Ingabe isifo sikashukela singelapheka? Konke mayelana nokufakelwa kwama-pancreas.

Ingabe ungumuntu ofaka i-insulin nsuku zonke, ohlola amazinga kashukela egazini lakho izikhathi eziningana ngosuku, futhi ocabanga kakhulu ngalokho okudlayo nokuphuzayo? Cishe uyazi ukuthi kunzima kangakanani ukuphila nesifo sikashukela sohlobo 1, ikakhulukazi. Ngakho-ke, ungacabanga yini ngempilo ngaphandle kwale mijovo, ukudla okudlayo, nokuhlolwa njalo? Nokho, ukuhlinzwa kokufakelwa i-pancreas esikhuluma ngakho namuhla kuyimpendulo yalowo mbuzo ngezinga elithile. Nakuba lesi kuyisihloko esiyinkimbinkimbi kancane, ake sixoxe ngaso kalula, ngendlela ongayiqonda.

Kalula nje, kuyini ukufakelwa kwe-pancreas?

Ukufakelwa i-pancreas inqubo yokuhlinzwa lapho kufakelwa khona i-pancreas enempilo evela kumuntu oshonile ukuze ithathe indawo ye-pancreas yakho enesifo futhi engasebenzi kahle.

Cabanga nje, ngaphakathi emzimbeni wethu, ngemuva kwesisu, kukhona isitho esibizwa ngokuthi i-pancreas. Omunye wemisebenzi yaso eyinhloko ukukhiqiza i-hormone ebizwa ngokuthi i-insulin. Le insulin isiza amangqamuzana omzimba ukuthi amunce ushukela, noma i-glucose, etholakala ekudleni esikudlayo futhi ayisebenzisele amandla.

Manje, okwenzekayo kumuntu onesifo sikashukela sohlobo 1 ukuthi amasosha omzimba wakhe abhubhisa ngephutha amangqamuzana akhiqiza i-insulin kuma-pancreas. Ngemuva kwalokho ukukhiqizwa kwe-insulin kuncipha kakhulu, noma kungabikho nhlobo. Yingakho kufanele afake i-insulin ngaphandle.

Ubani ngempela odinga lokhu kuhlinzwa?

Lokhu kuhlinzwa akulona olwawo wonke umuntu onesifo sikashukela. Kuhloswe kakhulu kubantu abanesifo sikashukela sohlobo 1 abasesimweni esibi kakhulu futhi abanobunzima bokulawula amazinga abo kashukela egazini. Odokotela bacabangela le ndlela kubantu abanamazinga kashukela egazini angalawulwa kahle ngisho nangokwelashwa njalo nge-insulin futhi ababhekana nezinkinga ezivame kakhulu nezinzima.

Enye yezinkinga ezinkulu kakhulu zesifo sikashukela sohlobo 1 ukulimala kwezinso. Uma amazinga kashukela egazini ehlala ephezulu futhi engalawuleki isikhathi eside, kungalimaza izinso futhi kuholele ekuhlulekeni kwezinso. Eqinisweni, abantu abaningi abafanelekela ukufakelwa i-pancreas sebevele benokwehluleka kwezinso.

Ngemva kokuba i-pancreas enempilo itshalwe kabusha, iqala ukukhiqiza i-insulin ngokwemvelo, okusho ukuthi umuntu onesifo sikashukela unethuba lokuzimela kwi-insulin.

Yiziphi izinzuzo zokufakelwa i-pancreas?

Lesi yisona sigaba esiseduze kakhulu esingasithola ekwelapheni isifo sikashukela sohlobo 1. Ngemva kwalokhu kuhlinzwa, uzothola ithuba lokuphila impilo engcono nende. Cabanga ukuthi ubungakhululeka kangakanani kulezi zinto?

• Ukuhlola ushukela egazini lakho nsuku zonke: Ungayeka ukubhoboza umunwe wakho izikhathi eziningana ngosuku ukuze uhlole igazi futhi uhlole ushukela wakho.
• Imijovo ye-insulin: Ungasusa umthwalo wemfanelo wokuthola imijovo yakho ngesikhathi nsuku zonke.
• Ukulawula ukudla okuqinile: Akudingeki ukhathazeke ngakho konke okudlayo. Ungadla ngendlela evamile.
• Ingozi yezinkinga zesifo sikashukela: Umonakalo wesikhathi eside obangelwa isifo sikashukela emehlweni, ezinso, ezinzwa nasenhliziyweni ungavinjelwa.

Kwenzekani ngaphambi kokuhlinzwa? Ngilungiselela kanjani?

Uma udokotela wakho ecabanga ukuthi ungase ube umuntu ofanelekela lokhu kuhlinzwa, uzothunyelwa eqenjini lochwepheshe (ithimba lokufakelwa izitho). Uzobe usuhlolwa kabanzi. Lokhu kuzohlola ukuthi uphilile ngokomzimba nangokwengqondo yini ukuze uhlinzwe kakhulu kangaka.

Uma udlula konke lokhu, ithimba lezokwelapha lizokufaka ohlwini lukazwelonke lokulinda i-pancreas. Ngesikhathi ukulolu hlu, kungadingeka ulinde izinyanga, noma ngisho neminyaka, ukuze kutholakale isitho esifanayo.

Yini okufanele uyenze uma usohlwini lokulinda?

Lesi sikhathi sibaluleke kakhulu. Udinga ukuba nempilo enhle ngangokunokwenzeka ngoba udinga ukulungela ukuhlinzwa ngokushesha nje lapho uthola ucingo lokuthi kutholakale isitho esifanelana naso.

• Ama-aphoyintimenti kadokotela: Qiniseka ukuthi uya kuyo yonke imitholampilo noma ukuhlolwa okunikezwe udokotela.
• Imikhuba emibi: Uma ubhema, yeka ngokuphelele. Nciphisa utshwala.
• Ukuzivocavoca: Vivinya umzimba ngokwemiyalelo kadokotela wakho, njengoba kufanele isimo sakho sempilo.
• Imithi: Thatha yonke imithi oyinikezwe udokotela ngesikhathi.
• Izinguquko empilweni: Uma uhlangabezana nanoma yiziphi izinguquko empilweni yakho (umkhuhlane, ukukhwehlela, ubuhlungu obusha), yazisa ithimba lakho lezokwelapha ngokushesha.

Futhi, kufanele uhlale ulungele ngoba ucingo lungafika noma nini luthi kutholakale isitho esifanelana naso.

• Gcina ifoni yakho inawe ngaso sonke isikhathi, isebenza kahle.
• Lungisa isikhwama esinezingubo nezinto ezibalulekile ozidingayo ukuze uye esibhedlela.
• Tshela umndeni wakho, abangani, kanye nendawo yokusebenza ngalokhu ukuze bakusize uma kudingeka uhambe esimweni esiphuthumayo.

Ukuhlinzwa kwenziwa kanjani?

Ukuhlinzwa kokufakelwa i-pancreas kuvame ukuthatha amahora ama-3 kuya kwangu-5 . Uma nenso ifakelwa, isikhathi singaba cishe kabili kunalokho.

Uzoba ngaphansi kwe-anesthesia ejwayelekile phakathi nokuhlinzwa. Lokhu kusho ukuthi ngeke uzizwe lutho futhi uzolala ngokuphelele. Udokotela ohlinzayo uzokwenza ukuhlinzwa kanje:

1. Ukwenza i-incision: Kwenziwa i-incision ende esiswini sakho, kusukela ngaphansi kwesifuba sakho kuya ngaphansi kwenkaba yakho. Ngezinye izikhathi kungase kwenziwe i-incision eyengeziwe endaweni ephakathi kwesisu sakho namathanga.

2. Ukufakelwa kwezitho zomzimba: I-pancreas enempilo ethathwe kumuntu onikelayo ifakwa ohlangothini lwesokudla lwesisu sakho.

3. Ukuxhumana: I-pancreas entsha ixhunywe emithanjeni yegazi eseduze kanye namathumbu akho amancane.

4. Ama-pancreas amadala:Into ebalulekile ukuthi i-pancreas yakho endala, enesifo ingasuswa emzimbeni wakho. Isizathu sokuthi ishiywe endaweni yayo ukuthi isakhiqiza ujusi wokugaya ukudla.

5. Ukuvalwa kwe-Incision: Ekugcineni, i-incisions ivalwa ngezithungo.

Kwenzekani ngemva kokuhlinzwa?

Uma ukuhlinzwa kuphumelele, i-pancreas entsha etshalwe kabusha izoqala ukukhiqiza i-insulin cishe ngokushesha.

Ngemva kokuhlinzwa, uzodluliselwa egunjini elikhethekile (ngokuvamile eliyigumbi lokunakekela abagula kakhulu), lapho ithimba lezokwelapha lizokuqapha khona ngokucophelela.

• Ingabe zikhona izinkinga ezingaba khona ngenxa yokuhlinzwa?
• Ingabe zikhona izimpawu zokwenqatshwa kwezitho zomzimba?
• Ingabe uzolulama ngemva kokuhlinzwa kwe-anesthesia?

Phakathi nalesi sikhathi, uzoba nemishini eminingi namapayipi axhunywe emzimbeni wakho. Azokunikeza uketshezi nezakhamzimba, umoya-mpilo, kanye nemithi yobuhlungu. Uzoba nepayipi lokukhipha umchamo kanye nelinye ipayipi lokukhipha igazi noketshezi endaweni yokuhlinzwa. Ungesabi ngalezi zinto, zonke zenzelwe ukukusiza ukuthi ululame ngokushesha.

Uma kungekho zinkinga, uzodluliselwa ewadini yokufakelwa izicubu ezijwayelekile ezinsukwini ezimbalwa. Ngokuvamile kuzodingeka uhlale esibhedlela amasonto amabili kuya kwamathathu ngemva kokufakelwa izicubu ezithambile.

Yiziphi izingozi nezinkinga zalokhu kuhlinzwa?

Ngenxa yokuthi lokhu kuwukuhlinzwa okuyinkimbinkimbi kakhulu, kungase kube nezingozi nezinkinga ezithile.

• Amahlule egazi: Kukhona ingozi yokuthi amahlule egazi akheke emithanjeni yegazi ngemva kokuhlinzwa.
• Ukutheleleka: Njenganoma yikuphi ukuhlinzwa, kunengozi yokutheleleka.
• Ukwenqatshwa kwezitho zomzimba: Lena inselele enkulu kunazo zonke. Kalula nje, amasosha omzimba wakho ayaqaphela ukuthi i-pancreas entsha "iyivela kwamanye amazwe" futhi azama ukuyihlasela.
• I-Pancreatitis: I-pancreas entsha etshaliwe ingase ivuvuke noma ivuvuke.

Ithimba lezokwelapha lenza konke okusemandleni alo ukuphatha nokuvimbela lezi zingozi.

Kuzothatha isikhathi esingakanani ukubuyela empilweni evamile?

Kungathatha izinyanga eziyisithupha ukululama ngokuphelele. Lokhu kuyahlukahluka kumuntu nomuntu. Inqubo evamile yokululama imi kanje:

• Ukususwa komthungo: Umthungo uzosuswa cishe emavikini amathathu.
• Ukuhlolwa kwezokwelapha: Ezinyangeni ezimbalwa zokuqala, kuzodingeka uvakashele esibhedlela njalo ukuze uhlolwe igazi kanye nezinye izivivinyo. Lokhu kuzohlola ukuthi isitho esisha sisebenza kahle yini nokuthi ngabe kukhona yini izimpawu zokwenqatshwa.
• Ukuzivocavoca: Ngemva kwamasonto ayisithupha, ungaqala ukuzivocavoca okulula. Izinto ezifana nokuphakamisa izinsimbi akufanele zenziwe izinyanga eziningana.
• Umsebenzi:Kuzodingeka ngithathe ikhefu lezinyanga ezimbalwa ukuze ngiye emsebenzini.

Ithimba lakho lezokwelapha lizokunikeza izeluleko ezihlukile ngakho konke lokhu.

Ingabe ikhona imithi okufanele ngiyithathe impilo yami yonke?

Yebo. Lokhu kubaluleke kakhulu. Ngemva kokuhlinzwa, kuzodingeka uphuze imithi ebizwa ngokuthi ama-immunosuppressants impilo yakho yonke.

Le mithi isebenza ngokucindezela amasosha omzimba wakho ekuhlaseleni (ekwenqabeni) i-pancreas entsha. Le mithi ingaba nemiphumela emibi. Kodwa-ke, ungayeki ukuthatha le mithi noma ushintshe umthamo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukwenza kanjalo kungabangela ukuthi umzimba wakho wenqabe isitho esisha futhi ukuhlinzwa kuhluleke.

Yiziphi izimpawu ezidinga ukuvakashelwa kudokotela ngokushesha?

Ithimba lakho lezokwelapha lizokunikeza imiyalelo yokuthi uqhubeke nokulandela, kodwa uma uthola noma yiziphi izimpawu ezilandelayo zokutheleleka noma ukwenqatshwa kwezitho zomzimba, kufanele ufune iseluleko sezokwelapha ngokushesha.

Ekugcineni, ukufakelwa i-pancreas kuyindlela ebaluleke kakhulu yokwelapha isifo sikashukela sohlobo 1 esinzima. Nakuba kuwukuhlinzwa okuyinkimbinkimbi nokuyingozi, uma kuphumelele, kungaholela ekuphileni okuzimele kakhudlwana, okungenamijovo ye-insulin, izinkinga zesifo sikashukela, kanye nezinkinga. Ngaphambi kokwenza isinqumo, kubalulekile ukuxoxa ngalokhu nodokotela wakho futhi uqonde kokubili izinzuzo nezingozi.