Zunthlum hi tihdam theih a ni em? Pancreas transplant chungchang zawng zawng.

Nitin insulin inject thin, ni khatah vawi tam tak i thisen sugar level check thin, i ei leh in tur ngaihtuah tam thin mi i ni em? Type 1 diabetes nena nun a harsat zia chu i hre ngei ang, a bik takin. Chuti a nih chuan, heng injection te, ei leh in te, leh checkup reng reng te tel lo nun hi i ngaihtuah thei em? Awle, vawiina kan sawi tur pancreas transplant surgery hi chu zawhna chhanna chu eng emaw chen chu a ni. Hei hi thupui buaithlak deuh mahse, a awlsam zawngin, i hriatthiam theih angin sawi ila.

A awlsam zawngin, pancreas transplant tih hi eng nge ni?

Pancreas transplant hi surgical procedure a ni a, donor thi tawh atanga pancreas hrisel tak chu i pancreas natna nei, a thawk tha lo thlak nan transplant a ni.

Ngaihtuah teh, kan taksa chhungah, pum hnung lamah, pancreas an tih organ a awm a. A hnathawh ber pakhat chu insulin an tih hormone siam chhuah hi a ni. He insulin hian taksa cell-te chu kan ei leh in a awm sugar, a nih loh leh glucose chu a hip lut a, chakna atan a hmang a ni.

Tunah chuan Type 1 diabetes vei chunga thil thleng chu anmahni immune system hian pancreas-a insulin siamtu cells te chu a tichhe sual a ni. Tichuan insulin siamchhuahna chu nasa takin a tlahniam a, a nih loh leh a awm lo vek a ni. Chuvang chuan pawn lam atanga insulin an inject a ngai a ni.

He surgery hi tuin nge mamawh tak tak?

He surgery hi zunthlum vei zawng zawng tan a ni lo. A bik takin type 1 diabetes vei, dinhmun na tak, thisen sugar level control harsa tak takte tan a ni. Doctor-te chuan insulin therapy pangngai hmang pawha thisen sugar level control tha lo leh harsatna nasa tak tawk fo thinte tan he duhthlanna hi an ngaihtuah thin.

Type 1 diabetes-a harsatna lian ber pakhat chu kal (kidney) tihchhiatna a ni. Thisen sugar level sang leh thunun loh rei tak a awm chuan kal a tichhe thei a, kal a tichhe thei a ni. Dik tak chuan pancreas transplant dawng thei mi tam tak chuan kal (kidney failure) an nei tawh a ni.

Pancreas hrisel tak an thlak hnuah chuan a pianphungah insulin a siam tan a, chu chu zunthlum vei chuan insulin independent nih theihna hun remchang a nei tihna a ni.

Pancreas transplant hian eng hlawkna nge a neih?

Hei hi type 1 diabetes damdawi kan hnaih ber a ni. He surgery i tih zawh hian damna tha zawk, rei zawk nun theihna hun remchang i nei ang. Chûng thilte ata i zalên zêl dâwn chu han ngaihtuah teh?

• Nitin i thisen sugar enfiah: Ni khatah vawi tam tak i kut zungtang i chil a ngai a, thisen lak leh i thlum check a ngai lo.
• Insulin injection: Nitin a hun taka injection pek a ngai tih mawhphurhna chu i paih chhuak thei a ni.
• Strict diet control: I ei zawng zawng ngaihtuah buai a ngai lo. A pangngaiin i ei thei.
• Diabetes complication awm theihna: Zunthlum vangin hun rei tak chhung mit, kal, nerve leh thinlung a tihchhiat chu ven theih a ni.

Surgery neih hmain eng nge thleng? Engtin nge ka inbuatsaih ang?

I doctor chuan he surgery atan hian candidate tha tak i ni mai thei tih a ngaihtuah chuan specialist team (transplant team) ah refer i ni ang. Chumi hnuah chuan enfiahna zau tak i nei ang. Hei hian hetiang operation lian tak neihna tur hian taksa leh rilru lamah i fit em tih a enfiah ang.

Heng zawng zawng hi i pass vek chuan medical team chuan pancreas nei tura national waiting list-ah an dah ang che. He list-a i awm lai hian, a inmil organ a awm theih nân thla tam tak, a nih loh leh kum tam tak pawh i nghah a ngai mai thei.

Waiting list-a i awm hian eng nge i tih ang?

He hun hi a pawimawh hle. A theih ang anga hrisel i nih a ngai a, a chhan chu matching organ hmuh a nih thu call i dawn veleh operation atan i inpeih nghal a ngai a ni.

• Medical appointment: Clinic emaw test emaw i tana an pek apiangah kal ngei ngei tur a ni.
• Thiltih \ha lo: I zuk chuan titawp vek rawh. Zu hi tihtlem rawh.
• Exercise: I doctor thupek angin exercise la la, i hriselna dinhmun nena inmil takin exercise la.
• Damdawi: Damdawi pek zawng zawng chu a hun takah ei tur a ni.
• Hriselna inthlak danglamna: I hriselnaah inthlak danglamna (khawsik, khuh, natna thar) i neih chuan i medical team hnenah hriattir nghal rawh.

Tin, i inbuatsaih reng a ngai a ni, a chhan chu engtik lai pawhin a matching organ hmuh a nih thu sawiin call a lo thleng thei a ni.

• I phone chu engtik lai pawhin i bulah dah la, a hnathawh dan tur angin.
• Damdawi in panna atana i mamawh thawmhnaw leh thil tulte dahna bag buatsaih rawh.
• Hemi chungchang hi i chhungte, i thiante leh hnathawhna hmunah hrilh la, chutiang chuan emergency-a i chhuah a ngai a nih chuan an pui thei ang che.

Engtin nge surgery hi an tih thin?

Pancreas transplant operation hi darkar 3 leh darkar 5 inkar a ni tlangpui . Kidney pawh thlak a nih chuan a hun chu a let hnih vel a ni thei.

Surgery chhung zawng hian general anesthesia hnuaiah i awm ang. Hei hian engmah i hre lovang a, i muhil vek dawn tihna a ni. Surgeon chuan a hnuaia mi ang hian surgery hi a ti ang:

1. Incision siam: I pum chhungah incision rei tak siam a ni a, i hnute ruh hnuai lam atanga i navel hnuai lam thlenga siam a ni. A châng chuan i pum leh i kawrfual inkar hmunah hian incision dang siam belh a ni thei bawk.

2. Organ transplant: Donor hnen atanga lak chhuah pancreas hrisel tak chu i pum dinglamah dah luh a ni.

3. Connection: Pancreas thar hi a bul hnaia thisen kalna leh i small intestine te nen a inzawm a ni.

4. Pancreas hlui: 1.1.A pawimawh ber chu i pancreas hlui, natna nei chu i taksa atanga lakchhuah a ni lo. A hmuna a awm chhan chu chaw ei tur tui (digestive juices) a la siam chhuah vang a ni.

5. Incision closure: A tawp berah chuan incision te chu stitches hmanga khar a ni.

Surgery hnuah eng nge thleng?

Surgery hi a hlawhtling a nih chuan pancreas thar dah thar hian insulin a siam tan nghal mai dawn a ni.

Operation hnuah special unit (a tam zawkah chuan intensive care unit)-ah sawn i ni ang a, chutah chuan medical team-in uluk takin an lo enkawl ang che.

• Surgery avanga harsatna awm thei a awm em?
• Organ rejection chhinchhiahna a awm em?
• Anesthesia hnuah i dam leh dawn em?

Hemi chhung hian i taksa nena inzawm machine leh tube tam tak i nei ang. Fluid leh nutrients, oxygen, leh painkillers te an pe ang che. Tin, zun chhuahna tur tube i nei bawk ang a, operation na hmun atanga thisen leh tui chhuahna tur tube dang i nei bawk ang. Heng thilte hi hlau suh, i dam thuai theihna tura tih vek a ni.

Harsatna a awm loh chuan ni engemaw zat hnuah general transplant ward-ah sawn i ni ang. Pancreas transplant hnuah kar hnih atanga kar thum chhung damdawi inah i awm a ngai tlangpui ang.

He surgery hian eng hlauhawmna leh harsatna nge a neih?

Hei hi surgery buaithlak tak a nih avangin hlauhawm leh harsatna engemaw zat a awm thei.

• Thisen zam: Operation hnua thisen kalna kawng hrang hranga thisen zam (blood clots) a lo awm theihna a awm.
• Infection: Surgery dang ang bawkin natna kai theihna a awm.
• Organ rejection: Hei hi harsatna lian ber a ni. A awlsam zawngin i taksa immune system chuan pancreas thar chu "ram dang" a nih thu a hre chiang a, beih a tum a ni.
• Pancreatitis: Pancreas thar dah chu a hring emaw, a hring emaw a ni thei.

Medical team chuan heng hlauhawmnate hi enkawl leh venna kawngah theihtawp an chhuah mek a ni.

Nun pangngaia kir leh tur hian eng chen nge a la ngai ang?

A dam kim theih nan thla ruk vel a ngai thei. Hei hi mi tin a inang lo. Recovery process tlangpui chu hetiang hi a ni:

• Stitch lakchhuah: Kar thum vel hnuah stitch te hi lakchhuah a ni ang.
• Damdawi lam test: Thla hmasa lamah chuan damdawi inah thisen test leh test dang nei turin i tlawh fo a ngai dawn a ni. Hengte hian organ thar hian hna a thawk tha em tih leh hnawlna chhinchhiahna a awm em tih a enfiah ang.
• Exercise: Kar ruk vel hnuah exercise light tak i tan thei ang. Thla engemaw zat chu rit phurh ang chi thil hi tih loh tur a ni.
• Hna:Hnathawh tur chuan thla engemaw zat chawlh ka la a ngai dawn a ni.

Heng zawng zawng chungchangah hian i medical team chuan thurawn hranin an pe ang che.

Damdawi ka dam chhung zawnga ka ei tur a awm em?

Awle. Hei hi a pawimawh hle. Surgery i neih zawh chuan i dam chhung zawng damdawi immunosuppressants an tih i ei a ngai dawn a ni.

Heng damdawi te hian i taksa immune system chu pancreas thar a beih (reject) loh nan a titawp a ni. Heng damdawi te hian side effect engemaw zat a nei thei. Mahse, heng damdawi te hi ei kha titawp suh la, i doctor nen inbia hmasa lovin a hman dan tur pawh thlak suh. Chutianga i tih chuan i taksain taksa peng thar chu a hnawl thei a, surgery pawh a hlawhchham thei bawk.

Doctor pan vat vat ngai symptoms te chu engte nge ni?

I medical team chuan zawm chhunzawm zel turin thupek an pe ang che a, mahse a hnuaia infection emaw organ rejection emaw chhinchhiahna i neih chuan medical advice i dil nghal tur a ni.

A tawpah chuan type 1 diabetes na tak tan chuan pancreas transplant hi enkawlna pawimawh tak a ni. Surgery buaithlak tak, hlauhawm tak ni mah se, a hlawhtlin chuan mahni inrintawkna nei zawka nun a thlen thei a, insulin injection, zunthlum harsatna leh harsatna awm lovin a awm thei a ni. Thutlukna i siam hmain i doctor nen sawiho hmasa phawt a, a thatna leh tha lo zawng zawng hriatthiam a pawimawh.