Yu ɔ pɔsin we yu sabi gɛt dayabitis ɛn yu kidni nɔ de wok fayn? We dat apin, layf kin rili kɔmplikt, wit insulin injɛkshɔn na wan say ɛn dayalaysis tritmɛnt na di ɔda say... Bɔt spɛshal ɔpreshɔn de we kin sɔlv dɛn tu kɔndishɔn ya wan tɛm. Tide wi de tɔk bɔt di ɔpreshɔn fɔ transplant kidni ɛn pankrias. Lɛ wi ɔndastand dis simpul wan.
Wetin na kidni ɛn pankrias transplant?
Fɔ tɔk am simpul wan, dis min se dɛn kin transplant ɔl tu di wɛlbɔdi kidni ɛn wan wɛlbɔdi pankrias insay yu bɔdi insay wan ɔpreshɔn. Dɔktɔ dɛn kin kɔl dis bak Simultaneous Pancreas and Kidney (SPK) transplant .
Dɛn kin advays fɔ du dis ɔpreshɔn fɔ pipul dɛn we gɛt Tayp 1 dayabitis ɛn we dɛn kidni nɔ de wok fayn. Kidni damej kin kɔmɔn wae dɛn nɔr kin kɔntrol dayabitis fayn fayn wan fɔ lɔng lɔng tɛm. So afta dis ɔpreshɔn, yu bɔdi kin ebul fɔ mek insulin bak ɛn yu kidni dɛn kin wok nɔmal wan bak. Sɔntɛnde, dis ɔpreshɔn kin fayn bak fɔ pipul dɛn we gɛt Tayp 2 dayabitis .
Bɔt mɛmba se nɔto ɔlman kin gɛt dis ɔpreshɔn bikɔs dɛn gɛt dɛn tu sik ya. If yu dɔktɔ tink se yu go bɛnifit frɔm am, i go rifer yu to wan tim we sabi bɔt transplant. Dɛn go tek tɛm chɛk yu ɛn disayd if yu fit fɔ dis.
Udat fit fɔ gɛt dis ɔpreshɔn?
If yu de pan denja fɔ mek yu kidni nɔ wok ɔ yu dɔn ɔlrɛdi fel, ɛn yu gɛt Tayp 1 dayabitis bak, yu dɔktɔ dɛn kin tink bɔt dis ɔpreshɔn. We dɛn sɛn yu na say usay dɛn kin transplant yu ɔgan dɛn, wan tim we gɛt spɛshal pipul dɛn, kɔdinetɔ dɛn, ɛn ɔda pipul dɛn go tek tɛm chɛk yu.
Bifo dɛn ad yu nem to di wan dɛn we de wet, dɛn kin pe atɛnshɔn mɔ to sɔm tin dɛn.
| Wetin fɔ tink bɔt | Tɔk bɔt |
|---|---|
| Ɔl di wɛlbɔdi stetmɛnt | Wi go luk yu jenɛral wɛlbɔdi, ivin if yu de smok ɔ yu de yuz drɔgs. |
| Mɛdikal istri | Dɛn de tɛst yu fɔ si if yu gɛt kansa ɔ ɔda siriɔs sik. |
| Test fɔ yu bɔdi ɛn maynd | Dɛn kin du wan kɔmplit ɛgzam pan yu bɔdi ɛn wan tɛst fɔ yu maynd fɔ si if yu maynd rɛdi fɔ gɛt dis kayn big ɔpreshɔn. |
| Di wok we di ɔgan dɛn de du | Dɛn kin du spɛshal tɛst fɔ no aw di men ɔgan dɛn lɛk di kidni, pankrias, at, lɔng, ɛn blad de wok. |
Usay nyu kidni ɛn pankris kin kɔmɔt?
Dis na prɔblɛm fɔ bɔku pipul dɛn. Yu kin gɛt kidni frɔm pɔsin we de gi am we de alayv. Bɔt dɛn kin jɔs gɛt pankrias frɔm pɔsin we dɔn day. So, insay dis SPK ɔpreshɔn, dɛn kin tray fɔ gɛt ɔl tu di ɔgan dɛn frɔm di sem pɔsin we dɔn day.
Dɛn kin tek tɛm luk ɛnibɔdi we gi yu blɔd fɔ mek shɔ se dɛn nɔ gɛt sik dɛn we kin pas ɔ ɔda prɔblɛm dɛn, ɛn fɔ mek shɔ se dɛn fit yu blɔd tayp ɛn di kayn tisu we yu gɛt.
Aw lɔng wi go gɛt fɔ wet?
I at fɔ gi di rayt tɛm fɔ dis. I kin tek 24-36 mɔnt (2-3 ia). If pɔsin gɛt di kayn blɔd we nɔ bɔku ɔ di kayn tisu we i gɛt, i kin tek lɔng tɛm fɔ fɛn pɔsin we go gi am di sem blɔd.
We yu dɔn disayd se yu fit fayn, dɛn go ad yu nem ɛn yu mɛrɛsin infɔmeshɔn to di nashɔnal ɔgan transplant wet list. As soon as wan maching donor kam, dem go notis yu. Afta dat, ɔltin kin apin kwik kwik wan. Yu go nid fɔ gɛt ɔpreshɔn insay 12 awa afta dɛn pul di ɔgan na di pɔsin we gi yu in bɔdi.
Aw dɛn kin du di ɔpreshɔn?
Dɛn kin du dis ɔpreshɔn ɔnda ful anestezi, we min se yu nɔ go fil natin.
1. Kidni transplant: Di dɔktɔ we de du ɔpreshɔn kin kɔt yu bɛlɛ we de dɔŋ. Di fɔs transplant na di kidni. di nyu kidni dεn de put am na di lכw rayt כ lεft say na yu bכdi εn i kכnεkt to yu bכdi in bכdi vεsul dεm (vεn dεm εn atεri dεm). afta dat di nyu kidni in ureter de kכnekt to yu blad. Na de urine de kɔmɔt na yu bɔdi. Bɔku tɛm, dɛn nɔ kin pul yu ol kidni we nɔ de wok fayn.
2. Pankrias transplant: .nεks, dεn kin put di nyu pankrias na di lכw bכdi εn kכnεkt am to di blכd vesel dεm we de nia am. di pankrias jus we di pankrias de kכmכt, we de εp fכ digεst it, de sεnd bak insay yu dijestiv sistεm, εn di pankrias de kכnεkt to yu sכmכl intestin. Lɛk yu kidni, bɔku tɛm dɛn nɔ kin pul yu ol pankrias.
Di nyu ɔgan fɔ bigin fɔ wok insay sɔm awa afta di ɔpreshɔn. Dat min se di nyu pankrias go bigin fɔ mek insulin ɛn kɔntrol di shuga we yu gɛt na yu blɔd. Di ɔpreshɔn kin tek bitwin 4 ɛn 8 awa .
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni big ɔpreshɔn, dis wan gɛt bɛnifit ɛn prɔblɛm dɛn.
Men advantej dɛn
Afta yu dɔn du ɔpreshɔn fayn fayn wan, yu go gɛt mɔ trɛnk, yu trɛnk, ɛn yu go gɛt mɔ trɛnk. Yu go ebul fɔ go bak to yu nɔmal layf.
- Fridɔm frɔm dayalaysis: If yu bin gɛt dayalaysis bifo di ɔpreshɔn, yu go fri frɔm di layf we bin tay to am.
- Insulin fridɔm: Bikɔs di nyu pankrias de kɔntrol yu blɔd shuga, i go mɔs bi se yu nɔ go ɛva nid insulin injɛkshɔn igen.
- Fɔ mek pipul dɛn liv bɛtɛ layf: Bɔku pipul dɛn kin se di wan ol we aw pipul dɛn de liv dɛn layf de go bifo bad bad wan.
Risk ɛn kɔmplikeshɔn dɛn
Bikɔs dɛn kin transplant tu ɔgan dɛn di sem tɛm, di prɔblɛm dɛn we kin apin we dɛn du di ɔpreshɔn kin bɔku smɔl pas di prɔblɛm dɛn we kin apin we dɛn transplant jɔs wan ɔgan.
di men risk dεm na we di bכdi de rijek di nyu כgan εn infεkshכn.
rijeksh כn na we yu bכdi in imyun sistεm no di nyu כgan as "fכrin" εn tray fכ atak am. Fɔ mek dis nɔ apin, yu go gɛt fɔ tek anti-rijekshɔn drɔgs (immunosuppressants) fɔ di res ɔf yu layf.
Bikɔs dɛn mɛrɛsin ya kin mek yu imyun sistɛm wik, yu kin gɛt ɔda sik dɛn. So yu nid fɔ rili tek tɛm.
If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm:
- Fiva
- Pus ɔ wata we de kɔmɔt na di say we dɛn de du di ɔpreshɔn
- Big pen ɔ brus na di say we dɛn de du di ɔpreshɔn
- Pen we yu de pis
Apat frɔm dat, prɔblɛm dɛn kin de lɛk we blɔd kin klɔt ɛn we pɔsin kin blɔd pasmak.
Tɛm fɔ wɛl ɛn sakrifays
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ at le 10-12 dez. Sɔntɛnde, yu kin nid fɔ de de fɔ wan mɔnt. Insay dis tɛm, di mɛdikal tim go de wach yu gud gud wan.
I impɔtant fɔ tek di mɛrɛsin dɛn we dɛn dɔn gi yu fɔ mek yu nɔ gɛt di sik fɔ yu bɔdi di rayt tɛm. I rili impɔtant bak fɔ go fɔ blɔd tɛst ɛn ɔda tɛst dɛn di de dɛn we yu dɔktɔ tɛl yu fɔ du.
Aw dis ɔpreshɔn kin wok fayn?
Dis ɔpreshɔn de mek pɔsin in layf bɛtɛ ɛn i kin mek i liv lɔng.
- 80% chans de fɔ mek yu nɔ nid insulin ɔ dayalaysis fɔ wan ia.
- 70% chans de fɔ mek dɛn tu tritmɛnt ya nɔ go nid insay di nɛks 5 ia.
Akɔdin to di nashɔnal sɔv dɛm, di rit we pipul dɛn kin liv afta dis ɔpreshɔn na:
- Afta wan ia: 97%
- Afta 5 ia: 92.7%
- Afta 10 ia: 79.1%
Dis na tin we rili chenj in layf. Na nɔmal tin fɔ fil se yu de fred fɔ du ɔpreshɔn. Bɔt tink bɔt di bɛtɛ layf we yu go gɛt afta dɛn dɔn du yu ɔpreshɔn. Yu mɛdikal tim de rɛdi ɔltɛm fɔ ɛp yu, ansa yu kwɛstyɔn dɛn, ɛn mek dis prɔses izi as i pɔsibul. So tɔk to dɛn bɔt ɛnitin we de na yu maynd.
Mɛsej we dɛn kin kɛr go na os
- Wan kɔmbayn kidni ɛn pankrias transplant (SPK) na tritmɛnt fɔ ɔl tu di Tayp 1 dayabitis ɛn di kidni we nɔ de wok di sem tɛm.
- Afta dis ɔpreshɔn, big chans de fɔ mek yu nɔ gɛt insulin injɛkshɔn ɛn dayalaysis tritmɛnt.
- Yu fɔ tek spɛshal mɛrɛsin (immunosuppressants) fɔ di res ɔf yu layf fɔ mek di bɔdi nɔ rijek di nyu ɔgan.
- Pan ɔl we risk dɛn de bikɔs dis na big ɔpreshɔn, di sakrifays rɛt ɛn di impɔtant kwaliti fɔ layf rili ay.
- If yu gɛt ɛnitin fɔ wɔri bɔt dis, tɔk opin wan wit yu spɛshal pɔsin bɔt am.
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