Imiphumela yokususwa kwe-pancreatic

Ama-pancreas yisitho esibalulekile sohlelo lokugaya ukudla komuntu. Ubamba iqhaza kulawulo lwe-protein, carbohydrate fat metabolism.

Ngezifo ezimbalwa ezisongela impilo kanye nomonakalo omkhulu esitho, umuntu angahlinzwa ukuze azisuse, okuholela emiphumeleni ethile.

Umsebenzi we-pancreatic

Ama-pancreas emzimbeni womuntu enza imisebenzi emibili ebalulekile:

• exocrine;
• intrasecretory.

Ngenxa yomsebenzi wokuqala, kubamba iqhaza kwinqubo yokugaya ukudla ngenxa yokukhipha ijusi le-pancreatic, elivele lingene duodenum.

Umsebenzi we-Intra secretory ukukhiqizwa ngumzimba we-hormone insulin, elawula ukugcwala koshukela egazini. I-Iron ibuye ikhiqize enye i-hormone - i- glucagon.

Inomthelela kulezi zinqubo ezilandelayo emzimbeni womuntu:

• ubamba iqhaza ekwenzeni ama-enzyme wokugaya ukudla;
• ilawula ukwakheka komzimba ngenxa ye-insulin, esehlisa ushukela wegazi, noshukela, okwandisa ukuqina kwayo.

Ukulimala emzimbeni, kanye nokuthuthuka kwenqubo yokuvuvukala kuwo, kuholela ekuphazamisweni kwe-metabolic emzimbeni. Izifo ezinzima zesitho, umuntu angabelwa ukusikhipha.

Izinkomba zokususwa

Izinkomba eziphambili zokususa isicucu se-pancreatic noma isitho sonke yilezi:

• amathumba amabi;
• i-acanc pancreatic necrosis;
• i-necrosis ye-gland ngenxa yokusebenzisa kabi utshwala;
• i-pancreatitis ebala.

Umdlavuza we-pancreatic uwuphawu oluphambili lokususwa kwalo. Okuningi kuya ngesilinganiso sokukhula kwesimila. Uma kuthinta indawo ethile ye-gland, khona-ke resection yayo (i-excision) iyenziwa. Ngokusakazeka okubanzi kwesimila, indlela ebabazekayo ingaba ukususwa ngokuphelele kwesitho.

I-pancreatic necrosis futhi isebenza njengesinye sezizathu ezingenzeka zokuqedwa kwama-pancreas. Ngaphansi kwakhe, ukhiqiza ujusi, ngaphansi kwethonya lokuzenzakalisa kwakhe uqobo nokugaya ngokwakhe.

Ngokudakwa isikhathi eside, umzimba ungaqala ukufa. Kwezinye izimo, isiguli sizonqunywa ukususwa okuphelele noma okuyingxenye kwesitho.

Nge-pancreatitis ebalwa, usawoti we-calcium uqongelela endlebeni. Umphumela uba ukwakheka kwamatshe angavalela imicengezi. Ngalesi sifo, iziguli ezimweni ezisongela impilo zisuswa e-gland.

Lokhu kungenxa yendawo ekhethekile yesitho somzimba. Imbozwe ngokuqinile yizitho zomakhelwane, okuthi kube nzima kakhulu ukuthola ukuthi udokotela ohlinzayo angakwazi ukungena kuyo.

Imvamisa, i-pancreatectomy ayikhawulwanga nje ekuboneni i-gland uqobo, kepha futhi idinga ukususwa kwezitho eziseduze nayo (i-spleen, bladder yenyongo, kanye nengxenye yesisu).

Inqubo yokuvuselela emuva kwe-pancreatectomy

Ngemuva kwe-pancreatectomy, isiguli singaba nezinkinga ngesimo:

• ukopha ngaphakathi;
• ukungafani komthungo;
• ukutheleleka endaweni yokususwa;
• ukubonakala kwezilonda zokucindezela ngenxa yokuqamba amanga isikhathi eside.

Inqubo yokuvuselela isimo ngemuva kokuhlinzwa ibandakanya ukunikeza isiguli ukunakekelwa okukhethekile ezinsukwini zokuqala ezingama-3.

Izinsuku zokuqala ngemuva kwe-pancreatectomy ziyingozi ezigulini ngenxa yokuvela komzimba wazo ku-anesthesia elungiselelwe.

Kunobungozi obukhulu bokulimala kwezitho zomakhelwane. Ubukhulu bokuqapha kokusebenza kwesimo sesiguli akuxhomekile ekutheni ngabe i-gland yonke noma ingxenye yayo kuphela isusiwe.

Ngokuzayo, isiguli kufanele silandele imithetho ethile:

1. Landela ukudla okuqinile ngaphandle kokudla okunezipayisi, okunamafutha, okuthosiwe nokudla okubhemayo ekudleni.
2. Kuze kube sekupheleni kwempilo, njalo thatha amalungiselelo aqukethe ama-enzyme wokugaya. Ngosizo lwabo, ukwelashwa okubuyisela esikhundleni kuzokwenziwa.
3. Hlala uvimba i-insulin emzimbeni ukuze ulondoloze amazinga evamile kashukela.

Isiguli esikhishwe i-pancreas sidinga kakhulu ukwelashwa okungasuswa.

Ukugcina ukugaya okujwayelekile, unqunyelwe amalungiselelo we-enzyme, phakathi kwalokhu:

• I-Mikrazim - ukumuncwa kwamaprotheni, ama-carbohydrate, amafutha;
• I-Vestal - ukukhuthaza ukugaya;
• I-Creon - esikhundleni sokwehluleka kwe-enzyme emzimbeni.

Ukulungiselela i-enzyme kuyadingeka futhi ukuze kuqedwe isicanucanu kanye nokuphazamiseka kwamathumbu ezigulini. Lezi zimpawu ziwuphawu lwesikhathi se-postoperative.

Zonke iziguli ezinama-pancreas akude ziba nesifo sikashukela sohlobo 1. Badinga imijovo ye-insulin engaguquki, ezothatha indawo yokuntuleka kwe-hormone emzimbeni.

Kubhekelwa ikakhulukazi ekudleni kweziguli ezinjalo.

Kunikezwa izincomo:

• ukudla okuqinile;
• ukudla okwanele koketshezi;
• ukusetshenziswa kokuphela kwento ebilisiwe ebilisiwe, yesitshudeni, umusi, ukudla okubhakiwe;
• ukondleka okuneziqu;
• ukungafakwa komoya we-coarse ekudleni.

Uma isiguli silandela imithetho yokuhlunyeleliswa, bangayandisa kakhulu impilo yabo futhi bathuthukise ikhwalithi yayo.

Ividiyo ephathelene namanyikwe nokubaluleka kwawo ngomzimba:

Impilo ngaphandle kwendlala

Umuthi wanamuhla unikeza impendulo ecacile yombuzo wokuthi ungaphila kanjani ngemuva kokukhishwa kwama-pancreas. Ubuchwepheshe buye bavumela ukukhulisa isikhathi sokuphila kweziguli ezisindayo ukususwa kwezitho.

Ngemuva kwe-pancreatectomy, umuntu angaba nempilo egcwele, kepha ngokulinganiselwa. Emavikini okuqala emva kokuhlinzwa, udinga ukudla okuqinile. Ngokuzayo, ukudla kwakhe kuyanda.

Abantu abasinde ekusetshenzisweni kwendlala badinga ukuqashwa nsuku zonke kwempilo yabo.

Kufanele kuhlonishwe imithetho emithathu eyisisekelo:

1. Yethula i-insulin emzimbeni nsuku zonke.
2. Thatha imithi equkethe ama-enzyme wokugaya nsuku zonke.
3. Gcina ukudla okuqinile ngokunciphisa ama-carbohydrate.

Labo abasinde ekususweni kwekhanda lendlala, umsila wayo noma isitho sonke, ngeke bakwazi ukubuyisa impilo ephelele.

Ngokukhishwa kwesitho, uhlelo lokugaya ukudla lungasebenzi kahle ngokuphela kokukhiqizwa kwama-hormone athile. Ukwelashwa kwesikhashana nokudla okufanele kungasusa imiphumela yokuhlinzwa futhi kunxephezele ingxenye ethile yomsebenzi wesitho esikude.

Isimo sezulu

Ukuqagela kusikhathi sokuphila kweziguli ezinama-pancreas asusiwe kuncike ebukhali balesi sifo esiholela kwi-pancreatectomy.

I-prognosis enhle kunazo zonke ezigulini ezisinde ekusungulweni kwesitho ngemuva komdlavuza. Lapho kukhona ama-metastases, ukususwa kwe-gland kuvumela ukwelula impilo yeziguli ngonyaka owodwa kuphela.

Abaningi babo bafa ngonyaka wokuqala ngemuva kokuhlinzwa.

Isilinganiso sokuphila isikhathi eside seziguli esinomzimba osusiwe yiminyaka emi-5.

Ngokuqaphelisisa kweziguli zokudla, ukudla okufika ngesikhathi kwe-insulin, i-enzyme nezidakamizwa ze-hormonal, isifiso sempilo esijwayelekile asinamkhawulo - umuntu angaphila impilo ende.