Ngaba ungumntu ofaka i-insulin yonke imihla, ojonga amanqanaba eswekile egazini lakho izihlandlo ezininzi ngemini, kwaye ocinga kakhulu ngento oyityayo neyiselayo? Mhlawumbi uyazi ukuba kunzima kangakanani ukuphila nesifo seswekile sohlobo loku-1, ngakumbi. Ngoko ke, ungacinga ubomi ngaphandle kwezi naliti, ukutya, kunye nokuhlolwa rhoqo? Kaloku, utyando lokufakelwa i-pancreas esithetha ngalo namhlanje luyimpendulo yaloo mbuzo ngandlela thile. Nangona le yingongoma enzima, masithethe ngayo ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, yintoni ukufakelwa kwepancreas?
Ukufakelwa kwepancreas yinkqubo yotyando apho ipancreas ephilileyo evela kumntu oswelekileyo ifakwa khona ukuze ithathe indawo yepancreas yakho enesifo nengasebenzi kakuhle.
Khawucinge nje, ngaphakathi emzimbeni wethu, ngasemva kwesisu, kukho ilungu elibizwa ngokuba yipancreas. Omnye wemisebenzi yalo ephambili kukuvelisa ihomoni ebizwa ngokuba yi-insulin. Le insulin inceda iiseli zomzimba ukuba zifunxe iswekile, okanye iglucose, efumaneka ekutyeni esikutyayo kwaye ziyisebenzisele amandla.
Ngoku, okwenzekayo kumntu onesifo seswekile sohlobo loku-1 kukuba inkqubo yakhe yokuzikhusela yomzimba itshabalalisa ngempazamo iiseli ezivelisa i-insulin kwi-pancreas. Emva koko imveliso ye-insulin iyancipha kakhulu, okanye ayifumaneki kwaphela. Yiyo loo nto kufuneka bafake i-insulin ngaphandle.
Ngubani ngokwenene odinga olu tyando?
Olu tyando alulungelanga wonke umntu onesifo seswekile. Lujoliswe ikakhulu kubantu abanesifo seswekile sohlobo loku-1 abakwimeko embi kakhulu kwaye banobunzima bokulawula amanqanaba eswekile egazini. Oogqirha bacinga ngolu khetho kubantu abanamanqanaba eswekile egazini angalawulwa kakuhle nokuba banikwa unyango lwe-insulin rhoqo kwaye bafumana iingxaki ezixhaphakileyo nezinzima.
Enye yezona ngxaki zinzima zesifo seswekile sohlobo loku-1 kukonakala kwezintso. Xa amanqanaba eswekile egazini ehlala ephezulu kwaye engalawuleki ixesha elide, inokonakalisa izintso kwaye ikhokelele ekusileleni kwezintso. Enyanisweni, abantu abaninzi abafanelekela ukufakelwa ipancreas sele benokusilela kwezintso.
Ngoko ke, olu tyando alusoloko lwenziwa lodwa. Ukufakelwa kwezintso kwenziwa ngaxeshanye nokufakelwa kwepancreas. Oku kubizwa ngokuba yi-'Simultaneous Pancreas-Kidney (SPK) transplant'.
Emva kokuba ipancreas esempilweni ityaliwe, iqala ukuvelisa i-insulin ngokwendalo, oko kuthetha ukuba umntu onesifo seswekile unethuba lokuzimela kwi-insulin.
Zithini iingenelo zokufakelwa i-pancreas?
Le yeyona ndlela ikufutshane esinokuyifumana ngayo unyango lwesifo seswekile sohlobo loku-1. Emva kolu tyando, uya kuba nethuba lokuphila ubomi obungcono nobude. Khawucinge ukuba ubuya kukhululeka kangakanani kwezi zinto?
- Ukujonga iswekile yakho yegazi yonke imihla: Ungayeka ukuhlaba umnwe wakho izihlandlo ezininzi ngemini ukuze uhlole igazi kwaye ujonge iswekile yakho.
- Iinaliti ze-insulin: Ungasusa uxanduva lokufumana iinaliti zakho ngexesha yonke imihla.
- Ulawulo olungqongqo lokutya: Akunyanzelekanga ukuba ukhathazeke ngayo yonke into oyityayo. Ungatya ngendlela eqhelekileyo.
- Umngcipheko weengxaki zesifo seswekile: Umonakalo wexesha elide obangelwa sisifo seswekile emehlweni, ezintso, kwimithambo-luvo nakwintliziyo unokuthintelwa.
Kwenzeka ntoni ngaphambi kotyando? Ndilungiselela njani?
Ukuba ugqirha wakho ucinga ukuba ungaba ngumntu ofanelekileyo kolu tyando, uza kuthunyelwa kwiqela leengcali (iqela lokufakelwa izitho). Emva koko uza kwenziwa uvavanyo olunzulu kakhulu. Oku kuza kujonga ukuba usempilweni na ngokwasemzimbeni nangokwengqondo ukuze wenze olu tyando lukhulu.
| Uvavanyo / Uvavanyo | Ulindele ntoni kuyo? |
|---|---|
| Uvavanyo lwegazi nomchamo | Jonga ukusebenza kwamanye amalungu omzimba, njengezintso zakho nesibindi, kunye nempilo yakho iyonke. |
| Uvavanyo olupheleleyo lomzimba | Qinisekisa ukuba akukho ezinye iimeko zempilo ezinokuchaphazela utyando. |
| Izifundo ze-immunological | Fumana uhlobo lwethishu yakho uze ufumane uncedo lokufumana eyona ifanelekileyo kuwe. |
| Uvavanyo lokufota | Yenza iiskeni ezifana ne-ultrasound kunye ne-MRI ukuze uvavanye imeko yezitho zangaphakathi zomzimba wakho kwaye ucwangcise utyando. |
| Uvavanyo lwengqondo | Qiniseka ukuba uyaqonda kakuhle ubunzulu bolu tyando, iingozi, kunye namanyathelo okhuseleko obomi bonke ekufuneka uwalandele emva kotyando. |
Ukuba uphumelela kuzo zonke ezi zinto, iqela lezonyango liza kukubeka kuluhlu lwesizwe lokulinda i-pancreas. Ngelixa ukuloluhlu, kusenokufuneka ulinde iinyanga, okanye iminyaka, ukuze kubekho isitho esifanelekileyo.
Yintoni omele uyenze xa ukuluhlu lokulinda?
Eli xesha libaluleke kakhulu. Kufuneka ube sempilweni kangangoko unako kuba kufuneka ulungele utyando kwangoko nje emva kokuba ufumene umnxeba wokuba kufunyenwe ilungu elifanayo.
- Iintlanganiso zogqirha: Qiniseka ukuba uya kuzo zonke iikliniki okanye uvavanyo olunikiweyo.
- Imikhwa emibi: Ukuba uyatshaya, yeka ngokupheleleyo. Nciphisa utywala.
- Ukuzilolonga: Zilolonge ngokwemiyalelo kagqirha wakho, njengoko kufanelekile kwimeko yakho yempilo.
- Amayeza: Thatha onke amayeza anikwe ngugqirha ngexesha elifanelekileyo.
- Utshintsho kwimpilo: Ukuba ufumana naluphi na utshintsho kwimpilo yakho (umkhuhlane, ukukhwehlela, intlungu entsha), yazisa iqela lakho lezonyango ngoko nangoko.
Kwakhona, kufuneka uhlale ulungile kuba umnxeba ungafika nangaliphi na ixesha uxela ukuba kufunyenwe ilungu elifanayo.
- Gcina ifowuni yakho ikufutshane nawe ngamaxesha onke, isebenza kakuhle.
- Lungisa ibhegi enempahla nezinto eziyimfuneko ukuze uye esibhedlele.
- Xelela usapho lwakho, abahlobo, kunye nendawo osebenza kuyo ngale nto ukuze bakwazi ukukunceda xa kufuneka uhambe ngexesha likaxakeka.
Lwenziwa njani olu tyando?
Utyando lokufakelwa i-pancreas ludla ngokuthatha iiyure ezi-3 ukuya kwezi-5 . Ukuba nezintso nazo zifakelwe, ixesha linokuba malunga neliphindwe kabini kunelo.
Uza kuba phantsi kwe-anesthesia jikelele kulo lonke utyando. Oku kuthetha ukuba awuyi kuva nto kwaye uza kube ulele ngokupheleleyo. Ugqirha uza kwenza utyando ngolu hlobo lulandelayo:
1. Ukwenza i-incision: Kwenziwa i-incision ende esiswini sakho, ukusuka ngaphantsi kwesifuba sakho ukuya ngaphantsi kwenkaba yakho. Ngamanye amaxesha kunokwenziwa i-incisions ezongezelelweyo kwindawo ephakathi kwesisu sakho namathanga.
2. Ukufakelwa amalungu omzimba: I-pancreas ephilileyo ethathwe kumntu onikelayo ifakwa kwicala lasekunene lesisu sakho.
3. Uqhagamshelwano: I-pancreas entsha iqhagamshelwe kwimithambo yegazi ekufutshane kunye namathumbu akho amancinci.
4. I-pancreas endala:Eyona nto ibalulekileyo kukuba ipancreas yakho endala negulayo ayisuswanga emzimbeni wakho. Isizathu sokuba ishiywe apho kukuba isavelisa iijusi zokugaya ukutya.
5. Ukuvalwa kwe-Incision: Ekugqibeleni, i-incisions ivalwa nge-stitches.
Kwenzeka ntoni emva kotyando?
Ukuba utyando luphumelele, i-pancreas entsha etyaliweyo iya kuqala ukuvelisa i-insulin phantse ngoko nangoko.
Emva kotyando, uza kudluliselwa kwiyunithi ekhethekileyo (edla ngokuba yiyunithi yokhathalelo olunzulu), apho iqela lezonyango liza kukubeka esweni ngokusondeleyo.
- Ngaba kukho naziphi na iingxaki ezinokubakho ngenxa yotyando?
- Ngaba kukho naziphi na iimpawu zokungavunyelwa kwamalungu omzimba?
- Ngaba uza kuphila emva kokusebenzisa i-anesthesia?
Ngeli xesha, uya kuba neemashini ezininzi kunye neetyhubhu ezidityaniswe nomzimba wakho. Ziya kukunika ulwelo kunye nezondlo, ioksijini, kunye neentlungu. Uya kuba netyhubhu yokukhupha umchamo kunye netyhubhu enye yokukhupha igazi kunye nolwelo kwindawo yotyando. Musa ukoyika ezi zinto, zonke zenzelwe ukukunceda uphile ngokukhawuleza.
Ukuba akukho ngxaki, uza kudluliselwa kwigumbi lokufakelwa isidoda kwiintsuku ezimbalwa. Ngokwesiqhelo kuya kufuneka uhlale esibhedlele iiveki ezimbini ukuya kwezintathu emva kokufakelwa isidoda.
Zithini iingozi kunye neengxaki zolu tyando?
Ngenxa yokuba olu lutyando olunzima kakhulu, kunokubakho iingozi kunye neengxaki ezithile.
- Amahlwili egazi: Kukho umngcipheko wokuba amahlwili egazi avele kwimithambo yegazi emva kotyando.
- Usulelo: Njengakwezinye iintlobo zotyando, kukho umngcipheko wosulelo.
- Ukwaliwa kwamalungu omzimba: Lo ngowona mceli mngeni mkhulu. Ngamafutshane, inkqubo yomzimba wakho yokuzikhusela iyaziqonda iipancreas ezintsha njenge "zangaphandle" kwaye izama ukuzihlasela.
- I-Pancreatitis: I-pancreas entsha etyaliweyo isenokudumba okanye ivuvuke.
Iqela lezonyango lenza konke okusemandleni alo ukulawula nokuthintela ezi ngozi.
Kuza kuthatha ixesha elingakanani ukubuyela kubomi obuqhelekileyo?
Kungathatha ukuya kuthi ga kwiinyanga ezintandathu ukuze umntu aphile ngokupheleleyo. Oku kuyahluka kumntu ngamnye. Inkqubo yokuchacha ngokubanzi yile ilandelayo:
- Ukususwa kwesititshi: Izititshi ziya kususwa kwiiveki ezintathu.
- Uvavanyo lwezonyango: Kwiinyanga zokuqala ezimbalwa, kuya kufuneka undwendwele isibhedlele rhoqo ukuze uvavanye igazi nezinye iimvavanyo. Ezi vavanyo ziya kujonga ukuba isitho esitsha sisebenza kakuhle na kwaye akukho zimpawu zokungamkeleki.
- Ukuzilolonga: Emva kweeveki ezintandathu, ungaqala ukuzilolonga okulula. Izinto ezifana nokuphakamisa iintsimbi akufuneki zenziwe kangangeenyanga ezimbalwa.
- Umsebenzi:Kuza kufuneka ndithathe ikhefu leenyanga ezimbalwa ukuze ndiye emsebenzini.
Iqela lakho lezonyango liza kukunika iingcebiso ezahlukeneyo kuyo yonke le nto.
Ngaba kukho amayeza endimele ndiwasebenzise ubomi bam bonke?
Ewe. Oku kubaluleke kakhulu. Emva kotyando, kuya kufuneka uthathe amayeza abizwa ngokuba yi-immunosuppressants ubomi bakho bonke.
La mayeza asebenza ngokuthintela amasosha omzimba wakho ekuhlaseleni (ekwaleni) i-pancreas entsha. La mayeza anokuba nemiphumo emibi. Nangona kunjalo, ungayeki ukuthatha la mayeza okanye utshintshe umthamo ngaphandle kokuthetha nogqirha wakho kuqala. Ukwenza njalo kunokubangela ukuba umzimba wakho ungawamkeli amalungu amatsha kwaye utyando lungaphumeleli.
Ziziphi iimpawu ezifuna utyelelo olukhawulezileyo kugqirha?
Iqela lakho lezonyango liza kukunika imiyalelo yokuba uqhubeke nokulandela, kodwa ukuba ufumana naziphi na iimpawu ezilandelayo zosulelo okanye ukwaliwa kwamalungu omzimba, kufuneka ufune ingcebiso kagqirha ngoko nangoko.
| Iimpawu ekufuneka uziqaphele | Inkcazo |
|---|---|
| Umkhuhlane kunye nokubanda | Ukuba nomkhuhlane ongaphezulu kwama-37 degrees Celsius (100 Fahrenheit). |
| Intlungu | Intlungu okanye ukurhawuzelelwa kwindawo yepancreas esandula ukufakelwa (icala lasekunene lesisu). |
| Iintlungu zomzimba | Iintlungu zomzimba ezingaqhelekanga, kuquka neentloko ezibuhlungu. |
| Isicaphucaphu okanye ukuhlanza | Ukucaphuka okanye ukuhlanza okungapheliyo. |
| Ukudumba okanye ukuzuza ubunzima | Ukudumba komzimba okanye ukunyuka kobunzima ngequbuliso. |
| Ukuncipha kokuchama | Ukuphuma komchamo kuncinci kunesiqhelo. |
Ekugqibeleni, ukufakelwa i-pancreas lukhetho olubaluleke kakhulu lonyango lwesifo seswekile sohlobo 1 esinzima. Nangona lutyando olunzima nolunobungozi, ukuba luphumelele, lunokukhokelela kubomi obuzimeleyo, obungenazo iinaliti ze-insulin, iingxaki zeswekile, kunye neengxaki. Ngaphambi kokuba wenze isigqibo, kubalulekile ukuxoxa ngale nto nogqirha wakho kwaye uqonde zombini izinto ezilungileyo nezingalunganga.
Umyalezo Wokuya Ekhaya
- Ukufakelwa i-pancreas lutyando olukhulu olwenziwa ikakhulu kwisifo seswekile sohlobo 1 esinzima nesingenakulawulwa.
- Oku kukuvumela ukuba ungabi nazinaliti ze-insulin, uvavanyo lwegazi oluqhubekayo, kunye nolawulo olungqongqo lokutya.
- Oku kudla ngokwenziwa kunye nokufakelwa izintso.
- Emva kotyando, kuya kufuneka uthathe amayeza okunciphisa umzimba ubomi bakho bonke ukuze umzimba wakho ungalamkeli ilungu elitsha.
- Olu luhambo olude ukusuka kuvavanyo ukuya ekuchacheni ngokupheleleyo, kwaye lufuna umonde, ukuzinikela, kunye nobudlelwane obusondeleyo neqela lezonyango.
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