Ukufakelwa kwepancreas kwenziwa njani kwaye kufanele kwenziwe nini

Umxholo

• Xa kuboniswa ukufakelwa
• Ukufakelwa kwakhona kwenziwa njani
• Unjani uchacha
• Umngcipheko wokufakelwa kwepancreas

Ukutshintshwa kwepancreatic kukhona, kwaye kubonisiwe kubantu abane-1 yeswekile abangakwaziyo ukulawula iswekile yegazi nge-insulin okanye esele benengxaki ezinkulu, ezinje ngokusilela kwezintso, ukuze isifo silawulwe kwaye siyeke ukukhula kweengxaki.

Olu tyando lunokunyanga isifo seswekile ngokususa okanye ukunciphisa isidingo se-insulin, nangona kunjalo kubonisiwe kwiimeko ezizodwa, njengoko ikwabonisa ubungozi kunye nokungalunganga, njengokuvela kweengxaki, ezinje ngezifo kunye nepancreatitis, ukongeza kwimfuno sebenzisa iziyobisi ezikhuselayo ukuya kubomi bakho bonke, ukunqanda ukwaliwa kwepancreas entsha.

Xa kuboniswa ukufakelwa

Ngokubanzi, ukubonakaliswa kokufakelwa kwepancreas kwenziwa ngeendlela ezi-3:

• Ukuhanjiswa ngaxeshanye kwepancreas kunye nezintso: iboniswe kwizigulana ezinesifo seswekile esingasasebenzi kakuhle kwizintso, kwi-dialysis okanye kwisigaba se-pre-dialysis;
• Ukutshintshwa kwepancreatic emva kokufakelwa kwezintso: iboniswe kwizigulana ezinesifo seswekile sokuqala esifumene ukufakelwa kwezintso, ngokusebenza kakuhle kwezintso, ukunyanga esi sifo ngokufanelekileyo, kunye nokuphepha ezinye iingxaki ezinje nge-retinopathy, i-neuropathy kunye nesifo sentliziyo, ukongeza kuthintelo lweengxaki zezintso;
• Ukufakelwa kwepancreas: kubonisiwe kwezinye iimeko ezithile zohlobo lwe-1 yeswekile, phantsi kwesikhokelo se-endocrinologist, kubantu abathi, ukongeza ekubeni semngciphekweni wokufumana isifo seswekile, njenge-retinopathy, i-neuropathy, izintso okanye isifo sentliziyo, banengxaki ye-hypoglycemic okanye ketoacidosis , ezibangela ukuphazamiseka ezahlukeneyo kunye neengxaki kwimpilo yomntu.

Kuyenzeka ukuba ukufakelwa kwepancreas kubantu abanesifo seswekile sesi-2, xa inyikima ingasakwazi ukuvelisa i-insulin, kwaye kukho ukusilela kwezintso, kodwa ngaphandle kokuxhathisa kakhulu kwi-insulin ngumzimba, oya kugqitywa ngugqirha, ngokusebenzisa iimvavanyo.

Ukufakelwa kwakhona kwenziwa njani

Ukwenza ukufakelwa, umntu kufuneka angene kuluhlu lokulinda, emva kokuba ugqirha wezonyango ebonakalisile ukuba, eBrazil, kuthatha iminyaka emi-2 ukuya kwemi-3.

Ukufakelwa kwepancreas, kwenziwa utyando, oluquka ukususwa kwepancreas kumnikeli, emva kokubhubha kwengqondo, kunye nokuyifaka emntwini osweleyo, kwingingqi ekufutshane nesinyi, ngaphandle kokususa iipancreas.

Emva kwenkqubo, umntu usenokuchacha e-ICU kangangeentsuku ezi-1 ukuya kwezi-2, emva koko ahlaliswe esibhedlele kangangeentsuku ezili-10 ukuvavanya indlela ophendula ngayo umzimba, kunye neemvavanyo, kunye nokukhusela iingxaki ezinokubakho xa ufakelwa, njengosulelo, ukopha kunye ukwaliwa kwepancreas.

Unjani uchacha

Ngexesha lokuchacha, ungadinga ukulandela ezinye iingcebiso ezinje:

• Ukwenza uvavanyo lweklinikhi kunye negazi, okokuqala, ngeveki, nangaphezulu kwexesha, iyanda njengoko kukho ukubuyela esimweni, ngokweengcebiso zonyango;
• Sebenzisa iipilisi zentlungu, ii-antiemetics kunye namanye amayeza amiselwe ngugqirha, ukuba kukho imfuneko, ukunciphisa iimpawu ezinjengentlungu kunye nesicaphucaphu;
• Sebenzisa iziyobisi ezikhuselayo, ezinje ngeAzathioprine, umzekelo, ukuqala kungekudala emva kokufakelwa, ukukhusela umzimba ekuzameni ukwala ilungu elitsha.

Nangona zinokubangela ezinye iziphumo ebezingalindelekanga, ezinjengokuba nesicaphucaphu, ukuqaqanjelwa sisisu kunye nokwanda komngcipheko wosulelo, la machiza ayimfuneko kakhulu, njengoko ukwaliwa komzimba otyaliweyo kungabulala.

Malunga neenyanga ezi-1 ukuya kwezi-2, umntu uya kuba nakho ukubuyela ngokuthe ngcembe kubomi obuqhelekileyo, njengoko kuyalelwe ngugqirha. Emva kokuchacha, kubaluleke kakhulu ukugcina indlela yokuphila esempilweni, kunye nokutya okunezakha-mzimba kunye nokusebenza komzimba, njengoko kubaluleke kakhulu ukugcina impilo elungileyo ukuba amadlala asebenze kakuhle, ukongeza kuthintelo lwezifo ezitsha kwanesifo seswekile esitsha.

Umngcipheko wokufakelwa kwepancreas

Nangona, kwiimeko ezininzi, utyando luneziphumo ezihle, kukho umngcipheko weengxaki ezithile ngenxa yokufakwa kwepancreas, njengepancreatitis, usulelo, ukopha okanye ukwaliwa kwepancreas, umzekelo.

Nangona kunjalo, le micimbi iyancitshiswa ngokuthobela izikhokelo ze-endocrinologist kunye nogqirha, ngaphambi nasemva kotyando, ngokusebenza kweemviwo kunye nokusetyenziswa ngokuchanekileyo kwamayeza.