira chithandizo chophatikizana monga mankhwala amkamwa a chemotherapy kapena mankhwala achi China, ndi maulendo obwereza omwe adakonzedwa pakatha mwezi umodzi kuti awone momwe chotupacho chikukulira komanso kuyamwa kwake.

Khansara ya pancreatic ndi matenda oopsa kwambiri,Nthawi zambiri amapezeka pazaka zapamwamba, ndikukhala ndi moyo wapakati pafupifupi miyezi 3-6.Komabe, ndi njira zochiritsira zokhazikika komanso zowonjezereka, odwala ambiri amatha kukulitsa moyo wawo ndi zaka 1-2.