Emashumini ambalwa eminyaka adlule, noma yimuphi udokotela, ophendula umbuzo wokuthi kungenzeka yini ukuthi aphile ngaphandle kokukhishwa kwamanyikwe umuntu, angasho ngokuqondile ukuthi: “Cha!” Kepha namuhla kufakazelwe ukuthi impilo ngaphandle kwalesi sidalwa esibalulekile kungenzeka uma ungakhohlwa ukugcina ukudla okuqinile, landela konke ukunconywa ngudokotela, uphuze umuthi okhethekile futhi uphile impilo enempilo.
Izinkomba zokuhlinzwa
I-pancreas ibhekwa njengendlala enkulu kunazo zonke emzimbeni womuntu. Inomzimba, ikhanda nomsila, izicubu zayo zixhunywe yimikhumbi emincane nemincane. Emizimbeni yethu, yenza imisebenzi eminingi ebalulekile - ilawula ushukela wegazi, ikhiqize ama-enzyme nama-hormone, iphule amaprotheni, amafutha kanye nama-carbohydrate. Kodwa-ke, ngenxa yokungondleki, ukuhlukunyezwa emgodini wesisu, ukusetshenziswa kabi kotshwala nezinye izimbangela, ukusebenza kwalesi sakhi esibalulekile kungenzeka kukhubazeke.
Lapho ama-pancreas ehluleka, ukuvuvukala kuba nezicubu zawo, okubizwa ngokuthi i-pancreatitis, nezinye izinqubo eziningi ze-pathological ezivame ukuholela ekubonakala kwesimila se-cyst noma i-tumor enobungozi. Futhi uma i-pancreatitis ingelashwa ngezindlela zokubambelela, lapho-ke amaphesenti angama-80 ezindlela ezinomdlavuza kumanyikwe angalapheka ngokuhlinzwa.
Isakhiwo samanyikwe
Ingabe ama-pancreas asuswe ngokuphelele? Yebo, ngokuhlinzwa okubizwa ngokuthi i-pancreatectomy. Njengoba i-pancreas iyisitho esibuthaka kakhulu esitholakala emgodini wesibeletho esikude, i-pancreatectomy ibhekwa njengokusebenza okuyinkimbinkimbi futhi okungaphephile.
Kwenziwa kanjani i-pancreatectomy?
Ukususwa kwama-pancreas kwenziwa kuphela nge-laparotomy. Ngesikhathi se-pancreatectomy, udokotela ohlinzayo usika isisu esiswini, bese esusa isitho noma ingxenye yaso. Ngokwesilinganiso, ukusebenza kuthatha amahora angama-5-6.
Ngesikhathi se-pancreatectomy, ukusetha kabusha kwezinye izitho ezithinteke isimila nakho kungenziwa. Isibonelo, izingxenye zesisu namathumbu, ama-lymph node, i-spleen. Futhi ukuba khona kwamatshe ku-gallbladder kungaba yinkomba yokuvuselelwa kanyekanye kwalesi sitho.
Ngesikhathi sokuhlinzwa, ukopha kwangaphakathi kungenzeka futhi ezinye izinkinga zingavela, ngakho-ke kunzima kakhulu ukubikezela umphumela we-pancreatectomy kusengaphambili. Odokotela banikeza i-prognosis enhle kakhulu ngemuva kokususa ikhanda noma umsila wamanyikwe.
Izinkinga nemiphumela engaba khona
Ukususwa okuphelele nokuyingxenye kwama-pancreas kungukusebenza okuyinkimbinkimbi kakhulu, okuvame ukuholela ezinkingeni. Futhi asikhulumi nje ngokuchithwa okubanzi kwangaphakathi noma isiyezi emva kokuqaqanjelwa, kodwa futhi nangokuphazamiseka okukhulu emzimbeni njengokuthi:
Ungasusa kanjani ngokushesha ukuhlaselwa kwe-pancreatitis- i-pancreatitis e-acute postoperative;
- ukwehluleka kokujikeleza;
- ukulimala kwezinzwa;
- izilonda ezithathelwanayo;
- i-peritonitis;
- ukwanda kwesifo sikashukela;
- ukwehluleka kwesibindi.
Ngokwezibalo, amathuba ezinkinga akhuphuka ngaphansi kwethonya lezinto ezinjengokuthi:
- ukuntuleka kokudla okufanele ngesikhathi sokusebenza;
- ukuba khona kwemikhuba emibi esigulini, ikakhulukazi ukubhema ugwayi;
- isifo senhliziyo
- ukukhuluphala;
- ukuguga.
Iningi lemiphumela emzimbeni womuntu inesimo esiphelele sokukhipha i-pancreas, okuholela ekutheni kusebenze ukungasebenzi kahle kohlelo lokugaya ukudla, isibindi, amathumbu, amabele enyongo nezinye izitho zomgudu wesisu. Njengomphumela wokuhlinzwa, i-insulin iyeka ukukhiqizwa kubantu, ama-enzyme adingekayo wokugaya ukudla ayayekiswa ukuthunyelwa, futhi i-carbon metabolism iyaphazamiseka.
Ngemuva kokususwa ngokuphelele kwama-pancreas, abantu badinga imijovo ye-insulin nemithi yokufaka esikhundleni se-enzyme
Ukuvuselelwa Kwe-Pancreatectomy
Iziguli ezikhiphe i-pancreas ngokwengxenye noma ngokuphelele zidinga ukunakekelwa komuntu ngamunye okugcwele. Ezinsukwini zokuqala ngemuva kwe-pancreatectomy, iziguli zikhonjiswa ngokuphumula kombhede oqinile - ukuhlala, ukuvuka nokuhamba kungenzeka kuphela ngemvume kadokotela. Njengoba isisu nesisu ngemuva kokuhlinzwa kubuhlungu kakhulu, kunikezwa imithi yobuhlungu eqinile kumuntu.
Ukungahambisani nokuphumula kombhede ngemuva kwe-pancreatectomy kungadala ukopha kwangaphakathi nokuqhuma kwezihlakala.
Ingxenye ebalulekile yokuvuselela umzimba ukuzila ukudla. Izinsuku zokuqala ezingama-2-3 isiguli sivunyelwe ukuphuza kuphela amaminerali angenawo amakhabhoni. Isimo samanzi nsuku zonke singamalitha ayi-1-1,5, udinga ukuwaphuza usuku lonke.
Ngemuva kwezinsuku ezintathu, itiye, isobho lemifino engenasisekelo ne-omeled yeprotheyini kufanele ingeniswe ekudleni kweziguli. Kuvunyelwe nokudla okusanhlamvu okugcobhoziwe emanzini.
Izinsuku ezingama-7-10 ngemuva kwe-pancreatectomy, imenyu yesiguli inganwetshwa ngemikhiqizo efana:
- ibhotela;
- ushizi omncane wekhotishi;
- inyama ebambekayo (unogwaja, inkukhu, iturkey) nenhlanzi (i-perch, cod);
- ama-apula abhakwe hhayi izinhlobo ezimuncu;
- i-cut cut yemifino evela ku-zucchini, izaqathe, ukholifulawa, amazambane;
- umhluzi we-rosehip, ama-compotes, i-jelly engenashukela;
- ukolweni isinkwa crackers.
Zonke izitsha ezikhona ekudleni kweziguli ezinsukwini zokuqala ngemuva kwe-pancreatectomy kufanele zibiliswe noma zithambe futhi zinikezwe isiguli ngendlela esetshenzisiwe
Ukudla ngemuva kwe-pancreatectomy
Ngemuva kokukhipha, isiguli esikhiphe ama-pancreas noma izingxenye saso sabelwe ukudla okukhethekile - ithebula No. 5. Lokhu kudla kuhlinzeka ngokudla okuqinile, amaphuzu abalulekile okuyi:
- ukwenqatshwa ngokuphelele kokudla okunosawoti, okuthosiwe, okunezipayisi nokunamafutha;
- ukondleka okunezihlokwana ezingxenyeni ezincane (okungenani izikhathi ezingama-5-6 ngosuku);
- ukufakwa kumenyu yemikhiqizo ewusizo;
- ukuphuza kakhulu (1.5-2 amalitha amanzi ngosuku);
- ukwenqaba ngokuphelele utshwala.
Uhlu lwemikhiqizo enqatshelwe lufaka:
- amaswidi, namakhekhe, isinkwa;
- izinongo nezinongo;
- eminye imifino nezithelo (isithombo, u-anyanisi, iklabishi, isipinashi, ama-apula omuncu, ugalikhi);
- ukudla okusemathinini, umvimba;
- ukudla okusheshayo nokwenziwe lula;
- inyama enamafutha nenhlanzi;
- ikhofi neziphuzo ze-carbonated;
- wabhema inyama kanye no-ukhukhamba.
Ungaphila isikhathi eside ngaphandle kwama-pancreas uma ulandela ukudla
Ukuxhaswa kwezidakamizwa kwangemva kokusebenza
Abantu abasusa ngokushesha ama-pancreas badinga i-enzyme eyinkimbinkimbi nokwelashwa kwe-insulin. Injongo eyinhloko yokwelashwa kwe-enzyme ukusiza umzimba ekwakhiweni kwama-enzymes wokugaya ukudla. Ngale njongo, izidakamizwa eziqukethe i-pancreatin zinqunyelwe. Isibonelo, iMikrasim, iVestal, iCreon. Le mishanguzo ithuthukisa ukugaya, iqeda isicanucanu kanye nokungaphatheki kahle esiswini futhi ayinayo imiphumela emibi.
Bangaki abaphila ngaphandle kwama-pancreas?
Noma i-pancreatectomy iphumelele futhi ngaphandle kwezinkinga, abantu abaningi babuza ukuthi ungaphila malini ngaphandle kwama-pancreas. Ayikho impendulo eyodwa kulo mbuzo. Ngokwezibalo, isikhathi sokuphila ngemuva kokususwa ngokuphelele kwama-pancreas cishe iminyaka emi-5. Kodwa-ke, kunezimo lapho abantu baphila ngenjabulo amashumi amaningi eminyaka ngaphandle kwalesi sakhi esibalulekile.
Ukwelula impilo ngemuva kwe-pancreatectomy, akudingeki nje kuphela ukuthatha amalungiselelo e-enzyme futhi usebenzise imikhiqizo efanelekile, kodwa futhi nokuhlolwa okuphelele kwezokwelapha njalo.
Kuyiqiniso, ukususwa kwanoma yisiphi isitho, ikakhulukazi ama-pancreas, kuyingcindezi enkulu kumuntu. Kepha impilo ngemuva kokususwa kwama-pancreas ayipheli!
