Kuvhiya kwekenza yepancreatic

Pancreatic kuvhiya kunoitwa kurapa gomarara repancreas gland.

Iyo pancreas iri kuseri kwedumbu, pakati pe duodenum (chikamu chekutanga chemukati mudumbu) nechipere, uye pamberi pemusana. Inobatsira mukudya kugaya. Iyo pancreas ine zvikamu zvitatu zvinonzi musoro (yakafara upamhi), wepakati, uye muswe. Yese kana chikamu chepancreas chinobviswa zvichienderana nenzvimbo yebundu rekenza.

Kunyangwe maitiro acho achiitwa laparoscopically (uchishandisa diki vhidhiyo kamera) kana kushandisa robotic kuvhiya zvinoenderana ne:

• Kukura kwekuvhiyiwa
• Icho chiitiko uye huwandu hwekuvhiya uko chiremba wako wechiremba akaita
• Chiitiko uye huwandu hwekuvhiya kunoitwa kuchipatara kwauchazoshandisa

Kuvhiya kunoitwa muchipatara ne general anesthesia saka iwe wakarara uye unonzwa kurwadziwa. Aya anotevera marudzi ekuvhiya anoshandiswa mukurapa kwekurapa kwekenza yepancreatic.

Maitiro eWhipple - Uku ndiko kuvhiyiwa kwakajairika kwegomarara repancreatic.

• Kucheka kunoitwa mudumbu mako uye musoro wepancreas unobviswa.
• Iyo nduru, bile duct, uye chikamu che duodenum (chikamu chekutanga chemukati mudumbu) chinotorwawo. Dzimwe nguva, chikamu chedumbu chinobviswa.

Yakapararira pancreatectomy uye splenectomy - Kuvhiya uku kunoshandiswa kazhinji pamamota ari pakati nepakati pemuswe wepancreas.

• Pakati nepamuswe wepancreas zvinobviswa.
• Iyo spleen inogona zvakare kubviswa.

Yese pancreatectomy - Uku kuvhiya hakuitwe kazhinji. Iko kune bhenefiti shoma yekuburitsa rwatata rwese kana gomarara rinogona kurapwa nekubvisa chete chikamu chegland.

• Kucheka kunoitwa mudumbu mako uye rwatata rwese rwunobviswa.
• Iyo nduru, spleen, chikamu che duodenum, uye lymph node dziri pedyo dzinobviswawo. Dzimwe nguva, chikamu chedumbu chinobviswa.

Chiremba wako anogona kukurudzira nzira yekuvhiya yekurapa kenza yepancreas. Kuvhiya kunogona kumisa kupararira kwegomarara kana bundu racho risina kukura kunze kwepancreas.

Ngozi dzekuvhiyiwa uye anesthesia kazhinji ndeiyi:

• Allergic reaction kumishonga
• Matambudziko ekufema
• Zvinetso zvemwoyo
• Kubuda ropa
• Utachiona
• Ropa rinovhara mumakumbo kana mapapu

Ngozi dzekuvhiya uku ndedzekuti:

• Kuvuza kwemvura kubva mupancreas, bile duct, mudumbu, kana ura
• Matambudziko nedumbu kubuda
• Chirwere cheshuga, kana muviri usingakwanise kugadzira insulini yakakwana
• Kuonda

Sangana nachiremba wako kuti uone kuti matambudziko ekurapa akadai seshuga, kuwedzerwa kweropa, uye matambudziko emoyo kana emapapu ari mukutonga kwakanaka.

Chiremba wako anogona kukukumbira kuti izvi zviedzwa zvekurapa zviitwe usati wavhiyiwa:

• Kuongororwa kweropa (yakazara ropa kuverenga, electrolyte, chiropa uye itsvo bvunzo)
• Chest x-ray kana electrocardiogram (ECG), kune vamwe vanhu
• Endoscopic retrograde cholangiopancreatography (ERCP) kuongorora iyo bile uye pancreatic ducts
• CT scan
• Ultrasound

Munguva yemazuva asati avhiyiwa:

• Iwe unogona kubvunzwa kumbomira kutora zvinonwisa ropa senge aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin).
• Kumbira chiremba wako kuti ndeapi madhiragi aunofanira kutora pazuva rekuvhiyiwa kwako.
• Ukasvuta, edza kurega. Kusvuta kunogona kunonoka kupora. Kumbira mubatsiri wako wehutano kuti abatsire kurega.
• Rega mupi wako azive nezve chero kutonhora, dzihwa, fivha, herpes kuputika, kana chimwe chirwere chaungave uinacho usati wavhiyiwa. Kana iwe ukarwara, kuvhiya kwako kungangoda kumbomiswa.

Pazuva rekuvhiyiwa:

• Iwe ungango bvunzwa kuti usamwe kana kudya chero chinhu kwemaawa akati wandei pamberi pekuvhiya.
• Tora chero mishonga yawakaudzwa nachiremba kuti utore nekamwe kadiki kemvura.
• Tevedzera rairo kuti unosvika rinhi kuchipatara. Iva nechokwadi chekusvika nenguva.

Vanhu vazhinji vanogara muchipatara mavhiki 1 kusvika maviri mushure mekuvhiyiwa.

• Pakutanga, iwe unenge uri munzvimbo yekuvhiya kana kutarisirwa kwakanyanya kwaunogona kutariswa zvakanyanya.
• Iwe unowana zvinwiwa nemishonga kuburikidza nekatoni (IV) catheter muruoko rwako. Iwe unenge uine chubhu mumhino dzako.
• Iwe unenge uine marwadzo mudumbu rako mushure mekuvhiyiwa. Iwe unozowana mushonga wekurwadziwa kuburikidza neIV.
• Iwe unogona kunge uine marara mudumbu rako kudzivirira ropa uye imwe fluid kubva pakuvaka. Iwo machubhu uye anodhonzwa anozobviswa paunenge uchirapa.

Mushure mekuenda kumba:

• Tevera chero kuburitswa uye kuzvichengeta-wega mirairo iwe yaunopihwa
• Iwe uchave uine yekutevera-kushanya nachiremba wako 1 kusvika 2 mavhiki mushure mekubva muchipatara. Ive neshuwa yekuchengetedza musangano uyu.

Iwe ungangoda kumwe kurapwa mushure mekupora kubva pakuvhiya. Kumbira chiremba wako nezvemamiriro ako ezvinhu.

Kuvhiya kwepancreatic kunogona kuve nenjodzi. Kana kuvhiya kwaitwa, kunofanirwa kuitirwa kuchipatara uko kwakawanda kwemaitiro aya anoitwa.

Pancreaticoduodenectomy; Maitiro ekurova; Vhura distal pancreatectomy uye splenectomy; Laparoscopic distal pancreatectomy; Pancreaticogastrostomy

Jesu-Acosta AD, Narang A, Mauro L, Herman J, Jaffee EM, Laheru DA. Carcinoma yepancreas. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 78.

Pucci MJ, Kennedy EP, Yeo CJ. Pancreatic kenza: kiriniki zvinhu, ongororo, uye manejimendi. Muna: Jarnagin WR, rakanyorwa. Kuvhiya kwaBlumgart kweRopa, Biliary Tract, uye Pancreas. 6th ed. Philadelphia, PA: Elsevier; 2017: chits. 62.

Shires GT, Wilfong LS. Pancreatic cancer, cystic pancreatic neoplasms, uye mamwe asiri endocrine pancreatic tumors. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 60.