Namuhla sizokhuluma ngesitho esibaluleke kakhulu emzimbeni wakho esingakhulumi kakhulu ngaso, kodwa leso yi-pancreas. Mhlawumbe udokotela ukutshelile noma othile omaziyo ngokuhlinzwa kwe-pancreas. Ngaleso sikhathi, kuyinto evamile ukwesaba nokuba nemibuzo eminingi. Ngakho-ke namuhla, ake sixoxe ngalokhu kuhlinzwa kokususa i-pancreas, okungukuthi, 'i-Pancreatectomy', ngokucacile nangokulula.
Okokuqala, ake sibone ukuthi lokhu kuhlinzwa (i-Pancreatectomy) kuyini.
Kalula nje, i-pancreatectomy inqubo yokuhlinzwa esusa ingxenye noma yonke i-pancreas yakho. Manje ungase uzibuze, "Iyini i-pancreas? Yenzani?"
I-pancreas iyisitho esincane esitholakala ngaphakathi kwesisu sethu, ngemuva kwesisu. Kodwa umsebenzi wayo mkhulu kakhulu. Yenza izinto ezimbili eziyinhloko:
1. Ukwenza ama-enzyme asiza ekugayeni ukudla: Lawa ma-enzyme asiza ekugayeni izakhamzimba ekudleni esikudlayo ukuze umzimba ukwazi ukuzimunca.
2. Ukwenza ama-hormone: Yilokhu okwenza ama-hormone abalulekile njenge-insulin, elawula amazinga kashukela egazini lakho.
Pho kungani kufanele kususwe isitho esibaluleke kangaka? Ake sibheke izizathu.
Kungani umuntu edinga ukuhlinzwa kwe-pancreatectomy?
Odokotela basebenzisa ukuhlinzwa okukhulu kanje kuphela uma kudingeka ngempela. Izimbangela ezimbili eziyinhloko izimila kanye ne-pancreatitis.
- Izimila: Ezinye izimila ezikhula ku-pancreas zingaba nomdlavuza. Lezi zinobungozi obukhulu bokusabalala kwezinye izingxenye zomzimba. Ngakho-ke ukuze kuncishiswe leyo ngozi, ingxenye noma yonke i-pancreas enesimila kungadingeka isuswe.
- I-Pancreatitis: Lesi yisimo lapho i-pancreas ivuvukala futhi ivuvukale. Ngezinye izikhathi, uma lokhu kuqhubeka (i-pancreatitis engapheli), kungabangela ubuhlungu obungabekezeleleki kanye nezinye izinkinga. Ezimweni ezinjalo, lokhu kuhlinzwa nakho kuphakanyiswa njengesixazululo.
Lokhu kuhlinzwa kwenziwa ngaphansi kwezimo ezilandelayo:
- Umdlavuza we-pancreatic
- Izimila ze-pancreatic neuroendocrine, isibonelo, i-insulinoma
- Umdlavuza osakazekele kuma-pancreas usuka kwenye indawo (umdlavuza we-Metastatic)
- Ama-cyst e-pancreatic (amathumba noma amasaka agcwele uketshezi ku-pancreas)
- I-pancreatitis enzima, yesikhathi eside (i-pancreatitis engapheli enzima kakhulu)
Yiziphi izinhlobo zokuhlinzwa kwe-pancreatectomy?
I-pancreas ibunjwe kancane njengenhlanzi. Inekhanda elikhulu, umzimba ophakathi nendawo kanye nomsila omncane. Igama lokuhlinzwa liyahlukahluka kuye ngengxenye esusiwe. Ngezinye izikhathi, kuyadingeka ukususa hhayi i-pancreas kuphela kodwa nezinye izitho eziseduze.
| Uhlobo lokuhlinzwa | Kalula nje... |
|---|---|
| Ukususwa kwe-pancreat okukude | Kulokhu, umsila we-pancreas (futhi ngezinye izikhathi ingxenye ephakathi) uyasuswa. Ngenxa yokuthi umsila we-pancreas useduze kakhulu ne-bell, i-bell ivame ukususwa ngesikhathi sokuhlinzwa. |
| Ukuhlinzwa kwe-pancreatectomy ephakathi | Kulokhu , kususwa ingxenye ephakathi yepancreas kuphela , kusale ikhanda nomsila. Lokhu ukuhlinzwa okuyinkimbinkimbi okungenakukwenziwa njalo. Kodwa uma kungenziwa, kungalondoloza umsebenzi omningi wepancreas. |
| Inqubo ye-Pancreaticduodenectomy (inqubo ye-Whipple) | Lena inqubo ethandwa kakhulu "ye-Whipple." Ikhanda le-pancreas liyasuswa. Ngesikhathi esifanayo, ingxenye yokuqala yamathumbu amancane (i-duodenum) , i-gallbladder, kanye nengxenye ye-bile duct exhunywe kuyo nayo iyasuswa. Bese kuthi izingxenye ezisele zixhunywe kabusha. |
| Ukususwa kwe-pancreat okuphelele | Njengoba igama lisho, wonke ama-pancreas ayasuswa. Lokhu kwenziwa uma lesi sifo sesisakazeke kulo lonke isitho noma uma kungekho zicubu ezinempilo ezingasindiswa. Kanye ne-pancreas , i-spleen, i-gallbladder, ingxenye yokuqala yamathumbu amancane, kanye nengxenye engezansi yesisu nakho kudingeka kususwe. |
Kungenzeka yini ukuphila ngaphandle kwe-pancreas?
Yebo, ungakwazi. Kodwa kuyinselele. Uma ulahlekelwa yi-pancreas yakho, umzimba wakho awutholi ama-enzyme nama-hormone akhiqizayo. Ngakho-ke kufanele uwakhiphe ngaphandle impilo yakho yonke.
Isibonelo, udinga ukuthatha ama-enzyme okugaya ukudla ngendlela yamaphilisi. Futhi, uba nesifo sikashukela ngoba awunayo i-hormone i-insulin. Kufanele uthathe imijovo ye-insulin ngalokho. Kufanele ufunde ukuphila nalokhu.
Kwenzekani ngaphambi kokuhlinzwa?
Uzobe ulungele kahle ngaphambi kokuhlinzwa okukhulu okufana nalokhu.
- Ukuhlolwa: Ithimba lakho lezokwelapha lizobuza ngomlando wakho wezempilo, imithi oyiphuzayo, futhi lenze izivivinyo eziningana, njenge-X-ray yesifuba kanye ne-EKG, ukuze kubonakale ukuthi ungumuntu ofanele yini ukuhlinzwa.
- Ukuyeka imikhuba emibi: Uma uphuza utshwala, kubalulekile ukutshela udokotela wakho iqiniso. Utshwala bungabangela izinkinga ngesikhathi sokuhlinzwa nangemva kokuhlinzwa. Ithimba lakho lezokwelapha lizokusiza ukuthi uyeke ngokuphephile.
- Imithi: Ukuze uvimbele ukutheleleka ngemva kokuhlinzwa, unganikezwa ikhambi elikhethekile lokuhlanza isikhumba ngaphambi kokuhlinzwa. Ungacelwa futhi ukuthi uyeke ukuthatha imithi ethile, njengemithi yokunciphisa igazi, izinsuku ezimbalwa.
Kwenzekani ngesikhathi sokuhlinzwa?
Ngosuku lokuhlinzwa kwakho, uzoyiswa egumbini lokuhlinzwa. Udokotela wezinzwa uzokulalisa ubuthongo obukhulu ngokukunika imithi nge-cannula (umugqa we-IV) engalweni yakho. Ngeke uzwe lutho. Ngesikhathi ulele, uketshezi nemithi kuzoqhubeka kunikezwa emzimbeni wakho nge-cannula.
Uzoxhunywa epayipini elizokusiza ukuphefumula, ipayipi lokuvimbela izinkinga zesisu, kanye ne-Foley catheter yokukhipha umchamo. Ungakhathazeki, konke lokhu kungenxa yokuphepha kwakho.
Esikhathini esiningi, lokhu kuhlinzwa kwenziwa ngokusikwa okukhulu esiswini (ukuhlinzwa okuvulekile). Lokhu kuvumela udokotela ohlinzayo ukuthi abone izitho zomzimba kangcono. Kodwa-ke, kwezinye izibhedlela ezithuthukile, lokhu kuhlinzwa kwenziwa ngokusikwa okuncane okumbalwa ngekhamera namathuluzi. Lokhu kubizwa ngokuthi ukuhlinzwa kwe-laparoscopic noma i-robotic. Lokhu kunciphisa isikhathi sokululama.
Lokhu kuhlinzwa kuvame ukuthatha amahora ama-4 kuya kwayi-6.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzodluliselwa ewadini noma egunjini lokunakekelwa okujulile, lapho uzoqashwa khona ngokucophelela. Amanye amapayipi owaxhume azosuswa ezinsukwini ezimbalwa. Ngokuvamile uzohlala esibhedlela cishe isonto.
- Imithi yobuhlungu inikezwa ezinsukwini zokuqala.
- Kusukela ngosuku olulandela ukuhlinzwa, uzophoqeleka ukuba uvuke embhedeni uhambe kancane.
- Okokuqala, banikezwa ukudla okumanzi bese kancane kancane befakwa ekudleni okuvamile.
- Ithimba lezokwelapha lihlala liqapha ukugaya kwakho kanye namazinga kashukela egazini, futhi lizolungisa ukudla kwakho kanye nemithi yakho ngokufanele.
Izingozi nezinkinga zokuhlinzwa
Njenganoma yikuphi ukuhlinzwa okukhulu, kunezingozi ezithile, kodwa odokotela benza konke okusemandleni abo ukulawula lezi zingozi.
| Uhlobo lwezingozi nezinkinga | Incazelo |
|---|---|
| Imiphumela emibi yesikhashana | |
| Ukutheleleka kanye nokopha kwegazi | Kungenzeka ngesikhathi sokuhlinzwa noma ngemva kokuhlinzwa. |
| Ukuvuza kwe-anastomotic | Ukuvuza okuvela ezindaweni ezifana namathumbu ahlanganiswe kabusha. |
| Ukungasebenzi kahle kwamathumbu (i-Paralytic ileus) | Ukunyakaza kwamathumbu kungase kungabi yinto evamile izinsuku ezimbalwa ngemva kokuhlinzwa. Lokhu kuyinto evamile. |
| Isifo sokulahla inkunkuma | Ukungakhululeki ngemva kokudla kwenzeka lapho ukudla kuhamba ngokushesha kakhulu kusuka esiswini kuya emathunjini amancane. Lokhu kuvame ukuba okwesikhashana. |
| Ukwehlisa isisindo nokukhathala | Kuvamile ukwehlisa isisindo nokuzizwa ukhathele ngemva kokuhlinzwa ngoba umzimba usebenzisa amandla amaningi ukuze welapheke. |
| Izinkinga zesikhathi eside | |
| Isifo sikashukela | Uma i-pancreas yonke isusiwe, isifo sikashukela sizovela nakanjani. Singavela futhi uma ingxenye ye-pancreas isusiwe. |
| Izinkinga zokugaya ukudla (ukungasebenzi kahle kwe-exocrine pancreatic) | Ukuntuleka kwama-enzyme akhiqizwa yi-pancreas kungabangela izimpawu ezifana nokuqunjelwa kanye nesifo sohudo. Ngenxa yalokhu, kufanele kuthathwe amaphilisi e-enzyme (PERT). |
| Ukwehla kokuzivikela komzimba | Uma udengezi lususwa ngesikhathi sokuhlinzwa, ikhono lokulwa nezifo ezithile liyancishiswa, ngakho udokotela angase atuse ukuthola imijovo ethile. |
Kuthatha isikhathi esingakanani ukululama ngemva kokubuyela ekhaya?
Kungathatha noma yikuphi kusukela emavikini amane kuya kwayisishiyagalombili ukululama ngokuphelele ngemva kokubuyela ekhaya. Lokhu kuncike empilweni yakho yangaphambi kokuhlinzwa kanye nohlobo lokuhlinzwa owakwenza.
Isikhathi sokufonela udokotela ngokushesha
Uma unezimpawu ezilandelayo ngemuva kokubuyela ekhaya, shayela udokotela wakho ngokushesha.
- Uma inxeba lokuhlinzwa livuvukile, libomvu, noma likhipha uketshezi olufana nobovu.
- Umkhuhlane (ngaphezu kwama-degrees Fahrenheit ayi-100).
- Uhudo oluqhubekayo noma ukuqunjelwa.
- Ubuhlungu obusha noma obuya buba bubi.
Lokhu kuhlinzwa kuyinqubo engathi sína, eshintsha impilo. Kodwa khumbula, udokotela uyayincoma ngoba ekholelwa ukuthi izinzuzo empilweni yakho zidlula kakhulu izingozi. Kuyinto eyenziwa ukusindisa impilo yakho noma ukuthuthukisa ikhwalithi yempilo yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-pancreatectomy ukususwa kwengxenye noma yonke i-pancreas ngokuhlinzwa.
- Lokhu kwenziwa kakhulu ezimweni ezifana nomdlavuza we-pancreatic kanye ne-pancreatitis enzima.
- Ngemva kokuhlinzwa, ungaphila ngaphandle kwe-pancreas, kodwa uzodinga izithasiselo zokuphila konke ezifana namaphilisi e-enzyme ukusiza ekugayeni ukudla kanye ne-insulin ukulawula isifo sikashukela.
- Lokhu ukuhlinzwa okukhulu futhi kuzothatha isikhathi ukuphulukiswa. Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho phakathi naleso sikhathi.
- Uma unemibuzo noma ukukhathazeka ngalokhu, khuluma nodokotela wakho ngakho ngokukhululekile. Bazokunikeza lonke ulwazi kanye nokusekelwa okudingayo.
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