Namhlanje siza kuthetha ngesitho esibaluleke kakhulu emzimbeni wakho esingathethi kakhulu ngaso, kodwa eso yipancreas. Mhlawumbi ugqirha ukuxelele okanye umntu omaziyo ngotyando lwepancreas. Ngelo xesha, kuyinto eqhelekileyo ukoyika nokuba nemibuzo emininzi. Ngoko ke namhlanje, masithethe ngolu tyando lokususa ipancreas, oko kukuthi, 'iPancreatectomy', ngokucacileyo nangokulula.
Okokuqala, masibone ukuba yintoni olu tyando (i-Pancreatectomy).
Ngamafutshane, i-pancreatectomy yinkqubo yotyando esusa inxalenye okanye yonke i-pancreas yakho. Ngoku usenokuba uzibuza, "Yintoni i-pancreas? Yenza ntoni?"
Ipancreas sisitho esincinci esikwisisu sethu, emva kwesisu. Kodwa umsebenzi waso mkhulu kakhulu. Senza izinto ezimbini eziphambili:
1. Ukwenza ii-enzymes ezinceda ekugayeni ukutya: Ezi enzymes zinceda ekuqhekezeni izondlo ekutyeni esikutyayo ukuze umzimba ukwazi ukuzifunxa.
2. Ukwenza iihomoni: Yile nto eyenza iihomoni ezibalulekileyo ezifana ne-insulin, elawula amanqanaba eswekile egazini lakho.
Kutheni ke ngoko ukususa isitho esibaluleke kangaka? Makhe sijonge izizathu.
Kutheni umntu kufuneka enze i-pancreatectomy?
Oogqirha basebenzisa utyando olukhulu ngolu hlobo kuphela xa kuyimfuneko. Izizathu ezimbini eziphambili ziithumba kunye ne-pancreatitis.
- Iithumba: Ezinye iithumba ezikhula kwi-pancreas zinokuba ngumhlaza. Ezi zinomngcipheko omkhulu wokusasazeka kwezinye iindawo zomzimba. Ngoko ke ukunciphisa loo mngcipheko, inxalenye okanye yonke i-pancreas enethumba kunokufuneka isuswe.
- I-Pancreatitis: Le yimeko apho i-pancreas idumba kwaye ivuvuke. Ngamanye amaxesha, ukuba oku kuyaqhubeka (i-pancreatitis engapheliyo), kunokubangela iintlungu ezinganyamezelekiyo kunye nezinye iingxaki. Kwimeko ezinjalo, olu tyando lukwacetyiswa njengesisombululo.
Olu tyando lwenziwa phantsi kwezi meko zilandelayo:
- Umhlaza wePancreatic
- Ii-tumor ze-pancreatic neuroendocrine, umzekelo, i-insulinoma
- Umhlaza osasazeke kwi-pancreas usuka kwenye indawo (umhlaza we-Metastatic)
- Ii-cysts zepancreatic (ii-tumor okanye iingxowa ezizaliswe lulwelo kwi-pancreas)
- I-pancreatitis enzima, ehlala ixesha elide (i-pancreatitis engapheliyo enzima)
Ziziphi iintlobo zotyando lwe-pancreatectomy?
I-pancreas imile okwentlanzi. Ine "ntloko" enkulu, "umzimba" ophakathi kunye "nomsila" omncinci. Igama lotyando liyahluka ngokuxhomekeke kwinxalenye esusiweyo. Ngamanye amaxesha, kuyimfuneko ukususa kungekuphela nje i-pancreas kodwa nezinye izitho ezikufutshane.
| Uhlobo lotyando | Kalula nje... |
|---|---|
| Utyando lwe-pancreatectomy olukude | Kule meko, umsila wepancreas (kwaye ngamanye amaxesha inxalenye ephakathi) uyasuswa. Ngenxa yokuba umsila wepancreas usondele kakhulu kwi-spleen, i-spleen idla ngokususwa ngexesha lotyando. |
| Utyando lwepancreatectomy oluphakathi | Kule meko , kususwa kuphela inxalenye ephakathi yepancreas, kushiyeke intloko nomsila. Olu lutyando oluntsonkothileyo olungenakusoloko lwenziwa. Kodwa ukuba lunokwenziwa, lunokugcina umsebenzi omninzi wepancreas. |
| I-Pancreaticduodenectomy (inkqubo yeWhipple) | Le yeyona ndlela idumileyo "yokwenza iWhipple." Intloko yepancreas iyasuswa. Kwangaxeshanye, inxalenye yokuqala yamathumbu amancinci (i-duodenum) , i-gallbladder, kunye nenxalenye ye-bile duct edibene nayo nazo ziyasuswa. Emva koko iindawo eziseleyo ziyaxhunyaniswa kwakhona. |
| I-pancreatectomy iyonke | Njengoko igama lisitsho, lonke i-pancreas liyasuswa. Oku kwenziwa xa isifo sisasazeke kulo lonke ilungu okanye xa kungekho zicubu ziphilileyo ezinokusindiswa. Kunye ne-pancreas , kufuneka kususwe i-spleen, i-gallbladder, inxalenye yokuqala yamathumbu amancinci, kunye nenxalenye esezantsi yesisu . |
Ngaba kunokwenzeka ukuphila ngaphandle kwepancreas?
Ewe, unako. Kodwa ngumceli mngeni. Xa ulahlekelwa yipancreas yakho, umzimba wakho awufumani ii-enzymes kunye neehomoni eziveliswayo. Ngoko ke kufuneka uzikhuphe ngaphandle ubomi bakho bonke.
Umzekelo, kufuneka uthathe ii-enzymes zokugaya ukutya ngendlela yeepilisi. Kwakhona, uba nesifo seswekile kuba awunayo i-hormone ye-insulin. Kufuneka uthathe i-insulin injections ngenxa yoko. Kufuneka ufunde ukuphila nazo.
Kwenzeka ntoni ngaphambi kotyando?
Uza kube ulungele kakuhle ngaphambi kotyando olukhulu olufana nolu.
- Uvavanyo: Iqela lakho lezonyango liza kukubuza ngembali yakho yempilo, amayeza owasebenzisayo, kwaye lenze uvavanyo oluninzi, olufana ne-X-ray yesifuba kunye ne-EKG, ukuze kubonwe ukuba ungumntu ofanelekileyo na utyando.
- Ukuyeka imikhwa emibi: Ukuba usela utywala, kubalulekile ukuxelela ugqirha wakho inyani. Utywala bunokubangela iingxaki ngexesha lotyando nasemva kwalo. Iqela lakho lezonyango liza kukunceda uyeke ngokukhuselekileyo.
- Amayeza: Ukuthintela usulelo emva kotyando, unganikwa isisombululo esikhethekileyo sokucoca ulusu ngaphambi kotyando. Ungacelwa ukuba uyeke ukusebenzisa amayeza athile, anjenge-blood thinners, kangangeentsuku ezimbalwa.
Kwenzeka ntoni ngexesha lotyando?
Ngomhla wotyando lwakho, uza kusiwa kwigumbi lotyando. Ingcali yokubulala iintlungu iza kukwenza ulale ubuthongo obukhulu ngokukunika amayeza nge-cannula (IV line) engalweni yakho. Awuyi kuva nto. Ngelixa ulele, ulwelo kunye namayeza aya kuqhubeka enikwa umzimba wakho nge-cannula.
Uza kuqhagamshelwa kwityhubhu yokukunceda uphefumle, ityhubhu yokuthintela iingxaki zesisu, kunye ne-Foley catheter yokukhupha umchamo. Ungakhathazeki, konke oku kungenxa yokhuseleko lwakho.
Ixesha elininzi, olu tyando lwenziwa ngokusikwa okukhulu esiswini (utyando oluvulekileyo). Oku kuvumela ugqirha ukuba abone amalungu omzimba ngcono. Nangona kunjalo, kwezinye izibhedlele eziphucukileyo, olu tyando lwenziwa ngokusikwa okuncinci okumbalwa ngekhamera nezixhobo. Oku kubizwa ngokuba lutyando lwe -laparoscopic okanye i-robotic. Oku kunciphisa ixesha lokuchacha.
Olu tyando ludla ngokuthatha iiyure ezi-4 ukuya kwezi-6.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kudluliselwa kwigumbi okanye kwigumbi labagula kakhulu, apho uza kubekwa esweni ngokusondeleyo. Eminye yemibhobho oyiqhagamsheleyo iza kususwa kwiintsuku ezimbalwa. Ngokwesiqhelo uza kuhlala esibhedlele kangangeveki.
- Amayeza entlungu anikwa kwiintsuku zokuqala.
- Ukususela ngosuku olulandela utyando, uya kunyanzelwa ukuba uphume ebhedini uhambehamba kancinci.
- Okokuqala, banikwa ukutya okumanzi baze emva koko banikwe ukutya okuqhelekileyo kancinci kancinci.
- Iqela lezonyango lihlala lijonga indlela ogonya ngayo ukutya kwakho kunye namanqanaba eswekile egazini, kwaye liza kulungisa ukutya kwakho kunye namayeza ngokufanelekileyo.
Iingozi kunye neengxaki zotyando
Njengalo naluphi na utyando olukhulu, kukho iingozi ezithile, kodwa oogqirha benza konke okusemandleni abo ukulawula ezi ngozi.
| Uhlobo lweengozi kunye neengxaki | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga zexesha elifutshane | |
| Usulelo kunye nokopha | Inokwenzeka ngexesha okanye emva kotyando. |
| Ukuvuza kwe-anastomotic | Ukuvuza okuvela kwiindawo ezifana namathumbu anamathele kwakhona. |
| Ukungasebenzi kakuhle kwamathumbu (iParalytic ileus) | Ukunyakaza kwamathumbu kusenokungaqheleki kangangeentsuku ezimbalwa emva kotyando. Oku kuqhelekile. |
| Isifo sokulahla inkunkuma | Ukungakhululeki emva kokutya kwenzeka xa ukutya kuhamba ngokukhawuleza kakhulu ukusuka esiswini ukuya emathunjini amancinci. Oku kudla ngokuba yinto yexeshana. |
| Ukunciphisa umzimba kunye nokudinwa | Kuqhelekile ukunciphisa umzimba nokudinwa emva kotyando kuba umzimba usebenzisa amandla amaninzi ukuphilisa. |
| Iingxaki zexesha elide | |
| Isifo seswekile | Ukuba i-pancreas yonke isusiwe, ngokuqinisekileyo isifo seswekile siya kuvela. Sinokwenzeka nokuba inxalenye ye-pancreas isusiwe. |
| Iingxaki zokugaya ukutya (ukungasebenzi kakuhle kwe-exocrine pancreatic) | Ukungoneli kwee-enzymes eziveliswa yi-pancreas kunokubangela iimpawu ezifana nokudumba kunye norhudo. Ngenxa yesi sizathu, kufuneka kuthathwe iipilisi ze-enzyme (PERT). |
| Ukunciphisa amajoni omzimba | Ukuba i-spleen isusiwe ngexesha lotyando, amandla okulwa nosulelo oluthile ayancitshiswa, ngoko ugqirha unokucebisa ukuba ufumane imijovo ethile. |
Kuthatha ixesha elingakanani ukuchacha emva kokubuyela ekhaya?
Kungathatha naphi na ukusuka kwiiveki ezi-4 ukuya kwezi-8 ukuze uphile ngokupheleleyo emva kokuba ubuyele ekhaya. Oku kuxhomekeke kwimpilo yakho yangaphambi kotyando kunye nohlobo lotyando olwenzileyo.
Ufanele ufowunele ugqirha nini ngoko nangoko
Ukuba unezi mpawu zilandelayo emva kokubuyela ekhaya, fowunela ugqirha wakho ngoko nangoko.
- Ukuba inxeba lotyando lidumbile, libomvu, okanye likhupha ulwelo olufana nobovu.
- Umkhuhlane (ngaphezulu kwama-degrees Fahrenheit ali-100).
- Urhudo olungapheliyo okanye ukuqhinwa.
- Intlungu entsha okanye eyandayo.
Olu tyando luyinkqubo enzima netshintsha ubomi. Kodwa khumbula, ugqirha uyacebisa ukuba lwenziwe kuba ekholelwa ukuba iingenelo ebomini bakho zingaphezulu kakhulu kuneengozi. Yinto eyenziwayo ukusindisa ubomi bakho okanye ukuphucula umgangatho wobomi bakho.
Umyalezo Wokuya Ekhaya
- I-pancreatectomy kukususwa kwenxalenye okanye yonke ipancreas ngotyando.
- Oku kwenziwa ikakhulu kwiimeko ezifana nomhlaza wepancreatic kunye ne-pancreatitis enzima.
- Emva kotyando, ungaphila ngaphandle kwepancreas, kodwa uya kufuna izongezo zobomi bonke ezifana neepilisi ze-enzyme ukunceda ekugayeni ukutya kunye ne-insulin ukulawula isifo seswekile.
- Olu lutyando olukhulu kwaye luza kuthatha ixesha ukuphola. Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngelo xesha.
- Ukuba unemibuzo okanye iinkxalabo malunga noku, thetha nogqirha wakho ngokukhululekileyo. Baza kukunika lonke ulwazi kunye nenkxaso oyifunayo.
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