Yu dɔn ɛva tink se yu go ebul fɔ sev ɔda pɔsin in layf wit jɔs wan ɔgan na yu bɔdi? Ɛn dat bak we yu nɔ go du ɛni bad tin to yusɛf fɔ lɔng tɛm? Di liva na wan pan dɛn wɔndaful ɔgan dɛn de we gɛt wan spɛshal abiliti. Di liva gɛt di wɔndaful pawa fɔ mek insɛf bak, we min se ivin smɔl pat kin gro bak to in ful saiz. Dis na di rizin we mek pɔsin we gɛt wɛlbɔdi kin gi pat pan in liva to pɔsin we in liva nɔ de wok fayn. Di wɔndaful tin na dat afta yu dɔn gi, yu liva ɛn di pat we dɛn transplant na di liva kin gro to tu kɔmplit, wɛlbɔdi liva dɛn insay sɔm mɔnt.
Wetin na living donor liva doneshɔn?
Bɔku tɛm, na pipul dɛn we dɔn day kin du ɔgan transplant. Bɔt di liva na wan ɔgan we rili spɛshal. As wi bin dɔn tɔk, na di liva na di wangren ɔgan we kin mek insɛf bak . So, pɔsin we gɛt wɛlbɔdi ɛn we gɛt layf kin gri fɔ gi pat pan in liva to pɔsin we nid ɛp.
Fɔ tɔk am simpul wan, fɔ transplant liva we gɛt layf na tu ɔpreshɔn dɛn we kin apin di sem tɛm. Wan fɔ di pɔsin we gi di liva (di pɔsin we gi di liva), ɛn wan fɔ di pɔsin we gi di liva (di pɔsin we gɛt di liva). If yu gi yu liva, dɔktɔ we de du ɔpreshɔn kin pul wan pat pan yu liva (bɔku tɛm na wan lobe). Insay smɔl pikin, i kin ivin smɔl. We dɛn dɔn pul da pat de, dɛn kin transplant da pat de na di ɔda pɔsin in bɔdi. Afta dis ɔpreshɔn dɔn wok fayn, di ɔda pat pan yu liva ɛn di pat pan di liva we dɛn transplant insay di ɔda pɔsin in bɔdi kin gro bak to ful saiz insay sɔm mɔnt.
A kin gi pat pan mi liva bak?
Yɛs, if yu ɛn yu liva ɔl tu gɛt gud wɛlbɔdi, yu kin bi pɔsin we de gi liva we de alayv ɛn sev pɔsin in layf. Bɔt nɔto ɔltɛm i go pɔsibul fɔ gi liva to pɔsin we yu sabi. Dis na bikɔs yu blɔd tayp ɛn liva saiz fɔ mach di pɔsin in yon.
Bɔt imajin se yu blɔd tayp nɔ gri. Ivin da tɛm de, we dɛn de fɔ ɛp yu. Yu kin gi yu liva to pɔsin we yu nɔ no. Dat go mek di pipul dɛn we de na di list we de wet nɔ bɔku. So, di chans fɔ gɛt liva frɔm ɔda pɔsin we gi yu liva we mach fɔ di pɔsin we yu bin de tink fɔ ɛp de bɔku.
Wetin na di men kwalifayeshɔn dɛn we pɔsin fɔ gɛt fɔ gi pɔsin liva?
We yu volontia fɔ gi yu liva, dɔktɔ dɛn go put yu tru wan skrinin prɔses fɔ mek shɔ se yu fit fɔ di tritmɛnt ɔlsay ɛn i sef fɔ mek yu du am. Sɔm men tin dɛn de we pɔsin fɔ du fɔ dis.
| Di wan dɛn we fit fɔ gɛt di wok | Tɔk bɔt |
|---|---|
| Ej | Yu fɔ dɔn ol bitwin 18 ɛn 60 ia. Dɛn nɔ go pik pipul dɛn we yɔŋ ɔ big pas dat fɔ dis. |
| Yuz drɔgs/alkohol | Yu nɔ go ebul fɔ adikshɔn to rɔm ɔ drɔgs, bikɔs dɛn kin afɛkt di wɛlbɔdi na di liva dairekt wan. |
| Gud wɛlbɔdi bɔdi | Yu nid fɔ gɛt gud wɛlbɔdi na yu bɔdi. Sɔm mɛrɛsin kin mek dis kayn ɔpreshɔn nɔ izi fɔ du. So, dɛn kin du blɔd tɛst ɛn at tɛst fɔ si if yu fayn fɔ ɔpreshɔn. |
| Wan liva we gɛt wɛlbɔdi | Yu liva nid fɔ gɛt wɛlbɔdi. Sɔmtɛm, liva sik kin de wae nɔr gɛt ɛni sayn. So, dɛn kin du spɛshal tɛst fɔ mek shɔ se yu liva de fayn fɔ gi. |
| Gud mental wɛlbɔdi | Yu fɔ gɛt gud mental wɛlbɔdi. Yu fɔ ɔndastand gud gud wan di bad tin dɛn we kin apin we dɛn du dis ɔpreshɔn ɛn di sakrifays dɛn we yu go gɛt fɔ mek. Dɛn nɔ go ebul fɔ fos yu fɔ du dis. |
| Lak fɔ gɛt mɔni bɛnifit | I nɔ rayt fɔ tek mɔni ɔ ɔda gift fɔ chenj fɔ gi pɔsin ɔgan. Di mɛdikal tim nid fɔ mek shɔ se yu de du dis 100% bay wilful ɛn nɔ de ɛkspɛkt ɛni prɔfit. |
Aw di prɔses fɔ bi pɔsin we de kɔntribyut kin wok?
Fɔ stat dis prɔses, yu kin kɔntak wan transplant ɔspitul na yu eria. Wan kɔdinetɔ go tɔk to yu, gɛt sɔm men tin dɛn, ɛn ansa yu kwɛstyɔn dɛn. If dɛn tink se yu na gud kandidet, dɛn go sɛtul wan de fɔ mek yu kam na ɔspitul fɔ mek dɛn du ɔda tɛst.
Na di ɔspitul, yu go gɛt fɔ du difrɛn mɛdikal tɛst dɛn ɛn go to difrɛn spɛshal pipul dɛn. Fɔ ɛgzampul:
- Wan dɔktɔ we de mɛn pipul dɛn we de anestez
- Dɔktɔ we spɛshal pan liva sik dɛn (Hepatologist) .
- Wan dɔktɔ we de mɛn pipul dɛn we gɛt sik ɔ pɔsin we de stɔdi bɔt pɔsin in maynd
- Soshal woka
- Transplant ɔspitul dɔktɔ
Afta ɔl dɛn tɛst ɛn tɔk dɛn ya dɔn, tu indipɛndɛnt tim dɛn go luk bak pan wetin yu aks fɔ. Di fɔs tim go luk aw yu sef . If dɛn gri fɔ yu, dɛn go sɛn di rɛkɛmɔndeshɔn to di kɔmiti we de pik di liva transplant. Da kɔmiti de go disayd if yu na gud kandidet fɔ transplant yu liva ɛn udat go gɛt yu liva.
Udat go gɛt di liva pat we a gi?
Yu kin gi yu liva to pɔsin we yu sabi, fɔ ɛgzampul, yu fambul ɔ padi. Dɛn kɔl dis "Directed Donation" . Bɔt fɔ mek dis apin, yu blɔd tayp ɛn yu liva saiz fɔ mach.
Imajin se yu nɔto mats. If na so i bi, yu kin go fɔ wan "Paired Exchange" we. Dat min se, yu, di pɔsin we nid yu liva, dɛn kin pe yu wit ɔda pɔsin we de gi yu liva ɛn pɔsin we nɔ mach, ɛn dɛn kin chenj di tu pipul dɛn we gi yu liva. Dat min se yu gi yu liva to di ɔda pɔsin, ɛn di ɔda pɔsin we gi yu liva to yu pɔsin.
Apat frɔm dat, yu kin gi yu liva to pɔsin we yu nɔ no atɔl. Dɛn kɔl dis "Nɔn-dayrɛkt Doneshɔn." We dɛn dɔn gri fɔ mek yu bi pɔsin we de gi mɔni, di ɔspitul go pik pɔsin we fit fɔ gi mɔni frɔm di wet list. Yu kin du dis we yu nɔ sho udat yu bi. Ɔ, if una ɔl tu rɛdi, di opshɔn de fɔ mit leta.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
We dɛn dɔn pik yu ɛn di pɔsin we go tek yu liva, di tim we de transplant go tɔk to una ɔl tu ɛn sɛt di sem de fɔ ɔl tu di ɔpreshɔn dɛn. We dɛn dɔn sɛt di de, yu kin pripia as nid de.
- Yu go gɛt fɔ de na ɔspitul fɔ lɛk wan wik so afta dɛn dɔn du di ɔpreshɔn.
- Afta yu go bak na os, yu go gɛt fɔ rɛst fɔ lɛk siks wiks so .
- So yu nid fɔ plan bifo tɛm, lɛk fɔ tek tɛm fɔ lɛf fɔ wok ɛn fɔ fɛn pɔsin fɔ kia fɔ yu pikin dɛn.
Apat frɔm dat, yu go nid fɔ du dɛn tin ya bak:
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn bɔt it, drink, ɛn mɛrɛsin bifo yu du di ɔpreshɔn.
- fכ egzamin di kכndishכn fכ di liva mכr, du tεst lεk `CT skan` כ `MRI`.
- Sayn di dɔkyumɛnt dɛn we de sho se yu rɛdi fɔ bi pɔsin we de gi liva we de alayv.
Dis tɛm ya, di ɔspitul tim kin tek tri-dimɛnshɔnal (3D) pikchɔ dɛn fɔ yu liva ɛn tek tɛm plan us pat fɔ pul ɛn aw fɔ du di ɔpreshɔn di bɛst we.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Yu ɛn di pɔsin we gɛt di liva (ilɛksɛf una sabi unasɛf ɔ una nɔ sabi unasɛf) go gɛt ɔpreshɔn di sem tɛm. Pan ɔl we wan ɔspitul tim de pul pat pan yu liva, ɔda tim go pul di ɔda pɔsin in liva we nɔ de wok fayn ɛn rɛdi yu liva fɔ transplant.
Yu ɔpreshɔn go tek lɛk 4-6 awa. Yu go de ɔnda jenɛral anestezi ɔl di tɛm we dɛn de du di ɔpreshɔn, so yu nɔ go fil ɛnitin ɔ yu nɔ go no.
Dɛn kin du di ɔpreshɔn tu men we dɛn:
1. Laparoskopik ɔpreshɔn: Dis kin min fɔ mek sɔm rili smɔl smɔl say dɛn na yu bɛlɛ ɛn du di ɔpreshɔn wit di ɛp we kamɛra de ɛp yu. Dis we fɔ du tin kin gɛt shɔt tɛm fɔ wɛl ɛn i nɔ kin mek i fil pen.
2. Open abdominal surgery: Dɛn kin du dis ɔpreshɔn bay we dɛn kin kɔt lɔng tɛm na di bɛlɛ we laparoscopy nɔ pɔsibul.
Di dɔktɔ tek tɛm pul di liva sɛkshɔn we dɛn bin dɔn disayd bifo tɛm, we dɛn separet frɔm di blɔd vesel ɛn bayl dakt. We dɛn dɔn pul am, di tim we de transplant kin kɛr am go to di ɔda pɔsin ɛn bigin fɔ kɔnɛkt am to in blɔd vesel ɛn bayl dakt. Dis tɛm ya, yu dɔktɔ kin lɔk di say dɛn we yu kɔt ɛn dɔn di ɔpreshɔn.
Wetin na di bɛnifit dɛn we wi kin gɛt we wi de gi dis kayn mɔni?
Bɔku pipul dɛn de we de wet fɔ mek dɛn transplant dɛn liva. Sɔm kin go na ɔspitul bikɔs dɛn liva kin wok wantɛm wantɛm. Ɔda wan dɛn de sɔfa wit liva sik we de te fɔ lɔng tɛm. Fɔ dɛn ɔl, tɛm rili valyu.
We sɔm sik pipul dɛn de wet fɔ gɛt liva frɔm pɔsin we dɔn day, dɛn kin sik tumɔs fɔ mek dɛn gɛt ɔpreshɔn. Sɔm kin ivin day insay da tɛm de. If pɔsin de we de gi mɔni we de alayv, nid nɔ de fɔ wet na da wet list de. Dɛn kin mek arenjmɛnt fɔ di ɔpreshɔn kwik kwik wan.
Bɛnifit dɛn:
- Fɔ di pɔsin we sik: Nɔ west tɛm na di wet list, i go mek di ɔpreshɔn go bifo bikɔs i gɛt wɛlbɔdi liva, ɛn i go liv lɔng.
- Fɔ di pɔsin we gi di mɔni (yu): Yu kin gɛt di satisfayshɔn fɔ yusɛf ɛn di gladi at na yu maynd fɔ sev ɔda pɔsin in layf. Bɔku pipul dɛn we dɔn gi dis kayn mɔni se dɛn dɔn gɛt bɔku rɛspɛkt fɔ dɛnsɛf. Dɛn kin tɔk bak se if dɛn fɔ disayd bak, dɛn go disayd fɔ du di sem tin.
Wetin na di prɔblɛm ɛn bad tin dɛn we kin apin we dɛn du di ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Yu dɔktɔ go ɛksplen dɛn tin ya to yu klia wan.
| Di kayn risk we pɔsin kin gɛt | Sɔm prɔblɛm dɛn we kin apin |
|---|---|
| Di prɔblɛm dɛn we kin apin we pɔsin du ɛni ɔpreshɔn | Blɔd, blɔd we de klɔt, infɛkshɔn, nerve damej, lɔng infɛkshɔn (nyumonia). |
| Risk dɛn we spɛshal fɔ ɔpreshɔn na di liva | Abdominal adhesions, damej pan di bayl dakt, ɛn incisional hernia. |
| Rire rare bɔt siriɔs risk dɛn | Liva nɔ wok ɔ day. Akɔdin to ripɔt, risk de fɔ day fɔ wan pan ɛvri 500 pipul dɛn we de gi mɔni (0.2%). |
| Saikɔlɔjik ɛn prɛktikal prɔblɛm dɛn | Fɔ wɔri bɔt wetin go kɔmɔt frɔm di ɔpreshɔn, pen afta di ɔpreshɔn, nɔ ebul fɔ go wok di tɛm we pɔsin de wɛl, fred se di liva we dɛn transplant go fel. |
Ɔmɔs tɛm a kin gi mi liva?
Liva doneshɔn we de alayv na tin we pɔsin kin du wan tɛm nɔmɔ insay yu layf. Pan ɔl we yu liva kin gro bak, dis ɔpreshɔn na big big prɔblɛm fɔ di liva. Afta wan transplant, di liva kin wɛl ɛn wok fayn fɔ yu. Bɔt if yu du di sem ɔpreshɔn sɛkɔn tɛm, i nɔ go du fɔ di liva, ɛn i kin put yu layf pan big denja. So, di tim dɛn we de transplant nɔ kin ɛva rikɔmɛnd fɔ mek dɛn gi am di sɛkɔn tɛm.
Aw na di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, yu layf go kam bak smɔl smɔl.
- Fɔs wikYu go gɛt fɔ de na di ɔspitul. Dis na di pat we at pas ɔl fɔ mek yu wɛl. Dɛn go gi yu pen kil ɛn salin, ɛn dɛn go gi yu tyub fɔ ɛp yu fɔ waka ɛn it.
- Yu go ebul fɔ drayv bak insay 2-3 wik .
- di kכt dεm kin hεl fayn fayn wan insay 2-6 wik .
- Afta 6-8 wik, yu kin go bak to nɔmal aktiviti dɛm.
- insay 2-3 mכnt, yu liva go dכn gro bak to in ful saiz.
- Yu go gɛt chɛk-ap wit yu dɔktɔ we de du ɔpreshɔn ɔlsay na di nɛks ia .
Fɔ gi yu liva na wan pan di big ɛn impɔtant tin dɛn we yu go ɛva disayd fɔ du. Nɔ mek dis disizhɔn kwik kwik wan. Stɔdi ɔl di infɔmeshɔn we yu gɛt gud gud wan, tink bɔt ɔl di filin dɛn we yu gɛt na yu at. Gɛt ɔndastandin gud gud wan bɔt di prosidur, di risk dɛm, di tɛm fɔ wɛl, ɛn di pɔsibul rizulyt dɛm. Tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn, ɛni fred, ɛn nɔ shem. Mɛmba se di mɛdikal tim de na yu sayd ɔltɛm, fɔ yu sef. Dɛn go rɛspɛkt ɛnitin we yu disayd fɔ du.
Mɛsej we dɛn kin kɛr go na os
- Di liva na spɛshal ɔgan we kin mek insɛf bak, so pɔsin we gɛt wɛlbɔdi kin gi pat pan in liva we i stil de alayv.
- Fɔ gi yu liva, yu fɔ de bitwin 18-60 ia, yu fɔ gɛt gud wɛlbɔdi ɛn yu fɔ gɛt gud wɛlbɔdi.
- Dis na tin we pɔsin kin du wan tɛm nɔmɔ insay in layf. Yu liva go gro bak to ful saiz insay 2-3 mɔnt afta di ɔpreshɔn.
- Lɛk ɛni ɔpreshɔn, prɔblɛm dɛn de we kin apin, bɔt di big big satisfay we pɔsin kin satisfay wit in maynd fɔ sev pɔsin in layf bak.
- Dis nɔto tin we yu wan fɔ disayd. Yu fɔ tɔk bɔt am gud gud wan wit yu famili, ɛn mɔ wit yu dɔktɔ, ɛn tink bɔt ɔl di tin dɛn bifo yu disayd fɔ du di las tin.
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