Mob qog noj ntshav pancreatic yog hom mob qog noj ntshav tseem ceeb uas tsis ua rau cov tsos mob tshwm sim thaum ntxov. Koj tuaj yeem nyeem peb cov ntsiab lus kom paub meej txog cov laj thawj thiab kev kho mob ntawm hom mob qog noj ntshav no.

Pancreatic Cancer yog dab tsi?

Lub pancreas tsim cov tshuaj uas pab zom cov zaub mov uas peb noj thiab zais cov tshuaj hormones uas tswj cov qib insulin. Qhov pib mob qog noj ntshav hauv pancreas tshwm sim thaum cov hlwb hauv lub cev no loj hlob ntawm kev tswj thiab ua rau cov hlwb tsis zoo. Yog li, muaj ob hom mob qog noj ntshav pancreatic. Feem ntau yog mob qog noj ntshav uas kuj tsim nyob rau hauv exocrine hlwb. Txawm hais tias tsawg dua, nws muaj peev xwm ua rau mob qog noj ntshav pib hauv cov hlwb endocrine thiab. Kev kuaj mob thiab kev kho mob ntawm ob hom mob qog noj ntshav no txawv. Vim li no, nws yog ib qho tseem ceeb kom paub seb hom mob qog noj ntshav twg koj muaj.

Pancreatic Cancer Cov tsos mob mob Cancer

• yellowing ntawm koj ob lub qhov muag
• Cov tawv nqaij khaus
• Tej zaum koj yuav muaj cov zis tsaus nti los yog daj ntseg ntau dua li qub.
• poob phaus yam tsis tau sim
• zoo nkaus li nkees
• siab kub
• zoo li mob khaub thuas
• raws plab los yog cem quav
• mob hauv koj lub plab thiab nraub qaum
• mob hnyav thaum noj lossis pw
• Indigestion

Pancreatic Cancer Stages

Theem 0: Tsis muaj kev nthuav tawm. Mob qog noj ntshav pancreatic yog nyob rau hauv cov txheej txheem sab saud ntawm cov hlwb hauv cov kab mob pancreatic. Mob qog noj ntshav pancreatic tsis pom ntawm kev kuaj pom lossis txawm tias qhov muag liab qab.
Theem IA: Pancreatic cancer tsuas yog txwv rau cov txiav, tab sis tau loj hlob tsawg dua 2 cm
Stage IB: Loj tshaj 2 cm tab sis tsis ntau tshaj 4 cm
Theem II: Pancreatic cancer loj dua 4 centimeters thiab tsuas yog txwv rau txiav txiav lossis kis mus rau cov qog nqaij hlav nyob ze, qhov chaw mob qog noj ntshav tau loj hlob sab nraum lub txiav.
Theem III: Cov qog yuav kis mus rau cov hlab ntsha loj lossis cov hlab ntsha uas nyob ze.
Theem IV: Pancreatic cancer tau kis mus rau cov kabmob uas nyob deb.

Pancreatic Cancer Ua rau

Qhov tseeb ua rau mob qog noj ntshav feem ntau tsis paub. Yog li ntawd, qhov tseeb ua rau pancreatic mob cancer tsis tuaj yeem hais. Txawm li cas los xij, yog tias peb yuav tsum tham txog kev tsim cov qog nqaij hlav pancreatic, peb tuaj yeem hais tias DNA ntawm cov hlwb hauv cov txiav ua puas. DNA hais kom lub cell yuav ua li cas. Qee zaum qhov kev hloov pauv no thiab DNA muab cov lus txib tsis raug. Qhov no ua rau cov hlwb loj hlob thiab txav mus txawv txav.

Cov hlwb no tuaj ua ke los tsim cov qog. Hauv luv luv, peb tsis tuaj yeem hais tias yog vim li cas mob qog noj ntshav pancreatic tshwm sim, tab sis tau kawg muaj qee qhov kev pheej hmoo uas cuam tshuam rau nws qhov tsim. Yog tias peb saib cov xwm txheej no, koj tuaj yeem pom lawv yooj yim hauv sub-title.

Pancreatic Cancer Risk Factors

• Kom haus luam yeeb
• Mob ntshav qab zib
• mob pancreatitis
• BRCA2 noob hloov pauv
• Lynch Syndrome
• FAMMM Syndrome
• Tsev neeg muaj keeb kwm mob cancer hlav
• rog
• Senile

Pancreatic Cancer Diagnosis

Kev kuaj mob qog nqaij hlav pancreatic yog tsim los ntawm cov txheej txheem kev kuaj pom, zoo li hauv ntau lwm cov qog nqaij hlav. Ntawm qhov tod tes, kev kuaj ntshav biopsy thiab endoscopic kuj tseem tuaj yeem pab kuaj mob qog noj ntshav pancreatic.
Cov txheej txheem siv los kuaj mob qog nqaij hlav pancreatic;

• ultrasound
• suav tomography (CT)
• sib nqus resonance duab (MRI)
• Qee zaum positron emission tomography (PET)
• Endoscopic ultrasound (UUS)

Cancer Pancreatic Cancer kho tau

Cov lus teb rau lo lus nug no txawv nyob ntawm seb qhov mob qog noj ntshav li cas. Thaum nws tuaj yeem kho tau nyob rau theem 0, 1 thiab 2, qhov tshwm sim no tseem qis dua hauv theem 3. Ntawm qhov tod tes, hmoov tsis, tsis muaj kev kho rau theem 4 mob qog noj ntshav. Cov kev kho mob tau muab rau hauv cov txheej txheem no feem ntau yog los txo tus neeg mob qhov mob thiab ua rau tus neeg mob zoo.

Txawm li cas los xij, rau kev kho kom zoo, tus neeg mob yuav tsum tau kho hauv lub tebchaws zoo. Nws yuav tsum tsis txhob txwv rau kev kho mob hauv nws lub teb chaws nkaus xwb, tab sis yuav tsum tau tshawb fawb lwm yam txuj ci thiab kev kho mob. Nyob rau hauv txoj kev no, nws yuav muaj peev xwm ua tiav ob qho tib si kev vam meej thiab sai dua nrog cov kev kho mob uas nws yuav tau txais nyob rau hauv ib lub teb chaws vam meej.

Kev Kho Tus Mob Ntshav Qab Zib

Pancreatic cancer yog ib hom mob qog noj ntshav uas nyuaj heev rau kho. Vim li no, cov kws kho mob uas paub txog thiab ua tiav yuav tsum tau nyiam thaum xaiv cov kev kho mob uas tau hais hauv qhov txuas ntxiv ntawm cov ntsiab lus. Txwv tsis pub, qhov ua tiav ntawm kev kho mob yuav txo qis, thiab kev tuag ncaj qha los ntawm kev kho mob kuj tseem ua tau. Vim li no, nws yog ib qho tsim nyog rau cov neeg mob kom tau txais cov ncauj lus kom ntxaws txog cov kev kho mob thiab xaiv cov kws kho mob ua tiav.

Pancreatic Cancer phais neeg

Cov txheej txheem Whipple (Pancreaticoduodenectomy)

Qhov kev ua haujlwm no feem ntau yog tshem tawm cov qog hauv lub taub hau ntawm lub txiav. Thaum lub sijhawm ua haujlwm, lub taub hau thiab qee zaum lub cev ntawm tus txiav raug tshem tawm. Qhov no kuj suav nrog:
Kev tshem tawm ntawm ib feem ntawm cov hnyuv me, ib feem ntawm cov kua tsib, lub gallbladder, cov qog ntshav nyob ze ntawm lub txiav, thiab qee zaum ib feem ntawm lub plab.

Tom qab ntawd cov kua tsib thiab cov txiav txiav txuas nrog rau cov hnyuv me kom cov kua tsib thiab cov enzymes digestive tuaj yeem mus rau txoj hnyuv. Cov khoom kawg ntawm cov hnyuv me yog tom qab ntawd rov qab ua kom cov zaub mov tuaj yeem dhau los ntawm txoj hnyuv.
Txawm hais tias kev ua haujlwm feem ntau xav tau qhov kev phais loj hauv plab, qee cov kws kho mob muaj peev xwm muab kev kho mob nrog cov txheej txheem laparoscopic, los ntawm kev ua ob peb qhov me me hauv plab.

Cov txheej txheem Whipple yog ib txoj haujlwm nyuaj heev uas yuav tsum muaj tus kws phais mob nrog ntau yam kev txawj thiab kev paub. Vim li no, nws yog ib qho tseem ceeb uas cov neeg mob nyiam cov kws kho mob ua tiav. Txwv tsis pub, txoj kev pheej hmoo ntawm kev tuag ncaj qha vim kev phais yog qhov siab heev. Tsis txhob hnov ​​​​qab tias koj tuaj yeem ua rau koj tus kws kho mob xaiv sab nraud ntawm koj lub tebchaws. Vim li no, yog tias koj nrhiav tsis tau ib tus kws phais neeg ua tiav hauv koj lub tebchaws lossis koj tsis tuaj yeem tso siab rau nws txoj kev vam meej, koj tuaj yeem suav nrog cov kws phais hauv Turkey ntawm koj qhov kev nyiam. Cov kws kho mob tshwj xeeb yog cov kws phais neeg paub txog kev siv phau ntawv dexterity.

Distal Pancreatectomy

Qhov kev ua haujlwm no suav nrog kev tshem tawm qhov kawg thiab qee zaum lub cev ntawm lub txiav. Tus spleen kuj feem ntau raug tshem tawm tib lub sijhawm.
Txij li thaum tus po tso cai rau peb tsis txhob tawm tsam kev kis kab mob, tshem tawm nws txhais tau tias peb tsis tuaj yeem tiv thaiv qee yam kab mob. Vim li no, qee qhov kev txhaj tshuaj tiv thaiv feem ntau xav tau ua ntej ua haujlwm no. Yog li, tus neeg mob yuav tsis raug mob los ntawm kev kis kab mob.

Pancreatectomy tag nrho

Qhov kev phais no yuav yog ib qho kev xaiv yog tias mob qog noj ntshav tau kis mus rau tag nrho cov txiav, tab sis tseem tuaj yeem raug tshem tawm.
Hauv kev ua haujlwm no, ntxiv rau tag nrho cov txiav txiav, lub gallbladder, lub plab, ib feem ntawm cov hnyuv thiab tus po kuj raug tshem tawm. Txawm li cas los xij, hom kev phais no siv tsawg dua li lwm cov kev phais vim tias tsis muaj txiaj ntsig zoo hauv kev tshem tawm tag nrho cov txiav txiav. Ntawm qhov tod tes, cov kev mob tshwm sim tuaj yeem tshwm sim ntau dua.

Nws muaj peev xwm ua neej nyob tsis muaj kab mob pancreas. Tab sis thaum tag nrho cov txiav txiav raug tshem tawm, tib neeg tsis muaj cov hlwb uas tsim cov tshuaj insulin thiab lwm yam tshuaj hormones uas pab tswj cov ntshav qab zib kom zoo. Cov neeg no yuav tsum ua neej nyob vam khom rau cov tshuaj insulin thiab lawv yuav tsum ua neej nyob nrog qee cov tshuaj hormonal.

Pancreatic Cancer Tshuaj Kho Mob

Kev kho mob qog noj ntshav hauv pancreatic cancer tuaj yeem raug hu ua 2 txoj kev sib txawv;
Ua ntej phais (neoadjuvant chemotherapy): Nws yog muab ua ntej kev phais kom txo tau cov qog. Neoadjuvant chemotherapy feem ntau yog siv los kho cov qog nqaij hlav uas loj dhau los tshem tawm nrog kev phais.

Tom qab phais (adjuvant chemotherapy): Siv tom qab kev phais los tua cov qog nqaij hlav cancer uas nyob tom qab lossis kis tau tab sis tsis tuaj yeem pom. Yog tias cov hlwb no raug tso cai kom loj hlob, lawv tuaj yeem tsim cov qog tshiab nyob rau lwm qhov hauv lub cev. Hom kev kho no tuaj yeem txo qhov mob qog noj ntshav rov qab los.

Rau kev mob qog noj ntshav siab pancreatic: Nws tuaj yeem siv tau yog tias mob qog noj ntshav siab heev thiab tsis tuaj yeem tshem tawm tag nrho nrog kev phais thiab tus mob qog noj ntshav tau kis mus rau lwm yam kabmob.

Sab Sij Huam Kws khomob

• xeev siab
• ntuav
• Poob tsis qab los noj mov
• cov plaub hau tsis
• qhov ncauj tawm
• Zawv plab
• cem quav
• Txo lub cev tiv thaiv kab mob
• Ntshav hauv lub cev
• nqaij tawv ntawm lub cev
• Nkees
• ua tsis taus pa

Pancreatic Cancer Kev Kuaj Mob Cancer

Tom qab kev phais (adjuvant) hluav taws xob: Nws yuav raug muab los sim txo qhov mob qog noj ntshav rov qab los. Radiation feem ntau muab ua ke nrog kev kho mob, hu ua concomitant chemoradiotherapy.

Kev kho hluav taws xob ua ntej kev phais: Rau cov qog nqaij hlav hauv ciam teb, nws tau muab ua ntej kev phais kom txo cov qog thiab pab txhawb kom nws tshem tawm tag nrho.

Kev kho hluav taws xob ua ke nrog kev siv tshuaj khomob: Nws tuaj yeem siv los ua ib feem ntawm kev kho mob tseem ceeb rau cov neeg uas mob qog noj ntshav tau dhau mus rau txiav txiav thiab tsis tuaj yeem tshem tawm nrog kev phais.

Qee qhov xwm txheej, hluav taws xob tau muab los ua kom tus neeg mob zoo dua thiab txo lawv qhov mob hauv cov theem mob qog noj ntshav uas kho tsis tau hauv qee kis.

Cov teebmeem ntawm Radiotherapy

• pob liab liab
• daim tawv nqaij hlwv
• daim tawv nqaij tev
• xeev siab
• ntuav
• Zawv plab
• burnout
• Poob tsis qab los noj mov
• poob phaus

Metastatic Pancreatic Cancer

Cov qog nqaij hlav pancreatic feem ntau kis mus rau lub plab thiab daim siab. Lawv tuaj yeem kis mus rau lub ntsws, pob txha, hlwb, thiab lwm yam kabmob.

Qhov no txhais tau hais tias cov qog nqaij hlav tau kis mus deb dhau los yuav raug tshem tawm nrog kev phais. Qhov no yog vim hais tias txawm tias cov kws kho mob pom cov qog nqaij hlav cancer hauv ob peb lub cev, cov qog nqaij hlav me me tau kis mus rau ntau cov ntaub so ntswg ntawm lub cev. Hauv qhov no, qee cov tshuaj sib xyaw ua ke tau muab rau tus neeg mob uas tsis tuaj yeem kho, thiab siv xov tooj cua siv los txo qhov mob.

Cov tshuaj kho mob hu ua chemotherapy qee zaum tuaj yeem nres lossis qeeb qhov kev loj hlob ntawm cov qog nqaij hlav no ib ntus thiab pab tib neeg nyob ntev, tab sis lawv tsis xav kom kho tus mob qog noj ntshav.
Cov tshuaj thiab kev siv tshuaj sib xyaw ua ke yog raws li hauv qab no;
Gemcitabine yog ib qho ntawm cov tshuaj siv ntau tshaj plaws. Nws tuaj yeem siv ib leeg (tshwj xeeb tshaj yog rau cov neeg muaj kev noj qab haus huv tsis zoo) lossis ua ke nrog lwm cov tshuaj xws li albumin-dependent paclitaxel (Abraxane), capecitabine (Xeloda), lossis cov tshuaj erlotinib (Tarceva).

Lwm qhov kev xaiv rau cov neeg muaj kev noj qab haus huv yog kev sib xyaw ntawm cov tshuaj khomob hu ua FOLFIRINOX. Nws muaj 4 tshuaj: 5-FU, leucovorin, irinotecan (Camptosar) thiab oxaliplatin (Eloxatin). Txoj kev kho no yuav pab tau tib neeg nyob ntev dua li kev noj gemcitabine ib leeg, tab sis nws kuj tuaj yeem muaj kev phiv loj dua.

Ntawm qhov tod tes, kev kho hluav taws xob lossis ib hom hlab ntsha tuaj yeem siv los txo qhov mob qog noj ntshav. Tsis tas li ntawd, tsis muaj kev paub kho mob qog nqaij hlav pancreatic nyob rau theem no. Tias yog vim li cas koj tuaj yeem sim cov kev kho tshiab los ntawm kev koom nrog hauv kev sim tshuaj.

Pancreatic Cancer Treatment hauv Qaib Cov Txwv

Peb tham txog kev kho mob qog noj ntshav pancreatic. Koj yuav tsum nkag siab tias cov kws phais neeg ua tiav yuav tsum tau txais cov kev kho mob no. Rau kev kho kom zoo, qee zaum koj yuav tsum tau txais kev kho mob hauv lub tebchaws uas tsis yog koj lub tebchaws. Nyob rau hauv xws li mob, ntau tus neeg nyiam qaib ntxhw. Qaib ntxhw yog ib lub teb chaws pheej yig uas muaj kev kho mob zoo. Muaj ntau tus kws phais neeg ua tiav hauv Turkey.

Ntawm qhov tod tes, cov cuab yeej siv hauv kev kho mob hauv tebchaws Turkey yog qhov tsim nyog rau txhua txoj kev siv thev naus laus zis thiab xyuas kom tus neeg mob tau txais kev kho mob zoo tshaj plaws. Koj tuaj yeem txuas ntxiv nyeem peb cov ntsiab lus rau kev txuas ntxiv ntawm qhov zoo uas Qaib Cov Txwv muab kev kho mob qog noj ntshav.

Cancer Treatment Center ntawm Qaib Cov Txwv

Qaib ntxhw yog lub teb chaws uas tau pib ua lub npe rau nws tus kheej ua lub chaw kho mob qog noj ntshav. Ntxiv nrog rau cov cuab yeej siv hauv Kev kho mob qog noj ntshav hauv Turkey, ua tsaug rau cov kws phais neeg Turkish ua tau zoo thiab muaj peev xwm, Cancer yog lub teb chaws uas ua kom nws cov neeg mob tau txais kev kho mob zoo tshaj plaws. Yog li ntawd, nyob rau hauv txuas ntxiv ntawm peb cov ntsiab lus, koj yuav tshuaj xyuas seb Qaib Cov Txwv muaj kev vam meej hauv kev kho mob qog noj ntshav.

Cov kws kho mob ua tiav Oncology

Cov kws kho mob ua tiav thiab paub txog oncology yog xav tau hauv kev kho mob qog noj ntshav pancreatic. Cov kev kho mob uas koj yuav tau txais nyob rau hauv Qaib Cov Txwv yuav muab los ntawm cov kws txawj ua tau zoo nyob rau hauv lub teb ntawm oncology. Koj yuav tsum tsis txhob hnov ​​​​qab tias koj yuav tau txais kev kho mob zoo tshaj plaws los ntawm cov kws kho mob uas muaj kev tshwj xeeb hauv oncology department. Koj yuav nyob hauv kev sib cuag nrog koj cov kws kho mob thaum koj kho mob hauv Turkey, qhov yooj yim mus cuag tus kws kho mob tshwj xeeb. Yog tias koj muaj kev txhawj xeeb, koj tuaj yeem qhia rau koj cov kws kho mob thiab nug cov lus nug txog kev kho mob. Yog li koj yuav qhia koj cov kev txhawj xeeb.

Kev kho mob qog noj ntshav yam tsis tos

Muaj lub tswv yim tseem ceeb hauv kev kho mob qog noj ntshav thiab qhov ntawd yog "Lub Sijhawm" Lub tswv yim ntawm lub sijhawm tseem ceeb heev hauv kev kuaj mob thiab kho mob qog noj ntshav. Kev kuaj mob thaum ntxov cawm neeg txoj sia thiab kev kho mob raws sij hawm cawm neeg txoj sia. Hmoov tsis zoo, qee lub tebchaws tsis tau nruab los muab kev kho mob raws sijhawm. Lub sijhawm tos ntev nyob hauv ntau lub tebchaws tau ntev txaus los ua kom nyuaj rau kev kho mob ntawm cov neeg mob thiab txawm tias ua rau muaj kab mob loj. Hauv cov txheej txheem no, nws tseem ceeb heev rau tus neeg mob pib kho.

Qhov no yog qhov xwm txheej uas piav qhia tias yog vim li cas cov neeg mob nrhiav kev kho mob hauv ntau lub tebchaws. Ib qho ntawm qhov zoo ntawm kev tau txais kev kho mob qog noj ntshav hauv Turkey, uas yog ib lub tebchaws nyiam tshaj plaws, yog qhov kev kho mob tuaj yeem muab rau tus neeg mob thaum lub sijhawm tsim nyog. Ntxiv rau cov kws kho mob oncology ua tiav thiab kev txhim kho thev naus laus zis, qhov tseeb tias cov neeg mob tuaj yeem tau txais kev kho mob yam tsis tau tos yog ib qho laj thawj vim li cas cov neeg mob nyiam qaib ntxhw.

Pancreatic Cancer Survival Rate

Kab mob qog noj ntshav	siab Cancer Survival Rate
Laus	39%
regional	13%
Deb	%3
Txhua qeb SEER ua ke	10%

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