Zomwe muyenera kudziwa zokhudza kuyika impso ndi kapamba

Kodi inuyo kapena munthu amene mumamudziwa ali ndi matenda a shuga ndi kulephera kwa impso? Zimenezi zikachitika, moyo umakhala wovuta kwambiri, ndi jakisoni wa insulin mbali imodzi ndi chithandizo cha dialysis mbali inayo... Koma pali opaleshoni yapadera yomwe ingathetse mavuto onsewa nthawi imodzi. Lero tikulankhula za opaleshoni yopatsira impso ndi kapamba. Tiyeni timvetse izi mosavuta.

Kodi kusintha kwa impso ndi kapamba n'chiyani?

Mwachidule, izi zikutanthauza kuti impso yathanzi ndi kapamba wathanzi zimalowetsedwa m'thupi lanu mu opaleshoni imodzi. Madokotala amatchanso izi kuti ndi kulowetsedwa kwa Pancreas ndi Kidney (SPK) kamodzi kokha .

Opaleshoni iyi nthawi zambiri imalimbikitsidwa kwa anthu omwe ali ndi matenda a shuga amtundu woyamba komanso kulephera kwa impso. Kuwonongeka kwa impso kumachitika kawirikawiri ngati matenda a shuga sakulamuliridwa bwino kwa zaka zambiri. Chifukwa chake pambuyo pa opaleshoni iyi, thupi lanu limapezanso mphamvu zake zopangira insulin ndipo impso zanu zimagwiranso ntchito bwino. Nthawi zina, opaleshoni iyi ingakhale yoyeneranso kwa anthu omwe ali ndi matenda a shuga amtundu wachiwiri .

Koma kumbukirani kuti si aliyense amene angachitidwe opaleshoniyi chifukwa ali ndi mavuto onsewa. Ngati dokotala wanu akuganiza kuti mungapindule nayo, adzakutumizani ku gulu la akatswiri odziwa za opaleshoni yopatsirana ziwalo. Adzakuyang'anirani mosamala ndikusankha ngati ndinu woyenera opaleshoniyi.

Ndani ali woyenera opaleshoni iyi?

Ngati muli pachiwopsezo cha kulephera kwa impso kapena mwalephera kale, ndipo mulinso ndi matenda a shuga a Mtundu 1, madokotala anu angaganizire za opaleshoni iyi. Mukatumizidwa ku malo operekera ziwalo, gulu la akatswiri, ogwirizanitsa, ndi ena adzakuyang'anirani mosamala.

Asanawonjezere dzina lanu pamndandanda wa oyembekezera, amaika chidwi chapadera pazinthu zingapo.

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Kodi impso zatsopano ndi kapamba zimachokera kuti?

Vutoli ndi la anthu ambiri. Impso ingapezeke kuchokera kwa wopereka wamoyo. Koma kapamba angapezeke kuchokera kwa wopereka wakufayo. Chifukwa chake, mu opaleshoni iyi ya SPK, nthawi zambiri amayesa kupeza ziwalo zonse ziwiri kuchokera kwa wopereka wakufayo yemweyo.

Wopereka aliyense amayesedwa mosamala kuti atsimikizire kuti alibe matenda opatsirana kapena mavuto ena, komanso kuti agwirizane bwino ndi mtundu wa magazi anu ndi mtundu wa minofu yanu.

Kodi tidzadikira nthawi yayitali bwanji?

N'zovuta kufotokoza nthawi yeniyeni ya izi. Nthawi zambiri zimatenga miyezi 24-36 (zaka 2-3). Ngati wina ali ndi mtundu wa magazi kapena minofu yosowa, zingatenge nthawi yayitali kuti apeze wopereka wofanana naye.

Mukatsimikiza kuti ndinu woyenera, dzina lanu ndi zambiri zachipatala zidzawonjezedwa pamndandanda wa anthu oyembekezera kuikidwa ziwalo za anthu m'dziko lonselo. Wopereka chithandizo wofanana naye akangopezeka, mudzadziwitsidwa. Pambuyo pake, zonse zimachitika mwachangu kwambiri. Muyenera kuchitidwa opaleshoni mkati mwa maola 12 kuchokera pamene choperekacho chachotsedwa m'thupi la woperekayo.

Kodi opaleshoniyi imachitidwa bwanji?

Opaleshoni iyi imachitika pansi pa anesthesia yonse, zomwe zikutanthauza kuti simudzamva chilichonse.

1. Kuika impso: Dokotala wa opaleshoni amacheka m'mimba mwanu. Kuika impso koyamba ndi impso. Impso yatsopano imayikidwa pansi kumanja kapena kumanzere kwa mimba yanu ndikulumikizidwa ndi mitsempha yamagazi ya thupi lanu (mitsempha ndi mitsempha). Kenako ureter ya impso yatsopano imalumikizidwa ndi chikhodzodzo chanu. Pamenepo ndi pomwe mkodzo umachoka m'thupi mwanu. Nthawi zambiri, impso yanu yakale, yomwe ikulephera kugwira ntchito, sichotsedwa.

2. Kusamutsa kapamba:Kenako, kapamba watsopano amaikidwa m'mimba yapansi ndipo amalumikizidwa ndi mitsempha yamagazi yapafupi. Madzi a kapamba omwe kapamba amatulutsa, omwe amathandiza kugaya chakudya, amatumizidwanso m'thupi lanu, ndipo kapamba amalumikizidwa ndi matumbo anu ang'onoang'ono. Monga impso zanu, kapamba wanu wakale nthawi zambiri sachotsedwa.

Chiwalo chatsopano chiyenera kuyamba kugwira ntchito mkati mwa maola ochepa kuchokera pamene opaleshoni yachitika. Izi zikutanthauza kuti kapamba watsopanoyo adzayamba kupanga insulin ndikulamulira kuchuluka kwa shuga m'magazi mwanu. Opaleshoni nthawi zambiri imatenga pakati pa maola 4 ndi 8 .

Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?

Monga opaleshoni iliyonse yaikulu, opaleshoni iyi ili ndi ubwino ndi zoopsa zake.

Ubwino waukulu

Mukachita opaleshoni yopambana, mphamvu zanu, mphamvu zanu, ndi mphamvu zanu zidzawonjezeka. Mudzatha kubwerera ku moyo wabwinobwino.

• Ufulu ku dialysis: Ngati munachita dialysis musanachite opaleshoni, mudzakhala omasuka ku moyo womwe unali wolumikizidwa nayo.
• Kumasuka kwa insulin: Popeza kapamba watsopanoyo amalamulira kuchuluka kwa shuga m'magazi mwanu, mwina simudzafunikiranso jakisoni wa insulin.
• Kukweza moyo: Anthu ambiri amanena kuti moyo wonse ukusintha kwambiri.

Zoopsa ndi zovuta

Popeza ziwalo ziwiri zimabzalidwa nthawi imodzi, zoopsa za opaleshoniyi zimakhala zazikulu pang'ono kuposa za kubzalidwa chiwalo chimodzi chokha.

Zoopsa zazikulu ndi kukana chiwalo chatsopano ndi thupi komanso matenda.

Kukana ndi pamene chitetezo cha mthupi lanu chimazindikira chiwalo chatsopanocho ngati "chachilendo" ndikuyesera kuchiukira. Kuti mupewe izi, muyenera kumwa mankhwala oletsa kukana (immunosuppressants) moyo wanu wonse.

Chifukwa chakuti mankhwala amenewa amafooketsa chitetezo chamthupi chanu, mumakhala ndi mwayi waukulu wopeza matenda ena. Choncho muyenera kusamala kwambiri.

Ngati muli ndi zizindikiro zotsatirazi, dziwitsani dokotala wanu nthawi yomweyo:

• Malungo
• Mafinya kapena madzi akutuluka kuchokera pamalo ochitira opaleshoni
• Kupweteka kwambiri kapena kuvulala pamalo ochitira opaleshoni
• Ululu pokodza

Kuphatikiza apo, pakhoza kukhala zoopsa monga magazi kuundana ndi kutuluka magazi ambiri.

Nthawi yochira ndi kupambana

Pambuyo pa opaleshoni, muyenera kukhala m'chipatala kwa masiku osachepera 10-12. Nthawi zina, mungafunike kukhala m'chipatala kwa mwezi umodzi. Panthawiyi, gulu lachipatala lidzakuyang'anirani mosamala.

Ndikofunikira kumwa mankhwala oletsa chitetezo chamthupi omwe mwapatsidwa moyo wanu wonse pa nthawi yake. Ndikofunikanso kupita kukayezetsa magazi ndi mayeso ena pa masiku omwe dokotala wanu wakupatsani.

Kodi opaleshoniyi yapambana bwanji?

Opaleshoni iyi imapangitsa kuti moyo ukhale wabwino komanso kuti munthu akhale ndi moyo wautali.

• Pali mwayi wa 80% wosafunikira insulin kapena dialysis kwa chaka chimodzi.
• Pali mwayi wa 70% kuti mankhwala onsewa sadzafunika mkati mwa zaka 5 zikubwerazi.

Malinga ndi kafukufuku wa dziko lonse, chiŵerengero cha kupulumuka pambuyo pa opaleshoni iyi ndi:

• Patatha chaka chimodzi: 97%
• Pambuyo pa zaka 5: 92.7%
• Pambuyo pa zaka 10: 79.1%

Izi ndi zokumana nazo zosintha moyo. Ndizachibadwa kukhala ndi mantha ndi opaleshoni. Koma ganizirani za moyo wabwino womwe mudzakhala nawo mutachita opaleshoni. Gulu lanu lachipatala nthawi zonse limakhala lokonzeka kukuthandizani, kuyankha mafunso anu, ndikupangitsa kuti ntchitoyi ikhale yosavuta momwe mungathere. Choncho lankhulani nawo za chilichonse chomwe chili m'maganizo mwanu.