Ua lohe anei ʻoe i kahi ʻōkana liʻiliʻi akā koʻikoʻi loa e hana mālie ana i loko o ko kākou kino e hoʻoheheʻe i ka meaʻai āu e ʻai ai a kāohi i nā pae kō koko? ʻO ia ka pancreas, a i ʻole e like me kā mākou kapa ʻana ma ka ʻōlelo Pelekania, ʻo ka pancreas. I kekahi manawa, ma muli o kekahi mau maʻi e kū mai ana i loko o kēia ʻōkana koʻikoʻi, pono e wehe ʻia kekahi hapa a i ʻole nā mea āpau ma ke ʻoki ʻana. ʻO ia ka mea a mākou e kapa nei he pancreatectomy. He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe e pili ana i ia ʻoki ʻana. No laila, i kēia lā e kamaʻilio maʻalahi mākou e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
No ke aha ʻoe e pono ai e hana i kēia ʻoki ʻana o ka Pancreatectomy?
ʻO ka maʻamau, ʻōlelo pinepine nā kauka i ke ʻoki kino nui e like me kēia ma hope o ka noʻonoʻo pono ʻana a inā pono loa. ʻElua kumu nui no kēia.
1. Nā puʻupuʻu: Hiki i kekahi mau puʻupuʻu e hana ʻia ana i loko o ka pancreas ke lilo i maʻi kanesa. Loaʻa i kēia mau mea kahi pilikia kiʻekiʻe o ka laha ʻana (metastatic) i nā ʻāpana ʻē aʻe o ke kino. No laila, ʻo ke ala maikaʻi loa e hōʻemi ai i kēlā pilikia , ʻo ia ka wehe ʻana i ka ʻāpana o ka pancreas i loaʻa ka puʻupuʻu.
2. Pancreatitis: ʻO kēia ka wā e pehu ai ka pancreas. Hiki i kēia ke hana i ka ʻeha nui a me nā pilikia ʻē aʻe. I kekahi manawa, ke koʻikoʻi loa ke kūlana no ka kaohi ʻana, pono paha ke ʻoki ʻana.
Eia kekahi, hoʻohana ʻia kēia ʻoki kino ma ke ʻano he hopena no nā kūlana e like me nā cysts pancreatic a me kekahi mau puʻupuʻu hana hormone (nā puʻupuʻu neuroendocrine pancreatic).
He aha nā ʻano o nā hana ʻokiʻoki pancreatic?
Ua like iki ke ʻano o ko kākou pancreas me ka iʻa. He " poʻo " ākea kona, he "kino" waena, a he "huelo" lahilahi. No laila, ma muli o kahi o ka maʻi, ʻokoʻa ka ʻāpana i wehe ʻia. No laila, aia kekahi mau ʻano ʻoki kino.
| ʻAno o ke ʻoki kino | I ka ʻōlelo maʻalahi, he aha ka mea e hana nei? |
|---|---|
| ʻO ka hoʻopau ʻana i ka pancreas mamao | Ma kēia, ua wehe ʻia ka ʻāpana "huelo" o ka pancreas, a i kekahi manawa ka ʻāpana "kino". ʻOiai ua kokoke loa kēia ʻāpana i ka spleen, ua wehe pinepine ʻia me ka spleen . |
| ʻO ka hoʻopau ʻana i ka pancreas waena | He ʻoki kino paʻakikī iki kēia a ʻaʻole i maʻamau. Pono ia e wehe wale i ke " poʻo " a me ka "huelo" a waiho wale i ke "kino" waena . ʻAe kēia i ka mālama nui ʻana i ka hana pancreatic. |
| Pancreaticoduodenectomy (kaʻina hana Whipple) | ʻO kēia ka mea i ʻike ʻia e ka poʻe he nui ʻo ke ʻano hana "Whipple". Ma kēia, ua wehe ʻia ke " poʻo " o ka pancreas. I ka manawa like , ua wehe ʻia ka hapa mua o ka ʻōpū liʻiliʻi (duodenum), ka gallbladder, a me ke kahawai bile maʻamau e pili ana iā ia . A laila, ua hoʻopili hou ʻia ke koena o ka pancreas, ke kahawai bile, a me ka ʻōpū i ka ʻōpū liʻiliʻi. |
| ʻO ka hoʻopau ʻana i ka pancreas holoʻokoʻa | E like me ka inoa e hōʻike nei, pili kēia i ka wehe ʻana i ka pancreas holoʻokoʻa . Hana ʻia kēia ʻoki kino ke laha ka maʻi ma loko o ke kino holoʻokoʻa a i ʻole ke hiki ʻole ke hoʻōla ʻia kekahi ʻiʻo olakino. Me ka pancreas, pili pū ia i ka wehe ʻana i ka spleen, ka gallbladder, ka ʻāpana mua o ka ʻōpū liʻiliʻi, a me kahi ʻāpana o ka ʻōpū. |
Hiki iaʻu ke ola me ka ʻole o ka pancreas?
ʻAe, hiki nō iā ʻoe. Akā me kekahi mau hoʻololi. No ka mea ua nalowale nā enzymes a me nā hormones i hana ʻia e ka pancreas, pono ʻoe e lawe iā lākou i waho no ke koena o kou ola.
I ka ʻōlelo maʻalahi, pono ʻoe e lawe i nā enzymes e kōkua i ka ʻai ʻana (Pancreatic Enzyme Replacement Therapy - PERT) ma ke ʻano o nā pila, a me ka hormone insulin e kaohi ana i ke kō koko (insulin) ma ke ʻano o nā inikini.
E loaʻa anei iaʻu ka maʻi diabetes i kēlā manawa?
He pilikia kēia no nā kānaka he nui. Inā wehe ʻia kekahi hapa o ka pancreas, hiki i ke koena ke hana a ʻaʻole paha i ka insulin lawa no ke kino. Aia nō ia i ka ʻāpana i wehe ʻia. Eia nō naʻe, inā wehe ʻia ka pancreas holoʻokoʻa (Total Pancreatectomy), e loaʻa maoli nō iā ʻoe ka maʻi diabetes . No ka mea, ua nalowale loa nā hunaola hana insulin. I ka manawa like, pono ʻoe e hoʻomaka i ka mālama ʻana i ka insulin.
He aha ka mea e hana ʻia ma mua, i ka wā, a ma hope o ke ʻoki kino?
Ma mua o ke ʻoki kino...
Pono ʻoe e hoʻomākaukau i kekahi mau lā ma mua o ke ʻoki kino.
- Nā hoʻāʻo:Pono ʻoe e hana i kekahi mau hoʻokolohua e nānā i kou olakino, e like me nā hoʻokolohua koko, kahi X-ray umauma, a me kahi EKG.
- Ke haʻalele ʻana i nā ʻano maikaʻi ʻole: Inā he kanaka ʻona ʻoe, pono ʻoe e haʻi i kāu kauka e pili ana i ia mea. Hiki i ka waiʻona ke hana i nā pilikia i ka wā a ma hope o ke ʻoki ʻana. E kōkua ke kime lapaʻau iā ʻoe e hoʻōki palekana.
- Lāʻau lapaʻau: I kekahi manawa e noi ʻia ʻoe e ho'ōki i ka lawe ʻana i nā lāʻau hoʻokahe koko i kekahi mau lā ma mua o ke ʻoki ʻana.
I ka wā o ke ʻoki kino...
I ka lā o ke ʻoki ʻana, e hoʻomoe loa ke kauka anesthesiologist iā ʻoe me kahi laina IV ma kou lima. No laila, ʻaʻole ʻoe e ʻeha. Hiki i ke ʻoki ʻana ke hala ma waena o 4 a me 6 mau hola. E hana ke kauka ʻoki i ke ʻoki ma o kahi ʻoki ma kou ʻōpū (ʻoki hāmama) a i ʻole ma o kekahi mau ʻoki liʻiliʻi me ke kōkua o kahi kāmela (laparoscopic a i ʻole robotic surgery).
Ma hope o ke ʻoki kino...
Ma hope o ke ʻoki kino, e hoʻoneʻe ʻia ʻoe i kahi keʻena a e nānā pono ʻia kou kūlana. E noho ʻoe ma ka haukapila no kahi o 7 mau lā.
- ʻO ka mua, hāʻawi ʻia lākou i ka meaʻai wai a laila hoʻolauna mālie ʻia i ka meaʻai maʻamau.
- Hāʻawi ʻia nā lāʻau ʻeha e like me ka mea e pono ai.
- Mai ka lā ma hope o ke ʻoki ʻana, e kōkua ʻia ʻoe e ala aʻe mai kahi moe a e hele wāwae iki me ke kōkua o nā kahu maʻi. He mea nui loa kēia no ka ho'ōla wikiwiki ʻana.
- Ke nānā mau nei ke kime lapaʻau i kou pae kō koko a me ke kaʻina hana hoʻoheheʻe.
He aha nā pilikia a me nā pilikia o kēia ʻoki kino?
E like me nā ʻoki kino āpau, aia kekahi mau pilikia e pili ana. Akā hana nā kauka i kēia ʻoki kino no ka mea ʻoi aku ka maikaʻi o nā pono ma mua o nā pilikia.
| ʻAno o ka pilikia | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao pōkole (ma hope koke iho o ke ʻoki ʻana) | |
| Ka emi ʻana o ke kaumaha | He mea maʻamau ka lilo ʻana ma kahi o 5-7 paona ma hope o ke ʻoki ʻana. Ma muli kēia o nā loli i ka ʻai a me ka hiki i ke kino ke ho'ōla. I ka hala ʻana o ka manawa, e paʻa ke kaumaha. |
| Luhi | Ma muli o ka hoʻohana ʻana o kou kino i ka nui o ka ikehu e ho'ōla iā ia iho mai loko mai, hiki iā ʻoe ke manaʻo luhi ma mua o ka maʻamau. He mea maʻamau ke manaʻo maikaʻi i kekahi lā a luhi i kekahi lā aʻe. E hoʻomaha nui. |
| Nā pilikia hoʻoheheʻe | I kekahi manawa, ʻaʻole paha e hana nui nā ʻōpū (Paralytic ileus). Eia kekahi, hiki ke lohi ka hoʻokuʻu ʻia ʻana o ka meaʻai mai ka ʻōpū (Delayed gastric emptying). He manawa pōkole kēia. |
| Nā pilikia lōʻihi | |
| Maʻi diabetes | E like me kā mākou i kūkākūkā ai ma mua, ʻo ka wehe ʻana i ka pancreas holoʻokoʻa e hopena maoli nō ia i ka maʻi diabetes. |
| ʻO ka lawa ʻole o ka Pancreatic Exocrine | ʻAʻole lawa ka hana ʻana o nā enzymes e pono ai no ka ʻai ʻana. Hiki i kēia ke hana i nā hōʻailona e like me ka pehu ʻana a me ka maʻi diarrhea. Pono kēia i ka lawe ʻana i nā pila enzyme (PERT) . |
| Hoʻemi ʻia ka palekana | Inā e wehe ʻia ka ʻōpū i ka wā o ke ʻoki ʻana, e emi ana 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 hoʻōla ai? A i ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?
Hiki ke hala ma waena o 4 a 8 mau pule e hoʻōla piha ai ma hope o ka hoʻi ʻana i ka home, ma muli o kou olakino kino a me ke ʻano o ke ʻoki ʻana.
Inā loaʻa iā ʻoe nā hōʻailona ma lalo nei, 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.
- Inā ʻoi aku ke kuni ma mua o 100 degere F (37.7 C).
- Inā loaʻa iā ʻoe ka maʻi palahēhē mau a i ʻole ka paʻa ʻana o ka ʻōpū.
- Inā e ʻoi aku ka ʻeha.
Leka Lawe-Home
- He ʻoki kino nui ka pancreatectomy e wehe ai i kahi ʻāpana maʻi a i ʻole ka pancreas holoʻokoʻa. Hana ʻia ia no nā kūlana hoʻoweliweli ola e like me ke kanesa.
- Ma hope o ke ʻoki ʻana, hiki ke ola me ka ʻole o ka pancreas, akā pono paha nā lāʻau lapaʻau no ke ola holoʻokoʻa e like me nā pila enzyme no ka ʻai ʻana a me ka insulin e kaohi i ka maʻi diabetes.
- ʻOiai hiki ke hopohopo iki kēia ʻoki kino, e hāʻawi ka hui lapaʻau iā ʻoe i ka lāʻau lapaʻau maikaʻi loa a me ke kākoʻo āu e pono ai.
- Inā he mau nīnau kāu, hopohopo, a kānalua paha e pili ana i kēia, e ʻoluʻolu e kūkākūkā me kāu kauka me ke kānalua ʻole.
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