di dokta don eva tok to yu boht "kidney transplant"? Ɔ sɔmbɔdi na yu famili ɔ yu padi gɛt fɔ du sɔntin lɛk dis? Na rili nɔmal tin fɔ fil smɔl ɛn fred we yu yɛri dis nem. Udat nɔ lɛk di wɔd dɛn "surgery" ɛn "transplantation", nɔto so? Bɔt nɔ fred. Wi go tɔk bɔt dis rili simpul wan, insay Sinhala we yu ɔndastand, lɛk se yu de tɔk to yu padi.
Fɔ tɔk am simpul wan, wetin na kidni transplant?
Tink bɔt wi bɔdi lɛk motoka. Dis motoka gɛt tu filta dɛn, we na wi kidni dɛn. Di men wok we dɛn tu filta ya de du na fɔ klin wi blɔd ɛn pul dɔti ɛn pɔyzin we di bɔdi nɔ nid as urine. Bɔt bikɔs ɔf sɔm sik dɛn, as tɛm de go, di we aw dɛn tu kidni ya kin ebul fɔ wok kin go dɔŋ smɔl smɔl, ɛn leta dɛn kin stɔp fɔ wok kpatakpata.
Kidni transplant na ɔpreshɔn we dɛn kin transplant wɛlbɔdi kidni frɔm pɔsin we gɛt wɛlbɔdi insay yu bɔdi fɔ tek wan ɔ tu kidni dɛn we nɔ de wok fayn. I tan lɛk se yu pul wan ol dɔti filta na motoka ɛn put nyu wan. Dɔn dis nyu kidni kin tek di wok fɔ klin di blɔd na yu bɔdi .
Aw yu kin gɛt nyu kidni? (Di kayn pipul dɛn we de gi mɔni)
Tu men we de we wi kin gɛt wɛlbɔdi kidni. Dis rili impɔtant.
| Tayp we di pɔsin we gi di mɔni | Wetin dis min? |
|---|---|
| Living Donor we de alayv | Dis min se pɔsin we gɛt wɛlbɔdi kin gri fɔ gi wan pan dɛn kidni to yu. Bɔku tɛm, dis na pɔsin in famili (mama, papa, brɔda ɛn sista), man ɔ wɛf, ɔ in tayt padi. Dis we ya kin wok fayn bikɔs di kidni kin fayn fɔ di bɔdi. Bɔt i nɔ kin izi smɔl fɔ fɛn pɔsin we go gi mɔni lɛk dis. |
| Di pɔsin we dɔn day | Dis na kidni we dɛn tek frɔm pɔsin we in bren dɔn day. Dat min se, pɔsin we dɔn day pan sɔntin lɛk aksidɛnt, bɔt in kidni dɛn de fayn. Bɔku pipul dɛn dɔn gri fɔ gi dɛn ɔgan dɛn we dɛn stil de alayv. Ɔ dis kin apin if dɛn famili alaw am. Dis kayn transplant na di wan we kɔmɔn pas ɔl na Sri Lanka. |
Di tin we impɔtant pas ɔl na fɔ mek shɔ se di kayn blɔd ɛn ɔda kayn tisu dɛn we di pɔsin we gi am ɛn di pɔsin we gɛt di blɔd gɛt, gri wit dɛnsɛf. Di mɔ dis maching de bɛtɛ, na di mɔ di ɔpreshɔn go wok fayn.
Wetin mek i nid fɔ transplant di kidni?
Dɛn kin jɔs tink bɔt fɔ transplant kidni we yu kidni dɔn stɔp fɔ wok kpatakpata. dis kכndyushכn dεn kכl am "εnd-stεj rεnal fεil."
We dis kayn tin apin, yu gɛt tu men tin dɛn we yu go ebul fɔ du:
1. Dayalaysis: Dis min se yu fɔ yuz mashin fɔ pul yu blɔd na yu bɔdi, filta di dɔti tin dɛn, dɔn put klin blɔd bak insay yu bɔdi. Dis na sɔntin we yu fɔ du fɔ lɔng lɔng tɛm fɔ sɔm dez insay di wik. Yu layf jɔs de fɔ da mashin de nɔmɔ.
2. Kidni Transplant: Afta yu dɔn transplant yu fayn fayn wan, yu nɔ go nid dayalaysis igen. Yu go ebul fɔ liv nɔmal layf, it nɔmal, ɛn wok fri wan.
Bɔku tɛm, fɔ transplant kidni na di bɛst tin fɔ pɔsin we fit fɔ gɛt di sik pas fɔ mek dɛn du dayalaysis.
Udat fit fɔ gɛt kidni transplant?
Nɔto ɔlman kin gɛt kidni transplant. Sɔm kwalifayeshɔn dɛn de we pɔsin fɔ mit. Dɔn bak, sɔm rizin dɛn de we kin mek pɔsin nɔ fit fɔ gɛt di wok. Na wan tim we gɛt dɔktɔ dɛn kin disayd fɔ du dɛn tin ya afta dɛn dɔn tek tɛm chɛk yu.
| Kwalifayeshɔn dɛn we dɛn kin jɔs tink bɔt | Di rizin dɛn we kin mek pɔsin nɔ ebul fɔ tek pat pan di program |
|---|---|
| - εnd-stej rεnal sik εn we dεn de du dayalaysis tritmεnt. | - Fɔ gɛt ɔda sik, lɛk siriɔs at sik we yu nɔ go ebul fɔ kɔntrol. |
| - Glomerular filtreshכn rεt (GFR) lεs dan 20. | - Fɔ gɛt infɛkshɔn we nɔ go mɛn, we de ɔlsay na di bɔdi. |
| - Abiliti fɔ ɔndastand gud gud wan di instrɔkshɔn dɛn we dɛn fɔ fala afta dɛn dɔn ɔpreshɔn am. | - Dɛn jɔs dɔn no se i gɛt kansa ɔ dɛn de trit am naw. |
| - Fɔ gɛt gud bɔdi ɛn maynd wɛlbɔdi. | - Na siriɔs mental sik dɛn. |
| - Fɔ gɛt gud famili sɔpɔt ɔ soshal sɔpɔt fɔ tek kia ɔf yu ɛn ɛp yu. | - Fɔ gɛt histri fɔ nɔ yuz di mɛrɛsin we di dɔktɔ gi yu fayn ɔ nɔ fala di instrɔkshɔn. |
Yu tink se ej na prɔblɛm? Infakt, wetin impɔtant pas di ej na yu ɔl wɛlbɔdi. Dɛn dɔn du kidni transplant fayn fayn wan pan big pipul dɛn we rili wɛl ɛn we strɔng.
Aw dɛn kin du di ɔpreshɔn?
Dis kin tan lɛk se i de mek pɔsin fred, bɔt dis na ɔpreshɔn we dɔn rili fayn na di wɔl tide.
Dis ɔpreshɔn kin tek bitwin 4 ɛn siks awa .
Dis na wetin kin apin:
1. Usay di nyu kidni de: Dɛn nɔ kin pul yu ol kidni dɛn we nɔ de wok. We dɛn stil de na yu bɔdi, yu dɔktɔ go transplant di nyu kidni insay yu bɛlɛ we de dɔŋ, ilɛksɛf na di rayt ɔ lɛft say. We dɛn dɔn put am de, i kin izi fɔ kɔnɛkt to di blɔd vesel ɛn blad.
2. Kכnekshכn: di bכdi vεsul dεm ( atεri dεm εn vein dεm) na di nyu kidni de kכnekt to di men bכdi vεsul dεm na yu lεg. afta dat di tכb we de kכri urine frכm di nyu kidni (ureter) de kכnekt to yu blad.
3. Start wok: We dεn dכn mek dεn kכnεkshכn dεm ya fayn fayn wan, bכdi go fכ fכlכ to di nyu kidni, i go stat fכ wok, εn i go bigin fכ mek urine.
Afta dɛn dɔn du di ɔpreshɔn, yu go de na di ɔspitul fɔ lɛk tri dez so. Insay dis tɛm, di mɛdikal tim go wach yu gud gud wan fɔ mek shɔ se yu nyu kidni de wok fayn ɛn fɔ si if ɛni ɔda prɔblɛm de. Sɔmtɛm i kin tek sɔm dez ɔr wik fɔ mek yu nyu kidni bigin fɔ wok. Yu kin nid fɔ go pan dayalaysis fɔ sɔm tɛm insay dis tɛm. Dis na nɔmal tin.
Wetin na "kidni rijekshɔn"? Aw dɛn go ebul fɔ avɔyd am?
Dis na di impɔtant tin we yu fɔ pe atɛnshɔn to we yu de transplant yu kidni.
Wi bɔdi gɛt wan rili wɔndaful difens sistɛm. Wi kin kɔl am di Imyun Sistɛm. I wok na fɔ no ɛnitin we kɔmɔt na do (lɛk vayrɔs, baktri dɛm) ɛn atak ɛn pwɛl am. So, ivin nyu kidni we dεn put insay yu bכdi, yu bכdi de si am lεk "fכrin tin." fכ dat, dis difεns sistεm de tray fכ atak, כ "rijek," da nyu kidni de.
Fɔ stɔp dis rijɛkt, dɔktɔ dɛn go gi yu spɛshal mɛrɛsin. Dɛn kɔl dɛn tin ya mɛrɛsin dɛn we de mek pɔsin nɔ ebul fɔ fɛt di sik . Fɔ tɔk am simpul wan, dɛn mɛrɛsin ya kin mek yu imyun sistɛm slo ɛn "kɔl am." Dis kin mek i nɔ atak di nyu kidni.
I impɔtant fɔ mek yu tek dɛn mɛrɛsin ya fɔ di res ɔf yu layf, jɔs lɛk aw yu dɔktɔ tɛl yu, ɛn yu nɔ go mis wan de. Dis na di bɛst tin we yu kin du fɔ protɛkt yu nyu kidni.
Wetin a fɔ no we a de wɛl?
Bɔrku tɛm, i kin tek lɛk siks wiks fɔ mek i wɛl, bɔt dis kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Yu nid fɔ tek kia ɔf yusɛf mɔ insay dis tɛm.
Aktiviti ɛn ɛnjɔymɛnt
- Fɔ es wet: Nɔ es ebi ebi tin fɔ at le tu mɔnt. Aks yu dɔktɔ us kayn wok we sef ɛn wetin nɔ sef.
- Drayv: Nɔ drayv fɔ at le siks wiks afta dɛn dɔn du di ɔpreshɔn.
- Spɔt: Nɔ du kɔntakt spɔt dɛn ɔltogɛda. Dɛn kin pwɛl di nyu kidni.
Tin dɛn we yu fɔ tek tɛm wit we yu de it ɛn drink
Bikɔs yu imyun sistɛm wik, yu nid fɔ rili tek tɛm wit wetin yu de it ɛn drink.
- Wata: Drink at le 2 lita wata wan de. Fɔ de gɛt wata fayn fayn wan rili impɔtant fɔ mek yu kidni gɛt wɛlbɔdi.
- Raw it: Nɔ it raw ɔ nɔ kuk mit, fish, ɔ eg. Dɛn tin ya kin rili mek pɔsin sik.
- Protein: It it dεm we gεt protin (fish, eg, milk) fכ bil yu bכdi di tεm we yu de rεkכva.
- Stay away frɔm dis frut: Grepfruit ɛn grepfruit jus. Dɛn tin ya kin intarakt bad wit sɔm mɛrɛsin dɛm wae yu kin de tek.
- Di tin dɛn we de mek pɔsin fil pen: Nɔ tek ɛni mɛrɛsin we de mek pɔsin fil pen, mɔ di wan dɛn we nɔ de mek pɔsin fil pen (NSAIDS) lɛk Ibuprofen ɔ Naproxen, we yu nɔ go to yu dɔktɔ. Dɛn tin ya kin ambɔg yu kidni.
- Vitamin ɛn ɔyl dɛn:Nɔ yuz ɛni vaytamɛn ɔ ɛbul sɔpɔtmɛnt if yu nɔ go to yu dɔktɔ fɔs.
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
Afta dɛn dɔn du di ɔpreshɔn, yu go gɛt fɔ go na di klinik ɔltɛm. Bɔt if yu gɛt ɛni wan pan dɛn sayn ya we dɛn de du yu ɔpreshɔn, dat kin bi sayn fɔ se yu nɔ gri fɔ du am ɔ yu gɛt di sik. So, tɛl yu dɔktɔ ɔ ɔspitul wantɛm wantɛm .
- Fiva we gɛt 37 Sɛlshiɔs ɔ pas dat.
- Nyu pen ɔ tɛndnɛs na di say we dɛn transplant di nyu kidni.
- Swɛlin (ɛdima).
- Di sayn dɛm we fiba di wan dɛm wae gɛt kol ɔr flu, lɛk wae yu fil lɛk yu taya, yu bɔdi de at, yu ed de at, ɛn yu nɔr de fil fayn.
- Di urine we yu de pas go dɔŋ wantɛm wantɛm.
- Wan ɔda kayn sayn wae difrɛn frɔm yu ɔspitul wɛl bɔdi.
Aw lɔng di kidni we dɛn transplant kin las?
Dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔt jɔs lɛk ɔl ɔda tin dɛn, .
- Kidni we dɛn tek frɔm pɔsin we de gi am we de alayv kin wok fayn fɔ lɛk 12-20 ia .
- Kidni we dɛn tek frɔm pɔsin we dɔn day kin wok fayn fɔ lɛk 8-12 ia .
Sɔm pipul dɛn kin gɛt tu ɔ tri kidni transplant na dɛn layf ɛn dɛn kin liv nɔmal layf. Afta yu dɔn transplant yu bɔdi fayn fayn wan, yu kin liv fayn layf ɛn gladi at. Wit di tεknכlכji tide, di sakses rεt fכ dεn כpεrayshכn dεm ya de hכy lεk 90% to 95%.
Fɔ liv wit kidni sik kin rili at. Bɔt we yu transplant yu kidni, dat kin gi yu nyu layf ɛn nyu op. If yu de fred dis, nɔr frayd, tɔk to yu dɔktɔ opin wan. I go tɛl yu bɔt di tritmɛnt we fit yu pas ɔl.
Mɛsej we dɛn kin kɛr go na os
- Kidni transplant na tritmɛnt we de gi pɔsin bɛtɛ kwaliti layf ɛn fridɔm pas dayalaysis tritmɛnt.
- Fɔ mek di ɔpreshɔn go bifo, gud mach bitwin di pɔsin we gi di ɔpreshɔn ɛn di pɔsin we de du di ɔpreshɔn rili impɔtant.
- I rili impɔtant fɔ tek di mɛrɛsin dɛn we yu dɔktɔ dɔn tɛl yu fɔ stɔp yu bɔdi fɔ mek yu bɔdi nɔ gɛt bɛtɛ trɛnk igen ɔlsay na yu layf, ɛn yu nɔ go mis wan de.
- We yu de wɛl, yu fɔ tek tɛm bad bad wan bɔt aw fɔ it, fɔ protɛkt yusɛf frɔm infɛkshɔn, ɛn fɔ tek ɔda mɛrɛsin.
- If yu gɛt ɛnitin we nɔ kɔmɔn, tɛl yu dɔktɔ wantɛm wantɛm. Yu kin gɛt di bɛst rizɔlt bay we yu nɔ de fred ɛn tɔk opin wan wit yu mɛdikal tim.
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