Ungaphila Ngaphandle Kwamapancreas?

-Delile

• Enzani amanyikwe?
• Izimo ezithinta amanyikwe
• Ukuhlinzwa kokususwa kwamanyikwe nokululama
• Ukuphila ngaphandle kwamanyikwe
• Umbono

Ungaphila ngaphandle kwamanyikwe?

Yebo, ungaphila ngaphandle kwamanyikwe. Kuzodingeka wenze izinguquko ezimbalwa empilweni yakho, noma kunjalo. Ama-pancreas akho enza izinto ezilawula ushukela wegazi futhi zisize umzimba wakho ukugaya ukudla. Ngemuva kokuhlinzwa, kuzodingeka uthathe imithi ukuphatha le misebenzi.

Ukuhlinzwa ukususa wonke amanyikwe akuvamile ukwenziwa futhi. Kodwa-ke, ungakudinga lokhu kuhlinzwa uma unomdlavuza we-pancreatic, i-pancreatitis enamandla, noma ukulimala kwamanyikwe akho ekulimaleni.

Ngenxa yemithi emisha, isikhathi sokuphila ngemuva kokuhlinzwa kokukhishwa kwamanyikwe siyakhula. Umbono wakho uzoncika esimweni onaso. ithole ukuthi izinga lokusinda leminyaka eyisikhombisa ngemuva kokuhlinzwa kwabantu abanezimo ezingenomdlavuza njenge-pancreatitis belingamaphesenti angama-76. Kepha kubantu abanomdlavuza we-pancreatic, izinga lokusinda leminyaka eyisikhombisa lalingamaphesenti angama-31.

Enzani amanyikwe?

Ama-pancreas yindlala etholakala esiswini sakho, ngaphansi kwesisu sakho. Yakheke njengonoshobishobi abakhulu, inekhanda eliyindilinga nomzimba omncane, onamathele. “Ikhanda” ligobele ku-duodenum, ingxenye yokuqala yamathumbu akho amancane. “Umzimba” wamanyikwe uhleli phakathi kwesisu sakho nomgogodla.

Ama-pancreas anezinhlobo ezimbili zamaseli. Uhlobo ngalunye lweseli lukhiqiza into ehlukile.

• Amaseli e-Endocrine akhiqiza ama-hormone insulin, i-glucagon, i-somatostatin, ne-pancreatic polypeptide. I-insulin isiza ukwehlisa ushukela wegazi, kanti i-glucagon inyusa ushukela wegazi.
• Amaseli e-Exocrine akhiqiza ama-enzyme asiza ukugaya ukudla emathunjini. I-Trypsin ne-chymotrypsin zidiliza amaprotheni. I-Amylase igaya ama-carbohydrate, kanti i-lipase idiliza amafutha.

Izimo ezithinta amanyikwe

Izifo ezingadinga ukuhlinzwa kokususwa kwamanyikwe zihlanganisa:

• I-pancreatitis engapheli. Lokhu kuvuvukala kwamanyikwe kuya ngokuya ngokuhamba kwesikhathi. Ngezinye izikhathi kwenziwa ukuhlinzwa ukuze kudanjiswe ubuhlungu be-pancreatitis.
• I-Pancreatic namanye umdlavuza wendawo, njenge-adenocarcinoma, i-cystadenocarcinoma, izicubu ze-neuroendocrine, i-intraductal papillary neoplasms, umdlavuza we-duodenal, futhi I-lymphoma. Lezi zicubu ziqala phakathi noma eduze kwamanyikwe kepha zingasakazeka ziye kwezinye izingxenye zomzimba. Umdlavuza osakazeka kumanyikwe kusuka kwezinye izitho nawo ungadinga ukuhlinzwa ukuze kususwe amanyikwe.
• Ukulimala kwamanyikwe. Uma umonakalo mkhulu, kungadingeka ukuthi ususwe amanyikwe.
• Hyperinsulinemic hypoglycemia. Lesi simo sidalwa amazinga aphezulu e-insulin, okwenza ushukela wegazi lakho wehle kakhulu.

Ukuhlinzwa kokususwa kwamanyikwe nokululama

Ukuhlinzwa ukususa wonke amanyikwe kubizwa ngokuthi yi-pancreatectomy ephelele. Ngoba ezinye izitho zihlala eduze kwamanyikwe, udokotela ohlinzayo angasusa futhi:

• i-duodenum yakho (ingxenye yokuqala yamathumbu akho amancane)
• ubende lwakho
• ingxenye yesisu sakho
• inyongo yakho
• ingxenye yomgudu wakho we-bile
• amanye ama-lymph node eduze kwamanyikwe akho

Ungadinga ukuya kuziphuzo ezicacile futhi uthathe i-laxative ngosuku olwandulela ukuhlinzwa kwakho. Lokhu kudla kuhlanza amathumbu akho. Kungadingeka futhi ukuthi uyeke ukuthatha imishanguzo ethile ezinsukwini ezimbalwa ngaphambi kokuhlinzwa, ikakhulukazi izinciphisi zegazi ezinjenge-aspirin ne-warfarin (Coumadin). Uzonikezwa i-anesthesia ejwayelekile yokwenza ulale ngokuhlinzwa futhi uvimbele ubuhlungu.

Ngemuva kokukhishwa kwamanyikwe nezinye izitho zakho, udokotela wakho ohlinzayo uzobuye axhume isisu sakho nawo wonke umsele wakho we-bile engxenyeni yesibili yamathumbu akho - ijejunum. Lokhu kuxhumana kuzovumela ukudla ukuthi kusuke esiswini sakho kuya emathunjini akho amancane.

Uma une-pancreatitis, ungaba nenketho yokuthola ukufakwa kwe-islet auto ngesikhathi sokuhlinzwa kwakho. Amaseli we-Islet amangqamuzana asenhlanganweni yakho akhiqiza i-insulin. Ekufakelweni kabusha kwe-auto, udokotela ohlinzayo ususa amaseli we-islet kuma-pancreas akho. Lawa maseli abuyiselwa emzimbeni wakho ukuze ukwazi ukuqhubeka nokwenza i-insulin wedwa.

Ngemuva kokuhlinzwa, uzothathwa uyiswe egumbini lokutakula ukuze uvuke. Ungahle udinge ukuhlala esibhedlela izinsuku ezimbalwa, noma kuze kube amasonto amabili. Uzoba neshubhu esiswini sakho ukukhipha uketshezi endaweni yakho yokuhlinzwa. Ungase futhi ube neshubhu yokudla. Uma usungadla ngokwejwayelekile, le tube izosuswa. Udokotela wakho uzokunika umuthi wokulawula ubuhlungu bakho.

Ukuphila ngaphandle kwamanyikwe

Ngemuva kokuhlinzwa, kuzodingeka wenze izinguquko ezithile.

Ngoba umzimba wakho ngeke usakwazi ukukhiqiza inani elijwayelekile le-insulin ukulawula ushukela wegazi, uzoba nesifo sikashukela. Uzodinga ukuqapha ushukela wegazi lakho bese uthatha i-insulin ngezikhathi ezithile. Udokotela wakho we-endocrinologist noma udokotela oyinhloko uzokusiza ukuphatha ushukela wegazi lakho.

Umzimba wakho futhi ngeke wenze ama-enzyme adingekayo ukugaya ukudla. Kuzofanele uthathe iphilisi lokufaka esikhundleni se-enzyme njalo uma udla.

Ukuze uhlale uphilile, landela ukudla okunesifo sikashukela. Ungadla ukudla okuhlukahlukene, kepha uzofuna ukubuka ama-carbohydrate noshukela. Kubalulekile futhi ukugwema ushukela ophansi wegazi. Zama ukudla okuncane usuku lonke ukuze ugcine ushukela wakho uzinzile. Thatha nomthombo we-glucose uma kwenzeka ushukela wegazi lakho wehla.

Futhi, faka ukuzivocavoca emini. Ukuhlala usebenza kuzokusiza ukuthi uphinde uthole amandla futhi uphathe amazinga kashukela egazini lakho. Zama ukuhamba kancane usuku ngalunye ukuqala, bese ubuza udokotela wakho ukuthi kuphephile nini ukukhuphula amandla akho okuzivocavoca umzimba.

Umbono

Ungaphila ngaphandle kwamanyikwe akho - kanye nobende bakho nenyongo, uma nakho kukhishiwe. Ungaphila futhi ngaphandle kwezitho ezifana nesithasiselo sakho, ikholoni, izinso, nesibeletho namaqanda (uma ungowesifazane). Kodwa-ke, kuzodingeka wenze ukulungisa okuthile empilweni yakho. Thatha imithi odokotela bakho abakunikeze yona, ubheke ushukela wegazi lakho, uhlale usebenza.