ʻOki kino no ka maʻi ʻaʻai pancreatic - hoʻokuʻu

Ua hana ʻoki ʻoe e mālama i ka maʻi ʻaʻai pancreatic.

I kēia manawa ke hoʻi nei ʻoe i ka home, e hāhai i nā ʻōkuhi no ka mālama ponoʻī.

Ua wehe ʻia a pau a ʻāpana paha o kāu pancreas ma hope o ka hāʻawi ʻia ʻana i ka anesthesia ākea no laila hiamoe ʻoe a ʻaʻohe ʻeha.

Ua hana kāu mea lapaʻau i kahi ʻokiʻoki (ʻoki) i waenakonu o kou ʻōpū. Hiki paha i ke kaulike (ʻaoʻao) a i ʻole kū i luna (i luna a i lalo). Kou gallbladder, bile duct, spleen, nā ʻāpana o kou ʻōpū a me kou ʻōpū liʻiliʻi, a ua lawe ʻia aku paha nā lymph node.

E hāʻawi aku kāu kauka iā ʻoe i ka palapala no ka lāʻau ʻeha. Hoʻopiha ia ke hele ʻoe i ka home no laila loaʻa iā ʻoe ke pono ia. Lawe i kāu lāʻau ʻeha ke hoʻomaka ʻoe i ka ʻeha. Ke kali lōʻihi e lawe iā ia e ʻae ai i kou ʻeha e ʻoi aku ka maikaʻi ma mua o ka mea.

Loaʻa paha iā ʻoe nā staples i loko o ka ʻeha, a i ʻole ka hoʻoheheʻe ʻana i nā humuhumu ma lalo o ka ʻili me kahi mea hoʻopili wai ma ka ʻili. ʻO ka ʻulaʻula a me ka pehu no nā mau pule he ʻelua ma mua he maʻamau. ʻO ka ʻeha a puni ka pae ʻeha he 1 a 2 mau pule paha. E hoʻomaikaʻi maikaʻi ia i kēlā me kēia lā.

E ʻeha a ʻulaʻula paha kou ʻili a puni kou ʻeha. E hele wale aku nō kēia.

Loaʻa paha iā ʻoe nā kahawai ma ke kahua o kāu ʻoki ʻana ke haʻalele ʻoe i ka haukapila. E haʻi ke kahu iā ʻoe pehea e mālama ai i nā ʻauwai.

Mai lawe i ka aspirin, ibuprofen (Advil, Motrin), a i ʻole naproxen (Aleve, Naprosyn), ke ʻole i kuhikuhi ʻia e kāu kauka, no ka mea hiki i kēia mau lāʻau ke hoʻonui i ke kahe.

Hiki iā ʻoe ke hana i kāu hana maʻamau i 6 a 8 mau pule. Ma mua o kēlā:

• Mai hāpai i kekahi mea ʻoi aku ka nui ma mua o 10 a 15 mau paona (4.5 a 7 kilokilo) a ʻike ʻoe i kāu kauka.
• Hōʻalo i nā hana ikaika a pau. Pākuʻi ʻia kēia i ka hoʻoikaika kino, ka hāpai kino, a me nā hana ʻē aʻe e hanu ai i ka hanu a paʻakikī paha.
• Ke hele nei i nā hele wāwae pōkole a me ka hoʻohana ʻana i nā alapiʻi ua maikaʻi.
• Maikaʻi ka hana māmā.
• Mai hoʻoikaika ikaika iā ʻoe iho. E hoʻonui iki i kāu hana hoʻoikaika kino.
• E aʻo i kāu mea e hiki ai ke hana e palekana iā ʻoe iho i ka lumipaku a pale i ka hāʻule ʻana i ka home.

E wehewehe kāu mea mālama ola pehea e mālama ai i kāu ʻeha ʻoki. Hiki iā ʻoe ke hemo i nā pale o ka ʻeha (bandages) a lawe i nā ua inā ua hoʻohana ʻia nā sutures (stitches), staples, a i ʻole glue e pani ai i kou ʻili.

Inā hoʻohana ʻia nā mea staples e pani i kāu ʻokiʻoki, e lawe aku kāu kauka iā lākou ma kahi o hoʻokahi pule a ʻoi paha ma hope o ke kaha ʻana.

Inā hoʻohana ʻia nā mea leki e hoʻopau i kāu ʻokiʻoki:

• Uhi i kou incision me ka wahī wahī ma mua o ka holoi ʻana no nā lā mua ʻelua ma hope o ke kaha ʻana.
• Mai hoʻāʻo e holoi i nā ʻope lepe. E hāʻule lākou iho ma kahi o hoʻokahi pule.
• Mai pulu i loko o kahi pahu wai a i ʻole pahu wai wela a hele hoʻi i ka ʻauʻau a hiki i ke kauka ʻana e haʻi aku ua maikaʻi.

Ma mua o kou haʻalele ʻana i ka haukapila, e nānā me ka diitiano e pili ana i nā meaʻai āu e ʻai ai ma ka home.

• Pono paha ʻoe e lawe i nā enzyme pancreatic a me ka insulin ma hope o kāu ʻoki ʻana. E kauoha ana kāu kauka i kēia mau mea inā pono. Lōʻihi paha ka manawa e kiʻi i nā dosage kūpono o kēia mau lāʻau.
• E makaʻala paha he pilikia paha kāu i ka lawe ʻana i ka momona ma hope o kāu ʻoki ʻana.
• E hoʻāʻo e ʻai i nā meaʻai i kiʻekiʻe i ka protein a me nā haʻiki a me ka momona o ka momona. Maʻalahi paha e ʻai i nā pāʻina liʻiliʻi ma kahi o nā mea nui.
• E haʻi i kāu mea lawelawe inā he pilikia kāu me nā noho humuhumu (diarrhea).

Hoʻonohonoho ʻia ʻoe no kahi kipa ukali me kāu kaukukū 1 a 2 mau pule ma hope o kou haʻalele ʻana i ka haukapila. E mālama pono i ka manawa hoʻopaʻa.

Pono paha ʻoe i nā mālama maʻi ʻē aʻe e like me chemotherapy a i ʻole radiation. E kūkākūkā i kēia me kāu kauka.

Kāhea i kāu kauka inā:

• Loaʻa ʻoe i ke kuni o 101 ° F (38.3 ° C) a ʻoi paha.
• Ke kahe nei kou ʻeha ʻoki, a ʻulaʻula a pumehana paha i ka pā.
• Loaʻa iā ʻoe nā pilikia me ka ʻauwai.
• He mānoanoa, ʻulaʻula, ʻeleʻele, melemele a ʻōmaʻomaʻo, a i ʻole ka wai hoʻoinu waiū kou ʻeha ʻoki.
• He ʻeha kou i kōkua ʻole ʻia me kāu mau lāʻau ʻeha.
• Paʻa ka hanu.
• He ʻūhū kāu hele ʻole.
• ʻAʻole hiki iā ʻoe ke inu a ʻai paha.
• Loaʻa iā ʻoe ka nausea, diarrhea a i ʻole ka constipation i kaohi ʻole ʻia.
• Melemele kou ʻili a i ʻole ka ʻāpana keʻokeʻo o kou mau maka.
• He hina hina kāu mau noho.

Pancreaticoduodenectomy; Nā hana Whipple; E wehe i ka pancreatectomy distal a me ka splenectomy; ʻO ka laparoscopic distal pancreatectomy

ʻO Pucci MJ, Kennedy EP, Yeo CJ. Ka maʻi ʻaʻai Pancreatic: nā ʻano maʻi, ka helu, a me ka hoʻokele. I: Jarnagin WR, hoʻoponopono. ʻO Blumgart's Surgery of the Liver, Biliary Tract a me Pancreas. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2017: chap 62.

ʻO Shires GT, Wilfong LS. Ka maʻi ʻaʻai Pancreatic, neoplasms pancreatic cystic, a me nā tumere pancreatic nonendocrine. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 60.

• Ka maʻi ʻaʻai Pancreatic