Uyazazi yini izifo zesifo sikashukela zohlobo lwe-3c? Ake sixoxe ngazo kalula!

Uma ucabanga ngesifo sikashukela, uvame ukucabanga ngohlobo 1 noma uhlobo 2, akunjalo? Kodwa bewazi ukuthi kukhona olunye uhlobo lwesifo sikashukela, olubizwa ngokuthi uhlobo 3c Diabetes . Lokhu kuhlukile kancane, ngoba kuhlobene ngqo nomonakalo kuma-pancreas ethu. Mhlawumbe awukazwanga okuningi ngalokhu. Ngakho ake sixoxe ngakho namuhla ngendlela elula ongayiqonda.

Kuyini isifo sikashukela sohlobo lwe-3c?

Kalula nje, isifo sikashukela sohlobo lwe-3c senzeka lapho into ilimaza i-pancreas yakho, ivimbela ukukhiqiza i-hormone ebizwa ngokuthi i-insulin. Cabanga ngakho, i-pancreas iyisitho esincane kodwa esibaluleke kakhulu esitholakala esiswini esingaphezulu. Sisebenza njengefektri encane emzimbeni wethu.

I-pancreas inemisebenzi emibili eyinhloko:

1. Umsebenzi we-Exocrine: Lokhu kukhiqiza ama-enzyme asisiza ekugayeni ukudla esikudlayo. Ngaphandle kwala ma-enzyme, asikwazi ukugaya ukudla kahle.

2. Umsebenzi we-Endocrine: Yilapho kukhiqizwa khona ama-hormone abaluleke kakhulu alawula amazinga ethu kashukela egazini, okungukuthi i-glucose, ikakhulukazi i-insulin ne-glucagon. I-insulin yilokho okusiza ushukela egazini ukuthi ungene emaseli futhi wakhe amandla.

Manje, uma i-pancreas yonakele ngesizathu esithile, ukukhiqizwa kwe-insulin kungase kungenziwa kahle. Yilapho-ke isifo sikashukela sohlobo lwe-3c siqala khona. Into ebalulekile ukuthi isikhathi esiningi, lapho i-pancreas yonakele kanje, ukukhiqizwa kwama-enzyme asiza ekugayeni ukudla nakho kuyancipha. Odokotela babiza lesi simo ngokuthi i-Exocrine Pancreatic Insufficiency (EPI) . Lokho kusho ukuthi, umuntu onesifo sikashukela sohlobo lwe-3c angaba nezinkinga zokulawula ushukela wegazi, kanye nezinkinga zokugaya ukudla.

Lesi sifo sikashukela sohlobo lwe-3c sibizwa ngamanye amagama amaningana, okungenzeka ukuthi uke wezwa kudokotela noma kwenye indawo:

• Isifo sikashukela se-pancreatic noma i-pancreatic
• Isifo sikashukela se-pancreatic
• Isifo sikashukela se-pancreatic

Uma lokhu kuzwakala kuyinkimbinkimbi kancane, khumbula nje ukuthi unesifo sikashukela sohlobo lwe-3c.

Ivame kangakanani i-Type 3c Diabetes?

Abacwaningi balinganisela ukuthi phakathi kuka-1% no-9% wabo bonke abantu abanesifo sikashukela banesifo sikashukela sohlobo lwe-3c. Lokhu kungase kubonakale kuyinani elikhulu, kodwa isizathu ukuthi abantu abaningi, futhi ngezinye izikhathi ngisho nodokotela, abazi ngesifo sikashukela sohlobo lwe-3c. Ngenxa yalokho, abantu abanalesi simo bavame ukuhlonzwa kabi njengabanesifo sikashukela sohlobo lwe-2, okuwuhlobo lwesifo sikashukela oluvame kakhulu.

Uyini umehluko phakathi kwesifo sikashukela sohlobo 1, uhlobo 2, kanye nohlobo 3c?

Umehluko omkhulu phakathi kwalezi zinhlobo ezintathu zesifo sikashukela yimbangela yokuvela kwaso. Ake sibheke ukuthi kanjani:

• Isifo Sikashukela Sohlobo 1: Lesi yisifo esibangelwa ukuzivikela komzimba . Okusho ukuthi, amasosha omzimba wethu, ngesizathu esingaziwa, ahlasela futhi abhubhise amangqamuzana akhiqiza i-insulin kuma-pancreas. Kufana nebutho lethu elihlasela izitho zethu ezibalulekile. Abantu abanesifo sikashukela sohlobo 1 kufanele bathathe i-insulin impilo yabo yonke.

• Isifo Sikashukela Sohlobo 2: Lokhu kwenzeka ngoba i-pancreas ayikhiqizi i-insulin eyanele, noma amaseli omzimba awasabeli kahle ku-insulin ekhiqizwayo (lokhu kubizwa ngokuthi ukumelana ne-insulin ). Abantu abanesifo sikashukela sohlobo 2 bangasilawula lesi simo ngokushintsha indlela yokuphila, imithi yomlomo, noma i-insulin.

• Isifo Sikashukela Sohlobo 3c: Lokhu kubangelwa ukulimala kwe-pancreas. Kodwa-ke, lokhu kulimala akubangelwa imbangela yokuzivikela komzimba njengakuhlobo 1. Abantu abanohlobo 3c bavame ukungabi nama-enzyme asiza i-pancreas ukugaya ukudla. Kulolu hlobo, inani le-insulin elikhiqizwa yi-pancreas lingahluka. Abanye abantu bangalawula isifo sabo sikashukela ngemithi yesifo sikashukela ephuzwayo, kanti abanye kumele bathathe i-insulin.

Uyawuqonda umehluko? Into eyinhloko yisizathu.

Ziyini izimpawu zesifo sikashukela sohlobo 3c?

Izimpawu zesifo sikashukela sohlobo lwe-3c zifana nezezinye izinhlobo zesifo sikashukela. Zihlanganisa:

• Ukoma ngokweqile njalo (i-polydipsia) kanye nomlomo owomile.
• Ukuchama njalo.
• Ukukhathala, ukukhathala.
• Umbono ofiphele.
• Ukwehlisa isisindo okungachazeki.
• Ukuba ndikindiki noma ukuqaqamba kwamalungu.
• Amanxeba athatha isikhathi ukuphola.
• Ukutheleleka kwemvubelo okuvamile kwesikhumba kanye/noma isitho sangasese sowesifazane.

Ngaphezu kwalezi zimpawu, abantu abanesifo sikashukela sohlobo lwe-3c bavame ukuzwa izimpawu zokuntuleka kwe-exocrine pancreatic (EPI) , okuyilezi:

• Ubuhlungu besisu, ukuqunjelwa, kanye nokuqunjelwa.
• Ukuqunjelwa.
• Uhudo.
• Indle enamafutha - Lezi zivame ukuba nombala okhanyayo, zinamafutha, zinephunga elibi, futhi zintanta emanzini.
• Ukuba mncane ngaphandle kwesizathu.

Uma unesinye noma ngaphezulu salezi zimpawu, kubalulekile ukubona udokotela ukuze akunike iseluleko, ngoba ukuzishaya indiva kungenza isimo sibe sibi kakhulu.

Yiziphi izimbangela zesifo sikashukela sohlobo lwe-3c?

Isifo sikashukela sohlobo lwe-3c senzeka lapho i-pancreas yonakele kuze kube yilapho ingasakwazi ukukhiqiza i-insulin. Lo monakalo ungabangelwa yizimo noma izimo eziningana eziyisisekelo. Kunezici eziningana eziyinhloko ezibangela lokhu:

• I-pancreatitis engapheli: Lena yimbangela evame kakhulu.
• I-pancreatitis ebukhali: Ukuvuvukala okungazelelwe, okukhulu kwe-pancreas.
• Umdlavuza we-pancreatic.
• I-Hemochromatosis: Isifo lapho insimbi eningi iqongelela khona emzimbeni.
• I-Cystic fibrosis: Isifo esibangelwa ufuzo.
• Ukususwa kwe-pancreas ngokuhlinzwa (i-Pancreatectomy).

Ake sibheke ngasinye salezi zizathu ngemininingwane ethe xaxa.

I-pancreatitis engapheli

Lesi yimbangela evame kakhulu yesifo sikashukela sohlobo lwe-3c. Sibangela cishe u-79% wazo zonke izimo zesifo sikashukela sohlobo lwe-3c. Kalula nje, yisimo lapho i-pancreas ibilokhu ivuvukele futhi ilimele isikhathi eside. Njengoba nje inxeba emzimbeni wethu elihlala lithathwa lizoshiya isilonda, lokhu kuvuvukala okuqhubekayo ku-pancreas kungabangela izicubu zesilonda (i-fibrosis). Ngokuhamba kwesikhathi, lokhu kuziba kuvimbela i-pancreas ekwenzeni umsebenzi wayo kahle, okuwukwenza ama-enzyme nama-hormone, ikakhulukazi i-insulin. Cabanga ukuthi phakathi kuka-25% no-80% wabantu abane-pancreatitis engamahlalakhona bangaba nesifo sikashukela sohlobo lwe-3c.

Kunezinhlobo ezimbili eziyinhloko ze-pancreatitis engamahlalakhona:

• I-Acquired pancreatitis: "I-Acquired" isho ukuthi yenzeka ngemva kokuzalwa kwethu. Ingaba nezimbangela eziningana. Izimbangela ezimbili ezivame kakhulu amatshe enyongo kanye nokusetshenziswa ngokweqile kotshwala. Abanye abantu balimaza ama-pancreas abo ngokudla ukudla okunongwe njalo, ukweqa ukudla, noma ukuphuza utshwala obuningi. Uma lezi zinto ziqhubeka, ama-pancreas angaba buthaka.
• I-pancreatitis ezuzwe njengefa: Lokhu kubangelwa ukushintshashintsha kwezakhi zofuzo. Lokhu kusho ukuthi izuzwe njengefa kubazali. Nakuba laba bantu beba nalezi zinguquko zezakhi zofuzo lapho bezalwa, izimpawu zokuqala ze-pancreatitis zingase zivele ebusheni.

Umdlavuza we-pancreatic

Kukhona ukuxhumana okuqinile phakathi kwesifo sikashukela nomdlavuza we-pancreatic (ikakhulukazi uhlobo olubizwa ngokuthi i-pancreatic ductal adenocarcinoma). Cishe abantu abangu-50% abatholakale benomdlavuza we-pancreatic nabo banesifo sikashukela. Ama-tumors abangelwa umdlavuza we-pancreatic angalimaza i-pancreas futhi aholele ku-Type 3c diabetes. Abacwaningi balinganisela ukuthi cishe abantu abangu-8% abanesifo sikashukela sohlobo lwe-3c babangelwa umdlavuza we-pancreatic.

I-Hemochromatosis

Lokhu kubizwa ngokuthi i-iron overload.Lokhu kwenzeka lapho imizimba yethu igcina insimbi eningi kakhulu. Ngokuvamile, amathumbu ethu amunca kuphela inani lensimbi esiyidingayo ekudleni esikudlayo. Kodwa-ke, kubantu abane-hemochromatosis, umzimba umunca insimbi eningi kakhulu bese uyibeka ezithweni zomzimba, ikakhulukazi inhliziyo, isibindi, kanye ne-pancreas. Lapho insimbi inqwabelana ku-pancreas, ingalimala futhi iholele ku-Type 3c Diabetes. Lesi yimbangela cishe engu-7% yazo zonke izimo ze-Type 3c Diabetes.

I-Cystic fibrosis (CF)

Lesi yisifo esizuzwe njengefa. Sibangela ukwakheka kolwelwesi olunamathelayo nolujiyile ezithweni zomzimba ezifana namaphaphu kanye ne-pancreas. Lolwelwesi lungaba nezibazi futhi lonakalise i-pancreas. I-pancreas ayikwazi ukukhiqiza i-insulin eyanele, okuholela ku-Type 3c Diabetes. Ngezinye izikhathi abantu abane-cystic fibrosis bangaba nokumelana ne-insulin, okufana nesifo sikashukela sohlobo 2. Le ngozi iphezulu kakhulu uma begula, bethatha ama-steroids, noma ngesikhathi sokukhulelwa. Abantu abadala abangaphezu kuka-35% abane-cystic fibrosis (CF) banesifo sikashukela sohlobo 3c. Lokhu kubizwa nangokuthi isifo sikashukela esihlobene ne-CF (CFRD) . I-cystic fibrosis iyimbangela yeziguli ezingaba ngu-4% zesifo sikashukela sohlobo 3c.

Ukususwa kwe-pancreatectomy (ukuhlinzwa kokususwa kwe-pancreas)

Lena inqubo yokuhlinzwa yokususa ingxenye noma yonke i-pancreas. Lokhu kuhlinzwa kungenziwa ngezizathu ezahlukahlukene, okuhlanganisa umdlavuza we-pancreas, ama-cyst e-pancreatic, noma i-pancreatitis engapheli enzima.

Isifo sikashukela sohlobo lwe-3c singakhula noma sinyamalale lapho i-pancreas isuswa. Uma kususwa ingxenye kuphela ye-pancreas (i-pancreatectomy engaphelele), kusala amanye amaseli akhiqiza i-insulin. Ngezinye izikhathi, la maseli asele angasiza ekulawuleni amazinga kashukela egazini.

Kodwa uma uhlinzwe ngokuphelele nge-pancreatectomy, ngokuqinisekile uzoba nesifo sikashukela kamuva, ngaphandle kokuthi udokotela ohlinzayo angasindisa amanye amaseli akho akhiqiza i-insulin. Ngezinye izikhathi, odokotela abahlinzayo bangatshala amanye ala maseli esibindini sakho. Lolu hlobo lokuhlinzwa lubangela cishe u-2% wezimo zesifo sikashukela sohlobo lwe-3c.

Isifo Sikashukela Sohlobo 3c Sitholakala Kanjani?

Eqinisweni, kungaba nzima kancane kodokotela ukuxilonga isifo sikashukela sohlobo lwe-3c. Isizathu salokhu ukuthi akulona uhlobo lwesifo sikashukela oluvamile kakhulu noma olwaziwayo. Odokotela bavame ukuluphambanisa nesifo sikashukela sohlobo lwe-2, ngoba uhlobo lwe-2 luvame kakhulu. Kodwa-ke, uma usuvele unesifo esihlobene ne-pancreas (isb. i-pancreatitis engapheli), kulula kancane ukuxilonga isifo sohlobo lwe-3c.

Ukuze kutholakale isifo sikashukela sohlobo 3c, odokotela kudingeka baqinisekise izinto ezintathu:

1. Ukuqinisekisa ukuthi unesifo sikashukela.

2. Ukuqinisekisa ukuthi i-pancreas yakho yonakele.

3. Ukuqinisekisa ukungabikho kwezinye izinhlobo zesifo sikashukela (ikakhulukazi uhlobo 1).

Ngenxa yalokhu, odokotela bangayala ukuhlolwa okulandelayo:

• Ukuhlolwa kweglucose egazini lokuzila ukudla: Kulokhu, awukwazi ukudla noma ukuphuza lutho ngaphandle kwamanzi okungenani amahora ayisishiyagalombili ngaphambi kokuhlolwa. Umphumela ongu-126 mg/dL noma ngaphezulu uvame ukukhombisa isifo sikashukela.
• Ukuhlolwa kwe-A1C: Okubizwa nangokuthi ukuhlolwa kwe-HbA1C, lokhu kuhlolwa kulinganisa amazinga akho ajwayelekile kashukela egazini ezinyangeni ezimbili kuya kwezintathu ezedlule. Umphumela ongu-6.5% noma ngaphezulu uvame ukukhombisa isifo sikashukela.
• Ukuhlolwa kwezithombe: Ukuhlolwa okufana ne-CT scan kungasiza udokotela ukuthi abone umonakalo ku-pancreas.
• Ukuhlolwa kwegazi kwe-pancreas: Lokhu kuhlolwa kungahlola ukusebenza kwe-pancreas. Kulinganisa amazinga ama-enzyme athile okugaya ukudla akhiqizwa yi-pancreas. Uma imiphumela ingajwayelekile, kungasiza ekuqinisekiseni ukulimala kwe-pancreas.
• Iphaneli ye-autoantibody yesifo sikashukela: Lokhu ukuhlolwa kwegazi. Kuhlola ukuba khona kwama-autoantibodies abangela isifo sikashukela sohlobo 1. Udokotela wakho angayala lokhu kuhlolwa ukuqinisekisa ukuthi awunaso isifo sikashukela sohlobo 1.

Isifo Sikashukela Sohlobo 3c Siphathwa Kanjani?

Ukwelashwa kwesifo sikashukela sohlobo lwe-3c kuncike esimweni esiyisisekelo esisibangele kanye nokuthi umonakalo owenziwe ku-pancreas ungakanani (noma ukuthi kususwe okungakanani ngokuhlinzwa).

Abantu abanalesi simo bavame ukuthatha imithi yesifo sikashukela somlomo (isib. i-metformin) kanye/noma i-insulin yokwenziwa (kungaba ngomjovo noma ngephampu ye-insulin).

Njengoba i-pancreas yakho yonakala kakhulu, ukwelashwa kwakho kungashintsha ngokuhamba kwesikhathi. Isibonelo, ungase ukwazi ekuqaleni ukulawula amazinga kashukela egazini lakho ngemithi yomlomo. Kodwa njengoba inani le-insulini elikhiqizwa yi-pancreas yakho lehla kancane kancane, ekugcineni kungadingeka ukuthi uthathe i-insulini ukulawula amazinga kashukela egazini lakho.

Kunezinye izindlela zokuphatha isifo sikashukela sohlobo lwe-3c:

• Ukuqapha ushukela egazini: Ukuhlola njalo amazinga kashukela egazini lakho (i-glucose) kubalulekile ukuze wazi ukuthi uhlelo lwakho lwamanje lokwelashwa lusebenza kahle kangakanani. Lokhu kukunikeza ulwazi nsuku zonke - ngezinye izikhathi ngisho njalo ngehora - ukuze kukusize uphathe isifo sikashukela sakho sohlobo lwe-3c. Ungahlola ushukela wakho wegazi njalo nge-glucometer, noma ungasebenzisa i-continuous glucose monitor (CGM) . Ngokubambisana, wena nodokotela wakho nizonquma ukuthi yiliphi izinga likashukela egazini elikufanele.
• Ukudla: Ukuhlela ukudla nokukhetha ukudla okunempilo okukufanele kuyingxenye ebaluleke kakhulu yokuphathwa kwesifo sikashukela. Ngoba lokho okudlayo kunomthelela omkhulu emazingeni kashukela egazini lakho. Uchwepheshe wezokudla obhalisiwe angakusiza ukuthi udale uhlelo lokudla olungcono kakhulu.
• Ukuzivocavoca: Ukuzivocavoca umzimba kwandisa ukuzwela kwe-insulin (futhi kusiza ekunciphiseni ukumelana ne-insulin), ngakho-ke ukuzivocavoca kuyingxenye ebalulekile yokuphathwa okufanele kwawo wonke umuntu onesifo sikashukela.

Isifo sikashukela siyisimo esiyinkimbinkimbi. Ngakho-ke kuthatha izindlela eziningi ezahlukene ukusiphatha. Futhi, isifo sikashukela sithinta wonke umuntu ngendlela ehlukile. Ngakho-ke, izinhlelo zokuphatha ziyahlukahluka kakhulu kumuntu nomuntu. Uzozuza kakhulu ngokuhlangana nethimba lakho lezokwelapha njalo ukuze ubone ukuthi uhlelo lwakho lokwelapha lusebenza kahle kangakanani.

Liyini ikusasa lesifo sikashukela sohlobo lwe-3c? (Isibikezelo)

Umbono wesifo sikashukela sohlobo 3c uncike ezintweni eziningana:

• Isimo sezokwelapha esiyisisekelo esibangele lokhu.
• Indlela ophatha kahle ngayo isifo sakho sikashukela sohlobo lwe-3c ngokuhamba kwesikhathi kanye nokufinyelela kwakho ekunakekelweni kwesifo sikashukela.
• Indlela esiphathwa kahle ngayo isimo esiyisisekelo.
• Ubudala bakho/ubungakanani obunesifo sikashukela lapho utholakala ukuthi unesifo.
• Ukuthi unezinye izinkinga zempilo.
• Ukuthi uzoba nezinkinga zesifo sikashukela.

Amazinga aphezulu kashukela egazini isikhathi eside angaholela ezinkingeni ezinkulu, eziningi zazo ezingenakulungiseka. Izifundo eziningana zikhombisile ukuthi amazinga aphezulu kashukela egazini angelashwa, ahlala isikhathi eside afinyeza isikhathi sokuphila futhi enza impilo ibe mandundu .

Kodwa-ke, kubalulekile ukwazi ukuthi ungaphila impilo enempilo unesifo sikashukela. Lokhu okulandelayo kuyisihluthulelo sekusasa elingcono:

• Izinguquko zendlela yokuphila.
• Ukuzivocavoca njalo.
• Izinguquko ekudleni.
• Ukuqapha njalo amazinga kashukela egazini.

Yiziphi izinkinga zesifo sikashukela sohlobo lwe-3c?

Uma amazinga kashukela egazini ehlala ephezulu isikhathi eside, angalimaza izicubu zomzimba wakho kanye nezitho zomzimba. Lokhu kungenxa kakhulu yomonakalo emithanjeni yegazi kanye nemizwa esekela izicubu zomzimba wakho.

Izinkinga zenhliziyo (zenhliziyo nemithambo yegazi) ziyizinkinga ezivame kakhulu zesikhathi eside zesifo sikashukela. Zihlanganisa:

• Isifo semithambo ye-coronary (CAD).
• Isifo senhliziyo.
• Isifo sohlangothi.
• I-atherosclerosis.

Ezinye izinkinga zesifo sikashukela zifaka:

• Ukulimala kwemizwa (i-Neuropathy).
• Isifo sezinso (i-nephropathy).
• I-retinopathy.
• Izinkinga zezinyawo ezihlobene nesifo sikashukela.

Ngingakuvimbela yini isifo sikashukela sohlobo lwe-3c?

Indlela kuphela yokuvimbela isifo sikashukela sohlobo lwe-3c ukuzama ukuvimbela izimo eziyisisekelo ezisibangela, uma kungenzeka. Izimo ezizuzwe njenge-cystic fibrosis kanye ne-pancreatitis ezuzwe njengefa azinakuvinjelwa. Kodwa-ke, kunezinyathelo ongazithatha ukuvimbela i-pancreatitis etholakale. Isibonelo, ukunciphisa ukuphuza utshwala nokugcina amazinga e-triglyceride anempilo.

Kufanele ngimbone nini udokotela wami mayelana nesifo sikashukela sohlobo lwe-3c?

Uma unesifo esithinta i-pancreas, njenge-pancreatitis engapheli noma i-hemochromatosis, khuluma nodokotela wakho ngengozi yakho yokuthola isifo sikashukela sohlobo lwe-3c. Cishe uzoncoma ukuhlolwa njalo kwesifo sikashukela.

Uma unesifo sikashukela sohlobo lwe-3c, kuzodingeka ubone ithimba lakho lezokwelapha njalo ukuze uphathe isifo sikashukela sakho kanye nesimo sezempilo esisibangele.

Ukuthola ukuthi unesifo sikashukela ngenxa yesifo se-pancreatic kungaba umthombo wokudabuka nokukhungatheka. Ukuphatha isifo sikashukela sohlobo lwe-3c kudinga ukunakekelwa nokunakwa njalo. Nakuba kungase kubonakale kungaphezu kwamandla ekuqaleni, ngokuhamba kwesikhathi uzothola ukuqonda okungcono kokuphatha lesi simo futhi uqale ukuzizwa ungcono ngomzimba wakho.

Qiniseka ukuthi ubona ithimba lakho lezokwelapha njalo. Ukuphatha Isifo Sikashukela Sohlobo 3c - kanye nesimo esiyisisekelo esisibangele - kuwumzamo weqembu. Udinga ochwepheshe bezokwelapha, abangani, nomndeni ohlangothini lwakho. Ungesabi ukucela usizo kubo uma uludinga.

Okokugcina, khumbula lokhu (Umyalezo Wokuya Ekhaya)

Isifo sikashukela sohlobo 3c uhlobo lwesifo sikashukela olungajwayelekile kakhulu olubangelwa ukulimala kwe-pancreas.Lokhu kungabangelwa yizimo ezifana ne-pancreatitis engapheli, umdlavuza we-pancreatic, kanye ne-cystic fibrosis.

Izimpawu zifana nezinye izinhlobo zesifo sikashukela, kodwa izinkinga zokugaya ukudla (isib. indle enamafutha, ubuhlungu besisu) nazo zingase zibe khona.

Ukuxilonga kungaba nzima kancane, njengoba kuvame ukuphambaniswa nesifo sikashukela sohlobo lwesibili.

Izindlela zokwelapha ziyahlukahluka kumuntu nomuntu futhi zifaka phakathi imithi, i-insulin, izinguquko zendlela yokuphila, kanye nokwelapha imbangela eyinhloko.

Uma unenkinga nge-pancreas yakho, noma ubonisa izimpawu zesifo sikashukela, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha okukhulu. Uma isheshe yatholakala, ingcono kakhulu ukuyilawula. Ungakhathazeki, ngokuphathwa nokusekelwa okufanele, ungaphila impilo enhle ngalesi simo.

Isifo Sikashukela, Isifo Sikashukela Sohlobo 3c, I-Pancreatitis, I-Insulin, Ushukela Ogazini, I-Pancreatitis, I-Cystic Fibrosis