Kev phais mob rau tus mob qog noj hlav

Kev txiav txim siab rau txiav phais yog kho rau kev kho qog noj ntshav ntawm lub txiav caj pas.

Qhov txiav yog nyob tom qab lub plab, nruab nrab ntawm duodenum (thawj ntu ntawm txoj hnyuv me) thiab tus po, thiab ua ntej nqaj qaum. Nws pab hauv kev zom zaub mov. Lub txiav muaj peb ntu hu ua lub taub hau (dav dua kawg), nruab nrab, thiab Tail. Tag nrho lossis ib feem ntawm qhov txiav tawm ua raws li qhov chaw nyob ntawm qog nqaij hlav cancer.

Seb qhov txheej txheem ua tiav laparoscopically (siv lub koob yees duab me me) lossis siv kho phais neeg siv nyob ntawm:

• Qhov seb yuav phais li cas
• Cov kev paub thiab naj npawb ntawm cov kev phais koj tus kws phais neeg ua
• Cov kev paub thiab naj npawb ntawm cov kev phais ua nyob rau hauv tsev kho mob koj yuav mus siv

Qhov phais yog txiav txim siab nyob hauv tsev kho mob nrog rau kev tso tshuaj kom tsaug zog yog li koj tsaug zog thiab mob dawb. Cov kev phais mob hauv qab no yog siv rau hauv kev phais mob kho mob hlav hlav.

Tus Txheej Txheem Ua Haujlwm - Nov yog kev phais feem ntau tshaj plaws rau mob qog noj ntshav.

• Ib qho kev txiav yog tsim nyob rau hauv koj lub plab thiab lub taub hau ntawm lub txiav me me raug tshem tawm.
• Lub plab zom mov, tsib lub plab, thiab ib feem ntawm duodenum (thawj feem ntawm txoj hnyuv me) kuj tau coj tawm. Qee zaum, qee qhov ntawm lub plab raug tshem tawm.

Distal pancreatectomy thiab splenectomy - Qhov kev phais no siv ntau zaus rau cov qog nyob hauv nruab nrab thiab tus tw ntawm lub qhov quav hlav.

• Qhov nruab nrab thiab tus Tsov tus tw ntawm qhov txiav tau tshem tawm.
• Tus po kuj tseem yuav raug tshem tawm.

Tag nrho cov txiav txiav - Qhov kev phais no tsis tau ua ntau zaus. Muaj txiaj ntsig me me ntawm kev coj tawm txhua qhov txiav tawm yog tias mob cancer tuaj yeem kho los ntawm kev tshem tawm tsuas yog ib feem ntawm lub qog.

• Ib qho kev txiav yog tsim hauv koj lub plab thiab tag nrho cov txiav yuav raug tshem tawm.
• Lub plab zom khoom noj, hnoos qeev, ib feem ntawm duodenum, thiab cov qog ntshav nyob ze kuj raug tshem tawm. Qee zaum, qee qhov ntawm lub plab raug tshem tawm.

Koj tus kws kho mob yuav pom zoo kom phais mob los kho mob qog nqaij hlav ntawm txiav Kev phais mob tuaj yeem nres kev kis mob qog noj ntshav yog tias cov qog tsis tau hlav tawm sab nraud ntawm lub txiav.

Kev phom sij rau kev phais mob thiab tshuaj loog yog:

• Kev fab tshuaj rau cov tshuaj
• Cov teeb meem ua pa
• Lub plawv muaj teeb meem
• Ntshav
• Kab mob
• Cov ntshav txhaws hauv ceg lossis ntsws

Kev phom sij rau qhov kev phais mob no yog:

• Xau rau dej los ntawm tus txiav, kua tsib txoj hnyuv, plab, lossis hnyuv
• Cov teeb meem hauv plab zom mov
• Mob ntshav qab zib, yog hais tias lub cev tsis tuaj yeem ua kom muaj insulin txaus
• Lub cev yuag

Ntsib nrog koj tus kws kho mob txhawm rau paub tseeb txog teeb meem kev kho mob xws li mob ntshav qab zib, ntshav siab, thiab teeb meem hauv lub plawv lossis lub ntsws.

Koj tus kws kho mob yuav hais kom koj ua cov kev kuaj mob ua ntej koj qhov kev phais mob:

• Kuaj ntshav (ua kom tiav cov ntshav, electrolytes, kuaj lub siab thiab raum)
• Kev ntsuas duab xoo hluav taws xob lossis duab hluav taws xob (ECG), rau qee tus neeg
• Endoscopic retrograde cholangiopancreatography (ERCP) txhawm rau tshuaj xyuas lub bile thiab pancreatic ducts.
• Iav scan
• Ultrasound

Thaum lub hnub ua ntej kev phais mob:

• Tej zaum koj yuav raug hais kom ib ntus tsum tsis txhob noj cov ntshav ntshav xws li tshuaj aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin).
• Nug koj tus kws kho mob saib koj yuav siv cov tshuaj twg hnub phais koj tus mob.
• Yog koj haus luam yeeb, sim nres. Kev haus luam yeeb tuaj yeem qeeb kho. Nug koj tus kws kho mob kom pab txiav.
• Qhia rau koj tus kws kho mob paub txog mob khaub thuas, khaub thuas, kub taub hau, mob pob txuv, lossis lwm yam mob uas koj yuav muaj ua ntej koj phais. Yog koj mob, koj yuav tsum raug phais.

Hnub ntawm kev phais:

• Yuav kom koj tsis txhob haus dej los yog noj dab tsi rau ob peb teev ua ntej kev phais mob.
• Siv cov tshuaj uas koj tus kws kho mob hais kom koj nqa nrog lub pas dej me me.
• Ua raws li cov lus qhia txog thaum tuaj txog hauv tsev kho mob. Nco ntsoov tuaj kom ncav sijhawm.

Feem ntau cov neeg nyob hauv tsev kho mob 1 txog 2 lub lis piam tom qab phais mob.

• Thaum xub thawj, koj yuav nyob rau thaj chaw phais lossis thaj chaw saib xyuas uas koj tuaj yeem saib kom zoo.
• Koj yuav tau txais dej thiab tshuaj los ntawm kev tso dej (IV) txoj raj rau ntawm koj txhais caj npab. Koj yuav muaj txoj hlab raj hauv koj qhov ntswg.
• Koj yuav muaj mob ntawm koj lub plab tom qab phais. Koj yuav tau txais tshuaj mob los ntawm IV.
• Koj tuaj yeem muaj cov dej tawm hauv koj lub plab kom tiv thaiv ntshav thiab lwm yam kua los ntawm kev txhim tsa. Txoj hlab dej thiab tso dej tawm yuav raug tshem tawm thaum koj kho.

Tom qab koj mus tsev:

• Ua raws cov lus qhia tso tawm thiab kev saib xyuas tus kheej uas koj tau muab.
• Koj yuav rov qab ntsib nrog koj tus kws kho mob 1 txog 2 lub lis piam tom qab koj tawm hauv lub tsev kho mob. Nco ntsoov khaws sijhawm teem sijhawm.

Koj tuaj yeem xav tau kev kho mob ntxiv tom qab koj rov zoo los ntawm kev phais. Nug koj tus kws kho mob txog koj qhov xwm txheej.

Kev phais txiav phais yuav muaj kev pheej hmoo. Yog tias kev phais mob tiav, nws yuav tsum nyob rau hauv tsev kho mob uas ntau cov txheej txheem no tau ua.

Pancreaticoduodenectomy; Cov txheej txheem Whipple; Qhib distal pancreatectomy thiab splenectomy; Laparoscopic distal nqaij hlav; Pancreaticogastrostomy

Yexus-Acosta AD, Narang A, Mauro L, Herman J, Jaffee EM, Laheru DA. Carcinoma ntawm lub txiav. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical OncologyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2020: chap 78.

Pucci MJ, Kennedy EP, Yeo CJ. Pancreatic cancer: kev soj ntsuam, ntsuas, thiab tswj. Hauv: Jarnagin WR, ed. Blumgart's Kev Phais Mob Rau Cov Ntsej Muag, Kab Mob Ib Leeg, thiab PancreasCov. 6 tus ed. Philadelphia, PA: Elsevier; 2017: cha 62.

Cov Hluav Taws Xob GT, Wilfong LS. Pancreatic mob cancer, cystic pancreatic neoplasms, thiab lwm yam kev tsis muaj hlwb. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob Qog: Kab Mob Rau Ib Tus Mob / Tshuaj Ntsuam Xyuas / TswjCov. 10 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 60.