Pancreas kudyara

Kuiswa kwepancreas kuvhiyiwa kuti uise pancreas ine hutano kubva kune anopa kune munhu ane chirwere cheshuga. Pancreas inoiswa inopa munhu mukana wekumira kutora jekiseni re insulin.

Iyo pancreas ine hutano inotorwa kubva kune anopa uyo akafa huropi, asi achiri pachitsigiro chehupenyu. Vanopa pancreas vanofanirwa kunyatso fananidzwa kune munhu ari kuitambira. Iyo pancreas ine hutano inotakurwa mumhinduro yakatonhorera inochengetedza iyo nhengo kwemaawa angangoita makumi maviri.

Pancreas yemunhu anorwara haina kubviswa panguva yekuvhiya. Iyo yavanopa pancreas inowanzoiswa muchikamu chakadzika chepazasi chedumbu remunhu. Tsinga dzeropa kubva kupancreas nyowani dzakasungirirwa kumidziyo yeropa yemunhu. Anopa duodenum (chikamu chekutanga chemukati mudumbu chaimo mushure medumbu) chakanamatira ura hwemunhu kana dundira.

Kuvhiya kwepancreas transplant kunotora maawa matatu. Uku kuvhiya kunowanzoitwa panguva imwechete sekuiswa kweitsvo mune vanhu vane chirwere cheshuga vane chirwere cheitsvo. Iko kushanda kwakabatana kunotora anenge maawa matanhatu.

Kuiswa kwepancreas kunogona kurapa chirwere cheshuga uye kubvisa kudikanwa kweiyo insulin shots. Nekudaro, nekuda kwenjodzi dzinobatanidzwa nekuvhiyiwa, vanhu vazhinji vane chirwere cheshuga chekutanga havana pancreas transplant nguva pfupi mushure mekunge vaonekwa.

Pancreas kuisirwa haiwanzo kuitwa wega. Izvo zvinowanzoitwa nguva dzose kana mumwe munhu ane chirwere cheshuga cheshuga achidawo kuisirwa itsvo.

Iyo pancreas inogadzira chinhu chinonzi insulin. Insulin inofambisa glucose, shuga, kubva muropa ichipinda mumhasuru, mafuta, uye maseru echiropa, uko kwainogona kushandiswa semafuta.

Mune vanhu vane chirwere cheshuga cheshuga, rwatata harugadzire zvakakwana, kana dzimwe nguva, insulin. Izvi zvinokonzera kuti glucose iwedzere muropa, zvichitungamira padanho repamusoro reshuga muropa. Yakawanda shuga yeropa kwenguva yakareba inogona kukonzera matambudziko mazhinji, kusanganisira:

• Kudimurwa
• Chirwere chetsinga
• Bofu
• Chirwere chemoyo
• Itsvo kukuvara
• Tsinga kukuvara
• Kurohwa

Pancreas kuvhiya kuvhiya hakuwanzo kuitwa mune vanhu zvakare vane:

• Nhoroondo yekenza
• HIV / AIDS
• Zvirwere zvakadai sehepatitis, izvo zvinonzi zvinoshanda
• Chirwere chemapapu
• Kufutisa
• Zvimwe zvirwere zvemutsipa weropa zvemutsipa uye gumbo
• Chirwere chemwoyo chakakomba (sekutadza kwemoyo, angina isina kudzorwa, kana chirwere chetsinga chakakomba)
• Kusvuta, doro kana kushandisa zvinodhaka, kana mamwe maitiro ehunhu anogona kukuvadza nhengo itsva

Pancreas kuisirwa haina kukurudzirwa kana munhu wacho asingakwanise kuenderera nekushanya kwakawanda kwekutevera, bvunzo, uye mishonga inodiwa kuti nhengo yakasimwa ive noutano.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji zvinosanganisira:

• Zviitiko kumishonga
• Matambudziko ekufema

Njodzi dzepancreas kuisirwa dzinosanganisira:

• Kuvhara (thrombosis) yetsinga kana tsinga dzepancreas nyowani
• Kubudirira kweimwe kanzira mushure memakore mashoma
• Kuzvimba kwepancreas (pancreatitis)
• Kuvuza kwemvura kubva mupancreas nyowani kwainonamira kuura kana dundira
• Kurambwa kwepancreas nyowani

Kamwe kana chiremba wako akakuendesa kune imwe nzvimbo yekuisa, iwe uchaonekwa uye kuongororwa neboka rekutsvaga. Vachada kuve nechokwadi chekuti uri mukwikwidzi akanaka wepancreas uye kuisirwa itsvo. Uchave uine kushanya kwakati wandei pavhiki dzinoverengeka kana kunyange mwedzi. Iwe unozofanirwa kutorwa ropa uye x-ray inotorwa.

Kuyedzwa kwakaitwa nzira isati yasanganisira:

• Nyama uye kutaipa kweropa kubatsira kuve nechokwadi chekuti muviri wako haurambe nhengo dzakapihwa
• Kuongororwa kweropa kana kuongororwa kweganda kuongorora hutachiona
• Miedzo yemoyo yakadai seECG, echocardiogram, kana catheterization yemoyo
• Kuedza kutsvaga cancer yekutanga

Iwe zvakare uchazoda kufunga imwe kana dzakawanda nzvimbo dzekuisira kuti uone izvo zvakakunakira iwe:

• Bvunza iyo nzvimbo kuti mangani ma transplants avanogadzira gore rega rega uye kuti avo ehupenyu hwehuwandu. Enzanisa idzi nhamba kune idzo dzedzimwe nzvimbo dzekudyara.
• Bvunza nezvemapoka ekutsigira avanowana uye rudzii rwekufamba uye gadziriro yedzimba yavanopa.

Kana timu yekuchinjisa ichitenda kuti uri mukwikwidzi akanaka wepancreas uye kuisirwa itsvo, iwe uchaiswa pane yekumirira yenyika. Nzvimbo yako pane yekumirira rondedzero inoenderana neanoverengeka ezvinhu. Izvi zvinhu zvinosanganisira mhando yezvinetso zveitsvo zvauinazvo uye mukana wekuti kuisirwa kuchabudirira.

Paunenge wakamirira chirwatata neitsvo, tevera nhanho idzi:

• Tevedza chikafu chinokurudzirwa nechikwata chako chekuisa.
• Usanwe doro.
• USASVIRA.
• Chengetedza huremu hwako muhurefu hwakakurudzirwa. Tevera chirongwa chakakurudzirwa chekurovedza muviri.
• Tora mishonga yese sekurairwa kwauri. Mhan'ara shanduko mumishonga yako uye chero nyowani kana yakaipa matambudziko ekurapa kune timu yekudyara.
• Tevedzera nachiremba wako wenguva dzose uye timu yekuchinjisa pane chero magadzirirwo akaitwa.
• Ita shuwa kuti timu yekuchinjisa ine chaiyo manhamba efoni kuitira kuti vakwanise kutaura newe nekukurumidza kana chirwatata neitsvo zvikavepo. Ita shuwa, zvisinei kuti iwe urikuenda kupi, kuti iwe unogona kutaurika nekukurumidza uye nyore.
• Gadzirira zvese usati waenda kuchipatara.

Iwe unozofanirwa kugara muchipatara kwemazuva angangoita matatu kusvika manomwe kana kupfuura. Mushure mekuenda kumba, iwe unozoda padhuze kuteverwa nachiremba uye kugara uchiongorora ropa kwemwedzi mumwe chete kana maviri kana kupfuura.

Chikwata chako chekudyara chingakukumbire kuti ugare padyo nechipatara kwemwedzi mitatu yekutanga. Iwe unozofanirwa kugara uchiongororwa pamwe nekuongororwa kweropa uye kuongororwa kwekufungidzira kwemakore mazhinji.

Kana kuiswa kwacho kwabudirira, hauchazoda kutora insulin kupfura, kuyedza shuga yako yeropa zuva nezuva, kana kutevera chikafu cheshuga.

Pane humbowo hwekuti matambudziko eshuga, senge chirwere cheshuga retinopathy, anogona kusanyanya kuipa uye anogona kutogadziridza mushure mekuiswa kwepascreas-itsvo.

Vanopfuura 95% vevanhu vanopona gore rekutanga mushure mekugadziriswa kwepancreas. Kurambwa kwemuviri kunoitika mukati me1% yevanhu gore rega rega.

Iwe unofanirwa kutora mishonga inodzivirira kurambwa kwepancreas yakaiswa uye itsvo kwehupenyu hwako hwese.

Kuisirwa - pancreas; Kuisazve - chirwatata

• Endocrine masero
• Pancreas transplant - akateedzana

Becker Y, Witkowski P. Itsvo uye pancreas kuisazve. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya: Iyo Biological Hwaro hweMazuva Ano Kuvhiya Maitiro. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 26.

Witkowski P, Solomina J, Millis JM. Pancreas uye islet allotransplantation. Mune: Yeo CJ, ed. Kuvhiya kwaShackelford kweAlimentary Tract. 8th ed. Philadelphia, PA: Elsevier; 2019: chap 104.