Wa ahụ maka ọrịa cancer pancreatic

A na-awaala Pancreatic ịgwọ kansa nke gland pancreas.

Pancreas dị n'azụ afọ, n'etiti duodenum (akụkụ mbụ nke obere eriri afọ) na splin, na n'ihu spain. Ọ na-enyere aka na nri nri. Pancreas nwere akụkụ atọ a na-akpọ isi (nke sara mbara), etiti na ọdụ. A na-ewepụ ma ọ bụ akụkụ niile nke pancreas dabere na ọnọdụ nke ọrịa cancer.

Ma a na-eme usoro ahụ laparoscopically (iji obere igwefoto vidiyo) ma ọ bụ iji ịwa ahụ robotic dabere na:

• Ogo nke ịwa ahụ
• Ahụmahụ na ọnụọgụ nke ịwa ahụ dọkịta gị dọkịta rụrụ
• Ahụmahụ na ọnụọgụ ịwa ahụ a rụrụ n'ụlọ ọgwụ ị ga-eji

A na-awa ahụ n'ụlọ ọgwụ yana anesthesia izugbe ka ị wee hie ụra ma nwekwaa mgbu. A na-eji ụdị ịwa ahụ ndị a na-agwọ ọrịa ịwa ahụ nke ọrịa kansa.

Usoro Whipple - Nke a bụ ịwa ahụ kachasịkarị maka ọrịa cancer pancreatic.

• Egbupuru ya n’ime afọ gị ma wepụtakwa isi nke pancreas.
• A na-apụtakwa gallbladder, bile duct, na akụkụ nke duodenum (akụkụ mbụ nke eriri afọ). Mgbe ụfọdụ, a na-ewepụ akụkụ nke afọ.

Distal pancreatectomy na splenectomy - A na-eji ịwa ahụ a ọtụtụ mgbe maka etuto dị n'etiti na ọdụ nke pancreas.

• E wepụrụ etiti na ọdụ nke pancreas.
• Enwere ike wepu splin.

Mkpokọta pancreatectomy - Nke a na ịwa ahụ na-adịghị eme ọtụtụ mgbe. Enweghi uru dị ukwuu n'iwepu pancreas dum ma ọ bụrụ na enwere ike ịgwọ kansa site na iwepu naanị akụkụ nke gland.

• Iberibe ka emere n’ime afọ gị ma wepụkwa pancreas dum.
• Gallbladder, splin, akụkụ nke duodenum, na lymph ndị dị nso na-ewepụkwa. Mgbe ụfọdụ, a na-ewepụ akụkụ nke afọ.

Dọkịta gị nwere ike ịkwado usoro ịwa ahụ iji gwọọ kansa nke pancreas. Wa ahụ nwere ike ịkwụsị mgbasa nke kansa ma ọ bụrụ na etuto ahụ etoliteghị na mpụga pancreas.

Ihe ize ndụ maka ịwa ahụ na ọrịa nhụjuanya n'ozuzu bụ:

• Nwee nfụkasị na ọgwụ
• Nsogbu iku ume
• Nsogbu obi
• Ọbara ọgbụgba
• Ofufe Ọrịa
• Ọbara na-egbochi mkpụ ụkwụ ma ọ bụ n’akpa ume

Ihe egwu dị na ịwa ahụ a bụ:

• Mgbapu nke mmiri si na pancreas, bile duct, afo, ma ọ bụ eriri afọ
• Nsogbu na afọ efu
• Ọria mamiri, oburu na aru n’enweghi ike ime insulin zuru oke
• Iwetulata ibu

Zute dọkịta gị iji jide n'aka na nsogbu ahụike dị ka ọrịa shuga, ọbara mgbali elu, na nsogbu obi ma ọ bụ akpa ume dị mma.

Dọkịta gị nwere ike ịrịọ gị ka ị mee nyocha ahụike ndị a tupu ịwa ahụ gị:

• Nyocha ọbara (nyocha ọbara zuru ezu, electrolytes, imeju na akụrụ)
• Igbe x-ray ma ọ bụ electrocardiogram (ECG), maka ụfọdụ ndị
• Endoscopic retrograde cholangiopancreatography (ERCP) iji nyochaa eriri bile na pancreatic duct.
• Nyocha CT
• Ultrasound

N'ime ụbọchị tupu ịwa ahụ:

• Enwere ike ịgwa gị ka ị kwụsị ịmịcha ọbara dị ka aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin).
• Jụọ dọkịta gị nke ị ga-a takeụ n'ụbọchị ịwa ahụ gị.
• Ụ sịga, gbalịa ịkwụsị ya. Okingụ sịga nwere ike ime ka ọ ghara ịna-agwọ ọrịa. Jụọ onye nlekọta ahụike gị maka enyemaka ịkwụsị.
• Mee ka onye na-eweta gị mara banyere oyi ọ bụla, flu, fever, herpes breakout, ma ọ bụ ọrịa ọ bụla ị nwere ike ịnwe tupu ịwa ahụ. Ọ bụrụ n ’na-arịa ọrịa, enwere ike yigharịrị ịwa ahụ gị.

N'ụbọchị ịwa ahụ:

• Enwere ike ịgwa gị ka ị ghara ị drinkụ ma ọ bụ rie ihe ọ bụla ruo ọtụtụ awa tupu ịwa ahụ.
• Were ọgwụ ọ bụla dọkịta gị gwara gị jiri obere mmiri ara takeụọ.
• Soro ntuziaka mgbe ị ga-erute ụlọ ọgwụ. Jide n'aka na ị bịara n'oge.

Imirikiti ndị mmadụ na-anọ n'ụlọ ọgwụ izu 1 ruo 2 mgbe a wachara ha ahụ.

• Na mbu, ị ga-anọ na mpaghara ịwa ahụ ma ọ bụ nlekọta kpụ ọkụ n'ọnụ ebe enwere ike ịlele gị anya.
• Ga-enweta mmiri ọgwụ na ọgwụ site na kutuụ (IV) n'ime ogwe aka gị. Ga-enwe tube na imi gị.
• Ga-enwe ihe mgbu n’afọ gị mgbe a wachara gị ahụ. The ga-enweta ọgwụ mgbu site na IV.
• May nwere ike ịnweta drains n'ime afọ gị iji gbochie ọbara na mmiri ndị ọzọ ịmalite. A ga-ewepu ọkpọkọ na drains ka ị na-agwọ ọrịa.

You laruo:

• Soro ntuziaka ọ bụla enyere gị na nlekọta onwe gị.
• Ga-enwe nleta nleta na dọkịta gị izu 1 ruo izu 2 mgbe ịpụchara ụlọ ọgwụ. Gbalisie ike idobe oge a.

Nwere ike ịchọ ọgwụgwọ ọzọ mgbe ị gbakechara site na ịwa ahụ. Jụọ dọkịta gị banyere ọnọdụ gị.

Surgerywa ahụ Pancreatic nwere ike bụrụ ihe dị egwu. Ọ bụrụ na ịwa ahụ emee, ọ ga-ewere ọnọdụ n'ụlọ ọgwụ ebe a na-eme ọtụtụ n'ime usoro ndị a.

Pancreaticoduodenectomy; Usoro mgbaaka; Mepee pancreatectomy dịpụrụ adịpụ na splenectomy; Laparoscopic distal pancreatectomy; Pancreaticogastrostomy

Jesus-Acosta AD, Narang A, Mauro L, Herman J, Jaffee EM, Laheru DA. Carcinoma nke pancreas. Na: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff’s Clinical Oncology. Nke isii. Philadelphia, PA: Elsevier; 2020: isi 78.

Pucci MJ, Kennedy EP, Yeo CJ. Ọrịa Pancreatic: akụkụ ahụike, nyocha, na njikwa. Na: Jarnagin WR, ed. Umwa Ahụ nke Blumgart nke Imeju, Biliary Tract, na Pancreas. Nke isii. Philadelphia, PA: Elsevier; 2017: isi 62.

Shires GT, Wilfong LS. Pancreatic cancer, cystic pancreatic neoplasms, na ndị ọzọ nonendocrine pancreatic etuto ahụ. Na: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger na Ọrịa Cancer nke Fordtran na Ọrịa Imeju: Pathophysiology / Diagnosis / Management. Nke iri. Philadelphia, PA: Elsevier Saunders; 2016: isi 60.