Xov xwm

Pancreatic cancer yog mob qog noj ntshav uas pib hauv lub txiav.Lub pancreas tsim cov enzymes thiab cov tshuaj hormones uas xav tau los pab txhawb kev zom zaub mov thiab tswj cov ntshav qab zib.
Cov cim biomarkers tshwj xeeb, hu ua qog cov cim, tuaj yeem pom hauv cov ntshav ntawm cov neeg mob qog noj ntshav pancreatic.Cov cim no tuaj yeem tsis tsuas yog pab kws kho mob kuaj mob qog noj ntshav pancreatic, tab sis kuj qhia tau tias kev kho mob puas ua haujlwm.
Hauv tsab xov xwm no, peb tshuaj xyuas cov kab mob qog nqaij hlav qog nqaij hlav qog nqaij hlav, lawv siv, thiab raug.Peb kuj tau saib lwm txoj hauv kev los kuaj mob qog noj ntshav pancreatic.
Cov cim qog nqaij hlav yog tsim los ntawm cov qog nqaij hlav cancer lossis tsim los ntawm koj lub cev los teb rau kev mob qog noj ntshav.Cov cim qog nqaij hlav feem ntau yog cov protein, tab sis lawv tuaj yeem yog lwm yam tshuaj lossis kev hloov caj ces.
Ob qho proteins no tuaj yeem muaj nyob rau hauv cov ntshav siab dua hauv kev mob qog noj ntshav pancreatic.Lawv tuaj yeem siv los kuaj mob qog noj ntshav pancreatic thiab nkag siab txog cov teebmeem ntawm kev kho mob qog noj ntshav pancreatic.
Cov ntshav coj los ntawm cov hlab ntsha ntawm caj npab yog siv los ntsuas CA19-9 thiab CEA qib.Cov lus hauv qab no qhia tau hais tias raug thiab siab ntau rau ob qho tib si qog nqaij hlav.
Piv txwv li, qee cov neeg mob qog nqaij hlav pancreatic yuav tsis muaj qib siab ntawm CA19-9 lossis CEA.Ntau qhov kev tshawb fawb tau pom tias qee yam kev hloov pauv caj ces cuam tshuam rau qib ntawm cov qog nqaij hlav qog nqaij hlav pancreatic.
Kev tshuaj xyuas xyoo 2018 piv rau qhov muaj txiaj ntsig ntawm kev ntsuas CA19-9 thiab CEA hauv kev kuaj mob qog noj ntshav pancreatic.Zuag qhia tag nrho, CA19-9 yog qhov rhiab ntau dua li CEA rau kev kuaj mob qog nqaij hlav pancreatic.
Txawm li cas los xij, lwm qhov kev tshuaj xyuas hauv 2017 pom tias CEA tseem tseem ceeb hauv kev kuaj mob qog noj ntshav thaum siv ua ke nrog CA19-9.Tsis tas li ntawd, nyob rau hauv txoj kev tshawb no, nce qib CEA tau cuam tshuam nrog kev mob hnyav dua.
Kev tshuaj xyuas xyoo 2019 ntawm kev siv cov cim qog los kwv yees cov lus teb rau kev kho mob qog noj ntshav pancreatic tau xaus lus tias cov ntaub ntawv tam sim no tsis txaus thiab xav tau kev tshawb fawb ntxiv.Kev tshuaj xyuas ntawm cov cim qog siv los kuaj xyuas kab mob qog noj ntshav hauv xyoo 2018 txhawb cov tswv yim no.
Ntxiv nrog rau kev kuaj mob qog nqaij hlav, cov kws kho mob tuaj yeem siv ntau yam kev kuaj mob txhawm rau kuaj mob qog nqaij hlav pancreatic.Qhov no suav nrog:
Kev ntsuam xyuas cov duab pab koj tus kws kho mob saib hauv koj lub cev kom pom cov chaw uas yuav ua rau mob qog noj ntshav.Lawv tuaj yeem siv ntau yam kev kuaj pom los kuaj mob qog nqaij hlav pancreatic, suav nrog:
Ntxiv nrog rau kev kuaj ntshav rau cov cim qog, cov kws kho mob tuaj yeem xaj lwm yam kev kuaj ntshav yog tias lawv xav tias mob qog noj ntshav.Qhov no suav nrog:
Ib qho biopsy yuav tshem tawm cov qauv me me ntawm cov ntaub so ntswg los ntawm qhov chaw qog.Cov qauv no raug tshuaj xyuas hauv chav kuaj xyuas seb nws puas muaj cov qog nqaij hlav cancer.
Yog tias pom muaj mob qog noj ntshav, lwm yam kev sim kuj tseem tuaj yeem ua rau ntawm tus qauv biopsy los nrhiav cov biomarkers tshwj xeeb lossis kev hloov caj ces.Qhov muaj lossis tsis muaj cov khoom no tuaj yeem pab txiav txim siab seb hom kev kho mob twg raug pom zoo.
Lub koom haum American Gastroenterological Association (AGA) pom zoo tias cov tib neeg muaj kev pheej hmoo ntau ntxiv vim muaj tsev neeg keeb kwm ntawm mob qog noj ntshav pancreatic los yog cov kab mob caj ces caj ces xav txog kev kuaj mob qog noj ntshav pancreatic.
Lub hnub nyoog ntawm qhov kev tshuaj ntsuam pib nyob ntawm tus neeg mob, raws li pom zoo los ntawm AGA.Piv txwv li, nws yuav pib thaum muaj hnub nyoog 35 xyoo hauv cov neeg uas muaj Peutz-Jeghers syndrome, lossis thaum muaj hnub nyoog 50 xyoo hauv cov neeg uas muaj keeb kwm ntawm kev mob qog nqaij hlav pancreatic.
Kev kuaj mob qog noj ntshav pancreatic suav nrog kev siv MRI thiab endoscopic ultrasound.Kev kuaj caj ces kuj raug pom zoo.
Kev tshuaj xyuas feem ntau yog ua txhua txhua 12 lub hlis.Txawm li cas los xij, yog tias cov kws kho mob pom qhov tsis txaus ntseeg nyob rau hauv lossis ib ncig ntawm lub txiav, lawv yuav ua rau lub sijhawm luv luv, ua rau kev tshuaj xyuas ntau zaus.
Cov qog nqaij hlav pancreatic thaum ntxov feem ntau ua rau tsis muaj tsos mob.Qhov no yog vim li cas ntau hom mob qog nqaij hlav pancreatic tsis kuaj pom txog lig.Yog tias tam sim no, cov tsos mob ntawm tus mob qog nqaij hlav pancreatic muaj xws li:
Thaum lwm qhov kev ntsuam xyuas muaj txiaj ntsig zoo hauv cov txheej txheem kuaj mob, tib txoj hauv kev txhim khu kev qha los kuaj mob qog nqaij hlav pancreatic yog los ntawm kev tshuaj xyuas cov qauv ntawm cov nqaij mos.Qhov no yog vim cov qauv ntawm thaj chaw cuam tshuam tuaj yeem kuaj ncaj qha rau cov qog nqaij hlav cancer.
Raws li American Cancer Society, pancreatic cancer suav txog li 3 feem pua ​​​​ntawm tag nrho cov qog nqaij hlav hauv Tebchaws Meskas.Qhov nruab nrab lub neej txoj kev pheej hmoo ntawm kev tsim mob qog noj ntshav hauv ib tus neeg yog kwv yees li 1 ntawm 64.
Mob qog noj ntshav pancreatic yog qhov nyuaj rau kev kuaj pom thaum ntxov.Ntau tus neeg tsis pom cov tsos mob kom txog thaum mob qog noj ntshav.Tsis tas li ntawd, vim hais tias tus txiav txiav nyob rau hauv qhov tob hauv lub cev, cov qog me me yog qhov nyuaj rau kev kuaj pom nrog cov duab.
Cov kev cia siab rau kev tshawb pom ntxov ntawm pancreatic cancer tau zoo lawm.Raws li National Cancer Institute, 5-xyoo txoj sia nyob ntawm tus mob qog noj ntshav ib leeg yog 43.9%.Qhov no piv nrog 14.7% thiab 3.1% rau kev faib khoom hauv cheeb tsam thiab nyob deb, feem.
Cov cim qog nqaij hlav yog cov cim biomarkers uas tsim los ntawm cov qog nqaij hlav cancer lossis lub cev teb rau kev mob qog noj ntshav.Feem ntau siv cov cim qog rau mob qog nqaij hlav pancreatic yog CA19-9 thiab CEA.
Thaum kuaj ntshav rau cov biomarkers tuaj yeem muab cov ntaub ntawv tseem ceeb rau cov kws kho mob, kev sim ntxiv yog ib txwm xav tau.Cov no tuaj yeem suav nrog kev kuaj pom, kuaj ntshav ntxiv, thiab kuaj ntshav biopsy.
Kev kuaj mob qog noj ntshav pancreatic tuaj yeem ua rau cov neeg uas muaj keeb kwm ntawm tsev neeg mob qog noj ntshav lossis qee yam kab mob caj ces caj ces.Yog tias ib qho ntawm cov saum toj no siv rau koj, nrog koj tus kws kho mob tham txog yuav pib kuaj mob qog noj ntshav pancreatic li cas thiab thaum twg.
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