Koj puas tau hnov txog ib lub cev me me tab sis tseem ceeb heev uas ua haujlwm ntsiag to hauv peb lub cev los zom cov khoom noj uas koj noj thiab tswj cov ntshav qab zib? Ntawd yog lub pancreas, lossis raws li peb hu nws hauv lus Askiv, lub pancreas. Qee zaum, vim muaj qee yam kab mob uas tshwm sim hauv lub cev tseem ceeb no, ib feem lossis tag nrho nws yuav tsum tau phais tshem tawm. Ntawd yog qhov peb hu ua pancreatectomy. Nws yog ib txwm muaj kev ntshai me ntsis thaum koj hnov txog kev phais zoo li no. Yog vim li ntawd, hnub no peb yuav tham txog nws yooj yim, hauv txoj kev uas koj tuaj yeem nkag siab.
Vim li cas koj thiaj li yuav tsum tau phais mob Pancreatectomy no?
Feem ntau cov kws kho mob pom zoo kom phais loj li no tsuas yog tom qab xav txog zoo zoo thiab tsuas yog tias nws tsim nyog tiag tiag. Muaj ob qho laj thawj tseem ceeb rau qhov no.
1. Cov qog nqaij hlav: Qee cov qog nqaij hlav uas tsim nyob rau hauv lub qog pancreas tuaj yeem ua rau mob qog noj ntshav. Cov no muaj kev pheej hmoo siab ntawm kev kis mus rau lwm qhov ntawm lub cev. Yog li ntawd, txoj hauv kev zoo tshaj plaws los txo qhov kev pheej hmoo ntawd yog tshem tawm qhov ntawm lub qog pancreas uas muaj cov qog nqaij hlav.
2. Kab mob Pancreatitis: Qhov no yog thaum lub pancreas pib o. Qhov no tuaj yeem ua rau mob hnyav thiab lwm yam teeb meem. Qee zaum, thaum qhov mob hnyav dhau los tswj tsis tau, yuav tsum tau phais.
Ntxiv rau, qhov kev phais no kuj siv los ua kev daws teeb meem rau cov mob xws li cov cysts pancreatic thiab qee cov qog tsim cov tshuaj hormones (pancreatic neuroendocrine tumors).
Muaj hom kev phais mob pancreatectomy dab tsi?
Peb lub qog pancreas zoo li ntses me ntsis. Nws muaj lub " taub hau " dav, lub "lub cev" nruab nrab, thiab lub "tus tw" nyias nyias. Yog li, nyob ntawm seb tus kab mob nyob qhov twg, qhov uas raug tshem tawm txawv. Yog li ntawd, muaj ntau hom kev phais.
| Hom kev phais mob | Hais yooj yim xwb, muaj dab tsi tshwm sim? |
|---|---|
| Kev phais tshem tawm cov qog nqaij hlav sab nraud | Hauv qhov no, qhov "tus tw" ntawm lub txiav, thiab qee zaum qhov "lub cev", raug tshem tawm. Vim tias qhov no nyob ze rau lub po, nws feem ntau raug tshem tawm nrog rau lub po . |
| Kev phais mob Pancreatic nruab nrab | Qhov no yog ib qho kev phais mob uas nyuaj me ntsis thiab tsis tshua muaj neeg ua. Nws tsuas yog tshem tawm " lub taub hau " thiab "tus tw" xwb thiab tso "lub cev" nruab nrab kom zoo . Qhov no ua rau kev ua haujlwm ntawm lub qog pancreatic zoo dua. |
| Kev phais mob Whipple (Pancreaticoduodenectomy) | Qhov no yog qhov uas ntau tus neeg paub tias yog kev phais "Whipple". Hauv qhov no, "lub taub hau " ntawm lub txiav raug tshem tawm. Tib lub sijhawm , thawj feem ntawm txoj hnyuv me (duodenum), lub zais zis, thiab cov kav dej uas txuas nrog nws kuj raug tshem tawm . Tom qab ntawd, lub txiav seem, cov kav dej, thiab lub plab uas tseem tshuav raug txuas rov qab rau txoj hnyuv me. |
| Kev phais tshem tawm tag nrho cov qog ntawm lub qog | Raws li lub npe qhia, qhov no suav nrog kev tshem tawm tag nrho lub qog pancreas . Kev phais no yog ua thaum tus kab mob tau kis mus thoob plaws hauv lub cev lossis thaum tsis muaj cov ntaub so ntswg zoo tuaj yeem cawm tau. Nrog rau lub qog pancreas, nws kuj suav nrog kev tshem tawm lub po, gallbladder, thawj feem ntawm txoj hnyuv me, thiab ib feem ntawm lub plab. |
Puas ua tau kom nyob tsis muaj lub qog pancreas?
Yog, koj yeej ua tau. Tab sis muaj qee qhov kev hloov pauv. Vim tias koj poob cov enzymes thiab cov tshuaj hormones uas lub pancreas tsim tawm, koj yuav tsum noj lawv sab nraud rau tas koj lub neej.
Hais yooj yim xwb, koj yuav tsum noj cov enzymes uas pab zom zaub mov (Pancreatic Enzyme Replacement Therapy - PERT) ua cov tshuaj ntsiav, thiab cov tshuaj insulin uas tswj cov piam thaj hauv cov ntshav (insulin) ua cov tshuaj txhaj.
Kuv puas yuav mob ntshav qab zib tom qab ntawd?
Qhov no yog ib qho teeb meem rau ntau tus neeg. Yog tias tsuas yog ib feem ntawm lub qog pancreas raug tshem tawm, qhov seem yuav tsim lossis tsis tsim cov insulin txaus rau lub cev. Nws nyob ntawm qhov uas raug tshem tawm. Txawm li cas los xij, yog tias tag nrho lub qog pancreas raug tshem tawm (Total Pancreatectomy), koj yuav muaj tus kab mob ntshav qab zib . Vim tias cov hlwb tsim insulin ploj mus tag. Tib lub sijhawm, koj yuav tsum pib kho insulin.
Ua ntej, thaum lub sijhawm phais, thiab tom qab phais tas, muaj dab tsi tshwm sim?
Ua ntej phais mob...
Koj yuav tsum npaj ob peb hnub ua ntej phais.
- Kev Ntsuas:Koj yuav tsum tau kuaj ntau yam kom paub tseeb tias koj noj qab haus huv zoo, xws li kuaj ntshav, thaij duab X-ray hauv siab, thiab thaij EKG.
- Tso tseg tej cwj pwm tsis zoo: Yog tias koj yog ib tug neeg haus dej cawv, koj yuav tsum qhia rau koj tus kws kho mob txog qhov ntawd. Cawv tuaj yeem ua rau muaj teeb meem thaum lub sijhawm phais thiab tom qab phais. Pawg neeg kho mob yuav pab koj tso tseg qhov ntawd kom muaj kev nyab xeeb.
- Tshuaj: Qee zaum koj yuav raug hais kom tsum tsis txhob noj cov tshuaj uas ua rau cov ntshav nyias ob peb hnub ua ntej phais.
Thaum lub sijhawm phais...
Thaum hnub phais, tus kws kho mob siv tshuaj loog yuav muab koj pw tsaug zog tag nrho nrog txoj kab IV hauv koj txhais caj npab. Yog li koj yuav tsis hnov mob dab tsi. Kev phais yuav siv sijhawm li ntawm 4 thiab 6 teev. Tus kws phais yuav ua qhov kev phais los ntawm kev txiav hauv koj lub plab (kev phais qhib) lossis los ntawm ob peb qhov me me nrog kev pab los ntawm lub koob yees duab (laparoscopic lossis robotic phais).
Tom qab phais tas...
Tom qab phais tas, koj yuav raug xa mus rau ib chav kho mob thiab koj tus mob yuav raug saib xyuas zoo. Koj yuav nyob hauv tsev kho mob li ntawm 7 hnub.
- Ua ntej, lawv tau muab cov khoom noj ua kua thiab tom qab ntawd maj mam qhia rau lawv noj cov khoom noj ib txwm.
- Cov tshuaj tua mob raug muab rau raws li qhov xav tau.
- Txij hnub tom qab phais mob, koj yuav raug pab sawv ntawm txaj thiab taug kev ncig me ntsis nrog kev pab los ntawm cov kws tu mob. Qhov no tseem ceeb heev rau kev rov zoo sai.
- Cov pab pawg kho mob yeej ib txwm kuaj xyuas koj cov ntshav qab zib thiab cov txheej txheem zom zaub mov.
Cov kev pheej hmoo thiab teeb meem ntawm kev phais mob no yog dab tsi?
Ib yam li lwm yam kev phais mob, muaj qee qhov kev pheej hmoo. Tab sis cov kws kho mob ua qhov kev phais mob no vim tias cov txiaj ntsig ntau dua li cov kev pheej hmoo.
| Hom teeb meem | Kev piav qhia |
|---|---|
| Cov kev mob tshwm sim luv luv (tsis ntev tom qab phais) | |
| Kev poob phaus | Nws yog ib qho ib txwm kom poob li ntawm 5-7 kilos tom qab phais. Qhov no yog vim muaj kev hloov pauv ntawm kev noj zaub mov thiab lub cev lub peev xwm kho. Raws li lub sijhawm dhau mus, qhov hnyav yuav ruaj khov. |
| Kev qaug zog | Vim tias koj lub cev siv zog ntau los kho nws tus kheej los ntawm sab hauv, koj yuav xav tias nkees dua li niaj zaus. Nws yog ib qho ib txwm muaj uas koj yuav xav tias zoo ib hnub thiab nkees hnub tom qab. So kom txaus. |
| Teeb meem zom zaub mov | Qee zaum, cov hnyuv yuav tsis ua haujlwm ntau (Paralytic ileus). Tsis tas li ntawd, kev tso cov zaub mov tawm ntawm lub plab yuav qeeb (Qeeb gastric emptying). Cov no tsuas yog ib ntus xwb. |
| Cov teeb meem mus sij hawm ntev | |
| Kab mob ntshav qab zib | Raws li peb tau tham ua ntej lawm, kev tshem tawm tag nrho cov txiav yuav ua rau muaj ntshav qab zib. |
| Kev Tsis Txaus ntawm Exocrine Pancreatic | Tsis muaj txaus cov enzymes uas yuav tsum tau rau kev zom zaub mov. Qhov no tuaj yeem ua rau muaj cov tsos mob xws li o thiab raws plab. Qhov no yuav tsum tau noj cov tshuaj enzyme (PERT) . |
| Txo kev tiv thaiv kab mob | Yog tias lub qhov ntswg raug tshem tawm thaum lub sijhawm phais, lub peev xwm los tawm tsam qee yam kab mob yuav raug txo qis. Yog li ntawd, tus kws kho mob yuav pom zoo kom txhaj tshuaj tiv thaiv kab mob . |
Yuav siv sijhawm ntev npaum li cas thiaj rov zoo? Thiab kuv yuav tsum mus ntsib kws kho mob thaum twg?
Nws yuav siv sijhawm li ntawm 4 txog 8 lub lis piam kom rov zoo tag nrho tom qab rov qab los tsev, nyob ntawm koj txoj kev noj qab haus huv thiab qhov xwm txheej ntawm kev phais.
Yog tias koj muaj cov tsos mob hauv qab no, hu rau koj tus kws kho mob tam sim ntawd:
- Yog tias qhov txhab phais mob o, liab, lossis kua dej zoo li kua qaub.
- Yog tias qhov kub taub hau siab tshaj 100 degrees F (37.7 C).
- Yog tias koj raws plab lossis cem quav tas li.
- Yog tias qhov mob zuj zus tuaj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais mob pancreatectomy yog ib qho kev phais loj uas tshem tawm ib feem mob lossis tag nrho ntawm lub pancreas. Nws yog ua rau cov mob uas ua rau tuag taus xws li mob qog noj ntshav.
- Tom qab phais lawm, tej zaum yuav ua neej tsis muaj lub txiav (pancreas), tiam sis tej zaum yuav xav tau kev kho mob mus tas li xws li cov tshuaj enzyme rau kev zom zaub mov thiab insulin los tswj tus kab mob ntshav qab zib.
- Txawm hais tias qhov kev phais mob no yuav ua rau koj ntshai me ntsis los, pab neeg kho mob yuav muab kev kho mob thiab kev txhawb nqa zoo tshaj plaws rau koj.
- Yog koj muaj lus nug, kev ntshai, lossis kev tsis ntseeg txog qhov no, thov nrog koj tus kws kho mob tham yam tsis muaj kev yig.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus