{"id":227,"date":"2019-02-18T11:49:24","date_gmt":"2019-02-18T09:49:24","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/?p=227"},"modified":"2019-02-18T11:49:24","modified_gmt":"2019-02-18T09:49:24","slug":"recuperacio-cirurgia-del-pancrees","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/recuperacio-cirurgia-del-pancrees\/","title":{"rendered":"Recuperaci\u00f3 d’una cirurgia del p\u00e0ncrees: Mesures generals a tenir en compte"},"content":{"rendered":"

Els pacients sotmesos a una\u00a0cirurgia del p\u00e0ncrees<\/strong><\/a>\u00a0han d’afrontar diverses dificultats en el per\u00edode postoperatori.<\/span>\u00a0Aquestes dificultats abasten des de la\u00a0reintroducci\u00f3 de la dieta<\/strong><\/a>\u00a0a la normalitzaci\u00f3 de tots els aspectes funcionals.<\/span>\u00a0En aquest post tractarem en qu\u00e8 consisteix la\u00a0recuperaci\u00f3 d’una cirurgia del p\u00e0ncrees<\/strong>,\u00a0els temes m\u00e9s importants, sempre des d’un punt de vista general.<\/span>\u00a0Cal tenir en compte quelcom de fonamental:\u00a0cada pacient pot tenir la seva particularitat i, per tant, necessitar un tractament espec\u00edfic.<\/span>
\n<\/p>\n

P\u00c8RDUA DEL TEIXIT PANCRE\u00c0TIC I DE LA FUNCI\u00d3 PANCRE\u00c0TICA (EXOCRINA I \/ O ENDOCRINA)<\/span><\/h2>\n

En la\u00a0recuperaci\u00f3 d’una\u00a0cirurgia del p\u00e0ncrees<\/a><\/strong>\u00a0hem de tenir en compte que el pacient patir\u00e0 una\u00a0p\u00e8rdua de teixit pancre\u00e0tic,<\/strong>\u00a0que ser\u00e0 m\u00e9s o menys en funci\u00f3 del tipus d’intervenci\u00f3 realitzada.<\/span>\u00a0Com a norma general, els pacients intervinguts com a conseq\u00fc\u00e8ncia d’un\u00a0c\u00e0ncer de p\u00e0ncrees<\/strong>, o aquells en els quals la intervenci\u00f3 suposa la\u00a0extirpaci\u00f3 del cap o b\u00e9 del cos-cua del p\u00e0ncrees<\/strong><\/a>, pateixen la p\u00e8rdua aproximada del 50% del teixit pancre\u00e0tic.<\/span>\u00a0Mentre que, en els pacients sotmesos a intervencions menys \u00e0mplies, la p\u00e8rdua de teixit pancre\u00e0tic \u00e9s menor.<\/span><\/p>\n

La primera conseq\u00fc\u00e8ncia d’aquesta p\u00e8rdua de teixit pancre\u00e0tic \u00e9s la\u00a0p\u00e8rdua de funci\u00f3 pancre\u00e0tica<\/strong><\/a>.<\/span>\u00a0En aquest sentit, \u00e9s esperable una\u00a0p\u00e8rdua de la funci\u00f3 digestiva o exocrina<\/strong>\u00a0en aquells pacients en qu\u00e8 se li ha s’ha ressecat el cap del p\u00e0ncrees, i una\u00a0p\u00e8rdua de la funci\u00f3 endocrina<\/strong>\u00a0o de control del sucre en els pacients als quals es els ha extirpat el cos i la cua del p\u00e0ncrees.<\/span>\u00a0Com a norma general, els pacients sotmesos a una\u00a0extirpaci\u00f3 del cap del p\u00e0ncrees<\/strong>\u00a0hauran de seguir\u00a0tractament substitutiu amb enzims pancre\u00e0tics<\/strong>\u00a0de forma emp\u00edrica i, posteriorment, la dosi pot ser disminu\u00efda amb el temps.<\/span>\u00a0En el segon grup de pacients ha de instaurar-se un\u00a0tractament hipoglucemiant<\/strong>\u00a0(antidiab\u00e8tics orals o insulina) si les xifres de gluc\u00e8mia s\u00f3n anormalment altes en el postoperatori.<\/span>\u00a0Idealment, aquest tractament s’ha d’iniciar abans de la sortida del pacient de l’hospital.<\/span><\/p>\n

Post relacionat:<\/small><\/p>\n

–\u00a0Quines s\u00f3n les conseq\u00fc\u00e8ncies despr\u00e9s de l\u2019extirpaci\u00f3 parcial o total del p\u00e0ncrees? La insufici\u00e8ncia pancre\u00e0tica<\/small><\/a><\/p><\/blockquote>\n

ACTIVITAT F\u00cdSICA I MOBILITZACI\u00d3 COMPLETA DESPR\u00c9S DE CIRURGIA DEL P\u00c0NCREES<\/span><\/h2>\n

Un altre aspecte fonamental en la\u00a0recuperaci\u00f3 d’una cirurgia del p\u00e0ncrees<\/strong>\u00a0\u00e9s\u00a0l’activitat f\u00edsica<\/strong>\u00a0d’aquests pacients.<\/span>\u00a0Cada vegada est\u00e0 m\u00e9s clara la influ\u00e8ncia de la\u00a0mobilitzaci\u00f3 preco\u00e7<\/strong>\u00a0en els pacients quir\u00fargics per obtenir una completa recuperaci\u00f3;<\/span>\u00a0en aquest sentit, \u00e9s molt important que, despr\u00e9s de la\u00a0cirurgia del p\u00e0ncrees,<\/strong>\u00a0el pacient tingui una mobilitzaci\u00f3 completa en els primers dies postoperatoris, intentant minimitzar el temps d’inactivitat f\u00edsica.<\/span>\u00a0La utilitzaci\u00f3 de\u00a0t\u00e8cniques m\u00ednimament invasives per al tractament quir\u00fargic de les\u00a0malalties del p\u00e0ncrees<\/a><\/strong>, com la cirurgia laparosc\u00f2pica, permet la disminuci\u00f3 del temps d’inactivitat del pacient i la seva r\u00e0pida recuperaci\u00f3.<\/span>\u00a0Aquells pacients sotmesos a una intervenci\u00f3 m\u00e9s important, com la\u00a0duodenopancreatectomia,<\/em>\u00a0s\u00f3n els m\u00e9s afavorits per la mobilitzaci\u00f3 preco\u00e7, encara que de vegades aquesta sigui especialment complexa en aquest grup de pacients.<\/span><\/p>\n

\n

\"dr-santiago-sanchez-cabus\"<\/h4>\n

“\u00c9s molt important que, despr\u00e9s de la\u00a0cirurgia del p\u00e0ncrees,<\/strong>\u00a0el pacient tingui una mobilitzaci\u00f3 completa en els primers dies postoperatoris, intentant minimitzar el temps d’inactivitat f\u00edsica”<\/span><\/h4>\n

Dr.\u00a0Santiago S\u00e1nchez Cab\u00fas<\/a><\/p><\/blockquote>\n

ALIMENTACI\u00d3 DESPR\u00c9S DE CIRURGIA DEL P\u00c0NCREES<\/span><\/h2>\n

Finalment, un altre dels aspectes importants a tenir en compte en la\u00a0recuperaci\u00f3 d’una cirurgia del p\u00e0ncrees\u00a0<\/strong>\u00e9s l’alimentaci\u00f3<\/a><\/strong>.<\/span>\u00a0Anteriorment ja hem comentat la necessitat de la\u00a0suplementaci\u00f3 amb enzims pancre\u00e0tics<\/strong>\u00a0en aquells pacients sotmesos a una\u00a0resecci\u00f3 del cap del p\u00e0ncrees,<\/strong>\u00a0per\u00f2 tamb\u00e9 cal tenir en compte altres factors.<\/span>\u00a0Pel que fa a la\u00a0alimentaci\u00f3 despr\u00e9s de cirurgia pancre\u00e0tica<\/strong><\/a>, es recomana que el pacient no abusi dels \u00e0pats greixos i que intenti, en la mesura del possible, seguir una\u00a0dieta equilibrada<\/a>.<\/span>\u00a0Un altre punt important \u00e9s\u00a0quina quantitat de menjar i amb quina freq\u00fc\u00e8ncia ha d’alimentar-se el pacient despr\u00e9s de la intervenci\u00f3.<\/strong><\/span>\u00a0La recomanaci\u00f3, especialment durant les primeres 2-3 setmanes, \u00e9s l’administraci\u00f3 d’una dieta fraccionada.<\/span>\u00a0\u00c9s a dir, repartir la quantitat d’aliment que normalment prendria durant tot el dia, en 5 preses, amb l’objectiu de millorar la digesti\u00f3.<\/span>\u00a0Cal tenir en compte que, despr\u00e9s d’un\u00a0per\u00edode de recuperaci\u00f3<\/strong>\u00a0aproximat d’entre 4 i 8 setmanes, la immensa majoria dels pacients podran tornar a la ingesta normal que tenien abans de la cirurgia del p\u00e0ncrees<\/strong>.<\/span><\/p>\n

Post relacionat:<\/small><\/p>\n

–\u00a0Alimentaci\u00f3 en c\u00e0ncer de p\u00e0ncrees y despr\u00e9s de cirurgia pancre\u00e0tica<\/a>\u00a0– Blog de nutrici\u00f3<\/small><\/p><\/blockquote>\n

Per descomptat, tots aquests consells s’apliquen de forma general, i \u00e9s possible que en determinats pacients, per les seves caracter\u00edstiques o per la pres\u00e8ncia de complicacions en el per\u00edode postoperatori hagi de realitzar-se una terap\u00e8utica espec\u00edfica.<\/span>\u00a0El seu\u00a0especialista en cirurgia pancre\u00e0tica<\/strong><\/a>\u00a0li indicar\u00e0 quins s\u00f3n els passos a seguir en el cas determinat.<\/span><\/p>\n

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<\/p>\n

VOL\u00a0CONTACTAR\u00a0AMB EL DR. SANTIAGO S\u00c1NCHEZ CAB\u00daS?<\/span><\/h1>\n

DEMANAR CITA<\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Els pacients sotmesos a una\u00a0cirurgia del p\u00e0ncrees\u00a0han d’afrontar diverses dificultats en el per\u00edode postoperatori.\u00a0Aquestes dificultats abasten des de la\u00a0reintroducci\u00f3 de la dieta\u00a0a la normalitzaci\u00f3 de tots els aspectes funcionals.\u00a0En aquest post tractarem en qu\u00e8 consisteix la\u00a0recuperaci\u00f3 d’una cirurgia del p\u00e0ncrees,\u00a0els temes m\u00e9s importants, sempre des d’un punt de vista general.\u00a0Cal tenir en compte quelcom de […]<\/p>\n","protected":false},"author":2,"featured_media":224,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[63,44],"tags":[69,49,70],"yoast_head":"\nRecuperaci\u00f3 d'una cirurgia del p\u00e0ncrees: Mesures generals<\/title>\n<meta name=\"description\" content=\"En aquest post tractarem en qu\u00e8 consisteix la recuperaci\u00f3 d'una cirurgia del p\u00e0ncrees, els temes m\u00e9s importants, sempre des d'un 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