Ke kuʻi Pancreas

ʻO kahi pancreas transplant kahi ʻoki e hoʻokomo i kahi pancreas olakino mai kahi mea hāʻawi i kahi kanaka me ka maʻi diabetes. Hāʻawi nā transplant ʻo Pancreas i ke kanaka i kahi manawa e hōʻoki ai i ka lawe ʻana i nā lāʻau insulin.

Lawe ʻia ka pancreas olakino mai kahi mea hāʻawi i make i ka lolo, akā ke kākoʻo nei ia i ke ola. Pono e hoʻopili pono i nā pancreas hāʻawi i ka mea e loaʻa ana. Lawe ʻia ka pancreas olakino i kahi hopena hoʻoluʻu e mālama ai i ka meaola a ma kahi o 20 mau hola.

ʻAʻole wehe ʻia ka pancreas maʻi o ke kanaka i ka wā o ka hana. Hoʻokomo pinepine ʻia ka pancreas mea hāʻawi ma ka ʻaoʻao haʻahaʻa akau o ka ʻōpū o ke kanaka. Hoʻopili nā kīʻaha koko mai nā pancreas hou i nā kīʻaha koko o ke kanaka. Hoʻopili ka donor duodenum (ʻāpana mua o ka ʻōpū liʻiliʻi ma hope pono o ka ʻōpū) i ka ʻōpū o ke kanaka a i ʻole ka ʻai.

ʻO ke ʻoki no kahi transplant pancreas ma kahi o 3 mau hola. Hana pinepine ʻia kēia hana i ka manawa like ma ke ʻano he transplant kidney i ka poʻe diabetic me ka maʻi puʻupaʻa. Hana ka hana hui ma kahi o 6 mau hola.

Hiki i kahi transplant pancreas ke hoʻōla i ka maʻi maʻis a hoʻopau i ka pono no nā pana o ka insulin. Eia nō naʻe, ma muli o nā pilikia e pili ana i ke kaha ʻana, ʻo ka hapa nui o ka poʻe me ka maʻi diabetes type 1 ʻaʻohe o lākou he pancreas transplant ma hope koke iho o ka ʻike ʻia.

ʻAʻole hana iki ʻo Pancreas transplant. ʻAneʻane hana ʻia ia i ka wā e pono ai kahi mea maʻi diabetes type 1 kahi transplant kidney.

Hana ka pancreas i kahi mea i kapa ʻia ʻo insulin. Neʻe ka insulin i ka glucose, kahi kō, mai ke koko i loko o nā mākala, momona, a me nā hunaola ate, kahi e hiki ai ke hoʻohana i wahie.

I ka poʻe me ka maʻi diabetes type 1, ʻaʻole lawa ka pancreas, a i kekahi manawa paha, ka insulin. Kūkulu kēia i ka glucose i loko o ke koko, alakaʻi i kahi kiʻekiʻe o ke kō i ke koko. Hiki i ke kō koko kiʻekiʻe ma kahi lōʻihi ke hana i nā pilikia he nui, e like me:

• Nā hoʻopaʻapaʻa
• ʻO ka maʻi o nā aʻa
• Makapō
• Maʻi maʻi puʻuwai
• Poino hakuʻala
• Poino nerve
• Hahau

ʻAʻole hana pinepine ʻia ke kaha ʻana o Pancreas transplant i nā poʻe i loaʻa pū kekahi.

• He moʻolelo o ka maʻi ʻaʻai
• HIV / AIDS
• ʻO nā maʻi e like me ka hepatitis, i manaʻo ʻia he ʻeleu
• Maʻi maʻi
• Ka momona
• Nā maʻi ʻoki koko ʻē aʻe o ka ʻāʻī a me ka wāwae
• Maʻi puʻuwai koʻikoʻi (e like me ka maikaʻi ʻole o ka puʻuwai, angina kaohi maikaʻi ʻole ʻia, a i ʻole nā ​​maʻi maʻi coronary koʻikoʻi)
• ʻO ka puhipaka, ka wai ʻona a me ka hōʻino ʻana i ka lāʻau, a i ʻole nā ​​ʻano nohona ʻē aʻe i hiki ke hōʻino i ka meaola hou

Paipai ʻole ʻia ka transplant Pancreas inā ʻaʻole hiki i ke kanaka ke hoʻomau me ka nui o nā kipa ukali, nā hoʻokolohua, a me nā lāʻau e pono ai e mālama pono i ka mea kanu i hoʻōla ʻia.

Nā pilikia o ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena i nā lāʻau
• Nā pilikia hanu

Nā pilikia o ka transplant pancreas me:

• Clotting (thrombosis) o nā aʻa a i ʻole nā ​​uaua o nā pancreas hou
• Ke hoʻomohala ʻana i kekahi mau maʻi ʻalalā ma hope o kekahi mau makahiki
• Hoʻonā o ka pancreas (pancreatitis)
• ʻO ka liu o ka wai mai nā pancreas hou kahi e pili ai i ka ʻōpū a i ʻole ka ʻai
• Ka hōʻole ʻana i nā pancreas hou

Ke kuhikuhi aku kāu kauka iā ʻoe i kahi kikowaena transplant, e ʻike ʻia ʻoe a loiloi ʻia e ka hui transplant. E makemake lākou e hōʻoia he moho maikaʻi ʻoe no ka pancreas a me ka hoʻoliʻiliʻi kīʻaha. E hele aku ʻoe i kekahi mau kipa ma mua o kekahi mau pule a i ʻole mau mahina. Pono ʻoe e kiʻi i ke koko a lawe ʻia nā kukuna.

Hana ʻia nā hōʻike ma mua o ke kaʻina hana:

• ʻO ka miki a me ke kikokiko ʻana i ke koko e kōkua e hōʻoia i ka hōʻole ʻole o kou kino i nā lālā i hāʻawi ʻia
• Nā ho'āʻo koko a i ʻole nā ​​hoʻāʻo ʻana o ka ʻili e nānā ai no nā maʻi
• Nā ho'āʻo puʻuwai e like me ECG, echocardiogram, a i ʻole catheterization puʻuwai
• Nā hoʻāʻo e nānā no ka maʻi ʻaʻai mua

E makemake pū ʻoe e noʻonoʻo i hoʻokahi a ʻoi o nā kikowaena transplant e hoʻoholo ai i nā mea kūpono loa iā ʻoe.

• E nīnau i ke kikowaena ehia mau transplants a lākou e hana ai i kēlā me kēia makahiki a he aha nā helu o ke ola. Hoʻohālikelike i kēia helu i nā helu o nā kikowaena transplant.
• E nīnau e pili ana i nā hui kākoʻo i loaʻa a me ke ʻano o ka huakaʻi a me nā hoʻonohonoho hale a lākou e hāʻawi ai.

Inā manaʻo ka hui transplantʻa he moho maikaʻi ʻoe no kahi pancreas a me nā transplant kidney, e hoʻokau ʻia ʻoe i kahi papa inoa kali aupuni. Hoʻokumu ʻia kāu wahi ma ka papa inoa kali ma nā helu he nui. Hoʻopili kēia mau mea i ke ʻano o nā pilikia kīwī i loaʻa iā ʻoe a me ka likelika e kūleʻa kahi transplant.

ʻOiai ʻoe e kali nei no kahi pancreas a me ka hakuʻala, e hāhai i kēia mau kaʻina hana:

• E hāhai i ka papaʻai a kāu hui transplant i paipai ai.
• MAI inu rama.
• MAI Puhi.
• E mālama i kou kaupaona i ka pae i koi ʻia. E hāhai i ka papahana hoʻoikaika kino i koi ʻia.
• E lawe i nā lāʻau āpau e like me ke kauoha iā ʻoe. Hōʻike i nā loli i kāu mau lāʻau a me nā pilikia olakino hou a ʻoi aku paha i ka hui transplant.
• E hāhai me kāu kauka maʻamau a me ke kime transplantment i kēlā me kēia manawa i koho ʻia.
• E ʻike pono i nā kipa transplant i nā helu kelepona pololei i hiki ai iā lākou ke hoʻopili koke iā ʻoe ke loaʻa kahi pancreas a me ka puʻupaʻa. E hōʻoia, ma kahi āu e hele nei, e hiki ke kiʻi koke aku iā ʻoe a maʻalahi hoʻi.
• E hoʻomākaukau i nā mea āpau ma mua o ka hele ʻana i ka haukapila.

Pono ʻoe e noho i ka haukapila ma kahi o 3 a 7 mau lā a ʻoi paha. Ma hope o kou hoʻi ʻana i ka home, pono ʻoe e kaohi pono e ke kauka a me nā hoʻokolohua koko maʻamau no 1 a 2 mau mahina a ʻoi paha.

E noi paha kāu hui transplant iā ʻoe e noho kokoke i ka haukapila no nā mahina 3 mua. Pono ʻoe e nānā maʻamau me nā hoʻokolohua koko a me nā hoʻokolohua kiʻi no nā makahiki he nui.

Inā kūleʻa ke transplan, ʻaʻole pono ʻoe e lawe i nā pana o ka insulin, e hoʻāʻo i kou kō-kō i kēlā me kēia lā, a i ʻole hāhai i kahi papaʻai diabetes.

Aia kekahi hōʻike e ʻike ʻole i nā pilikia o ka maʻi kō, e like me ka diabetic retinopathy, ʻaʻole e hele a maikaʻi a hoʻomaikaʻi paha ma hope o kahi pancreas-kidney transplant.

Ma mua o 95% o ka poʻe i ola i ka makahiki mua ma hope o kahi pancreas transplant. Hana ʻia ka hōʻole ʻino ma kahi o 1% o ka poʻe i kēlā me kēia makahiki.

Pono ʻoe e lawe i nā lāʻau e pale i ka hōʻole ʻana i nā pancreas transplanted a me nā puʻupaʻa no ke koena o kou ola.

Ke kuʻi - pancreas; Ke kanu - pancreas

• Nānā Endocrine
• Ke kuʻi Pancreas - moʻo

Becker Y, Witkowski P. Kidney a me ka pancreas transplantation. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 26.

Witkowski P, Solomina J, Millis JM. Pancreas a me ka mokupuni allotransplantation. I: Yeo CJ, hoʻoponopono. ʻO Shackelford's Surgery o ke Alimentary Tract. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 104.