Amanyikwe kungenye yezindlela ezibaluleke kakhulu ze-endocrine emzimbeni wethu, enezingxenye ezintathu - ikhanda, umzimba nomsila. Ifihla ama-hormone afana ne-insulin, i-glucagon, i-somatostatin ne-pancreatic polypeptide. Ababili bokuqala babambe iqhaza kulawulo lwe-carbohydrate metabolism.
I-insulin yehlisa ushukela wegazi, kanti i-glucagon, kunalokho, iyayandisa. Ngokufanelekile, ngokungabikho noma ukungasebenzi kahle kwe-insulin, isifo sikashukela siyakhula. Yile ngxaki, okokuqala, ukuthi ukususwa kwe-gland kuyingozi.
Ngaphezu kwama-hormone, ama-pancreas abuye afake ama-enzyme wokugaya ukudla: i-alpha-amylase, esiza ekuqhekeni amaprotheni, i-lipase, okugaya amanoni, ne-lactase, okubandakanya ukumuncwa koshukela obisini (i-lactose). Ngaphandle kwabo, ukugaya kukhubazeka kakhulu, futhi umuntu umane angazitholi izakhamzimba namavithamini anele, ikakhulukazi lawo ancibilikayo amafutha.
I-Somatostatin yi-hormone ekhululayo, noma isici sokukhulula, esinciphisa umphumela we-hormone yokukhula emzimbeni. Ezinganeni, kunciphisa ngqo izinqubo zokukhula kanye nokuvuthwa ngokomzimba, kanti kubantu abadala kuvimbela ukukhula kwe-acromegaly, isifo lapho kunokukhula okungafani kwesikhumba namathishu athambile kubantu abadala nakubantu abavuthiwe ngokomzimba ngenxa yehaba le-hormone lokukhula.
Kungani ama-pancreas angasuswa?
Kwezifo ezahlukahlukene kanye nezimo ze-pathological, ama-pancreas awasakwazi ukusebenza, futhi ngenxa yalokho kufanele asuswe, ngokwengxenye noma ngokuphelele.
Ukuhlinzwa kuyindlela ebaluleke kakhulu.
Le ndlela yokwelashwa ibuyiselwa lapho kuphela ukwelashwa ngezidakamizwa kunganikeli umphumela oyifunayo.
Ukususwa kwe-gland (noma i-pancreatectomy) kungukusebenza okuyinkimbinkimbi, okungaholela kulezi zizathu ezilandelayo:
- ukwakheka kwe-cystic;
- ukulimala kwesitho;
- Ukuvinjezelwa kweziqubu zesikhumba ngamatshe (kuyaqabukela - njengenhlanganisela ye-cholecystitis)
- izinqubo zokuvuvukala ku-gland (i-pancreatitis eqinile noma engamahlalakhona esigabeni esibuhlungu);
- izifo ze-oncological (isimila esibuhlungu);
- fistulas;
- i-pancreatic necrosis;
- ukopha kwemithambo;
- i-peritonitis;
- ukusetshenziswa kabi kotshwala.
Imbangela evame kakhulu eholela ku-pancreatectomy umdlavuza. Izici Zobungozi Lomdlavuza:
- Ukubhema
- Ukudla inani elikhulu lamafutha futhi kuthosiwe
- Utshwala
- Ukuhlinzwa kwangaphambilini esiswini.
- I-pancreatic necrosis;
Ngaphezu kwalokho, ubukhona besandulela sofuzo bungaba nomthelela kumdlavuza wepancreatic.
Ihamba kanjani i-pancreatectomy?
Ngokungangabazeki, ukuhlinzwa kuyinkimbinkimbi futhi kudinga ukunakekelwa okukhulu kanye nesipiliyoni sodokotela ohlinzayo. Njengoba indlala isemuva kwesisu, amathumbu amancane nesibindi, ukufinyelela kuyo kunzima. Kwenziwa kusetshenziswa i-laparoscopy.
Le ndlela isuselwe ekungenisweni kwegumbi elilodwa noma amaningana akhethekile emgodini wesisu wesiguli ngokusebenzisa izehlakalo ezincane ukuze kubonakale ngokucacile indawo yanoma isiphi isitho (esimweni esichaziwe, amanyikwe).
Emva kwalokhu, kuvela umugqa omkhulu futhi noma iyiphi ingxenye ye-gland noma yonke into inqunywa kuyo. Sekukonke, isikhathi senqubo singamahora angama-5.
Ukuhlinzwa kwakungelula, futhi ngenxa yalokho kunengozi enkulu yezinkinga zezinhlobo ezahlukahlukene. Ngokushesha phakathi nangemva kokuhlinzwa, lokhu okulandelayo kungenzeka:
- ukopha
- ukutheleleka esilondeni;
- ukungafani kwemisipha;
- iziguli ezisembhedeni zingaba nezilonda zokucindezela.
Inkinga enkulu kakhulu ngemuva kokukhishwa kwe-pancreatic uhlobo lwesifo sikashukela 1. Ukhula ngenxa yokunqamuka ngokuphelele kokukhiqizwa kwe-insulin, isb. ngokuphelele ukusilela kwe-insulin. Zonke izinhlobo zezindlela zokugaya nazo ziyaphazamiseka ngenxa yokuntuleka kwama-enzyme.
Esikhathini sokusebenza ngemuva, iziguli zizizwa zibuthakathaka kakhulu, ukunciphisa umzimba, kungenzeka kube nomonakalo wezinzwa nemikhumbi eseduze.
Kuze kube manje, i-prognosis iyathandeka ngenqubo efanelekile yokusebenza.
Ngingaphila ngaphandle kwama-pancreas?
Impendulo yalo mbuzo icacile futhi ilula: yebo. Umuthi wanamuhla usiza ukugcina impilo ngaphandle kwama-pancreas wabantu asebenze ukuhlinzwa okungenhla, ngezinga eliphakeme kakhulu. Kepha ukuze umzimba uzivumelanise nempilo entsha, ezinye izincomo kufanele zilandelwe ngokuqinile.
Lapho kwenzeka isifo sikashukela (futhi kwenzeka cishe ezimweni eziyikhulu zamacala), iziguli zinqunywa ukwelashwa kwe-insulin impilo yonke. Kuyadingeka ngoba abasenayo i-insulin. Uma wenqaba lokhu, izinga loshukela egazini likhuphuka ngamanani aphezulu kakhulu, futhi umuntu angafa kalula. Ngakho-ke, noma imijovo ye-hormone efanele, ushukela kufanele uhlolwe njalo. Ngokuhamba kwesikhathi, ungafunda ukwenza lokhu ngokwakho usebenzisa i-glucometer.
Njengoba kuyadingeka ukugcina ukugaya, iziguli zinikezwa izidakamizwa ezinqunyiwe (i-Creon, i-Mezim, ne-Pangrol) equkethe wonke ama-enzyme e-pancreatic.
Ngaphezu kwezidakamizwa kanye nokwelashwa esikhundleni se-hormone, ukudla okuqinile kufanele kulandelwe ngemuva kokuhlinzwa. Kuvinjelwe:
- Imikhiqizo enezinongo nezibhemayo.
- Unosawoti futhi ukhethiwe.
- Izitsha ezinamafutha.
- Ikhofi netiye elinamandla.
- Isinkwa esisanda kubhakwa.
- Imikhiqizo yobisi enamafutha aphezulu.
- Ubhatata
- Imikhiqizo evela kufulawa.
- Ama-carbohydrate amaningi.
- Amaqanda ngobukhulu obukhulu.
- Iziphuzo zotshwala.
- Amanzi akhazimulayo namanzi amnandi.
Ukudla kufanele kube okuthambile, kuphezulu ngamaprotheni. Kunconywa ukudla izithelo nemifino ephansi kuma-carbohydrate. Izitsha ziphekwe kakhulu, zidliwe noma zibhakwe.
Ezinsukwini zokuqala ngemuva kokuhlinzwa kwe-pancreatic, kunconywa kuphela ukuphuza, ngamanzi okuphuza kuphela angenayo i-carbon. Ezinsukwini ezintathu kamuva, ungaqala ukudla iziqhekeza zokudla futhi uphuze ngisho netiye, kepha kufanele ungathunyelwe.
Kamuva, ukudla kuyanda, futhi iziguli zivunyelwe ukudla isobho elinamafutha amancane kanye nama-omelet anomphunga. Ngemuva kwalokho ungethula isinkwa esincane sikakolweni esomile, i-nokunye okufana nokolweni nerayisi.
Lapho-ke ungazama inani elincane lezinhlanzi (akunakukodwa okuthosiwe!), I-Vegetable puree enokuvumelana okungamanzi.
Isimo esibalulekile sokudla esikhathini se-postoperative ukunciphisa inani likasawoti futhi, uma kunokwenzeka, ukufakwa ushukela kwifomu yalo emsulwa.
Imiphumela yokusebenza
I-pancreatectomy iyinkimbinkimbi, iyingozi, kepha yenziwa egameni lokusindisa izimpilo. Futhi ama-pancreas ayinto encane yokuphila. Vele, abantu abaningi bakuthola kunzima ukukuqonda.
Kungalezi zikhathi lapho iziguli zidinga uxhaso lokuziphatha oluvela emindenini yazo. Ukuba sesibhedlela, badinga ukunakekelwa, ukunakekelwa, usizo. Ukubonisana nodokotela wezifo zengqondo ongachaza ukuthi impilo ayipheli kuzoba usizo kakhulu. Yize kunjalo, lezi yizimo ezithile nje ongazivumelanisa nazo uma ufisa. Kubalulekile ukugcina isifiso sesiguli sokuphila ngaso, naphezu kobunzima.
Njengoba bonke abantu abenze udokotela ohlinzayo benesifo sikashukela sohlobo 1, bangakhubazeka kamuva ngoba izinkinga noma ukwanda kwesifundo kusenzeka. Isifo sikashukela sigcwele ukungaboni kahle (i-retinopathy), ukulimala kwezinso (nephropathy), kanye nokwanda kwe-nerve conduction (neuropathy). Konke lokhu kunquma ubukhulu besifo.
Isikhathi eside, iziguli zingaba nobuhlungu obukhulu, ama-painkillers azosiza ukuqeda.
Imiphumela eyenzeka ngemuva kokususwa kwama-pancreas, ixhomeke kakhulu ekunemba kokungenelela kokuhlinzwa kanye neziqu zikadokotela oqhuba lolu hlobo lokungenelela.
Ukuhlinzwa kwe-pancreatic kuchazwe kuvidiyo kule ndatshana.
