Lero tikambirana za chiwalo chofunikira kwambiri m'thupi lanu chomwe sitikulankhula kwambiri, koma ndicho kapamba. Mwina dokotala wakuuzani kapena munthu wina amene mumamudziwa za opaleshoni ya kapamba. Panthawiyo, ndikwachibadwa kukhala ndi mantha ndikukhala ndi mafunso ambiri. Chifukwa chake lero, tiyeni tikambirane za opaleshoni iyi yochotsa kapamba, kutanthauza 'Pancreatectomy', momveka bwino komanso mosavuta.
Choyamba, tiyeni tiwone kuti opaleshoni iyi (Pancreatectomy) ndi chiyani.
Mwachidule, opaleshoni ya pancreatectomy ndi opaleshoni yomwe imachotsa gawo lina la kapamba wanu wonse. Tsopano mwina mukudzifunsa kuti, "Kodi kapamba ndi chiyani? Amachita chiyani?"
Pancreas ndi chiwalo chaching'ono chomwe chili mkati mwa mimba yathu, kumbuyo kwa mimba. Koma ntchito yake ndi yaikulu kwambiri. Imachita zinthu ziwiri zazikulu:
1. Kupanga ma enzyme omwe amathandiza kugaya chakudya: Ma enzyme amenewa amathandiza kuswa michere yomwe ili m'chakudya chomwe timadya kuti thupi lizitha kuyamwa.
2. Kupanga mahomoni: Ichi ndi chomwe chimapanga mahomoni ofunikira monga insulin, omwe amalamulira kuchuluka kwa shuga m'magazi mwanu.
Nanga n’chifukwa chiyani kuchotsa chiwalo chofunika chotere? Tiyeni tione zifukwa zake.
Chifukwa chiyani munthu ayenera kuchitidwa opaleshoni ya Pancreatectomy?
Madokotala amagwiritsa ntchito opaleshoni yaikulu ngati imeneyi pokhapokha ngati pakufunika kutero. Zifukwa ziwiri zazikulu ndi zotupa ndi kapamba.
- Ziphuphu: Ziphuphu zina zomwe zimayamba mu kapamba zimatha kukhala khansa. Izi zimakhala ndi chiopsezo chachikulu chofalikira ku ziwalo zina za thupi. Choncho kuti achepetse chiopsezo chimenecho, gawo kapena kapamba wonse womwe uli ndi chotupacho ungafunike kuchotsedwa.
- Pancreatitis: Iyi ndi vuto lomwe kapamba amatupa ndi kutupa. Nthawi zina, ngati izi zikupitirira (pancreatitis yosatha), zimatha kuyambitsa ululu wosapiririka komanso mavuto ena. Pazochitika zotere, opaleshoniyi imaperekedwanso ngati yankho.
Opaleshoni iyi imachitika pazifukwa zotsatirazi:
- Khansa ya kapamba
- Pancreatic neuroendocrine tumors, mwachitsanzo, insulinoma
- Khansa yomwe yafalikira ku kapamba kuchokera kwina (Metastatic cancer)
- Ma cysts a Pancreatic (zotupa kapena matumba odzaza madzi m'thupi la Pancreatic)
- Pancreatitis yoopsa komanso ya nthawi yayitali (Severe chronic pancreatitis)
Kodi mitundu ya opaleshoni ya pancreatectomy ndi iti?
Pancreas imaoneka ngati nsomba. Ili ndi "mutu" waukulu, "thupi" lapakati, ndi "mchira" woonda. Dzina la opaleshoni limasiyana malinga ndi gawo lomwe lachotsedwa. Nthawi zina, ndikofunikira kuchotsa osati kapamba kokha komanso ziwalo zina zapafupi.
| Mtundu wa opaleshoni | Mwachidule... |
|---|---|
| Kuchotsa Pancreatectomy ya Distal | Mu izi, mchira wa kapamba (ndipo nthawi zina gawo lapakati) umachotsedwa. Chifukwa mchira wa kapamba uli pafupi kwambiri ndi kapamba, kapamba nthawi zambiri amachotsedwanso panthawi ya opaleshoniyi. |
| Kuchotsa Pancreatectomy yapakati | Mu izi , gawo lapakati la kapamba ndi lomwe limachotsedwa, ndikusiya mutu ndi mchira. Iyi ndi opaleshoni yovuta pang'ono yomwe siingachitike nthawi zonse. Koma ngati ingathe kuchitika, ikhoza kusunga ntchito yambiri ya kapamba. |
| Pancreaticduodenectomy (Njira ya Whipple) | Iyi ndiyo njira yotchuka kwambiri ya "Whipple." Mutu wa kapamba umachotsedwa. Nthawi yomweyo, gawo loyamba la matumbo ang'onoang'ono (duodenum) , ndulu, ndi gawo la ndulu zomwe zalumikizidwa nazo zimachotsedwanso. Kenako magawo otsalawo amalumikizidwanso. |
| Kuchotsa Pancreatectomy yonse | Monga momwe dzinalo likusonyezera, kapamba wonse umachotsedwa. Izi zimachitika pamene matendawa afalikira m'chiwalo chonse kapena ngati palibe minofu yathanzi yomwe ingapulumutsidwe. Pamodzi ndi kapamba , ndulu, ndulu, gawo loyamba la matumbo ang'onoang'ono, ndi gawo la pansi la m'mimba nazonso ziyenera kuchotsedwa. |
Kodi n'zotheka kukhala ndi moyo wopanda kapamba?
Inde, mungathe. Koma ndi zovuta. Mukataya kapamba wanu, thupi lanu sililandira ma enzyme ndi mahomoni omwe amapanga. Choncho muyenera kuwachotsa kunja kwa moyo wanu wonse.
Mwachitsanzo, muyenera kumwa ma enzymes ogaya chakudya m'njira ya mapiritsi. Komanso, mumayamba kudwala matenda a shuga chifukwa mulibe insulin ya mahomoni. Muyenera kumwa jakisoni wa insulin pachifukwa chimenecho. Muyenera kuphunzira kukhala ndi izi.
Kodi chimachitika ndi chiyani opaleshoni isanachitike?
Mudzakhala okonzeka bwino musanachite opaleshoni yaikulu ngati iyi.
- Mayeso: Gulu lanu lachipatala lidzakufunsani za mbiri yanu ya thanzi, mankhwala omwe mukumwa, ndikuchita mayeso angapo, monga X-ray pachifuwa ndi EKG, kuti aone ngati ndinu woyenera kuchitidwa opaleshoni.
- Kusiya zizolowezi zoipa: Ngati mumamwa mowa, ndikofunikira kuuza dokotala wanu zoona. Mowa ukhoza kuyambitsa mavuto panthawi ya opaleshoni komanso pambuyo pake. Gulu lanu lachipatala lidzakuthandizani kusiya mowa mosamala.
- Mankhwala: Pofuna kupewa matenda mutachita opaleshoni, mungapatsidwe mankhwala apadera oyeretsera khungu musanachite opaleshoni. Mungapemphedwenso kuti musiye kumwa mankhwala ena, monga mankhwala ochepetsa magazi, kwa masiku angapo.
Kodi chimachitika ndi chiyani panthawi ya opaleshoni?
Pa tsiku la opaleshoni yanu, mudzatengedwera ku chipinda chochitira opaleshoni. Dokotala wogonetsa anthu ogonetsa adzakugonetsani tulo tatikulu pokupatsani mankhwala kudzera mu cannula (IV line) m'dzanja lanu. Simudzamva chilichonse. Pamene mukugona, madzi ndi mankhwala adzapitirira kuperekedwa ku thupi lanu kudzera mu cannula.
Mudzalumikizidwa ku chubu chokuthandizani kupuma, chubu chopewera mavuto am'mimba, ndi katheta ya Foley yotulutsira mkodzo. Musadandaule, zonsezi ndi za chitetezo chanu.
Nthawi zambiri, opaleshoniyi imachitika kudzera mu kudula kwakukulu m'mimba (opaleshoni yotseguka). Izi zimathandiza dokotalayo kuona ziwalo bwino. Komabe, m'zipatala zina zapamwamba, opaleshoniyi imachitika kudzera mu kudula pang'ono ndi kamera ndi zida. Izi zimatchedwa opaleshoni ya laparoscopic kapena robotic . Izi zimachepetsa nthawi yochira.
Opaleshoni imeneyi nthawi zambiri imatenga maola 4 mpaka 6.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Pambuyo pa opaleshoni, mudzasamutsidwira ku chipinda chosungira odwala kapena chipinda chosamalira odwala kwambiri, komwe mudzayang'aniridwa mosamala. Machubu ena omwe mwalumikiza adzachotsedwa pakatha masiku ochepa. Nthawi zambiri mudzakhala m'chipatala kwa pafupifupi sabata imodzi.
- Mankhwala opweteka amaperekedwa masiku oyambirira.
- Kuyambira tsiku lotsatira opaleshoni, mudzakakamizidwa kudzuka pabedi ndikuyenda pang'ono.
- Choyamba, amapatsidwa chakudya chamadzimadzi kenako pang'onopang'ono amapatsidwa chakudya chanthawi zonse.
- Gulu lachipatala nthawi zonse limayang'anira kugaya kwanu chakudya ndi kuchuluka kwa shuga m'magazi, ndipo lidzasintha zakudya zanu ndi mankhwala anu moyenerera.
Zoopsa ndi zovuta za opaleshoni
Monga opaleshoni iliyonse yaikulu, pali zoopsa zina, koma madokotala amachita zonse zomwe angathe kuti athetse zoopsazi.
| Mtundu wa zoopsa ndi zovuta | Kufotokozera |
|---|---|
| Zotsatirapo za kanthawi kochepa | |
| Matenda ndi kutuluka magazi | Zitha kuchitika panthawi ya opaleshoni kapena pambuyo pake. |
| Kutuluka kwa madzi m'thupi | Kutuluka kwa madzi m'matumbo monga matumbo omwe alumikizidwanso. |
| Kuchepa kwa ntchito ya m'mimba (Paralytic ileus) | Kusuntha kwa matumbo sikungakhale kwabwinobwino kwa masiku angapo pambuyo pa opaleshoni. Izi ndi zachilendo. |
| Matenda otaya madzi | Kusamva bwino mukadya chakudya kumachitika pamene chakudya chikuyenda mofulumira kwambiri kuchokera m'mimba kupita m'matumbo ang'onoang'ono. Izi nthawi zambiri zimakhala zakanthawi kochepa. |
| Kuchepetsa thupi ndi kutopa | Ndizachibadwa kuchepetsa thupi ndikumva kutopa mutachita opaleshoni chifukwa thupi limagwiritsa ntchito mphamvu zambiri kuti lichiritse. |
| Mavuto a nthawi yayitali | |
| Matenda a shuga | Ngati kapamba wonse wachotsedwa, matenda a shuga adzachitikadi. Angachitikenso ngati gawo lina la kapamba lachotsedwa. |
| Mavuto a m'mimba (kusakwanira kwa exocrine pancreatic) | Kusakwanira kwa ma enzyme opangidwa ndi kapamba kungayambitse zizindikiro monga kutupa ndi kutsegula m'mimba. Pachifukwa ichi, mapiritsi a enzyme (PERT) ayenera kumwedwa. |
| Kuchepa kwa chitetezo chamthupi | Ngati ndulu yachotsedwa panthawi ya opaleshoni, mphamvu yolimbana ndi matenda ena imachepa, choncho dokotala angakulangizeni kuti mulandire katemera wina. |
Kodi zimatenga nthawi yayitali bwanji kuti munthu achire akabwerera kunyumba?
Zingatenge milungu inayi mpaka isanu ndi itatu kuti muchire bwino mutabwerera kunyumba. Izi zimadalira thanzi lanu musanachite opaleshoni komanso mtundu wa opaleshoni yomwe mudachita.
Nthawi yoti muyimbire dokotala nthawi yomweyo
Ngati muli ndi zizindikiro zotsatirazi mutabwerera kunyumba, imbani dokotala wanu nthawi yomweyo.
- Ngati bala la opaleshoni latupa, lofiira, kapena likutuluka madzi ngati mafinya.
- Malungo (kupitirira madigiri 100 Fahrenheit).
- Kutsegula m'mimba kosalekeza kapena kudzimbidwa.
- Ululu watsopano kapena woipa kwambiri.
Opaleshoni iyi ndi njira yofunika kwambiri komanso yosintha moyo. Koma kumbukirani kuti dokotala akukulimbikitsani chifukwa amakhulupirira kuti ubwino wa moyo wanu ndi woposa zoopsa zake. Ndi chinthu chomwe chimachitidwa kuti mupulumutse moyo wanu kapena kukweza moyo wanu.
Uthenga Wopita Nawo Kunyumba
- Pancreatectomy ndi opaleshoni yochotsa gawo kapena pancreatic yonse.
- Izi zimachitika makamaka pa matenda monga khansa ya kapamba ndi kapamba woopsa.
- Mukachita opaleshoni, mutha kukhala ndi moyo wopanda kapamba, koma mudzafunika zowonjezera moyo wanu wonse monga mapiritsi a enzyme kuti muthandize kugaya chakudya ndi insulin kuti muchepetse matenda a shuga.
- Iyi ndi opaleshoni yaikulu ndipo imatenga nthawi kuti ichire. Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu panthawiyo.
- Ngati muli ndi mafunso kapena nkhawa zilizonse zokhudza izi, lankhulani ndi dokotala wanu za izi momasuka. Adzakupatsani chidziwitso chonse ndi chithandizo chomwe mukufuna.
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