We yu dɔktɔ tɛl yu ɔ pɔsin we de nia yu se yu nid fɔ gɛt Whipple Procedure, na nɔmal tin fɔ mek yu fred smɔl ɛn fred. Dis na big ɔpreshɔn we nɔ izi fɔ du. Bɔt na di bɛst sɔlv ɛn big op fɔ bɔku siriɔs sik dɛn lɛk pankrias kansa. So tide, lɛ wi tɔk bɔt dis rili simpul wan, so dat ɔl yu kwɛstyɔn dɛn go klia.
Wetin na di Whipple Procedure?
Fɔ tɔk am simpul wan, Whipple prosidur na ɔpreshɔn fɔ pul wan kansa tumor na di ed pan yu pankrias, we de na di rayt say. Di rizin we mek i kɔmplikt smɔl na bikɔs i nɔ jɔs de pul wan ɔgan.
Tink bɔt am, wi dijestiv sistɛm na wan kɔlekɛshɔn ɔf ɔgan dɛn we de wok togɛda. We prɔblɛm de na wan pat, i kin afɛkt di ɔda pat dɛn we gɛt kɔnekshɔn to am. Semweso, we kansa kam na di ed pan di pankrias, dɛn fɔ pul sɔm pan di ɔgan dɛn we de nia am.
Di men pat dɛn we dɛn kin pul we dɛn de du dis ɔpreshɔn na:
- Hed fɔ di pankrias
- di fכs pat pan yu sכmכl intestכn, di duodenum
- Pat pan di bayl dakt
- Kɔmplit gal blada
Dɔn, di dɔktɔ we de du di ɔpreshɔn kin tek di pankrias, di bayl dakt, ɛn di bɛlɛ we lɛf ɛn kɔnɛkt dɛn bak to di ɔda pat dɛn na di smɔl intestin. Jɔs lɛk we dɛn de bil rod, dɛn kin pul wan ol brij ɛn put nyu wan fɔ kɔnɛkt di rod dɛn bak. dis rikonekshכn de mek di it we yu de it fכ muv tru yu dijestiv sistεm we nכ de ambɔg yu.
Wan ɔda nem we dɔktɔ dɛn kin yuz fɔ dis ɔpreshɔn na `pancreaticoduodenectomy.` Na smɔl wɔd we at, na dat mek wi ɔl kin kɔl am di `Whipple procedure.`
Us kayn tin dɛn kin du dis ɔpreshɔn fɔ?
Pankrias kansa na di men rizin fɔ dis ɔpreshɔn. Bɔt dɛn kin yuz dis ɔpreshɔn bak as tritmɛnt fɔ sɔm ɔda sik dɛn. Lɛ wi tek wan luk pan wetin dɛn bi.
| Kɔndishɔn | Wan shɔt diskripshɔn |
|---|---|
| Pankrias Kansa | di men rizin fכ du dis כpεrayshכn na fכ stכp di kεnsar fכ spre (mεtastas) to כda כgan dεm. |
| Pankrias Sist dɛn | Fɔ pul di tumbu dɛn we nɔ gɛt kansa bɔt we kin bi kansa tumara bambay. |
| Pankriaytis we gɛt sik | Fɔ pul di pat dɛn we dɔn pwɛl pan siriɔs ɛn lɔng tɛm pankrias. |
| Smɔl Bɔwel Kansa | fכ kεnsar na di fכs pat pan di sכmכl intestכn (duodenum). |
| Bayle Dakt Kansa we de mek pɔsin gɛt | fכ kansa dεm we de apin na di lכw pat pan di bayl dakt. |
| Ɔda kayn kansa ɛn tumbu | Fɔ ɔda spɛshal kayn kansa lɛk Ampullary Cancer ɛn Pancreatic Neuroendocrine Tumors. |
| Shɔk | We di pankrias ɔ di smɔl intestinal dɔn pwɛl pan siriɔs aksidɛnt. |
Di impɔtant tin na dat, dɛn kin jɔs du dis ɔpreshɔn pan di wan dɛn we dɛn kansa nɔ skata yet. If di kansa dɔn go na ɔda pat dɛn lɛk di liva, dis ɔpreshɔn nɔ go bɛnifit am.
Aw a fɔ rɛdi bifo dɛn du mi ɔpreshɔn?
Na smɔl tin fɔ pripia bifo dɛn du big ɔpreshɔn lɛk dis. Yu dɔktɔ go ɛksplen ɔl dis to yu, bɔt na dɛn tin ya dɛn go ɔltɛm aks yu fɔ du:
- Kansa tritmɛnt: If yu gɛt kansa, dɛn kin gi yu bɔku bɔku kemotɛrapi bifo dɛn du yu ɔpreshɔn.
- Fast: Yu fɔ avɔyd fɔ it ɔ drink ɔltogɛda fɔ lɛk 8 awa bifo di ɔpreshɔn.
- Smok: If yu na pɔsin we de smok, i rili fayn fɔ di wɛlbɔdi na yu at ɛn yu lɔng fɔ stɔp fɔ smok at le tu wiks bifo dɛn du di ɔpreshɔn.Dis kin ridyus di prɔblɛm dɛn we kin apin afta dɛn dɔn du di ɔpreshɔn.
- Stɔp fɔ tek mɛrɛsin: Yu dɔktɔ go advays yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn (espɛshali di wan dɛn we de mek yu blɔd tan) sɔm dez bifo dɛn du yu ɔpreshɔn.
- Ɔda mɛrɛsin dɛn: If yu de tek ɛni ɔda mɛrɛsin we dɛn kɔl ɛbul ɔ ɛbul, yu go nid fɔ stɔp fɔ tek am wan ɔ tu wik bifo dɛn du yu ɔpreshɔn. Dɛn fɔ stɔp mɛrɛsin dɛn lɛk Viagra® bak 24 awa bifo. Bɔt yu dɔktɔ go tɛl yu fɔ tek sɔm mɛrɛsin fɔ ay blɔd prɛshɔn wit wan glas wata.
I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
Lɛ wi lan smɔl bɔt aw dɛn kin du di ɔpreshɔn?
Fɔs, di dɔktɔ we de anestez yu go gi yu mɛrɛsin dɛn we de mek yu anestez. So yu go slip fayn te di ɔpreshɔn dɔn.
Dɔn, di ɔspitul kin bigin di ɔpreshɔn bay we i kin kɔt big pat na di bɛlɛ (open ɔpreshɔn) ɔ sɔm smɔl smɔl say dɛn wit di ɛp we kamɛra de ɛp am (laparoscopic/robotic surgery).
We dɛn de du di ɔpreshɔn, lɛk aw wi bin dɔn tɔk, dɛn kin pul di ed pan di pankrias, di duodenum, pat pan di bayl dakt, ɛn di gal blad ɔdasay. Dɔn, di ɔda pat dɛn na di ɔgan kin kɔnɛkt bak fɔ mek di dijestiv trakt kam bak.
Di ɔl di prɔses kin tek bitwin 5 ɛn 8 awa . Dis na bikɔs dis na ɔpreshɔn we kɔmpleks ɛn we nɔ izi fɔ du.
Wetin kin apin afta di ɔpreshɔn? Aw na di tɛm fɔ wɛl?
Bikɔs Whipple ɔpreshɔn na big ɔpreshɔn, i kin tek sɔm tɛm fɔ mek i wɛl.
Di tɛm we yu de na di ɔspitul:
- Yu go gɛt fɔ de na di ɔspitul fɔ bitwin 5 ɛn 7 dez.
- Dɛn kin gi mɛrɛsin fɔ kɔntrol di pen.
- Di mɛdikal tim de chɛk ɔltɛm fɔ si if pɔsin gɛt infɛkshɔn ɔ ɔda prɔblɛm dɛn.
- Fɔ di fɔs dez, na klia wata nɔmɔ dɛn go gi yu, ɛn as yu sik de go bifo, yu go bigin fɔ gi yu sɔlid it dɛn smɔl smɔl.
- Fɔ grap na bed ɛn waka kwik kwik wan rili impɔtant fɔ di hiling prɔses. Bɔt nɔ tray fɔ grap yusɛf, bikɔs yu kin fɔdɔm, so mek shɔ se yu gɛt ɛp frɔm nɔs ɔ fisiotɛrapist.
Bɔrku tɛm, if nɔr kɔmplikeshɔn nɔr de, yu go ebul fɔ bigin yu nɔrmal tin dɛm bak insay 4 to 6 wik .
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni big ɔpreshɔn, di Whipple prosidur gɛt in bɛnifit ɛn risk dɛn. I impɔtant fɔ tɔk bɔt dɛn tin ya opin wan wit yu dɔktɔ.
| Bɛnifit dɛn | Risk & Kɔmplikɛshɔn dɛn |
|---|---|
| I go sev layf: If dɛn no di pankrias kansa kwik kwik wan, bɔku tɛm na dis ɔpreshɔn na di wangren op fɔ mek pɔsin liv fɔ lɔng tɛm. | Dayabitis: Dayabitis kin apin fɔ sɔm tɛm ɔ fɔ ɔltɛm. |
| Fɔ mɛn kansa: Sɔm kayn kansa, lɛk nyuro ɛndɔkrin tɔmɔs, kin mɛn ɔltogɛda. | Bowel Leakage: Lik frɔm di say dɛn we dɛn dɔn atak bak. |
| Impruv kwaliti fɔ layf: I de ɛp fɔ pul pen ɛn diskɔmfɔt we pɔsin kin gɛt we i nɔ gɛt kansa ɛn liv bɛtɛ layf. | Blɔd ɛn Infɛkshɔn. |
| Fɔ lɔng tɛm fɔ liv: Ivin if di kansa dɔn skata to di limf no dɛm we de nia am, dis ɔpreshɔn kin mek pɔsin liv lɔng fɔ sɔm ia. | Prɔblɛm fɔ digest: I nɔ kin izi fɔ digest sɔm it dɛn ɛn i kin lɛf fɔ it bɔku bɔku it dɛn. |
| Kɔnstipɛshɔn ɔ ɔda chenj dɛn na yu bɔdi. |
Ustɛm yu nid fɔ tɔk to di dɔktɔ?
Afta yu dɔn go na os, i impɔtant fɔ kɔntak yu ɔpreshɔn tim we yu nɔ de te if yu notis ɛni sayn we de wɔn yu.
If yu si ɛnitin lɛk dis, tɛl yu dɔktɔ wantɛm wantɛm:
- If yu stich dɛn dɔn kɔmɔt ɔ di say we dɛn kɔt dɔn opin.
- If yu gɛt fiva .
- If di say we de rawnd di say we dɛn kɔt am rɛd, i swel, i fil wam, ɔ i gɛt wata we tan lɛk pusIf yu kam.
- If di pen frɔm di say we dɛn kɔt am de wɔs.
- If yu bɔdi nɔ de muv ɔltɛm.
Mɛsej we dɛn kin kɛr go na os
- Di Whipple prosidur na big ɛn kɔmpleks ɔpreshɔn, bɔt na op we de sev layf fɔ siriɔs sik dɛn lɛk pankrias kansa.
- Fɔ wɛl afta dis ɔpreshɔn kin tek tɛm, ɛn i rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn fayn fayn wan.
- Pan ɔl we prɔblɛm dɛn de ɛn prɔblɛm dɛn de we kin apin we dɛn du di ɔpreshɔn, tide, we di tɛknɔlɔji dɔn go bifo, dɛn kin du dis ɔpreshɔn wit bɔku sakrifays.
- Pankrias kansa na wan bad bad sik we pɔsin kin gɛt. Bɔt nɔto yu wangren de. Gɛt sɔpɔt frɔm di wan dɛn we yu lɛk ɛn yu mɛdikal tim.
- Tɔk wit yu dɔktɔ opin wan bɔt wetin yu de fred, wetin yu de dawt, ɛn wetin yu de aks. I go rili fil fri yu na yu maynd.
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