Ka hana Whipple

ʻO ka hana Whipple kahi hana e mālama ai i nā tumors a me nā kūlana ʻē aʻe ma ka pancreas, ka ʻōpū liʻiliʻi a me nā ala bile. Hoʻopili ia i ka wehe ʻana i ke poʻo o ka pancreas, ka hapa mua o ka ʻōpū liʻiliʻi, ka gallbladder a me ka ala bile. Ua kapa ʻia hoʻi ka hana Whipple ʻo ka pancreaticoduodenectomy. Hoʻohana pinepine ʻia ia e mālama i ka maʻi kanesa pancreas i ʻole i pālahalaha ma mua o ka pancreas.

Hiki ke lilo ke kaʻina hana Whipple i koho lapaʻau no nā maʻi kanesa a i ʻole nā ​​kūlana ʻē aʻe ma ka pancreas, ka duct bile, a i ʻole ka hapa mua o ka ʻōpū liʻiliʻi, i kapa ʻia ʻo ka duodenum. He mea nui ka pancreas, aia ma ka ʻōpū kiʻekiʻe, ma hope o ka ʻōpū. Hana pū ia me ke ake a me nā duct e lawe ana i ka bile. Hoʻokuʻu ka pancreas i nā protein i kapa ʻia he enzyme e kōkua i ka hoʻoheheʻe ʻana i ka meaʻai. Hana pū ka pancreas i nā hormones e kōkua i ka hoʻokele ʻana i ke kō koko. Hiki i kahi kaʻina hana Whipple ke mālama: Ka maʻi kanesa pancreas. Nā cysts pancreas. Nā tumors pancreas. Pancreatitis. Ka maʻi kanesa ampullary. Ka maʻi kanesa duct bile, i kapa ʻia hoʻi ʻo cholangiocarcinoma. Nā tumors neuroendocrine. Ka maʻi kanesa ʻōpū liʻiliʻi, i kapa ʻia hoʻi ʻo ka maʻi kanesa ʻōpū liʻiliʻi. Trauma i ka pancreas a i ʻole ka ʻōpū liʻiliʻi. Nā tumors a i ʻole nā ​​kūlana ʻē aʻe ma ka pancreas, duodenum a i ʻole nā ​​duct bile. ʻO ka pahuhopu o ka hana ʻana i kahi kaʻina hana Whipple no ka maʻi kanesa, ʻo ia ke wehe i ka maʻi kanesa a pale iā ia mai ka ulu ʻana a me ka pālahalaha ʻana i nā ʻōnaehana ʻē aʻe. No ka nui o kēia mau maʻi kanesa, ʻo ka kaʻina hana Whipple wale nō ka lapaʻau e hiki ai ke alakaʻi i ka ola lōʻihi a me ka ho'ōla.

ʻO ka hana Whipple he hana paʻakikī loa ia. Loaʻa iā ia nā pilikia i ka wā o ka hana a ma hope o ka hana ʻana, e like me: Ke kahe koko. Ka maʻi, hiki ke loaʻa i loko o ka ʻōpū a i ʻole ma ka ʻili i ʻoki ʻia i ka wā o ka hana. Ka lohi o ka hoʻopau ʻana o ka ʻōpū, kahi e paʻakikī ai no kekahi manawa ke ʻai a i ʻole ke mālama ʻana i ka ʻai. Ka hoʻokahe mai kahi e hoʻohui ai ka pancreas a i ʻole ka bile duct. Ka maʻi diabetes, hiki ke pōkole a i ʻole ke ola loa. Hōʻike ka noiʻi ʻana he mea maikaʻi loa ke hana ʻia kēia hana ma kahi kikowaena lapaʻau kahi i hana nui ai nā kauka i kēia mau hana. Hoʻomaikaʻi kēia mau kikowaena i nā hopena a emi iho nā pilikia. E ʻoiaʻiʻo e nīnau i ka nui o nā hana Whipple a me nā hana pancreatic ʻē aʻe i hana ai kāu kauka a me ka haukapila. Inā loaʻa iā ʻoe nā kānalua, e kiʻi i kahi manaʻo ʻelua.

Ma mua o ke kaʻina hana Whipple, e hālāwai ʻoe me kāu kauka ʻoki a me ka hui mālama ola e kūkākūkā i nā mea e manaʻo ai ma mua, i ka wā, a ma hope o ka ʻoki kino, a me nā pilikia e hiki ke loaʻa. E kamaʻilio kāu hui mālama me ʻoe a me kou ʻohana e pili ana i ke ʻano o ka ʻoki kino e hoʻopilikia ai i kou ola. He manawa kūpono kēia e kamaʻilio ai me kāu hui mālama e pili ana i kekahi mau hopohopo āu e loaʻa paha. I kekahi manawa, hiki iā ʻoe ke loaʻa ka mālama ʻana e like me ka chemotherapy, radiation therapy a i ʻole nā ​​ʻelua ma mua o kahi kaʻina hana Whipple a i ʻole ka hana pancreas ʻē aʻe. E nīnau i kāu hui mālama ola e pili ana i ka pono o kēia mau koho mālama ʻē aʻe ma mua a ma hope paha o ka hana. ʻO ka mea e manaʻo ai me kāu hana ʻoki kino e hilinaʻi paha i ke ʻano o ke kaʻina hana āu e loaʻa ai. Aia nā ala like ʻole e hana ai i ke kaʻina hana Whipple. No ka hōʻoia ʻana e loaʻa iā ʻoe ka ʻoki kino kūpono loa no ʻoe, e noʻonoʻo kāu kauka ʻoki i kou kūlana a me kou olakino maʻamau. Pono ʻoe e olakino lawa no kahi hana paʻakikī. Pono paha ʻoe i nā hoʻokolohua lapaʻau hou aku ma mua o ka ʻoki kino. Hiki ke hana ʻia ke kaʻina hana Whipple ma ke ʻano he: ʻOki kino ākea. I ka wā o ka hana ākea, e hana kahi kauka ʻoki i kahi ʻoki, i kapa ʻia ʻo incision, ma o ka ʻōpū e hiki ai i ka pancreas. ʻO kēia ke ala maʻamau loa. ʻOki kino laparoscopic. Kī ʻia kēia ʻoki kino he ʻoki kino liʻiliʻi. E hana ka kauka ʻoki i kekahi mau ʻoki liʻiliʻi i ka ʻōpū a kau i nā mea hana kūikawā ma o lākou. ʻO nā mea hana e komo pū ana i kahi kāmela e hoʻouna i ka wikiō i kahi monitor ma ka lumi hana. E nānā ka kauka ʻoki i ka monitor e alakaʻi i nā mea hana ʻoki kino i ka hana ʻana i ke kaʻina hana Whipple. ʻOki kino robotic. ʻO ke ʻoki kino robotic ke ʻano ʻē aʻe o ke ʻoki kino liʻiliʻi. Hoʻopili ʻia nā mea hana ʻoki kino i kahi mea hana mīkini i kapa ʻia ʻo ka robot. E noho ka kauka ʻoki ma kahi console kokoke a hoʻohana i nā kaohi lima e alakaʻi i ka robot. Hiki i kahi robot ʻoki kino ke hoʻohana i nā mea hana i nā wahi paʻa a puni nā kihi, kahi e nui loa ai nā lima o ke kanaka e hana maikaʻi ai. Loaʻa i ke ʻoki kino liʻiliʻi kekahi mau pōmaikaʻi. ʻO ia nā mea e komo pū ana i ka liʻiliʻi o ka nalowale o ke koko a me ka hoʻōla wikiwiki ʻana i ka wā ʻaʻohe pilikia. I kekahi manawa i ka wā e hoʻomaka ai kahi kaʻina hana ma ke ʻano he ʻoki kino liʻiliʻi, nā pilikia a i ʻole nā ​​​​pilikia ʻē aʻe e koi i ka kauka ʻoki e hoʻololi i ka ʻoki kino ākea e hoʻopau i ka hana. Ma mua o ka hele ʻana i ka haukapila no ka ʻoki kino, e haʻi aku i nā ʻohana a i ʻole nā ​​hoaaloha e pili ana i ke kōkua āu e pono ai mai lākou i kou hoʻi ʻana i ka home. E pono paha ʻoe i ke kōkua no nā hebedoma ʻelua mua ma hope o ka haʻalele ʻana i ka haukapila. E kamaʻilio me kāu hui mālama e pili ana i nā mea āu e pono ai e hana i ka wā o kou hoʻōla ʻana ma ka home.