Ukufakelwa kabusha kwamanyikwe kwenziwa kanjani nokuthi ukwenziwa nini

-Delile

• Lapho ukufakelwa kabusha kukhonjisiwe
• Ukufakelwa kwenziwa kanjani
• Lulama kanjani
• Izingozi zokufakelwa kwamanyikwe

Ukufakelwa kwe-Pancreatic kukhona, futhi kuboniswa kubantu abanesifo sikashukela sohlobo 1 abangakwazi ukulawula ushukela wegazi nge-insulin noma asebevele benezinkinga ezinkulu, njengokuhluleka kwezinso, ukuze lesi sifo silawulwe futhi simise ukuthuthuka kwezinkinga.

Lokhu kufakelwa kungaphulukisa isifo sikashukela ngokususa noma ukunciphisa isidingo se-insulin, kepha kukhonjiswa ezimweni ezikhetheke kakhulu, njengoba futhi kuveza ubungozi kanye nokubi, njengokuthi kungenzeka kube nezinkinga, njengokutheleleka kanye ne-pancreatitis, ngaphezu kwesidingo sebenzisa izidakamizwa zokuzivikela emzimbeni impilo yakho yonke, ukugwema ukwenqaba amanyikwe amasha.

Lapho ukufakelwa kabusha kukhonjisiwe

Ngokuvamile, inkomba yokufakelwa kabusha kwamanyikwe yenziwa ngezindlela ezi-3:

• Ukufakelwa kanyekanye kwamanyikwe nezinso: kukhonjiswe ezigulini ezinesifo sikashukela sohlobo 1 ezinokwehluleka okukhulu kwezinso okungapheli, ku-dialysis noma isigaba se-pre-dialysis;
• Ukufakelwa kabusha kwe-Pancreatic ngemuva kokufakelwa kwezinso: kukhonjiswe ezigulini ezinesifo sikashukela sohlobo 1 ezifakelwe ukufakwa kwezinso, ezinomsebenzi omuhle wezinso njengamanje, ukwelapha lesi sifo ngempumelelo enkulu, nokugwema ezinye izinkinga ezinjenge-retinopathy, i-neuropathy nesifo senhliziyo, ngaphezu kokugwema izinkinga ezintsha zezinso;
• Ukufakwa kwe-pancreas okuhlukanisiwe: kukhonjiswe ngamacala athile wesifo sikashukela sohlobo 1, ngaphansi kokuqondiswa kwe-endocrinologist, kubantu, ngaphezu kokuba sengozini yezinkinga zesifo sikashukela, njenge-retinopathy, i-neuropathy, izinso noma isifo senhliziyo, futhi banezinkinga ezivamile ze-hypoglycemic noma ketoacidosis , okudala ukuphazamiseka nezinkinga ezahlukahlukene empilweni yomuntu.

Kungenzeka futhi ukufakelwa amanyikwe kubantu abanesifo sikashukela sohlobo 2, lapho amanyikwe engasakwazi ukukhiqiza i-insulin, futhi kunokuhluleka kwezinso, kepha ngaphandle kokumelana kanzima ne-insulin ngumzimba, okuzonqunywa ngudokotela, ngokusebenzisa izivivinyo.

Ukufakelwa kwenziwa kanjani

Ukwenza ukufakelwa, umuntu udinga ukufaka uhlu lokulinda, ngemuva kokuthi udokotela we-endocrinologist ekhombisile ukuthi, eBrazil, kuthatha cishe iminyaka emi-2 kuye kwemithathu.

Ngokufakelwa kwamanyikwe, kwenziwa ukuhlinzwa, okubandakanya ukukhipha amanyikwe kumnikeli, ngemuva kokushona kobuchopho, nokukufakela kumuntu oswele, esifundeni esiseduze nesinye, ngaphandle kokususa amanyikwe anenkinga.

Ngemuva kwenqubo, lo muntu kungenzeka ukuthi uyelulama e-ICU izinsuku ezi-1 kuya kwezi-2, bese ehlala esibhedlela izinsuku ezingaba yishumi ukuhlola ukuphendula komzimba, nokuhlolwa, nokuvikela izinkinga ezingaba khona zokufakelwa, njengokutheleleka, ukopha futhi ukwenqaba amanyikwe.

Lulama kanjani

Ngesikhathi sokululama, ungahle udinge ukulandela ezinye izincomo ezinjenge:

• Ukwenza ukuhlolwa kwemitholampilo negazi, okokuqala, masonto onke, futhi ngokuhamba kwesikhathi, kuyanda njengoba kukhona ukululama, ngokweseluleko sezokwelapha;
• Sebenzisa amaphilisi ezinhlungu, ama-antiemetics kanye neminye imithi enikezwe udokotela, uma kunesidingo, yokuqeda izimpawu ezifana nobuhlungu kanye nesicanucanu;
• Sebenzisa izidakamizwa zokuzivikela, njenge-Azathioprine, ngokwesibonelo, iqala ngemuva nje kokufakelwa kabusha, ukuvimbela umzimba ekuzameni ukwenqaba isitho esisha.

Yize zingadala imiphumela emibi ethile, enjengesicanucanu, i-malaise kanye nengozi eyengeziwe yokutheleleka, le mithi ibaluleke kakhulu, ngoba ukwenqatshwa kwesitho esifakelwe kabusha kungabulala.

Cishe ezinyangeni ezi-1 kuya kwezi-2, umuntu uzokwazi ukubuyela kancane kancane empilweni ejwayelekile, njengoba eyalelwe ngudokotela. Ngemuva kokululama, kubaluleke kakhulu ukugcina indlela yokuphila enempilo, ngokudla okunomsoco kanye nokusebenza komzimba, ngoba kubaluleke kakhulu ukugcina impilo enhle ukuze amanyikwe asebenze kahle, ngaphezu kokuvikela izifo ezintsha ngisho nesifo sikashukela esisha.

Izingozi zokufakelwa kwamanyikwe

Yize, ezimweni eziningi, ukuhlinzwa kunomphumela omuhle, kunengozi yezinkinga ezithile ngenxa yokufakelwa kwamanyikwe, njenge-pancreatitis, ukutheleleka, ukopha noma ukwenqaba amanyikwe, isibonelo.

Kodwa-ke, lezi zingcuphe ziyancishiswa ngokulandela imihlahlandlela ye-endocrinologist kanye nodokotela ohlinzayo, ngaphambi nangemva kokuhlinzwa, ngokusebenza kwezivivinyo nokusetshenziswa okufanele kwemithi.