Njira Zochiritsira Wodwala wa Zaka 85 Wodwala Khansa ya Pancreatic

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

Wodwalayo anamva kupweteka m'mimba ndipo anayesedwa kuchipatala chapafupi, zomwe zinasonyeza kuti ali ndi chotupa cha kapamba komanso kuchuluka kwa CA199. Pambuyo pofufuza mokwanira kuchipatala chapafupi, matenda a khansa ya kapamba adapezeka.

Pa khansa ya kapamba, njira zazikulu zochizira matenda ndi izi:

1. Kuchotsa opaleshoni:Iyi ndi njira yokhayo yochiritsira khansa ya kapamba yomwe yayamba kumene. Komabe, imakhala ndi kuvulala kwakukulu kwa opaleshoni ndipo imakhala ndi chiopsezo chachikulu cha zovuta komanso chiwerengero cha imfa panthawi komanso pambuyo pa opaleshoniyo. Chiŵerengero cha kupulumuka kwa zaka zisanu ndi pafupifupi 20%.
2. Opaleshoni yochotsa mabala pogwiritsa ntchito High-Intensity Focused Ultrasound (HIFU):Kupatula opaleshoni, njira yochizira iyi imatha kupha zotupa mwachindunji ndikupeza zotsatira zofanana ndi opaleshoni pochiza khansa ya kapamba. Imathanso kuchiza bwino zotupa zomwe zili pafupi ndi mitsempha yamagazi ndipo zimakhala ndi nthawi yochira mwachangu pambuyo pa opaleshoni.
3. Mankhwala a Chemotherapy:Uwu ndiye chithandizo chachikulu cha khansa ya kapamba. Ngakhale kuti chemotherapy si yabwino kwambiri, odwala ena amapindula nayo. Mankhwala a chemotherapy omwe amagwiritsidwa ntchito kwambiri ndi monga albumin-bound paclitaxel, gemcitabine, ndi irinotecan, omwe nthawi zambiri amaphatikizidwa ndi njira zina zochizira.
4. Chithandizo cha kulowetsedwa kwa mitsempha:Iyi ndi njira ina yodziwika bwino yochizira khansa ya kapamba. Mwa kubaya mankhwala mwachindunji m'mitsempha ya chotupacho, kuchuluka kwa mankhwala mkati mwa chotupacho kungakhale kwakukulu kwambiri komanso kuchepetsa kuchuluka kwa mankhwala m'thupi. Njira imeneyi imathandiza kuchepetsa zotsatira za chemotherapy, zomwe zimapangitsa kuti ikhale yoyenera kwambiri kwa odwala omwe ali ndi matenda ambiri a chiwindi.
5. Chithandizo cha radiation:Izi makamaka zimagwiritsa ntchito kuwala kwa dzuwa kupha maselo a chotupa. Chifukwa cha kuchepa kwa mlingo, odwala ochepa okha ndi omwe angapindule ndi chithandizo cha kuwala kwa dzuwa, ndipo izi zitha kukhala ndi zotsatirapo zoyipa zokhudzana ndi kuwala kwa dzuwa.
6. Mankhwala ena am'deralo:Monga chithandizo cha nanoknife, chithandizo cha radiofrequency kapena microwave ablation, ndi chithandizo cha tinthu tating'onoting'ono. Izi zimaonedwa kuti ndi njira zina zochiritsira ndipo zingagwiritsidwe ntchito moyenera kutengera milandu ya munthu payekhapayekha.

Poganizira za zaka za wodwalayo za 85, ngakhale kuti panalibe khansa yomwe inafalikira, zoletsa zomwe zinaperekedwa ndi ukalamba zinatanthauza kuti opaleshoniyo ichitike.,mankhwala a chemotherapyndiChithandizo cha radiation sichinali njira yotheka kwa wodwalayo. Chipatala chapafupi sichinathe kupereka njira zochizira zothandiza, zomwe zinapangitsa kuti pakhale upangiri ndi zokambirana zomwe zinapangitsa kuti wodwalayo asamutsidwire kuchipatala chathu.Pamapeto pake, panapangidwa chisankho chopitiliza ndi chithandizo cha High-Intensity Focused Ultrasound (HIFU).Opaleshoniyi inachitidwa pogwiritsa ntchito mankhwala oletsa ululu komanso ochepetsa ululu, ndipo zotsatira zake zinali zabwino, popanda kupweteka kulikonse komwe wodwalayo anakumana nako patsiku lachiwiri atachitidwa opaleshoni.

Kuyezetsa pambuyo pa opaleshoni kunawonetsa kuti chotupacho chinachotsedwa ndi 95%,ndipo wodwalayo sanasonyeze zizindikiro za kupweteka m'mimba kapena kutupa kwa kapamba. Chifukwa chake, wodwalayo anatha kutulutsidwa tsiku lachiwiri.

Akabwerera kunyumba, wodwalayo amatha kulandira chithandizo chophatikizana monga mankhwala a chemotherapy kapena mankhwala achikhalidwe achi China, ndipo maulendo ena otsatira amakonzedwa patatha mwezi umodzi kuti awone momwe chotupacho chikubwerera komanso kuyamwa kwake.

Khansa ya m'mimba ndi khansa yoopsa kwambiri,Kawirikawiri amapezeka ali ndi matenda opitirira muyeso, ndipo nthawi yapakati yopulumuka imakhala miyezi pafupifupi 3-6. Komabe, ndi njira zochizira mwachangu komanso zokhazikika, odwala ambiri amatha kukulitsa moyo wawo ndi chaka chimodzi kapena ziwiri.