{"id":1059,"date":"2023-02-25T14:00:28","date_gmt":"2023-02-25T13:00:28","guid":{"rendered":"https:\/\/www.extrapopusti.rs\/Blog\/?p=1059"},"modified":"2023-02-25T14:00:29","modified_gmt":"2023-02-25T13:00:29","slug":"rak-pankreasa","status":"publish","type":"post","link":"https:\/\/www.extrapopusti.rs\/Blog\/rak-pankreasa\/","title":{"rendered":"Rak pankreasa"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Uprkos napretku u le\u010denju raka, rak pankreasa i dalje ima lo\u0161u prognozu i jednu od najni\u017eih stopa pre\u017eivljavanja od svih karcinoma.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Vhipple operacija, koja se tako\u0111e naziva pankreatoduodenalna resekcija, je hirur\u0161ki tretman za rak pankreasa. Tokom zahvata, hirurg uklanja glavu pankreasa i druge delove digestivnog trakta kako bi le\u010dio rak ili produ\u017eio \u017eivot.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Uprkos velikom riziku od komplikacija, Vhipple operacija mo\u017ee biti spasonosna. U ovom \u010dlanku \u0107emo vam re\u0107i sve \u0161to treba da znate o ovoj slo\u017eenoj operaciji.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0160ta je Vhipple procedura?<br>Vhipple hirurgija je opse\u017ena operacija nazvana po dr. Allen Vhipple, hirurg koji je izveo prvu modernizovanu verziju 1940. Ovo je naj\u010de\u0161\u0107a operacija koja se koristi za uklanjanje raka pankreasa.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Vhipple hirurgija ima dve varijante: klasi\u010dnu Vhipple hirurgiju i pankreatoduodenalnu resekciju koja \u0161tedi pilorus (PSD). U klasi\u010dnom postupku, deo \u017eeluca se uklanja. U PSD-u je stomak o\u010duvan.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Oba postupka uklju\u010duju uklanjanje:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">glava pankreasa<br>duodenum, deo tankog creva<br>zajedni\u010dki \u017eu\u010dni kanal<br>\u017eu\u010dna kesa<br>Nakon uklanjanja ovih organa, preostali delovi digestivnog trakta se ponovo vezuju.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Za \u0161ta je Vhipple procedura?<br>Vhipple procedura se naj\u010de\u0161\u0107e koristi za le\u010denje raka glave pankreasa koji se smatra operabilnim ili skoro operabilnim. Resektabilan zna\u010di da se mo\u017ee hirur\u0161ki ukloniti, dok grani\u010dni resektabilan zna\u010di da se tumor mo\u017ee ukloniti, ali postoji rizik da ne\u0107e biti uklonjene sve \u0107elije raka.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Manje \u010desto, Vhipple procedura se koristi za le\u010denje:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">hroni\u010dni pankreatitis<br>te\u0161ke povrede pankreasa<br>karcinom duodenuma<br>\u0160ta je rak pankreasa?<br>Rak pankreasa je rak pankreasa, organa koji proizvodi hormon insulin i digestivne enzime. Te\u0161ko se le\u010di jer je \u010desto neizle\u010div i ne otkriva se dok se ne pro\u0161iri na druga tkiva. Ima jednu od najgorih prognoza od svih karcinoma, sa petogodi\u0161njom stopom pre\u017eivljavanja od oko 12 odsto.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Naj\u010de\u0161\u0107i tip raka pankreasa je adenokarcinom, koji po\u010dinje u \u0107elijama koje proizvode digestivne enzime zvane egzokrine \u0107elije.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">simptomi<br>Do trenutka kada rak pankreasa izazove znake ili simptome, obi\u010dno je postao veoma veliki ili se pro\u0161irio izvan pankreasa. Prema Ameri\u010dkom dru\u0161tvu za rak (ACS), znaci i simptomi raka pankreasa mogu uklju\u010divati:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u017eutica<br>bol u stomaku ili le\u0111ima<br>gubitak te\u017eine ili lo\u0161 apetit<br>mu\u010dnina i povra\u0107anje<br>Pove\u0107anje \u017eu\u010dne kese ili jetre<br>krvni ugru\u0161ak<br>dijabetesa<br>Za \u0161ta je Vhipple procedura?<br>Svrha Vhipple procedure je izle\u010denje raka ili produ\u017eenje pre\u017eivljavanja. Va\u0161 hirurg mo\u017ee ostaviti dovoljno va\u0161eg pankreasa da sa\u010duva probavne enzime i proizvodnju insulina.<\/p>\n\n\n\n<h6 class=\"wp-block-heading\"><strong>Kako se postavlja dijagnoza?<\/strong><\/h6>\n\n\n\n<p class=\"wp-block-paragraph\">Ultrazvu\u010dni pregled abdomena i multidetektorska kompjuterizovana tomografija (MDCT) su neinvazivne dijagnosti\u010dke procedure koje se koriste u inicijalnoj fazi ispitivanja. Odre\u0111ivanje vrednosti tumorskih markera je nezaobilazna u dijagnostici, dok se pregled magnetnom rezonancijom (MR) i endoskopska ultrasonografija primenjuje kod dijagnosti\u010dkih dilema. Endoskopska retrogradna holangiopankreatografija (ERCP) je invazivna procedura \u010dije su prednosti jasan pregled bilijarnog (\u017eu\u010dnog) i pankreasnog kanalikularnog sistema, mogu\u0107nost uzimanja uzoraka i plasiranja stenta.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nakon sprovedenih dijagnosti\u010dkih procedura donosi se odluka o vrsti hirur\u0161kog le\u010denja, odnosno da li je pacijent kandidat za palijativnu ili radikalnu hirur\u0161ku proceduru.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Palijativne procedure mogu biti operativne, kao i endoskopske i perkutane intervencije za bilijarnu i duodenalnu opstrukciju i uklanjanje bola.<\/p>\n\n\n\n<h6 class=\"wp-block-heading\"><strong>Naj\u010de\u0161\u0107i razlozi za hirur\u0161ke intervencije na pankreasu:<\/strong><\/h6>\n\n\n\n<ul class=\"wp-block-list\">\n<li>akutna upala pankreasa (akutni pankreatitis)<\/li>\n\n\n\n<li>hroni\u010dna upala pankreasa (hroni\u010dni pankreatitis)<\/li>\n\n\n\n<li>cisti\u010dne promene pankreasa (pseudociste, serozni, mukozni cistadenom, IPMN itd).<\/li>\n\n\n\n<li>tumori pankreasa (adenokarcinom i neuroendokrini tumor)<\/li>\n<\/ul>\n\n\n\n<h6 class=\"wp-block-heading\"><strong>Faktori rizika za stvaranje tumora pankreasa<\/strong><\/h6>\n\n\n\n<p class=\"wp-block-paragraph\">Faktori rizika za stvaranje raka pankreasa su: dijetetski, nasledni, pu\u0161enje, konzumiranje alkohola, gojaznost, nedovoljna fizi\u010dka aktivnost. Pove\u0107anje infekcije Helicobacter pilori doprinosi stvaranju raka pankreasa. Mutaciju onkogena K ras i p-53 imala je ve\u0107ina pacijenata (70-90%) koji su imali rak pankreasa. Tumori pankreasa naj\u010de\u0161\u0107e su lokalizovani u glavi i telu, a retko u repu ovog organa.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Uprkos napretku u le\u010denju raka, rak pankreasa i dalje ima lo\u0161u prognozu i jednu od najni\u017eih stopa pre\u017eivljavanja od svih karcinoma. Vhipple operacija, koja se tako\u0111e naziva pankreatoduodenalna resekcija, je hirur\u0161ki tretman za rak pankreasa. Tokom zahvata, hirurg uklanja glavu&hellip;<\/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":[1423,1426,1425,1427,1424],"class_list":["post-1059","post","type-post","status-publish","format-standard","hentry","category-extrapopusti","tag-glave-pankreasa","tag-hronicni-pankreatitis","tag-rak-pankreasa","tag-whipple-operacija","tag-zucne-kese"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Rak pankreasa | Popusti<\/title>\n<meta name=\"description\" content=\"Vhipple operacija, koja se tako\u0111e naziva pankreatoduodenalna resekcija, je hirur\u0161ki tretman za rak pankreasa.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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