Munyori: Frank Hunt
Zuva Rekusika: 19 Kurume 2021
Gadziridza Zuva: 22 Mbudzi 2024
Anonim
The EXCRUCIATING Anatomy of Bowel Obstructions
Vhidhiyo: The EXCRUCIATING Anatomy of Bowel Obstructions

Zvemukati

Kuvhiya kwekubviswa kwekenza yepancreatic imwe nzira yekurapa inofungidzirwa nevazhinji oncologists kuti ndiyo chete nzira yekurapa inonyatsokwanisa kurapa gomarara repancreatic, zvisinei, mushonga uyu unogoneka chete kana gomarara rikaonekwa richiri padanho rekutanga.

Gomarara repancreatic rinowanzoitika mushure memakore makumi matanhatu uye rine hukasha uye rine mwero wekupona unosvika makumi maviri muzana muzana mumakore gumi mushure mekuongororwa, kunyangwe kana munhu aine 1 diki pancreatic adenocarcinoma uye asina kukanganiswa lymph node. Varwere vane metastases kana risingabvumike bundu vane avhareji tarisiro yeupenyu yemwedzi mitanhatu chete. Nekudaro, pachinongoonekwa chirwere ichi, zvakafanira kuita bvunzo uye kuronga kuvhiya kuti uwedzere mikana yekurapa uye kuwedzera hupenyu hwemurwere.

Mhando dzekuvhiyiwa kenza yepancreatic

Mhando huru dzekuvhiya kubvisa kenza yepancreatic:


  • Gastroduodenopancreatectomy kana Kuvhiya kweWhiple, Inosanganisira kubvisa musoro mupancreas uye dzimwe nguva zvakare chikamu chemuviri wepancreas, nduru, yakajairika bile duct, chikamu chedumbu uye duodenum. Kuvhiya uku kune huwandu hunogamuchirwa hwekubudirira, uye hunogona zvakare kushandiswa senge fomu yekunyaradza, sezvo ichideredza kusagadzikana kunounzwa nechirwere zvishoma. Mushure mekuvhiyiwa uku, kugaya kunoramba kwakajairika nekuti iyo bile inogadzirwa muchiropa, chikafu uye majisi ekugaya kubva kuchikamu chasara chepancreas anoenda akananga kuura hudiki.
  • Duodenopancreatectomy, inova nzira yekuvhiya yakafanana neyekuvhiya kwaWhipple, asi chikamu chezasi chedumbu hachibviswe.
  • Yese pancreatectomy, kunova kuvhiya uko kwese pancreas, duodenum, chikamu chedumbu, spleen uye nduru inobviswa. Murwere anogona kuzova nechirwere cheshuga mushure mekuvhiyiwa nekuti haachagadzira insulin kurwisa huwandu hweshuga yeropa nekuti akabvisa rwatata rwese, rwunoita kuburitsa insulin.
  • Yakasarudzika pancreatectomy: spleen uye distal pancreas zvinobviswa.

Pamusoro pekuvhiiwa uku, kune nzira dzinodzora dzinoshandiswa kana gomarara ratove ranyanya uye rinosanganisira kuvhiya kurapa zviratidzo kwete kurapa chirwere. Chemotherapy ine chiito chakashomeka, ichinyanyo shandiswa kudzikisira mhedzisiro uye nekuvandudza hupenyu hwevarwere vasingakwanise kuvhiyiwa kana vane metastases.


Bvunzo usati wavhiyiwa

Kugadzirira kuvhiyiwa kubvisa pancreatic bundu, zvinodikanwa kuti uite mamwe mabvunzo anobatsira kuona kana paine dzimwe nzvimbo dzakabatwa nebundu. Naizvozvo, bvunzo dzakadai seakawandisa detector mudumbu tomography, nyukireya magnetic resonance imaging, echoendoscopy, positron emission tomography uye laparoscopy inokurudzirwa.

Kureba kwekugara

Kureba kwekugara muchipatara kunoenderana nehutano hwomunhu. Kazhinji munhu anoitwa oparesheni uye anogona kuenda kumba mukati memazuva asingasviki gumi, asi kana paine zvinetswa, kana munhu achifanirwa kuvhiyiwa zvakare, hurefu hwekugara muchipatara hunogona kunge hwakareba.

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