Yu at dɔn wik so dat yu nɔ go ebul fɔ kɔntrol am igen wit mɛrɛsin ɔ ɔda tritmɛnt? Sɔntɛnde, di wangren ɛn las tin we yu go du fɔ sev yu layf na fɔ gɛt nyu at we gɛt wɛlbɔdi. Wi kin kɔl dis at transplant. Bikɔs dis na rili kɔmpleks, big ɔpreshɔn, bɔku pipul dɛn kin gɛt kwɛstyɔn, fred, ɛn want fɔ no bɔt am. So, tide wi go tɔk bɔt ɔltin frɔm di biginin te to di ɛnd, insay wan simpul we we yu go ɔndastand.
Wetin na at transplant? Udat nid am?
Fɔ tɔk am simpul wan, at transplant na ɔpreshɔn we dɛn kin pul yu at we sik ɛn we wik ɛn put at we gɛt wɛlbɔdi frɔm pɔsin we dɔn day. Dis na las tritmɛnt fɔ sev yu layf. Dat min se, i kin fayn fɔ pipul dɛm wae gɛt ɛnd-stej at pwɛl hat wae nɔr kin ebul fɔ wɛl wit ɛni ɔda tritmɛnt.
Bɔrku rizin de wae mek at kin wik sote i kin rich dis stej. Di men tin wae kin mek yu nid fɔ transplant yu at na:
- Cardiomyopathy: Dis kin min ɛni sik we de pwɛl di at mɔsul. I kin kam bikɔs ɔf difrɛn tin dɛn lɛk infɛkshɔn ɛn di jenɛtiks. Sɔntɛnde, ilɛksɛf dɛn du bɔku tɛst, dɛn nɔ kin no di tin we mek dɛn du am.
- Korona at sik: Na wan sik we kin kam we di at we de gi blɔd to di at (korona at dɛn) kin blok. Dis kin mek yu gɛt at atak ɛn i kin mek yu at pwɛl we yu nɔ go ebul fɔ chenj.
- Di sik we dɛn kin bɔn wit di at: Dis kin tɔk bɔt di bad tin dɛn we de apin na di at we de na di at we de de we dɛn bɔn am. Sɔm kayn bad bad hat sik wae dɛn kin bɔn wit kin dɔn nid fɔ gɛt at transplant.
- Valvular Heart Disease: Na sik wae kin kam wae di valv dεm na di at pwɛl.
Bɔku tɛm, dɛn kin du dis ɔpreshɔn pan pikin dɛn ɛn pipul dɛn we ol te to 70 ia, ɛn insay sɔm spɛshal kes dɛn, dɛn kin du am te to 75 ia.
Aw kɔmɔn fɔ dɛn ɔpreshɔn ya? Wetin mek dɛn nɔ bɔku?
Fɔ tru, fɔ transplant at na wan pan di ɔpreshɔn dɛn we nɔ kin apin so ɔltɛm na di wɔl. Tu men rizin dɛn de fɔ dat.
1. Short of donor hearts: Fɔ mek dɛn transplant at, sɔmbɔdi fɔ gi am. Na smɔl pipul dɛn nɔmɔ de we de gi mɔni lɛk dis. Dɔn bak, gud mats fɔ de bitwin di pɔsin we gi di mɔni ɛn di pɔsin we gɛt di mɔni. Dis min se di tu kayn blɔd fɔ mach, ɛn di bɔdi saiz fɔ bi lɛk di sem. If dis mach nɔ pafɛkt, di pɔsin we gɛt di sik in imyun sistɛm go mɔs nɔ gri wit di nyu at.
2. Di kɔmpleks we di ɔpreshɔn gɛt:Dis na ɔpreshɔn we rili kɔmpleks we nid ay teknɔlɔji ɛn ɛkspɛriɛns. So, na ɔspitul dɛn nɔmɔ we gɛt spɛshal say dɛn we gɛt ɔl wetin yu nid, go ebul fɔ du dis ɔpreshɔn.
Wetin kin apin bifo dɛn du di ɔpreshɔn? Lɛ wi no di rayt tin dɛn we wi fɔ du
We yu dɔn disayd fɔ gɛt at transplant, yu nɔ go nid fɔ go tru di ɔpreshɔn wantɛm wantɛm. Bɔku tin dɛn de we yu fɔ du bifo tɛm.
1. Rifer yu to transplant program: Di dɔktɔ we de trit yu go rifer yu to spɛshal ɔspitul we gɛt hat transplant program.
2. Fɔ chɛk if yu fit fɔ ɔpreshɔn: Dɔn, wi go asɛs aw yu bɔdi go ebul fɔ bia wit dis kayn big ɔpreshɔn ɛn if yu go ebul fɔ gɛt gud rizɔlt afta di ɔpreshɔn.
3. Waiting list: If yu dɔn disayd se yu fit fɔ gɛt ɔpreshɔn, dɛn go put yu nem pan wet list.
4. Tritmɛnt te dɛn gɛt transplant: Te dɛn gɛt fayn at fɔ yu, dɛn kin gi yu difrɛn tritmɛnt dɛn fɔ mek yu sik nɔ chenj.
Lɛ wi luk dis step smɔl mɔ.
Fɔ chɛk if yu fayn fɔ ɔpreshɔn (Transplant Evaluation) .
Dis na tin we rili impɔtant. Bikɔs na smɔl nɔmba fɔ di at dɛn we dɛn kin gi, dɛn kin transplant da valyu ɔgan de to pɔsin we gɛt di bɛst chans fɔ bɛnifit frɔm di ɔpreshɔn, we min se i go liv lɔng ɛn gud layf. Dis min se yu fɔ luk ɔltin we de mek yu bɔdi, yu maynd, ɛn aw yu de wit ɔda pipul dɛn.
| Test tayp | Wetin yu de luk? |
|---|---|
| Blɔd ɛn urine tɛst | Dɛn go chɛk yu blɔd kɔnt, lɛk di rɛd blɔd sɛl ɛn pletlɛt dɛn, di we aw yu imyun sistɛm de wok, di we aw yu kidni de wok, ɛn if yu de yuz rɔm, sigrɛt, ɔ ɔda drɔgs. Dɛn fɔ avɔyd ɔl dɛn tin ya kpatakpata bifo dɛn du di ɔpreshɔn. |
| Tɛst dɛn we dɛn kin yuz fɔ tek pikchɔ | Tεst dεm lεk X-ray, CT skan, MRI skan, εn Echocardiograms de egzamin di insay pat pan di bכdi εn di strכkchכ fכ di at. |
| Tɛst fɔ di wok we di at de du | Tεst dεm lεk ECG, Exercise Stress Test, εn Hat Catheterization de chεk aw di at, di rεspiretכri sistεm, εn di sεkyulatri sistεm de wok. |
| Test fɔ sɔm patikyula sik dɛn | Dɛn go tɛst yu fɔ sik dɛn we pɔsin kin gɛt lɛk TB, HIV, Epataytis B, ɛn Epataytis C. Yu fɔ dɔn gɛt ɔl di vaysin dɛn we dɛn nid bifo dɛn du di ɔpreshɔn. |
| Saykolojik ɛn soshal ɛvalueshɔn | Fɔ bia wit layf afta dis ɔpreshɔn kin tranga fɔ yu maynd. So, di mɛdikal tim go tɔk bak bɔt yu maynd wɛl bɔdi ɛn di sɔpɔt sistɛm we yu gɛt. |
Fɔ Go na di Waiting List
Wae ɔl dɛn tɛst ya dɔn kɔnfirm se yu fit fɔ ɔpreshɔn, dɛn go put yu pan wan list fɔ wet. Pipul dɛn we de na dis list kin gɛt at dɛn akɔdin to di tin dɛn we dɛn fɔ put fɔs. Dis min se di tɛm we yu gɛt at de dipen pan aw di nid fɔ gɛt at kwik kwik wan .
Tritmɛnt fɔ Brij
Sɔntɛm yu go nid fɔ wet fɔ sɔm mɔnt, ivin fɔ lɔng lɔng tɛm fɔ mek dɛn fɛn yu at we fit. Insay dis tɛm, yu go gɛt difrɛn tritmɛnt fɔ sɔpɔt yu wik at ɛn kɔntrol yu sik dɛn.
- Mɛrɛsin: Dɛn kin gi difrɛn mɛrɛsin fɔ mek di at bit kwik ɛn ɛp di at fɔ pɔmp.
- Mɛkanikal tin dɛn: Sɔntɛnde, spɛshal tin dɛn we de ɛp di at pɔmp nid fɔ tay na di bɔdi. wan egzampl na ``intra-aortic balכn pכmp''.
- Left Ventricular Assist Device (LVAD): If di at rili wik ɛn i nɔ ebul fɔ pɔmp inof blɔd to di bɔdi, dɛn kin ɔpreshɔn dis divays insay di at. Dis kin ɛp di at fɔ pɔmp blɔd.
Aw dɛn kin du di ɔpreshɔn stɛp bay stɛp
As yu yɛri se dɛn dɔn gɛt at we mach yu, yu go rɛdi wantɛm wantɛm fɔ ɔpreshɔn. Dis na ɔpreshɔn we rili kɔmpleks ɛn we kin tek bɔku awa.
1. Anestezi: Fɔs, dɛn go gi yu jenɛral anestesia fɔ mek yu slip ɔl.
2. Kɔnɛkshɔn to ventilatɔ: Afta yu dɔn slip, dɛn go put wan tiub dɔŋ yu trot ɛn kɔnɛkt am to mashin we de blo (ventilator). Dis mashin go mek yu ebul fɔ blo ɔl di tɛm we dɛn de du di ɔpreshɔn.
3. Fɔ kɔnɛkt to di at-lɔng mashin: Neks yuYu go kɔnɛkt to wan mashin we de yuz di kadyopulmonari baypas. Fɔ tɔk am simpul wan, dis mashin kin tek di wok we yu at ɛn yu lɔng dɛn de du fɔ sɔm tɛm we dɛn de du di ɔpreshɔn. I de ad ɔksijɛn to yu blɔd, pul di kabon dayɔgzayd, ɛn pɔmp blɔd ɔlsay na yu bɔdi.
4. Fɔ pul di at we sik: Di dɔktɔ dɛn we de du ɔpreshɔn go opin yu chɛst, lɔk di blɔd vesel dɛn we de go na di at, ɛn tek tɛm pul yu at we sik.
5. Hεlth hat transplant: Dɔn, dεn kin briŋ di hεlty hat we dεn gi na di sayt εn kכnekt am to di men blɔd vεsul dεm. Dɔn, dɛn kin mek di nyu at bit bak. Sɔntɛnde, dɛn kin nid bak fɔ gi am smɔl ilɛktrik stimuleshɔn.
Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn fayn fayn wan, wan nyu chapta na yu layf kin bigin.
- Fɔ wɛl na ɔspitul: Yu go nid fɔ de na ɔspitul fɔ lɛk wan to tri wik. Dɛn go spɛn di fɔs de dɛn na di intensiv kia yunit (ICU) , usay dɛn go de wach yu 24 awa ɛvride, mɔ fɔ si sayn dɛn we de sho se yu bɔdi nɔ de gri fɔ tek di nyu at.
- Plan fɔ kia fɔ yu na os: Bifo yu kɔmɔt na ɔspitul, yu dɔktɔ go gi yu wan plan fɔ kia fɔ yu na os we go gɛt ɔltin frɔm mɛrɛsin to it, ɛksesaiz to fɔ wach fɔ sayn dɛn we de sho se yu gɛt di sik ɔ yu nɔ gri fɔ tek am.
- Cardiac Rehab: Dɛn go put yu pan spɛshal ɛksɛsayz program we dɛn de supavayz fɔ mek yu gɛt mɔ trɛnk, bia, ɛn yu at wok fayn fayn wan.
Imyun Sistem Suprεshכn
Dis na di tin we impɔtant pas ɔl afta dɛn dɔn ɔpreshɔn yu ɛn na sɔntin we yu nid fɔ du fɔ di res ɔf yu layf .
Tink bɔt am dis we: yu bɔdi in difɛns sistɛm (immune system) tan lɛk ami we de protɛkt kɔntri. Di at we dɛn jɔs transplant, dis ami de si am as ‘ɛnimi’ we dɔn kam insay di kɔntri. So di ami bigin fɔ atak dis ‘ɛnimi’ wantɛm wantɛm. Dɛn kɔl dis fɔ rijɛkt .
Stɔp dis dinay, yu go gɛt fɔ tek spɛshal mɛrɛsin (immunosuppressants) we de kɔntrol ɔ stɔp di wok we yu imyun sistɛm de du ɛvride fɔ di res ɔf yu layf .
Wetin na di bɛnifit ɛn bad tin dɛn we dis ɔpreshɔn gɛt?
Di bɛnifit dɛn we pɔsin kin gɛt
Di big bɛnifit na dat dis ɔpreshɔn kin sev yu layf we no ɔda tin nɔ de fɔ du. Na di wangren sɔlv wae ɔda tritmɛnt nɔr dɔn woke, nɔr kin ɛp, ɔr tu risky. Dɔn bak, bɔku pipul dɛn kin gɛt di chans fɔ liv bɛtɛ layf afta dɛn dɔn du dɛn ɔpreshɔn.
Di bad tin dɛn we kin apin
- Bikɔs ɔf di shɔt we aw di wan dɛn we de gi di at nɔ de, nɔto ɔlman we nid at kin gɛt wan.
- Bikɔs dis na ɔpreshɔn we rili kɔmpleks, sɔm pasɛnt dɛn bɔdi nɔ kin ebul fɔ bia wit di ɔpreshɔn.
- Risk ɛn prɔblɛm dɛn de we kin apin we dɛn du ɔpreshɔn.
Risk ɛn kɔmplikeshɔn dɛn we kin apin we dɛn du ɔpreshɔn
Lɛk ɛni big ɔpreshɔn, if pɔsin transplant in at kin gɛt prɔblɛm dɛn. Na di men wan dɛn ya.
| Risk/Kɔmplisiti | Wan simpul ɛksplen |
|---|---|
| Ɔgan we dɛn nɔ gri wit | Di bɔdi in imyun sistɛm de atak di nyu at. Dis na di big big risk. |
| Infεkshכn dεm | If yu tek mɛrɛsin wae de mek yu bɔdi nɔr de woke fayn, dat kin mek yu bɔdi nɔr ebul fɔ fɛt sik, ɛn dis kin mek i izi fɔ yu fɔ gɛt difrɛn kayn sik. |
| Graft we nɔ de wok fayn | di kכnεkshכn bitwin di hat we dεn transplant εn di bכdi de fεl fכ sכm rizin. |
| Kadyak Alɔgraft Vaskulɔpati (CAV) . | di bכdi we de na di at we dεn transplant de tik εn blok. |
| Ɔda prɔblɛm dɛn we kin apin | Tin dɛm lɛk kidni sik, ay blɔd prɛshɔn, di bon dɛm we de tan (ɔstioporosis), ɛn di risk fɔ gɛt kansa (bikɔs ɔf di mɛrɛsin dɛm we de mek di bɔdi nɔ ebul fɔ fɛt di sik) kin apin. |
Aw lɔng i go tek fɔ mek i wɛl? Wetin go apin tumara bambay?
I kin tek sɔm mɔnt fɔ mek i wɛl ɔl. Yu go gɛt fɔ de na ɔspitul fɔ lɛk 3 wik. Bɔt we di mɛrɛsin dɛn we dɛn de yuz tide dɔn go bifo, di tumara bambay fɔ di wan dɛn we dɔn gɛt at transplant dɔn rili fayn.
- di rεt fכ sכvayv insay di fכs ia afta dεn כpεrayshכn pas 90%.
- Na lɛk af pan di pipul dɛn kin liv pas 10 ia .
- We di mɛdikal sayɛns dɔn go bifo, pipul dɛn de naw we de liv fayn layf fɔ 20-30 ia ɔ ivin lɔng pas dat .
Dat min se yu gɛt nyu chans fɔ mek bɔku nyu mɛmori dɛn wit di wan dɛn we yu lɛk.
Kwɛstyɔn dɛn bɔt ɛvride layf afta dɛn dɔn du di ɔpreshɔn
Ustɛm di nɔmal tin dɛn kin bigin fɔ du bak?
Yu dɔktɔ kin gi yu di bɛst advays bɔt dis. Jɛnɛral wan, i nɔ kin fayn fɔ drayv ɔ es ɛnitin we ebi pas 5 kg fɔ 6-8 wik. I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
A kin drink rɔm?
Di bɛst tin fɔ du na fɔ stɔp fɔ drink rɔm kpatakpata ɔ fɔ stɔp am bad bad wan. Alkol de mek yu blɔd fat (triglycerides) bɔku. Dat no gud fo yu nyu hat. Yu dɔn gɛt sɛkɔn chans fɔ gɛt wɛlbɔdi, so na yu wok fɔ kia fɔ da at de gud gud wan.
A kin gɛt vaysin?
Yes, yu kin gɛt bɔku kayn vaysin. Bɔt dɛn nɔ kin gi sɔm layf vaysin dɛn bikɔs yu de tek mɛrɛsin dɛn we de stɔp yu imyun sistɛm. So, i impɔtant fɔ tɔk to yu dɔktɔ ɛn gɛt in aprɔval bifo yu gɛt ɛni vaysin.
We yu nid fɔ go to dɔktɔ ɔ go na ɔspitul wantɛm wantɛm
We yu de na os afta dɛn dɔn du yu ɔpreshɔn, yu fɔ rili tek tɛm wit sɔm sayn dɛn. Dɛn tin ya kin bi sayn fɔ se yu gɛt infekshɔn ɔ ɔda siriɔs prɔblɛm.
If yu gɛt ɛni wan pan dɛn sik ya, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm ɔ kɔl yu mɛdikal tim.
- Fiva.
- Pus ɔ ɔda wata we de lik frɔm di wund we dɛn du di ɔpreshɔn.
- Rɛd ɔ filin fɔ wam rawnd di wund.
- filin lεk se di midul bon na di chεst (sternum) de muv כ muv bak εn go bifo.
- Fɔ yɛri ɔ fil ‘klik’ ɔ ‘klik’ sawnd na yu chɛst bon we yu de muv.
Nɔ ignore dɛn sayn ya. If yu gɛt tritmɛnt kwik kwik wan, dat kin mek yu nɔ gɛt big big prɔblɛm dɛn.
Mɛsej we dɛn kin kɛr go na os
- Hat transplant na las tin we dɛn kin du fɔ sev layf fɔ di wan dɛn we sik bad bad wan we dɛn nɔ kin ebul fɔ mɛn wit ɔda tritmɛnt dɛn.
- Dis na ɔpreshɔn we rili kɔmpleks, so dɛn go tek tɛm chɛk yu bɔdi ɛn maynd bifo dɛn du di ɔpreshɔn.
- Afta yu dɔn ɔpreshɔn, yu go nid fɔ tek di mɛrɛsin dɛn we de mek yu bɔdi nɔ gɛt bɛtɛ wɛlbɔdi fɔ di res ɔf yu layf fɔ mek yu bɔdi nɔ gri fɔ tek di nyu at.
- Fɔ gɛt strɔng famili sɔpɔt ɛn fɔ gɛt fayn fayn maynd na tin we rili impɔtant fɔ di wɛlbɔdi prɔses.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, fɔ tek yu mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ tek am, ɛn fɔ go na klinik dɛn di rayt tɛm, impɔtant fɔ mek yu gɛt lɔng layf ɛn gɛt wɛlbɔdi.
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