Ngaba ukhe weva ngesitho esincinci kodwa esibaluleke kakhulu esisebenza buthule ngaphakathi emizimbeni yethu ukuze sigaye ukutya okutyayo kwaye silawule amanqanaba eswekile egazini? Yiyo leyo ipancreas, okanye njengoko siyibiza ngesiNgesi, ipancreas. Ngamanye amaxesha, ngenxa yezifo ezithile ezenzeka kwesi sitho sibalulekileyo, inxalenye yaso okanye yonke kufuneka isuswe ngotyando. Yiyo loo nto siyibiza ngokuba yi-pancreatectomy. Kuqhelekile ukuba uzive usoyika kancinci xa usiva ngotyando olunjalo. Yiyo loo nto, namhlanje siza kuthetha ngalo ngokulula, ngendlela onokuyiqonda.
Kutheni kufuneka wenze olu tyando lwePancreatectomy?
Oogqirha badla ngokucebisa utyando olukhulu olunje kuphela emva kokucingisisa kakuhle kwaye kuphela xa kuyimfuneko. Zimbini izizathu eziphambili zoku.
1. Iithumba: Ezinye iithumba ezikhula kwi-pancreas zinokuba ngumhlaza. Ezi zinomngcipheko omkhulu wokusasazeka (ukusasazeka kwezicubu) kwezinye iindawo zomzimba. Ngoko ke eyona ndlela ilungileyo yokunciphisa loo mngcipheko kukususa inxalenye ye-pancreas equlathe ithumba.
2. I-Pancreatitis: Kulapho i-pancreas ivuvukala khona. Oku kunokubangela iintlungu eziqatha kunye nezinye iingxaki. Ngamanye amaxesha, xa imeko iba mandundu kakhulu ukuba ingalawuleki, utyando lunokufuneka.
Ukongeza, olu tyando lukwasetyenziswa njengesisombululo kwiimeko ezifana ne-pancreatic cysts kunye nezinye ii-tumors ezivelisa iihomoni (i-pancreatic neuroendocrine tumors).
Ziziphi iintlobo zotyando lwe-pancreatectomy?
I-pancreas yethu imile okwentlanzi. Inentloko ebanzi, umzimba ophakathi kunye nomsila obhityileyo. Ngoko ke, kuxhomekeke ekubeni isifo sikuphi, inxalenye esusiweyo iyahluka. Ngoko ke, kukho iintlobo ezahlukeneyo zotyando.
| Uhlobo lotyando | Kalula nje, kwenzeka ntoni? |
|---|---|
| Utyando lwePancreat olukude | Kule meko, inxalenye "yomsila" yepancreas, kwaye ngamanye amaxesha inxalenye "yomzimba", iyasuswa. Ekubeni le nxalenye ikufutshane kakhulu nespleen, idla ngokususwa kunye nespleen . |
| Utyando lwePancreatectomy oluPhakathi | Olu lutyando oluyinkimbinkimbi kancinci kwaye aluxhaphakanga. Lubandakanya ukususa " intloko " kunye "nomsila" kuphela kwaye kushiyeke "umzimba" ophakathi uphelele . Oku kuvumela ukugcinwa okukhulu komsebenzi wepancreas. |
| I-Pancreatoduodenectomy (inkqubo yeWhipple) | Oku yinto abantu abaninzi abayaziyo njengotyando lwe-"Whipple". Kule nto, " intloko " yepancreas iyasuswa. Kwangaxeshanye , inxalenye yokuqala yamathumbu amancinci (i-duodenum), i-gallbladder, kunye ne-common bile duct edibene nayo nayo iyasuswa . Emva koko, i-pancreas eseleyo, i-bile duct, kunye nesisu zixhunyaniswa kwakhona namathumbu amancinci. |
| I-Pancreatectomy iyonke | Njengoko igama lisitsho, oku kuquka ukususa i-pancreas yonke . Olu tyando lwenziwa xa isifo sisasazeke kulo lonke ilungu lomzimba okanye xa kungekho zicubu ziphilileyo ezinokusindiswa. Kunye ne-pancreas, kuquka nokususa i-spleen, i-gallbladder, inxalenye yokuqala yamathumbu amancinci, kunye nenxalenye yesisu. |
Ngaba kunokwenzeka ukuphila ngaphandle kwepancreas?
Ewe, ngokuqinisekileyo ungakwenza. Kodwa ngotshintsho oluthile. Ngenxa yokuba ulahlekelwa zii-enzymes kunye neehomoni eziveliswa yipancreas, kuya kufuneka uzikhuphe ngaphandle ubomi bakho bonke.
Ngamafutshane, kufuneka uthathe ii-enzymes ezinceda ekugayweni kokutya (i-Pancreatic Enzyme Replacement Therapy - PERT) ngendlela yeepilisi, kunye ne-insulin hormone elawula iswekile yegazi (i-insulin) ngendlela yeenaliti.
Ngaba ndiza kuba nesifo seswekile?
Le yingxaki kubantu abaninzi. Ukuba yinxalenye yepancreas kuphela esusiweyo, inxalenye eseleyo inokuvelisa okanye ingavelisi i-insulin eyaneleyo emzimbeni. Kuxhomekeke kwinxalenye esusiweyo. Nangona kunjalo, ukuba ipancreas yonke isusiwe (iTotal Pancreatectomy), ngokuqinisekileyo uya kuba nesifo seswekile . Kuba iiseli ezivelisa i-insulin azisekho ngokupheleleyo. Kwangaxeshanye, kuya kufuneka uqalise unyango lwe-insulin.
Kwenzeka ntoni ngaphambi, ngexesha nasemva kotyando?
Ngaphambi kotyando...
Kufuneka ulungiselele iintsuku ezimbalwa ngaphambi kotyando.
- Uvavanyo:Kuya kufuneka wenze iimvavanyo ezininzi ukuze ujonge impilo yakho, ezinje ngovavanyo lwegazi, i-X-ray yesifuba, kunye ne-EKG.
- Ukuyeka imikhwa emibi: Ukuba ungumntu onxila kakhulu, ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngayo. Utywala bunokubangela iingxaki ngexesha nasemva kotyando. Iqela lezonyango liza kukunceda uyeke ngokukhuselekileyo.
- Amayeza: Ngamanye amaxesha uya kucelwa ukuba uyeke ukuthatha amayeza okunciphisa igazi kwiintsuku ezimbalwa ngaphambi kotyando.
Ngexesha lotyando...
Ngomhla wotyando, ingcali yokubulala iintlungu iza kukwenza ulale ngokupheleleyo une-IV line engalweni yakho. Ngoko awuyi kuva ntlungu. Utyando lungathatha iiyure ezi-4 ukuya kwezi-6. Ugqirha uza kwenza utyando nokuba ngokusikwa esiswini sakho (utyando oluvulekileyo) okanye ngokusikwa okuncinci okumbalwa ngoncedo lwekhamera (utyando lwe-laparoscopic okanye lwerobhothi).
Emva kotyando...
Emva kotyando, uza kudluliselwa kwigumbi lonyango kwaye imeko yakho iza kuhlolwa ngokusondeleyo. Uza kuhlala esibhedlele malunga neentsuku ezisi-7.
- Okokuqala, banikwa ukutya okumanzi baze emva koko banikwe ukutya okuqhelekileyo kancinci kancinci.
- Iipilisi zokubulala iintlungu zinikwa xa kufuneka.
- Ukususela ngosuku olulandela utyando, uza kuncedwa uphume ebhedini uze ujikeleze kancinci ngoncedo lwabahlengikazi. Oku kubaluleke kakhulu ukuze uphile ngokukhawuleza.
- Iqela lezonyango lihlala lijonga amanqanaba eswekile egazini lakho kunye nenkqubo yokugaya ukutya.
Zithini iingozi kunye neengxaki zolu tyando?
Njengalo naluphi na utyando, kukho iingozi ezithile ezibandakanyekileyo. Kodwa oogqirha benza olu tyando kuba iingenelo zingaphezulu kweengozi.
| Uhlobo lwengxaki | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga zexesha elifutshane (kungekudala emva kotyando) | |
| Ukuhla ukusinda | Kuqhelekile ukunciphisa malunga neekhilogram ezi-5-7 emva kotyando. Oku kungenxa yotshintsho kwindlela otya ngayo kunye nokukwazi komzimba ukuphiliswa. Ekuhambeni kwexesha, ubunzima buya kuzinza. |
| Ukudinwa | Ngenxa yokuba umzimba wakho usebenzisa amandla amaninzi ukuze uziphilise ngaphakathi, ungaziva udiniwe ngaphezu kwesiqhelo. Kuqhelekile ukuziva ulungile ngolunye usuku uze uzive udiniwe ngolunye usuku. Phumla ngokwaneleyo. |
| Iingxaki zokugaya ukutya | Ngamanye amaxesha, amathumbu asenokungasebenzi kakuhle (iParalytic ileus). Kwakhona, ukukhululwa kokutya esiswini kunokulibaziseka (Ukulibaziseka kokuphuma kwesisu). Oku kwenzeka okwexeshana. |
| Iingxaki zexesha elide | |
| Isifo seswekile | Njengoko besitshilo ngaphambili, ukususa i-pancreas yonke ngokuqinisekileyo kuya kubangela isifo seswekile. |
| Ukungabikho kakuhle kwe-Exocrine Pancreatic | Umzimba awuvelisi ii-enzymes ezaneleyo zokugaya ukutya. Oku kunokubangela iimpawu ezifana nokudumba kunye norhudo. Oku kufuna ukuthatha iipilisi zee-enzyme (PERT) . |
| Ukunciphisa amajoni omzimba | Ukuba i-spleen isusiwe ngexesha lotyando, amandla okulwa nosulelo oluthile ayancitshiswa. Ke ngoko, ugqirha unokucebisa ukuba ufumane imijovo ethile. |
Kuthatha ixesha elingakanani ukuba ndiphile? Kwaye kufuneka ndidibane nogqirha nini?
Kungathatha naphi na ukusuka kwiiveki ezi-4 ukuya kwezi-8 ukuze uphile ngokupheleleyo emva kokubuyela ekhaya, kuxhomekeke kwimpilo yakho yomzimba kunye nohlobo lotyando.
Ukuba unezi mpawu zilandelayo, fowunela ugqirha wakho ngoko nangoko:
- Ukuba inxeba lotyando lidumbile, libomvu, okanye likhupha ulwelo olufana nobovu.
- Ukuba umkhuhlane ungaphezulu kwe-100 degrees F (37.7 C).
- Ukuba unesifo sorhudo esingapheliyo okanye ukuqhinwa.
- Ukuba intlungu iya isiba mandundu.
Umyalezo Wokuya Ekhaya
- I-Pancreatectomy lutyando olukhulu olususa inxalenye enesifo okanye lonke i-pancreas. Lwenzelwa iimeko ezisongela ubomi ezifana nomhlaza.
- Emva kotyando, kunokwenzeka ukuba umntu aphile ngaphandle kwepancreas, kodwa unyango oluhlala luhleli olufana neepilisi ze-enzyme zokugaya ukutya kunye ne-insulin yokulawula isifo seswekile lunokufuneka.
- Nangona olu tyando lunokuba loyikeka kancinci, iqela lezonyango liza kukunika unyango olungcono kunye nenkxaso oyifunayo.
- Ukuba unemibuzo, uloyiko, okanye amathandabuzo malunga noku, nceda uxoxe ngayo nogqirha wakho ngaphandle kokuthandabuza.
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