Kan taksa chhunga taksa chhunga ngawi renga thawk, i ei tur ei tur leh thisen sugar level control thei tur organ te tak te, mahse pawimawh tak tak i hre tawh em? Chu chu pancreas, a nih loh leh English-a kan sawi angin pancreas a ni. A châng chuan, he taksa peng pawimawh takah hian natna ṭhenkhat a awm avângin, a ṭhen emaw, a pum emaw chu operation hmanga lak chhuah a ngai ṭhin. Chu chu pancreatectomy kan tih chu a ni. Chutiang surgery chungchang i hriat chuan hlauhna tlem a awm chu thil pangngai a ni. Chuvang chuan, vawiinah hian awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.
Engvangin nge he Pancreatectomy surgery hi i neih a ngai?
Doctor-te chuan hetiang surgery lian tak hi uluk taka ngaihtuah hnuah chauh leh a tul tak tak a nih chauhvin an rawt tlangpui. Hei hi chhan lian tak pahnih a awm a.
1. Tumors: Pancreas-a tumor thenkhat lo awm hi cancer a ni thei. Hengte hian taksa peng dangah a darh (metastatic) theihna a sang hle. Chuvangin chu hlauhawmna tihtlem dan tha ber chu pancreas chhunga tumor awmna hmun chu paih chhuah hi a ni.
2. Pancreatitis: Hei hi pancreas a inflamed lai a ni. Hei hian natna nasa tak leh harsatna dang a thlen thei a ni. A châng chuan, chu natna chu thunun theih loh khawpa na a nih chuan, operation neih a ngai thei bawk.
Chu bakah, he surgery hi pancreatic cysts leh hormone siamtu tumor thenkhat (pancreatic neuroendocrine tumors) ang chi condition atan pawh solution atan hman a ni bawk.
Pancreatectomy surgery chi hrang hrangte chu engte nge ni?
Kan pancreas hi sangha ang deuhin a pianzia a ni. " Lu " zau tak, "taksa" lai tak, leh "tail" te tak te a nei bawk. Chuvangin, natna awmna hmun azirin a lakchhuahna hmun chu a inang lo. Chumi ang chuan surgery chi hrang hrang a awm a.
| Surgery chi hrang hrang | A awlsam zawngin, eng thil nge thleng? |
|---|---|
| Distal Pancreatectomy tih a ni | Hetah hian pancreas-a "tail" part, leh a chang chuan "body" part chu lakchhuah a ni. He part hi spleen hnaih tak a nih avangin spleen nen hian lakchhuah a ni fo thin . |
| Central Pancreatectomy tih a ni | Hei hi a buaithlak deuh a, surgery a awm lo zawk. " lu " leh "tail" chauh lakchhuah a, a lai tak "taksa" chu a awm ang anga dah a ngai a ni . Hei hian pancreatic function chu nasa zawkin a humhim thei a ni. |
| Pancreaticoduodenectomy (Whipple hmanga tih dan) tih a ni. | Hei hi mi tam takin "Whipple" operation tia an hriat chu a ni. Chutah chuan pancreas " lu " chu lakchhuah a ni. Chutih rual chuan , small intestine (duodenum), gallbladder, leh a nena inzawm common bile duct hmun hmasa ber pawh lakchhuah a ni bawk Tichuan, pancreas, bile duct leh stomach la awmte chu small intestine-ah an inzawm leh ta a ni. |
| Pancreatectomy zawng zawng tihchhuah a ni | A hming ang bawkin, hei hian pancreas pumpui lak chhuah a huam a ni . He surgery hi natna hi taksa peng zawng zawngah a darh tawh emaw, tissue hrisel tak tak chhanchhuah theih a nih loh hunah emaw tih thin a ni. Pancreas bakah hian spleen, gallbladder, small intestine part hmasa ber leh stomach thenkhat lakchhuah a ni bawk. |
Pancreas tel lovin nun theih a ni em?
Ni e, i ti thei ngei ang. Mahse, inthlak danglamna engemaw zat nen. Pancreas atanga enzyme leh hormone siam chhuah i hloh avangin i dam chhung zawng pawn lam atanga lak chhuah a ngai a ni.
A awlsam zawngin sawi ila, chaw ei tichaktu enzyme (Pancreatic Enzyme Replacement Therapy - PERT) pill angin i ei a ngai a, thisen sugar control tu insulin hormone (insulin) chu injection angin i ei a ngai bawk.
Chuti a nih chuan zunthlum ka vei dawn em ni?
Hei hi mi tam tak tan chuan harsatna a ni. Pancreas hmun thenkhat chauh lakchhuah a nih chuan a bak zawng hian taksa tana insulin a siam tling thei a, a siam chhuak lo thei bawk. A part lakchhuah danah a innghat. Mahse, pancreas pumpui hi lakchhuah a nih chuan (Total Pancreatectomy) zunthlum i vei ngei ang . A chhan chu insulin siamtu cell te chu an bo vek tawh a ni. Chutih rual chuan insulin enkawlna i tan a ngai dawn bawk.
Surgery hma, operation neih chhung leh operation zawhah eng nge thleng?
Surgery neih hma hian...
Surgery neih hma ni engemaw zat i inbuatsaih a ngai a ni.
- Test hrang hrang:I hriselna enfiah nan test eng emaw zat i neih a ngai dawn a, chu chu thisen test, chest X-ray, leh EKG te hi a ni.
- Thil tih \ha lo bânsan: Zu ruih hmang i nih chuan i doctor hnenah i hrilh ngei ang . Zu in hian operation neih chhung leh operation hnuah harsatna a thlen thei a ni. Medical team te chuan him takin an titawp ang che.
- Damdawi: A chang chuan operation hma ni engemaw zat chhunga thisen tithianghlimtu ei kha bansan turin an ti ang che.
Surgery neih chhung hian...
Operation ni chuan anesthesiologist chuan i kut ah IV line hmangin a muthilh tir ang che. Chuvang chuan engmah hrehawm i nei lovang. Surgery hi darkar 4 leh darkar 6 inkar a ni thei. Surgeon chuan i pum chhunga incision hmangin (open surgery) emaw, camera hmangin incision tenau tlemte hmangin (laparoscopic emaw robotic surgery) emaw a ti ang.
Surgery an neih hnuah...
Surgery zawhah ward pakhatah sawn i ni ang a, i dinhmun uluk taka enfiah a ni ang. Damdawi inah ni 7 vel i awm ang.
- A hmasain liquid food pek an ni a, chumi hnuah zawi zawiin regular food-ah an luhtir leh thin.
- Painkiller hi a tul angin pek thin a ni.
- Operation hnu ni atang khan khum atanga tanpui i ni ang a, nurse te puihnain tlem i kal kual ang. Hei hi dam thuai nan a pawimawh hle.
- Medical team te hian i thisen sugar level leh digestive process te an enfiah reng thin.
He surgery hian eng hlauhawmna leh harsatna nge a neih?
Surgery dang ang bawkin risk engemaw zat a awm bawk. Mahse doctor-te chuan he surgery hi an tih chhan chu a hlawknain a hlauhawmna aiin a tam zawk a ni.
| Complication chi hrang hrang | Hrilhfiahna |
|---|---|
| Hun rei lote chhunga nghawng tha lo (operation hnu rei vak lo) . | |
| Rihna tihtlem | Surgery hnua kilo 5-7 vel hloh hi thil pangngai a ni. Hei hi ei leh in a inthlak danglam vang leh taksa dam theihna a neih vang a ni. Hun a kal zel a, a rit zawng chu a nghet ang. |
| Chau | I taksain a chhung lam atanga a pawn lam a tihdam nan chakna tam tak a hman avangin, a hma aia nasain i chau zawk mai thei. Ni khat chu hahdam taka awm a, a tuk zingah hahdam taka awm chu thil pangngai a ni. Chawlh hahdam tam rawh. |
| Chaw ei leh in lama harsatna a awm | A châng chuan, ril chu a thawk tlem deuh thei (Paralytic ileus). Tin, pum atanga chaw chhuak chu a tlai thei bawk (Delayed gastric emptying). Hengte hi hun eng emaw chen atan a ni. |
| Hun rei tak chhunga harsatna awm thei | |
| Zunthlum | Kan sawi tawh ang khan pancreas pumpui lakchhuah hian zunthlum a thlen ngei ang. |
| Exocrine Pancreatic Insufficiency atanga lo chhuak a ni | Taksa hian ei tur a hmin theih nan enzyme a siam tling lo. Hei hian symptoms, bloating leh diarrhea te a thlen thei a ni. Hei hian enzyme pills (PERT) ei a ngai a ni. |
| Immunity a tlahniam | Operation laiin spleen hi lakchhuah a nih chuan infection thenkhat do theihna a tlahniam thin. Chuvangin, doctor chuan vaccine thenkhat lak a rawt mai thei . |
A dam leh theih nan eng chen nge hun a duh? Tin, engtikah nge doctor ka hmuh ang?
In lama i haw hnua a dam kim theih nan kar 4 atanga kar 8 vel a ngai thei a, chu chu i taksa hriselna leh operation chi hrang hrang a zirin a ni.
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 chu 100 degree F (37.7 C) aia sang a nih chuan.
- Persistent diarrhea emaw constipation emaw i neih chuan.
- Natna a zual zel a nih chuan.
Take-Home Thuchah a ni
- Pancreatectomy hi surgery lian tak a ni a, pancreas natna hmun emaw, a zawng zawng emaw paih chhuah a ni. Cancer ang chi nunna atana hlauhawm tak tak tan pawh tih a ni.
- Surgery hnuah chuan pancreas tel lovin nun theih a ni a, mahse dam chhung zawnga enkawlna, chaw ei nana enzyme pill leh zunthlum control nana insulin te hi a ngai mai thei.
- He surgery hi a hlauhawm deuh thei a, mahse medical team chuan i mamawh enkawlna leh puihna tha ber an pe ang che.
- Hemi chungchanga zawhna, hlauhna, rinhlelhna i neih chuan hreh lova doctor nen sawiho rawh.
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