I tēnei rā ka kōrero tātou mō tētahi okana tino nui o tō tinana kāore e tino kōrerohia ana, engari ko te repe taiaki. Tērā pea kua kōrero mai tētahi tākuta ki a koe, ki tētahi rānei e mōhio ana koe mō te pokanga repe taiaki. I taua wā, he mea noa te mataku me te maha o ngā pātai. Nō reira, i tēnei rā, me kōrero tātou mō tēnei pokanga hei tango i te repe taiaki, arā, ko te 'Pancreatectomy', he mārama, he māmā hoki.
Tuatahi, kia tirohia tātou he aha tēnei pokanga (Pankreatectomy).
He ngāwari noa iho, ko te tango i te pancreas he mahi pokanga e tango ana i tētahi wāhanga, i te katoa rānei o tō pancreas. Tērā pea kei te whakaaro koe, "He aha te pancreas? He aha tāna mahi?"
He okana iti te repeure kei roto i tō tātou puku, i muri i te puku. Engari he nui rawa tana mahi. E rua ngā mahi matua:
1. Te hanga whākōkī hei āwhina i te nakunaku kai: Ka āwhina ēnei whākōkī ki te wawahi i ngā matūkai i roto i te kai e kainga ana e tātou kia taea ai e te tinana te mimiti.
2. Te hanga homoni: Koinei te mea e hanga ai ngā homoni nui pēnei i te insulin, e whakahaere ana i ngā taumata huka toto.
Nā te aha rā i tangohia ai tētahi okana tino nui? Me titiro tātou ki ngā take.
He aha i hiahia ai tetahi ki te tango i te pancreas?
Ka whakamahia noa e ngā tākuta ngā pokanga nui pēnei ina tino tika. Ko ngā tino take e rua ko ngā pukupuku me te pancreatitis.
- Ngā pukupuku: Ko ētahi pukupuku e puta ana i roto i te repe taiaki he mate pukupuku pea. He nui te tūponotanga o ēnei ki te horapa ki ētahi atu wāhanga o te tinana. Nō reira, hei whakaiti i taua tūponotanga, me tango pea te wāhanga, te katoa rānei o te repe taiaki kei roto te pukupuku.
- Te Pancreatitis: He āhuatanga tēnei e pupuhi ai, e mumura ai te repeure. I ētahi wā, ki te haere tonu tēnei (te pancreatitis mau tonu), ka pā mai he mamae e kore e taea te tāea me ētahi atu raruraru. I roto i ēnei āhuatanga, ka tūtohutia hoki tēnei pokanga hei otinga.
Ka mahia tēnei pokanga mō ngā āhuatanga e whai ake nei:
- Matepukupuku repeure
- Ngā pukupuku neuroendocrine o te pancreas, hei tauira, te insulinoma
- Te mate pukupuku kua horapa ki te repeure mai i tētahi atu wāhi (Te mate pukupuku metastatic)
- Ngā pūkahukahu repeure (ngā pukupuku, ngā pēke wai rānei i roto i te repeure)
- Te mate pāwera nui, roa (Te mate pāwera mau tonu)
He aha ngā momo pokanga tango i te pancreas?
He āhua rite te repe taiaki ki te ika. He "upoko" nui, he "tinana" waenga, he "hiku" angiangi. Ka rerekē te ingoa o te pokanga i runga i te wāhanga e tangohia ana. I ētahi wā, me tango ehara i te repe taiaki anake engari me tango hoki ētahi atu okana tata.
| Momo pokanga | Hei whakarāpopototanga... |
|---|---|
| Te tango i te pancreas tawhiti | I tēnei, ka tangohia te hiku o te repe taiaki (me te wāhanga waenga i ētahi wā). Nā te mea he tata rawa te hiku o te repe taiaki ki te whēkau, he maha ngā wā ka tangohia te whēkau i tēnei pokanga. |
| Te tango i te pancreas matua | I tēnei , ko te wāhanga waenga anake o te repe taiaki ka tangohia, ka waiho ko te pane me te hiku. He pokanga uaua tēnei, kāore e taea te mahi i ngā wā katoa. Engari ki te taea, ka taea te tiaki i te mahi a te repe taiaki. |
| Te tango i te puku duodenal (te tikanga Whipple) | Koinei te "tikanga Whipple" rongonui. Ka tangohia te pane o te repe taiaki. I taua wā anō, ka tangohia hoki te wāhanga tuatahi o te whekau iti (duodenum) , te pūhā, me te wāhanga o te awaawa au e hono ana ki reira. Kātahi ka honoa anō ngā wāhanga e toe ana. |
| Te tango katoa i te pancreas | E ai ki te ingoa, ka tangohia te repe katoa . Ka mahia tēnei ina horapa te mate puta noa i te okana, ina kore rānei e taea te whakaora i te kiko hauora. Me tango hoki te repe, te whēkau, te pūkahukahu, te wāhanga tuatahi o te whekau iti, me te wāhanga o raro o te puku . |
Ka taea te ora me te kore he pancreas?
Ae, ka taea e koe. Engari he wero. Ina ngaro tō repe taiaki, kāore tō tinana e whiwhi i ngā whākōkī me ngā homoni e whakaputaina ana e ia. Nō reira me tango e koe i waho mō te toenga o tō oranga.
Hei tauira, me tango e koe ngā whākōkī nakunaku i roto i te ahua pire. Waihoki, ka pāngia koe e te mate huka nā te mea kāore i a koe te homoni insulin. Me werohanga koe i te insulin mō tēnā. Me ako koe ki te noho tahi me ēnei.
He aha ngā mea ka tupu i mua i te pokanga?
Ka tino rite koe i mua i tētahi pokanga nui pēnei.
- Ngā Whakamātautau: Ka pātai atu tō tīma hauora mō tō hītori hauora, ngā rongoā e tangohia ana e koe, ā, ka whakahaerehia ētahi whakamātautau, pērā i te hihi-X o te uma me te EKG, kia kitea ai mēnā he pai koe mō te pokanga.
- Te whakarērea i ngā whanonga kino: Ki te inu waipiro koe, he mea nui kia kōrero pono koe ki tō tākuta. Ka pā mai pea ngā raruraru i te waipiro i te wā e pokanga ana, ā, i muri hoki i te pokanga. Mā tō rōpū hauora koe e āwhina ki te whakarērea haumaru.
- Rongoā: Hei ārai i te mate i muri i te pokanga, ka hoatu pea he wai motuhake ki a koe hei horoi i te kiri i mua i te pokanga. Ka tonoa pea koe kia mutu te tango i ētahi rongoā, pērā i ngā rongoā whakaiti toto, mō ētahi rā.
He aha ngā mea ka tupu i te wā o te pokanga?
I te rā o tō pokanga, ka haria koe ki te rūma pokanga. Ka meinga koe e te tohunga whakamoe kia moe hohonu mā te hoatu rongoā ki a koe mā te cannula (raina IV) i tō ringa. Kāore koe e rongo i tetahi mea. I a koe e moe ana, ka tukuna tonutia ngā wai me ngā rongoā ki tō tinana mā te cannula.
Ka honoa koe ki tētahi ngongo hei āwhina i a koe ki te manawa, ki tētahi ngongo hei ārai i ngā raruraru puku, me tētahi catheter Foley hei tango i te mimi. Kaua e manukanuka, he mea tēnei hei tiaki i a koe.
I te nuinga o te wā, ka mahia tēnei pokanga mā roto i tētahi tapahi nui i roto i te puku (pokanga tuwhera). Mā tēnei ka taea e te taote pokanga te kite pai ake i ngā whekau. Heoi, i ētahi hōhipera matatau, ka mahia tēnei pokanga mā roto i ētahi tapahi iti me te kāmera me ngā taputapu. Ka kiia tēnei he pokanga laparoscopic , he pokanga robotic rānei. Mā tēnei ka whakaiti i te wā whakaora.
Ko te tikanga ka roa tēnei pokanga i waenga i te 4 me te 6 hāora.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, ka whakawhitia koe ki tētahi wāhanga tiaki nui, ki tētahi wāhanga tiaki nui rānei, ā, ka tirotirohia koe ki reira. Ka tangohia ētahi o ngā ngongo kua honoa e koe i roto i ētahi rā. I te nuinga o te wā ka noho koe ki te hōhipera mō te wiki pea.
- Ka hoatu te rongoā mamae i ngā rā tōmua.
- Mai i te rā i muri i te pokanga, ka meinga koe kia ara ake i te moenga me te hikoi haere mo te wa poto.
- Tuatahi, ka hoatu he kai wai ki a rātou, kātahi ka āta whakaurua ki te kai noa.
- Kei te aroturuki tonu te tīma hauora i tō nakunaku me tō taumata huka toto, ā, ka whakarerekē i tō kai me tō rongoā kia rite ki tēnā.
Ngā tūponotanga me ngā raruraru o te pokanga
Pērā i ngā pokanga nui katoa, he tūponotanga kei reira, engari ka whakapau kaha ngā tākuta ki te whakahaere i ēnei tūponotanga.
| Ngā momo mōrearea me ngā raruraru | Whakaahuatanga |
|---|---|
| Ngā pānga taha mō te wā poto | |
| Ngā mate urutā me te toto | Ka puta pea i te wā o te pokanga, i muri rānei i te pokanga. |
| Te turuturu o te hononga ā-roto | Te turuturu mai i ngā wāhi pēnei i ngā whekau kua honoa anō. |
| Te ngoikore o te mahi puku (Ileus paralitika) | Kāore pea ngā nekehanga o te puku e rite ana mō ētahi rā i muri i te pokanga. He mea noa tēnei. |
| Te mate tukunga | Ka puta te mamae i muri i te kai ina tere rawa te neke o te kai mai i te puku ki roto i te whekau iti. He wā poto noa iho tēnei. |
| Te whakahekenga taumaha me te ngenge | He mea noa te whakaiti i te taumaha me te ngenge i muri i te pokanga nā te mea he nui te pūngao e whakamahia ana e te tinana hei whakaora. |
| Ngā raruraru roa | |
| Mate huka | Ki te tangohia te repe taiaki katoa, ka tino pāngia koe e te mate huka. Ka pā mai anō hoki mēnā ka tangohia tetahi wāhanga o te repe taiaki. |
| Ngā raruraru nakunaku (te ngoikore o te pancreas exocrine) | Ka puta pea ngā tohu pēnei i te pupuhi me te korere i te korenga o ngā whākōkī e whakaputaina ana e te repe taiaki. Hei whakatutuki i tēnei, me tango he papa whākōkī (PERT). |
| Te ngoikore o te ārai mate | Ki te tangohia te ate i te wā o te pokanga, ka heke te kaha ki te whawhai ki ētahi mate, nō reira ka tūtohu pea te tākuta kia whiwhi koe i ētahi kano kano. |
Kia pēhea te roa o te wā e ora ai i muri i te hokinga ki te kāinga?
E 4 ki te 8 wiki pea te roa o tō whakaoranga katoa i muri i tō hokinga ki te kāinga. Kei runga i tō hauora i mua i te pokanga me te momo pokanga i mahia ki a koe tēnei.
Āhea te waea atu ki te tākuta tonu
Mena ka puta mai ēnei tohu i muri i tō hokinga ki te kāinga, waea atu ki tō tākuta tonu atu.
- Mena he pupuhi te patunga pokanga, he whero, he wai rānei e turuturu ana, he rite ki te pupuhi.
- Te kirika (neke atu i te 100 nekehanga Fahrenheit).
- Te mate korere tonu, te mate kōroke rānei.
- He mamae hou, he mamae kino rānei.
He tikanga nui tēnei pokanga, he tikanga whakarerekē i te ora. Engari kia maumahara, kei te tūtohu te tākuta i tēnei mahi nā te mea e whakapono ana rātou he nui ake ngā painga ki tō ora i ngā mōrearea. He mahi tēnei hei whakaora i tō ora, hei whakapai ake rānei i te kounga o tō ora.
Karere Tangohia ki te Kāinga
- Ko te tango pokanga i te pancreas he tango i tetahi wāhanga, i te katoa rānei.
- Ko te nuinga o tēnei ka mahia mō ngā āhuatanga pēnei i te mate pukupuku repeure me te pancreatitis kino.
- I muri i te pokanga, ka taea e koe te ora tonu me te kore he repe taiaki, engari me kai koe i ngā tāpiringa mō te wā roa pērā i ngā pire whākōkī hei āwhina i te nakunaku kai me te insulin hei whakahaere i te mate huka.
- He pokanga nui tēnei, ā, ka roa te wā e ora ai. He mea tino nui kia whai i ngā tohutohu a tō tākuta i taua wā.
- Mena he pātai, he āwangawanga rānei āu mō tēnei mea, kōrero noa atu ki tō tākuta. Mā rātou koe e whakarato ki ngā mōhiotanga me ngā tautoko katoa e hiahiatia ana e koe.
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