Wakambonzwa here nezvenhengo diki asi inokosha zvikuru inoshanda chinyararire mumiviri yedu kuti igaye chikafu chaunodya uye idzore huwandu hweshuga muropa? Ndiyo pancreas, kana sezvatinoidana muchiRungu, pancreas. Dzimwe nguva, nekuda kwezvirwere zvinoitika munhengo iyi inokosha, chikamu chayo kana yese inofanira kubviswa nekuvhiyiwa. Ndiyo yatinodaidza kuti pancreatectomy. Zvakajairika kuti unzwe kutya zvishoma paunonzwa nezvekuvhiyiwa kwakadaro. Ndosaka, nhasi tichataura nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.
Sei uchifanira kuita kuvhiyiwa uku kwepancreatectomy?
Vanachiremba vanowanzokurudzira kuvhiyiwa kukuru kwakadai mushure mekunyatsoongorora uye chete kana zvichidikanwa. Pane zvikonzero zviviri zvikuru zveizvi.
1. Mabundu: Mamwe mabundu anoumbwa mupancreas anogona kuva kenza. Aya ane njodzi huru yekupararira (metastatic) kune dzimwe nhengo dzemuviri. Saka nzira yakanakisa yekuderedza njodzi iyoyo ndeyekubvisa chikamu chepancreas chine bundu.
2. Pancreatitis: Apa ndipo panotanga kuzvimba pancreatitis. Izvi zvinogona kukonzera kurwadziwa kwakanyanya nezvimwe zvinetso. Dzimwe nguva, kana chirwere chacho chakanyanya kuoma zvekuti hachina simba rekuchidzora, kuvhiyiwa kunogona kudiwa.
Pamusoro pezvo, kuvhiyiwa uku kunoshandiswawo senzira yekugadzirisa zvirwere zvakaita sepancreatic cysts uye mamwe matumbu anogadzira mahormone (pancreatic neuroendocrine tumors).
Ndeapi marudzi ekuvhiyiwa kwepancreatectomy?
Pancreas yedu yakaumbwa sehove. Ine " musoro " wakafara, "muviri" wepakati, uye "muswe" mutete. Saka, zvichienderana nekuti chirwere chiri kupi, chikamu chinobviswa chinosiyana. Saka, kune mhando dzakasiyana dzekuvhiyiwa.
| Rudzi rwekuvhiyiwa | Zvichitaurwa zviri nyore, chii chiri kuitika? |
|---|---|
| Kuvhiyiwa kweDistal Pancreat | Muizvi, chikamu che "muswe" chepancreas, uye dzimwe nguva chikamu che "muviri", chinobviswa. Sezvo chikamu ichi chiri pedyo zvikuru nepleen, chinowanzobviswa pamwe chete nepleen . |
| Kuvhiyiwa kwePancreat kweCentral | Uku kuvhiyiwa kwakaoma zvishoma uye kusingawanzoitiki. Kunosanganisira kubvisa " musoro " ne "muswe" chete uye kusiya "muviri" wepakati wakachengeteka . Izvi zvinoita kuti basa repancreas rirambe rakachengeteka. |
| Kuvhiyiwa kweWhipple (pancreatoduodenectomy) | Izvi ndizvo zvinozivikanwa nevanhu vazhinji se "Whipple operation". Mukuita izvi, " musoro " wepancreas unobviswa. Panguva imwe chete , chikamu chekutanga cheura diki (duodenum), gallbladder, uye common bile duct zvakabatana nazvo zvinobviswawo . Zvadaro, pancreas yasara, bile duct, uye dumbu zvinobatanidzwazve neura diki. |
| Kuvhiyiwa kwePancreat Kwose | Sezvinoreva zita racho, izvi zvinosanganisira kubvisa pancreas yese . Kuvhiyiwa uku kunoitwa kana chirwere chacho chapararira munhengo yese kana kuti pasina nyama ine hutano inogona kuchengetedzwa. Pamwe chete nepancreas, zvinosanganisirawo kubvisa spleen, gallbladder, chikamu chekutanga cheura hudiki, uye chikamu chedumbu. |
Zvinokwanisika here kurarama usina pancreas?
Ehe, unogona zvechokwadi. Asi nekuchinja kwakati wandei. Nekuti unorasikirwa nema enzyme nemahormone anogadzirwa nepancreas, unofanirwa kuatora kunze kwemuviri wako kweupenyu hwako hwese.
Zvichitaurwa zviri nyore, unofanira kutora ma enzyme anobatsira mukugaya chikafu (Pancreatic Enzyme Replacement Therapy - PERT) muchimiro chemapiritsi, uye insulin hormone inodzora shuga yeropa (insulin) muchimiro chemajekiseni.
Ndichazobatwa nechirwere cheshuga here?
Iri idambudziko revanhu vazhinji. Kana chikamu chepancreas chikabviswa chete, chikamu chasara chinogona kana kusagadzira insulin yakakwana yemuviri. Zvinoenderana nechikamu chinobviswa. Zvisinei, kana pancreas yese ikabviswa (Total Pancreatectomy), zvechokwadi uchava nechirwere cheshuga . Nekuti masero anogadzira insulin anenge apera zvachose. Panguva imwe chete, uchafanirwa kutanga kurapwa ne insulin.
Chii chinoitika usati wavhiyiwa, panguva uye mushure mekuvhiyiwa?
Pamberi pekuvhiyiwa...
Unofanira kugadzirira mazuva mashoma usati wavhiyiwa.
- Miedzo:Uchafanirwa kuongororwa kakawanda kuti utarise hutano hwako, zvakaita sekuongororwa ropa, X-ray yechipfuva, uye EKG.
- Kurega tsika dzakaipa: Kana uri chidhakwa, unofanira kuudza chiremba wako nezvazvo. Doro rinogona kukonzera matambudziko panguva yekuvhiyiwa uye mushure mekuvhiyiwa. Chikwata chekurapa chichakubatsira kurega zvakachengeteka.
- Mishonga: Dzimwe nguva unozokumbirwa kuti urege kutora mishonga inobvisa ropa mazuva mashoma usati wavhiyiwa.
Munguva yekuvhiyiwa...
Pazuva rekuvhiyiwa, chiremba weanesthesia achakurarisa zvachose nemutsara wemutsinga uri muruoko rwako. Saka hauzonzwi kurwadziwa. Kuvhiyiwa uku kunogona kutora pakati pemaawa mana nematanhatu. Chiremba wechiremba achaita kuvhiyiwa uku kuburikidza nekuchekwa mudumbu mako (kuvhiyiwa kwakavhurika) kana kuburikidza nekuchekwa kudiki diki nerubatsiro rwekamera (kuvhiyiwa kwelaparoscopic kana kwerobhoti).
Mushure mekuvhiyiwa...
Mushure mekuvhiyiwa, uchaendeswa kuchipatara uye mamiriro ako ezvinhu achatariswa zvakanyanya. Uchagara muchipatara kwemazuva angangoita manomwe.
- Kutanga, vanopihwa chikafu chemvura uye zvishoma nezvishoma vanochipiwa chikafu chenguva dzose.
- Mishonga inouraya marwadzo inopiwa kana zvichidikanwa.
- Kubva pazuva rakatevera kuvhiyiwa, uchabatsirwa kubva pamubhedha wofamba-famba zvishoma uchibatsirwa nevanamukoti. Izvi zvakakosha zvikuru kuti upore nekukurumidza.
- Chikwata chekurapa chiri kugara chichiongorora huwandu hweshuga muropa rako uye mashandiro ekugaya chikafu.
Ndezvipi njodzi nematambudziko ekurapwa uku?
Kufanana nekuvhiyiwa kupi zvako, kune dzimwe njodzi dzinobatanidzwa. Asi vanachiremba vanoita kuvhiyiwa uku nekuti mabhenefiti acho anopfuura njodzi.
| Rudzi rwedambudziko | Tsananguro |
|---|---|
| Migumisiro yenguva pfupi (nguva pfupi mushure mekuvhiyiwa) | |
| Kuderedza huremu | Zvakajairika kuderedza makirogiramu angangoita mashanu kusvika manomwe mushure mekuvhiyiwa. Izvi zvinokonzerwa nekuchinja kwekudya uye kugona kwemuviri kupora. Nekufamba kwenguva, huremu hunozogadzikana. |
| Kuneta | Nekuti muviri wako unoshandisa simba rakawanda kuzvirapa kubva mukati, unogona kunzwa kuneta kupfuura zvakajairika. Zvakajairika kunzwa zvakanaka rimwe zuva wozonzwa kuneta rinotevera. Zorora zvakakwana. |
| Matambudziko ekugaya chikafu | Dzimwe nguva, ura hunogona kunge husina kushanda zvakanyanya (Paralytic ileus). Uyewo, kuburitswa kwechikafu kubva mudumbu kunogona kunonoka (Kunonoka kubuda kwedumbu). Izvi ndezvenguva pfupi. |
| Matambudziko enguva refu | |
| Chirwere cheshuga | Sezvatakambokurukura, kubvisa pancreas yese kuchaita kuti munhu awane chirwere cheshuga. |
| Kusakwana kweExocrine Pancreatic | Muviri haugadzi ma enzymes akakwana ekugaya chikafu. Izvi zvinogona kukonzera zviratidzo zvakaita sekuzvimba uye manyoka. Izvi zvinoda kunwa mapiritsi e enzyme (PERT) . |
| Kudzikira kwekudzivirira muviri | Kana chirwatata chikabviswa panguva yekuvhiyiwa, kugona kwekurwisa mamwe hutachiona kunoderera. Nokudaro, chiremba anogona kukurudzira kuti uwane mamwe majekiseni . |
Zvinotora nguva yakareba sei kuti munhu apore? Uye ndinofanira kuona chiremba riini?
Zvinogona kutora chero mavhiki mana kusvika masere kuti unyatsopora mushure mekudzokera kumba, zvichienderana nehutano hwako uye rudzi rwekuvhiyiwa kwawakaitwa.
Kana uine zviratidzo zvinotevera, fonera chiremba wako nekukasika:
- Kana ronda rekuvhiyiwa rakazvimba, rakatsvuka, kana kuti richibuda mvura yakaita semapundu.
- Kana fivha iri pamusoro pe100 degrees F (37.7 C).
- Kana uine manyoka kana kuvimbiwa nguva dzose.
- Kana kurwadziwa kuri kuwedzera.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwepancreatectomy inzira huru yekubvisa chikamu chine chirwere kana kuti pancreas yese. Inoitirwa zvirwere zvinouraya zvakaita sekenza.
- Mushure mekuvhiyiwa, zvinokwanisika kurarama usina pancreas, asi kurapwa kwehupenyu hwese kwakadai semapiritsi e enzymes ekugaya chikafu uye insulin yekudzora chirwere cheshuga kunogona kudiwa.
- Kunyange zvazvo kuvhiyiwa uku kuchigona kutyisa zvishoma, timu yezvekurapa ichakupa kurapwa kwakanakisisa uye rutsigiro rwaunoda.
- Kana muine mibvunzo, kutya, kana kusava nechokwadi nezvenyaya iyi, ndapota kurukurai nachiremba wenyu pasina kuzeza.
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