Pancreatoduodenectomy magani da kuma rikitarwa

Don kwanan wata, pancreatic ciwon daji ne na kowa da irin ciwon daji. A mafi yawan lokuta, da aka yi hasashen ne kyawawan sharri sakamakon. A lokacin jarrabawa, likitoci gane gaban sakandare metastases, wanda kai farmaki lafiya nama na sauran gabobin.

Babban drawback da wannan cuta shi ne cewa an ba lura alamun cuta cututtuka. A wannan yanayin, da ciwon daji Kwayoyin fara girma ne da tsananin ƙarfi. Bayan ganewa na babban yawan marasa lafiya da metastases ba yi m magudi.

pancreatoduodenectomy Technology

Don pancreatoduodenal resection za a iya shawarar? Surgery aka nuna ne kawai ga wadanda marasa lafiya wanda marurai da wata, tsattsarkar sarrafawa a cikin pancreas. Wannan tiyata abubuwa a matsayin wani warkewa tsari.

Kafin aiki da likita zai gudanar da wani m ganewar asali na shafa sashin jiki. Godiya ga duban dan tayi Nazarin kuma nazarin da dama cuta juna nuna irin tiyata.

Idan ciwon daji aka located in kai na pancreas ko a cikin kusanci da bude daga cikin pancreatic bututu, da likitocin da yin tiyata Whipple. A gaban m aiwatar a yankin na jiki ko wutsiya na pancreas Surgeons yi pancreatectomy.

Operation (pancreatoduodenal resection ko tiyata Whipple) aka farko da aka gudanar a farkon 1930. Alan likita Whipple. A marigayi 60-ies na irin wadannan mace-mace da aka high isa statistics.

Don kwanan pancreatoduodenal resection aka dauke su gaba daya lafiya. Mace-mace rates ki zuwa matakin na 5%. A karshe sakamakon da baki ya kai tsaye dogara a kan sana'a da kwarewa na likita.

Mene ne tsari

Bari mu bincika yadda za a samar da pancreatoduodenal resection. Matakai na aiki da aka bayyana a kasa. A cikin shakka daga irin wadannan ayyuka haƙuri aiki kau pancreatic shugaban yankin. A tsanani cuta kwashe m kau da bile bututu da kuma duodenum. Idan ciwon daji aka sarrafa a cikin ciki, shi ne ya yi m shafewa.

Bayan pancreatoduodenectomy likitoci gama sauran pancreatic segments. Bile bututu kai tsaye haɗa da hanji. A lokaci na wannan aiki shi ne game da 8 hours. Bayan da aiki da mãsu haƙuri ne wani outpatient magani, wadda game da daukan 3 makonni.

Laparoscopy Whipple

Wannan hanya na lura ne da za'ayi domin kirga wuri na ciwon daji. Laparoscopy Whipple muhimmanci rage gyaran lokacin da mãsu haƙuri. Wannan irin tiyata ne da za'ayi a gaban marasa lafiya ampullary ciwon daji.

Laparoscopic tiyata da aka yi ta hanyar kananan incisions a ciki. An sanya ta gogaggen likitoci da musamman likita kayan aiki. A al'ada aiki Whipple gudanar da ciki incisions m size.

Lokacin da laparoscopic tiyata, likitoci sun ce akalla jini asara a lokacin m hanyoyin. Sun kuma lura da mafi ƙarancin hadarin shigar da iri daban-daban cututtuka.

Lokacin da zama dole aiki Whipple

Akwai da dama na sigogi a karkashin abin da aiki shi ne iya gaba daya kafa haƙuri da yanayin. Wadannan sun hada da:

• Cancerous raunuka na shugaban sashen na pancreas (da aka gudanar pancreatoduodenal pancreatectomy).
• Malignancy a yankin na duodenum.
• Cholangiocarcinoma. A wannan yanayin da ƙari rinjayar lafiya sel da hanta bile Tsarki.
• Ampullar ciwon daji. Ga ciwon daji aka located a cikin pancreatic bututu, wanda daukan bile cikin duodenum.

Surgery na da irin wannan suna kuma amfani da cuta da benign siffofin maruran. Wadannan sun hada da irin wannan cututtuka kamar na kullum pancreatitis.

Aƙalla 30% da marasa lafiya sha irin wannan magani. Su gane asali ƙari wuri a cikin pancreas. Saboda da rashin daidai cututtuka a yawancin lokuta faruwa a marasa lafiya tare da metastasis zuwa wasu gabobin. Gudanar da wani aiki a cikin irin wannan hanya na cuta ba ya sa hankali.

Pancreatoduodenectomy fara da wani cikakken ganewar asali na shafa sashin jiki sassan. Bar dacewa da ƙididdiga zai nuna hoto da cutar.

The kananan size na cancerous ƙari damar laparoscopic hanyoyin. A sakamakon haka, likitoci za su iya ba gaba daya cire shafa yankin, ta haka ne ba tareda žata wasu gabobin da kogon ciki.

Sakamako na magani

Mafi yawan marasa lafiya tambaye wannan tambaya: abin da sakamakon pankreatoduodnalnoy resection? A cikin shekaru 10 da shekaru, da mãsu haƙuri mace-mace kudi ya ragu zuwa kashi 4 cikin dari. Gaskiyar cewa sakamakon tabbatacce aka samu a gaban sararin kwarewa na Likita yin aiki.

Lokacin da pancreatic adenocarcinoma Whipple aiki damar ajiye wani rai game da 50% marasa lafiya. A cikin cikakken rashi na marurai a lymphatic tsarin, irin matakan kara da rayuwa da marasa lafiya sau da yawa.

Bayan da aiki da haƙuri da aka tura zuwa wata hanya na radiotherapy da jiyyar cutar sankara. Wannan shi ne zama dole domin halakar da ciwon daji Kwayoyin yada zuwa wasu gabobin.

Bugu da ari magani bayan tiyata da aka contraindicated a marasa lafiya tare da kasancewar wani benign ƙari, kazalika da neuroendocrine gyare-gyare.

Pancreatoduodenectomy: m dabara

A lokacin m hanya ta kawar da mafi yawan jiki, wanda yake da alhakin mugunya insulin. Bi da bi, yana taimaka sarrafa matakin na sukari a cikin jini tsarin. M resection muhimmanci rage samar da insulin. A sakamakon haka, mafi yawan marasa lafiya da cika fuska kara hadarin tasowa irin cututtuka kamar ciwon sukari.

Marasa lafiya da high jini sugar matakan ne mafi saukin kamuwa zuwa da irin wannan cuta. Al'ada glucose matakan a haƙuri da kullum pancreatitis rashi cin zarafi rage cin gaban ciwon sukari.

A ƙarshen fi aiwatar da halartar likita ya bada shawarar rage cin abinci. Daga cikin abinci ya kamata a cire ma m, kuma m abinci. Sau da yawa, bayan da irin wannan baki, da yawa marasa lafiya da rashin ha} uri ga zaki abinci. A wannan yanayin, ta yin amfani da aka contraindicated.

Matsalolin daga tiyata Whipple

Wannan irin lura yana da isasshe babban hadarin da rikitarwa. Availability na sana'a da kwarewa na Likita muhimmanci rage da ya faru na da wani matsala. Damar matsalolin sun hada da:

• A bayyanar pancreatic fitsari. A lokacin tiyata Likita haɗu da gland shine yake da hanji sashen. Haduwar jijiyoci mai taushi jiki kabu pancreatic hana m waraka. A wannan lokacin, akwai wani asarar pancreatic ruwan 'ya'yan itace.
• M inna na ciki. Bayan da aiki da haƙuri da ake sa allura, ta hanyar wani IV hanya. Wannan shi ne zama dole domin maido da aiki na ciki.

Abinci bayan pancreatoduodenectomy ya zama daidai, duk da miyagun halaye, kana bukatar ka kashe. A yarda da duk shawarwari na mutum ne a hankali dawo al'ada rayuwa.