Txhua tus uas tau saib ib tug phooj ywg lossis cov neeg hauv tsev neeg ntsib kev mob qog noj ntshav nkag siab txog kev ntshai cuam tshuam nrog qhov kev kuaj mob no. Hmoov tsis zoo, cov dev kuj tuaj yeem mob qog noj ntshav pancreatic thiab, zoo ib yam li cov tib neeg, feem ntau nws tsis muaj qhov tshwm sim zoo. Ua tsaug, nws tsis tshwm sim nyob rau hauv peb cov phooj ywg canine.
Nyob rau hauv tsab xov xwm no, peb yuav tham txog ntau hom mob qog noj ntshav uas cuam tshuam rau dev, cov cim qhia uas yuav tsum muaj kev txhawj xeeb, thiab kev xaiv rau kev kho mob ntawm ob hom qog nqaij hlav (insulinoma thiab adenocarcinoma).
Pancreatic Cancer yog dab tsi?
Tus txiav yog ib yam kabmob me me nyob hauv plab, ze rau lub plab thiab pib ntawm txoj hnyuv.
Tus txiav txiav muaj ob lub luag haujlwm tseem ceeb:
- Endocrine: tsim cov tshuaj hormones tseem ceeb (xws li insulin, glucagon, gastrin)
- Exocrine: tsim cov enzymes digestive uas pab zom zaub mov
mob qog nqaij hlav pancreatic tuaj yeem cuam tshuam rau endocrine lossis exocrine hlwb. Lo lus mob qog noj ntshav yog hais txog kev tsim cov qog nqaij hlav tsis meej, uas tuaj yeem pab pawg ua ke los tsim cov qog. Lo lus kuj txhais tau hais tias malignancy, txhais tau hais tias cov hlwb txawv txav kis thoob plaws hauv lub cev (hu ua metastasis).
Muaj 3 yam ntawmendocrine mob qog nqaij hlav hauv cov dev, txhua yam uas phem:
- Insulinoma (feem ntau)
- Gastrinoma
- Glucagonoma
Muaj 2 homexocrine qog nqaij hlav pancreatic hauv dev, tab sis tsuas yog ib qho yog malignant:
- Adenocarcinoma (feem ntau, malignant)
- Adenoma (zoo)
Zuag qhia tag nrho, insulinoma yog hom mob qog nqaij hlav pancreatic tshaj plaws hauv cov dev, tom qab ntawd los ntawm adenocarcinoma.
Cov tsos mob ntawm tus mob pancreatic yog dab tsi?
Cov tsos mob ntawm tus mob qog nqaij hlav pancreatic nyob ntawm seb cov hlwb puas raug cuam tshuam. Kab lus no yuav tsom mus rau ob hom mob qog noj ntshav siab tshaj plaws hauv cov dev: insulinoma thiab adenocarinoma.
Insulinoma
Insulinomas, raws li lub npe qhia, tso cov tshuaj insulin. Cov tshuaj no feem ntau yog tso tawm los teb rau qhov nce hauv cov ntshav qab zib (glucose), uas tshwm sim tom qab noj mov. Insulin qhia cov hlwb hauv lub cev kom noj cov suab thaj, yog li txo qis hauv cov hlab ntsha, uas yuav tsum ua kom lub txiav kom tsis txhob tso cov tshuaj insulin kom txog thaum nws xav tau dua.
Insulinomas tas li tso cov tshuaj insulin, tsis hais tus dev cov ntshav qab zib li cas. Qhov no ua rau hypoglycemia (cov ntshav qab zib tsawg), cov cim qhia suav nrog:
- Nyob heev
- Nyob zoo
- Kev sib koom tes
- Qhia
- Muscle twitches
- Tshuaj ntsuab
- Pab tsis nco qab
Raws li insulinomas loj tuaj, lub sijhawm hypoglycemic tshwm sim ntau dua. Sij hawm dhau mus, cov dev cuam tshuam yuav poob phaus thiab tsis muaj zog.
Adenocarcinoma
Cov tsos mob ntawm adenocarcinoma tsis yog tshwj xeeb thiab tej zaum yuav suav nrog:
- Txoov lossis tsis qab los
- Vim
- poob phaus
- Lub zog qis thiab/lossis qaug zog
- Pale-xim, mos, greasy-looking poop vim exocrine pancreatic insufficiency (EPI)
Jaundice (daj dawb ntawm qhov muag thiab tawv nqaij) yuav pom tau yog tias cov qog ua rau cov kab mob sib kis.
Ntau zaus, thaum lawv kuaj pom, adenocarcinomas twb metastasized (kis) mus rau lwm qhov ntawm lub cev, suav nrog lub siab, plab hnyuv, ntsws, thiab pob txha. Qhov no yuav ua rau cov tsos mob zoo li tsis sib xws, xws li ua pa nyuaj lossis limping.
Dab tsi yog qhov ua rau mob qog nqaij hlav pancreatic?
Tus mob qog nqaij hlav pancreatic feem ntau kuaj pom hauv cov dev hnub nyoog nruab nrab thiab laus, tab sis qhov ua rau tus kab mob no tsis paub. Raws li nrog ntau cov qog nqaij hlav, nws yuav yog qhov sib xyaw ntawm cov noob caj noob ces, ib puag ncig, thiab kev ua neej nyob.
Txawm hais tias ib qho laj thawj tshwj xeeb tsis tau txheeb xyuas, qee yam tsiaj zoo li muaj kev pheej hmoo siab dua rauinsulinoma, txawm tias tsis tau txheeb xyuas qhov laj thawj tshwj xeeb:
- Labrador Retrievers
- Golden Retrievers
- German Shepherd Dogs
- Irish Setters
- Boxers
Adenocarcinoma raug kuaj pom ntau zaus hauv cov poj niam dev, thiab cov tsiaj hauv qab no yuav muaj kev pheej hmoo ntxiv:
- Labrador Retrievers
- Airedale Terriers
- Cocker Spaniels
- Boxers
Raws li insulinomas, peb tsis paub tias vim li cas qee tus dev thiaj li raug cuam tshuam ntau dua li lwm tus.
Kuv Yuav Ua Li Cas Kho Tus Aub Nrog Kab Mob Ntshav Qab Zib?
Txoj kev xaiv kev kho mob rau tus kab mob no nyob ntawm seb hom mob qog noj ntshav li cas thiab nws zoo npaum li cas thaum lub sijhawm kuaj mob. Qee zaum, kev kho mob tsuas yog palliative kom txog thaum tib neeg euthanasia dhau los ua qhov kev xaiv zoo tshaj plaws.
Koj tus kws kho tsiaj yuav tham txog cov kev xaiv rau koj tus menyuam dev, tab sis ntawm no yog qee cov ntaub ntawv hais txog kev kho mob tam sim no ntawm ob hom mob qog noj ntshav siab tshaj plaws:
Insulinoma
Kev phais feem ntau pom zoo kom tshem tawm ib feem ntawm lub txiav, uas tam sim ntawd txo cov tshuaj insulin. Qhov no tuaj yeem ua raws li kev siv tshuaj khomob. Rau qee tus dev, kev noj zaub mov tshwj xeeb thiab tshuaj yuav siv tau los pab tswj cov ntshav qab zib.
Adenocarcinoma
Vim cov tsos mob uas tsis yog tshwj xeeb cuam tshuam nrog pancreatic adenocarcinomas, lawv feem ntau raug kuaj pom lig hauv cov kab mob, uas txwv txoj kev xaiv rau kev kho mob. Kev phais qee zaum tau sim tab sis, hmoov tsis, feem ntau ua tsis tiav. Kev phais tsis pom zoo yog tias tus kabmob kheesxaws paub tias twb tau metastasized (kis tau). Txog niaj hnub no, kev kho tshuaj khomob thiab kev kho hluav taws xob tsis tau pom tias muaj txiaj ntsig.
Cov lus nug nquag
Kev kuaj mob qog noj ntshav pancreatic li cas?
Raws li kev txhawj xeeb txog kev noj qab haus huv, koj tus kws kho tsiaj yuav pib los ntawm kev sau keeb kwm thiab tshuaj xyuas koj tus menyuam dev ntawm taub hau mus rau ntiv taw. Thaum insulinomas tshwm sim nrog cov tsos mob tshwj xeeb, lwm hom mob qog noj ntshav tuaj yeem zoo ib yam li lwm yam mob, xws li pancreatitis (uas tej zaum yuav xav tias thaum xub thawj vim tias nws tshwm sim ntau zaus hauv dev).
Thaum tshawb xyuas tus kab mob pancreatic, cov kev kuaj hauv qab no tuaj yeem pab tau:
- Bloodwork
- Diagnostic imaging, xws li radiographs (x-rays), ultrasound, thiab/los yog xam tomography (CT) scan saib lub txiav thiab tshuaj ntsuam rau metastasis (mob cancer)
- Fine needle aspiration (FNA) los sau cov qauv ntawm cov ntaub so ntswg txawv txav kom nws tuaj yeem kuaj xyuas hauv lub tshuab kuaj kab mob
- Kev tshawb nrhiav kev phais ntawm lub plab kom lub cev saib lub txiav thiab lwm yam kabmob; Yog tias pom cov qog, tus kws phais yuav tshem tau tag nrho lossis ib feem ntawm nws thiab xa cov qauv mus kuaj
Koj tus kws kho tsiaj ib txwm muaj peev xwm muab tau qee qhov kev kuaj mob no, tab sis qee zaum lawv tuaj yeem xa koj tus menyuam mus rau kws kho tsiaj oncologist (kws kho mob qog noj ntshav) ntawm lub tsev kho mob tshwj xeeb.
Puas yog pancreatic cancer kho tau?
Hmoov tsis zoo, tam sim no tsis muaj kev kho mob qog nqaij hlav pancreatic hauv dev.
Dab tuaj yeem nyob nrog mob qog noj ntshav ntev npaum li cas?
Raws li cov tshuaj insulinomas, tshwj xeeb tshaj yog tias lawv tau txheeb xyuas ntxov, kev sib txuas ntawm kev phais thiab kev kho mob yuav pab tau dev nyob rau ib xyoos lossis ntau dua tom qab kuaj pom thawj zaug. Yog tsis muaj kev phais, lub sij hawm ciaj sia luv luv (feem ntau tsuas yog ob peb lub hlis).
Tu siab heev, cov dev tau txheeb xyuas nyob rau theem kawg ntawm kev mob qog noj ntshav pancreatic (tshwj xeeb yog adenocarcinoma) feem ntau euthanized sai tom qab lawv kuaj mob.
Conclusion
Thaum mob qog nqaij hlav pancreatic tsis tshua muaj nyob hauv cov dev, kev kawm tias koj tus menyuam dev yog ib tus neeg tsis muaj hmoo yuav mob siab rau. Tu siab, hom mob qog noj ntshav no feem ntau tsis muaj qhov tshwm sim zoo.
Koj tus kws kho tsiaj yuav tham txog cov kev xaiv uas muaj rau koj raws li koj tus dev qhov kev kuaj mob tshwj xeeb thiab seb tus kab mob no mus deb npaum li cas. Lawv tuaj yeem pab ua kom koj tus menyuam xis nyob ntev li ntev tau thiab muab kev taw qhia thaum lub sijhawm los xav txog tib neeg euthanasia.
Muaj qee cov cuab yeej pab tau los pab koj ntsuas thiab saib xyuas koj tus dev lub neej zoo, xws li cov peev txheej no los ntawm Ohio State University. Ntau tus ntawm peb tuaj yeem siv qee qhov kev txhawb nqa ntxiv thaum ntsib qhov kev kuaj mob hnyav, yog li thov tsis txhob ntshai mus cuag kev pab! Koj tus kws kho tsiaj kuj tuaj yeem muab cov lus pom zoo rau kev cob qhia thiab kev txhawb nqa kev tu siab hauv koj cheeb tsam.
