Ukuhlinzwa kuma-pancreas kuyinqubo ebaluleke kakhulu futhi eyinkimbinkimbi.
Kwezokwelapha, i-pancreatectomy kubhekwa njengokunye kokungenelela okubalulekile kokuhlinzwa lapho kususwa khona konke noma ingxenye yamapancreas.
Le ndlela yokwelashwa okukhulu isetshenziswa ezimweni lapho ukwelashwa kwezidakamizwa kungazange kunikeze umphumela omuhle.
Kunezinhlobo eziningi ze-pancreatectomy, kufaka phakathi:
- i-pancreatoduodenectomy (inqubo yeWhipple);
- i-palreat pancreatectomy;
- ingxenye yama-pancreatometry;
- i-pancreatometry ejwayelekile.
Lezi zinqubo zisetshenziswa ngokuya ngokuxilongwa okwenziwe esigulini. Kepha ngandlela thile, zihambisana nama-pancreas. Ake sithi, lapho kutholwa isimila esiswini se-pancreas, noma umdlavuza kulesi sitho.
Ukuze uphendule ngokunembile umbuzo wokuthi iyini i-pancreatectomy, luhlobo luni lwenqubo nokuthi ungayilungiselela kanjani kahle, kufanele uqonde ukuthi yiziphi izinkomba ezingaba yisizathu salokhu kukhwabanisa.
Lolu hlu lubandakanya:
- Ukuvuvukala kwesitho.
- I-pecreatitis pancreatitis.
- I-pancreatitis engapheli enobuhlungu.
- Ukulimala
- Ama-tumors
- I-Adenocarcinoma (85%).
- ICystadenoma (i-mucinous / serous).
- ICystadenocarcinoma.
- Ama-tumors amaseli we-islet (neuroendocrine tumors).
- I-papillary cystic neoplasms.
- ILymphoma
- Ama-Acinar cell tumors.
- I-hyperinsulinemic enkulu ye-hypoglycemia.
Njengazo zonke ezinye izimo, ukutholakala kwemiyalelo yenqubo kunqunywa ngudokotela onolwazi. Ukuze wenze lokhu, hlolwa ngokuphelele futhi uthole isidingo sokwenza umsebenzi.
Izici zezinhlobo ezahlukahlukene zokusebenza
Inqubo ejwayelekile kakhulu yokuhlinza ehambisana nokususwa kwengxenye yamanyikwe ibizwa ngokuthi yi-pancreatoduodenectomy. Kuqukethe nokususa ibhulokhi lesahluko se-distal sesisu, izingxenye zokuqala nezesibili ze-duodenum, inhloko yamanyikwe, i-bile duct kanye ne-gallder yesinye.
I-pancreatectomy ephelele nayo ingasetshenziswa. Phakathi kwemiphumela ejwayelekile ye-pancreatectomy ephelele noma ecishe iphelele, kunokushoda kokusebenza kwe-endocrine noma i-exocrine yama-pancreas adinga ukushintshwa kwama-enzymes we-insulin noma wokugaya ukudla.
Ngemuva kokuhlinzwa okunjalo, isiguli ngokushesha siba nesifo sikashukela sohlobo lwe-I, ngenxa yokuthi ngenxa yokungenelela kokuhlinzwa, i-pancreas kungenzeka ukuthi ingxenye ethile noma ayikho ngokuphelele. Isifo sikashukela sohlobo loku-1 singalashwa ngokuqapha eduze kwe-glucose yegazi kanye nokwelashwa kwe-insulin.
Njengoba ama-pancreas ebhekene nokukhiqizwa kwama-enzyme amaningi wokugaya ukudla, i-pancreatectomy kufanele yenziwe kuphela njengendawo yokugcina. Inkomba imvamisa iyisifo esibi kakhulu se-pancreatic esisongela impilo, njengesimila somdlavuza. Kubaluleke kakhulu ukuqaphela ukuthi ngisho nangemva kwe-pancreatectomy, izinhlungu ziphikelela kwiziguli eziningi.
I-distal pancreatectomy ukususwa komzimba nomsila wamanyikwe.
Yini odokotela abanolwazi ababikezelayo?
Ngemuva kwe-pancreatectomy ejwayelekile, umzimba awusakhiqizi ama-enzymes awo ngaphansi kwesenzo se-pancreas noma i-insulin, ngakho-ke, iziguli ziboniswa ukwelashwa kwe-insulin futhi zidla izithasiselo ze-enzyme. Isimo esifanayo senzeka lapho kuba khona isifo se-pancreatic necrosis.
Lesi sifo sibonisa ukuthi ngaphansi kwethonya lama-enzymes alo uqobo, ingxenye yamapancanyana ilahlekelwa yimisebenzi yayo bese ifile. Okubi kunakho konke, lapho umzimba wonke ufile. Lesi sibonakaliso sibonisa ukuthi umzimba womuntu ngeke usakwazi ukukhiqiza inani elifanele lamahormone, futhi ukuphathwa ngokushesha kwemijovo ye-insulin namanye ama-enzyme kuyadingeka.
Labo abangakabi nesifo sikashukela, ngemuva kokuxilongwa okunjalo, ngeshwa, baba kanjalo. Ngakho-ke, baphoqelelwa ukuba bashintshe indlela yabo yokuphila futhi balandele izincomo ezintsha zikadokotela wabo. Okokuqala, kuzofanele ufunde ukuthi ungalinganisa kanjani inkomba ye-glycemic egazini futhi uyiqaphe njalo.
Ukulawulwa okunjalo kunzima ngisho nakubantu abancane futhi abanempilo. Kepha ngaphandle kwayo, impilo ingonakala ngisho nangaphezulu. Futhi, ngenxa yezinkinga zokugaya ukudla, ukuntuleka kwama-insulin endulin kanye ne-encyclopedia epancreatic, isiguli sidinga imijovo ejwayelekile ye-insulin analogue yabantu. Lokhu kungaba nzima ngokungenakuphikiswa ngokuya ngeminyaka kanye nezifo ezihlobene. Kepha ngokwejwayelekile, ikhwalithi yempilo yeziguli ngemuva kwe-pancreatectomy ejwayelekile iqhathaniswa nekhwalithi yempilo ezigulini ezibhekana nalokhu okuyingxenye kwalesi sitho.
Kunenqubo eyisijobelelo ebizwa ngokuthi yi-islet cell transplantation, esiza ukunciphisa imiphumela yokulahleka komsebenzi we-endocrine ngemuva kwama-pancreas ajwayelekile.
Kuyiqiniso, esimweni ngasinye, indlela ye-prognosis kanye nokwelashwa ingahluka. Kungakho, udokotela angancoma izindlela ezahlukahlukene zokwelapha esigulini ngasinye.
I-prognosis yokuhlinzwa kanye nesikhathi sokuhlinzwa
Mayelana nokuthi inkambo yemicimbi ilindela kanjani isiguli esithole lokhu kunyinyitheka, kufanele kuqashelwe ukuthi kuholela ekuphazamisweni okukhulu kwe-metabolic kanye nokuntuleka kokuphelele. Futhi, njengomphumela, kubalulekile ukubheka ukulawulwa kwesifo sikashukela nokugcina isisindo, futhi lokhu kunzima kakhulu ukukwenza.
Ukusinda kubantu abanezifo eziyingozi kuhlala kunganelisi. Kodwa-ke, ukufa kwabantu kubonakala kuncipha. Lokhu kungenxa yokuthi umuthi wanamuhla uhlala uthuthuka, futhi ngenxa yalokho, ubuchwepheshe bokungenelela kokuhlinzwa buye bukhula.
Ngokuqondene nentengo yalokhu kusebenza, kufanele kwaziwe ukuthi iyahlukahluka ngokuya ngesifo esatholakala esigulini. Kodwa imvamisa izindleko ziqala kusuka kuma-ruble ayizinkulungwane ezingamashumi amane.
Inqubo yeziguli ezinezilonda ezinamandla futhi ezinobungozi isabalulekile ekwelapheni i-pancreatic pathology. Kodwa-ke, i-TA iholela ekuphazamiseni okukhulu kwe-metabolic okudinga ukuphathwa kwe-multidisciplinary ukuthuthukisa imiphumela. Ukulawulwa kwesifo sikashukela kanye nokugcinwa kwesisindo kuhlala kuyinkinga.
Ukwelulekwa okunzulu kwesifo sikashukela nokudla okunempilo okuhlanganiswe ne-insulin, ama-pancreas e-exocrine, kanye nama-vitamin supplements kuyindlela ebalulekile yokwelashwa e-postoperative. Ukufundwa kanye namanani okulahlekelwa kwesisindo kubalulekile futhi kukhombisa ukuthi lezi ziguli zidinga ukulandelwa okungatheni kokukhipha kanye nokudla okwengeziwe esikhathini eside.
Ukushona kwabantu nokugula isikhathi eside okuhambisana ne-TA bekuncipha emashumini eminyaka adlule, okukhombisa ukuthi izingozi zibonakala zamukeleka uma ziqhathaniswa nezinzuzo zokuphindukuzalwa, ikakhulukazi ezigulini ezinesifo esingaqondakali. Ngokuvamile, ukusinda kuvame ukusekela inqubo engaphansi yesifo, kunokuba umphumela wokuhlinzwa.
Kungashiwo nokuthi lokhu kuhlinza kungamukeleka ngokwengeziwe esigulini esisesincane esifundile nesinesifo sokuqaqambisa kwamanyikwe aphelele enomdlavuza wesibeletho noma umdlavuza we-pancreatic womndeni.
Ukuhlinzwa kwe-pancreatic kwenziwa kanjani kuchazwe kule vidiyo kule ndatshana.
