Iwe kana mumwe munhu waunoziva ane chirwere cheshuga nekutadza kushanda zvakanaka kweitsvo here? Kana izvozvo zvikaitika, hupenyu hunova hwakaoma zvikuru, nejekiseni re insulin kune rumwe rutivi uye kurapwa kwe dialysis kune rumwe rutivi... Asi kune kuvhiyiwa kwakakosha kunogona kugadzirisa matambudziko ese aya panguva imwe chete. Nhasi tiri kutaura nezvekuvhiyiwa kweitsvo nepancreas transplant. Ngatinzwisisei izvi zviri nyore.
Measure kidney function based on creatinine value
Chii chinonzi kuisirwa itsvo nepancreas?
Zvichitaurwa zviri nyore, izvi zvinoreva kuti itsvo ine hutano nepancreas ine hutano zvinoiswa mumuviri wako nekuvhiyiwa kumwe chete. Vanachiremba vanotiwo izvi zvinoiswa pamwe chete nepancreas neKidney (SPK) .
Kuvhiyiwa uku kunowanzo kurudzirwa kuvanhu vane chirwere cheshuga cherudzi rwekutanga uye itsvo dzakatadza kushanda zvakanaka. Kukuvara kweitsvo kunowanzoitika kana chirwere cheshuga chisina kudzorwa zvakanaka kwemakore. Saka mushure mekuvhiyiwa uku, muviri wako unodzoka zvakare kugona kwawo kugadzira insulin uye itsvo dzako dzinoshanda zvakanaka zvakare. Dzimwe nguva, kuvhiyiwa uku kunogonawo kukodzera vanhu vane chirwere cheshuga cherudzi rwechipiri .
Asi yeuka, havasi vese vanogona kuvhiyiwa uku nekuti vane matambudziko ese ari maviri aya. Kana chiremba wako achifunga kuti ungabatsirwa nazvo, achakutumira kuchikwata chenyanzvi dzezvekuisira nhengo dzemuviri. Vachakuongorora zvakanaka voona kana wakakodzera kuita izvi.
Ndiani akakodzera kuvhiyiwa uku?
Kana uri panjodzi yekukundikana kweitsvo kana kuti wakatokundikana, uye une chirwere cheshuga cheType 1, vanachiremba vako vanogona kufunga nezvekuvhiyiwa uku. Paunotumirwa kunzvimbo yekuisa nhengo, timu yenyanzvi, varongi, nevamwe vachanyatsokuongorora.
Vasati vaisa zita rako pane vakamirira, vanoisa pfungwa dzavo pazvinhu zvishoma.
| Kufunga nezvako | Tsananguro |
|---|---|
| Hutano hwese | Tichatarisa hutano hwako, kusanganisira kana uchisvuta kana kushandisa zvinodhaka. |
| Nhoroondo yezvekurapa | Uri kuongororwa kuti uone kana uine kenza kana zvimwe zvirwere zvakakomba. |
| Miedzo yemuviri neyepfungwa | Kuongororwa kwemuviri kwakakwana uye kuongororwa kwepfungwa kunoitwa kuti zvionekwe kana wakagadzirira mupfungwa dzako kusangana nekuvhiyiwa kukuru kwakadaro. |
| Basa renhengo dzemuviri | Miedzo yakakosha inoitwa kuti ione mashandiro enhengo huru dzakadai seitsvo, pancreas, moyo, mapapu, uye dundira. |
Adjustable medical memory-foam backrest, head, knee, and leg elevation wedge system for post-operative recovery, acid reflux, and edema reduction, plus medical scar tape.
Itsvo itsva nepancreas zvinobva kupi?
Iri idambudziko revanhu vazhinji. Itsvo inogona kuwanikwa kubva kumupi mupenyu. Asi pancreas inogona kuwanikwa chete kubva kumupi akafa. Saka, mukuvhiyiwa uku kweSPK, kuyedza kunowanzoitwa kuti nhengo dzese dziri mbiri dzibve kumupi mumwe chete akafa.
Munhu wese anopa ropa anoongororwa zvakanaka kuti ave nechokwadi chekuti haana zvirwere zvinotapukira kana zvimwe zvinetso, uye kuti anoenderana nerudzi rweropa rako nerudzi rwenyama.
Tichafanira kumirira kwenguva yakareba sei?
Zvakaoma kupa nguva chaiyo yeizvi. Zvinogona kutora mwedzi 24-36 (makore 2-3). Kana munhu aine rudzi rweropa rusingawanzoitiki kana rudzi rwenyama, zvinogona kutora nguva yakareba kuti awane mupi anoenderana nazvo.
Kana wangoona kuti wava kunyatsokodzera, zita rako neruzivo rwekurapa zvichawedzerwa pane runyorwa rwevanhu vakamirira kuiswa nhengo dzemuviri. Kana munhu akakodzera angowanikwa, uchaziviswa. Mushure meizvozvo, zvese zvinoitika nekukurumidza. Uchafanirwa kuvhiyiwa mukati memaawa gumi nemaviri kubva pakubviswa kwenhengo mumuviri wemunhu akapihwa.
Kuvhiyiwa uku kunoitwa sei?
Kuvhiyiwa uku kunoitwa pasi peanesthesia yakazara, zvichireva kuti hapana chaunonzwa.
1. Kuisirwa itsvo: Chiremba anochera dumbu rako rezasi. Kuisirwa kwekutanga itsvo. Itsvo itsva inoiswa padivi rezasi rerudyi kana reruboshwe redumbu rako uye yakabatana netsinga dzeropa dzemuviri wako (tsinga netsinga). Zvadaro ureter yeitsvo itsva inosanganisirwa nedundira rako. Ndipo panobuda weti mumuviri wako. Kazhinji, itsvo yako yekare, isingashande zvakanaka haibviswi.
2. Kuisirwa kwepancreas:Zvadaro, pancreas itsva inoiswa mudumbu rezasi uye yakabatana netsinga dzeropa dziri pedyo. Muto wepancreas unoburitswa nepancreas, unobatsira kugaya chikafu, unodzoserwa mudumbu rako, uye pancreas yakabatana neura hwako hudiki. Kufanana neitsvo dzako, pancreas yako yekare haibviswi.
Nhengo itsva inofanira kutanga kushanda mukati memaawa mashoma mushure mekuvhiyiwa. Izvi zvinoreva kuti pancreas itsva ichatanga kugadzira insulin uye kudzora huwandu hweshuga muropa rako. Kuvhiyiwa kunowanzo tora pakati pemaawa mana kusvika masere .
Ndezvipi zvakanakira uye njodzi dzekuvhiyiwa uku?
Kufanana nekuvhiyiwa kupi zvako kukuru, uku kune zvakanakira uye njodzi.
Zvakanakira zvikuru
Mushure mekuvhiyiwa kwakabudirira, simba rako, simba rako, uye simba rako zvichawedzera. Uchakwanisa kudzokera kuhupenyu hwako hwemazuva ese.
- Rusununguko kubva mudialysis: Kana wakambovhiyiwa usati wavhiyiwa, uchasunungurwa kubva muhupenyu hwaibatanidzwa nayo.
- Kusununguka kweinsulini: Nekuti pancreas itsva inodzora huwandu hweshuga muropa rako, ungangozoda jekiseni re insulin zvakare.
- Kuvandudza mararamiro: Vanhu vazhinji vanoti mararamiro ari kuvandudzika zvakanyanya.
Njodzi nematambudziko
Nekuti nhengo mbiri dzinosimwa panguva imwe chete, njodzi dzekuvhiyiwa kwacho dzakanyanya kupfuura dzekusimwa nhengo imwe chete.
Njodzi huru ndeyekurambwa kwenhengo itsva nemuviri uye hutachiona.
Kurambwa ndiko apo masoja emuviri wako anoona nhengo itsva se "yekunze" uye anoedza kuirwisa. Kuti udzivise izvi, uchafanira kutora mishonga inodzivisa kurambwa (immunosuppressants) kwehupenyu hwako hwese.
Nekuti mishonga iyi inopedza simba remuviri wako, une mukana wekuwana mamwe hutachiona. Saka unofanira kungwarira zvikuru.
Kana uine zviratidzo zvinotevera, zivisa chiremba wako nekukasika:
- Kupindwa nechando
- Urwa kana kuti mvura iri kubuda panzvimbo yekuvhiyiwa
- Kurwadziwa kwakanyanya kana kukuvadzwa panzvimbo yekuvhiyiwa
- Kurwadziwa pakuita weti
Pamusoro pezvo, panogona kuva nenjodzi dzakadai sekugwamba kweropa uye kubuda ropa rakawanda.
Nguva yekupora uye kubudirira
Mushure mekuvhiyiwa, uchafanira kugara muchipatara kwemazuva angangoita gumi kusvika gumi nemaviri. Mune zvimwe zviitiko, ungangoda kugara kwemwedzi unosvika mumwe chete. Munguva iyi, timu yezvekurapa ichakutarisa zvakanyanya.
Zvakakosha kutora mishonga inodzvinyirira immune system yawakanyorerwa hupenyu hwako hwese nenguva. Zvakakoshawo kuenda kunoongororwa ropa uye kuongororwa mimwe mishonga pamazuva akanyorerwa nachiremba wako.
Kuvhiyiwa uku kwakabudirira sei?
Kuvhiyiwa uku kunovandudza hupenyu uye hupenyu hwemurwere.
- Pane mukana we80% wekusada insulin kana dialysis kwegore rose.
- Pane mukana we70% wekuti kurapwa uku kwese hakuzodiwi mukati memakore mashanu anotevera.
Zvichienderana neongororo dzenyika, mwero wekurarama mushure mekuvhiyiwa uku ndewekuti:
- Mushure megore: 97%
- Mushure memakore mashanu: 92.7%
- Mushure memakore gumi: 79.1%
Ichi chiitiko chinochinja hupenyu zvechokwadi. Zvakajairika kuti unzwe kutya nezvekuvhiyiwa. Asi funga nezvehupenyu huri nani hwauchava nahwo mushure mekuvhiyiwa. Chikwata chako chekurapa chinogara chakagadzirira kukubatsira, kupindura mibvunzo yako, uye kuita kuti maitiro aya ave nyore sezvinobvira. Saka taura navo nezvechero chiri mupfungwa dzako.
Mharidzo Yekuenda Nayo Kumba
- Kuisirwa itsvo pamwe chete nepancreas (SPK) inzira yekurapa chirwere cheshuga cherudzi rwekutanga pamwe chete nekutadza kushanda kweitsvo panguva imwe chete.
- Mushure mekuvhiyiwa uku, pane mukana mukuru wekuti munhu asapindwe jekiseni re insulin uye kurapwa ne dialysis.
- Mishonga yakakosha (immunosuppressants) inofanira kutorwa kwehupenyu hwako hwese kudzivirira muviri kuti usarambe nhengo itsva.
- Kunyangwe paine njodzi nekuti uku kuvhiyiwa kukuru, mwero wekubudirira uye kunaka kwehupenyu zvakanyanya.
- Kana uine zvinokunetsa nezvazvo, taura pachena nachiremba wako nezvazvo.
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