Ngā mea e hiahia ana koe kia mōhio mō te Whakatō Whatukuhu-Pancreas

Kei a koe, kei tētahi atu rānei e mōhio ana koe, he mate huka, he ngoikore hoki ō rātou whatukuhu? Ina tupu tēnā, ka tino uaua te ao, me ngā werohanga insulin i tētahi taha, me te maimoatanga dialysis i tētahi taha... Engari he pokanga motuhake kei reira hei whakaoti i ēnei āhuatanga e rua i te wā kotahi. I tēnei rā kei te kōrero tātou mō te pokanga whakawhitinga whatukuhu me te repeure. Kia mārama noa tātou ki tēnei.

He aha te tikanga o te whakawhitinga whatukuhu me te repeure?

Ki te whakarapopoto, ko te tikanga o tēnei ka whakatōkia he whatukuhu hauora me te repe taiaki hauora ki roto i tō tinana i roto i te pokanga kotahi. Ka kiia hoki tēnei e ngā tākuta he whakatōnga Repe Taiaki me te Whatukuhu Whakakotahi (SPK) .

Ko tēnei pokanga e taunakitia ana mō te hunga mate huka momo 1 me te ngoikore o te whatukuhu. He mea noa te pakaru o te whatukuhu ina kore e taea te whakahaere tika i te mate huka mō ngā tau. Nō reira, i muri i tēnei pokanga, ka hoki anō tō tinana ki tōna kaha ki te whakaputa i te insulin, ā, ka mahi anō ō whatukuhu i te āhua noa. I ētahi wā, ka pai hoki tēnei pokanga mō te hunga mate huka momo 2 .

Engari kia maumahara, kāore e taea e te katoa te mahi i tēnei pokanga nā te mea kei a rātou ēnei āhuatanga e rua. Ki te whakaaro tō tākuta ka whai hua pea koe i tēnei, ka tukuna koe e ia ki tētahi rōpū tohunga whakawhitinga wheua. Ka tirotirohia koe e rātou me te āta whakatau mēnā he pai koe mō tēnei.

Ko wai e tika ana mō tēnei pokanga?

Mena kei te mōrearea koe ki te ngoikore o ō whatukuhu, kua ngoikore kē rānei koe, ā, kei a koe anō te mate huka Momo 1, ka whakaarohia pea e ō tākuta tēnei pokanga. Ina tukuna koe ki tētahi pokapū whakawhitinga okana, ka tirotirohia koe e tētahi rōpū tohunga, e ngā kaiwhakahaere, me ētahi atu.

I mua i te tāpiri i tō ingoa ki te rārangi tatari, ka aro nui rātou ki ētahi mea.

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Nō hea mai ngā whatukuhu me ngā repeure hou?

He raruraru tēnei mō te tini o te tangata. Ka taea te tiki i te whatukuhu mai i tētahi kaituku ora. Engari ka taea anake te tiki i te repeure mai i tētahi kaituku kua mate. Nō reira, i roto i tēnei pokanga SPK, ka ngana te nuinga o te wā ki te tiki i ngā whekau e rua mai i te kaituku kotahi kua mate.

Ka tirotirohia marietia ia kaituku toto kia kore ai he mate pipiri, he raruraru rānei, ā, kia mōhio ai kei te ōrite tō momo toto me tō momo kiko.

Kia pēhea te roa o tā tātou tatari?

He uaua ki te hoatu i te wā tika mō tēnei. E 24-36 marama te roa (2-3 tau). Mēnā he momo toto, he momo kiko rānei onge tō te tangata, tera pea ka roa ake te kimi i tētahi kaituku toto e ōrite ana.

Kia whakatauhia koe he pai tō hononga, ka tāpirihia tō ingoa me ō mōhiohio hauora ki te rārangi tatari mō te whakawhitinga okana ā-motu. Ina wātea mai he kaituku e ōrite ana, ka whakamōhiotia koe. Whai muri i tēnā, ka tere te mahi o ngā mea katoa. Me pokanga koe i roto i ngā haora 12 o te tangohanga o te okana mai i te tinana o te kaituku.

Me pēhea te mahi i te pokanga?

Ka mahia tēnei pokanga i raro i te whakamoe katoa, arā, kāore koe e rongo i tetahi mea.

1. Te whakawhitinga whatukuhu: Ka tapahia e te taote pokanga tō puku o raro. Ko te whakawhitinga tuatahi ko te whatukuhu. Ka whakanohoia te whatukuhu hou ki te taha matau, ki te taha maui rānei o raro o tō puku, ā, ka honoa ki ngā oko toto o tō tinana (ngā uaua me ngā uaua toto). Kātahi ka honoa te ureter o te whatukuhu hou ki tō mimi. Koinei te wāhi e puta ai te mimi i tō tinana. I te nuinga o te wā, kāore tō whatukuhu tawhito, e ngoikore ana, e tangohia.

2. Te whakawhitinga repeure:Muri iho, ka whakanohoia te repe taiaki hou ki te puku o raro, ka honoa ki ngā oko toto tata. Ko te wai repe taiaki e tukuna ana e te repe taiaki, e āwhina ana ki te nakunaku kai, ka tukuna anō ki roto i tō pūnaha nakunaku, ā, ka honoa te repe taiaki ki tō whekau iti. Pērā i ō whatukuhu, ko tō repe taiaki tawhito kāore i te tangohia i te nuinga o te wā.

Me tīmata te mahi a te okana hou i roto i ētahi haora i muri i te pokanga. Ko te tikanga ka tīmata te repe taiaki hou ki te whakaputa i te insulin me te whakahaere i ngā taumata huka toto. Ko te tikanga ka roa te pokanga i waenga i te 4 me te 8 haora .

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Pērā i ngā pokanga nui katoa, he painga, he mōrearea hoki tō tēnei pokanga.

Ngā painga matua

I muri i te pokanga angitu, ka piki ake tō kaha, tō pūngao, me tō ora. Ka taea e koe te hoki ki te oranga noa.

• Te herekore i te dialysis: Mena i dialysis koe i mua i te pokanga, ka herekore koe i te ora i herea ki taua pokanga.
• Te herekoretanga o te insulin: Nā te mea ko te repe taiaki hou te kaiwhakahaere o ō taumata huka toto, kāore pea koe e hiahia ki ngā werohanga insulin anō.
• Te whakapai ake i te paerewa o te oranga: He tokomaha te hunga e kī ana kei te tino pai haere te paerewa o te oranga whānui.

Ngā tūponotanga me ngā raruraru

Nā te mea e rua ngā okana e whakatōkia ana i te wā kotahi, he paku teitei ake ngā mōrearea o te pokanga i ērā o te whakatō kotahi noa iho.

Ko ngā mōrearea matua ko te whakakahoretanga o te okana hou e te tinana me te mate.

Ko te whakakorenga ko te wā e mōhio ai te pūnaha ārai mate o tō tinana ki te okana hou he "tangata ke" ka ngana ki te whakaeke i taua okana. Hei ārai i tēnei, me tango e koe ngā rongoā ārai-whakakorenga (ngā rongoā ārai mate) mō te toenga o tō oranga.

Nā te mea ka ngoikore tō pūnaha ārai mate i ēnei rongoā, ka nui ake te tūponotanga ka pāngia koe e ētahi atu mate. Nō reira me tino tupato koe.

Mena kei a koe ēnei tohu e whai ake nei, me whakamōhio tonu atu ki tō tākuta:

• Kirika
• Te pupuhi, te wai rānei e maringi ana i te wāhi i pokanga ai
• Te mamae nui, te maru rānei i te wāhi i pokanga ai
• Te mamae i te wā e mimi ana

Hei tāpiritanga, tera pea ētahi mōrearea pēnei i te toto totoka me te toto nui rawa.

Te wā whakaora me te angitu

I muri i te pokanga, me noho koe ki te hōhipera mō te iti rawa o ngā rā 10-12. I ētahi wā, me noho pea koe mō te marama kotahi. I tēnei wā, ka tirotirohia koe e te tīma hauora.

He mea nui kia tangohia ngā rongoā ārai mate kua tohua ki a koe mō te toenga o tō oranga i te wā tika. He mea nui anō hoki kia whakamātauria te toto me ētahi atu whakamātautau i ngā rā kua tohua e tō tākuta.

He pēhea te angitu o tēnei pokanga?

Ka whakapai ake tēnei pokanga i te kounga o te oranga me te roanga o te ora.

• E 80% te tūponotanga kāore e hiahiatia he insulin, he dialysis rānei mō te tau kotahi.
• E 70% te tūponotanga kāore e hiahiatia ēnei maimoatanga e rua i roto i ngā tau e 5 e whai ake nei.

E ai ki ngā rangahau ā-motu, ko te ōrau oranga i muri i tēnei pokanga ko:

• I muri i te tau: 97%
• I muri i te 5 tau: 92.7%
• I muri i ngā tau 10: 79.1%

He wheako tino whakarerekē tēnei i te ao. He mea noa te mataku mō te pokanga. Engari whakaarohia te kounga o te oranga ka pai ake i muri i te pokanga. Kei te rite tonu tō rōpū hauora ki te āwhina i a koe, ki te whakautu i ō pātai, me te whakahaere i tēnei tukanga kia māmā ake. Nō reira, kōrero ki a rātou mō ngā mea katoa e pā ana ki tō hinengaro.