Sɔmbɔdi na yu famili, sɔntɛm ivin yu padi, de sɔfa wit kidni sik. Aw i nɔ kin izi fɔ yu fɔ wach dɛn go na dayalaysis ɛvride? So, wetin yu go du if yu ebul fɔ gi da pɔsin de nyu layf bay we yu gi wan pan yu kidni? Dis na rili big tin fɔ disayd. Ɛn na tin we rili fayn. So, tide wi go jɔs tɔk bɔt dis fayn fayn tin we dɛn kɔl kidni doneshɔn.
Wetin na kidni doneshɔn insay simpul wɔd dɛn?
Fɔ tɔk am simpul wan, kidni doneshɔn na we dɛn du ɔpreshɔn fɔ pul wan kidni pan wan pɔsin ɛn transplant am to ɔda pɔsin we in kidni nɔ de wok fayn.
Imajin, pɔsin we de alayv gi wan pan dɛn kidni. Pɔsin we in bren dɔn day kin gɛt ɔl tu in kidni dɛn. Di big kweshon wae yu kin get na, "Yu kin liv wit wan kidni?" Yɛs, yu kin ebul! Pɔsin wae gɛt wan wɛl bɔdi kidni kin liv lɔng, wɛl bɔdi layf ɛn nɔr gɛt ɛni prɔblɛm.
Us kɔndishɔn dɛn kin mɛn if yu gi yu kidni?
We pɔsin gi in kidni i kin ɛp pɔsin we de sɔfa wit in rεnal fεil . Rεnal fεil na wan kכndyushכn wae yu tu kidni dεm nכ de wok fayn fayn wan.
di kidni dεm na wan pan di men כgan dεm na di urinary sistεm na wi bכdi. Dɛn wok na fɔ filta dɔti tin dɛn ɛn wata we nɔ nid fɔ kɔmɔt na di blɔd ɛn pul dɛn kɔmɔt na di bɔdi as urine.
כlso, di kidni dεm rili imכtant fכ mεnten di bεlε fכ di εlektrolayt dεm lεk potashכm εn sכdiכm na di bכdi εn fכ kכntrכl di bכdi prεshכn.
We di kidni dɛn nɔ wok, wata kin gɛda na di bɔdi, we kin mek di leg dɛn swel (ɛdima). Fluid de bil arawnd di lכng dεm (pleural effusion) εn arawnd di at (pericardial effusion). Dis kin mek di at nɔr de wok fayn, ɛn dis kin mek di at nɔr de woke fayn. di potashכm lεvεl kin bכku bak we denja, we kin mek di at bit nכ de bit (arrhythmias) εn ivin mek di at day wantɛm wantɛm.
Na dat mek di kidni we nɔ de wok fayn na sik we de kil pɔsin we i nɔ gɛt tritmɛnt. Pɔsin we gɛt dis sik go gɛt fɔ du dayalaysis fɔ ɔl in layf ɔ fɔ gɛt kidni transplant.
Wetin na di we dɛn fɔ gi pɔsin kidni?
Tu men we dɛn de fɔ gi pɔsin kidni. Either frɔm pɔsin we de alayv, ɔ frɔm pɔsin we jɔs day (brain dead). Bɔku we dɛn de we pɔsin we de alayv kin gi mɔni. Lɛ wi ɛksplen dis mɔ na dis tebul.
| Di we aw dɛn kin gi mɔni | Simpul ɛksplen |
|---|---|
| Frɔm wan fambul we de alayv (Living Related) . | Fɔ gi kidni we yu fambul we gɛt blɔd (mama ɛn papa, brɔda ɛn sista dɛn) gi. |
| Frɔm pɔsin we de liv we nɔ gɛt ɛnitin fɔ du wit am (Living Unrelated) . | Fɔ gi mɔni to yu padi, yu man ɔ yu wɛf, ɔ pɔsin we nɔ gɛt fambul. |
| Di Doneshɔn we Dɛn Dayrɛkt | Di pɔsin we gi di kidni kin pik jɔs udat fɔ gi dɛn kidni to. |
| Paired Exchange we dɛn kin chenj | Dis na tin we kɔmplikt smɔl. Imajin se yu want fɔ gi yu fambul kidni, bɔt yu blɔd tayp nɔ gri. Ɛn yu want fɔ gi yu kidni to ɔda fambul, bɔt dɛn nɔ gri wit am. Bɔt yu kidni mach wit di sɛkɔn fambul, ɛn di ɔda pɔsin in kidni na mach fɔ yu fambul. Dɔn, di tu pipul dɛn we de gi di mɔni kin chenj dɛn kidni. |
| Doneshɔn we Nɔ Gɛt fɔ Du ɔda pipul dɛn | Di pɔsin we gi di kidni nɔ no di pɔsin we go gɛt dɛn kidni. Dɛn kin gi mɔni nɔmɔ wit di fayn tin we dɛn want fɔ sev wan strenja we nid ɛp in layf. |
Udat fit fɔ gi kidni we i de alayv?
Fɔ gi kidni na big wok. So, di pɔsin we gi di mɔni fɔ gɛt wɛlbɔdi ɔlsay. Bɔku kwalifayeshɔn dɛn de we pɔsin fɔ mit.
- Ej: Fɔ gi yu kidni, yu fɔ dɔn ol 18 ia . Na bikɔs pɔsin we yɔŋ pas dat nɔ go ebul fɔ gri wit dis kayn big disizhɔn bay lɔ. Bɔt, no ɔpa ej limit nɔ de. Ivin pɔsin we ol 90 ia ɛn we gɛt wɛlbɔdi kin ebul fɔ gi in kidni fayn fayn wan.
- Fɔ gɛt wɛlbɔdi:Dɔktɔ go chɛk yu wan ol bɔdi. Dɛn go chɛk bɔku tin, lɛk yu mɛdikal histri, if ɛnibɔdi na yu famili dɔn gɛt kidni sik, di mɛrɛsin dɛn we yu de tek, ɛn aw yu kidni ɛn ɔda ɔgan dɛn de wok. Bɛlɛ uman dɛn nɔ kin ebul fɔ gi dɛn kidni. Dɛn nid bak fɔ gɛt bɔdi mas indeks (BMI) we nɔ rich 35. Pipul dɛn we de smok ɔ vayp nɔ kin ebul fɔ gi dɛn kidni. Dɛn kin du ɔl dis fɔ mek shɔ se di pɔsin we gi di mɔni sef.
- Mental wɛlbɔdi: Wan tim fɔ dɔktɔ dɛn go chɛk yu maynd wɛlbɔdi bak. Dis na big tin, pan bɔdi ɛn maynd. Dɛn go tɔk bɔt di strɛs we kin kam afta di ɔpreshɔn ɛn aw yu go ebul fɔ bia wit am. Saykayatrist ɛn soshal woka dɛn go involv pan dis. Sɔntɛnde, ivin spɛshal advaysa dɛn go de insay dis wok fɔ mek shɔ se nɔbɔdi nɔ de fos yu .
Us tɛst dɛn fɔ du bifo yu gi mɔni?
Bifo di mɛdikal tim disayd if yu fit fɔ gi yu kidni, dɛn go du sɔm tɛst dɛn.
- Blɔd tɛst dɛn
- Antibodi tɛst dɛn we dɛn kin du
- di kεnsar skrεnin dεm we fit di ej (e.g., kכlonoskopi, mammogram εn Pap smyεr fכ uman dεm) .
- Imej tɛst dɛn lɛk X-ray ɛn CT skan
- Tεst dεm lεk EKG εn εksεsayz strεs tεst fכ chεk at hεlth
- Urinalysis fɔ chɛk if di kidni dɛn wɛl
- Wan blɔd prɛshɔn tɛst we dɛn kin du fɔ 24 awa
- Test fɔ uman we gɛt bɛlɛ
Aw dɛn kin du di ɔpreshɔn?
כpεrayshכn fכ pul di kidni (dεn kכl am `radical nephrectomy`) kin tek lεk tu to tri awa.
Fɔs, di dɔktɔ we de mɛn yu go mek yu slip ɔl (jɛnɔral anestezi). So yu nɔ go fil ɛni pen ɔ yu nɔ go no wetin fɔ du. Dɔn, dɛn go put wan Foley kateta fɔ wach aw yu urine de kɔmɔt.
Wit di advans teknɔlɔji tide, bɔku tɛm dɛn kin du dis ɔpreshɔn bay we dɛn de yuz kihol we dɛn kin yuz (laparoscopic approach) . dis min se insted fכ wan big say, dεn kin mek 3-5 rili sכm sכm say dεm na yu bכdi. Dɛn kin put wan tin inschrumɛnt we gɛt kamɛra (laparoskɔp) tru wan say we dɛn kɔt, wach am pan monita, ɛn dɛn kin pul di kidni bay we dɛn yuz smɔl smɔl tin dɛn we dɛn kin put tru ɔda say dɛn we dɛn kɔt. Dis we ya kin mek i wɛl kwik kwik wan ɛn i nɔ kin gɛt bɔku skata.
Dɛn kin kɛr di kidni we dɛn pul kwik kwik wan to di pɔsin we gɛt di sik, bɔku tɛm na ɔpreshɔn rum we de nia de na di sem ɔspitul, ɛn dɛn kin transplant am.
Wetin kin apin afta di ɔpreshɔn ɛn aw i kin wɛl?
Afta di ɔpreshɔn, dɛn go kɛr yu go na wan rum usay dɛn de wɛl fɔ mek dɛn wach yu. We yu wek frɔm di anestezi, yu go fil lɛk se yu slo smɔl. Dɛn go gi yu mɛrɛsin fɔ kɔntrol di pen. Yu kin bigin fɔ it ɛn drink smɔl smɔl.We yu grap na bed ɛn waka kwik kwik wan, dat kin mek yu wɛl kwik kwik wan.
Bɔku tɛm yu kin gɛt fɔ de na ɔspitul fɔ tu ɔ tri dez. Afta yu dɔn go na os, i rili impɔtant fɔ gɛt pɔsin we go kia fɔ yu fɔ at le wan wik.
I kin tek bitwin 4 ɛn 6 wik fɔ mek i wɛl ful wan ɛn bigin fɔ du tin dɛn we i nɔ bin de du bak. Insay dis tɛm, yu nɔ fɔ es ebi ebi tin (we pas 5 kg) ɛn drayv (at le 2 wik). If yu na uman, dɛn kin advays yu fɔ avɔyd bɛlɛ fɔ at le wan ia.
Wetin na di bɛnifit ɛn risk dɛn we pɔsin kin gɛt we i gi pɔsin in kidni?
Di big bɛnifit we dis kin gɛt na di satisfay we pɔsin kin satisfay wit insɛf we i gi layf to ɔda pɔsin. Dɔn bak, we dɛn tek di kidni frɔm pɔsin we de alayv, i kin de wok fɔ lɛk 15-20 ia so pas if dɛn tek am frɔm pɔsin we dɔn day. Di risk fɔ mek dɛn nɔ gri fɔ tek am bak kin smɔl.
Lɛk ɛni ɔpreshɔn, dis wan gɛt sɔm prɔblɛm dɛn.
- Blɔd we de klɔt
- Baktri infεkshכn
- Ɛnia we dɛn kɔl Ɛnia
- Skaring we de mek pɔsin gɛt skata
Afta dɛn dɔn du di ɔpreshɔn, yu kidni go go dɔŋ to sɔm mak. Dat kin tan lɛk se i de mek pɔsin fred. Bɔt afta sɔm tɛm, yu kidni we lɛf go big, strɔng, ɛn bigin fɔ du di wok we tu pipul dɛn de du. So, no prɔblɛm nɔ go de we go de fɔ lɔng tɛm.
Sɔm ɔda impɔtant kwɛstyɔn dɛn
We yu gi yu kidni, dat kin mek yu layf shɔt?
Nɔ, stɔdi dɔn sho se we pɔsin gi in kidni, i nɔ de mek di pɔsin we gi am in layf shɔt ɔ i nɔ de mek i gɛt sik na in kidni tumara bambay.
Wetin a go du if a nid kidni misɛf afta a dɔn gi?
Di chans fɔ mek dis apin rili smɔl. Bɔt if i apin, as pɔsin we de gi kidni, dɛn go gi yu di fɔs prayoritɛd na di list we de wet fɔ di kidni transplant. Yu go gɛt kidni jisnɔ.
Ustɛm yu nid fɔ go to dɔktɔ?
Afta yu dɔn ɔpreshɔn, if yu si se yu blɔd de kɔmɔt pasmak frɔm di say dɛn we dɛn kɔt yu, sayn dɛn fɔ se yu gɛt infekshɔn (fiva, wata we de kɔmɔt na di wund we de smɛl bad bad wan), blɔd na yu urine, ɔ yu gɛt diziz, tɛl yu dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Fɔ gi kidni na di big gift we go sev pɔsin in layf.
- If yu gɛt wan wɛlbɔdi kidni, yu kin liv yu layf we gɛt wɛlbɔdi ɛn lɔng layf.
- Bifo dɛn gi di kidni, dɛn kin du sɔm strɔng tɛst dɛn we dɛn kin du fɔ mɛn di pɔsin ɛn in maynd fɔ mek shɔ se di pɔsin we gi di kidni sef.
- I kin tek sɔm tɛm fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn, ɛn i impɔtant fɔ peshɛnt ɛn rɛst.
- I nɔ rayt fɔ gɛt mɔni fɔ gi pɔsin kidni. Bɔku tɛm, di pɔsin we dɛn de du di ɔpreshɔn in inshɔrans kin pe fɔ di mɛrɛsin.
- If yu de tink bɔt dis, tɔk to yu dɔktɔ bifo yu disayd ɛn tɛl yu ɔl di infɔmeshɔn ɛn di prɔblɛm dɛn we kin apin.
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