Kwizigaba zokuqala kunzima ukufumana malunga naluphi na uhlamba olubi, kuba alubonakali lude lufike kufane nobukhulu obukhulu okanye luvimbela i-metastasis kumathishini angomakhelwane. Enye yezona zinto zinzima kakhulu ukuxilongwa ngokwahlukileyo ngumhlaza wesibili - iimpawu zokuqala azibonakali zingabonakali kwiimpawu ze-pancreas, ezinye iindawo zamathumbu kunye nezidakamizwa eziqhelekileyo. Ukongezelela, olu hlobo lomhlaza alunqabile luseprayimari, luvame ukukhula ngenxa yokuhluma kwezidumbu zamalungu asondeleyo.
Izibonakaliso zomhlaza wesibeleko ngexesha lokuqala
I-neoplasm engalungile ikhula ngokukhawuleza kwaye ingabonakali iminyaka emininzi nangamawaka eminyaka. Kwiimeko ezinqabileyo, izigulane ziqwalasela ukukhawuleza kwenyameko , i-nasusea elula, utshintsho kwisifiso. Kodwa, njengommiselo, le miqondiso ayihambelani nomhlaza womhlaza we-duodenal, kubangelwa ukuba kunobungozi obuncitshisiweyo kwindlela yokutya, umzekelo, isifo se-gastritis okanye i-colitis, i-peptic ulcer.
Kwixesha elizayo, iimpawu ezilandelayo zomhlaza:
- ukuqhuma ;
- i-anorexia;
- buthathaka;
- i-malaise;
- ukunyuka kwexabiso.
Njengoko ubona, naluphi na ukubonakaliswa kwintsholongwane yokuqala yelolu hlobo lwesifo esiqhekezayo kunezinye ezininzi izifo zesigca esiswini.
Impawu zokuqala zomhlaza wesibili
Iimpawu zentsholongwane enokuqwalaselwa ziimpawu ezintathu:
- Isifo sesifo. Ngenxa yokukhula kwe-tumor, izimpande zentsholongwane ziyacinywa. Ngenxa yoko, intlungu e-epigastrium kunye ne-hypochondrium efanelekileyo ivakalelwa, irradiant in the back back and back.
- Jaundice. Inkqubo yokuguqula umzimba iyenzeka ngenxa yokukhutshwa kwe-bile duct. Ukongezelela ekutshintsheni umthunzi wesikhumba, iifesi ziya kukhanya, kwaye umchamo ubumnyama.
- Ukutshiza kwesikhumba. Uphawu luyabonwa ngokukhawuleza emva kokuqala kwe-jaundice. Iyakuchukunyiswa ngenyuka kwi-concentration ye-bilirubin egazini, kunye nokucaphukisa i-receptors yesikhumba nge-bile acid.