Oko kufuneka ukwazi malunga nokufakelwa kweZintso nePancreas

Ngaba wena okanye umntu omaziyo unesifo seswekile kunye nokungasebenzi kakuhle kwezintso? Xa oko kusenzeka, ubomi buba nzima kakhulu, ngenaliti ye-insulin kwelinye icala kunye nonyango lwe-dialysis kwelinye... Kodwa kukho utyando olukhethekileyo olunokusombulula zombini ezi meko ngaxeshanye. Namhlanje sithetha ngotyando lokufakelwa kwezintso kunye ne-pancreas. Masiqonde oku ngokulula.

Yintoni ukufakelwa kwezintso kunye nepancreas?

Ngamafutshane, oku kuthetha ukuba zombini izintso eziphilileyo kunye nepancreas esempilweni zifakwa emzimbeni wakho ngotyando olunye. Oogqirha bakwabiza oku ngokuthi kukufakelwa kwePancreas and Kidney (SPK) ngaxeshanye .

Olu tyando ludla ngokucetyiswa kubantu abanesifo seswekile sohlobo loku-1 kunye nokungasebenzi kakuhle kwezintso. Ukonakala kwezintso kuqhelekile xa isifo seswekile singalawulwa kakuhle kangangeminyaka. Ngoko ke emva kolu tyando, umzimba wakho ngokwendalo uphinda ukwazi ukuvelisa i-insulin kwaye izintso zakho ziphinde zisebenze ngokuqhelekileyo. Ngamanye amaxesha, olu tyando lunokufaneleka nakubantu abanesifo seswekile sohlobo lwesibini .

Kodwa khumbula, ayinguye wonke umntu onokwenza olu tyando kuba banezi meko zombini. Ukuba ugqirha wakho ucinga ukuba ungazuza kulo, uza kukuthumela kwiqela leengcali zokufakelwa izitho. Baza kukuxilonga ngononophelo baze bagqibe ukuba ufanelekile na kolu tyando.

Ngubani ofanelekileyo kolu tyando?

Ukuba usemngciphekweni wokungasebenzi kakuhle kwezintso okanye sele uhlulekile, kwaye unesifo seswekile sohlobo loku-1, oogqirha bakho banokuluqwalasela olu tyando. Xa uthunyelwa kwiziko lokufakelwa amalungu omzimba, iqela leengcali, abaququzeleli, kunye nabanye baya kukuxilonga ngononophelo.

Ngaphambi kokuba bongeze igama lakho kuluhlu lwabalindileyo, banika ingqalelo ekhethekileyo kwizinto ezimbalwa.

Zivela phi izintso ezintsha kunye nepancreas?

Le yingxaki kubantu abaninzi. Izintso zingafunyanwa kumntu ophilayo onikelayo. Kodwa ipancreas ingafunyanwa kuphela kumntu ofileyo. Ke ngoko, kolu tyando lwe-SPK, kwenziwa umzamo wokufumana amalungu omabini kulowo mntu ufileyo.

Kuza kufuneka silinde ixesha elingakanani?

Kunzima ukunika ixesha elichanekileyo loku. Ngokwesiqhelo kungathatha iinyanga ezingama-24-36 (iminyaka emi-2-3). Ukuba umntu unohlobo lwegazi olungaqhelekanga okanye uhlobo lwethishu, kungathatha ixesha elide ukufumana umnikeli ofanelekileyo.

Wakuba uzimisele ukuba ufanelekile, igama lakho kunye nolwazi lwezonyango luya kongezwa kuluhlu lokulinda lokufakelwa amalungu omzimba kazwelonke. Kwakuba nje kufumaneke umntu oza kunikela amalungu afanayo, uza kwaziswa. Emva koko, yonke into yenzeka ngokukhawuleza. Kuya kufuneka utyando zingadlulanga iiyure ezili-12 emva kokuba amalungu omzimba esusiwe emzimbeni womntu onikelayo.

Lwenziwa njani utyando?

Olu tyando lwenziwa phantsi kwe-anesthesia epheleleyo, oko kuthetha ukuba awuyi kuva nto.

1. Ukufakelwa kwezintso: Ugqirha wenza utyando kwisisu sakho esisezantsi. Ukufakelwa kokuqala yintso. Intso entsha ifakwa kwicala lasekunene okanye lasekhohlo lesisu sakho kwaye iqhagamshelwe kwimithambo yegazi yomzimba wakho (imithambo yegazi kunye nemithambo yegazi). Emva koko i-ureter yezintso entsha iqhagamshelwe kwisinyi sakho. Kulapho umchamo uphuma khona emzimbeni wakho. Kwiimeko ezininzi, izintso zakho ezindala nezingasebenzi kakuhle azisuswa.

2. Ukufakelwa kwePancreas:Okulandelayo, i-pancreas entsha ifakwa kwisisu esisezantsi ize idityaniswe nemithambo yegazi ekufutshane. Ijusi ye-pancreas ekhutshwa yi-pancreas, enceda ekugayeni ukutya, ithunyelwa kwakhona kwinkqubo yakho yokugaya ukutya, kwaye i-pancreas idityaniswe namathumbu akho amancinci. Njengezintso zakho, i-pancreas yakho endala ayisuswa rhoqo.

Isitho esitsha kufuneka siqale ukusebenza kwiiyure ezimbalwa emva kotyando. Oko kuthetha ukuba i-pancreas entsha iya kuqala ukuvelisa i-insulin kwaye ilawule amanqanaba eswekile egazini lakho. Utyando ludla ngokuthatha phakathi kweeyure ezi-4 nezi-8 .

Ziziphi iingenelo kunye neengozi zalo tyando?

Njengalo naluphi na utyando olukhulu, olu luneengenelo kunye neengozi.

Iingenelo eziphambili

Emva kotyando oluphumeleleyo, amandla akho, kunye namandla akho aya kwanda. Uya kukwazi ukubuyela kubomi obuqhelekileyo.

• Inkululeko kwi-dialysis: Ukuba ubukhe wayenza i-dialysis ngaphambi kotyando, uya kukhululeka kubomi obudibene nayo.
• Ukukhululeka kwi-insulin: Ngenxa yokuba i-pancreas entsha ilawula amanqanaba eswekile egazini lakho, kusenokwenzeka ukuba awusayi kuphinda ufune i-insulin injection.
• Ukuphucula umgangatho wokuphila: Abantu abaninzi bathi umgangatho wokuphila uphucuka kakhulu.

Iingozi kunye neengxaki

Ngenxa yokuba amalungu amabini atyalwa ngaxeshanye, iingozi zotyando ziphezulu kancinci kunezo zokufakelwa ilungu elinye kuphela.

Ukwaliwa kuxa inkqubo yomzimba wakho yokuzikhusela ibona isitho esitsha "njengesingaphandle" ize izame ukusihlasela. Ukuthintela oku, kuya kufuneka uthathe amayeza okulwa nokwaliwa (ii-immunosuppressants) ubomi bakho bonke.

Ngenxa yokuba la mayeza ehlisa amandla omzimba wakho, unamathuba amaninzi okufumana ezinye izifo. Ngoko ke kufuneka ulumke kakhulu.

Ukuba unezi mpawu zilandelayo, yazisa ugqirha wakho ngoko nangoko:

• Ifiva
• Ukukhupha ubomvu okanye ulwelo kwindawo yotyando
• Intlungu ebuhlungu okanye ukukrweleka kwindawo yotyando
• Intlungu xa uchama

Ukongeza, kunokubakho iingozi ezifana nokuqhekeka kwegazi kunye nokopha kakhulu.

Ixesha lokubuyisela kunye nempumelelo

Emva kotyando, kuya kufuneka uhlale esibhedlele ubuncinane iintsuku ezili-10-12. Kwezinye iimeko, kunokufuneka uhlale ukuya kuthi ga kwinyanga. Ngeli xesha, iqela lezonyango liya kukubeka esweni ngokusondeleyo.

Kubalulekile ukuthatha amayeza okunciphisa uxinzelelo lomzimba owanikwe wona ubomi bakho bonke ngexesha. Kukwabaluleke kakhulu ukuya kuvavanyo lwegazi kunye nolunye uvavanyo kwiintsuku ezimiselwe ngugqirha wakho.

Luphumelele kangakanani olu tyando?

Olu tyando luphucula umgangatho wobomi kunye nobomi.

• Kukho amathuba angama-80% okungafuni i-insulin okanye i-dialysis unyaka wonke.
• Kukho amathuba angama -70% okuba zombini ezi ndlela zonyango aziyi kufuneka kwiminyaka emihlanu ezayo.

Ngokwezifundo zesizwe, izinga lokusinda emva kolu tyando:

• Emva konyaka: 97%
• Emva kweminyaka emi-5: 92.7%
• Emva kweminyaka eli-10: 79.1%

Eli liva elitshintsha ubomi ngokwenene. Kuqhelekile ukuba nexhala malunga notyando. Kodwa cinga ngomgangatho ophucukileyo wobomi oza kuba nawo emva kotyando. Iqela lakho lezonyango lihlala likulungele ukukunceda, liphendule imibuzo yakho, kwaye lenze le nkqubo ibe lula kangangoko kunokwenzeka. Ngoko ke thetha nabo ngayo nayiphi na into esengqondweni yakho.