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.

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.

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 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.