Sɛ wo duruyɛfo ka kyerɛ wo anaa obi a ɔbɛn wo sɛ ɛsɛ sɛ woyɛ Whipple Procedure a, ɛyɛ ade a ɛfata sɛ wobɛte ehu ne ehu nka kakra nka. Eyi yɛ oprehyɛn kɛse a ɛyɛ den. Nanso ɛyɛ ano aduru a eye sen biara ne anidaso kɛse ma nyarewa a emu yɛ den pii te sɛ dwensɔtwaa mu kokoram. Enti ɛnnɛ, momma yɛnka eyi ho asɛm tiawa koraa, sɛnea ɛbɛyɛ a wo nsɛmmisa nyinaa mu bɛda hɔ.
Dɛn ne Whipple Adeyɛ no?
Sɛ yɛbɛka no tiawa a, Whipple adeyɛ yɛ oprehyɛn a wɔyɛ de yi kokoram akisikuru bi a ɛwɔ wo dwensɔtwaa ti a ɛwɔ nifa so no fi hɔ. Nea enti a ɛyɛ den kakra ne sɛ ɛnyɛ sɛ eyi akwaa biako pɛ.
Susuw ho hwɛ, yɛn aduan mu nneɛma yɛ akwaa ahorow a wɔaboaboa ano a ɛbom yɛ adwuma. Sɛ ɔhaw bi wɔ ɔfã biako mu a, ɛka afã afoforo a ɛka ho no. Saa ara na sɛ kokoram ba dwensɔtwaa no ti a, ɛsɛ sɛ woyi akwaa a ɛbɛn no paa no bi fi hɔ.
Afã atitiriw a woyi fi hɔ bere a wɔreyɛ oprehyɛn yi ne:
- Ti a ɛwɔ dwensɔtwaa no mu
- Wo dwensɔtwaa ketewa no fã a edi kan, duodenum
- Bile duct no fã bi
- Gallbladder a edi mũ
Afei, oduruyɛfo a ɔyɛ oprehyɛn no fa dwensɔtwaa, bile duct, ne yafunu a aka no na ɔsan de bata dwensɔtwaa ketewa no fã a aka no ho. Te sɛ bere a wɔresi kwan no, woyi abɔntenban dedaw bi na wɔde foforo hyɛ mu de san ka akwan no bom. Saa nkitahodi a ɛsan ba yi ma aduan a wudi no fa wo aduan mu a biribiara nsiw wo kwan.
Edin foforo a nnuruyɛfo de di dwuma ma oprehyɛn yi ne `pancreaticoduodenectomy.` Ɛyɛ asɛmfua a ɛyɛ den kakra, ɛno nti na yɛn nyinaa frɛ no `Whipple procedure.`
Tebea ahorow bɛn na wɔyɛ oprehyɛn yi ma?
Kokoram a ɛwɔ dwensɔtwaa mu ne ade titiriw a ɛma wɔyɛ oprehyɛn yi. Nanso, wɔde oprehyɛn yi nso di dwuma sɛ tebea afoforo pii ayaresa. Momma yɛnhwɛ nea wɔyɛ.
| Tebea | Nkyerɛkyerɛmu tiawa bi |
|---|---|
| Pancreatic Kokoram | Ade titiriw nti a wɔyɛ oprehyɛn yi ne sɛ wobesiw kokoram no kwan sɛ ɛrentrɛw (nkɔ mmeae afoforo) nkɔ akwaa afoforo mu. |
| Pancreatic Cysts a Ɛyɛ Fɛ | Sɛnea ɛbɛyɛ a wobeyi akisikuru a ɛnyɛ kokoram nanso ebia ɛbɛyɛ kokoram daakye no afi hɔ. |
| Pancreatitis a ɛyɛ yare | Sɛnea ɛbɛyɛ a wobeyi afã horow a asɛe wɔ dwensɔtwaa mu yare a emu yɛ den na ɛtra hɔ kyɛ mu. |
| Kokoram a Ɛwɔ Dwotwaa Mu | Wɔ kokoram a ɛwɔ dwensɔtwaa ketewaa no fã a edi kan (duodenum) ho. |
| Bile Duct Kokoram | Wɔ kokoram ahorow a ɛba wɔ bile duct no ase fam no ho. |
| Kokoram ne akisikuru ahorow afoforo | Wɔ kokoram ahorow pɔtee afoforo te sɛ Ampullary Cancer ne Pancreatic Neuroendocrine Tumors ho. |
| Dɛmdie | Bere a dwensɔtwaa anaa dwensɔtwaa ketewaa no asɛe wɔ akwanhyia a emu yɛ den mu. |
Nea ɛho hia ne sɛ wɔyɛ oprehyɛn yi wɔ ayarefo a wɔn kokoram nnya ntrɛwee nkutoo so. Sɛ kokoram no akɔ akwaa afoforo te sɛ mmerɛbo mu a, mfaso remma oprehyɛn yi so.
Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ansa na wɔayɛ me oprehyɛn?
Ahosiesie kakra wɔ hɔ ansa na wɔayɛ oprehyɛn kɛse te sɛ eyi. Wo duruyɛfo bɛkyerɛkyerɛ eyinom nyinaa mu akyerɛ wo, nanso eyinom ne nneɛma a wɔbɛtaa aka akyerɛ wo sɛ yɛ:
- Kokoram ayaresa: Sɛ wowɔ kokoram a, ebia wɔbɛma wo nnuru mpɛn pii ansa na wɔayɛ wo oprehyɛn.
- Mmuadadi: Ɛsɛ sɛ wotwe wo ho fi adidi anaa anonne ho koraa bɛyɛ nnɔnhwerew 8 ansa na wɔayɛ oprehyɛn no.
- Sigaretnom: Sɛ woyɛ obi a ɔnom sigaret a, eye paa ma wo koma ne w’ahurututu akwahosan sɛ anyɛ yiye koraa no wubegyae sigaretnom adapɛn abien ansa na wɔayɛ wo oprehyɛn.Eyi brɛ nsɛnnennen a ɛba wɔ oprehyɛn akyi no ase kɛse.
- Nnuru a Wobɛgyae: Wo duruyɛfoɔ bɛtu wo fo sɛ gyae nnuru bi (titiriw nnuru a ɛma mogya tu) nom nna kakraa bi ansa na wɔayɛ wo oprehyɛn.
- Nnuru afoforo: Sɛ worenom nhabannuru anaa nhabannuru biara a, ebia ebehia sɛ wugyae nom dapɛn biako anaa abien ansa na wɔayɛ wo oprehyɛn. Ɛsɛ sɛ wogyae nnuru te sɛ Viagra® nso nnɔnhwerew 24 ansa na ɛreba. Nanso, ebia wo duruyɛfo bɛka akyerɛ wo sɛ fa nsu kuruwa biako nnom nnuru bi a wɔde sa mogya mmoroso.
Ɛho hia paa sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.
Momma yensua sɛnea wɔyɛ oprehyɛn no ho ade kakra?
Nea edi kan no, oduruyɛfo a ɔma wo akisikuru no bɛma wo nnuru a wɔde kum wo. Enti wobɛda yiye kosi sɛ oprehyɛn no bɛba awiei.
Afei, oduruyɛfo a ɔyɛ oprehyɛn no fi oprehyɛn no ase denam yafunu no mu ntwitwiridii kɛse (oprehyɛn a wɔabue mu) anaa ntwitwiridii nketenkete pii a ɔde mfoninitwa afiri boa (laparoscopic/robotic oprehyɛn) so.
Bere a wɔreyɛ oprehyɛn no, sɛnea yɛadi kan aka ho asɛm no, woyi dwensɔtwaa ti, duodenum, bile duct no fã, ne gallbladder no nnidiso nnidiso. Afei, wɔsan de akwaa no afã horow a aka no bom ma ɛsan nya aduan mu ntini no.
Adeyɛ no nyinaa betumi agye nnɔnhwerew 5 kosi 8 . Nea enti a ɛte saa ne sɛ eyi yɛ oprehyɛn a ɛyɛ den na ɛyɛ mmerɛw kakra.
Dɛn na ɛba wɔ oprehyɛn no akyi? Bere a ɛma obi ho tɔ no te dɛn?
Esiane sɛ Whipple oprehyɛn yɛ oprehyɛn titiriw nti, egye bere kakra ansa na ne ho atɔ no.
Bere a wote ayaresabea hɔ no:
- Ɛsɛ sɛ wotra ayaresabea hɔ nnafua 5 kosi 7.
- Wɔde nnuru ma de siw ɛyaw no so.
- Aduruyɛ kuw no rehwɛ bere nyinaa sɛ ebia ɔyare mmoawa anaa nsɛnnennen afoforo bi wɔ hɔ anaa.
- Nna kakraa a edi kan no, wɔbɛma wo aduan a ɛyɛ nsu a emu da hɔ nkutoo, na bere a wo tebea no tu mpɔn no, wode nkakrankakra wubefi ase ama wo nnuan a ɛyɛ den.
- Sɛ wobɛsɔre afi mpa so na woanantew ntɛm ara sɛnea wubetumi no ho hia yiye ma ayaresa no. Nanso mmɔ mmɔden sɛ w’ankasa wobɛsɔre, efisɛ wubetumi ahwe ase, enti hwɛ hu sɛ wubenya mmoa afi ɔyarehwɛfo anaa apɔw-mu-teɛteɛ ho ɔyaresafo hɔ.
Mpɛn pii no, sɛ nsɛnnennen biara nni hɔ a, wubetumi asan afi wo dwumadi ahorow a woyɛ daa no ase wɔ adapɛn 4 kosi 6 ntam .
Mfaso ne asiane bɛn na ɛwɔ oprehyɛn yi so?
Te sɛ oprehyɛn kɛse biara no, Whipple oprehyɛn no wɔ mfaso ne asiane ahorow. Ɛho hia sɛ wo ne wo duruyɛfo susuw eyinom ho pefee.
| Mfasoɔ | Asiane & Nsɛnnennen a Ɛba |
|---|---|
| Nkwa a egye: Sɛ wohu dwensɔtwaa mu kokoram ntɛm a, mpɛn pii no oprehyɛn yi nkutoo ne anidaso a ɛbɛma wɔatumi atra ase akyɛ. | Asikreyare: Asikreyare betumi aba bere tiaa bi anaa daa. |
| Kokoram a wɔsa: Wobetumi asa kokoram ahorow bi te sɛ neuroendocrine tumors koraa. | Bowel Leakage: Nsuo a ɛfiri mmeaeɛ a wɔasan abata ho. |
| Asetra pa: Ɛboa ma ɛyaw ne ɔhaw a tebea horow a ɛnyɛ kokoram de ba no fi hɔ na ɛma obi nya asetra pa. | Mogya a Ɛtu ne Nyarewa a Ɛba. |
| Nkwa nna tenten: Sɛ kokoram no atrɛw akɔ ntini a ɛbɛn hɔ mu mpo a, oprehyɛn yi betumi ama nnipa nkwa nna akyɛ mfe pii. | Nnuan bi mu haw ahorow: Ɛyɛ den sɛ wobɛyam nnuan bi na ne mu duru so atew. |
| Akisikuru anaa nsakrae afoforo a ɛba dwensɔtwaa mu. |
Bere bɛn na ɛsɛ sɛ wo ne oduruyɛfo no kasa?
Sɛ wokɔ fie wie a, ɛho hia sɛ wo ne wo oprehyɛn kuw no di nkitaho a wonntwentwɛn wo nan ase sɛ wuhu kɔkɔbɔ sɛnkyerɛnne biara a.
Sɛ wuhu biribi a ɛte sɛɛ a, bɔ wo duruyɛfo amanneɛ ntɛm ara:
- Sɛ wo nhama no ayɛ mmerɛw anaasɛ nea wɔatwa no abue a.
- Sɛ wowɔ atiridiinini a .
- Sɛ baabi a atwa baabi a wɔatwa no ho ahyia no yɛ kɔkɔɔ, ɛho ahonhon, ɛyɛ hyew, anaasɛ nsu a ɛte sɛ akisikuru wɔ mu aSɛ woba a.
- Sɛ ɛyaw a efi nea wɔatwa no mu no reyɛ kɛse a.
- Sɛ wo dwensɔtwaa no nyɛ nea ɛkɔ so daa a.
Nkrasɛm a Wɔde Kɔ Fie
- Whipple adeyɛ no yɛ oprehyɛn kɛse a ɛyɛ den, nanso ɛyɛ anidaso a egye nkwa ma nyarewa a emu yɛ den te sɛ dwensɔtwaa mu kokoram.
- Oprehyɛn yi akyi a obi ho bɛtɔ no gye bere, na ɛho hia yiye sɛ odi aduruyɛ ho akwankyerɛ akyi yiye.
- Ɛwom sɛ asiane ne nsɛnnennen wɔ oprehyɛn no mu de, nanso ɛnnɛ, esiane mfiridwuma mu nkɔso nti, wɔyɛ oprehyɛn yi yiye kɛse.
- Kokoram a ɛwɔ dwensɔtwaa mu yɛ ade a ɛyɛ hu a wohu. Nanso ɛnyɛ wo nko ara. Nya mmoa fi w’adɔfo ne w’aduruyɛfo kuw no hɔ.
- Wo ne wo duruyɛfo nkasa mfa wo suro, w’adwenem naayɛ, ne nsɛmmisa ho pefee. Ɛbɛyɛ ahotɔ kɛse ama wo wɔ adwene mu.
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