Yu na pɔsin we de injekt insulin ɛvride, chɛk yu blɔd shuga bɔku tɛm insay di de, ɛn tink bɔku bɔt wetin yu de it ɛn drink? Yu go mɔs no aw i nɔ kin izi fɔ liv wit Tayp 1 dayabitis, mɔ. So, yu kin ivin imajin layf we yu nɔ gɛt dɛn injɛkshɔn ya, it, ɛn chɛk-ap ɔltɛm? Wɛl, di pankrias transplant ɔpreshɔn we wi de tɔk bɔt tide na ansa to da kwɛstyɔn de te to sɔm mak. Pan ɔl we dis na tɔpik we kɔmplikt smɔl, lɛ wi tɔk bɔt am simpul wan, di we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na pankrias transplant?
Pankrias transplant na ɔpreshɔn we dɛn kin transplant pankrias we gɛt wɛlbɔdi frɔm pɔsin we dɔn day fɔ tek ples fɔ yu pankrias we sik ɛn we nɔ de wok fayn.
Imajin, insay wi bɔdi, biɛn di bɛlɛ, wan ɔgan de we dɛn kɔl pankrias. Wan pan di men wok we i de du na fɔ mek wan ɔmon we dɛn kɔl insulin. Dis insulin de ɛp di bɔdi in sɛl dɛn fɔ tek di shuga ɔ glukɔs we de insay di it we wi de it ɛn yuz am fɔ gɛt trɛnk.
Naw, wetin kin apin to pɔsin we gɛt Tayp 1 dayabitis na dat dɛn yon imyun sistɛm kin mistek pwɛl di sɛl dɛn we de mek insulin na di pankrias. Dɔn di insulin we dɛn de mek kin ridyus bad bad wan, ɔ i nɔ kin de igen. Na dat mek dɛn fɔ injekt insulin na do.
Udat rili nid dis ɔpreshɔn?
Dis ɔpreshɔn nɔto fɔ ɔlman we gɛt dayabitis. I kin mɔs bi fɔ pipul dɛm wae gɛt tayp 1 dayabitis wae de pan siriɔs stet ɛn gɛt prɔblɛm fɔ kɔntrol dɛn blɔd shuga lɛvɛl. Dɔktɔ dɛn kin tink bɔt dis opshɔn fɔ pipul dɛn we dɛn nɔ kin kɔntrol dɛn blɔd shuga lɛvɛl fayn fayn wan ivin if dɛn de tek insulin ɔltɛm ɛn we kin gɛt prɔblɛm dɛn ɔltɛm ɛn we kin rili bad.
Wan pan di siriɔs prɔblɛm dɛn we kin kam wit tayp 1 dayabitis na we di kidni kin pwɛl. We di blɔd shuga lɛvɛl de ɔp ɛn nɔ kɔntrol am fɔ lɔng tɛm, i kin pwɛl di kidni dɛn ɛn mek di kidni dɛn nɔ wok fayn. Infakt, bɔku pipul dɛn we kwalifay fɔ gɛt pankrias transplant dɔn ɔlrɛdi gɛt kidni we nɔ de wok fayn.
So, bɔku tɛm, dɛn nɔ kin du dis ɔpreshɔn in wan. Dɛn kin du kidni transplant di sem tɛm we dɛn kin transplant pankrias. dεn kכl dis ‘Simultaneous Pancreas-Kidney (SPK) transplant’.
Afta dɛn dɔn transplant pankrias we gɛt wɛlbɔdi, i kin bigin fɔ mek insulin bay insɛf, we min se pɔsin we gɛt dayabitis gɛt di chans fɔ bi insulin indipɛndɛnt.
Wetin na di bɛnifit dɛn we pɔsin kin gɛt we i transplant pankrias?
Dis na di klos we wi kin gɛt fɔ mɛn di kayn sik we dɛn kɔl tayp 1 dayabitis. Afta dis ɔpreshɔn, yu go gɛt di chans fɔ liv bɛtɛ layf fɔ lɔng tɛm. Imajin aw yu go fri frɔm dɛn tin ya?
- Fɔ chɛk yu blɔd shuga ɛvride: Yu kin pul yu finga bɔku tɛm insay di de fɔ tek blɔd ɛn chɛk yu shuga.
- Insulin injɛkshɔn: Yu kin pul di rispɔnsibiliti fɔ gɛt fɔ gɛt yu injɛkshɔn dɛn di rayt tɛm ɛvride.
- Strikt diet kɔntrol: Yu nɔ nid fɔ wɔri bɔt ɔltin we yu de it. Yu kin it nɔmal wan.
- Risk fɔ mek yu gɛt prɔblɛm wit dayabitis: Dɛn kin mek yu nɔ gɛt prɔblɛm wit yu yay, yu kidni, yu nerv, ɛn at fɔ lɔng tɛm.
Wetin kin apin bifo dɛn du di ɔpreshɔn? Aw a kin pripia?
If yu dɔktɔ tink se yu go bi gud kandidet fɔ dis ɔpreshɔn, dɛn go rifer yu to spɛshal tim (transplant tim). Dɔn dɛn go du wan rili big ɛgzamin. Dis go chɛk if yu fit fɔ du dis kayn big ɔpreshɔn pan yu bɔdi ɛn yu maynd.
| Test / Evalueshɔn | Wetin yu de op fɔ frɔm am? |
|---|---|
| Blɔd ɛn urine tɛst | Chek aw ɔda ɔgan dɛn lɛk yu kidni ɛn liva de wok, ɛn yu ɔl wɛl bɔdi. |
| Kɔmplit fɔ chɛk yu bɔdi | Mek shɔ se no ɔda mɛrɛsin nɔ de we go afɛkt di ɔpreshɔn. |
| Imyunolojikal stɔdi dɛn | Fɛn ɔut yu tisu tayp ɛn gɛt ɛp fɔ fɛn di bɛst mach fɔ yu. |
| Test dɛn fɔ tek imej | Du skan lɛk ɔltra saund ɛn MRI fɔ no aw di ɔgan dɛn we de insay yu bɔdi de ɛn plan fɔ du ɔpreshɔn. |
| Saykolojik ɛvalueshɔn | Mek shɔ se yu ɔndastand gud gud wan aw dis ɔpreshɔn siriɔs, di bad tin dɛn we kin apin to yu, ɛn di tin dɛn we yu fɔ du fɔ tek tɛm wit yu layf afta di ɔpreshɔn. |
If yu pas ɔl dɛn tin ya, di mɛdikal tim go put yu na di nashɔnal wet list fɔ gɛt pankrias. We yu de pan dis list, yu kin gɛt fɔ wet fɔ sɔm mɔnt, ɔ ivin ia fɔ mek yu gɛt ɔgan we mach am.
Wetin yu fɔ du we yu de na di list fɔ wet?
Dis tɛm rili impɔtant. Yu nid fɔ gɛt wɛlbɔdi as yu ebul bikɔs yu nid fɔ rɛdi fɔ ɔpreshɔn jɔs afta yu gɛt di kɔl se dɛn dɔn fɛn ɔgan we mach.
- Di mɛdikal apɔntinmɛnt: Mek shɔ se yu go na ɛni klinik ɔ tɛst we dɛn dɔn tɛl yu fɔ du.
- Bad abit: If yu de smok, stɔp am kpatakpata. Nɔ stɔp fɔ drink rɔm.
- Ɛksesaiz: Ɛksesaiz akɔdin to yu dɔktɔ in instrɔkshɔn, as i fit fɔ yu wɛlbɔdi kɔndishɔn.
- Mɛrɛsin: Tek ɔl di mɛrɛsin dɛn we dɛn tɛl yu fɔ tek di rayt tɛm.
- Wɛlbɔdi chenj: If yu gɛt ɛni chenj na yu wɛl bɔdi (fiva, kɔf, nyu pen), tɛl yu mɛdikal tim wantɛm wantɛm.
Dɔn bak, yu fɔ rɛdi ɔltɛm bikɔs kɔl kin kam ɛnitɛm fɔ se dɛn dɔn fɛn ɔgan we mach am.
- Kip yu fon wit yu ɔltɛm, insay wok ɔda.
- Pripia bag wit di klos ɛn impɔtant tin dɛn we yu nid fɔ go na ɔspitul.
- Tɛl yu fambul, padi, ɛn wokples bɔt dis so dat dɛn go ɛp yu if yu gɛt fɔ kɔmɔt de we ɛnitin apin.
Aw dɛn kin du di ɔpreshɔn?
Wan pankrias transplant ɔpreshɔn kin tek bitwin 3 ɛn 5 awa . If dɛn transplant kidni bak, di tɛm kin bi lɛk tu tɛm pas dat.
Yu go de ɔnda jenɛral anestezi ɔl di tɛm we dɛn de du di ɔpreshɔn. Dis min se yu nɔ go fil ɛnitin ɛn yu go slip ɔl. Di dɔktɔ we de du di ɔpreshɔn go du di ɔpreshɔn lɛk dis:
1. Fɔ mek pɔsin kɔt: Dɛn kin kɔt lɔng na yu bɛlɛ, frɔm jɔs dɔŋ yu bɔdi te to jɔs dɔŋ yu nɛv. Sɔntɛnde, dɛn kin kɔt ɔda say dɛn na di say we de bitwin yu bɛlɛ ɛn yu shɔl.
2. Ɔgan transplant: Dɛn kin transplant wan wɛlbɔdi pankrias we dɛn tek frɔm pɔsin we gi yu na di rayt say na yu bɛlɛ.
3. Kכnekshכn: di nyu pankrias de kכnekt to di bכdi we de nia yu εn yu sכmכl intestכn.
4. Ol pankrias: .Di impɔtant tin na fɔ mek dɛn nɔ pul yu ol pankrias we gɛt sik na yu bɔdi. Di rizin we mek dɛn lɛf am na in ples na bikɔs i stil de mek jus dɛn we de mek di bɔdi digest.
5. Insishɔn klos: Fɔ dɔn, dɛn kin lɔk di insayshɔn dɛn wit stich.
Wetin kin apin afta di ɔpreshɔn?
If di ɔpreshɔn wok fayn, di nyu pankrias we dɛn transplant go bigin fɔ mek insulin klos to wantɛm wantɛm.
Afta dɛn dɔn du di ɔpreshɔn, dɛn go transfa yu to spɛshal yunit (bɔku tɛm na intensiv kia yunit), usay di mɛdikal tim go de wach yu gud gud wan.
- Ɛni prɔblɛm dɛn de we kin apin we dɛn du di ɔpreshɔn?
- Ɛni sayn dɛn de we de sho se di ɔgan dɛn nɔ de gri fɔ tek pat?
- Yu go wɛl afta dɛn dɔn anestez yu?
Insay dis tɛm, yu go gɛt bɔku mashin ɛn tiub dɛn we dɛn kɔnɛkt to yu bɔdi. Dɛn go gi yu wata ɛn tin fɔ it, ɔksijɛn, ɛn mɛrɛsin fɔ mek yu nɔ fil pen. Yu go gɛt bak wan tiub fɔ pul yu urine ɛn ɔda tiub fɔ pul blɔd ɛn wata na di say we dɛn du di ɔpreshɔn. Nɔr frayd fɔ dɛn tin ya, dɛn ɔl kin du fɔ ɛp yu fɔ wɛl kwik kwik wan.
If no kɔmplikeshɔn nɔ de, dɛn go transfa yu to jenɛral transplant wɔd insay sɔm dez. Bɔku tɛm yu go gɛt fɔ de na ɔspitul fɔ tu to tri wik afta dɛn dɔn transplant yu pankrias.
Wetin na di risk ɛn prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Bikɔs dis na ɔpreshɔn we rili kɔmpleks, sɔm prɔblɛm dɛn ɛn prɔblɛm dɛn kin de.
- Blɔd we de klɔt: Risk de fɔ mek blɔd klɔt na di blɔd vesel dɛn afta dɛn dɔn du di ɔpreshɔn.
- Infekshɔn: Jɔs lɛk ɛni ɔpreshɔn, risk de fɔ mek pɔsin gɛt infɛkshɔn.
- Ɔgan rijɛkt: Dis na di big prɔblɛm. Fɔ tɔk am simpul wan, di imyun sistɛm na yu bɔdi de no di nyu pankrias as "fɔrin" ɛn i de tray fɔ atak am.
- Pankrias: Di nyu pankrias we dɛn transplant kin swel ɔ inflam.
Di mɛdikal tim de du ɔl wetin dɛn ebul fɔ manej ɛn mek dɛn nɔ gɛt dɛn prɔblɛm ya.
Aw lɔng i go tek fɔ mek yu gɛt layf bak?
I kin tek siks mɔnt fɔ mek i wɛl ɔl. Dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Di jenɛral rikavari prɔses na lɛk dis:
- Fɔ pul di stich: Dɛn go pul di stich dɛn insay lɛk tri wiks so.
- Mɛdikal tɛst: Insay di fɔs mɔnt dɛn, yu go nid fɔ go na ɔspitul bɔku tɛm fɔ mek dɛn du blɔd tɛst ɛn ɔda tɛst dɛn. Dɛn tin ya go chɛk if di nyu ɔgan de wok fayn ɛn if ɛni sayn de fɔ se i nɔ gri wit am.
- Ɛksesaiz: Afta lɛk siks wik so, yu kin bigin fɔ du layt ɛksesaiz. Tin dɛn lɛk fɔ es wet nɔ fɔ du fɔ sɔm mɔnt.
- Wok:A go gɛt fɔ tek sɔm mɔnt fɔ lɛf fɔ go wok.
Yu mɛdikal tim go gi yu difrɛn advays bɔt ɔl dis.
Ɛni mɛrɛsin de we a fɔ tek fɔ di res ɔf mi layf?
Yɛs. Dis rili impɔtant. Afta di ɔpreshɔn, yu go gɛt fɔ tek mɛrɛsin dɛn we dɛn kɔl immunosuppressant fɔ di res ɔf yu layf.
Dɛn mɛrɛsin ya de wok bay we dɛn de stɔp yu bɔdi in imyun sistɛm fɔ atak (rijek) di nyu pankrias. Dɛn mɛrɛsin ya kin gɛt sɔm bad bad tin dɛn. Bɔt nɔ stɔp fɔ tek dɛn mɛrɛsin ya ɔ chenj di doz we yu nɔ tɔk to yu dɔktɔ fɔs. If yu du dat, dat kin mek yu bɔdi nɔ gri fɔ tek di nyu ɔgan ɛn di ɔpreshɔn nɔ go wok.
Wetin na di sayn dɛm wae kin mek yu nid fɔ go to dɔktɔ kwik kwik wan?
Yu mɛdikal tim go gi yu instrɔkshɔn fɔ kɔntinyu fɔ fala, bɔt if yu gɛt ɛni wan pan dɛn sayn ya we de sho se yu gɛt di sik ɔ yu nɔ gɛt ɔgan, yu fɔ go to dɔktɔ wantɛm wantɛm.
| Simptom dɛm fɔ wach fɔ | Tɔk bɔt |
|---|---|
| Fiva ɛn kol kol | Fɔ gɛt fiva we pas 37 digri sɛlshiɔs (100 Fahrenheit). |
| Pen | pen ɔ tεndεns na di εria we di nyu pankrias we dεn transplant (rayt sayd na di bεlε). |
| Di bɔdi de pen | Bɔdi kin at we nɔ kɔmɔn, ivin ed we kin at. |
| Nɔs ɔ vɔmit | Nɔs ɔ vɔmit we de kɔntinyu fɔ de. |
| Swel ɔ we yu de gɛt bɔku bɔku wet | Di bɔdi we de swel ɔ we yu de gɛt bɔku bɔku wet wantɛm wantɛm. |
| Di we aw yu de pis nɔ de bɔku | Les urine output pas aw i kin bi. |
Fɔ dɔn, fɔ transplant pankrias na rili impɔtant tritmɛnt opshɔn fɔ siriɔs tayp 1 dayabitis. Pan ɔl we na kɔmpleks ɔpreshɔn we kin mek pɔsin gɛt prɔblɛm, if i wok fayn, i kin mek i liv in layf fɔ insɛf, i nɔ kin gɛt insulin injɛkshɔn, i nɔ kin gɛt prɔblɛm wit dayabitis, ɛn i nɔ kin gɛt prɔblɛm dɛn. Bifo yu disayd fɔ du sɔntin, i impɔtant fɔ tɔk bɔt dis wit yu dɔktɔ ɛn ɔndastand di gud ɛn bad tin dɛn we de apin.
Mɛsej we dɛn kin kɛr go na os
- Pankrias transplant na big ɔpreshɔn we dɛn kin du mɔ fɔ siriɔs tayp 1 dayabitis we dɛn nɔ kin kɔntrol.
- Dis kin mek yu nɔ gɛt insulin injɛkshɔn, yu nɔ go du yu blɔd tɛst ɔltɛm, ɛn yu nɔ go ebul fɔ kɔntrol di it dɛn we yu de it strikt wan.
- Bɔku tɛm dɛn kin du dis togɛda wit di kidni transplant.
- Afta yu dɔn ɔpreshɔn, yu go nid fɔ tek di mɛrɛsin dɛn we de mek yu bɔdi nɔ ebul fɔ fɛt di sik fɔ di res ɔf yu layf fɔ mek yu bɔdi nɔ gri fɔ tek di nyu ɔgan.
- Dis na lɔng waka frɔm evalueshɔn to ful wɛlbɔdi, ɛn i nid fɔ peshɛnt, dedikeshɔn, ɛn tayt padi biznɛs wit di mɛdikal tim.
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