A cikin aikin tiyata, kumburi na kashin baya ya kasu kashi biyu kuma mai rikitarwa, cysts na karya da kuma cututtukan cututtukan fata (pancreic and malignant) suma sun banbanta.
Ba tare da tiyata ba, yana yiwuwa a warkar da cututtukan cututtukan fata kawai. Wannan nau'in ya ƙunshi magani, amma raunin ƙwayar cuta na jiki, irin su mafitsara na mafitsara ko ciwon daji, na buƙatar tiyata.
Yin aikin ya zama dole don warkar da mara lafiyar gaba ɗaya ko inganta lafiyar sa da inganta yanayin rayuwa.
Matsanancin ciwon sanyi
Don jiyyarsa, da farko, ana amfani da hanyoyin ra'ayin mazan jiya, wato, ba tiyata ba. A wannan yanayin, dole ne mai haƙuri ya guji cin abinci, don kada ya tsokane samuwar ruwan 'ya'yan itace na ciki.
- Wajibi ne a cinye babban adadin ruwa don tallafawa ayyukan narkewar abinci. Tunda necrosis nama zai iya faruwa kuma a sakamakon haka, kamuwa da cuta ke tasowa.
- Wani lokaci ana yiwa marasa lafiya allurar rigakafin ƙwayoyin cuta. Yin tiyata na gland shine yake idan an tabbatar da kamuwa da cuta ta nama ko kuma aka tabbatar da samuwar mafitsara.
- Yana da matukar muhimmanci a gano ainihin abubuwanda ke haifar da kumburi saboda kawar dasu. Misali, idan sanadin cutar cutuka ce, to lallai ne a cire duwatsun, kuma a wasu yanayi dole ne a cire gabar.
Ciwon mafitsara
Cyst cyst wani sashe ne na kwayar halitta wanda zai iya haɓaka ko da shekaru bayan mummunan kumburi.
Irin wannan ƙirƙirar karya ce saboda bangon ciki ba shi da membus membrane.
Wannan mafitsara bashi da ƙimar asibiti kuma ana iya maganin shi kawai idan mai haƙuri yana da gunaguni na tashin zuciya, jin zafi, nauyi a ciki, da sauransu.
Ciwon Cutar Kansa - Ciwon Mara
Mafi yawan nau'in tumo shine guda biyu adenocarcinoma na pancreas.
Cancers na wannan sashin jiki suna da matukar tashin hankali, ciwace-ciwacen ciwace-ciwacen daji suna girma da haɓaka da sauri kuma suna iya haɓaka zuwa kasusuwa na kusa, suna rushe aiki.
Lokacin da neoplasm yana cikin warin gland shine yake a tsakiyarsa, marassa lafiya suna jin zafi a baya da kuma na sama na ciki. Wannan shi ne saboda haushi daga cibiyoyin jijiya waɗanda ke bayan farjin.
Haɓaka ciwon sukari na iya zama tabbacin cutar kansa. Hanya daya tilo da mara lafiya zai iya kawar da cutar ita ce tiyata.
Hanyoyin tiyata na cututtukan zuciya
Tsarin kumburi a cikin gland yana haifar da mutuwar ƙwayoyin ƙwayoyin cuta kuma dole ne a cire wannan ƙwayar ta hanyar tiyata. Yankin da ke kusa da gland yana wanke tare da magudanar ruwa, wanda zai ba ka damar iyakance fifikon kumburi.
Idan tsari mai kumburi ya haifar da wani dutse a cikin dual bile, wanda ya toshe mafitar ƙwayar katuwar hanji zuwa cikin duodenum da bakin bututun bile na yau da kullun, to likitoci zasuyi ƙoƙarin cire wannan dutsen ta hanyar endoscopic tiyata (ta ERCP).
Lokacin da aka warkar da cututtukan cututtukan cututtukan ƙwayar cuta na ƙwayar cuta, a wasu halayen sukan nemi kawar da ƙwayar ƙwayar ƙwayar cuta.
Ciwon mara na kullum
Tare da wannan cutar, lallai ne ku guji shan giya, kula da jin zafi da kuma shan magunguna masu ɗauke da enzymes na narkewa.
Hakanan kuna buƙatar katse mummunan yanayin, wanda ya ƙunshi wahalar zubar ruwan 'ya'yan itace da kuma kumburi sakamakon lalacewar wannan sirrin a cikin farji. Ana iya yin wannan kawai yayin aiki a kan gland, wanda a lokacin da ake cire ƙashin fata sabanin a ɓangaren shugaban ƙungiyar.
A wannan yanayin, mafi kyawun jiyya shine pylorus-adana cututtukan pancreatoduodenal (ko kuma duwenum-tsare shugaban kamannin).
Ta hanyar wannan magana mai rikitarwa ana nufin aiki ne lokacin da cirewar tiyata daga cikin farjin ke gudana. A wannan yanayin, an kiyaye duodenum (duodenum).
A wannan yanayin, likitocin suna yin nau'in V-siffar dissection a gaban jikin glandar, har zuwa ƙarshen jijiyar ƙwayar. Laifin da ya haifar yana gyara ta kwararru ta hanyar ƙirƙirar madaidaiciyar ƙwayar cuta daga cikin ƙananan hanji. Tare da wannan madauki, ruwan 'ya'yan itace da ke narkewa yana motsawa a cikin jijiyar ciki.
Irin wannan aikin yana haifar da rage ciwo a cikin kusan 75% na marasa lafiya, kuma yana taimakawa rage jinkirin ci gaban ciwon sukari ko ma ya hana bayyanar.
Idan cututtukan ƙwayar cuta na yau da kullun yana shafar wutsiyar gland, kawai za'a iya warkewa ta hanyar cire wannan sashin. Wannan hanyar ana kiranta "kamannin ɓangaren hagu na gefen hagu."
Ciwon mafitsara
Idan mafitsara ta farfaɗiya yana cikin wuri mai kyau inda za'a iya samun saurin saukeshi, to sai a sanya wani bututu a ciki wanda ta hanyar abin da ke cikin cyst ɗin yana gudana zuwa cikin kogon ciki.
Wannan aikin ana kiran shi malalewa kuma ana gudanar da shi ta hanyar gastroscopy ba tare da bude kogon ciki ba.
Dole ne a aiwatar da magudanar tsawon makonni hudu zuwa sha biyu. Wannan lokacin yawanci ya isa ya warke gaba daya.
Idan samuwar ba ta kusa da ciki ko ruwa daga babban abu na glandon ciki ya shiga ta, to lallai ne a aiwatar da magudanar ruwa koyaushe, in ba haka ba sakamakon zai zama mai matukar hadari.
A irin wannan yanayin, ana yin cystoejunostomy, wato, ƙwanƙwasa zuwa hanjin wani juyi na ƙananan hanji.
Ciwon daji na kansa
Game da tafiyar matakai masu cutarwa, damar kawai ga mara lafiyar ta murmure shine aikin tiyata a cikin farji. A gefe guda, ciwon kansa na ciwon huhu a cikin matakin ƙarshe ba shi da magani.
Koyaya, cikakken warkarwa na iya zama a cikin waɗancan lokuta inda metastases bai fito ba tukuna a cikin wasu gabobin, wato, canja wurin ƙwayoyin ƙwayar cuta ta hanyar jijiyoyin jini a duk cikin jikin bai faru ba.
Idan ciwon kansa yana cikin sashin ƙwayar cuta, to, ana amfani da hanyar da ake amfani da ita ta hanyar da ake amfani da ita kamar yadda yake a cikin hanyar. Ya bambanta da aikin Whipple na gargajiya, a wannan yanayin akwai yiwuwar adana ciki zuwa sashin da ke bayan bayan pylorus.
Wannan yana inganta ingancin rayuwar mai haƙuri bayan tiyata, saboda ba lallai ne ya iya magance sakamakon kamannin daukacin ciki ba (alal misali, amai da gudawa), a takaice dai, sakamakon an rage girman anan.
Abin lura kuma:
- Lokacin da ciwace-ciwacen ƙwayoyi ya kasance a jiki ko a cikin wutsiyar farji, ana cire su ta hanyar da aka ambata na hagu-guntu wanda aka riga aka ambata.
- Determinedarfin cire cutar kansa a cikin wannan sashin tsakanin iyakokin kyawawan kyallen takarda an ƙaddara shi ba kawai da girman tumon ɗin kansa ba, har ma da girman lalacewar ƙirar neoplasm na gabobin dake kusa (babban hanji ko ciki).
- A wasu yanayi, ya zama dole a cire cutar, alal misali, lokacin da ƙwayoyin tumor ke girma a cikin ƙwayar ta.
- Ba tare da saifa ba, mutum ya ci gaba da rayuwa, amma cututtukan ƙwayoyin cuta na iya faruwa sau da yawa, tun da ƙyallen a jikin ɗan adam yake yin aikin rigakafi.
- Hakanan, bayan cirewarsa, adadin platelet na iya ƙaruwa, sabili da haka, ya zama dole don aiwatar da maganin ƙwaƙwalwar ƙwayar cuta na lokaci-lokaci na thrombosis don guje wa rikitarwa mara amfani.
Tsarin dawowa
Tunda wasu ciwace-ciwacen daji a cikin yankin shugaban ƙungiyar suna da matsayi na musamman, wani lokacin ya zama dole don cire wani ɓangaren glandar kansa, har ma da wani ɓangare na duodenum da ciki ko gall mafitsara.
A lokaci guda, likitocin tiyata suna kirkirar anastomoses (gidajen abinci na wucin gadi). Wadannan na iya zama madaukai daga hanji, kazalika da ligaments na madauki na hanji tare da bututun bile, ta hanyar da ake tallafawa sashen ruwa mai gudana ta hanyar narkewa.
