Khansa ya Pancreatic
Kufotokozera Kwachidule:
Khansara ya kapamba ndi imodzi mwa khansa yakupha kwambiri yomwe imakhudza kapamba, chiwalo chomwe chili kuseri kwa m'mimba.Zimachitika pamene maselo achilendo mu kapamba amayamba kukula mosawongolera, ndikupanga chotupa.Magawo oyambilira a khansa ya pancreatic nthawi zambiri samayambitsa zizindikiro zilizonse.Pamene chotupacho chikukula, chingayambitse zizindikiro monga kupweteka kwa m'mimba, kupweteka kwa msana, kuwonda, kusowa chilakolako cha kudya, ndi jaundice.Zizindikirozi zimatha kuyambitsidwa ndi matenda enanso, choncho ndikofunikira kukaonana ndi dokotala ngati mukukumana ndi vuto lililonse.
Chithandizo chothandiza kwambiri cha khansa ya kapamba chimadalira gawo la khansayo komanso thanzi la wodwalayo.Opaleshoni ndiye chithandizo chachikulu cha khansa ya kapamba, kuphatikiza opaleshoni ya Whipple ndi Distal, koma ndizotheka pokhapokha ngati khansayo sinafalikire kupitilira kapamba.Pakalipano, njira zina zatsopano zopangira opaleshoni ndi zida, monga opaleshoni yochepa kwambiri, opaleshoni ya robotic ndi teknoloji yosindikizira ya 3D, amagwiritsidwanso ntchito kwambiri pochiza khansa ya pancreatic kuti apititse patsogolo zotsatira za opaleshoni ndi kupulumuka kwa odwala.
Chemotherapy ndi radiation therapy ingagwiritsidwenso ntchito pochiza khansa ya kapamba, kaya yokha kapena kuphatikiza ndi opaleshoni.M'zaka zaposachedwa, mankhwala atsopano a chemotherapeutic, monga Navumab ndi Paclitaxel, akhala akugwiritsidwa ntchito kwambiri pochiza khansa ya m'mapapo, yomwe imatha kusintha kwambiri mphamvu ya chemotherapy komanso kupulumuka kwa odwala.
Thandizo loyang'aniridwa limatanthawuza kugwiritsa ntchito mankhwala omwe amayang'ana zotupa, monga epidermal growth factor receptor inhibitors ndi vascular endothelial growth factor receptor inhibitors, kuti aletse kukula ndi kufalikira kwa chotupa.Thandizo lolingaliridwa limatha kupititsa patsogolo mphamvu komanso kupulumuka kwa odwala omwe ali ndi khansa ya pancreatic.
Immunotherapy imatanthawuza kugwiritsa ntchito mphamvu ya chitetezo chamthupi cha wodwalayo kuukira maselo a khansa, monga ma immune checkpoint inhibitors, CAR-T cell therapy ndi zina zotero.Immunotherapy imatha kupititsa patsogolo chitetezo chamthupi cha odwala, kusintha mphamvu ya khansa ya kapamba komanso kupulumuka kwa odwala.
Khansara ya pancreatic ndi matenda oopsa omwe angayambitse zizindikiro zazikulu ndipo amatha kukhala ovuta kuchiza.Ndikofunikira kukaonana ndi dokotala ngati mukukumana ndi zizindikiro zilizonse, chifukwa kudziwa msanga kungathandize kuti chithandizo chikhale bwino.