Yu lɔng dɔn pwɛl bad bad wan dat yu nɔ go ebul fɔ kɔntrol am igen wit mɛrɛsin ɔ ɔda tritmɛnt? Yu dɔktɔ kin dɔn tɔk bɔt "lɔng transplant." Na nɔmal tin fɔ mek yu fred ɛn fred we yu yɛri bɔt dis kayn big ɔpreshɔn. Bɔt nɔ wɔri. Mek wi go to di bottom of am. Wetin na lɔng transplant? Wetin i min? Tide, wi go tɔk bɔt am insay simpul wɔd dɛn.
Fɔ tɔk am simpul wan, wetin na lɔng transplant?
Lɔng transplant na ɔpreshɔn we dɛn kin pul wan ɔ ɔl tu yu lɔng dɛn we sik ɔ we dɔn pwɛl ɛn put wan wɛlbɔdi lɔng ɔ lɔng dɛn we pɔsin we gi yu di bɔdi gɛt. Bɔku tɛm, dɛn lɔng dɛn ya we dɛn kin gi kin kɔmɔt frɔm pɔsin we dɔn day.
Dɛn kin jɔs du dis ɔpreshɔn pan pɔsin we gɛt siriɔs lɔng sik we dɛn nɔ go ebul fɔ mɛn wit ɛni ɔda mɛrɛsin ɔ tritmɛnt. Dat min se, dɔktɔ dɛn kin se dis ɔpreshɔn na di las tin we dɛn fɔ du.
Wetin na di men kayn we fɔ transplant dɛn lɔng?
Tri men kayn we dɛn de fɔ transplant di lɔng. Lɛ wi tek wan luk pan wetin dɛn bi.
| Tayp fɔ transplant | Wetin de apin? |
|---|---|
| Singl lɔng transplant | Dɛn go pul wan pan yu tu lɔng dɛn we gɛt sik ɛn put wan wɛlbɔdi lɔng we dɛn dɔn gi in ples. |
| Dabl lɔng transplant | Dɛn go pul yu ɔl tu di lɔng dɛn we gɛt sik ɛn put tu wɛlbɔdi lɔng dɛn we dɛn dɔn gi. |
| Transplant fɔ di at-lɔng | Insay dis, dɛn kin pul yu at ɛn yu lɔng dɛn ɔl tu ɛn dɛn kin transplant wan wɛlbɔdi at ɛn lɔng dɛn we dɛn dɔn gi. Dɛn kin du dis pan bad bad tin dɛn we kin afɛkt di at ɛn di lɔng dɛn. |
Udat fit fɔ dis ɔpreshɔn?
Bikɔs dis na ɔpreshɔn we rili siriɔs, nɔto ɔlman kin du am. Dɔktɔ dɛn kin tink bɔt bɔku tin dɛn we dɛn de pik pɔsin fɔ dis. Jɛnɛral wan, fɔ mek yu fit fɔ gɛt dis ɔpreshɔn, yu fɔ mit dɛn tin ya:
- Yu fɔ gɛt siriɔs mɛrɛsin we de mek yu lɔng nɔ de wok fayn.
- Yu sik fɔ wɛl wit mɛrɛsin ɔ ɔda tritmɛnt.
- If yu nɔ du dis ɔpreshɔn, di dɔktɔ dɛn go dɔn disayd se yu nɔ rich wan ɔ tri ia fɔ liv.
- Yu nɔ go ebul fɔ gɛt kansa na yu lɔng.
- Yu fɔ bi pɔsin we nɔ de yuz tabak tin dɛn (sigrɛt, beedis, ɛn ɔda tin dɛn).
- Yu fɔ ebul fɔ tek di mɛrɛsin dɛn we de mek yu nɔ ebul fɔ fɛt yu bɔdi ɛn yu maynd we yu go nid fɔ tek fɔ di res ɔf yu layf afta dɛn dɔn du yu ɔpreshɔn.
Wetin mek i nid fɔ transplant pɔsin in lɔng? Us kayn mɛrɛsin i kin trit?
I fayn fɔ transplant lɔng fɔ siriɔs lɔng sik dɛn we dɛn nɔ go ebul fɔ trit wit ɛni ɔda tritmɛnt. Na sɔm pan de tin dɛm wae kin kam wit dis.
| Kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Bronchiectasis we dɛn kɔl Bronchiectasis | di aywe dεm na di lכng dεm we de dilayt fכ כltεm εn dεm dεm. |
| Kronik Obstrɔktiv Pulmonari Diziz (COPD) . | Wan grup we gɛt sik dɛn we nɔ de mɛn na in lɔng we kin mek i nɔ izi fɔ blo. |
| Big big damej we COVID-19 dɔn mek | COVID-19 infεkshכn kin mek di lכng dεm damej we dεn nכ go rεvεrv. |
| Sistik Faybrosis (CF) we dɛn kɔl . | Na sik we de mek di bɔdi in mכkus (flegm) tik ɛn stika. Dis kin afɛkt di lɔng dɛn bad bad wan. |
| Intastitial Lɔng Disizin (ILD) . | Na sik we di lɔng tisu kin gɛt skata ɛn di lɔng dɛn kin at. |
| Pulmonari Haypatɛnshɔn | di ay blɔd prɛshɔn na di at we de kɛr blɔd go na di lɔng dɛn. |
Wetin kin apin bifo dɛn du di ɔpreshɔn? (Skrin bifo dɛn transplant)
Bifo dɛn disayd if yu na kandidet fɔ transplant yu lɔng, dɛn go du sɔm tɛst dɛn we rili gud . dis dεn kכl am `pri-transplant skrinin.` Dis na di fכs step. Wan spɛshal kɔdinetɔ we tren fɔ transplant go gɛda ɔl yu mɛrɛsin infɔmeshɔn.
Wetin dɛn tɛst ya kin luk fɔ?
Bɔku pan dɛn tɛst ya de. Ɛni wan pan dɛn kin chɛk if yu bɔdi go ebul fɔ bia wit da kayn big ɔpreshɔn de ɛn if yu go ebul fɔ sev we dɛn du di ɔpreshɔn.
| Men tɛst dɛn we dɛn kin du bifo dɛn du di ɔpreshɔn | |
|---|---|
| Di wɛlbɔdi we pɔsin gɛt na in bɔdi | Yu ɔl wɛl bɔdi, famili mɛdikal istri. |
| Blɔd tɛst dɛn | Fɔ chɛk di kayn blɔd, aw ɔda ɔgan dɛn de wok, ɛn aw di sik de. |
| Fɔ Tayp di Tisu | Fɔ chɛk if di tisu dɛn na yu bɔdi de kɔmpit wit di tisu dɛn we di pɔsin we gi yu di mɛrɛsin gɛt. dis rili imכtant, fכ ridyus di risk fכ di bכdi fכ rijek di nyu lכng. |
| Test dɛn fɔ di lɔng | Tin dεm lεk chεst εks-ray, CT skan, pulmonari fכnshכn tεst. |
| Test fɔ gɛt at sik | Tεst dεm lεk ECG, Echocardiogram, εn Cardiac Catheterization de chεk di hεlth fכ di at. |
| Ɔda tɛst dɛn | Dɛn kin du tin dɛn bak lɛk bon density testing (DEXA scan), colonoscopy, Pap smear ɛn mammogram test fɔ uman dɛn, ɛn prostate egzam fɔ man dɛn. |
Afta ɔl dɛn tɛst ya, di transplant mɛdikal tim go kam togɛda, analayz ɔl yu rɛkɔd dɛn, ɛn mek di las disizhɔn fɔ no if dis ɔpreshɔn fayn fɔ yu ɔ nɔ fayn fɔ yu.
If yu dɔn disayd fɔ fit, dɛn go put yu nem pan di nashɔnal list we de wet fɔ transplant in lɔng . Dɔn yu go gɛt fɔ wet fɔ mek yu gɛt lɔng we we go mach yu.
Mɛmba se di tɛm we yu go de na dis wet list kin kɔmɔt frɔm mɔnt to ia, i go dipen if yu fɛn pɔsin we gɛt blɔd tayp ɛn lɔng saiz we fiba am.
Wetin yu fɔ du we yu de na di list fɔ wet?
Dis tɛm rili impɔtant. Yu nid fɔ gɛt di bɛst wɛlbɔdi fɔ di ɔpreshɔn. Yu mɛdikal tim go mek wan spɛshal plan fɔ yu.
- Yu fɔ chenj di we aw yu de liv yu layf: Yu fɔ stɔp fɔ drink rɔm kpatakpata. Yu fɔ kɔntinyu fɔ gɛt wɛlbɔdi wet. If yu fat, yu fɔ lɛf fɔ it bɔku bɔku it dɛn.
- Di mɛrɛsin dɛn: Tek ɔl di mɛrɛsin dɛn we yu dɔktɔ gi yu di rayt tɛm. If ɔda dɔktɔ gi yu nyu mɛrɛsin, yu fɔ tɛl di transplant kɔdinetɔ bɔt am. Yu fɔ tɛl dɛn bak bɔt ɛni vaytamɛn ɔ ɛbul mɛrɛsin we yu de tek.
- Ɛksesaiz: Wan dɔktɔ we de mɛn yu bɔdi go mek sɔm ɛksesaiz dɛn we go fayn fɔ yu. Yu fɔ wok bak wit dɔktɔ we de mɛn yu we de blo fɔ du ɛksɛsayz fɔ blo fɔ mek yu lɔng dɛn gɛt wɛlbɔdi.
- Chek-ap ɔltɛm: Di dɔktɔ go kam si yu ɛvri tu to tri mɔnt.
- Fɔ pripia:Wan lɔng we de mach kin kam ɛnitɛm. So mek wan transpɔt plan fɔ go na di ɔspitul. I fayn fɔ mek yu gɛt bag we gɛt klos ɛn tin dɛn we yu nid fɔ rɛdi.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Afta dɛn kɛr yu go na di ɔpreshɔn rum, di dɔktɔ we de mɛn yu go gi yu wan mɛrɛsin we de mek yu fil fayn so dat yu nɔ go fil ɛni pen. Dɛn go de wach yu at rit ɛn blɔd prɛshɔn ɔltɛm.
Dɔn dɛn go kɔnɛkt yu to wan mashin we dɛn kɔl mɛkanikal ventilatɔ . Dis na wetin de blo fɔ yu we dɛn de du di ɔpreshɔn. sכmtεm, dεn kin yuz wan mashin we dεn kכl `ECMO (extracorporeal membrane oxygenation)` bak. Dis kin mek di blɔd nɔ go na yu at ɛn yu lɔng fɔ sɔm tɛm, dɔn wan mashin kin klin di blɔd ɛn sɛn am bak na yu bɔdi.
Di dɔktɔ we de du di ɔpreshɔn kin kɔt yu chɛst ɛn tek tɛm pul di lɔng we gɛt sik ɔ ɔl tu di lɔng dɛn. Dɔn, dɛn kin transplant nyu lɔng we gɛt wɛlbɔdi na in ples, ɛn i kin kɔnɛkt ɔl di blɔd vesel dɛn ɛn di say dɛn we di briz de blo bak.
We ɔltin dɔn kɔnɛkt fayn fayn wan, dɛn kin chɛk fɔ si if blɔd ɛn briz de flɔ to di nyu lɔng. Fɔ dɔn, dɛn kin stich di say we dɛn kɔt ɛn kɔba di wund.
wan singl lכng transplant kin tek lεk 4-8 awa, εn wan dכbl lכng transplant kin tek lεk 6-12 awa.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go transfa yu to di intensiv kia yunit (ICU). Dɔktɔ ɛn nɔs dɛn go tek kia ɔf yu gud gud wan te yu gɛt kɔnshɛns bak ɛn yu sik go stebul. Fɔs, dɛn go kip yu na ventilator fɔ ɛp yu fɔ blo.
Wae yu kɔndishɔn dɔn bɛtɛ, dɛn go transfa yu to nɔmal wɔd. Na dis say di pat we impɔtant pas ɔl bigin. Dɛn go gi yu mɛrɛsin fɔ mek yu bɔdi nɔ gri fɔ tek di nyu lɔng. Dɛn go wach yu bɔdi gud gud wan fɔ si aw i de ansa dɛn mɛrɛsin ya.
As yu de wɛl smɔl smɔl, di wan dɛn we de mɛn yu bɔdi ɛn di wan dɛn we de mɛn yu we yu de blo go bigin yu fɔ du ɛksɛsayz fɔ mek yu gɛt trɛnk. Dɛn go ɔltɛm alaw yu fɔ go na os afta 12-14 dez, ɔr fɔ lɔng tɛm if nid de.
Wetin na di risk ɛn prɔblɛm dɛn we kin apin? (Risks ɛn Kɔmplikɛshɔn dɛn)
Jɔs lɛk ɛni big ɔpreshɔn, prɔblɛm dɛn de we kin apin. I impɔtant fɔ no bɔt dɛn tin ya.
- Risk fɔ ɔpreshɔn: Tin dɛn lɛk prɔblɛm wit anestezi, blɔd we de kɔmɔt pasmak, blɔd we de klɔt, ɛn infɛkshɔn.
- Lכng Transplant Rijekshכn: Dis na di big chalenj. di imyun sistεm na wi bכdi rili gud fכ no fכrin tin dεm. fכ dat, i kin si di nyu lכng we dεn transplant lεk "fכrin tin" εn bigin fכ atak am. Dɛn kɔl dis `rijekshɔn`.
- Akyu Rijɛkt: .Dis kin apin insay di fɔs ia afta dɛn dɔn du di ɔpreshɔn, bɔt dɛn kin kɔntrol am mɔ wit mɛrɛsin.
- Chronic Rejection: Dis kin apin afta sɔm ia. Dis sik nɔr kin izi fɔ trit.
- Infεkshכn: Di mεdikeshכn dεm we de mek di imyun sistεm, we dεn kin gi fכ mek di bכdi nכ rijek di nyu lכng, de rεdכks di imyun sistεm in wok. Dis kin mek yu gɛt difrɛn difrɛn infεkshɔn (baktri, vayral, fεn).
Di simptom dɛm fɔ di bɔdi we de rijek di lɔng
Yu fɔ rili tek tɛm wit dɛn sik ya. If yu gɛt ɛni wan pan dɛn, tɔk to yu dɔktɔ wantɛm wantɛm.
| Ficha dɛn we de wɔn pɔsin fɔ rijɛkt | |
|---|---|
| - Fiva | - Bɔdi wet we yu de gɛt |
| - Nɔs ɛn vɔmit | - Fɔ taya pasmak |
| - Bɔdi pen | - Rɔnbɛlɛ |
| - Pen ɔ tεndεns rawnd di lכng we dεn transplant | - Bɔdi de swel |
Aw lɔng i kin tek fɔ mek i wɛl? (Tɛm fɔ Rikɔva)
Dis na wan lɔng waka. I nɔ go wɛl wan nɛt.
- Fɔs 3 mɔnt: Yu go nid fɔ kam na ɔspitul ɔltɛm. Yu go nid fɔ du blɔd tɛst, ɛkstrem rayt, ɛn tritmɛnt fɔ yu bɔdi.
- Wik 6-8: Yu kin bigin fɔ du layt ɛksɛsayz ɛn drayv.
- 3-6 mכnt: di risk fכ di bכdi fכ rijek di lכng de dכn. di lכng fכnshכn de stεbyul.
- 4-6 mɔnt: Bɔrku pipul kin ebul fɔ go bak na woke ɔr skul.
Di tin we impɔtant pas ɔl na dat yu bɔdi spɛshal. Di tɛm we yu fɔ wɛl kin difrɛn frɔm ɔda pɔsin in yon. So, i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
Mɛsej we dɛn kin kɛr go na os
- Fɔ transplant lɔng na ɔpreshɔn we de sev pɔsin in layf, bɔt i rili siriɔs. Dɛn kin du am pan pipul dɛm wae gɛt siriɔs lɔng sik wae nɔr kin ebul fɔ wɛl wit ɛni ɔda tritmɛnt.
- Bifo dɛn du yu ɔpreshɔn, dɛn go du sɔm dip tɛst dɛn fɔ no if yu fit.
- Di big risk na dat yu bɔdi go rijek di nyu lɔng ɛn gɛt infɛkshɔn, we min se yu go nid fɔ tek mɛrɛsin dɛn we de mek yu nɔ ebul fɔ fɛt di sik fɔ di res ɔf yu layf .
- Di prɔses fɔ wɛl kin lɔng, ɛn i impɔtant fɔ peshɛnt ɛn wok klos wit di mɛdikal tim.
- If yu gɛt ɛnitin we nɔ kɔmɔn (fiva, i nɔ izi fɔ blo), nɔ shem fɔ tɛl yu dɔktɔ wantɛm wantɛm .
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