Izizathu ezibangelwa ngumdlavuza we-pancreatic aziqinisekanga, kodwa izinto ezinobungozi zingabandakanya iminyaka yobudala, isondo, ubuhlanga, imiba yezofuzo ezifana nembali yentsapho yesi sifo, kunye nemicimbi yokuphila njengokutshaya, ukusetyenziswa kotywala, ukunyanya, kunye nesifo sengqondo.
Njengoko iimpawu zomhlaza wesifo somhlaza zingasayi kuvela kude kube yinto ephakamileyo, kubalulekile ukuba uqaphele ukuba le miba ingabangela njani umngcipheko wakho ukwenzela ukuba wenze okusemandleni akho ukunciphisa kwaye uxelele ingxoxo nodokotela wakho.
Izinto ezinobungozi eziqhelekileyo
Ukuba nomngcipheko we-cancer ye-pancreatic akuthethi ukuba uya kuphuhlisa eso sifo. Le miba ayisoloko "ibangela" eso sifo, kodwa ixhaphake kakhulu kubantu abakhulayo. Ngokufanayo, abantu abaninzi abahlakulela umhlaza wesibeleko abanalo naluphi na umngcipheko. Oku kuthetha, izinto ezinobungozi obuninzi, ubuninzi obunokujamelana nomdlavuza we-pancreatic ngexesha elithile ebomini bakho.
Imiba yengozi ingaquka:
Ubudala
Umngcipheko wesifo somhlaza we-pancreatic ukwanda ngokudala, nangona kunokwenzeka ukuba ufumaneke ukuba usemncinci. Ngexesha langoku, malunga neepesenti ezingama-90 zabantu baneminyaka engama-55 ubudala ngexesha lokuxilongwa, kunye neminyaka yobudala ekuxilongweni ukuba bangama-71.
Uhlanga
Umdlavuza we-Pancreatic uqhelekile kubantu abamnyama kunabamhlophe, ama-Asian, okanye ama-Hispanics, kodwa kwakhona, angenzeka nakubani na. Abantu baseAshkenazi ilifa lamaYuda banomngcipheko ophezulu, mhlawumbi ngenxa yezinga eliphezulu eliguqukayo lwe-BRCA2.
Ngesondo
Umdlavuza wePancreatic wawuninzi ngokuqhelekileyo kumadoda kunabasetyhini, kodwa isithuba sigqityiwe. Esi sifo ngoku sisona sifana kakhulu nakwabantu.
Sikashukela
Uhlobo lwexesha elide 2 lwesifo sikashukela luyingozi yomdlavuza we-pancreatic. Isifo sikashukela sinokuthi senzeke kungekudala ngaphambi kokuxilongwa, ngokuqhelekileyo kubantu abangenayo ingozi yesifo sikashukela.
Olu dlelwane phakathi kokuqala okungalindelekanga kwesifo sikashukela kubantu abangaphezu kweminyaka engama-45 kunye nomdlavuza we-pancreatic wawubaluleke ngokwaneleyo kwisifundo se-2018 sokuba abanye oogqirha banokucebisa ukuhlolwa kwimeko xa kwenzeka.
Izifo zeGum kunye nokuLahleka kwamazinyo
Isifo se-Gum, esibizwa ngokuba yi-gingivitis kwisigaba sokuqala kunye ne-periodontitis kwisigaba esiphezulu, saqale saqatshelwe ukuba ngumngcipheko wesifo somhlaza we-pancreatic ngo-2007. umhlaza we-pancreatic ukuba ngaba ne-periodontitis kunye nama-54 ekhulwini amathuba xa belahlekelwe ngamazinyo onke (edentulism). Isizathu asiyazi ngokuqinisekileyo, kodwa sicinga ukuba ezinye iintsholongwane ezihlala emlonyeni zenza i-enzyme ebangela ukuguqulwa kolunye uhlobo lwegenes (i- p53 gene mutations ) engakhokelela kumdlavuza we-pancreatic.
Pancreatitis engapheliyo
Imbali ye- pancreatitis engapheliyo inokunyusa umngcipheko womhlaza womdlavuza, ikakhulukazi kubantu abatshitshisiyo. I-panicreatitis ye-Hereditary iqala ngokuqala ebuntwaneni kwaye idibene nomngcipheko ophezulu kakhulu wesifo.
Ezinye iimeko zonyango
Ibhaktikhi i- Helicobacter pylori ( H. pylori ) yimbangela eyaziwayo yesifo somhlaza, kunye nesifo sesilonda esiswini.
Kucingelwa ukuba kunokunyusa umngcipheko womhlaza we-pancreatic. Kukho ubungqina bokuba ukutheleleka kwe- hepatitis B , i- gallstones , i-gallbladder ukuhlinzwa, kunye ne- cirrhosis yesibindi inokudibana nomngcipheko ophezulu wesifo.
Imbali Yomntu WeCarcer
Abantu abanomdla weembali ezahlukeneyo zomhlaza, banakho ukuvelisa umdlavuza womhlaza. Abaphandi abaqinisekanga ukuba oku kuhambelana nalawa amanye amachiza ngandlela-thile, okanye ukuba unxibelelwano lubangelwa yimingcipheko eqhelekileyo yile khansela (njengokubhema).
Uhlobo lwegazi
Abantu abaneentlobo zegazi A, B, no-AB babonakala benomngcipheko ophezulu wesifo somdlavuza kunabo abo bahlobo lwegazi.
Iimpawu zeMichiza
Ukucaciswa komsebenzi kubangelwa ukuba kube negalelo kwi-2 ekhulwini ukuya kwi-3 ekhulwini le-cancer ye-pancreatic, kunye neekhemikhali ezixhalabisa kakhulu i-hydrocarbons ezichlorisiweyo kunye ne-polycyclic hydrocarbons ephosakeleyo (i-PAHs). Abasebenzi apho ingozi eyongeziweyo ibonakalisiwe kubandakanya ukucoca ngokucoca kunye nabasebenzi bebhoratri labasetyhini.
Genetics
Amaphesenti angama-10 eengxube ze-pancreatic zibhekwa njengelifa kwaye zihambelana nomlando weentsapho zesifo okanye isifo esithile se-genetic syndrome.
Imbali Yentsapho
Abantu abanomdla wentsapho ye-pancreatic umdlavuza banokukwazi ukuhlakulela isifo. Kukho into ebizwa ngokuba ngumhlaza we-pancreatic ekhaya. Umntu uthathwa njengenalo ukuba ngaba izihlobo ezimbini (okanye umzali, umntakwabo, okanye umntwana) okanye amalungu amathathu osapho olongezelelweyo (amanina, oomama okanye abazala) banesi sifo.
I-Genetic Syndromes
Iimpawu ze-Genetic ezixhunyaniswe nomdlavuza we-pancreatic zihlala zihambelana nokutshintshwa kwemfuza ethile. Uninzi lwezi zintshintsho zentshintsho, ezifana ne- BRCA2 zinguqu zoguquko , zisegeni ezibizwa ngokuba yi- tumor suppressor genes . Le khowudi yeejethi yeeprotheni ezilungisa i-DNA eyonakalisiweyo kwaye iyanciphisa ukukhula kweeseli. Ama-Syndromes anxulumene nomngcipheko ophezulu aquka:
- Isifuba se-Hereditary kunye ne-ovarian syndrome
- Hereditary pancreatitis
- I-Peutz-Jeghers syndrome
- I-Lynch syndrome (umhlaza we-nonpolyposis umhlaza we-colorectal, HNPCC)
- Li-Fraumeni syndrome
- isifo sikaVippel Lindau
- Iipolposis eziqhelekileyo eziqhelekileyo
- I-familial atypical mole mole melanoma (FAMMM) syndrome
- Ataxia telangiectasia
- Uninzi lwe-endocrine neoplasia uhlobo 1 (MEN1) syndrome (i-neuroendocrine tumors)
- I-neurofibromatosis uhlobo 1 (i-neuroendocrine tumors)
Izinto zokuPhila kweengozi
Izinto zokuphila zingadlala indima ebalulekileyo ekuphuhliseni umdlavuza wamanqindi kwaye zibandakanya:
Ukutshaya
Ukutshaya kwandisa umngcipheko wesifo somhlaza wesibini ukuya kweyesithathu kwaye kucatshangwa ukuba uxanduva lokusingqongileyo kwisithathu kwisifo. Ngokungafani nomhlaza wamaphaphu, apho umngcipheko usaphila ixesha elide emva kokuba umntu aphelile (kwaye akaze abuyele ejwayelekile), umngcipheko womhlaza we-pancreatic ubuyela ngokuqhelekileyo kwiminyaka emihlanu ukuya kwe-10 yokuyeka.
Utywala
Ixesha elide, ukusetyenziswa kotywala okunzima (iintsuku ezintathu okanye ngaphezulu imihla ngemihla) kudibene nomngcipheko wokwanda komdlavuza we-pancreatic. Umngcipheko unokuthi unxulumene nobungozi obuninzi be-pancreatitis kubantu abaphuza ubuninzi bokusela utywala (ngakumbi xa behlanganiswe nokutshaya) kunokuba utywala ngokwawo. Ukusetyenziswa kancinci kotywala akubonakali kwandisa ingozi.
Ukunyanya
Ukugqithisa okanye ukugqithisa kuphakamisa umngcipheko womhlaza we-pancreatic malunga neepesenti ezingama-20. Kukholelwa ukuba phantse enye yesifo se-cancers esinesibhozo ehambelana nokukhuluphala.
Ukutya
Kukho ubungqina bokuba ukutya okunamafutha aphezulu, kunye nokutya okuphezulu ebomvu okanye okusetshenziselwa inyama, kunokudibana nomngcipheko wokwanda komdlavuza we-pancreatic, ngakumbi xa ukutya kuphekwe kumaqondo aphezulu. Ngakolunye uhlangothi, ukutya okuphezulu kwi-acid e-folic, njengemifuno eluhlaza eluhlaza, kunokuba nefuthe elikhuselekileyo. Uhlalutyo lwe-2017 lweengxaki zokutya kunye nomdlavuza we-pancreatic wafumanisa ukuba ukutya kwe-Western-type kwakuxhomekeke kuma-24 ekhulwini amathuba okuphuhlisa eso sifo. Ikhofi inokuthi yandisa ingozi.
Indlela yokuphila
Ukuphila ngendlela yokuphila, njengokusebenza kwidiski, kunokunyusa ingozi, kodwa akuqinisekanga ngeli xesha.
> Imithombo:
> I-American Society of Clinic Oncology. Cancer.Net. I-Pancreatic Cancer: Izinto Zingozi. Updated 12/16. https://www.cancer.net/cancer-types/pancreatic-cancer/risk-acactors
> Khadka, R., Tian, W., Xin, H., no R. Koirala. Ingozi Yobungozi, Ukuxilongwa kwangaphambili kunye nokuPhepha okuPhezulu kwiSiphumo soMbutho phakathi kweCancreatic Cancer kunye neSifo sikashukela iMellitus: Iinguqu kunye neNtuthuko, Ukuphononongwa. International Journal of Surgery . Ngo-2018 uMar 10. (i-Epub ngaphambi kokushicilela).
> Lu, P., Shu, L., Shen, S. et al. Iipatheni zeDetary kunye neKhansela yeCancretic Risk: I-Meta-Analysis. Amanzi . 2017. 9 (1) .pii: E38.
> Maisonneuve, P., Amar, S., kunye noA. Lowenfels. Izifo zePeriodontal, i-Edentulism, kunye neCancreatic Cancer: i-Meta-Analysis. Amanqaku e-Oncology . 2017. 28 (5): 985-995.
> INational Cancer Institute. Ukwelashwa kweCancreatic Cancer (PDQ) -IsiXhosa sesifo. Ukuhlaziywa 03/22/18. https://www.cancer.gov/types/pancreatic/patient/pancreatic-treatment-pdq