Ingabe unesifo sikashukela sohlobo 1 , uhlobo olubi kakhulu lwesifo sikashukela okunzima ukululawula? Ukuthatha i-insulin usuku lonke, ukulawula ukudla kwakho, nokuhlola njalo amazinga kashukela egazini lakho kungaba yinto ekhathazayo ngezinye izikhathi , akunjalo? Uma kunjalo, lokho esizokhuluma ngakho kungaletha ithemba elisha empilweni yakho. Namuhla, sizokhuluma ngokufakelwa kwama-pancreas .
Kalula nje, kuyini ukufakelwa kwe-pancreas?
Ukufakelwa i-pancreas inqubo yokuhlinzwa lapho i-pancreas enempilo evela kumuntu oshonile ifakwa emzimbeni ukuze ithathe indawo ye-pancreas enesifo.
I -pancreas iyisitho emzimbeni wethu esitholakala ngemuva kwesisu. Umsebenzi waso oyinhloko ukukhiqiza i-hormone ebizwa ngokuthi i-insulin . Le insulin isiza umzimba wethu ukuguqula ushukela (i-glucose) ekudleni esikudlayo ube amandla. Kodwa-ke, kubantu abanesifo sikashukela sohlobo 1 , i-pancreas ikhiqiza i-insulin encane kakhulu noma ayikhiqizi nhlobo. Yingakho kufanele bafake i-insulin besuka ngaphandle.
Ubani ngempela odinga lokhu kuhlinzwa?
Lokhu kuhlinzwa kwenziwa kakhulu kubantu abanesifo sikashukela sohlobo 1 esingalawuleki, esihlala isikhathi eside, nesinzima. Ngezinye izikhathi, imijovo ye-insulin iwukuphela kwendlela.Akwanele ukulawula isifo sikashukela . Njengoba amazinga kashukela egazini ehlala ephezulu ngaphandle kokulawulwa, nezinye izitho zomzimba nazo ziqala ukonakala.
Enye yezinkinga ezinkulu zalolu hlobo yisifo sezinso . Abantu abaningi abafanelekela ukufakelwa i-pancreas nabo banenkinga yezinso. Ngakho-ke, ukufakelwa i-pancreas kuvame ukwenziwa ngesikhathi esifanayo nokufakelwa izinso .
Ngemva kokuba i-pancreas enempilo itshalwe, umuntu onesifo sikashukela uqala ukukhiqiza i-insulin eyedwa. Lokhu kubizwa ngokuthi ukuzimela kwe-insulin.
Kungani lokhu kuhlinzwa kubaluleke kangaka?
Ukwelashwa okuseduze kakhulu kwesifo sikashukela sohlobo 1 ukufakelwa i-pancreas. Lokhu kuhlinzwa kungakusiza ukuthi uphile impilo ende nejabulisayo. Ngemva kwalokhu kuhlinzwa, ungase uzwe okulandelayo:
- Ukuhlola amazinga kashukela egazini nsuku zonke.
- Ukujova i-insulin usuku lonke.
- Imikhawulo eqinile yokudla.
- Ingozi yezinkinga ezinkulu ezibangelwa isifo sikashukela.
Yini okufanele ngiyenze ngaphambi kokuhlinzwa?
Uma udokotela wakho ecabanga ukuthi ungumuntu ofanelekela lokhu kuhlinzwa, uzokudlulisela ochungechungeni lokuhlolwa. Ochwepheshe bazophinde bakhulume nawe ukuqinisekisa ukuthi uyaqonda kahle ukuhlinzwa kanye nezingozi zako.
| Uhlobo lokuhlola | Incazelo |
|---|---|
| Ukuhlolwa kwegazi nomchamo | Qiniseka ukuthi umzimba wakho uphilile ngokwanele ukuthi ungamelana nokuhlinzwa. |
| Ukuhlolwa ngokomzimba kanye nomlando wezokwelapha | Thola ukuqonda ngesimo sakho sempilo iyonke. |
| Izifundo ze-immunological | Lezi zivivinyo zizokusiza ukuthi ukhethe umnikeli ofanelana nawe kangcono. |
| Ukuhlolwa kwezithombe | Ama-scan anjenge-ultrasound kanye ne-MRI ahlinzeka ngolwazi oludingekayo ukuhlela ukuhlinzwa. |
| Ukuhlolwa kwengqondo | Qiniseka ukuthi uyaqonda kahle ukuhlinzwa, izingozi zako, kanye nezinyathelo zokuphepha ozodinga ukuzilandela impilo yakho yonke. |
Uma konke lokhu kwenziwa futhi ubhekwa njengofanelekile, igama lakho lizofakwa ohlwini lokulinda lukazwelonke. Kungase kudingeke ulinde izinyanga noma ngisho neminyaka ukuze i-pancreas efanayo itholakale.
Wenzani uma usemugqeni?
Kubaluleke kakhulu ukuthi uhlale uphilile ngangokunokwenzeka phakathi nalesi sikhathi.
- Yiya kuyo yonke imitholampilo onikezwe yona.
- Gwema ukubhema ngokuphelele.
- Uma kungenzeka, vivinya umzimba njengoba kuqondiswe udokotela wakho.
- Nciphisa utshwala.
- Uma kukhona ushintsho empilweni yakho, yazisa ithimba lokufakelwa isitho ngokushesha.
- Thatha imithi oyinikezwe udokotela ngesikhathi esifanele.
Kuthiwani uma kufanele ngiye kohlinzwa? Nansi indlela yokulungiselela.
Ukuhlinzwa kuzodingeka kwenziwe ngokushesha nje lapho i-pancreas efanele isitholakala, ngakho-ke udinga ukulungela ngaso sonke isikhathi.
- Qiniseka ukuthi ithimba lokufakelwa izitho lingakuthinta noma nini.
- Lungisa isikhwama esinezinto ezifana nezingubo ozidingayo ukuze uye esibhedlela.
- Yazisa umndeni wakho, abangani, kanye nendawo yokusebenza ngalokhu kusenesikhathi ukuze bakwazi ukulungela uma kufanele uhambe ngokuzumayo.
Kwenziwa kanjani ukuhlinzwa?
Ukuhlinzwa kokufakelwa i-pancreas kuvame ukuthatha cishe amahora ama-3-5. Kungathatha isikhathi eside uma nenso ifakelwa. Uzoba ngaphansi kwe-anesthesia ejwayelekile, ngakho ngeke uzwe lutho. Udokotela ohlinzayo uzolandela lezi zinyathelo:
1. Kuzokwenziwa i-incision esiswini sakho, kusukela ngaphansi kwethambo lesifuba sakho kuze kufike embotsheni yakho.
2. I-pancreas ethathwe kumuntu onikelayo ifakwa ohlangothini lwesokudla lwesisu.
3. Ixhuma emithanjeni yegazi eseduze kanye namathumbu amancane.
4. Okubaluleke kakhulu, i-pancreas yakho endala ayisuswa, njengoba iqhubeka nokukhiqiza ujusi wokugaya ukudla.
5. Ekugcineni, i-incision ivalwa ngezithungo.
Kwenzekani ngemva kokuhlinzwa?
Uma ukuhlinzwa kuphumelele, i-pancreas entsha etshaliwe izoqala ukukhiqiza i-insulin cishe ngokushesha. Ngemva kokuhlinzwa, uzodluliselwa eyunithi ekhethekile futhi uqashwe ngokucophelela ukuze kutholakale izinkinga kanye nokwenqatshwa kwezitho zomzimba.
Uzoba namapayipi axhunyiwe ukuze akunike usawoti, uketshezi olunomsoco, kanye nemithi yokubulala izinhlungu. Uzoba namapayipi ahlukene okukhipha umchamo kanye noketshezi endaweni yokuhlinzwa. Uma kungekho zinkinga, uzokwazi ukuya ekhaya cishe emavikini amabili kuya kwamathathu.
Yiziphi izingozi nezinkinga zalokhu kuhlinzwa?
Lokhu ukuhlinzwa okuyinkimbinkimbi futhi kungabangela ezinye izingozi nezinkinga.
| Ingozi/Inkinga | Incazelo |
|---|---|
| Amahlule egazi | Kukhona ingozi yokuthi igazi liqhekeke emithanjeni yegazi ngemva kokuhlinzwa. |
| Ukutheleleka | Ukutheleleka kungenzeka enxebeni lokuhlinzwa noma ngaphakathi emzimbeni. |
| Ukwenqatshwa kwezitho zomzimba | Lokho kusho ukuthi umzimba wakho uyayibona le pancreas esanda kutshalwa kabusha 'njengento yangaphandle' bese uzama ukuyihlasela. |
| I-Pancreatitis | Ukuvuvukala noma ukuvuvukala kwe-pancreas etshaliwe. |
Kuzothatha isikhathi esingakanani ukubuyela empilweni evamile?
Kungathatha cishe izinyanga eziyisithupha ukululama ngokuphelele. Ngokuvamile,
- Izithungo zizonqunywa cishe emavikini amathathu.
- Kufanele ngibone udokotela njalo izinyanga eziningana futhi ngihlolwe.
- Ungaqala ukuzivocavoca okulula ngemva kwamasonto ayisithupha. Akukhuthazwa nhlobo ukuphakamisa izinsimbi.
- Kuzodingeka uthathe ikhefu lezinyanga ezimbalwa emsebenzini.
Udokotela wakho uzokunikeza imiyalelo eqondile.
Izinto okufanele uzazi ngemithi kanye nekusasa
Uma kungekho zinkinga, isimo sengqondo ngemva kokuhlinzwa sivame ukuba sihle kakhulu. Ungaphila impilo enempilo iminyaka eminingi, ngisho namashumi eminyaka.
Okubaluleke kakhulu, ngemva kokuhlinzwa, kuzodingeka uthathe imithi yokucindezela amasosha omzimba impilo yakho yonke. Le mithi ivimbela umzimba wakho ekwenqabeni isitho esisha. Nakuba le mithi ingabangela imiphumela emibi, ungalokothi uyeke ukuyithatha ngaphandle kokukhuluma nodokotela wakho.
Iningi labantu ngeke liyidinge i-insulini ngemva kokuhlinzwa. Kodwa-ke, abanye abantu bangase bayidinge ngamanani amancane. Kodwa-ke, kulula kakhulu ukulawula amazinga aphansi kashukela egazini ngemva kokuhlinzwa.
Yiziphi izimpawu ezidinga usizo lwezokwelapha ngokushesha?
Uma ubonisa izimpawu zokutheleleka noma ukwenqatshwa kwezitho zomzimba, kufanele ufune iseluleko sezokwelapha ngokushesha. Ezimweni ezinjalo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
| Umkhuhlane (ngaphezu kwama-37 Celsius / 100 Fahrenheit) | Ubuhlungu bomzimba, ikhanda elibuhlungu |
| Ukuzizwa ubanda, uthuthumela | Isiyezi |
| Ukukhishwa komchamo okuncane kunokujwayelekile | Isicanucanu noma ukuhlanza |
| Ubuhlungu noma ukuqina endaweni yokufakelwa i-pancreas | Ukuvuvukala komzimba noma ukukhuluphala ngokuzumayo |
Umlayezo Wokuya Nawe Ekhaya
- Ukufakelwa i-pancreas kuyindlela enkulu yokuhlinzwa kwesifo sikashukela sohlobo 1 esibi kakhulu.
- Lokhu kukuvumela ukuthi uphile impilo engenamijovo ye-insulin, ukudla njalo, kanye nezinkinga zesifo sikashukela.
- Lokhu ukuhlinzwa okuyinkimbinkimbi okunenqubo ende yokuhlola kanye nesikhathi sokulinda.
- Ngemva kokuhlinzwa, kuyimpoqo ukuthatha imithi yokuphila konke (ama-immunosuppressants) ukuvimbela umzimba ekwenqabeni isitho esifakwe esitshalweni.
- Uma ubona noma yiziphi izimpawu zokutheleleka noma ukwenqatshwa kwezitho zomzimba, njengomkhuhlane, ubuhlungu, noma ukuvuvukala, yazisa udokotela wakho ngokushesha.
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