Kuyini Ukufakelwa Kwendlala? Inhloso, Inqubo & Ukululama

Ukufakelwa kwendlala kuyinqubo yokuhlinzwa lapho indlala enempilo evela kumnikeli ithatha indawo yendlala yakho elimele noma enesifo. Lokhu kuhlinzwa okushintsha impilo kungabuyisela ikhono lomzimba wakho lokukhiqiza i-insulin ngokwemvelo nokugaya ukudla kahle. Ngenkathi kuyinqubo eyinkimbinkimbi, inikeza ithemba kubantu abanesifo sikashukela esibi noma izimo ze-pancreatic ezingatholanga ukukhululeka ngokwelashwa okunye.

Kuyini ukufakelwa kwendlala?

Ukufakelwa kwendlala kuhilela ukususwa ngokuhlinzwa kwendlala yakho enesifo nokuyifaka esikhundleni sendlala enempilo evela kumnikeli oshonile. Indlala entsha ithatha imisebenzi ebalulekile indlala yakho yasekuqaleni engasakwazi ukuyenza ngempumelelo.

Indlala yakho inezinjongo ezimbili eziyinhloko emzimbeni wakho. Ikhiqiza i-insulin ukulawula amazinga kashukela egazini futhi idale ama-enzyme okugaya ukudla ukuze aqhekeze ukudla. Lapho indlala yakho ihluleka, le misebenzi ebalulekile iba sengozini, okuholela ezinkingeni ezinkulu zempilo.

Ukufakelwa kwendlala okuningi kwenziwa kanye nokufakelwa kwezinso, okubizwa ngokuthi ukufakelwa kwe-pancreas-kidney (SPK) ngasikhathi sinye. Le ndlela yokuhlanganisa ivamile ngoba isifo sikashukela sivame ukulimaza zombili izitho ngokuhamba kwesikhathi.

Kungani kwenziwa ukufakelwa kwendlala?

Ukufakelwa kwendlala kwenziwa ikakhulukazi ukwelapha isifo sikashukela sohlobo 1 esiye saba nzima ukusilawula ngemithi ye-insulin. Lokhu kuhlinzwa kunikeza ithuba lokuphila ngaphandle kokujova i-insulin nsuku zonke futhi kuzuzwe ukulawulwa okungcono kashukela egazini.

Le nqubo ngokuvamile incomwa uma unezinkinga ezinzima ezivela esifweni sikashukela ezithinta kakhulu izinga lempilo yakho. Lezi zinkinga zivame ukuhlanganisa izigameko ezivamile zikashukela ophansi oyingozi (i-hypoglycemia) ongakwazi ukuyithola noma ukuyilawula ngemithi ejwayelekile.

Ungase futhi ube ngumuntu okhethekile uma unesifo sezinso esibangelwa isifo sikashukela esidinga ukufakelwa izinso. Ezimweni ezinjalo, ukuthola zombili izitho ndawonye kungahlinzeka ngemiphumela engcono yesikhathi eside kunezokuphatha isifo sikashukela nge-insulin ngenkathi ubhekana nezinso ezintsha.

Ngokuvamile, ukufakelwa kwamanyikwe kwenziwa kubantu abanezinkinga ezingapheli zamanyikwe noma umdlavuza wamanyikwe, yize lezi zimo zidinga ukuhlolwa ngokucophelela kwezingozi nezinzuzo.

Yini inqubo yokufakelwa kwamanyikwe?

Ukuhlinzwa kokufakelwa kwamanyikwe kuvame ukuthatha amahora angu-3 kuya kwangu-6 futhi kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Udokotela ohlinzayo uzokwenza ukusikeka esiswini sakho ukuze afinyelele endaweni lapho kuzobekwa khona amanyikwe amasha.

Ngokungafani nokufakelwa kwezitho eziningi, amanyikwe akho okuqala avame ukuhlala endaweni ngesikhathi senqubo. Amanyikwe omnikeli abekwa esiswini sakho esingezansi futhi axhunywe emithanjeni yegazi eseduze ukuqinisekisa ukuthi igazi ligeleza kahle esithweni esisha.

Udokotela ohlinzayo ube esexhuma amanyikwe omnikeli emathunjini akho amancane ukuze ama-enzyme okugaya akhiqizayo akwazi ukugeleza kahle. Uma futhi uthola ukufakelwa izinso, zombili izinqubo zivame ukwenziwa ngesikhathi esifanayo sokuhlinzwa.

Ithimba lakho lezokwelapha likuqapha ngokucophelela kuyo yonke inqubo, lihlole ukuthi igazi ligeleza kanjani esithweni esisha futhi liqinisekise ukuthi konke ukuxhumeka kuphephile. Ukuhlinzwa kudinga indlela eqondile yokunciphisa izinkinga nokuthuthukisa amathuba okusebenza ngempumelelo kwesitho.

Ungalungela kanjani ukufakelwa kwamanyikwe?

Ukulungiselela ukufakelwa kwamanyikwe kuhilela ukuhlolwa okukhulu kwezokwelapha ukuze kuqinisekiswe ukuthi unempilo eyanele yokuhlinzwa. Ithimba lakho lezempilo lizokwenza izivivinyo eziningi ukuze lihlole inhliziyo yakho, amaphaphu, izinso, kanye nesimo sempilo yakho esiphelele.

Kuzodingeka ukuthi uqedele ukuhlolwa kwengqondo futhi ubonise ikhono lakho lokulandela imithi eyinkimbinkimbi. Lokhu kufaka phakathi ukukhombisa ukuthi ungakwazi ukuthatha imithi njalo, uye emihlanganweni ejwayelekile, futhi wenze izinguquko ezidingekayo zokuphila.

Ukulungiselela kwakho kungabandakanya ukuthola imigomo yakamuva, njengoba uzothatha imithi yokucindezela amasosha omzimba ngemva kokuhlinzwa okungakwenza ube sengozini enkulu yokutheleleka. Uzosebenza futhi nabahlengikazi bokudla kanye nabahlinzeki bezinsizakalo zomphakathi ukuqinisekisa ukuthi unamasistimu okusekela afanele.

Ukulungiselela ngokomzimba kuvame ukubandakanya ukuthuthukisa impilo yakho yonke ngokuzivocavoca, ukudla okunempilo, nokuphatha noma yiziphi ezinye izimo zezokwelapha ongase ube nazo. Ithimba lakho lizohlinzeka ngemiyalelo ethile mayelana nemithi okufanele uyeke noma uqhubeke nayo ngaphambi kokuhlinzwa.

Ungazifunda kanjani imiphumela yakho yokufakelwa kwendlala?

Impumelelo ngemva kokufakelwa kwendlala ilinganiswa ngekhono lomzimba wakho lokukhiqiza i-insulin ngokwemvelo futhi ugcine amazinga kashukela egazini ajwayelekile. Odokotela bakho bazogada amazinga kashukela egazini lakho njalo ukuze baqinisekise ukuthi indlala entsha isebenza kahle.

Uzoqhubeka nokuhlolwa kwegazi njalo ukuze uhlole izimpawu zokwenqatshwa kwesitho, lapho amasosha akho omzimba ehlasela indlala efakelwe. Lokhu kuhlola kulinganisa izimpawu ezithile ezikhombisa ukuthi umzimba wakho wamukela kahle kangakanani isitho esisha.

Amazinga akho e-C-peptide azogadwa njengoba ekhombisa ukukhiqizwa kwe-insulin evela endlaleni efakelwe. Amazinga e-C-peptide akhuphukayo asikisela ukuthi indlala entsha isebenza kahle, kuyilapho amazinga ehlisa angase abonise izinkinga.

Izifundo zokucabanga ezijwayelekile njenge-ultrasounds noma i-CT scans zisiza ithimba lakho lezokwelapha ukuthi libone indlala efakelwe futhi lihlole izinkinga ezinjengamahlule egazi noma ukuqoqwa koketshezi eduze kwesitho.

Ungayigcina kanjani indlala yakho efakelwe?

Ukunakekela ukufakelwa kwakho kwamanyikwe kudinga ukuzibophezela impilo yonke emithini yokucindezela amasosha omzimba evimbela umzimba wakho ukuba ungawenqabi ilungu elisha. Le mithi kumele ithathwe ngendlela eqondile njengoba kunqunywe, ngezikhathi ezifanayo nsuku zonke.

Uzodinga ukuqokwa okuvamile kokulandela neqembu lakho lokufakelwa, ikakhulukazi ukuvakashelwa njalo ngonyaka wokuqala ngemuva kokuhlinzwa. Lokhu kuqokwa kuvumela odokotela bakho ukuthi baqaphele ukusebenza kwelungu futhi balungise imithi njengoba kudingeka.

Ukuzivikela emagciwaneni kubalulekile ngoba imithi yokucindezela amasosha omzimba ibuthakathisa amasosha akho omzimba. Lokhu kusho ukuziphatha kahle, ukugwema izindawo ezinabantu abaningi uma kungenzeka, nokuhlala unolwazi lwakamuva ngokugonywa okunconyiwe.

Ukunakekela indlela yokuphila enempilo ngokudla okunomsoco, ukuzivocavoca njalo, nokugwema ugwayi notshwala obuningi kusekela impilo yakho yonke nempumelelo yokufakelwa. Ithimba lakho lizohlinzeka ngemihlahlandlela ethile eyenzelwe isimo sakho.

Yiziphi izici eziyingozi zezinkinga zokufakelwa kwamanyikwe?

Izici eziningana zingakhuphula ingozi yakho yezinkinga ngemuva kokufakelwa kwamanyikwe. Ubudala budlala indima ebalulekile, njengoba abamukeli abadala kungenzeka babe nobunzima obuningi ekululameni ekuhlinzweni nasekuphatheni ukunakekelwa ngemuva kokufakelwa.

Izimo zempilo ezikhona ngaphambili zingenza kube nzima ukululama kwakho nemiphumela yesikhathi eside. Isifo senhliziyo, izinkinga zamaphaphu, noma ukungasebenzi kahle kwamanye amalungu kungakhuphula izingozi zokuhlinzwa futhi kuthinte ukuphola.

Isimo sakho sempilo yonke ngaphambi kokufakelwa sithinta kakhulu impumelelo yakho. Ukudla okunganele, ukukhuluphala, noma isifo sikashukela esingalawulwa kahle kungenza ukuhlinzwa kube yinselele enkulu futhi kwenze ukululama kube nzima.

Izici zomphakathi ezinjengokuntuleka kokusekelwa komndeni, izithiyo zezezimali, noma ubunzima bokufinyelela ukunakekelwa kwezempilo nazo zingathinta ikhono lakho lokunakekela kahle ngemuva kokufakelwa nokunamathela emithini.

Ingabe kungcono ukuba nokufakelwa kwamanyikwe noma ukuqhubeka nokwelashwa nge-insulin?

Isinqumo phakathi kokufakelwa kwamanyikwe kanye nokwelashwa nge-insulin okuqhubekayo kuncike ezimweni zakho ngazinye kanye nekhwalithi yempilo ngokuphathwa kwesifo sikashukela samanje. Ukufakelwa kwamanyikwe kunikeza ithuba lokuzimela kwe-insulin kodwa kuza nezingozi ezinkulu zokuhlinzwa kanye nokucindezelwa komzimba impilo yonke.

Kubantu abanesifo sikashukela esilawulwa kahle abangakwazi ukuphatha isimo sabo ngempumelelo nge-insulin, ukuqhubeka nokwelashwa kwamanje kungase kube yindlela ephephe kakhulu. Amaphampu e-insulin anamuhla kanye nokuqapha i-glucose okuqhubekayo kwenze ukuphathwa kwesifo sikashukela kube ngqo kakhulu futhi kube lula.

Nokho, uma uhlangabezana neziqephu eziningi ezinzima ze-hypoglycemic, unokungazi nge-hypoglycemia, noma uhlushwa yizinkinga zesifo sikashukela ezinomthelela omkhulu empilweni yakho, ukufakelwa kwamanyikwe kungase kunikeze izinzuzo ezinkulu naphezu kwezingozi.

Ukukhetha futhi kuncike ekutheni ngabe udinga ukufakelwa izinso ngenxa yesifo sezinso esibangelwa isifo sikashukela. Kulezi zimo, ukuthola zombili izitho ndawonye kuvame ukuhlinzeka ngemiphumela engcono kunokuphatha isifo sikashukela nge-insulin ngenkathi ubhekana nezinkinga zokufakelwa izinso.

Ziyini izinkinga ezingaba khona zokufakelwa kwamanyikwe?

Izinkinga zokufakelwa kwamanyikwe zingaba zinkulu futhi zidinga ukunakekelwa kwezokwelapha okusheshayo. Ukuqonda lezi zingozi kukusiza ukuthi uqaphele izimpawu zokuxwayisa futhi ufune ukunakekelwa okufanele uma kudingeka.

Nazi izinkinga eziyinhloko okufanele uzazi:

• Ukwenqatshwa kwelungu, lapho amasosha omzimba wakho ehlasela iphancreas elishintshiwe
• Izinkinga zokuhlinzwa njengokopha, amahlule egazi, noma ukutheleleka endaweni yokuhlinzwa
• Ukuvuza kwe-pancreatic, lapho ama-enzyme okugaya ukudla evuza ezixhumweni zokuhlinzwa
• I-Thrombosis, noma amahlule egazi akheka emithanjeni exhunywe ku-pancreas entsha
• Ukwanda kwengozi yokutheleleka ngenxa yemithi ecindezela amasosha omzimba
• Amathuba aphezulu okuthuthukisa iminye iminyango yomdlavuza ngokuhamba kwesikhathi
• Izinkinga zenhliziyo nemithambo evela emithini ecindezela amasosha omzimba
• Izinkinga zezinso, ikakhulukazi uma ungazange uthole ukufakelwa izinso

Izinkinga eziningi ziyalawuleka uma zitholwe kusenesikhathi, yingakho ukuqapha njalo nokunakekelwa okulandelayo kubaluleke kakhulu. Ithimba lakho lokufakelwa lizokufundisa izimpawu zokuxwayisa okufanele uziqaphele nokuthi kufanele ufune nini ukunakekelwa kwezokwelapha ngokushesha.

Kufanele ngibone nini udokotela ngemuva kokufakelwa kwe-pancreas?

Kufanele uthinte ithimba lakho lokufakelwa ngokushesha uma uhlangabezana nezimpawu ezingase zibonise izinkinga. Lokhu kufaka phakathi umkhuhlane, ubuhlungu besisu, isicanucanu, ukuhlanza, noma izinguquko ezingazelelwe emazingeni kashukela egazini.

Noma yiziphi izimpawu zokutheleleka zidinga ukuhlolwa kwezokwelapha ngokushesha, njengokukhathala okungavamile, amahloni, ukukhwehlela okuqhubekayo, noma ubuhlungu ngesikhathi sokuchama. Njengoba amasosha omzimba wakho ecindezelwe, ukutheleleka kungaba kubi ngokushesha.

Izinguquko endaweni yakho yokusika yokuhlinzwa, njengokwanda kobubomvu, ukuvuvukala, ukufudumala, noma ukuvuza, kufanele kubikwe eqenjini lakho lezokwelapha ngokushesha. Lokhu kungase kubonise ukutheleleka kwendawo yokuhlinzwa noma ezinye izinkinga.

Kufanele futhi ufune ukunakekelwa ngokushesha uma uhlangabezana nobuhlungu besifuba, ukuphefumula kanzima, ikhanda elibuhlungu kakhulu, noma izinguquko embonweni, ngoba lokhu kungase kubonise izinkinga ezinzima zenhliziyo nemithambo noma ze-neurological.

Imibuzo evame ukubuzwa mayelana nokufakelwa kwe-pancreas

Umbuzo 1: Ingabe ukufakelwa kwe-pancreas kulungile ngohlobo 2 lwesifo sikashukela?

Ukufakelwa kwamanyikwe akuvamile ukunconywa ngohlobo 2 lwesifo sikashukela. Le nqubo igcinelwe ikakhulukazi abantu abanesifo sikashukela sohlobo 1 abanezinkinga ezinzima noma ubunzima bokuphatha isimo sabo ngemithi ye-insulin.

Uhlobo 2 lwesifo sikashukela luhilela ukumelana ne-insulin kunokuntuleka okuphelele kwe-insulin, ngakho ukufaka amanyikwe akulungisi inkinga eyisisekelo. Abantu abaningi abanesifo sikashukela sohlobo 2 bangaphatha isimo sabo ngempumelelo ngemithi, izinguquko zokuphila, futhi ngezinye izikhathi i-insulin.

Umbuzo 2: Ingabe ukufakelwa kwamanyikwe kuyasiphilisa unomphela isifo sikashukela?

Ukufakelwa kwamanyikwe kungahlinzeka ngokuqeda isifo sikashukela esihlala isikhathi eside, kodwa akudingeki ukuthi kube yikhambi elihlala njalo. Abamukeli abaningi bazuza ukuzimela kwe-insulin iminyaka eminingi noma ngisho amashumi eminyaka, kodwa amanyikwe afakelwe angase agcine ehluleka noma adinge ukushintshwa.

Amanani empumelelo ayakhuthaza, ngabamukeli abangaba ngu-85% begcina ukuzimela kwe-insulin ngonyaka owodwa ngemva kokuhlinzwa. Nokho, uzodinga imithi yokucindezela amasosha omzimba impilo yakho yonke kanye nokuqapha njalo ukuze ugcine ukusebenza kokufakelwa.

Umbuzo 3: Ulinda isikhathi esingakanani ukufakelwa kwamanyikwe?

Izikhathi zokulinda ukufakelwa kwamanyikwe ziyahlukahluka kakhulu kuye ngohlobo lwegazi lakho, usayizi womzimba, nendawo ohlala kuyo. Isilinganiso sesikhathi sokulinda sisuka ezinyangeni ezimbalwa kuya eminyakeni emibili noma ngaphezulu.

Isikhundla sakho ohlwini lokulinda sincike ezintweni ezifana nesikhathi esichithwe ohlwini, ukugcizelela kwezokwelapha, nokuhambisana nezitho ezinikelwe ezitholakalayo. Ithimba lakho lokufakelwa lizokugcina unolwazi ngesimo sakho nezikhathi zokulinda ezilindelekile.

Umbuzo 4: Ungaphila impilo ejwayelekile ngemva kokufakelwa kwamanyikwe?

Abantu abaningi baphila impilo egcwele, esebenzayo ngemva kokufakelwa kwamanyikwe, nakuba ezinye izilungiso zidingekile. Uzodinga ukuthatha imithi yokucindezela amasosha omzimba nsuku zonke futhi uye ekuqokweni kwezokwelapha njalo empilweni yakho yonke.

Abaningi abamukeli bangakwazi ukubuyela emsebenzini, ukuhamba, ukuzivivinya, nokujabulela imisebenzi abayithandayo. Nokho, kuzodingeka uqaphele kakhulu ngamathambo futhi ulandele imihlahlandlela ethile ukuvikela impilo yakho nomsebenzi wokufakelwa.

Q5: Iyini izinga lempumelelo lokufakelwa kwamanyikwe?

Amanani empumelelo yokufakelwa kwamanyikwe ngokuvamile alungile, ikakhulukazi uma kwenziwa ngokufakelwa izinso. Amanani okusinda ngonyaka owodwa adlula ama-95% kubamukeli, futhi cishe ama-85% afinyelela ekuzimeleni kwe-insulin ngonyaka owodwa.

Impumelelo yesikhathi eside incike ezintweni eziningi ezihlanganisa impilo yakho yonke, ukunamathela emithini, nokunakekelwa okuvamile kokulandela. Amanani okusinda eminyaka emihlanu ahlala eqinile cishe kuma-85-90% kubamukeli abaningi.