Ke Kaʻina Hana Whipple | He Manaʻolana i ke Kaua ʻana i ka Maʻi Kanesa

Ke haʻi aku kāu kauka iā ʻoe a i ʻole kekahi mea kokoke iā ʻoe e pono ʻoe e hana i kahi Kaʻina Hana Whipple, he mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo. He ʻoki kino nui a paʻakikī kēia. Akā ʻo ia ka hopena maikaʻi loa a me ka manaʻolana nui no nā maʻi koʻikoʻi he nui, e like me ke kanesa pancreatic. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia me ka maʻalahi loa, i maopopo ai kāu mau nīnau a pau.

He aha ke kaʻina hana Whipple?

I ka ʻōlelo maʻalahi, ʻo ke kaʻina hana Whipple he ʻoki ʻana e wehe i kahi puʻupuʻu kanesa ma ke poʻo o kou pancreas, aia ma ka ʻaoʻao ʻākau. ʻO ke kumu he mea paʻakikī iki ia no ka mea ʻaʻole ia e wehe wale i hoʻokahi ʻōkana.

E noʻonoʻo e pili ana i ia mea, ʻo kā mākou ʻōnaehana hoʻoheheʻe he hōʻiliʻili o nā ʻōkana e hana pū ana. Ke loaʻa kahi pilikia ma kekahi ʻāpana, hoʻopilikia ia i nā ʻāpana ʻē aʻe e pili ana iā ia. Pēlā nō, ke ulu ka maʻi kanesa ma ke poʻo o ka pancreas, pono e wehe ʻia kekahi o nā ʻōkana kokoke loa iā ia.

ʻO nā ʻāpana nui i wehe ʻia i ka wā o kēia ʻoki kino:

• Ke poʻo o ka pancreas
• ʻO ka ʻāpana mua o kou ʻōpū liʻiliʻi, ka duodenum
• ʻĀpana o ke kahawai bile
• ʻAʻa piha

A laila, lawe ke kauka lapaʻau i ke koena o ka pancreas, ka ʻauwai bile, a me ka ʻōpū a hoʻopili hou iā lākou i ke koena o ka ʻōpū liʻiliʻi. E like me ke kūkulu ʻana i alanui, wehe lākou i kahi alahaka kahiko a hoʻokomo i kahi alahaka hou e hoʻopili hou i nā alanui. ʻAe kēia hoʻopili hou ʻana i ka meaʻai āu e ʻai ai e neʻe ma o kāu ʻōnaehana hoʻoheheʻe me ka ʻole o nā mea keakea.

ʻO kekahi inoa a nā kauka e hoʻohana ai no kēia ʻoki ʻana ʻo 'pancreatoduodenectomy.' He huaʻōlelo paʻakikī iki ia, ʻo ia ke kumu a mākou e kapa ai iā ia ʻo 'Whipple procedure.'

He aha nā ʻano kūlana e hana ʻia ai kēia ʻoki kino?

ʻO ke kanesa pancreatic ke kumu nui o kēia ʻoki kino. Eia nō naʻe, hoʻohana ʻia kēia ʻoki kino ma ke ʻano he lāʻau lapaʻau no kekahi mau maʻi ʻē aʻe. E nānā kākou i ko lākou ʻano.

Pehea e hoʻomākaukau ai ma mua o ke ʻoki kino?

Aia kekahi hoʻomākaukau ma mua o kahi ʻoki kino nui e like me kēia. E wehewehe kāu kauka i kēia mau mea āpau iā ʻoe, akā eia nā mea e noi pinepine ʻia ai ʻoe e hana:

• Lapaʻau no ke kanesa: Inā loaʻa iā ʻoe ke kanesa, hiki ke hāʻawi ʻia iā ʻoe i kekahi mau hoʻoponopono chemotherapy ma mua o ke ʻoki ʻana.
• ʻAi ʻole: Pono ʻoe e hōʻalo loa i ka ʻai ʻana a i ʻole ka inu ʻana no kahi o 8 mau hola ma mua o ke ʻoki ʻana.
• Puhipaka: Inā he mea puhipaka ʻoe, he mea maikaʻi loa ia no ke olakino o kou puʻuwai a me kou mau māmā e hoʻōki i ka puhipaka ma ka liʻiliʻi he ʻelua pule ma mua o ke ʻoki ʻana.Hoʻemi nui kēia i nā pilikia ma hope o ke ʻoki ʻana.
• Ke Hoʻōki ʻana i nā Lāʻau Lapaʻau: E aʻo aku kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau (ʻoiai nā lāʻau hoʻokahe koko) i kekahi mau lā ma mua o kou ʻoki kino.
• Nā lāʻau lapaʻau ʻē aʻe: Inā ʻoe e lawe ana i kekahi mau mea hoʻohui lāʻau a mea kanu paha, pono paha ʻoe e hoʻōki i ka lawe ʻana iā lākou i hoʻokahi a ʻelua paha pule ma mua o kāu ʻoki kino. Pono e hoʻōki ʻia nā lāʻau lapaʻau e like me Viagra® 24 mau hola ma mua. Eia nō naʻe, hiki i kāu kauka ke haʻi aku iā ʻoe e lawe i kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe me kahi aniani wai.

He mea nui loa e hahai pololei i nā ʻōlelo a kāu kauka.

E aʻo iki kākou e pili ana i ke ʻano o ka hana ʻana o ke ʻoki kino?

ʻO ka mea mua, e hāʻawi ke kauka nāna ʻoe e hoʻomoe i nā lāʻau hoʻomoe. No laila e hiamoe maikaʻi ʻoe a hiki i ka pau ʻana o ke ʻoki ʻana.

A laila, hoʻomaka ke kauka lapaʻau i ka hana ma ka hana ʻana i kahi ʻoki nui ma ka ʻōpū (ʻoki hāmama) a i ʻole kekahi mau ʻoki liʻiliʻi me ke kōkua o kahi kāmela (laparoscopic/robotic surgery).

I ka wā o ke ʻoki kino, e like me kā mākou i kūkākūkā ai ma mua, ua wehe ʻia ke poʻo o ka pancreas, ka duodenum, kahi ʻāpana o ke kahawai bile, a me ka gallbladder ma ke ʻano. A laila, ua hoʻopili hou ʻia nā ʻāpana i koe o ke kino e hoʻihoʻi i ke ala ʻai.

Hiki i ke kaʻina hana holoʻokoʻa ke hala ma waena o 5 a me 8 mau hola . ʻO kēia no ka mea he ʻano paʻakikī a akahele hoʻi kēia o ke ʻoki kino.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino? Pehea ka manawa hoʻōla?

ʻOiai he hana nui ke ʻoki ʻana o Whipple, pono kekahi manawa e hoʻōla ai.

I kou noho ʻana ma ka haukapila:

• Pono ʻoe e noho ma ka haukapila no kahi o 5 a 7 mau lā.
• Hāʻawi ʻia ka lāʻau lapaʻau e kāohi i ka ʻeha.
• Ke nānā mau nei ka hui lapaʻau i nā maʻi a i ʻole nā ​​​​pilikia ʻē aʻe.
• No nā lā mua, e hāʻawi wale ʻia ʻoe i kahi meaʻai wai maopopo, a i ka holomua ʻana o kou kūlana, e hoʻomaka mālie ʻoe e hāʻawi i nā meaʻai paʻa.
• He mea nui loa ka ala ʻana mai kahi moe a me ka hele wāwae i ka hikiwawe loa no ke kaʻina hana ho'ōla. Akā, mai ho'āʻo e ala aʻe ma kāu iho, no ka mea, hiki iā ʻoe ke hāʻule, no laila e hōʻoia e loaʻa ke kōkua mai kahi kahu maʻi a i ʻole ka mea hoʻoponopono kino.

ʻO ka maʻamau, inā ʻaʻohe pilikia, hiki iā ʻoe ke hoʻi hou i kāu mau hana maʻamau i loko o 4 a 6 mau pule .

He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?

E like me nā ʻoki kino nui a pau, loaʻa i ke kaʻina hana Whipple kona mau pono a me nā pilikia. He mea nui e kūkākūkā ākea i kēia mau mea me kāu kauka.

Āhea ʻoe e pono ai e kamaʻilio me ke kauka?

Ma hope o kou hoʻi ʻana i ka home, he mea nui e hoʻokaʻaʻike koke aku i kāu hui hana inā ʻike ʻoe i kekahi mau hōʻailona hōʻailona.

Inā ʻike ʻoe i kekahi mea e like me kēia, e hoʻomaopopo koke i kāu kauka:

• Inā ua wehe ʻia kou mau humuhumu a ua wehe paha ka ʻoki.
• Inā he kuni kou.
• Inā ʻulaʻula ka ʻāpana a puni ka ʻoki, pehu, manaʻo mahana, a i ʻole he wai e like me ka pusInā ʻoe e hele mai.
• Inā e ʻoi aku ka ʻeha o ka ʻoki ʻia.
• Inā he ʻano ʻē kou neʻe ʻana o ka ʻōpū.