's general knowledge that the cancer morbidity of pancreas is on the rise
The liver and gall surgical associate professor of treatment Dr. Liu Ning of tumour hospital in Tianjin proposes, with the improvement of the living standard, the morbidity of pancreas cancer is on the rise. To cancer harmfulness of pancreas being big, treat Figo, patient's characteristic with great agony, he advises people to pay close attention to pancreas cancer early, does the work of preventing and curing well.
Dr. Liu Ning introduces, compared with digestive organs such as the stomach, intestines, liver, people are not very familiar with the pancreas yet. It is deep on the position that the pancreas lies in abdominal cavity, have pulse of sound, portal vein and spleen vein,etc. on a lot of important blood vessel such as belly aorta, lower vena cava, portal vein, mesenterium around. If insulin that the pancreas secretes is scarce, will cause diabetes. Pancreas cancer is relatively strange digestive tract malignant tumour, the morbidity has been on the rise in recent years. The expansion of the pancreas with focal cancer is very apt to involve some above-mentioned blood vessels to be unable to excise. Meanwhile, the pancreas head lies in \ of digestive tract too " \ of hub of communications " Position. The intersection of pancreas and cancer will cause bile duct, pancreatic duct, blockade of duodenum to cause obstructive jaundice, indigestion, the intersection of digestive tract and the intersection of person who obstruct and symptom.
Ning Liu say cause of disease, pancreas of cancer still indeterminate, smoking, drink, fatty high the intersection of animal and the intersection of albumen and diet, it drinks coffee and diabetes factor to be might be instead of having something to do with. The proportions of men and women of pancreas cancer are 1.7-2.0: 1,Patient getting over 40 years old to account for 40%, onset latent to attack, at the onset more for later period, operation person who excise low, and this disease has very strong wrecking to the patient in later period, the patient is the agony very much, quality of surviving is extremely poor, thorough disability. So find, complex treatment, can improve the therapeutic effect of pancreas cancer in early days, thus improve the prognosis. Liu Ning proposes watching out for the early symptoms of cancers of pancreas, in order to do benefit to finding as soon as possible that treats in time. The upper abdomen is uncomfortable and the secret anguish is that the most common head send symptom, but this will not usually cause people's enough attention, difficult to distinguish with other digestive system pathological changes such as gastritis, ulcer, cholecystitis. In addition, the serious back pains and briefs on pathological change to involve abdominal cavity's nerve clump, solicit looking like in later period, the operation is often difficult to excise. It is to behave to lose the appetite and become thin commonly, because digestive juice such as the pancreatic juice and bile excrete the blockage to influence patient's appetite, and digest and assimilate badly to lead to the fact the weight is obviously lightened. Skin sclera yellow to it dyes to be the intersection of pancreas and outstanding behaviours, head of cancer, can't be drained into the intestine and caused by the bile, lead to the fact stool color become shallow, present the intersection of potter's clay and color, maos of detailed the intersection of bile duct and pressure increase in the liver, the bile returns to and flows into the blood circulation, make direct bilirubin in the urine increase, the color is strengthened, bilirubin stimulates the nerve ending to cause the skin to tickle. In addition, tumour can destroy the Langerhans' islits function to lead to the fact blood glucose increases, so the belly wraps up the piece, ascites and evil liquid quality is to behave in later period.
Check the way to say, it has no wound to check like belonging to that the supersound is apparent, for first choosing to check the project of pancreas cancer; CT can find the office cooking stove swollen tumour that can find the diameter above 1CM of pancreas cancer; Pancreas cholangiography of the back run (ERCP) There is certain diagnosis value, can observe the expansion of the gallbladder pancreatic duct, is substituted by the biliary tract radiography of the magnetic resonance more now; Intestines and stomach barium meal check, can have duodenum expand by ring in later period, the intersection of alternative and the intersection of artery and radiography and cytologic to check commonly used.
Liu Ning introduces, the treatment of pancreas cancer takes surgery as the core, because there are important blood vessels such as vena cava, portal vein, mesenterium blood vessel,etc. around the pancreas, only 15% of excision rate of pancreas cancer, the excising rate of end cancer of body of pancreas is lower, following in 5%. It is a pancreas head cancer first-selection effecting a radical cure excision skill that the pancreas duodenum excises the skill, the range includes the pancreas head, carries 1/2 of the stomaches, duodenums far, plays the initial jejunum of person in over-all charge of one section of gallbladders and 15CM. Ning Liu say, accomplish \ " Three early \ " : Find, diagnose, it is to improve curative effect, improve the key to the prognosis to treat in early days in early days in early days.
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