Izimbangela eziqondile zomdlavuza we-pancreatic aziqinisekisi, kodwa izici ezingozini zingabandakanya iminyaka yobudala, ubulili, ubuhlanga, izici zofuzo ezifana nomlando womndeni wesifo, nezindlela zokuphila ezifana nokubhema, ukuphuza utshwala, ukukhuluphala ngokweqile, ngisho nesifo sezinsini.
Njengoba izimpawu zomdlavuza we-pancreatic zingase zingabuki kuze kuthuthuke, kubalulekile ukuqaphela ukuthi lezi zici zingase zibe nomthelela kanjani engozini yakho ngakho-ke ungakwazi ukwenza okusemandleni akho ukunciphisa futhi uxoxisane nodokotela wakho.
Izingozi Ezivamile Zengozi
Ukuba nomthelela obungozi ngomdlavuza we-pancreatic akusho ukuthi uzokuthuthukisa lesi sifo. Lezi zici akuzona "ezibangela" lesi sifo njalo, kodwa zivame kakhulu kubantu abakhulayo. Ngokufanayo, abantu abaningi abahlakulela umdlavuza we-pancreatic abanayo izici eziyingozi zokusobala. Lokho kusho ukuthi, kunezici eziningi ezingozini, ubuningi obungase ubhekane nomdlavuza we-pancreatic ngesikhathi esithile empilweni yakho.
Izici zengozi zingabandakanya:
Ubudala
Ingozi yomdlavuza we-pancreatic yanda ngokukhula, nakuba kungenzeka ukuthi utholakale esemncane. Ngesikhathi samanje, cishe amaphesenti angama-90 abantu abaneminyaka engaphezu kwengu-55 ngesikhathi sokuxilongwa, kanti isilinganiso seminyaka esitholwa ukuthi sineminyaka engu-71.
Umjaho
Umdlavuza we-Pancreatic uvame kakhulu kubantu abamnyama kunabamhlophe, ama-Asiya, noma ama-Hispanics, kepha futhi, kungenzeka nanoma ubani. Abantu base-Ashkenazi ifa lamaJuda banengozi eyengeziwe, cishe ngenxa yezinga eliphezulu lezinguquko ze-BRCA2 zezakhi zofuzo.
Ubulili
Umdlavuza we-Pancreatic wawuvame kakhulu emadodeni kunabesifazane, kodwa igebe livala. Lesi sifo manje sesivame kakhulu emadodeni.
Isifo sikashukela
Isifo sikashukela sesikhathi eside sesikhathi eside singumdlavuza we-pancreatic. Isifo sikashukela singase senzeke ngaphambi nje kokuxilongwa, ngokuvamile kubantu abangenayo ingozi yesifo sikashukela.
Lokhu kuhlangana phakathi kokuqala okungalindelekile kwesifo sikashukela kubantu abangaphezu kweminyaka engu-45 nomdlavuza we-pancreatic kwakubalulekile ngokwanele ekutadisheni kuka-2018 abanye odokotela manje batusa ukuncoma uma kwenzeka.
Izifo Zama-Gum nokulahlekelwa Izinyo
Isifo se-Gum, okuthiwa yi-gingivitis esiteji sokuqala kanye ne-periodontitis esiteji esithuthukile, saqala ukubeka ingozi yokuba nomdlavuza we-pancreatic ngo-2007. Ukubuyekezwa kuka-2017 okwenziwe kuze kube manje kwatholakala ukuthi abantu bangamaphesenti angama-75 amathuba okuthuthukisa umdlavuza we-pancreatic uma babe ne-periodontitis namaphesenti angama-54 ngaphezulu uma belahlekelwa amazinyo abo onke (edentulism). Isizathu asiyazi ngokuqinisekile, kodwa kucatshangwa ukuthi amabhaktheriya athile ahlala emlonyeni enza i-enzyme ebangela ukushintshashintsha kohlobo olulodwa lwezakhi (i- p53 gene mutations ) ezingabangela umdlavuza we-pancreatic.
Pancreatitis engapheliyo
Umlando we- pancreatitis ongapheli ungandisa ingozi yomdlavuza we-pancreatic, ikakhulu kubantu ababhema. I-pancreatitis ye-Hereditary ivame ukuqala ebuntwaneni futhi ihlotshaniswa nengozi enkulu kakhulu yesifo.
Ezinye izimo zezokwelapha
I-bacterium Helicobacter pylori ( H. pylori ) iyimbangela eyaziwa kakhulu yomdlavuza wesisu, kanye nesifo sezilonda esiswini.
Kucatshangwa ukuthi kungase kwandise ingozi yomdlavuza we-pancreatic. Kunobunye ubufakazi bokuthi ukutheleleka kwesibindi se-hepatitis B , ukuguqulwa kwe-gallstones , ukuhlinzwa kwe-gallbladder, kanye ne- cirrhosis yesibindi kungaxhunyaniswa nengozi ephakeme yesifo.
Umlando Wakho Womdlavuza
Abantu abanomlando womuntu siqu wezinhlobo eziningana zomdlavuza banamathuba amaningi okuthuthukisa umdlavuza we-pancreatic. Abacwaningi abaqiniseki uma lokhu kuhlobene nalezi ezinye izifo zomshukela ngandlela-thile, noma uma isixhumanisi singenxa yezizathu ezivamile eziyingozi kulezi zomshukela (njengokubhema).
Uhlobo lwegazi
Abantu abanesifo segazi A, B, no-AB babonakala benengozi ephakeme yomdlavuza we-pancreatic kunelabo abahlobo lwegazi O.
Ukuboniswa kweMikhali
Ukuchayeka komsebenzi kubhekwa ukuthi kudla amaphesenti angu-2 kuya kwamaphesenti amathathu ama-pancreatic kancreatic, ngamakhemikhali okukhathazeka kakhulu ngama-hydrocarboni akhiqizwayo nama-hydrocyclic ama-hydrocarboni ahlanzekile (ama-PAHs). Abasebenzi lapho ingozi ekhulile ibonwe khona kubandakanya ukuhlanza okumile kanye nabasebenzi bebhola labasebenzi besifazane.
I-Genetics
Amaphesenti angama-10 e-cancers e-pancreatic abhekwa njengefa futhi ahlobene nomlando womndeni wesifo noma isifo esithile se-genetic syndrome.
Umlando womndeni
Abantu abanomlando womndeni womdlavuza we-pancreatic amathuba okuthuthukisa lesi sifo. Kukhona okuthiwa nomdlavuza womndeni we-pancreatic. Umuntu uthathwa ukuthi unakho uma izihlobo ezimbili noma ngaphezulu zezinga lokuqala (umzali, umntakwethu, noma ingane) noma amalungu omndeni anwetshiwe amathathu noma ngaphezulu (unina, omalume, nomzala) banesifo.
I-Genetic Syndromes
I-syndromes ye-genetic exhunywe nomdlavuza we-pancreatic ivame ukuhlobene nokushintshashintsha kwezakhi zofuzo ezithile. Eziningi zalezi zakhi zofuzo, njengezakhi zofuzo ze-BRCA2 , zingezakhi zofuzo ezibizwa ngokuthi i- tumor suppressor genes . Le khodi yezinhlobo zama-protein alungisa i-DNA ewonakele futhi unciphise ukukhula kwamaseli. Ama-syndromes ahlobene nengozi ephakeme afaka:
- Isibeletho se-Hereditary ne-ovarian syndrome
- I-panicreatitis ye-Hereditary
- I-Peutz-Jeghers syndrome
- I-Lynch syndrome (umdlavuza we-nonpolyposis we-inherited hereditary, HNPCC)
- I-Li-Fraumeni syndrome
- Isifo se-von Hippel Lindau
- I-polyposis ene-adenomatous ejwayelekile
- I-multiple atypical molecular melanoma (FAMMM) syndrome
- I-ataxia telangiectasia
- Iningi le-endocrine neoplasia uhlobo 1 (MEN1) syndrome (izicubu ze-neuroendocrine)
- I-neurofibromatosis uhlobo 1 (izicubu ze-neuroendocrine)
Izindlela Zengozi Yokuphila
Izinto zokuphila zingadlala indima ebalulekile ekuthuthukiseni umdlavuza we-pancreatic futhi zifaka:
Ukubhema
Ukubhema kwandisa ingozi yomdlavuza we-pancreatic ezimbili- kuya kwezintathu futhi kucatshangwa ukuthi unesibopho se-third of these cancer. Ngokungafani nomdlavuza wamaphaphu, lapho ingozi iqhubeka khona isikhathi eside ngemva kokuba umuntu eshiye (futhi angabuyeli ngendlela evamile), ingozi yomdlavuza we-pancreatic ibuyela cishe evamile phakathi neminyaka emihlanu kuya kweyishumi yokuyeka.
Utshwala
Isikhathi eside, ukuphuza utshwala obunzima (iziphuzo ezintathu noma ngaphezulu nsuku zonke) kuhlotshaniswa nenengozi yokwanda komdlavuza we-pancreatic. Ingozi ingase ihlobaniswe nengozi eyengeziwe yokwehlukana kwezidakamizwa kubantu abaphuza utshwala ngokweqile (ikakhulukazi uma kuhlangene nokubhema) kunokuba utshwala uqobo. Ukusetshenziswa kotshwala okulinganiselwe akubonakali okwandisa ingozi.
Ukukhuluphala
Ukuqhathanisa ngokweqile noma ukugqithisa kuphakamisa ingozi yomdlavuza we-pancreatic cishe amaphesenti angu-20. Kukholelwa ukuthi cishe eyodwa ye-khancer pancreatic eyodwa yesishiyagalombili ihlobene nokukhuluphala.
Ukudla
Kunobunye ubufakazi bokuthi ukudla okunamafutha aphezulu, kanye nokudla okuphezulu okubomvu noma okusetshenziselwa inyama, kungase kuhlotshaniswe nobungozi bokukhula komdlavuza we-pancreatic, ikakhulu uma ukudla kuphekwe emazingeni aphezulu okushisa. Ngakolunye uhlangothi, ukudla okuphezulu e-folic acid, njengemifino eluhlaza, kungase kube nomthelela wokuvikela. Ukuhlaziywa kuka-2017 kokudla komdlavuza kanye ne-pancreatic umdlavuza kwathola ukuthi ukudla okuvela eNtshonalanga kuhlotshaniswa nethuba elingamaphesenti angu-24 lokuthuthukisa lesi sifo. Ikhofi ingase ikhulise ingozi futhi.
Indlela yokuphila yama-sedentary
Ukuphila ngokwemvelo, njengokusebenza komsebenzi wedesksi, kungandisa ingozi, kodwa akuqiniseki ngalesi sikhathi.
> Imithombo:
> Society of American of Clinical Oncology. I-Cancer.Net. I-Cancer Pancreatic: Izingozi Zezingozi. Kubuyekezwe 12/16. https://www.cancer.net/cancer-types/pancreatic-cancer/risk-factors
> Khadka, R., Tian, W., Xin, H., no R. Koirala. Isici Sengozi, Ukutholakala Kokuqala Nokusinda Okuphelele Emiphumeleni Yenhlangano Phakathi KweCancreatic Cancer neSifo Sikashukela Mellitus: Izinguquko Nokuthuthuka, Ukubuyekeza. I-International Journal of Surgery . 2018 Mashi 10. (Epub ngaphambi kokuphrinta).
> Lu, P., Shu, L., Shen, S. et al. Izindlela zokudla kanye ne-Pancreatic Cancer Risk: I-Meta-Analysis. Amakhemikhali . 2017. 9 (1) .pii: E38.
> Maisonneuve, P., Amar, S., no-A. Lowenfels. Izifo ze-Periodontal, i-Edentulism, ne-Pancreatic Cancer: I-Meta-Analysis. Amanothi we-Oncology . 2017. 28 (5): 985-995.
> National Cancer Institute. I-Pancreatic Treatment Treatment (PDQ) Kubuyekezwe 03/22/18. https://www.cancer.gov/types/pancreatic/patient/pancreatic-treatment-pdq