Hoʻokiʻi Pancreas

Anter

• Aia paha ma mua o hoʻokahi ʻano pancreas transplant?
• ʻO wai e hāʻawi i ka pancreas?
• Pehea ka lōʻihi e loaʻa ai kahi pancreas?
• He aha ka hana ma mua o kahi transplant pancreas?
• Pehea e hana ai i kahi transplant pancreas?
• He aha ka hana ma hope o ka hana ʻia ʻana o kahi transplant pancreas?
• Aia kekahi mau pilikia e pili ana i kahi transplant pancreas?
• He aha nā mea e lawe aku ai no kekahi e noʻonoʻo nei i kahi transplant pancreas?

He aha kahi transplant pancreas?

ʻOiai hana pinepine ʻia ma ke ʻano he hopena hope loa, ua lilo ka pancreas transplant i lāʻau lapaʻau nui no ka poʻe me ka maʻi diabetes type 1. Lawe pū ʻia nā transplant ʻo Pancreas i kekahi manawa i ka poʻe e koi ana i ka lāʻau insulina a loaʻa i ka maʻi maʻamau ʻo 2. Eia naʻe, ʻoi aku ka liʻiliʻi o kēia.

Ua hoʻopau ʻia ka transplant pancreas kanaka mua ma 1966. Ua hōʻike ka United Network for Organ Sharing (UNOS) ʻoi aku ma mua o 32,000 transplants i hana ʻia ma United States ma waena o Ianuali 1988 a me ʻApelila 2018.

ʻO ka pahuhopu o kahi transplant e hoʻihoʻi i nā pae glucose koko maʻamau i ke kino. Hiki i ka pancreas transplanted ke hana i ka insulin e mālama i nā pae glucose glucose. ʻO kēia kahi hana i hiki ʻole i ka pancreas moho transplant ke hana pono.

Hana ʻia kahi transplant pancreas no ka poʻe me ka maʻi kō. ʻAʻole e hoʻohana maʻamau ia e mālama i ka poʻe me nā kūlana ʻē aʻe. Kākaʻikahi ka hana ʻana e mālama i kekahi mau maʻi ʻaʻai.

Aia paha ma mua o hoʻokahi ʻano pancreas transplant?

Nui a hewahewa nā ʻano o nā transplants pancreas. Loaʻa paha i kekahi poʻe kahi transplant pancreas wale nō (PTA). ʻO ka poʻe me ka nephropathy diabetic - hōʻino i nā puʻupaʻa mai ka maʻi diabetes - hiki ke loaʻa iā lākou kahi pancreas a me nā puʻupaʻa. Kapa ʻia kēia kaʻina hana i ka wā like pancreas-kidney (SPK) transplant.

ʻO nā kaʻina hana e like me ka pancreas ma hope o ka hakuʻala (PAK) a me ka puʻupaʻa ma hope o nā pancreas (KAP) transplants.

ʻO wai e hāʻawi i ka pancreas?

ʻO ka mea hāʻawi pancreas ka mea maʻamau i haʻi ʻia ua make ka lolo akā noho mau ma ka mīkini kākoʻo ola. Pono kēia mea hāʻawi e hoʻokō i nā ana transplant maʻamau, me kahi makahiki a ke olakino ʻole.

Pono e hoʻopili i ka pancreas o ka mea hāʻawi i ka immunologically me ke kino o ka mea e loaʻa ana. He mea nui kēia e kōkua ai i ka hōʻemi ʻana i ka maka o ka hōʻole ʻana. Kū ka hōʻole ʻana ke hana ʻinoʻino ka ʻōnaehana pale o ka mea loaʻa i ka mea i hāʻawi manawaleʻa ʻia.

ʻO ka manawa, ke ola nei nā mea hāʻawi pancreatic. Hiki paha kēia, no ka laʻana, inā hiki i ka mea e lawe ana i ke transplant ke loaʻa i kahi mea hāʻawi a he hoahānau pili, e like me ka māhoe like. Hāʻawi kahi mea hāʻawi ola i kahi ʻāpana o kā lākou pancreas, ʻaʻole ka ʻokena holoʻokoʻa.

Pehea ka lōʻihi e loaʻa ai kahi pancreas?

Aia ma mua o 2,500 ka poʻe ma ka papa inoa kali no kekahi ʻano o ka pancreas transplant i loko o ʻAmelika Hui Pū ʻIa, e hoʻomaopopo ʻo UNOS.

Wahi a Johns Hopkins Medicine, e kali ke kanaka maʻamau i hoʻokahi a ʻelua mau makahiki e hana i kahi SPK. ʻO ka poʻe i loaʻa i nā ʻano transplants ʻē aʻe, e like me PTA a i ʻole PAK, e hoʻolōʻihi ma mua o ʻelua mau makahiki ma ka papa inoa kali.

He aha ka hana ma mua o kahi transplant pancreas?

E loaʻa iā ʻoe kahi loiloi olakino ma kahi kikowaena transplant ma mua o kekahi ʻano o ka hoʻoliʻiliʻi ʻōnaehana. Pili kēia i nā hoʻokolohua he nui e hoʻoholo ai i kou olakino holoʻokoʻa, me kahi hōʻike kino. E loiloi pū kekahi kauka olakino ma ke kikowaena transplant i kāu moʻolelo olakino.

Ma mua o kou loaʻa ʻana i kahi transplant pancreas, nā hoʻokolohua kikoʻī āu e komo ai i loko:

• nā hoʻāʻo koko, e like me ke kikokiko ʻana a i ʻole kahi hōʻike HIV
• kahi pahu kukui X
• nā hoʻāʻo ʻana o ka hakuʻala
• nā hoʻokolohua neuropsychological
• nā noiʻi e nānā i kāu hana puʻuwai, e like me kahi echocardiogram a i ʻole electrocardiogram (EKG)

Hoʻokahi a ʻelua paha mahina ka lōʻihi o kēia hana loiloi. ʻO ka pahuhopu e hoʻoholo inā he moho maikaʻi ʻoe no ke ʻoki a inā e hiki iā ʻoe ke lawelawe i ka regimen lāʻau post-transplant.

Inā hoʻoholo ʻia e kūpono kahi transplan nāu, a laila e kau ʻia ʻoe ma ka papa inoa kakali o ke transplant.

E noʻonoʻo e loaʻa paha i nā kikowaena transplant i nā ʻano hana mua ʻokoʻa. E loli hou aku kēia mau mea e pili ana i ke ʻano o ka mea hāʻawi a me ke olakino olakino o ka mea e loaʻa ana.

Pehea e hana ai i kahi transplant pancreas?

Inā ua make ka mea nāna e hāʻawi, e hoʻoneʻe aku kāu mea lapaʻau i kā lākou pancreas a me kahi ʻāpana pili o kā lākou ʻōpū liʻiliʻi. Inā ke ola nei ka mea hāʻawi, e lawe maʻamau kāu kauka hana i kahi ʻāpana o ke kino a me ka huelo o kā lākou pancreas.

ʻO kahi kaʻina PTA ma kahi o ʻelua a ʻehā mau hola. Lawe ʻia kēia kaʻina hana ma lalo o ka anesthesia laulā, no laila ʻike ʻole ka mea loaʻa transplant a puni ʻole e ʻike i kahi ʻeha.

ʻOkiʻoki kāu kauka iā ʻoe i waenakonu o kou ʻōpū a hoʻonoho i ka mea hāʻawi i kāu ʻōpū haʻahaʻa. Hoʻopili lākou a laila i ka ʻāpana hou o ka mea hāʻawi liʻiliʻi i loaʻa i ka pancreas (mai kahi mea hāʻawi make) i kāu ʻōpū liʻiliʻi a i ʻole nā ​​pancreas mea hāʻawi (mai kahi mea hāʻawi ola) i kāu pēpē urinary a hoʻopili i ka pancreas i nā moku koko. ʻO ka pancreas e loaʻa nei ka mea e loaʻa mau nei i ke kino.

Lōʻihi ka ʻoki ʻana inā hoʻoiho ʻia kekahi kīʻaha ma o kahi kaʻina SPK. E hoʻopili kāu kaukōkō i ka ureter o ke kōkō manawaleʻa i ka pūpū a me nā kīʻaha koko. Inā hiki, haʻalele lākou i ka hakuʻala e kū nei ma kahi.

He aha ka hana ma hope o ka hana ʻia ʻana o kahi transplant pancreas?

Post-transplant, noho ka poʻe i loaʻa i ka mālama nui (ICU) no nā lā mua e ʻae i ka nānā pono ʻana no nā pilikia. Ma hope o kēia, neʻe pinepine lākou i kahi anakuhi hoʻōla transplant i loko o ka haukapila no ka hoʻōla hou.

Hoʻopili kahi transplant pancreas i nā ʻano lāʻau like ʻole. E koi ana ka lāʻau lapaʻau a ka mea loaʻa iā ia i ka nānā nui ʻana, keu hoʻi no ka mea e lawe lākou i kahi o kēia mau lāʻau i kēlā me kēia lā e pale i ka hōʻole.

Aia kekahi mau pilikia e pili ana i kahi transplant pancreas?

E like me kēlā me kēia mea hoʻōla organ, lawe kahi transplant pancreas i ka hiki ke hōʻole ʻia. Hāpai pū kekahi ia i ka makaʻu o ka ʻole o ka pancreas ponoʻī. ʻO ka makaʻu i kēia kaʻina hana he haʻahaʻa haʻahaʻa ia, mahalo i ka holomua o ka lāʻau lapaʻau. Aia kekahi pilikia o ka make e pili ana i kēlā me kēia ʻoki kino.

Hoʻomaopopo ka Mayo Clinic i ka helu ola ʻelima mau makahiki o kahi transplant pancreases ma kahi o 91 pākēneka. Wahi a a, ʻo ka hapalua o ke ola (pehea ka lōʻihi o kona lōʻihi) o kahi pancreas transplantation ma SPK transplantation ma kahi o 14 mau makahiki. Hoʻomaopopo nā kānaka noiʻi ʻo ke ola lōʻihi lōʻihi loa o ka mea e loaʻa a me ka pancreas graft i kēia ʻano transplantation hiki ke hoʻokō ʻia e ka poʻe i loaʻa ka maʻi diabetes 2 a ʻelemakule nā ​​makahiki.

Pono nā kauka e kaupaona i nā pono wā lōʻihi a me nā pilikia o ke transplant e kūʻē i nā pilikia a me ka hiki no ka make e pili ana i ka maʻi kō.

Hāʻawi ke kaʻina hana iā ia iho i nā helu o nā pōpilikia, e like me ke kahe ʻana o ke koko, ke koko, a me ka maʻi. Aia kekahi mea i hoʻohui ʻia o ka hyperglycemia (ke kō kiʻekiʻe o ke kō) e hana ana i ka wā a ma hope pono o ke transplant.

ʻO nā lāʻau i hāʻawi ʻia ma hope o ke transplant hiki ke hana i nā hopena ʻino koʻikoʻi. Pono nā mea lawe transplant e lawe i kēia mau lāʻau i ka wā lōʻihi e pale i ka hōʻole ʻana. Nā hopena o kēia mau lāʻau e:

• kolesterol kiʻekiʻe
• kahe koko kiʻekiʻe
• hyperglycemia
• lahilahi o nā iwi (osteoporosis)
• ka lauoho lauoho a i ʻole ka ulu nui ʻana o ka lauoho i nā kāne a wahine paha
• loaʻa kaupaona

He aha nā mea e lawe aku ai no kekahi e noʻonoʻo nei i kahi transplant pancreas?

Mai ka transplant pancreas mua, ua nui nā holomua i ke kaʻina hana. Hoʻopili kēia mau holomua i ke koho maikaʻi o nā mea hāʻawi i nā meaola a me nā hoʻomaikaʻi ʻana i ka lāʻau immunosuppressant e pale ai i ka hōʻole ʻia o nā kiko.

Inā hoʻoholo kāu kauka i kahi transplant pancreas kahi koho kūpono na ʻoe, e paʻakikī ka hana. Akā ke kūleʻa kahi transplant pancreas, e ʻike ka poʻe loaʻa i kahi hoʻomaikaʻi i ko lākou ola maikaʻi.

E kamaʻilio me kāu kauka e hoʻoholo inā kūpono kahi transplant pancreas nāu.

Hiki i ka poʻe e noʻonoʻo nei i kahi transplant organ ke noi i kahi kit ʻike a me nā mea manuahi ʻē aʻe mai ka UNOS.