{"id":335,"date":"2017-01-17T11:33:29","date_gmt":"2017-01-17T10:33:29","guid":{"rendered":"http:\/\/www.mojidoktori.rs\/blog\/?p=335"},"modified":"2017-01-17T11:44:43","modified_gmt":"2017-01-17T10:44:43","slug":"rak-pankreasa","status":"publish","type":"post","link":"https:\/\/www.mojidoktori.rs\/blog\/rak-pankreasa\/","title":{"rendered":"Rak pankreasa"},"content":{"rendered":"

Rak pankreasa simptomi i\u00a0lecenje\u00a0<\/strong><\/span><\/h4>\n

Rak pankreasa<\/a> simptomi \u00a0se naj\u010de\u0161\u0107e otkriju vrlo kasno, te je stopa izle\u010denja u tim slu\u010dajevima veoma niska, tome doprinosi i veoma agresivna priroda ovog kancera. U \u010dak 85 odsto\u00a0slu\u010dajeva rak gu\u0161tera\u010de se ne otkrije na vreme \u00a0a tada su \u0161anse za pre\u017eivljavanje kod pacijenata svega posto.<\/span><\/p>\n

Rak pankreasa je na osmom mestu po smrtnosti od svih kancera.<\/span><\/p>\n

<\/p>\n

Koja je funkcija pankreasa<\/h4>\n

Pankreas<\/strong><\/a> je velika \u017elezda s unutra\u0161njim i\u00a0spolja\u0161njim lu\u010denjem (endokrino-egzokrina), sme\u0161tena duboko u gornjem delu trbu\u0161ne duplje, izme\u0111u \u017eeluca i ki\u010dmenog\u00a0stuba, duga\u010dka oko 15 cm, a oblikom\u00a0podse\u0107a na punoglavca. Njegov naj\u0161iri deo\u00a0naziva se glava pankreasa \u00a0i sme\u0161ten je uz tanko crevo, na desnoj strani abdomena, sredi\u0161nji deo\u00a0naziva se telo pankreasa, dok je uski, izdu\u017eeni deo koji\u00a0se naslanja na slezinu \u2013 rep pankreasa<\/a>.<\/span><\/p>\n

Njegova egzokrina (spolja\u0161nja) funkcija\u00a0odnosi se na proizvodnju pankreasnih\u00a0sokova koji sadr\u017ee enzime (tripsin, himotripsin, lipazu i amilazu) odgovorne za razlaganje proteina, masti i ugljenih hidrataiz hrane na sitne molekule, kako bi ih telo\u00a0moglo apsorbovati. Endokrina funkcija\u00a0obuhvata lu\u010denje hormona insulina i glukagona, \u010dije je delovanje antagonisti\u010dko.<\/span>
\n Proizvode ih endokrine \u0107elije grupisane\u00a0u takozvana Langerhansova ostrvca, razbacana po egzokrinom pankreasu,\u00a0najvi\u0161e u njegovom repu. Insulin omogu\u0107ava skladi\u0161tenje \u0161e\u0107era u \u0107elijama, koji se\u00a0koristi kao izvor energije. Kada se pove\u0107a\u00a0koncentracija glukoze (\u0161e\u0107era) u krvi,dolazi do poja\u010dane produkcije insulina i\u00a0sni\u017eavanja nivoa glukoze. Medutim, usled poreme\u0107aja lu\u0107enja insulina ili insulinske\u00a0rezistencije (\u0107elije ne reaguju na delovanje\u00a0insulina), nastaje hiperglikemija, to jest nagomilavanje glukoze u krvi, \u0161to uzrokuje<\/span>
\n dijabetes.<\/span><\/p>\n

Koje vrste raka pankreasa postoje<\/span><\/h4>\n

Rak gu\u0161tera\u010de<\/a> je naj\u010de\u0161\u0107e maligni i mo\u017ee biti\u00a0primarni (poti\u010du iz samog\u00a0pankreasa) ili sekundarni rak pankreasa(kada se tumors drugog organa pro\u0161iri na pankreas).Karcinom pankreasa se naj\u010de\u0161\u0107e razvija u podru\u010dju\u00a0glave (65%), slede oni u predelu tela(30%),\u00a0a najre\u0111e je zahva\u0107en rep pankreasa (5%).<\/span>
\n Egzokrini tumori <\/a>(razvijaju se u \u0107elijama\u00a0koje lu\u010de enzime) daleko su u\u010destaliji (95%),\u00a0a najzastupljeniji je :<\/span><\/p>\n

ADENOKARCINOM PANKREASA<\/strong><\/span><\/h4>\n

U pitanju je tumor\u00a0epitelnog tkiva \u017elezde<\/a>. Ova vrsta zlo\u0107udnog tkiva razvija se u \u0107elijama oko mre\u017ee\u00a0kanala kojima se digestivni sokovi prenosedo glavnog odvodnog kanala pankreasa,odakle se ulivaju u dvanaestopala\u010dno\u00a0crevo. Adenokarcinom pankreasa se\u00a0nalazi na 11. mestu na listi naju\u010destalijih malignih bolesti, a po smrtnosti je\u00a0na petom mestu.<\/span><\/p>\n

Endokrini tumori nazivaju\u00a0se i neuroendokrini i rastu znatno sporije\u00a0od egzokrinih, a mogu biti funkcionalni\u00a0i nefunkcionalni. Prvi lu\u010de hormone koji izazivaju specifi\u010dne klini\u010dke sindrome, dok<\/span>
\n se nefunkcionalni tumori ne manifestuju\u00a0nikakvim tegobama.<\/span><\/p>\n

RAK PANKREASA SIMPTOMI<\/strong><\/span><\/h4>\n

Do ulaska u poodmaklu fazu\u00a0rak pankreasa\u00a0ne\u00a0ispoljava simptome, ili su oni zanemarIjivi. U uznapredovalom stadijumu kod\u00a075% pacijenata dolazi do gubitka telesne\u00a0te\u017eine i sna\u017enih bolova u gornjem delu\u00a0stomaka i le\u0111a, koji se \u0161ire ka lopaticama.\u00a0Njihov intenzitet se pove\u0107ava nakon jela\u00a0ili prilikom le\u017eanja, a popu\u0161ta pri naginjanju unapred. Klini\u010dki\u00a0simptomi raka pankreasa\u00a0jesu i malaksalost, gubitak apetita, mu\u010dnina, povra\u0107anje, dispepsija (nespecifi\u010dne stoma\u010dne tegobe u vidu\u00a0nadutosti, podrigivanja, u\u010destalih gasova),nagli nastanak \u0161e\u0107erne bolesti, anoreksija i\u00a0depresija.<\/span><\/p>\n

Tumori tela<\/a> i repa pankrerasa\u00a0se otkrivaju se kasno, jer izazivaju op\u0161te smetnje\u00a0koje ne ukazuju direktno na oboljenje ovog\u00a0organa.\u00a0Rak glave pankreasa\u00a0mogu\u0107e\u00a0je dijagnostikovati ranije jer se manifestuje\u00a0\u017euticom, hepatomegalijom (uve\u0107anjem\u00a0jetre), bolnom osetljivo\u0161\u0107u abdomena, pove\u0107anom \u017eu\u010dnom kesom, belom ili sivkastom stolicom i tamnom mokra\u0107om. U oko\u00a025% slu\u0107ajeva\u00a0rak pankreasa\u00a0je mogu\u0107e napipati\u00a0pritiskom na stomak.<\/span><\/p>\n

RAK PANKREASA PROGNOZA<\/strong><\/span><\/h4>\n

Tegobe nastaju tek u poodmaklom stadijumu, kada tumor pankreasa nije mogu\u0107e odstraniti hirur\u0161kim putem. Nakon dijagnostikovanja bolesti, vi\u0161e od 95% Ijudi umre u naredne dve godine, jer rak pankreasa brzo metastazira na okolne organe, najpre na jetru i plu\u0107a.<\/span><\/p>\n

Ukoliko se ne primeni terapija, pacijent umire u roku od tri do \u0161est meseci, dok svega 4% le\u010denih pacijenata pre\u017eivi petogodi\u0161nji period. Naj\u010de\u0161\u0107e poga\u0111a starije osobe izme\u0111u 60 i 70 godina,u\u010destaliji je rak gu\u0161tera\u010de kod mu\u0161karaca nego kod \u017eena (mu\u0161karci imaju 30% ve\u0107e \u0161anse da obole), kao i kod pripadnika crne rase u odnosu na belce.<\/span><\/p>\n

RAK PANKREASA UZROCI<\/strong><\/span><\/h4>\n

Rak pankreasa poga\u0111a u proseku jednu od 76 osoba.Glavni faktori rizika jesu starija\u00a0\u017eivotna dob, pu\u0161enje cigareta, ishrana bogata \u00a0zasi\u0107enim mastima i crvenim mesom, a siroma\u0161na vo\u0107em\u00a0i povr\u0107em, gojaznost (osobe \u010diji je indeks\u00a0telesne mase iznad 30 imaju ve\u0107e \u0161anse\u00a0da obole od raka pankreasa), nedostatak\u00a0fizi\u010dke aktivnosti, kao i ranije bolesti kao npr.\u00a0pankreatitis<\/em> \u2013 upala pankreasa<\/em>, dijabetes \u00a0i ciroza jetre<\/a>.<\/span><\/p>\n

Najve\u0107em riziku izlo\u017eene su\u00a0osobe u \u010dijoj su u\u017eoj porodici zabele\u017eeni\u00a0slu\u010dajevi obolelih od raka pankreasa, karcinoma dojke\u00a0i jajnika, polipoze debelog creva, naslednog pankreatitisa i melanoma.<\/span><\/p>\n

RAK GU\u0160TERA\u010cE DIJAGNOZA<\/strong><\/span><\/p>\n

Najpouzdanija metoda uspostavljanja dijagnoze i utvr\u0111ivanja stadijuma karcinoma\u00a0jeste CT (kompjuterska tomografija), koja\u00a0detektuje rak pankreasa u 75% slu\u010dajeva. Ukoliko\u00a0je re\u010d o raku koji je metastazirao ili ga je\u00a0nemogu\u0107e operisati, sprovodi se potko\u017e\u00a0na aspiracija iglom za histolo\u0161ku analizu(uzimanje uzorka tkiva pankreasa provla\u010denjem igle kroz ko\u017eu).<\/span><\/p>\n

Endoskopskim ultrazvukom<\/a> otkrivaju se manji tumori i\u00a0utvr\u0111uje stepen njihove pro\u0161irenosti, \u0161to se posti\u017ee uvo\u0111enjem kroz usta tanke\u00a0fleksibilne cev\u010dice na \u010dijem je kraju kamera.\u00a0Prilikom pregleda potrebno je uzeti uzorak\u00a0tkiva za patohistolo\u0161ku analizu kako bi se\u00a0dijagnoza potvrdila. U 25 do 50% slu\u010dajeva\u00a0prisutna je hiperglikemija (pove\u0107ana koncentracija \u0161e\u0107era u krvi).<\/span><\/p>\n

\"rak<\/a><\/span><\/p>\n

PU\u0160ENJE I RAK PANKREASA<\/strong><\/span><\/h4>\n

Istra\u017eivanja pokazuju da pu\u0161enje uzrokuje izme\u0111u 20 i 30% slu\u010dajeva raka pankreasa. Oni koji pu\u0161e vi\u0161e od kutije cigareta dnevno imaju dva do pet puta ve\u0107 e\u00a0\u0161anse da obole od ovog smrtonosnog oboljenja.S druge strane, hrana oboga\u0107ena niklom, selenom, likopenom i folnom kiselinom\u00a0smanjuje \u0161anse za obolevanje od kancera gu\u0161tera\u010de za 33 do 95%.<\/span><\/p>\n

ISHRANA KOD KARCINOMA PANKREASA<\/strong><\/span><\/h4>\n

Niklom su\u00a0bogate \u0161pargle, pe\u010durke, kru\u0161ke, gra\u0161ak, jezgrasto vo\u0107e(orasi, le\u0161nici) \u00a0\u010dokolada, selenom obiluju brazilski orah, semenke suncokreta, jaja i riba poput tune i sardele, likopena\u00a0najvi\u0161e ima u kajsijama, grejpu, lubenici i paradajzu, a folne kiseline u zelenom<\/span>
\n povr\u0107u.Vi\u0161e pro\u010ditajte u tekstu ishranom protiv raka\u00a0.<\/span><\/p>\n

RAK GU\u0160TERA\u010cE LE\u010cENJE<\/strong><\/span><\/h4>\n

Za lecenje raka pankreasa najdelotvorniji je hirur\u0161ki zahvat, koji mo\u017ee\u00a0biti radikalan i palijativan. Radikalno\u00a0le\u010denje podrazumeva odstranjivanje\u00a0(resekciju) obolelog dela gu\u0161tera\u010de. Vi\u0161e informacija o zahvatima na pankreasu dao je prof.dr.Pavle Milo\u0161evi\u0107 upravnik klinike za abdominalnu,endokrinu i tranplatacionu hirurgiju Klini\u010dkog centra Vojvodine :<\/span><\/p>\n

OPERACIJA\u00a0PANKREASA<\/strong><\/span><\/h4>\n

U slu\u010daju karcinoma glave pankreasa\u00a0na raspolaganju su dve radikalne hirur\u0161ke metode, a to su duodenopan-kreatektomija (uklanjanje pankreasa\u00a0i dvanaestopala\u010dnog creva) i pilorusprezerviraju\u0107a duodenopankreatektomija. Ovi zahvati podrazumevaju\u00a0uklanjanje pankreasa i dela tankog\u00a0creva koji se naziva duodenum\u00a0(dvanaestopala\u010dno crevo), a koji je u\u00a0neposrednom kontaktu sa \u017elezdom.<\/span><\/p>\n

Ukoliko je u pitanju \u00a0maligni tumor tela\u00a0pankreasa,<\/a> mogu\u0107e je uraditi resekciju sredi\u0161njeg dela \u017elezde, dok se u\u00a0slu\u010daju raka repa pankreasa izvodi\u00a0distalna splenopankreatektomija, koja\u00a0podrazumeva odstranjivanje tela pankreasa s resekcijom slezine.<\/span><\/p>\n

Palijativna\u00a0hirurgija se sprovodi kod pacijenata sa\u00a0neresektabilnim karcinomom pankreasa, to jest kada je rak pankreasa u uznapredovaloj fazi. Palijativna\u00a0hirurgija podrazumeva kreiranje anastomoza (spojeva, bajpaseva) izme\u0111u\u00a0\u017eu\u010dnog stabla i creva, s ciljem da se\u00a0pobolj\u0161a kvalitet \u017eivota pacijenata. Uz\u00a0hirur\u0161ku intervenciju primenjuju se\u00a0hemoterapija i radioterapija.<\/span><\/p>\n

OPERACIJA PANKREASA REZULTATI<\/strong><\/span><\/h4>\n

Rezultati\u00a0zavise od stadijuma tumora, a najvi\u0161e\u00a0uspeha posti\u017ee se kada se hirur\u0161ka\u00a0terapija koristi s hemoterapijom i\/ili\u00a0zra\u010denjem.<\/span><\/p>\n

LECENJE PANKREASA LEKOVITIM BILJEM<\/strong><\/span><\/h4>\n

Upala pankreasa \u2013 pankreatitis se mo\u017ee le\u010diti \u00a0i uz pomoo\u0107 lekovitog bilja,dok je rak pankreasa veoma te\u0161ko oboljenje koje se le\u010di uglavnom hirur\u0161ki i to sa veoma malim postotkom izle\u010denja.Slede\u0107e bilje je veoma delotvorno i podsti\u010de proticanje pankreasnog soka: ehinacea,sve\u017e sok od koprive,ljuti\u0107,koren lincure,klekove bobe,koren sladi\u0107a koji poma\u017ee rad \u017elezda<\/a>.Tako\u0111e su delotvorne biljke koje poma\u017eu radu jetre a samim tim i pankreasu to su:\u010di\u010dkov koren,sikavica,crvena detelina i sl..<\/span><\/p>\n

Preporu\u010dujemo da pro\u010ditate slede\u0107e tekstove na na\u0161oj stranici : kako se le\u010di masna jetra,\u00a0budwig dijeta za le\u010denje kancera,\u00a0ishranom protiv raka, alkalna hrana\u00a0i dijeta,\u00a0graviola lek iz prirode,\u00a0zlatna maka\u00a0i najlekovitije biljke sveta \u2026<\/span><\/p>\n

[tags_all_in_one number=“20″ smallest=“12″ largest=“24″ unit=“px“ separator=““ orderby=“name“ order=“asc“ post=“true“]<\/p>\n

Sav sadr\u017eaj na stranici mijidoktori.rs<\/a>\u00a0namenjen je isklju\u010divo op\u0161tem informisanju o zdravlju \u00a0i ne mo\u017ee se tretirati kao zamena za stru\u010dni medicinski savet !<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Rak pankreasa simptomi i\u00a0lecenje\u00a0 Rak pankreasa simptomi \u00a0se naj\u010de\u0161\u0107e otkriju vrlo kasno, te je stopa izle\u010denja u tim slu\u010dajevima veoma niska, tome doprinosi i veoma agresivna priroda ovog kancera. U \u010dak 85 odsto\u00a0slu\u010dajeva rak gu\u0161tera\u010de se ne otkrije na vreme \u00a0a tada su \u0161anse za pre\u017eivljavanje kod pacijenata svega posto.…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[214,212,217,219,53,218,209,208,216,211,215,220,210,213],"class_list":["post-335","post","type-post","status-publish","format-standard","hentry","category-blog","tag-egzokrini-tumori","tag-himotripsin","tag-hiperglikemija","tag-lecenje-raka-pankreasa","tag-pankreas","tag-pusenje-uzrokuje-izmedju-20-i-30-slucajeva-raka-pankreasa","tag-rak-gusterace","tag-rak-pankreasa","tag-rak-pankreasa-uzroci","tag-rep-pankreasa","tag-tumori-tela","tag-upala-pankreasa","tag-velika-zlezda","tag-vrste-raka-pankreasa"],"yoast_head":"\nRak pankreasa - Popusti i kuponi<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.mojidoktori.rs\/blog\/rak-pankreasa\/\" \/>\n<meta property=\"og:locale\" content=\"sr_RS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Rak pankreasa - Popusti i kuponi\" \/>\n<meta property=\"og:description\" content=\"Rak pankreasa simptomi i\u00a0lecenje\u00a0 Rak pankreasa simptomi \u00a0se naj\u010de\u0161\u0107e otkriju vrlo kasno, te je stopa izle\u010denja u tim slu\u010dajevima veoma niska, tome doprinosi i veoma agresivna priroda ovog kancera. 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