Ukuhlinzwa komdlavuza we-pancreatic - ukukhishwa
Uhlinzwe ukwelapha umdlavuza we-pancreatic.
Manje njengoba uya ekhaya, landela imiyalo yokuzinakekela.
Konke noma ingxenye yamanyikwe yakho yasuswa ngemuva kokuba unikezwe i-anesthesia ejwayelekile ngakho-ke wawulele futhi ungenazinhlungu.
Udokotela wakho ohlinzayo usike (usike) maphakathi nesisu sakho. Kungenzeka kube okuvundlile (eceleni) noma okuqondile (phezulu nangaphansi). I-gallbladder yakho, i-bile duct, ubende, izingxenye zesisu sakho namathumbu amancane, nama-lymph node nawo kungenzeka akhishiwe.
Udokotela wakho uzokunikeza incwadi kadokotela yemithi yezinhlungu. Yigcwalise lapho uya ekhaya ngakho-ke unayo lapho uyidinga. Thatha umuthi wakho wezinhlungu lapho uqala ukuba nezinhlungu. Ukulinda isikhathi eside ukuthatha kungavumela ubuhlungu bakho ukuba bube bukhulu kunalokho obekufanele ukwenze.
Ungaba nokudla okuyisisekelo enxebeni, noma ukuncibilika kokuthungwa ngaphansi kwesikhumba ngokunamathela oketshezi esikhunjeni. Ubomvu obumnene nokuvuvukala kwamasonto ambalwa okuqala kujwayelekile. Ubuhlungu obuzungeze indawo yesilonda buzohlala iviki elilodwa noma amabili. Kufanele kube ngcono usuku ngalunye.
Uzoba nokulimala noma ubomvu besikhumba ezungeze isilonda sakho. Lokhu kuzohamba ngokwakho.
Ungaba nemisele esizeni lapho uhlinzwa khona lapho uphuma esibhedlela. Umhlengikazi uzokutshela ukuthi ungawanakekela kanjani amapayipi.
UNGAYITHATHI i-aspirin, ibuprofen (Advil, Motrin), noma naproxen (Aleve, Naprosyn), ngaphandle kwalapho uqondiswa ngudokotela wakho, ngoba le mithi ingakhuphula ukopha.
Kufanele ukwazi ukwenza imisebenzi yakho ejwayelekile emavikini ayisithupha kuye kwayisishiyagalombili. Ngaphambi kwalokho:
- Ungaphakamisi noma yini esindayo kunamakhilogremu ayi-10 kuye kwayi-15 (4.5 kuya ku-7 kilograms) uze ubone udokotela wakho.
- Gwema yonke imisebenzi ekhandlayo. Lokhu kufaka ukuzivocavoca okunzima, ukuphakamisa izinsimbi, neminye imisebenzi ekwenza uphefumule kanzima noma ubunzima.
- Ukuhamba amabanga amafushane nokusebenzisa izitebhisi kulungile.
- Imisebenzi elula yasendlini ilungile.
- Ungaziphusheli kanzima. Khulisa kancane kancane ukuthi uvivinya kangakanani umzimba.
- Funda ongakwenza ukuze uzigcine uphephile endlini yangasese futhi uvimbele ukuwa ekhaya.
Umhlinzeki wakho wezokunakekelwa kwempilo uzochaza ukuthi ungasinakekela kanjani isilonda sakho sokuhlinzwa. Ungasusa okugqokisiwe kwamanxeba (amabhandeshi) bese uphuza izihlambi uma kusetshenziswe imisipha (izitishi), ukudla okuyisisekelo, noma iglu ukuvala isikhumba sakho.
Uma kusetshenziselwa ukudla okuyisisekelo ukuvala ukusika kwakho, udokotela wakho uzowasusa cishe isonto noma ngemuva kokuhlinzwa.
Uma kusetshenziswe imichilo yamateyipu ukuvala ukusika kwakho:
- Mboza imbobo yakho ngokugoqwa kwepulasitiki ngaphambi kokugeza ezinsukwini ezimbalwa zokuqala ngemuva kokuhlinzwa.
- Ungazami ukugeza imichilo yamateyipu. Bazowa bodwa esikhathini esingangesonto.
- Ungafaki kubhavu noma kubhavu oshisayo noma uyobhukuda kuze kube yilapho udokotela akutshela ukuthi kulungile.
Ngaphambi kokuba uphume esibhedlela, hlola udokotela wezokudla ukuthi yikuphi ukudla okufanele ukudle ekhaya.
- Ungadinga ukuthatha ama-enzyme e-pancreatic kanye ne-insulin ngemuva kokuhlinzwa kwakho. Udokotela wakho uzokunika lokhu uma kudingeka. Kungathatha isikhathi ukufika kumithamo elungile yale mithi.
- Yazi ukuthi ungaba nenkinga yokugaya amafutha ngemuva kokuhlinzwa kwakho.
- Zama ukudla ukudla okunamaprotheni amaningi kanye nama-carbohydrate futhi okunamafutha amancane. Kungaba lula ukudla izidlo ezimbalwa ezincane kunokudla okukhulu.
- Tshela umhlinzeki wakho uma unenkinga ngezihlalo ezivulekile (isifo sohudo).
Uzohlelelwa ukuvakashelwa okulandelayo nodokotela wakho ohlinzayo amasonto ayi-1 kuya kwangu-2 ngemuva kokuphuma esibhedlela. Qiniseka ukuthi uyasigcina isikhathi esibekiwe.
Ungadinga ezinye izindlela zokwelashwa njengomdlavuza noma i-chemotherapy. Xoxa nodokotela wakho ngalokhu.
Shayela udokotela wakho ohlinzayo uma:
- Unemfiva engu-101 ° F (38.3 ° C) noma ngaphezulu.
- Isilonda sakho sokuhlinzwa sopha, noma sibomvu noma sifudumele lapho usithinta.
- Unezinkinga ngomsele.
- Isilonda sakho sokuhlinzwa sinamapayipi aminyene, abomvu, ansundu, aphuzi noma aluhlaza, noma anebisi.
- Unobuhlungu obungasizi ngemithi yakho yezinhlungu.
- Kunzima ukuphefumula.
- Unesikhwehlela esingapheli.
- Awukwazi ukuphuza noma ukudla.
- Unesicanucanu, uhudo noma ukuqunjelwa okungalawulwa.
- Isikhumba sakho noma ingxenye emhlophe yamehlo akho iba phuzi.
- Izitulo zakho zinombala ompunga.
I-Pancreaticoduodenectomy; Inqubo ye-Whipple; Vula i-pancreatectomy ye-distal ne-splenectomy; I-Laparoscopic distal pancreatectomy
UPucci MJ, uKennedy EP, uYeo CJ. Umdlavuza wepancreatic: izici zomtholampilo, ukuhlolwa nokuphathwa. Ku: Jarnagin WR, ed. Ukuhlinzwa kukaBlumgart kwesibindi, iphethini le-Biliary kanye namaPancreas. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2017: isahluko 62.
IShires GT, iWilfong LS. Umdlavuza wepancreatic, ama-cystic pancreatic neoplasms, nezinye izimila zepancreatic ezingezona ezendalo. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 60.
- Umdlavuza wePancreatic