Yu dɔktɔ dɔn tɔk to yu bɔt ‘at transplant’ bikɔs ɔf at prɔblɛm? Ɔ yu dɔn yɛri bɔt am bɔt yu nɔ no di rayt tin? Na nɔmal tin fɔ fil fɔ fred ɛn want fɔ no bɔt am bikɔs na ɔpreshɔn we rili siriɔs ɛn kɔmpleks. So tide, lɛ wi tɔk bɔt wetin na at transplant ɛn aw fɔ dil wit am, simpul ɛn klia wan.
Wetin na at transplant, fɔ tɔk am simpul wan?
Fɔ tɔk am simpul wan, at transplant na fɔ ɔpreshɔn fɔ pul yu at we sik, we nɔ de wok fayn ɛn fɔ tek wan at we gɛt wɛlbɔdi frɔm pɔsin we gi yu. Dis nɔto ɔdinari ɔpreshɔn. Na di las tin we pɔsin kin du fɔ pɔsin we gɛt at sik we nɔ kin ebul fɔ mɛn wit ɛni ɔda mɛrɛsin ɔ tritmɛnt . Bɔt bikɔs na smɔl nɔmba fɔ di at we pɔsin kin gi, yu fɔ mit sɔm strikt krayteria fɔ mek yu kwalifay fɔ dis ɔpreshɔn.
Udat nid fɔ gɛt at transplant?
Dis tritmɛnt nid fɔ de fɔ pipul dɛm wae dɛn at dɔn pwɛl fɔ ɔltɛm ɛn we wik pasmak fɔ pɔmp inof blɔd fɔ mit di bɔdi in nid dɛm. Bɔku men tin dɛn de we kin mek pɔsin gɛt dis.
| Mɛdikal kɔndishɔn | Fɔ tɔk am simpul wan... |
|---|---|
| Di sik we dɛn kɔl Cardiomyopathy | Ɛni sik we de pwɛl di at mɔsul. Dis kin kam wit tin dɛm lɛk infɛkshɔn, jɛnɛtiks, ɛn ɔda tin dɛm Sɔmtɛm dɛn nɔ kin no di kɔz. |
| Koronari Atɛri Sik we pɔsin kin gɛt | di at dεm we de gi blɔd to di at de blok. At atak wae kin kam wit dis kin mek de hat damej wae nɔr go ebul fɔ chenj. |
| Di sik we dɛn kin gɛt we dɛn bɔn wit at | di strכkchכral dεfekt dεm na di at we de de we dεn bכn am. Sɔm pan dɛn prɔblɛm ya kin mek di at stɔp fɔ wok ɛn dɛn kin nid fɔ transplant am. |
| Valvular At Sik we pɔsin kin gɛt | Sik dɛm wae kin kam wae di valv dɛm na di at pwɛl. |
Wetin mek dis ɔpreshɔn nɔ kin apin so ɔltɛm?
Hat transplant nɔ kin apin so ɔltɛm. Tu men rizin dɛn de fɔ dis:
- Nɔto fɔ gi mɔni: Sɔmbɔdi nid fɔ de we go ebul fɔ gi pɔsin in at we gɛt wɛlbɔdi. Dɔn bak, di pɔsin we gi di blɔd ɛn di pɔsin we gɛt di blɔd fɔ gɛt di sem kayn blɔd ɛn dɛn fɔ gɛt lɛk di sem saiz. If dis "match" nɔ pafɛkt, di bɔdi go mɔs rijɛkt di nyu at.
- Di kɔmpleks we di ɔpreshɔn gɛt: Dis na ɔpreshɔn we rili kɔmpleks. Na wan wan ɔspitul dɛn nɔmɔ we gɛt spɛshal tin dɛn ɛn we sabi du dis ɔpreshɔn go ebul fɔ du dis ɔpreshɔn.
Wetin kin apin bifo dɛn du di ɔpreshɔn? (Di Prɔses)
Dis nɔto sɔntin we kin apin wan tɛm. Dis na tin we dɛn kin du fɔ lɔng tɛm.
1. Yu dɔktɔ fɔ rifer yu: Fɔs, yu dɔktɔ we de trit yu fɔ rifer yu to ɔspitul we gɛt program fɔ transplant yu at.
2. Evalueshɔn: Dɔn, dɛn go chɛk yu gud gud wan fɔ si aw yu fit fɔ dis ɔpreshɔn. Dis na bikɔs yu nid fɔ yuz di smɔl at saiz fayn fayn wan. Dis evalueshɔn inklud sɔm tin dɛn:
- Mɛdikal tɛst: Dɛn kin chɛk blɔd, urine tɛst, kidni wok, difrɛn infɛkshɔn (HIV, Hepatitis, Tuberculosis). Dɔn bak, dɛn kin du bɔku tɛst dɛn lɛk X-ray, (CT) skan, (MRI), (Echocardiogram), (ECG). I impɔtant fɔ lɛ yu nɔ drink rɔm, smok (inklud fɔ vap), ɛn ɔda drɔgs dɛn kpatakpata.
- Saykolojik ɛn nyurolɔjik tɛst: Dis ɔpreshɔn go bi big chenj na yu layf. Dɛn go asɛs bak aw yu ebul fɔ bia wit am na yu maynd ɛn di sɔpɔt we yu de gɛt frɔm yu famili.
- Dɛn tit chɛk-ap: Nɔ sɔprayz, tit wɛlbɔdi gɛt big impak pan di at. Infεkshכn na di tit kin travul tru di blכd to di at εn i kin pwεl.
3. Waiting List: If yu pas ɔl dɛn tɛst ya, dɛn go put yu pan wet list. Yu ples na dis list go bi bay aw yu sik bad.
4. Brij Tritmɛnt: Dis na di nem we dɛn kin gi tritmɛnt dɛn we dɛn kin gi fɔ manej yu kɔndishɔn te yu gɛt at. dis kin kכntro wit mεdikeshכn, כ mashin we de wok fכ εp di at (lεk ``Left Ventricular Assist Device - LVAD'') kin kכnekt to di bכdi fכ sכm tεm.
Aw dɛn kin du di ɔpreshɔn
We dɛn dɔn tɛl yu se dɛn dɔn fɛn at we mach, yu go rɛdi fɔ ɔpreshɔn. Dis na kɔmpleks tin we kin tek sɔm awa.
- Fɔs, dɛn go put yu ɔnda jenɛral anestezi. Dis min se dɛn go put yu na dip slip usay yu nɔ go fil natin.
- nεks, yu go kכnekt to wan mashin we dεn kכl ``ventilator'' fכ mek yu brith mεnten.
- We dɛn de du di ɔpreshɔn, dɛn go kɔnɛkt yu to wan spɛshal mashin we dɛn kɔl kadiopulmonari baypas mashin fɔ du di wok we yu at ɛn yu lɔng dɛn de du. Dis mashin na in de mek yu blɔd go ɔlsay na yu bɔdi.
- Dɔn, dɔktɔ dɛn we de du ɔpreshɔn kin tek tɛm pul yu at we sik.
- Fɔ dɔn, dɛn kin tek di at we dɛn dɔn gi we gɛt wɛlbɔdi, kɔnɛkt am to yu men blɔd vesel dɛn, ɛn put am bak fɔ wok.
Wetin kin apin afta di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ lɛk wan to tri wiks. Fɔ di fɔs dez, yu go de na di Intensive Care Unit (ICU), usay dɛn go de wach yu 24 awa ɛvride.
I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn afta yu dɔn go na os. Mek shɔ se yu no aw fɔ tek yu mɛrɛsin, it, ɛksesaiz, ɛn no di tin dɛn we kin mek yu gɛt dis sik.
Dɛn kin aks yu bak fɔ jɔyn wan program fɔ mek yu at pwɛl, we go ɛp yu smɔl smɔl fɔ mek yu gɛt mɔ trɛnk ɛn yu at wok fayn fayn wan.
Imyun Suprεshכn
Dis na di tin we impɔtant pas ɔl afta dɛn dɔn du di ɔpreshɔn. Tink bɔt yu bɔdi lɛk kɔntri. Di imyun sistɛm na di ami na da kɔntri de. Ɛnitin we kɔmɔt na do (vayrɔs, baktri dɛm) dis ami kin si am as ɛnimi ɛn dɛn kin atak am. Bikɔs di nyu at na ‘fɔrin’ bak to di bɔdi, dis ami kin tray fɔ atak am bak. dis dεn kכl dis "organ rijekshכn" .
Fɔ mek dis nɔ apin, yu go gɛt fɔ tek tin dɛn we de mek yu bɔdi nɔ gɛt bɛtɛ wɛlbɔdi fɔ di res ɔf yu layf. Dɛn mɛrɛsin ya kin wok bay we dɛn de ridyus di pawa we da ami de gɛt ɛn mek di nyu at nɔ bit.
Wetin na di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Jɔs lɛk ɛni big ɔpreshɔn, prɔblɛm dɛn de we kin apin. Di men wan dɛn na:
- Ɔgan rijɛkt fɔ di nyu at.
- Risk fɔ infɛkshɔn kin bɔku bikɔs ɔf mɛrɛsin dɛn we de stɔp di imyuniti.
- Prɔblɛm wit di blɔd vesel dɛn na di at we dɛn transplant (Cardiac allograft vasculopathy - CAV) .
- Kidni sik.
- Ay blɔd prɛshɔn (Hypertension).
- At we nɔ de bit ɔltɛm (Aritmias).
- Risk fɔ gɛt kansa ova tɛm (bikɔs ɔf di imyunosuprɛsiv drɔgs).
Yu dɔktɔ go tɔk bɔt dɛn bad bad tin ya wit yu.
Simptom dɛm wae nid fɔ gɛt ETU kwik kwik wan (Emergency Treatment Unit) .
If yu si sɔntin lɛk dis we yu de na os, go wantɛm wantɛm na di Imejɛnsi Dipatmɛnt (ETU) we de nia yu ɔ kɔl 1990.
- Fiva.
- Pus ɔ wata we de lik frɔm di wund we dɛn du di ɔpreshɔn.
- Rɛd ɔ wam rawnd di wund.
- filin se yu brεstbon (sternum) de muv, we de mek "klik" sawnd we yu de muv.
Mɛsej we dɛn kin kɛr go na os
- Hat transplant na di las tin fɔ du fɔ gɛt siriɔs at sik we nɔ go ebul fɔ mɛn wit ɛni ɔda tritmɛnt.
- Dis na tin we kin tek lɔng tɛm ɛn we nɔ kin izi fɔ du. Bɔku tin dɛn de fɔ dil wit bifo ɛn afta 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.
- I rili impɔtant fɔ fala di instrɔkshɔn dɛn we di dɔktɔ gi yu di rayt we, go na klinik dɛn di rayt tɛm, ɛn fɔ mek yu gɛt wɛlbɔdi.
- Dis ɔpreshɔn na chans we de sev pɔsin in layf. We di mɛrɛsin dɛn we dɛn de yuz tide dɔn go bifo, i pɔsibul fɔ liv wɛlbɔdi fɔ lɔng lɔng tɛm, ivin fɔ bɔku bɔku ia, afta dɛn dɔn transplant am.
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