I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻōkana koʻikoʻi loa i loko o kou kino ʻaʻole mākou e kamaʻilio nui nei, akā ʻo ia ka pancreas. Malia paha ua haʻi aku kekahi kauka iā ʻoe a i ʻole kekahi āu i ʻike ai e pili ana i ke ʻoki ʻana i ka pancreas. I kēlā manawa, he mea maʻamau ka makaʻu a me ka nui o nā nīnau. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia ʻoki ʻana e wehe i ka pancreas, ʻo ia hoʻi, 'Pancreatectomy', me ka maopopo a me ka maʻalahi.
ʻO ka mea mua, e nānā kākou i ke ʻano o kēia ʻoki kino (Pancreatectomy).
I ka ʻōlelo maʻalahi, ʻo ka pancreatectomy kahi hana ʻoki e wehe ai i kahi hapa a i ʻole kou pancreas āpau. I kēia manawa ke noʻonoʻo nei paha ʻoe, "He aha ka pancreas? He aha kāna hana?"
He ʻōkana liʻiliʻi ka pancreas i loko o ko kākou ʻōpū, ma hope o ka ʻōpū. Akā, he nui loa kāna hana. Hana ia i ʻelua mau mea nui:
1. Ka hana ʻana i nā enzymes e kōkua i ka hoʻoheheʻe ʻana i ka meaʻai: Kōkua kēia mau enzymes i ka wāwahi ʻana i nā meaolaola i loko o ka meaʻai a mākou e ʻai ai i hiki i ke kino ke omo iā lākou.
2. Ka hana ʻana i nā hormones: ʻO kēia ka mea e hana ai i nā hormones koʻikoʻi e like me ka insulin, ka mea e kaohi ai i kou pae kō koko.
No ke aha e wehe ai i kahi ʻōkana koʻikoʻi? E nānā kākou i nā kumu.
No ke aha e pono ai i kekahi ke hana ʻia ka pancreatectomy?
Hoʻohana wale nā kauka i ke ʻoki kino nui e like me kēia ke pono loa. ʻO nā kumu nui ʻelua he mau puʻupuʻu a me ka pancreatitis.
- Nā puʻupuʻu: Hiki i kekahi mau puʻupuʻu e ulu ana i loko o ka pancreas ke lilo i maʻi kanesa. Loaʻa i kēia mau mea kahi pilikia kiʻekiʻe o ka laha ʻana i nā ʻāpana ʻē aʻe o ke kino. No laila, no ka hōʻemi ʻana i kēlā pilikia, pono paha e wehe ʻia ka ʻāpana a i ʻole ka pancreas āpau i loaʻa ka puʻupuʻu.
- Pancreatitis: He ʻano kēia e pehu ai a mumū ai ka pancreas. I kekahi manawa, inā hoʻomau kēia (pancreatitis mau), hiki iā ia ke hōʻeha i ka ʻeha hiki ʻole ke hoʻomanawanui a me nā pilikia ʻē aʻe. I ia mau hihia, ua manaʻo ʻia kēia ʻoki kino ma ke ʻano he hopena.
Hana ʻia kēia ʻoki no nā kūlana i lalo:
- Ka maʻi ʻaʻai pancreatic
- ʻO nā maʻi neuroendocrine pancreatic, no ka laʻana, insulinoma
- Ka maʻi ʻaʻai i pālahalaha i ka pancreas mai kahi ʻē aʻe (Ka maʻi ʻaʻai Metastatic)
- ʻO nā cysts pancreatic (nā puʻupuʻu a i ʻole nā ʻeke piha i ka wai i loko o ka pancreas)
- ʻO ka pancreatitis koʻikoʻi a lōʻihi (Pankreatitis mau loa)
He aha nā ʻano o nā hana ʻokiʻoki pancreatic?
Ua like iki ke ʻano o ka pancreas me ka iʻa. He "poʻo" nui kona, he "kino" waena, a he "huelo" lahilahi. ʻOkoʻa ka inoa o ke ʻoki kino ma muli o ka ʻāpana i wehe ʻia. I kekahi manawa, pono e wehe ʻaʻole wale i ka pancreas akā i nā ʻōpū kokoke ʻē aʻe.
| ʻAno o ke ʻoki kino | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻO ka wehe ʻana o ka pancreas distal | Ma kēia, ua wehe ʻia ka huelo o ka pancreas (a i kekahi manawa ka ʻāpana waena). Ma muli o ka kokoke loa o ka huelo o ka pancreas i ka spleen, ua wehe pinepine ʻia ka spleen i ka wā o kēia ʻoki kino. |
| ʻO ka hoʻopau ʻana i ka pancreas waena | Ma kēia , ʻo ka ʻāpana waena wale nō o ka pancreas e wehe ʻia, e waiho ana i ke poʻo a me ka huelo. He ʻoki paʻakikī iki kēia ʻaʻole hiki ke hana mau ʻia. Akā inā hiki ke hana ʻia, hiki iā ia ke mālama i ka hana hou aʻe o ka pancreas. |
| ʻO ke kaʻina hana ʻo Whipple (pancreaticduodenectomy) | ʻO kēia ke kaʻina hana "Whipple" kaulana loa. Wehe ʻia ke poʻo o ka pancreas. I ka manawa like, wehe ʻia ka ʻāpana mua o ka ʻōpū liʻiliʻi (duodenum) , ka gallbladder, a me kahi ʻāpana o ke kahawai bile e pili ana iā ia. A laila hoʻopili hou ʻia nā ʻāpana i koe. |
| ʻO ka hoʻopau ʻana i ka pancreas holoʻokoʻa | E like me ka inoa e hōʻike nei, wehe ʻia ka pancreas holoʻokoʻa . Hana ʻia kēia ke laha ka maʻi ma loko o ke kino a i ʻole ke hiki ʻole ke hoʻōla ʻia kekahi ʻiʻo olakino. Me ka pancreas , pono e wehe ʻia ka spleen, ka gallbladder, ka ʻāpana mua o ka ʻōpū liʻiliʻi, a me ka ʻāpana haʻahaʻa o ka ʻōpū . |
Hiki iaʻu ke ola me ka ʻole o ka pancreas?
ʻAe, hiki iā ʻoe. Akā he paʻakikī ia. Ke nalowale kou pancreas, ʻaʻole loaʻa i kou kino nā enzymes a me nā hormones āna e hana ai. No laila pono ʻoe e lawe iā lākou mai waho no ke koena o kou ola.
Eia kekahi laʻana, pono ʻoe e lawe i nā enzyme digestive ma ke ʻano pila. Eia kekahi, loaʻa iā ʻoe ka maʻi diabetes no ka mea ʻaʻohe ou hormone insulin. Pono ʻoe e lawe i nā inikini insulin no kēlā. Pono ʻoe e aʻo e noho me kēia mau mea.
He aha ka mea e hana ʻia ma mua o ke ʻoki kino?
E mākaukau maikaʻi ʻoe ma mua o kahi ʻoki kino nui e like me kēia.
- Nā hoʻāʻo: E nīnau kāu hui lapaʻau e pili ana i kou mōʻaukala olakino, nā lāʻau lapaʻau āu e lawe nei, a hana i kekahi mau hoʻāʻo, e like me ka X-ray umauma a me ka EKG, e ʻike ai inā he moho maikaʻi ʻoe no ke ʻoki ʻana.
- Ke haʻalele ʻana i nā ʻano maikaʻi ʻole: Inā inu ʻoe i ka waiʻona, he mea nui e haʻi i kāu kauka i ka ʻoiaʻiʻo. Hiki i ka waiʻona ke hana i nā pilikia i ka wā a ma hope o ke ʻoki ʻana. E kōkua kāu hui lapaʻau iā ʻoe e haʻalele me ka palekana.
- Lāʻau lapaʻau: I mea e pale ai i ka maʻi ma hope o ke ʻoki ʻana, hiki ke hāʻawi ʻia iā ʻoe kahi hopena kūikawā e hoʻomaʻemaʻe i ka ʻili ma mua o ke ʻoki ʻana. Hiki ke noi ʻia iā ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau, e like me nā lāʻau hoʻokahe koko, no kekahi mau lā.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
I ka lā o kou ʻoki kino, e lawe ʻia ʻoe i ka lumi hana. E hoʻomoe ke kauka anesthesiologist iā ʻoe i ka hiamoe hohonu ma ka hāʻawi ʻana iā ʻoe i ka lāʻau lapaʻau ma o kahi cannula (laina IV) ma kou lima. ʻAʻole ʻoe e manaʻo i kekahi mea. ʻOiai ʻoe e hiamoe ana, e hoʻomau ʻia ka hāʻawi ʻana i nā wai a me nā lāʻau lapaʻau i kou kino ma o ka cannula.
E hoʻopili ʻia ʻoe i kahi ʻōmole e kōkua iā ʻoe e hanu, kahi ʻōmole e pale aku i nā pilikia o ka ʻōpū, a me kahi catheter Foley e hoʻokahe i ka mimi. Mai hopohopo, no kou palekana kēia mau mea a pau.
ʻO ka hapa nui o ka manawa, hana ʻia kēia ʻoki ma o kahi ʻoki nui ma ka ʻōpū (ʻoki hāmama). ʻAe kēia i ke kauka ʻoki e ʻike maikaʻi i nā ʻōpū. Eia nō naʻe, ma kekahi mau haukapila holomua, hana ʻia kēia ʻoki ma o kekahi mau ʻoki liʻiliʻi me kahi kāmela a me nā mea hana. Ua kapa ʻia kēia he laparoscopic a i ʻole robotic surgery . Hoʻemi kēia i ka manawa hoʻōla.
ʻO ka maʻamau, ma waena o 4 a me 6 mau hola kēia hana.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ma hope o ke ʻoki kino, e hoʻoneʻe ʻia ʻoe i kahi keʻena mālama koʻikoʻi a i ʻole kahi mālama koʻikoʻi, kahi e nānā pono ʻia ai ʻoe. E wehe ʻia kekahi o nā ʻōmole āu i hoʻopili ai i loko o kekahi mau lā. ʻO ka maʻamau, e noho ʻoe ma ka haukapila no hoʻokahi pule.
- Hāʻawi ʻia ka lāʻau ʻeha i nā lā mua.
- Mai ka lā ma hope o ke ʻoki kino, e koi ʻia ʻoe e ala aʻe mai kahi moe a hele wāwae iki.
- ʻO ka mua, hāʻawi ʻia lākou i ka meaʻai wai a laila hoʻolauna mālie ʻia i ka meaʻai maʻamau.
- Ke nānā mau nei ke kime lapaʻau i kāu ʻōnaehana hoʻoheheʻe a me nā pae kō koko, a e hoʻoponopono i kāu meaʻai a me nā lāʻau lapaʻau e like me ia.
Nā pilikia a me nā pilikia o ke ʻoki kino
E like me nā ʻoki kino nui a pau, aia kekahi mau pilikia, akā hana nā kauka i ka mea maikaʻi loa e hoʻokele i kēia mau pilikia.
| ʻAno o nā pilikia a me nā pilikia | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao pōkole | |
| Nā maʻi a me ke kahe ʻana o ke koko | Hiki ke hana ʻia i ka wā a ma hope paha o ke ʻoki kino. |
| Ka leaka Anastomotic | Ka leaka ʻana mai nā wahi e like me nā ʻōpū i hoʻopili hou ʻia. |
| Ka emi ʻana o ka hana ʻōpū (Paralytic ileus) | ʻAʻole paha e maʻamau ka neʻe ʻana o ka ʻōpū no kekahi mau lā ma hope o ke ʻoki ʻana. He mea maʻamau kēia. |
| ʻO ka maʻi hoʻolei | ʻO ka ʻoluʻolu ʻole ma hope o ka ʻai ʻana ke neʻe wikiwiki loa ka meaʻai mai ka ʻōpū a i loko o ka ʻōpū liʻiliʻi. He manawa pōkole wale nō kēia. |
| Ka pohō kaumaha a me ka luhi | He mea maʻamau ka emi ʻana o ke kaumaha a me ka luhi ma hope o ke ʻoki kino no ka mea hoʻohana nui ke kino i ka ikehu e ho'ōla ai. |
| Nā pilikia lōʻihi | |
| Maʻi diabetes | Inā wehe ʻia ka pancreas holoʻokoʻa, e loaʻa maoli nō ka maʻi diabetes. Hiki nō hoʻi ke loaʻa inā wehe ʻia kekahi hapa o ka pancreas. |
| Nā pilikia ʻōpū (ka lawa ʻole o ka pancreatic exocrine) | ʻO ka lawa ʻole o nā enzymes i hana ʻia e ka pancreas hiki ke hana i nā hōʻailona e like me ka pehu ʻana a me ka maʻi diarrhea. No kēia, pono e lawe ʻia nā papa enzyme (PERT). |
| Hoʻemi ʻia ka palekana | Inā wehe ʻia ka ʻōpū i ka wā o ke ʻoki ʻana, ua emi iho ka hiki ke pale aku i kekahi mau maʻi, no laila e ʻōlelo paha ke kauka e kiʻi i kekahi mau lāʻau pale. |
ʻEhia ka lōʻihi e ola ai ma hope o ka hoʻi ʻana i ka home?
Hiki ke hala ma waena o 4 a 8 mau pule e hoʻōla piha ai ma hope o kou hoʻi ʻana i ka home. Aia kēia i kou olakino ma mua o ke ʻoki ʻana a me ke ʻano o ke ʻoki ʻana āu i hana ai.
I ka manawa e kāhea koke aku ai i ke kauka
Inā loaʻa iā ʻoe nā hōʻailona ma hope o ka hoʻi ʻana i ka home, e kāhea koke aku i kāu kauka.
- Inā pehu ka ʻeha ʻoki, ʻulaʻula, a i ʻole he wai e like me ka pus e kahe ana.
- Kuni (ma luna o 100 degere Fahrenheit).
- Ka maʻi pahū mau a i ʻole ka paʻa ʻana o ka ʻōpū.
- ʻEha hou a ʻeha paha.
He hana koʻikoʻi kēia ʻoki kino a hoʻololi i ke ola. Akā e hoʻomanaʻo, ke paipai nei ke kauka iā ia no ka mea ke manaʻoʻiʻo nei lākou ʻoi aku ka maikaʻi o nā pono i kou ola ma mua o nā pilikia. He mea ia e hana ʻia e hoʻopakele i kou ola a hoʻomaikaʻi paha i kou ʻano ola.
Leka Lawe-Home
- ʻO ka pancreatectomy ka wehe ʻana i kahi hapa a i ʻole ka pancreas āpau.
- Hana nui ʻia kēia no nā kūlana e like me ke kanesa pancreatic a me ka pancreatitis koʻikoʻi.
- Ma hope o ke ʻoki ʻana, hiki iā ʻoe ke ola me ka ʻole o ka pancreas, akā pono ʻoe i nā mea hoʻopihapiha no ke ola holoʻokoʻa e like me nā pila enzyme e kōkua i ka hoʻoheheʻe ʻana i ka meaʻai a me ka insulin e kaohi i ka maʻi diabetes.
- He hana ʻoki kino nui kēia a e lōʻihi ka manawa e ho'ōla ai. He mea nui loa e hahai i nā ʻōlelo a kāu kauka i loko o ia manawa.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, e kamaʻilio ākea me kāu kauka e pili ana. E hāʻawi lākou iā ʻoe i ka ʻike a me ke kākoʻo āpau āu e pono ai.
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