Ukudla kwe-Ampullary Carcinoma?

Isingeniso

Ukudla kwe-Ampullary Carcinoma kufanele kube okuqondene nomuntu ngamunye futhi kufanele kuzivumelanise nezimo lapho ukwelashwa komdlavuza noma ukuguquka kofuzo lwesimila. Ukwenza kube ngokwakho nokuzivumelanisa nezimo kufanele kucabangele zonke izithako ezisebenzayo noma ama-bioactives aqukethwe ekudleni okuhlukene maqondana nebhayoloji yezicubu zomdlavuza, izakhi zofuzo, ukwelashwa, izimo zendlela yokuphila kanye nezintandokazi zokudla. Ngakho-ke nakuba ukudla okunomsoco kungenye yezinqumo ezibaluleke kakhulu okufanele zenziwe esigulini somdlavuza nomuntu osengcupheni yomdlavuza - ukukhetha ukudla ozokudla akuwona umsebenzi olula.

I-Ampullary carcinoma, isifo esiyingozi esiyivelakancane esenzeka lapho kuhlangana khona i-bile duct kanye ne-pancreatic duct, ihlukile ekwethulweni nasekubikezelweni kwayo. Ukuhlukaniswa kwe-ICD-10 kwezinsiza ze-ampullary carcinoma ekubikeni okujwayelekile kanye nokulandelelwa kokwelashwa. Izimpawu ze-pathology zalo mdlavuza zibalulekile ekuxilongweni, ngokuvamile zigqamisa izici eziyingqayizivele ze-histological. Isiteji, esinganqunywa nge-radiology, okuhlanganisa ukuskena kwe-CT, kubalulekile ekuhloleni izinga lesimila nokuhlela ukwelashwa, nge-radiology yesiteji edlala indima ebalulekile. Izinga lokusinda kanye nokubikezelwa kwe-ampullary carcinoma kuyahlukahluka, kuye ngokuthi isigaba sokuxilongwa kanye nokusabela ekwelashweni. Izimpawu ezijwayelekile zihlanganisa i-jaundice, ubuhlungu besisu, nokuncipha kwesisindo. Ukwelashwa ngokuvamile kuhilela ukukhishwa kabusha kokuhlinzwa, okungenzeka kulandelwe i-adjuvant chemotherapy, ikakhulukazi ezimeni lapho isimila sesithuthuke kakhulu noma kunobungozi obukhulu bokuphinde buvele. Iphrothokholi yeCAP (College of American Pathologists) inikeza imihlahlandlela yokuhlolwa kokugula kwe-ampullary carcinoma. Ukuqhathanisa ne-cholangiocarcinoma, omunye umdlavuza we-biliary tract, kubalulekile ekuxilongweni okunembile, njengoba indlela yokwelapha kanye ne-prognosis ingahluka kakhulu phakathi kwalezi zimo ezimbili. Sekukonke, ukuphathwa kwe-ampullary carcinoma kudinga indlela ebanzi futhi ehlukahlukene, ehlanganisa amasu okuhlinzwa kanye ne-chemotherapeutic ukuze kuthuthukiswe imiphumela yeziguli.

Ku-Ampullary Carcinoma, ingabe kunendaba ukuthi iyiphi imifino, izithelo, amantongomane, imbewu umuntu ayidlayo?

Umbuzo ovame kakhulu wokudla okunomsoco obuzwa iziguli ezinomdlavuza kanye nabantu abasengozini yokuthola umdlavuza - komdlavuza onjenge-Ampullary Carcinoma ingabe kunendaba ukuthi yikuphi ukudla engikudlayo nokuthi yikuphi engingakudli? Noma uma ngilandela ukudla okusekelwe ezitshalweni ingabe kwanele umdlavuza njenge-Ampullary Carcinoma?

Isibonelo, ingabe kunendaba ukuthi iButterbur yemifino idliwa kakhulu uma iqhathaniswa neSweden? Ingabe kuyawenza umehluko uma isithelo iPummelo sithandwa kuneRed Raspberry? Futhi uma ukukhetha okufanayo kwenziwa kumantongomane/imbewu efana ne-Butternut phezu kwe-European Chestnut kanye nama-pulses afana no-Broad Bean phezu kwe-Soy Bean. Futhi uma lokho engikudlayo kubalulekile - khona-ke umuntu ukuhlonza kanjani ukudla okunconyelwe i-Ampullary Carcinoma futhi ingabe impendulo efanayo yawo wonke umuntu onesimo esifanayo sokuxilonga noma ingozi yofuzo?

Yebo! Ukudla okudlayo kuyindaba ye-Ampullary Carcinoma!

Izincomo zokudla zingase zingafani kuwo wonke umuntu futhi zingahluka ngisho nasekuxilongweni okufanayo nobungozi bofuzo.

Konke ukudla (imifino, izithelo, amantongomane, imbewu, ama-pulses, amafutha njll.) kanye nezithako zokudla okunomsoco kwakhiwa ngaphezu kwesithako samangqamuzana esisebenzayo esingaphezu kwesisodwa noma ama-bio-active ngezilinganiso namanani ahlukene. Isithako ngasinye esisebenzayo sinomshini wokusebenza oyingqayizivele - okungase kube ukuqalisa noma ukuvimbela izindlela ezahlukene ze-biochemical. Kalula nje ukudla nezithako ezinconyiwe yilezo ezingabangeli ukwanda kwamangqamuzana abangela umdlavuza kodwa eziwehlisayo. Uma kungenjalo lokho kudla akufanele kunconywe. Ukudla kuqukethe izithako ezisebenzayo eziningi - ngakho-ke lapho uhlola ukudla nezithako zokudla udinga ukucabangela umthelela wazo zonke izithako ezisebenzayo ngokunqwabelanayo kunokuba ucabange ngazodwana.

Isibonelo i-Pummelo iqukethe izithako ezisebenzayo i-Quercetin, i-Curcumin, i-Phloretin, i-Naringenin, i-Naringin. Futhi okusajingijolo okubomvu kuqukethe izithako ezisebenzayo iQuercetin, Ellagic Acid, Curcumin, Phloretin, Formononetin kanye nezinye okungenzeka.

Iphutha elivamile elenziwa lapho kunqunywa futhi kukhethwa ukudla okuzodliwa kwe-Ampullary Carcinoma - ukuhlola izithako ezisebenzayo ezikhethiwe kuphela eziqukethwe ekudleni futhi ungazinaki ezinye. Ngenxa yokuthi izithako ezihlukahlukene ezisebenzayo eziqukethwe ekudleni zingase zibe nemiphumela ephikisanayo kubashayeli bomdlavuza - awukwazi ukukhetha izithako ezisebenzayo ekudleni nasezithasiselweni ukuze wenze isinqumo sokudla kwe-Ampullary Carcinoma.

YEBO – IZIKHETHO ZOKUDLA ZIBALULEKILE EMHLABENI. IZINQUMO ZOKUDLA KUFANELE ZICABANGE ZONKE IZITHAKO EZISEBENZAYO ZOKUDLA.

Amakhono Ayadingeka Ekwenzeni Ukudla Okungokwakho Kwe-Ampullary Carcinoma?

Ukondleka komuntu siqu komdlavuza njenge-Ampullary Carcinoma kuqukethe ukudla okunconyiwe / izithasiselo; ukudla okunganconyiwe / izithasiselo ezinezibonelo zokupheka ezibeka phambili ukusetshenziswa kokudla okunconyiwe. Isibonelo sokudla komuntu siqu singabonakala kulokhu isixhumanisi.

Ukunquma ukuthi yikuphi ukudla okunconyiwe noma okunganconyiwe kuyinkimbinkimbi kakhulu, kudinga ubuchwepheshe ku-Ampullary Carcinoma biology, isayensi yokudla, izakhi zofuzo, i-biochemistry kanye nokuqonda kahle ukuthi ukwelashwa komdlavuza kusebenza kanjani kanye nokuba sengcupheni okuhlobene nokwelashwa okungayeka ukusebenza ngakho.

UBUCHWEPHESHE OBUNINGI OBUDINGEKA UBUCHWEPHESHE BOMUNTU WOKUDLA KWAMUNTU KOMDLALO YI: IBHYOLOGY YOMDLAVUZA, ISAYENSI YOKUDLA, UKWELASHWA KOMDLAVUZA KANYE NOFUZO.

Izimpawu zomdlavuza njenge-Ampullary Carcinoma

Yonke imidlavuza efana ne-Ampullary Carcinoma ingabonakala ngesethi eyingqayizivele yezindlela ze-biochemical - izindlela zokusayina ze-Ampullary Carcinoma. Izindlela ze-Biochemical ezifana ne-Nucleotide metabolism, i-Amino Acid Metabolism, i-PI3K-AKT-MTOR Signaling, i-MAPK Signaling iyingxenye yencazelo yesiginesha ye-Ampullary Carcinoma. Izakhi zofuzo zomdlavuza womuntu ngamunye zingahluka futhi yingakho isiginesha yabo ethile yomdlavuza ingase ihluke.

Izindlela zokwelapha ezisebenza ngempumelelo ku-Ampullary Carcinoma zidinga ukuqaphela izindlela ezihambisana namakhemikhali we-biochemical esigulini ngasinye somdlavuza kanye nomuntu osengozini yofuzo. Ngakho-ke ukwelashwa okuhlukene okunezindlela ezahlukene zezenzo kusebenza kahle ezigulini ezahlukene. Ngokufanayo futhi ngenxa yezizathu ezifanayo ukudla nezithasiselo kudingeka kube okomuntu siqu kumuntu ngamunye. Ngakho-ke okunye ukudla nezithako ezingeziwe kuyanconywa nge-Ampullary Carcinoma lapho uthatha ukwelashwa komdlavuza i-Gemcitabine, futhi okunye ukudla nezithasiselo akunconywa.

Imithombo efana cBioPortal kanye nezinye eziningi zinikeza idatha emele isiguli engaziwa evela ezivivinyweni zomtholampilo kuzo zonke izinkomba zomdlavuza. Le datha iqukethe imininingwane yocwaningo lomtholampilo efana nosayizi wesampula / inombolo yeziguli, amaqembu obudala, ubulili, ubuzwe, ukwelashwa, indawo yesimila nanoma yikuphi ukuguqulwa kofuzo.

I-TP53, KRAS, APC, SMAD4 kanye ne-PIK3CA yizakhi zofuzo ezikleliswe phezulu ze-Ampullary Carcinoma. I-TP53 ibikwa ku-56.2 % weziguli ezimele kuzo zonke izivivinyo zomtholampilo. Futhi i-KRAS ibikwa ku-48.9%. Idatha ehlanganisiwe yesiguli ihlanganisa iminyaka yobudala esuka ku-32 kuya ku-87. Amaphesenti angu-62.3 emininingwane yesiguli ahlonzwa njengabesilisa. I-Ampullary Carcinoma biology kanye nezakhi zofuzo ezibikiwe ndawonye zichaza inani labantu elimele ukusayina izindlela ze-biochemical zalo mdlavuza. Uma izakhi zofuzo zesimila somdlavuza ngamunye noma izakhi zofuzo ezifaka engcupheni nazo zaziwa lokho kufanele futhi kusetshenziselwe ukwenza kube ngokwakho ukudla okunomsoco.

IZIKHETHO ZOKUDLA KOKUDLA KUFANELE ZIHVANE NESIGINISHA YOMUNTU NGAMUNYE YOMDLAVUZA.

Ukudla Nezithako ze-Ampullary Carcinoma

Kweziguli Zomdlavuza

Iziguli zomdlavuza ekwelapheni noma ekunakekelweni okudambisa umzimba zidinga ukwenza izinqumo ngokudla nezithako ezisizayo - zama-kilojoule okudla adingekayo, zokulawula noma yimiphi imiphumela emibi yokwelashwa kanye nokuphathwa komdlavuza okuthuthukisiwe. Konke ukudla okusekelwe ezitshalweni akulingani futhi ukukhetha nokubeka phambili ukudla okuqondene nomuntu siqu futhi okwenziwe ngokwezifiso ekwelashweni komdlavuza okuqhubekayo kubalulekile futhi kuyinkimbinkimbi. Nazi izibonelo ezinikeza imihlahlandlela yokwenza izinqumo zokudla okunomsoco.

Khetha Vegetable GIANT BUTTERBUR noma SWEDE?

I-Vegetable Giant Butterbur iqukethe izithako eziningi ezisebenzayo noma ama-bioactives afana ne-Curcumin, i-Myricetin, i-Phloretin, i-Formononetin, i-Lycopene. Lezi zithako ezisebenzayo zilawula izindlela ezahlukahlukene ze-biochemical njenge-Metastasis, i-PI3K-AKT-MTOR Signaling, i-NFKB Signaling kanye ne-Epithelial to Mesenchymal Transition nezinye. I-Giant Butterbur inconywa nge-Ampullary Carcinoma lapho ukwelashwa komdlavuza okuqhubekayo kuyi-Gemcitabine. Lokhu kungenxa yokuthi i-Giant Butterbur ilungisa lezo zindlela ze-biochemical eziye zabikwa ngokwesayensi ukuze ziqwashise umthelela we-Gemcitabine.

Ezinye zezithako ezisebenzayo noma ama-bioactives emifino yaseSweden yi-Curcumin, i-Phloretin, i-Formononetin, i-Lupeol, i-Caffeic Acid. Lezi zithako ezisebenzayo zilawula izindlela ezahlukahlukene ze-biochemical ezifana ne-Oxidative Stress, TGFB Signaling kanye ne-Endoplasmic Reticulum Stress nezinye. I-Swede ayinconyelwe i-Ampullary Carcinoma lapho ukwelashwa komdlavuza okuqhubekayo kuyi-Gemcitabine ngoba ilungisa lezo zindlela zamakhemikhali ezinto eziphilayo ezenza ukwelashwa komdlavuza kungazweli noma kungasabeli kahle.

IBUTTERBUR ENKULU YEZINJINI INCONYISWA NGAPHEZU KWESWEDE NGE-Ampullary Carcinoma KANYE NOKWELASHWA I-Gemcitabine.

Khetha Isithelo RED RASPBERRY noma i-PUMMELO?

I-Fruit Red Raspberry iqukethe izithako eziningi ezisebenzayo noma ama-bioactives afana ne-Quercetin, i-Ellagic Acid, i-Curcumin, i-Phloretin, i-Formononetin. Lezi zithako ezisebenzayo zikhohlisa izindlela ezahlukahlukene ze-biochemical njenge-Metastasis, i-PI3K-AKT-MTOR Signaling, i-NFKB Signaling kanye ne-Epithelial to Mesenchymal Transition nezinye. I-Red Raspberry inconywa nge-Ampullary Carcinoma lapho ukwelashwa komdlavuza okuqhubekayo kuyi-Gemcitabine. Lokhu kungenxa yokuthi i-Red Raspberry iguqula lezo zindlela ze-biochemical eziye zabikwa ngokwesayensi ukuze ziqwashise umthelela we-Gemcitabine.

Ezinye zezithako ezisebenzayo noma ama-bioactives esithelweni i-Pummelo yi-Quercetin, i-Curcumin, i-Phloretin, i-Naringenin, i-Naringin. Lezi zithako ezisebenzayo zilawula izindlela ezahlukahlukene ze-biochemical ezifana ne-Oxidative Stress kanye ne-Endoplasmic Reticulum Stress nezinye. I-Pummelo ayinconyelwe i-Ampullary Carcinoma uma ukwelashwa komdlavuza okuqhubekayo kuyi-Gemcitabine ngoba ilungisa lezo zindlela zamakhemikhali ezinto eziphilayo ezenza ukwelashwa komdlavuza kungazweli noma kungasabeli kahle.

I-RASPBERRY YESITHELO EBOMVU INCONYISWA NGAPHEZU KWE-PUMMELO YE-Ampullary Carcinoma KANYE NOKWELASHWA I-Gemcitabine.

Khetha Nut BUTTERNUT noma EUROPEAN CHESTNUT?

I-Butternut iqukethe izithako eziningi ezisebenzayo noma ama-bioactives afana ne-Curcumin, i-Myricetin, i-Phloretin, i-Formononetin, i-Lycopene. Lezi zithako ezisebenzayo zilawula izindlela ezahlukahlukene ze-biochemical ezifana ne-Metastasis, i-NFKB Signaling, Cell Cycle kanye ne-Epithelial to Mesenchymal Transition nezinye. I-Butternut inconywa nge-Ampullary Carcinoma lapho ukwelashwa komdlavuza okuqhubekayo kuyi-Gemcitabine. Lokhu kungenxa yokuthi i-Butternut ilungisa lezo zindlela zamakhemikhali ezinto eziphilayo ezibikwe ngokwesayensi ukuze ziqwashise umthelela we-Gemcitabine.

Ezinye zezithako ezisebenzayo noma ama-bioactives ku-Chestnut yaseYurophu yi-Quercetin, i-Ellagic Acid, i-Curcumin, i-Myricetin, i-Phloretin. Lezi zithako ezisebenzayo zilawula izindlela ezahlukahlukene ze-biochemical ezifana ne-Oxidative Stress kanye ne-TGFB Signaling nezinye. I-Chestnut yase-Europe ayinconyelwe i-Ampullary Carcinoma uma ukwelashwa komdlavuza okuqhubekayo kuyi-Gemcitabine ngoba ilungisa lezo zindlela zamakhemikhali ezinto eziphilayo ezenza ukwelashwa komdlavuza kungazweli noma kungasabeli kahle.

IBUTTERNUT INCONYISWA NGAPHEZU KWE-CHESTNUT YAseYurophu NGE-Ampullary Carcinoma KANYE NOKWELASHWA I-Gemcitabine.

Kubantu abaneGenetic Risk of Cancer

Umbuzo obuzwa abantu abanengozi yofuzo ye-Ampullary Carcinoma noma umlando womndeni uthi "Yini Okufanele Ngiyidle Ngokuhlukile Kunangaphambili?" nokuthi kufanele bakukhethe kanjani ukudla kanye nezithako ukuze balawule ubungozi besifo. Njengoba engcupheni yomdlavuza akukho okungenziwa mayelana nokwelashwa - izinqumo zokudla nezithako zibalulekile futhi kube ngenye yezinto ezimbalwa kakhulu ezingenziwa. Konke ukudla okusekelwe ezitshalweni akulingani futhi kusekelwe kufuzo oluhlonziwe kanye nesiginesha yendlela - ukukhetha kokudla kanye nezithako kufanele kube okomuntu siqu.

Khetha Vegetable WILD LEEK noma TURNIP?

I-Vegetable Wild Leek iqukethe izithako eziningi ezisebenzayo noma ama-bioactives afana ne-Curcumin, i-Apigenin, i-Lupeol, i-Daidzein, i-Formononetin. Lezi zithako ezisebenzayo zilawula izindlela ezahlukahlukene ze-biochemical ezifana ne-TGFB Signaling, Oxidative Stress, Cell Cycle kanye ne-PI3K-AKT-MTOR Signaling nezinye. I-Wild Leek inconywa ngengozi ye-Ampullary Carcinoma lapho ubungozi bofuzo obuhlobene kuyi-APC. Lokhu kungenxa yokuthi i-Wild Leek inyusa lezo zindlela ze-biochemical eziphikisana nezishayeli zesiginesha zayo.

Ezinye zezithako ezisebenzayo noma ama-bioactives ku-turnip yemifino yi-Ellagic Acid, i-Curcumin, i-Quercetin, i-Lupeol, i-Daidzein. Lezi zithako ezisebenzayo zilawula izindlela ezahlukahlukene ze-biochemical ezifana ne-Oxidative Stress nezinye. Itheniphu ayinconywa uma ingozi ye-Ampullary Carcinoma uma ingozi yofuzo ehambisana nayo kuyi-APC ngoba yandisa izindlela zayo zokusayina.

I-LEEK YASEMHLABENI YEMVIDO INCONYISWA PHEZU KWE-JINIKA YE-APC GENETIC RISK YOMKHANZA.

Khetha Isithelo NANCE noma JUJUBE?

I-Fruit Nance iqukethe izithako eziningi ezisebenzayo noma ama-bioactives afana ne-Curcumin, i-Apigenin, i-Myricetin, i-Lupeol, i-Daidzein. Lezi zithako ezisebenzayo zilawula izindlela ezahlukahlukene ze-biochemical ezifana ne-TGFB Signaling, i-RAS-RAF Signaling, Cell Cycle kanye ne-PI3K-AKT-MTOR Signaling nezinye. I-Nance inconywa ngengozi ye-Ampullary Carcinoma lapho ubungozi bofuzo obuhambisanayo kuyi-APC. Lokhu kungenxa yokuthi i-Nance inyusa lezo zindlela ze-biochemical eziphikisana nabashayeli bamasignesha bayo.

Ezinye zezithako ezisebenzayo noma ama-bioactives esithelweni seJujube yiCurcumin, Quercetin, Apigenin, Myricetin, Lupeol. Lezi zithako ezisebenzayo zilawula izindlela ezahlukahlukene ze-biochemical ezifana ne-Oxidative Stress, Angiogenesis kanye ne-PI3K-AKT-MTOR Signaling nezinye. I-Jujube ayinconywa uma ingozi ye-Ampullary Carcinoma uma ingozi yofuzo ehlotshaniswa nayo kuyi-APC ngoba yandisa izindlela zayo zokusayina.

I-FRUIT NANCE INCONYISWA NGAPHEZU KWEJUJUBE NGE-APC GENETIC RISK YOMKHANZA.

Khetha Nut COMMON HAZELNUT noma CHESTNUT?

I-Hazelnut evamile iqukethe izithako eziningi ezisebenzayo noma ama-bioactives afana ne-Curcumin, i-Quercetin, i-Myricetin, i-Lupeol, i-Daidzein. Lezi zithako ezisebenzayo zilawula izindlela ezahlukahlukene ze-biochemical ezifana ne-Angiogenesis, i-RAS-RAF Signaling, Cell Cycle kanye ne-PI3K-AKT-MTOR Signaling nezinye. I-Hazelnut evamile inconywa engozini ye-Ampullary Carcinoma lapho ingozi yofuzo ehlotshaniswa nayo i-APC. Lokhu kungenxa yokuthi i-Common Hazelnut inyusa lezo zindlela ze-biochemical eziphikisana nezishayeli zesiginesha zayo.

Ezinye zezithako ezisebenzayo noma ama-bioactive ku-Chestnut yi-Ellagic Acid, i-Curcumin, i-Apigenin, i-Myricetin, i-Lupeol. Lezi zithako ezisebenzayo zilawula izindlela ezahlukahlukene ze-biochemical ezifana ne-Oxidative Stress, Stem Cell Signaling kanye ne-TGFB Signaling nezinye. I-Chestnut ayinconywa uma ingozi ye-Ampullary Carcinoma uma ingozi yofuzo ehlotshaniswa nayo kuyi-APC ngoba inyusa izindlela zayo zokusayina.

I-HAZELNUT EJWAYELEKILE INCONYISWA NGAPHEZU KWE-CHESTNUT YE-APC GENETIC RISK OF CANCER.

Ekuphetheni

Ukudla kanye Nezithako ezikhethiwe yizinqumo ezibalulekile zomdlavuza njenge-Ampullary Carcinoma. Iziguli ze-Ampullary Carcinoma kanye nabantu abasengozini yofuzo bahlala benalo mbuzo: “Yikuphi ukudla nezithasiselo zokudla okunempilo engikunconyelwe futhi okungenjalo?” Kunenkolelo evamile okuwumbono oyiphutha wokuthi konke ukudla okusekelwe ezitshalweni kungaba yinzuzo noma cha kodwa ngeke kube yingozi. Ukudla okuthile kanye nezithako zokudla kungaphazamisa ukwelashwa komdlavuza noma kukhuthaze abashayeli bendlela yamangqamuzana omdlavuza.

Kunezinhlobo ezahlukene zezinkomba zomdlavuza ezifana ne-Ampullary Carcinoma, ngayinye inezakhi zofuzo zesimila esinokwehlukahlukana kofuzo kumuntu ngamunye. Ngaphezu kwalokho konke ukwelashwa komdlavuza kanye ne-chemotherapy kunendlela ehlukile yokusebenza. Ukudla ngakunye okufana ne-Giant Butterbur kuqukethe ama-bioactives ahlukahlukene ngamanani ahlukene, anomthelela kumasethi ahlukene nahlukile wezindlela ze-biochemical. Incazelo yokondleka komuntu siqu izincomo zokudla komuntu ngamunye zezinkomba zomdlavuza, ukwelashwa, izakhi zofuzo, indlela yokuphila nezinye izici. Izinqumo zokudla okunomsoco zomdlavuza zidinga ulwazi lwebhayoloji yomdlavuza, isayensi yokudla kanye nokuqonda izindlela zokwelapha ezihlukene ze-chemotherapy. Ekugcineni uma kukhona izinguquko zokwelashwa noma ukuhlonzwa kwe-genomics entsha - ukwenza kube ngokwakho ukudla okunomsoco kudinga ukuhlolwa kabusha.

Isixazululo somuntu siqu somsoco we-addon senza ukwenza izinqumo kube lula futhi sisuse konke ukuqagela ekuphenduleni umbuzo, "Yikuphi ukudla okufanele ngikukhethe noma ngingakukhetheli i-Ampullary Carcinoma?". Ithimba le-addon elixube izigwegwe eziningi lihlanganisa odokotela bomdlavuza, ososayensi bezokwelapha, onjiniyela bezinhlelo zokusebenza nososayensi bedatha.

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