Kuchita opaleshoni ya khansa ya kapamba - kutulutsa

Munachitidwa opareshoni yothandizira khansa ya kapamba.

Tsopano mukamapita kunyumba, tsatirani malangizo a kudzisamalira.

Pancreas yanu yonse kapena gawo lanu idachotsedwa mutapatsidwa mankhwala oletsa ululu chifukwa chakugona komanso kumva kupweteka.

Dokotala wanu adapanga cheke pakati pamimba yanu. Zitha kukhala zopingasa (chammbali) kapena zowongoka (mmwamba ndi pansi). Ndulu yanu, ndulu ya ndulu, ndulu, ziwalo zam'mimba zanu ndi matumbo ang'onoang'ono, komanso ma lymph node amathanso kutulutsidwa.

Dokotala wanu adzakupatsani mankhwala a mankhwala opweteka. Mudzaudzaze mukamapita kunyumba kuti mukakhale nawo nthawi yomwe mufunika. Tengani mankhwala anu opweteka mukayamba kumva ululu. Kuyembekezera motalika kwambiri kuti mutenge kudzalola kuti ululu wanu uwonjezeke kuposa momwe ziyenera kukhalira.

Mutha kukhala ndi chakudya pachilondacho, kapena masokosi osungunuka pansi pa khungu ndi zomatira pakhungu. Kufiira pang'ono ndikutupa kwamasabata angapo oyamba ndizachilendo. Zowawa kuzungulira tsamba la chilonda zimatha 1 kapena 2 milungu. Ziyenera kukhala bwino tsiku lililonse.

Mudzakhala ndi mabala kapena kufiira pakhungu mozungulira chilonda chanu. Izi zidzatha zokha.

Mutha kukhala ndi malo omwe mumachitiramo opaleshoni mukamachoka kuchipatala. Namwino adzakuwuzani momwe mungasamalire ngalande.

Musatenge aspirin, ibuprofen (Advil, Motrin), kapena naproxen (Aleve, Naprosyn), pokhapokha mutalangizidwa ndi dokotala, chifukwa mankhwalawa amatha kuchulukitsa magazi.

Muyenera kuchita zambiri zomwe mumachita pafupipafupi m'masabata 6 mpaka 8. Zisanachitike:

• Osakweza chilichonse cholemera kuposa mapaundi 10 mpaka 15 (4.5 mpaka 7 kilogalamu) mpaka mutaonana ndi dokotala wanu.
• Pewani zochitika zonse zovuta. Izi zimaphatikizapo kuchita masewera olimbitsa thupi, kunyamula, ndi zina zomwe zimapangitsa kuti mupume movutikira kapena kupsinjika.
• Kuyenda pang'ono ndi kukwera masitepe ndibwino.
• Ntchito zapakhomo zochepa zili bwino.
• Osadzikakamiza kwambiri. Pang'ono ndi pang'ono onjezerani kuchuluka kwa masewera olimbitsa thupi.
• Phunzirani zomwe mungachite kuti mukhalebe otetezeka kubafa ndikupewa kugwa kunyumba.

Wothandizira zaumoyo wanu adzafotokoza momwe mungasamalire bala lanu la opaleshoni. Mutha kuchotsa zokutira (mabandeji) ndikuthira mvula ngati sutures (stitch), chakudya, kapena guluu adagwiritsidwa ntchito kutseka khungu lanu.

Ngati zakudya zazikulu zimagwiritsidwa ntchito kuti mutseke msana wanu, dokotala wanu amawachotsa pafupifupi sabata limodzi kapena kupitilira opaleshoni.

Ngati zingwe zamagetsi zidagwiritsidwa ntchito kutseka incision yanu:

• Phimbani mkombero wanu ndi pulasitiki musanasambe kwa masiku angapo mutachitidwa opaleshoni.
• Osayesa kutsuka matepiwo. Adzagwa okha pafupifupi sabata limodzi.
• Osalowerera mu bafa kapena kabati yotentha kapena kupita kusambira mpaka dokotala atakuwuzani kuti zili bwino.

Musanachoke kuchipatala, kambiranani ndi katswiri wodziwa za kadyedwe ka zakudya zomwe muyenera kudya kunyumba.

• Mungafunike kumwa ma enzyme kapamba ndi insulini mukatha opaleshoni. Dokotala wanu adzakupatsani izi ngati zingafunike. Zitha kutenga nthawi kuti mufike pamiyeso yoyenera ya mankhwalawa.
• Dziwani kuti mutha kukhala ndi vuto lokula mafuta mutachita opaleshoni.
• Yesetsani kudya zakudya zokhala ndi zomanga thupi zambiri komanso zopatsa mphamvu komanso mafuta ochepa. Kungakhale kosavuta kudya zakudya zing'onozing'ono zingapo m'malo mwa zazikulu.
• Uzani wothandizira wanu ngati muli ndi vuto ndi zotupa zotsegula (kutsegula m'mimba).

Mudzakonzekera ulendo wotsatira ndi dokotala wanu wa opaleshoni 1 mpaka masabata awiri mutachoka kuchipatala. Onetsetsani kuti mwasunga nthawi yanu.

Mungafune mankhwala ena a khansa monga chemotherapy kapena radiation. Kambiranani izi ndi dokotala wanu.

Itanani dokotala wanu ngati:

• Muli ndi malungo a 101 ° F (38.3 ° C) kapena kupitilira apo.
• Bala lanu la opareshoni likutuluka magazi, kapena lofiira kapena lofunda mpaka kukhudza.
• Muli ndi mavuto ndi kukhetsa madzi.
• Bala lanu la opaleshoni limakhala ndi ngalande yakuda, yofiira, yofiirira, yachikasu kapena yobiriwira, kapena yamkaka.
• Muli ndi zowawa zomwe sizimathandizidwa ndi mankhwala anu opweteka.
• Ndizovuta kupuma.
• Muli ndi chifuwa chomwe sichitha.
• Simungamwe kapena kudya.
• Mumakhala ndi nseru, kutsekula m'mimba kapena kudzimbidwa komwe sikuyendetsedwa.
• Khungu lanu kapena gawo loyera la maso anu limasanduka lachikasu.
• Malo anu ndi otuwa.

Pancreaticoduodenectomy; Ndondomeko ya Whipple; Open distal pancreatectomy ndi splenectomy; Laparoscopic distal pancreatectomy

Pucci MJ, Kennedy EP, Yeo CJ. Khansa ya Pancreatic: zochitika zamankhwala, kuwunika, ndi kasamalidwe. Mu: Jarnagin WR, Mkonzi. Opaleshoni ya Blumgart ya Chiwindi, Biliary Tract ndi Pancreas. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2017: mutu 62.

Ma Shires GT, Wilfong LS. Khansara ya pancreatic, zotupa zam'mimba zotupa m'mimba, ndi zotupa zina za pancreatic. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 60.

• Khansa ya Pancreatic