Nhasi tichataura nezvenhengo inokosha mumuviri wako yatisingataure zvakawanda nezvayo, asi iyo ipancreas. Pamwe chiremba akakuudza kana mumwe munhu waunoziva nezvekuvhiyiwa kwepancreas. Panguva iyoyo, zvakajairika kutya uye kuva nemibvunzo yakawanda. Saka nhasi, ngatitaurei nezvekuvhiyiwa uku kubvisa pancreas, kureva 'Pancreatectomy', zvakajeka uye zviri nyore.
Kutanga, ngationei kuti kuvhiyiwa uku (Pancreatectomy) chii.
Zvichitaurwa zviri nyore, kuvhiyiwa kwepancreatectomy inzira yekuvhiya inobvisa chikamu chepancreat yako yese kana kuti chikamu chayo chose. Iye zvino ungave uchishamisika kuti, "Chii chinonzi pancreas? Inoshanda sei?"
Chirwatata inhengo diki iri mukati medumbu redu, kuseri kwedumbu. Asi basa rayo rakakura. Inoita zvinhu zviviri zvikuru:
1. Kugadzira ma enzyme anobatsira kugaya chikafu: Ma enzyme aya anobatsira kuputsa zvinovaka muviri zviri muchikafu chatinodya kuitira kuti muviri ugone kuatora.
2. Kugadzira mahormone: Izvi ndizvo zvinogadzira mahormone akakosha akaita se insulin, iyo inodzora huwandu hweshuga muropa rako.
Saka sei kubvisa nhengo inokosha kudaro? Ngationei zvikonzero.
Sei munhu achifanira kuvhiyiwa Pancreatectomy?
Vanachiremba vanongoshandisa kuvhiyiwa kukuru seizvi kana zvichidikanwa. Zvikonzero zvikuru zviviri ibundu nepancreatitis.
- Mabundu: Mamwe mabundu anokura mupancreas anogona kuva kenza. Aya ane njodzi huru yekupararira kune dzimwe nhengo dzemuviri. Saka kuderedza njodzi iyoyo, chikamu kana kuti chikamu chose chepancreas chine bundu chingada kubviswa.
- Pancreatitis: Ichi chirwere apo pancreatitis inozvimba uye inozvimba. Dzimwe nguva, kana izvi zvikaramba zvichiitika (pancreatitis isingaperi), zvinogona kukonzera marwadzo asingatsungiririki nezvimwe zvinetso. Muzviitiko zvakadaro, kuvhiyiwa uku kunokurudzirwawo semhinduro.
Kuvhiyiwa uku kunoitwa mumamiriro ezvinhu anotevera:
- Kenza yepancreatic
- Matumbu epancreatic neuroendocrine, semuenzaniso, insulinoma
- Kenza yakapararira kuenda kupancreas kubva kune dzimwe nzvimbo (Metastatic cancer)
- Matumbu epancreatic (mabundu kana masaga azere nemvura mupancreas)
- Pancreatitis yakakomba, kwenguva refu (Pancreatitis yakaoma kwenguva refu)
Ndeapi marudzi ekuvhiyiwa kwepancreatectomy?
Chirwatata chakaita sehove. Chine "musoro" mukuru, "muviri" wepakati, uye "muswe" mutete. Zita rekuvhiyiwa rinosiyana zvichienderana nechikamu chinobviswa. Dzimwe nguva, zvinodikanwa kubvisa kwete chete chirwatata asiwo dzimwe nhengo dziri pedyo.
| Rudzi rwekuvhiyiwa | Zvichitaurwa zviri nyore... |
|---|---|
| Kuvhiyiwa kwepancreat yedivi | Muizvi, muswe wepancreas (uye dzimwe nguva chikamu chepakati) unobviswa. Nekuti muswe wepancreas uri pedyo zvikuru nepancreas, dandemutande rinowanzo bviswawo panguva yekuvhiyiwa uku. |
| Kuvhiyiwa kwepakati kwepancreat | Muizvi , chikamu chepakati chepancreas ndicho chinobviswa, zvichisiya musoro nemuswe. Uku kuvhiyiwa kwakaoma zvishoma uko kusingagone kuitwa nguva dzose. Asi kana kuchigona kuitwa, kunogona kuchengetedza mashandiro akawanda epancreas. |
| Kuvhiyiwa kweWhipple (pancreaticduodenectomy) | Iyi ndiyo nzira inozivikanwa zvikuru ye "Whipple procedure." Musoro wepancreas unobviswa. Panguva imwe chete, chikamu chekutanga cheura hudiki (duodenum) , gallbladder, uye chikamu chemugero we bile zvakabatana nazvo zvinobviswawo. Zvadaro zvimwe zvikamu zvinobatanidzwa zvakare. |
| Kubviswa kwepancreat zvachose | Sezvinoreva zita racho, pancreas yese inobviswa. Izvi zvinoitwa kana chirwere chacho chapararira munhengo yese kana kuti pasina nyama ine hutano inogona kuchengetedzwa. Pamwe chete nepancreas , spleen, gallbladder, chikamu chekutanga cheura hudiki, uye chikamu chezasi chedumbu zvinofanirawo kubviswa. |
Zvinokwanisika here kurarama usina pancreas?
Ehe, unogona. Asi idambudziko. Kana warasikirwa nepancreas yako, muviri wako hauwani ma enzymes nemahormone aanogadzira. Saka unofanira kuzvibvisa kunze kwehupenyu hwako hwese.
Semuenzaniso, unofanirwa kutora ma enzymes ekugaya chikafu ari muchimiro chemapiritsi. Zvakare, unotanga chirwere cheshuga nekuti hauna hormone inonzi insulin. Unofanira kutora majekiseni e insulin kuti uzviite. Unofanira kudzidza kurarama nazvo.
Chii chinoitika kuvhiyiwa kusati kwaitwa?
Uchagadzirira zvakanaka usati waitwa oparesheni huru yakaita seiyi.
- Miedzo: Chikwata chenyu chezvekurapa chichakubvunzai nezvenhoroondo yehutano hwenyu, mishonga yamuri kutora, uye chichakubvunzai nezvemiedzo yakati wandei, yakaita seX-ray yechipfuva neEKG, kuti vaone kana muri munhu akakodzera kuvhiyiwa.
- Kurega tsika dzakaipa: Kana ukanwa doro, zvakakosha kuudza chiremba wako chokwadi. Doro rinogona kukonzera matambudziko panguva yekuvhiyiwa uye mushure mekuvhiyiwa. Chikwata chako chekurapa chichakubatsira kurega zvakachengeteka.
- Mishonga: Kuti udzivise hutachiona mushure mekuvhiyiwa, unogona kupihwa mushonga wekuchenesa ganda usati wavhiyiwa. Unogonawo kukumbirwa kuti urege kutora mimwe mishonga, yakaita semishonga inobvisa ropa, kwemazuva mashoma.
Chii chinoitika panguva yekuvhiyiwa?
Pazuva rekuvhiyiwa kwako, uchaendeswa kukamuri rekuvhiyiwa. Chiremba weanotindivadza achakupinza muhope huru nekukupa mushonga kuburikidza ne cannula (IV line) muruoko rwako. Hauzonzwi chero chinhu. Paunenge wakarara, mvura nemishonga zvicharamba zvichipihwa mumuviri wako kuburikidza ne cannula.
Uchabatanidzwa nechubhu inokubatsira kufema, chubhu inokudzivirira matambudziko emudumbu, uye catheter yeFoley inoburitsa weti. Usazvidya moyo, izvi zvese ndezvekuchengetedza kwako.
Kazhinji, kuvhiyiwa uku kunoitwa kuburikidza nekucheka kukuru mudumbu (kuvhiyiwa kwakavhurika). Izvi zvinoita kuti chiremba aone nhengo dzemuviri zviri nani. Zvisinei, mune zvimwe zvipatara zvepamusoro, kuvhiyiwa uku kunoitwa kuburikidza nekucheka kudiki kushoma uchishandisa kamera nezvishandiso. Izvi zvinonzi laparoscopic kana robotic surgery . Izvi zvinoderedza nguva yekupora.
Kuvhiyiwa uku kunowanzotora maawa mana kusvika matanhatu.
Chii chinoitika mushure mekuvhiyiwa?
Mushure mekuvhiyiwa, muchaendeswa kuchipatara kana kuchipatara chevarwere vane chirwere chakanyanya, kwamuchatariswa zvakanyanya. Mamwe machubhu awakabatanidza achabviswa mumazuva mashoma. Kazhinji muchagara muchipatara kweinenge vhiki.
- Mishonga yekurwadziwa inopihwa mumazuva ekutanga.
- Kubva pazuva rakatevera kuvhiyiwa, uchamanikidzwa kumuka pamubhedha wofamba-famba zvishoma.
- Kutanga, vanopihwa chikafu chemvura uye zvishoma nezvishoma vanochipiwa chikafu chenguva dzose.
- Chikwata chevanachiremba chinogara chichitarisa kugaya kwenyu uye huwandu hweshuga muropa, uye chichagadzirisa kudya kwenyu nemishonga zvinoenderana.
Njodzi nematambudziko ekuvhiyiwa
Kufanana nekuvhiyiwa kupi zvako kukuru, kune dzimwe njodzi, asi vanachiremba vanoita nepese pavanogona napo kugadzirisa njodzi idzi.
| Rudzi rwenjodzi nematambudziko | Tsananguro |
|---|---|
| Migumisiro yenguva pfupi | |
| Utachiona uye kubuda ropa | Zvinogona kuitika panguva yekuvhiyiwa kana mushure mekuvhiyiwa. |
| Kubuda kwemvura mumasero emuviri | Kubuda kwemvura kubva munzvimbo dzakadai sematumbu akasungirirwa zvakare. |
| Kusashanda zvakanaka kwemudumbu (Paralytic ileus) | Kufamba kwedumbu kunogona kusaita zvakanaka kwemazuva mashoma mushure mekuvhiyiwa. Izvi zvakajairika. |
| Dumping syndrome | Kusagadzikana mushure mekudya kunoitika kana chikafu chikafamba nekukurumidza kubva mudumbu chichienda muura hudiki. Izvi zvinowanzova zvenguva pfupi. |
| Kuderedza huremu uye kuneta | Zvakajairika kudzikira huremu uye kunzwa kuneta mushure mekuvhiyiwa nekuti muviri unoshandisa simba rakawanda kuti upore. |
| Matambudziko enguva refu | |
| Chirwere cheshuga | Kana pancreas yese ikabviswa, chirwere cheshuga chichaitika zvechokwadi. Chinogonawo kuitika kana chikamu chepancreas chikabviswa. |
| Matambudziko ekugaya chikafu (Exocrine pancreatic insufficiency) | Kusakwana kwema enzymes anogadzirwa nepancreas kunogona kukonzera zviratidzo zvakaita sekuzvimba uye manyoka. Kuti izvi zviitike, mapiritsi ema enzyme (PERT) anofanira kutorwa. |
| Kudzikira kwekudzivirira muviri | Kana chirwatata chikabviswa panguva yekuvhiyiwa, kugona kurwisa zvimwe zvirwere kunoderera, saka chiremba anogona kukurudzira kuti munhu apihwe majekiseni. |
Zvinotora nguva yakareba sei kuti munhu apore mushure mekudzokera kumba?
Zvinogona kutora chero mavhiki mana kusvika masere kuti unyatsopora mushure mekudzokera kumba. Izvi zvinoenderana nehutano hwako usati wavhiyiwa uye rudzi rwekuvhiyiwa kwawakaitwa.
Nguva yekufonera chiremba nekukasika
Kana uine zviratidzo zvinotevera mushure mekudzokera kumba, fonera chiremba wako nekukasika.
- Kana ronda rekuvhiyiwa rakazvimba, rakatsvuka, kana kuti richibuda mvura yakaita semapundu.
- Fivha (inopfuura madhigirii Fahrenheit zana).
- Manyoka anoramba achiitika kana kuti kuvimbiwa.
- Marwadzo matsva kana kuti ari kuwedzera.
Kuvhiyiwa uku inzira yakakomba uye inochinja hupenyu. Asi yeuka, chiremba ari kukurudzira kuti uvhiyiwe nekuti vanotenda kuti mabhenefiti ehupenyu hwako anopfuura njodzi dziripo. Chinhu chinoitwa kuponesa hupenyu hwako kana kuvandudza hupenyu hwako.
Mharidzo Yekuenda Nayo Kumba
- Pancreatectomy kuvhiyiwa kubviswa kwechikamu chepancreas kana kuti yese.
- Izvi zvinonyanya kuitwa kune zvirwere zvakaita sekenza yepancreas uye pancreatitis yakanyanya.
- Mushure mekuvhiyiwa, unogona kurarama usina pancreas, asi uchada mishonga yekuwedzera yehupenyu hwako hwese yakaita semapiritsi ema enzymes kuti ubatsire kugaya chikafu uye insulin kudzora chirwere cheshuga.
- Uku kuvhiyiwa kukuru uye kunotora nguva kuti kuporeswe. Zvakakosha zvikuru kutevedzera mirairo yachiremba wako panguva iyoyo.
- Kana muine mibvunzo kana zvinokunetsai nezvazvo, taurai nachiremba wenyu pachena. Vachakupai ruzivo rwese nerutsigiro rwamunoda.
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