Tide wi go tɔk bɔt wan rili impɔtant ɔgan na yu bɔdi we wi nɔ de tɔk bɔt bɔku, bɔt na di pankrias. Sɔntɛm dɔktɔ dɔn tɛl yu ɔ pɔsin we yu sabi bɔt pankrias ɔpreshɔn. Da tɛm de, i nɔmal fɔ fred ɛn gɛt bɔku kwɛstyɔn dɛn. So tide, lɛ wi tɔk bɔt dis ɔpreshɔn fɔ pul di pankrias, dat na, ‘Pancreatectomy’, klia wan ɛn simpul wan.
Fɔs, lɛ wi si wetin na dis ɔpreshɔn (Pancreatectomy).
Fɔ tɔk am simpul wan, pankrias na ɔpreshɔn we dɛn kin du fɔ pul wan pat pan yu pankrias ɔ ɔl di pankrias. Naw yu kin de wɔnda, "Wetin na pankrias? Wetin i de du?"
di pankrias na smɔl ɔgan we de insay wi bɛlɛ, biɛn di bɛlɛ. Bɔt in wok na big big wok. I de du tu men tin dɛn:
1. fכ mek εnzym dεm we de εp fכ digεst it: dεn εnzym dεm ya de εp fכ brok dכn di nyutriεnt dεm we de insay di it we wi de it so dat di bכdi go ebul fכ tek dεm.
2. Fɔ mek ɔmon: Dis na wetin de mek impɔtant ɔmon lɛk insulin, we de kɔntrol di shuga we de na yu blɔd.
So wetin mek yu fɔ pul dis kayn impɔtant ɔgan? Lɛ wi luk di rizin dɛn.
Wetin mek pɔsin go nid fɔ mek dɛn pul am pan Pankrias?
Dɔktɔ dɛn kin jɔs du big ɔpreshɔn lɛk dis we i rili nid fɔ du am. Di tu men tin dɛn we kin mek pɔsin gɛt sik na di tumbu ɛn pankrias.
- Tumɔs: Sɔm tɔŋ dɛn we kin kam na di pankrias kin bi kansa. Dɛn tin ya kin gɛt bɔrku risk fɔ go ɔda pat na di bɔdi. So fɔ ridyus da risk de, dɛn kin nid fɔ pul di pat ɔ ɔl di pankrias we gɛt di tumbu.
- Pankrias: Dis na wan sik we di pankrias kin swel ɛn inflam. Sɔmtɛm, if dis kɔntinyu (chronic pancreatitis), i kin mek yu fil pen we yu nɔ go ebul fɔ bia ɛn ɔda prɔblɛm dɛn. If dɛn kayn tin ya apin, dɛn kin tɔk bak se dɛn fɔ du dis ɔpreshɔn as sɔlv.
Dɛn kin du dis ɔpreshɔn fɔ dɛn tin ya:
- Kansa na di pankrias
- pankrεas nyuroεndokrin tכmכro dεm, fכ egzampl, insulinoma
- Kansa we dɔn skata to di pankrias frɔm ɔdasay (Metastatic cancer) .
- pankrεas sist dεm (tכmכr כ sak dεm we fulכp wit wata na di pankrias) .
- Sivεr, lכng tεm pankrεas (Sεvεr krεse pankrεas) .
Wetin na di kayn ɔpreshɔn we dɛn kin du fɔ pul di pankrias?
Di pankrias shep smɔl lɛk fish. I gɛt big "ed," midul "bɔdi," ɛn tint "tɛl." Di nem fɔ di ɔpreshɔn kin difrɛn difrɛn wan bay di pat we dɛn pul. Sɔntɛnde, i nɔ kin jɔs nid fɔ pul di pankrias bɔt ɔda pat dɛn we de nia am bak.
| Di kayn ɔpreshɔn we dɛn kin du | Fɔ tɔk am simpul wan... |
|---|---|
| Distal pankriatektomi we dɛn kin du | insay dis, dεn kin pul di tel fכ di pankrias (εn sכmtεm di midul pat). Bikɔs di tel na di pankrias de rili nia di splin, bɔku tɛm dɛn kin pul di splin bak we dɛn de du dis ɔpreshɔn. |
| Sɛntral pankriatektomi | insay dis , na di midul pat pan di pankrias nכmכ dεn de kכl, we de lεf di ed εn tel. Dis na ɔpreshɔn we kɔmplikt smɔl ɛn dɛn nɔ kin ebul fɔ du am ɔltɛm. Bɔt if dɛn ebul fɔ du am, i kin kip mɔ pan di wok we di pankrias de du. |
| Pankrɛatikduɔdenɛktɔmi (Whipple prosidyushɔn) . | Dis na di mɔ pɔpul "Whipple procedure." Dɛn kin pul di ed pan di pankrias. na di sem tεm, dεn kin pul di fכs pat pan di sכmכl intestin (duodenum) , di gal blad, εn pat pan di bayl dakt we kכnekt to am bak. Dɔn dɛn kin kɔnɛkt di ɔda pat dɛn bak. |
| Tɔtɔl pankriatektomi | As di nem sho, dɛn kin pul di wan ol pankrias . Dɛn kin du dis we di sik dɔn skata ɔlsay na di ɔgan ɔ we dɛn nɔ kin ebul fɔ sev ɛni wɛlbɔdi tisu. Along wit di pankrias , dεn nid fכ pul di splin, di gal blad, di fכs pat pan di sכmכl intestכn, εn di lכw pat pan di bεlε bak . |
Yu tink se i pɔsibul fɔ liv we yu nɔ gɛt pankrias?
Yɛs, yu kin ebul. Bɔt i nɔ izi fɔ du. we yu lכs yu pankrias, yu bכdi nכ de gεt di εnzym dεm εn כmon dεm we i de mek. So yu fɔ tek dɛn frɔm do fɔ di res ɔf yu layf.
fכ egzampl, yu nid fכ tek di dijestiv εnzym dεm we de fכm pil. Dɔn bak, yu kin gɛt dayabitis bikɔs yu nɔ gɛt di ɔmon we dɛn kɔl insulin. Yu fɔ tek insulin injɛkshɔn fɔ dat. Yu fɔ lan fɔ liv wit dɛn tin ya.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Yu go rɛdi gud gud wan bifo dɛn du big ɔpreshɔn lɛk dis.
- Tɛst: Yu mɛdikal tim go aks bɔt yu wɛlbɔdi istri, di mɛrɛsin dɛn we yu de tek, ɛn du bɔku tɛst dɛn lɛk ɛkstrem rayt na yu chɛst ɛn EKG fɔ si if yu na gud pɔsin fɔ ɔpreshɔn.
- Fɔ lɛf fɔ du bad abit: If yu de drink rɔm, i impɔtant fɔ tɛl yu dɔktɔ di tru. Rɔm kin mek prɔblɛm dɛn we dɛn de du di ɔpreshɔn ɛn afta dɛn dɔn du di ɔpreshɔn. Yu mɛdikal tim go ɛp yu fɔ lɛf fɔ smok sef wan.
- Mɛrɛsin: Fɔ mek yu nɔ gɛt di sik afta dɛn dɔn du yu ɔpreshɔn, dɛn kin gi yu spɛshal sɔlv fɔ klin di skin bifo yu du di ɔpreshɔn. Dɛn kin aks yu bak fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn lɛk tin dɛn we de mek yu blɔd tan, fɔ sɔm dez.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Di de we dɛn go du yu ɔpreshɔn, dɛn go kɛr yu go na di ɔpreshɔn rum. Di dɔktɔ we de anestez go put yu na dip slip bay we i go gi yu mɛrɛsin tru wan kanula (IV layn) na yu an. Yu nɔ go fil ɛnitin. We yu de slip, dɛn go kɔntinyu fɔ gi yu wata ɛn mɛrɛsin to yu bɔdi tru di kanula.
Dɛn go kɔnɛkt yu to wan tiub fɔ ɛp yu fɔ blo, wan tiub fɔ mek yu nɔ gɛt prɔblɛm wit yu bɛlɛ, ɛn wan Foley kateta fɔ mek yu urine kɔmɔt. Nɔ wɔri, dis na ɔl fɔ yu sef.
Bɔku tɛm, dɛn kin du dis ɔpreshɔn tru wan big say we dɛn kɔt di bɛlɛ (ɔp ɔpreshɔn). Dis kin mek di dɔktɔ we de du di ɔpreshɔn ebul fɔ si di ɔgan dɛn fayn fayn wan. Bɔt na sɔm advans ɔspitul dɛn, dɛn kin du dis ɔpreshɔn tru sɔm smɔl smɔl say dɛn we dɛn kin kɔt wit kamɛra ɛn inschrumɛnt dɛn. Dɛn kɔl dis laparoskopik ɔ rɔbɔt ɔpreshɔn . Dis kin ridyus di tɛm we pɔsin kin gɛt fɔ wɛl.
Dis ɔpreshɔn kin tek bitwin 4 ɛn 6 awa.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go transfa yu to wod ɔ intensiv kia yunit, usay dɛn go de wach yu gud gud wan. Sɔm pan di tiub dɛn we yu dɔn kɔnɛkt go kɔmɔt insay sɔm dez. Yu go de na ɔspitul fɔ lɛk wan wik so.
- Dɛn kin gi mɛrɛsin fɔ mek pɔsin fil pen insay di fɔs tɛm.
- Frɔm di de afta dɛn du di ɔpreshɔn, dɛn go mek yu grap na bed ɛn waka rawnd smɔl.
- Fɔs, dɛn kin gi dɛn tin fɔ it we gɛt wata ɛn afta dat dɛn kin mek dɛn it tin dɛn we dɛn kin it ɔltɛm.
- Di mɛdikal tim de wach aw yu de digest ɛn di blɔd shuga lɛvɛl ɔltɛm, ɛn dɛn go ajɔst yu it ɛn mɛrɛsin akɔdin to dat.
Risk ɛn prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn
Lɛk ɛni big ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin, bɔt dɔktɔ dɛn kin du ɔl wetin dɛn ebul fɔ kɔntrol dɛn prɔblɛm dɛn ya.
| Tayp ɔf risk ɛn kɔmplikeshɔn dɛm | Tɔk bɔt |
|---|---|
| Sɔt tɛm sayd ɛfɛkt dɛn | |
| Infɛkshɔn ɛn blɔd we de kɔmɔt | I kin apin we dɛn de du di ɔpreshɔn ɔ afta dɛn dɔn du di ɔpreshɔn. |
| Anastomotik lik | Lik frכm εria dεm lεk di intestin dεm we dεn atak bak. |
| di dכn we di bכdi de wok (Paralytic ileus) . | Di bɔdi we de muv nɔ kin bi nɔmal fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn. Dis na nɔmal tin. |
| Dumping syndrome we gɛt di sik | Diskɔmfɔt afta yu dɔn it kin apin we di it de muf tumɔs kwik kwik wan frɔm di bɛlɛ ɛn go insay di smɔl intestinal. Bɔku tɛm, dis kin apin fɔ shɔt tɛm nɔmɔ. |
| We yu de lɔs yu wet ɛn yu taya | I nɔmal fɔ lɛ yu lɛf fɔ it bɔku bɔku it ɛn fil taya afta yu dɔn du yu ɔpreshɔn bikɔs di bɔdi de yuz bɔku ɛnaji fɔ wɛl. |
| Kɔmplikɛshɔn dɛn we kin apin fɔ lɔng tɛm | |
| Shuga | If dɛn pul di wan ol pankrias, dayabitis go mɔs apin. I kin apin bak if dɛn pul wan pat pan di pankrias. |
| Prɔblɛm dɛn we de na di dijestiv (Exocrine pancreatic insufficiency) . | if di pankrias nכ de mek di εnzym dεm we i gεt, i kin mek yu gεt sכmtεm dεm lεk fכ blo εn dayariya. Fɔ dis, dɛn fɔ tek ɛnzaym tablɛt (PERT). |
| Di imyuniti we de go dɔŋ | If dɛn pul di splin we dɛn de du ɔpreshɔn, di ebul fɔ fɛt sɔm infɛkshɔn dɛn nɔ go bɔku, so di dɔktɔ kin se yu fɔ tek sɔm vaysin dɛn. |
Aw lɔng i kin tek fɔ mek i wɛl afta yu dɔn go bak na os?
I kin tek enisay frɔm 4 to 8 wiks fɔ mek yu wɛl ful wan afta yu dɔn go bak na os. Dis dipen pan yu wɛlbɔdi bifo yu du di ɔpreshɔn ɛn di kayn ɔpreshɔn we yu bin gɛt.
Ustɛm fɔ kɔl di dɔktɔ wantɛm wantɛm
If yu gɛt dɛn sik ya afta yu dɔn go bak na os, kɔl yu dɔktɔ wantɛm wantɛm.
- If di wund we dɛn du di ɔpreshɔn swel, rɛd, ɔ wata we tan lɛk pus de kɔmɔt.
- Fiva (we i pas 100 digri F).
- Dayarɛa ɔ kɔnstipɛshɔn we nɔ de dɔn.
- Nyu ɔ pen we de wɔs.
Dis ɔpreshɔn na siriɔs tin we kin chenj in layf. Bɔt mɛmba se dɔktɔ de tɛl yu fɔ du am bikɔs dɛn biliv se di bɛnifit dɛn we yu go gɛt fɔ yu layf pas di bad tin dɛn we go apin to yu. Na sɔntin we dɛn kin du fɔ sev yu layf ɔ fɔ mek yu layf bɛtɛ.
Mɛsej we dɛn kin kɛr go na os
- Pankriatektomi na we dɛn du ɔpreshɔn fɔ pul wan pat ɔ ɔl di pankrias.
- Dɛn kin du dis mɔ fɔ kɔndishɔn dɛn lɛk pankrias kansa ɛn siriɔs pankrias.
- Afta yu dɔn ɔpreshɔn, yu kin liv witout pankrias, bɔt yu go nid sɔpɔt fɔ yu layf lɛk ɛnzaym pil fɔ ɛp fɔ dayjɛst it ɛn insulin fɔ kɔntrol dayabitis.
- Dis na big ɔpreshɔn ɛn i go tek tɛm fɔ mek i wɛl. I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn insay da tɛm de.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis, tɔk to yu dɔktɔ bɔt am opin wan. Dɛn go gi yu ɔl di infɔmeshɔn ɛn sɔpɔt we yu nid.
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