Xa ugqirha wakho ekuxelela okanye umntu osondeleyo kuwe ukuba kufuneka wenze i-Whipple Procedure, kuyinto eqhelekileyo ukuziva usoyika kwaye unexhala. Olu lutyando olukhulu nolunzima. Kodwa sesona sisombululo silungileyo kwaye lithemba elikhulu kwizifo ezininzi ezinzulu, ezifana nomhlaza wepancreatic. Ngoko ke namhlanje, masithethe ngale nto ngokulula, ukuze yonke imibuzo yakho icaciswe.
Iyintoni iNkqubo yeWhipple?
Ngamafutshane, inkqubo yeWhipple lutyando lokususa ithumba elinomhlaza entloko yepancreas yakho, elikwicala lasekunene. Isizathu sokuba ibe nzima kancinci kukuba ayisusi nje ilungu elinye.
Cinga nje, inkqubo yethu yokwetyisa yingqokelela yamalungu asebenzisanayo. Xa kukho ingxaki kwenye inxalenye, ichaphazela amanye amalungu adibene nayo. Ngokufanayo, xa umhlaza uvela entlokweni yepancreas, amanye amalungu akufutshane nayo kufuneka asuswe.
Iindawo eziphambili ezisusiweyo ngexesha lotyando zezi:
- Intloko yepancreas
- Inxalenye yokuqala yamathumbu akho amancinci, i-duodenum
- Inxalenye yombhobho wenyongo
- Inyongo epheleleyo
Emva koko, ugqirha uthatha i-pancreas eseleyo, i-bile duct, kunye nesisu aze azibuyisele kwakhona kumathumbu amancinci. Njengaxa besakha indlela, basusa ibhulorho endala baze bafake entsha ukuze babuyisele kwakhona iindlela. Olu xhulumaniso luvumela ukutya okutyayo ukuba kuhambe kwinkqubo yakho yokugaya ukutya ngaphandle kweziphazamiso.
Elinye igama elisetyenziswa ngoogqirha kolu tyando yi-`pancreaticoduodenectomy.` Ligama elinzima kancinci, yiyo loo nto sonke silibiza ngokuba yi-`Whipple procedure`.
Zeziphi iintlobo zeemeko ezisetyenziswayo olu tyando?
Umhlaza wepancreatic sesona sizathu siphambili solu tyando. Nangona kunjalo, olu tyando lukwasetyenziswa njengonyango lwezinye iimeko ezininzi. Makhe sijonge ukuba ziyintoni na.
| Imeko | Inkcazo emfutshane |
|---|---|
| Umhlaza wePancreatic | Eyona sizathu sokwenza olu tyando kukuthintela umhlaza ukuba ungasasazeki (ukusasazeka kwe-metastasizing) kwamanye amalungu omzimba. |
| IiCysts zePancreatic | Ukususa iithumba ezingezizo ezomhlaza kodwa ezinokuba ngumhlaza kwixesha elizayo. |
| I-Pancreatitis | Ukususa iindawo ezonakeleyo kwi-pancreatitis enzima nehlala ixesha elide. |
| Umhlaza Wamathumbu Amancinci | Ngomhlaza wenxalenye yokuqala yamathumbu amancinci (i-duodenum). |
| Umhlaza weBile Duct | Kwimihlaza eyenzeka kwinxalenye esezantsi ye-bile duct. |
| Ezinye iintlobo zomhlaza kunye neethumba | Kwezinye iintlobo ezithile zomhlaza ezifana nomhlaza we-Ampullary kunye ne-Pancreatic Neuroendocrine Tumors. |
| Ukonzakala | Xa ipancreas okanye amathumbu amancinci onakele kwingozi enkulu. |
Into ebalulekileyo kukuba olu tyando lwenziwa kuphela kwizigulana ezinomhlaza ongekasasazeki. Ukuba umhlaza usasazeke kwamanye amalungu omzimba, njengesibindi, olu tyando aluyi kuba luncedo.
Ndingazilungiselela njani ngaphambi kotyando?
Kukho amalungiselelo amancinci ngaphambi kotyando olukhulu olufana nolu. Ugqirha wakho uza kukuchazela konke oku, kodwa nazi izinto oza kucelwa ukuba uzenze:
- Unyango lomhlaza: Ukuba unomhlaza, unganikwa imijikelo emininzi yechemotherapy ngaphambi kotyando.
- Ukuzila ukutya: Kufuneka uyeke ngokupheleleyo ukutya okanye ukusela malunga neeyure ezisi-8 ngaphambi kotyando.
- Ukutshaya: Ukuba ungumntu otshayayo, kulungile kakhulu kwimpilo yentliziyo yakho nemiphunga ukuyeka ukutshaya ubuncinane iiveki ezimbini ngaphambi kotyando.Oku kunciphisa kakhulu iingxaki emva kotyando.
- Ukuyeka Amayeza: Ugqirha wakho uza kukucebisa ukuba uyeke ukusebenzisa amayeza athile (ingakumbi amayeza okunciphisa igazi) kwiintsuku ezimbalwa ngaphambi kotyando lwakho.
- Amanye amayeza: Ukuba uthatha naziphi na izongezo zezityalo okanye zemifuno, unokufuna ukuyeka ukuzithatha iveki okanye ezimbini ngaphambi kotyando lwakho. Amayeza afana neViagra® nawo kufuneka ayekiswe kwiiyure ezingama-24 ngaphambi. Nangona kunjalo, ugqirha wakho angakuxelela ukuba usele amanye amayeza oxinzelelo lwegazi oluphezulu ngeglasi yamanzi.
Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo.
Masifunde kancinci ngendlela olu tyando olwenziwa ngayo?
Okokuqala, ugqirha okunika i-anesthesia uza kukunika amayeza okubulala iintlungu. Ngoko ke uza kulala kamnandi de utyando luphele.
Emva koko, ugqirha otyandayo uqala utyando ngokwenza umngxuma omkhulu esiswini (utyando oluvulekileyo) okanye imingxunya emininzi emincinci ngoncedo lwekhamera (utyando lwe-laparoscopic/robotic).
Ngexesha lotyando, njengoko besitshilo ngaphambili, intloko yepancreas, i-duodenum, inxalenye ye-bile duct, kunye ne-gallbladder zisuswa ngokulandelelana. Emva koko, iindawo eziseleyo zelungu ziyaxhunyaniswa kwakhona ukuze kubuyiselwe indlela yokugaya ukutya.
Yonke le nkqubo ingathatha iiyure ezi-5 ukuya kwezi-8 . Oku kungenxa yokuba olu lutyando oluntsonkothileyo nolunobuthathaka.
Kwenzeka ntoni emva kotyando? Linjani ixesha lokuchacha?
Ekubeni utyando lweWhipple lutyando olukhulu, kuthatha ixesha ukuba umntu aphile.
Ngexesha lokuhlala kwakho esibhedlele:
- Kuya kufuneka uhlale esibhedlele phakathi kweentsuku ezi-5 nezi-7.
- Kunikwa amayeza okulawula iintlungu.
- Iqela lezonyango lihlala lijonga ukuba kukho usulelo okanye ezinye iingxaki.
- Kwiintsuku ezimbalwa zokuqala, uza kunikwa ukutya okucacileyo kuphela, kwaye njengoko imeko yakho iphucuka, uya kuqala kancinci kancinci ukunika ukutya okuqinileyo.
- Ukuphuma ebhedini nokuhamba ngokukhawuleza kubaluleke kakhulu kwinkqubo yokuphiliswa. Kodwa ungazami ukuvuka wedwa, kuba ungawa, ngoko qiniseka ukuba ufumana uncedo kumongikazi okanye kwingcali ye-physiotherapist.
Ngokwesiqhelo, ukuba akukho ngxaki, uya kukwazi ukuqhubeka nemisebenzi yakho yesiqhelo kwiiveki ezi-4 ukuya kwezi-6 .
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengalo naluphi na utyando olukhulu, inkqubo yeWhipple ineenzuzo kunye neengozi zayo. Kubalulekile ukuxoxa ngezi zinto ngokukhululekileyo nogqirha wakho.
| Iinzuzo | Iingozi kunye neengxaki |
|---|---|
| Ukusindisa ubomi: Ukuba umhlaza wepancreatic ufunyenwe kwangethuba, olu tyando ludla ngokuba lolona themba lokusinda ixesha elide. | Isifo seswekile: Isifo seswekile singenzeka okwethutyana okanye ngonaphakade. |
| Ukunyanga umhlaza: Ezinye iintlobo zomhlaza, ezifana nee-neuroendocrine tumors, zinokunyangwa ngokupheleleyo. | Ukuvuza kwamathumbu: Ukuvuza okuvela kwiindawo ezidityaniswe ngokutsha. |
| Umgangatho ophucukileyo wobomi: Unceda ekunciphiseni iintlungu kunye nokungonwabi okubangelwa zizifo ezingezizo zomhlaza kwaye uphile ubomi obungcono. | Ukopha kunye nosulelo. |
| Ixesha elide lokuphila: Nokuba umhlaza usasazeke kwiindawo ze-lymph ezikufutshane, olu tyando lunokwandisa ixesha lokuphila ngeminyaka eliqela. | Iingxaki zokugaya ukutya: Ubunzima bokugaya ukutya okuthile kunye nokunciphisa umzimba. |
| Ukuqhinwa okanye olunye utshintsho lwamathumbu. |
Kufuneka uthethe nini nogqirha?
Emva kokuba ubuyele ekhaya, kubalulekile ukuba uqhagamshelane neqela lakho lotyando ngaphandle kokulibazisa ukuba ubona naziphi na iimpawu ezilumkisayo.
Ukuba ubona into efana nale, yazisa ugqirha wakho ngoko nangoko:
- Ukuba izititshi zakho zikhululekile okanye inxeba livulekile.
- Ukuba unomkhuhlane .
- Ukuba indawo ejikeleze inxeba ibomvu, idumbile, ivakala ishushu, okanye inolwelo olufana nobovuUkuba ufika.
- Ukuba intlungu evela kwisingxobo iya isiba mandundu.
- Ukuba iintshukumo zakho zamathumbu aziqhelekanga.
Umyalezo Wokuya Ekhaya
- Inkqubo yeWhipple lutyando olukhulu nolunzima, kodwa lithemba elisindisa ubomi kwizifo ezinzulu ezifana nomhlaza wepancreatic.
- Ukuchacha emva kolu tyando kuthatha ixesha, kwaye kubaluleke kakhulu ukulandela imiyalelo yezonyango ngononophelo.
- Nangona kukho iingozi kunye neengxaki ezinxulumene notyando, namhlanje, ngenxa yokuqhubela phambili kwezobuchwepheshe, olu tyando lwenziwa ngempumelelo enkulu.
- Umhlaza wepancreatic sisifo esibuhlungu kakhulu. Kodwa awuwedwa. Fumana inkxaso kubantu obathandayo nakwiqela lakho lezonyango.
- Thetha ngokukhululekileyo nogqirha wakho malunga noloyiko lwakho, amathandabuzo, nemibuzo yakho. Kuya kuba luncedo kakhulu engqondweni yakho.
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