Vawiin hian i taksa peng pawimawh tak, kan sawi vak loh, mahse chu chu pancreas a ni. Doctor pakhatin nangmah emaw, i hriat mi emaw hnenah pancreatic surgery chungchang a hrilh tawh pawh a ni mai thei. Chutih lai chuan hlauhna leh zawhna tam tak neih hi thil pangngai a ni. Chuvangin vawiin hian he pancreas lakchhuahna surgery, chu chu ‘Pancreatectomy’ tih hi chiang tak leh awlsam takin han sawi ila.
A hmasain he surgery (Pancreatectomy) hi eng nge a nih i en ang u.
A awlsam zawngin, pancreatectomy hi surgery hmanga i pancreas thenkhat emaw, a zawng zawng emaw lakchhuahna a ni. Tunah chuan, "Pancreas chu eng nge ni? Eng nge a tih?"
Pancreas hi kan pum chhungah, kan pum hnung lamah awm, taksa peng te tak te a ni. Mahse a hna chu a lian hle. Thil pawimawh pahnih a ti a:
1. Chaw ei tur tichhe thei enzyme siam: Heng enzyme te hian kan eitur chhunga nutrient awmte chu taksain a hip lut thei turin a ti chhe thei a ni.
2. Hormone siam: Hei hi insulin ang chi hormone pawimawh siamtu a ni a, chu chuan i thisen sugar level a control a ni.
Chuti a nih chuan engvangin nge hetiang taksa peng pawimawh tak hi lak chhuah? A chhan hi han en ila.
Engvangin nge mi pakhatin Pancreatectomy a neih a ngai ang?
Doctor-te chuan hetiang surgery lian tak hi a tul tak tak hunah chauh an hmang thin. A chhan ber pahnih chu tumor leh pancreatitis te an ni.
- Tumors: Pancreas-a tumor thenkhat lo awm chu cancer a ni thei. Hengte hian taksa peng dangah a darh theihna a sang hle. Chuvângin, chu hlauhawmna tihtlem nân chuan, pancreas-a tumor nei ṭhenkhat emaw, a pum emaw chu lak chhuah a ngai mai thei.
- Pancreatitis: Hei hi pancreas a lo hring chhuak a, a lo hring chhuak thin. A châng chuan hetiang hian a kal zel a nih chuan (chronic pancreatitis) chuan tuar theih loh khawpa natna leh harsatna dang a thlen thei a ni. Chutiang hunah chuan he surgery hi solution atan pawh an rawt bawk.
He surgery hi a hnuaia thil awmte tan hian tih a ni:
- Pancreatic cancer natna a ni
- Pancreatic neuroendocrine tumor, entirnan, insulinoma te hi a awm thei
- Hmun dang atanga pancreas-a cancer lo darh (Metastatic cancer) .
- Pancreatic cysts (tumor emaw, pancreas chhunga tui awmna bawm) .
- Pancreatitis na tak, hun rei tak chhunga awm (Severe chronic pancreatitis) .
Pancreatectomy surgery chi hrang hrangte chu engte nge ni?
Pancreas hi sangha ang deuh deuh a ni. "Lu" lian tak, "taksa" lai tak, leh "tail" te tak te a nei bawk. Surgery hming hi a part lakchhuah dan azirin a inang lo. A châng chuan, pancreas chauh ni lovin, a bul hnaia taksa peng dangte pawh paih chhuah a ngai ṭhin.
| Surgery chi hrang hrang | A awlsam zawngin... |
|---|---|
| Distal pancreatectomy tih a ni | Hetah hian pancreas tail (leh a chang chuan a lai lam) chu lakchhuah a ni. Pancreas tail hi spleen nen a inhnaih em avangin he surgery neih chhung hian spleen pawh hi lakchhuah a ni fo bawk. |
| Central pancreatectomy tih a ni | In this , pancreas lai tak chauh lakchhuah a ni a, lu leh a hmui chu a awm ta a ni. Hei hi surgery buaithlak deuh a ni a, tih theih reng reng a ni lo. Mahse tih theih a nih chuan pancreas hnathawh chu a humhim tam zawk thei a ni. |
| Pancreaticduodenectomy (Whipple hmanga tih dan) tih a ni. | Hei hi "Whipple procedure" lar zawk a ni. Pancreas lu chu lakchhuah a ni. Chutih rual chuan small intestine (duodenum) , gallbladder, leh a nena inzawm bile duct thenkhat pawh lakchhuah a ni bawk. Tichuan a la awmte chu an inzawm leh ta a ni. |
| Pancreatectomy zawng zawng tihchhuah a ni | A hming ang bawkin pancreas pumpui chu a chhuak vek a ni. Hei hi natna chu taksa peng zawng zawngah a darh tawh emaw, taksa hrisel tak tak chhanchhuah theih a nih loh hunah emaw tih a ni. Pancreas -te bakah hian spleen, gallbladder, small intestine hmun hmasa ber, leh pum hnuai lam pawh lakchhuah a ngai bawk. |
Pancreas tel lovin nun theih a ni em?
Ni e, i ti thei. Mahse, a harsa khawp mai. I pancreas i hloh chuan i taksain a siam chhuah enzyme leh hormone te chu a hmu lo. Chuvangin i dam chhung zawng pawn lam atanga lak chhuah a ngai a ni.
Entirnan, digestive enzymes hi pill angin i ei a ngai a ni. Tin, hormone insulin i neih loh avangin zunthlum i vei bawk. Chumi atan chuan insulin injection i ei a ngai a ni. Hengte nen hian nunpui i zir a ngai a ni.
Surgery neih hmain eng nge thleng?
Hetiang surgery lian tak neih hma hian i inpeih tha hle ang.
- Test: I medical team chuan i hriselna chanchin te, i damdawi ei dan te an zawt ang a, test engemaw zat an ti ang a, chu chu chest X-ray leh EKG te a ni ang a, operation atana candidate tha tak i nih leh nih loh an enfiah ang.
- Thiltih \ha lo bansan: Zu i in a nih chuan i doctor hnenah thudik hrilh a pawimawh. Zu in hian operation neih chhung leh operation hnuah harsatna a thlen thei a ni. I medical team chuan him taka chawlhsan turin an pui ang che.
- Damdawi: Operation hnua natna hrik kai loh nan, operation hmaa vun tihfai nan solution bik pek i ni thei bawk. Damdawi thenkhat, thisen tithianghlimtu ang chi, ni engemaw zat ei khap turin an ti thei bawk.
Surgery neih chhung hian eng nge thleng?
I surgery ni chuan operation room-ah hruai i ni ang. Anesthesiologist chuan i kut chhunga cannula (IV line) hmangin damdawi a pe ang che. Engmah i hre lovang. I mut lai hian tui leh damdawi te chu cannula hmangin i taksaah pek chhunzawm zel a ni ang.
Thâwk chhuahna tur tube-ah i connect ang a, pum chhunga harsatna awm lo turin tube-ah i connect ang a, zun chhuahna tur Foley catheter-ah i connect bawk ang. Lungngai suh, hei hi i himna tur a ni vek.
A tam zawkah chuan he surgery hi pum chhunga incision lian tak (open surgery) hmanga tih a ni. Hei hian surgeon chuan taksa peng hrang hrangte chu a hmu thei zawk a ni. Mahse, damdawi in hmasawn thenkhatah chuan he surgery hi camera leh instrument hmanga incision tenau tlemte hmanga tih a ni. Hei hi laparoscopic emaw robotic surgery emaw an ti a . Hei hian recovery time a ti tlem a ni.
He surgery hi darkar 4 leh darkar 6 inkar a ni tlangpui.
Surgery hnuah eng nge thleng?
Surgery zawhah ward emaw intensive care unit-ah sawn i ni ang a, uluk taka enkawl i ni ang. Tube i connect tawh thenkhat chu ni engemaw zat hnuah lakchhuah a ni ang. Damdawi inah kar khat vel i awm tlangpui ang.
- Natna damdawi hi a tir lamah pek thin a ni.
- Operation hnu ni atang chuan khum atanga tho chhuakin tlem tal kal kual tir i ni ang.
- A hmasain liquid food pek an ni a, chumi hnuah zawi zawiin regular food-ah an luhtir leh thin.
- Medical team hian i chaw ei dan leh thisen sugar level an enfiah reng a, chutiang chuan i ei leh in leh damdawi an siamrem ang.
Surgery avanga hlauhawm leh harsatna awm thei
Surgery lian dang ang bawkin hlauhawmna engemaw zat a awm a, mahse doctor-te chuan heng hlauhawmnate hi enkawl turin theihtawp an chhuah thin.
| Risk leh complication chi hrang hrang | Hrilhfiahna |
|---|---|
| Hun rei lote chhunga side effects awm thei | |
| Infection leh thisen chhuak | Operation lai emaw, operation hnuah emaw a awm thei. |
| Anastomotic leak a awm | Reattached intestines ang chi hmun atanga leakage awm. |
| Bowel function tlahniam (Paralytic ileus) . | Operation hnu ni engemaw zat chhung chu bowel movement hi a pangngai lo thei. Hei hi thil pangngai a ni. |
| Dumping syndrome tih hi a ni | Chaw ei hnua lungawi lohna hi chaw ei chu pum atanga small intestine-a a kal chak lutuk hian a awm thin. Hei hi hun eng emaw chen atan a ni fo. |
| Rihna tlahniam leh hah lutuk | Taksain damna atan chakna tam tak a hman avangin zai hnua taksa rihna tihtlem leh hah taka inhriat hi thil pangngai a ni. |
| Hun rei tak chhunga harsatna awm thei | |
| Zunthlum | Pancreas pumpui hi lakchhuah a nih chuan zunthlum a awm ngei ang. Pancreas hmun thenkhat lakchhuah a nih chuan a thleng thei bawk. |
| Chaw ei leh in lama harsatna (Exocrine pancreatic insufficiency) . | Pancreas atanga enzyme siam tling lo hian natna lan chhuahna a thlen thei a, chu chu puak leh riltam ang chi a ni. Chumi atan chuan enzyme tablet (PERT) ei tur a ni. |
| Immunity a tlahniam | Operation laiin spleen hi lakchhuah a nih chuan natna thenkhat dona theihna a tlahniam a, chuvangin doctor chuan vaccine thenkhat lak a rawt mai thei. |
In lama haw hnua dam leh theih nan eng chen nge hun a duh?
In lama i haw hnua a dam kim theih nan kar 4 atanga kar 8 vel a ngai thei. Hei hi operation hmaa i hriselna leh i surgery chi hrang hrangah a innghat a ni.
Engtikah nge doctor ko nghal tur
In lama haw hnua a hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.
- Surgery hliam chu a hring, a sen, a nih loh leh pus ang chi tui a chhuak a nih chuan.
- Khawsik (degree Fahrenheit 100 aia sang) a ni.
- Diarrhea emaw constipation emaw awm reng.
- Natna thar emaw, na zual emaw.
He surgery hi thil pawi tak, nun tidanglam thei tak a ni. Mahse, doctor pakhatin i nunna atana a hlawkna chu a hlauhawmna aiin a tam zawk tih an rin avangin a rawt tih hre reng ang che. I nunna chhanhim emaw, i nunphung tihsan emaw atana tih a ni.
Take-Home Thuchah a ni
- Pancreatectomy chu pancreas thenkhat emaw, a pum emaw surgery hmanga lakchhuah a ni.
- Hei hi pancreatic cancer leh pancreatitis na tak ang chi natna tan tih a ni ber.
- Operation hnuah chuan pancreas tel lovin i nung thei a, mahse ei tur digest thei tur enzyme pill ang chi lifelong supplement leh zunthlum control nan insulin te i mamawh dawn a ni.
- Hei hi surgery lian tak a ni a, a dam theih nan hun a duh dawn a ni. Chumi hun chhung chuan doctor thupek zawm a pawimawh hle.
- Hemi chungchangah hian zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inhawng takin sawi rawh. I mamawh tur information leh support zawng zawng an pe vek ang che.
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