Chirongwa cheWhipple

Kuita kweWhipple chirwere chekubvisa zvirwere nezvimwe zvinetso mudumbu, ura duku, uye turakiti yebile. Kunosanganisira kubvisa musoro wedumbu, chikamu chekutanga cheura duku, gallbladder, uye turakiti yebile. Kuita kweWhipple kunonziwo pancreaticoduodenectomy. Kazhinji kushandiswa kubata kenza yepancreas isati yasvika kune dzimwe nhengo.

Kuita kweWhipple kunogona kunge kuri sarudzo yekurapa kenza kana zvimwe zvirwere mudumbu, turakiti yebile, kana chikamu chekutanga cheura duku, chinonzi duodenum. Dumbu ndicho chikamu chinokosha chiri mudumbu repamusoro, kumashure kwemudumbu. Inoshanda pedyo nechiropa uye maturakiti anokwevera bile. Dumbu rinoburitsa mapuroteni anonzi enzymes anobatsira pakudya. Dumbu rinoitawo mahomoni anobatsira kudzora shuga yeropa. Kuita kweWhipple kunogona kurapa: Kenza yeDumbu. Zvipuka zveDumbu. Zvipembenene zveDumbu. Pancreatitis. Kenza yeAmpullary. Kenza yeBile duct, inonziwo cholangiocarcinoma. Zvipembenene zveNeuroendocrine. Kenza yeura duku, inonziwo kenza yeura duku. Kuakuvadzwa kweDumbu kana ura duku. Zvimwe zvipembenene kana zvirwere mudumbu, duodenum kana maturakiti ebile. Chinangwa chekuita kuita kweWhipple pakenza ndechekubvisa kenza uye kudzivirira kukura kwayo nekupararira kune dzimwe nhengo. Kune mazhinji emakenza aya, kuita kweWhipple ndiwo chete kurapa kunogona kutungamira pakurarama kwenguva refu nekurapa.

Kuita kweWhipple kunoomesesa. Kune njodzi panguva yekuvhiya uye pashure pekuvhiya, kusanganisira: Kuyerera kweropa. Hutachiona, hunogona kuitika mudumbu kana paganda rakachekwa panguva yekuvhiya. Kutemwa kwemudumbu kuri nheyo, izvo zvinogona kuita kuti zviome kwenguva kuti udye kana kuchengeta chikafu. Kuyerera kunobva panobatanidza pancreas kana bile duct. Chidhakwa cheshuga, chinogona kunge chiri chenguva pfupi kana chehupenyu hwese. Tsvakurudzo inoratidza kuti zvakanaka kuita kuvhiya uku pakiriniki yekurapa uko vanachirurgi vakaita mabasa mazhinji akadaro. Nzvimbo idzi dzine mhedzisiro iri nani uye matambudziko mashoma. Iva nechokwadi chekubvunza kuti mangani mabasa eWhipple nemamwe mabasa epancreatic chiremba wako nechipatara chacho chakaitwa. Kana uine kupokana, tsvaga pfungwa yechipiri.

Musati maita Whipple procedure, muchaonana nachiremba wenyu nechikwata chehutano kuti murangarire zvamunofanira kutarisira usati, panguva uye mushure mekuvhiyiwa, uye njodzi dzinogona kuitika. Chikwata chenyu chekuchengetedza chinokurukura nemi nemhuri yenyu nezvekuti kuvhiyiwa kuchaita sei hupenyu hwenyu. Iyi ndiyo nguva yakanaka yekukurukura nechikwata chenyu chekuchengetedza nezvekunetseka kupi zvawo kwaunogona kuve nako. Dzimwe nguva, unogona kuwana kurapwa sekemotherapy, radiation therapy kana ese ari maviri usati waita Whipple procedure kana imwe kuvhiyiwa kwe pancreas. Bvunza chikwata chako chekuchengetedza nezvekuti unoda here mamwe ekusarudza kurapwa usati kana mushure mekuvhiyiwa. Zvamunofanira kutarisira nekuvhiyiwa kwenyu zvinogona kuenderana nerudzi rwekuvhiyiwa rwaunacho. Kune nzira dzakasiyana dzekuita Whipple procedure. Kuti uve nechokwadi chekuti unowana kuvhiyiwa kunonyanya kukukodzera, chiremba wenyu anofunga nezvemamiriro ako nehutano hwako hwese. Unofanira kuva une hutano hwakakwana hwekuvhiyiwa kwakaoma. Ungada bvunzo zhinji dzezvokurapa usati waita kuvhiyiwa. Whipple procedure inogona kuitwa se: Kuvhiyiwa kwakazaruka. Panguva yekuvhiyiwa kwakazaruka, chiremba anoita kucheka, kunonzi incision, kuburikidza nedumbu kuti asvike ku pancreas. Iyi ndiyo nzira inonyanya kuzivikanwa. Laparoscopic surgery. Iyi kuvhiyiwa inonziwo minimally invasive surgery. Chiremba anoita kucheka kwakawanda kudiki mudumbu uye anoisa zvigadzirwa zvakakosha kuburikidza nazvo. Zvigadzirwa zvinosanganisira kamera inotumira vhidhiyo kune monitor mukamuri yekuvhiyiwa. Chiremba anotarisa monitor kuti atungamire zvigadzirwa zvekuvhiyiwa pakuita Whipple procedure. Robotic surgery. Robotic surgery imhando imwe chete yekuvhiyiwa kwakaderera. Zvigadzirwa zvekuvhiyiwa zvinobatanidzwa kune chishandiso chemuchina chinonzi robot. Chiremba anogara pa console iri pedyo uye anoshandisa maoko ekudzora kuti atungamire robot. Robot yekuvhiyiwa inogona kushandisa zvigadzirwa munzvimbo dzakakomba uye kumativi, uko maoko emunhu angave makuru kwazvo kuti ashande zvakanaka. Kuvhiyiwa kwakaderera kunobatsira. Zvinosanganisira kurasikirwa neropa shoma nekudzorera nekukurumidza kana pasina matambudziko. Dzimwe nguva kana nzira yatanga se minimally invasive surgery, matambudziko kana mamwe matambudziko anoda kuti chiremba achinge achinja kuenda kune kuvhiyiwa kwakazaruka kuti apedze kuvhiyiwa. Usati waenda kuchipatara kuti uende kuvhiyiwa, taura nemhuri kana shamwari nezve rubatsiro rwunoda kubva kwavari kana wasvika kumba. Iwe ungangoda rubatsiro kwemavhiki maviri ekutanga mushure mekubva kuchipatara. Taura nechikwata chako chekuchengetedza nezve zvaunoda kuita panguva yekudzorera kwako kumba.