Yin tiyata don ciwon daji na ƙankara

Ana yin tiyatar Pancreatic don magance ciwon daji na ƙwayar cuta.

Pancreas yana cikin bayan ciki, tsakanin duodenum (ɓangaren farko na ƙaramar hanji) da baƙin ciki, kuma a gaban kashin baya. Yana taimakawa wajen narkewar abinci. Pancreas yana da sassa uku da ake kira kai (ƙarshen da ya fi faɗi), tsakiya, da wutsiya. Ana cire duka ko ɓangaren pancreas ya dogara da wurin da cutar kansa take.

Ko ana yin aikin ta hanyar laparoscopically (ta amfani da ƙaramar kyamarar bidiyo) ko amfani da tiyatar mutum-mutumi ya dogara da:

• Girman aikin tiyatar
• Kwarewa da yawan tiyatar da likitan ku yayi
• Kwarewa da yawan tiyatar da aka yi a asibitin da zaku yi amfani da shi

Ana yin aikin tiyata a cikin asibiti tare da maganin rigakafin cutar gaba ɗaya don haka kuna barci kuma ba ku da ciwo. Ana amfani da nau'ikan tiyata masu zuwa a cikin maganin tiyata na ciwon sankara.

Whipple hanya - Wannan shine aikin tiyata mafi gama gari don ciwon sankara.

• An yi yanka a cikin ciki kuma an cire kan pancreas.
• Haka kuma an fitar da gallbladder, bile duct, da kuma wani ɓangare na duodenum (ɓangaren farko na ƙaramar hanji). Wani lokaci, ana cire wani ɓangare na ciki.

Rarraba pancreatectomy da splenectomy - Ana yin amfani da wannan tiyata sau da yawa don ciwace-ciwacen da ke tsakiya da kuma wutsiyar pancreas.

• An cire tsakiya da wutsiyar pancreas.
• Hakanan za'a iya cire saifa.

Jimlar kwarkwata - Ba a yin wannan tiyata sau da yawa sosai. Babu wata fa'ida ta fitar da duka fanke idan ana iya magance kansa ta hanyar cire wani ɓangare na gland.

• Yankewa ana yi a cikin cikinku kuma an cire dukkan ƙoshin mara.
• Haka kuma an cire gallbladder, saifa, wani ɓangare na duodenum, da ƙwayoyin lymph da ke kusa. Wani lokaci, ana cire wani ɓangare na ciki.

Likitanku na iya bayar da shawarar aikin tiyata don magance cutar sankara. Yin aikin tiyata na iya dakatar da yaduwar cutar kansa idan ƙari ba ta girma a wajen ƙoshin mara.

Hadarin don tiyata da maganin rigakafi gaba ɗaya shine:

• Maganin rashin lafia ga magunguna
• Matsalar numfashi
• Matsalar zuciya
• Zuban jini
• Kamuwa da cuta
• Jinin jini a kafafu ko huhu

Hadarin ga wannan tiyatar sune:

• Zubar da ruwa daga kwandon ciki, bututun ciki, ciki, ko hanji
• Matsaloli tare da zubar da ciki
• Ciwon suga, idan jiki ya kasa yin isasshen insulin
• Rage nauyi

Haɗu da likitanka don tabbatar da matsalolin lafiya kamar su ciwon suga, hawan jini, da matsalolin zuciya ko na huhu suna cikin kyakkyawan iko.

Likitanku na iya tambayar ku ku yi waɗannan gwaje-gwajen likita kafin a yi muku tiyata:

• Gwajin jini (cikakken jini, electrolytes, hanta da koda)
• Kirjin x-ray ko kwayar cutar kwayar cutar (ECG), ga wasu mutane
• Endoscopic retrograde cholangiopancreatography (ERCP) don bincika ƙwayoyin bile da pancreatic
• CT dubawa
• Duban dan tayi

A lokacin kwanakin kafin aikin:

• Ana iya tambayarka ka daina shan abubuwan kara kuzari na wani lokaci kamar su asfirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin).
• Tambayi likitanku waɗanne ƙwayoyi ne ya kamata ku ci a ranar aikinku.
• Idan ka sha taba, yi ƙoƙari ka daina. Shan taba na iya jinkirta warkarwa. Tambayi mai ba ku kiwon lafiya don taimako na barin.
• Bari mai ba da sabis ya san game da duk wani sanyi, mura, zazzaɓi, ɓarkewar ƙwayoyin cuta, ko wasu cututtukan da za ku iya samu kafin aikinku. Idan bakada lafiya, to tiyatar ka na iya bukatar jinkirtawa.

A ranar tiyata:

• Wataƙila za a umarce ku da ku sha ko ku ci wani abu har tsawon awanni kafin aikin tiyatar.
• Anyauki kowane ƙwayoyi da likitanku ya umurce ku ku sha da ɗan ƙaramin shan ruwa.
• Bi umarni kan lokacin isa asibiti. Tabbatar kun isa akan lokaci.

Yawancin mutane suna zama a asibiti makonni 1 zuwa 2 bayan tiyata.

• Da farko, za ku kasance a cikin wurin tiyata ko kulawa mai ƙarfi inda za a iya sa ido sosai.
• Za ku sami ruwa da magunguna ta hanyar jijiya (IV) catheter a hannu. Za ka sami bututu a cikin hancinka.
• Za ku ji ciwo a cikin ku bayan tiyata. Za ku sami maganin ciwo ta hanyar IV.
• Wataƙila kuna da magudanan ruwa a cikin cikinku don hana jini da sauran ruwa su hauhawa. Za a cire bututun da magudanan ruwan yayin da kuka warke.

Bayan kun koma gida:

• Bi kowane fitarwa da umarnin kula da kai da aka ba ku.
• Za ku sami ziyarar bibiyar tare da likitanku makonni 1 zuwa 2 bayan kun bar asibiti. Tabbatar kiyaye wannan alƙawarin.

Kuna iya buƙatar ƙarin magani bayan kun dawo daga tiyata. Tambayi likitanku game da halinku.

Yin aikin tiyata na iya zama da haɗari. Idan anyi tiyata, yakamata ayi a asibiti inda ake yin yawancin waɗannan hanyoyin.

Pancreaticoduodenectomy; Hanyar bulala; Bude kwayar cutar sankarar kwanto da sifa; Laparoscopic distal pancreatectomy; Pancreaticogastrostomy

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Pucci MJ, Kennedy EP, Yeo CJ. Ciwon daji na Pancreatic: al'amuran asibiti, kima, da gudanarwa. A cikin: Jarnagin WR, ed. Tiyatar Blumgart na Ciwon Hanta, Biliary Tract, da Pancreas. Na 6 ed. Philadelphia, PA: Elsevier; 2017: babi na 62.

Shires GT, Wilfong LS. Ciwon daji na Pancreatic, cystic pancreatic neoplasms, da sauran ƙari na nonendocrine pancreatic. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da cututtukan hanta da cutar Fordtran: Pathophysiology / Diagnosis / Management. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 60.