Wi fes na wi aydentiti. Wi de smayl, wi de sho se wi at pwɛl, wi de tɔk, wi fes de ɛp wi wit ɔl dɛn tin ya. Imajin, wetin yu go du if sɔmbɔdi in fes bin rili pwɛl bikɔs ɔf siriɔs aksidɛnt, bɔn, ɔ ɔda sik? We di damej so bad dat ivin ɔdinari plastic ɔpreshɔn nɔ ebul fɔ mek am bak, aw bɔku da pɔsin de in layf go chenj? Na insay dɛn kayn kes ya wi kin tɔk bɔt ‘fes transplant’, we na sɔlv we rili advans ɛn we rili kɔmpleks na mɛdikal sayɛns. Dis nɔto sɔntin we pipul dɛn kin yɛri bɔku tɛm, na dat mek wi fɔ no bɔt am.
Fɔ tɔk am simpul wan, wetin na fes transplant?
Fes transplant na ɔpreshɔn we dɛn kin tek di fes tisu, ɔl ɔ pat pan am, frɔm pɔsin we dɔn day ɛn transplant am to pɔsin we in fes dɔn pwɛl bad bad wan. Dis nɔ tan lɛk nɔmal ɔpreshɔn. Dɛn kɔl am Vascularized Composite Allograft (VCA) . Dis min se ɔltin de insay, lɛk di skin, bon, nerv, ɛn blɔd vesel.
Dis na ɔpreshɔn we nɔ kin apin so ɔltɛm ɛn we dɛn kin du risach. Dɔn bak, i rili at fɔ fɛn pipul dɛn we go gi fes. So fɔ mek yu kwalifay fɔ dis ɔpreshɔn, yu fɔ fala wan lɔ we rili strikt. Ivin afta di ɔpreshɔn, yu fɔ gɛt spɛshal mɛrɛsin, fizik tritmɛnt, ɛn mɛrɛsin fɔ di res ɔf yu layf.
Udat rili fit fɔ dis kayn ɔpreshɔn?
Dis nɔto ɔpreshɔn we ɔlman kin du. Fɔ mek yu ebul fɔ gɛt dis, yu fɔ mit dɛn pɔynt dɛn ya. A go sho dis na wan klia tebul.
| Kwalifayeshɔn dɛn we dɛn fɔ mit | Tɔk bɔt |
|---|---|
| Sivɛri difɔmiti na yu fes | I fɔ gɛt siriɔs damej (e.g. we yu nɔs, yu aylid, lip we yu lɔs) we yu nɔ go ebul fɔ ripɛnt wit nɔmal plastic ɔ rikostrɔktiv ɔpreshɔn. |
| Ej | I fɔ dɔn ol bitwin 18 ɛn 60 ia. |
| Di wɛlbɔdi stetmɛnt | Yu nɔ fɔ gɛt bɛlɛ ɛn yu fɔ rɛdi fɔ avɔyd bɛlɛ fɔ at le wan ia afta dɛn dɔn du di ɔpreshɔn. |
| Sik dɛn we dɔn de | Nɔbɔdi nɔ fɔ gɛt siriɔs infɛkshɔn lɛk HIV ɔ Epatitis. Nɔbɔdi nɔ fɔ gɛt ɛni histri fɔ gɛt kansa ɔ sik dɛn we de ambɔg di at ɛn di blɔd . |
| Di abit dɛn we pɔsin kin gɛt | Dɛn nɔ alaw fɔ smok. |
| Akses to mɛrɛsin dɛn | Yu fɔ ebul fɔ tek mɛrɛsin dɛn we de mek yu bɔdi nɔ gɛt bɛtɛ wɛlbɔdi fɔ di res ɔf yu layf. |
Infakt, dɛn nɔ kin jɔs du ɔpreshɔn lɛk dis fɔ mek dɛn luk fayn. Di men gol na fɔ mek di bɛsis tin dɛn we pɔsin kin du na in layf lɛk fɔ blo, fɔ tɔk, ɛn fɔ it bak.
Wetin kin apin bifo dɛn du di ɔpreshɔn? Dis na big big tin we dɛn kin du!
Bifo dɛn pik yu fɔ dis kayn ɔpreshɔn, yu go gɛt fɔ du sɔm tɛst dɛn we rili gud. Wi kin sheb dis to tri pat.
1. Fɔ chɛk aw di bɔdi de wok (Fisiɔlɔji) .
Yu dɔktɔ go chɛk aw yu fes ɛn bɔdi de wok. Yu fes nεv dεm εn mכsul dεm nid fכ hεlty fכ gro di nεv dεm we yu nid fכ di nyu tisu we dεn transplant. Yu bɔdi nid bak fɔ ebul fɔ du dis lɔng ɔpreshɔn ɛn di mɛrɛsin dɛn we yu go nid fɔ tek fɔ di res ɔf yu layf.
2. Fɔ chɛk yu bɔdi
Dis min se yu fɔ chɛk yu ɔl yu wɛlbɔdi, yu famili mɛdikal istri, di mɛrɛsin dɛn we yu de tek, di we aw yu at de wok, blɔd tɛst, ɛkstrem rayt, ɛn CT skan . Di tin we impɔtant pas ɔl na dat, dɛn kin mek wan 3D print mɔdel fɔ yu skel bay we dɛn yuz di CT skan pikchɔ dɛn. Dis kin mek di dɔktɔ dɛn we de du ɔpreshɔn ebul fɔ plan di ɔpreshɔn rili kɔrɛkt wan.
3. Saykolojik rɛdi tɛst
Dis rili impɔtant. Saykayatrist ɛn soshal woka dɛn go tɔk to yu ɛn yu famili. Na bikɔs di mental strɛs we kin kam wit dis ɔpreshɔn na big big wan. Di pɔblik atɛnshɔn, di midia atɛnshɔn, di tɛm we i tek fɔ yus to nyu fes, ɔl dis na big chalenj.
Imajin se fɔ mek yu gɛt fes, ɔda pɔsin fɔ day. I nɔ izi fɔ liv wit dis tink. Bɔt bɔku tɛm, di famili we de gi di mɔni kin kɔrej we di pɔsin we dɛn lɛk day, dat kin mek ɔda pɔsin gɛt nyu layf.
We yu dɔn pas ɔl dɛn tɛst ya, dɛn go put yu na wan list fɔ wet fɔ mek dɛn transplant yu fes. Bɔt fɔ fɛn pɔsin we fit fɔ gi mɔni nɔ kin izi. Sɔntɛm yu go gɛt fɔ wet fɔ sɔm mɔnt, sɔntɛm ivin fɔ lɔng lɔng tɛm.
Wetin kin apin we dɛn de du di ɔpreshɔn?
We dɛn dɔn fɛn pɔsin we fit fɔ gi yu mɔni, yu go nid fɔ kam na di ɔspitul kwik kwik wan. Di ɔpreshɔn kin tek 36 awa , nɔto jɔs 10 ɔ 15 awa.
1. Fɔ pul di fes pan di pɔsin we gi di pɔsin: Fɔs, di mɛdikal tim kin tek tɛm pul di fes tisu (skin, fat, mɔsul, nɛv, blɔd vesel) frɔm di pɔsin we dɔn day.
2. Fɔ pripia yu: Dɛn go anestez yu ɛn yu fes go rɛdi fɔ ɔpreshɔn.
3. Vascular grafting: Dis na di pat we rili impɔtant ɛn we kɔmpleks pan di ɔpreshɔn. We yu yuz rili smɔl nidul ɛn trɛd dɛn, yu blɔd vesel dɛn kin kɔnɛkt to di blɔd vesel dɛn na di pɔsin we gi yu in fes. Dis na wetin de mek di fes we dɛn transplant gɛt blɔd flɔ ɛn di tisu fɔ liv.
4. Kכnekt di nεv dεm εn di mכsul dεm: We di bכdi fכ fכlכ, di nεv dεm de kכnεkt. Dis na wae de gi wi sens lεk tכch, hεt, εn pen. Dɔn di mɔsul dɛn kin kɔnɛkt, ɛn na dis kin mek wi ebul fɔ smayl, tɔk, ɛn blink.
5. Fɔ dɔn: Fɔ dɔn, dɛn kin fiks di bon dɛn wit smɔl smɔl skru ɛn plet dɛn if nid de, ɛn dɛn kin sutura di skin ɛn di sɔft tisu dɛn.
Wetin na di bɛnifit ɛn siriɔs prɔblɛm dɛn we pɔsin kin gɛt we i du ɔpreshɔn?
Lɛk ɛni big ɔpreshɔn, dis wan gɛt bɛnifit dɛn ɛn i gɛt siriɔs prɔblɛm dɛn bak.
| Kayn | Tɔk bɔt |
|---|---|
| Di bɛnifit dɛn we pɔsin kin gɛt | |
| Di we aw pipul dɛn de liv | Fɔ mek yu ebul fɔ du di men tin dɛn lɛk fɔ blo, fɔ it, fɔ tɔk, fɔ smɛl, fɔ test, ɛn fɔ mek yu fes fayn, dat kin mek yu layf bɛtɛ bad bad wan. |
| Risk dɛn we kin apin | |
| Risk dɛn we kin apin we dɛn du ɔpreshɔn | Di prɔblɛm dɛn we pɔsin kin gɛt we i de anestez, we i kin blɔd pasmak, we blɔd kin klɔt, infɛkshɔn, ɛn ivin day kin apin. |
| Transplant we dɛn nɔ gri fɔ tek | di imyun sistεm na yu bכdi kin no di fes we dεn transplant as "fכrin" εn bigin fכ atak am. Dis na tin we rili denja. Fɔ mek dis nɔ apin, yu go gɛt fɔ tek mɛrɛsin dɛn we de mek yu bɔdi nɔ gɛt bɛtɛ wɛlbɔdi fɔ di res ɔf yu layf. |
| Infεkshכn dεm | Di mɛrɛsin dɛn we de mek di bɔdi nɔ ebul fɔ fɛt di sik, so ivin smɔl smɔl infɛkshɔn kin rili denja. |
A go luk jɔs lɛk di pɔsin we gi di mɔni afta di ɔpreshɔn?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Nɔ, yu nɔ go tan lɛk di pɔsin we gi di mɔni. dis na biכs di skin εn di sכft tisu we dεn transplant nכ de chenj, bכt di כndalayn bon strכkchכ fכ yu sכkul de stil di sem. So yu go gɛt yu yon spɛshal we aw yu de luk. Bɔt yu kin gɛt spat, bɔn mak, ɛn ɔda tin dɛn na yu nyu fes.
Mɛsej we dɛn kin kɛr go na os
- Fɔ transplant fes na ɔpreshɔn we nɔ kin apin so ɔltɛm, we kin kɔmpleks, ɛn we kin mek pɔsin gɛt bɔku prɔblɛm. Dɛn kin jɔs du am fɔ siriɔs fes difɔmiti dɛm we dɛn nɔ go ebul fɔ kɔrɛkt wit ɛni ɔda tritmɛnt.
- Di we aw dɛn kin pik fɔ dis kin rili strɔng, ɛn i kin tek sɔm ia fɔ fɛn pɔsin we fit fɔ gi mɔni.
- Afta dɛn dɔn ɔpreshɔn yu, yu go nid fɔ tek mɛrɛsin dɛn we de mek yu nɔ gɛt di sik fɔ di res ɔf yu layf fɔ mek dɛn nɔ rijek di transplant, we kin put yu pan rili ay risk fɔ gɛt di sik.
- Dis nɔto jɔs fɔ kɔsmɛtik ɔpreshɔn, na tin we de chenj in layf we de mek di bɛsis wok dɛn lɛk fɔ blo ɛn it bak.
- Strɔng mɛntɛl hεlth ɛn famili sɔpɔt impɔtant pan dis joyn. I rili impɔtant fɔ tɔk gud gud wan wit yu dɔktɔ bifo yu disayd fɔ du ɛnitin.
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