Ukutshintshwa kwepancreas

Ukufakelwa kwepancreas lutyando ukuze kufakwe ipancreas esempilweni evela kulowo unikele ngayo inesifo seswekile. Ukufakwa kwepancreas kunika umntu ithuba lokuba ayeke ukuthatha inaliti ye-insulin.

Ipancreas esempilweni ithathwa kumnikeli obhubhile ebuchotsheni, kodwa usekwinkxaso yobomi. I-pancreas yomnikeli kufuneka ihambelane ngononophelo nomntu oyifumanayo. Ipancreas esempilweni ihanjiswa ngesisombululo esipholileyo esigcina umzimba ukuya kuthi ga kwiiyure ezingama-20.

Iipancreas zomntu ogulayo azisuswanga ngexesha lokusebenza. I-pancreas yomnikeli ihlala ibekwa kwindawo esezantsi esezantsi kwesisu somntu. Imithambo yegazi evela kwi-pancreas entsha iqhotyoshelwe kwimithambo yegazi yomntu. I-donor duodenum (inxalenye yokuqala yamathumbu amancinci kanye emva kwesisu) iqhotyoshelwe emathunjini omntu okanye kwisinyi.

Ukuhlinzwa kotyando lwepancreas kuthatha malunga neeyure ezintathu. Lo msebenzi uqhele ukwenziwa ngaxeshanye ukufakelwa kwezintso kubantu abanesifo seswekile. Umsebenzi odibeneyo uthatha malunga neeyure ezingama-6.

Ukufakelwa kwepancreas kunokunyanga isifo seswekile kunye nokuphelisa isidingo sokudubula kwi-insulin. Nangona kunjalo, ngenxa yemingcipheko ebandakanyeka kuqhaqho, uninzi lwabantu abanesifo seswekile sokuqala abanalo ukufakelwa kwepancreas kungekudala emva kokuba befunyanisiwe.

Ukutshintshwa kwepancreas kunqabile ukuba kwenziwe wedwa. Iphantse yenziwa xa umntu onesifo seswekile sokuqala efuna ukufakelwa kwezintso.

Ipancreas yenza into ebizwa ngokuba yi-insulin. I-insulin ihambisa iswekile, iswekile, isuka egazini iye kwiimisipha, kumanqatha, nakwiiseli zesibindi, apho inokusetyenziswa njengamafutha.

Kubantu abanesifo seswekile sohlobo loku-1, iipancreas azenzi ngokwaneleyo, okanye ngamanye amaxesha, i-insulin. Oku kubangela ukuba iglucose yakheke egazini, kukhokelela kwinqanaba eliphezulu leswekile egazini. Iswekile ephezulu yegazi ixesha elide kunokubangela iingxaki ezininzi, kubandakanya:

• Unyulo
• Isifo semithambo
• Ubumfama
• Isifo sentliziyo
• Umonakalo wezintso
• Umonakalo wemithambo
• Ukubetha

Ukuhlinzwa kotyando lwepancreas akuqhelekanga kwenziwa kubantu abane:

• Imbali yomhlaza
• Intsholongwane kaGawulayo / uGawulayo
• Usulelo olunjenge-hepatitis, oluthathwa njengolusebenzayo
• Isifo semiphunga
• Ukutyeba kakhulu
• Ezinye izifo zemithambo yegazi entanyeni nasemlenzeni
• Isifo sentliziyo esiqatha (njengokungaphumeleli kwentliziyo, i-angina engalawulwa kakuhle, okanye isifo se-coronary artery disease)
• Ukutshaya, ukusebenzisa kakubi iziyobisi, okanye ezinye iindlela zokuphila ezinokonakalisa ilungu elitsha

Ukufakelwa iipancreas akukwacetyiswa ukuba umntu akazokwazi ukuqhubeka notyelelo olulandelayo, iimvavanyo, kunye namayeza afunekayo ukugcina umzimba otyaliweyo usempilweni.

Umngcipheko we-anesthesia kunye notyando ngokubanzi kubandakanya:

• Impendulo kumayeza
• Iingxaki zokuphefumla

Ubungozi bokufakwa kwepancreas kubandakanya:

• Ukuvala (i-thrombosis) yemithambo okanye yemithambo yepancreas entsha
• Ukuphuhliswa kwemihlaza ethile emva kweminyaka embalwa
• Ukudumba kwepancreas (pancreatitis)
• Ukuvuza kolwelo kwi-pancreas entsha apho incamathele emathunjini okanye kwisinyi
• Ukulahlwa kwepancreas entsha

Nje ukuba ugqirha wakho akuthumele kwiziko lokufakelwa, uya kubonakala kwaye uvavanywe liqela lokufakelwa. Baya kufuna ukuqinisekisa ukuba ungumgqatswa ofanelekileyo wepancreas kunye nokufakelwa kwezintso. Uya kutyelelwa kaliqela kwiiveki ezininzi okanye kwinyanga. Uya kudinga ukuba utsale igazi kwaye uthathwe ii-x-reyi.

Uvavanyo olwenziwe ngaphambi kwenkqubo lubandakanya:

• Izicubu kunye nokuchwetheza igazi ukunceda ukuqinisekisa ukuba umzimba wakho awuzokuzilahla izinto ezinikelweyo
• Uvavanyo lwegazi okanye uvavanyo lolusu ukukhangela usulelo
• Uvavanyo lwentliziyo njenge-ECG, i-echocardiogram, okanye i-catheterization yentliziyo
• Uvavanyo lokujonga umhlaza kwangoko

Uyakufuna kwakhona ukuqaphela enye okanye ngaphezulu kwamaziko okufakelwa ukuze unqume ukuba kukuphi okulungileyo kuwe:

• Buza iziko ukuba zingaphi izinto abazitshintshayo abazenzileyo minyaka le kwaye ngawaphi amazinga abo okusinda. Thelekisa la manani kunye namanye amaziko okufakelwa.
• Buza malunga namaqela enkxaso abanayo kunye nohlobo luni lokuhamba kunye namalungiselelo endlu abayinikezelayo.

Ukuba iqela lokufakelwa likholelwa ukuba ungumgqatswa ofanelekileyo wepancreas kunye nokufakelwa kwezintso, uya kubekwa kuluhlu lwesizwe lokulinda. Indawo yakho kuluhlu lokulinda isekwe kwinani lezinto. Ezi zinto zibandakanya uhlobo lweengxaki zezintso onazo kunye namathuba okuba ukufakelwa kungaphumelela.

Ngelixa ulinde ipancreas kunye nezintso, landela la manyathelo:

• Landela ukutya okucetyiswa liqela lakho lokufakelwa.
• Musa ukusela utywala.
• Musa ukutshaya.
• Gcina ubunzima bakho kuluhlu oluye lwacetyiswa. Landela inkqubo yokuzilolonga ekhuthazwayo.
• Thatha onke amayeza njengoko kumiselwe wena. Xela utshintsho kumayeza akho kunye nazo naziphi na iingxaki ezintsha okanye eziya zisiba mbi kwiqela lokutshintsha.
• Landela kunye nogqirha wakho oqhelekileyo kunye neqela lokufakelwa nakuphi na ukuqeshwa okwenziweyo.
• Qinisekisa ukuba iqela lofakelo lineenombolo zefowuni ezichanekileyo ukuze banxibelelane nawe kwangoko xa ipancreas nezintso zibakho. Qiniseka, nokuba uyaphi, ukuba unokudibana ngokukhawuleza kwaye ngokulula.
• Yilungiselele yonke into ngaphambi kokuba uye esibhedlele.

Kuya kufuneka uhlale esibhedlele malunga neentsuku ezi-3 ukuya kwezi-7 nangaphezulu. Emva kokuba uye ekhaya, uyakufuna ukulandelelwa okusondeleyo ngugqirha kunye novavanyo lwegazi rhoqo iinyanga ezi-1 ukuya kwezi-2 okanye ngaphezulu.

Iqela lakho lokufaka lingakucela ukuba uhlale kufutshane nesibhedlele kwiinyanga ezintathu zokuqala. Kuya kufuneka uhlolwe rhoqo kuvavanyo lwegazi kunye novavanyo lokucinga ngeminyaka emininzi.

Ukuba ukufakelwa kuphumelele, akusayi kuphinda uthathe i-insulin shots, uvavanye iswekile yegazi lakho yonke imihla, okanye ulandele ukutya kweswekile.

Kukho ubungqina bokuba iingxaki zesifo seswekile, ezinje ngesifo seswekile, zisenokungabi mandundu kwaye zisenokuphucuka emva kokufakelwa kwepancreas-izintso.

Ngaphezulu kwama-95% abantu abasindayo kunyaka wokuqala emva kokufakwa kwepancreas. Ukwala komzimba kwenzeka malunga ne-1% yabantu ngonyaka.

Kuya kufuneka uthathe amayeza athintela ukwaliwa kwamanyikwe kunye nezintso ezifakwe kubomi bakho bonke.

Ukufakelwa - injeke; Ukufakelwa komhlaba - iipancreas

• Amadlala endocrine
• Ukutshintshwa kwepancreas - uthotho

U-Becker Y, Witkowski P. Izintso kunye nokufakelwa kwepancreas. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango: Isiseko sebhayiloji yoQeqesho lwangoku. Umhla we-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 26.

IWitkowski P, uSolomina J, uMillis JM. Iipancreas kunye ne-islet allotransplantation. Ku: Ewe CJ, ed. Utyando lwe-Shackelford lwe-Alimentary Tract. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 104.